Little Blessings Christian Academy

10A NCAC 09 .0304 · Violation

Name of Operation: LITTLE BLESSINGS CHRISTIAN ACADEMY Facility ID: 45000374 Consultant: DAWN MCCRARY Operation Type: Center Case Number: Visit Date: 12/2/2025 Number Present: 109 Completed Date: 12/2/2025 Age: From 0 To 12 Total Minutes: 360 Time In: 09:30 AM Time Out: 03:30 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 compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, Heather Stepp, Admin, and signed by Dawn McCrary, Child Care Consultant and signed by, Heather Stepp, Admin, after the visit. An electronic signed copy of the visit summary was left on-site. Today, Melissa Heath, Director and Heather Stepp, Admin, were available to assist during the visit. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-four (94) percentage as of 12/01/2025. The North Carolina Secretary of State website was viewed prior to today’s visit and the Limited Liability Company, Little Blessings Christian Academy, LLC., is current/active as of 12/1/25. Permit type – Five Star Child Care License; issued 8/12/22; earning four (4) points in Staff Education; five (5) points in Program Standards; and one (1) quality point. Special Services/Restrictions – Daytime care only; meets enhanced ratios; Children under 2 ½ years old in rooms with direct exits only. The last annual compliance visit was conducted on 12/16/24. The last fire drill was practiced on 11/12/25. The last shelter-in-place drill was practiced on 9/11/2025. The last playground inspection was documented on 12/1/2025. The last fire inspection was approved on 7/10/2025. The last sanitation inspection was conducted on 11/5/25 with four (4) demerits for a Superior classification. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum. Lead water testing was completed 10/27/23 without hazards. Upon arrival, I made my presence known to Melissa Heath, Director. The children in the classroom of older two-year-olds were observed playing with dramatic play items, Lincoln logs, and toy trucks. The children in the classroom of younger two-year-olds were having a gross motor activity indoors due to inclement weather. The children in the classroom of one-year-olds was having free choice play in the classroom and having diapers changed. The younger infants were being fed, interacting with the caregivers and sleeping. The older infants were moving freely in the classroom, eating and having routine care. The children in the classroom of three-year-olds was having group time. The children in the classroom of two and three-year-olds were having story time. The children in the classroom of four and five-year-olds were having free choice play in the classroom. The children in the classroom of three and four-year-olds were having free play in the classroom. The lunch served today was sloppy joes on buns, French fries, pears and milk. All interactions were positive. Supervision was adequate. There are seven (7) newly hired staff and twenty-two (22) existing staff. The newly hired staff files and two(2) existing staff files were monitored during today’s visit. Twelve (12) child files were monitored for child care regulations during today’s visit. QRIS modernization discussion: A technical assistance (TA) visit will be scheduled to occur in the winter of 2026 to discuss the pathways to the stars. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does provide transportation. You stated that you do transport children for field trips in the summer. Two (2) vehicles were monitored today. No transportation was provided during today's visit. Fire extinguishers and emergency information for children are stored in the office until transportation is provided. The parents of the children provide the car seats for transporting. The following violations were documented during today's visit. Violation Number Comment Rule 1052 Staff required to receive on-going training had not completed the required number of hours according to their education and experience. One staff, per the staff and training worksheets, completed four of the twenty required training hours according to their education and experience. .1103(a) 1898 Staff did not complete the health and safety training within one year of employment. Two (2) staff, per the staff and training worksheet, did not complete the health and safety training within one year of employment. .1102(a) Technical assistance provided as follows 1898- Staff did not complete the health and safety training within one year of employment. Two (2) staff, per the staff and training worksheet, did not complete the health and safety training within one year of employment. 1052-One staff, per the staff and training worksheets, completed four of the twenty required training hours according to their education and experience. To achieve compliance, plan to use a calendar with reminders and scheduled training times each month to ensure training deadlines are met. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month comptafliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 12/16/2025. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: dawn.mccrary@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Dawn McCrary PO Box 397 Penrose, NC 28766. Please call me at 828-556-3088, or email dawn.mccrary@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .3222 (c) If employment-related changes occur at a facility that result in noncompliance with or failure to meet the standards in the Section for the star rating issued, the operator shall correct the noncompliance within six months. If the operator does not correct the noncompliance within six months, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at dawn.mccrary@dhhs.nc.gov or 828.556.3088, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@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 .1102 · Violation

Name of Operation: LITTLE BLESSINGS CHRISTIAN ACADEMY Facility ID: 45000374 Consultant: DAWN MCCRARY Operation Type: Center Case Number: Visit Date: 12/2/2025 Number Present: 109 Completed Date: 12/2/2025 Age: From 0 To 12 Total Minutes: 360 Time In: 09:30 AM Time Out: 03:30 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 compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, Heather Stepp, Admin, and signed by Dawn McCrary, Child Care Consultant and signed by, Heather Stepp, Admin, after the visit. An electronic signed copy of the visit summary was left on-site. Today, Melissa Heath, Director and Heather Stepp, Admin, were available to assist during the visit. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-four (94) percentage as of 12/01/2025. The North Carolina Secretary of State website was viewed prior to today’s visit and the Limited Liability Company, Little Blessings Christian Academy, LLC., is current/active as of 12/1/25. Permit type – Five Star Child Care License; issued 8/12/22; earning four (4) points in Staff Education; five (5) points in Program Standards; and one (1) quality point. Special Services/Restrictions – Daytime care only; meets enhanced ratios; Children under 2 ½ years old in rooms with direct exits only. The last annual compliance visit was conducted on 12/16/24. The last fire drill was practiced on 11/12/25. The last shelter-in-place drill was practiced on 9/11/2025. The last playground inspection was documented on 12/1/2025. The last fire inspection was approved on 7/10/2025. The last sanitation inspection was conducted on 11/5/25 with four (4) demerits for a Superior classification. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum. Lead water testing was completed 10/27/23 without hazards. Upon arrival, I made my presence known to Melissa Heath, Director. The children in the classroom of older two-year-olds were observed playing with dramatic play items, Lincoln logs, and toy trucks. The children in the classroom of younger two-year-olds were having a gross motor activity indoors due to inclement weather. The children in the classroom of one-year-olds was having free choice play in the classroom and having diapers changed. The younger infants were being fed, interacting with the caregivers and sleeping. The older infants were moving freely in the classroom, eating and having routine care. The children in the classroom of three-year-olds was having group time. The children in the classroom of two and three-year-olds were having story time. The children in the classroom of four and five-year-olds were having free choice play in the classroom. The children in the classroom of three and four-year-olds were having free play in the classroom. The lunch served today was sloppy joes on buns, French fries, pears and milk. All interactions were positive. Supervision was adequate. There are seven (7) newly hired staff and twenty-two (22) existing staff. The newly hired staff files and two(2) existing staff files were monitored during today’s visit. Twelve (12) child files were monitored for child care regulations during today’s visit. QRIS modernization discussion: A technical assistance (TA) visit will be scheduled to occur in the winter of 2026 to discuss the pathways to the stars. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does provide transportation. You stated that you do transport children for field trips in the summer. Two (2) vehicles were monitored today. No transportation was provided during today's visit. Fire extinguishers and emergency information for children are stored in the office until transportation is provided. The parents of the children provide the car seats for transporting. The following violations were documented during today's visit. Violation Number Comment Rule 1052 Staff required to receive on-going training had not completed the required number of hours according to their education and experience. One staff, per the staff and training worksheets, completed four of the twenty required training hours according to their education and experience. .1103(a) 1898 Staff did not complete the health and safety training within one year of employment. Two (2) staff, per the staff and training worksheet, did not complete the health and safety training within one year of employment. .1102(a) Technical assistance provided as follows 1898- Staff did not complete the health and safety training within one year of employment. Two (2) staff, per the staff and training worksheet, did not complete the health and safety training within one year of employment. 1052-One staff, per the staff and training worksheets, completed four of the twenty required training hours according to their education and experience. To achieve compliance, plan to use a calendar with reminders and scheduled training times each month to ensure training deadlines are met. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month comptafliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 12/16/2025. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: dawn.mccrary@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Dawn McCrary PO Box 397 Penrose, NC 28766. Please call me at 828-556-3088, or email dawn.mccrary@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .3222 (c) If employment-related changes occur at a facility that result in noncompliance with or failure to meet the standards in the Section for the star rating issued, the operator shall correct the noncompliance within six months. If the operator does not correct the noncompliance within six months, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at dawn.mccrary@dhhs.nc.gov or 828.556.3088, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@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 .1703 · Violation

Name of Operation: LITTLE BLESSINGS CHRISTIAN ACADEMY Facility ID: 45000374 Consultant: DAWN MCCRARY Operation Type: Center Case Number: Visit Date: 12/2/2025 Number Present: 109 Completed Date: 12/2/2025 Age: From 0 To 12 Total Minutes: 360 Time In: 09:30 AM Time Out: 03:30 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 compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, Heather Stepp, Admin, and signed by Dawn McCrary, Child Care Consultant and signed by, Heather Stepp, Admin, after the visit. An electronic signed copy of the visit summary was left on-site. Today, Melissa Heath, Director and Heather Stepp, Admin, were available to assist during the visit. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-four (94) percentage as of 12/01/2025. The North Carolina Secretary of State website was viewed prior to today’s visit and the Limited Liability Company, Little Blessings Christian Academy, LLC., is current/active as of 12/1/25. Permit type – Five Star Child Care License; issued 8/12/22; earning four (4) points in Staff Education; five (5) points in Program Standards; and one (1) quality point. Special Services/Restrictions – Daytime care only; meets enhanced ratios; Children under 2 ½ years old in rooms with direct exits only. The last annual compliance visit was conducted on 12/16/24. The last fire drill was practiced on 11/12/25. The last shelter-in-place drill was practiced on 9/11/2025. The last playground inspection was documented on 12/1/2025. The last fire inspection was approved on 7/10/2025. The last sanitation inspection was conducted on 11/5/25 with four (4) demerits for a Superior classification. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum. Lead water testing was completed 10/27/23 without hazards. Upon arrival, I made my presence known to Melissa Heath, Director. The children in the classroom of older two-year-olds were observed playing with dramatic play items, Lincoln logs, and toy trucks. The children in the classroom of younger two-year-olds were having a gross motor activity indoors due to inclement weather. The children in the classroom of one-year-olds was having free choice play in the classroom and having diapers changed. The younger infants were being fed, interacting with the caregivers and sleeping. The older infants were moving freely in the classroom, eating and having routine care. The children in the classroom of three-year-olds was having group time. The children in the classroom of two and three-year-olds were having story time. The children in the classroom of four and five-year-olds were having free choice play in the classroom. The children in the classroom of three and four-year-olds were having free play in the classroom. The lunch served today was sloppy joes on buns, French fries, pears and milk. All interactions were positive. Supervision was adequate. There are seven (7) newly hired staff and twenty-two (22) existing staff. The newly hired staff files and two(2) existing staff files were monitored during today’s visit. Twelve (12) child files were monitored for child care regulations during today’s visit. QRIS modernization discussion: A technical assistance (TA) visit will be scheduled to occur in the winter of 2026 to discuss the pathways to the stars. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does provide transportation. You stated that you do transport children for field trips in the summer. Two (2) vehicles were monitored today. No transportation was provided during today's visit. Fire extinguishers and emergency information for children are stored in the office until transportation is provided. The parents of the children provide the car seats for transporting. The following violations were documented during today's visit. Violation Number Comment Rule 1052 Staff required to receive on-going training had not completed the required number of hours according to their education and experience. One staff, per the staff and training worksheets, completed four of the twenty required training hours according to their education and experience. .1103(a) 1898 Staff did not complete the health and safety training within one year of employment. Two (2) staff, per the staff and training worksheet, did not complete the health and safety training within one year of employment. .1102(a) Technical assistance provided as follows 1898- Staff did not complete the health and safety training within one year of employment. Two (2) staff, per the staff and training worksheet, did not complete the health and safety training within one year of employment. 1052-One staff, per the staff and training worksheets, completed four of the twenty required training hours according to their education and experience. To achieve compliance, plan to use a calendar with reminders and scheduled training times each month to ensure training deadlines are met. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month comptafliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 12/16/2025. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: dawn.mccrary@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Dawn McCrary PO Box 397 Penrose, NC 28766. Please call me at 828-556-3088, or email dawn.mccrary@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .3222 (c) If employment-related changes occur at a facility that result in noncompliance with or failure to meet the standards in the Section for the star rating issued, the operator shall correct the noncompliance within six months. If the operator does not correct the noncompliance within six months, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at dawn.mccrary@dhhs.nc.gov or 828.556.3088, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@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 .3222 · Violation

Name of Operation: LITTLE BLESSINGS CHRISTIAN ACADEMY Facility ID: 45000374 Consultant: DAWN MCCRARY Operation Type: Center Case Number: Visit Date: 12/2/2025 Number Present: 109 Completed Date: 12/2/2025 Age: From 0 To 12 Total Minutes: 360 Time In: 09:30 AM Time Out: 03:30 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 compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, Heather Stepp, Admin, and signed by Dawn McCrary, Child Care Consultant and signed by, Heather Stepp, Admin, after the visit. An electronic signed copy of the visit summary was left on-site. Today, Melissa Heath, Director and Heather Stepp, Admin, were available to assist during the visit. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-four (94) percentage as of 12/01/2025. The North Carolina Secretary of State website was viewed prior to today’s visit and the Limited Liability Company, Little Blessings Christian Academy, LLC., is current/active as of 12/1/25. Permit type – Five Star Child Care License; issued 8/12/22; earning four (4) points in Staff Education; five (5) points in Program Standards; and one (1) quality point. Special Services/Restrictions – Daytime care only; meets enhanced ratios; Children under 2 ½ years old in rooms with direct exits only. The last annual compliance visit was conducted on 12/16/24. The last fire drill was practiced on 11/12/25. The last shelter-in-place drill was practiced on 9/11/2025. The last playground inspection was documented on 12/1/2025. The last fire inspection was approved on 7/10/2025. The last sanitation inspection was conducted on 11/5/25 with four (4) demerits for a Superior classification. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum. Lead water testing was completed 10/27/23 without hazards. Upon arrival, I made my presence known to Melissa Heath, Director. The children in the classroom of older two-year-olds were observed playing with dramatic play items, Lincoln logs, and toy trucks. The children in the classroom of younger two-year-olds were having a gross motor activity indoors due to inclement weather. The children in the classroom of one-year-olds was having free choice play in the classroom and having diapers changed. The younger infants were being fed, interacting with the caregivers and sleeping. The older infants were moving freely in the classroom, eating and having routine care. The children in the classroom of three-year-olds was having group time. The children in the classroom of two and three-year-olds were having story time. The children in the classroom of four and five-year-olds were having free choice play in the classroom. The children in the classroom of three and four-year-olds were having free play in the classroom. The lunch served today was sloppy joes on buns, French fries, pears and milk. All interactions were positive. Supervision was adequate. There are seven (7) newly hired staff and twenty-two (22) existing staff. The newly hired staff files and two(2) existing staff files were monitored during today’s visit. Twelve (12) child files were monitored for child care regulations during today’s visit. QRIS modernization discussion: A technical assistance (TA) visit will be scheduled to occur in the winter of 2026 to discuss the pathways to the stars. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does provide transportation. You stated that you do transport children for field trips in the summer. Two (2) vehicles were monitored today. No transportation was provided during today's visit. Fire extinguishers and emergency information for children are stored in the office until transportation is provided. The parents of the children provide the car seats for transporting. The following violations were documented during today's visit. Violation Number Comment Rule 1052 Staff required to receive on-going training had not completed the required number of hours according to their education and experience. One staff, per the staff and training worksheets, completed four of the twenty required training hours according to their education and experience. .1103(a) 1898 Staff did not complete the health and safety training within one year of employment. Two (2) staff, per the staff and training worksheet, did not complete the health and safety training within one year of employment. .1102(a) Technical assistance provided as follows 1898- Staff did not complete the health and safety training within one year of employment. Two (2) staff, per the staff and training worksheet, did not complete the health and safety training within one year of employment. 1052-One staff, per the staff and training worksheets, completed four of the twenty required training hours according to their education and experience. To achieve compliance, plan to use a calendar with reminders and scheduled training times each month to ensure training deadlines are met. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month comptafliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 12/16/2025. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: dawn.mccrary@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Dawn McCrary PO Box 397 Penrose, NC 28766. Please call me at 828-556-3088, or email dawn.mccrary@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .3222 (c) If employment-related changes occur at a facility that result in noncompliance with or failure to meet the standards in the Section for the star rating issued, the operator shall correct the noncompliance within six months. If the operator does not correct the noncompliance within six months, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at dawn.mccrary@dhhs.nc.gov or 828.556.3088, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@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

