MUD Creek Christian School

10A NCAC 09 .0601 · Violation

Name of Operation: MUD CREEK CHRISTIAN SCHOOL Facility ID: 45000252 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 4/30/2025 Number Present: 13 Completed Date: 4/30/2025 Age: From 4 To 5 Total Minutes: 155 Time In: 10:25 AM Time Out: 01:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for a routine unannounced visit. Upon arrival, the purpose of today’s visit was reviewed with you, Sherri Hill, Administrator. Your program currently operates with a Notice of Compliance, issued on 4/29/2017. The permit restrictions were in compliance including first shift (daytime care), meeting enhanced space. Sherri Hill, Administrator, accompanied me today during the walk through and was available to assist with questions. The program’s annual compliance visit was conducted on 12/10/2024. The following items were monitored today: Supervision Staff / Child Ratio CPR / First Aid Special Training CBC Qualification ITS – SIDS Emergency Medical Care Plan Administration of Medication Storage of Hazardous Products Storage of Medication General Safety Discipline Adequate / Approved Space Program Records License Posted Permit Restrictions The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety percent (90%) as of 4/16/2025. The North Carolina Secretary of State website was viewed prior to today’s visit and the nonprofit organization, Mud Creek Baptist Church, is current/active as of 4/30/2025. When reviewing the Secretary of State website, I noticed the registered agent is different than the application on file. The administrator stated that the church has made some changes and now has an advisory board. The advisory board chair is listed as the registered agent. I left a blank copy of the forms that needed to be updated. The administrator will submit those to me by 5/14/2025. We also reviewed the operation schedule and facility information. The facility does have an unlicensed half day program that operates from 8:45a-12:00p, and the full day licensed program that operates from 8:45a-5:00p. The one (1) approved classroom is the room that the full day program operates. The administrator stated that the children that need full day care must be enrolled in the one (1) classroom to stay for the full day program. The facility web address has changed to www.mudcreekschool.org and the fax number is no longer available. If someone needs to send a fax, the facility will submit the fax to Ms. Hills email address sherri@mudcreekchurch.org. This information was updated during the visit. The last fire drill was practiced on 4/30/2025. The last emergency drill, shelter in place drill, was practiced on 3/5/2025. The last fire inspection was approved on 9/11/2024. The last playground inspection was completed on 4/17/2025. The program’s most recent sanitation inspection was completed on 9/25/2024 with two (2) demerits. The last lead water testing was completed on 7/25/2023 and is due by 7/25/2026. The last lead paint and asbestos testing was completed on 7/22/2024. The facility does not accept subsidy. The facility does not provide transportation. During the visit, the fire drill alarm sounded at 10:35a. All staff and children evacuated the building and moved to their designated spots in the parking lot. Each group gathered in a circle and sat on the pavement. When each child and staff were accounted for, the teachers lifted a green card to notify the administrator that all were safe. Once the administrator accounted for each group, she used a walkie talkie to communicate with the staff that they may lower their green cards. When the administrator was given all clear at 10:40a, she notified the staff via walkie talkie that they may return to their classrooms. I observed the group of four- to five-year-old children lining up and the staff transitioning the class back to their room. Once in the classroom the group returned to free play. The children engaged in free play with free art, sensory table, blocks, manipulatives, dramatic play, and one on one art activity for Mother’s Day. The program does not have any medications for the children currently enrolled. The children enrolled at the facility have nutritional opt out forms on file and pack their food from home. The facility is looking to update the programs with outdoor equipment. We reviewed rule .0605 Outdoor Learning Environment discussing equipment openings and required surfacing. While outdoors, I observed active ant mounds along the side of the concrete and in the grass near the concrete sidewalk. The class was observed transitioning outdoors to eat lunch at the picnic tables located on the playground. We discussed that the children would need to use hand sanitizer prior to eating. The teachers gave each of the children hand sanitizer and ensured that they rubbed it in till it was dry prior to eating. We also discussed that procedures would need to be developed for eating outdoors to address how hands will be washed in the classroom prior to going outside, the use of hand sanitizer prior to eating outdoors, a permission to administer hand sanitizer authorization valid for up to twelve (12) months, and how the tables will be cleaned or covered prior to use. I recommend using disposable table cloths to lay over the tables prior to children siting down to eat. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Playground Safety, Special Training including Health and Safety Training and Criminal Background Checks. All staff files were current and up to date, no new staff have been hired. We did discuss that CPR training is due by 8/2025 for all staff, and staff member SS criminal background check qualifying letter is due by 11/4/2025. The administrator stated that she was aware and it was on her desk calendar as a reminder. 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 of child care requirements was observed today: Violation Number Comment Rule 807 A safe indoor and outdoor environment was not provided for the children. While outdoors, I observed active ant mounds along the side of the concrete and in the grass near the concrete sidewalk. 10A NCAC 09 .0601(a) Technical assistance was provided as follows: Item 807 While outdoors, I observed active ant mounds along the side of the concrete and in the grass near the concrete sidewalk. We discussed prior to allowing the children to engaged in play on the playground to check for active ant mounds and notify the maintenance team to treat the ant mounds. Discuss with the children the appropriate ways to play outdoors and to mark off where the ant mounds are to help the children have a visual to stay away from those areas to prevent a child from getting bit/stung by an ant. Rule Reference: 10A NCAC 09.0601(a) 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 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 5/14/2025. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@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: During the visit, we reviewed the times to wash hands upon arrival at the center, after each visit to the toilet, before eating, and before and after water play, after outside play, and/or after handling animals or animal cages as a refresher for staff. We also reviewed the toxic plant list, and I left a copy of the plant list as a resource for the program to use when purchasing plants for the classroom. We discussed that procedures would need to be developed to address eating meals/snacks outdoors. Reviewed the requirements for administering over the counter medications permission forms. 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS (7) A parent may give a caregiver standing authorization for up to 12 months to apply over-the- counter, topical ointments, topical teething ointment or gel, insect repellents, lotions, creams, fluoridated toothpaste, and powders, such as sunscreen, diapering creams, baby lotion, and baby powder, to a child, when needed. The authorization shall be in writing and shall contain: - the child's name; - the names of the authorized ointments, repellents, lotions, creams, fluoridated toothpaste, and powders; - the criteria for the administration of the ointments, repellents, lotions, creams, fluoridated toothpaste, and powders; - the manner in which the ointments, repellents, lotions, creams, fluoridated toothpaste, and powders shall be applied; - the signature of the parent; - the date the authorization was signed by the parent; and the length of time the authorization is valid, if less than 12 months. **Reminders** -Staff SS qualifying letter will need to renewed by 11/4/2025. -CPR training is due by 8/2025 for all staff. Lead Paint and Asbestos Testing- In April 2023, North Carolina enacted final rules 10A NCAC 41C .1001-1007 requiring all public schools and child care facilities to: Test for lead in drinking/cooking water (.1005 and .2816), Identify lead-based paint hazards (.1004), Identify asbestos hazards (.1003), Mitigate or restrict access to any identified hazards. Testing is required to be completed by May 31, 2025. New and terminated staff notification requirement: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. 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 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 .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. 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 karla.terry@ dhhs.nc.gov or 828-200-9952, 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: MUD CREEK CHRISTIAN SCHOOL Facility ID: 45000252 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 4/30/2025 Number Present: 13 Completed Date: 4/30/2025 Age: From 4 To 5 Total Minutes: 155 Time In: 10:25 AM Time Out: 01:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for a routine unannounced visit. Upon arrival, the purpose of today’s visit was reviewed with you, Sherri Hill, Administrator. Your program currently operates with a Notice of Compliance, issued on 4/29/2017. The permit restrictions were in compliance including first shift (daytime care), meeting enhanced space. Sherri Hill, Administrator, accompanied me today during the walk through and was available to assist with questions. The program’s annual compliance visit was conducted on 12/10/2024. The following items were monitored today: Supervision Staff / Child Ratio CPR / First Aid Special Training CBC Qualification ITS – SIDS Emergency Medical Care Plan Administration of Medication Storage of Hazardous Products Storage of Medication General Safety Discipline Adequate / Approved Space Program Records License Posted Permit Restrictions The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety percent (90%) as of 4/16/2025. The North Carolina Secretary of State website was viewed prior to today’s visit and the nonprofit organization, Mud Creek Baptist Church, is current/active as of 4/30/2025. When reviewing the Secretary of State website, I noticed the registered agent is different than the application on file. The administrator stated that the church has made some changes and now has an advisory board. The advisory board chair is listed as the registered agent. I left a blank copy of the forms that needed to be updated. The administrator will submit those to me by 5/14/2025. We also reviewed the operation schedule and facility information. The facility does have an unlicensed half day program that operates from 8:45a-12:00p, and the full day licensed program that operates from 8:45a-5:00p. The one (1) approved classroom is the room that the full day program operates. The administrator stated that the children that need full day care must be enrolled in the one (1) classroom to stay for the full day program. The facility web address has changed to www.mudcreekschool.org and the fax number is no longer available. If someone needs to send a fax, the facility will submit the fax to Ms. Hills email address sherri@mudcreekchurch.org. This information was updated during the visit. The last fire drill was practiced on 4/30/2025. The last emergency drill, shelter in place drill, was practiced on 3/5/2025. The last fire inspection was approved on 9/11/2024. The last playground inspection was completed on 4/17/2025. The program’s most recent sanitation inspection was completed on 9/25/2024 with two (2) demerits. The last lead water testing was completed on 7/25/2023 and is due by 7/25/2026. The last lead paint and asbestos testing was completed on 7/22/2024. The facility does not accept subsidy. The facility does not provide transportation. During the visit, the fire drill alarm sounded at 10:35a. All staff and children evacuated the building and moved to their designated spots in the parking lot. Each group gathered in a circle and sat on the pavement. When each child and staff were accounted for, the teachers lifted a green card to notify the administrator that all were safe. Once the administrator accounted for each group, she used a walkie talkie to communicate with the staff that they may lower their green cards. When the administrator was given all clear at 10:40a, she notified the staff via walkie talkie that they may return to their classrooms. I observed the group of four- to five-year-old children lining up and the staff transitioning the class back to their room. Once in the classroom the group returned to free play. The children engaged in free play with free art, sensory table, blocks, manipulatives, dramatic play, and one on one art activity for Mother’s Day. The program does not have any medications for the children currently enrolled. The children enrolled at the facility have nutritional opt out forms on file and pack their food from home. The facility is looking to update the programs with outdoor equipment. We reviewed rule .0605 Outdoor Learning Environment discussing equipment openings and required surfacing. While outdoors, I observed active ant mounds along the side of the concrete and in the grass near the concrete sidewalk. The class was observed transitioning outdoors to eat lunch at the picnic tables located on the playground. We discussed that the children would need to use hand sanitizer prior to eating. The teachers gave each of the children hand sanitizer and ensured that they rubbed it in till it was dry prior to eating. We also discussed that procedures would need to be developed for eating outdoors to address how hands will be washed in the classroom prior to going outside, the use of hand sanitizer prior to eating outdoors, a permission to administer hand sanitizer authorization valid for up to twelve (12) months, and how the tables will be cleaned or covered prior to use. I recommend using disposable table cloths to lay over the tables prior to children siting down to eat. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Playground Safety, Special Training including Health and Safety Training and Criminal Background Checks. All staff files were current and up to date, no new staff have been hired. We did discuss that CPR training is due by 8/2025 for all staff, and staff member SS criminal background check qualifying letter is due by 11/4/2025. The administrator stated that she was aware and it was on her desk calendar as a reminder. 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 of child care requirements was observed today: Violation Number Comment Rule 807 A safe indoor and outdoor environment was not provided for the children. While outdoors, I observed active ant mounds along the side of the concrete and in the grass near the concrete sidewalk. 10A NCAC 09 .0601(a) Technical assistance was provided as follows: Item 807 While outdoors, I observed active ant mounds along the side of the concrete and in the grass near the concrete sidewalk. We discussed prior to allowing the children to engaged in play on the playground to check for active ant mounds and notify the maintenance team to treat the ant mounds. Discuss with the children the appropriate ways to play outdoors and to mark off where the ant mounds are to help the children have a visual to stay away from those areas to prevent a child from getting bit/stung by an ant. Rule Reference: 10A NCAC 09.0601(a) 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 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 5/14/2025. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@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: During the visit, we reviewed the times to wash hands upon arrival at the center, after each visit to the toilet, before eating, and before and after water play, after outside play, and/or after handling animals or animal cages as a refresher for staff. We also reviewed the toxic plant list, and I left a copy of the plant list as a resource for the program to use when purchasing plants for the classroom. We discussed that procedures would need to be developed to address eating meals/snacks outdoors. Reviewed the requirements for administering over the counter medications permission forms. 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS (7) A parent may give a caregiver standing authorization for up to 12 months to apply over-the- counter, topical ointments, topical teething ointment or gel, insect repellents, lotions, creams, fluoridated toothpaste, and powders, such as sunscreen, diapering creams, baby lotion, and baby powder, to a child, when needed. The authorization shall be in writing and shall contain: - the child's name; - the names of the authorized ointments, repellents, lotions, creams, fluoridated toothpaste, and powders; - the criteria for the administration of the ointments, repellents, lotions, creams, fluoridated toothpaste, and powders; - the manner in which the ointments, repellents, lotions, creams, fluoridated toothpaste, and powders shall be applied; - the signature of the parent; - the date the authorization was signed by the parent; and the length of time the authorization is valid, if less than 12 months. **Reminders** -Staff SS qualifying letter will need to renewed by 11/4/2025. -CPR training is due by 8/2025 for all staff. Lead Paint and Asbestos Testing- In April 2023, North Carolina enacted final rules 10A NCAC 41C .1001-1007 requiring all public schools and child care facilities to: Test for lead in drinking/cooking water (.1005 and .2816), Identify lead-based paint hazards (.1004), Identify asbestos hazards (.1003), Mitigate or restrict access to any identified hazards. Testing is required to be completed by May 31, 2025. New and terminated staff notification requirement: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. 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 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 .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. 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 karla.terry@ dhhs.nc.gov or 828-200-9952, 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: MUD CREEK CHRISTIAN SCHOOL Facility ID: 45000252 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 4/30/2025 Number Present: 13 Completed Date: 4/30/2025 Age: From 4 To 5 Total Minutes: 155 Time In: 10:25 AM Time Out: 01:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for a routine unannounced visit. Upon arrival, the purpose of today’s visit was reviewed with you, Sherri Hill, Administrator. Your program currently operates with a Notice of Compliance, issued on 4/29/2017. The permit restrictions were in compliance including first shift (daytime care), meeting enhanced space. Sherri Hill, Administrator, accompanied me today during the walk through and was available to assist with questions. The program’s annual compliance visit was conducted on 12/10/2024. The following items were monitored today: Supervision Staff / Child Ratio CPR / First Aid Special Training CBC Qualification ITS – SIDS Emergency Medical Care Plan Administration of Medication Storage of Hazardous Products Storage of Medication General Safety Discipline Adequate / Approved Space Program Records License Posted Permit Restrictions The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety percent (90%) as of 4/16/2025. The North Carolina Secretary of State website was viewed prior to today’s visit and the nonprofit organization, Mud Creek Baptist Church, is current/active as of 4/30/2025. When reviewing the Secretary of State website, I noticed the registered agent is different than the application on file. The administrator stated that the church has made some changes and now has an advisory board. The advisory board chair is listed as the registered agent. I left a blank copy of the forms that needed to be updated. The administrator will submit those to me by 5/14/2025. We also reviewed the operation schedule and facility information. The facility does have an unlicensed half day program that operates from 8:45a-12:00p, and the full day licensed program that operates from 8:45a-5:00p. The one (1) approved classroom is the room that the full day program operates. The administrator stated that the children that need full day care must be enrolled in the one (1) classroom to stay for the full day program. The facility web address has changed to www.mudcreekschool.org and the fax number is no longer available. If someone needs to send a fax, the facility will submit the fax to Ms. Hills email address sherri@mudcreekchurch.org. This information was updated during the visit. The last fire drill was practiced on 4/30/2025. The last emergency drill, shelter in place drill, was practiced on 3/5/2025. The last fire inspection was approved on 9/11/2024. The last playground inspection was completed on 4/17/2025. The program’s most recent sanitation inspection was completed on 9/25/2024 with two (2) demerits. The last lead water testing was completed on 7/25/2023 and is due by 7/25/2026. The last lead paint and asbestos testing was completed on 7/22/2024. The facility does not accept subsidy. The facility does not provide transportation. During the visit, the fire drill alarm sounded at 10:35a. All staff and children evacuated the building and moved to their designated spots in the parking lot. Each group gathered in a circle and sat on the pavement. When each child and staff were accounted for, the teachers lifted a green card to notify the administrator that all were safe. Once the administrator accounted for each group, she used a walkie talkie to communicate with the staff that they may lower their green cards. When the administrator was given all clear at 10:40a, she notified the staff via walkie talkie that they may return to their classrooms. I observed the group of four- to five-year-old children lining up and the staff transitioning the class back to their room. Once in the classroom the group returned to free play. The children engaged in free play with free art, sensory table, blocks, manipulatives, dramatic play, and one on one art activity for Mother’s Day. The program does not have any medications for the children currently enrolled. The children enrolled at the facility have nutritional opt out forms on file and pack their food from home. The facility is looking to update the programs with outdoor equipment. We reviewed rule .0605 Outdoor Learning Environment discussing equipment openings and required surfacing. While outdoors, I observed active ant mounds along the side of the concrete and in the grass near the concrete sidewalk. The class was observed transitioning outdoors to eat lunch at the picnic tables located on the playground. We discussed that the children would need to use hand sanitizer prior to eating. The teachers gave each of the children hand sanitizer and ensured that they rubbed it in till it was dry prior to eating. We also discussed that procedures would need to be developed for eating outdoors to address how hands will be washed in the classroom prior to going outside, the use of hand sanitizer prior to eating outdoors, a permission to administer hand sanitizer authorization valid for up to twelve (12) months, and how the tables will be cleaned or covered prior to use. I recommend using disposable table cloths to lay over the tables prior to children siting down to eat. