Christ Church Child Development Center

10A NCAC 09 .0802 · Violation

Name of Operation: CHRIST CHURCH CHILD DEVELOPMENT CENTER Facility ID: 18000631 Consultant: KIMBERLY CRANE Operation Type: Center Case Number: 0526-377L Visit Date: 6/8/2026 Number Present: 94 Completed Date: 6/8/2026 Age: From 0 To 12 Total Minutes: 213 Time In: 02:27 PM Time Out: 06:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to gather information related to allegations of violations of child care requirements related to supervision and children's records received on May 28, 2026. You, Lisa Evans, Administrator, and Assistant Director, Cathy Coggins, assisted me with the visit. The facility’s compliance history was 90% prior to today’s visit. In addition to the investigation of the reported allegations, I completed a walkthrough of the facility to monitor supervision, enhanced staff/child ratios, enhanced space capacity, approved space use, permit restrictions, and license posting which were maintained during today’s visit. You reported that one hundred eleven children ranging in age from zero to twelve years were enrolled in the facility. I observed ninety-four children ranging in age from zero to twelve years present during today’s visit. According to the report, there are allegations of violations of child care requirements related to supervision during incidents of biting in a classroom for one-year-old children referred to as the “Wobbler Room” and children's records related to incident reports documenting biting incidents. I investigated the allegation of violations of child care requirements related to supervision during biting incidents occurring in the classroom for one year old children referred to as the “Wobbler Room” (Space 2). Today, you stated the facility had cameras in each of the classrooms, in the hallways, on the playgrounds, and in the parking lots. I observed nine children under two years of age enrolled and present today in the “Wobbler Room” with one teacher assigned to the classroom and one substitute teacher supervising the group. The lead teacher was not present during today’s visit. From approximately 2:40pm to approximately 4:15pm, I observed the “Wobbler” classroom in action by entering the classroom, by observing from the observation window in the classroom door, by viewing real-time camera footage, and by reviewing recorded camera footage. During my first observation, I entered the classroom and observed the children eating snack at a child-sized table and in high chairs and staff actively supervising snack and rendering assistance as needed. During my second observation, I stood at the door and observed through the observation window in the door. I observed the children playing with materials and interacting with teachers who were seated on the floor and changing a diaper. During my third observation, I again stood at the door and observed through the observation window in the door. I observed the children continuing to play with materials and interact with teachers who were sitting on the floor against opposite sides of the classroom. During my fourth observation, I viewed real-time camera footage and observed the children playing with materials while one teacher changed a diaper and the second teacher stood behind the counter and appeared to be viewing a device or writing on paper. I went to the classroom and looking through the observation window in the door, I observed the teacher behind the counter with her head down but I was unable to see what the teacher was doing. When I opened the classroom door, the teacher turned around and I could see a cell phone device in her hand. I asked the teacher if that was her cell phone and she responded that it was her cell phone and she was sending a message to a parent. I asked if that was the means the facility used to communicate with parents. The teacher responded that the facility used the Class DoJo application and the teachers used their personal cell phones to send messages to parents through the this application. During my fifth observation, I viewed the classroom from the observation window and observed the children continuing to walk around the room playing with materials and interacting with each other and the teachers. I observed both teachers standing behind the counter. I entered the classroom to ask the teachers if there had been any incidents of biting today, they responded that two bites had occurred this afternoon at 2:40pm and at 3:50pm. I did not observe either of these biting incidents. I had just left the classroom when the first biting incident occurred and was reviewing recorded camera footage in the administrator’s office when the second biting incident occurred. While I was able to review both real-time and recorded camera footage, the view and angle provided by the dome camera installed in the classroom provided a distorted aerial view of the classroom. In addition, the size of the video screens made it possible to view basic movements and actions in the classroom but made it difficult to impossible to view the faces of the children and their specific actions. I requested screenshots of the biting incidents that had occurred most recently between June 3, 2026 and today, June 8, 2026, I asked you to enlarge the picture and include the date and time stamps of the pictures. I hoped this would allow me to see more details of children, staff, and actions during the biting incidents. Later in the visit, you provided me with a picture of the biting incident that occurred today at 2:40pm. In that picture, I could see four children sitting at a table eating snack and one child standing at the table with their hand reaching in front of a child seated at the table with food and cup and one teacher standing by the table supervising snack. You stated that the standing child reaching in front of a child was bitten by the child seated at the table with food and cup. You stated that the teacher was in stride to intervene and redirect the standing child away from the table when the bite occurred. During the interview today, you stated that the bites had occurred consistently from April 23, 2026 to the present. You stated that currently three separate children in the “Wobbler” classroom had bitten other children with one child biting repeatedly. You stated that on April 23, 2026, staff began recording each bite on a “Bite Log” which included the date, the name of the child that bit, the name of the child that was bitten, the time of the incident, the location in the room/building when the bite occurred, a description of what happened, and the name of the staff member that witnessed the bite. After reviewing the “Bite Log”, I observed seventeen bite incidents recorded on the log that had occurred from April 23, 2026 through June 5, 2026. I took the log with me for further review. You stated that you had implemented a “Biting Behavior Chart” to assist you in determining if a pattern of behavior was occurring. You shared copies of a weekly “Biting Behavior Chart”. You had compiled charts using the information recorded on the “Bite Log” from April 20, 2026 through May 27, 2026. The staff had charted information daily beginning May 28, 2026 through June 5, 2026. I took the chart with me for review. You stated that you had reached out to the Early Childhood Education Specialist for additional intervention practices and resources that may resolve or reduce the biting incidents in the “Wobbler” classroom. You stated that staff members were doing everything possible to prevent the biting incidents. You stated that on June 5, 2026, you sent a letter out to each family of a child enrolled in the “Wobbler” room with an article attached that was entitled, “Biting-Why Do They Do It?”. You shared a copy of this letter with me today. Based on my observations, review of real-time camera footage, review of recorded camera footage, an interview with you, review of the “Bite Log”, and review of the “Biting Behavior Charts”, sufficient information was not available today to confirm the allegation of violations of child care requirements related to supervision during biting incidents in the “Wobbler” classroom. Therefore, the conclusion is pending further investigation. June 11, 2026 UPDATE: On June 9, 2026, Ms. Evans sent me an email with the requested screenshot pictures attached that included the time and/or date stamps for one biting incident on May 27, 2026, two biting incidents on June 3, 2026, and two biting incidents on June 4, 2026. I printed and reviewed the pictures but could not see any evidence of inadequate supervision. To complete the investigation of allegations of violations of child care requirements related to supervision, I interviewed two staff members assigned to the “Wobbler” classroom where children under the age of two years were enrolled and attended. The staff members stated that they supervised the children adequately and were doing all that they could to keep children separated giving the children additional personal space as needed. The staff members stated they were charting and logging and documenting the incidents while still working as a team to supervise the children. Based on my observations, review of real-time camera footage, review of recorded camera footage, review of the “Bite Log”, review of the “Biting Behavior Charts”, and staff interviews, the allegation of violations of child care requirements related to supervision during biting incidents in the “Wobbler” classroom could not be confirmed. Therefore, the allegation of violations of child care requirements related to supervision was unsubstantiated. I investigated the allegation of violations of child care requirements related to children's records regarding incident reports being completed for each bite incident that occurred in the classroom for one year old children referred to as the “Wobbler Room” (Space 2). During the interview today, you stated that the bites had occurred consistently from April 23, 2026 to the present. You stated that currently three separate children in the “Wobbler” classroom had bitten other children with one child biting repeatedly. You stated that on April 23, 2026, staff began recording each bite on a “Bite Log” which included the date, the name of the child that bit, the name of the child that was bitten, the time of the incident, the location in the room/building when the bite occurred, a description of what happened, and the name of the staff member that witnessed the bite. You provided a copy of the “Bite Log”. After reviewing the “Bite Log”, I observed seventeen bite incidents that occurred from April 23, 2026 through June 5, 2026. I reviewed the incident reports in the child records for the nine children enrolled in the “Wobbler” classroom. I observed eleven incident reports that had been completed for the seventeen bite incidents recorded on the “Bite Log”. I interviewed five staff members. Some staff stated that incident reports were completed for each bite and any other type of injury that occurred while a child was in care regardless of whether the injury left a mark because the mark could appear after the injury. Some staff stated that an incident report was completed for the bite incidents that left a mark on a child but no incident report was completed when a mark was not left on a child. When asked if an incident report would be completed for the two bite incidents that occurred during today’s visit, the staff stated that no incident report would be completed for those two bite incidents that occurred today because no marks were left on children today. Based on review of the “Bite Log”, review of incident reports on file in the children’s records and interviews with staff, the allegation of violations of child care requirements related to children's records regarding incident reports was confirmed. Therefore, the allegation was substantiated. The following violation was observed and cited during today’s visit: Violation Number Comment Rule 852 Incident reports were not completed each time a child was injured, it did not include all the information required in rule, it was not signed by the parent and/or it was not maintained in the child's file. I observed seventeen bite injuries documented on a “Bite Log” that had occurred from April 23, 2026 to June 5, 2026 involving children enrolled and present in the “Wobbler” classroom for children under two years of age. In the children’s records for the nine children enrolled and present in the “Wobbler” classroom, I observed eleven incident reports completed for bite injuries that occurred between April 23, 2026 and June 5, 2026. Although the administrator stated that staff should have completed an incident report for each of the seventeen bite injuries, only eleven incident reports could be located. The remaining six incident reports could not be located during the visit. .0802 (e) TECHNICAL ASSISTANCE: 1. Per child care rule 10A NCAC 09 .0802(e), incident reports should be completed each time a child is injured, should be completed on the form provided by DCDEE which includes all the information required in rule, be signed by the parent and be maintained in the child's file. Today, I observed seventeen bite injuries documented on a “Bite Log” that had occurred from April 23, 2026 to June 5, 2026 involving children enrolled and present in the “Wobbler” classroom for children under two years of age. In the children’s records for the nine children enrolled and present in the “Wobbler” classroom, I observed eleven incident reports completed for bite injuries that occurred between April 23, 2026 and June 5, 2026. Although you stated that staff should have completed an incident report for each of the seventeen bite injuries, only eleven incident reports could be located and the remaining six incident reports could not be located during the visit. To correct this violation, I suggested you review this child care requirement with your staff. I also suggested the administrative team establish a procedure for routinely monitoring that incident reports are being completed after each injury. CONSULTATION: 1. I requested that you provide additional screenshots of the biting incidents that had occurred most recently between June 3, 2026 and today, June 8, 2026. I asked you to enlarge the picture and include the date and time stamps of the pictures. 2. To be proactive, I suggested you encourage your staff to be conscious of supervision while recording documentation and/or communication with parents. I encouraged you to remind your staff to be vigilant about supervision being maintained first and foremost and to complete documentation as time and circumstances allowed without compromising supervision. 3. On May 27, 2026, prior to receiving the report, Ms. Evans reached out to me by email to inform me of a one-year-old child that was biting repeatedly and to request some advice. In that email, Ms. Evans described the interventions put in place and the measures taken up to that date to prevent the biting incidents which included the following: 1) staff were watching closely the child that was biting repeatedly; 2) staff had given the child things to chew on; 3) you had gotten books about biting and being kind friends and read them with the children; 4) staff were documenting every bite and doing an incident report for each bite; 5) you were communicating directly with the child’s mother; 6) you planned to add a third person in the classroom when you had extra staff available so staff could be a one on one to support the child and the staff; 7) you had watched the camera footage and believed the child was protecting their territory and/or property when the biting incidents occurred. On May 28, 2026, prior to receiving the report, I reached out to Ms. Evans by phone to discuss the biting incidents, interventions in place, and measures taken to prevent biting incidents in the “Wobbler” classroom for children under the age of two years. During that phone conversation, I suggested that you chart the biting incidents daily over the course of the operating day in fifteen minute increments. I suggested that you commit to charting the biting incidents for up to two weeks and then take an objective look at the chart results for the purpose of determining any pattern to the biting incidents including but not limited to a specific time of day, a specific type of activity, a specific day of the week, etc. I suggested you then discuss any patterns with the staff and the child’s family in an attempt to create a plan to break any pattern that may exist. I also suggested that reach out to your Early Childhood Education Specialist assigned to your facility through Catawba County Partnership for Children and request support and resources for you and your staff. I encouraged you to also make the commitment for at least two weeks to place a third person in the classroom during meals, transitions, teacher-lead activities, and free play. 4. Once the investigation of the allegation of violations of child care requirements related to supervision during biting incidents occurring in the classroom for one year old children referred to as the “Wobbler Room” (Space 2) is completed and a conclusion is made, you will be notified in writing of the conclusion. COMPLIANCE PLAN: All violations cited and not corrected today must be corrected immediately. Please submit a written, signed, and dated statement to me at the email/address below detailing the steps taken to correct each violation. 1) Your compliance letter must include the following: 1. The name of your center 2. The center’s ID number 3. The date you write the letter 4. Address each violation stating how you corrected the violation and are now in compliance. 5. Your signature I should receive your compliance letter no later than June 22, 2026. 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 or an administrative action may be recommended. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development and Early Education 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. Child care programs are required to maintain compliance with all applicable child care rules and regulations at all times. North Carolina General Statute 110-90(4)(d) requires all child care facilities to maintain a compliance history of at least seventy-five percent (75%) for the past eighteen (18) months or during the length of time the facility has operated, whichever is less. Failure to do so may result in the issuance of a provisional license or other administrative action against the facility's license. Any violations cited during a visit may affect your score. Your letter may be mailed to me at: Kimberly Crane PO Box 6336 Hickory, NC 28603 For your convenience, your compliance letter may be sent by email to: kimberly.crane@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included in the body of the email: name, position, facility name, and facility ID number. Due to time constraints, a handwritten visit summary was printed, reviewed, and a copy was left with you today. A computer-generated visit summary will be prepared and mailed to you. If you have any questions, feel free to contact me by phone at (828) 493-6390 or by email at kimberly.crane@dhhs.nc.gov or my supervisor, Erin Pickard, by email at erin.pickard@dhhs.nc.gov. We appreciate all you and your staff are doing to serve the children and families in your community. Thank you for your time today. 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 .0510 · Violation

Name of Operation: CHRIST CHURCH CHILD DEVELOPMENT CENTER Facility ID: 18000631 Consultant: KIMBERLY CRANE Operation Type: Center Case Number: Visit Date: 2/24/2026 Number Present: 108 Completed Date: 2/24/2026 Age: From 0 To 12 Total Minutes: 465 Time In: 09:15 AM Time Out: 12:55 PM Time In: 01:55 PM Time Out: 06:00 PM List to Use: Center Type Of Visit: Annual Comp w/Rated Lic Assess Announced/Unannounced: Unannounced The purpose of today's unannounced visit was to monitor your compliance with all applicable child care requirements during an annual compliance with rated license assessment visit. Lisa Evans, Administrator, assisted me with today’s visit. Your program currently operates with a three-star license, issued on September 11, 2025, earning four points in staff education, two points in program standards, and one quality point for meeting staff benefits package and infrastructure for parent involvement. Christ Church Global Inc., the corporation that owns the facility license, was listed as current and active on the North Carolina Secretary of State (NCSOS) website on February 23, 2026 prior to today’s visit. The license, NC Summary of Child Care Law poster, Classroom Staff to Child Ratio chart, safe arrival and departure procedures, emergency medical care plan, evacuation plan, daily schedule, activity plan, and emergency phone numbers were posted in a prominent area in the lobby. The fire drills were up to date, completed monthly, and documented on the Fire Drill Log. The emergency drills were up to date, completed quarterly, and documented on the Emergency Drill Log. The last emergency drill was a shelter-in-place drill. Lead water testing is required to be completed every three years. This facility’s lead water test results dated September 25, 2024 indicates that the facility’s water is within acceptable limits. Today, I verified that this facility is exempt from lead-based paint and asbestos testing based on submitted documentation. A current and posted menu documented appropriate nutritious snacks and meals, showed a variety of foods, and complied with Meal Patterns for Children in Child Care Programs. Meals and snacks were prepared in the kitchen and served in the classrooms. Milk and cold food items were stored in a commercial refrigerator at a temperature of forty degrees Fahrenheit. Infant bottles and food were stored at a temperature of forty-five degrees Fahrenheit in a full-size residential refrigerator in Space 1 and in a compact refrigerator at a temperature of thirty-eight degrees Fahrenheit in Space 2. I completed a walkthrough of the indoor and outdoor environments. Children were engaged in free choice play inside, attending to personal care needs, listening to teachers reading books aloud, eating lunch, resting, eating snack, and departing. Infant age children were playing on the floor, being bottle fed, and napping. School-age students arrived from public school during the visit. Supervision, adequate approved space use, capacity and group size, staff/child ratios and permit restrictions were maintained during today’s visit. I monitored hazardous product storage, medication storage, medication administration, general safety, and discipline practices. I monitored program records, children’s records, and staff records. A Staff and Training (S&T) Worksheet was available for review and was attached to this visit summary. Please keep the Staff and Training Worksheet current and available for review by DCDEE staff. This facility provides transportation for school-age students. I will return for an “Other” visit on Thursday, February 26, 2026 by 9:00am to finish monitoring the remaining staff records, transportation requirements, and to verify and document as many of the rated license components as possible. RATED LICENSE DOCUMENTATION AND DISCUSSION During today’s visit, we discussed the three QRIS Pathways to the Stars effective July 1, 2025. We covered enhanced ratios and space expectations, staff education including ensuring all staff have WORKS accounts, understanding the 50% requirement for lead teachers and for other educators, and how work experience may count, the Family and Community Engagement Foundational Practices, Continuous Quality Improvement (CQI) Plan for the Facility and Individuals, Self-Study and Coaching/Mentoring or Training. You stated that you had chosen “Classroom and Instructional Quality Assessment (Pathway 2)” as the rated license option this facility will complete. During today’s visit, you completed and submitted the “Application for Assessment for a Rated License for Centers” and the “Family and Community Engagement” worksheet. Please be prepared to follow these steps to successfully completing the “Classroom and Instructional Quality Assessment (Pathway 2)” option: • Confirm all staff have active and up to date WORKS accounts. • Complete the QRIS Staff Information and Education Worksheet electronically. • Identify and implement CQI goals. • Develop and implement strategies for Family and Community Engagement. • Select and implement a curriculum. (4- and 5-star centers must use an approved curriculum for all ages.) • Arrange coaching/mentoring or training options for the administrator and lead teachers. Per child care rule 10A NCAC 09 .3224 (a & b) Recognition Of Quality Initiatives, a child care operator may choose to request one or more areas of recognition to accompany the issuance of a two through five-star rated license earned through compliance with any licensure pathway requirement of this Section. Quality initiatives will not be used to earn a star rating. Verification of requirements for each recognition shall be reassessed at least every three years, at the time of reassessment for a two through five-star rated license. Upon verification of the requirements, the Division will issue recognition of the following quality initiatives: • Education • Professional Development • Longevity and Experience • Staff Supports and Benefits • Health and Wellness Opportunities • Language Concentration • Culinary Emphasis • Ratio, Group Size, Enrollment Practices • Supplemental Environment • NC Breastfeeding – Friendly Child Care Designation Program • Military Child Care in Your Neighborhood – PLUS Recognition Visit child care rule section 10A NCAC 09 .3224 Recognition Of Quality Initiatives for more information and details to earn quality initiative recognition. Due to time constraints, violations observed during today’s visit and violations observed and cited while completing the monitoring of records during the “Other” visit on Thursday, February 26, 2026 will be added to this visit and documented on a visit documentation addendum form on Thursday, February 26, 2026. Violation Number Comment Rule 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. One emergency medication kept in a Ready to Go bag was stored below five feet under the handwashing sink in Space 4. 15A NCAC 18A .2820(d) 847 Parent's medication authorization did not include required information. Permission to administer one prescription topical ointment in Space 1 was recorded on the “Medication Administration Permission Form for Over-The-Counter Topical Medications and Fluoridated Toothpaste” form. One emergency medication listed on a medical action plan and stored in Space 4 did not have a permission to administer form on file. 10A NCAC 09 .0803(4)(6-9) 1246 All 5 of the following activity areas were not available daily to each group art/creative play, children's books, blocks/block building, manipulatives, family living/dramatic play. Art supplies were not available to the children three years of age who were enrolled in Space 3 with their peers that were two years of age. GS 110-91(12); .10A NCAC 09 .2806(b) 1898 Staff did not complete the health and safety training within one year of employment. Two staff members with dates of employment of 08/26/2024 and 12/20/2024 completed their initial health and safety training requirement on 01/05/2026. One staff member with a date of employment of 11/05/2024 had completed eight out of the ten required health and safety training topics. Two staff members with dates of employment of 12/09/2024 and 02/18/2025 had completed nine out of ten of the required health and safety training topics. .1102(a) 1899 Health and safety training topics were not included as part of on-going training within five years of completing the previous health and safety training topics. One staff member with a date of employment of 05/27/2003 whose five year training requirement was due from 04/26/2021 - 03/17/2022 completed their five year training requirement from 10/15/2019 - 02/08/2023. One staff member with a date of employment of 07/20/2020 whose five year training requirement was due from 02/28/2024 - 11/30/2024 completed their five year training requirement from 04/08/2024 - 05/21/2024. .1103(b) TECHNICAL ASSISTANCE 1. Emergency medications for chronic illnesses such as inhalers for asthma and epi pens for allergies should be stored above five feet in an unlocked cabinet or location that’s easy for the staff member to get to quickly and not in locked storage. During today’s visit, I observed one emergency medication kept in a Ready to Go bag that was stored below five feet under the handwashing sink in Space 4 which resulted in a violation. To correct the violation, the teacher moved the Ready to Go bag with the emergency medication from the cabinet under the sink and placed it above five feet on top of the cubbies making the emergency medication inaccessible to the children but easily reached by staff. These actions corrected the violation during today’s visit. To maintain compliance with this sanitation requirement, I suggest you review medication storage sanitation and child care rule requirements with your staff and during your daily monitoring of each classroom, be sure to monitor medication storage. 2. All medications including prescription and non-prescription medications for chronic illnesses should be accompanied with a medication permission to administer form. Per child care rule 10A NCAC 09 .0803(13)(a-e), when prescription medication is administered, documentation should be completed on a medication administration log, and the medication administration permission form should be used. Although there is a section on the medical action plan document for the parent to list the emergency medications a child is taking for that particular chronic condition, completion of the medical action plan does not include the granting of permission to administer the emergency medication. During today’s visit, permission to administer one prescription topical ointment in Space 1 was recorded on the “Medication Administration Permission Form for Over-The-Counter Topical Medications and Fluoridated Toothpaste” form and one emergency medication listed on a medical action plan and stored in Space 4 did not have a permission to administer form on file which resulted in a violation. To correct these violations, I suggested you have each parent complete a “Medication Administration Permission Form” with the “Administration Log” printed on the back of the permission form. Once corrected, please include in your compliance letter documentation a description of the steps you took to correct this violation and submit your documentation to me within two weeks. To maintain compliance with this child care requirement, I suggest you review these child care requirements with your staff and explain the difference between when to use the “Medication Administration Permission Form for Over-The-Counter Topical Medications and Fluoridated Toothpaste” and when to use the “Medication Administration Permission Form and Log” documents. 