NC GS 110-90 · Violation

Name of Operation: LITTLE BLESSINGS CHRISTIAN ACADEMY Facility ID: 45000374 Consultant: DAWN MCCRARY Operation Type: Center Case Number: Visit Date: 12/2/2025 Number Present: 109 Completed Date: 12/2/2025 Age: From 0 To 12 Total Minutes: 360 Time In: 09:30 AM Time Out: 03:30 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 compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, Heather Stepp, Admin, and signed by Dawn McCrary, Child Care Consultant and signed by, Heather Stepp, Admin, after the visit. An electronic signed copy of the visit summary was left on-site. Today, Melissa Heath, Director and Heather Stepp, Admin, were available to assist during the visit. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-four (94) percentage as of 12/01/2025. The North Carolina Secretary of State website was viewed prior to today’s visit and the Limited Liability Company, Little Blessings Christian Academy, LLC., is current/active as of 12/1/25. Permit type – Five Star Child Care License; issued 8/12/22; earning four (4) points in Staff Education; five (5) points in Program Standards; and one (1) quality point. Special Services/Restrictions – Daytime care only; meets enhanced ratios; Children under 2 ½ years old in rooms with direct exits only. The last annual compliance visit was conducted on 12/16/24. The last fire drill was practiced on 11/12/25. The last shelter-in-place drill was practiced on 9/11/2025. The last playground inspection was documented on 12/1/2025. The last fire inspection was approved on 7/10/2025. The last sanitation inspection was conducted on 11/5/25 with four (4) demerits for a Superior classification. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum. Lead water testing was completed 10/27/23 without hazards. Upon arrival, I made my presence known to Melissa Heath, Director. The children in the classroom of older two-year-olds were observed playing with dramatic play items, Lincoln logs, and toy trucks. The children in the classroom of younger two-year-olds were having a gross motor activity indoors due to inclement weather. The children in the classroom of one-year-olds was having free choice play in the classroom and having diapers changed. The younger infants were being fed, interacting with the caregivers and sleeping. The older infants were moving freely in the classroom, eating and having routine care. The children in the classroom of three-year-olds was having group time. The children in the classroom of two and three-year-olds were having story time. The children in the classroom of four and five-year-olds were having free choice play in the classroom. The children in the classroom of three and four-year-olds were having free play in the classroom. The lunch served today was sloppy joes on buns, French fries, pears and milk. All interactions were positive. Supervision was adequate. There are seven (7) newly hired staff and twenty-two (22) existing staff. The newly hired staff files and two(2) existing staff files were monitored during today’s visit. Twelve (12) child files were monitored for child care regulations during today’s visit. QRIS modernization discussion: A technical assistance (TA) visit will be scheduled to occur in the winter of 2026 to discuss the pathways to the stars. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does provide transportation. You stated that you do transport children for field trips in the summer. Two (2) vehicles were monitored today. No transportation was provided during today's visit. Fire extinguishers and emergency information for children are stored in the office until transportation is provided. The parents of the children provide the car seats for transporting. The following violations were documented during today's visit. Violation Number Comment Rule 1052 Staff required to receive on-going training had not completed the required number of hours according to their education and experience. One staff, per the staff and training worksheets, completed four of the twenty required training hours according to their education and experience. .1103(a) 1898 Staff did not complete the health and safety training within one year of employment. Two (2) staff, per the staff and training worksheet, did not complete the health and safety training within one year of employment. .1102(a) Technical assistance provided as follows 1898- Staff did not complete the health and safety training within one year of employment. Two (2) staff, per the staff and training worksheet, did not complete the health and safety training within one year of employment. 1052-One staff, per the staff and training worksheets, completed four of the twenty required training hours according to their education and experience. To achieve compliance, plan to use a calendar with reminders and scheduled training times each month to ensure training deadlines are met. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month comptafliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 12/16/2025. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: dawn.mccrary@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Dawn McCrary PO Box 397 Penrose, NC 28766. Please call me at 828-556-3088, or email dawn.mccrary@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .3222 (c) If employment-related changes occur at a facility that result in noncompliance with or failure to meet the standards in the Section for the star rating issued, the operator shall correct the noncompliance within six months. If the operator does not correct the noncompliance within six months, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at dawn.mccrary@dhhs.nc.gov or 828.556.3088, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@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: LITTLE BLESSINGS CHRISTIAN ACADEMY Facility ID: 45000374 Consultant: DAWN MCCRARY Operation Type: Center Case Number: Visit Date: 12/16/2024 Number Present: 100 Completed Date: 12/16/2024 Age: From 0 To 5 Total Minutes: 300 Time In: 10:00 AM Time Out: 03:00 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 compliance during an annual compliance visit. Monica Houck, Lead Consultant, accompanied me on today’s visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Dawn McCrary, Child Care Consultant, Monica Houck, Lead Consultant, and also signed by you, Melissa Heath, Owner. A signed copy of the visit summary was left on-site for you. Today, Melissa Heath, Owner, was available to assist during the visit. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-four (94) percentage as of 12/13/24. The North Carolina Secretary of State website was viewed prior to today’s visit and the Limited Liability Company, Little Blessings Christian Academy, LLC., is current/active as of 12/13/24. Permit type – Five Star Child Care License; issued 8/12/22; earning four (4) points in Staff Education; five (5) points in Program Standards; and one (1) quality point. Special Services/Restrictions – Daytime care only; meets enhanced ratios; Children under 2 ½ years old in rooms with direct exits only. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The last Annual Compliance visit was conducted on 10/13/23. The last fire drill was practiced on 11/8/24. The last shelter-in-place drill was practiced on 11/8/24. The last playground inspection was documented on 12/4/24. The last fire inspection was approved on 6/18/24. The last sanitation inspection was conducted on 11/1/24 with four (4) demerits for a Superior classification. The Emergency Medical Care plan was posted and is current. The Emergency Preparedness Plan is current. The incident log was current and in use. The approved curriculum for four-year-old children is Creative Curriculum. Upon our arrival, We made our presence known to Melissa Heath, Owner. A walk-through of the facility was conducted. The children were observed having free choice play in the classrooms and outdoors. The children were observed building with blocks, having group times, using art materials, infants were having tummy time, being fed and moving freely in the classroom. The outdoor playground has adequate space for running and vigorous play with materials to enhance play. The children transitioned to lunch. Lunch consisted of macaroni and cheese with ham, apple slices, peas and milk. All interactions were positive and nurturing. Supervision was adequate. The staff and training worksheets were provided prior to today’s visit and monitored during today’s visit. One hundred thirty-two (132) children are enrolled. Fourteen (14) child files were monitored for child care requirements. There are ten (10) newly hired staff and twenty-two (22) existing staff. The newly hired staff files and three (3) existing staff files were monitored for child care requirements. The program does provide transportation. You stated that you do transport children for field trips in the summer. Two (2) vehicles were monitored today. No transportation was provided during today's visit. Fire extinguishers and emergency information for children are stored in the office until transportation is provided. The parents of the children provide the car seats for transporting. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 721 All equipment and furnishings were not in good repair. One plastic table on the large playground had a crack and hole with possible sharp edges. G.S. 110-91(6); .0601(b) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. Medication administration permission for S.G's Desitin expired 10/9/24. Medication administration permission for E.U's Desitin expired 12/4/24. Medication administration permission for K.E's Aquaphor expired 12/6/24. .0803(12) 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. A plastic bag of baby wipes was accessible in a space with children under the age of three. .0604(q) Technical assistance provided as follows: 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS Medication administration permission for S.G's Desitin expired 10/9/24. Medication administration permission for E.U's Desitin expired 12/4/24. Medication administration permission for K.E's Aquaphor expired 12/6/24. The medications were removed for correction during the visit. 10A NCAC 09 .0601 SAFE ENVIRONMENT One plastic table on the large playground had a crack and hole with possible sharp edges. The table was removed for correction during the visit. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS A plastic bag of baby wipes was accessible in a space with children under the age of three. The wipes were removed for correction during the visit. Due to Tropical Storm Helen, we discussed guidance to allow more time to achieve compliance on the following items: *One (1) staff hired on 2/19/24 has an electronic routine medical report dated 6/8/23 that does not state the staff is physically and emotionally fit to care for children. One (1) staff hired on 6/6/24 has a sports medical report dated 5/6/24 that does not state the staff is emotionally fit to care for children. One (1) staff hired on 5/28/24 has an international medical report dated 4/11/23, which is older than 12 months old at the time the staff was hired and does not state the staff is physically and emotionally fit to care for children. The three (3) staff must have a medical report that states they are physically and emotionally fit to care for children; refer to child care rule 10A NCAC 09 .0701(a). We discussed you would work with the staff to have their medical reports updated on the DCDEE form. Plan to email a statement regarding each staff once their respective medical report has been completed to state they are medically and emotionally fit to care for children. *One (1) child enrolled at the end of March 2024 and had a medical report that was received at the end of May 2024. We discussed you have a system in place to remind parents to bring in the medical report within thirty days and to not allow the child to return if the medical report is not has not been turned in within the thirty days. This did not happen with this particular child and the system was not followed. Because the child’s medical report is on file, no further action is necessary. Consultation is provided as follows: We discussed to ensure all forms requiring signatures, such as the Safe Sleep Policy, are present in the child's file, not only in the classrooms. The substitute staff R. Cutshaw has an application on file that is dated, but not signed. Plan to have R. Cutshaw sign the application on their next substitute shift. Reminder that on-going training must meet the required topic areas in the child care law below: § 110-91. Mandatory standards for a license. (11) Staff Development. – The Commission shall adopt minimum standards for ongoing staff development for facilities but limited to the following topic areas: a. Planning a safe, healthy learning environment; b. Steps to advance children's physical and intellectual development; c. Positive ways to support children's social and emotional development; d. Strategies to establish productive relationships with families; e. Strategies to manage an effective program operation; f. Maintaining a commitment to professionalism; g. Observing and recording children's behavior; h. Principles of child growth and development; and i. Learning activities that promote inclusion of children with special needs. These standards shall include annual requirements for ongoing staff development appropriate to job responsibilities. A person may carry forward in-service training hours that are in excess of the previous year's requirement to meet up to one-half of the current year's required in-service training hours. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. If you elect to change and/or alter any previously approved spaces used by children as indicated on the indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at dawn.mccrary@dhhs.nc.gov or 828-566-3088, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@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: LITTLE BLESSINGS CHRISTIAN ACADEMY Facility ID: 45000374 Consultant: DAWN MCCRARY Operation Type: Center Case Number: Visit Date: 12/16/2024 Number Present: 100 Completed Date: 12/16/2024 Age: From 0 To 5 Total Minutes: 300 Time In: 10:00 AM Time Out: 03:00 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 compliance during an annual compliance visit. Monica Houck, Lead Consultant, accompanied me on today’s visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Dawn McCrary, Child Care Consultant, Monica Houck, Lead Consultant, and also signed by you, Melissa Heath, Owner. A signed copy of the visit summary was left on-site for you. Today, Melissa Heath, Owner, was available to assist during the visit. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-four (94) percentage as of 12/13/24. The North Carolina Secretary of State website was viewed prior to today’s visit and the Limited Liability Company, Little Blessings Christian Academy, LLC., is current/active as of 12/13/24. Permit type – Five Star Child Care License; issued 8/12/22; earning four (4) points in Staff Education; five (5) points in Program Standards; and one (1) quality point. Special Services/Restrictions – Daytime care only; meets enhanced ratios; Children under 2 ½ years old in rooms with direct exits only. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The last Annual Compliance visit was conducted on 10/13/23. The last fire drill was practiced on 11/8/24. The last shelter-in-place drill was practiced on 11/8/24. The last playground inspection was documented on 12/4/24. The last fire inspection was approved on 6/18/24. The last sanitation inspection was conducted on 11/1/24 with four (4) demerits for a Superior classification. The Emergency Medical Care plan was posted and is current. The Emergency Preparedness Plan is current. The incident log was current and in use. The approved curriculum for four-year-old children is Creative Curriculum. Upon our arrival, We made our presence known to Melissa Heath, Owner. A walk-through of the facility was conducted. The children were observed having free choice play in the classrooms and outdoors. The children were observed building with blocks, having group times, using art materials, infants were having tummy time, being fed and moving freely in the classroom. The outdoor playground has adequate space for running and vigorous play with materials to enhance play. The children transitioned to lunch. Lunch consisted of macaroni and cheese with ham, apple slices, peas and milk. All interactions were positive and nurturing. Supervision was adequate. The staff and training worksheets were provided prior to today’s visit and monitored during today’s visit. One hundred thirty-two (132) children are enrolled. Fourteen (14) child files were monitored for child care requirements. There are ten (10) newly hired staff and twenty-two (22) existing staff. The newly hired staff files and three (3) existing staff files were monitored for child care requirements. The program does provide transportation. You stated that you do transport children for field trips in the summer. Two (2) vehicles were monitored today. No transportation was provided during today's visit. Fire extinguishers and emergency information for children are stored in the office until transportation is provided. The parents of the children provide the car seats for transporting. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 721 All equipment and furnishings were not in good repair. One plastic table on the large playground had a crack and hole with possible sharp edges. G.S. 110-91(6); .0601(b) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. Medication administration permission for S.G's Desitin expired 10/9/24. Medication administration permission for E.U's Desitin expired 12/4/24. Medication administration permission for K.E's Aquaphor expired 12/6/24. .0803(12) 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. A plastic bag of baby wipes was accessible in a space with children under the age of three. .0604(q) Technical assistance provided as follows: 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS Medication administration permission for S.G's Desitin expired 10/9/24. Medication administration permission for E.U's Desitin expired 12/4/24. Medication administration permission for K.E's Aquaphor expired 12/6/24. The medications were removed for correction during the visit. 10A NCAC 09 .0601 SAFE ENVIRONMENT One plastic table on the large playground had a crack and hole with possible sharp edges. The table was removed for correction during the visit. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS A plastic bag of baby wipes was accessible in a space with children under the age of three. The wipes were removed for correction during the visit. Due to Tropical Storm Helen, we discussed guidance to allow more time to achieve compliance on the following items: *One (1) staff hired on 2/19/24 has an electronic routine medical report dated 6/8/23 that does not state the staff is physically and emotionally fit to care for children. One (1) staff hired on 6/6/24 has a sports medical report dated 5/6/24 that does not state the staff is emotionally fit to care for children. One (1) staff hired on 5/28/24 has an international medical report dated 4/11/23, which is older than 12 months old at the time the staff was hired and does not state the staff is physically and emotionally fit to care for children. The three (3) staff must have a medical report that states they are physically and emotionally fit to care for children; refer to child care rule 10A NCAC 09 .0701(a). We discussed you would work with the staff to have their medical reports updated on the DCDEE form. Plan to email a statement regarding each staff once their respective medical report has been completed to state they are medically and emotionally fit to care for children. *One (1) child enrolled at the end of March 2024 and had a medical report that was received at the end of May 2024. We discussed you have a system in place to remind parents to bring in the medical report within thirty days and to not allow the child to return if the medical report is not has not been turned in within the thirty days. This did not happen with this particular child and the system was not followed. Because the child’s medical report is on file, no further action is necessary. Consultation is provided as follows: We discussed to ensure all forms requiring signatures, such as the Safe Sleep Policy, are present in the child's file, not only in the classrooms. The substitute staff R. Cutshaw has an application on file that is dated, but not signed. Plan to have R. Cutshaw sign the application on their next substitute shift. Reminder that on-going training must meet the required topic areas in the child care law below: § 110-91. Mandatory standards for a license. (11) Staff Development. – The Commission shall adopt minimum standards for ongoing staff development for facilities but limited to the following topic areas: a. Planning a safe, healthy learning environment; b. Steps to advance children's physical and intellectual development; c. Positive ways to support children's social and emotional development; d. Strategies to establish productive relationships with families; e. Strategies to manage an effective program operation; f. Maintaining a commitment to professionalism; g. Observing and recording children's behavior; h. Principles of child growth and development; and i. Learning activities that promote inclusion of children with special needs. These standards shall include annual requirements for ongoing staff development appropriate to job responsibilities. A person may carry forward in-service training hours that are in excess of the previous year's requirement to meet up to one-half of the current year's required in-service training hours. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. If you elect to change and/or alter any previously approved spaces used by children as indicated on the indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at dawn.mccrary@dhhs.nc.gov or 828-566-3088, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@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 .0604 · Violation

Name of Operation: LITTLE BLESSINGS CHRISTIAN ACADEMY Facility ID: 45000374 Consultant: DAWN MCCRARY Operation Type: Center Case Number: Visit Date: 12/16/2024 Number Present: 100 Completed Date: 12/16/2024 Age: From 0 To 5 Total Minutes: 300 Time In: 10:00 AM Time Out: 03:00 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 compliance during an annual compliance visit. Monica Houck, Lead Consultant, accompanied me on today’s visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Dawn McCrary, Child Care Consultant, Monica Houck, Lead Consultant, and also signed by you, Melissa Heath, Owner. A signed copy of the visit summary was left on-site for you. Today, Melissa Heath, Owner, was available to assist during the visit. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-four (94) percentage as of 12/13/24. The North Carolina Secretary of State website was viewed prior to today’s visit and the Limited Liability Company, Little Blessings Christian Academy, LLC., is current/active as of 12/13/24. Permit type – Five Star Child Care License; issued 8/12/22; earning four (4) points in Staff Education; five (5) points in Program Standards; and one (1) quality point. Special Services/Restrictions – Daytime care only; meets enhanced ratios; Children under 2 ½ years old in rooms with direct exits only. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The last Annual Compliance visit was conducted on 10/13/23. The last fire drill was practiced on 11/8/24. The last shelter-in-place drill was practiced on 11/8/24. The last playground inspection was documented on 12/4/24. The last fire inspection was approved on 6/18/24. The last sanitation inspection was conducted on 11/1/24 with four (4) demerits for a Superior classification. The Emergency Medical Care plan was posted and is current. The Emergency Preparedness Plan is current. The incident log was current and in use. The approved curriculum for four-year-old children is Creative Curriculum. Upon our arrival, We made our presence known to Melissa Heath, Owner. A walk-through of the facility was conducted. The children were observed having free choice play in the classrooms and outdoors. The children were observed building with blocks, having group times, using art materials, infants were having tummy time, being fed and moving freely in the classroom. The outdoor playground has adequate space for running and vigorous play with materials to enhance play. The children transitioned to lunch. Lunch consisted of macaroni and cheese with ham, apple slices, peas and milk. All interactions were positive and nurturing. Supervision was adequate. The staff and training worksheets were provided prior to today’s visit and monitored during today’s visit. One hundred thirty-two (132) children are enrolled. Fourteen (14) child files were monitored for child care requirements. There are ten (10) newly hired staff and twenty-two (22) existing staff. The newly hired staff files and three (3) existing staff files were monitored for child care requirements. The program does provide transportation. You stated that you do transport children for field trips in the summer. Two (2) vehicles were monitored today. No transportation was provided during today's visit. Fire extinguishers and emergency information for children are stored in the office until transportation is provided. The parents of the children provide the car seats for transporting. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 721 All equipment and furnishings were not in good repair. One plastic table on the large playground had a crack and hole with possible sharp edges. G.S. 110-91(6); .0601(b) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. Medication administration permission for S.G's Desitin expired 10/9/24. Medication administration permission for E.U's Desitin expired 12/4/24. Medication administration permission for K.E's Aquaphor expired 12/6/24. .0803(12) 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. A plastic bag of baby wipes was accessible in a space with children under the age of three. .0604(q) Technical assistance provided as follows: 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS Medication administration permission for S.G's Desitin expired 10/9/24. Medication administration permission for E.U's Desitin expired 12/4/24. Medication administration permission for K.E's Aquaphor expired 12/6/24. The medications were removed for correction during the visit. 10A NCAC 09 .0601 SAFE ENVIRONMENT One plastic table on the large playground had a crack and hole with possible sharp edges. The table was removed for correction during the visit. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS A plastic bag of baby wipes was accessible in a space with children under the age of three. The wipes were removed for correction during the visit. Due to Tropical Storm Helen, we discussed guidance to allow more time to achieve compliance on the following items: *One (1) staff hired on 2/19/24 has an electronic routine medical report dated 6/8/23 that does not state the staff is physically and emotionally fit to care for children. One (1) staff hired on 6/6/24 has a sports medical report dated 5/6/24 that does not state the staff is emotionally fit to care for children. One (1) staff hired on 5/28/24 has an international medical report dated 4/11/23, which is older than 12 months old at the time the staff was hired and does not state the staff is physically and emotionally fit to care for children. The three (3) staff must have a medical report that states they are physically and emotionally fit to care for children; refer to child care rule 10A NCAC 09 .0701(a). We discussed you would work with the staff to have their medical reports updated on the DCDEE form. Plan to email a statement regarding each staff once their respective medical report has been completed to state they are medically and emotionally fit to care for children. *One (1) child enrolled at the end of March 2024 and had a medical report that was received at the end of May 2024. We discussed you have a system in place to remind parents to bring in the medical report within thirty days and to not allow the child to return if the medical report is not has not been turned in within the thirty days. This did not happen with this particular child and the system was not followed. Because the child’s medical report is on file, no further action is necessary. Consultation is provided as follows: We discussed to ensure all forms requiring signatures, such as the Safe Sleep Policy, are present in the child's file, not only in the classrooms. The substitute staff R. Cutshaw has an application on file that is dated, but not signed. Plan to have R. Cutshaw sign the application on their next substitute shift. Reminder that on-going training must meet the required topic areas in the child care law below: § 110-91. Mandatory standards for a license. (11) Staff Development. – The Commission shall adopt minimum standards for ongoing staff development for facilities but limited to the following topic areas: a. Planning a safe, healthy learning environment; b. Steps to advance children's physical and intellectual development; c. Positive ways to support children's social and emotional development; d. Strategies to establish productive relationships with families; e. Strategies to manage an effective program operation; f. Maintaining a commitment to professionalism; g. Observing and recording children's behavior; h. Principles of child growth and development; and i. Learning activities that promote inclusion of children with special needs. These standards shall include annual requirements for ongoing staff development appropriate to job responsibilities. A person may carry forward in-service training hours that are in excess of the previous year's requirement to meet up to one-half of the current year's required in-service training hours. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. If you elect to change and/or alter any previously approved spaces used by children as indicated on the indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at dawn.mccrary@dhhs.nc.gov or 828-566-3088, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@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 .0701 · Violation