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Playground Safety, Special Training including Health and Safety Training and Criminal Background Checks. All staff files were current and up to date, no new staff have been hired. We did discuss that CPR training is due by 8/2025 for all staff, and staff member SS criminal background check qualifying letter is due by 11/4/2025. The administrator stated that she was aware and it was on her desk calendar as a reminder. 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 of child care requirements was observed today: Violation Number Comment Rule 807 A safe indoor and outdoor environment was not provided for the children. While outdoors, I observed active ant mounds along the side of the concrete and in the grass near the concrete sidewalk. 10A NCAC 09 .0601(a) Technical assistance was provided as follows: Item 807 While outdoors, I observed active ant mounds along the side of the concrete and in the grass near the concrete sidewalk. We discussed prior to allowing the children to engaged in play on the playground to check for active ant mounds and notify the maintenance team to treat the ant mounds. Discuss with the children the appropriate ways to play outdoors and to mark off where the ant mounds are to help the children have a visual to stay away from those areas to prevent a child from getting bit/stung by an ant. Rule Reference: 10A NCAC 09.0601(a) 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 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 5/14/2025. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@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: During the visit, we reviewed the times to wash hands upon arrival at the center, after each visit to the toilet, before eating, and before and after water play, after outside play, and/or after handling animals or animal cages as a refresher for staff. We also reviewed the toxic plant list, and I left a copy of the plant list as a resource for the program to use when purchasing plants for the classroom. We discussed that procedures would need to be developed to address eating meals/snacks outdoors. Reviewed the requirements for administering over the counter medications permission forms. 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS (7) A parent may give a caregiver standing authorization for up to 12 months to apply over-the- counter, topical ointments, topical teething ointment or gel, insect repellents, lotions, creams, fluoridated toothpaste, and powders, such as sunscreen, diapering creams, baby lotion, and baby powder, to a child, when needed. The authorization shall be in writing and shall contain: - the child's name; - the names of the authorized ointments, repellents, lotions, creams, fluoridated toothpaste, and powders; - the criteria for the administration of the ointments, repellents, lotions, creams, fluoridated toothpaste, and powders; - the manner in which the ointments, repellents, lotions, creams, fluoridated toothpaste, and powders shall be applied; - the signature of the parent; - the date the authorization was signed by the parent; and the length of time the authorization is valid, if less than 12 months. **Reminders** -Staff SS qualifying letter will need to renewed by 11/4/2025. -CPR training is due by 8/2025 for all staff. Lead Paint and Asbestos Testing- In April 2023, North Carolina enacted final rules 10A NCAC 41C .1001-1007 requiring all public schools and child care facilities to: Test for lead in drinking/cooking water (.1005 and .2816), Identify lead-based paint hazards (.1004), Identify asbestos hazards (.1003), Mitigate or restrict access to any identified hazards. Testing is required to be completed by May 31, 2025. New and terminated staff notification requirement: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. 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 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 .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. 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 karla.terry@ dhhs.nc.gov or 828-200-9952, 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: MUD CREEK CHRISTIAN SCHOOL Facility ID: 45000252 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 4/30/2025 Number Present: 13 Completed Date: 4/30/2025 Age: From 4 To 5 Total Minutes: 155 Time In: 10:25 AM Time Out: 01:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for a routine unannounced visit. Upon arrival, the purpose of today’s visit was reviewed with you, Sherri Hill, Administrator. Your program currently operates with a Notice of Compliance, issued on 4/29/2017. The permit restrictions were in compliance including first shift (daytime care), meeting enhanced space. Sherri Hill, Administrator, accompanied me today during the walk through and was available to assist with questions. The program’s annual compliance visit was conducted on 12/10/2024. The following items were monitored today: Supervision Staff / Child Ratio CPR / First Aid Special Training CBC Qualification ITS – SIDS Emergency Medical Care Plan Administration of Medication Storage of Hazardous Products Storage of Medication General Safety Discipline Adequate / Approved Space Program Records License Posted Permit Restrictions The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety percent (90%) as of 4/16/2025. The North Carolina Secretary of State website was viewed prior to today’s visit and the nonprofit organization, Mud Creek Baptist Church, is current/active as of 4/30/2025. When reviewing the Secretary of State website, I noticed the registered agent is different than the application on file. The administrator stated that the church has made some changes and now has an advisory board. The advisory board chair is listed as the registered agent. I left a blank copy of the forms that needed to be updated. The administrator will submit those to me by 5/14/2025. We also reviewed the operation schedule and facility information. The facility does have an unlicensed half day program that operates from 8:45a-12:00p, and the full day licensed program that operates from 8:45a-5:00p. The one (1) approved classroom is the room that the full day program operates. The administrator stated that the children that need full day care must be enrolled in the one (1) classroom to stay for the full day program. The facility web address has changed to www.mudcreekschool.org and the fax number is no longer available. If someone needs to send a fax, the facility will submit the fax to Ms. Hills email address sherri@mudcreekchurch.org. This information was updated during the visit. The last fire drill was practiced on 4/30/2025. The last emergency drill, shelter in place drill, was practiced on 3/5/2025. The last fire inspection was approved on 9/11/2024. The last playground inspection was completed on 4/17/2025. The program’s most recent sanitation inspection was completed on 9/25/2024 with two (2) demerits. The last lead water testing was completed on 7/25/2023 and is due by 7/25/2026. The last lead paint and asbestos testing was completed on 7/22/2024. The facility does not accept subsidy. The facility does not provide transportation. During the visit, the fire drill alarm sounded at 10:35a. All staff and children evacuated the building and moved to their designated spots in the parking lot. Each group gathered in a circle and sat on the pavement. When each child and staff were accounted for, the teachers lifted a green card to notify the administrator that all were safe. Once the administrator accounted for each group, she used a walkie talkie to communicate with the staff that they may lower their green cards. When the administrator was given all clear at 10:40a, she notified the staff via walkie talkie that they may return to their classrooms. I observed the group of four- to five-year-old children lining up and the staff transitioning the class back to their room. Once in the classroom the group returned to free play. The children engaged in free play with free art, sensory table, blocks, manipulatives, dramatic play, and one on one art activity for Mother’s Day. The program does not have any medications for the children currently enrolled. The children enrolled at the facility have nutritional opt out forms on file and pack their food from home. The facility is looking to update the programs with outdoor equipment. We reviewed rule .0605 Outdoor Learning Environment discussing equipment openings and required surfacing. While outdoors, I observed active ant mounds along the side of the concrete and in the grass near the concrete sidewalk. The class was observed transitioning outdoors to eat lunch at the picnic tables located on the playground. We discussed that the children would need to use hand sanitizer prior to eating. The teachers gave each of the children hand sanitizer and ensured that they rubbed it in till it was dry prior to eating. We also discussed that procedures would need to be developed for eating outdoors to address how hands will be washed in the classroom prior to going outside, the use of hand sanitizer prior to eating outdoors, a permission to administer hand sanitizer authorization valid for up to twelve (12) months, and how the tables will be cleaned or covered prior to use. I recommend using disposable table cloths to lay over the tables prior to children siting down to eat. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Playground Safety, Special Training including Health and Safety Training and Criminal Background Checks. All staff files were current and up to date, no new staff have been hired. We did discuss that CPR training is due by 8/2025 for all staff, and staff member SS criminal background check qualifying letter is due by 11/4/2025. The administrator stated that she was aware and it was on her desk calendar as a reminder. 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 of child care requirements was observed today: Violation Number Comment Rule 807 A safe indoor and outdoor environment was not provided for the children. While outdoors, I observed active ant mounds along the side of the concrete and in the grass near the concrete sidewalk. 10A NCAC 09 .0601(a) Technical assistance was provided as follows: Item 807 While outdoors, I observed active ant mounds along the side of the concrete and in the grass near the concrete sidewalk. We discussed prior to allowing the children to engaged in play on the playground to check for active ant mounds and notify the maintenance team to treat the ant mounds. Discuss with the children the appropriate ways to play outdoors and to mark off where the ant mounds are to help the children have a visual to stay away from those areas to prevent a child from getting bit/stung by an ant. Rule Reference: 10A NCAC 09.0601(a) 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 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 5/14/2025. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@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: During the visit, we reviewed the times to wash hands upon arrival at the center, after each visit to the toilet, before eating, and before and after water play, after outside play, and/or after handling animals or animal cages as a refresher for staff. We also reviewed the toxic plant list, and I left a copy of the plant list as a resource for the program to use when purchasing plants for the classroom. We discussed that procedures would need to be developed to address eating meals/snacks outdoors. Reviewed the requirements for administering over the counter medications permission forms. 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS (7) A parent may give a caregiver standing authorization for up to 12 months to apply over-the- counter, topical ointments, topical teething ointment or gel, insect repellents, lotions, creams, fluoridated toothpaste, and powders, such as sunscreen, diapering creams, baby lotion, and baby powder, to a child, when needed. The authorization shall be in writing and shall contain: - the child's name; - the names of the authorized ointments, repellents, lotions, creams, fluoridated toothpaste, and powders; - the criteria for the administration of the ointments, repellents, lotions, creams, fluoridated toothpaste, and powders; - the manner in which the ointments, repellents, lotions, creams, fluoridated toothpaste, and powders shall be applied; - the signature of the parent; - the date the authorization was signed by the parent; and the length of time the authorization is valid, if less than 12 months. **Reminders** -Staff SS qualifying letter will need to renewed by 11/4/2025. -CPR training is due by 8/2025 for all staff. Lead Paint and Asbestos Testing- In April 2023, North Carolina enacted final rules 10A NCAC 41C .1001-1007 requiring all public schools and child care facilities to: Test for lead in drinking/cooking water (.1005 and .2816), Identify lead-based paint hazards (.1004), Identify asbestos hazards (.1003), Mitigate or restrict access to any identified hazards. Testing is required to be completed by May 31, 2025. New and terminated staff notification requirement: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. 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 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 .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. 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 karla.terry@ dhhs.nc.gov or 828-200-9952, 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: MUD CREEK CHRISTIAN SCHOOL Facility ID: 45000252 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 4/30/2025 Number Present: 13 Completed Date: 4/30/2025 Age: From 4 To 5 Total Minutes: 155 Time In: 10:25 AM Time Out: 01:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for a routine unannounced visit. Upon arrival, the purpose of today’s visit was reviewed with you, Sherri Hill, Administrator. Your program currently operates with a Notice of Compliance, issued on 4/29/2017. The permit restrictions were in compliance including first shift (daytime care), meeting enhanced space. Sherri Hill, Administrator, accompanied me today during the walk through and was available to assist with questions. The program’s annual compliance visit was conducted on 12/10/2024. The following items were monitored today: Supervision Staff / Child Ratio CPR / First Aid Special Training CBC Qualification ITS – SIDS Emergency Medical Care Plan Administration of Medication Storage of Hazardous Products Storage of Medication General Safety Discipline Adequate / Approved Space Program Records License Posted Permit Restrictions The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety percent (90%) as of 4/16/2025. The North Carolina Secretary of State website was viewed prior to today’s visit and the nonprofit organization, Mud Creek Baptist Church, is current/active as of 4/30/2025. When reviewing the Secretary of State website, I noticed the registered agent is different than the application on file. The administrator stated that the church has made some changes and now has an advisory board. The advisory board chair is listed as the registered agent. I left a blank copy of the forms that needed to be updated. The administrator will submit those to me by 5/14/2025. We also reviewed the operation schedule and facility information. The facility does have an unlicensed half day program that operates from 8:45a-12:00p, and the full day licensed program that operates from 8:45a-5:00p. The one (1) approved classroom is the room that the full day program operates. The administrator stated that the children that need full day care must be enrolled in the one (1) classroom to stay for the full day program. The facility web address has changed to www.mudcreekschool.org and the fax number is no longer available. If someone needs to send a fax, the facility will submit the fax to Ms. Hills email address sherri@mudcreekchurch.org. This information was updated during the visit. The last fire drill was practiced on 4/30/2025. The last emergency drill, shelter in place drill, was practiced on 3/5/2025. The last fire inspection was approved on 9/11/2024. The last playground inspection was completed on 4/17/2025. The program’s most recent sanitation inspection was completed on 9/25/2024 with two (2) demerits. The last lead water testing was completed on 7/25/2023 and is due by 7/25/2026. The last lead paint and asbestos testing was completed on 7/22/2024. The facility does not accept subsidy. The facility does not provide transportation. During the visit, the fire drill alarm sounded at 10:35a. All staff and children evacuated the building and moved to their designated spots in the parking lot. Each group gathered in a circle and sat on the pavement. When each child and staff were accounted for, the teachers lifted a green card to notify the administrator that all were safe. Once the administrator accounted for each group, she used a walkie talkie to communicate with the staff that they may lower their green cards. When the administrator was given all clear at 10:40a, she notified the staff via walkie talkie that they may return to their classrooms. I observed the group of four- to five-year-old children lining up and the staff transitioning the class back to their room. Once in the classroom the group returned to free play. The children engaged in free play with free art, sensory table, blocks, manipulatives, dramatic play, and one on one art activity for Mother’s Day. The program does not have any medications for the children currently enrolled. The children enrolled at the facility have nutritional opt out forms on file and pack their food from home. The facility is looking to update the programs with outdoor equipment. We reviewed rule .0605 Outdoor Learning Environment discussing equipment openings and required surfacing. While outdoors, I observed active ant mounds along the side of the concrete and in the grass near the concrete sidewalk. The class was observed transitioning outdoors to eat lunch at the picnic tables located on the playground. We discussed that the children would need to use hand sanitizer prior to eating. The teachers gave each of the children hand sanitizer and ensured that they rubbed it in till it was dry prior to eating. We also discussed that procedures would need to be developed for eating outdoors to address how hands will be washed in the classroom prior to going outside, the use of hand sanitizer prior to eating outdoors, a permission to administer hand sanitizer authorization valid for up to twelve (12) months, and how the tables will be cleaned or covered prior to use. I recommend using disposable table cloths to lay over the tables prior to children siting down to eat. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Playground Safety, Special Training including Health and Safety Training and Criminal Background Checks. All staff files were current and up to date, no new staff have been hired. We did discuss that CPR training is due by 8/2025 for all staff, and staff member SS criminal background check qualifying letter is due by 11/4/2025. The administrator stated that she was aware and it was on her desk calendar as a reminder. 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 of child care requirements was observed today: Violation Number Comment Rule 807 A safe indoor and outdoor environment was not provided for the children. While outdoors, I observed active ant mounds along the side of the concrete and in the grass near the concrete sidewalk. 