Chosen Generation Daycare Center

G.S. 110-90 · Violation

Name of Operation: CHOSEN GENERATION DAYCARE CENTER Facility ID: 91000245 Consultant: EMILY HARGROVE Operation Type: Center Case Number: Visit Date: 6/3/2026 Number Present: 12 Completed Date: 6/3/2026 Age: From 1 To 5 Total Minutes: 210 Time In: 09:45 AM Time Out: 01:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today's unannounced visit was to monitor this program with applicable child care requirements during an Annual Compliance visit. Cynthia Davis/Administrator was available and assisted with today's visit. The last Annual Compliance visit was conducted on June 25, 2025. The last sanitation was completed on May 6, 2026 receiving a "Superior" classification. The last fire inspection was conducted on May 1, 2026. A Chosen Generation, Church of God is listed as the current owner of this center. According to information verified on the North Carolina Secretary of State’s website, A Chosen Generation, Church of God remains Current and Active. Prior to making any changes to the corporation status, please contact me to discuss change of ownership procedures. The corporation status for your program must always remain Current and Active. Failure to comply may affect your child care license. Twelve (12) children were observed ranging from ages One (1) to (5) Five years of age. Children in Space #1 were observed eating food, outdoor play,diapering and handwashing procedures, and preparing for nap. Children in Space Space #2 were observed outdoor play, toileting and handwashing procedures, and eating lunch which consisted of Sausage, Cheese, and Pepperoni Pizza, french fries, fruit cup, water, and milk and preparing for nap. Caregivers interacted with children in a nurturing and caring manner. The following violations were documented today: Violation Number Comment Rule 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. Five staff members have not been linked into ABCMS Portal. G.S. 110-90.2 & .2703(r) The violations documented must be corrected immediately. Please send a compliance verification letter to me describing how the violations was corrected. You can submit the compliance verification letter by postal mail to Emily Hargrove, PO Box 1974 Henderson NC 27536, or email emily.hargrove@dhhs.nc.gov. The compliance verification letter must be received on or before June 17, 2026. The two-week time frame is established to allow you time for submitting your compliance verification letter. This timeframe is not intended to be used as a guide for correcting violations, as they should be corrected immediately. Please be aware that any written information submitted by you regarding correction of violations documented during the visit is legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility's Star Rated License could be issued. If sufficient information is not received by the due date, a follow-up visit will be conducted. Child care licensing requirements are established to ensure a safe and healthy child care environment. It is your responsibility to maintain compliance with all applicable laws and rules. The best way to do so is to periodically review the child care laws and rules. The current rule book dated July 1, 2023, is available at the DCDEE website https://ncchildcare.ncdhhs.gov/. There are also modules reviewing the new Child Care Rules available on Moodle, which can be found on the Division website. I recommend you frequently click the “What’s New” tab to stay informed of all updates on the DCDEE website. TECHNICAL ASSISTANCE AND CONSULTATION: Compliance History: Prior to today's visit, this facility has maintained an 18-month compliance score of 96%. PROGRAM RECORDS: Fire Drills/Emergency Drills, Fire inspection, Sanitation report, First Aid/CPR Poster, Playground Outdoor Inspections, EMC Plan and License were reviewed and current. CHILDREN AND STAFF RECORDS: Ten percent (10%) or more of children records were monitored. Children records reviewed, were in compliance. Other children’s files not reviewed should be monitored to ensure compliance for the same information. Ten percent (10%) or more of existent staff files were monitored. Staff records reviewed were in compliance. Other staff records should be monitored for the same information to ensure compliance. CRIMINAL BACKGROUND CHECK: All staff need to be linked in ABCMS Portal. I reviewed with you where to go to get to the ABCMS Portal. You stated that you were aware of the process of linking new hires to ABCMS. If you have any problems or issues please contact Criminal Background Unit. You started working on the linking process during the visit. Child Care Criminal Background Check Unit at (919) 814-6401 or Fax (984) 236-8223 or email at DHHS.CBC.Unit@dhhs.nc.gov RESOURCES: • The most current provider documents/ forms, checklists, resources related to child care and new child care requirements, and how to create a DCDEE WORKS account can be found on the Division of Child Development and Early Education website. https://ncchildcare.ncdhhs.gov/ • North Carolina Risk Management Portal for EPR updates/review: https://rmp.nc.gov/portal/# • NC Child Care Health & Safety Resource Center Please feel free to contact me at (252) 214-8454 or email at Emily.hargrovve@dhhs.nc.gov for questions and assistance. If needed my mailing address is PO Box 1974, Henderson NC 27536. You may also contact Susan Fuller, Licensing Supervisor at (252) 373-9809. 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: CHOSEN GENERATION DAYCARE CENTER Facility ID: 91000245 Consultant: EMILY HARGROVE Operation Type: Center Case Number: Visit Date: 10/1/2025 Number Present: 12 Completed Date: 10/1/2025 Age: From 0 To 5 Total Minutes: 105 Time In: 08:50 AM Time Out: 10:35 AM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today's unannounced visit was to monitor this program with applicable child care requirements during an Annual Compliance visit. Cynthia Davis/Administrator and Janice Hargrove/Owner was available and assisted with today's visit. The last Annual Compliance visit was conducted on July 10, 2024. The last sanitation was completed on September 9, 2024 receiving a "Provisional" classification. The last fire inspection was conducted on August 2, 2024. A Chosen Generation, Church of God is listed as the current owner of this center. According to information verified on the North Carolina Secretary of State’s website, A Chosen Generation, Church of God remains Current and Active. Prior to making any changes to the corporation status, please contact me to discuss change of ownership procedures. The corporation status for your program must always remain Current and Active. Failure to comply may affect your child care license. Twelve (12) children were observed ranging from ages Zero (0) months to Five (5) years of age. Children in Space #1 were observed free choice, and diapering and handwashing procedures. Children in Space Space #2 were observed playing in outdoor play, free choice centers, and toileting and handwashing procedures. Caregivers interacted with children in a nurturing and caring manner. The following violations were documented today: 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. The posted fire inspection was last completed on August 2, 2024. 10A NCAC 09 .0304(a) The violations documented must be corrected immediately. Please send a compliance verification letter to me describing how the violations was corrected. You can submit the compliance verification letter by postal mail to Emily Hargrove, PO Box 1974 Henderson NC 27536, or email emily.hargrove@dhhs.nc.gov. The compliance verification letter must be received on or before October 15, 2025. The two-week time frame is established to allow you time for submitting your compliance verification letter. This timeframe is not intended to be used as a guide for correcting violations, as they should be corrected immediately. Please be aware that any written information submitted by you regarding correction of violations documented during the visit is legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility's Star Rated License could be issued. If sufficient information is not received by the due date, a follow-up visit will be conducted. Child care licensing requirements are established to ensure a safe and healthy child care environment. It is your responsibility to maintain compliance with all applicable laws and rules. The best way to do so is to periodically review the child care laws and rules. The current rule book dated July 1, 2023, is available at the DCDEE website https://ncchildcare.ncdhhs.gov/. There are also modules reviewing the new Child Care Rules available on Moodle, which can be found on the Division website. I recommend you frequently click the “What’s New” tab to stay informed of all updates on the DCDEE website. TECHNICAL ASSISTANCE AND CONSULTATION: Compliance History: Prior to today's visit, this facility has maintained an 18-month compliance score of 90%. PROGRAM RECORDS: Fire Drills/Emergency Drills, Fire inspection, Sanitation report, First Aid/CPR Poster, Playground Outdoor Inspections, EMC Plan and License were reviewed and not current. Fire Inspection: The most current fire inspection posted is expired. The last fire inspection was conducted on 8-2-2024. You called fire inspector during the visit. Sanitation Inspection: The posted and current sanitation inspection is "Provisional". The sanitation inspection report was conducted on 9-9-2025. The sanitation inspection was dated for 9-9-2024. You stated you would contact sanitation inspector to inform about the incorrect date. You, C. Davis stated that you and the owner are currently looking for another building. TRANSPORTATION: You stated this program do not provide transportation. MEDICATION: You stated this program do not administer medicine. Corporal Punishment Rule Amendment 10A NCAC 09 .2102 The NC Child Care Commission is proposing amendments to Rule 10A NCAC 09 .2102 to further define "corporal punishment" and clarify discipline policy requirements for religious-sponsored child care facilities as defined in G.S. 110-91(10). These amendments aim to provide clear regulations for such facilities that opt to administer corporal punishment. The proposed parameters are intended to ensure compliance with statutory allowances and protect children from maltreatment. Read the Proposed Amendment and OSBM Approved Fiscal Analysis NCDHHS’ headquarters has moved! Effective September 8, NCDHHS’ headquarters is located at 1915 Health Services Way in Raleigh, NC (opposite the North Carolina Museum of Art). Divisions will move to the new building in phases throughout the next two months. The Division of Child Development and Early Education will move to the new NCDHHS Headquarters on October 1. The DCDEE mailing address will remain 2201 Mail Service Center, Raleigh, NC 27699-2200. If you are visiting the new building, the paid parking deck for our headquarters is immediately beside the building at 1910 Human Services Lane. All guests will check in at the front desk and be escorted by a DHHS staff member to the appropriate floor for their meeting. Getting Here: For GPS and map apps, use 3905 Reedy Creek Rd, Raleigh NC 27607 to get directions. Effective September 8, NCDHHS’ headquarters is located at 1915 Health Services Way in Raleigh, NC (opposite the North Carolina Museum of Art). Divisions will move to the new building in phases throughout the next two months. The Division of Child Development and Early Education will move to the new NCDHHS Headquarters on October 1. The DCDEE mailing address will remain 2201 Mail Service Center, Raleigh, NC 27699-2200. If you are visiting the new building, the paid parking deck for our headquarters is immediately beside the building at 1910 Human Services Lane. All guests will check in at the front desk and be escorted by a DHHS staff member to the appropriate floor for their meeting. Getting Here: For GPS and map apps, use 3905 Reedy Creek Rd, Raleigh NC 27607 to get directions. 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 .2102 · Violation

Name of Operation: CHOSEN GENERATION DAYCARE CENTER Facility ID: 91000245 Consultant: EMILY HARGROVE Operation Type: Center Case Number: Visit Date: 10/1/2025 Number Present: 12 Completed Date: 10/1/2025 Age: From 0 To 5 Total Minutes: 105 Time In: 08:50 AM Time Out: 10:35 AM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today's unannounced visit was to monitor this program with applicable child care requirements during an Annual Compliance visit. Cynthia Davis/Administrator and Janice Hargrove/Owner was available and assisted with today's visit. The last Annual Compliance visit was conducted on July 10, 2024. The last sanitation was completed on September 9, 2024 receiving a "Provisional" classification. The last fire inspection was conducted on August 2, 2024. A Chosen Generation, Church of God is listed as the current owner of this center. According to information verified on the North Carolina Secretary of State’s website, A Chosen Generation, Church of God remains Current and Active. Prior to making any changes to the corporation status, please contact me to discuss change of ownership procedures. The corporation status for your program must always remain Current and Active. Failure to comply may affect your child care license. Twelve (12) children were observed ranging from ages Zero (0) months to Five (5) years of age. Children in Space #1 were observed free choice, and diapering and handwashing procedures. Children in Space Space #2 were observed playing in outdoor play, free choice centers, and toileting and handwashing procedures. Caregivers interacted with children in a nurturing and caring manner. The following violations were documented today: 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. The posted fire inspection was last completed on August 2, 2024. 10A NCAC 09 .0304(a) The violations documented must be corrected immediately. Please send a compliance verification letter to me describing how the violations was corrected. You can submit the compliance verification letter by postal mail to Emily Hargrove, PO Box 1974 Henderson NC 27536, or email emily.hargrove@dhhs.nc.gov. The compliance verification letter must be received on or before October 15, 2025. The two-week time frame is established to allow you time for submitting your compliance verification letter. This timeframe is not intended to be used as a guide for correcting violations, as they should be corrected immediately. Please be aware that any written information submitted by you regarding correction of violations documented during the visit is legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility's Star Rated License could be issued. If sufficient information is not received by the due date, a follow-up visit will be conducted. Child care licensing requirements are established to ensure a safe and healthy child care environment. It is your responsibility to maintain compliance with all applicable laws and rules. The best way to do so is to periodically review the child care laws and rules. The current rule book dated July 1, 2023, is available at the DCDEE website https://ncchildcare.ncdhhs.gov/. There are also modules reviewing the new Child Care Rules available on Moodle, which can be found on the Division website. I recommend you frequently click the “What’s New” tab to stay informed of all updates on the DCDEE website. TECHNICAL ASSISTANCE AND CONSULTATION: Compliance History: Prior to today's visit, this facility has maintained an 18-month compliance score of 90%. PROGRAM RECORDS: Fire Drills/Emergency Drills, Fire inspection, Sanitation report, First Aid/CPR Poster, Playground Outdoor Inspections, EMC Plan and License were reviewed and not current. Fire Inspection: The most current fire inspection posted is expired. The last fire inspection was conducted on 8-2-2024. You called fire inspector during the visit. Sanitation Inspection: The posted and current sanitation inspection is "Provisional". The sanitation inspection report was conducted on 9-9-2025. The sanitation inspection was dated for 9-9-2024. You stated you would contact sanitation inspector to inform about the incorrect date. You, C. Davis stated that you and the owner are currently looking for another building. TRANSPORTATION: You stated this program do not provide transportation. MEDICATION: You stated this program do not administer medicine. Corporal Punishment Rule Amendment 10A NCAC 09 .2102 The NC Child Care Commission is proposing amendments to Rule 10A NCAC 09 .2102 to further define "corporal punishment" and clarify discipline policy requirements for religious-sponsored child care facilities as defined in G.S. 110-91(10). These amendments aim to provide clear regulations for such facilities that opt to administer corporal punishment. The proposed parameters are intended to ensure compliance with statutory allowances and protect children from maltreatment. Read the Proposed Amendment and OSBM Approved Fiscal Analysis NCDHHS’ headquarters has moved! Effective September 8, NCDHHS’ headquarters is located at 1915 Health Services Way in Raleigh, NC (opposite the North Carolina Museum of Art). Divisions will move to the new building in phases throughout the next two months. The Division of Child Development and Early Education will move to the new NCDHHS Headquarters on October 1. The DCDEE mailing address will remain 2201 Mail Service Center, Raleigh, NC 27699-2200. If you are visiting the new building, the paid parking deck for our headquarters is immediately beside the building at 1910 Human Services Lane. All guests will check in at the front desk and be escorted by a DHHS staff member to the appropriate floor for their meeting. Getting Here: For GPS and map apps, use 3905 Reedy Creek Rd, Raleigh NC 27607 to get directions. Effective September 8, NCDHHS’ headquarters is located at 1915 Health Services Way in Raleigh, NC (opposite the North Carolina Museum of Art). Divisions will move to the new building in phases throughout the next two months. The Division of Child Development and Early Education will move to the new NCDHHS Headquarters on October 1. The DCDEE mailing address will remain 2201 Mail Service Center, Raleigh, NC 27699-2200. If you are visiting the new building, the paid parking deck for our headquarters is immediately beside the building at 1910 Human Services Lane. All guests will check in at the front desk and be escorted by a DHHS staff member to the appropriate floor for their meeting. Getting Here: For GPS and map apps, use 3905 Reedy Creek Rd, Raleigh NC 27607 to get directions. 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. 110-91 · Violation