Name of Operation: LITTLE BLESSINGS CHRISTIAN ACADEMY Facility ID: 45000374 Consultant: DAWN MCCRARY Operation Type: Center Case Number: Visit Date: 12/16/2024 Number Present: 100 Completed Date: 12/16/2024 Age: From 0 To 5 Total Minutes: 300 Time In: 10:00 AM Time Out: 03:00 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 compliance during an annual compliance visit. Monica Houck, Lead Consultant, accompanied me on today’s visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Dawn McCrary, Child Care Consultant, Monica Houck, Lead Consultant, and also signed by you, Melissa Heath, Owner. A signed copy of the visit summary was left on-site for you. Today, Melissa Heath, Owner, was available to assist during the visit. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-four (94) percentage as of 12/13/24. The North Carolina Secretary of State website was viewed prior to today’s visit and the Limited Liability Company, Little Blessings Christian Academy, LLC., is current/active as of 12/13/24. Permit type – Five Star Child Care License; issued 8/12/22; earning four (4) points in Staff Education; five (5) points in Program Standards; and one (1) quality point. Special Services/Restrictions – Daytime care only; meets enhanced ratios; Children under 2 ½ years old in rooms with direct exits only. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The last Annual Compliance visit was conducted on 10/13/23. The last fire drill was practiced on 11/8/24. The last shelter-in-place drill was practiced on 11/8/24. The last playground inspection was documented on 12/4/24. The last fire inspection was approved on 6/18/24. The last sanitation inspection was conducted on 11/1/24 with four (4) demerits for a Superior classification. The Emergency Medical Care plan was posted and is current. The Emergency Preparedness Plan is current. The incident log was current and in use. The approved curriculum for four-year-old children is Creative Curriculum. Upon our arrival, We made our presence known to Melissa Heath, Owner. A walk-through of the facility was conducted. The children were observed having free choice play in the classrooms and outdoors. The children were observed building with blocks, having group times, using art materials, infants were having tummy time, being fed and moving freely in the classroom. The outdoor playground has adequate space for running and vigorous play with materials to enhance play. The children transitioned to lunch. Lunch consisted of macaroni and cheese with ham, apple slices, peas and milk. All interactions were positive and nurturing. Supervision was adequate. The staff and training worksheets were provided prior to today’s visit and monitored during today’s visit. One hundred thirty-two (132) children are enrolled. Fourteen (14) child files were monitored for child care requirements. There are ten (10) newly hired staff and twenty-two (22) existing staff. The newly hired staff files and three (3) existing staff files were monitored for child care requirements. The program does provide transportation. You stated that you do transport children for field trips in the summer. Two (2) vehicles were monitored today. No transportation was provided during today's visit. Fire extinguishers and emergency information for children are stored in the office until transportation is provided. The parents of the children provide the car seats for transporting. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 721 All equipment and furnishings were not in good repair. One plastic table on the large playground had a crack and hole with possible sharp edges. G.S. 110-91(6); .0601(b) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. Medication administration permission for S.G's Desitin expired 10/9/24. Medication administration permission for E.U's Desitin expired 12/4/24. Medication administration permission for K.E's Aquaphor expired 12/6/24. .0803(12) 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. A plastic bag of baby wipes was accessible in a space with children under the age of three. .0604(q) Technical assistance provided as follows: 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS Medication administration permission for S.G's Desitin expired 10/9/24. Medication administration permission for E.U's Desitin expired 12/4/24. Medication administration permission for K.E's Aquaphor expired 12/6/24. The medications were removed for correction during the visit. 10A NCAC 09 .0601 SAFE ENVIRONMENT One plastic table on the large playground had a crack and hole with possible sharp edges. The table was removed for correction during the visit. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS A plastic bag of baby wipes was accessible in a space with children under the age of three. The wipes were removed for correction during the visit. Due to Tropical Storm Helen, we discussed guidance to allow more time to achieve compliance on the following items: *One (1) staff hired on 2/19/24 has an electronic routine medical report dated 6/8/23 that does not state the staff is physically and emotionally fit to care for children. One (1) staff hired on 6/6/24 has a sports medical report dated 5/6/24 that does not state the staff is emotionally fit to care for children. One (1) staff hired on 5/28/24 has an international medical report dated 4/11/23, which is older than 12 months old at the time the staff was hired and does not state the staff is physically and emotionally fit to care for children. The three (3) staff must have a medical report that states they are physically and emotionally fit to care for children; refer to child care rule 10A NCAC 09 .0701(a). We discussed you would work with the staff to have their medical reports updated on the DCDEE form. Plan to email a statement regarding each staff once their respective medical report has been completed to state they are medically and emotionally fit to care for children. *One (1) child enrolled at the end of March 2024 and had a medical report that was received at the end of May 2024. We discussed you have a system in place to remind parents to bring in the medical report within thirty days and to not allow the child to return if the medical report is not has not been turned in within the thirty days. This did not happen with this particular child and the system was not followed. Because the child’s medical report is on file, no further action is necessary. Consultation is provided as follows: We discussed to ensure all forms requiring signatures, such as the Safe Sleep Policy, are present in the child's file, not only in the classrooms. The substitute staff R. Cutshaw has an application on file that is dated, but not signed. Plan to have R. Cutshaw sign the application on their next substitute shift. Reminder that on-going training must meet the required topic areas in the child care law below: § 110-91. Mandatory standards for a license. (11) Staff Development. – The Commission shall adopt minimum standards for ongoing staff development for facilities but limited to the following topic areas: a. Planning a safe, healthy learning environment; b. Steps to advance children's physical and intellectual development; c. Positive ways to support children's social and emotional development; d. Strategies to establish productive relationships with families; e. Strategies to manage an effective program operation; f. Maintaining a commitment to professionalism; g. Observing and recording children's behavior; h. Principles of child growth and development; and i. Learning activities that promote inclusion of children with special needs. These standards shall include annual requirements for ongoing staff development appropriate to job responsibilities. A person may carry forward in-service training hours that are in excess of the previous year's requirement to meet up to one-half of the current year's required in-service training hours. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. If you elect to change and/or alter any previously approved spaces used by children as indicated on the indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at dawn.mccrary@dhhs.nc.gov or 828-566-3088, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@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: LITTLE BLESSINGS CHRISTIAN ACADEMY Facility ID: 45000374 Consultant: DAWN MCCRARY Operation Type: Center Case Number: Visit Date: 12/16/2024 Number Present: 100 Completed Date: 12/16/2024 Age: From 0 To 5 Total Minutes: 300 Time In: 10:00 AM Time Out: 03:00 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 compliance during an annual compliance visit. Monica Houck, Lead Consultant, accompanied me on today’s visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Dawn McCrary, Child Care Consultant, Monica Houck, Lead Consultant, and also signed by you, Melissa Heath, Owner. A signed copy of the visit summary was left on-site for you. Today, Melissa Heath, Owner, was available to assist during the visit. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-four (94) percentage as of 12/13/24. The North Carolina Secretary of State website was viewed prior to today’s visit and the Limited Liability Company, Little Blessings Christian Academy, LLC., is current/active as of 12/13/24. Permit type – Five Star Child Care License; issued 8/12/22; earning four (4) points in Staff Education; five (5) points in Program Standards; and one (1) quality point. Special Services/Restrictions – Daytime care only; meets enhanced ratios; Children under 2 ½ years old in rooms with direct exits only. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The last Annual Compliance visit was conducted on 10/13/23. The last fire drill was practiced on 11/8/24. The last shelter-in-place drill was practiced on 11/8/24. The last playground inspection was documented on 12/4/24. The last fire inspection was approved on 6/18/24. The last sanitation inspection was conducted on 11/1/24 with four (4) demerits for a Superior classification. The Emergency Medical Care plan was posted and is current. The Emergency Preparedness Plan is current. The incident log was current and in use. The approved curriculum for four-year-old children is Creative Curriculum. Upon our arrival, We made our presence known to Melissa Heath, Owner. A walk-through of the facility was conducted. The children were observed having free choice play in the classrooms and outdoors. The children were observed building with blocks, having group times, using art materials, infants were having tummy time, being fed and moving freely in the classroom. The outdoor playground has adequate space for running and vigorous play with materials to enhance play. The children transitioned to lunch. Lunch consisted of macaroni and cheese with ham, apple slices, peas and milk. All interactions were positive and nurturing. Supervision was adequate. The staff and training worksheets were provided prior to today’s visit and monitored during today’s visit. One hundred thirty-two (132) children are enrolled. Fourteen (14) child files were monitored for child care requirements. There are ten (10) newly hired staff and twenty-two (22) existing staff. The newly hired staff files and three (3) existing staff files were monitored for child care requirements. The program does provide transportation. You stated that you do transport children for field trips in the summer. Two (2) vehicles were monitored today. No transportation was provided during today's visit. Fire extinguishers and emergency information for children are stored in the office until transportation is provided. The parents of the children provide the car seats for transporting. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 721 All equipment and furnishings were not in good repair. One plastic table on the large playground had a crack and hole with possible sharp edges. G.S. 110-91(6); .0601(b) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. Medication administration permission for S.G's Desitin expired 10/9/24. Medication administration permission for E.U's Desitin expired 12/4/24. Medication administration permission for K.E's Aquaphor expired 12/6/24. .0803(12) 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. A plastic bag of baby wipes was accessible in a space with children under the age of three. .0604(q) Technical assistance provided as follows: 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS Medication administration permission for S.G's Desitin expired 10/9/24. Medication administration permission for E.U's Desitin expired 12/4/24. Medication administration permission for K.E's Aquaphor expired 12/6/24. The medications were removed for correction during the visit. 10A NCAC 09 .0601 SAFE ENVIRONMENT One plastic table on the large playground had a crack and hole with possible sharp edges. The table was removed for correction during the visit. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS A plastic bag of baby wipes was accessible in a space with children under the age of three. The wipes were removed for correction during the visit. Due to Tropical Storm Helen, we discussed guidance to allow more time to achieve compliance on the following items: *One (1) staff hired on 2/19/24 has an electronic routine medical report dated 6/8/23 that does not state the staff is physically and emotionally fit to care for children. One (1) staff hired on 6/6/24 has a sports medical report dated 5/6/24 that does not state the staff is emotionally fit to care for children. One (1) staff hired on 5/28/24 has an international medical report dated 4/11/23, which is older than 12 months old at the time the staff was hired and does not state the staff is physically and emotionally fit to care for children. The three (3) staff must have a medical report that states they are physically and emotionally fit to care for children; refer to child care rule 10A NCAC 09 .0701(a). We discussed you would work with the staff to have their medical reports updated on the DCDEE form. Plan to email a statement regarding each staff once their respective medical report has been completed to state they are medically and emotionally fit to care for children. *One (1) child enrolled at the end of March 2024 and had a medical report that was received at the end of May 2024. We discussed you have a system in place to remind parents to bring in the medical report within thirty days and to not allow the child to return if the medical report is not has not been turned in within the thirty days. This did not happen with this particular child and the system was not followed. Because the child’s medical report is on file, no further action is necessary. Consultation is provided as follows: We discussed to ensure all forms requiring signatures, such as the Safe Sleep Policy, are present in the child's file, not only in the classrooms. The substitute staff R. Cutshaw has an application on file that is dated, but not signed. Plan to have R. Cutshaw sign the application on their next substitute shift. Reminder that on-going training must meet the required topic areas in the child care law below: § 110-91. Mandatory standards for a license. (11) Staff Development. – The Commission shall adopt minimum standards for ongoing staff development for facilities but limited to the following topic areas: a. Planning a safe, healthy learning environment; b. Steps to advance children's physical and intellectual development; c. Positive ways to support children's social and emotional development; d. Strategies to establish productive relationships with families; e. Strategies to manage an effective program operation; f. Maintaining a commitment to professionalism; g. Observing and recording children's behavior; h. Principles of child growth and development; and i. Learning activities that promote inclusion of children with special needs. These standards shall include annual requirements for ongoing staff development appropriate to job responsibilities. A person may carry forward in-service training hours that are in excess of the previous year's requirement to meet up to one-half of the current year's required in-service training hours. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. If you elect to change and/or alter any previously approved spaces used by children as indicated on the indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at dawn.mccrary@dhhs.nc.gov or 828-566-3088, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@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 .1102 · Violation

Name of Operation: LITTLE BLESSINGS CHRISTIAN ACADEMY Facility ID: 45000374 Consultant: DAWN MCCRARY Operation Type: Center Case Number: Visit Date: 12/16/2024 Number Present: 100 Completed Date: 12/16/2024 Age: From 0 To 5 Total Minutes: 300 Time In: 10:00 AM Time Out: 03:00 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 compliance during an annual compliance visit. Monica Houck, Lead Consultant, accompanied me on today’s visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Dawn McCrary, Child Care Consultant, Monica Houck, Lead Consultant, and also signed by you, Melissa Heath, Owner. A signed copy of the visit summary was left on-site for you. Today, Melissa Heath, Owner, was available to assist during the visit. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-four (94) percentage as of 12/13/24. The North Carolina Secretary of State website was viewed prior to today’s visit and the Limited Liability Company, Little Blessings Christian Academy, LLC., is current/active as of 12/13/24. Permit type – Five Star Child Care License; issued 8/12/22; earning four (4) points in Staff Education; five (5) points in Program Standards; and one (1) quality point. Special Services/Restrictions – Daytime care only; meets enhanced ratios; Children under 2 ½ years old in rooms with direct exits only. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The last Annual Compliance visit was conducted on 10/13/23. The last fire drill was practiced on 11/8/24. The last shelter-in-place drill was practiced on 11/8/24. The last playground inspection was documented on 12/4/24. The last fire inspection was approved on 6/18/24. The last sanitation inspection was conducted on 11/1/24 with four (4) demerits for a Superior classification. The Emergency Medical Care plan was posted and is current. The Emergency Preparedness Plan is current. The incident log was current and in use. The approved curriculum for four-year-old children is Creative Curriculum. Upon our arrival, We made our presence known to Melissa Heath, Owner. A walk-through of the facility was conducted. The children were observed having free choice play in the classrooms and outdoors. The children were observed building with blocks, having group times, using art materials, infants were having tummy time, being fed and moving freely in the classroom. The outdoor playground has adequate space for running and vigorous play with materials to enhance play. The children transitioned to lunch. Lunch consisted of macaroni and cheese with ham, apple slices, peas and milk. All interactions were positive and nurturing. Supervision was adequate. The staff and training worksheets were provided prior to today’s visit and monitored during today’s visit. One hundred thirty-two (132) children are enrolled. Fourteen (14) child files were monitored for child care requirements. There are ten (10) newly hired staff and twenty-two (22) existing staff. The newly hired staff files and three (3) existing staff files were monitored for child care requirements. The program does provide transportation. You stated that you do transport children for field trips in the summer. Two (2) vehicles were monitored today. No transportation was provided during today's visit. Fire extinguishers and emergency information for children are stored in the office until transportation is provided. The parents of the children provide the car seats for transporting. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 721 All equipment and furnishings were not in good repair. One plastic table on the large playground had a crack and hole with possible sharp edges. G.S. 110-91(6); .0601(b) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. Medication administration permission for S.G's Desitin expired 10/9/24. Medication administration permission for E.U's Desitin expired 12/4/24. Medication administration permission for K.E's Aquaphor expired 12/6/24. .0803(12) 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. A plastic bag of baby wipes was accessible in a space with children under the age of three. .0604(q) Technical assistance provided as follows: 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS Medication administration permission for S.G's Desitin expired 10/9/24. Medication administration permission for E.U's Desitin expired 12/4/24. Medication administration permission for K.E's Aquaphor expired 12/6/24. The medications were removed for correction during the visit. 10A NCAC 09 .0601 SAFE ENVIRONMENT One plastic table on the large playground had a crack and hole with possible sharp edges. The table was removed for correction during the visit. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS A plastic bag of baby wipes was accessible in a space with children under the age of three. The wipes were removed for correction during the visit. Due to Tropical Storm Helen, we discussed guidance to allow more time to achieve compliance on the following items: *One (1) staff hired on 2/19/24 has an electronic routine medical report dated 6/8/23 that does not state the staff is physically and emotionally fit to care for children. One (1) staff hired on 6/6/24 has a sports medical report dated 5/6/24 that does not state the staff is emotionally fit to care for children. One (1) staff hired on 5/28/24 has an international medical report dated 4/11/23, which is older than 12 months old at the time the staff was hired and does not state the staff is physically and emotionally fit to care for children. The three (3) staff must have a medical report that states they are physically and emotionally fit to care for children; refer to child care rule 10A NCAC 09 .0701(a). We discussed you would work with the staff to have their medical reports updated on the DCDEE form. Plan to email a statement regarding each staff once their respective medical report has been completed to state they are medically and emotionally fit to care for children. *One (1) child enrolled at the end of March 2024 and had a medical report that was received at the end of May 2024. We discussed you have a system in place to remind parents to bring in the medical report within thirty days and to not allow the child to return if the medical report is not has not been turned in within the thirty days. This did not happen with this particular child and the system was not followed. Because the child’s medical report is on file, no further action is necessary. Consultation is provided as follows: We discussed to ensure all forms requiring signatures, such as the Safe Sleep Policy, are present in the child's file, not only in the classrooms. The substitute staff R. Cutshaw has an application on file that is dated, but not signed. Plan to have R. Cutshaw sign the application on their next substitute shift. Reminder that on-going training must meet the required topic areas in the child care law below: § 110-91. Mandatory standards for a license. (11) Staff Development. – The Commission shall adopt minimum standards for ongoing staff development for facilities but limited to the following topic areas: a. Planning a safe, healthy learning environment; b. Steps to advance children's physical and intellectual development; c. Positive ways to support children's social and emotional development; d. Strategies to establish productive relationships with families; e. Strategies to manage an effective program operation; f. Maintaining a commitment to professionalism; g. Observing and recording children's behavior; h. Principles of child growth and development; and i. Learning activities that promote inclusion of children with special needs. These standards shall include annual requirements for ongoing staff development appropriate to job responsibilities. A person may carry forward in-service training hours that are in excess of the previous year's requirement to meet up to one-half of the current year's required in-service training hours. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. If you elect to change and/or alter any previously approved spaces used by children as indicated on the indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at dawn.mccrary@dhhs.nc.gov or 828-566-3088, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@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 .1703 · Violation