3. Per child care rule 10A NCAC 09 .0510(d)(1), art and other creative play supplies must be made available and accessible daily to the children three years of age and older with enough supplies for three children to play with the same or different materials or toys at the same or different time. This requirement includes making art and other creative play supplies available and accessible to children three years of age who are enrolled in a classroom where children two years of age are also enrolled. During today’s visit, no art supplies were available to the children three years of age who were enrolled in this classroom with their peers that were two years of age which resulted in a violation. As discussed, the art supplies do not have to be accessible all day but do need to be made accessible during free choice play. To correct this violation, I suggested you create a space that included three different age appropriate art materials that would be safe for children two years of age as well as be readily available to the children three years of age during free choice play. Once corrected, please include in your compliance letter documentation a description of the steps you took to correct this violation and submit your documentation along with supporting documentation photos to me within two weeks. To maintain compliance with this child care requirement, I suggest you review this child care requirement with the teachers assigned to the two and three year old combination classroom and assist them in remembering to meet the developmental needs and child care requirements for this group of children based on the developmental growth and age progression of the children enrolled. 4. Per child care rule 10A NCAC 09 .1102(a), new employees should complete the health and safety training requirement within the first year of employment. Health and safety training should be in addition to the new staff orientation requirements. When a new employee submits completed health and safety training certificates to you that they completed prior to employment at your facility, the training certificate may be no more than twelve months old. While monitoring staff records, I observed two staff members with dates of employment of 08/26/2024 and 12/20/2024 had completed their initial H&S training requirement after their one year employment date and three staff members with dates of employment of 11/05/2024, 12/09/2024, 02/18/2025 that had not completed training within their first year of employment that included all the required health and safety training topics which resulted in a violation. To correct this violation, the staff members that have not completed training within their first year of employment for all the health and safety training topics should complete training within the next two weeks for the remaining health and safety training topics. Once corrected, please include in your compliance letter documentation a description of the steps you took to correct this violation and submit your documentation and the completed training certificates to me within two weeks. To maintain compliance with this child care requirement, I suggest you look closely at the date of each health and safety training certificate to ensure that the health and safety training topic was completed no more than twelve months prior to the new staff member’s employment date or completed prior to the employee’s first year employment anniversary. 5. Per child care rule 10A NCAC 09 .1103(b), returning employees should revisit each health and safety training topic every five years. The due date of the health and safety training five-year renewal is calculated five years from the date on each health and safety training topic training certificate. While monitoring staff records, I observed two employees with dates of employment of 05/27/2003 and 07/20/2020 had completed all the required health and safety training topics but not within the required five year period which resulted in a violation. Because the two employees had completed all the required health and safety training topics within prior to or after the five year period but prior to this visit, this violation is considered corrected during today’s visit. To maintain compliance with this child care requirement, I suggest you create a tracking tool that allows you to track the training due date for each employee or require all your employees to complete the H&S training topics within the same timeframe so that it’s easier for you to maintain. CONSULTATION: 1. Per NC General Statute 110-102, the current version of Summary of North Carolina Child Care Law should be posted in a prominent place in the facility and included in the enrollment packet to be given to parents prior to the child’s first day of attendance. The most current Summary of North Carolina Child Care Law was published in November 2025. Today, I observed the date of the posted Summary of North Carolina Child Care Law was September 2023 and February 2025. Please print the updated version, post it in your lobby, and add it to your new enrollment packets. I also suggest you regularly check the DCDEE website for updated versions and especially when you receive notification of child care or sanitation rule updates. 2. When and if you update your fire evacuation route, shelter-in-place, and/or lock-down drill plan, you need to have the fire department approve the your plan first BEFORE you put it in your EPR plan as an update. 3. We encourage you to visit the QRIS Modernization page on the DCDEE website at this link: https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization to learn more now. 4. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/. 5. Here are some important links on the DCEEE website that may be helpful: Child Care Rules and Laws: https://ncchildcare.ncdhhs.gov/Services/Child-Care-Rules-Law-and-Public-Information Training and Professional Development: https://ncchildcare.ncdhhs.gov/Provider/Training-and-Professional-Development QRIS Modernization Plan resources: https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization Required Health and Safety Training: https://ncchildcare.ncdhhs.gov/Provider/Training-and-Professional-Development/Health-and-Safety-Trainings Healthy Social Behaviors: https://www.childcarerrnc.org/special-projects/healthy-social-behaviors/. Healthy Social Behaviors Helpline: Call at 1-704-376-6697 or toll free at 1-888-600-1685 Option 1 or email at sbrawley@childcareresourcesinc.org or jbyrd@childcareresources.org. Care for Children Receiving Subsidy: https://ncchildcare.ncdhhs.gov/Provider/Providing-Child-Care/Subsidized-Child-Care/Care-for-Children-Receiving-Subsidy DCDEE Updates, Current Projects, and information applicable to Child Care in NC: https://ncchildcare.ncdhhs.gov/Whats-New 6. Here is the link to the training calendar from the Children’s Resource Center: https://childrensresourcecenter.org/training-calendar/. 7. If you would like an electronic link to any of the links shared above, please send me an email requesting the links that you wish to receive, and I will be glad to send the hyperlinks to you by email. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you today. If you have any questions, feel free to contact me by phone at 828.493.6390 or by email at kimberly.crane@dhhs.nc.gov. or you may contact Erin Pickard, Licensing Supervisor, by email at erin.pickard@dhhs.nc.gov. We appreciate all you do to serve the children and families in your community. Thank you for your time today. 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: CHRIST CHURCH CHILD DEVELOPMENT CENTER Facility ID: 18000631 Consultant: KIMBERLY CRANE Operation Type: Center Case Number: Visit Date: 2/24/2026 Number Present: 108 Completed Date: 2/24/2026 Age: From 0 To 12 Total Minutes: 465 Time In: 09:15 AM Time Out: 12:55 PM Time In: 01:55 PM Time Out: 06:00 PM List to Use: Center Type Of Visit: Annual Comp w/Rated Lic Assess Announced/Unannounced: Unannounced The purpose of today's unannounced visit was to monitor your compliance with all applicable child care requirements during an annual compliance with rated license assessment visit. Lisa Evans, Administrator, assisted me with today’s visit. Your program currently operates with a three-star license, issued on September 11, 2025, earning four points in staff education, two points in program standards, and one quality point for meeting staff benefits package and infrastructure for parent involvement. Christ Church Global Inc., the corporation that owns the facility license, was listed as current and active on the North Carolina Secretary of State (NCSOS) website on February 23, 2026 prior to today’s visit. The license, NC Summary of Child Care Law poster, Classroom Staff to Child Ratio chart, safe arrival and departure procedures, emergency medical care plan, evacuation plan, daily schedule, activity plan, and emergency phone numbers were posted in a prominent area in the lobby. The fire drills were up to date, completed monthly, and documented on the Fire Drill Log. The emergency drills were up to date, completed quarterly, and documented on the Emergency Drill Log. The last emergency drill was a shelter-in-place drill. Lead water testing is required to be completed every three years. This facility’s lead water test results dated September 25, 2024 indicates that the facility’s water is within acceptable limits. Today, I verified that this facility is exempt from lead-based paint and asbestos testing based on submitted documentation. A current and posted menu documented appropriate nutritious snacks and meals, showed a variety of foods, and complied with Meal Patterns for Children in Child Care Programs. Meals and snacks were prepared in the kitchen and served in the classrooms. Milk and cold food items were stored in a commercial refrigerator at a temperature of forty degrees Fahrenheit. Infant bottles and food were stored at a temperature of forty-five degrees Fahrenheit in a full-size residential refrigerator in Space 1 and in a compact refrigerator at a temperature of thirty-eight degrees Fahrenheit in Space 2. I completed a walkthrough of the indoor and outdoor environments. Children were engaged in free choice play inside, attending to personal care needs, listening to teachers reading books aloud, eating lunch, resting, eating snack, and departing. Infant age children were playing on the floor, being bottle fed, and napping. School-age students arrived from public school during the visit. Supervision, adequate approved space use, capacity and group size, staff/child ratios and permit restrictions were maintained during today’s visit. I monitored hazardous product storage, medication storage, medication administration, general safety, and discipline practices. I monitored program records, children’s records, and staff records. A Staff and Training (S&T) Worksheet was available for review and was attached to this visit summary. Please keep the Staff and Training Worksheet current and available for review by DCDEE staff. This facility provides transportation for school-age students. I will return for an “Other” visit on Thursday, February 26, 2026 by 9:00am to finish monitoring the remaining staff records, transportation requirements, and to verify and document as many of the rated license components as possible. RATED LICENSE DOCUMENTATION AND DISCUSSION During today’s visit, we discussed the three QRIS Pathways to the Stars effective July 1, 2025. We covered enhanced ratios and space expectations, staff education including ensuring all staff have WORKS accounts, understanding the 50% requirement for lead teachers and for other educators, and how work experience may count, the Family and Community Engagement Foundational Practices, Continuous Quality Improvement (CQI) Plan for the Facility and Individuals, Self-Study and Coaching/Mentoring or Training. You stated that you had chosen “Classroom and Instructional Quality Assessment (Pathway 2)” as the rated license option this facility will complete. During today’s visit, you completed and submitted the “Application for Assessment for a Rated License for Centers” and the “Family and Community Engagement” worksheet. Please be prepared to follow these steps to successfully completing the “Classroom and Instructional Quality Assessment (Pathway 2)” option: • Confirm all staff have active and up to date WORKS accounts. • Complete the QRIS Staff Information and Education Worksheet electronically. • Identify and implement CQI goals. • Develop and implement strategies for Family and Community Engagement. • Select and implement a curriculum. (4- and 5-star centers must use an approved curriculum for all ages.) • Arrange coaching/mentoring or training options for the administrator and lead teachers. Per child care rule 10A NCAC 09 .3224 (a & b) Recognition Of Quality Initiatives, a child care operator may choose to request one or more areas of recognition to accompany the issuance of a two through five-star rated license earned through compliance with any licensure pathway requirement of this Section. Quality initiatives will not be used to earn a star rating. Verification of requirements for each recognition shall be reassessed at least every three years, at the time of reassessment for a two through five-star rated license. Upon verification of the requirements, the Division will issue recognition of the following quality initiatives: • Education • Professional Development • Longevity and Experience • Staff Supports and Benefits • Health and Wellness Opportunities • Language Concentration • Culinary Emphasis • Ratio, Group Size, Enrollment Practices • Supplemental Environment • NC Breastfeeding – Friendly Child Care Designation Program • Military Child Care in Your Neighborhood – PLUS Recognition Visit child care rule section 10A NCAC 09 .3224 Recognition Of Quality Initiatives for more information and details to earn quality initiative recognition. Due to time constraints, violations observed during today’s visit and violations observed and cited while completing the monitoring of records during the “Other” visit on Thursday, February 26, 2026 will be added to this visit and documented on a visit documentation addendum form on Thursday, February 26, 2026. Violation Number Comment Rule 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. One emergency medication kept in a Ready to Go bag was stored below five feet under the handwashing sink in Space 4. 15A NCAC 18A .2820(d) 847 Parent's medication authorization did not include required information. Permission to administer one prescription topical ointment in Space 1 was recorded on the “Medication Administration Permission Form for Over-The-Counter Topical Medications and Fluoridated Toothpaste” form. One emergency medication listed on a medical action plan and stored in Space 4 did not have a permission to administer form on file. 10A NCAC 09 .0803(4)(6-9) 1246 All 5 of the following activity areas were not available daily to each group art/creative play, children's books, blocks/block building, manipulatives, family living/dramatic play. Art supplies were not available to the children three years of age who were enrolled in Space 3 with their peers that were two years of age. GS 110-91(12); .10A NCAC 09 .2806(b) 1898 Staff did not complete the health and safety training within one year of employment. Two staff members with dates of employment of 08/26/2024 and 12/20/2024 completed their initial health and safety training requirement on 01/05/2026. One staff member with a date of employment of 11/05/2024 had completed eight out of the ten required health and safety training topics. Two staff members with dates of employment of 12/09/2024 and 02/18/2025 had completed nine out of ten of the required health and safety training topics. .1102(a) 1899 Health and safety training topics were not included as part of on-going training within five years of completing the previous health and safety training topics. One staff member with a date of employment of 05/27/2003 whose five year training requirement was due from 04/26/2021 - 03/17/2022 completed their five year training requirement from 10/15/2019 - 02/08/2023. One staff member with a date of employment of 07/20/2020 whose five year training requirement was due from 02/28/2024 - 11/30/2024 completed their five year training requirement from 04/08/2024 - 05/21/2024. .1103(b) TECHNICAL ASSISTANCE 1. Emergency medications for chronic illnesses such as inhalers for asthma and epi pens for allergies should be stored above five feet in an unlocked cabinet or location that’s easy for the staff member to get to quickly and not in locked storage. During today’s visit, I observed one emergency medication kept in a Ready to Go bag that was stored below five feet under the handwashing sink in Space 4 which resulted in a violation. To correct the violation, the teacher moved the Ready to Go bag with the emergency medication from the cabinet under the sink and placed it above five feet on top of the cubbies making the emergency medication inaccessible to the children but easily reached by staff. These actions corrected the violation during today’s visit. To maintain compliance with this sanitation requirement, I suggest you review medication storage sanitation and child care rule requirements with your staff and during your daily monitoring of each classroom, be sure to monitor medication storage. 2. All medications including prescription and non-prescription medications for chronic illnesses should be accompanied with a medication permission to administer form. Per child care rule 10A NCAC 09 .0803(13)(a-e), when prescription medication is administered, documentation should be completed on a medication administration log, and the medication administration permission form should be used. Although there is a section on the medical action plan document for the parent to list the emergency medications a child is taking for that particular chronic condition, completion of the medical action plan does not include the granting of permission to administer the emergency medication. During today’s visit, permission to administer one prescription topical ointment in Space 1 was recorded on the “Medication Administration Permission Form for Over-The-Counter Topical Medications and Fluoridated Toothpaste” form and one emergency medication listed on a medical action plan and stored in Space 4 did not have a permission to administer form on file which resulted in a violation. To correct these violations, I suggested you have each parent complete a “Medication Administration Permission Form” with the “Administration Log” printed on the back of the permission form. Once corrected, please include in your compliance letter documentation a description of the steps you took to correct this violation and submit your documentation to me within two weeks. To maintain compliance with this child care requirement, I suggest you review these child care requirements with your staff and explain the difference between when to use the “Medication Administration Permission Form for Over-The-Counter Topical Medications and Fluoridated Toothpaste” and when to use the “Medication Administration Permission Form and Log” documents. 3. Per child care rule 10A NCAC 09 .0510(d)(1), art and other creative play supplies must be made available and accessible daily to the children three years of age and older with enough supplies for three children to play with the same or different materials or toys at the same or different time. This requirement includes making art and other creative play supplies available and accessible to children three years of age who are enrolled in a classroom where children two years of age are also enrolled. During today’s visit, no art supplies were available to the children three years of age who were enrolled in this classroom with their peers that were two years of age which resulted in a violation. As discussed, the art supplies do not have to be accessible all day but do need to be made accessible during free choice play. To correct this violation, I suggested you create a space that included three different age appropriate art materials that would be safe for children two years of age as well as be readily available to the children three years of age during free choice play. Once corrected, please include in your compliance letter documentation a description of the steps you took to correct this violation and submit your documentation along with supporting documentation photos to me within two weeks. To maintain compliance with this child care requirement, I suggest you review this child care requirement with the teachers assigned to the two and three year old combination classroom and assist them in remembering to meet the developmental needs and child care requirements for this group of children based on the developmental growth and age progression of the children enrolled. 4. Per child care rule 10A NCAC 09 .1102(a), new employees should complete the health and safety training requirement within the first year of employment. Health and safety training should be in addition to the new staff orientation requirements. When a new employee submits completed health and safety training certificates to you that they completed prior to employment at your facility, the training certificate may be no more than twelve months old. While monitoring staff records, I observed two staff members with dates of employment of 08/26/2024 and 12/20/2024 had completed their initial H&S training requirement after their one year employment date and three staff members with dates of employment of 11/05/2024, 12/09/2024, 02/18/2025 that had not completed training within their first year of employment that included all the required health and safety training topics which resulted in a violation. To correct this violation, the staff members that have not completed training within their first year of employment for all the health and safety training topics should complete training within the next two weeks for the remaining health and safety training topics. Once corrected, please include in your compliance letter documentation a description of the steps you took to correct this violation and submit your documentation and the completed training certificates to me within two weeks. To maintain compliance with this child care requirement, I suggest you look closely at the date of each health and safety training certificate to ensure that the health and safety training topic was completed no more than twelve months prior to the new staff member’s employment date or completed prior to the employee’s first year employment anniversary. 5. Per child care rule 10A NCAC 09 .1103(b), returning employees should revisit each health and safety training topic every five years. The due date of the health and safety training five-year renewal is calculated five years from the date on each health and safety training topic training certificate. While monitoring staff records, I observed two employees with dates of employment of 05/27/2003 and 07/20/2020 had completed all the required health and safety training topics but not within the required five year period which resulted in a violation. Because the two employees had completed all the required health and safety training topics within prior to or after the five year period but prior to this visit, this violation is considered corrected during today’s visit. To maintain compliance with this child care requirement, I suggest you create a tracking tool that allows you to track the training due date for each employee or require all your employees to complete the H&S training topics within the same timeframe so that it’s easier for you to maintain. CONSULTATION: 1. Per NC General Statute 110-102, the current version of Summary of North Carolina Child Care Law should be posted in a prominent place in the facility and included in the enrollment packet to be given to parents prior to the child’s first day of attendance. The most current Summary of North Carolina Child Care Law was published in November 2025. Today, I observed the date of the posted Summary of North Carolina Child Care Law was September 2023 and February 2025. Please print the updated version, post it in your lobby, and add it to your new enrollment packets. I also suggest you regularly check the DCDEE website for updated versions and especially when you receive notification of child care or sanitation rule updates. 2. When and if you update your fire evacuation route, shelter-in-place, and/or lock-down drill plan, you need to have the fire department approve the your plan first BEFORE you put it in your EPR plan as an update. 3. We encourage you to visit the QRIS Modernization page on the DCDEE website at this link: https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization to learn more now. 4. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/. 5. Here are some important links on the DCEEE website that may be helpful: Child Care Rules and Laws: https://ncchildcare.ncdhhs.gov/Services/Child-Care-Rules-Law-and-Public-Information Training and Professional Development: https://ncchildcare.ncdhhs.gov/Provider/Training-and-Professional-Development QRIS Modernization Plan resources: https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization Required Health and Safety Training: https://ncchildcare.ncdhhs.gov/Provider/Training-and-Professional-Development/Health-and-Safety-Trainings Healthy Social Behaviors: https://www.childcarerrnc.org/special-projects/healthy-social-behaviors/. Healthy Social Behaviors Helpline: Call at 1-704-376-6697 or toll free at 1-888-600-1685 Option 1 or email at sbrawley@childcareresourcesinc.org or jbyrd@childcareresources.org. Care for Children Receiving Subsidy: https://ncchildcare.ncdhhs.gov/Provider/Providing-Child-Care/Subsidized-Child-Care/Care-for-Children-Receiving-Subsidy DCDEE Updates, Current Projects, and information applicable to Child Care in NC: https://ncchildcare.ncdhhs.gov/Whats-New 6. Here is the link to the training calendar from the Children’s Resource Center: https://childrensresourcecenter.org/training-calendar/. 7. If you would like an electronic link to any of the links shared above, please send me an email requesting the links that you wish to receive, and I will be glad to send the hyperlinks to you by email. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you today. If you have any questions, feel free to contact me by phone at 828.493.6390 or by email at kimberly.crane@dhhs.nc.gov. or you may contact Erin Pickard, Licensing Supervisor, by email at erin.pickard@dhhs.nc.gov. We appreciate all you do to serve the children and families in your community. Thank you for your time today. 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: CHRIST CHURCH CHILD DEVELOPMENT CENTER Facility ID: 18000631 Consultant: KIMBERLY CRANE Operation Type: Center Case Number: Visit Date: 2/24/2026 Number Present: 108 Completed Date: 2/24/2026 Age: From 0 To 12 Total Minutes: 465 Time In: 09:15 AM Time Out: 12:55 PM Time In: 01:55 PM Time Out: 06:00 PM List to Use: Center Type Of Visit: Annual Comp w/Rated Lic Assess Announced/Unannounced: Unannounced The purpose of today's unannounced visit was to monitor your compliance with all applicable child care requirements during an annual compliance with rated license assessment visit. Lisa Evans, Administrator, assisted me with today’s visit. Your program currently operates with a three-star license, issued on September 11, 2025, earning four points in staff education, two points in program standards, and one quality point for meeting staff benefits package and infrastructure for parent involvement. Christ Church Global Inc., the corporation that owns the facility license, was listed as current and active on the North Carolina Secretary of State (NCSOS) website on February 23, 2026 prior to today’s visit. The license, NC Summary of Child Care Law poster, Classroom Staff to Child Ratio chart, safe arrival and departure procedures, emergency medical care plan, evacuation plan, daily schedule, activity plan, and emergency phone numbers were posted in a prominent area in the lobby. The fire drills were up to date, completed monthly, and documented on the Fire Drill Log. The emergency drills were up to date, completed quarterly, and documented on the Emergency Drill Log. The last emergency drill was a shelter-in-place drill. Lead water testing is required to be completed every three years. This facility’s lead water test results dated September 25, 2024 indicates that the facility’s water is within acceptable limits. Today, I verified that this facility is exempt from lead-based paint and asbestos testing based on submitted documentation. A current and posted menu documented appropriate nutritious snacks and meals, showed a variety of foods, and complied with Meal Patterns for Children in Child Care Programs. Meals and snacks were prepared in the kitchen and served in the classrooms. Milk and cold food items were stored in a commercial refrigerator at a temperature of forty degrees Fahrenheit. Infant bottles and food were stored at a temperature of forty-five degrees Fahrenheit in a full-size residential refrigerator in Space 1 and in a compact refrigerator at a temperature of thirty-eight degrees Fahrenheit in Space 2. I completed a walkthrough of the indoor and outdoor environments. Children were engaged in free choice play inside, attending to personal care needs, listening to teachers reading books aloud, eating lunch, resting, eating snack, and departing. Infant age children were playing on the floor, being bottle fed, and napping. School-age students arrived from public school during the visit. Supervision, adequate approved space use, capacity and group size, staff/child ratios and permit restrictions were maintained during today’s visit. I monitored hazardous product storage, medication storage, medication administration, general safety, and discipline practices. I monitored program records, children’s records, and staff records. A Staff and Training (S&T) Worksheet was available for review and was attached to this visit summary. Please keep the Staff and Training Worksheet current and available for review by DCDEE staff. This facility provides transportation for school-age students. I will return for an “Other” visit on Thursday, February 26, 2026 by 9:00am to finish monitoring the remaining staff records, transportation requirements, and to verify and document as many of the rated license components as possible. RATED LICENSE DOCUMENTATION AND DISCUSSION During today’s visit, we discussed the three QRIS Pathways to the Stars effective July 1, 2025. We covered enhanced ratios and space expectations, staff education including ensuring all staff have WORKS accounts, understanding the 50% requirement for lead teachers and for other educators, and how work experience may count, the Family and Community Engagement Foundational Practices, Continuous Quality Improvement (CQI) Plan for the Facility and Individuals, Self-Study and Coaching/Mentoring or Training. You stated that you had chosen “Classroom and Instructional Quality Assessment (Pathway 2)” as the rated license option this facility will complete. During today’s visit, you completed and submitted the “Application for Assessment for a Rated License for Centers” and the “Family and Community Engagement” worksheet. Please be prepared to follow these steps to successfully completing the “Classroom and Instructional Quality Assessment (Pathway 2)” option: • Confirm all staff have active and up to date WORKS accounts. • Complete the QRIS Staff Information and Education Worksheet electronically. • Identify and implement CQI goals. • Develop and implement strategies for Family and Community Engagement. • Select and implement a curriculum. (4- and 5-star centers must use an approved curriculum for all ages.) • Arrange coaching/mentoring or training options for the administrator and lead teachers. Per child care rule 10A NCAC 09 .3224 (a & b) Recognition Of Quality Initiatives, a child care operator may choose to request one or more areas of recognition to accompany the issuance of a two through five-star rated license earned through compliance with any licensure pathway requirement of this Section. Quality initiatives will not be used to earn a star rating. Verification of requirements for each recognition shall be reassessed at least every three years, at the time of reassessment for a two through five-star rated license. Upon verification of the requirements, the Division will issue recognition of the following quality initiatives: • Education • Professional Development • Longevity and Experience • Staff Supports and Benefits • Health and Wellness Opportunities • Language Concentration • Culinary Emphasis • Ratio, Group Size, Enrollment Practices • Supplemental Environment • NC Breastfeeding – Friendly Child Care Designation Program • Military Child Care in Your Neighborhood – PLUS Recognition Visit child care rule section 10A NCAC 09 .3224 Recognition Of Quality Initiatives for more information and details to earn quality initiative recognition. Due to time constraints, violations observed during today’s visit and violations observed and cited while completing the monitoring of records during the “Other” visit on Thursday, February 26, 2026 will be added to this visit and documented on a visit documentation addendum form on Thursday, February 26, 2026. Violation Number Comment Rule 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. One emergency medication kept in a Ready to Go bag was stored below five feet under the handwashing sink in Space 4. 