Name of Operation: CHOSEN GENERATION DAYCARE CENTER Facility ID: 91000245 Consultant: EMILY HARGROVE Operation Type: Center Case Number: Visit Date: 10/1/2025 Number Present: 12 Completed Date: 10/1/2025 Age: From 0 To 5 Total Minutes: 105 Time In: 08:50 AM Time Out: 10:35 AM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today's unannounced visit was to monitor this program with applicable child care requirements during an Annual Compliance visit. Cynthia Davis/Administrator and Janice Hargrove/Owner was available and assisted with today's visit. The last Annual Compliance visit was conducted on July 10, 2024. The last sanitation was completed on September 9, 2024 receiving a "Provisional" classification. The last fire inspection was conducted on August 2, 2024. A Chosen Generation, Church of God is listed as the current owner of this center. According to information verified on the North Carolina Secretary of State’s website, A Chosen Generation, Church of God remains Current and Active. Prior to making any changes to the corporation status, please contact me to discuss change of ownership procedures. The corporation status for your program must always remain Current and Active. Failure to comply may affect your child care license. Twelve (12) children were observed ranging from ages Zero (0) months to Five (5) years of age. Children in Space #1 were observed free choice, and diapering and handwashing procedures. Children in Space Space #2 were observed playing in outdoor play, free choice centers, and toileting and handwashing procedures. Caregivers interacted with children in a nurturing and caring manner. The following violations were documented today: 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. The posted fire inspection was last completed on August 2, 2024. 10A NCAC 09 .0304(a) The violations documented must be corrected immediately. Please send a compliance verification letter to me describing how the violations was corrected. You can submit the compliance verification letter by postal mail to Emily Hargrove, PO Box 1974 Henderson NC 27536, or email emily.hargrove@dhhs.nc.gov. The compliance verification letter must be received on or before October 15, 2025. The two-week time frame is established to allow you time for submitting your compliance verification letter. This timeframe is not intended to be used as a guide for correcting violations, as they should be corrected immediately. Please be aware that any written information submitted by you regarding correction of violations documented during the visit is legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility's Star Rated License could be issued. If sufficient information is not received by the due date, a follow-up visit will be conducted. Child care licensing requirements are established to ensure a safe and healthy child care environment. It is your responsibility to maintain compliance with all applicable laws and rules. The best way to do so is to periodically review the child care laws and rules. The current rule book dated July 1, 2023, is available at the DCDEE website https://ncchildcare.ncdhhs.gov/. There are also modules reviewing the new Child Care Rules available on Moodle, which can be found on the Division website. I recommend you frequently click the “What’s New” tab to stay informed of all updates on the DCDEE website. TECHNICAL ASSISTANCE AND CONSULTATION: Compliance History: Prior to today's visit, this facility has maintained an 18-month compliance score of 90%. PROGRAM RECORDS: Fire Drills/Emergency Drills, Fire inspection, Sanitation report, First Aid/CPR Poster, Playground Outdoor Inspections, EMC Plan and License were reviewed and not current. Fire Inspection: The most current fire inspection posted is expired. The last fire inspection was conducted on 8-2-2024. You called fire inspector during the visit. Sanitation Inspection: The posted and current sanitation inspection is "Provisional". The sanitation inspection report was conducted on 9-9-2025. The sanitation inspection was dated for 9-9-2024. You stated you would contact sanitation inspector to inform about the incorrect date. You, C. Davis stated that you and the owner are currently looking for another building. TRANSPORTATION: You stated this program do not provide transportation. MEDICATION: You stated this program do not administer medicine. Corporal Punishment Rule Amendment 10A NCAC 09 .2102 The NC Child Care Commission is proposing amendments to Rule 10A NCAC 09 .2102 to further define "corporal punishment" and clarify discipline policy requirements for religious-sponsored child care facilities as defined in G.S. 110-91(10). These amendments aim to provide clear regulations for such facilities that opt to administer corporal punishment. The proposed parameters are intended to ensure compliance with statutory allowances and protect children from maltreatment. Read the Proposed Amendment and OSBM Approved Fiscal Analysis NCDHHS’ headquarters has moved! Effective September 8, NCDHHS’ headquarters is located at 1915 Health Services Way in Raleigh, NC (opposite the North Carolina Museum of Art). Divisions will move to the new building in phases throughout the next two months. The Division of Child Development and Early Education will move to the new NCDHHS Headquarters on October 1. The DCDEE mailing address will remain 2201 Mail Service Center, Raleigh, NC 27699-2200. If you are visiting the new building, the paid parking deck for our headquarters is immediately beside the building at 1910 Human Services Lane. All guests will check in at the front desk and be escorted by a DHHS staff member to the appropriate floor for their meeting. Getting Here: For GPS and map apps, use 3905 Reedy Creek Rd, Raleigh NC 27607 to get directions. Effective September 8, NCDHHS’ headquarters is located at 1915 Health Services Way in Raleigh, NC (opposite the North Carolina Museum of Art). Divisions will move to the new building in phases throughout the next two months. The Division of Child Development and Early Education will move to the new NCDHHS Headquarters on October 1. The DCDEE mailing address will remain 2201 Mail Service Center, Raleigh, NC 27699-2200. If you are visiting the new building, the paid parking deck for our headquarters is immediately beside the building at 1910 Human Services Lane. All guests will check in at the front desk and be escorted by a DHHS staff member to the appropriate floor for their meeting. Getting Here: For GPS and map apps, use 3905 Reedy Creek Rd, Raleigh NC 27607 to get directions. 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: CHOSEN GENERATION DAYCARE CENTER Facility ID: 91000245 Consultant: EMILY HARGROVE Operation Type: Center Case Number: Visit Date: 6/25/2025 Number Present: 26 Completed Date: 6/25/2025 Age: From 0 To 11 Total Minutes: 155 Time In: 10:40 AM Time Out: 01:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today's unannounced visit was to monitor this program with applicable child care requirements during an Annual Compliance visit. Cynthia Davis/Administrator was available and assisted with today's visit. The last Annual Compliance visit was conducted on July 10, 2024. The last sanitation was completed on January 26, 2024 receiving a "Superior" classification. The last fire inspection was conducted on August 2, 2024. A Chosen Generation, Church of God is listed as the current owner of this center. According to information verified on the North Carolina Secretary of State’s website, A Chosen Generation, Church of God remains Current and Active. Prior to making any changes to the corporation status, please contact me to discuss change of ownership procedures. The corporation status for your program must always remain Current and Active. Failure to comply may affect your child care license. Twenty-six (26) children were observed ranging from ages Zero (0) months to (11) Eleven years of age. Children in Space #1 were observed eating food, napping, diapering and handwashing procedures. Children in Space Space #2 were observed napping, toileting and handwashing procedures, and eating lunch which consisted of hotdogs on bun, chips, fruit cup, water, and milk. Caregivers interacted with children in a nurturing and caring manner. The following violations were documented today: Violation Number Comment Rule 611 All beds,cots, or mats with individual linen were not provided for each child. Child was sleeping in a bed without linen provided in space #1. 15A NCAC 18A .2821(c) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. Two electrical outlets located in kitchen area near sink was not covered with safety plugs. 10A NCAC 09 .0604(c) 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 member L. Higgs training expired on 3/4/2025. It was last completed on 3/4/2020. .1102(g) The violations documented must be corrected immediately. Please send a compliance verification letter to me describing how the violations was corrected. You can submit the compliance verification letter by postal mail to Emily Hargrove, PO Box 1974 Henderson NC 27536, or email emily.hargrove@dhhs.nc.gov. The compliance verification letter must be received on or before July 3, 2025. The two-week time frame is established to allow you time for submitting your compliance verification letter. This timeframe is not intended to be used as a guide for correcting violations, as they should be corrected immediately. Please be aware that any written information submitted by you regarding correction of violations documented during the visit is legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility's Star Rated License could be issued. If sufficient information is not received by the due date, a follow-up visit will be conducted. Child care licensing requirements are established to ensure a safe and healthy child care environment. It is your responsibility to maintain compliance with all applicable laws and rules. The best way to do so is to periodically review the child care laws and rules. The current rule book dated July 1, 2023, is available at the DCDEE website https://ncchildcare.ncdhhs.gov/. There are also modules reviewing the new Child Care Rules available on Moodle, which can be found on the Division website. I recommend you frequently click the “What’s New” tab to stay informed of all updates on the DCDEE website. TECHNICAL ASSISTANCE AND CONSULTATION: Compliance History: Prior to today's visit, this facility has maintained an 18-month compliance score of 100%. PROGRAM RECORDS: Fire Drills/Emergency Drills, Fire inspection, Sanitation report, First Aid/CPR Poster, Playground Outdoor Inspections, EMC Plan and License were reviewed and current. CHILDREN AND STAFF RECORDS: Ten percent (10%) or more of children records were monitored. Children records reviewed, were in compliance. Other children’s files not reviewed should be monitored to ensure compliance for the same information. Ten percent (10%) or more of existent staff files were monitored. Staff records reviewed were in compliance. Other staff records should be monitored for the same information to ensure compliance. ELECTRICAL OUTLET: Two electrical outlet was uncovered without plug. We discussed making sure all electrical outlets are plugged at all times. Please refer to this section of the child care rules to review rule on Safe indoor environment. This was corrected during the visit. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS. RECOGNIZING AND RESPONDING TO SUSPICIOUS OF CHILD MALTREATMENT: One staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Staff member L. Higgs training expired on 3/4/2025. It was last completed on 3/4/2020. SANITATION: Sanitation is in provisional. You stated that you are waiting on the owner from WWW Properties to fix septic tank. You stated you will give me a update as soon as you hear from WWW properties. RESOURCES: • The most current provider documents/ forms, checklists, resources related to child care and new child care requirements, and how to create a DCDEE WORKS account can be found on the Division of Child Development and Early Education website. https://ncchildcare.ncdhhs.gov/ • North Carolina Risk Management Portal for EPR updates/review: https://rmp.nc.gov/portal/# • NC Child Care Health & Safety Resource Center Please feel free to contact me at (252) 214-8454 or email at Emily.hargrovve@dhhs.nc.gov for questions and assistance. If needed my mailing address is PO Box 1974, Henderson NC 27536. You may also contact Susan Fuller, Licensing Supervisor at (252) 373-9809. 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: CHOSEN GENERATION DAYCARE CENTER Facility ID: 91000245 Consultant: EMILY HARGROVE Operation Type: Center Case Number: Visit Date: 6/25/2025 Number Present: 26 Completed Date: 6/25/2025 Age: From 0 To 11 Total Minutes: 155 Time In: 10:40 AM Time Out: 01:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today's unannounced visit was to monitor this program with applicable child care requirements during an Annual Compliance visit. Cynthia Davis/Administrator was available and assisted with today's visit. The last Annual Compliance visit was conducted on July 10, 2024. The last sanitation was completed on January 26, 2024 receiving a "Superior" classification. The last fire inspection was conducted on August 2, 2024. A Chosen Generation, Church of God is listed as the current owner of this center. According to information verified on the North Carolina Secretary of State’s website, A Chosen Generation, Church of God remains Current and Active. Prior to making any changes to the corporation status, please contact me to discuss change of ownership procedures. The corporation status for your program must always remain Current and Active. Failure to comply may affect your child care license. Twenty-six (26) children were observed ranging from ages Zero (0) months to (11) Eleven years of age. Children in Space #1 were observed eating food, napping, diapering and handwashing procedures. Children in Space Space #2 were observed napping, toileting and handwashing procedures, and eating lunch which consisted of hotdogs on bun, chips, fruit cup, water, and milk. Caregivers interacted with children in a nurturing and caring manner. The following violations were documented today: Violation Number Comment Rule 611 All beds,cots, or mats with individual linen were not provided for each child. Child was sleeping in a bed without linen provided in space #1. 15A NCAC 18A .2821(c) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. Two electrical outlets located in kitchen area near sink was not covered with safety plugs. 10A NCAC 09 .0604(c) 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 member L. Higgs training expired on 3/4/2025. It was last completed on 3/4/2020. .1102(g) The violations documented must be corrected immediately. Please send a compliance verification letter to me describing how the violations was corrected. You can submit the compliance verification letter by postal mail to Emily Hargrove, PO Box 1974 Henderson NC 27536, or email emily.hargrove@dhhs.nc.gov. The compliance verification letter must be received on or before July 3, 2025. The two-week time frame is established to allow you time for submitting your compliance verification letter. This timeframe is not intended to be used as a guide for correcting violations, as they should be corrected immediately. Please be aware that any written information submitted by you regarding correction of violations documented during the visit is legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility's Star Rated License could be issued. If sufficient information is not received by the due date, a follow-up visit will be conducted. Child care licensing requirements are established to ensure a safe and healthy child care environment. It is your responsibility to maintain compliance with all applicable laws and rules. The best way to do so is to periodically review the child care laws and rules. The current rule book dated July 1, 2023, is available at the DCDEE website https://ncchildcare.ncdhhs.gov/. There are also modules reviewing the new Child Care Rules available on Moodle, which can be found on the Division website. I recommend you frequently click the “What’s New” tab to stay informed of all updates on the DCDEE website. TECHNICAL ASSISTANCE AND CONSULTATION: Compliance History: Prior to today's visit, this facility has maintained an 18-month compliance score of 100%. PROGRAM RECORDS: Fire Drills/Emergency Drills, Fire inspection, Sanitation report, First Aid/CPR Poster, Playground Outdoor Inspections, EMC Plan and License were reviewed and current. CHILDREN AND STAFF RECORDS: Ten percent (10%) or more of children records were monitored. Children records reviewed, were in compliance. Other children’s files not reviewed should be monitored to ensure compliance for the same information. Ten percent (10%) or more of existent staff files were monitored. Staff records reviewed were in compliance. Other staff records should be monitored for the same information to ensure compliance. ELECTRICAL OUTLET: Two electrical outlet was uncovered without plug. We discussed making sure all electrical outlets are plugged at all times. Please refer to this section of the child care rules to review rule on Safe indoor environment. This was corrected during the visit. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS. RECOGNIZING AND RESPONDING TO SUSPICIOUS OF CHILD MALTREATMENT: One staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Staff member L. Higgs training expired on 3/4/2025. It was last completed on 3/4/2020. SANITATION: Sanitation is in provisional. You stated that you are waiting on the owner from WWW Properties to fix septic tank. You stated you will give me a update as soon as you hear from WWW properties. RESOURCES: • The most current provider documents/ forms, checklists, resources related to child care and new child care requirements, and how to create a DCDEE WORKS account can be found on the Division of Child Development and Early Education website. https://ncchildcare.ncdhhs.gov/ • North Carolina Risk Management Portal for EPR updates/review: https://rmp.nc.gov/portal/# • NC Child Care Health & Safety Resource Center Please feel free to contact me at (252) 214-8454 or email at Emily.hargrovve@dhhs.nc.gov for questions and assistance. If needed my mailing address is PO Box 1974, Henderson NC 27536. You may also contact Susan Fuller, Licensing Supervisor at (252) 373-9809. 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: CHOSEN GENERATION DAYCARE CENTER Facility ID: 91000245 Consultant: EMILY HARGROVE Operation Type: Center Case Number: Visit Date: 2/5/2025 Number Present: 17 Completed Date: 2/5/2025 Age: From 0 To 5 Total Minutes: 120 Time In: 09:25 AM Time Out: 11:25 AM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today's unannounced visit was to monitor this program with applicable child care requirements during an Annual Compliance visit. Cynthia Davis/Administrator and Janice Hargrove/Owner was available and assisted with today's visit. The last Annual Compliance visit was conducted on July 10, 2024. The last sanitation was completed on September 9, 2024 receiving a "Provisional" classification. The last fire inspection was conducted on August 2, 2024. A Chosen Generation, Church of God is listed as the current owner of this center. According to information verified on the North Carolina Secretary of State’s website, A Chosen Generation, Church of God remains Current and Active. Prior to making any changes to the corporation status, please contact me to discuss change of ownership procedures. The corporation status for your program must always remain Current and Active. Failure to comply may affect your child care license. Seventeen (17) children were observed ranging from ages Zero (0) months to Five (5) years of age. Children in Space #1 were observed eating food, free choice, and diapering and handwashing procedures. Children in Space Space #2 were observed playing in outdoor play, free choice centers, toileting and handwashing procedures, and preparing for lunch. Caregivers interacted with children in a nurturing and caring manner. The following violations were documented today: 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. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. 10A NCAC 09 .0304(a) The violations documented must be corrected immediately. Please send a compliance verification letter to me describing how the violations was corrected. You can submit the compliance verification letter by postal mail to Emily Hargrove, PO Box 1974 Henderson NC 27536, or email emily.hargrove@dhhs.nc.gov. The compliance verification letter must be received on or before February 19, 2025. The two-week time frame is established to allow you time for submitting your compliance verification letter. This timeframe is not intended to be used as a guide for correcting violations, as they should be corrected immediately. Please be aware that any written information submitted by you regarding correction of violations documented during the visit is legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility's Star Rated License could be issued. If sufficient information is not received by the due date, a follow-up visit will be conducted. Child care licensing requirements are established to ensure a safe and healthy child care environment. It is your responsibility to maintain compliance with all applicable laws and rules. The best way to do so is to periodically review the child care laws and rules. The current rule book dated July 1, 2023, is available at the DCDEE website https://ncchildcare.ncdhhs.gov/. There are also modules reviewing the new Child Care Rules available on Moodle, which can be found on the Division website. I recommend you frequently click the “What’s New” tab to stay informed of all updates on the DCDEE website. TECHNICAL ASSISTANCE AND CONSULTATION: Compliance History: Prior to today's visit, this facility has maintained an 18-month compliance score of 92%. PROGRAM RECORDS: Fire Drills/Emergency Drills, Fire inspection, Sanitation report, First Aid/CPR Poster, Playground Outdoor Inspections, EMC Plan and License were reviewed and current. Staff Record: You hired a new staff member on 2/3/2025. I reviewed staff record and it was found to meet compliance with applicable child care rules. Staff CBC was verified. Fire Inspection: You submitted the most current fire inspection. I explained to you that the operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. Sanitation Inspection: The current fire inspection is "Provisional". You called sanitation inspector during the visit and she stated that there are repairs needed to the septic system and that she was waiting on the decision from the Owner of the property. You, C. Davis stated that you would keep me informed as updates occur regarding the septic system. The Division of Child Development and Early Education (DCDEE) prioritizes increasing career pathways for future ECE teachers. However, after lengthy careful consideration DCDEE has reluctantly decided it will not bring back the Early Childhood Equivalency Exam due to concerns about academic integrity. We make this decision to ensure fair and equitable opportunity for all aspiring early childhood teachers, uphold minimum educational standards, and keep staff and children in licensed child care environments safe. Note, other Pathways to the Profession of Early Childhood Teacher still include: • EDU 119 – Introduction to Early Childhood Education: This 12-week course introduces the foundations of culturally responsive, equitable and inclusive early childhood education. Available at many N.C. Community Colleges with online, evening, or in-person options. Upon successful completion of EDU-119, the student earns the North Carolina Early Childhood Credential and qualifies to be a lead teacher in a child care center. • Test-Out Option for EDU 119: An early childhood professional who has gained knowledge through work and lived experience and/or professional development may be able to receive Credit for Prior Learning by taking a challenge exam for EDU119. Contact a local N.C. Community College for testing information. • EDU 3119 – Intro to Early Childhood Education: This new short-term (8-week) continuing education offering is designed to prepare students to work in a childcare facility. Students learn how to design developmentally appropriate and inclusive lesson plans and activities for young children in alignment with NC Foundations for Early Learning and Development and state regulations. At the end of the course, students will have obtained a qualifying letter which provides eligibility for employment in a N.C. child care facility. Contact a local N.C. Community College to see if this course is available near you. • Child Development Associate® Credential (CDA): DCDEE is still offering free memberships for a limited time to the ECE workforce to enroll in Teaching Strategies Quorum® online teacher education platform. Get support as a new teacher, or complete CDA Coursework and get guidance for portfolio development. Coursework is also available in Spanish on Quorum. Scholarships for CDA course materials are available through TEACH Early Childhood® North Carolina Scholarship Program. Remember lead teachers lacking the North Carolina Early Childhood Credential have six months to enroll in EDU 119 or a DCDEE-approved equivalent, plus up to 18 months to complete the course. Healthy Social Behaviors Webinar: Logical Consequences What are logical consequences for children? How should logical consequences be used in the early childhood classroom? What are the differences between logical consequences and punishment? Tuesday, February 18, 2025 7:00-8:00 p.m. https://ccrinc.zoom.us/j/3677997738 Meeting ID: 367 799 7738 DCDEE WORKS: All staff should ensure they have an education qualification letter on file. Each staff member should create an account, apply for DPI teacher or DPI teacher assistant, and submit transcripts and licensure. RESOURCES: • The most current provider documents/ forms, checklists, resources related to child care and new child care requirements, and how to create a DCDEE WORKS account can be found on the Division of Child Development and Early Education website. https://ncchildcare.ncdhhs.gov/ • North Carolina Risk Management Portal for EPR updates/review: https://rmp.nc.gov/portal/# • NC Child Care Health & Safety Resource Center Please feel free to contact me at (252) 214-8454 or email at Emily.hargrovve@dhhs.nc.gov for questions and assistance. If needed my mailing address is PO Box 1974, Henderson NC 27536. You may also contact Susan Fuller, Licensing Supervisor at (252) 373-9809. 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: CHOSEN GENERATION DAYCARE CENTER Facility ID: 91000245 Consultant: EMILY HARGROVE Operation Type: Center Case Number: Visit Date: 7/10/2024 Number Present: 22 Completed Date: 7/10/2024 Age: From 0 To 5 Total Minutes: 210 Time In: 10:00 AM Time Out: 01:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today's unannounced visit was to monitor this program with applicable child care requirements during an Annual Compliance visit. Cynthia Davis/Administrator and Janice Hargrove/Owner was available and assisted with today's visit. The last Annual Compliance visit was conducted on July 27, 2023. The last sanitation was completed on January 26, 2024 receiving a "Superior" classification. The last fire inspection was conducted on August 7, 2023. A Chosen Generation, Church of God is listed as the current owner of this center. According to information verified on the North Carolina Secretary of State’s website, A Chosen Generation, Church of God remains Current and Active. Prior to making any changes to the corporation status, please contact me to discuss change of ownership procedures. The corporation status for your program must always remain Current and Active. Failure to comply may affect your child care license. Twenty-two (22) children were observed ranging from ages Zero (0) months to Five (5) years of age. Children in Space #1 were observed eating food and diapering and handwashing procedures. Children in Space Space #2 were observed playing in free choice centers, toileting and handwashing procedures, and eating lunch which consisted of pizza, French fries, applesauce, and milk. Caregivers interacted with children in a nurturing and caring manner. The following violations was documented today: Violation Number Comment Rule 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. Electrical outlet in Space #1 located besides soft block center was not covered with a safety plug while not in use. 10A NCAC 09 .0604(c) 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. The EMC Plan was not updated on or before expiration date 6/7/2023. 10A NCAC 09 .0802(a) 1821 The EPR Plan did not include the date of the last revision of the plan. The EPR Plan has not been updated. The last update was completed August 20, 2022. .0607(d)(8) The violations documented must be corrected immediately. Please send a compliance verification letter to me describing how the violations was corrected. You can submit the compliance verification letter by postal mail to Emily Hargrove, PO Box 1974 Henderson NC 27536, or email emily.hargrove@dhhs.nc.gov. The compliance verification letter must be received on or before July 24, 2024. The two-week time frame is established to allow you time for submitting your compliance verification letter. This timeframe is not intended to be used as a guide for correcting violations, as they should be corrected immediately. Please be aware that any written information submitted by you regarding correction of violations documented during the visit is legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility's Star Rated License could be issued. If sufficient information is not received by the due date, a follow-up visit will be conducted. Child care licensing requirements are established to ensure a safe and healthy child care environment. It is your responsibility to maintain compliance with all applicable laws and rules. The best way to do so is to periodically review the child care laws and rules. The current rule book dated July 1, 2023, is available at the DCDEE website https://ncchildcare.ncdhhs.gov/. There are also modules reviewing the new Child Care Rules available on Moodle, which can be found on the Division website. I recommend you frequently click the “What’s New” tab to stay informed of all updates on the DCDEE website. TECHNICAL ASSISTANCE AND CONSULTATION: Compliance History: Prior to today's visit, this facility has maintained an 18-month compliance score of 100%. PROGRAM RECORDS: Fire Drills/Emergency Drills, Fire inspection, Sanitation report, First Aid/CPR Poster, Playground Outdoor Inspections, EMC Plan and License were reviewed and current. CHILDREN AND STAFF RECORDS: Ten percent (10%) or more of children records were monitored. Children records reviewed, were in compliance. Other children’s files not reviewed should be monitored to ensure compliance for the same information. Ten percent (10%) or more of existent staff files were monitored. Staff records reviewed were in compliance. Other staff records should be monitored for the same information to ensure compliance. ELECTRICAL OUTLET: One electrical outlet was uncovered without plug. We discussed making sure all electrical outlets are plugged at all times. Please refer to this section of the child care rules to review rule on Safe indoor environment. This was corrected during the visit. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS. Emergency Medical Care Plan: The EMC plan was not reviewed with all staff annually and whenever the plan was revised. The EMC Plan was not updated on or before expiration date 6/7/2023. Emergency Preparedness Response: The EPR Plan did not include the date of the last revision of the plan. The EPR Plan has not been updated. The last update was completed August 20, 2022. DCDEE WORKS: New staff that has not had their education evaluated will need to create a WORKS account by accessing our website under the provider tab, then click DCDEE WORKS. Once account is created, staff should upload or submit original transcripts or certificates to the division for evaluation of their education. Existing staff who has completed additional college course work should also upload and or submit new transcripts. Staff should also apply for what position they want to be evaluated for. (teacher, lead teacher, group leader, etc.) If you need assistance or have any questions, you should contact our workforce education unit. NEW CRIMINAL BACKGROUND CHECK LEGISLATIVE CHANGES: The 2022-2023 Appropriations Bill (HB 103) signed by Governor Cooper on July 11, 2022, made two important changes to North Carolina General Statute 110-90-2 regarding child care Criminal Background Checks. • The period for background check qualification renewals was revised from three years to five years. • The provisional qualification period was reduced to forty-five days. The Division intends to implement these changes as soon as possible. An individual’s current Qualification Letter will be extended 2 years for the total of 5 years. New Qualification Letters will not be generated. Individuals with a Provisional Qualification Letter will receive a Qualification Letter on the 45th day. Letters are generated in the Criminal Background Check portal. HEALTH AND SAFETY TRAININGS: Health and safety trainings are due every five (5) years. If any staff completed trainings in 2017, trainings will be due this year, 2022. I encourage staff to be intentional and start completing trainings. Health and safety trainings are now on MOODLE. RESOURCES: • The most current provider documents/ forms, checklists, resources related to child care and new child care requirements, and how to create a DCDEE WORKS account can be found on the Division of Child Development and Early Education website. https://ncchildcare.ncdhhs.gov/ • North Carolina Risk Management Portal for EPR updates/review: https://rmp.nc.gov/portal/# • NC Child Care Health & Safety Resource Center Please feel free to contact me at (252) 214-8454 or email at Emily.hargrovve@dhhs.nc.gov for questions and assistance. If needed my mailing address is PO Box 1974, Henderson NC 27536. You may also contact Susan Fuller, Licensing Supervisor at (252) 373-9809. 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: CHOSEN GENERATION DAYCARE CENTER Facility ID: 91000245 Consultant: EMILY HARGROVE Operation Type: Center Case Number: Visit Date: 7/10/2024 Number Present: 22 Completed Date: 7/10/2024 Age: From 0 To 5 Total Minutes: 210 Time In: 10:00 AM Time Out: 01:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today's unannounced visit was to monitor this program with applicable child care requirements during an Annual Compliance visit. Cynthia Davis/Administrator and Janice Hargrove/Owner was available and assisted with today's visit. The last Annual Compliance visit was conducted on July 27, 2023. The last sanitation was completed on January 26, 2024 receiving a "Superior" classification. The last fire inspection was conducted on August 7, 2023. A Chosen Generation, Church of God is listed as the current owner of this center. According to information verified on the North Carolina Secretary of State’s website, A Chosen Generation, Church of God remains Current and Active. Prior to making any changes to the corporation status, please contact me to discuss change of ownership procedures. The corporation status for your program must always remain Current and Active. Failure to comply may affect your child care license. Twenty-two (22) children were observed ranging from ages Zero (0) months to Five (5) years of age. Children in Space #1 were observed eating food and diapering and handwashing procedures. Children in Space Space #2 were observed playing in free choice centers, toileting and handwashing procedures, and eating lunch which consisted of pizza, French fries, applesauce, and milk. Caregivers interacted with children in a nurturing and caring manner. The following violations was documented today: Violation Number Comment Rule 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. Electrical outlet in Space #1 located besides soft block center was not covered with a safety plug while not in use. 10A NCAC 09 .0604(c) 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. The EMC Plan was not updated on or before expiration date 6/7/2023. 10A NCAC 09 .0802(a) 1821 The EPR Plan did not include the date of the last revision of the plan. The EPR Plan has not been updated. The last update was completed August 20, 2022. .0607(d)(8) The violations documented must be corrected immediately. Please send a compliance verification letter to me describing how the violations was corrected. You can submit the compliance verification letter by postal mail to Emily Hargrove, PO Box 1974 Henderson NC 27536, or email emily.hargrove@dhhs.nc.gov. The compliance verification letter must be received on or before July 24, 2024. The two-week time frame is established to allow you time for submitting your compliance verification letter. This timeframe is not intended to be used as a guide for correcting violations, as they should be corrected immediately. Please be aware that any written information submitted by you regarding correction of violations documented during the visit is legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility's Star Rated License could be issued. If sufficient information is not received by the due date, a follow-up visit will be conducted. Child care licensing requirements are established to ensure a safe and healthy child care environment. It is your responsibility to maintain compliance with all applicable laws and rules. The best way to do so is to periodically review the child care laws and rules. The current rule book dated July 1, 2023, is available at the DCDEE website https://ncchildcare.ncdhhs.gov/. There are also modules reviewing the new Child Care Rules available on Moodle, which can be found on the Division website. I recommend you frequently click the “What’s New” tab to stay informed of all updates on the DCDEE website. TECHNICAL ASSISTANCE AND CONSULTATION: Compliance History: Prior to today's visit, this facility has maintained an 18-month compliance score of 100%. PROGRAM RECORDS: Fire Drills/Emergency Drills, Fire inspection, Sanitation report, First Aid/CPR Poster, Playground Outdoor Inspections, EMC Plan and License were reviewed and current. CHILDREN AND STAFF RECORDS: Ten percent (10%) or more of children records were monitored. Children records reviewed, were in compliance. Other children’s files not reviewed should be monitored to ensure compliance for the same information. Ten percent (10%) or more of existent staff files were monitored. Staff records reviewed were in compliance. Other staff records should be monitored for the same information to ensure compliance. ELECTRICAL OUTLET: One electrical outlet was uncovered without plug. We discussed making sure all electrical outlets are plugged at all times. Please refer to this section of the child care rules to review rule on Safe indoor environment. This was corrected during the visit. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS. Emergency Medical Care Plan: The EMC plan was not reviewed with all staff annually and whenever the plan was revised. The EMC Plan was not updated on or before expiration date 6/7/2023. Emergency Preparedness Response: The EPR Plan did not include the date of the last revision of the plan. The EPR Plan has not been updated. The last update was completed August 20, 2022. DCDEE WORKS: New staff that has not had their education evaluated will need to create a WORKS account by accessing our website under the provider tab, then click DCDEE WORKS. Once account is created, staff should upload or submit original transcripts or certificates to the division for evaluation of their education. Existing staff who has completed additional college course work should also upload and or submit new transcripts. Staff should also apply for what position they want to be evaluated for. (teacher, lead teacher, group leader, etc.) If you need assistance or have any questions, you should contact our workforce education unit. NEW CRIMINAL BACKGROUND CHECK LEGISLATIVE CHANGES: The 2022-2023 Appropriations Bill (HB 103) signed by Governor Cooper on July 11, 2022, made two important changes to North Carolina General Statute 110-90-2 regarding child care Criminal Background Checks. • The period for background check qualification renewals was revised from three years to five years. • The provisional qualification period was reduced to forty-five days. The Division intends to implement these changes as soon as possible. An individual’s current Qualification Letter will be extended 2 years for the total of 5 years. New Qualification Letters will not be generated. Individuals with a Provisional Qualification Letter will receive a Qualification Letter on the 45th day. Letters are generated in the Criminal Background Check portal. HEALTH AND SAFETY TRAININGS: Health and safety trainings are due every five (5) years. If any staff completed trainings in 2017, trainings will be due this year, 2022. I encourage staff to be intentional and start completing trainings. Health and safety trainings are now on MOODLE. RESOURCES: • The most current provider documents/ forms, checklists, resources related to child care and new child care requirements, and how to create a DCDEE WORKS account can be found on the Division of Child Development and Early Education website. https://ncchildcare.ncdhhs.gov/ • North Carolina Risk Management Portal for EPR updates/review: https://rmp.nc.gov/portal/# • NC Child Care Health & Safety Resource Center Please feel free to contact me at (252) 214-8454 or email at Emily.hargrovve@dhhs.nc.gov for questions and assistance. If needed my mailing address is PO Box 1974, Henderson NC 27536. You may also contact Susan Fuller, Licensing Supervisor at (252) 373-9809. 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 .0802 · Violation