Name of Operation: LITTLE BLESSINGS CHRISTIAN ACADEMY Facility ID: 45000374 Consultant: DAWN MCCRARY Operation Type: Center Case Number: Visit Date: 12/16/2024 Number Present: 100 Completed Date: 12/16/2024 Age: From 0 To 5 Total Minutes: 300 Time In: 10:00 AM Time Out: 03:00 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 compliance during an annual compliance visit. Monica Houck, Lead Consultant, accompanied me on today’s visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Dawn McCrary, Child Care Consultant, Monica Houck, Lead Consultant, and also signed by you, Melissa Heath, Owner. A signed copy of the visit summary was left on-site for you. Today, Melissa Heath, Owner, was available to assist during the visit. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-four (94) percentage as of 12/13/24. The North Carolina Secretary of State website was viewed prior to today’s visit and the Limited Liability Company, Little Blessings Christian Academy, LLC., is current/active as of 12/13/24. Permit type – Five Star Child Care License; issued 8/12/22; earning four (4) points in Staff Education; five (5) points in Program Standards; and one (1) quality point. Special Services/Restrictions – Daytime care only; meets enhanced ratios; Children under 2 ½ years old in rooms with direct exits only. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The last Annual Compliance visit was conducted on 10/13/23. The last fire drill was practiced on 11/8/24. The last shelter-in-place drill was practiced on 11/8/24. The last playground inspection was documented on 12/4/24. The last fire inspection was approved on 6/18/24. The last sanitation inspection was conducted on 11/1/24 with four (4) demerits for a Superior classification. The Emergency Medical Care plan was posted and is current. The Emergency Preparedness Plan is current. The incident log was current and in use. The approved curriculum for four-year-old children is Creative Curriculum. Upon our arrival, We made our presence known to Melissa Heath, Owner. A walk-through of the facility was conducted. The children were observed having free choice play in the classrooms and outdoors. The children were observed building with blocks, having group times, using art materials, infants were having tummy time, being fed and moving freely in the classroom. The outdoor playground has adequate space for running and vigorous play with materials to enhance play. The children transitioned to lunch. Lunch consisted of macaroni and cheese with ham, apple slices, peas and milk. All interactions were positive and nurturing. Supervision was adequate. The staff and training worksheets were provided prior to today’s visit and monitored during today’s visit. One hundred thirty-two (132) children are enrolled. Fourteen (14) child files were monitored for child care requirements. There are ten (10) newly hired staff and twenty-two (22) existing staff. The newly hired staff files and three (3) existing staff files were monitored for child care requirements. The program does provide transportation. You stated that you do transport children for field trips in the summer. Two (2) vehicles were monitored today. No transportation was provided during today's visit. Fire extinguishers and emergency information for children are stored in the office until transportation is provided. The parents of the children provide the car seats for transporting. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 721 All equipment and furnishings were not in good repair. One plastic table on the large playground had a crack and hole with possible sharp edges. G.S. 110-91(6); .0601(b) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. Medication administration permission for S.G's Desitin expired 10/9/24. Medication administration permission for E.U's Desitin expired 12/4/24. Medication administration permission for K.E's Aquaphor expired 12/6/24. .0803(12) 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. A plastic bag of baby wipes was accessible in a space with children under the age of three. .0604(q) Technical assistance provided as follows: 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS Medication administration permission for S.G's Desitin expired 10/9/24. Medication administration permission for E.U's Desitin expired 12/4/24. Medication administration permission for K.E's Aquaphor expired 12/6/24. The medications were removed for correction during the visit. 10A NCAC 09 .0601 SAFE ENVIRONMENT One plastic table on the large playground had a crack and hole with possible sharp edges. The table was removed for correction during the visit. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS A plastic bag of baby wipes was accessible in a space with children under the age of three. The wipes were removed for correction during the visit. Due to Tropical Storm Helen, we discussed guidance to allow more time to achieve compliance on the following items: *One (1) staff hired on 2/19/24 has an electronic routine medical report dated 6/8/23 that does not state the staff is physically and emotionally fit to care for children. One (1) staff hired on 6/6/24 has a sports medical report dated 5/6/24 that does not state the staff is emotionally fit to care for children. One (1) staff hired on 5/28/24 has an international medical report dated 4/11/23, which is older than 12 months old at the time the staff was hired and does not state the staff is physically and emotionally fit to care for children. The three (3) staff must have a medical report that states they are physically and emotionally fit to care for children; refer to child care rule 10A NCAC 09 .0701(a). We discussed you would work with the staff to have their medical reports updated on the DCDEE form. Plan to email a statement regarding each staff once their respective medical report has been completed to state they are medically and emotionally fit to care for children. *One (1) child enrolled at the end of March 2024 and had a medical report that was received at the end of May 2024. We discussed you have a system in place to remind parents to bring in the medical report within thirty days and to not allow the child to return if the medical report is not has not been turned in within the thirty days. This did not happen with this particular child and the system was not followed. Because the child’s medical report is on file, no further action is necessary. Consultation is provided as follows: We discussed to ensure all forms requiring signatures, such as the Safe Sleep Policy, are present in the child's file, not only in the classrooms. The substitute staff R. Cutshaw has an application on file that is dated, but not signed. Plan to have R. Cutshaw sign the application on their next substitute shift. Reminder that on-going training must meet the required topic areas in the child care law below: § 110-91. Mandatory standards for a license. (11) Staff Development. – The Commission shall adopt minimum standards for ongoing staff development for facilities but limited to the following topic areas: a. Planning a safe, healthy learning environment; b. Steps to advance children's physical and intellectual development; c. Positive ways to support children's social and emotional development; d. Strategies to establish productive relationships with families; e. Strategies to manage an effective program operation; f. Maintaining a commitment to professionalism; g. Observing and recording children's behavior; h. Principles of child growth and development; and i. Learning activities that promote inclusion of children with special needs. These standards shall include annual requirements for ongoing staff development appropriate to job responsibilities. A person may carry forward in-service training hours that are in excess of the previous year's requirement to meet up to one-half of the current year's required in-service training hours. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. If you elect to change and/or alter any previously approved spaces used by children as indicated on the indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at dawn.mccrary@dhhs.nc.gov or 828-566-3088, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@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 .2830 · Violation

Name of Operation: LITTLE BLESSINGS CHRISTIAN ACADEMY Facility ID: 45000374 Consultant: DAWN MCCRARY Operation Type: Center Case Number: Visit Date: 12/16/2024 Number Present: 100 Completed Date: 12/16/2024 Age: From 0 To 5 Total Minutes: 300 Time In: 10:00 AM Time Out: 03:00 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 compliance during an annual compliance visit. Monica Houck, Lead Consultant, accompanied me on today’s visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Dawn McCrary, Child Care Consultant, Monica Houck, Lead Consultant, and also signed by you, Melissa Heath, Owner. A signed copy of the visit summary was left on-site for you. Today, Melissa Heath, Owner, was available to assist during the visit. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-four (94) percentage as of 12/13/24. The North Carolina Secretary of State website was viewed prior to today’s visit and the Limited Liability Company, Little Blessings Christian Academy, LLC., is current/active as of 12/13/24. Permit type – Five Star Child Care License; issued 8/12/22; earning four (4) points in Staff Education; five (5) points in Program Standards; and one (1) quality point. Special Services/Restrictions – Daytime care only; meets enhanced ratios; Children under 2 ½ years old in rooms with direct exits only. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The last Annual Compliance visit was conducted on 10/13/23. The last fire drill was practiced on 11/8/24. The last shelter-in-place drill was practiced on 11/8/24. The last playground inspection was documented on 12/4/24. The last fire inspection was approved on 6/18/24. The last sanitation inspection was conducted on 11/1/24 with four (4) demerits for a Superior classification. The Emergency Medical Care plan was posted and is current. The Emergency Preparedness Plan is current. The incident log was current and in use. The approved curriculum for four-year-old children is Creative Curriculum. Upon our arrival, We made our presence known to Melissa Heath, Owner. A walk-through of the facility was conducted. The children were observed having free choice play in the classrooms and outdoors. The children were observed building with blocks, having group times, using art materials, infants were having tummy time, being fed and moving freely in the classroom. The outdoor playground has adequate space for running and vigorous play with materials to enhance play. The children transitioned to lunch. Lunch consisted of macaroni and cheese with ham, apple slices, peas and milk. All interactions were positive and nurturing. Supervision was adequate. The staff and training worksheets were provided prior to today’s visit and monitored during today’s visit. One hundred thirty-two (132) children are enrolled. Fourteen (14) child files were monitored for child care requirements. There are ten (10) newly hired staff and twenty-two (22) existing staff. The newly hired staff files and three (3) existing staff files were monitored for child care requirements. The program does provide transportation. You stated that you do transport children for field trips in the summer. Two (2) vehicles were monitored today. No transportation was provided during today's visit. Fire extinguishers and emergency information for children are stored in the office until transportation is provided. The parents of the children provide the car seats for transporting. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 721 All equipment and furnishings were not in good repair. One plastic table on the large playground had a crack and hole with possible sharp edges. G.S. 110-91(6); .0601(b) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. Medication administration permission for S.G's Desitin expired 10/9/24. Medication administration permission for E.U's Desitin expired 12/4/24. Medication administration permission for K.E's Aquaphor expired 12/6/24. .0803(12) 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. A plastic bag of baby wipes was accessible in a space with children under the age of three. .0604(q) Technical assistance provided as follows: 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS Medication administration permission for S.G's Desitin expired 10/9/24. Medication administration permission for E.U's Desitin expired 12/4/24. Medication administration permission for K.E's Aquaphor expired 12/6/24. The medications were removed for correction during the visit. 10A NCAC 09 .0601 SAFE ENVIRONMENT One plastic table on the large playground had a crack and hole with possible sharp edges. The table was removed for correction during the visit. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS A plastic bag of baby wipes was accessible in a space with children under the age of three. The wipes were removed for correction during the visit. Due to Tropical Storm Helen, we discussed guidance to allow more time to achieve compliance on the following items: *One (1) staff hired on 2/19/24 has an electronic routine medical report dated 6/8/23 that does not state the staff is physically and emotionally fit to care for children. One (1) staff hired on 6/6/24 has a sports medical report dated 5/6/24 that does not state the staff is emotionally fit to care for children. One (1) staff hired on 5/28/24 has an international medical report dated 4/11/23, which is older than 12 months old at the time the staff was hired and does not state the staff is physically and emotionally fit to care for children. The three (3) staff must have a medical report that states they are physically and emotionally fit to care for children; refer to child care rule 10A NCAC 09 .0701(a). We discussed you would work with the staff to have their medical reports updated on the DCDEE form. Plan to email a statement regarding each staff once their respective medical report has been completed to state they are medically and emotionally fit to care for children. *One (1) child enrolled at the end of March 2024 and had a medical report that was received at the end of May 2024. We discussed you have a system in place to remind parents to bring in the medical report within thirty days and to not allow the child to return if the medical report is not has not been turned in within the thirty days. This did not happen with this particular child and the system was not followed. Because the child’s medical report is on file, no further action is necessary. Consultation is provided as follows: We discussed to ensure all forms requiring signatures, such as the Safe Sleep Policy, are present in the child's file, not only in the classrooms. The substitute staff R. Cutshaw has an application on file that is dated, but not signed. Plan to have R. Cutshaw sign the application on their next substitute shift. Reminder that on-going training must meet the required topic areas in the child care law below: § 110-91. Mandatory standards for a license. (11) Staff Development. – The Commission shall adopt minimum standards for ongoing staff development for facilities but limited to the following topic areas: a. Planning a safe, healthy learning environment; b. Steps to advance children's physical and intellectual development; c. Positive ways to support children's social and emotional development; d. Strategies to establish productive relationships with families; e. Strategies to manage an effective program operation; f. Maintaining a commitment to professionalism; g. Observing and recording children's behavior; h. Principles of child growth and development; and i. Learning activities that promote inclusion of children with special needs. These standards shall include annual requirements for ongoing staff development appropriate to job responsibilities. A person may carry forward in-service training hours that are in excess of the previous year's requirement to meet up to one-half of the current year's required in-service training hours. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. If you elect to change and/or alter any previously approved spaces used by children as indicated on the indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at dawn.mccrary@dhhs.nc.gov or 828-566-3088, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

G.S. 110-91 · Violation

Name of Operation: LITTLE BLESSINGS CHRISTIAN ACADEMY Facility ID: 45000374 Consultant: DAWN MCCRARY Operation Type: Center Case Number: Visit Date: 12/16/2024 Number Present: 100 Completed Date: 12/16/2024 Age: From 0 To 5 Total Minutes: 300 Time In: 10:00 AM Time Out: 03:00 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 compliance during an annual compliance visit. Monica Houck, Lead Consultant, accompanied me on today’s visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Dawn McCrary, Child Care Consultant, Monica Houck, Lead Consultant, and also signed by you, Melissa Heath, Owner. A signed copy of the visit summary was left on-site for you. Today, Melissa Heath, Owner, was available to assist during the visit. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-four (94) percentage as of 12/13/24. The North Carolina Secretary of State website was viewed prior to today’s visit and the Limited Liability Company, Little Blessings Christian Academy, LLC., is current/active as of 12/13/24. Permit type – Five Star Child Care License; issued 8/12/22; earning four (4) points in Staff Education; five (5) points in Program Standards; and one (1) quality point. Special Services/Restrictions – Daytime care only; meets enhanced ratios; Children under 2 ½ years old in rooms with direct exits only. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The last Annual Compliance visit was conducted on 10/13/23. The last fire drill was practiced on 11/8/24. The last shelter-in-place drill was practiced on 11/8/24. The last playground inspection was documented on 12/4/24. The last fire inspection was approved on 6/18/24. The last sanitation inspection was conducted on 11/1/24 with four (4) demerits for a Superior classification. The Emergency Medical Care plan was posted and is current. The Emergency Preparedness Plan is current. The incident log was current and in use. The approved curriculum for four-year-old children is Creative Curriculum. Upon our arrival, We made our presence known to Melissa Heath, Owner. A walk-through of the facility was conducted. The children were observed having free choice play in the classrooms and outdoors. The children were observed building with blocks, having group times, using art materials, infants were having tummy time, being fed and moving freely in the classroom. The outdoor playground has adequate space for running and vigorous play with materials to enhance play. The children transitioned to lunch. Lunch consisted of macaroni and cheese with ham, apple slices, peas and milk. All interactions were positive and nurturing. Supervision was adequate. The staff and training worksheets were provided prior to today’s visit and monitored during today’s visit. One hundred thirty-two (132) children are enrolled. Fourteen (14) child files were monitored for child care requirements. There are ten (10) newly hired staff and twenty-two (22) existing staff. The newly hired staff files and three (3) existing staff files were monitored for child care requirements. The program does provide transportation. You stated that you do transport children for field trips in the summer. Two (2) vehicles were monitored today. No transportation was provided during today's visit. Fire extinguishers and emergency information for children are stored in the office until transportation is provided. The parents of the children provide the car seats for transporting. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 721 All equipment and furnishings were not in good repair. One plastic table on the large playground had a crack and hole with possible sharp edges. G.S. 110-91(6); .0601(b) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. Medication administration permission for S.G's Desitin expired 10/9/24. Medication administration permission for E.U's Desitin expired 12/4/24. Medication administration permission for K.E's Aquaphor expired 12/6/24. .0803(12) 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. A plastic bag of baby wipes was accessible in a space with children under the age of three. .0604(q) Technical assistance provided as follows: 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS Medication administration permission for S.G's Desitin expired 10/9/24. Medication administration permission for E.U's Desitin expired 12/4/24. Medication administration permission for K.E's Aquaphor expired 12/6/24. The medications were removed for correction during the visit. 10A NCAC 09 .0601 SAFE ENVIRONMENT One plastic table on the large playground had a crack and hole with possible sharp edges. The table was removed for correction during the visit. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS A plastic bag of baby wipes was accessible in a space with children under the age of three. The wipes were removed for correction during the visit. Due to Tropical Storm Helen, we discussed guidance to allow more time to achieve compliance on the following items: *One (1) staff hired on 2/19/24 has an electronic routine medical report dated 6/8/23 that does not state the staff is physically and emotionally fit to care for children. One (1) staff hired on 6/6/24 has a sports medical report dated 5/6/24 that does not state the staff is emotionally fit to care for children. One (1) staff hired on 5/28/24 has an international medical report dated 4/11/23, which is older than 12 months old at the time the staff was hired and does not state the staff is physically and emotionally fit to care for children. The three (3) staff must have a medical report that states they are physically and emotionally fit to care for children; refer to child care rule 10A NCAC 09 .0701(a). We discussed you would work with the staff to have their medical reports updated on the DCDEE form. Plan to email a statement regarding each staff once their respective medical report has been completed to state they are medically and emotionally fit to care for children. *One (1) child enrolled at the end of March 2024 and had a medical report that was received at the end of May 2024. We discussed you have a system in place to remind parents to bring in the medical report within thirty days and to not allow the child to return if the medical report is not has not been turned in within the thirty days. This did not happen with this particular child and the system was not followed. Because the child’s medical report is on file, no further action is necessary. Consultation is provided as follows: We discussed to ensure all forms requiring signatures, such as the Safe Sleep Policy, are present in the child's file, not only in the classrooms. The substitute staff R. Cutshaw has an application on file that is dated, but not signed. Plan to have R. Cutshaw sign the application on their next substitute shift. Reminder that on-going training must meet the required topic areas in the child care law below: § 110-91. Mandatory standards for a license. (11) Staff Development. – The Commission shall adopt minimum standards for ongoing staff development for facilities but limited to the following topic areas: a. Planning a safe, healthy learning environment; b. Steps to advance children's physical and intellectual development; c. Positive ways to support children's social and emotional development; d. Strategies to establish productive relationships with families; e. Strategies to manage an effective program operation; f. Maintaining a commitment to professionalism; g. Observing and recording children's behavior; h. Principles of child growth and development; and i. Learning activities that promote inclusion of children with special needs. These standards shall include annual requirements for ongoing staff development appropriate to job responsibilities. A person may carry forward in-service training hours that are in excess of the previous year's requirement to meet up to one-half of the current year's required in-service training hours. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. If you elect to change and/or alter any previously approved spaces used by children as indicated on the indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at dawn.mccrary@dhhs.nc.gov or 828-566-3088, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@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 .0102 · Violation