15A NCAC 18A .2820(d) 847 Parent's medication authorization did not include required information. Permission to administer one prescription topical ointment in Space 1 was recorded on the “Medication Administration Permission Form for Over-The-Counter Topical Medications and Fluoridated Toothpaste” form. One emergency medication listed on a medical action plan and stored in Space 4 did not have a permission to administer form on file. 10A NCAC 09 .0803(4)(6-9) 1246 All 5 of the following activity areas were not available daily to each group art/creative play, children's books, blocks/block building, manipulatives, family living/dramatic play. Art supplies were not available to the children three years of age who were enrolled in Space 3 with their peers that were two years of age. GS 110-91(12); .10A NCAC 09 .2806(b) 1898 Staff did not complete the health and safety training within one year of employment. Two staff members with dates of employment of 08/26/2024 and 12/20/2024 completed their initial health and safety training requirement on 01/05/2026. One staff member with a date of employment of 11/05/2024 had completed eight out of the ten required health and safety training topics. Two staff members with dates of employment of 12/09/2024 and 02/18/2025 had completed nine out of ten of the required health and safety training topics. .1102(a) 1899 Health and safety training topics were not included as part of on-going training within five years of completing the previous health and safety training topics. One staff member with a date of employment of 05/27/2003 whose five year training requirement was due from 04/26/2021 - 03/17/2022 completed their five year training requirement from 10/15/2019 - 02/08/2023. One staff member with a date of employment of 07/20/2020 whose five year training requirement was due from 02/28/2024 - 11/30/2024 completed their five year training requirement from 04/08/2024 - 05/21/2024. .1103(b) TECHNICAL ASSISTANCE 1. Emergency medications for chronic illnesses such as inhalers for asthma and epi pens for allergies should be stored above five feet in an unlocked cabinet or location that’s easy for the staff member to get to quickly and not in locked storage. During today’s visit, I observed one emergency medication kept in a Ready to Go bag that was stored below five feet under the handwashing sink in Space 4 which resulted in a violation. To correct the violation, the teacher moved the Ready to Go bag with the emergency medication from the cabinet under the sink and placed it above five feet on top of the cubbies making the emergency medication inaccessible to the children but easily reached by staff. These actions corrected the violation during today’s visit. To maintain compliance with this sanitation requirement, I suggest you review medication storage sanitation and child care rule requirements with your staff and during your daily monitoring of each classroom, be sure to monitor medication storage. 2. All medications including prescription and non-prescription medications for chronic illnesses should be accompanied with a medication permission to administer form. Per child care rule 10A NCAC 09 .0803(13)(a-e), when prescription medication is administered, documentation should be completed on a medication administration log, and the medication administration permission form should be used. Although there is a section on the medical action plan document for the parent to list the emergency medications a child is taking for that particular chronic condition, completion of the medical action plan does not include the granting of permission to administer the emergency medication. During today’s visit, permission to administer one prescription topical ointment in Space 1 was recorded on the “Medication Administration Permission Form for Over-The-Counter Topical Medications and Fluoridated Toothpaste” form and one emergency medication listed on a medical action plan and stored in Space 4 did not have a permission to administer form on file which resulted in a violation. To correct these violations, I suggested you have each parent complete a “Medication Administration Permission Form” with the “Administration Log” printed on the back of the permission form. Once corrected, please include in your compliance letter documentation a description of the steps you took to correct this violation and submit your documentation to me within two weeks. To maintain compliance with this child care requirement, I suggest you review these child care requirements with your staff and explain the difference between when to use the “Medication Administration Permission Form for Over-The-Counter Topical Medications and Fluoridated Toothpaste” and when to use the “Medication Administration Permission Form and Log” documents. 3. Per child care rule 10A NCAC 09 .0510(d)(1), art and other creative play supplies must be made available and accessible daily to the children three years of age and older with enough supplies for three children to play with the same or different materials or toys at the same or different time. This requirement includes making art and other creative play supplies available and accessible to children three years of age who are enrolled in a classroom where children two years of age are also enrolled. During today’s visit, no art supplies were available to the children three years of age who were enrolled in this classroom with their peers that were two years of age which resulted in a violation. As discussed, the art supplies do not have to be accessible all day but do need to be made accessible during free choice play. To correct this violation, I suggested you create a space that included three different age appropriate art materials that would be safe for children two years of age as well as be readily available to the children three years of age during free choice play. Once corrected, please include in your compliance letter documentation a description of the steps you took to correct this violation and submit your documentation along with supporting documentation photos to me within two weeks. To maintain compliance with this child care requirement, I suggest you review this child care requirement with the teachers assigned to the two and three year old combination classroom and assist them in remembering to meet the developmental needs and child care requirements for this group of children based on the developmental growth and age progression of the children enrolled. 4. Per child care rule 10A NCAC 09 .1102(a), new employees should complete the health and safety training requirement within the first year of employment. Health and safety training should be in addition to the new staff orientation requirements. When a new employee submits completed health and safety training certificates to you that they completed prior to employment at your facility, the training certificate may be no more than twelve months old. While monitoring staff records, I observed two staff members with dates of employment of 08/26/2024 and 12/20/2024 had completed their initial H&S training requirement after their one year employment date and three staff members with dates of employment of 11/05/2024, 12/09/2024, 02/18/2025 that had not completed training within their first year of employment that included all the required health and safety training topics which resulted in a violation. To correct this violation, the staff members that have not completed training within their first year of employment for all the health and safety training topics should complete training within the next two weeks for the remaining health and safety training topics. Once corrected, please include in your compliance letter documentation a description of the steps you took to correct this violation and submit your documentation and the completed training certificates to me within two weeks. To maintain compliance with this child care requirement, I suggest you look closely at the date of each health and safety training certificate to ensure that the health and safety training topic was completed no more than twelve months prior to the new staff member’s employment date or completed prior to the employee’s first year employment anniversary. 5. Per child care rule 10A NCAC 09 .1103(b), returning employees should revisit each health and safety training topic every five years. The due date of the health and safety training five-year renewal is calculated five years from the date on each health and safety training topic training certificate. While monitoring staff records, I observed two employees with dates of employment of 05/27/2003 and 07/20/2020 had completed all the required health and safety training topics but not within the required five year period which resulted in a violation. Because the two employees had completed all the required health and safety training topics within prior to or after the five year period but prior to this visit, this violation is considered corrected during today’s visit. To maintain compliance with this child care requirement, I suggest you create a tracking tool that allows you to track the training due date for each employee or require all your employees to complete the H&S training topics within the same timeframe so that it’s easier for you to maintain. CONSULTATION: 1. Per NC General Statute 110-102, the current version of Summary of North Carolina Child Care Law should be posted in a prominent place in the facility and included in the enrollment packet to be given to parents prior to the child’s first day of attendance. The most current Summary of North Carolina Child Care Law was published in November 2025. Today, I observed the date of the posted Summary of North Carolina Child Care Law was September 2023 and February 2025. Please print the updated version, post it in your lobby, and add it to your new enrollment packets. I also suggest you regularly check the DCDEE website for updated versions and especially when you receive notification of child care or sanitation rule updates. 2. When and if you update your fire evacuation route, shelter-in-place, and/or lock-down drill plan, you need to have the fire department approve the your plan first BEFORE you put it in your EPR plan as an update. 3. We encourage you to visit the QRIS Modernization page on the DCDEE website at this link: https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization to learn more now. 4. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/. 5. Here are some important links on the DCEEE website that may be helpful: Child Care Rules and Laws: https://ncchildcare.ncdhhs.gov/Services/Child-Care-Rules-Law-and-Public-Information Training and Professional Development: https://ncchildcare.ncdhhs.gov/Provider/Training-and-Professional-Development QRIS Modernization Plan resources: https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization Required Health and Safety Training: https://ncchildcare.ncdhhs.gov/Provider/Training-and-Professional-Development/Health-and-Safety-Trainings Healthy Social Behaviors: https://www.childcarerrnc.org/special-projects/healthy-social-behaviors/. Healthy Social Behaviors Helpline: Call at 1-704-376-6697 or toll free at 1-888-600-1685 Option 1 or email at sbrawley@childcareresourcesinc.org or jbyrd@childcareresources.org. Care for Children Receiving Subsidy: https://ncchildcare.ncdhhs.gov/Provider/Providing-Child-Care/Subsidized-Child-Care/Care-for-Children-Receiving-Subsidy DCDEE Updates, Current Projects, and information applicable to Child Care in NC: https://ncchildcare.ncdhhs.gov/Whats-New 6. Here is the link to the training calendar from the Children’s Resource Center: https://childrensresourcecenter.org/training-calendar/. 7. If you would like an electronic link to any of the links shared above, please send me an email requesting the links that you wish to receive, and I will be glad to send the hyperlinks to you by email. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you today. If you have any questions, feel free to contact me by phone at 828.493.6390 or by email at kimberly.crane@dhhs.nc.gov. or you may contact Erin Pickard, Licensing Supervisor, by email at erin.pickard@dhhs.nc.gov. We appreciate all you do to serve the children and families in your community. Thank you for your time today. 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 .1103 · Violation

Name of Operation: CHRIST CHURCH CHILD DEVELOPMENT CENTER Facility ID: 18000631 Consultant: KIMBERLY CRANE Operation Type: Center Case Number: Visit Date: 2/24/2026 Number Present: 108 Completed Date: 2/24/2026 Age: From 0 To 12 Total Minutes: 465 Time In: 09:15 AM Time Out: 12:55 PM Time In: 01:55 PM Time Out: 06:00 PM List to Use: Center Type Of Visit: Annual Comp w/Rated Lic Assess Announced/Unannounced: Unannounced The purpose of today's unannounced visit was to monitor your compliance with all applicable child care requirements during an annual compliance with rated license assessment visit. Lisa Evans, Administrator, assisted me with today’s visit. Your program currently operates with a three-star license, issued on September 11, 2025, earning four points in staff education, two points in program standards, and one quality point for meeting staff benefits package and infrastructure for parent involvement. Christ Church Global Inc., the corporation that owns the facility license, was listed as current and active on the North Carolina Secretary of State (NCSOS) website on February 23, 2026 prior to today’s visit. The license, NC Summary of Child Care Law poster, Classroom Staff to Child Ratio chart, safe arrival and departure procedures, emergency medical care plan, evacuation plan, daily schedule, activity plan, and emergency phone numbers were posted in a prominent area in the lobby. The fire drills were up to date, completed monthly, and documented on the Fire Drill Log. The emergency drills were up to date, completed quarterly, and documented on the Emergency Drill Log. The last emergency drill was a shelter-in-place drill. Lead water testing is required to be completed every three years. This facility’s lead water test results dated September 25, 2024 indicates that the facility’s water is within acceptable limits. Today, I verified that this facility is exempt from lead-based paint and asbestos testing based on submitted documentation. A current and posted menu documented appropriate nutritious snacks and meals, showed a variety of foods, and complied with Meal Patterns for Children in Child Care Programs. Meals and snacks were prepared in the kitchen and served in the classrooms. Milk and cold food items were stored in a commercial refrigerator at a temperature of forty degrees Fahrenheit. Infant bottles and food were stored at a temperature of forty-five degrees Fahrenheit in a full-size residential refrigerator in Space 1 and in a compact refrigerator at a temperature of thirty-eight degrees Fahrenheit in Space 2. I completed a walkthrough of the indoor and outdoor environments. Children were engaged in free choice play inside, attending to personal care needs, listening to teachers reading books aloud, eating lunch, resting, eating snack, and departing. Infant age children were playing on the floor, being bottle fed, and napping. School-age students arrived from public school during the visit. Supervision, adequate approved space use, capacity and group size, staff/child ratios and permit restrictions were maintained during today’s visit. I monitored hazardous product storage, medication storage, medication administration, general safety, and discipline practices. I monitored program records, children’s records, and staff records. A Staff and Training (S&T) Worksheet was available for review and was attached to this visit summary. Please keep the Staff and Training Worksheet current and available for review by DCDEE staff. This facility provides transportation for school-age students. I will return for an “Other” visit on Thursday, February 26, 2026 by 9:00am to finish monitoring the remaining staff records, transportation requirements, and to verify and document as many of the rated license components as possible. RATED LICENSE DOCUMENTATION AND DISCUSSION During today’s visit, we discussed the three QRIS Pathways to the Stars effective July 1, 2025. We covered enhanced ratios and space expectations, staff education including ensuring all staff have WORKS accounts, understanding the 50% requirement for lead teachers and for other educators, and how work experience may count, the Family and Community Engagement Foundational Practices, Continuous Quality Improvement (CQI) Plan for the Facility and Individuals, Self-Study and Coaching/Mentoring or Training. You stated that you had chosen “Classroom and Instructional Quality Assessment (Pathway 2)” as the rated license option this facility will complete. During today’s visit, you completed and submitted the “Application for Assessment for a Rated License for Centers” and the “Family and Community Engagement” worksheet. Please be prepared to follow these steps to successfully completing the “Classroom and Instructional Quality Assessment (Pathway 2)” option: • Confirm all staff have active and up to date WORKS accounts. • Complete the QRIS Staff Information and Education Worksheet electronically. • Identify and implement CQI goals. • Develop and implement strategies for Family and Community Engagement. • Select and implement a curriculum. (4- and 5-star centers must use an approved curriculum for all ages.) • Arrange coaching/mentoring or training options for the administrator and lead teachers. Per child care rule 10A NCAC 09 .3224 (a & b) Recognition Of Quality Initiatives, a child care operator may choose to request one or more areas of recognition to accompany the issuance of a two through five-star rated license earned through compliance with any licensure pathway requirement of this Section. Quality initiatives will not be used to earn a star rating. Verification of requirements for each recognition shall be reassessed at least every three years, at the time of reassessment for a two through five-star rated license. Upon verification of the requirements, the Division will issue recognition of the following quality initiatives: • Education • Professional Development • Longevity and Experience • Staff Supports and Benefits • Health and Wellness Opportunities • Language Concentration • Culinary Emphasis • Ratio, Group Size, Enrollment Practices • Supplemental Environment • NC Breastfeeding – Friendly Child Care Designation Program • Military Child Care in Your Neighborhood – PLUS Recognition Visit child care rule section 10A NCAC 09 .3224 Recognition Of Quality Initiatives for more information and details to earn quality initiative recognition. Due to time constraints, violations observed during today’s visit and violations observed and cited while completing the monitoring of records during the “Other” visit on Thursday, February 26, 2026 will be added to this visit and documented on a visit documentation addendum form on Thursday, February 26, 2026. Violation Number Comment Rule 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. One emergency medication kept in a Ready to Go bag was stored below five feet under the handwashing sink in Space 4. 15A NCAC 18A .2820(d) 847 Parent's medication authorization did not include required information. Permission to administer one prescription topical ointment in Space 1 was recorded on the “Medication Administration Permission Form for Over-The-Counter Topical Medications and Fluoridated Toothpaste” form. One emergency medication listed on a medical action plan and stored in Space 4 did not have a permission to administer form on file. 10A NCAC 09 .0803(4)(6-9) 1246 All 5 of the following activity areas were not available daily to each group art/creative play, children's books, blocks/block building, manipulatives, family living/dramatic play. Art supplies were not available to the children three years of age who were enrolled in Space 3 with their peers that were two years of age. GS 110-91(12); .10A NCAC 09 .2806(b) 1898 Staff did not complete the health and safety training within one year of employment. Two staff members with dates of employment of 08/26/2024 and 12/20/2024 completed their initial health and safety training requirement on 01/05/2026. One staff member with a date of employment of 11/05/2024 had completed eight out of the ten required health and safety training topics. Two staff members with dates of employment of 12/09/2024 and 02/18/2025 had completed nine out of ten of the required health and safety training topics. .1102(a) 1899 Health and safety training topics were not included as part of on-going training within five years of completing the previous health and safety training topics. One staff member with a date of employment of 05/27/2003 whose five year training requirement was due from 04/26/2021 - 03/17/2022 completed their five year training requirement from 10/15/2019 - 02/08/2023. One staff member with a date of employment of 07/20/2020 whose five year training requirement was due from 02/28/2024 - 11/30/2024 completed their five year training requirement from 04/08/2024 - 05/21/2024. .1103(b) TECHNICAL ASSISTANCE 1. Emergency medications for chronic illnesses such as inhalers for asthma and epi pens for allergies should be stored above five feet in an unlocked cabinet or location that’s easy for the staff member to get to quickly and not in locked storage. During today’s visit, I observed one emergency medication kept in a Ready to Go bag that was stored below five feet under the handwashing sink in Space 4 which resulted in a violation. To correct the violation, the teacher moved the Ready to Go bag with the emergency medication from the cabinet under the sink and placed it above five feet on top of the cubbies making the emergency medication inaccessible to the children but easily reached by staff. These actions corrected the violation during today’s visit. To maintain compliance with this sanitation requirement, I suggest you review medication storage sanitation and child care rule requirements with your staff and during your daily monitoring of each classroom, be sure to monitor medication storage. 2. All medications including prescription and non-prescription medications for chronic illnesses should be accompanied with a medication permission to administer form. Per child care rule 10A NCAC 09 .0803(13)(a-e), when prescription medication is administered, documentation should be completed on a medication administration log, and the medication administration permission form should be used. Although there is a section on the medical action plan document for the parent to list the emergency medications a child is taking for that particular chronic condition, completion of the medical action plan does not include the granting of permission to administer the emergency medication. During today’s visit, permission to administer one prescription topical ointment in Space 1 was recorded on the “Medication Administration Permission Form for Over-The-Counter Topical Medications and Fluoridated Toothpaste” form and one emergency medication listed on a medical action plan and stored in Space 4 did not have a permission to administer form on file which resulted in a violation. To correct these violations, I suggested you have each parent complete a “Medication Administration Permission Form” with the “Administration Log” printed on the back of the permission form. Once corrected, please include in your compliance letter documentation a description of the steps you took to correct this violation and submit your documentation to me within two weeks. To maintain compliance with this child care requirement, I suggest you review these child care requirements with your staff and explain the difference between when to use the “Medication Administration Permission Form for Over-The-Counter Topical Medications and Fluoridated Toothpaste” and when to use the “Medication Administration Permission Form and Log” documents. 3. Per child care rule 10A NCAC 09 .0510(d)(1), art and other creative play supplies must be made available and accessible daily to the children three years of age and older with enough supplies for three children to play with the same or different materials or toys at the same or different time. This requirement includes making art and other creative play supplies available and accessible to children three years of age who are enrolled in a classroom where children two years of age are also enrolled. During today’s visit, no art supplies were available to the children three years of age who were enrolled in this classroom with their peers that were two years of age which resulted in a violation. As discussed, the art supplies do not have to be accessible all day but do need to be made accessible during free choice play. To correct this violation, I suggested you create a space that included three different age appropriate art materials that would be safe for children two years of age as well as be readily available to the children three years of age during free choice play. Once corrected, please include in your compliance letter documentation a description of the steps you took to correct this violation and submit your documentation along with supporting documentation photos to me within two weeks. To maintain compliance with this child care requirement, I suggest you review this child care requirement with the teachers assigned to the two and three year old combination classroom and assist them in remembering to meet the developmental needs and child care requirements for this group of children based on the developmental growth and age progression of the children enrolled. 4. Per child care rule 10A NCAC 09 .1102(a), new employees should complete the health and safety training requirement within the first year of employment. Health and safety training should be in addition to the new staff orientation requirements. When a new employee submits completed health and safety training certificates to you that they completed prior to employment at your facility, the training certificate may be no more than twelve months old. While monitoring staff records, I observed two staff members with dates of employment of 08/26/2024 and 12/20/2024 had completed their initial H&S training requirement after their one year employment date and three staff members with dates of employment of 11/05/2024, 12/09/2024, 02/18/2025 that had not completed training within their first year of employment that included all the required health and safety training topics which resulted in a violation. To correct this violation, the staff members that have not completed training within their first year of employment for all the health and safety training topics should complete training within the next two weeks for the remaining health and safety training topics. Once corrected, please include in your compliance letter documentation a description of the steps you took to correct this violation and submit your documentation and the completed training certificates to me within two weeks. To maintain compliance with this child care requirement, I suggest you look closely at the date of each health and safety training certificate to ensure that the health and safety training topic was completed no more than twelve months prior to the new staff member’s employment date or completed prior to the employee’s first year employment anniversary. 5. Per child care rule 10A NCAC 09 .1103(b), returning employees should revisit each health and safety training topic every five years. The due date of the health and safety training five-year renewal is calculated five years from the date on each health and safety training topic training certificate. While monitoring staff records, I observed two employees with dates of employment of 05/27/2003 and 07/20/2020 had completed all the required health and safety training topics but not within the required five year period which resulted in a violation. Because the two employees had completed all the required health and safety training topics within prior to or after the five year period but prior to this visit, this violation is considered corrected during today’s visit. To maintain compliance with this child care requirement, I suggest you create a tracking tool that allows you to track the training due date for each employee or require all your employees to complete the H&S training topics within the same timeframe so that it’s easier for you to maintain. CONSULTATION: 1. Per NC General Statute 110-102, the current version of Summary of North Carolina Child Care Law should be posted in a prominent place in the facility and included in the enrollment packet to be given to parents prior to the child’s first day of attendance. The most current Summary of North Carolina Child Care Law was published in November 2025. Today, I observed the date of the posted Summary of North Carolina Child Care Law was September 2023 and February 2025. Please print the updated version, post it in your lobby, and add it to your new enrollment packets. I also suggest you regularly check the DCDEE website for updated versions and especially when you receive notification of child care or sanitation rule updates. 2. When and if you update your fire evacuation route, shelter-in-place, and/or lock-down drill plan, you need to have the fire department approve the your plan first BEFORE you put it in your EPR plan as an update. 3. We encourage you to visit the QRIS Modernization page on the DCDEE website at this link: https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization to learn more now. 4. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/. 5. Here are some important links on the DCEEE website that may be helpful: Child Care Rules and Laws: https://ncchildcare.ncdhhs.gov/Services/Child-Care-Rules-Law-and-Public-Information Training and Professional Development: https://ncchildcare.ncdhhs.gov/Provider/Training-and-Professional-Development QRIS Modernization Plan resources: https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization Required Health and Safety Training: https://ncchildcare.ncdhhs.gov/Provider/Training-and-Professional-Development/Health-and-Safety-Trainings Healthy Social Behaviors: https://www.childcarerrnc.org/special-projects/healthy-social-behaviors/. Healthy Social Behaviors Helpline: Call at 1-704-376-6697 or toll free at 1-888-600-1685 Option 1 or email at sbrawley@childcareresourcesinc.org or jbyrd@childcareresources.org. Care for Children Receiving Subsidy: https://ncchildcare.ncdhhs.gov/Provider/Providing-Child-Care/Subsidized-Child-Care/Care-for-Children-Receiving-Subsidy DCDEE Updates, Current Projects, and information applicable to Child Care in NC: https://ncchildcare.ncdhhs.gov/Whats-New 6. Here is the link to the training calendar from the Children’s Resource Center: https://childrensresourcecenter.org/training-calendar/. 7. If you would like an electronic link to any of the links shared above, please send me an email requesting the links that you wish to receive, and I will be glad to send the hyperlinks to you by email. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you today. If you have any questions, feel free to contact me by phone at 828.493.6390 or by email at kimberly.crane@dhhs.nc.gov. or you may contact Erin Pickard, Licensing Supervisor, by email at erin.pickard@dhhs.nc.gov. We appreciate all you do to serve the children and families in your community. Thank you for your time today. 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 .2806 · Violation