Name of Operation: CHOSEN GENERATION DAYCARE CENTER Facility ID: 91000245 Consultant: EMILY HARGROVE Operation Type: Center Case Number: Visit Date: 7/10/2024 Number Present: 22 Completed Date: 7/10/2024 Age: From 0 To 5 Total Minutes: 210 Time In: 10:00 AM Time Out: 01:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today's unannounced visit was to monitor this program with applicable child care requirements during an Annual Compliance visit. Cynthia Davis/Administrator and Janice Hargrove/Owner was available and assisted with today's visit. The last Annual Compliance visit was conducted on July 27, 2023. The last sanitation was completed on January 26, 2024 receiving a "Superior" classification. The last fire inspection was conducted on August 7, 2023. A Chosen Generation, Church of God is listed as the current owner of this center. According to information verified on the North Carolina Secretary of State’s website, A Chosen Generation, Church of God remains Current and Active. Prior to making any changes to the corporation status, please contact me to discuss change of ownership procedures. The corporation status for your program must always remain Current and Active. Failure to comply may affect your child care license. Twenty-two (22) children were observed ranging from ages Zero (0) months to Five (5) years of age. Children in Space #1 were observed eating food and diapering and handwashing procedures. Children in Space Space #2 were observed playing in free choice centers, toileting and handwashing procedures, and eating lunch which consisted of pizza, French fries, applesauce, and milk. Caregivers interacted with children in a nurturing and caring manner. The following violations was documented today: Violation Number Comment Rule 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. Electrical outlet in Space #1 located besides soft block center was not covered with a safety plug while not in use. 10A NCAC 09 .0604(c) 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. The EMC Plan was not updated on or before expiration date 6/7/2023. 10A NCAC 09 .0802(a) 1821 The EPR Plan did not include the date of the last revision of the plan. The EPR Plan has not been updated. The last update was completed August 20, 2022. .0607(d)(8) The violations documented must be corrected immediately. Please send a compliance verification letter to me describing how the violations was corrected. You can submit the compliance verification letter by postal mail to Emily Hargrove, PO Box 1974 Henderson NC 27536, or email emily.hargrove@dhhs.nc.gov. The compliance verification letter must be received on or before July 24, 2024. The two-week time frame is established to allow you time for submitting your compliance verification letter. This timeframe is not intended to be used as a guide for correcting violations, as they should be corrected immediately. Please be aware that any written information submitted by you regarding correction of violations documented during the visit is legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility's Star Rated License could be issued. If sufficient information is not received by the due date, a follow-up visit will be conducted. Child care licensing requirements are established to ensure a safe and healthy child care environment. It is your responsibility to maintain compliance with all applicable laws and rules. The best way to do so is to periodically review the child care laws and rules. The current rule book dated July 1, 2023, is available at the DCDEE website https://ncchildcare.ncdhhs.gov/. There are also modules reviewing the new Child Care Rules available on Moodle, which can be found on the Division website. I recommend you frequently click the “What’s New” tab to stay informed of all updates on the DCDEE website. TECHNICAL ASSISTANCE AND CONSULTATION: Compliance History: Prior to today's visit, this facility has maintained an 18-month compliance score of 100%. PROGRAM RECORDS: Fire Drills/Emergency Drills, Fire inspection, Sanitation report, First Aid/CPR Poster, Playground Outdoor Inspections, EMC Plan and License were reviewed and current. CHILDREN AND STAFF RECORDS: Ten percent (10%) or more of children records were monitored. Children records reviewed, were in compliance. Other children’s files not reviewed should be monitored to ensure compliance for the same information. Ten percent (10%) or more of existent staff files were monitored. Staff records reviewed were in compliance. Other staff records should be monitored for the same information to ensure compliance. ELECTRICAL OUTLET: One electrical outlet was uncovered without plug. We discussed making sure all electrical outlets are plugged at all times. Please refer to this section of the child care rules to review rule on Safe indoor environment. This was corrected during the visit. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS. Emergency Medical Care Plan: The EMC plan was not reviewed with all staff annually and whenever the plan was revised. The EMC Plan was not updated on or before expiration date 6/7/2023. Emergency Preparedness Response: The EPR Plan did not include the date of the last revision of the plan. The EPR Plan has not been updated. The last update was completed August 20, 2022. DCDEE WORKS: New staff that has not had their education evaluated will need to create a WORKS account by accessing our website under the provider tab, then click DCDEE WORKS. Once account is created, staff should upload or submit original transcripts or certificates to the division for evaluation of their education. Existing staff who has completed additional college course work should also upload and or submit new transcripts. Staff should also apply for what position they want to be evaluated for. (teacher, lead teacher, group leader, etc.) If you need assistance or have any questions, you should contact our workforce education unit. NEW CRIMINAL BACKGROUND CHECK LEGISLATIVE CHANGES: The 2022-2023 Appropriations Bill (HB 103) signed by Governor Cooper on July 11, 2022, made two important changes to North Carolina General Statute 110-90-2 regarding child care Criminal Background Checks. • The period for background check qualification renewals was revised from three years to five years. • The provisional qualification period was reduced to forty-five days. The Division intends to implement these changes as soon as possible. An individual’s current Qualification Letter will be extended 2 years for the total of 5 years. New Qualification Letters will not be generated. Individuals with a Provisional Qualification Letter will receive a Qualification Letter on the 45th day. Letters are generated in the Criminal Background Check portal. HEALTH AND SAFETY TRAININGS: Health and safety trainings are due every five (5) years. If any staff completed trainings in 2017, trainings will be due this year, 2022. I encourage staff to be intentional and start completing trainings. Health and safety trainings are now on MOODLE. RESOURCES: • The most current provider documents/ forms, checklists, resources related to child care and new child care requirements, and how to create a DCDEE WORKS account can be found on the Division of Child Development and Early Education website. https://ncchildcare.ncdhhs.gov/ • North Carolina Risk Management Portal for EPR updates/review: https://rmp.nc.gov/portal/# • NC Child Care Health & Safety Resource Center Please feel free to contact me at (252) 214-8454 or email at Emily.hargrovve@dhhs.nc.gov for questions and assistance. If needed my mailing address is PO Box 1974, Henderson NC 27536. You may also contact Susan Fuller, Licensing Supervisor at (252) 373-9809. 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 .0601 · Violation