10A NCAC 09 .0601(a) Technical assistance was provided as follows: Item 807 While outdoors, I observed active ant mounds along the side of the concrete and in the grass near the concrete sidewalk. We discussed prior to allowing the children to engaged in play on the playground to check for active ant mounds and notify the maintenance team to treat the ant mounds. Discuss with the children the appropriate ways to play outdoors and to mark off where the ant mounds are to help the children have a visual to stay away from those areas to prevent a child from getting bit/stung by an ant. Rule Reference: 10A NCAC 09.0601(a) 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 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 5/14/2025. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@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: During the visit, we reviewed the times to wash hands upon arrival at the center, after each visit to the toilet, before eating, and before and after water play, after outside play, and/or after handling animals or animal cages as a refresher for staff. We also reviewed the toxic plant list, and I left a copy of the plant list as a resource for the program to use when purchasing plants for the classroom. We discussed that procedures would need to be developed to address eating meals/snacks outdoors. Reviewed the requirements for administering over the counter medications permission forms. 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS (7) A parent may give a caregiver standing authorization for up to 12 months to apply over-the- counter, topical ointments, topical teething ointment or gel, insect repellents, lotions, creams, fluoridated toothpaste, and powders, such as sunscreen, diapering creams, baby lotion, and baby powder, to a child, when needed. The authorization shall be in writing and shall contain: - the child's name; - the names of the authorized ointments, repellents, lotions, creams, fluoridated toothpaste, and powders; - the criteria for the administration of the ointments, repellents, lotions, creams, fluoridated toothpaste, and powders; - the manner in which the ointments, repellents, lotions, creams, fluoridated toothpaste, and powders shall be applied; - the signature of the parent; - the date the authorization was signed by the parent; and the length of time the authorization is valid, if less than 12 months. **Reminders** -Staff SS qualifying letter will need to renewed by 11/4/2025. -CPR training is due by 8/2025 for all staff. Lead Paint and Asbestos Testing- In April 2023, North Carolina enacted final rules 10A NCAC 41C .1001-1007 requiring all public schools and child care facilities to: Test for lead in drinking/cooking water (.1005 and .2816), Identify lead-based paint hazards (.1004), Identify asbestos hazards (.1003), Mitigate or restrict access to any identified hazards. Testing is required to be completed by May 31, 2025. New and terminated staff notification requirement: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. 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 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 .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. 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 karla.terry@ dhhs.nc.gov or 828-200-9952, 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: MUD CREEK CHRISTIAN SCHOOL Facility ID: 45000252 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 4/30/2025 Number Present: 13 Completed Date: 4/30/2025 Age: From 4 To 5 Total Minutes: 155 Time In: 10:25 AM Time Out: 01:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for a routine unannounced visit. Upon arrival, the purpose of today’s visit was reviewed with you, Sherri Hill, Administrator. Your program currently operates with a Notice of Compliance, issued on 4/29/2017. The permit restrictions were in compliance including first shift (daytime care), meeting enhanced space. Sherri Hill, Administrator, accompanied me today during the walk through and was available to assist with questions. The program’s annual compliance visit was conducted on 12/10/2024. The following items were monitored today: Supervision Staff / Child Ratio CPR / First Aid Special Training CBC Qualification ITS – SIDS Emergency Medical Care Plan Administration of Medication Storage of Hazardous Products Storage of Medication General Safety Discipline Adequate / Approved Space Program Records License Posted Permit Restrictions The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety percent (90%) as of 4/16/2025. The North Carolina Secretary of State website was viewed prior to today’s visit and the nonprofit organization, Mud Creek Baptist Church, is current/active as of 4/30/2025. When reviewing the Secretary of State website, I noticed the registered agent is different than the application on file. The administrator stated that the church has made some changes and now has an advisory board. The advisory board chair is listed as the registered agent. I left a blank copy of the forms that needed to be updated. The administrator will submit those to me by 5/14/2025. We also reviewed the operation schedule and facility information. The facility does have an unlicensed half day program that operates from 8:45a-12:00p, and the full day licensed program that operates from 8:45a-5:00p. The one (1) approved classroom is the room that the full day program operates. The administrator stated that the children that need full day care must be enrolled in the one (1) classroom to stay for the full day program. The facility web address has changed to www.mudcreekschool.org and the fax number is no longer available. If someone needs to send a fax, the facility will submit the fax to Ms. Hills email address sherri@mudcreekchurch.org. This information was updated during the visit. The last fire drill was practiced on 4/30/2025. The last emergency drill, shelter in place drill, was practiced on 3/5/2025. The last fire inspection was approved on 9/11/2024. The last playground inspection was completed on 4/17/2025. The program’s most recent sanitation inspection was completed on 9/25/2024 with two (2) demerits. The last lead water testing was completed on 7/25/2023 and is due by 7/25/2026. The last lead paint and asbestos testing was completed on 7/22/2024. The facility does not accept subsidy. The facility does not provide transportation. During the visit, the fire drill alarm sounded at 10:35a. All staff and children evacuated the building and moved to their designated spots in the parking lot. Each group gathered in a circle and sat on the pavement. When each child and staff were accounted for, the teachers lifted a green card to notify the administrator that all were safe. Once the administrator accounted for each group, she used a walkie talkie to communicate with the staff that they may lower their green cards. When the administrator was given all clear at 10:40a, she notified the staff via walkie talkie that they may return to their classrooms. I observed the group of four- to five-year-old children lining up and the staff transitioning the class back to their room. Once in the classroom the group returned to free play. The children engaged in free play with free art, sensory table, blocks, manipulatives, dramatic play, and one on one art activity for Mother’s Day. The program does not have any medications for the children currently enrolled. The children enrolled at the facility have nutritional opt out forms on file and pack their food from home. The facility is looking to update the programs with outdoor equipment. We reviewed rule .0605 Outdoor Learning Environment discussing equipment openings and required surfacing. While outdoors, I observed active ant mounds along the side of the concrete and in the grass near the concrete sidewalk. The class was observed transitioning outdoors to eat lunch at the picnic tables located on the playground. We discussed that the children would need to use hand sanitizer prior to eating. The teachers gave each of the children hand sanitizer and ensured that they rubbed it in till it was dry prior to eating. We also discussed that procedures would need to be developed for eating outdoors to address how hands will be washed in the classroom prior to going outside, the use of hand sanitizer prior to eating outdoors, a permission to administer hand sanitizer authorization valid for up to twelve (12) months, and how the tables will be cleaned or covered prior to use. I recommend using disposable table cloths to lay over the tables prior to children siting down to eat. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Playground Safety, Special Training including Health and Safety Training and Criminal Background Checks. All staff files were current and up to date, no new staff have been hired. We did discuss that CPR training is due by 8/2025 for all staff, and staff member SS criminal background check qualifying letter is due by 11/4/2025. The administrator stated that she was aware and it was on her desk calendar as a reminder. 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 of child care requirements was observed today: Violation Number Comment Rule 807 A safe indoor and outdoor environment was not provided for the children. While outdoors, I observed active ant mounds along the side of the concrete and in the grass near the concrete sidewalk. 10A NCAC 09 .0601(a) Technical assistance was provided as follows: Item 807 While outdoors, I observed active ant mounds along the side of the concrete and in the grass near the concrete sidewalk. We discussed prior to allowing the children to engaged in play on the playground to check for active ant mounds and notify the maintenance team to treat the ant mounds. Discuss with the children the appropriate ways to play outdoors and to mark off where the ant mounds are to help the children have a visual to stay away from those areas to prevent a child from getting bit/stung by an ant. Rule Reference: 10A NCAC 09.0601(a) 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 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 5/14/2025. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@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: During the visit, we reviewed the times to wash hands upon arrival at the center, after each visit to the toilet, before eating, and before and after water play, after outside play, and/or after handling animals or animal cages as a refresher for staff. We also reviewed the toxic plant list, and I left a copy of the plant list as a resource for the program to use when purchasing plants for the classroom. We discussed that procedures would need to be developed to address eating meals/snacks outdoors. Reviewed the requirements for administering over the counter medications permission forms. 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS (7) A parent may give a caregiver standing authorization for up to 12 months to apply over-the- counter, topical ointments, topical teething ointment or gel, insect repellents, lotions, creams, fluoridated toothpaste, and powders, such as sunscreen, diapering creams, baby lotion, and baby powder, to a child, when needed. The authorization shall be in writing and shall contain: - the child's name; - the names of the authorized ointments, repellents, lotions, creams, fluoridated toothpaste, and powders; - the criteria for the administration of the ointments, repellents, lotions, creams, fluoridated toothpaste, and powders; - the manner in which the ointments, repellents, lotions, creams, fluoridated toothpaste, and powders shall be applied; - the signature of the parent; - the date the authorization was signed by the parent; and the length of time the authorization is valid, if less than 12 months. **Reminders** -Staff SS qualifying letter will need to renewed by 11/4/2025. -CPR training is due by 8/2025 for all staff. Lead Paint and Asbestos Testing- In April 2023, North Carolina enacted final rules 10A NCAC 41C .1001-1007 requiring all public schools and child care facilities to: Test for lead in drinking/cooking water (.1005 and .2816), Identify lead-based paint hazards (.1004), Identify asbestos hazards (.1003), Mitigate or restrict access to any identified hazards. Testing is required to be completed by May 31, 2025. New and terminated staff notification requirement: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. 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 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 .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. 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 karla.terry@ dhhs.nc.gov or 828-200-9952, 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: MUD CREEK CHRISTIAN SCHOOL Facility ID: 45000252 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 4/30/2025 Number Present: 13 Completed Date: 4/30/2025 Age: From 4 To 5 Total Minutes: 155 Time In: 10:25 AM Time Out: 01:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for a routine unannounced visit. Upon arrival, the purpose of today’s visit was reviewed with you, Sherri Hill, Administrator. Your program currently operates with a Notice of Compliance, issued on 4/29/2017. The permit restrictions were in compliance including first shift (daytime care), meeting enhanced space. Sherri Hill, Administrator, accompanied me today during the walk through and was available to assist with questions. The program’s annual compliance visit was conducted on 12/10/2024. The following items were monitored today: Supervision Staff / Child Ratio CPR / First Aid Special Training CBC Qualification ITS – SIDS Emergency Medical Care Plan Administration of Medication Storage of Hazardous Products Storage of Medication General Safety Discipline Adequate / Approved Space Program Records License Posted Permit Restrictions The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety percent (90%) as of 4/16/2025. The North Carolina Secretary of State website was viewed prior to today’s visit and the nonprofit organization, Mud Creek Baptist Church, is current/active as of 4/30/2025. When reviewing the Secretary of State website, I noticed the registered agent is different than the application on file. The administrator stated that the church has made some changes and now has an advisory board. The advisory board chair is listed as the registered agent. I left a blank copy of the forms that needed to be updated. The administrator will submit those to me by 5/14/2025. We also reviewed the operation schedule and facility information. The facility does have an unlicensed half day program that operates from 8:45a-12:00p, and the full day licensed program that operates from 8:45a-5:00p. The one (1) approved classroom is the room that the full day program operates. The administrator stated that the children that need full day care must be enrolled in the one (1) classroom to stay for the full day program. The facility web address has changed to www.mudcreekschool.org and the fax number is no longer available. If someone needs to send a fax, the facility will submit the fax to Ms. Hills email address sherri@mudcreekchurch.org. This information was updated during the visit. The last fire drill was practiced on 4/30/2025. The last emergency drill, shelter in place drill, was practiced on 3/5/2025. The last fire inspection was approved on 9/11/2024. The last playground inspection was completed on 4/17/2025. The program’s most recent sanitation inspection was completed on 9/25/2024 with two (2) demerits. The last lead water testing was completed on 7/25/2023 and is due by 7/25/2026. The last lead paint and asbestos testing was completed on 7/22/2024. The facility does not accept subsidy. The facility does not provide transportation. During the visit, the fire drill alarm sounded at 10:35a. All staff and children evacuated the building and moved to their designated spots in the parking lot. Each group gathered in a circle and sat on the pavement. When each child and staff were accounted for, the teachers lifted a green card to notify the administrator that all were safe. Once the administrator accounted for each group, she used a walkie talkie to communicate with the staff that they may lower their green cards. When the administrator was given all clear at 10:40a, she notified the staff via walkie talkie that they may return to their classrooms. I observed the group of four- to five-year-old children lining up and the staff transitioning the class back to their room. Once in the classroom the group returned to free play. The children engaged in free play with free art, sensory table, blocks, manipulatives, dramatic play, and one on one art activity for Mother’s Day. The program does not have any medications for the children currently enrolled. The children enrolled at the facility have nutritional opt out forms on file and pack their food from home. The facility is looking to update the programs with outdoor equipment. We reviewed rule .0605 Outdoor Learning Environment discussing equipment openings and required surfacing. While outdoors, I observed active ant mounds along the side of the concrete and in the grass near the concrete sidewalk. The class was observed transitioning outdoors to eat lunch at the picnic tables located on the playground. We discussed that the children would need to use hand sanitizer prior to eating. The teachers gave each of the children hand sanitizer and ensured that they rubbed it in till it was dry prior to eating. We also discussed that procedures would need to be developed for eating outdoors to address how hands will be washed in the classroom prior to going outside, the use of hand sanitizer prior to eating outdoors, a permission to administer hand sanitizer authorization valid for up to twelve (12) months, and how the tables will be cleaned or covered prior to use. I recommend using disposable table cloths to lay over the tables prior to children siting down to eat. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Playground Safety, Special Training including Health and Safety Training and Criminal Background Checks. All staff files were current and up to date, no new staff have been hired. We did discuss that CPR training is due by 8/2025 for all staff, and staff member SS criminal background check qualifying letter is due by 11/4/2025. The administrator stated that she was aware and it was on her desk calendar as a reminder. 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 of child care requirements was observed today: Violation Number Comment Rule 807 A safe indoor and outdoor environment was not provided for the children. While outdoors, I observed active ant mounds along the side of the concrete and in the grass near the concrete sidewalk. 10A NCAC 09 .0601(a) Technical assistance was provided as follows: Item 807 While outdoors, I observed active ant mounds along the side of the concrete and in the grass near the concrete sidewalk. We discussed prior to allowing the children to engaged in play on the playground to check for active ant mounds and notify the maintenance team to treat the ant mounds. Discuss with the children the appropriate ways to play outdoors and to mark off where the ant mounds are to help the children have a visual to stay away from those areas to prevent a child from getting bit/stung by an ant. Rule Reference: 10A NCAC 09.0601(a) 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 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 5/14/2025. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@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: During the visit, we reviewed the times to wash hands upon arrival at the center, after each visit to the toilet, before eating, and before and after water play, after outside play, and/or after handling animals or animal cages as a refresher for staff. We also reviewed the toxic plant list, and I left a copy of the plant list as a resource for the program to use when purchasing plants for the classroom. We discussed that procedures would need to be developed to address eating meals/snacks outdoors. Reviewed the requirements for administering over the counter medications permission forms. 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS (7) A parent may give a caregiver standing authorization for up to 12 months to apply over-the- counter, topical ointments, topical teething ointment or gel, insect repellents, lotions, creams, fluoridated toothpaste, and powders, such as sunscreen, diapering creams, baby lotion, and baby powder, to a child, when needed. The authorization shall be in writing and shall contain: - the child's name; - the names of the authorized ointments, repellents, lotions, creams, fluoridated toothpaste, and powders; - the criteria for the administration of the ointments, repellents, lotions, creams, fluoridated toothpaste, and powders; - the manner in which the ointments, repellents, lotions, creams, fluoridated toothpaste, and powders shall be applied; - the signature of the parent; - the date the authorization was signed by the parent; and the length of time the authorization is valid, if less than 12 months. **Reminders** -Staff SS qualifying letter will need to renewed by 11/4/2025. -CPR training is due by 8/2025 for all staff. Lead Paint and Asbestos Testing- In April 2023, North Carolina enacted final rules 10A NCAC 41C .1001-1007 requiring all public schools and child care facilities to: Test for lead in drinking/cooking water (.1005 and .2816), Identify lead-based paint hazards (.1004), Identify asbestos hazards (.1003), Mitigate or restrict access to any identified hazards. Testing is required to be completed by May 31, 2025. New and terminated staff notification requirement: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. 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 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 .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. 