Name of Operation: LITTLE BLESSINGS CHRISTIAN ACADEMY Facility ID: 45000374 Consultant: DAWN MCCRARY Operation Type: Center Case Number: Visit Date: 6/14/2024 Number Present: 117 Completed Date: 6/14/2024 Age: From 0 To 11 Total Minutes: 150 Time In: 09:30 AM Time Out: 12:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of this routine unannounced visit was to conduct limited compliance monitoring and offer consultation to the program. A computerized generated report of today’s visit was completed, reviewed with you, printed, and signed by Dawn McCrary, Child Care Consultant, and Melissa Heath, Administrator, during the visit. A signed copy was left on site for your records. Karla Terry, Child Care Consultant, accompanied me during today’s visit. The North Carolina Secretary of State website was viewed prior to today’s visit and the Limited Liability Company, Little Blessings Christian Academy, LLC., is current/active as of 6/13/24. Permit type – Five Star Child Care License; issued 8/12/22; earning four (4) points in Staff Education; five (5) points in Program Standards; and one (1) quality point. Special Services/Restrictions – Daytime care only; meets enhanced ratios; Children under 2 ½ years old in rooms with direct exits only. This facility’s compliance history was ninety-four (94) percent as of 6/13/24. Upon arrival, we made our presence known to Melissa Heath, Administrator, was available to assist during the visit. The following areas were monitored: Supervision Ratios CPR First Aid Criminal Record Checks Emergency Medical Care Plan Completion of ITS SIDS training Administration of Medication Storage of Hazardous Substances Storage of Medication Adequate/Approved Space General Safety Discipline Program Records License Posted/ Permit Restrictions. The children were observed having free choice play in the classroom with table toys, dramatic play, story time, dolls, and blocks. The children were also observed having free choice play on the playground with sand, water, climbing, running and dramatic play. The playground offers space for running, riding, ball play, dramatic play, vigorous play, balancing, jumping, and climbing. All interactions were positive and nurturing. Supervision was adequate. There are four (4) newly hired staff. The ABCMS system was checked for all staff members. All staff members have valid criminal background letters. Newly hired staff files were monitored for compliance. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit. Violation Number Comment Rule 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. In space #4, one (1) Ventolin inhaler permission to administer medication form expired on 6/3/2024. .0803(12) 1757 A valid qualification letter was not on file and available to review at the facility. Staff member hired 5/20/2024 criminal background check qualification letter was not on file for review. This was corrected during the visit. G.S. 110-90.2(b) & (d) & .2703(e) Technical assistance provided: Item #849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS The following provisions apply to the administration of medication in child care centers:(12) Any medication remaining after the course of treatment is completed, after authorization is withdrawn or after authorization has expired shall be returned to the child's parents. Any medication the parent fails to retrieve within 72 hours of completion of treatment, or withdrawal of authorization, shall be discarded. - In space #4, one (1) Ventolin inhaler permission to administer medication form expired on 6/3/2024. I recommend conducting a monthly medication check to ensure all permission to administer medication forms and medication expiration dates are in compliance. Item #1757 A valid qualification letter was not on file and available for review at the facility. 10A NCAC 09 .2703 CRIMINAL HISTORY RECORD CHECK REQUIREMENTS FOR CHILD CARE PROVIDERS (e) Child care providers, as defined in G.S. 110-90.2(a), shall have a valid qualification letter prior to employment or living in a child care facility and the qualification letter shall be kept on file at the facility for review by representatives of the Division. - Staff member hired 5/20/2024 criminal background check qualification letter was not on file for review. This was corrected during the visit. I recommend conducting a staff file check prior to allowing the staff to provide care to children to ensure the qualifying letter is on file for review. Corrective Action Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license may be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 6/28/24. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: dawn.mccrary@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Dawn McCrary PO Box 397 Penrose, NC 28766 Please call me at 828-556-3088, or email dawn.mccrary@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Consultation provided: - Fire inspection is due by 6/23/2024. - Staff member hired 6/6/2024 First Aid and CPR is due by 9/2/2024, and Recognizing and Responding to Suspicions of Child Maltreatment training is due by 9/2/2024. - Teacher's Aide 10A NCAC 09 .0102 DEFINITIONS The terms and phrases used in this Chapter are defined as follows: (49) "Teacher's aide" or "Aide" means a person who assists the lead teacher or the teacher in planning and implementing the daily program. A teacher's aide shall be at least 16 years old and less than 18 years old, shall be literate, and may count in staff/child ratio as long as there is also a credentialed staff person who is at least 21 years of age present in the room and available to respond to the needs of the teacher's aide and children in care. - Volunteer 10A NCAC 09 .0102 DEFINITIONS The terms and phrases used in this Chapter are defined as follows: (53) "Volunteer" means a person who works in a child care facility and is not counted in staff/child ratio, does not have unsupervised contact with children, and is not monetarily compensated by the facility. A person who is at least 13 years of age, but less than 16 years of age, may work on a volunteer basis, as long as he or she is supervised by and works with a staff person who is at least 21 years of age and meets staff qualification requirements. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify me, may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at dawn.mccrary@dhhs.nc.gov or 828-566-3088, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@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: LITTLE BLESSINGS CHRISTIAN ACADEMY Facility ID: 45000374 Consultant: DAWN MCCRARY Operation Type: Center Case Number: Visit Date: 6/14/2024 Number Present: 117 Completed Date: 6/14/2024 Age: From 0 To 11 Total Minutes: 150 Time In: 09:30 AM Time Out: 12:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of this routine unannounced visit was to conduct limited compliance monitoring and offer consultation to the program. A computerized generated report of today’s visit was completed, reviewed with you, printed, and signed by Dawn McCrary, Child Care Consultant, and Melissa Heath, Administrator, during the visit. A signed copy was left on site for your records. Karla Terry, Child Care Consultant, accompanied me during today’s visit. The North Carolina Secretary of State website was viewed prior to today’s visit and the Limited Liability Company, Little Blessings Christian Academy, LLC., is current/active as of 6/13/24. Permit type – Five Star Child Care License; issued 8/12/22; earning four (4) points in Staff Education; five (5) points in Program Standards; and one (1) quality point. Special Services/Restrictions – Daytime care only; meets enhanced ratios; Children under 2 ½ years old in rooms with direct exits only. This facility’s compliance history was ninety-four (94) percent as of 6/13/24. Upon arrival, we made our presence known to Melissa Heath, Administrator, was available to assist during the visit. The following areas were monitored: Supervision Ratios CPR First Aid Criminal Record Checks Emergency Medical Care Plan Completion of ITS SIDS training Administration of Medication Storage of Hazardous Substances Storage of Medication Adequate/Approved Space General Safety Discipline Program Records License Posted/ Permit Restrictions. The children were observed having free choice play in the classroom with table toys, dramatic play, story time, dolls, and blocks. The children were also observed having free choice play on the playground with sand, water, climbing, running and dramatic play. The playground offers space for running, riding, ball play, dramatic play, vigorous play, balancing, jumping, and climbing. All interactions were positive and nurturing. Supervision was adequate. There are four (4) newly hired staff. The ABCMS system was checked for all staff members. All staff members have valid criminal background letters. Newly hired staff files were monitored for compliance. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit. Violation Number Comment Rule 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. In space #4, one (1) Ventolin inhaler permission to administer medication form expired on 6/3/2024. .0803(12) 1757 A valid qualification letter was not on file and available to review at the facility. Staff member hired 5/20/2024 criminal background check qualification letter was not on file for review. This was corrected during the visit. G.S. 110-90.2(b) & (d) & .2703(e) Technical assistance provided: Item #849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS The following provisions apply to the administration of medication in child care centers:(12) Any medication remaining after the course of treatment is completed, after authorization is withdrawn or after authorization has expired shall be returned to the child's parents. Any medication the parent fails to retrieve within 72 hours of completion of treatment, or withdrawal of authorization, shall be discarded. - In space #4, one (1) Ventolin inhaler permission to administer medication form expired on 6/3/2024. I recommend conducting a monthly medication check to ensure all permission to administer medication forms and medication expiration dates are in compliance. Item #1757 A valid qualification letter was not on file and available for review at the facility. 10A NCAC 09 .2703 CRIMINAL HISTORY RECORD CHECK REQUIREMENTS FOR CHILD CARE PROVIDERS (e) Child care providers, as defined in G.S. 110-90.2(a), shall have a valid qualification letter prior to employment or living in a child care facility and the qualification letter shall be kept on file at the facility for review by representatives of the Division. - Staff member hired 5/20/2024 criminal background check qualification letter was not on file for review. This was corrected during the visit. I recommend conducting a staff file check prior to allowing the staff to provide care to children to ensure the qualifying letter is on file for review. Corrective Action Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license may be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 6/28/24. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: dawn.mccrary@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Dawn McCrary PO Box 397 Penrose, NC 28766 Please call me at 828-556-3088, or email dawn.mccrary@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Consultation provided: - Fire inspection is due by 6/23/2024. - Staff member hired 6/6/2024 First Aid and CPR is due by 9/2/2024, and Recognizing and Responding to Suspicions of Child Maltreatment training is due by 9/2/2024. - Teacher's Aide 10A NCAC 09 .0102 DEFINITIONS The terms and phrases used in this Chapter are defined as follows: (49) "Teacher's aide" or "Aide" means a person who assists the lead teacher or the teacher in planning and implementing the daily program. A teacher's aide shall be at least 16 years old and less than 18 years old, shall be literate, and may count in staff/child ratio as long as there is also a credentialed staff person who is at least 21 years of age present in the room and available to respond to the needs of the teacher's aide and children in care. - Volunteer 10A NCAC 09 .0102 DEFINITIONS The terms and phrases used in this Chapter are defined as follows: (53) "Volunteer" means a person who works in a child care facility and is not counted in staff/child ratio, does not have unsupervised contact with children, and is not monetarily compensated by the facility. A person who is at least 13 years of age, but less than 16 years of age, may work on a volunteer basis, as long as he or she is supervised by and works with a staff person who is at least 21 years of age and meets staff qualification requirements. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify me, may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at dawn.mccrary@dhhs.nc.gov or 828-566-3088, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@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: LITTLE BLESSINGS CHRISTIAN ACADEMY Facility ID: 45000374 Consultant: DAWN MCCRARY Operation Type: Center Case Number: Visit Date: 6/14/2024 Number Present: 117 Completed Date: 6/14/2024 Age: From 0 To 11 Total Minutes: 150 Time In: 09:30 AM Time Out: 12:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of this routine unannounced visit was to conduct limited compliance monitoring and offer consultation to the program. A computerized generated report of today’s visit was completed, reviewed with you, printed, and signed by Dawn McCrary, Child Care Consultant, and Melissa Heath, Administrator, during the visit. A signed copy was left on site for your records. Karla Terry, Child Care Consultant, accompanied me during today’s visit. The North Carolina Secretary of State website was viewed prior to today’s visit and the Limited Liability Company, Little Blessings Christian Academy, LLC., is current/active as of 6/13/24. Permit type – Five Star Child Care License; issued 8/12/22; earning four (4) points in Staff Education; five (5) points in Program Standards; and one (1) quality point. Special Services/Restrictions – Daytime care only; meets enhanced ratios; Children under 2 ½ years old in rooms with direct exits only. This facility’s compliance history was ninety-four (94) percent as of 6/13/24. Upon arrival, we made our presence known to Melissa Heath, Administrator, was available to assist during the visit. The following areas were monitored: Supervision Ratios CPR First Aid Criminal Record Checks Emergency Medical Care Plan Completion of ITS SIDS training Administration of Medication Storage of Hazardous Substances Storage of Medication Adequate/Approved Space General Safety Discipline Program Records License Posted/ Permit Restrictions. The children were observed having free choice play in the classroom with table toys, dramatic play, story time, dolls, and blocks. The children were also observed having free choice play on the playground with sand, water, climbing, running and dramatic play. The playground offers space for running, riding, ball play, dramatic play, vigorous play, balancing, jumping, and climbing. All interactions were positive and nurturing. Supervision was adequate. There are four (4) newly hired staff. The ABCMS system was checked for all staff members. All staff members have valid criminal background letters. Newly hired staff files were monitored for compliance. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit. Violation Number Comment Rule 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. In space #4, one (1) Ventolin inhaler permission to administer medication form expired on 6/3/2024. .0803(12) 1757 A valid qualification letter was not on file and available to review at the facility. Staff member hired 5/20/2024 criminal background check qualification letter was not on file for review. This was corrected during the visit. G.S. 110-90.2(b) & (d) & .2703(e) Technical assistance provided: Item #849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS The following provisions apply to the administration of medication in child care centers:(12) Any medication remaining after the course of treatment is completed, after authorization is withdrawn or after authorization has expired shall be returned to the child's parents. Any medication the parent fails to retrieve within 72 hours of completion of treatment, or withdrawal of authorization, shall be discarded. - In space #4, one (1) Ventolin inhaler permission to administer medication form expired on 6/3/2024. I recommend conducting a monthly medication check to ensure all permission to administer medication forms and medication expiration dates are in compliance. Item #1757 A valid qualification letter was not on file and available for review at the facility. 10A NCAC 09 .2703 CRIMINAL HISTORY RECORD CHECK REQUIREMENTS FOR CHILD CARE PROVIDERS (e) Child care providers, as defined in G.S. 110-90.2(a), shall have a valid qualification letter prior to employment or living in a child care facility and the qualification letter shall be kept on file at the facility for review by representatives of the Division. - Staff member hired 5/20/2024 criminal background check qualification letter was not on file for review. This was corrected during the visit. I recommend conducting a staff file check prior to allowing the staff to provide care to children to ensure the qualifying letter is on file for review. Corrective Action Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license may be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 6/28/24. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: dawn.mccrary@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Dawn McCrary PO Box 397 Penrose, NC 28766 Please call me at 828-556-3088, or email dawn.mccrary@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Consultation provided: - Fire inspection is due by 6/23/2024. - Staff member hired 6/6/2024 First Aid and CPR is due by 9/2/2024, and Recognizing and Responding to Suspicions of Child Maltreatment training is due by 9/2/2024. - Teacher's Aide 10A NCAC 09 .0102 DEFINITIONS The terms and phrases used in this Chapter are defined as follows: (49) "Teacher's aide" or "Aide" means a person who assists the lead teacher or the teacher in planning and implementing the daily program. A teacher's aide shall be at least 16 years old and less than 18 years old, shall be literate, and may count in staff/child ratio as long as there is also a credentialed staff person who is at least 21 years of age present in the room and available to respond to the needs of the teacher's aide and children in care. - Volunteer 10A NCAC 09 .0102 DEFINITIONS The terms and phrases used in this Chapter are defined as follows: (53) "Volunteer" means a person who works in a child care facility and is not counted in staff/child ratio, does not have unsupervised contact with children, and is not monetarily compensated by the facility. A person who is at least 13 years of age, but less than 16 years of age, may work on a volunteer basis, as long as he or she is supervised by and works with a staff person who is at least 21 years of age and meets staff qualification requirements. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify me, may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at dawn.mccrary@dhhs.nc.gov or 828-566-3088, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@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 .1102 · Violation

Name of Operation: LITTLE BLESSINGS CHRISTIAN ACADEMY Facility ID: 45000374 Consultant: DAWN MCCRARY Operation Type: Center Case Number: Visit Date: 6/14/2024 Number Present: 117 Completed Date: 6/14/2024 Age: From 0 To 11 Total Minutes: 150 Time In: 09:30 AM Time Out: 12:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of this routine unannounced visit was to conduct limited compliance monitoring and offer consultation to the program. A computerized generated report of today’s visit was completed, reviewed with you, printed, and signed by Dawn McCrary, Child Care Consultant, and Melissa Heath, Administrator, during the visit. A signed copy was left on site for your records. Karla Terry, Child Care Consultant, accompanied me during today’s visit. The North Carolina Secretary of State website was viewed prior to today’s visit and the Limited Liability Company, Little Blessings Christian Academy, LLC., is current/active as of 6/13/24. Permit type – Five Star Child Care License; issued 8/12/22; earning four (4) points in Staff Education; five (5) points in Program Standards; and one (1) quality point. Special Services/Restrictions – Daytime care only; meets enhanced ratios; Children under 2 ½ years old in rooms with direct exits only. This facility’s compliance history was ninety-four (94) percent as of 6/13/24. Upon arrival, we made our presence known to Melissa Heath, Administrator, was available to assist during the visit. The following areas were monitored: Supervision Ratios CPR First Aid Criminal Record Checks Emergency Medical Care Plan Completion of ITS SIDS training Administration of Medication Storage of Hazardous Substances Storage of Medication Adequate/Approved Space General Safety Discipline Program Records License Posted/ Permit Restrictions. The children were observed having free choice play in the classroom with table toys, dramatic play, story time, dolls, and blocks. The children were also observed having free choice play on the playground with sand, water, climbing, running and dramatic play. The playground offers space for running, riding, ball play, dramatic play, vigorous play, balancing, jumping, and climbing. All interactions were positive and nurturing. Supervision was adequate. There are four (4) newly hired staff. The ABCMS system was checked for all staff members. All staff members have valid criminal background letters. Newly hired staff files were monitored for compliance. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit. Violation Number Comment Rule 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. In space #4, one (1) Ventolin inhaler permission to administer medication form expired on 6/3/2024. .0803(12) 1757 A valid qualification letter was not on file and available to review at the facility. Staff member hired 5/20/2024 criminal background check qualification letter was not on file for review. This was corrected during the visit. G.S. 110-90.2(b) & (d) & .2703(e) Technical assistance provided: Item #849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS The following provisions apply to the administration of medication in child care centers:(12) Any medication remaining after the course of treatment is completed, after authorization is withdrawn or after authorization has expired shall be returned to the child's parents. Any medication the parent fails to retrieve within 72 hours of completion of treatment, or withdrawal of authorization, shall be discarded. - In space #4, one (1) Ventolin inhaler permission to administer medication form expired on 6/3/2024. I recommend conducting a monthly medication check to ensure all permission to administer medication forms and medication expiration dates are in compliance. Item #1757 A valid qualification letter was not on file and available for review at the facility. 10A NCAC 09 .2703 CRIMINAL HISTORY RECORD CHECK REQUIREMENTS FOR CHILD CARE PROVIDERS (e) Child care providers, as defined in G.S. 110-90.2(a), shall have a valid qualification letter prior to employment or living in a child care facility and the qualification letter shall be kept on file at the facility for review by representatives of the Division. - Staff member hired 5/20/2024 criminal background check qualification letter was not on file for review. This was corrected during the visit. I recommend conducting a staff file check prior to allowing the staff to provide care to children to ensure the qualifying letter is on file for review. Corrective Action Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license may be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 6/28/24. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: dawn.mccrary@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Dawn McCrary PO Box 397 Penrose, NC 28766 Please call me at 828-556-3088, or email dawn.mccrary@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Consultation provided: - Fire inspection is due by 6/23/2024. - Staff member hired 6/6/2024 First Aid and CPR is due by 9/2/2024, and Recognizing and Responding to Suspicions of Child Maltreatment training is due by 9/2/2024. - Teacher's Aide 10A NCAC 09 .0102 DEFINITIONS The terms and phrases used in this Chapter are defined as follows: (49) "Teacher's aide" or "Aide" means a person who assists the lead teacher or the teacher in planning and implementing the daily program. A teacher's aide shall be at least 16 years old and less than 18 years old, shall be literate, and may count in staff/child ratio as long as there is also a credentialed staff person who is at least 21 years of age present in the room and available to respond to the needs of the teacher's aide and children in care. - Volunteer 10A NCAC 09 .0102 DEFINITIONS The terms and phrases used in this Chapter are defined as follows: (53) "Volunteer" means a person who works in a child care facility and is not counted in staff/child ratio, does not have unsupervised contact with children, and is not monetarily compensated by the facility. A person who is at least 13 years of age, but less than 16 years of age, may work on a volunteer basis, as long as he or she is supervised by and works with a staff person who is at least 21 years of age and meets staff qualification requirements. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify me, may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at dawn.mccrary@dhhs.nc.gov or 828-566-3088, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@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 .1703 · Violation