Name of Operation: CHOSEN GENERATION DAYCARE CENTER Facility ID: 91000245 Consultant: KESHIA HAYWARD Operation Type: Center Case Number: Visit Date: 10/31/2023 Number Present: 16 Completed Date: 10/31/2023 Age: From 0 To 4 Total Minutes: 100 Time In: 11:30 AM Time Out: 01:10 PM Time In: Time Out: List to Use: Center Type Of Visit: Unannounced Visit Follow-Up Announced/Unannounced: Unannounced The purpose of my unannounced visit today was to verify compliance with applicable child care requirements during the unannounced follow-up visit. C. Davis, Administrator assisted with the visit. Sixteen (16) children ranging from ages zero to four years old were observed in care today. Children were observed interacting with caregivers, completing toileting and hand washing routines, eating lunch and napping. I completed a general walk-through of the center. Limited monitoring of the child care requirements was completed today. The following child care requirements were monitored: Adequate approved space, permit restrictions, staff/child ratio and supervision. The following violations were documented today. Violation Number Comment Rule 544 Screen time was offered to children under three years of age. Children ages one to two years old were observed watching television upon arrival in Space #1. .0510(f) 807 A safe indoor and outdoor environment was not provided for the children. A purse belonging to the nurse of a child present was observed on a table accessible to children in Space #2. 10A NCAC 09 .0601(a) 871 Center staff did not comply with the safe sleep policy. An infant was not removed from the swing to a crib when sleeping. The infant was observed sleeping in a swing from 11:30am to 11:59am. 10A NCAC 09 .0606(a) 1065 Child care providers scheduled to work in the infant room, did not complete ITS-SIDS training within two months of employment or did not complete the training every three years. Child care administrators did not complete the ITS-SIDS training within 90 days of employment and every three years thereafter. The caregiver in Space #1 observed caring for infants alone for a short period of time did not have IT’S SIDS training. .1102(f) The violations documented must be corrected immediately. Please send a compliance verification letter to me describing how the violations were corrected. You can submit the compliance verification letter by postal mail to Keshia Hayward, PO Box 1504 Greenville NC 27834, or email keshia.hayward@dhhs.nc.gov. The compliance verification letter must be received on or before November 14, 2023. The two-week time frame is established to allow you time for submitting your compliance verification letter. This timeframe is not intended to be used as a guide for correcting violations, as they should be corrected immediately. Please be aware that any written information submitted by you regarding correction of violations documented during the visit is legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined the information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility's Star Rated License could be issued. If sufficient information is not received by the due date, a follow-up visit will be conducted. COMPLIANCE HISTORY SCORE: The center’s compliance history score was reviewed with the operator. The center’s compliance history score was 79% as of October 30, 2023. STAFFING CHANGES: One new employee has been hired since the last visit. The staff file was reviewed and a staff/training worksheet was completed. Based on my review of the staff file, all components of the child care requirements were met. SAFE SLEEP POLICY: The center’s safe sleep policy states an infant would be removed from restrictive devices and placed in a crib immediately upon falling asleep. A two-month-old infant was observed sleeping in a rocking swing from 11:30am to 11:59am. When informed the caregiver removed the infant from the swing and placed him in the crib. We discussed ensuring infants are monitored and placed down for nap as required according to the program safe sleep policy. I recommended reviewing the safe sleep policy with staff for a refresher. A new caregiver was observed working in the infant classroom upon arrival. A second caregiver entered the space shortly after I arrived. Based on my review of the staff file, the new caregiver did not have IT’S SIDS certification. You stated the caregiver was scheduled to complete IT’S SIDS training in November 27, 2023. I reminded you that a caregiver with IT’S SIDS training must always provide care for infants. SCREEN TIME: Children under the age of three were observed watching television. An alternative activity was not provided for children. I reminded you screen time is prohibited for children under the age of three years old. Caregivers should provide age-appropriate activities and materials to use for children in care. SAFE INDOOR ENVIRONMENT: A purse was observed on the table next to the nurse for one child in care today. The purse was accessible to children sitting at the table. Purses should be locked and inaccessible to children. It was recommended having adults store their personal belongings appropriately. It was suggested you post copies of the storage of hazardous products flyers in spaces used by children as a reminder to staff. You should also notify visitors how store personal items. WEBINAR: CREATING SUPPORTIVE ENVIRONMENTS: A webinar is being offered through Healthy Social Behaviors. The training is scheduled for Thursday November 16, 2023, from 7:00pm to 8:00pm. The webinar can be accessed at https://ccrinc.zoom.us/j/926189206. Meeting ID: 326 189 6206 CRIMINAL BACKGROUND CHECK RULES UPDATED: Please take time to read the updated Child Care Rule 10A NCAC 09 .2703 criminal history record check requirements for child care providers that was revised and amended effective October 1, 2023. CONTACT INFORMATION: If you have questions regarding today’s visit, you may contact me at 252-214-2709 or email keshia.hayward@dhhs.nc.gov. You may also contact Licensing Supervisor, Susan Fuller at 252-373-9809 or email susan.fuller@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0606 · Violation

Name of Operation: CHOSEN GENERATION DAYCARE CENTER Facility ID: 91000245 Consultant: KESHIA HAYWARD Operation Type: Center Case Number: Visit Date: 10/31/2023 Number Present: 16 Completed Date: 10/31/2023 Age: From 0 To 4 Total Minutes: 100 Time In: 11:30 AM Time Out: 01:10 PM Time In: Time Out: List to Use: Center Type Of Visit: Unannounced Visit Follow-Up Announced/Unannounced: Unannounced The purpose of my unannounced visit today was to verify compliance with applicable child care requirements during the unannounced follow-up visit. C. Davis, Administrator assisted with the visit. Sixteen (16) children ranging from ages zero to four years old were observed in care today. Children were observed interacting with caregivers, completing toileting and hand washing routines, eating lunch and napping. I completed a general walk-through of the center. Limited monitoring of the child care requirements was completed today. The following child care requirements were monitored: Adequate approved space, permit restrictions, staff/child ratio and supervision. The following violations were documented today. Violation Number Comment Rule 544 Screen time was offered to children under three years of age. Children ages one to two years old were observed watching television upon arrival in Space #1. .0510(f) 807 A safe indoor and outdoor environment was not provided for the children. A purse belonging to the nurse of a child present was observed on a table accessible to children in Space #2. 10A NCAC 09 .0601(a) 871 Center staff did not comply with the safe sleep policy. An infant was not removed from the swing to a crib when sleeping. The infant was observed sleeping in a swing from 11:30am to 11:59am. 10A NCAC 09 .0606(a) 1065 Child care providers scheduled to work in the infant room, did not complete ITS-SIDS training within two months of employment or did not complete the training every three years. Child care administrators did not complete the ITS-SIDS training within 90 days of employment and every three years thereafter. The caregiver in Space #1 observed caring for infants alone for a short period of time did not have IT’S SIDS training. .1102(f) The violations documented must be corrected immediately. Please send a compliance verification letter to me describing how the violations were corrected. You can submit the compliance verification letter by postal mail to Keshia Hayward, PO Box 1504 Greenville NC 27834, or email keshia.hayward@dhhs.nc.gov. The compliance verification letter must be received on or before November 14, 2023. The two-week time frame is established to allow you time for submitting your compliance verification letter. This timeframe is not intended to be used as a guide for correcting violations, as they should be corrected immediately. Please be aware that any written information submitted by you regarding correction of violations documented during the visit is legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined the information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility's Star Rated License could be issued. If sufficient information is not received by the due date, a follow-up visit will be conducted. COMPLIANCE HISTORY SCORE: The center’s compliance history score was reviewed with the operator. The center’s compliance history score was 79% as of October 30, 2023. STAFFING CHANGES: One new employee has been hired since the last visit. The staff file was reviewed and a staff/training worksheet was completed. Based on my review of the staff file, all components of the child care requirements were met. SAFE SLEEP POLICY: The center’s safe sleep policy states an infant would be removed from restrictive devices and placed in a crib immediately upon falling asleep. A two-month-old infant was observed sleeping in a rocking swing from 11:30am to 11:59am. When informed the caregiver removed the infant from the swing and placed him in the crib. We discussed ensuring infants are monitored and placed down for nap as required according to the program safe sleep policy. I recommended reviewing the safe sleep policy with staff for a refresher. A new caregiver was observed working in the infant classroom upon arrival. A second caregiver entered the space shortly after I arrived. Based on my review of the staff file, the new caregiver did not have IT’S SIDS certification. You stated the caregiver was scheduled to complete IT’S SIDS training in November 27, 2023. I reminded you that a caregiver with IT’S SIDS training must always provide care for infants. SCREEN TIME: Children under the age of three were observed watching television. An alternative activity was not provided for children. I reminded you screen time is prohibited for children under the age of three years old. Caregivers should provide age-appropriate activities and materials to use for children in care. SAFE INDOOR ENVIRONMENT: A purse was observed on the table next to the nurse for one child in care today. The purse was accessible to children sitting at the table. Purses should be locked and inaccessible to children. It was recommended having adults store their personal belongings appropriately. It was suggested you post copies of the storage of hazardous products flyers in spaces used by children as a reminder to staff. You should also notify visitors how store personal items. WEBINAR: CREATING SUPPORTIVE ENVIRONMENTS: A webinar is being offered through Healthy Social Behaviors. The training is scheduled for Thursday November 16, 2023, from 7:00pm to 8:00pm. The webinar can be accessed at https://ccrinc.zoom.us/j/926189206. Meeting ID: 326 189 6206 CRIMINAL BACKGROUND CHECK RULES UPDATED: Please take time to read the updated Child Care Rule 10A NCAC 09 .2703 criminal history record check requirements for child care providers that was revised and amended effective October 1, 2023. CONTACT INFORMATION: If you have questions regarding today’s visit, you may contact me at 252-214-2709 or email keshia.hayward@dhhs.nc.gov. You may also contact Licensing Supervisor, Susan Fuller at 252-373-9809 or email susan.fuller@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .2703 · Violation

Name of Operation: CHOSEN GENERATION DAYCARE CENTER Facility ID: 91000245 Consultant: KESHIA HAYWARD Operation Type: Center Case Number: Visit Date: 10/31/2023 Number Present: 16 Completed Date: 10/31/2023 Age: From 0 To 4 Total Minutes: 100 Time In: 11:30 AM Time Out: 01:10 PM Time In: Time Out: List to Use: Center Type Of Visit: Unannounced Visit Follow-Up Announced/Unannounced: Unannounced The purpose of my unannounced visit today was to verify compliance with applicable child care requirements during the unannounced follow-up visit. C. Davis, Administrator assisted with the visit. Sixteen (16) children ranging from ages zero to four years old were observed in care today. Children were observed interacting with caregivers, completing toileting and hand washing routines, eating lunch and napping. I completed a general walk-through of the center. Limited monitoring of the child care requirements was completed today. The following child care requirements were monitored: Adequate approved space, permit restrictions, staff/child ratio and supervision. The following violations were documented today. Violation Number Comment Rule 544 Screen time was offered to children under three years of age. Children ages one to two years old were observed watching television upon arrival in Space #1. .0510(f) 807 A safe indoor and outdoor environment was not provided for the children. A purse belonging to the nurse of a child present was observed on a table accessible to children in Space #2. 10A NCAC 09 .0601(a) 871 Center staff did not comply with the safe sleep policy. An infant was not removed from the swing to a crib when sleeping. The infant was observed sleeping in a swing from 11:30am to 11:59am. 10A NCAC 09 .0606(a) 1065 Child care providers scheduled to work in the infant room, did not complete ITS-SIDS training within two months of employment or did not complete the training every three years. Child care administrators did not complete the ITS-SIDS training within 90 days of employment and every three years thereafter. The caregiver in Space #1 observed caring for infants alone for a short period of time did not have IT’S SIDS training. .1102(f) The violations documented must be corrected immediately. Please send a compliance verification letter to me describing how the violations were corrected. You can submit the compliance verification letter by postal mail to Keshia Hayward, PO Box 1504 Greenville NC 27834, or email keshia.hayward@dhhs.nc.gov. The compliance verification letter must be received on or before November 14, 2023. The two-week time frame is established to allow you time for submitting your compliance verification letter. This timeframe is not intended to be used as a guide for correcting violations, as they should be corrected immediately. Please be aware that any written information submitted by you regarding correction of violations documented during the visit is legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined the information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility's Star Rated License could be issued. If sufficient information is not received by the due date, a follow-up visit will be conducted. COMPLIANCE HISTORY SCORE: The center’s compliance history score was reviewed with the operator. The center’s compliance history score was 79% as of October 30, 2023. STAFFING CHANGES: One new employee has been hired since the last visit. The staff file was reviewed and a staff/training worksheet was completed. Based on my review of the staff file, all components of the child care requirements were met. SAFE SLEEP POLICY: The center’s safe sleep policy states an infant would be removed from restrictive devices and placed in a crib immediately upon falling asleep. A two-month-old infant was observed sleeping in a rocking swing from 11:30am to 11:59am. When informed the caregiver removed the infant from the swing and placed him in the crib. We discussed ensuring infants are monitored and placed down for nap as required according to the program safe sleep policy. I recommended reviewing the safe sleep policy with staff for a refresher. A new caregiver was observed working in the infant classroom upon arrival. A second caregiver entered the space shortly after I arrived. Based on my review of the staff file, the new caregiver did not have IT’S SIDS certification. You stated the caregiver was scheduled to complete IT’S SIDS training in November 27, 2023. I reminded you that a caregiver with IT’S SIDS training must always provide care for infants. SCREEN TIME: Children under the age of three were observed watching television. An alternative activity was not provided for children. I reminded you screen time is prohibited for children under the age of three years old. Caregivers should provide age-appropriate activities and materials to use for children in care. SAFE INDOOR ENVIRONMENT: A purse was observed on the table next to the nurse for one child in care today. The purse was accessible to children sitting at the table. Purses should be locked and inaccessible to children. It was recommended having adults store their personal belongings appropriately. It was suggested you post copies of the storage of hazardous products flyers in spaces used by children as a reminder to staff. You should also notify visitors how store personal items. WEBINAR: CREATING SUPPORTIVE ENVIRONMENTS: A webinar is being offered through Healthy Social Behaviors. The training is scheduled for Thursday November 16, 2023, from 7:00pm to 8:00pm. The webinar can be accessed at https://ccrinc.zoom.us/j/926189206. Meeting ID: 326 189 6206 CRIMINAL BACKGROUND CHECK RULES UPDATED: Please take time to read the updated Child Care Rule 10A NCAC 09 .2703 criminal history record check requirements for child care providers that was revised and amended effective October 1, 2023. CONTACT INFORMATION: If you have questions regarding today’s visit, you may contact me at 252-214-2709 or email keshia.hayward@dhhs.nc.gov. You may also contact Licensing Supervisor, Susan Fuller at 252-373-9809 or email susan.fuller@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0601 · Violation