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 karla.terry@ dhhs.nc.gov or 828-200-9952, 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: MUD CREEK CHRISTIAN SCHOOL Facility ID: 45000252 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 4/30/2025 Number Present: 13 Completed Date: 4/30/2025 Age: From 4 To 5 Total Minutes: 155 Time In: 10:25 AM Time Out: 01:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for a routine unannounced visit. Upon arrival, the purpose of today’s visit was reviewed with you, Sherri Hill, Administrator. Your program currently operates with a Notice of Compliance, issued on 4/29/2017. The permit restrictions were in compliance including first shift (daytime care), meeting enhanced space. Sherri Hill, Administrator, accompanied me today during the walk through and was available to assist with questions. The program’s annual compliance visit was conducted on 12/10/2024. The following items were monitored today: Supervision Staff / Child Ratio CPR / First Aid Special Training CBC Qualification ITS – SIDS Emergency Medical Care Plan Administration of Medication Storage of Hazardous Products Storage of Medication General Safety Discipline Adequate / Approved Space Program Records License Posted Permit Restrictions The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety percent (90%) as of 4/16/2025. The North Carolina Secretary of State website was viewed prior to today’s visit and the nonprofit organization, Mud Creek Baptist Church, is current/active as of 4/30/2025. When reviewing the Secretary of State website, I noticed the registered agent is different than the application on file. The administrator stated that the church has made some changes and now has an advisory board. The advisory board chair is listed as the registered agent. I left a blank copy of the forms that needed to be updated. The administrator will submit those to me by 5/14/2025. We also reviewed the operation schedule and facility information. The facility does have an unlicensed half day program that operates from 8:45a-12:00p, and the full day licensed program that operates from 8:45a-5:00p. The one (1) approved classroom is the room that the full day program operates. The administrator stated that the children that need full day care must be enrolled in the one (1) classroom to stay for the full day program. The facility web address has changed to www.mudcreekschool.org and the fax number is no longer available. If someone needs to send a fax, the facility will submit the fax to Ms. Hills email address sherri@mudcreekchurch.org. This information was updated during the visit. The last fire drill was practiced on 4/30/2025. The last emergency drill, shelter in place drill, was practiced on 3/5/2025. The last fire inspection was approved on 9/11/2024. The last playground inspection was completed on 4/17/2025. The program’s most recent sanitation inspection was completed on 9/25/2024 with two (2) demerits. The last lead water testing was completed on 7/25/2023 and is due by 7/25/2026. The last lead paint and asbestos testing was completed on 7/22/2024. The facility does not accept subsidy. The facility does not provide transportation. During the visit, the fire drill alarm sounded at 10:35a. All staff and children evacuated the building and moved to their designated spots in the parking lot. Each group gathered in a circle and sat on the pavement. When each child and staff were accounted for, the teachers lifted a green card to notify the administrator that all were safe. Once the administrator accounted for each group, she used a walkie talkie to communicate with the staff that they may lower their green cards. When the administrator was given all clear at 10:40a, she notified the staff via walkie talkie that they may return to their classrooms. I observed the group of four- to five-year-old children lining up and the staff transitioning the class back to their room. Once in the classroom the group returned to free play. The children engaged in free play with free art, sensory table, blocks, manipulatives, dramatic play, and one on one art activity for Mother’s Day. The program does not have any medications for the children currently enrolled. The children enrolled at the facility have nutritional opt out forms on file and pack their food from home. The facility is looking to update the programs with outdoor equipment. We reviewed rule .0605 Outdoor Learning Environment discussing equipment openings and required surfacing. While outdoors, I observed active ant mounds along the side of the concrete and in the grass near the concrete sidewalk. The class was observed transitioning outdoors to eat lunch at the picnic tables located on the playground. We discussed that the children would need to use hand sanitizer prior to eating. The teachers gave each of the children hand sanitizer and ensured that they rubbed it in till it was dry prior to eating. We also discussed that procedures would need to be developed for eating outdoors to address how hands will be washed in the classroom prior to going outside, the use of hand sanitizer prior to eating outdoors, a permission to administer hand sanitizer authorization valid for up to twelve (12) months, and how the tables will be cleaned or covered prior to use. I recommend using disposable table cloths to lay over the tables prior to children siting down to eat. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Playground Safety, Special Training including Health and Safety Training and Criminal Background Checks. All staff files were current and up to date, no new staff have been hired. We did discuss that CPR training is due by 8/2025 for all staff, and staff member SS criminal background check qualifying letter is due by 11/4/2025. The administrator stated that she was aware and it was on her desk calendar as a reminder. 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 of child care requirements was observed today: Violation Number Comment Rule 807 A safe indoor and outdoor environment was not provided for the children. While outdoors, I observed active ant mounds along the side of the concrete and in the grass near the concrete sidewalk. 10A NCAC 09 .0601(a) Technical assistance was provided as follows: Item 807 While outdoors, I observed active ant mounds along the side of the concrete and in the grass near the concrete sidewalk. We discussed prior to allowing the children to engaged in play on the playground to check for active ant mounds and notify the maintenance team to treat the ant mounds. Discuss with the children the appropriate ways to play outdoors and to mark off where the ant mounds are to help the children have a visual to stay away from those areas to prevent a child from getting bit/stung by an ant. Rule Reference: 10A NCAC 09.0601(a) 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 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 5/14/2025. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@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: During the visit, we reviewed the times to wash hands upon arrival at the center, after each visit to the toilet, before eating, and before and after water play, after outside play, and/or after handling animals or animal cages as a refresher for staff. We also reviewed the toxic plant list, and I left a copy of the plant list as a resource for the program to use when purchasing plants for the classroom. We discussed that procedures would need to be developed to address eating meals/snacks outdoors. Reviewed the requirements for administering over the counter medications permission forms. 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS (7) A parent may give a caregiver standing authorization for up to 12 months to apply over-the- counter, topical ointments, topical teething ointment or gel, insect repellents, lotions, creams, fluoridated toothpaste, and powders, such as sunscreen, diapering creams, baby lotion, and baby powder, to a child, when needed. The authorization shall be in writing and shall contain: - the child's name; - the names of the authorized ointments, repellents, lotions, creams, fluoridated toothpaste, and powders; - the criteria for the administration of the ointments, repellents, lotions, creams, fluoridated toothpaste, and powders; - the manner in which the ointments, repellents, lotions, creams, fluoridated toothpaste, and powders shall be applied; - the signature of the parent; - the date the authorization was signed by the parent; and the length of time the authorization is valid, if less than 12 months. **Reminders** -Staff SS qualifying letter will need to renewed by 11/4/2025. -CPR training is due by 8/2025 for all staff. Lead Paint and Asbestos Testing- In April 2023, North Carolina enacted final rules 10A NCAC 41C .1001-1007 requiring all public schools and child care facilities to: Test for lead in drinking/cooking water (.1005 and .2816), Identify lead-based paint hazards (.1004), Identify asbestos hazards (.1003), Mitigate or restrict access to any identified hazards. Testing is required to be completed by May 31, 2025. New and terminated staff notification requirement: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. 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 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 .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. 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 karla.terry@ dhhs.nc.gov or 828-200-9952, 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: MUD CREEK CHRISTIAN SCHOOL Facility ID: 45000252 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 4/30/2025 Number Present: 13 Completed Date: 4/30/2025 Age: From 4 To 5 Total Minutes: 155 Time In: 10:25 AM Time Out: 01:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for a routine unannounced visit. Upon arrival, the purpose of today’s visit was reviewed with you, Sherri Hill, Administrator. Your program currently operates with a Notice of Compliance, issued on 4/29/2017. The permit restrictions were in compliance including first shift (daytime care), meeting enhanced space. Sherri Hill, Administrator, accompanied me today during the walk through and was available to assist with questions. The program’s annual compliance visit was conducted on 12/10/2024. The following items were monitored today: Supervision Staff / Child Ratio CPR / First Aid Special Training CBC Qualification ITS – SIDS Emergency Medical Care Plan Administration of Medication Storage of Hazardous Products Storage of Medication General Safety Discipline Adequate / Approved Space Program Records License Posted Permit Restrictions The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety percent (90%) as of 4/16/2025. The North Carolina Secretary of State website was viewed prior to today’s visit and the nonprofit organization, Mud Creek Baptist Church, is current/active as of 4/30/2025. When reviewing the Secretary of State website, I noticed the registered agent is different than the application on file. The administrator stated that the church has made some changes and now has an advisory board. The advisory board chair is listed as the registered agent. I left a blank copy of the forms that needed to be updated. The administrator will submit those to me by 5/14/2025. We also reviewed the operation schedule and facility information. The facility does have an unlicensed half day program that operates from 8:45a-12:00p, and the full day licensed program that operates from 8:45a-5:00p. The one (1) approved classroom is the room that the full day program operates. The administrator stated that the children that need full day care must be enrolled in the one (1) classroom to stay for the full day program. The facility web address has changed to www.mudcreekschool.org and the fax number is no longer available. If someone needs to send a fax, the facility will submit the fax to Ms. Hills email address sherri@mudcreekchurch.org. This information was updated during the visit. The last fire drill was practiced on 4/30/2025. The last emergency drill, shelter in place drill, was practiced on 3/5/2025. The last fire inspection was approved on 9/11/2024. The last playground inspection was completed on 4/17/2025. The program’s most recent sanitation inspection was completed on 9/25/2024 with two (2) demerits. The last lead water testing was completed on 7/25/2023 and is due by 7/25/2026. The last lead paint and asbestos testing was completed on 7/22/2024. The facility does not accept subsidy. The facility does not provide transportation. During the visit, the fire drill alarm sounded at 10:35a. All staff and children evacuated the building and moved to their designated spots in the parking lot. Each group gathered in a circle and sat on the pavement. When each child and staff were accounted for, the teachers lifted a green card to notify the administrator that all were safe. Once the administrator accounted for each group, she used a walkie talkie to communicate with the staff that they may lower their green cards. When the administrator was given all clear at 10:40a, she notified the staff via walkie talkie that they may return to their classrooms. I observed the group of four- to five-year-old children lining up and the staff transitioning the class back to their room. Once in the classroom the group returned to free play. The children engaged in free play with free art, sensory table, blocks, manipulatives, dramatic play, and one on one art activity for Mother’s Day. The program does not have any medications for the children currently enrolled. The children enrolled at the facility have nutritional opt out forms on file and pack their food from home. The facility is looking to update the programs with outdoor equipment. We reviewed rule .0605 Outdoor Learning Environment discussing equipment openings and required surfacing. While outdoors, I observed active ant mounds along the side of the concrete and in the grass near the concrete sidewalk. The class was observed transitioning outdoors to eat lunch at the picnic tables located on the playground. We discussed that the children would need to use hand sanitizer prior to eating. The teachers gave each of the children hand sanitizer and ensured that they rubbed it in till it was dry prior to eating. We also discussed that procedures would need to be developed for eating outdoors to address how hands will be washed in the classroom prior to going outside, the use of hand sanitizer prior to eating outdoors, a permission to administer hand sanitizer authorization valid for up to twelve (12) months, and how the tables will be cleaned or covered prior to use. I recommend using disposable table cloths to lay over the tables prior to children siting down to eat. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Playground Safety, Special Training including Health and Safety Training and Criminal Background Checks. All staff files were current and up to date, no new staff have been hired. We did discuss that CPR training is due by 8/2025 for all staff, and staff member SS criminal background check qualifying letter is due by 11/4/2025. The administrator stated that she was aware and it was on her desk calendar as a reminder. 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 of child care requirements was observed today: Violation Number Comment Rule 807 A safe indoor and outdoor environment was not provided for the children. While outdoors, I observed active ant mounds along the side of the concrete and in the grass near the concrete sidewalk. 10A NCAC 09 .0601(a) Technical assistance was provided as follows: Item 807 While outdoors, I observed active ant mounds along the side of the concrete and in the grass near the concrete sidewalk. We discussed prior to allowing the children to engaged in play on the playground to check for active ant mounds and notify the maintenance team to treat the ant mounds. Discuss with the children the appropriate ways to play outdoors and to mark off where the ant mounds are to help the children have a visual to stay away from those areas to prevent a child from getting bit/stung by an ant. Rule Reference: 10A NCAC 09.0601(a) 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 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 5/14/2025. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@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: During the visit, we reviewed the times to wash hands upon arrival at the center, after each visit to the toilet, before eating, and before and after water play, after outside play, and/or after handling animals or animal cages as a refresher for staff. We also reviewed the toxic plant list, and I left a copy of the plant list as a resource for the program to use when purchasing plants for the classroom. We discussed that procedures would need to be developed to address eating meals/snacks outdoors. Reviewed the requirements for administering over the counter medications permission forms. 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS (7) A parent may give a caregiver standing authorization for up to 12 months to apply over-the- counter, topical ointments, topical teething ointment or gel, insect repellents, lotions, creams, fluoridated toothpaste, and powders, such as sunscreen, diapering creams, baby lotion, and baby powder, to a child, when needed. The authorization shall be in writing and shall contain: - the child's name; - the names of the authorized ointments, repellents, lotions, creams, fluoridated toothpaste, and powders; - the criteria for the administration of the ointments, repellents, lotions, creams, fluoridated toothpaste, and powders; - the manner in which the ointments, repellents, lotions, creams, fluoridated toothpaste, and powders shall be applied; - the signature of the parent; - the date the authorization was signed by the parent; and the length of time the authorization is valid, if less than 12 months. **Reminders** -Staff SS qualifying letter will need to renewed by 11/4/2025. -CPR training is due by 8/2025 for all staff. Lead Paint and Asbestos Testing- In April 2023, North Carolina enacted final rules 10A NCAC 41C .1001-1007 requiring all public schools and child care facilities to: Test for lead in drinking/cooking water (.1005 and .2816), Identify lead-based paint hazards (.1004), Identify asbestos hazards (.1003), Mitigate or restrict access to any identified hazards. Testing is required to be completed by May 31, 2025. New and terminated staff notification requirement: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. 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 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 .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. 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 karla.terry@ dhhs.nc.gov or 828-200-9952, 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: MUD CREEK CHRISTIAN SCHOOL Facility ID: 45000252 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 12/10/2024 Number Present: 9 Completed Date: 12/10/2024 Age: From 3 To 5 Total Minutes: 195 Time In: 09:45 AM Time Out: 01:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Karla Terry, Child Care Consultant and also signed by Sherri Hill, Administrator, during the visit. An electronic signed copy of the visit summary was left on-site with you. Sherri Hill, Administrator was on-site and available 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-two percent (92%) as of 12/3/2024. The North Carolina Secretary of State website was viewed prior to today’s visit and the Non-Profit Corporation, Mud Creek Baptist Church, is current/active as of 12/3/2024 Permit type – Notice of Compliance GS-110, issued 4/29/2017. Special Services/Restrictions – first shift, meets enhanced space. The last annual compliance visit was conducted on 1/19/2024. The last fire drill was practiced on 12/9/2024. The last shelter-in-place drill was practiced on 10/31/2024. The last playground inspection was documented on 11/21/2024. The last fire inspection was approved on 9/11/2024. The last sanitation inspection was conducted on 9/25/2024 with two (2) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The facility closed 9/27/2024 due to Tropical Storm Helene and re-opened on 10/16/2024. Upon arrival, I was greeted by Sherri Hill, Administrator. I observed the group with three- to five-year-old children transitioning to the restroom. After using the restroom, the children transitioned to the tables for snack. Each child has a nutritional opt out form on file and bring their meals and snacks from home. While monitoring the indoor space, I observed in the first aid kit one (1) tube of antibiotic ointment, and one (1) tube of hydrocortisone cream. The administrator removed the ointment and cream from the first aid kit and took it to the office space to store. I also observed an adult screwdriver in an unlocked drawer below five (5) feet. The teacher removed the screwdriver during the visit and moved it to the locked storage. The program does not provide transportation. While reviewing staff files, I observed staff member E. Tyndall provisional qualification letter expired on 10/31/2024. The staff member was hired prior to Tropical Storm Helene, the provisional qualification was issued 9/16/2024 and expired on 10/31/2024. The administrator stated that the staff member did attempt to complete the out of state requirements and thought the documents were communicated directly with the criminal background check unit. During the visit, the documents on file were attempted to be uploaded but the online system stated that the application was closed. I reached out to my supervisor during the visit for guidance regarding next steps. After speaking with my supervisor, I reached out to the Criminal Background Check Unit via email to explain the situation. Communication was received back to send over any information that was on file for review and a staff member would review the information. The final response from the criminal background check unit was they will have this processed shortly. The applicants account was check and the qualifying letter was received during the visit. Also, while reviewing staff files, one (1) substitute was listed and the Shaken Baby and Abusive Head Trauma policy was not on file. When I asked the administrator about this staff member, she stated that she is substitute that has been hired but has not worked in the licensed classroom. She stated that the substitute will review and complete the Shaken Baby and Abusive Head Trauma policy prior to caring for the children. 