Name of Operation: LITTLE BLESSINGS CHRISTIAN ACADEMY Facility ID: 45000374 Consultant: DAWN MCCRARY Operation Type: Center Case Number: Visit Date: 6/14/2024 Number Present: 117 Completed Date: 6/14/2024 Age: From 0 To 11 Total Minutes: 150 Time In: 09:30 AM Time Out: 12:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of this routine unannounced visit was to conduct limited compliance monitoring and offer consultation to the program. A computerized generated report of today’s visit was completed, reviewed with you, printed, and signed by Dawn McCrary, Child Care Consultant, and Melissa Heath, Administrator, during the visit. A signed copy was left on site for your records. Karla Terry, Child Care Consultant, accompanied me during today’s visit. The North Carolina Secretary of State website was viewed prior to today’s visit and the Limited Liability Company, Little Blessings Christian Academy, LLC., is current/active as of 6/13/24. Permit type – Five Star Child Care License; issued 8/12/22; earning four (4) points in Staff Education; five (5) points in Program Standards; and one (1) quality point. Special Services/Restrictions – Daytime care only; meets enhanced ratios; Children under 2 ½ years old in rooms with direct exits only. This facility’s compliance history was ninety-four (94) percent as of 6/13/24. Upon arrival, we made our presence known to Melissa Heath, Administrator, was available to assist during the visit. The following areas were monitored: Supervision Ratios CPR First Aid Criminal Record Checks Emergency Medical Care Plan Completion of ITS SIDS training Administration of Medication Storage of Hazardous Substances Storage of Medication Adequate/Approved Space General Safety Discipline Program Records License Posted/ Permit Restrictions. The children were observed having free choice play in the classroom with table toys, dramatic play, story time, dolls, and blocks. The children were also observed having free choice play on the playground with sand, water, climbing, running and dramatic play. The playground offers space for running, riding, ball play, dramatic play, vigorous play, balancing, jumping, and climbing. All interactions were positive and nurturing. Supervision was adequate. There are four (4) newly hired staff. The ABCMS system was checked for all staff members. All staff members have valid criminal background letters. Newly hired staff files were monitored for compliance. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit. Violation Number Comment Rule 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. In space #4, one (1) Ventolin inhaler permission to administer medication form expired on 6/3/2024. .0803(12) 1757 A valid qualification letter was not on file and available to review at the facility. Staff member hired 5/20/2024 criminal background check qualification letter was not on file for review. This was corrected during the visit. G.S. 110-90.2(b) & (d) & .2703(e) Technical assistance provided: Item #849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS The following provisions apply to the administration of medication in child care centers:(12) Any medication remaining after the course of treatment is completed, after authorization is withdrawn or after authorization has expired shall be returned to the child's parents. Any medication the parent fails to retrieve within 72 hours of completion of treatment, or withdrawal of authorization, shall be discarded. - In space #4, one (1) Ventolin inhaler permission to administer medication form expired on 6/3/2024. I recommend conducting a monthly medication check to ensure all permission to administer medication forms and medication expiration dates are in compliance. Item #1757 A valid qualification letter was not on file and available for review at the facility. 10A NCAC 09 .2703 CRIMINAL HISTORY RECORD CHECK REQUIREMENTS FOR CHILD CARE PROVIDERS (e) Child care providers, as defined in G.S. 110-90.2(a), shall have a valid qualification letter prior to employment or living in a child care facility and the qualification letter shall be kept on file at the facility for review by representatives of the Division. - Staff member hired 5/20/2024 criminal background check qualification letter was not on file for review. This was corrected during the visit. I recommend conducting a staff file check prior to allowing the staff to provide care to children to ensure the qualifying letter is on file for review. Corrective Action Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license may be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 6/28/24. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: dawn.mccrary@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Dawn McCrary PO Box 397 Penrose, NC 28766 Please call me at 828-556-3088, or email dawn.mccrary@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Consultation provided: - Fire inspection is due by 6/23/2024. - Staff member hired 6/6/2024 First Aid and CPR is due by 9/2/2024, and Recognizing and Responding to Suspicions of Child Maltreatment training is due by 9/2/2024. - Teacher's Aide 10A NCAC 09 .0102 DEFINITIONS The terms and phrases used in this Chapter are defined as follows: (49) "Teacher's aide" or "Aide" means a person who assists the lead teacher or the teacher in planning and implementing the daily program. A teacher's aide shall be at least 16 years old and less than 18 years old, shall be literate, and may count in staff/child ratio as long as there is also a credentialed staff person who is at least 21 years of age present in the room and available to respond to the needs of the teacher's aide and children in care. - Volunteer 10A NCAC 09 .0102 DEFINITIONS The terms and phrases used in this Chapter are defined as follows: (53) "Volunteer" means a person who works in a child care facility and is not counted in staff/child ratio, does not have unsupervised contact with children, and is not monetarily compensated by the facility. A person who is at least 13 years of age, but less than 16 years of age, may work on a volunteer basis, as long as he or she is supervised by and works with a staff person who is at least 21 years of age and meets staff qualification requirements. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify me, may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at dawn.mccrary@dhhs.nc.gov or 828-566-3088, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@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: LITTLE BLESSINGS CHRISTIAN ACADEMY Facility ID: 45000374 Consultant: DAWN MCCRARY Operation Type: Center Case Number: Visit Date: 6/14/2024 Number Present: 117 Completed Date: 6/14/2024 Age: From 0 To 11 Total Minutes: 150 Time In: 09:30 AM Time Out: 12:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of this routine unannounced visit was to conduct limited compliance monitoring and offer consultation to the program. A computerized generated report of today’s visit was completed, reviewed with you, printed, and signed by Dawn McCrary, Child Care Consultant, and Melissa Heath, Administrator, during the visit. A signed copy was left on site for your records. Karla Terry, Child Care Consultant, accompanied me during today’s visit. The North Carolina Secretary of State website was viewed prior to today’s visit and the Limited Liability Company, Little Blessings Christian Academy, LLC., is current/active as of 6/13/24. Permit type – Five Star Child Care License; issued 8/12/22; earning four (4) points in Staff Education; five (5) points in Program Standards; and one (1) quality point. Special Services/Restrictions – Daytime care only; meets enhanced ratios; Children under 2 ½ years old in rooms with direct exits only. This facility’s compliance history was ninety-four (94) percent as of 6/13/24. Upon arrival, we made our presence known to Melissa Heath, Administrator, was available to assist during the visit. The following areas were monitored: Supervision Ratios CPR First Aid Criminal Record Checks Emergency Medical Care Plan Completion of ITS SIDS training Administration of Medication Storage of Hazardous Substances Storage of Medication Adequate/Approved Space General Safety Discipline Program Records License Posted/ Permit Restrictions. The children were observed having free choice play in the classroom with table toys, dramatic play, story time, dolls, and blocks. The children were also observed having free choice play on the playground with sand, water, climbing, running and dramatic play. The playground offers space for running, riding, ball play, dramatic play, vigorous play, balancing, jumping, and climbing. All interactions were positive and nurturing. Supervision was adequate. There are four (4) newly hired staff. The ABCMS system was checked for all staff members. All staff members have valid criminal background letters. Newly hired staff files were monitored for compliance. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit. Violation Number Comment Rule 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. In space #4, one (1) Ventolin inhaler permission to administer medication form expired on 6/3/2024. .0803(12) 1757 A valid qualification letter was not on file and available to review at the facility. Staff member hired 5/20/2024 criminal background check qualification letter was not on file for review. This was corrected during the visit. G.S. 110-90.2(b) & (d) & .2703(e) Technical assistance provided: Item #849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS The following provisions apply to the administration of medication in child care centers:(12) Any medication remaining after the course of treatment is completed, after authorization is withdrawn or after authorization has expired shall be returned to the child's parents. Any medication the parent fails to retrieve within 72 hours of completion of treatment, or withdrawal of authorization, shall be discarded. - In space #4, one (1) Ventolin inhaler permission to administer medication form expired on 6/3/2024. I recommend conducting a monthly medication check to ensure all permission to administer medication forms and medication expiration dates are in compliance. Item #1757 A valid qualification letter was not on file and available for review at the facility. 10A NCAC 09 .2703 CRIMINAL HISTORY RECORD CHECK REQUIREMENTS FOR CHILD CARE PROVIDERS (e) Child care providers, as defined in G.S. 110-90.2(a), shall have a valid qualification letter prior to employment or living in a child care facility and the qualification letter shall be kept on file at the facility for review by representatives of the Division. - Staff member hired 5/20/2024 criminal background check qualification letter was not on file for review. This was corrected during the visit. I recommend conducting a staff file check prior to allowing the staff to provide care to children to ensure the qualifying letter is on file for review. Corrective Action Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license may be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 6/28/24. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: dawn.mccrary@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Dawn McCrary PO Box 397 Penrose, NC 28766 Please call me at 828-556-3088, or email dawn.mccrary@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Consultation provided: - Fire inspection is due by 6/23/2024. - Staff member hired 6/6/2024 First Aid and CPR is due by 9/2/2024, and Recognizing and Responding to Suspicions of Child Maltreatment training is due by 9/2/2024. - Teacher's Aide 10A NCAC 09 .0102 DEFINITIONS The terms and phrases used in this Chapter are defined as follows: (49) "Teacher's aide" or "Aide" means a person who assists the lead teacher or the teacher in planning and implementing the daily program. A teacher's aide shall be at least 16 years old and less than 18 years old, shall be literate, and may count in staff/child ratio as long as there is also a credentialed staff person who is at least 21 years of age present in the room and available to respond to the needs of the teacher's aide and children in care. - Volunteer 10A NCAC 09 .0102 DEFINITIONS The terms and phrases used in this Chapter are defined as follows: (53) "Volunteer" means a person who works in a child care facility and is not counted in staff/child ratio, does not have unsupervised contact with children, and is not monetarily compensated by the facility. A person who is at least 13 years of age, but less than 16 years of age, may work on a volunteer basis, as long as he or she is supervised by and works with a staff person who is at least 21 years of age and meets staff qualification requirements. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify me, may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at dawn.mccrary@dhhs.nc.gov or 828-566-3088, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@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 .2830 · Violation

Name of Operation: LITTLE BLESSINGS CHRISTIAN ACADEMY Facility ID: 45000374 Consultant: DAWN MCCRARY Operation Type: Center Case Number: Visit Date: 6/14/2024 Number Present: 117 Completed Date: 6/14/2024 Age: From 0 To 11 Total Minutes: 150 Time In: 09:30 AM Time Out: 12:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of this routine unannounced visit was to conduct limited compliance monitoring and offer consultation to the program. A computerized generated report of today’s visit was completed, reviewed with you, printed, and signed by Dawn McCrary, Child Care Consultant, and Melissa Heath, Administrator, during the visit. A signed copy was left on site for your records. Karla Terry, Child Care Consultant, accompanied me during today’s visit. The North Carolina Secretary of State website was viewed prior to today’s visit and the Limited Liability Company, Little Blessings Christian Academy, LLC., is current/active as of 6/13/24. Permit type – Five Star Child Care License; issued 8/12/22; earning four (4) points in Staff Education; five (5) points in Program Standards; and one (1) quality point. Special Services/Restrictions – Daytime care only; meets enhanced ratios; Children under 2 ½ years old in rooms with direct exits only. This facility’s compliance history was ninety-four (94) percent as of 6/13/24. Upon arrival, we made our presence known to Melissa Heath, Administrator, was available to assist during the visit. The following areas were monitored: Supervision Ratios CPR First Aid Criminal Record Checks Emergency Medical Care Plan Completion of ITS SIDS training Administration of Medication Storage of Hazardous Substances Storage of Medication Adequate/Approved Space General Safety Discipline Program Records License Posted/ Permit Restrictions. The children were observed having free choice play in the classroom with table toys, dramatic play, story time, dolls, and blocks. The children were also observed having free choice play on the playground with sand, water, climbing, running and dramatic play. The playground offers space for running, riding, ball play, dramatic play, vigorous play, balancing, jumping, and climbing. All interactions were positive and nurturing. Supervision was adequate. There are four (4) newly hired staff. The ABCMS system was checked for all staff members. All staff members have valid criminal background letters. Newly hired staff files were monitored for compliance. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit. Violation Number Comment Rule 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. In space #4, one (1) Ventolin inhaler permission to administer medication form expired on 6/3/2024. .0803(12) 1757 A valid qualification letter was not on file and available to review at the facility. Staff member hired 5/20/2024 criminal background check qualification letter was not on file for review. This was corrected during the visit. G.S. 110-90.2(b) & (d) & .2703(e) Technical assistance provided: Item #849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS The following provisions apply to the administration of medication in child care centers:(12) Any medication remaining after the course of treatment is completed, after authorization is withdrawn or after authorization has expired shall be returned to the child's parents. Any medication the parent fails to retrieve within 72 hours of completion of treatment, or withdrawal of authorization, shall be discarded. - In space #4, one (1) Ventolin inhaler permission to administer medication form expired on 6/3/2024. I recommend conducting a monthly medication check to ensure all permission to administer medication forms and medication expiration dates are in compliance. Item #1757 A valid qualification letter was not on file and available for review at the facility. 10A NCAC 09 .2703 CRIMINAL HISTORY RECORD CHECK REQUIREMENTS FOR CHILD CARE PROVIDERS (e) Child care providers, as defined in G.S. 110-90.2(a), shall have a valid qualification letter prior to employment or living in a child care facility and the qualification letter shall be kept on file at the facility for review by representatives of the Division. - Staff member hired 5/20/2024 criminal background check qualification letter was not on file for review. This was corrected during the visit. I recommend conducting a staff file check prior to allowing the staff to provide care to children to ensure the qualifying letter is on file for review. Corrective Action Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license may be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 6/28/24. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: dawn.mccrary@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Dawn McCrary PO Box 397 Penrose, NC 28766 Please call me at 828-556-3088, or email dawn.mccrary@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Consultation provided: - Fire inspection is due by 6/23/2024. - Staff member hired 6/6/2024 First Aid and CPR is due by 9/2/2024, and Recognizing and Responding to Suspicions of Child Maltreatment training is due by 9/2/2024. - Teacher's Aide 10A NCAC 09 .0102 DEFINITIONS The terms and phrases used in this Chapter are defined as follows: (49) "Teacher's aide" or "Aide" means a person who assists the lead teacher or the teacher in planning and implementing the daily program. A teacher's aide shall be at least 16 years old and less than 18 years old, shall be literate, and may count in staff/child ratio as long as there is also a credentialed staff person who is at least 21 years of age present in the room and available to respond to the needs of the teacher's aide and children in care. - Volunteer 10A NCAC 09 .0102 DEFINITIONS The terms and phrases used in this Chapter are defined as follows: (53) "Volunteer" means a person who works in a child care facility and is not counted in staff/child ratio, does not have unsupervised contact with children, and is not monetarily compensated by the facility. A person who is at least 13 years of age, but less than 16 years of age, may work on a volunteer basis, as long as he or she is supervised by and works with a staff person who is at least 21 years of age and meets staff qualification requirements. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify me, may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at dawn.mccrary@dhhs.nc.gov or 828-566-3088, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

G.S. 110-90 · Violation

Name of Operation: LITTLE BLESSINGS CHRISTIAN ACADEMY Facility ID: 45000374 Consultant: DAWN MCCRARY Operation Type: Center Case Number: Visit Date: 6/14/2024 Number Present: 117 Completed Date: 6/14/2024 Age: From 0 To 11 Total Minutes: 150 Time In: 09:30 AM Time Out: 12:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of this routine unannounced visit was to conduct limited compliance monitoring and offer consultation to the program. A computerized generated report of today’s visit was completed, reviewed with you, printed, and signed by Dawn McCrary, Child Care Consultant, and Melissa Heath, Administrator, during the visit. A signed copy was left on site for your records. Karla Terry, Child Care Consultant, accompanied me during today’s visit. The North Carolina Secretary of State website was viewed prior to today’s visit and the Limited Liability Company, Little Blessings Christian Academy, LLC., is current/active as of 6/13/24. Permit type – Five Star Child Care License; issued 8/12/22; earning four (4) points in Staff Education; five (5) points in Program Standards; and one (1) quality point. Special Services/Restrictions – Daytime care only; meets enhanced ratios; Children under 2 ½ years old in rooms with direct exits only. This facility’s compliance history was ninety-four (94) percent as of 6/13/24. Upon arrival, we made our presence known to Melissa Heath, Administrator, was available to assist during the visit. The following areas were monitored: Supervision Ratios CPR First Aid Criminal Record Checks Emergency Medical Care Plan Completion of ITS SIDS training Administration of Medication Storage of Hazardous Substances Storage of Medication Adequate/Approved Space General Safety Discipline Program Records License Posted/ Permit Restrictions. The children were observed having free choice play in the classroom with table toys, dramatic play, story time, dolls, and blocks. The children were also observed having free choice play on the playground with sand, water, climbing, running and dramatic play. The playground offers space for running, riding, ball play, dramatic play, vigorous play, balancing, jumping, and climbing. All interactions were positive and nurturing. Supervision was adequate. There are four (4) newly hired staff. The ABCMS system was checked for all staff members. All staff members have valid criminal background letters. Newly hired staff files were monitored for compliance. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit. Violation Number Comment Rule 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. In space #4, one (1) Ventolin inhaler permission to administer medication form expired on 6/3/2024. .0803(12) 1757 A valid qualification letter was not on file and available to review at the facility. Staff member hired 5/20/2024 criminal background check qualification letter was not on file for review. This was corrected during the visit. G.S. 110-90.2(b) & (d) & .2703(e) Technical assistance provided: Item #849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS The following provisions apply to the administration of medication in child care centers:(12) Any medication remaining after the course of treatment is completed, after authorization is withdrawn or after authorization has expired shall be returned to the child's parents. Any medication the parent fails to retrieve within 72 hours of completion of treatment, or withdrawal of authorization, shall be discarded. - In space #4, one (1) Ventolin inhaler permission to administer medication form expired on 6/3/2024. I recommend conducting a monthly medication check to ensure all permission to administer medication forms and medication expiration dates are in compliance. Item #1757 A valid qualification letter was not on file and available for review at the facility. 10A NCAC 09 .2703 CRIMINAL HISTORY RECORD CHECK REQUIREMENTS FOR CHILD CARE PROVIDERS (e) Child care providers, as defined in G.S. 110-90.2(a), shall have a valid qualification letter prior to employment or living in a child care facility and the qualification letter shall be kept on file at the facility for review by representatives of the Division. - Staff member hired 5/20/2024 criminal background check qualification letter was not on file for review. This was corrected during the visit. I recommend conducting a staff file check prior to allowing the staff to provide care to children to ensure the qualifying letter is on file for review. Corrective Action Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license may be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 6/28/24. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: dawn.mccrary@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Dawn McCrary PO Box 397 Penrose, NC 28766 Please call me at 828-556-3088, or email dawn.mccrary@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Consultation provided: - Fire inspection is due by 6/23/2024. - Staff member hired 6/6/2024 First Aid and CPR is due by 9/2/2024, and Recognizing and Responding to Suspicions of Child Maltreatment training is due by 9/2/2024. - Teacher's Aide 10A NCAC 09 .0102 DEFINITIONS The terms and phrases used in this Chapter are defined as follows: (49) "Teacher's aide" or "Aide" means a person who assists the lead teacher or the teacher in planning and implementing the daily program. A teacher's aide shall be at least 16 years old and less than 18 years old, shall be literate, and may count in staff/child ratio as long as there is also a credentialed staff person who is at least 21 years of age present in the room and available to respond to the needs of the teacher's aide and children in care. - Volunteer 10A NCAC 09 .0102 DEFINITIONS The terms and phrases used in this Chapter are defined as follows: (53) "Volunteer" means a person who works in a child care facility and is not counted in staff/child ratio, does not have unsupervised contact with children, and is not monetarily compensated by the facility. A person who is at least 13 years of age, but less than 16 years of age, may work on a volunteer basis, as long as he or she is supervised by and works with a staff person who is at least 21 years of age and meets staff qualification requirements. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify me, may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at dawn.mccrary@dhhs.nc.gov or 828-566-3088, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@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 .0604 · Violation