Name of Operation: CHOSEN GENERATION DAYCARE CENTER Facility ID: 91000245 Consultant: KESHIA HAYWARD Operation Type: Center Case Number: Visit Date: 7/27/2023 Number Present: 18 Completed Date: 7/27/2023 Age: From 1 To 11 Total Minutes: 215 Time In: 09:25 AM Time Out: 01:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor this program for compliance with applicable child care requirements for an annual compliance visit. C. Davis, Administrator assisted with the visit. This center currently operates with a Notice of Compliance issued August 14, 2014. The last annual compliance visit was completed on August 10, 2022. The last sanitation inspection was completed on June 3, 2022, with a “Superior” classification. The last fire inspection was completed on June 3, 2022, and the center was approved for daytime and night care. Eighteen children were observed in care today ranging from ages two to eleven years old. Children were engaged in morning activities, outdoor play, completing diapering, toileting and hand washing, routines, interacting with caregivers, eating breakfast and lunch and napping. Breakfast consisted of eggs, applesauce, tater tots, juice, and milk. Lunch consisted of pizza, toss salad, corn, apple sauce and milk. The center’s compliance history score was reviewed with the operator. The program’s compliance history was (79%) as of July 26, 2023. The following violation were documented today. Violation Number Comment Rule 104 Center has not passed required sanitation inspection and received an approved or superior rating. A current sanitation inspection was not completed. The posted sanitation inspection was dated June 3, 2022. 10A NCAC 09 .0304(b) 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 current fire inspection was not completed. The posted fire inspection was dated June 3, 2022. 10A NCAC 09 .0304(a) 125 Daily records of arrival and departure times for children enrolled at the center were not maintained as children arrive and depart and/or were not made available for review. Departure times were not documented for two children in Space #1 and two in Space #2 on July 26, 2023. 10A NCAC 09 .0302(d)(4) 301 Minimum staff/child ratios and group sizes for the number and ages of children in care were not met. Minimum staff/child ratios and group sizes for the number and ages of children in care were not met when one caregiver was observed providing care to fifteen children ranging from aged two to eleven years old in Space #2. GS 110-91(7);.0713(a-d) 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. Children hands were not washed before eating and after outside play in Space #1 and 2. 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 caregiver did not wash her hands thoroughly before handling food in Space #1. 15A NCAC 18A .2803(a) 807 A safe indoor and outdoor environment was not provided for the children. The fence was detached from the bottom creating an open space at the bottom creating access for animals to enter the playground, a step on the plastic castle shape play structure was cracked exposing sharp edges on playground #1 and two bottles of hand sanitizer labeled “keep out of reach of children” was observed on the counter between the kitchen and Space #1 that is accessible to children. 10A NCAC 09 .0601(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. Cans of Lysol, Microban, roach spray and air freshener all in aerosol dispensed containers were stored an unlocked closet leading to the bathroom in Space #1. .2820(b) 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. Written authorization was not on file for Vaseline applied to children in Space #1. 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. Plastic bags were observed in an unlocked space under the diaper changing table in Space #1 and in a cubby accessible to children in the hallway used to transition from Space #2 to bathroom. .0604(q) 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. Documentation was not on file to verify the operator reviewed the center’s emergency medical care plan with staff annually. 10A NCAC 09 .0802(a) 887 Caregivers did not document compliance with visually checking on sleeping infants aged 12 months or younger and/or the documents were not maintained for a minimum of one month. Documentation was not on file or available for review to verify visual safe sleep checks were completed for three infants enrolled. .0606(g) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. Documentation was not on file or available for review for three staff members hired on August 17, 2022, and September 26, 2022. .1101(a) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. A health assessment was not on file for one preschool child enrolled more than 30 days. GS110-91(1) 1825 All staff did not review the center's EPR Plan during orientation and/or on an annual basis with the trained staff. Documentation of the review was not maintained on file. Documentation was not on file to verify the operator reviewed the center’s emergency preparedness plan with staff annually. .0607(f) 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. Documentation was not on file verifying Recognizing and Responding to Suspicion of Child Maltreatment was completed as required for three staff members with the following documented employment dates: Two staff members for August 17, 2022, and one on September 26, 2022.November 1, 2021. .1102(g) The violations documented must be corrected immediately. Please send a compliance verification letter to me describing how the violation was corrected. I asked that you include in the compliance letter a detailed plan regarding how staff/child ratio requirements will always be maintained. You can submit the compliance verification letter by postal mail to Keshia Hayward, PO Box 1504 Greenville NC 27834, or email keshia.hayward@dhhs.nc.gov. The compliance verification letter must be received on or before August 10, 2023. The two-week time frame is established to allow you time for submitting your compliance verification letter. This timeframe is not intended to be used as a guide for correcting violations, as they should be corrected immediately. Please be aware that any written information submitted by you regarding correction of violations documented during the visit is legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility's Star Rated License could be issued. If sufficient information is not received by the due date, a follow-up visit will be conducted. CORPORATION STATUS: A Chosen Generation Church of God is listed as the current owner of this center. According to information verified on the North Carolina Secretary of State’s website, A Chosen Generation Church of God remains Current and Active. Prior to making any changes in the corporation status, please contact me to discuss change of ownership procedures. The corporation status for your program must always remain Current and Active. Failure to comply may affect your program’s Notice of Compliance. FACILITY PROFILE INFORMATION: You verified the mailing address and email address listed on the facility profile are correct. You stated the telephone number changed. During the visit, you submitted written request to me via email to update the center’s telephone number. If changes in your facility’s information occur in the future, contact me at 252-214-2709 or email keshia.hayward@dhhs.nc.gov to discuss the changes and ensure accurate information is updated in our system. STAFF/CHILD RATIO REQUIREMENTS: Based on my observation, your program was out of compliance with staff child/ratio requirements. One caregiver was observed providing care to fifteen children in Space #2. Upon entering the classroom from outside play, one caregiver was observed bringing fifteen children inside alone. You asked a second caregiver sitting inside the sanctuary to go in the classroom and assist; however, the second caregiver went and took one of the fifteen children to the restroom down the hall. Another child arrived during this time as well. Throughout the remaining time of observation both caregivers were observed periodically leaving the classroom for approximately three to five minutes to accompany children to the bathroom, go outside to retrieve diapers, served food to Space #1 and complete other tasks. Each time one caregiver was left in Space #2 caring for twelve to fifteen children alone. We discussed staff/child ratio requirements for your program. I explained the age of the youngest children present was two years old; therefore, the staff/child ratio for that space was one staff to ten children. I further explained that when one of the caregivers leave to complete tasks outside the classroom, it places them out of compliance. I shared one staff member could carry children to the bathroom in groups to ensure neither person is left caring for more than ten children alone at any time. Hand washing could also be completed in a group setting to ensure staff/child ratio requirements are met. I recommend staffing enough workers to provide care to the children each day. Additional staff could be added on days with high attendance to assist with completing toileting, diapering and hand washing routines. Maintaining adequate staff/child ratio is vital to the safety of children. It also ensures children receive the necessary individualized attention needed. ANNUAL INSPECTIONS: The sanitation and fire inspections for your program had expired. During the visit, you contacted environmental health to request a sanitation inspection for your program be schedules and was told it could be completed next week. You stated the fire department would be contacted also to schedule completion of the fire inspection. I reminded you annual sanitation and fire inspections should be completed on or before the date on the previous inspection report. You could set alerts on your cellphones or mark the dates in advance on electronic or desktop calendars. Once the inspections are completed, a copy of the fire inspection report should be submitted to me within a week from the inspection date. Be reminded, it is your responsibility to ensure annual inspections are scheduled in a timely manner for the program. SAFE INDOOR/OUTDOOR ENVIRONMENT: During the visit, we talked about the hazards observed. The caregiver in Space #1 stated she would remove the aerosol cans and place them in locked storage. You added the bottles of hand sanitizer and plastic bags would be placed in a location out of reach of children. I explained although the kitchen door is locked and inaccessible to children, the cabinets separating the kitchen and Space #2 were low enough for children to pick up items without resistance. We discussed repairing the step on the plastic rock shaped structure or removing it from the playground. It was recommended using some boards to cover the opening at the bottom of the fence to ensure accessibility is removed on both sides. I explained animals and rodents can access the playground through the opening. Conducting periodic safety checks of spaces used by children throughout the day to monitor for potential hazards can help with identifying and removing them immediately. RECORDKEEPING: Sleep charts for infants enrolled were not available during the visit. It was reported one child was on second shift and the sleep charts could not be found. Sleep charts for the other two infants were not completed for June and July 2023. The caregiver stated one child had only been enrolled for two weeks and had just turned one on the day of the visit. I explained infants ages twelve months and under should be visually checked everyday in attendance while sleeping and the positions must be documented with times on the required forms. It is recommended keeping a notebook or file with all sleep charts in a central location. I shared during monitoring visits, 30-days of sleep charts records for each infant will be requested. The health assessment was missing from one record reviewed for children. I advised you to contact the parent and request the health assessment be submitted as soon as possible. Be reminded the health assessment should be less than twelve months when submitted. I explained departure times should be documented at the time children leave the facility. It was recommended this be done by parents; however, if they do not include the departure times when children are picked up staff should document and initial for verification. UNANNOUNCED FOLLOW-UP VISIT: I informed you an unannounced follow-up visit will be conducted to monitor staff/child ratio requirements. ADMINISTRATIVE ACTION RECOMMENDATION: I informed you based on sixteen or more violations being documented at one visit, an administrative action was warranted and would be recommended. I also explained if the program’s compliance history score falls below 75% it warrants and administrative action as well. At the conclusion of the visit, a hand-written visit summary report was completed, reviewed and left with you. I informed you the computer-generated visit summary report would be emailed to you within two business days. DCDEE RESOURCES: I recommended you periodically visit the DCDEE website at https://ncchildcare.ncdhhs.gov/ under the "What's New" tab to stay abreast of updated information provided. Be reminded you are responsible for maintaining compliance with all applicable child care requirements whether they have been discussed or reviewed with you in the past. CONTACT INFORMATION: If you have questions regarding today’s visit, my contact information is listed above. You may also contact Licensing Supervisor, Susan Fuller at 252-373-9809 or email susan.fuller@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0302 · Violation

Name of Operation: CHOSEN GENERATION DAYCARE CENTER Facility ID: 91000245 Consultant: KESHIA HAYWARD Operation Type: Center Case Number: Visit Date: 7/27/2023 Number Present: 18 Completed Date: 7/27/2023 Age: From 1 To 11 Total Minutes: 215 Time In: 09:25 AM Time Out: 01:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor this program for compliance with applicable child care requirements for an annual compliance visit. C. Davis, Administrator assisted with the visit. This center currently operates with a Notice of Compliance issued August 14, 2014. The last annual compliance visit was completed on August 10, 2022. The last sanitation inspection was completed on June 3, 2022, with a “Superior” classification. The last fire inspection was completed on June 3, 2022, and the center was approved for daytime and night care. Eighteen children were observed in care today ranging from ages two to eleven years old. Children were engaged in morning activities, outdoor play, completing diapering, toileting and hand washing, routines, interacting with caregivers, eating breakfast and lunch and napping. Breakfast consisted of eggs, applesauce, tater tots, juice, and milk. Lunch consisted of pizza, toss salad, corn, apple sauce and milk. The center’s compliance history score was reviewed with the operator. The program’s compliance history was (79%) as of July 26, 2023. The following violation were documented today. Violation Number Comment Rule 104 Center has not passed required sanitation inspection and received an approved or superior rating. A current sanitation inspection was not completed. The posted sanitation inspection was dated June 3, 2022. 10A NCAC 09 .0304(b) 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 current fire inspection was not completed. The posted fire inspection was dated June 3, 2022. 10A NCAC 09 .0304(a) 125 Daily records of arrival and departure times for children enrolled at the center were not maintained as children arrive and depart and/or were not made available for review. Departure times were not documented for two children in Space #1 and two in Space #2 on July 26, 2023. 10A NCAC 09 .0302(d)(4) 301 Minimum staff/child ratios and group sizes for the number and ages of children in care were not met. Minimum staff/child ratios and group sizes for the number and ages of children in care were not met when one caregiver was observed providing care to fifteen children ranging from aged two to eleven years old in Space #2. GS 110-91(7);.0713(a-d) 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. Children hands were not washed before eating and after outside play in Space #1 and 2. 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 caregiver did not wash her hands thoroughly before handling food in Space #1. 15A NCAC 18A .2803(a) 807 A safe indoor and outdoor environment was not provided for the children. The fence was detached from the bottom creating an open space at the bottom creating access for animals to enter the playground, a step on the plastic castle shape play structure was cracked exposing sharp edges on playground #1 and two bottles of hand sanitizer labeled “keep out of reach of children” was observed on the counter between the kitchen and Space #1 that is accessible to children. 10A NCAC 09 .0601(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. Cans of Lysol, Microban, roach spray and air freshener all in aerosol dispensed containers were stored an unlocked closet leading to the bathroom in Space #1. .2820(b) 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. Written authorization was not on file for Vaseline applied to children in Space #1. 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. Plastic bags were observed in an unlocked space under the diaper changing table in Space #1 and in a cubby accessible to children in the hallway used to transition from Space #2 to bathroom. .0604(q) 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. Documentation was not on file to verify the operator reviewed the center’s emergency medical care plan with staff annually. 10A NCAC 09 .0802(a) 887 Caregivers did not document compliance with visually checking on sleeping infants aged 12 months or younger and/or the documents were not maintained for a minimum of one month. Documentation was not on file or available for review to verify visual safe sleep checks were completed for three infants enrolled. .0606(g) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. Documentation was not on file or available for review for three staff members hired on August 17, 2022, and September 26, 2022. .1101(a) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. A health assessment was not on file for one preschool child enrolled more than 30 days. GS110-91(1) 1825 All staff did not review the center's EPR Plan during orientation and/or on an annual basis with the trained staff. Documentation of the review was not maintained on file. Documentation was not on file to verify the operator reviewed the center’s emergency preparedness plan with staff annually. .0607(f) 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. Documentation was not on file verifying Recognizing and Responding to Suspicion of Child Maltreatment was completed as required for three staff members with the following documented employment dates: Two staff members for August 17, 2022, and one on September 26, 2022.November 1, 2021. .1102(g) The violations documented must be corrected immediately. Please send a compliance verification letter to me describing how the violation was corrected. I asked that you include in the compliance letter a detailed plan regarding how staff/child ratio requirements will always be maintained. You can submit the compliance verification letter by postal mail to Keshia Hayward, PO Box 1504 Greenville NC 27834, or email keshia.hayward@dhhs.nc.gov. The compliance verification letter must be received on or before August 10, 2023. The two-week time frame is established to allow you time for submitting your compliance verification letter. This timeframe is not intended to be used as a guide for correcting violations, as they should be corrected immediately. Please be aware that any written information submitted by you regarding correction of violations documented during the visit is legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility's Star Rated License could be issued. If sufficient information is not received by the due date, a follow-up visit will be conducted. CORPORATION STATUS: A Chosen Generation Church of God is listed as the current owner of this center. According to information verified on the North Carolina Secretary of State’s website, A Chosen Generation Church of God remains Current and Active. Prior to making any changes in the corporation status, please contact me to discuss change of ownership procedures. The corporation status for your program must always remain Current and Active. Failure to comply may affect your program’s Notice of Compliance. FACILITY PROFILE INFORMATION: You verified the mailing address and email address listed on the facility profile are correct. You stated the telephone number changed. During the visit, you submitted written request to me via email to update the center’s telephone number. If changes in your facility’s information occur in the future, contact me at 252-214-2709 or email keshia.hayward@dhhs.nc.gov to discuss the changes and ensure accurate information is updated in our system. STAFF/CHILD RATIO REQUIREMENTS: Based on my observation, your program was out of compliance with staff child/ratio requirements. One caregiver was observed providing care to fifteen children in Space #2. Upon entering the classroom from outside play, one caregiver was observed bringing fifteen children inside alone. You asked a second caregiver sitting inside the sanctuary to go in the classroom and assist; however, the second caregiver went and took one of the fifteen children to the restroom down the hall. Another child arrived during this time as well. Throughout the remaining time of observation both caregivers were observed periodically leaving the classroom for approximately three to five minutes to accompany children to the bathroom, go outside to retrieve diapers, served food to Space #1 and complete other tasks. Each time one caregiver was left in Space #2 caring for twelve to fifteen children alone. We discussed staff/child ratio requirements for your program. I explained the age of the youngest children present was two years old; therefore, the staff/child ratio for that space was one staff to ten children. I further explained that when one of the caregivers leave to complete tasks outside the classroom, it places them out of compliance. I shared one staff member could carry children to the bathroom in groups to ensure neither person is left caring for more than ten children alone at any time. Hand washing could also be completed in a group setting to ensure staff/child ratio requirements are met. I recommend staffing enough workers to provide care to the children each day. Additional staff could be added on days with high attendance to assist with completing toileting, diapering and hand washing routines. Maintaining adequate staff/child ratio is vital to the safety of children. It also ensures children receive the necessary individualized attention needed. ANNUAL INSPECTIONS: The sanitation and fire inspections for your program had expired. During the visit, you contacted environmental health to request a sanitation inspection for your program be schedules and was told it could be completed next week. You stated the fire department would be contacted also to schedule completion of the fire inspection. I reminded you annual sanitation and fire inspections should be completed on or before the date on the previous inspection report. You could set alerts on your cellphones or mark the dates in advance on electronic or desktop calendars. Once the inspections are completed, a copy of the fire inspection report should be submitted to me within a week from the inspection date. Be reminded, it is your responsibility to ensure annual inspections are scheduled in a timely manner for the program. SAFE INDOOR/OUTDOOR ENVIRONMENT: During the visit, we talked about the hazards observed. The caregiver in Space #1 stated she would remove the aerosol cans and place them in locked storage. You added the bottles of hand sanitizer and plastic bags would be placed in a location out of reach of children. I explained although the kitchen door is locked and inaccessible to children, the cabinets separating the kitchen and Space #2 were low enough for children to pick up items without resistance. We discussed repairing the step on the plastic rock shaped structure or removing it from the playground. It was recommended using some boards to cover the opening at the bottom of the fence to ensure accessibility is removed on both sides. I explained animals and rodents can access the playground through the opening. Conducting periodic safety checks of spaces used by children throughout the day to monitor for potential hazards can help with identifying and removing them immediately. RECORDKEEPING: Sleep charts for infants enrolled were not available during the visit. It was reported one child was on second shift and the sleep charts could not be found. Sleep charts for the other two infants were not completed for June and July 2023. The caregiver stated one child had only been enrolled for two weeks and had just turned one on the day of the visit. I explained infants ages twelve months and under should be visually checked everyday in attendance while sleeping and the positions must be documented with times on the required forms. It is recommended keeping a notebook or file with all sleep charts in a central location. I shared during monitoring visits, 30-days of sleep charts records for each infant will be requested. The health assessment was missing from one record reviewed for children. I advised you to contact the parent and request the health assessment be submitted as soon as possible. Be reminded the health assessment should be less than twelve months when submitted. I explained departure times should be documented at the time children leave the facility. It was recommended this be done by parents; however, if they do not include the departure times when children are picked up staff should document and initial for verification. UNANNOUNCED FOLLOW-UP VISIT: I informed you an unannounced follow-up visit will be conducted to monitor staff/child ratio requirements. ADMINISTRATIVE ACTION RECOMMENDATION: I informed you based on sixteen or more violations being documented at one visit, an administrative action was warranted and would be recommended. I also explained if the program’s compliance history score falls below 75% it warrants and administrative action as well. At the conclusion of the visit, a hand-written visit summary report was completed, reviewed and left with you. I informed you the computer-generated visit summary report would be emailed to you within two business days. DCDEE RESOURCES: I recommended you periodically visit the DCDEE website at https://ncchildcare.ncdhhs.gov/ under the "What's New" tab to stay abreast of updated information provided. Be reminded you are responsible for maintaining compliance with all applicable child care requirements whether they have been discussed or reviewed with you in the past. CONTACT INFORMATION: If you have questions regarding today’s visit, my contact information is listed above. You may also contact Licensing Supervisor, Susan Fuller at 252-373-9809 or email susan.fuller@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0304 · Violation