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 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. The first aid kit located on top of the shelf beside the built in sink counter had one (1) tube of antibiotic ointment, and one (1) tube of hydrocortisone cream. 15A NCAC 18A .2820(d) 1422 Potentially hazardous items such as archery equipment, hand and power tools, nails, chemicals, or propane stoves, were not stored in locked areas or with other safeguards, or removed from the premises. One (1) adult screwdriver was observed in an unlocked drawer below five (5) feet at the built in counter for the teacher area located to the left of the classroom door. .2506(c) 1757 A valid qualification letter was not on file and available to review at the facility. Staff member E. Tyndall provisional qualification letter expired on 10/31/2024 and a valid qualifying letter was not on file for review. G.S. 110-90.2(b) & (d) & .2703(e) 1953 An individual on a provisional criminal background status did not complete and submit documents that were specific to their former state of residence within the required time frame. Staff member E. Tyndall provisional qualification letter expired on 10/31/2024. G.S. 110-90.2(b) & .2703(g) Technical assistance was provided as follows: Item 841- The first aid kit located on top of the shelf beside the built in sink counter had one (1) tube of antibiotic ointment, and one (1) tube of hydrocortisone cream. The administrator removed the ointment and cream from the first aid kit and took it to the office space to store. Rule Reference: 15A NCAC 18A.2820(d) Item 1422- One (1) adult screwdriver was observed in an unlocked drawer below five (5) feet at the built in counter for the teacher area located to the left of the classroom door. The teacher removed the screwdriver during the visit and moved it to the locked storage. Rule Reference: .2506(c) Item 1757- Staff member E. Tyndall provisional qualification letter expired on 10/31/2024 and a valid qualifying letter was not on file for review. The administrator stated that the staff member did attempt to complete the out of state requirements and thought the documents were communicated directly with the criminal background check unit. During the visit, the documents on file were attempted to be uploaded but the online system stated that the application was closed. I reached out to my supervisor during the visit for guidance regarding next steps. After speaking with my supervisor, I reached out to the Criminal Background Check Unit via email to explain the situation. Communication was received back to send over any information that was on file for review and a staff member would review the information. The final response from the criminal background check unit was they will have this processed shortly. The applicants account was check and the qualifying letter was received during the visit. Rule Reference: G.S. 110-90.2(b) & (d) & .2703(e) Item 1953 - Staff member E. Tyndall provisional qualification letter expired on 10/31/2024. The administrator stated that the staff member did attempt to complete the out of state requirements and thought the documents were communicated directly with the criminal background check unit. During the visit, the documents on file were attempted to be uploaded but the online system stated that the application was closed. I reached out to my supervisor during the visit for guidance regarding next steps. After speaking with my supervisor, I reached out to the Criminal Background Check Unit via email to explain the situation. Communication was received back to send over any information that was on file for review and a staff member would review the information. The final response from the criminal background check unit was they will have this processed shortly. The applicants account was check and the qualifying letter was received during the visit. Rule Reference: G.S. 110-90.2(b) & .2703(g) Consultation is provided as follows: We discussed that all child care facility administrators are required to complete the new ABCMS criminal background check portal training on Moodle. Once the training is complete, the administrator will need to log into the ABCMS system to review the staff roster to ensure that all current staff members are listed. When someone is hired or terminated, the administrator will need to log into the ABCMS system to indicate the hire or termination date. Adult tools can be used during teacher work periods and stored locked when not in use. If an adult tool activity is being conducted with the children, the activity must be supervised at all times and the tools must be locked when the activity is completed. Prior to the new school year, conduct a classroom and first aid kit check to ensure that hazardous items are not left from the unlicensed summer program. If hazardous items remain in the space from the unlicensed summer program, the staff will need to remove the items and store them appropriately or discard them. 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.” 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 karla.terry@dhhs.nc.gov or 828-200-9952, 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: MUD CREEK CHRISTIAN SCHOOL Facility ID: 45000252 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 12/10/2024 Number Present: 9 Completed Date: 12/10/2024 Age: From 3 To 5 Total Minutes: 195 Time In: 09:45 AM Time Out: 01:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Karla Terry, Child Care Consultant and also signed by Sherri Hill, Administrator, during the visit. An electronic signed copy of the visit summary was left on-site with you. Sherri Hill, Administrator was on-site and available 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-two percent (92%) as of 12/3/2024. The North Carolina Secretary of State website was viewed prior to today’s visit and the Non-Profit Corporation, Mud Creek Baptist Church, is current/active as of 12/3/2024 Permit type – Notice of Compliance GS-110, issued 4/29/2017. Special Services/Restrictions – first shift, meets enhanced space. The last annual compliance visit was conducted on 1/19/2024. The last fire drill was practiced on 12/9/2024. The last shelter-in-place drill was practiced on 10/31/2024. The last playground inspection was documented on 11/21/2024. The last fire inspection was approved on 9/11/2024. The last sanitation inspection was conducted on 9/25/2024 with two (2) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The facility closed 9/27/2024 due to Tropical Storm Helene and re-opened on 10/16/2024. Upon arrival, I was greeted by Sherri Hill, Administrator. I observed the group with three- to five-year-old children transitioning to the restroom. After using the restroom, the children transitioned to the tables for snack. Each child has a nutritional opt out form on file and bring their meals and snacks from home. While monitoring the indoor space, I observed in the first aid kit one (1) tube of antibiotic ointment, and one (1) tube of hydrocortisone cream. The administrator removed the ointment and cream from the first aid kit and took it to the office space to store. I also observed an adult screwdriver in an unlocked drawer below five (5) feet. The teacher removed the screwdriver during the visit and moved it to the locked storage. The program does not provide transportation. While reviewing staff files, I observed staff member E. Tyndall provisional qualification letter expired on 10/31/2024. The staff member was hired prior to Tropical Storm Helene, the provisional qualification was issued 9/16/2024 and expired on 10/31/2024. The administrator stated that the staff member did attempt to complete the out of state requirements and thought the documents were communicated directly with the criminal background check unit. During the visit, the documents on file were attempted to be uploaded but the online system stated that the application was closed. I reached out to my supervisor during the visit for guidance regarding next steps. After speaking with my supervisor, I reached out to the Criminal Background Check Unit via email to explain the situation. Communication was received back to send over any information that was on file for review and a staff member would review the information. The final response from the criminal background check unit was they will have this processed shortly. The applicants account was check and the qualifying letter was received during the visit. Also, while reviewing staff files, one (1) substitute was listed and the Shaken Baby and Abusive Head Trauma policy was not on file. When I asked the administrator about this staff member, she stated that she is substitute that has been hired but has not worked in the licensed classroom. She stated that the substitute will review and complete the Shaken Baby and Abusive Head Trauma policy prior to caring for the children. 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 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. The first aid kit located on top of the shelf beside the built in sink counter had one (1) tube of antibiotic ointment, and one (1) tube of hydrocortisone cream. 15A NCAC 18A .2820(d) 1422 Potentially hazardous items such as archery equipment, hand and power tools, nails, chemicals, or propane stoves, were not stored in locked areas or with other safeguards, or removed from the premises. One (1) adult screwdriver was observed in an unlocked drawer below five (5) feet at the built in counter for the teacher area located to the left of the classroom door. .2506(c) 1757 A valid qualification letter was not on file and available to review at the facility. Staff member E. Tyndall provisional qualification letter expired on 10/31/2024 and a valid qualifying letter was not on file for review. G.S. 110-90.2(b) & (d) & .2703(e) 1953 An individual on a provisional criminal background status did not complete and submit documents that were specific to their former state of residence within the required time frame. Staff member E. Tyndall provisional qualification letter expired on 10/31/2024. G.S. 110-90.2(b) & .2703(g) Technical assistance was provided as follows: Item 841- The first aid kit located on top of the shelf beside the built in sink counter had one (1) tube of antibiotic ointment, and one (1) tube of hydrocortisone cream. The administrator removed the ointment and cream from the first aid kit and took it to the office space to store. Rule Reference: 15A NCAC 18A.2820(d) Item 1422- One (1) adult screwdriver was observed in an unlocked drawer below five (5) feet at the built in counter for the teacher area located to the left of the classroom door. The teacher removed the screwdriver during the visit and moved it to the locked storage. Rule Reference: .2506(c) Item 1757- Staff member E. Tyndall provisional qualification letter expired on 10/31/2024 and a valid qualifying letter was not on file for review. The administrator stated that the staff member did attempt to complete the out of state requirements and thought the documents were communicated directly with the criminal background check unit. During the visit, the documents on file were attempted to be uploaded but the online system stated that the application was closed. I reached out to my supervisor during the visit for guidance regarding next steps. After speaking with my supervisor, I reached out to the Criminal Background Check Unit via email to explain the situation. Communication was received back to send over any information that was on file for review and a staff member would review the information. The final response from the criminal background check unit was they will have this processed shortly. The applicants account was check and the qualifying letter was received during the visit. Rule Reference: G.S. 110-90.2(b) & (d) & .2703(e) Item 1953 - Staff member E. Tyndall provisional qualification letter expired on 10/31/2024. The administrator stated that the staff member did attempt to complete the out of state requirements and thought the documents were communicated directly with the criminal background check unit. During the visit, the documents on file were attempted to be uploaded but the online system stated that the application was closed. I reached out to my supervisor during the visit for guidance regarding next steps. After speaking with my supervisor, I reached out to the Criminal Background Check Unit via email to explain the situation. Communication was received back to send over any information that was on file for review and a staff member would review the information. The final response from the criminal background check unit was they will have this processed shortly. The applicants account was check and the qualifying letter was received during the visit. Rule Reference: G.S. 110-90.2(b) & .2703(g) Consultation is provided as follows: We discussed that all child care facility administrators are required to complete the new ABCMS criminal background check portal training on Moodle. Once the training is complete, the administrator will need to log into the ABCMS system to review the staff roster to ensure that all current staff members are listed. When someone is hired or terminated, the administrator will need to log into the ABCMS system to indicate the hire or termination date. Adult tools can be used during teacher work periods and stored locked when not in use. If an adult tool activity is being conducted with the children, the activity must be supervised at all times and the tools must be locked when the activity is completed. Prior to the new school year, conduct a classroom and first aid kit check to ensure that hazardous items are not left from the unlicensed summer program. If hazardous items remain in the space from the unlicensed summer program, the staff will need to remove the items and store them appropriately or discard them. 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.” 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 karla.terry@dhhs.nc.gov or 828-200-9952, 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: MUD CREEK CHRISTIAN SCHOOL Facility ID: 45000252 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 5/15/2024 Number Present: 12 Completed Date: 5/15/2024 Age: From 4 To 5 Total Minutes: 90 Time In: 09:20 AM Time Out: 10:50 AM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for a routine unannounced visit. Upon arrival, the purpose of today’s visit was reviewed with you, Sherri Hill, Administrator. Your program currently operates with a Notice of Compliance, issued on 5/16/2017. The permit restrictions were in compliance including first shift (daytime care), meets enhanced space. Sherri Hill, Administrator, accompanied me today during the walk through and was available to assist with questions. The program’s annual compliance visit was conducted on 1/19/2024. The following items were monitored today: Supervision Staff / Child Ratio CPR / First Aid Special Training CBC Qualification Emergency Medical Care Plan Administration of Medication Storage of Hazardous Products Storage of Medication General Safety Discipline Adequate / Approved Space Program Records License Posted Permit Restrictions I observed the group of four- to five-year-old children engaged in group and story time with the lead teacher. While monitoring the classroom and medications, I observed two (2) Epi Pens permission to administer medication forms expired one (1) expired 3/1/2024 and one (1) expired 5/5/2024. Two (2) Children’s Benadryl permission to administer medication forms expired one (1) expired 3/1/2024 and one (1) expired 5/5/2024. One (1) Cetirizine permission to administer medication form expired on 3/1/2024. One (1) inhaler permission to administer medication form expired on 5/5/2024. The children enrolled at the facility have a nutritional opt out forms on file and pack their food from home. The last fire drill was practiced on 5/10/2024. The last emergency drill, shelter in place drill, was practiced on 3/6/2024. The last fire inspection was approved on 1/4/2024. The program’s most recent sanitation inspection was completed on 2/29/2024 with four (4) demerits. The facility does not accept subsidy. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-two percent (92%) as of 5/14/2024. The North Carolina Secretary of State website was viewed prior to today’s visit and the nonprofit organization, Mud Creek Baptist Church, is current/active as of 5/14/2024. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Playground Safety, Special Training including Health and Safety Training and Criminal Background Checks. There have been three (3) new staff members hired since the last annual compliance visit. The following violations of child care requirements were observed today: 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. Two (2) Epi Pens permission to administer medication forms expired one (1) expired 3/1/2024 and one (1) expired 5/5/2024. Two (2) Children’s Benadryl permission to administer medication forms expired one (1) expired 3/1/2024 and one (1) expired 5/5/2024. One (1) Cetirizine permission to administer medication form expired on 3/1/2024. One (1) inhaler permission to administer medication form expired on 5/5/2024. .0803(12) Technical Assistance: 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. - Two (2) Epi Pens permission to administer medication forms expired one (1) expired 3/1/2024 and one (1) expired 5/5/2024. Two (2) Children’s Benadryl permission to administer medication forms expired one (1) expired 3/1/2024 and one (1) expired 5/5/2024. One (1) Cetirizine permission to administer medication form expired on 3/1/2024. One (1) inhaler permission to administer medication form expired on 5/5/2024. I recommend conducting a monthly medication check to ensure the medication and permission to administer medication forms are still valid and in compliance. 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 could 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 5/29/2024. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@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: Today, we discussed the following: - Staff member AR CBC qualifying letter will expire 8/28/2024. First Aid certification will expire 8/2024. - Staff member KM and SC First Aid, and CPR is due within ninety (90) days. 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. 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. Challenging behaviors helpline can be reached at 1-888-600-1685 Option 1. 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. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Karla Terry, Child Care Consultant and also signed by Sherri Hill, Administrator, during the visit. An electronic copy of the visit summary was left with you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@dhhs.nc.gov or 828-200-9952, 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: MUD CREEK CHRISTIAN SCHOOL Facility ID: 45000252 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 5/15/2024 Number Present: 12 Completed Date: 5/15/2024 Age: From 4 To 5 Total Minutes: 90 Time In: 09:20 AM Time Out: 10:50 AM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for a routine unannounced visit. Upon arrival, the purpose of today’s visit was reviewed with you, Sherri Hill, Administrator. Your program currently operates with a Notice of Compliance, issued on 5/16/2017. The permit restrictions were in compliance including first shift (daytime care), meets enhanced space. Sherri Hill, Administrator, accompanied me today during the walk through and was available to assist with questions. The program’s annual compliance visit was conducted on 1/19/2024. The following items were monitored today: Supervision Staff / Child Ratio CPR / First Aid Special Training CBC Qualification Emergency Medical Care Plan Administration of Medication Storage of Hazardous Products Storage of Medication General Safety Discipline Adequate / Approved Space Program Records License Posted Permit Restrictions I observed the group of four- to five-year-old children engaged in group and story time with the lead teacher. While monitoring the classroom and medications, I observed two (2) Epi Pens permission to administer medication forms expired one (1) expired 3/1/2024 and one (1) expired 5/5/2024. Two (2) Children’s Benadryl permission to administer medication forms expired one (1) expired 3/1/2024 and one (1) expired 5/5/2024. One (1) Cetirizine permission to administer medication form expired on 3/1/2024. One (1) inhaler permission to administer medication form expired on 5/5/2024. The children enrolled at the facility have a nutritional opt out forms on file and pack their food from home. The last fire drill was practiced on 5/10/2024. The last emergency drill, shelter in place drill, was practiced on 3/6/2024. The last fire inspection was approved on 1/4/2024. The program’s most recent sanitation inspection was completed on 2/29/2024 with four (4) demerits. The facility does not accept subsidy. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-two percent (92%) as of 5/14/2024. The North Carolina Secretary of State website was viewed prior to today’s visit and the nonprofit organization, Mud Creek Baptist Church, is current/active as of 5/14/2024. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Playground Safety, Special Training including Health and Safety Training and Criminal Background Checks. There have been three (3) new staff members hired since the last annual compliance visit. The following violations of child care requirements were observed today: 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. Two (2) Epi Pens permission to administer medication forms expired one (1) expired 3/1/2024 and one (1) expired 5/5/2024. Two (2) Children’s Benadryl permission to administer medication forms expired one (1) expired 3/1/2024 and one (1) expired 5/5/2024. One (1) Cetirizine permission to administer medication form expired on 3/1/2024. One (1) inhaler permission to administer medication form expired on 5/5/2024. .0803(12) Technical Assistance: 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. - Two (2) Epi Pens permission to administer medication forms expired one (1) expired 3/1/2024 and one (1) expired 5/5/2024. Two (2) Children’s Benadryl permission to administer medication forms expired one (1) expired 3/1/2024 and one (1) expired 5/5/2024. One (1) Cetirizine permission to administer medication form expired on 3/1/2024. One (1) inhaler permission to administer medication form expired on 5/5/2024. I recommend conducting a monthly medication check to ensure the medication and permission to administer medication forms are still valid and in compliance. 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 could 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 5/29/2024. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@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: Today, we discussed the following: - Staff member AR CBC qualifying letter will expire 8/28/2024. First Aid certification will expire 8/2024. - Staff member KM and SC First Aid, and CPR is due within ninety (90) days. 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. 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. Challenging behaviors helpline can be reached at 1-888-600-1685 Option 1. 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. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Karla Terry, Child Care Consultant and also signed by Sherri Hill, Administrator, during the visit. An electronic copy of the visit summary was left with you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@dhhs.nc.gov or 828-200-9952, 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: MUD CREEK CHRISTIAN SCHOOL Facility ID: 45000252 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 5/15/2024 Number Present: 12 Completed Date: 5/15/2024 Age: From 4 To 5 Total Minutes: 90 Time In: 09:20 AM Time Out: 10:50 AM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for a routine unannounced visit. Upon arrival, the purpose of today’s visit was reviewed with you, Sherri Hill, Administrator. Your program currently operates with a Notice of Compliance, issued on 5/16/2017. The permit restrictions were in compliance including first shift (daytime care), meets enhanced space. Sherri Hill, Administrator, accompanied me today during the walk through and was available to assist with questions. The program’s annual compliance visit was conducted on 1/19/2024. The following items were monitored today: Supervision Staff / Child Ratio CPR / First Aid Special Training CBC Qualification Emergency Medical Care Plan Administration of Medication Storage of Hazardous Products Storage of Medication General Safety Discipline Adequate / Approved Space Program Records License Posted Permit Restrictions I observed the group of four- to five-year-old children engaged in group and story time with the lead teacher. While monitoring the classroom and medications, I observed two (2) Epi Pens permission to administer medication forms expired one (1) expired 3/1/2024 and one (1) expired 5/5/2024. Two (2) Children’s Benadryl permission to administer medication forms expired one (1) expired 3/1/2024 and one (1) expired 5/5/2024. One (1) Cetirizine permission to administer medication form expired on 3/1/2024. One (1) inhaler permission to administer medication form expired on 5/5/2024. The children enrolled at the facility have a nutritional opt out forms on file and pack their food from home. The last fire drill was practiced on 5/10/2024. The last emergency drill, shelter in place drill, was practiced on 3/6/2024. The last fire inspection was approved on 1/4/2024. The program’s most recent sanitation inspection was completed on 2/29/2024 with four (4) demerits. The facility does not accept subsidy. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-two percent (92%) as of 5/14/2024. The North Carolina Secretary of State website was viewed prior to today’s visit and the nonprofit organization, Mud Creek Baptist Church, is current/active as of 5/14/2024. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Playground Safety, Special Training including Health and Safety Training and Criminal Background Checks. There have been three (3) new staff members hired since the last annual compliance visit. The following violations of child care requirements were observed today: 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. Two (2) Epi Pens permission to administer medication forms expired one (1) expired 3/1/2024 and one (1) expired 5/5/2024. Two (2) Children’s Benadryl permission to administer medication forms expired one (1) expired 3/1/2024 and one (1) expired 5/5/2024. One (1) Cetirizine permission to administer medication form expired on 3/1/2024. One (1) inhaler permission to administer medication form expired on 5/5/2024. .0803(12) Technical Assistance: 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. - Two (2) Epi Pens permission to administer medication forms expired one (1) expired 3/1/2024 and one (1) expired 5/5/2024. Two (2) Children’s Benadryl permission to administer medication forms expired one (1) expired 3/1/2024 and one (1) expired 5/5/2024. One (1) Cetirizine permission to administer medication form expired on 3/1/2024. One (1) inhaler permission to administer medication form expired on 5/5/2024. I recommend conducting a monthly medication check to ensure the medication and permission to administer medication forms are still valid and in compliance. 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 could 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 5/29/2024. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@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: Today, we discussed the following: - Staff member AR CBC qualifying letter will expire 8/28/2024. First Aid certification will expire 8/2024. - Staff member KM and SC First Aid, and CPR is due within ninety (90) days. 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. 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. Challenging behaviors helpline can be reached at 1-888-600-1685 Option 1. 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. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Karla Terry, Child Care Consultant and also signed by Sherri Hill, Administrator, during the visit. An electronic copy of the visit summary was left with you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@dhhs.nc.gov or 828-200-9952, 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: MUD CREEK CHRISTIAN SCHOOL Facility ID: 45000252 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 5/15/2024 Number Present: 12 Completed Date: 5/15/2024 Age: From 4 To 5 Total Minutes: 90 Time In: 09:20 AM Time Out: 10:50 AM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for a routine unannounced visit. Upon arrival, the purpose of today’s visit was reviewed with you, Sherri Hill, Administrator. Your program currently operates with a Notice of Compliance, issued on 5/16/2017. The permit restrictions were in compliance including first shift (daytime care), meets enhanced space. Sherri Hill, Administrator, accompanied me today during the walk through and was available to assist with questions. The program’s annual compliance visit was conducted on 1/19/2024. The following items were monitored today: Supervision Staff / Child Ratio CPR / First Aid Special Training CBC Qualification Emergency Medical Care Plan Administration of Medication Storage of Hazardous Products Storage of Medication General Safety Discipline Adequate / Approved Space Program Records License Posted Permit Restrictions I observed the group of four- to five-year-old children engaged in group and story time with the lead teacher. While monitoring the classroom and medications, I observed two (2) Epi Pens permission to administer medication forms expired one (1) expired 3/1/2024 and one (1) expired 5/5/2024. Two (2) Children’s Benadryl permission to administer medication forms expired one (1) expired 3/1/2024 and one (1) expired 5/5/2024. One (1) Cetirizine permission to administer medication form expired on 3/1/2024. One (1) inhaler permission to administer medication form expired on 5/5/2024. The children enrolled at the facility have a nutritional opt out forms on file and pack their food from home. The last fire drill was practiced on 5/10/2024. The last emergency drill, shelter in place drill, was practiced on 3/6/2024. The last fire inspection was approved on 1/4/2024. The program’s most recent sanitation inspection was completed on 2/29/2024 with four (4) demerits. The facility does not accept subsidy. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-two percent (92%) as of 5/14/2024. The North Carolina Secretary of State website was viewed prior to today’s visit and the nonprofit organization, Mud Creek Baptist Church, is current/active as of 5/14/2024. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Playground Safety, Special Training including Health and Safety Training and Criminal Background Checks. There have been three (3) new staff members hired since the last annual compliance visit. The following violations of child care requirements were observed today: 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. Two (2) Epi Pens permission to administer medication forms expired one (1) expired 3/1/2024 and one (1) expired 5/5/2024. Two (2) Children’s Benadryl permission to administer medication forms expired one (1) expired 3/1/2024 and one (1) expired 5/5/2024. One (1) Cetirizine permission to administer medication form expired on 3/1/2024. One (1) inhaler permission to administer medication form expired on 5/5/2024. .0803(12) Technical Assistance: 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. - Two (2) Epi Pens permission to administer medication forms expired one (1) expired 3/1/2024 and one (1) expired 5/5/2024. Two (2) Children’s Benadryl permission to administer medication forms expired one (1) expired 3/1/2024 and one (1) expired 5/5/2024. One (1) Cetirizine permission to administer medication form expired on 3/1/2024. One (1) inhaler permission to administer medication form expired on 5/5/2024. I recommend conducting a monthly medication check to ensure the medication and permission to administer medication forms are still valid and in compliance. 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 could 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 5/29/2024. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@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: Today, we discussed the following: - Staff member AR CBC qualifying letter will expire 8/28/2024. First Aid certification will expire 8/2024. - Staff member KM and SC First Aid, and CPR is due within ninety (90) days. 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. 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. Challenging behaviors helpline can be reached at 1-888-600-1685 Option 1. 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. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Karla Terry, Child Care Consultant and also signed by Sherri Hill, Administrator, during the visit. An electronic copy of the visit summary was left with you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@dhhs.nc.gov or 828-200-9952, 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: MUD CREEK CHRISTIAN SCHOOL Facility ID: 45000252 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 5/15/2024 Number Present: 12 Completed Date: 5/15/2024 Age: From 4 To 5 Total Minutes: 90 Time In: 09:20 AM Time Out: 10:50 AM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for a routine unannounced visit. Upon arrival, the purpose of today’s visit was reviewed with you, Sherri Hill, Administrator. Your program currently operates with a Notice of Compliance, issued on 5/16/2017. The permit restrictions were in compliance including first shift (daytime care), meets enhanced space. Sherri Hill, Administrator, accompanied me today during the walk through and was available to assist with questions. The program’s annual compliance visit was conducted on 1/19/2024. The following items were monitored today: Supervision Staff / Child Ratio CPR / First Aid Special Training CBC Qualification Emergency Medical Care Plan Administration of Medication Storage of Hazardous Products Storage of Medication General Safety Discipline Adequate / Approved Space Program Records License Posted Permit Restrictions I observed the group of four- to five-year-old children engaged in group and story time with the lead teacher. While monitoring the classroom and medications, I observed two (2) Epi Pens permission to administer medication forms expired one (1) expired 3/1/2024 and one (1) expired 5/5/2024. Two (2) Children’s Benadryl permission to administer medication forms expired one (1) expired 3/1/2024 and one (1) expired 5/5/2024. One (1) Cetirizine permission to administer medication form expired on 3/1/2024. One (1) inhaler permission to administer medication form expired on 5/5/2024. The children enrolled at the facility have a nutritional opt out forms on file and pack their food from home. The last fire drill was practiced on 5/10/2024. The last emergency drill, shelter in place drill, was practiced on 3/6/2024. The last fire inspection was approved on 1/4/2024. The program’s most recent sanitation inspection was completed on 2/29/2024 with four (4) demerits. The facility does not accept subsidy. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-two percent (92%) as of 5/14/2024. The North Carolina Secretary of State website was viewed prior to today’s visit and the nonprofit organization, Mud Creek Baptist Church, is current/active as of 5/14/2024. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Playground Safety, Special Training including Health and Safety Training and Criminal Background Checks. There have been three (3) new staff members hired since the last annual compliance visit. The following violations of child care requirements were observed today: 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. Two (2) Epi Pens permission to administer medication forms expired one (1) expired 3/1/2024 and one (1) expired 5/5/2024. Two (2) Children’s Benadryl permission to administer medication forms expired one (1) expired 3/1/2024 and one (1) expired 5/5/2024. One (1) Cetirizine permission to administer medication form expired on 3/1/2024. One (1) inhaler permission to administer medication form expired on 5/5/2024. .0803(12) Technical Assistance: 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. - Two (2) Epi Pens permission to administer medication forms expired one (1) expired 3/1/2024 and one (1) expired 5/5/2024. Two (2) Children’s Benadryl permission to administer medication forms expired one (1) expired 3/1/2024 and one (1) expired 5/5/2024. One (1) Cetirizine permission to administer medication form expired on 3/1/2024. One (1) inhaler permission to administer medication form expired on 5/5/2024. I recommend conducting a monthly medication check to ensure the medication and permission to administer medication forms are still valid and in compliance. 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 could 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 5/29/2024. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@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: Today, we discussed the following: - Staff member AR CBC qualifying letter will expire 8/28/2024. First Aid certification will expire 8/2024. - Staff member KM and SC First Aid, and CPR is due within ninety (90) days. 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. 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. Challenging behaviors helpline can be reached at 1-888-600-1685 Option 1. 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. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Karla Terry, Child Care Consultant and also signed by Sherri Hill, Administrator, during the visit. An electronic copy of the visit summary was left with you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@dhhs.nc.gov or 828-200-9952, 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: MUD CREEK CHRISTIAN SCHOOL Facility ID: 45000252 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 5/15/2024 Number Present: 12 Completed Date: 5/15/2024 Age: From 4 To 5 Total Minutes: 90 Time In: 09:20 AM Time Out: 10:50 AM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for a routine unannounced visit. Upon arrival, the purpose of today’s visit was reviewed with you, Sherri Hill, Administrator. Your program currently operates with a Notice of Compliance, issued on 5/16/2017. The permit restrictions were in compliance including first shift (daytime care), meets enhanced space. Sherri Hill, Administrator, accompanied me today during the walk through and was available to assist with questions. The program’s annual compliance visit was conducted on 1/19/2024. The following items were monitored today: Supervision Staff / Child Ratio CPR / First Aid Special Training CBC Qualification Emergency Medical Care Plan Administration of Medication Storage of Hazardous Products Storage of Medication General Safety Discipline Adequate / Approved Space Program Records License Posted Permit Restrictions I observed the group of four- to five-year-old children engaged in group and story time with the lead teacher. While monitoring the classroom and medications, I observed two (2) Epi Pens permission to administer medication forms expired one (1) expired 3/1/2024 and one (1) expired 5/5/2024. Two (2) Children’s Benadryl permission to administer medication forms expired one (1) expired 3/1/2024 and one (1) expired 5/5/2024. One (1) Cetirizine permission to administer medication form expired on 3/1/2024. One (1) inhaler permission to administer medication form expired on 5/5/2024. The children enrolled at the facility have a nutritional opt out forms on file and pack their food from home. The last fire drill was practiced on 5/10/2024. The last emergency drill, shelter in place drill, was practiced on 3/6/2024. The last fire inspection was approved on 1/4/2024. The program’s most recent sanitation inspection was completed on 2/29/2024 with four (4) demerits. The facility does not accept subsidy. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-two percent (92%) as of 5/14/2024. The North Carolina Secretary of State website was viewed prior to today’s visit and the nonprofit organization, Mud Creek Baptist Church, is current/active as of 5/14/2024. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Playground Safety, Special Training including Health and Safety Training and Criminal Background Checks. There have been three (3) new staff members hired since the last annual compliance visit. The following violations of child care requirements were observed today: 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. Two (2) Epi Pens permission to administer medication forms expired one (1) expired 3/1/2024 and one (1) expired 5/5/2024. Two (2) Children’s Benadryl permission to administer medication forms expired one (1) expired 3/1/2024 and one (1) expired 5/5/2024. One (1) Cetirizine permission to administer medication form expired on 3/1/2024. One (1) inhaler permission to administer medication form expired on 5/5/2024. .0803(12) Technical Assistance: 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. - Two (2) Epi Pens permission to administer medication forms expired one (1) expired 3/1/2024 and one (1) expired 5/5/2024. Two (2) Children’s Benadryl permission to administer medication forms expired one (1) expired 3/1/2024 and one (1) expired 5/5/2024. One (1) Cetirizine permission to administer medication form expired on 3/1/2024. One (1) inhaler permission to administer medication form expired on 5/5/2024. I recommend conducting a monthly medication check to ensure the medication and permission to administer medication forms are still valid and in compliance. 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 could 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 5/29/2024. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@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: Today, we discussed the following: - Staff member AR CBC qualifying letter will expire 8/28/2024. First Aid certification will expire 8/2024. - Staff member KM and SC First Aid, and CPR is due within ninety (90) days. 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. 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. Challenging behaviors helpline can be reached at 1-888-600-1685 Option 1. 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. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Karla Terry, Child Care Consultant and also signed by Sherri Hill, Administrator, during the visit. An electronic copy of the visit summary was left with you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@dhhs.nc.gov or 828-200-9952, 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: MUD CREEK CHRISTIAN SCHOOL Facility ID: 45000252 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 1/19/2024 Number Present: 12 Completed Date: 1/19/2024 Age: From 3 To 5 Total Minutes: 135 Time In: 09:30 AM Time Out: 11:45 AM 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 Karla Terry, Child Care Consultant and also signed by Sherri Hill, Administrator, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Upon arrival, I rang the bell to enter the facility and the receptionist unlocked the door for me to enter. I walked upstairs to the child care facility. I was greeted by Sherri Hill, Administrator. Ms. Hill accompanied me during the visit today. 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 program operates with a GS-110 Notice of Compliance, issued 4/29/2017. The permit restrictions were in compliance including First (1st) shift (daytime care), meets enhanced space. The program does not provide transportation and subsidy. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-eight percent (88%) as of 1/9/2024. The North Carolina Secretary of State website was viewed prior to today’s visit and the Non-Profit Corporation, Mud Creek Baptist Church, is current/active as of 1/9/2024. The last annual compliance visit was conducted on 1/25/2023. The last fire drill was practiced on 1/11/2024. The last shelter-in-place drill was practiced on 11/7/2023 The last playground inspection was documented on 1/2/2024. The last fire inspection was approved on 1/4/2024. The last sanitation inspection was conducted on 9/7/2023 with four (4) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The Emergency Preparedness and Response (EPR) plan was current and updated on 8/24/2023. During today’s visit, I observed the group with three- to five-year-old children transitioning into the classroom from the restroom. As the children arrived in the classroom, they sat down at the table to have snack. The children bring their meals and snacks from home and have a Nutritional Opt out form on file. The staff were actively supervising the children and engaging in conversations with the children while having snack. All interactions were positive and nurturing. All medications were monitored and meet requirement. The staff and training worksheet was received prior to today's visit via email. One (1) existing staff file was monitored. 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 714 Openings in equipment, steps, decks, handrails, and fencing were not less than 3 1/2 inches or greater than 9 inches. Outdoor space, fence dividing the approved outdoor space from the unlicensed outdoor space had a hole at the base of the fence that measured four (4) to five (5) inches. .0605(g) 824 Outdoor play area was not enclosed by fence with a minimum height of 4 feet. The top of the fence, less than six feet, was not free from protrusions. Outdoor space fence measured three (3) feet nine (9) inches in the right back corner. GS 110-91(6); .0605((i) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. In space 1, a tube of lotion with multiple warnings was located in a unlocked cabinet near the sink on the top shelf. The administrator moved this during the visit to a locked storage area. .2820(b) Technical assistance was provided as follows: Item #714 Openings in equipment, steps, decks, handrails, and fencing were not less than 3 1/2” or greater than 9”. 10A NCAC 09 .0605 OUTDOOR LEARNING ENVIRONMENT IN CHILD CARE CENTERS (g) Any openings in equipment, steps, decks, handrails, and fencing shall be smaller than 3 ½ inches or greater than 9 inches to prevent entrapment. - Outdoor space, fence dividing the approved outdoor space from the unlicensed outdoor space had a hole at the base of the fence that measured four (4) to five (5) inches. I suggest filling the opening with dirt or adding a type of material (ex. Lattice, additional fence, or a plastic piping) to close the hole at the base of the fence. Item #824 Outdoor play area was not enclosed by fence with a minimum height of 4 feet. The top of the fence, less than six feet, was not free from protrusions. 10A NCAC 09 .0605 OUTDOOR LEARNING ENVIRONMENT IN CHILD CARE CENTERS (i) The outdoor play area shall be protected by a fence. The height shall be a minimum of four feet and the top of the fence shall be free of protrusions. The requirement disallowing protrusions on the tops of fences shall not apply to fences six feet high or above. The fencing shall exclude fixed bodies of water such as ditches, quarries, canals, excavations, and fish ponds. Gates to the fenced outdoor play area shall remain closed while children occupy the area. - Outdoor space fence measured three (3) feet nine (9) inches in the right back corner. I suggest adding a fence extender to the top of the fence (lattice or an extender) or digging down and removing the mulch and dirt build up to increase the fence height. The administration conducted a research for different fence extender options during the visit and reached out to the maintenance department for assistance with ways to correct the fence height. Item #840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. 15A NCAC 18A .2820 STORAGE (b) All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled shall be kept in its original container or in another labeled container, used according to the manufacturer's instructions and stored in a locked storage room or cabinet when not in use. Locked storage rooms and cabinets shall include those which are unlocked with a combination, electronic or magnetic device, key, or equivalent locking device. These unlocking devices shall be kept out of the reach of a child and shall not be stored in the lock. Toxic substances shall be stored below or separate from medications and food. Any product not listed above, which is labeled "keep out of reach of children" without any other warnings, shall be kept inaccessible to children when not in use, but is not required to be kept in locked storage. The product shall be considered inaccessible to children when stored on a shelf or in an unlocked cabinet that is mounted a minimum vertical distance of five feet above the finished floor. - In space 1, a tube of lotion with multiple warnings was located in a unlocked cabinet near the sink on the top shelf. The administrator moved this during the visit to a locked storage area. 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 2/2/2024. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@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 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: Today, we discussed the following: - Challenging behaviors helpline can be reached at 1-888-600-1685 Option 1. - Ensure a safe arrival and departure procedure is always posted for the parents and staff to review. - Staff member SS First Aid and CPR training is due to be completed by 8/2024. When registering staff for First Aid and CPR ensure that the training is conducted by an approved trainer. - Emergency drills, I recommend conducting an emergency drill late September or early October to get the children and staff familiar with the procedures. 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. 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 karla.terry@dhhs.nc.gov or (828) 200-9952, 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 .0605 · Violation

Name of Operation: MUD CREEK CHRISTIAN SCHOOL Facility ID: 45000252 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 1/19/2024 Number Present: 12 Completed Date: 1/19/2024 Age: From 3 To 5 Total Minutes: 135 Time In: 09:30 AM Time Out: 11:45 AM 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 Karla Terry, Child Care Consultant and also signed by Sherri Hill, Administrator, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Upon arrival, I rang the bell to enter the facility and the receptionist unlocked the door for me to enter. I walked upstairs to the child care facility. I was greeted by Sherri Hill, Administrator. Ms. Hill accompanied me during the visit today. 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 program operates with a GS-110 Notice of Compliance, issued 4/29/2017. The permit restrictions were in compliance including First (1st) shift (daytime care), meets enhanced space. The program does not provide transportation and subsidy. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-eight percent (88%) as of 1/9/2024. The North Carolina Secretary of State website was viewed prior to today’s visit and the Non-Profit Corporation, Mud Creek Baptist Church, is current/active as of 1/9/2024. The last annual compliance visit was conducted on 1/25/2023. The last fire drill was practiced on 1/11/2024. The last shelter-in-place drill was practiced on 11/7/2023 The last playground inspection was documented on 1/2/2024. The last fire inspection was approved on 1/4/2024. The last sanitation inspection was conducted on 9/7/2023 with four (4) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The Emergency Preparedness and Response (EPR) plan was current and updated on 8/24/2023. During today’s visit, I observed the group with three- to five-year-old children transitioning into the classroom from the restroom. As the children arrived in the classroom, they sat down at the table to have snack. The children bring their meals and snacks from home and have a Nutritional Opt out form on file. The staff were actively supervising the children and engaging in conversations with the children while having snack. All interactions were positive and nurturing. All medications were monitored and meet requirement. The staff and training worksheet was received prior to today's visit via email. One (1) existing staff file was monitored. 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 714 Openings in equipment, steps, decks, handrails, and fencing were not less than 3 1/2 inches or greater than 9 inches. Outdoor space, fence dividing the approved outdoor space from the unlicensed outdoor space had a hole at the base of the fence that measured four (4) to five (5) inches. .0605(g) 824 Outdoor play area was not enclosed by fence with a minimum height of 4 feet. The top of the fence, less than six feet, was not free from protrusions. Outdoor space fence measured three (3) feet nine (9) inches in the right back corner. GS 110-91(6); .0605((i) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. In space 1, a tube of lotion with multiple warnings was located in a unlocked cabinet near the sink on the top shelf. The administrator moved this during the visit to a locked storage area. .2820(b) Technical assistance was provided as follows: Item #714 Openings in equipment, steps, decks, handrails, and fencing were not less than 3 1/2” or greater than 9”. 10A NCAC 09 .0605 OUTDOOR LEARNING ENVIRONMENT IN CHILD CARE CENTERS (g) Any openings in equipment, steps, decks, handrails, and fencing shall be smaller than 3 ½ inches or greater than 9 inches to prevent entrapment. - Outdoor space, fence dividing the approved outdoor space from the unlicensed outdoor space had a hole at the base of the fence that measured four (4) to five (5) inches. I suggest filling the opening with dirt or adding a type of material (ex. Lattice, additional fence, or a plastic piping) to close the hole at the base of the fence. Item #824 Outdoor play area was not enclosed by fence with a minimum height of 4 feet. The top of the fence, less than six feet, was not free from protrusions. 10A NCAC 09 .0605 OUTDOOR LEARNING ENVIRONMENT IN CHILD CARE CENTERS (i) The outdoor play area shall be protected by a fence. The height shall be a minimum of four feet and the top of the fence shall be free of protrusions. The requirement disallowing protrusions on the tops of fences shall not apply to fences six feet high or above. The fencing shall exclude fixed bodies of water such as ditches, quarries, canals, excavations, and fish ponds. Gates to the fenced outdoor play area shall remain closed while children occupy the area. - Outdoor space fence measured three (3) feet nine (9) inches in the right back corner. I suggest adding a fence extender to the top of the fence (lattice or an extender) or digging down and removing the mulch and dirt build up to increase the fence height. The administration conducted a research for different fence extender options during the visit and reached out to the maintenance department for assistance with ways to correct the fence height. Item #840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. 15A NCAC 18A .2820 STORAGE (b) All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled shall be kept in its original container or in another labeled container, used according to the manufacturer's instructions and stored in a locked storage room or cabinet when not in use. Locked storage rooms and cabinets shall include those which are unlocked with a combination, electronic or magnetic device, key, or equivalent locking device. These unlocking devices shall be kept out of the reach of a child and shall not be stored in the lock. Toxic substances shall be stored below or separate from medications and food. Any product not listed above, which is labeled "keep out of reach of children" without any other warnings, shall be kept inaccessible to children when not in use, but is not required to be kept in locked storage. The product shall be considered inaccessible to children when stored on a shelf or in an unlocked cabinet that is mounted a minimum vertical distance of five feet above the finished floor. - In space 1, a tube of lotion with multiple warnings was located in a unlocked cabinet near the sink on the top shelf. The administrator moved this during the visit to a locked storage area. 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 2/2/2024. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@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 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: Today, we discussed the following: - Challenging behaviors helpline can be reached at 1-888-600-1685 Option 1. - Ensure a safe arrival and departure procedure is always posted for the parents and staff to review. - Staff member SS First Aid and CPR training is due to be completed by 8/2024. When registering staff for First Aid and CPR ensure that the training is conducted by an approved trainer. - Emergency drills, I recommend conducting an emergency drill late September or early October to get the children and staff familiar with the procedures. 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. 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 karla.terry@dhhs.nc.gov or (828) 200-9952, 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: MUD CREEK CHRISTIAN SCHOOL Facility ID: 45000252 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 1/19/2024 Number Present: 12 Completed Date: 1/19/2024 Age: From 3 To 5 Total Minutes: 135 Time In: 09:30 AM Time Out: 11:45 AM 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 Karla Terry, Child Care Consultant and also signed by Sherri Hill, Administrator, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Upon arrival, I rang the bell to enter the facility and the receptionist unlocked the door for me to enter. I walked upstairs to the child care facility. I was greeted by Sherri Hill, Administrator. Ms. Hill accompanied me during the visit today. 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 program operates with a GS-110 Notice of Compliance, issued 4/29/2017. The permit restrictions were in compliance including First (1st) shift (daytime care), meets enhanced space. The program does not provide transportation and subsidy. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-eight percent (88%) as of 1/9/2024. The North Carolina Secretary of State website was viewed prior to today’s visit and the Non-Profit Corporation, Mud Creek Baptist Church, is current/active as of 1/9/2024. The last annual compliance visit was conducted on 1/25/2023. The last fire drill was practiced on 1/11/2024. The last shelter-in-place drill was practiced on 11/7/2023 The last playground inspection was documented on 1/2/2024. The last fire inspection was approved on 1/4/2024. The last sanitation inspection was conducted on 9/7/2023 with four (4) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The Emergency Preparedness and Response (EPR) plan was current and updated on 8/24/2023. During today’s visit, I observed the group with three- to five-year-old children transitioning into the classroom from the restroom. As the children arrived in the classroom, they sat down at the table to have snack. The children bring their meals and snacks from home and have a Nutritional Opt out form on file. The staff were actively supervising the children and engaging in conversations with the children while having snack. All interactions were positive and nurturing. All medications were monitored and meet requirement. The staff and training worksheet was received prior to today's visit via email. One (1) existing staff file was monitored. 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 714 Openings in equipment, steps, decks, handrails, and fencing were not less than 3 1/2 inches or greater than 9 inches. Outdoor space, fence dividing the approved outdoor space from the unlicensed outdoor space had a hole at the base of the fence that measured four (4) to five (5) inches. .0605(g) 824 Outdoor play area was not enclosed by fence with a minimum height of 4 feet. The top of the fence, less than six feet, was not free from protrusions. Outdoor space fence measured three (3) feet nine (9) inches in the right back corner. GS 110-91(6); .0605((i) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. In space 1, a tube of lotion with multiple warnings was located in a unlocked cabinet near the sink on the top shelf. The administrator moved this during the visit to a locked storage area. .2820(b) Technical assistance was provided as follows: Item #714 Openings in equipment, steps, decks, handrails, and fencing were not less than 3 1/2” or greater than 9”. 10A NCAC 09 .0605 OUTDOOR LEARNING ENVIRONMENT IN CHILD CARE CENTERS (g) Any openings in equipment, steps, decks, handrails, and fencing shall be smaller than 3 ½ inches or greater than 9 inches to prevent entrapment. - Outdoor space, fence dividing the approved outdoor space from the unlicensed outdoor space had a hole at the base of the fence that measured four (4) to five (5) inches. I suggest filling the opening with dirt or adding a type of material (ex. Lattice, additional fence, or a plastic piping) to close the hole at the base of the fence. Item #824 Outdoor play area was not enclosed by fence with a minimum height of 4 feet. The top of the fence, less than six feet, was not free from protrusions. 10A NCAC 09 .0605 OUTDOOR LEARNING ENVIRONMENT IN CHILD CARE CENTERS (i) The outdoor play area shall be protected by a fence. The height shall be a minimum of four feet and the top of the fence shall be free of protrusions. The requirement disallowing protrusions on the tops of fences shall not apply to fences six feet high or above. The fencing shall exclude fixed bodies of water such as ditches, quarries, canals, excavations, and fish ponds. Gates to the fenced outdoor play area shall remain closed while children occupy the area. - Outdoor space fence measured three (3) feet nine (9) inches in the right back corner. I suggest adding a fence extender to the top of the fence (lattice or an extender) or digging down and removing the mulch and dirt build up to increase the fence height. The administration conducted a research for different fence extender options during the visit and reached out to the maintenance department for assistance with ways to correct the fence height. Item #840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. 15A NCAC 18A .2820 STORAGE (b) All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled shall be kept in its original container or in another labeled container, used according to the manufacturer's instructions and stored in a locked storage room or cabinet when not in use. Locked storage rooms and cabinets shall include those which are unlocked with a combination, electronic or magnetic device, key, or equivalent locking device. These unlocking devices shall be kept out of the reach of a child and shall not be stored in the lock. Toxic substances shall be stored below or separate from medications and food. Any product not listed above, which is labeled "keep out of reach of children" without any other warnings, shall be kept inaccessible to children when not in use, but is not required to be kept in locked storage. The product shall be considered inaccessible to children when stored on a shelf or in an unlocked cabinet that is mounted a minimum vertical distance of five feet above the finished floor. - In space 1, a tube of lotion with multiple warnings was located in a unlocked cabinet near the sink on the top shelf. The administrator moved this during the visit to a locked storage area. 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 2/2/2024. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@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 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: Today, we discussed the following: - Challenging behaviors helpline can be reached at 1-888-600-1685 Option 1. - Ensure a safe arrival and departure procedure is always posted for the parents and staff to review. - Staff member SS First Aid and CPR training is due to be completed by 8/2024. When registering staff for First Aid and CPR ensure that the training is conducted by an approved trainer. - Emergency drills, I recommend conducting an emergency drill late September or early October to get the children and staff familiar with the procedures. 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. 