Name of Operation: CHRIST CHURCH CHILD DEVELOPMENT CENTER Facility ID: 18000631 Consultant: KIMBERLY CRANE Operation Type: Center Case Number: Visit Date: 2/24/2026 Number Present: 108 Completed Date: 2/24/2026 Age: From 0 To 12 Total Minutes: 465 Time In: 09:15 AM Time Out: 12:55 PM Time In: 01:55 PM Time Out: 06:00 PM List to Use: Center Type Of Visit: Annual Comp w/Rated Lic Assess Announced/Unannounced: Unannounced The purpose of today's unannounced visit was to monitor your compliance with all applicable child care requirements during an annual compliance with rated license assessment visit. Lisa Evans, Administrator, assisted me with today’s visit. Your program currently operates with a three-star license, issued on September 11, 2025, earning four points in staff education, two points in program standards, and one quality point for meeting staff benefits package and infrastructure for parent involvement. Christ Church Global Inc., the corporation that owns the facility license, was listed as current and active on the North Carolina Secretary of State (NCSOS) website on February 23, 2026 prior to today’s visit. The license, NC Summary of Child Care Law poster, Classroom Staff to Child Ratio chart, safe arrival and departure procedures, emergency medical care plan, evacuation plan, daily schedule, activity plan, and emergency phone numbers were posted in a prominent area in the lobby. The fire drills were up to date, completed monthly, and documented on the Fire Drill Log. The emergency drills were up to date, completed quarterly, and documented on the Emergency Drill Log. The last emergency drill was a shelter-in-place drill. Lead water testing is required to be completed every three years. This facility’s lead water test results dated September 25, 2024 indicates that the facility’s water is within acceptable limits. Today, I verified that this facility is exempt from lead-based paint and asbestos testing based on submitted documentation. A current and posted menu documented appropriate nutritious snacks and meals, showed a variety of foods, and complied with Meal Patterns for Children in Child Care Programs. Meals and snacks were prepared in the kitchen and served in the classrooms. Milk and cold food items were stored in a commercial refrigerator at a temperature of forty degrees Fahrenheit. Infant bottles and food were stored at a temperature of forty-five degrees Fahrenheit in a full-size residential refrigerator in Space 1 and in a compact refrigerator at a temperature of thirty-eight degrees Fahrenheit in Space 2. I completed a walkthrough of the indoor and outdoor environments. Children were engaged in free choice play inside, attending to personal care needs, listening to teachers reading books aloud, eating lunch, resting, eating snack, and departing. Infant age children were playing on the floor, being bottle fed, and napping. School-age students arrived from public school during the visit. Supervision, adequate approved space use, capacity and group size, staff/child ratios and permit restrictions were maintained during today’s visit. I monitored hazardous product storage, medication storage, medication administration, general safety, and discipline practices. I monitored program records, children’s records, and staff records. A Staff and Training (S&T) Worksheet was available for review and was attached to this visit summary. Please keep the Staff and Training Worksheet current and available for review by DCDEE staff. This facility provides transportation for school-age students. I will return for an “Other” visit on Thursday, February 26, 2026 by 9:00am to finish monitoring the remaining staff records, transportation requirements, and to verify and document as many of the rated license components as possible. RATED LICENSE DOCUMENTATION AND DISCUSSION During today’s visit, we discussed the three QRIS Pathways to the Stars effective July 1, 2025. We covered enhanced ratios and space expectations, staff education including ensuring all staff have WORKS accounts, understanding the 50% requirement for lead teachers and for other educators, and how work experience may count, the Family and Community Engagement Foundational Practices, Continuous Quality Improvement (CQI) Plan for the Facility and Individuals, Self-Study and Coaching/Mentoring or Training. You stated that you had chosen “Classroom and Instructional Quality Assessment (Pathway 2)” as the rated license option this facility will complete. During today’s visit, you completed and submitted the “Application for Assessment for a Rated License for Centers” and the “Family and Community Engagement” worksheet. Please be prepared to follow these steps to successfully completing the “Classroom and Instructional Quality Assessment (Pathway 2)” option: • Confirm all staff have active and up to date WORKS accounts. • Complete the QRIS Staff Information and Education Worksheet electronically. • Identify and implement CQI goals. • Develop and implement strategies for Family and Community Engagement. • Select and implement a curriculum. (4- and 5-star centers must use an approved curriculum for all ages.) • Arrange coaching/mentoring or training options for the administrator and lead teachers. Per child care rule 10A NCAC 09 .3224 (a & b) Recognition Of Quality Initiatives, a child care operator may choose to request one or more areas of recognition to accompany the issuance of a two through five-star rated license earned through compliance with any licensure pathway requirement of this Section. Quality initiatives will not be used to earn a star rating. Verification of requirements for each recognition shall be reassessed at least every three years, at the time of reassessment for a two through five-star rated license. Upon verification of the requirements, the Division will issue recognition of the following quality initiatives: • Education • Professional Development • Longevity and Experience • Staff Supports and Benefits • Health and Wellness Opportunities • Language Concentration • Culinary Emphasis • Ratio, Group Size, Enrollment Practices • Supplemental Environment • NC Breastfeeding – Friendly Child Care Designation Program • Military Child Care in Your Neighborhood – PLUS Recognition Visit child care rule section 10A NCAC 09 .3224 Recognition Of Quality Initiatives for more information and details to earn quality initiative recognition. Due to time constraints, violations observed during today’s visit and violations observed and cited while completing the monitoring of records during the “Other” visit on Thursday, February 26, 2026 will be added to this visit and documented on a visit documentation addendum form on Thursday, February 26, 2026. Violation Number Comment Rule 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. One emergency medication kept in a Ready to Go bag was stored below five feet under the handwashing sink in Space 4. 15A NCAC 18A .2820(d) 847 Parent's medication authorization did not include required information. Permission to administer one prescription topical ointment in Space 1 was recorded on the “Medication Administration Permission Form for Over-The-Counter Topical Medications and Fluoridated Toothpaste” form. One emergency medication listed on a medical action plan and stored in Space 4 did not have a permission to administer form on file. 10A NCAC 09 .0803(4)(6-9) 1246 All 5 of the following activity areas were not available daily to each group art/creative play, children's books, blocks/block building, manipulatives, family living/dramatic play. Art supplies were not available to the children three years of age who were enrolled in Space 3 with their peers that were two years of age. GS 110-91(12); .10A NCAC 09 .2806(b) 1898 Staff did not complete the health and safety training within one year of employment. Two staff members with dates of employment of 08/26/2024 and 12/20/2024 completed their initial health and safety training requirement on 01/05/2026. One staff member with a date of employment of 11/05/2024 had completed eight out of the ten required health and safety training topics. Two staff members with dates of employment of 12/09/2024 and 02/18/2025 had completed nine out of ten of the required health and safety training topics. .1102(a) 1899 Health and safety training topics were not included as part of on-going training within five years of completing the previous health and safety training topics. One staff member with a date of employment of 05/27/2003 whose five year training requirement was due from 04/26/2021 - 03/17/2022 completed their five year training requirement from 10/15/2019 - 02/08/2023. One staff member with a date of employment of 07/20/2020 whose five year training requirement was due from 02/28/2024 - 11/30/2024 completed their five year training requirement from 04/08/2024 - 05/21/2024. .1103(b) TECHNICAL ASSISTANCE 1. Emergency medications for chronic illnesses such as inhalers for asthma and epi pens for allergies should be stored above five feet in an unlocked cabinet or location that’s easy for the staff member to get to quickly and not in locked storage. During today’s visit, I observed one emergency medication kept in a Ready to Go bag that was stored below five feet under the handwashing sink in Space 4 which resulted in a violation. To correct the violation, the teacher moved the Ready to Go bag with the emergency medication from the cabinet under the sink and placed it above five feet on top of the cubbies making the emergency medication inaccessible to the children but easily reached by staff. These actions corrected the violation during today’s visit. To maintain compliance with this sanitation requirement, I suggest you review medication storage sanitation and child care rule requirements with your staff and during your daily monitoring of each classroom, be sure to monitor medication storage. 2. All medications including prescription and non-prescription medications for chronic illnesses should be accompanied with a medication permission to administer form. Per child care rule 10A NCAC 09 .0803(13)(a-e), when prescription medication is administered, documentation should be completed on a medication administration log, and the medication administration permission form should be used. Although there is a section on the medical action plan document for the parent to list the emergency medications a child is taking for that particular chronic condition, completion of the medical action plan does not include the granting of permission to administer the emergency medication. During today’s visit, permission to administer one prescription topical ointment in Space 1 was recorded on the “Medication Administration Permission Form for Over-The-Counter Topical Medications and Fluoridated Toothpaste” form and one emergency medication listed on a medical action plan and stored in Space 4 did not have a permission to administer form on file which resulted in a violation. To correct these violations, I suggested you have each parent complete a “Medication Administration Permission Form” with the “Administration Log” printed on the back of the permission form. Once corrected, please include in your compliance letter documentation a description of the steps you took to correct this violation and submit your documentation to me within two weeks. To maintain compliance with this child care requirement, I suggest you review these child care requirements with your staff and explain the difference between when to use the “Medication Administration Permission Form for Over-The-Counter Topical Medications and Fluoridated Toothpaste” and when to use the “Medication Administration Permission Form and Log” documents. 3. Per child care rule 10A NCAC 09 .0510(d)(1), art and other creative play supplies must be made available and accessible daily to the children three years of age and older with enough supplies for three children to play with the same or different materials or toys at the same or different time. This requirement includes making art and other creative play supplies available and accessible to children three years of age who are enrolled in a classroom where children two years of age are also enrolled. During today’s visit, no art supplies were available to the children three years of age who were enrolled in this classroom with their peers that were two years of age which resulted in a violation. As discussed, the art supplies do not have to be accessible all day but do need to be made accessible during free choice play. To correct this violation, I suggested you create a space that included three different age appropriate art materials that would be safe for children two years of age as well as be readily available to the children three years of age during free choice play. Once corrected, please include in your compliance letter documentation a description of the steps you took to correct this violation and submit your documentation along with supporting documentation photos to me within two weeks. To maintain compliance with this child care requirement, I suggest you review this child care requirement with the teachers assigned to the two and three year old combination classroom and assist them in remembering to meet the developmental needs and child care requirements for this group of children based on the developmental growth and age progression of the children enrolled. 4. Per child care rule 10A NCAC 09 .1102(a), new employees should complete the health and safety training requirement within the first year of employment. Health and safety training should be in addition to the new staff orientation requirements. When a new employee submits completed health and safety training certificates to you that they completed prior to employment at your facility, the training certificate may be no more than twelve months old. While monitoring staff records, I observed two staff members with dates of employment of 08/26/2024 and 12/20/2024 had completed their initial H&S training requirement after their one year employment date and three staff members with dates of employment of 11/05/2024, 12/09/2024, 02/18/2025 that had not completed training within their first year of employment that included all the required health and safety training topics which resulted in a violation. To correct this violation, the staff members that have not completed training within their first year of employment for all the health and safety training topics should complete training within the next two weeks for the remaining health and safety training topics. Once corrected, please include in your compliance letter documentation a description of the steps you took to correct this violation and submit your documentation and the completed training certificates to me within two weeks. To maintain compliance with this child care requirement, I suggest you look closely at the date of each health and safety training certificate to ensure that the health and safety training topic was completed no more than twelve months prior to the new staff member’s employment date or completed prior to the employee’s first year employment anniversary. 5. Per child care rule 10A NCAC 09 .1103(b), returning employees should revisit each health and safety training topic every five years. The due date of the health and safety training five-year renewal is calculated five years from the date on each health and safety training topic training certificate. While monitoring staff records, I observed two employees with dates of employment of 05/27/2003 and 07/20/2020 had completed all the required health and safety training topics but not within the required five year period which resulted in a violation. Because the two employees had completed all the required health and safety training topics within prior to or after the five year period but prior to this visit, this violation is considered corrected during today’s visit. To maintain compliance with this child care requirement, I suggest you create a tracking tool that allows you to track the training due date for each employee or require all your employees to complete the H&S training topics within the same timeframe so that it’s easier for you to maintain. CONSULTATION: 1. Per NC General Statute 110-102, the current version of Summary of North Carolina Child Care Law should be posted in a prominent place in the facility and included in the enrollment packet to be given to parents prior to the child’s first day of attendance. The most current Summary of North Carolina Child Care Law was published in November 2025. Today, I observed the date of the posted Summary of North Carolina Child Care Law was September 2023 and February 2025. Please print the updated version, post it in your lobby, and add it to your new enrollment packets. I also suggest you regularly check the DCDEE website for updated versions and especially when you receive notification of child care or sanitation rule updates. 2. When and if you update your fire evacuation route, shelter-in-place, and/or lock-down drill plan, you need to have the fire department approve the your plan first BEFORE you put it in your EPR plan as an update. 3. We encourage you to visit the QRIS Modernization page on the DCDEE website at this link: https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization to learn more now. 4. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/. 5. Here are some important links on the DCEEE website that may be helpful: Child Care Rules and Laws: https://ncchildcare.ncdhhs.gov/Services/Child-Care-Rules-Law-and-Public-Information Training and Professional Development: https://ncchildcare.ncdhhs.gov/Provider/Training-and-Professional-Development QRIS Modernization Plan resources: https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization Required Health and Safety Training: https://ncchildcare.ncdhhs.gov/Provider/Training-and-Professional-Development/Health-and-Safety-Trainings Healthy Social Behaviors: https://www.childcarerrnc.org/special-projects/healthy-social-behaviors/. Healthy Social Behaviors Helpline: Call at 1-704-376-6697 or toll free at 1-888-600-1685 Option 1 or email at sbrawley@childcareresourcesinc.org or jbyrd@childcareresources.org. Care for Children Receiving Subsidy: https://ncchildcare.ncdhhs.gov/Provider/Providing-Child-Care/Subsidized-Child-Care/Care-for-Children-Receiving-Subsidy DCDEE Updates, Current Projects, and information applicable to Child Care in NC: https://ncchildcare.ncdhhs.gov/Whats-New 6. Here is the link to the training calendar from the Children’s Resource Center: https://childrensresourcecenter.org/training-calendar/. 7. If you would like an electronic link to any of the links shared above, please send me an email requesting the links that you wish to receive, and I will be glad to send the hyperlinks to you by email. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you today. If you have any questions, feel free to contact me by phone at 828.493.6390 or by email at kimberly.crane@dhhs.nc.gov. or you may contact Erin Pickard, Licensing Supervisor, by email at erin.pickard@dhhs.nc.gov. We appreciate all you do to serve the children and families in your community. Thank you for your time today. 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 .3224 · Violation

Name of Operation: CHRIST CHURCH CHILD DEVELOPMENT CENTER Facility ID: 18000631 Consultant: KIMBERLY CRANE Operation Type: Center Case Number: Visit Date: 2/24/2026 Number Present: 108 Completed Date: 2/24/2026 Age: From 0 To 12 Total Minutes: 465 Time In: 09:15 AM Time Out: 12:55 PM Time In: 01:55 PM Time Out: 06:00 PM List to Use: Center Type Of Visit: Annual Comp w/Rated Lic Assess Announced/Unannounced: Unannounced The purpose of today's unannounced visit was to monitor your compliance with all applicable child care requirements during an annual compliance with rated license assessment visit. Lisa Evans, Administrator, assisted me with today’s visit. Your program currently operates with a three-star license, issued on September 11, 2025, earning four points in staff education, two points in program standards, and one quality point for meeting staff benefits package and infrastructure for parent involvement. Christ Church Global Inc., the corporation that owns the facility license, was listed as current and active on the North Carolina Secretary of State (NCSOS) website on February 23, 2026 prior to today’s visit. The license, NC Summary of Child Care Law poster, Classroom Staff to Child Ratio chart, safe arrival and departure procedures, emergency medical care plan, evacuation plan, daily schedule, activity plan, and emergency phone numbers were posted in a prominent area in the lobby. The fire drills were up to date, completed monthly, and documented on the Fire Drill Log. The emergency drills were up to date, completed quarterly, and documented on the Emergency Drill Log. The last emergency drill was a shelter-in-place drill. Lead water testing is required to be completed every three years. This facility’s lead water test results dated September 25, 2024 indicates that the facility’s water is within acceptable limits. Today, I verified that this facility is exempt from lead-based paint and asbestos testing based on submitted documentation. A current and posted menu documented appropriate nutritious snacks and meals, showed a variety of foods, and complied with Meal Patterns for Children in Child Care Programs. Meals and snacks were prepared in the kitchen and served in the classrooms. Milk and cold food items were stored in a commercial refrigerator at a temperature of forty degrees Fahrenheit. Infant bottles and food were stored at a temperature of forty-five degrees Fahrenheit in a full-size residential refrigerator in Space 1 and in a compact refrigerator at a temperature of thirty-eight degrees Fahrenheit in Space 2. I completed a walkthrough of the indoor and outdoor environments. Children were engaged in free choice play inside, attending to personal care needs, listening to teachers reading books aloud, eating lunch, resting, eating snack, and departing. Infant age children were playing on the floor, being bottle fed, and napping. School-age students arrived from public school during the visit. Supervision, adequate approved space use, capacity and group size, staff/child ratios and permit restrictions were maintained during today’s visit. I monitored hazardous product storage, medication storage, medication administration, general safety, and discipline practices. I monitored program records, children’s records, and staff records. A Staff and Training (S&T) Worksheet was available for review and was attached to this visit summary. Please keep the Staff and Training Worksheet current and available for review by DCDEE staff. This facility provides transportation for school-age students. I will return for an “Other” visit on Thursday, February 26, 2026 by 9:00am to finish monitoring the remaining staff records, transportation requirements, and to verify and document as many of the rated license components as possible. RATED LICENSE DOCUMENTATION AND DISCUSSION During today’s visit, we discussed the three QRIS Pathways to the Stars effective July 1, 2025. We covered enhanced ratios and space expectations, staff education including ensuring all staff have WORKS accounts, understanding the 50% requirement for lead teachers and for other educators, and how work experience may count, the Family and Community Engagement Foundational Practices, Continuous Quality Improvement (CQI) Plan for the Facility and Individuals, Self-Study and Coaching/Mentoring or Training. You stated that you had chosen “Classroom and Instructional Quality Assessment (Pathway 2)” as the rated license option this facility will complete. During today’s visit, you completed and submitted the “Application for Assessment for a Rated License for Centers” and the “Family and Community Engagement” worksheet. Please be prepared to follow these steps to successfully completing the “Classroom and Instructional Quality Assessment (Pathway 2)” option: • Confirm all staff have active and up to date WORKS accounts. • Complete the QRIS Staff Information and Education Worksheet electronically. • Identify and implement CQI goals. • Develop and implement strategies for Family and Community Engagement. • Select and implement a curriculum. (4- and 5-star centers must use an approved curriculum for all ages.) • Arrange coaching/mentoring or training options for the administrator and lead teachers. Per child care rule 10A NCAC 09 .3224 (a & b) Recognition Of Quality Initiatives, a child care operator may choose to request one or more areas of recognition to accompany the issuance of a two through five-star rated license earned through compliance with any licensure pathway requirement of this Section. Quality initiatives will not be used to earn a star rating. Verification of requirements for each recognition shall be reassessed at least every three years, at the time of reassessment for a two through five-star rated license. Upon verification of the requirements, the Division will issue recognition of the following quality initiatives: • Education • Professional Development • Longevity and Experience • Staff Supports and Benefits • Health and Wellness Opportunities • Language Concentration • Culinary Emphasis • Ratio, Group Size, Enrollment Practices • Supplemental Environment • NC Breastfeeding – Friendly Child Care Designation Program • Military Child Care in Your Neighborhood – PLUS Recognition Visit child care rule section 10A NCAC 09 .3224 Recognition Of Quality Initiatives for more information and details to earn quality initiative recognition. Due to time constraints, violations observed during today’s visit and violations observed and cited while completing the monitoring of records during the “Other” visit on Thursday, February 26, 2026 will be added to this visit and documented on a visit documentation addendum form on Thursday, February 26, 2026. Violation Number Comment Rule 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. One emergency medication kept in a Ready to Go bag was stored below five feet under the handwashing sink in Space 4. 