Name of Operation: CHOSEN GENERATION DAYCARE CENTER Facility ID: 91000245 Consultant: KESHIA HAYWARD Operation Type: Center Case Number: Visit Date: 7/27/2023 Number Present: 18 Completed Date: 7/27/2023 Age: From 1 To 11 Total Minutes: 215 Time In: 09:25 AM Time Out: 01:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor this program for compliance with applicable child care requirements for an annual compliance visit. C. Davis, Administrator assisted with the visit. This center currently operates with a Notice of Compliance issued August 14, 2014. The last annual compliance visit was completed on August 10, 2022. The last sanitation inspection was completed on June 3, 2022, with a “Superior” classification. The last fire inspection was completed on June 3, 2022, and the center was approved for daytime and night care. Eighteen children were observed in care today ranging from ages two to eleven years old. Children were engaged in morning activities, outdoor play, completing diapering, toileting and hand washing, routines, interacting with caregivers, eating breakfast and lunch and napping. Breakfast consisted of eggs, applesauce, tater tots, juice, and milk. Lunch consisted of pizza, toss salad, corn, apple sauce and milk. The center’s compliance history score was reviewed with the operator. The program’s compliance history was (79%) as of July 26, 2023. The following violation were documented today. Violation Number Comment Rule 104 Center has not passed required sanitation inspection and received an approved or superior rating. A current sanitation inspection was not completed. The posted sanitation inspection was dated June 3, 2022. 10A NCAC 09 .0304(b) 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 current fire inspection was not completed. The posted fire inspection was dated June 3, 2022. 10A NCAC 09 .0304(a) 125 Daily records of arrival and departure times for children enrolled at the center were not maintained as children arrive and depart and/or were not made available for review. Departure times were not documented for two children in Space #1 and two in Space #2 on July 26, 2023. 10A NCAC 09 .0302(d)(4) 301 Minimum staff/child ratios and group sizes for the number and ages of children in care were not met. Minimum staff/child ratios and group sizes for the number and ages of children in care were not met when one caregiver was observed providing care to fifteen children ranging from aged two to eleven years old in Space #2. GS 110-91(7);.0713(a-d) 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. Children hands were not washed before eating and after outside play in Space #1 and 2. 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 caregiver did not wash her hands thoroughly before handling food in Space #1. 15A NCAC 18A .2803(a) 807 A safe indoor and outdoor environment was not provided for the children. The fence was detached from the bottom creating an open space at the bottom creating access for animals to enter the playground, a step on the plastic castle shape play structure was cracked exposing sharp edges on playground #1 and two bottles of hand sanitizer labeled “keep out of reach of children” was observed on the counter between the kitchen and Space #1 that is accessible to children. 10A NCAC 09 .0601(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. Cans of Lysol, Microban, roach spray and air freshener all in aerosol dispensed containers were stored an unlocked closet leading to the bathroom in Space #1. .2820(b) 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. Written authorization was not on file for Vaseline applied to children in Space #1. 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. Plastic bags were observed in an unlocked space under the diaper changing table in Space #1 and in a cubby accessible to children in the hallway used to transition from Space #2 to bathroom. .0604(q) 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. Documentation was not on file to verify the operator reviewed the center’s emergency medical care plan with staff annually. 10A NCAC 09 .0802(a) 887 Caregivers did not document compliance with visually checking on sleeping infants aged 12 months or younger and/or the documents were not maintained for a minimum of one month. Documentation was not on file or available for review to verify visual safe sleep checks were completed for three infants enrolled. .0606(g) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. Documentation was not on file or available for review for three staff members hired on August 17, 2022, and September 26, 2022. .1101(a) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. A health assessment was not on file for one preschool child enrolled more than 30 days. GS110-91(1) 1825 All staff did not review the center's EPR Plan during orientation and/or on an annual basis with the trained staff. Documentation of the review was not maintained on file. Documentation was not on file to verify the operator reviewed the center’s emergency preparedness plan with staff annually. .0607(f) 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. Documentation was not on file verifying Recognizing and Responding to Suspicion of Child Maltreatment was completed as required for three staff members with the following documented employment dates: Two staff members for August 17, 2022, and one on September 26, 2022.November 1, 2021. .1102(g) The violations documented must be corrected immediately. Please send a compliance verification letter to me describing how the violation was corrected. I asked that you include in the compliance letter a detailed plan regarding how staff/child ratio requirements will always be maintained. You can submit the compliance verification letter by postal mail to Keshia Hayward, PO Box 1504 Greenville NC 27834, or email keshia.hayward@dhhs.nc.gov. The compliance verification letter must be received on or before August 10, 2023. The two-week time frame is established to allow you time for submitting your compliance verification letter. This timeframe is not intended to be used as a guide for correcting violations, as they should be corrected immediately. Please be aware that any written information submitted by you regarding correction of violations documented during the visit is legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility's Star Rated License could be issued. If sufficient information is not received by the due date, a follow-up visit will be conducted. CORPORATION STATUS: A Chosen Generation Church of God is listed as the current owner of this center. According to information verified on the North Carolina Secretary of State’s website, A Chosen Generation Church of God remains Current and Active. Prior to making any changes in the corporation status, please contact me to discuss change of ownership procedures. The corporation status for your program must always remain Current and Active. Failure to comply may affect your program’s Notice of Compliance. FACILITY PROFILE INFORMATION: You verified the mailing address and email address listed on the facility profile are correct. You stated the telephone number changed. During the visit, you submitted written request to me via email to update the center’s telephone number. If changes in your facility’s information occur in the future, contact me at 252-214-2709 or email keshia.hayward@dhhs.nc.gov to discuss the changes and ensure accurate information is updated in our system. STAFF/CHILD RATIO REQUIREMENTS: Based on my observation, your program was out of compliance with staff child/ratio requirements. One caregiver was observed providing care to fifteen children in Space #2. Upon entering the classroom from outside play, one caregiver was observed bringing fifteen children inside alone. You asked a second caregiver sitting inside the sanctuary to go in the classroom and assist; however, the second caregiver went and took one of the fifteen children to the restroom down the hall. Another child arrived during this time as well. Throughout the remaining time of observation both caregivers were observed periodically leaving the classroom for approximately three to five minutes to accompany children to the bathroom, go outside to retrieve diapers, served food to Space #1 and complete other tasks. Each time one caregiver was left in Space #2 caring for twelve to fifteen children alone. We discussed staff/child ratio requirements for your program. I explained the age of the youngest children present was two years old; therefore, the staff/child ratio for that space was one staff to ten children. I further explained that when one of the caregivers leave to complete tasks outside the classroom, it places them out of compliance. I shared one staff member could carry children to the bathroom in groups to ensure neither person is left caring for more than ten children alone at any time. Hand washing could also be completed in a group setting to ensure staff/child ratio requirements are met. I recommend staffing enough workers to provide care to the children each day. Additional staff could be added on days with high attendance to assist with completing toileting, diapering and hand washing routines. Maintaining adequate staff/child ratio is vital to the safety of children. It also ensures children receive the necessary individualized attention needed. ANNUAL INSPECTIONS: The sanitation and fire inspections for your program had expired. During the visit, you contacted environmental health to request a sanitation inspection for your program be schedules and was told it could be completed next week. You stated the fire department would be contacted also to schedule completion of the fire inspection. I reminded you annual sanitation and fire inspections should be completed on or before the date on the previous inspection report. You could set alerts on your cellphones or mark the dates in advance on electronic or desktop calendars. Once the inspections are completed, a copy of the fire inspection report should be submitted to me within a week from the inspection date. Be reminded, it is your responsibility to ensure annual inspections are scheduled in a timely manner for the program. SAFE INDOOR/OUTDOOR ENVIRONMENT: During the visit, we talked about the hazards observed. The caregiver in Space #1 stated she would remove the aerosol cans and place them in locked storage. You added the bottles of hand sanitizer and plastic bags would be placed in a location out of reach of children. I explained although the kitchen door is locked and inaccessible to children, the cabinets separating the kitchen and Space #2 were low enough for children to pick up items without resistance. We discussed repairing the step on the plastic rock shaped structure or removing it from the playground. It was recommended using some boards to cover the opening at the bottom of the fence to ensure accessibility is removed on both sides. I explained animals and rodents can access the playground through the opening. Conducting periodic safety checks of spaces used by children throughout the day to monitor for potential hazards can help with identifying and removing them immediately. RECORDKEEPING: Sleep charts for infants enrolled were not available during the visit. It was reported one child was on second shift and the sleep charts could not be found. Sleep charts for the other two infants were not completed for June and July 2023. The caregiver stated one child had only been enrolled for two weeks and had just turned one on the day of the visit. I explained infants ages twelve months and under should be visually checked everyday in attendance while sleeping and the positions must be documented with times on the required forms. It is recommended keeping a notebook or file with all sleep charts in a central location. I shared during monitoring visits, 30-days of sleep charts records for each infant will be requested. The health assessment was missing from one record reviewed for children. I advised you to contact the parent and request the health assessment be submitted as soon as possible. Be reminded the health assessment should be less than twelve months when submitted. I explained departure times should be documented at the time children leave the facility. It was recommended this be done by parents; however, if they do not include the departure times when children are picked up staff should document and initial for verification. UNANNOUNCED FOLLOW-UP VISIT: I informed you an unannounced follow-up visit will be conducted to monitor staff/child ratio requirements. ADMINISTRATIVE ACTION RECOMMENDATION: I informed you based on sixteen or more violations being documented at one visit, an administrative action was warranted and would be recommended. I also explained if the program’s compliance history score falls below 75% it warrants and administrative action as well. At the conclusion of the visit, a hand-written visit summary report was completed, reviewed and left with you. I informed you the computer-generated visit summary report would be emailed to you within two business days. DCDEE RESOURCES: I recommended you periodically visit the DCDEE website at https://ncchildcare.ncdhhs.gov/ under the "What's New" tab to stay abreast of updated information provided. Be reminded you are responsible for maintaining compliance with all applicable child care requirements whether they have been discussed or reviewed with you in the past. CONTACT INFORMATION: If you have questions regarding today’s visit, my contact information is listed above. You may also contact Licensing Supervisor, Susan Fuller at 252-373-9809 or email susan.fuller@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0802 · Violation

Name of Operation: CHOSEN GENERATION DAYCARE CENTER Facility ID: 91000245 Consultant: KESHIA HAYWARD Operation Type: Center Case Number: Visit Date: 7/27/2023 Number Present: 18 Completed Date: 7/27/2023 Age: From 1 To 11 Total Minutes: 215 Time In: 09:25 AM Time Out: 01:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor this program for compliance with applicable child care requirements for an annual compliance visit. C. Davis, Administrator assisted with the visit. This center currently operates with a Notice of Compliance issued August 14, 2014. The last annual compliance visit was completed on August 10, 2022. The last sanitation inspection was completed on June 3, 2022, with a “Superior” classification. The last fire inspection was completed on June 3, 2022, and the center was approved for daytime and night care. Eighteen children were observed in care today ranging from ages two to eleven years old. Children were engaged in morning activities, outdoor play, completing diapering, toileting and hand washing, routines, interacting with caregivers, eating breakfast and lunch and napping. Breakfast consisted of eggs, applesauce, tater tots, juice, and milk. Lunch consisted of pizza, toss salad, corn, apple sauce and milk. The center’s compliance history score was reviewed with the operator. The program’s compliance history was (79%) as of July 26, 2023. The following violation were documented today. Violation Number Comment Rule 104 Center has not passed required sanitation inspection and received an approved or superior rating. A current sanitation inspection was not completed. The posted sanitation inspection was dated June 3, 2022. 10A NCAC 09 .0304(b) 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 current fire inspection was not completed. The posted fire inspection was dated June 3, 2022. 10A NCAC 09 .0304(a) 125 Daily records of arrival and departure times for children enrolled at the center were not maintained as children arrive and depart and/or were not made available for review. Departure times were not documented for two children in Space #1 and two in Space #2 on July 26, 2023. 10A NCAC 09 .0302(d)(4) 301 Minimum staff/child ratios and group sizes for the number and ages of children in care were not met. Minimum staff/child ratios and group sizes for the number and ages of children in care were not met when one caregiver was observed providing care to fifteen children ranging from aged two to eleven years old in Space #2. GS 110-91(7);.0713(a-d) 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. Children hands were not washed before eating and after outside play in Space #1 and 2. 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 caregiver did not wash her hands thoroughly before handling food in Space #1. 15A NCAC 18A .2803(a) 807 A safe indoor and outdoor environment was not provided for the children. The fence was detached from the bottom creating an open space at the bottom creating access for animals to enter the playground, a step on the plastic castle shape play structure was cracked exposing sharp edges on playground #1 and two bottles of hand sanitizer labeled “keep out of reach of children” was observed on the counter between the kitchen and Space #1 that is accessible to children. 10A NCAC 09 .0601(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. Cans of Lysol, Microban, roach spray and air freshener all in aerosol dispensed containers were stored an unlocked closet leading to the bathroom in Space #1. .2820(b) 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. Written authorization was not on file for Vaseline applied to children in Space #1. 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. Plastic bags were observed in an unlocked space under the diaper changing table in Space #1 and in a cubby accessible to children in the hallway used to transition from Space #2 to bathroom. .0604(q) 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. Documentation was not on file to verify the operator reviewed the center’s emergency medical care plan with staff annually. 10A NCAC 09 .0802(a) 887 Caregivers did not document compliance with visually checking on sleeping infants aged 12 months or younger and/or the documents were not maintained for a minimum of one month. Documentation was not on file or available for review to verify visual safe sleep checks were completed for three infants enrolled. .0606(g) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. Documentation was not on file or available for review for three staff members hired on August 17, 2022, and September 26, 2022. .1101(a) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. A health assessment was not on file for one preschool child enrolled more than 30 days. GS110-91(1) 1825 All staff did not review the center's EPR Plan during orientation and/or on an annual basis with the trained staff. Documentation of the review was not maintained on file. Documentation was not on file to verify the operator reviewed the center’s emergency preparedness plan with staff annually. .0607(f) 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. Documentation was not on file verifying Recognizing and Responding to Suspicion of Child Maltreatment was completed as required for three staff members with the following documented employment dates: Two staff members for August 17, 2022, and one on September 26, 2022.November 1, 2021. .1102(g) The violations documented must be corrected immediately. Please send a compliance verification letter to me describing how the violation was corrected. I asked that you include in the compliance letter a detailed plan regarding how staff/child ratio requirements will always be maintained. You can submit the compliance verification letter by postal mail to Keshia Hayward, PO Box 1504 Greenville NC 27834, or email keshia.hayward@dhhs.nc.gov. The compliance verification letter must be received on or before August 10, 2023. The two-week time frame is established to allow you time for submitting your compliance verification letter. This timeframe is not intended to be used as a guide for correcting violations, as they should be corrected immediately. Please be aware that any written information submitted by you regarding correction of violations documented during the visit is legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility's Star Rated License could be issued. If sufficient information is not received by the due date, a follow-up visit will be conducted. CORPORATION STATUS: A Chosen Generation Church of God is listed as the current owner of this center. According to information verified on the North Carolina Secretary of State’s website, A Chosen Generation Church of God remains Current and Active. Prior to making any changes in the corporation status, please contact me to discuss change of ownership procedures. The corporation status for your program must always remain Current and Active. Failure to comply may affect your program’s Notice of Compliance. FACILITY PROFILE INFORMATION: You verified the mailing address and email address listed on the facility profile are correct. You stated the telephone number changed. During the visit, you submitted written request to me via email to update the center’s telephone number. If changes in your facility’s information occur in the future, contact me at 252-214-2709 or email keshia.hayward@dhhs.nc.gov to discuss the changes and ensure accurate information is updated in our system. STAFF/CHILD RATIO REQUIREMENTS: Based on my observation, your program was out of compliance with staff child/ratio requirements. One caregiver was observed providing care to fifteen children in Space #2. Upon entering the classroom from outside play, one caregiver was observed bringing fifteen children inside alone. You asked a second caregiver sitting inside the sanctuary to go in the classroom and assist; however, the second caregiver went and took one of the fifteen children to the restroom down the hall. Another child arrived during this time as well. Throughout the remaining time of observation both caregivers were observed periodically leaving the classroom for approximately three to five minutes to accompany children to the bathroom, go outside to retrieve diapers, served food to Space #1 and complete other tasks. Each time one caregiver was left in Space #2 caring for twelve to fifteen children alone. We discussed staff/child ratio requirements for your program. I explained the age of the youngest children present was two years old; therefore, the staff/child ratio for that space was one staff to ten children. I further explained that when one of the caregivers leave to complete tasks outside the classroom, it places them out of compliance. I shared one staff member could carry children to the bathroom in groups to ensure neither person is left caring for more than ten children alone at any time. Hand washing could also be completed in a group setting to ensure staff/child ratio requirements are met. I recommend staffing enough workers to provide care to the children each day. Additional staff could be added on days with high attendance to assist with completing toileting, diapering and hand washing routines. Maintaining adequate staff/child ratio is vital to the safety of children. It also ensures children receive the necessary individualized attention needed. ANNUAL INSPECTIONS: The sanitation and fire inspections for your program had expired. During the visit, you contacted environmental health to request a sanitation inspection for your program be schedules and was told it could be completed next week. You stated the fire department would be contacted also to schedule completion of the fire inspection. I reminded you annual sanitation and fire inspections should be completed on or before the date on the previous inspection report. You could set alerts on your cellphones or mark the dates in advance on electronic or desktop calendars. Once the inspections are completed, a copy of the fire inspection report should be submitted to me within a week from the inspection date. Be reminded, it is your responsibility to ensure annual inspections are scheduled in a timely manner for the program. SAFE INDOOR/OUTDOOR ENVIRONMENT: During the visit, we talked about the hazards observed. The caregiver in Space #1 stated she would remove the aerosol cans and place them in locked storage. You added the bottles of hand sanitizer and plastic bags would be placed in a location out of reach of children. I explained although the kitchen door is locked and inaccessible to children, the cabinets separating the kitchen and Space #2 were low enough for children to pick up items without resistance. We discussed repairing the step on the plastic rock shaped structure or removing it from the playground. It was recommended using some boards to cover the opening at the bottom of the fence to ensure accessibility is removed on both sides. I explained animals and rodents can access the playground through the opening. Conducting periodic safety checks of spaces used by children throughout the day to monitor for potential hazards can help with identifying and removing them immediately. RECORDKEEPING: Sleep charts for infants enrolled were not available during the visit. It was reported one child was on second shift and the sleep charts could not be found. Sleep charts for the other two infants were not completed for June and July 2023. The caregiver stated one child had only been enrolled for two weeks and had just turned one on the day of the visit. I explained infants ages twelve months and under should be visually checked everyday in attendance while sleeping and the positions must be documented with times on the required forms. It is recommended keeping a notebook or file with all sleep charts in a central location. I shared during monitoring visits, 30-days of sleep charts records for each infant will be requested. The health assessment was missing from one record reviewed for children. I advised you to contact the parent and request the health assessment be submitted as soon as possible. Be reminded the health assessment should be less than twelve months when submitted. I explained departure times should be documented at the time children leave the facility. It was recommended this be done by parents; however, if they do not include the departure times when children are picked up staff should document and initial for verification. UNANNOUNCED FOLLOW-UP VISIT: I informed you an unannounced follow-up visit will be conducted to monitor staff/child ratio requirements. ADMINISTRATIVE ACTION RECOMMENDATION: I informed you based on sixteen or more violations being documented at one visit, an administrative action was warranted and would be recommended. I also explained if the program’s compliance history score falls below 75% it warrants and administrative action as well. At the conclusion of the visit, a hand-written visit summary report was completed, reviewed and left with you. I informed you the computer-generated visit summary report would be emailed to you within two business days. DCDEE RESOURCES: I recommended you periodically visit the DCDEE website at https://ncchildcare.ncdhhs.gov/ under the "What's New" tab to stay abreast of updated information provided. Be reminded you are responsible for maintaining compliance with all applicable child care requirements whether they have been discussed or reviewed with you in the past. CONTACT INFORMATION: If you have questions regarding today’s visit, my contact information is listed above. You may also contact Licensing Supervisor, Susan Fuller at 252-373-9809 or email susan.fuller@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0803 · Violation