Name of Operation: LITTLE BLESSINGS CHRISTIAN ACADEMY Facility ID: 45000374 Consultant: DAWN MCCRARY Operation Type: Center Case Number: Visit Date: 10/13/2023 Number Present: 78 Completed Date: 10/13/2023 Age: From 1 To 5 Total Minutes: 340 Time In: 09:20 AM Time Out: 03:00 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 compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Dawn McCrary, Child Care Consultant and also signed by Melissa Heath, Owner, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Today, Melissa Heath, Owner, accompanied me. The indoor and outdoor areas were monitored, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-five percentage as of 10/12/23. The North Carolina Secretary of State website was viewed prior to today’s visit and the Limited Liability Company, Little Blessings Christian Academy, LLC., is current/active as of 10/12/23. Permit type – Four Star Child Care License; issued 8/12/22; earning four (4) points in Staff Education; five (5) points in Program Standards; and one (1) quality point. Special Services/Restrictions – Daytime care only; meets enhanced ratios; Children under 2 ½ years old in rooms with direct exits only. The last annual compliance visit was conducted on 10/25/22. The last fire drill was practiced on 10/5/23. The last lockdown drill was practiced on 8/7/23. The last playground inspection was documented on 10/2/23. The last fire inspection was approved on 6/23/23. The last sanitation inspection was conducted on 9/22/23 with four (4) demerits for a Superior classification. The Emergency Medical Care plan was posted and current. The Emergency Preparedness and Response Plan was current. The approved curriculum for four-year-old children is Creative Curriculum. Upon arrival I introduced my presence to Melissa Heath, Owner. The children in space #1 were observed participating in free choice play on the playground. The children in space #2 were observed putting on jackets and transitioning to free choice play on the playground. The children in space #3 were observed participating in a large group activity focused on recognizing colors. Space #4 was temporarily closed; no children were present. The children in space #5 were observed having free choice play on the playground. The children in space #6 were observed finishing a pumpkin decorating activity and having free choice play in the classroom. The children in space #7 were observed having free choice play on the playground. The children in space #8 were observed having free choice play in the classroom and preparing for lunch to arrive. Space #9 was temporarily closed; no children were present. The children in space #10 were observed having free choice play in the classroom. Space #11 had no children present as it is for the school-age children which had yet to arrive. The outdoor learning environments offer adequate space for running and vigorous play. There are opportunities for riding trikes, pushing toys, ball play, climbing, balancing, dramatic play and sand and water play. The lunch served today was burgers on buns, tator tots, fruit and milk. The lunch served matched what was on the posted menu. All staff interactions were positive and nurturing. Supervision was adequate. The facility’s staff and training worksheet was received prior to today’s visit and monitored for child care requirements. The ABCMS system was checked for all staff member on the Staff and Training Worksheet. All staff members have valid qualification letters. The program does not provide transportation. There are seven (7) newly hired staff and twenty-one (21) existing staff. There are one hundred twenty nine (129)children enrolled. A return visit will be made soon to review the seven (7) newly hired staff files, two (2) existing staff files and thirteen (13) child files for child care requirements. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violation(s) were documented during today's visit Violation Number Comment Rule 815 Electrical cords were accessible to infants and toddlers. A box fan cord was hanging from a high shelf, thus, accessible to toddlers. 10A NCAC 09 .0604(f) 1325 Parent’s statement includes the child’s name and date of enrollment and the date the parent signed the statement. Three (3) children's Discipline Policies did not have a date of enrollment on the statement signed by the parent/or guardian. .1804(b) Technical assistance provided #815 Electrical cords were accessible to infants and toddlers. The cord was taped flush to the wall for correction during the visit. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (f) Electrical cords shall not be accessible to infants and toddlers. Extension cords, except as approved by the local fire inspector, shall not be used. Frayed or cracked electrical cords shall be replaced. Consultation provided Challenging Behaviors Helpline: The Division has established a challenging behaviors helpline. If you would like resources for behavioral management, please contact the helpline at 1-888-600-1685 Option 1. Environmental Rating Assessment process. Little Blessings Christian Academy is in cohort 3. Your preparation year will be July 2025 to June 2026. Your assessment year will be July 2026 to June 2027. Health and Safety training: Health and Safety training is required for first year of employment and the renewal years. When you are required to complete Health and Safety training, you are waved from completing on-going training. Health and Safety training can be used as on-going training during non-required years. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at dawn.mccrary@dhhs.nc.gov or 828.556-3088, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@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: LITTLE BLESSINGS CHRISTIAN ACADEMY Facility ID: 45000374 Consultant: DAWN MCCRARY Operation Type: Center Case Number: Visit Date: 10/13/2023 Number Present: 78 Completed Date: 10/13/2023 Age: From 1 To 5 Total Minutes: 340 Time In: 09:20 AM Time Out: 03:00 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 compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Dawn McCrary, Child Care Consultant and also signed by Melissa Heath, Owner, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Today, Melissa Heath, Owner, accompanied me. The indoor and outdoor areas were monitored, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-five percentage as of 10/12/23. The North Carolina Secretary of State website was viewed prior to today’s visit and the Limited Liability Company, Little Blessings Christian Academy, LLC., is current/active as of 10/12/23. Permit type – Four Star Child Care License; issued 8/12/22; earning four (4) points in Staff Education; five (5) points in Program Standards; and one (1) quality point. Special Services/Restrictions – Daytime care only; meets enhanced ratios; Children under 2 ½ years old in rooms with direct exits only. The last annual compliance visit was conducted on 10/25/22. The last fire drill was practiced on 10/5/23. The last lockdown drill was practiced on 8/7/23. The last playground inspection was documented on 10/2/23. The last fire inspection was approved on 6/23/23. The last sanitation inspection was conducted on 9/22/23 with four (4) demerits for a Superior classification. The Emergency Medical Care plan was posted and current. The Emergency Preparedness and Response Plan was current. The approved curriculum for four-year-old children is Creative Curriculum. Upon arrival I introduced my presence to Melissa Heath, Owner. The children in space #1 were observed participating in free choice play on the playground. The children in space #2 were observed putting on jackets and transitioning to free choice play on the playground. The children in space #3 were observed participating in a large group activity focused on recognizing colors. Space #4 was temporarily closed; no children were present. The children in space #5 were observed having free choice play on the playground. The children in space #6 were observed finishing a pumpkin decorating activity and having free choice play in the classroom. The children in space #7 were observed having free choice play on the playground. The children in space #8 were observed having free choice play in the classroom and preparing for lunch to arrive. Space #9 was temporarily closed; no children were present. The children in space #10 were observed having free choice play in the classroom. Space #11 had no children present as it is for the school-age children which had yet to arrive. The outdoor learning environments offer adequate space for running and vigorous play. There are opportunities for riding trikes, pushing toys, ball play, climbing, balancing, dramatic play and sand and water play. The lunch served today was burgers on buns, tator tots, fruit and milk. The lunch served matched what was on the posted menu. All staff interactions were positive and nurturing. Supervision was adequate. The facility’s staff and training worksheet was received prior to today’s visit and monitored for child care requirements. The ABCMS system was checked for all staff member on the Staff and Training Worksheet. All staff members have valid qualification letters. The program does not provide transportation. There are seven (7) newly hired staff and twenty-one (21) existing staff. There are one hundred twenty nine (129)children enrolled. A return visit will be made soon to review the seven (7) newly hired staff files, two (2) existing staff files and thirteen (13) child files for child care requirements. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violation(s) were documented during today's visit Violation Number Comment Rule 815 Electrical cords were accessible to infants and toddlers. A box fan cord was hanging from a high shelf, thus, accessible to toddlers. 10A NCAC 09 .0604(f) 1325 Parent’s statement includes the child’s name and date of enrollment and the date the parent signed the statement. Three (3) children's Discipline Policies did not have a date of enrollment on the statement signed by the parent/or guardian. .1804(b) Technical assistance provided #815 Electrical cords were accessible to infants and toddlers. The cord was taped flush to the wall for correction during the visit. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (f) Electrical cords shall not be accessible to infants and toddlers. Extension cords, except as approved by the local fire inspector, shall not be used. Frayed or cracked electrical cords shall be replaced. Consultation provided Challenging Behaviors Helpline: The Division has established a challenging behaviors helpline. If you would like resources for behavioral management, please contact the helpline at 1-888-600-1685 Option 1. Environmental Rating Assessment process. Little Blessings Christian Academy is in cohort 3. Your preparation year will be July 2025 to June 2026. Your assessment year will be July 2026 to June 2027. Health and Safety training: Health and Safety training is required for first year of employment and the renewal years. When you are required to complete Health and Safety training, you are waved from completing on-going training. Health and Safety training can be used as on-going training during non-required years. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at dawn.mccrary@dhhs.nc.gov or 828.556-3088, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@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 .0604 · Violation

Name of Operation: LITTLE BLESSINGS CHRISTIAN ACADEMY Facility ID: 45000374 Consultant: DAWN MCCRARY Operation Type: Center Case Number: Visit Date: 10/13/2023 Number Present: 78 Completed Date: 10/13/2023 Age: From 1 To 5 Total Minutes: 340 Time In: 09:20 AM Time Out: 03:00 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 compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Dawn McCrary, Child Care Consultant and also signed by Melissa Heath, Owner, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Today, Melissa Heath, Owner, accompanied me. The indoor and outdoor areas were monitored, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-five percentage as of 10/12/23. The North Carolina Secretary of State website was viewed prior to today’s visit and the Limited Liability Company, Little Blessings Christian Academy, LLC., is current/active as of 10/12/23. Permit type – Four Star Child Care License; issued 8/12/22; earning four (4) points in Staff Education; five (5) points in Program Standards; and one (1) quality point. Special Services/Restrictions – Daytime care only; meets enhanced ratios; Children under 2 ½ years old in rooms with direct exits only. The last annual compliance visit was conducted on 10/25/22. The last fire drill was practiced on 10/5/23. The last lockdown drill was practiced on 8/7/23. The last playground inspection was documented on 10/2/23. The last fire inspection was approved on 6/23/23. The last sanitation inspection was conducted on 9/22/23 with four (4) demerits for a Superior classification. The Emergency Medical Care plan was posted and current. The Emergency Preparedness and Response Plan was current. The approved curriculum for four-year-old children is Creative Curriculum. Upon arrival I introduced my presence to Melissa Heath, Owner. The children in space #1 were observed participating in free choice play on the playground. The children in space #2 were observed putting on jackets and transitioning to free choice play on the playground. The children in space #3 were observed participating in a large group activity focused on recognizing colors. Space #4 was temporarily closed; no children were present. The children in space #5 were observed having free choice play on the playground. The children in space #6 were observed finishing a pumpkin decorating activity and having free choice play in the classroom. The children in space #7 were observed having free choice play on the playground. The children in space #8 were observed having free choice play in the classroom and preparing for lunch to arrive. Space #9 was temporarily closed; no children were present. The children in space #10 were observed having free choice play in the classroom. Space #11 had no children present as it is for the school-age children which had yet to arrive. The outdoor learning environments offer adequate space for running and vigorous play. There are opportunities for riding trikes, pushing toys, ball play, climbing, balancing, dramatic play and sand and water play. The lunch served today was burgers on buns, tator tots, fruit and milk. The lunch served matched what was on the posted menu. All staff interactions were positive and nurturing. Supervision was adequate. The facility’s staff and training worksheet was received prior to today’s visit and monitored for child care requirements. The ABCMS system was checked for all staff member on the Staff and Training Worksheet. All staff members have valid qualification letters. The program does not provide transportation. There are seven (7) newly hired staff and twenty-one (21) existing staff. There are one hundred twenty nine (129)children enrolled. A return visit will be made soon to review the seven (7) newly hired staff files, two (2) existing staff files and thirteen (13) child files for child care requirements. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violation(s) were documented during today's visit Violation Number Comment Rule 815 Electrical cords were accessible to infants and toddlers. A box fan cord was hanging from a high shelf, thus, accessible to toddlers. 10A NCAC 09 .0604(f) 1325 Parent’s statement includes the child’s name and date of enrollment and the date the parent signed the statement. Three (3) children's Discipline Policies did not have a date of enrollment on the statement signed by the parent/or guardian. .1804(b) Technical assistance provided #815 Electrical cords were accessible to infants and toddlers. The cord was taped flush to the wall for correction during the visit. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (f) Electrical cords shall not be accessible to infants and toddlers. Extension cords, except as approved by the local fire inspector, shall not be used. Frayed or cracked electrical cords shall be replaced. Consultation provided Challenging Behaviors Helpline: The Division has established a challenging behaviors helpline. If you would like resources for behavioral management, please contact the helpline at 1-888-600-1685 Option 1. Environmental Rating Assessment process. Little Blessings Christian Academy is in cohort 3. Your preparation year will be July 2025 to June 2026. Your assessment year will be July 2026 to June 2027. Health and Safety training: Health and Safety training is required for first year of employment and the renewal years. When you are required to complete Health and Safety training, you are waved from completing on-going training. Health and Safety training can be used as on-going training during non-required years. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at dawn.mccrary@dhhs.nc.gov or 828.556-3088, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@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 .1102 · Violation

Name of Operation: LITTLE BLESSINGS CHRISTIAN ACADEMY Facility ID: 45000374 Consultant: DAWN MCCRARY Operation Type: Center Case Number: Visit Date: 10/13/2023 Number Present: 78 Completed Date: 10/13/2023 Age: From 1 To 5 Total Minutes: 340 Time In: 09:20 AM Time Out: 03:00 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 compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Dawn McCrary, Child Care Consultant and also signed by Melissa Heath, Owner, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Today, Melissa Heath, Owner, accompanied me. The indoor and outdoor areas were monitored, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-five percentage as of 10/12/23. The North Carolina Secretary of State website was viewed prior to today’s visit and the Limited Liability Company, Little Blessings Christian Academy, LLC., is current/active as of 10/12/23. Permit type – Four Star Child Care License; issued 8/12/22; earning four (4) points in Staff Education; five (5) points in Program Standards; and one (1) quality point. Special Services/Restrictions – Daytime care only; meets enhanced ratios; Children under 2 ½ years old in rooms with direct exits only. The last annual compliance visit was conducted on 10/25/22. The last fire drill was practiced on 10/5/23. The last lockdown drill was practiced on 8/7/23. The last playground inspection was documented on 10/2/23. The last fire inspection was approved on 6/23/23. The last sanitation inspection was conducted on 9/22/23 with four (4) demerits for a Superior classification. The Emergency Medical Care plan was posted and current. The Emergency Preparedness and Response Plan was current. The approved curriculum for four-year-old children is Creative Curriculum. Upon arrival I introduced my presence to Melissa Heath, Owner. The children in space #1 were observed participating in free choice play on the playground. The children in space #2 were observed putting on jackets and transitioning to free choice play on the playground. The children in space #3 were observed participating in a large group activity focused on recognizing colors. Space #4 was temporarily closed; no children were present. The children in space #5 were observed having free choice play on the playground. The children in space #6 were observed finishing a pumpkin decorating activity and having free choice play in the classroom. The children in space #7 were observed having free choice play on the playground. The children in space #8 were observed having free choice play in the classroom and preparing for lunch to arrive. Space #9 was temporarily closed; no children were present. The children in space #10 were observed having free choice play in the classroom. Space #11 had no children present as it is for the school-age children which had yet to arrive. The outdoor learning environments offer adequate space for running and vigorous play. There are opportunities for riding trikes, pushing toys, ball play, climbing, balancing, dramatic play and sand and water play. The lunch served today was burgers on buns, tator tots, fruit and milk. The lunch served matched what was on the posted menu. All staff interactions were positive and nurturing. Supervision was adequate. The facility’s staff and training worksheet was received prior to today’s visit and monitored for child care requirements. The ABCMS system was checked for all staff member on the Staff and Training Worksheet. All staff members have valid qualification letters. The program does not provide transportation. There are seven (7) newly hired staff and twenty-one (21) existing staff. There are one hundred twenty nine (129)children enrolled. A return visit will be made soon to review the seven (7) newly hired staff files, two (2) existing staff files and thirteen (13) child files for child care requirements. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violation(s) were documented during today's visit Violation Number Comment Rule 815 Electrical cords were accessible to infants and toddlers. A box fan cord was hanging from a high shelf, thus, accessible to toddlers. 10A NCAC 09 .0604(f) 1325 Parent’s statement includes the child’s name and date of enrollment and the date the parent signed the statement. Three (3) children's Discipline Policies did not have a date of enrollment on the statement signed by the parent/or guardian. .1804(b) Technical assistance provided #815 Electrical cords were accessible to infants and toddlers. The cord was taped flush to the wall for correction during the visit. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (f) Electrical cords shall not be accessible to infants and toddlers. Extension cords, except as approved by the local fire inspector, shall not be used. Frayed or cracked electrical cords shall be replaced. Consultation provided Challenging Behaviors Helpline: The Division has established a challenging behaviors helpline. If you would like resources for behavioral management, please contact the helpline at 1-888-600-1685 Option 1. Environmental Rating Assessment process. Little Blessings Christian Academy is in cohort 3. Your preparation year will be July 2025 to June 2026. Your assessment year will be July 2026 to June 2027. Health and Safety training: Health and Safety training is required for first year of employment and the renewal years. When you are required to complete Health and Safety training, you are waved from completing on-going training. Health and Safety training can be used as on-going training during non-required years. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at dawn.mccrary@dhhs.nc.gov or 828.556-3088, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@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 .1703 · Violation