15A NCAC 18A .2820(d) 847 Parent's medication authorization did not include required information. Permission to administer one prescription topical ointment in Space 1 was recorded on the “Medication Administration Permission Form for Over-The-Counter Topical Medications and Fluoridated Toothpaste” form. One emergency medication listed on a medical action plan and stored in Space 4 did not have a permission to administer form on file. 10A NCAC 09 .0803(4)(6-9) 1246 All 5 of the following activity areas were not available daily to each group art/creative play, children's books, blocks/block building, manipulatives, family living/dramatic play. Art supplies were not available to the children three years of age who were enrolled in Space 3 with their peers that were two years of age. GS 110-91(12); .10A NCAC 09 .2806(b) 1898 Staff did not complete the health and safety training within one year of employment. Two staff members with dates of employment of 08/26/2024 and 12/20/2024 completed their initial health and safety training requirement on 01/05/2026. One staff member with a date of employment of 11/05/2024 had completed eight out of the ten required health and safety training topics. Two staff members with dates of employment of 12/09/2024 and 02/18/2025 had completed nine out of ten of the required health and safety training topics. .1102(a) 1899 Health and safety training topics were not included as part of on-going training within five years of completing the previous health and safety training topics. One staff member with a date of employment of 05/27/2003 whose five year training requirement was due from 04/26/2021 - 03/17/2022 completed their five year training requirement from 10/15/2019 - 02/08/2023. One staff member with a date of employment of 07/20/2020 whose five year training requirement was due from 02/28/2024 - 11/30/2024 completed their five year training requirement from 04/08/2024 - 05/21/2024. .1103(b) TECHNICAL ASSISTANCE 1. Emergency medications for chronic illnesses such as inhalers for asthma and epi pens for allergies should be stored above five feet in an unlocked cabinet or location that’s easy for the staff member to get to quickly and not in locked storage. During today’s visit, I observed one emergency medication kept in a Ready to Go bag that was stored below five feet under the handwashing sink in Space 4 which resulted in a violation. To correct the violation, the teacher moved the Ready to Go bag with the emergency medication from the cabinet under the sink and placed it above five feet on top of the cubbies making the emergency medication inaccessible to the children but easily reached by staff. These actions corrected the violation during today’s visit. To maintain compliance with this sanitation requirement, I suggest you review medication storage sanitation and child care rule requirements with your staff and during your daily monitoring of each classroom, be sure to monitor medication storage. 2. All medications including prescription and non-prescription medications for chronic illnesses should be accompanied with a medication permission to administer form. Per child care rule 10A NCAC 09 .0803(13)(a-e), when prescription medication is administered, documentation should be completed on a medication administration log, and the medication administration permission form should be used. Although there is a section on the medical action plan document for the parent to list the emergency medications a child is taking for that particular chronic condition, completion of the medical action plan does not include the granting of permission to administer the emergency medication. During today’s visit, permission to administer one prescription topical ointment in Space 1 was recorded on the “Medication Administration Permission Form for Over-The-Counter Topical Medications and Fluoridated Toothpaste” form and one emergency medication listed on a medical action plan and stored in Space 4 did not have a permission to administer form on file which resulted in a violation. To correct these violations, I suggested you have each parent complete a “Medication Administration Permission Form” with the “Administration Log” printed on the back of the permission form. Once corrected, please include in your compliance letter documentation a description of the steps you took to correct this violation and submit your documentation to me within two weeks. To maintain compliance with this child care requirement, I suggest you review these child care requirements with your staff and explain the difference between when to use the “Medication Administration Permission Form for Over-The-Counter Topical Medications and Fluoridated Toothpaste” and when to use the “Medication Administration Permission Form and Log” documents. 3. Per child care rule 10A NCAC 09 .0510(d)(1), art and other creative play supplies must be made available and accessible daily to the children three years of age and older with enough supplies for three children to play with the same or different materials or toys at the same or different time. This requirement includes making art and other creative play supplies available and accessible to children three years of age who are enrolled in a classroom where children two years of age are also enrolled. During today’s visit, no art supplies were available to the children three years of age who were enrolled in this classroom with their peers that were two years of age which resulted in a violation. As discussed, the art supplies do not have to be accessible all day but do need to be made accessible during free choice play. To correct this violation, I suggested you create a space that included three different age appropriate art materials that would be safe for children two years of age as well as be readily available to the children three years of age during free choice play. Once corrected, please include in your compliance letter documentation a description of the steps you took to correct this violation and submit your documentation along with supporting documentation photos to me within two weeks. To maintain compliance with this child care requirement, I suggest you review this child care requirement with the teachers assigned to the two and three year old combination classroom and assist them in remembering to meet the developmental needs and child care requirements for this group of children based on the developmental growth and age progression of the children enrolled. 4. Per child care rule 10A NCAC 09 .1102(a), new employees should complete the health and safety training requirement within the first year of employment. Health and safety training should be in addition to the new staff orientation requirements. When a new employee submits completed health and safety training certificates to you that they completed prior to employment at your facility, the training certificate may be no more than twelve months old. While monitoring staff records, I observed two staff members with dates of employment of 08/26/2024 and 12/20/2024 had completed their initial H&S training requirement after their one year employment date and three staff members with dates of employment of 11/05/2024, 12/09/2024, 02/18/2025 that had not completed training within their first year of employment that included all the required health and safety training topics which resulted in a violation. To correct this violation, the staff members that have not completed training within their first year of employment for all the health and safety training topics should complete training within the next two weeks for the remaining health and safety training topics. Once corrected, please include in your compliance letter documentation a description of the steps you took to correct this violation and submit your documentation and the completed training certificates to me within two weeks. To maintain compliance with this child care requirement, I suggest you look closely at the date of each health and safety training certificate to ensure that the health and safety training topic was completed no more than twelve months prior to the new staff member’s employment date or completed prior to the employee’s first year employment anniversary. 5. Per child care rule 10A NCAC 09 .1103(b), returning employees should revisit each health and safety training topic every five years. The due date of the health and safety training five-year renewal is calculated five years from the date on each health and safety training topic training certificate. While monitoring staff records, I observed two employees with dates of employment of 05/27/2003 and 07/20/2020 had completed all the required health and safety training topics but not within the required five year period which resulted in a violation. Because the two employees had completed all the required health and safety training topics within prior to or after the five year period but prior to this visit, this violation is considered corrected during today’s visit. To maintain compliance with this child care requirement, I suggest you create a tracking tool that allows you to track the training due date for each employee or require all your employees to complete the H&S training topics within the same timeframe so that it’s easier for you to maintain. CONSULTATION: 1. Per NC General Statute 110-102, the current version of Summary of North Carolina Child Care Law should be posted in a prominent place in the facility and included in the enrollment packet to be given to parents prior to the child’s first day of attendance. The most current Summary of North Carolina Child Care Law was published in November 2025. Today, I observed the date of the posted Summary of North Carolina Child Care Law was September 2023 and February 2025. Please print the updated version, post it in your lobby, and add it to your new enrollment packets. I also suggest you regularly check the DCDEE website for updated versions and especially when you receive notification of child care or sanitation rule updates. 2. When and if you update your fire evacuation route, shelter-in-place, and/or lock-down drill plan, you need to have the fire department approve the your plan first BEFORE you put it in your EPR plan as an update. 3. We encourage you to visit the QRIS Modernization page on the DCDEE website at this link: https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization to learn more now. 4. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/. 5. Here are some important links on the DCEEE website that may be helpful: Child Care Rules and Laws: https://ncchildcare.ncdhhs.gov/Services/Child-Care-Rules-Law-and-Public-Information Training and Professional Development: https://ncchildcare.ncdhhs.gov/Provider/Training-and-Professional-Development QRIS Modernization Plan resources: https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization Required Health and Safety Training: https://ncchildcare.ncdhhs.gov/Provider/Training-and-Professional-Development/Health-and-Safety-Trainings Healthy Social Behaviors: https://www.childcarerrnc.org/special-projects/healthy-social-behaviors/. Healthy Social Behaviors Helpline: Call at 1-704-376-6697 or toll free at 1-888-600-1685 Option 1 or email at sbrawley@childcareresourcesinc.org or jbyrd@childcareresources.org. Care for Children Receiving Subsidy: https://ncchildcare.ncdhhs.gov/Provider/Providing-Child-Care/Subsidized-Child-Care/Care-for-Children-Receiving-Subsidy DCDEE Updates, Current Projects, and information applicable to Child Care in NC: https://ncchildcare.ncdhhs.gov/Whats-New 6. Here is the link to the training calendar from the Children’s Resource Center: https://childrensresourcecenter.org/training-calendar/. 7. If you would like an electronic link to any of the links shared above, please send me an email requesting the links that you wish to receive, and I will be glad to send the hyperlinks to you by email. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you today. If you have any questions, feel free to contact me by phone at 828.493.6390 or by email at kimberly.crane@dhhs.nc.gov. or you may contact Erin Pickard, Licensing Supervisor, by email at erin.pickard@dhhs.nc.gov. We appreciate all you do to serve the children and families in your community. Thank you for your time today. 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: CHRIST CHURCH CHILD DEVELOPMENT CENTER Facility ID: 18000631 Consultant: KIMBERLY CRANE Operation Type: Center Case Number: Visit Date: 2/24/2026 Number Present: 108 Completed Date: 2/24/2026 Age: From 0 To 12 Total Minutes: 465 Time In: 09:15 AM Time Out: 12:55 PM Time In: 01:55 PM Time Out: 06:00 PM List to Use: Center Type Of Visit: Annual Comp w/Rated Lic Assess Announced/Unannounced: Unannounced The purpose of today's unannounced visit was to monitor your compliance with all applicable child care requirements during an annual compliance with rated license assessment visit. Lisa Evans, Administrator, assisted me with today’s visit. Your program currently operates with a three-star license, issued on September 11, 2025, earning four points in staff education, two points in program standards, and one quality point for meeting staff benefits package and infrastructure for parent involvement. Christ Church Global Inc., the corporation that owns the facility license, was listed as current and active on the North Carolina Secretary of State (NCSOS) website on February 23, 2026 prior to today’s visit. The license, NC Summary of Child Care Law poster, Classroom Staff to Child Ratio chart, safe arrival and departure procedures, emergency medical care plan, evacuation plan, daily schedule, activity plan, and emergency phone numbers were posted in a prominent area in the lobby. The fire drills were up to date, completed monthly, and documented on the Fire Drill Log. The emergency drills were up to date, completed quarterly, and documented on the Emergency Drill Log. The last emergency drill was a shelter-in-place drill. Lead water testing is required to be completed every three years. This facility’s lead water test results dated September 25, 2024 indicates that the facility’s water is within acceptable limits. Today, I verified that this facility is exempt from lead-based paint and asbestos testing based on submitted documentation. A current and posted menu documented appropriate nutritious snacks and meals, showed a variety of foods, and complied with Meal Patterns for Children in Child Care Programs. Meals and snacks were prepared in the kitchen and served in the classrooms. Milk and cold food items were stored in a commercial refrigerator at a temperature of forty degrees Fahrenheit. Infant bottles and food were stored at a temperature of forty-five degrees Fahrenheit in a full-size residential refrigerator in Space 1 and in a compact refrigerator at a temperature of thirty-eight degrees Fahrenheit in Space 2. I completed a walkthrough of the indoor and outdoor environments. Children were engaged in free choice play inside, attending to personal care needs, listening to teachers reading books aloud, eating lunch, resting, eating snack, and departing. Infant age children were playing on the floor, being bottle fed, and napping. School-age students arrived from public school during the visit. Supervision, adequate approved space use, capacity and group size, staff/child ratios and permit restrictions were maintained during today’s visit. I monitored hazardous product storage, medication storage, medication administration, general safety, and discipline practices. I monitored program records, children’s records, and staff records. A Staff and Training (S&T) Worksheet was available for review and was attached to this visit summary. Please keep the Staff and Training Worksheet current and available for review by DCDEE staff. This facility provides transportation for school-age students. I will return for an “Other” visit on Thursday, February 26, 2026 by 9:00am to finish monitoring the remaining staff records, transportation requirements, and to verify and document as many of the rated license components as possible. RATED LICENSE DOCUMENTATION AND DISCUSSION During today’s visit, we discussed the three QRIS Pathways to the Stars effective July 1, 2025. We covered enhanced ratios and space expectations, staff education including ensuring all staff have WORKS accounts, understanding the 50% requirement for lead teachers and for other educators, and how work experience may count, the Family and Community Engagement Foundational Practices, Continuous Quality Improvement (CQI) Plan for the Facility and Individuals, Self-Study and Coaching/Mentoring or Training. You stated that you had chosen “Classroom and Instructional Quality Assessment (Pathway 2)” as the rated license option this facility will complete. During today’s visit, you completed and submitted the “Application for Assessment for a Rated License for Centers” and the “Family and Community Engagement” worksheet. Please be prepared to follow these steps to successfully completing the “Classroom and Instructional Quality Assessment (Pathway 2)” option: • Confirm all staff have active and up to date WORKS accounts. • Complete the QRIS Staff Information and Education Worksheet electronically. • Identify and implement CQI goals. • Develop and implement strategies for Family and Community Engagement. • Select and implement a curriculum. (4- and 5-star centers must use an approved curriculum for all ages.) • Arrange coaching/mentoring or training options for the administrator and lead teachers. Per child care rule 10A NCAC 09 .3224 (a & b) Recognition Of Quality Initiatives, a child care operator may choose to request one or more areas of recognition to accompany the issuance of a two through five-star rated license earned through compliance with any licensure pathway requirement of this Section. Quality initiatives will not be used to earn a star rating. Verification of requirements for each recognition shall be reassessed at least every three years, at the time of reassessment for a two through five-star rated license. Upon verification of the requirements, the Division will issue recognition of the following quality initiatives: • Education • Professional Development • Longevity and Experience • Staff Supports and Benefits • Health and Wellness Opportunities • Language Concentration • Culinary Emphasis • Ratio, Group Size, Enrollment Practices • Supplemental Environment • NC Breastfeeding – Friendly Child Care Designation Program • Military Child Care in Your Neighborhood – PLUS Recognition Visit child care rule section 10A NCAC 09 .3224 Recognition Of Quality Initiatives for more information and details to earn quality initiative recognition. Due to time constraints, violations observed during today’s visit and violations observed and cited while completing the monitoring of records during the “Other” visit on Thursday, February 26, 2026 will be added to this visit and documented on a visit documentation addendum form on Thursday, February 26, 2026. Violation Number Comment Rule 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. One emergency medication kept in a Ready to Go bag was stored below five feet under the handwashing sink in Space 4. 15A NCAC 18A .2820(d) 847 Parent's medication authorization did not include required information. Permission to administer one prescription topical ointment in Space 1 was recorded on the “Medication Administration Permission Form for Over-The-Counter Topical Medications and Fluoridated Toothpaste” form. One emergency medication listed on a medical action plan and stored in Space 4 did not have a permission to administer form on file. 10A NCAC 09 .0803(4)(6-9) 1246 All 5 of the following activity areas were not available daily to each group art/creative play, children's books, blocks/block building, manipulatives, family living/dramatic play. Art supplies were not available to the children three years of age who were enrolled in Space 3 with their peers that were two years of age. GS 110-91(12); .10A NCAC 09 .2806(b) 1898 Staff did not complete the health and safety training within one year of employment. Two staff members with dates of employment of 08/26/2024 and 12/20/2024 completed their initial health and safety training requirement on 01/05/2026. One staff member with a date of employment of 11/05/2024 had completed eight out of the ten required health and safety training topics. Two staff members with dates of employment of 12/09/2024 and 02/18/2025 had completed nine out of ten of the required health and safety training topics. .1102(a) 1899 Health and safety training topics were not included as part of on-going training within five years of completing the previous health and safety training topics. One staff member with a date of employment of 05/27/2003 whose five year training requirement was due from 04/26/2021 - 03/17/2022 completed their five year training requirement from 10/15/2019 - 02/08/2023. One staff member with a date of employment of 07/20/2020 whose five year training requirement was due from 02/28/2024 - 11/30/2024 completed their five year training requirement from 04/08/2024 - 05/21/2024. .1103(b) TECHNICAL ASSISTANCE 1. Emergency medications for chronic illnesses such as inhalers for asthma and epi pens for allergies should be stored above five feet in an unlocked cabinet or location that’s easy for the staff member to get to quickly and not in locked storage. During today’s visit, I observed one emergency medication kept in a Ready to Go bag that was stored below five feet under the handwashing sink in Space 4 which resulted in a violation. To correct the violation, the teacher moved the Ready to Go bag with the emergency medication from the cabinet under the sink and placed it above five feet on top of the cubbies making the emergency medication inaccessible to the children but easily reached by staff. These actions corrected the violation during today’s visit. To maintain compliance with this sanitation requirement, I suggest you review medication storage sanitation and child care rule requirements with your staff and during your daily monitoring of each classroom, be sure to monitor medication storage. 2. All medications including prescription and non-prescription medications for chronic illnesses should be accompanied with a medication permission to administer form. Per child care rule 10A NCAC 09 .0803(13)(a-e), when prescription medication is administered, documentation should be completed on a medication administration log, and the medication administration permission form should be used. Although there is a section on the medical action plan document for the parent to list the emergency medications a child is taking for that particular chronic condition, completion of the medical action plan does not include the granting of permission to administer the emergency medication. During today’s visit, permission to administer one prescription topical ointment in Space 1 was recorded on the “Medication Administration Permission Form for Over-The-Counter Topical Medications and Fluoridated Toothpaste” form and one emergency medication listed on a medical action plan and stored in Space 4 did not have a permission to administer form on file which resulted in a violation. To correct these violations, I suggested you have each parent complete a “Medication Administration Permission Form” with the “Administration Log” printed on the back of the permission form. Once corrected, please include in your compliance letter documentation a description of the steps you took to correct this violation and submit your documentation to me within two weeks. To maintain compliance with this child care requirement, I suggest you review these child care requirements with your staff and explain the difference between when to use the “Medication Administration Permission Form for Over-The-Counter Topical Medications and Fluoridated Toothpaste” and when to use the “Medication Administration Permission Form and Log” documents. 3. Per child care rule 10A NCAC 09 .0510(d)(1), art and other creative play supplies must be made available and accessible daily to the children three years of age and older with enough supplies for three children to play with the same or different materials or toys at the same or different time. This requirement includes making art and other creative play supplies available and accessible to children three years of age who are enrolled in a classroom where children two years of age are also enrolled. During today’s visit, no art supplies were available to the children three years of age who were enrolled in this classroom with their peers that were two years of age which resulted in a violation. As discussed, the art supplies do not have to be accessible all day but do need to be made accessible during free choice play. To correct this violation, I suggested you create a space that included three different age appropriate art materials that would be safe for children two years of age as well as be readily available to the children three years of age during free choice play. Once corrected, please include in your compliance letter documentation a description of the steps you took to correct this violation and submit your documentation along with supporting documentation photos to me within two weeks. To maintain compliance with this child care requirement, I suggest you review this child care requirement with the teachers assigned to the two and three year old combination classroom and assist them in remembering to meet the developmental needs and child care requirements for this group of children based on the developmental growth and age progression of the children enrolled. 4. Per child care rule 10A NCAC 09 .1102(a), new employees should complete the health and safety training requirement within the first year of employment. Health and safety training should be in addition to the new staff orientation requirements. When a new employee submits completed health and safety training certificates to you that they completed prior to employment at your facility, the training certificate may be no more than twelve months old. While monitoring staff records, I observed two staff members with dates of employment of 08/26/2024 and 12/20/2024 had completed their initial H&S training requirement after their one year employment date and three staff members with dates of employment of 11/05/2024, 12/09/2024, 02/18/2025 that had not completed training within their first year of employment that included all the required health and safety training topics which resulted in a violation. To correct this violation, the staff members that have not completed training within their first year of employment for all the health and safety training topics should complete training within the next two weeks for the remaining health and safety training topics. Once corrected, please include in your compliance letter documentation a description of the steps you took to correct this violation and submit your documentation and the completed training certificates to me within two weeks. To maintain compliance with this child care requirement, I suggest you look closely at the date of each health and safety training certificate to ensure that the health and safety training topic was completed no more than twelve months prior to the new staff member’s employment date or completed prior to the employee’s first year employment anniversary. 5. Per child care rule 10A NCAC 09 .1103(b), returning employees should revisit each health and safety training topic every five years. The due date of the health and safety training five-year renewal is calculated five years from the date on each health and safety training topic training certificate. While monitoring staff records, I observed two employees with dates of employment of 05/27/2003 and 07/20/2020 had completed all the required health and safety training topics but not within the required five year period which resulted in a violation. Because the two employees had completed all the required health and safety training topics within prior to or after the five year period but prior to this visit, this violation is considered corrected during today’s visit. To maintain compliance with this child care requirement, I suggest you create a tracking tool that allows you to track the training due date for each employee or require all your employees to complete the H&S training topics within the same timeframe so that it’s easier for you to maintain. CONSULTATION: 1. Per NC General Statute 110-102, the current version of Summary of North Carolina Child Care Law should be posted in a prominent place in the facility and included in the enrollment packet to be given to parents prior to the child’s first day of attendance. The most current Summary of North Carolina Child Care Law was published in November 2025. Today, I observed the date of the posted Summary of North Carolina Child Care Law was September 2023 and February 2025. Please print the updated version, post it in your lobby, and add it to your new enrollment packets. I also suggest you regularly check the DCDEE website for updated versions and especially when you receive notification of child care or sanitation rule updates. 2. When and if you update your fire evacuation route, shelter-in-place, and/or lock-down drill plan, you need to have the fire department approve the your plan first BEFORE you put it in your EPR plan as an update. 3. We encourage you to visit the QRIS Modernization page on the DCDEE website at this link: https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization to learn more now. 4. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/. 5. Here are some important links on the DCEEE website that may be helpful: Child Care Rules and Laws: https://ncchildcare.ncdhhs.gov/Services/Child-Care-Rules-Law-and-Public-Information Training and Professional Development: https://ncchildcare.ncdhhs.gov/Provider/Training-and-Professional-Development QRIS Modernization Plan resources: https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization Required Health and Safety Training: https://ncchildcare.ncdhhs.gov/Provider/Training-and-Professional-Development/Health-and-Safety-Trainings Healthy Social Behaviors: https://www.childcarerrnc.org/special-projects/healthy-social-behaviors/. Healthy Social Behaviors Helpline: Call at 1-704-376-6697 or toll free at 1-888-600-1685 Option 1 or email at sbrawley@childcareresourcesinc.org or jbyrd@childcareresources.org. Care for Children Receiving Subsidy: https://ncchildcare.ncdhhs.gov/Provider/Providing-Child-Care/Subsidized-Child-Care/Care-for-Children-Receiving-Subsidy DCDEE Updates, Current Projects, and information applicable to Child Care in NC: https://ncchildcare.ncdhhs.gov/Whats-New 6. Here is the link to the training calendar from the Children’s Resource Center: https://childrensresourcecenter.org/training-calendar/. 