Name of Operation: CHOSEN GENERATION DAYCARE CENTER Facility ID: 91000245 Consultant: KESHIA HAYWARD Operation Type: Center Case Number: Visit Date: 7/27/2023 Number Present: 18 Completed Date: 7/27/2023 Age: From 1 To 11 Total Minutes: 215 Time In: 09:25 AM Time Out: 01:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor this program for compliance with applicable child care requirements for an annual compliance visit. C. Davis, Administrator assisted with the visit. This center currently operates with a Notice of Compliance issued August 14, 2014. The last annual compliance visit was completed on August 10, 2022. The last sanitation inspection was completed on June 3, 2022, with a “Superior” classification. The last fire inspection was completed on June 3, 2022, and the center was approved for daytime and night care. Eighteen children were observed in care today ranging from ages two to eleven years old. Children were engaged in morning activities, outdoor play, completing diapering, toileting and hand washing, routines, interacting with caregivers, eating breakfast and lunch and napping. Breakfast consisted of eggs, applesauce, tater tots, juice, and milk. Lunch consisted of pizza, toss salad, corn, apple sauce and milk. The center’s compliance history score was reviewed with the operator. The program’s compliance history was (79%) as of July 26, 2023. The following violation were documented today. Violation Number Comment Rule 104 Center has not passed required sanitation inspection and received an approved or superior rating. A current sanitation inspection was not completed. The posted sanitation inspection was dated June 3, 2022. 10A NCAC 09 .0304(b) 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 current fire inspection was not completed. The posted fire inspection was dated June 3, 2022. 10A NCAC 09 .0304(a) 125 Daily records of arrival and departure times for children enrolled at the center were not maintained as children arrive and depart and/or were not made available for review. Departure times were not documented for two children in Space #1 and two in Space #2 on July 26, 2023. 10A NCAC 09 .0302(d)(4) 301 Minimum staff/child ratios and group sizes for the number and ages of children in care were not met. Minimum staff/child ratios and group sizes for the number and ages of children in care were not met when one caregiver was observed providing care to fifteen children ranging from aged two to eleven years old in Space #2. GS 110-91(7);.0713(a-d) 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. Children hands were not washed before eating and after outside play in Space #1 and 2. 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 caregiver did not wash her hands thoroughly before handling food in Space #1. 15A NCAC 18A .2803(a) 807 A safe indoor and outdoor environment was not provided for the children. The fence was detached from the bottom creating an open space at the bottom creating access for animals to enter the playground, a step on the plastic castle shape play structure was cracked exposing sharp edges on playground #1 and two bottles of hand sanitizer labeled “keep out of reach of children” was observed on the counter between the kitchen and Space #1 that is accessible to children. 10A NCAC 09 .0601(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. Cans of Lysol, Microban, roach spray and air freshener all in aerosol dispensed containers were stored an unlocked closet leading to the bathroom in Space #1. .2820(b) 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. Written authorization was not on file for Vaseline applied to children in Space #1. 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. Plastic bags were observed in an unlocked space under the diaper changing table in Space #1 and in a cubby accessible to children in the hallway used to transition from Space #2 to bathroom. .0604(q) 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. Documentation was not on file to verify the operator reviewed the center’s emergency medical care plan with staff annually. 10A NCAC 09 .0802(a) 887 Caregivers did not document compliance with visually checking on sleeping infants aged 12 months or younger and/or the documents were not maintained for a minimum of one month. Documentation was not on file or available for review to verify visual safe sleep checks were completed for three infants enrolled. .0606(g) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. Documentation was not on file or available for review for three staff members hired on August 17, 2022, and September 26, 2022. .1101(a) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. A health assessment was not on file for one preschool child enrolled more than 30 days. GS110-91(1) 1825 All staff did not review the center's EPR Plan during orientation and/or on an annual basis with the trained staff. Documentation of the review was not maintained on file. Documentation was not on file to verify the operator reviewed the center’s emergency preparedness plan with staff annually. .0607(f) 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. Documentation was not on file verifying Recognizing and Responding to Suspicion of Child Maltreatment was completed as required for three staff members with the following documented employment dates: Two staff members for August 17, 2022, and one on September 26, 2022.November 1, 2021. .1102(g) The violations documented must be corrected immediately. Please send a compliance verification letter to me describing how the violation was corrected. I asked that you include in the compliance letter a detailed plan regarding how staff/child ratio requirements will always be maintained. You can submit the compliance verification letter by postal mail to Keshia Hayward, PO Box 1504 Greenville NC 27834, or email keshia.hayward@dhhs.nc.gov. The compliance verification letter must be received on or before August 10, 2023. The two-week time frame is established to allow you time for submitting your compliance verification letter. This timeframe is not intended to be used as a guide for correcting violations, as they should be corrected immediately. Please be aware that any written information submitted by you regarding correction of violations documented during the visit is legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility's Star Rated License could be issued. If sufficient information is not received by the due date, a follow-up visit will be conducted. CORPORATION STATUS: A Chosen Generation Church of God is listed as the current owner of this center. According to information verified on the North Carolina Secretary of State’s website, A Chosen Generation Church of God remains Current and Active. Prior to making any changes in the corporation status, please contact me to discuss change of ownership procedures. The corporation status for your program must always remain Current and Active. Failure to comply may affect your program’s Notice of Compliance. FACILITY PROFILE INFORMATION: You verified the mailing address and email address listed on the facility profile are correct. You stated the telephone number changed. During the visit, you submitted written request to me via email to update the center’s telephone number. If changes in your facility’s information occur in the future, contact me at 252-214-2709 or email keshia.hayward@dhhs.nc.gov to discuss the changes and ensure accurate information is updated in our system. STAFF/CHILD RATIO REQUIREMENTS: Based on my observation, your program was out of compliance with staff child/ratio requirements. One caregiver was observed providing care to fifteen children in Space #2. Upon entering the classroom from outside play, one caregiver was observed bringing fifteen children inside alone. You asked a second caregiver sitting inside the sanctuary to go in the classroom and assist; however, the second caregiver went and took one of the fifteen children to the restroom down the hall. Another child arrived during this time as well. Throughout the remaining time of observation both caregivers were observed periodically leaving the classroom for approximately three to five minutes to accompany children to the bathroom, go outside to retrieve diapers, served food to Space #1 and complete other tasks. Each time one caregiver was left in Space #2 caring for twelve to fifteen children alone. We discussed staff/child ratio requirements for your program. I explained the age of the youngest children present was two years old; therefore, the staff/child ratio for that space was one staff to ten children. I further explained that when one of the caregivers leave to complete tasks outside the classroom, it places them out of compliance. I shared one staff member could carry children to the bathroom in groups to ensure neither person is left caring for more than ten children alone at any time. Hand washing could also be completed in a group setting to ensure staff/child ratio requirements are met. I recommend staffing enough workers to provide care to the children each day. Additional staff could be added on days with high attendance to assist with completing toileting, diapering and hand washing routines. Maintaining adequate staff/child ratio is vital to the safety of children. It also ensures children receive the necessary individualized attention needed. ANNUAL INSPECTIONS: The sanitation and fire inspections for your program had expired. During the visit, you contacted environmental health to request a sanitation inspection for your program be schedules and was told it could be completed next week. You stated the fire department would be contacted also to schedule completion of the fire inspection. I reminded you annual sanitation and fire inspections should be completed on or before the date on the previous inspection report. You could set alerts on your cellphones or mark the dates in advance on electronic or desktop calendars. Once the inspections are completed, a copy of the fire inspection report should be submitted to me within a week from the inspection date. Be reminded, it is your responsibility to ensure annual inspections are scheduled in a timely manner for the program. SAFE INDOOR/OUTDOOR ENVIRONMENT: During the visit, we talked about the hazards observed. The caregiver in Space #1 stated she would remove the aerosol cans and place them in locked storage. You added the bottles of hand sanitizer and plastic bags would be placed in a location out of reach of children. I explained although the kitchen door is locked and inaccessible to children, the cabinets separating the kitchen and Space #2 were low enough for children to pick up items without resistance. We discussed repairing the step on the plastic rock shaped structure or removing it from the playground. It was recommended using some boards to cover the opening at the bottom of the fence to ensure accessibility is removed on both sides. I explained animals and rodents can access the playground through the opening. Conducting periodic safety checks of spaces used by children throughout the day to monitor for potential hazards can help with identifying and removing them immediately. RECORDKEEPING: Sleep charts for infants enrolled were not available during the visit. It was reported one child was on second shift and the sleep charts could not be found. Sleep charts for the other two infants were not completed for June and July 2023. The caregiver stated one child had only been enrolled for two weeks and had just turned one on the day of the visit. I explained infants ages twelve months and under should be visually checked everyday in attendance while sleeping and the positions must be documented with times on the required forms. It is recommended keeping a notebook or file with all sleep charts in a central location. I shared during monitoring visits, 30-days of sleep charts records for each infant will be requested. The health assessment was missing from one record reviewed for children. I advised you to contact the parent and request the health assessment be submitted as soon as possible. Be reminded the health assessment should be less than twelve months when submitted. I explained departure times should be documented at the time children leave the facility. It was recommended this be done by parents; however, if they do not include the departure times when children are picked up staff should document and initial for verification. UNANNOUNCED FOLLOW-UP VISIT: I informed you an unannounced follow-up visit will be conducted to monitor staff/child ratio requirements. ADMINISTRATIVE ACTION RECOMMENDATION: I informed you based on sixteen or more violations being documented at one visit, an administrative action was warranted and would be recommended. I also explained if the program’s compliance history score falls below 75% it warrants and administrative action as well. At the conclusion of the visit, a hand-written visit summary report was completed, reviewed and left with you. I informed you the computer-generated visit summary report would be emailed to you within two business days. DCDEE RESOURCES: I recommended you periodically visit the DCDEE website at https://ncchildcare.ncdhhs.gov/ under the "What's New" tab to stay abreast of updated information provided. Be reminded you are responsible for maintaining compliance with all applicable child care requirements whether they have been discussed or reviewed with you in the past. CONTACT INFORMATION: If you have questions regarding today’s visit, my contact information is listed above. You may also contact Licensing Supervisor, Susan Fuller at 252-373-9809 or email susan.fuller@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