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 karla.terry@dhhs.nc.gov or (828) 200-9952, 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: MUD CREEK CHRISTIAN SCHOOL Facility ID: 45000252 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 1/19/2024 Number Present: 12 Completed Date: 1/19/2024 Age: From 3 To 5 Total Minutes: 135 Time In: 09:30 AM Time Out: 11:45 AM 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 Karla Terry, Child Care Consultant and also signed by Sherri Hill, Administrator, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Upon arrival, I rang the bell to enter the facility and the receptionist unlocked the door for me to enter. I walked upstairs to the child care facility. I was greeted by Sherri Hill, Administrator. Ms. Hill accompanied me during the visit today. 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 program operates with a GS-110 Notice of Compliance, issued 4/29/2017. The permit restrictions were in compliance including First (1st) shift (daytime care), meets enhanced space. The program does not provide transportation and subsidy. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-eight percent (88%) as of 1/9/2024. The North Carolina Secretary of State website was viewed prior to today’s visit and the Non-Profit Corporation, Mud Creek Baptist Church, is current/active as of 1/9/2024. The last annual compliance visit was conducted on 1/25/2023. The last fire drill was practiced on 1/11/2024. The last shelter-in-place drill was practiced on 11/7/2023 The last playground inspection was documented on 1/2/2024. The last fire inspection was approved on 1/4/2024. The last sanitation inspection was conducted on 9/7/2023 with four (4) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The Emergency Preparedness and Response (EPR) plan was current and updated on 8/24/2023. During today’s visit, I observed the group with three- to five-year-old children transitioning into the classroom from the restroom. As the children arrived in the classroom, they sat down at the table to have snack. The children bring their meals and snacks from home and have a Nutritional Opt out form on file. The staff were actively supervising the children and engaging in conversations with the children while having snack. All interactions were positive and nurturing. All medications were monitored and meet requirement. The staff and training worksheet was received prior to today's visit via email. One (1) existing staff file was monitored. 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 714 Openings in equipment, steps, decks, handrails, and fencing were not less than 3 1/2 inches or greater than 9 inches. Outdoor space, fence dividing the approved outdoor space from the unlicensed outdoor space had a hole at the base of the fence that measured four (4) to five (5) inches. .0605(g) 824 Outdoor play area was not enclosed by fence with a minimum height of 4 feet. The top of the fence, less than six feet, was not free from protrusions. Outdoor space fence measured three (3) feet nine (9) inches in the right back corner. GS 110-91(6); .0605((i) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. In space 1, a tube of lotion with multiple warnings was located in a unlocked cabinet near the sink on the top shelf. The administrator moved this during the visit to a locked storage area. .2820(b) Technical assistance was provided as follows: Item #714 Openings in equipment, steps, decks, handrails, and fencing were not less than 3 1/2” or greater than 9”. 10A NCAC 09 .0605 OUTDOOR LEARNING ENVIRONMENT IN CHILD CARE CENTERS (g) Any openings in equipment, steps, decks, handrails, and fencing shall be smaller than 3 ½ inches or greater than 9 inches to prevent entrapment. - Outdoor space, fence dividing the approved outdoor space from the unlicensed outdoor space had a hole at the base of the fence that measured four (4) to five (5) inches. I suggest filling the opening with dirt or adding a type of material (ex. Lattice, additional fence, or a plastic piping) to close the hole at the base of the fence. Item #824 Outdoor play area was not enclosed by fence with a minimum height of 4 feet. The top of the fence, less than six feet, was not free from protrusions. 10A NCAC 09 .0605 OUTDOOR LEARNING ENVIRONMENT IN CHILD CARE CENTERS (i) The outdoor play area shall be protected by a fence. The height shall be a minimum of four feet and the top of the fence shall be free of protrusions. The requirement disallowing protrusions on the tops of fences shall not apply to fences six feet high or above. The fencing shall exclude fixed bodies of water such as ditches, quarries, canals, excavations, and fish ponds. Gates to the fenced outdoor play area shall remain closed while children occupy the area. - Outdoor space fence measured three (3) feet nine (9) inches in the right back corner. I suggest adding a fence extender to the top of the fence (lattice or an extender) or digging down and removing the mulch and dirt build up to increase the fence height. The administration conducted a research for different fence extender options during the visit and reached out to the maintenance department for assistance with ways to correct the fence height. Item #840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. 15A NCAC 18A .2820 STORAGE (b) All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled shall be kept in its original container or in another labeled container, used according to the manufacturer's instructions and stored in a locked storage room or cabinet when not in use. Locked storage rooms and cabinets shall include those which are unlocked with a combination, electronic or magnetic device, key, or equivalent locking device. These unlocking devices shall be kept out of the reach of a child and shall not be stored in the lock. Toxic substances shall be stored below or separate from medications and food. Any product not listed above, which is labeled "keep out of reach of children" without any other warnings, shall be kept inaccessible to children when not in use, but is not required to be kept in locked storage. The product shall be considered inaccessible to children when stored on a shelf or in an unlocked cabinet that is mounted a minimum vertical distance of five feet above the finished floor. - In space 1, a tube of lotion with multiple warnings was located in a unlocked cabinet near the sink on the top shelf. The administrator moved this during the visit to a locked storage area. 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 2/2/2024. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@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 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: Today, we discussed the following: - Challenging behaviors helpline can be reached at 1-888-600-1685 Option 1. - Ensure a safe arrival and departure procedure is always posted for the parents and staff to review. - Staff member SS First Aid and CPR training is due to be completed by 8/2024. When registering staff for First Aid and CPR ensure that the training is conducted by an approved trainer. - Emergency drills, I recommend conducting an emergency drill late September or early October to get the children and staff familiar with the procedures. 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. 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 karla.terry@dhhs.nc.gov or (828) 200-9952, 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

GS 110-91 · Violation

Name of Operation: MUD CREEK CHRISTIAN SCHOOL Facility ID: 45000252 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 1/19/2024 Number Present: 12 Completed Date: 1/19/2024 Age: From 3 To 5 Total Minutes: 135 Time In: 09:30 AM Time Out: 11:45 AM 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 Karla Terry, Child Care Consultant and also signed by Sherri Hill, Administrator, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Upon arrival, I rang the bell to enter the facility and the receptionist unlocked the door for me to enter. I walked upstairs to the child care facility. I was greeted by Sherri Hill, Administrator. Ms. Hill accompanied me during the visit today. 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 program operates with a GS-110 Notice of Compliance, issued 4/29/2017. The permit restrictions were in compliance including First (1st) shift (daytime care), meets enhanced space. The program does not provide transportation and subsidy. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-eight percent (88%) as of 1/9/2024. The North Carolina Secretary of State website was viewed prior to today’s visit and the Non-Profit Corporation, Mud Creek Baptist Church, is current/active as of 1/9/2024. The last annual compliance visit was conducted on 1/25/2023. The last fire drill was practiced on 1/11/2024. The last shelter-in-place drill was practiced on 11/7/2023 The last playground inspection was documented on 1/2/2024. The last fire inspection was approved on 1/4/2024. The last sanitation inspection was conducted on 9/7/2023 with four (4) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The Emergency Preparedness and Response (EPR) plan was current and updated on 8/24/2023. During today’s visit, I observed the group with three- to five-year-old children transitioning into the classroom from the restroom. As the children arrived in the classroom, they sat down at the table to have snack. The children bring their meals and snacks from home and have a Nutritional Opt out form on file. The staff were actively supervising the children and engaging in conversations with the children while having snack. All interactions were positive and nurturing. All medications were monitored and meet requirement. The staff and training worksheet was received prior to today's visit via email. One (1) existing staff file was monitored. 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 714 Openings in equipment, steps, decks, handrails, and fencing were not less than 3 1/2 inches or greater than 9 inches. Outdoor space, fence dividing the approved outdoor space from the unlicensed outdoor space had a hole at the base of the fence that measured four (4) to five (5) inches. .0605(g) 824 Outdoor play area was not enclosed by fence with a minimum height of 4 feet. The top of the fence, less than six feet, was not free from protrusions. Outdoor space fence measured three (3) feet nine (9) inches in the right back corner. GS 110-91(6); .0605((i) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. In space 1, a tube of lotion with multiple warnings was located in a unlocked cabinet near the sink on the top shelf. The administrator moved this during the visit to a locked storage area. .2820(b) Technical assistance was provided as follows: Item #714 Openings in equipment, steps, decks, handrails, and fencing were not less than 3 1/2” or greater than 9”. 10A NCAC 09 .0605 OUTDOOR LEARNING ENVIRONMENT IN CHILD CARE CENTERS (g) Any openings in equipment, steps, decks, handrails, and fencing shall be smaller than 3 ½ inches or greater than 9 inches to prevent entrapment. - Outdoor space, fence dividing the approved outdoor space from the unlicensed outdoor space had a hole at the base of the fence that measured four (4) to five (5) inches. I suggest filling the opening with dirt or adding a type of material (ex. Lattice, additional fence, or a plastic piping) to close the hole at the base of the fence. Item #824 Outdoor play area was not enclosed by fence with a minimum height of 4 feet. The top of the fence, less than six feet, was not free from protrusions. 10A NCAC 09 .0605 OUTDOOR LEARNING ENVIRONMENT IN CHILD CARE CENTERS (i) The outdoor play area shall be protected by a fence. The height shall be a minimum of four feet and the top of the fence shall be free of protrusions. The requirement disallowing protrusions on the tops of fences shall not apply to fences six feet high or above. The fencing shall exclude fixed bodies of water such as ditches, quarries, canals, excavations, and fish ponds. Gates to the fenced outdoor play area shall remain closed while children occupy the area. - Outdoor space fence measured three (3) feet nine (9) inches in the right back corner. I suggest adding a fence extender to the top of the fence (lattice or an extender) or digging down and removing the mulch and dirt build up to increase the fence height. The administration conducted a research for different fence extender options during the visit and reached out to the maintenance department for assistance with ways to correct the fence height. Item #840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. 15A NCAC 18A .2820 STORAGE (b) All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled shall be kept in its original container or in another labeled container, used according to the manufacturer's instructions and stored in a locked storage room or cabinet when not in use. Locked storage rooms and cabinets shall include those which are unlocked with a combination, electronic or magnetic device, key, or equivalent locking device. These unlocking devices shall be kept out of the reach of a child and shall not be stored in the lock. Toxic substances shall be stored below or separate from medications and food. Any product not listed above, which is labeled "keep out of reach of children" without any other warnings, shall be kept inaccessible to children when not in use, but is not required to be kept in locked storage. The product shall be considered inaccessible to children when stored on a shelf or in an unlocked cabinet that is mounted a minimum vertical distance of five feet above the finished floor. - In space 1, a tube of lotion with multiple warnings was located in a unlocked cabinet near the sink on the top shelf. The administrator moved this during the visit to a locked storage area. 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 2/2/2024. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@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 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: Today, we discussed the following: - Challenging behaviors helpline can be reached at 1-888-600-1685 Option 1. - Ensure a safe arrival and departure procedure is always posted for the parents and staff to review. - Staff member SS First Aid and CPR training is due to be completed by 8/2024. When registering staff for First Aid and CPR ensure that the training is conducted by an approved trainer. - Emergency drills, I recommend conducting an emergency drill late September or early October to get the children and staff familiar with the procedures. 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. 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 karla.terry@dhhs.nc.gov or (828) 200-9952, 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: MUD CREEK CHRISTIAN SCHOOL Facility ID: 45000252 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 1/19/2024 Number Present: 12 Completed Date: 1/19/2024 Age: From 3 To 5 Total Minutes: 135 Time In: 09:30 AM Time Out: 11:45 AM 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 Karla Terry, Child Care Consultant and also signed by Sherri Hill, Administrator, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Upon arrival, I rang the bell to enter the facility and the receptionist unlocked the door for me to enter. I walked upstairs to the child care facility. I was greeted by Sherri Hill, Administrator. Ms. Hill accompanied me during the visit today. 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 program operates with a GS-110 Notice of Compliance, issued 4/29/2017. The permit restrictions were in compliance including First (1st) shift (daytime care), meets enhanced space. The program does not provide transportation and subsidy. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-eight percent (88%) as of 1/9/2024. The North Carolina Secretary of State website was viewed prior to today’s visit and the Non-Profit Corporation, Mud Creek Baptist Church, is current/active as of 1/9/2024. The last annual compliance visit was conducted on 1/25/2023. The last fire drill was practiced on 1/11/2024. The last shelter-in-place drill was practiced on 11/7/2023 The last playground inspection was documented on 1/2/2024. The last fire inspection was approved on 1/4/2024. The last sanitation inspection was conducted on 9/7/2023 with four (4) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The Emergency Preparedness and Response (EPR) plan was current and updated on 8/24/2023. During today’s visit, I observed the group with three- to five-year-old children transitioning into the classroom from the restroom. As the children arrived in the classroom, they sat down at the table to have snack. The children bring their meals and snacks from home and have a Nutritional Opt out form on file. The staff were actively supervising the children and engaging in conversations with the children while having snack. All interactions were positive and nurturing. All medications were monitored and meet requirement. The staff and training worksheet was received prior to today's visit via email. One (1) existing staff file was monitored. 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 714 Openings in equipment, steps, decks, handrails, and fencing were not less than 3 1/2 inches or greater than 9 inches. Outdoor space, fence dividing the approved outdoor space from the unlicensed outdoor space had a hole at the base of the fence that measured four (4) to five (5) inches. .0605(g) 824 Outdoor play area was not enclosed by fence with a minimum height of 4 feet. The top of the fence, less than six feet, was not free from protrusions. Outdoor space fence measured three (3) feet nine (9) inches in the right back corner. GS 110-91(6); .0605((i) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. In space 1, a tube of lotion with multiple warnings was located in a unlocked cabinet near the sink on the top shelf. The administrator moved this during the visit to a locked storage area. .2820(b) Technical assistance was provided as follows: Item #714 Openings in equipment, steps, decks, handrails, and fencing were not less than 3 1/2” or greater than 9”. 10A NCAC 09 .0605 OUTDOOR LEARNING ENVIRONMENT IN CHILD CARE CENTERS (g) Any openings in equipment, steps, decks, handrails, and fencing shall be smaller than 3 ½ inches or greater than 9 inches to prevent entrapment. - Outdoor space, fence dividing the approved outdoor space from the unlicensed outdoor space had a hole at the base of the fence that measured four (4) to five (5) inches. I suggest filling the opening with dirt or adding a type of material (ex. Lattice, additional fence, or a plastic piping) to close the hole at the base of the fence. Item #824 Outdoor play area was not enclosed by fence with a minimum height of 4 feet. The top of the fence, less than six feet, was not free from protrusions. 10A NCAC 09 .0605 OUTDOOR LEARNING ENVIRONMENT IN CHILD CARE CENTERS (i) The outdoor play area shall be protected by a fence. The height shall be a minimum of four feet and the top of the fence shall be free of protrusions. The requirement disallowing protrusions on the tops of fences shall not apply to fences six feet high or above. The fencing shall exclude fixed bodies of water such as ditches, quarries, canals, excavations, and fish ponds. Gates to the fenced outdoor play area shall remain closed while children occupy the area. - Outdoor space fence measured three (3) feet nine (9) inches in the right back corner. I suggest adding a fence extender to the top of the fence (lattice or an extender) or digging down and removing the mulch and dirt build up to increase the fence height. The administration conducted a research for different fence extender options during the visit and reached out to the maintenance department for assistance with ways to correct the fence height. Item #840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. 15A NCAC 18A .2820 STORAGE (b) All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled shall be kept in its original container or in another labeled container, used according to the manufacturer's instructions and stored in a locked storage room or cabinet when not in use. Locked storage rooms and cabinets shall include those which are unlocked with a combination, electronic or magnetic device, key, or equivalent locking device. These unlocking devices shall be kept out of the reach of a child and shall not be stored in the lock. Toxic substances shall be stored below or separate from medications and food. Any product not listed above, which is labeled "keep out of reach of children" without any other warnings, shall be kept inaccessible to children when not in use, but is not required to be kept in locked storage. The product shall be considered inaccessible to children when stored on a shelf or in an unlocked cabinet that is mounted a minimum vertical distance of five feet above the finished floor. - In space 1, a tube of lotion with multiple warnings was located in a unlocked cabinet near the sink on the top shelf. The administrator moved this during the visit to a locked storage area. 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 2/2/2024. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@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 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: Today, we discussed the following: - Challenging behaviors helpline can be reached at 1-888-600-1685 Option 1. - Ensure a safe arrival and departure procedure is always posted for the parents and staff to review. - Staff member SS First Aid and CPR training is due to be completed by 8/2024. When registering staff for First Aid and CPR ensure that the training is conducted by an approved trainer. - Emergency drills, I recommend conducting an emergency drill late September or early October to get the children and staff familiar with the procedures. 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. 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 karla.terry@dhhs.nc.gov or (828) 200-9952, 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