7. If you would like an electronic link to any of the links shared above, please send me an email requesting the links that you wish to receive, and I will be glad to send the hyperlinks to you by email. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you today. If you have any questions, feel free to contact me by phone at 828.493.6390 or by email at kimberly.crane@dhhs.nc.gov. or you may contact Erin Pickard, Licensing Supervisor, by email at erin.pickard@dhhs.nc.gov. We appreciate all you do to serve the children and families in your community. Thank you for your time today. 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: CHRIST CHURCH CHILD DEVELOPMENT CENTER Facility ID: 18000631 Consultant: KIMBERLY CRANE Operation Type: Center Case Number: 0825-344L Visit Date: 9/4/2025 Number Present: 94 Completed Date: 9/4/2025 Age: From 0 To 11 Total Minutes: 340 Time In: 12:00 PM Time Out: 05:40 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to gather information related to allegations of violations of child care requirements. Lisa Evans, Administrator, assisted me with today’s visit. Prior to today's visit, the compliance history score for the facility was 93% and was reviewed with you today. According to the report, there are allegations of violations of child care requirements related staff-child ratio, room capacity, general safety and nutrition in the classroom for infant aged children. I completed a walk-through of the facility. Ninety-nine children ranging from zero to eleven years were enrolled. Ninety-four children ranging from zero to eleven years attended today. I investigated the allegation of a violation of child care requirements related to staff-child ratios. Upon arrival, I walked through the facility gathering a count of children and staff present in each classroom. In Space 1, two teachers supervised ten one year old children while they prepared for nap. In Space 2, two teachers supervised eleven two year old children while they napped. In Space 3, two teachers supervised six infant-aged children while three children napped, and three children played on the floor. In Space 4, two teachers supervised four infant-age children while two children napped, one child was soothed to sleep, and one child was bottle fed. In Space 5, two teachers supervised nineteen three year old children while they napped. In Space 6, two teachers supervised seventeen four year old children while they napped. In Space 8, one teacher supervised eight two and three year old children while they napped. In the gym, two teachers supervised nineteen school-aged children while they arrived for after-school care. Throughout the visit as I revisited Spaces 3 and 4 were infant-aged children were enrolled and attended, staff-child ratios for infant-aged children was maintained with at least one teacher supervising five or less infant-aged children. You stated that you maintain staff-child ratios and group size maximums by assigning and scheduling two teachers to each classroom throughout the day, which occasionally leads to over-staffing the classrooms and allows you the flexibility to move teachers to other classrooms as needed to maintain staff-child ratios due to staff illness and vacation. Based on an interview with the administrator and my observations, the allegation of a violations of child care requirements related to staff-child ratios was unconfirmed. Therefore, the allegation related to staff-ratios in the classrooms for infant-aged children is unsubstantiated. I investigated the allegation of a violation of child care requirements related to room capacity. Upon arrival, I walked through the facility gathering a count of children present in each classroom as compared to the space capacity of each classroom. In Space 1, the classroom capacity was twenty children with ten one year old children attending. In Space 2, the classroom capacity was sixteen children with eleven two year old children attending. In Space 3, the classroom capacity was eighteen children with six infant-aged children attending. In Space 4, the classroom capacity was sixteen children with four infant-aged children attending. In Space 5, the classroom capacity was twenty-eight children with nineteen three year old children attending. In Space 6, the classroom capacity was twenty-nine children with seventeen four year old children attending. In Space 8, the classroom capacity was thirteen children with eight two and three year old children attending. In the gym, the capacity was one hundred and forty-three children with nineteen school-aged children attending. You stated that you have a copy of the facility floor plan and space capacity calculations for each of the eight licensed spaces. You stated that you maintain space capacity for each classroom by making sure that you do not enroll more children in each classroom than the space capacity for each classroom will allow. Based on an interview with the administrator and my observations, the allegation of a violations of child care requirements related to room capacity was unconfirmed. Therefore, the allegation related to room capacity in the classrooms for infant-aged children is unsubstantiated. I investigated the allegation of a violation of child care requirements related to general safety. In regard to cots being stored safely in the classroom for infant-aged children, I observed cots stacked in the back corner on the right side of Space 3. I observed no safety hazards with the way the cots were stored. In Space 4, cribs were used for infant sleeping. You stated that you made the decision to use cots in Space 3 because you do not have additional cribs available but do have extra toddler cots available. In regard to the use of cots for infant sleeping, your safe sleep policy states that the facility uses “approved Consumer Product Safety Commission (CPSC) approved cribs or other approved sleep spaces for infants.” While you could not find the manufacturer’s information for the toddler clots in Space 3 or the cribs in Space 4. These had been approved for use by DCDEE in the past. You stated you had researched the child care rules and reached out to your child care consultant prior to making the decision to use toddler cots in Space 3. You stated you concluded through your research of the child care rules that cots could be used for infant-aged children as long as safe sleep practices and sanitation rules were followed. You stated that you maintain safe sleep practices when using the cots for infant sleep by providing a firm surface, tight-fitting linens, and visual sleep checks every fifteen minutes. You stated you maintain sanitation requirements when using the cots for infant sleep by laundering the cot sheets daily and disinfecting the cots daily. In regard to the exclusion of sick children, you stated that you exclude children based on the exclusion policy written in the parent handbook. You stated each classroom is equipped with a digital thermometer to use to take children’s temperatures as needed. You stated children are excluded when symptoms occur and are allowed to return based on the return policy conditions outlined in the parent handbook and with a doctor’s note when applicable. Based on an interview with the administrator and my observations, the allegation of a violations of child care requirements related to general safety was unconfirmed. Therefore, the allegation related to general safety in the classrooms for infant-aged children is unsubstantiated. I investigated the allegation of a violation of child care requirements related to nutrition. In Space 3, I observed bottles for infant-aged children stored in a compact refrigerator on the classroom counter. In Space 4, I observed bottles for infant-aged children stored in a full-size refrigerator in the classroom. I observed bottles labeled with the name of the child and the date the bottle was to be served to the child. I observed bottles being fed to children in both classrooms without incident. You stated that on 08/27/2025, an incident occurred involving an infant-aged child being served another child’s bottle. You stated that two children in Space 4 had bottles of the same style and brand, and these bottles had been placed side-by-side in the classroom refrigerator. You stated that the teacher had grabbed the bottle from the refrigerator without verifying the name on the label. You stated the teacher warmed the bottle and served the bottle to the child before noticing that the bottle was labeled with another child’s name. You stated the teacher immediately stopped serving the bottle, poured the unused portion down the drain, warmed and served a bottle labeled with the child’s name, and reported the incident to the administrator. You stated you contacted the parents of the child who was served the wrong bottle by speaking with the father in person and calling the mother on the phone. You stated you completed an incident report, and the parents signed the report. You stated you also contacted the parent of the child whose bottle was wasted and reported the incident to them as well. You stated you had advised the teachers to separate the bottles in the refrigerator and encouraged them to check behind each other to ensure bottles were not mixed up in the future. Based on an interview with the administrator and my observations, the allegation of a violations of child care requirements related to nutrition was confirmed. Therefore, the allegation related to nutrition in the classrooms for infant-aged children is substantiated. The following violation was cited today: Violation Number Comment Rule 1887 Each infant was not served only bottles labeled with their individual name. On 08/27/2025, one infant-aged child in Space 4 was fed a bottle labeled with the name of another child. .0902(d) TECHNICAL ASSISTANCE: Per child care requirement 10A NCAC 09 .0902(d), each infant should be served only bottles labeled with their individual names. During today’s visit, you reported to me that on 08/27/2025 an incident occurred involving an infant-aged child being served another child’s bottle. You stated the teacher immediately stopped serving the bottle, poured the unused portion down the drain, warmed and served a bottle labeled with the child’s name, and reported the incident to the administrator. You stated you contacted the parents of the child who was served the wrong bottle by speaking with the father in person and calling the mother on the phone. You stated you completed an incident report, and the parents signed the report. You stated you also contacted the parent of the child whose bottle was wasted and reported the incident to them as well. You stated you had advised the teachers to separate the bottles in the refrigerator and encouraged them to check behind each other to ensure bottles were not mixed up in the future. Because you took these actions prior to today’s visit, the violation is considered corrected during the visit. To maintain compliance with this child care requirement, I suggested you consider purchasing small storage baskets in assorted colors for each child’s bottles that can be labeled with the child’s name and placed in the refrigerator. These visual reminders may make it easier for teachers to keep the bottles separated and assist them in identifying and retrieving bottles timely and accurately. CONSULTATION: 1. Although not a child care requirement or sanitation rule, the facility can choose to create their own policy regarding no shoes being worn in the infant room, or shoes being covered. 2. Sanitation Rules for Child Care Centers do not allow toys and equipment to be stored on top of sleeping cots, but cots are permitted to be stored in the classroom. Contamination of cots is when the sleeping surface and/or linens of one child’s cot is touching another child’s cot and/or linens during storage. Sanitation Rule 15A NCAC 18A .2821 states: Sleeping cots shall be stored to prevent contamination and cleaned and sanitized between users. Cots are assigned and labeled for use by an individual child and equipped with individual linens. Linens used in rooms where children in care are less than 12 months old shall be changed and laundered when soiled and otherwise at least daily. Linens shall be large enough to cover the cot sleeping surface. 3. I suggested you review child care requirement section 10A NCAC 09 .0804 Infectious and Contagious Diseases, sanitation rule section 15A NCAC 18A .2827 Communicable Diseases and Conditions, the exclusion policies, procedures for taking a temperature, and procedures for reporting a temperature with their staff at the next staff meeting. 4. I suggested you consider maintaining a “Fever Log” on which your staff would record the temperature when a child is being monitored for a fever. 5. Per child care requirement 10A NCAC 09 .0601(b), all commercially manufactured equipment and furnishings should be assembled and installed according to procedures specified by the manufacturer. For equipment and furnishings purchased after September 1, 2017, that include instructions from the manufacturer, those manufacturer's instructions should be kept on file at the center, unless they are available electronically for review. As discussed today, please keep the manufacturer’s instructions on file for commercially manufactured equipment and furnishings including but not limited to playground equipment, infant sleep apparatus, infant play equipment, infant feeding equipment, feeding apparatus, shelving, tables, chairs, etc. 6. As discussed today, to prevent contamination, best practice is to store an unassigned/unused cot or a flat bedsheet on the top of the cots stacked in the classroom for children under three years of age. COMPLIANCE PLAN: Since violation item number 1887 was corrected during today’s visit, no compliance letter documentation is required after this visit. Child care programs are required to maintain compliance with all applicable child care rules and regulations at all times. North Carolina General Statute 110-90(4)(d) requires all child care facilities to maintain a compliance history of at least seventy-five percent (75%) for the past eighteen (18) months or during the length of time the facility has operated, whichever is less. Failure to do so may result in the issuance of a provisional license or other administrative action against the facility's license. Any violations cited during a visit may affect your score. At the completion of the visit, a visit summary was prepared, reviewed, and a copy was left with you today. We appreciate all you and your staff are doing to serve the children and families in your community. If you have any questions, feel free to contact me by phone at (828) 493-6390 or by email at kimberly.crane@dhhs.nc.gov or my supervisor, Erin Pickard, by email at erin.pickard@dhhs.nc.gov. Thank you for your time today. 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 .0804 · Violation

Name of Operation: CHRIST CHURCH CHILD DEVELOPMENT CENTER Facility ID: 18000631 Consultant: KIMBERLY CRANE Operation Type: Center Case Number: 0825-344L Visit Date: 9/4/2025 Number Present: 94 Completed Date: 9/4/2025 Age: From 0 To 11 Total Minutes: 340 Time In: 12:00 PM Time Out: 05:40 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to gather information related to allegations of violations of child care requirements. Lisa Evans, Administrator, assisted me with today’s visit. Prior to today's visit, the compliance history score for the facility was 93% and was reviewed with you today. According to the report, there are allegations of violations of child care requirements related staff-child ratio, room capacity, general safety and nutrition in the classroom for infant aged children. I completed a walk-through of the facility. Ninety-nine children ranging from zero to eleven years were enrolled. Ninety-four children ranging from zero to eleven years attended today. I investigated the allegation of a violation of child care requirements related to staff-child ratios. Upon arrival, I walked through the facility gathering a count of children and staff present in each classroom. In Space 1, two teachers supervised ten one year old children while they prepared for nap. In Space 2, two teachers supervised eleven two year old children while they napped. In Space 3, two teachers supervised six infant-aged children while three children napped, and three children played on the floor. In Space 4, two teachers supervised four infant-age children while two children napped, one child was soothed to sleep, and one child was bottle fed. In Space 5, two teachers supervised nineteen three year old children while they napped. In Space 6, two teachers supervised seventeen four year old children while they napped. In Space 8, one teacher supervised eight two and three year old children while they napped. In the gym, two teachers supervised nineteen school-aged children while they arrived for after-school care. Throughout the visit as I revisited Spaces 3 and 4 were infant-aged children were enrolled and attended, staff-child ratios for infant-aged children was maintained with at least one teacher supervising five or less infant-aged children. You stated that you maintain staff-child ratios and group size maximums by assigning and scheduling two teachers to each classroom throughout the day, which occasionally leads to over-staffing the classrooms and allows you the flexibility to move teachers to other classrooms as needed to maintain staff-child ratios due to staff illness and vacation. Based on an interview with the administrator and my observations, the allegation of a violations of child care requirements related to staff-child ratios was unconfirmed. Therefore, the allegation related to staff-ratios in the classrooms for infant-aged children is unsubstantiated. I investigated the allegation of a violation of child care requirements related to room capacity. Upon arrival, I walked through the facility gathering a count of children present in each classroom as compared to the space capacity of each classroom. In Space 1, the classroom capacity was twenty children with ten one year old children attending. In Space 2, the classroom capacity was sixteen children with eleven two year old children attending. In Space 3, the classroom capacity was eighteen children with six infant-aged children attending. In Space 4, the classroom capacity was sixteen children with four infant-aged children attending. In Space 5, the classroom capacity was twenty-eight children with nineteen three year old children attending. In Space 6, the classroom capacity was twenty-nine children with seventeen four year old children attending. In Space 8, the classroom capacity was thirteen children with eight two and three year old children attending. In the gym, the capacity was one hundred and forty-three children with nineteen school-aged children attending. You stated that you have a copy of the facility floor plan and space capacity calculations for each of the eight licensed spaces. You stated that you maintain space capacity for each classroom by making sure that you do not enroll more children in each classroom than the space capacity for each classroom will allow. Based on an interview with the administrator and my observations, the allegation of a violations of child care requirements related to room capacity was unconfirmed. Therefore, the allegation related to room capacity in the classrooms for infant-aged children is unsubstantiated. I investigated the allegation of a violation of child care requirements related to general safety. In regard to cots being stored safely in the classroom for infant-aged children, I observed cots stacked in the back corner on the right side of Space 3. I observed no safety hazards with the way the cots were stored. In Space 4, cribs were used for infant sleeping. You stated that you made the decision to use cots in Space 3 because you do not have additional cribs available but do have extra toddler cots available. In regard to the use of cots for infant sleeping, your safe sleep policy states that the facility uses “approved Consumer Product Safety Commission (CPSC) approved cribs or other approved sleep spaces for infants.” While you could not find the manufacturer’s information for the toddler clots in Space 3 or the cribs in Space 4. These had been approved for use by DCDEE in the past. You stated you had researched the child care rules and reached out to your child care consultant prior to making the decision to use toddler cots in Space 3. You stated you concluded through your research of the child care rules that cots could be used for infant-aged children as long as safe sleep practices and sanitation rules were followed. You stated that you maintain safe sleep practices when using the cots for infant sleep by providing a firm surface, tight-fitting linens, and visual sleep checks every fifteen minutes. You stated you maintain sanitation requirements when using the cots for infant sleep by laundering the cot sheets daily and disinfecting the cots daily. In regard to the exclusion of sick children, you stated that you exclude children based on the exclusion policy written in the parent handbook. You stated each classroom is equipped with a digital thermometer to use to take children’s temperatures as needed. You stated children are excluded when symptoms occur and are allowed to return based on the return policy conditions outlined in the parent handbook and with a doctor’s note when applicable. Based on an interview with the administrator and my observations, the allegation of a violations of child care requirements related to general safety was unconfirmed. Therefore, the allegation related to general safety in the classrooms for infant-aged children is unsubstantiated. I investigated the allegation of a violation of child care requirements related to nutrition. In Space 3, I observed bottles for infant-aged children stored in a compact refrigerator on the classroom counter. In Space 4, I observed bottles for infant-aged children stored in a full-size refrigerator in the classroom. I observed bottles labeled with the name of the child and the date the bottle was to be served to the child. I observed bottles being fed to children in both classrooms without incident. You stated that on 08/27/2025, an incident occurred involving an infant-aged child being served another child’s bottle. You stated that two children in Space 4 had bottles of the same style and brand, and these bottles had been placed side-by-side in the classroom refrigerator. You stated that the teacher had grabbed the bottle from the refrigerator without verifying the name on the label. You stated the teacher warmed the bottle and served the bottle to the child before noticing that the bottle was labeled with another child’s name. You stated the teacher immediately stopped serving the bottle, poured the unused portion down the drain, warmed and served a bottle labeled with the child’s name, and reported the incident to the administrator. You stated you contacted the parents of the child who was served the wrong bottle by speaking with the father in person and calling the mother on the phone. You stated you completed an incident report, and the parents signed the report. You stated you also contacted the parent of the child whose bottle was wasted and reported the incident to them as well. You stated you had advised the teachers to separate the bottles in the refrigerator and encouraged them to check behind each other to ensure bottles were not mixed up in the future. Based on an interview with the administrator and my observations, the allegation of a violations of child care requirements related to nutrition was confirmed. Therefore, the allegation related to nutrition in the classrooms for infant-aged children is substantiated. The following violation was cited today: Violation Number Comment Rule 1887 Each infant was not served only bottles labeled with their individual name. On 08/27/2025, one infant-aged child in Space 4 was fed a bottle labeled with the name of another child. .0902(d) TECHNICAL ASSISTANCE: Per child care requirement 10A NCAC 09 .0902(d), each infant should be served only bottles labeled with their individual names. During today’s visit, you reported to me that on 08/27/2025 an incident occurred involving an infant-aged child being served another child’s bottle. You stated the teacher immediately stopped serving the bottle, poured the unused portion down the drain, warmed and served a bottle labeled with the child’s name, and reported the incident to the administrator. You stated you contacted the parents of the child who was served the wrong bottle by speaking with the father in person and calling the mother on the phone. You stated you completed an incident report, and the parents signed the report. You stated you also contacted the parent of the child whose bottle was wasted and reported the incident to them as well. You stated you had advised the teachers to separate the bottles in the refrigerator and encouraged them to check behind each other to ensure bottles were not mixed up in the future. Because you took these actions prior to today’s visit, the violation is considered corrected during the visit. To maintain compliance with this child care requirement, I suggested you consider purchasing small storage baskets in assorted colors for each child’s bottles that can be labeled with the child’s name and placed in the refrigerator. These visual reminders may make it easier for teachers to keep the bottles separated and assist them in identifying and retrieving bottles timely and accurately. CONSULTATION: 1. Although not a child care requirement or sanitation rule, the facility can choose to create their own policy regarding no shoes being worn in the infant room, or shoes being covered. 2. Sanitation Rules for Child Care Centers do not allow toys and equipment to be stored on top of sleeping cots, but cots are permitted to be stored in the classroom. Contamination of cots is when the sleeping surface and/or linens of one child’s cot is touching another child’s cot and/or linens during storage. Sanitation Rule 15A NCAC 18A .2821 states: Sleeping cots shall be stored to prevent contamination and cleaned and sanitized between users. Cots are assigned and labeled for use by an individual child and equipped with individual linens. Linens used in rooms where children in care are less than 12 months old shall be changed and laundered when soiled and otherwise at least daily. Linens shall be large enough to cover the cot sleeping surface. 3. I suggested you review child care requirement section 10A NCAC 09 .0804 Infectious and Contagious Diseases, sanitation rule section 15A NCAC 18A .2827 Communicable Diseases and Conditions, the exclusion policies, procedures for taking a temperature, and procedures for reporting a temperature with their staff at the next staff meeting. 4. I suggested you consider maintaining a “Fever Log” on which your staff would record the temperature when a child is being monitored for a fever. 5. Per child care requirement 10A NCAC 09 .0601(b), all commercially manufactured equipment and furnishings should be assembled and installed according to procedures specified by the manufacturer. For equipment and furnishings purchased after September 1, 2017, that include instructions from the manufacturer, those manufacturer's instructions should be kept on file at the center, unless they are available electronically for review. As discussed today, please keep the manufacturer’s instructions on file for commercially manufactured equipment and furnishings including but not limited to playground equipment, infant sleep apparatus, infant play equipment, infant feeding equipment, feeding apparatus, shelving, tables, chairs, etc. 6. As discussed today, to prevent contamination, best practice is to store an unassigned/unused cot or a flat bedsheet on the top of the cots stacked in the classroom for children under three years of age. COMPLIANCE PLAN: Since violation item number 1887 was corrected during today’s visit, no compliance letter documentation is required after this visit. Child care programs are required to maintain compliance with all applicable child care rules and regulations at all times. North Carolina General Statute 110-90(4)(d) requires all child care facilities to maintain a compliance history of at least seventy-five percent (75%) for the past eighteen (18) months or during the length of time the facility has operated, whichever is less. Failure to do so may result in the issuance of a provisional license or other administrative action against the facility's license. Any violations cited during a visit may affect your score. At the completion of the visit, a visit summary was prepared, reviewed, and a copy was left with you today. We appreciate all you and your staff are doing to serve the children and families in your community. If you have any questions, feel free to contact me by phone at (828) 493-6390 or by email at kimberly.crane@dhhs.nc.gov or my supervisor, Erin Pickard, by email at erin.pickard@dhhs.nc.gov. Thank you for your time today. 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 .0902 · Violation