GS 110-91 · Violation

Name of Operation: CHOSEN GENERATION DAYCARE CENTER Facility ID: 91000245 Consultant: KESHIA HAYWARD Operation Type: Center Case Number: Visit Date: 7/27/2023 Number Present: 18 Completed Date: 7/27/2023 Age: From 1 To 11 Total Minutes: 215 Time In: 09:25 AM Time Out: 01:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor this program for compliance with applicable child care requirements for an annual compliance visit. C. Davis, Administrator assisted with the visit. This center currently operates with a Notice of Compliance issued August 14, 2014. The last annual compliance visit was completed on August 10, 2022. The last sanitation inspection was completed on June 3, 2022, with a “Superior” classification. The last fire inspection was completed on June 3, 2022, and the center was approved for daytime and night care. Eighteen children were observed in care today ranging from ages two to eleven years old. Children were engaged in morning activities, outdoor play, completing diapering, toileting and hand washing, routines, interacting with caregivers, eating breakfast and lunch and napping. Breakfast consisted of eggs, applesauce, tater tots, juice, and milk. Lunch consisted of pizza, toss salad, corn, apple sauce and milk. The center’s compliance history score was reviewed with the operator. The program’s compliance history was (79%) as of July 26, 2023. The following violation were documented today. Violation Number Comment Rule 104 Center has not passed required sanitation inspection and received an approved or superior rating. A current sanitation inspection was not completed. The posted sanitation inspection was dated June 3, 2022. 10A NCAC 09 .0304(b) 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 current fire inspection was not completed. The posted fire inspection was dated June 3, 2022. 10A NCAC 09 .0304(a) 125 Daily records of arrival and departure times for children enrolled at the center were not maintained as children arrive and depart and/or were not made available for review. Departure times were not documented for two children in Space #1 and two in Space #2 on July 26, 2023. 10A NCAC 09 .0302(d)(4) 301 Minimum staff/child ratios and group sizes for the number and ages of children in care were not met. Minimum staff/child ratios and group sizes for the number and ages of children in care were not met when one caregiver was observed providing care to fifteen children ranging from aged two to eleven years old in Space #2. GS 110-91(7);.0713(a-d) 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. Children hands were not washed before eating and after outside play in Space #1 and 2. 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 caregiver did not wash her hands thoroughly before handling food in Space #1. 15A NCAC 18A .2803(a) 807 A safe indoor and outdoor environment was not provided for the children. The fence was detached from the bottom creating an open space at the bottom creating access for animals to enter the playground, a step on the plastic castle shape play structure was cracked exposing sharp edges on playground #1 and two bottles of hand sanitizer labeled “keep out of reach of children” was observed on the counter between the kitchen and Space #1 that is accessible to children. 10A NCAC 09 .0601(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. Cans of Lysol, Microban, roach spray and air freshener all in aerosol dispensed containers were stored an unlocked closet leading to the bathroom in Space #1. .2820(b) 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. Written authorization was not on file for Vaseline applied to children in Space #1. 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. Plastic bags were observed in an unlocked space under the diaper changing table in Space #1 and in a cubby accessible to children in the hallway used to transition from Space #2 to bathroom. .0604(q) 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. Documentation was not on file to verify the operator reviewed the center’s emergency medical care plan with staff annually. 10A NCAC 09 .0802(a) 887 Caregivers did not document compliance with visually checking on sleeping infants aged 12 months or younger and/or the documents were not maintained for a minimum of one month. Documentation was not on file or available for review to verify visual safe sleep checks were completed for three infants enrolled. .0606(g) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. Documentation was not on file or available for review for three staff members hired on August 17, 2022, and September 26, 2022. .1101(a) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. A health assessment was not on file for one preschool child enrolled more than 30 days. GS110-91(1) 1825 All staff did not review the center's EPR Plan during orientation and/or on an annual basis with the trained staff. Documentation of the review was not maintained on file. Documentation was not on file to verify the operator reviewed the center’s emergency preparedness plan with staff annually. .0607(f) 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. Documentation was not on file verifying Recognizing and Responding to Suspicion of Child Maltreatment was completed as required for three staff members with the following documented employment dates: Two staff members for August 17, 2022, and one on September 26, 2022.November 1, 2021. .1102(g) The violations documented must be corrected immediately. Please send a compliance verification letter to me describing how the violation was corrected. I asked that you include in the compliance letter a detailed plan regarding how staff/child ratio requirements will always be maintained. You can submit the compliance verification letter by postal mail to Keshia Hayward, PO Box 1504 Greenville NC 27834, or email keshia.hayward@dhhs.nc.gov. The compliance verification letter must be received on or before August 10, 2023. The two-week time frame is established to allow you time for submitting your compliance verification letter. This timeframe is not intended to be used as a guide for correcting violations, as they should be corrected immediately. Please be aware that any written information submitted by you regarding correction of violations documented during the visit is legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility's Star Rated License could be issued. If sufficient information is not received by the due date, a follow-up visit will be conducted. CORPORATION STATUS: A Chosen Generation Church of God is listed as the current owner of this center. According to information verified on the North Carolina Secretary of State’s website, A Chosen Generation Church of God remains Current and Active. Prior to making any changes in the corporation status, please contact me to discuss change of ownership procedures. The corporation status for your program must always remain Current and Active. Failure to comply may affect your program’s Notice of Compliance. FACILITY PROFILE INFORMATION: You verified the mailing address and email address listed on the facility profile are correct. You stated the telephone number changed. During the visit, you submitted written request to me via email to update the center’s telephone number. If changes in your facility’s information occur in the future, contact me at 252-214-2709 or email keshia.hayward@dhhs.nc.gov to discuss the changes and ensure accurate information is updated in our system. STAFF/CHILD RATIO REQUIREMENTS: Based on my observation, your program was out of compliance with staff child/ratio requirements. One caregiver was observed providing care to fifteen children in Space #2. Upon entering the classroom from outside play, one caregiver was observed bringing fifteen children inside alone. You asked a second caregiver sitting inside the sanctuary to go in the classroom and assist; however, the second caregiver went and took one of the fifteen children to the restroom down the hall. Another child arrived during this time as well. Throughout the remaining time of observation both caregivers were observed periodically leaving the classroom for approximately three to five minutes to accompany children to the bathroom, go outside to retrieve diapers, served food to Space #1 and complete other tasks. Each time one caregiver was left in Space #2 caring for twelve to fifteen children alone. We discussed staff/child ratio requirements for your program. I explained the age of the youngest children present was two years old; therefore, the staff/child ratio for that space was one staff to ten children. I further explained that when one of the caregivers leave to complete tasks outside the classroom, it places them out of compliance. I shared one staff member could carry children to the bathroom in groups to ensure neither person is left caring for more than ten children alone at any time. Hand washing could also be completed in a group setting to ensure staff/child ratio requirements are met. I recommend staffing enough workers to provide care to the children each day. Additional staff could be added on days with high attendance to assist with completing toileting, diapering and hand washing routines. Maintaining adequate staff/child ratio is vital to the safety of children. It also ensures children receive the necessary individualized attention needed. ANNUAL INSPECTIONS: The sanitation and fire inspections for your program had expired. During the visit, you contacted environmental health to request a sanitation inspection for your program be schedules and was told it could be completed next week. You stated the fire department would be contacted also to schedule completion of the fire inspection. I reminded you annual sanitation and fire inspections should be completed on or before the date on the previous inspection report. You could set alerts on your cellphones or mark the dates in advance on electronic or desktop calendars. Once the inspections are completed, a copy of the fire inspection report should be submitted to me within a week from the inspection date. Be reminded, it is your responsibility to ensure annual inspections are scheduled in a timely manner for the program. SAFE INDOOR/OUTDOOR ENVIRONMENT: During the visit, we talked about the hazards observed. The caregiver in Space #1 stated she would remove the aerosol cans and place them in locked storage. You added the bottles of hand sanitizer and plastic bags would be placed in a location out of reach of children. I explained although the kitchen door is locked and inaccessible to children, the cabinets separating the kitchen and Space #2 were low enough for children to pick up items without resistance. We discussed repairing the step on the plastic rock shaped structure or removing it from the playground. It was recommended using some boards to cover the opening at the bottom of the fence to ensure accessibility is removed on both sides. I explained animals and rodents can access the playground through the opening. Conducting periodic safety checks of spaces used by children throughout the day to monitor for potential hazards can help with identifying and removing them immediately. RECORDKEEPING: Sleep charts for infants enrolled were not available during the visit. It was reported one child was on second shift and the sleep charts could not be found. Sleep charts for the other two infants were not completed for June and July 2023. The caregiver stated one child had only been enrolled for two weeks and had just turned one on the day of the visit. I explained infants ages twelve months and under should be visually checked everyday in attendance while sleeping and the positions must be documented with times on the required forms. It is recommended keeping a notebook or file with all sleep charts in a central location. I shared during monitoring visits, 30-days of sleep charts records for each infant will be requested. The health assessment was missing from one record reviewed for children. I advised you to contact the parent and request the health assessment be submitted as soon as possible. Be reminded the health assessment should be less than twelve months when submitted. I explained departure times should be documented at the time children leave the facility. It was recommended this be done by parents; however, if they do not include the departure times when children are picked up staff should document and initial for verification. UNANNOUNCED FOLLOW-UP VISIT: I informed you an unannounced follow-up visit will be conducted to monitor staff/child ratio requirements. ADMINISTRATIVE ACTION RECOMMENDATION: I informed you based on sixteen or more violations being documented at one visit, an administrative action was warranted and would be recommended. I also explained if the program’s compliance history score falls below 75% it warrants and administrative action as well. At the conclusion of the visit, a hand-written visit summary report was completed, reviewed and left with you. I informed you the computer-generated visit summary report would be emailed to you within two business days. DCDEE RESOURCES: I recommended you periodically visit the DCDEE website at https://ncchildcare.ncdhhs.gov/ under the "What's New" tab to stay abreast of updated information provided. Be reminded you are responsible for maintaining compliance with all applicable child care requirements whether they have been discussed or reviewed with you in the past. CONTACT INFORMATION: If you have questions regarding today’s visit, my contact information is listed above. You may also contact Licensing Supervisor, Susan Fuller at 252-373-9809 or email susan.fuller@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

GS110-91 · Violation

Name of Operation: CHOSEN GENERATION DAYCARE CENTER Facility ID: 91000245 Consultant: KESHIA HAYWARD Operation Type: Center Case Number: Visit Date: 7/27/2023 Number Present: 18 Completed Date: 7/27/2023 Age: From 1 To 11 Total Minutes: 215 Time In: 09:25 AM Time Out: 01:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor this program for compliance with applicable child care requirements for an annual compliance visit. C. Davis, Administrator assisted with the visit. This center currently operates with a Notice of Compliance issued August 14, 2014. The last annual compliance visit was completed on August 10, 2022. The last sanitation inspection was completed on June 3, 2022, with a “Superior” classification. The last fire inspection was completed on June 3, 2022, and the center was approved for daytime and night care. Eighteen children were observed in care today ranging from ages two to eleven years old. Children were engaged in morning activities, outdoor play, completing diapering, toileting and hand washing, routines, interacting with caregivers, eating breakfast and lunch and napping. Breakfast consisted of eggs, applesauce, tater tots, juice, and milk. Lunch consisted of pizza, toss salad, corn, apple sauce and milk. The center’s compliance history score was reviewed with the operator. The program’s compliance history was (79%) as of July 26, 2023. The following violation were documented today. Violation Number Comment Rule 104 Center has not passed required sanitation inspection and received an approved or superior rating. A current sanitation inspection was not completed. The posted sanitation inspection was dated June 3, 2022. 10A NCAC 09 .0304(b) 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 current fire inspection was not completed. The posted fire inspection was dated June 3, 2022. 10A NCAC 09 .0304(a) 125 Daily records of arrival and departure times for children enrolled at the center were not maintained as children arrive and depart and/or were not made available for review. Departure times were not documented for two children in Space #1 and two in Space #2 on July 26, 2023. 10A NCAC 09 .0302(d)(4) 301 Minimum staff/child ratios and group sizes for the number and ages of children in care were not met. Minimum staff/child ratios and group sizes for the number and ages of children in care were not met when one caregiver was observed providing care to fifteen children ranging from aged two to eleven years old in Space #2. GS 110-91(7);.0713(a-d) 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. Children hands were not washed before eating and after outside play in Space #1 and 2. 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 caregiver did not wash her hands thoroughly before handling food in Space #1. 15A NCAC 18A .2803(a) 807 A safe indoor and outdoor environment was not provided for the children. The fence was detached from the bottom creating an open space at the bottom creating access for animals to enter the playground, a step on the plastic castle shape play structure was cracked exposing sharp edges on playground #1 and two bottles of hand sanitizer labeled “keep out of reach of children” was observed on the counter between the kitchen and Space #1 that is accessible to children. 10A NCAC 09 .0601(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. Cans of Lysol, Microban, roach spray and air freshener all in aerosol dispensed containers were stored an unlocked closet leading to the bathroom in Space #1. .2820(b) 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. Written authorization was not on file for Vaseline applied to children in Space #1. 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. Plastic bags were observed in an unlocked space under the diaper changing table in Space #1 and in a cubby accessible to children in the hallway used to transition from Space #2 to bathroom. .0604(q) 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. Documentation was not on file to verify the operator reviewed the center’s emergency medical care plan with staff annually. 10A NCAC 09 .0802(a) 887 Caregivers did not document compliance with visually checking on sleeping infants aged 12 months or younger and/or the documents were not maintained for a minimum of one month. Documentation was not on file or available for review to verify visual safe sleep checks were completed for three infants enrolled. .0606(g) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. Documentation was not on file or available for review for three staff members hired on August 17, 2022, and September 26, 2022. .1101(a) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. A health assessment was not on file for one preschool child enrolled more than 30 days. GS110-91(1) 1825 All staff did not review the center's EPR Plan during orientation and/or on an annual basis with the trained staff. Documentation of the review was not maintained on file. Documentation was not on file to verify the operator reviewed the center’s emergency preparedness plan with staff annually. .0607(f) 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. Documentation was not on file verifying Recognizing and Responding to Suspicion of Child Maltreatment was completed as required for three staff members with the following documented employment dates: Two staff members for August 17, 2022, and one on September 26, 2022.November 1, 2021. .1102(g) The violations documented must be corrected immediately. Please send a compliance verification letter to me describing how the violation was corrected. I asked that you include in the compliance letter a detailed plan regarding how staff/child ratio requirements will always be maintained. You can submit the compliance verification letter by postal mail to Keshia Hayward, PO Box 1504 Greenville NC 27834, or email keshia.hayward@dhhs.nc.gov. The compliance verification letter must be received on or before August 10, 2023. The two-week time frame is established to allow you time for submitting your compliance verification letter. This timeframe is not intended to be used as a guide for correcting violations, as they should be corrected immediately. Please be aware that any written information submitted by you regarding correction of violations documented during the visit is legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility's Star Rated License could be issued. If sufficient information is not received by the due date, a follow-up visit will be conducted. CORPORATION STATUS: A Chosen Generation Church of God is listed as the current owner of this center. According to information verified on the North Carolina Secretary of State’s website, A Chosen Generation Church of God remains Current and Active. Prior to making any changes in the corporation status, please contact me to discuss change of ownership procedures. The corporation status for your program must always remain Current and Active. Failure to comply may affect your program’s Notice of Compliance. FACILITY PROFILE INFORMATION: You verified the mailing address and email address listed on the facility profile are correct. You stated the telephone number changed. During the visit, you submitted written request to me via email to update the center’s telephone number. If changes in your facility’s information occur in the future, contact me at 252-214-2709 or email keshia.hayward@dhhs.nc.gov to discuss the changes and ensure accurate information is updated in our system. STAFF/CHILD RATIO REQUIREMENTS: Based on my observation, your program was out of compliance with staff child/ratio requirements. One caregiver was observed providing care to fifteen children in Space #2. Upon entering the classroom from outside play, one caregiver was observed bringing fifteen children inside alone. You asked a second caregiver sitting inside the sanctuary to go in the classroom and assist; however, the second caregiver went and took one of the fifteen children to the restroom down the hall. Another child arrived during this time as well. Throughout the remaining time of observation both caregivers were observed periodically leaving the classroom for approximately three to five minutes to accompany children to the bathroom, go outside to retrieve diapers, served food to Space #1 and complete other tasks. Each time one caregiver was left in Space #2 caring for twelve to fifteen children alone. We discussed staff/child ratio requirements for your program. I explained the age of the youngest children present was two years old; therefore, the staff/child ratio for that space was one staff to ten children. I further explained that when one of the caregivers leave to complete tasks outside the classroom, it places them out of compliance. I shared one staff member could carry children to the bathroom in groups to ensure neither person is left caring for more than ten children alone at any time. Hand washing could also be completed in a group setting to ensure staff/child ratio requirements are met. I recommend staffing enough workers to provide care to the children each day. Additional staff could be added on days with high attendance to assist with completing toileting, diapering and hand washing routines. Maintaining adequate staff/child ratio is vital to the safety of children. It also ensures children receive the necessary individualized attention needed. ANNUAL INSPECTIONS: The sanitation and fire inspections for your program had expired. During the visit, you contacted environmental health to request a sanitation inspection for your program be schedules and was told it could be completed next week. You stated the fire department would be contacted also to schedule completion of the fire inspection. I reminded you annual sanitation and fire inspections should be completed on or before the date on the previous inspection report. You could set alerts on your cellphones or mark the dates in advance on electronic or desktop calendars. Once the inspections are completed, a copy of the fire inspection report should be submitted to me within a week from the inspection date. Be reminded, it is your responsibility to ensure annual inspections are scheduled in a timely manner for the program. SAFE INDOOR/OUTDOOR ENVIRONMENT: During the visit, we talked about the hazards observed. The caregiver in Space #1 stated she would remove the aerosol cans and place them in locked storage. You added the bottles of hand sanitizer and plastic bags would be placed in a location out of reach of children. I explained although the kitchen door is locked and inaccessible to children, the cabinets separating the kitchen and Space #2 were low enough for children to pick up items without resistance. We discussed repairing the step on the plastic rock shaped structure or removing it from the playground. It was recommended using some boards to cover the opening at the bottom of the fence to ensure accessibility is removed on both sides. I explained animals and rodents can access the playground through the opening. Conducting periodic safety checks of spaces used by children throughout the day to monitor for potential hazards can help with identifying and removing them immediately. RECORDKEEPING: Sleep charts for infants enrolled were not available during the visit. It was reported one child was on second shift and the sleep charts could not be found. Sleep charts for the other two infants were not completed for June and July 2023. The caregiver stated one child had only been enrolled for two weeks and had just turned one on the day of the visit. I explained infants ages twelve months and under should be visually checked everyday in attendance while sleeping and the positions must be documented with times on the required forms. It is recommended keeping a notebook or file with all sleep charts in a central location. I shared during monitoring visits, 30-days of sleep charts records for each infant will be requested. The health assessment was missing from one record reviewed for children. I advised you to contact the parent and request the health assessment be submitted as soon as possible. Be reminded the health assessment should be less than twelve months when submitted. I explained departure times should be documented at the time children leave the facility. It was recommended this be done by parents; however, if they do not include the departure times when children are picked up staff should document and initial for verification. UNANNOUNCED FOLLOW-UP VISIT: I informed you an unannounced follow-up visit will be conducted to monitor staff/child ratio requirements. ADMINISTRATIVE ACTION RECOMMENDATION: I informed you based on sixteen or more violations being documented at one visit, an administrative action was warranted and would be recommended. I also explained if the program’s compliance history score falls below 75% it warrants and administrative action as well. At the conclusion of the visit, a hand-written visit summary report was completed, reviewed and left with you. I informed you the computer-generated visit summary report would be emailed to you within two business days. DCDEE RESOURCES: I recommended you periodically visit the DCDEE website at https://ncchildcare.ncdhhs.gov/ under the "What's New" tab to stay abreast of updated information provided. Be reminded you are responsible for maintaining compliance with all applicable child care requirements whether they have been discussed or reviewed with you in the past. CONTACT INFORMATION: If you have questions regarding today’s visit, my contact information is listed above. You may also contact Licensing Supervisor, Susan Fuller at 252-373-9809 or email susan.fuller@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times