Name of Operation: LITTLE BLESSINGS CHRISTIAN ACADEMY Facility ID: 45000374 Consultant: DAWN MCCRARY Operation Type: Center Case Number: Visit Date: 10/13/2023 Number Present: 78 Completed Date: 10/13/2023 Age: From 1 To 5 Total Minutes: 340 Time In: 09:20 AM Time Out: 03:00 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 compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Dawn McCrary, Child Care Consultant and also signed by Melissa Heath, Owner, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Today, Melissa Heath, Owner, accompanied me. The indoor and outdoor areas were monitored, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-five percentage as of 10/12/23. The North Carolina Secretary of State website was viewed prior to today’s visit and the Limited Liability Company, Little Blessings Christian Academy, LLC., is current/active as of 10/12/23. Permit type – Four Star Child Care License; issued 8/12/22; earning four (4) points in Staff Education; five (5) points in Program Standards; and one (1) quality point. Special Services/Restrictions – Daytime care only; meets enhanced ratios; Children under 2 ½ years old in rooms with direct exits only. The last annual compliance visit was conducted on 10/25/22. The last fire drill was practiced on 10/5/23. The last lockdown drill was practiced on 8/7/23. The last playground inspection was documented on 10/2/23. The last fire inspection was approved on 6/23/23. The last sanitation inspection was conducted on 9/22/23 with four (4) demerits for a Superior classification. The Emergency Medical Care plan was posted and current. The Emergency Preparedness and Response Plan was current. The approved curriculum for four-year-old children is Creative Curriculum. Upon arrival I introduced my presence to Melissa Heath, Owner. The children in space #1 were observed participating in free choice play on the playground. The children in space #2 were observed putting on jackets and transitioning to free choice play on the playground. The children in space #3 were observed participating in a large group activity focused on recognizing colors. Space #4 was temporarily closed; no children were present. The children in space #5 were observed having free choice play on the playground. The children in space #6 were observed finishing a pumpkin decorating activity and having free choice play in the classroom. The children in space #7 were observed having free choice play on the playground. The children in space #8 were observed having free choice play in the classroom and preparing for lunch to arrive. Space #9 was temporarily closed; no children were present. The children in space #10 were observed having free choice play in the classroom. Space #11 had no children present as it is for the school-age children which had yet to arrive. The outdoor learning environments offer adequate space for running and vigorous play. There are opportunities for riding trikes, pushing toys, ball play, climbing, balancing, dramatic play and sand and water play. The lunch served today was burgers on buns, tator tots, fruit and milk. The lunch served matched what was on the posted menu. All staff interactions were positive and nurturing. Supervision was adequate. The facility’s staff and training worksheet was received prior to today’s visit and monitored for child care requirements. The ABCMS system was checked for all staff member on the Staff and Training Worksheet. All staff members have valid qualification letters. The program does not provide transportation. There are seven (7) newly hired staff and twenty-one (21) existing staff. There are one hundred twenty nine (129)children enrolled. A return visit will be made soon to review the seven (7) newly hired staff files, two (2) existing staff files and thirteen (13) child files for child care requirements. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violation(s) were documented during today's visit Violation Number Comment Rule 815 Electrical cords were accessible to infants and toddlers. A box fan cord was hanging from a high shelf, thus, accessible to toddlers. 10A NCAC 09 .0604(f) 1325 Parent’s statement includes the child’s name and date of enrollment and the date the parent signed the statement. Three (3) children's Discipline Policies did not have a date of enrollment on the statement signed by the parent/or guardian. .1804(b) Technical assistance provided #815 Electrical cords were accessible to infants and toddlers. The cord was taped flush to the wall for correction during the visit. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (f) Electrical cords shall not be accessible to infants and toddlers. Extension cords, except as approved by the local fire inspector, shall not be used. Frayed or cracked electrical cords shall be replaced. Consultation provided Challenging Behaviors Helpline: The Division has established a challenging behaviors helpline. If you would like resources for behavioral management, please contact the helpline at 1-888-600-1685 Option 1. Environmental Rating Assessment process. Little Blessings Christian Academy is in cohort 3. Your preparation year will be July 2025 to June 2026. Your assessment year will be July 2026 to June 2027. Health and Safety training: Health and Safety training is required for first year of employment and the renewal years. When you are required to complete Health and Safety training, you are waved from completing on-going training. Health and Safety training can be used as on-going training during non-required years. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at dawn.mccrary@dhhs.nc.gov or 828.556-3088, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@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 .2830 · Violation

Name of Operation: LITTLE BLESSINGS CHRISTIAN ACADEMY Facility ID: 45000374 Consultant: DAWN MCCRARY Operation Type: Center Case Number: Visit Date: 10/13/2023 Number Present: 78 Completed Date: 10/13/2023 Age: From 1 To 5 Total Minutes: 340 Time In: 09:20 AM Time Out: 03:00 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 compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Dawn McCrary, Child Care Consultant and also signed by Melissa Heath, Owner, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Today, Melissa Heath, Owner, accompanied me. The indoor and outdoor areas were monitored, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-five percentage as of 10/12/23. The North Carolina Secretary of State website was viewed prior to today’s visit and the Limited Liability Company, Little Blessings Christian Academy, LLC., is current/active as of 10/12/23. Permit type – Four Star Child Care License; issued 8/12/22; earning four (4) points in Staff Education; five (5) points in Program Standards; and one (1) quality point. Special Services/Restrictions – Daytime care only; meets enhanced ratios; Children under 2 ½ years old in rooms with direct exits only. The last annual compliance visit was conducted on 10/25/22. The last fire drill was practiced on 10/5/23. The last lockdown drill was practiced on 8/7/23. The last playground inspection was documented on 10/2/23. The last fire inspection was approved on 6/23/23. The last sanitation inspection was conducted on 9/22/23 with four (4) demerits for a Superior classification. The Emergency Medical Care plan was posted and current. The Emergency Preparedness and Response Plan was current. The approved curriculum for four-year-old children is Creative Curriculum. Upon arrival I introduced my presence to Melissa Heath, Owner. The children in space #1 were observed participating in free choice play on the playground. The children in space #2 were observed putting on jackets and transitioning to free choice play on the playground. The children in space #3 were observed participating in a large group activity focused on recognizing colors. Space #4 was temporarily closed; no children were present. The children in space #5 were observed having free choice play on the playground. The children in space #6 were observed finishing a pumpkin decorating activity and having free choice play in the classroom. The children in space #7 were observed having free choice play on the playground. The children in space #8 were observed having free choice play in the classroom and preparing for lunch to arrive. Space #9 was temporarily closed; no children were present. The children in space #10 were observed having free choice play in the classroom. Space #11 had no children present as it is for the school-age children which had yet to arrive. The outdoor learning environments offer adequate space for running and vigorous play. There are opportunities for riding trikes, pushing toys, ball play, climbing, balancing, dramatic play and sand and water play. The lunch served today was burgers on buns, tator tots, fruit and milk. The lunch served matched what was on the posted menu. All staff interactions were positive and nurturing. Supervision was adequate. The facility’s staff and training worksheet was received prior to today’s visit and monitored for child care requirements. The ABCMS system was checked for all staff member on the Staff and Training Worksheet. All staff members have valid qualification letters. The program does not provide transportation. There are seven (7) newly hired staff and twenty-one (21) existing staff. There are one hundred twenty nine (129)children enrolled. A return visit will be made soon to review the seven (7) newly hired staff files, two (2) existing staff files and thirteen (13) child files for child care requirements. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violation(s) were documented during today's visit Violation Number Comment Rule 815 Electrical cords were accessible to infants and toddlers. A box fan cord was hanging from a high shelf, thus, accessible to toddlers. 10A NCAC 09 .0604(f) 1325 Parent’s statement includes the child’s name and date of enrollment and the date the parent signed the statement. Three (3) children's Discipline Policies did not have a date of enrollment on the statement signed by the parent/or guardian. .1804(b) Technical assistance provided #815 Electrical cords were accessible to infants and toddlers. The cord was taped flush to the wall for correction during the visit. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (f) Electrical cords shall not be accessible to infants and toddlers. Extension cords, except as approved by the local fire inspector, shall not be used. Frayed or cracked electrical cords shall be replaced. Consultation provided Challenging Behaviors Helpline: The Division has established a challenging behaviors helpline. If you would like resources for behavioral management, please contact the helpline at 1-888-600-1685 Option 1. Environmental Rating Assessment process. Little Blessings Christian Academy is in cohort 3. Your preparation year will be July 2025 to June 2026. Your assessment year will be July 2026 to June 2027. Health and Safety training: Health and Safety training is required for first year of employment and the renewal years. When you are required to complete Health and Safety training, you are waved from completing on-going training. Health and Safety training can be used as on-going training during non-required years. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at dawn.mccrary@dhhs.nc.gov or 828.556-3088, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@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 .0604 · Violation

Name of Operation: LITTLE BLESSINGS CHRISTIAN ACADEMY Facility ID: 45000374 Consultant: DAWN MCCRARY Operation Type: Center Case Number: 0923-348L Visit Date: 9/28/2023 Number Present: 128 Completed Date: 9/28/2023 Age: From 0 To 11 Total Minutes: 205 Time In: 11:00 AM Time Out: 02:25 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today’s unannounced visit to investigate a complaint received by DCDEE 9/27/23 and by Dawn McCrary, 92/8/23. Upon arrival, I made my presence known to Melissa Heath, Director, and explained the reason for today’s visit. The reporter of the complaint stated that a child’s soiled clothing was not changed as required, as soiled clothing, removed earlier in the day due to a toileting accident, were placed back on the child later that afternoon when the child needed to be changed due to an additional toileting accident. I interviewed the teaching staff mentioned in the report. The staff explained that when it is apparent that a child has had a toileting accident, the child is taken into the bathroom, placed on a waterproof pad, and cleaned and changed into extra clothing. The soiled clothing is placed in a zipper topped bag and placed in a bin on a shelf over five feet high. The bin is labeled “dirty clothes”. The clothing is then sent home with the child at the end of the day. I monitored the classroom mentioned and observed the “dirty clothes” bin on a shelf above five feet high. I monitored the bathroom and observed the mat that is used for cleaning and changing clothes due to toileting accidents. I also observed the zipper topped bags stored for the soiled clothing on a shelf above five feet high. Based on today’s monitoring and interviews, the part of the complaint concerning a child’s clothes not being changed as required is unsubstantiated. There is a concern that urine soiled clothes were not stored in a sanitary manner as the child was sent home with wet shoes, smelling of urine and underpants smelling of dried urine and feces. Ms. Heath stated that on the day of the incident that caused the complaint, the classroom had a “floater” staff member that changed a child’s clothes after a toileting accident. There was a very small speck of fecal matter on the child’s shorts. The staff member placed the shorts, without putting it in a zipper topped bag, into the child's backpack. Later that day, a different staff member changed the child again due to a toileting accident and did not realize that the shorts were soiled as they were not in a zipper topped bag in storage and were dry. The staff member had gloves on while changing the child. The shorts were placed back on the child. The staff member interviewed stated that the child did spill milk and water that day and was not aware of the shoes being wet from urine. Due to the soiled shorts not being stored in a zipper topped bag and placed in the “dirty clothes” bin, above five feet high, consequently leading to dried, previously soiled clothes being placed back onto the child later in the day after a toileting accident, the part of the complaint concerning a child’s soiled clothes not being stored in a sanitary manner is substantiated. It is unable to be determined if the shoes were wet from urine or possibly spilt milk or water. There is a concern that children are disciplined for toileting accidents based on a child mentioning “time out” after having a toileting accident while not at the facility. Ms. Heath stated that all staff members had recently reviewed the facility’s Discipline Policy and that she had never seen a staff member discipline a child for toileting accidents. The classroom staff stated that toileting accidents are common in that age group and expected. The classroom staff stated they have not disciplined any child for toileting accidents. As I monitored the classroom mentioned, the staff/child interactions were positive and nurturing. Proper toileting and handwashing procedures were observed. The children had transitioned from lunch to toileting, washing hands and going to rest on their mats. The part of the complaint concerning children being disciplined for toileting accidents is unsubstantiated based on my monitoring of the classroom and interviews with Ms. Heath and the classroom staff. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ . The following violations were documented during today’s visit Violation Number Comment Rule 1830 Potential biocontaminants were not stored properly (locked storage, removed from premises, inaccessible to children, or covered plastic lined receptacle). Clothing soiled due to a toileting accident were stored loose in a child's backpack, not inaccessible to children. .0604(v) Technical assistance provided #1830 Potential biocontaminants were not stored properly (locked storage, removed from premises, inaccessible to children, or covered plastic lined receptacle). 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (v) In child care centers, biocontaminants shall be: (1) stored in locked areas; (2) removed from the premises; (3) inaccessible to children; or (4) shall be disposed of in a covered, plastic lined receptacle. 15A NCAC 18A .2819 DIAPERING AND DIAPER CHANGING FACILITIES (f) Child care center employees may dispose of feces from diapers in the toilet, but shall not rinse soiled cloth diapers, training pants, or clothes. Soiled cloth diapers, training pants, or clothes shall be sent to a diaper service or placed in a sealed plastic bag or other sealed container, stored out of reach of children, and sent home with the child on the same day to be laundered. Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 10/12/23. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: dawn.mccrary@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Dawn McCrary PO Box 397 Penrose, NC 28766 Please call me at 828-556-3088, or email dawn.mccrary@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Ensure all staff are made aware of the proper procedure for storage of soiled clothing. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at dawn.mccrary@dhhs.nc.gov or 828-556-3088, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@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

NC GS 110-90 · Violation

Name of Operation: LITTLE BLESSINGS CHRISTIAN ACADEMY Facility ID: 45000374 Consultant: DAWN MCCRARY Operation Type: Center Case Number: 0923-348L Visit Date: 9/28/2023 Number Present: 128 Completed Date: 9/28/2023 Age: From 0 To 11 Total Minutes: 205 Time In: 11:00 AM Time Out: 02:25 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today’s unannounced visit to investigate a complaint received by DCDEE 9/27/23 and by Dawn McCrary, 92/8/23. Upon arrival, I made my presence known to Melissa Heath, Director, and explained the reason for today’s visit. The reporter of the complaint stated that a child’s soiled clothing was not changed as required, as soiled clothing, removed earlier in the day due to a toileting accident, were placed back on the child later that afternoon when the child needed to be changed due to an additional toileting accident. I interviewed the teaching staff mentioned in the report. The staff explained that when it is apparent that a child has had a toileting accident, the child is taken into the bathroom, placed on a waterproof pad, and cleaned and changed into extra clothing. The soiled clothing is placed in a zipper topped bag and placed in a bin on a shelf over five feet high. The bin is labeled “dirty clothes”. The clothing is then sent home with the child at the end of the day. I monitored the classroom mentioned and observed the “dirty clothes” bin on a shelf above five feet high. I monitored the bathroom and observed the mat that is used for cleaning and changing clothes due to toileting accidents. I also observed the zipper topped bags stored for the soiled clothing on a shelf above five feet high. Based on today’s monitoring and interviews, the part of the complaint concerning a child’s clothes not being changed as required is unsubstantiated. There is a concern that urine soiled clothes were not stored in a sanitary manner as the child was sent home with wet shoes, smelling of urine and underpants smelling of dried urine and feces. Ms. Heath stated that on the day of the incident that caused the complaint, the classroom had a “floater” staff member that changed a child’s clothes after a toileting accident. There was a very small speck of fecal matter on the child’s shorts. The staff member placed the shorts, without putting it in a zipper topped bag, into the child's backpack. Later that day, a different staff member changed the child again due to a toileting accident and did not realize that the shorts were soiled as they were not in a zipper topped bag in storage and were dry. The staff member had gloves on while changing the child. The shorts were placed back on the child. The staff member interviewed stated that the child did spill milk and water that day and was not aware of the shoes being wet from urine. Due to the soiled shorts not being stored in a zipper topped bag and placed in the “dirty clothes” bin, above five feet high, consequently leading to dried, previously soiled clothes being placed back onto the child later in the day after a toileting accident, the part of the complaint concerning a child’s soiled clothes not being stored in a sanitary manner is substantiated. It is unable to be determined if the shoes were wet from urine or possibly spilt milk or water. There is a concern that children are disciplined for toileting accidents based on a child mentioning “time out” after having a toileting accident while not at the facility. Ms. Heath stated that all staff members had recently reviewed the facility’s Discipline Policy and that she had never seen a staff member discipline a child for toileting accidents. The classroom staff stated that toileting accidents are common in that age group and expected. The classroom staff stated they have not disciplined any child for toileting accidents. As I monitored the classroom mentioned, the staff/child interactions were positive and nurturing. Proper toileting and handwashing procedures were observed. The children had transitioned from lunch to toileting, washing hands and going to rest on their mats. The part of the complaint concerning children being disciplined for toileting accidents is unsubstantiated based on my monitoring of the classroom and interviews with Ms. Heath and the classroom staff. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ . The following violations were documented during today’s visit Violation Number Comment Rule 1830 Potential biocontaminants were not stored properly (locked storage, removed from premises, inaccessible to children, or covered plastic lined receptacle). Clothing soiled due to a toileting accident were stored loose in a child's backpack, not inaccessible to children. .0604(v) Technical assistance provided #1830 Potential biocontaminants were not stored properly (locked storage, removed from premises, inaccessible to children, or covered plastic lined receptacle). 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (v) In child care centers, biocontaminants shall be: (1) stored in locked areas; (2) removed from the premises; (3) inaccessible to children; or (4) shall be disposed of in a covered, plastic lined receptacle. 15A NCAC 18A .2819 DIAPERING AND DIAPER CHANGING FACILITIES (f) Child care center employees may dispose of feces from diapers in the toilet, but shall not rinse soiled cloth diapers, training pants, or clothes. Soiled cloth diapers, training pants, or clothes shall be sent to a diaper service or placed in a sealed plastic bag or other sealed container, stored out of reach of children, and sent home with the child on the same day to be laundered. Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 10/12/23. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: dawn.mccrary@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Dawn McCrary PO Box 397 Penrose, NC 28766 Please call me at 828-556-3088, or email dawn.mccrary@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Ensure all staff are made aware of the proper procedure for storage of soiled clothing. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at dawn.mccrary@dhhs.nc.gov or 828-556-3088, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@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