Name of Operation: CHRIST CHURCH CHILD DEVELOPMENT CENTER Facility ID: 18000631 Consultant: KIMBERLY CRANE Operation Type: Center Case Number: 0825-344L Visit Date: 9/4/2025 Number Present: 94 Completed Date: 9/4/2025 Age: From 0 To 11 Total Minutes: 340 Time In: 12:00 PM Time Out: 05:40 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to gather information related to allegations of violations of child care requirements. Lisa Evans, Administrator, assisted me with today’s visit. Prior to today's visit, the compliance history score for the facility was 93% and was reviewed with you today. According to the report, there are allegations of violations of child care requirements related staff-child ratio, room capacity, general safety and nutrition in the classroom for infant aged children. I completed a walk-through of the facility. Ninety-nine children ranging from zero to eleven years were enrolled. Ninety-four children ranging from zero to eleven years attended today. I investigated the allegation of a violation of child care requirements related to staff-child ratios. Upon arrival, I walked through the facility gathering a count of children and staff present in each classroom. In Space 1, two teachers supervised ten one year old children while they prepared for nap. In Space 2, two teachers supervised eleven two year old children while they napped. In Space 3, two teachers supervised six infant-aged children while three children napped, and three children played on the floor. In Space 4, two teachers supervised four infant-age children while two children napped, one child was soothed to sleep, and one child was bottle fed. In Space 5, two teachers supervised nineteen three year old children while they napped. In Space 6, two teachers supervised seventeen four year old children while they napped. In Space 8, one teacher supervised eight two and three year old children while they napped. In the gym, two teachers supervised nineteen school-aged children while they arrived for after-school care. Throughout the visit as I revisited Spaces 3 and 4 were infant-aged children were enrolled and attended, staff-child ratios for infant-aged children was maintained with at least one teacher supervising five or less infant-aged children. You stated that you maintain staff-child ratios and group size maximums by assigning and scheduling two teachers to each classroom throughout the day, which occasionally leads to over-staffing the classrooms and allows you the flexibility to move teachers to other classrooms as needed to maintain staff-child ratios due to staff illness and vacation. Based on an interview with the administrator and my observations, the allegation of a violations of child care requirements related to staff-child ratios was unconfirmed. Therefore, the allegation related to staff-ratios in the classrooms for infant-aged children is unsubstantiated. I investigated the allegation of a violation of child care requirements related to room capacity. Upon arrival, I walked through the facility gathering a count of children present in each classroom as compared to the space capacity of each classroom. In Space 1, the classroom capacity was twenty children with ten one year old children attending. In Space 2, the classroom capacity was sixteen children with eleven two year old children attending. In Space 3, the classroom capacity was eighteen children with six infant-aged children attending. In Space 4, the classroom capacity was sixteen children with four infant-aged children attending. In Space 5, the classroom capacity was twenty-eight children with nineteen three year old children attending. In Space 6, the classroom capacity was twenty-nine children with seventeen four year old children attending. In Space 8, the classroom capacity was thirteen children with eight two and three year old children attending. In the gym, the capacity was one hundred and forty-three children with nineteen school-aged children attending. You stated that you have a copy of the facility floor plan and space capacity calculations for each of the eight licensed spaces. You stated that you maintain space capacity for each classroom by making sure that you do not enroll more children in each classroom than the space capacity for each classroom will allow. Based on an interview with the administrator and my observations, the allegation of a violations of child care requirements related to room capacity was unconfirmed. Therefore, the allegation related to room capacity in the classrooms for infant-aged children is unsubstantiated. I investigated the allegation of a violation of child care requirements related to general safety. In regard to cots being stored safely in the classroom for infant-aged children, I observed cots stacked in the back corner on the right side of Space 3. I observed no safety hazards with the way the cots were stored. In Space 4, cribs were used for infant sleeping. You stated that you made the decision to use cots in Space 3 because you do not have additional cribs available but do have extra toddler cots available. In regard to the use of cots for infant sleeping, your safe sleep policy states that the facility uses “approved Consumer Product Safety Commission (CPSC) approved cribs or other approved sleep spaces for infants.” While you could not find the manufacturer’s information for the toddler clots in Space 3 or the cribs in Space 4. These had been approved for use by DCDEE in the past. You stated you had researched the child care rules and reached out to your child care consultant prior to making the decision to use toddler cots in Space 3. You stated you concluded through your research of the child care rules that cots could be used for infant-aged children as long as safe sleep practices and sanitation rules were followed. You stated that you maintain safe sleep practices when using the cots for infant sleep by providing a firm surface, tight-fitting linens, and visual sleep checks every fifteen minutes. You stated you maintain sanitation requirements when using the cots for infant sleep by laundering the cot sheets daily and disinfecting the cots daily. In regard to the exclusion of sick children, you stated that you exclude children based on the exclusion policy written in the parent handbook. You stated each classroom is equipped with a digital thermometer to use to take children’s temperatures as needed. You stated children are excluded when symptoms occur and are allowed to return based on the return policy conditions outlined in the parent handbook and with a doctor’s note when applicable. Based on an interview with the administrator and my observations, the allegation of a violations of child care requirements related to general safety was unconfirmed. Therefore, the allegation related to general safety in the classrooms for infant-aged children is unsubstantiated. I investigated the allegation of a violation of child care requirements related to nutrition. In Space 3, I observed bottles for infant-aged children stored in a compact refrigerator on the classroom counter. In Space 4, I observed bottles for infant-aged children stored in a full-size refrigerator in the classroom. I observed bottles labeled with the name of the child and the date the bottle was to be served to the child. I observed bottles being fed to children in both classrooms without incident. You stated that on 08/27/2025, an incident occurred involving an infant-aged child being served another child’s bottle. You stated that two children in Space 4 had bottles of the same style and brand, and these bottles had been placed side-by-side in the classroom refrigerator. You stated that the teacher had grabbed the bottle from the refrigerator without verifying the name on the label. You stated the teacher warmed the bottle and served the bottle to the child before noticing that the bottle was labeled with another child’s name. You stated the teacher immediately stopped serving the bottle, poured the unused portion down the drain, warmed and served a bottle labeled with the child’s name, and reported the incident to the administrator. You stated you contacted the parents of the child who was served the wrong bottle by speaking with the father in person and calling the mother on the phone. You stated you completed an incident report, and the parents signed the report. You stated you also contacted the parent of the child whose bottle was wasted and reported the incident to them as well. You stated you had advised the teachers to separate the bottles in the refrigerator and encouraged them to check behind each other to ensure bottles were not mixed up in the future. Based on an interview with the administrator and my observations, the allegation of a violations of child care requirements related to nutrition was confirmed. Therefore, the allegation related to nutrition in the classrooms for infant-aged children is substantiated. The following violation was cited today: Violation Number Comment Rule 1887 Each infant was not served only bottles labeled with their individual name. On 08/27/2025, one infant-aged child in Space 4 was fed a bottle labeled with the name of another child. .0902(d) TECHNICAL ASSISTANCE: Per child care requirement 10A NCAC 09 .0902(d), each infant should be served only bottles labeled with their individual names. During today’s visit, you reported to me that on 08/27/2025 an incident occurred involving an infant-aged child being served another child’s bottle. You stated the teacher immediately stopped serving the bottle, poured the unused portion down the drain, warmed and served a bottle labeled with the child’s name, and reported the incident to the administrator. You stated you contacted the parents of the child who was served the wrong bottle by speaking with the father in person and calling the mother on the phone. You stated you completed an incident report, and the parents signed the report. You stated you also contacted the parent of the child whose bottle was wasted and reported the incident to them as well. You stated you had advised the teachers to separate the bottles in the refrigerator and encouraged them to check behind each other to ensure bottles were not mixed up in the future. Because you took these actions prior to today’s visit, the violation is considered corrected during the visit. To maintain compliance with this child care requirement, I suggested you consider purchasing small storage baskets in assorted colors for each child’s bottles that can be labeled with the child’s name and placed in the refrigerator. These visual reminders may make it easier for teachers to keep the bottles separated and assist them in identifying and retrieving bottles timely and accurately. CONSULTATION: 1. Although not a child care requirement or sanitation rule, the facility can choose to create their own policy regarding no shoes being worn in the infant room, or shoes being covered. 2. Sanitation Rules for Child Care Centers do not allow toys and equipment to be stored on top of sleeping cots, but cots are permitted to be stored in the classroom. Contamination of cots is when the sleeping surface and/or linens of one child’s cot is touching another child’s cot and/or linens during storage. Sanitation Rule 15A NCAC 18A .2821 states: Sleeping cots shall be stored to prevent contamination and cleaned and sanitized between users. Cots are assigned and labeled for use by an individual child and equipped with individual linens. Linens used in rooms where children in care are less than 12 months old shall be changed and laundered when soiled and otherwise at least daily. Linens shall be large enough to cover the cot sleeping surface. 3. I suggested you review child care requirement section 10A NCAC 09 .0804 Infectious and Contagious Diseases, sanitation rule section 15A NCAC 18A .2827 Communicable Diseases and Conditions, the exclusion policies, procedures for taking a temperature, and procedures for reporting a temperature with their staff at the next staff meeting. 4. I suggested you consider maintaining a “Fever Log” on which your staff would record the temperature when a child is being monitored for a fever. 5. Per child care requirement 10A NCAC 09 .0601(b), all commercially manufactured equipment and furnishings should be assembled and installed according to procedures specified by the manufacturer. For equipment and furnishings purchased after September 1, 2017, that include instructions from the manufacturer, those manufacturer's instructions should be kept on file at the center, unless they are available electronically for review. As discussed today, please keep the manufacturer’s instructions on file for commercially manufactured equipment and furnishings including but not limited to playground equipment, infant sleep apparatus, infant play equipment, infant feeding equipment, feeding apparatus, shelving, tables, chairs, etc. 6. As discussed today, to prevent contamination, best practice is to store an unassigned/unused cot or a flat bedsheet on the top of the cots stacked in the classroom for children under three years of age. COMPLIANCE PLAN: Since violation item number 1887 was corrected during today’s visit, no compliance letter documentation is required after this visit. Child care programs are required to maintain compliance with all applicable child care rules and regulations at all times. North Carolina General Statute 110-90(4)(d) requires all child care facilities to maintain a compliance history of at least seventy-five percent (75%) for the past eighteen (18) months or during the length of time the facility has operated, whichever is less. Failure to do so may result in the issuance of a provisional license or other administrative action against the facility's license. Any violations cited during a visit may affect your score. At the completion of the visit, a visit summary was prepared, reviewed, and a copy was left with you today. We appreciate all you and your staff are doing to serve the children and families in your community. If you have any questions, feel free to contact me by phone at (828) 493-6390 or by email at kimberly.crane@dhhs.nc.gov or my supervisor, Erin Pickard, by email at erin.pickard@dhhs.nc.gov. Thank you for your time today. 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: CHRIST CHURCH CHILD DEVELOPMENT CENTER Facility ID: 18000631 Consultant: CAROLYN CONLEY Operation Type: Center Case Number: Visit Date: 8/11/2025 Number Present: 109 Completed Date: 8/11/2025 Age: From 0 To 10 Total Minutes: 280 Time In: 10:00 AM Time Out: 02:40 PM Time In: Time Out: List to Use: Center Type Of Visit: Temp Time Period Announced/Unannounced: Unannounced The purpose of today's visit was to monitor your program for compliance with applicable child care requirements during the third temporary time period visit. This facility was issued a temporary license on March 10, 2025, with the restrictions of daytime care only, children in care on ground level only and children under 2.5 years old in rooms with direct exits only. The compliance history prior today's visit was at 94%. Upon arrival, I was greeted by Cathy Coggins, Assistant Director and you, Lisa Evans, Director. I observed the children during free choice activities indoors, story time, diaper changing routine, hand-washing routines, lunch, and nap time. I observed children being cared for in a positive and nurturing way. I was unable to monitor the outdoor play area due to the weather during the visit. I monitored program records, including fire drills and monthly outdoor inspections. The fire drill conducted took place on July 17, 2025. I monitored the playground inspections, and the last inspection was completed on July 25, 2025. A sanitation inspection was conducted on February 26, 2025, with four demerits. A fire inspection was conducted on February 27, 2025. The facility does not provide transportation. I observed the following posted: Temporary License, Summary of the NC Child Care Law, safe arrival and departure procedures, current sanitation placard, current menu, tobacco-free signage, First Aid poster, and Emergency Medical Care Plan, daily schedule, and current activity plans. I monitored last of the existing staff files and one new staff file today. Rated License Summary: As discussed on previous visits; due to the hold harmless state, and the change of ownership that took place for this program on July 21, 2023, you can be issued the three-star rated license that the previous program earned. The facility will earn a three-star license with the following points that were earned on the last star rated license issued to the previous facility on March 27, 2019. The Application for a Two Component Star Rated License form was completed during the visit conducted on June 10, 2025. Program Standards: The facility meets requirements in Rule .2806 and is meeting enhanced ratios. This facility is eligible for two (2) points in program standards. Education Standards – You stated that you want to use the education points earned by the previous facility on their rated license. This facility is eligible for four (4) points in education standards due to the hold harmless state. Quality Option- The option that was used in 2019 was that the facility offers a staff benefits package and has an infrastructure of parent involvement. The facility will be eligible for seven (7) points and a three (3) star-rated license at the end of the temporary license which will expire on September 10, 2025. The following violations were observed and corrected during today's visit. Violation Number Comment Rule 807 A safe indoor and outdoor environment was not provided for the children. There was hand sanitizer in Space 3 (Wobbler Room) located on the counter by the sink close to the diaper changing area. 10A NCAC 09 .0601(a) 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. There was Desitin with a medication administration form that had a validation date that expired on 8/1/25 and zinc oxide that did not have any medication administration form. .0803(12) TECHNICAL ASSISTANCE: -It is important that staff monitor their classrooms throughout the day to ensure that hand sanitizers are at least five feet from the floor or are placed in locked storage. -Review the protocol and policies that you have in place concerning medications and the various administration forms with staff. There should be a check and balance system to ensure that each medication has an administration form and that leftover medications are sent home in a timely manner or the families complete a new medication form. CONSULTATION: -We discussed that children are able to bring pillows from home and would need be washed weekly just like the sheets. Children cannot use the pillows that are part of their classroom and are shared by the group throughout the day during free choice activities. -We discussed Space #2 and how it seemed overcrowded for the number of children in this space. We reviewed the floor diagram and space calculations for space #2 that is used for children between two years and three years of age. In the diagram and calculations, it is showing that it is including the hallway that is not used by the children and may lead to a supervision concern if used. The space calculation is showing that this classroom may have up to 16 children at 25 square feet (SF) per child and 13 children at 30 SF per child. The total SF is 403.56 square feet. By removing the measurement of the hallway out the total SF is 370.56. That comes out to be 15 children at 25 SF and 12 children at 30 SF. It is important to keep in mind the ages of the children and their development needs when determining how big the group size should be. We discussed the rated license process. It is very important that you familiarize yourself with the QRIS Pathways to the Stars. There are now three options available to demonstrate quality and earn a 2-5 Star Rated License. It includes updates to education standards for early childhood educators to expand options; and adds standards for both educators and facilities that support continuous quality improvement and family/community engagement practices that promote communication and collaboration. Please visit the following link: https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization. You will find more information and details about the three different pathways so that your program can begin working towards the star rated license. There are great information sheets you can print about the various pathways. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/. At the completion of the visit, this visit summary was reviewed with you and a copy was given to you. We appreciate all you are doing to serve the children and families of NC. If you have any questions, please contact me at: 704-594-0149 or carolyn.conley@dhhs.nc.gov. or my supervisor, Erin Pickard, at erin.pickard@dhhs.nc.gov. Carolyn Conley Lead Child Care Consultant Regulatory Services Section/DHHS Division of Child Development and Early Education Post Office Box 835 Kannapolis, NC 28082-0835 If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0604 · Violation

Name of Operation: CHRIST CHURCH CHILD DEVELOPMENT CENTER Facility ID: 18000631 Consultant: CAROLYN CONLEY Operation Type: Center Case Number: Visit Date: 6/10/2025 Number Present: 80 Completed Date: 6/10/2025 Age: From 0 To 5 Total Minutes: 285 Time In: 11:45 AM Time Out: 04:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Temp Time Period Announced/Unannounced: Unannounced The purpose of today's visit was to monitor your program for compliance with applicable childcare requirements during the second temporary time period visit. Upon arrival, I was greeted by Cathy Coggins, Assistant Director and you, Lisa Evans, Director. This facility was issued a temporary license on March 10, 2025, with a restriction of daytime care only and children under two and a half years old in rooms with direct exits. The following were posted: Temporary License, Classroom Staff to Child Ratio charts, Safe Arrival and Departure Procedures, updated NC Summary of Child Care Law poster, Emergency Medical Care Plan and Evacuation Plans. The children were observed during nap/rest time, free choice indoor activities in the room with infant aged children, afternoon snack and free choice activities. Positive interactions between staff and children was observed. I did not observe the school age children because they were on a field trip. I monitored two school aged children’s files and a blanket permission for field trips or leaving the premises was on file, and a plan of activities was posted in a place for review by families in advance on a monthly basis. Supervision, staff/child ratio, grouping of children, the use of approved space, and permit restrictions were monitored during today’s visit. The last monthly fire drill was conducted May 30, 2025, and the last outdoor inspection were conducted on May 22, 2025. A sanitation inspection was conducted on February 26, 2025, with four demerits. A fire inspection was conducted on February 27, 2025. I monitored a portion of the children’s files. You updated the Staff and Training Worksheet for me to review today. Please continue to update this document and have it available for the DCDEE staff to monitor. I monitored a portion of the staff files and will monitor the additional files during the third temporary time period. Indoor Playground: You have reached out to me through email about an installed indoor gross motor structure in a room attached to the church foyer area wanting to see if this could be approved to be used by the children in the licensed program. You have sent me the sanitation letter which read that it is approved but the structure must be kept clean and in good repair at all times [15A NCAC 18A .2822]. You also sent me documentation from the company that installed the structure which included the “Safety Performance Specification for Soft Contained Play”. I monitored the structure during today’s visit by physically climbing the structure and I will be unable to approve it because of supervision concerns. There are areas in which staff will be unable to see the children unless they are physically climbing the structure with the children. Some of those areas include the far-right corner where the purple solid barriers are, crawling in the corner tubular piece and the platforms the children would use to slide down. The other concerns would be ensuring this piece of equipment is cleaned and sanitized on a regular basis. Rated License Discussion – Today we discussed the two-component rated license process. As this is a change of ownership you have chosen to continue with the points awarded during the last rated license assessment due to the hold harmless state. Under the previous ownership the facility earned one quality point for having a staff benefits package and infrastructure for parent involvement. The facility earned two points in program standards for meeting minimum requirements, as well as enhanced space and ratios. The facility earned four points in education. The facility earned a total of seven points, which is a three-star license. I gave you the “Initial Application for Assessment for a Two-Through Five Star Rated License” and you gave me the completed form today. Star Rated License Child Care programs are expected to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent at all times [NC GS 110-90(4)(d)]. This program’s compliance history as of today’s visit is at 94% and I gave you a copy of the compliance history during today’s visit. The following violations were observed today. Violation Number Comment Rule 523 The activity plan did not include a daily gross motor activity which may occur indoors and outdoors. Space eight used by children between the ages of two years and three years did not have an activity plan that included a daily gross motor activity. .0508(g)(3) 614 Bed, cribs, playpens, cots or mats were not placed at least 18" apart or separated by partitions when in use. There were two cots that were two inches about corner to corner located in space five used by children between the ages three years and four years. 15A NCAC 18A .2821(e) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. Space 8 used by children three years of age had an electrical outlet close to a child on a cot that did not have a safety cover. 10A NCAC 09 .0604(c) 847 Parent's medication authorization did not include required information. Space three used by children between the ages of 2 years and 3 years had two authorized medication forms that did not list the name of the of the product or the amount to use. Space two used by children one year of age had an authorized medication form for diaper cream and did not specify the amount to use. 10A NCAC 09 .0803(4)(6-9) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. A staff member hired on 12/20/24 had a TB test that had a date of 2/27/23. .0701(a) 1301 Center did not maintain a record of daily attendance. Space four used by children between the ages of one year and two years and space eight used by children between the ages of two years and three years did not have attendance completed for today. GS 110-91(9) TECHNICAL ASSISTANCE: -Remind staff to monitor their indoor classrooms daily to ensure that outlet covers are placed on electrical outlets when not in use. -Delegate a staff member to monitor the classrooms first thing in the morning of the beginning of the week to ensure that all activity plans are posted, including the 2nd page that has the daily gross motor activities listed. -It is important that when staff cover breaks in other classrooms they are aware of the children present and the ages of the children. That is why it is important that all staff complete the Attendance Record in the morning. This document also has a column where the staff should be writing in the ages of the children. -Remind staff to monitor the medication administration forms prior to the family leaving the medication with them to ensure all the required information is listed on the forms. -It is important to monitor dates of TB test/screening when you are receiving paperwork for potential new hires. The date cannot be older than 12 months from the date of hire. CONSULTATION: -We discussed adding a place for families to write in their children’s names and date of enrollment on the “Christ Church CDC Parent Signature Form”. Some of the rules may require that this information be included. -We discussed that aerosol sunblock needs to be kept in lock storage even in the spaces used by school aged children. -The Healthy Social Behaviors Project (HSB) supports licensed child care centers serving children ages 0 to 5 years old, focusing on teacher practices that can calm challenging behaviors: https://www.childcarerrnc.org/special-projects/healthy-social-behaviors/. They also have a challenging behaviors helpline: https://www.childcareresourcesinc.org/challenging-behaviors-helpline -It is important that all staff have a current WORKS account. Here is the link for WORKS: https://ncchildcare.ncdhhs.gov/Services/DCDEE-WORKS. -Please be reminded that any ERS assessments will be assessed using the ERS-3 versions. For additional information go to: https://ncrlap.org/ While the Division allows you time to explain how you have corrected violations when violations are cited, it is expected you correct all violations immediately. When you are asked to send a compliance letter to me, it is expected and required that your compliance letter be sent to me no later than June 24, 2025. Your letter must include the following: -Name of your program -ID number of your program -Date of Letter -Violation number -Explain how you corrected the violation (send supporting documentation to show compliance) -Describe your plan to make sure you will not have that same violation in the future -Name or signature of the person who wrote the letter. (If emailing the letter, your email address will be considered your digital signature.) At the completion of the visit, this visit summary was reviewed with you and a copy was given to you. Please continue to visit DCDEE’s website to get the latest information for childcare at https://ncchildcare.ncdhhs.gov/. Here are some important links on the DCEEE website that may be helpful: -Child Care Rules and Laws: https://ncchildcare.ncdhhs.gov/Services/Licensing/Getting-a-License -DCDEE Documents and Forms: https://ncchildcare.ncdhhs.gov/Provider/Provider-Documents-and-Forms -Training and Professional Development: https://ncchildcare.ncdhhs.gov/Provider/Training-and-Professional-Development -Required Health and Safety Training: https://ncchildcare.ncdhhs.gov/Provider/Training-and-Professional-Development/Health-and-Safety-Trainings -Care for Children Receiving Subsidy: https://ncchildcare.ncdhhs.gov/Provider/Providing-Child-Care/Subsidized-Child-Care/Care-for-Children-Receiving-Subsidy -DCDEE Updates and Current Projects: https://ncchildcare.ncdhhs.gov/Whats-New At the completion of the visit, this visit summary was reviewed with you and a copy was given to you. We appreciate all you are doing to serve the children and families of NC. If you have any questions, please contact me at: 704-594-0149 or carolyn.conley@dhhs.nc.gov or Erin Pickard, Supervisor, at erin.pickard@dhhs.nc.gov. Carolyn Conley Lead Child Care Consultant Regulatory Services Section/DHHS Division of Child Development and Early Education Post Office Box 835 Kannapolis, NC 28082-0835 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: CHRIST CHURCH CHILD DEVELOPMENT CENTER Facility ID: 18000631 Consultant: CAROLYN CONLEY Operation Type: Center Case Number: Visit Date: 6/10/2025 Number Present: 80 Completed Date: 6/10/2025 Age: From 0 To 5 Total Minutes: 285 Time In: 11:45 AM Time Out: 04:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Temp Time Period Announced/Unannounced: Unannounced The purpose of today's visit was to monitor your program for compliance with applicable childcare requirements during the second temporary time period visit. Upon arrival, I was greeted by Cathy Coggins, Assistant Director and you, Lisa Evans, Director. This facility was issued a temporary license on March 10, 2025, with a restriction of daytime care only and children under two and a half years old in rooms with direct exits. The following were posted: Temporary License, Classroom Staff to Child Ratio charts, Safe Arrival and Departure Procedures, updated NC Summary of Child Care Law poster, Emergency Medical Care Plan and Evacuation Plans. The children were observed during nap/rest time, free choice indoor activities in the room with infant aged children, afternoon snack and free choice activities. Positive interactions between staff and children was observed. I did not observe the school age children because they were on a field trip. I monitored two school aged children’s files and a blanket permission for field trips or leaving the premises was on file, and a plan of activities was posted in a place for review by families in advance on a monthly basis. Supervision, staff/child ratio, grouping of children, the use of approved space, and permit restrictions were monitored during today’s visit. The last monthly fire drill was conducted May 30, 2025, and the last outdoor inspection were conducted on May 22, 2025. A sanitation inspection was conducted on February 26, 2025, with four demerits. A fire inspection was conducted on February 27, 2025. I monitored a portion of the children’s files. You updated the Staff and Training Worksheet for me to review today. Please continue to update this document and have it available for the DCDEE staff to monitor. I monitored a portion of the staff files and will monitor the additional files during the third temporary time period. Indoor Playground: You have reached out to me through email about an installed indoor gross motor structure in a room attached to the church foyer area wanting to see if this could be approved to be used by the children in the licensed program. You have sent me the sanitation letter which read that it is approved but the structure must be kept clean and in good repair at all times [15A NCAC 18A .2822]. You also sent me documentation from the company that installed the structure which included the “Safety Performance Specification for Soft Contained Play”. I monitored the structure during today’s visit by physically climbing the structure and I will be unable to approve it because of supervision concerns. There are areas in which staff will be unable to see the children unless they are physically climbing the structure with the children. Some of those areas include the far-right corner where the purple solid barriers are, crawling in the corner tubular piece and the platforms the children would use to slide down. The other concerns would be ensuring this piece of equipment is cleaned and sanitized on a regular basis. Rated License Discussion – Today we discussed the two-component rated license process. As this is a change of ownership you have chosen to continue with the points awarded during the last rated license assessment due to the hold harmless state. Under the previous ownership the facility earned one quality point for having a staff benefits package and infrastructure for parent involvement. The facility earned two points in program standards for meeting minimum requirements, as well as enhanced space and ratios. The facility earned four points in education. The facility earned a total of seven points, which is a three-star license. I gave you the “Initial Application for Assessment for a Two-Through Five Star Rated License” and you gave me the completed form today. Star Rated License Child Care programs are expected to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent at all times [NC GS 110-90(4)(d)]. This program’s compliance history as of today’s visit is at 94% and I gave you a copy of the compliance history during today’s visit. The following violations were observed today. Violation Number Comment Rule 523 The activity plan did not include a daily gross motor activity which may occur indoors and outdoors. Space eight used by children between the ages of two years and three years did not have an activity plan that included a daily gross motor activity. .0508(g)(3) 614 Bed, cribs, playpens, cots or mats were not placed at least 18" apart or separated by partitions when in use. There were two cots that were two inches about corner to corner located in space five used by children between the ages three years and four years. 15A NCAC 18A .2821(e) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. Space 8 used by children three years of age had an electrical outlet close to a child on a cot that did not have a safety cover. 10A NCAC 09 .0604(c) 847 Parent's medication authorization did not include required information. Space three used by children between the ages of 2 years and 3 years had two authorized medication forms that did not list the name of the of the product or the amount to use. Space two used by children one year of age had an authorized medication form for diaper cream and did not specify the amount to use. 10A NCAC 09 .0803(4)(6-9) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. A staff member hired on 12/20/24 had a TB test that had a date of 2/27/23. .0701(a) 1301 Center did not maintain a record of daily attendance. Space four used by children between the ages of one year and two years and space eight used by children between the ages of two years and three years did not have attendance completed for today. GS 110-91(9) TECHNICAL ASSISTANCE: -Remind staff to monitor their indoor classrooms daily to ensure that outlet covers are placed on electrical outlets when not in use. -Delegate a staff member to monitor the classrooms first thing in the morning of the beginning of the week to ensure that all activity plans are posted, including the 2nd page that has the daily gross motor activities listed. -It is important that when staff cover breaks in other classrooms they are aware of the children present and the ages of the children. That is why it is important that all staff complete the Attendance Record in the morning. This document also has a column where the staff should be writing in the ages of the children. -Remind staff to monitor the medication administration forms prior to the family leaving the medication with them to ensure all the required information is listed on the forms. -It is important to monitor dates of TB test/screening when you are receiving paperwork for potential new hires. The date cannot be older than 12 months from the date of hire. CONSULTATION: -We discussed adding a place for families to write in their children’s names and date of enrollment on the “Christ Church CDC Parent Signature Form”. Some of the rules may require that this information be included. -We discussed that aerosol sunblock needs to be kept in lock storage even in the spaces used by school aged children. -The Healthy Social Behaviors Project (HSB) supports licensed child care centers serving children ages 0 to 5 years old, focusing on teacher practices that can calm challenging behaviors: https://www.childcarerrnc.org/special-projects/healthy-social-behaviors/. They also have a challenging behaviors helpline: https://www.childcareresourcesinc.org/challenging-behaviors-helpline -It is important that all staff have a current WORKS account. Here is the link for WORKS: https://ncchildcare.ncdhhs.gov/Services/DCDEE-WORKS. -Please be reminded that any ERS assessments will be assessed using the ERS-3 versions. For additional information go to: https://ncrlap.org/ While the Division allows you time to explain how you have corrected violations when violations are cited, it is expected you correct all violations immediately. When you are asked to send a compliance letter to me, it is expected and required that your compliance letter be sent to me no later than June 24, 2025. Your letter must include the following: -Name of your program -ID number of your program -Date of Letter -Violation number -Explain how you corrected the violation (send supporting documentation to show compliance) -Describe your plan to make sure you will not have that same violation in the future -Name or signature of the person who wrote the letter. (If emailing the letter, your email address will be considered your digital signature.) At the completion of the visit, this visit summary was reviewed with you and a copy was given to you. Please continue to visit DCDEE’s website to get the latest information for childcare at https://ncchildcare.ncdhhs.gov/. Here are some important links on the DCEEE website that may be helpful: -Child Care Rules and Laws: https://ncchildcare.ncdhhs.gov/Services/Licensing/Getting-a-License -DCDEE Documents and Forms: https://ncchildcare.ncdhhs.gov/Provider/Provider-Documents-and-Forms -Training and Professional Development: https://ncchildcare.ncdhhs.gov/Provider/Training-and-Professional-Development -Required Health and Safety Training: https://ncchildcare.ncdhhs.gov/Provider/Training-and-Professional-Development/Health-and-Safety-Trainings -Care for Children Receiving Subsidy: https://ncchildcare.ncdhhs.gov/Provider/Providing-Child-Care/Subsidized-Child-Care/Care-for-Children-Receiving-Subsidy -DCDEE Updates and Current Projects: https://ncchildcare.ncdhhs.gov/Whats-New At the completion of the visit, this visit summary was reviewed with you and a copy was given to you. We appreciate all you are doing to serve the children and families of NC. If you have any questions, please contact me at: 704-594-0149 or carolyn.conley@dhhs.nc.gov or Erin Pickard, Supervisor, at erin.pickard@dhhs.nc.gov. Carolyn Conley Lead Child Care Consultant Regulatory Services Section/DHHS Division of Child Development and Early Education Post Office Box 835 Kannapolis, NC 28082-0835 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: CHRIST CHURCH CHILD DEVELOPMENT CENTER Facility ID: 18000631 Consultant: CAROLYN CONLEY Operation Type: Center Case Number: Visit Date: 6/10/2025 Number Present: 80 Completed Date: 6/10/2025 Age: From 0 To 5 Total Minutes: 285 Time In: 11:45 AM Time Out: 04:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Temp Time Period Announced/Unannounced: Unannounced The purpose of today's visit was to monitor your program for compliance with applicable childcare requirements during the second temporary time period visit. Upon arrival, I was greeted by Cathy Coggins, Assistant Director and you, Lisa Evans, Director. This facility was issued a temporary license on March 10, 2025, with a restriction of daytime care only and children under two and a half years old in rooms with direct exits. The following were posted: Temporary License, Classroom Staff to Child Ratio charts, Safe Arrival and Departure Procedures, updated NC Summary of Child Care Law poster, Emergency Medical Care Plan and Evacuation Plans. The children were observed during nap/rest time, free choice indoor activities in the room with infant aged children, afternoon snack and free choice activities. Positive interactions between staff and children was observed. I did not observe the school age children because they were on a field trip. I monitored two school aged children’s files and a blanket permission for field trips or leaving the premises was on file, and a plan of activities was posted in a place for review by families in advance on a monthly basis. Supervision, staff/child ratio, grouping of children, the use of approved space, and permit restrictions were monitored during today’s visit. The last monthly fire drill was conducted May 30, 2025, and the last outdoor inspection were conducted on May 22, 2025. A sanitation inspection was conducted on February 26, 2025, with four demerits. A fire inspection was conducted on February 27, 2025. I monitored a portion of the children’s files. You updated the Staff and Training Worksheet for me to review today. Please continue to update this document and have it available for the DCDEE staff to monitor. I monitored a portion of the staff files and will monitor the additional files during the third temporary time period. Indoor Playground: You have reached out to me through email about an installed indoor gross motor structure in a room attached to the church foyer area wanting to see if this could be approved to be used by the children in the licensed program. You have sent me the sanitation letter which read that it is approved but the structure must be kept clean and in good repair at all times [15A NCAC 18A .2822]. You also sent me documentation from the company that installed the structure which included the “Safety Performance Specification for Soft Contained Play”. I monitored the structure during today’s visit by physically climbing the structure and I will be unable to approve it because of supervision concerns. There are areas in which staff will be unable to see the children unless they are physically climbing the structure with the children. Some of those areas include the far-right corner where the purple solid barriers are, crawling in the corner tubular piece and the platforms the children would use to slide down. The other concerns would be ensuring this piece of equipment is cleaned and sanitized on a regular basis. Rated License Discussion – Today we discussed the two-component rated license process. As this is a change of ownership you have chosen to continue with the points awarded during the last rated license assessment due to the hold harmless state. Under the previous ownership the facility earned one quality point for having a staff benefits package and infrastructure for parent involvement. The facility earned two points in program standards for meeting minimum requirements, as well as enhanced space and ratios. The facility earned four points in education. The facility earned a total of seven points, which is a three-star license. I gave you the “Initial Application for Assessment for a Two-Through Five Star Rated License” and you gave me the completed form today. Star Rated License Child Care programs are expected to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent at all times [NC GS 110-90(4)(d)]. This program’s compliance history as of today’s visit is at 94% and I gave you a copy of the compliance history during today’s visit. The following violations were observed today. Violation Number Comment Rule 523 The activity plan did not include a daily gross motor activity which may occur indoors and outdoors. Space eight used by children between the ages of two years and three years did not have an activity plan that included a daily gross motor activity. .0508(g)(3) 614 Bed, cribs, playpens, cots or mats were not placed at least 18" apart or separated by partitions when in use. There were two cots that were two inches about corner to corner located in space five used by children between the ages three years and four years. 15A NCAC 18A .2821(e) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. Space 8 used by children three years of age had an electrical outlet close to a child on a cot that did not have a safety cover. 10A NCAC 09 .0604(c) 847 Parent's medication authorization did not include required information. Space three used by children between the ages of 2 years and 3 years had two authorized medication forms that did not list the name of the of the product or the amount to use. Space two used by children one year of age had an authorized medication form for diaper cream and did not specify the amount to use. 10A NCAC 09 .0803(4)(6-9) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. A staff member hired on 12/20/24 had a TB test that had a date of 2/27/23. .0701(a) 1301 Center did not maintain a record of daily attendance. Space four used by children between the ages of one year and two years and space eight used by children between the ages of two years and three years did not have attendance completed for today. GS 110-91(9) TECHNICAL ASSISTANCE: -Remind staff to monitor their indoor classrooms daily to ensure that outlet covers are placed on electrical outlets when not in use. -Delegate a staff member to monitor the classrooms first thing in the morning of the beginning of the week to ensure that all activity plans are posted, including the 2nd page that has the daily gross motor activities listed. -It is important that when staff cover breaks in other classrooms they are aware of the children present and the ages of the children. That is why it is important that all staff complete the Attendance Record in the morning. This document also has a column where the staff should be writing in the ages of the children. -Remind staff to monitor the medication administration forms prior to the family leaving the medication with them to ensure all the required information is listed on the forms. -It is important to monitor dates of TB test/screening when you are receiving paperwork for potential new hires. The date cannot be older than 12 months from the date of hire. CONSULTATION: -We discussed adding a place for families to write in their children’s names and date of enrollment on the “Christ Church CDC Parent Signature Form”. Some of the rules may require that this information be included. -We discussed that aerosol sunblock needs to be kept in lock storage even in the spaces used by school aged children. -The Healthy Social Behaviors Project (HSB) supports licensed child care centers serving children ages 0 to 5 years old, focusing on teacher practices that can calm challenging behaviors: https://www.childcarerrnc.org/special-projects/healthy-social-behaviors/. They also have a challenging behaviors helpline: https://www.childcareresourcesinc.org/challenging-behaviors-helpline -It is important that all staff have a current WORKS account. Here is the link for WORKS: https://ncchildcare.ncdhhs.gov/Services/DCDEE-WORKS. -Please be reminded that any ERS assessments will be assessed using the ERS-3 versions. For additional information go to: https://ncrlap.org/ While the Division allows you time to explain how you have corrected violations when violations are cited, it is expected you correct all violations immediately. When you are asked to send a compliance letter to me, it is expected and required that your compliance letter be sent to me no later than June 24, 2025. Your letter must include the following: -Name of your program -ID number of your program -Date of Letter -Violation number -Explain how you corrected the violation (send supporting documentation to show compliance) -Describe your plan to make sure you will not have that same violation in the future -Name or signature of the person who wrote the letter. (If emailing the letter, your email address will be considered your digital signature.) At the completion of the visit, this visit summary was reviewed with you and a copy was given to you. Please continue to visit DCDEE’s website to get the latest information for childcare at https://ncchildcare.ncdhhs.gov/. Here are some important links on the DCEEE website that may be helpful: -Child Care Rules and Laws: https://ncchildcare.ncdhhs.gov/Services/Licensing/Getting-a-License -DCDEE Documents and Forms: https://ncchildcare.ncdhhs.gov/Provider/Provider-Documents-and-Forms -Training and Professional Development: https://ncchildcare.ncdhhs.gov/Provider/Training-and-Professional-Development -Required Health and Safety Training: https://ncchildcare.ncdhhs.gov/Provider/Training-and-Professional-Development/Health-and-Safety-Trainings -Care for Children Receiving Subsidy: https://ncchildcare.ncdhhs.gov/Provider/Providing-Child-Care/Subsidized-Child-Care/Care-for-Children-Receiving-Subsidy -DCDEE Updates and Current Projects: https://ncchildcare.ncdhhs.gov/Whats-New At the completion of the visit, this visit summary was reviewed with you and a copy was given to you. We appreciate all you are doing to serve the children and families of NC. If you have any questions, please contact me at: 704-594-0149 or carolyn.conley@dhhs.nc.gov or Erin Pickard, Supervisor, at erin.pickard@dhhs.nc.gov. Carolyn Conley Lead Child Care Consultant Regulatory Services Section/DHHS Division of Child Development and Early Education Post Office Box 835 Kannapolis, NC 28082-0835 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: CHRIST CHURCH CHILD DEVELOPMENT CENTER Facility ID: 18000631 Consultant: CAROLYN CONLEY Operation Type: Center Case Number: Visit Date: 6/10/2025 Number Present: 80 Completed Date: 6/10/2025 Age: From 0 To 5 Total Minutes: 285 Time In: 11:45 AM Time Out: 04:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Temp Time Period Announced/Unannounced: Unannounced The purpose of today's visit was to monitor your program for compliance with applicable childcare requirements during the second temporary time period visit. Upon arrival, I was greeted by Cathy Coggins, Assistant Director and you, Lisa Evans, Director. This facility was issued a temporary license on March 10, 2025, with a restriction of daytime care only and children under two and a half years old in rooms with direct exits. The following were posted: Temporary License, Classroom Staff to Child Ratio charts, Safe Arrival and Departure Procedures, updated NC Summary of Child Care Law poster, Emergency Medical Care Plan and Evacuation Plans. The children were observed during nap/rest time, free choice indoor activities in the room with infant aged children, afternoon snack and free choice activities. Positive interactions between staff and children was observed. I did not observe the school age children because they were on a field trip. I monitored two school aged children’s files and a blanket permission for field trips or leaving the premises was on file, and a plan of activities was posted in a place for review by families in advance on a monthly basis. Supervision, staff/child ratio, grouping of children, the use of approved space, and permit restrictions were monitored during today’s visit. The last monthly fire drill was conducted May 30, 2025, and the last outdoor inspection were conducted on May 22, 2025. A sanitation inspection was conducted on February 26, 2025, with four demerits. A fire inspection was conducted on February 27, 2025. I monitored a portion of the children’s files. You updated the Staff and Training Worksheet for me to review today. Please continue to update this document and have it available for the DCDEE staff to monitor. I monitored a portion of the staff files and will monitor the additional files during the third temporary time period. Indoor Playground: You have reached out to me through email about an installed indoor gross motor structure in a room attached to the church foyer area wanting to see if this could be approved to be used by the children in the licensed program. You have sent me the sanitation letter which read that it is approved but the structure must be kept clean and in good repair at all times [15A NCAC 18A .2822]. You also sent me documentation from the company that installed the structure which included the “Safety Performance Specification for Soft Contained Play”. I monitored the structure during today’s visit by physically climbing the structure and I will be unable to approve it because of supervision concerns. There are areas in which staff will be unable to see the children unless they are physically climbing the structure with the children. Some of those areas include the far-right corner where the purple solid barriers are, crawling in the corner tubular piece and the platforms the children would use to slide down. The other concerns would be ensuring this piece of equipment is cleaned and sanitized on a regular basis. Rated License Discussion – Today we discussed the two-component rated license process. As this is a change of ownership you have chosen to continue with the points awarded during the last rated license assessment due to the hold harmless state. Under the previous ownership the facility earned one quality point for having a staff benefits package and infrastructure for parent involvement. The facility earned two points in program standards for meeting minimum requirements, as well as enhanced space and ratios. The facility earned four points in education. The facility earned a total of seven points, which is a three-star license. I gave you the “Initial Application for Assessment for a Two-Through Five Star Rated License” and you gave me the completed form today. Star Rated License Child Care programs are expected to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent at all times [NC GS 110-90(4)(d)]. This program’s compliance history as of today’s visit is at 94% and I gave you a copy of the compliance history during today’s visit. The following violations were observed today. Violation Number Comment Rule 523 The activity plan did not include a daily gross motor activity which may occur indoors and outdoors. Space eight used by children between the ages of two years and three years did not have an activity plan that included a daily gross motor activity. .0508(g)(3) 614 Bed, cribs, playpens, cots or mats were not placed at least 18" apart or separated by partitions when in use. There were two cots that were two inches about corner to corner located in space five used by children between the ages three years and four years. 15A NCAC 18A .2821(e) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. Space 8 used by children three years of age had an electrical outlet close to a child on a cot that did not have a safety cover. 10A NCAC 09 .0604(c) 847 Parent's medication authorization did not include required information. Space three used by children between the ages of 2 years and 3 years had two authorized medication forms that did not list the name of the of the product or the amount to use. Space two used by children one year of age had an authorized medication form for diaper cream and did not specify the amount to use. 10A NCAC 09 .0803(4)(6-9) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. A staff member hired on 12/20/24 had a TB test that had a date of 2/27/23. .0701(a) 1301 Center did not maintain a record of daily attendance. Space four used by children between the ages of one year and two years and space eight used by children between the ages of two years and three years did not have attendance completed for today. GS 110-91(9) TECHNICAL ASSISTANCE: -Remind staff to monitor their indoor classrooms daily to ensure that outlet covers are placed on electrical outlets when not in use. -Delegate a staff member to monitor the classrooms first thing in the morning of the beginning of the week to ensure that all activity plans are posted, including the 2nd page that has the daily gross motor activities listed. -It is important that when staff cover breaks in other classrooms they are aware of the children present and the ages of the children. That is why it is important that all staff complete the Attendance Record in the morning. This document also has a column where the staff should be writing in the ages of the children. -Remind staff to monitor the medication administration forms prior to the family leaving the medication with them to ensure all the required information is listed on the forms. -It is important to monitor dates of TB test/screening when you are receiving paperwork for potential new hires. The date cannot be older than 12 months from the date of hire. CONSULTATION: -We discussed adding a place for families to write in their children’s names and date of enrollment on the “Christ Church CDC Parent Signature Form”. Some of the rules may require that this information be included. -We discussed that aerosol sunblock needs to be kept in lock storage even in the spaces used by school aged children. -The Healthy Social Behaviors Project (HSB) supports licensed child care centers serving children ages 0 to 5 years old, focusing on teacher practices that can calm challenging behaviors: https://www.childcarerrnc.org/special-projects/healthy-social-behaviors/. They also have a challenging behaviors helpline: https://www.childcareresourcesinc.org/challenging-behaviors-helpline -It is important that all staff have a current WORKS account. Here is the link for WORKS: https://ncchildcare.ncdhhs.gov/Services/DCDEE-WORKS. -Please be reminded that any ERS assessments will be assessed using the ERS-3 versions. For additional information go to: https://ncrlap.org/ While the Division allows you time to explain how you have corrected violations when violations are cited, it is expected you correct all violations immediately. When you are asked to send a compliance letter to me, it is expected and required that your compliance letter be sent to me no later than June 24, 2025. Your letter must include the following: -Name of your program -ID number of your program -Date of Letter -Violation number -Explain how you corrected the violation (send supporting documentation to show compliance) -Describe your plan to make sure you will not have that same violation in the future -Name or signature of the person who wrote the letter. (If emailing the letter, your email address will be considered your digital signature.) At the completion of the visit, this visit summary was reviewed with you and a copy was given to you. Please continue to visit DCDEE’s website to get the latest information for childcare at https://ncchildcare.ncdhhs.gov/. Here are some important links on the DCEEE website that may be helpful: -Child Care Rules and Laws: https://ncchildcare.ncdhhs.gov/Services/Licensing/Getting-a-License -DCDEE Documents and Forms: https://ncchildcare.ncdhhs.gov/Provider/Provider-Documents-and-Forms -Training and Professional Development: https://ncchildcare.ncdhhs.gov/Provider/Training-and-Professional-Development -Required Health and Safety Training: https://ncchildcare.ncdhhs.gov/Provider/Training-and-Professional-Development/Health-and-Safety-Trainings -Care for Children Receiving Subsidy: https://ncchildcare.ncdhhs.gov/Provider/Providing-Child-Care/Subsidized-Child-Care/Care-for-Children-Receiving-Subsidy -DCDEE Updates and Current Projects: https://ncchildcare.ncdhhs.gov/Whats-New At the completion of the visit, this visit summary was reviewed with you and a copy was given to you. We appreciate all you are doing to serve the children and families of NC. If you have any questions, please contact me at: 704-594-0149 or carolyn.conley@dhhs.nc.gov or Erin Pickard, Supervisor, at erin.pickard@dhhs.nc.gov. Carolyn Conley Lead Child Care Consultant Regulatory Services Section/DHHS Division of Child Development and Early Education Post Office Box 835 Kannapolis, NC 28082-0835 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