First Baptist Church Child Development Center

10A NCAC 09 .0803 · Violation

Name of Operation: FIRST BAPTIST CHURCH CHILD DEVELOPMENT CENTER Facility ID: 1854414 Consultant: KIMBERLY CRANE Operation Type: Center Case Number: Visit Date: 3/5/2026 Number Present: 0 Completed Date: 3/5/2026 Age: From 0 To 0 Total Minutes: 495 Time In: 09:30 AM Time Out: 05:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for a routine unannounced visit. You, Elaine Robinson, Administrator, and Keila Elkins, Administrative Assistant, assisted me with today’s visit. I conducted your last annual compliance visit on July 29, 2025. The restrictions, capacity, and age range on your notice of compliance and observed these being maintained. First Baptist Church Hickory, the owner of your facility, was viewed as current-active on the North Carolina Secretary of State website on March 3, 2026. Your program currently operates with a Notice of Compliance, issued on November 15, 2012. Your center's compliance history was 86% prior to today’s visit and was reviewed with you today. Your most recent fire inspection was dated September 9, 2025 and was received in my office on September 10, 2025. Your most recent sanitation inspection was dated December 30, 2025, with a Superior classification and two demerits. Today, I verified that the lead water test results dated March 15, 2024 indicated that this facility’s drinking water source was within the required limits. I verified that this facility was exempt from lead-based paint and asbestos testing. Ms. Elkins and I completed a walk-through of the facility today. I monitored all indoor and outdoor licensed spaces. Children throughout the facility were engaged in free play in activity areas, transitioned from indoor to outdoor play transitioned from outdoor to indoor play, played outdoors, ate lunch, napped, and attended to personal care needs. Infants were engaged in floor play with teachers interacting positively, napping in cribs, and being bottle fed. A current menu documented appropriate nutritious snacks and meals, showed a variety of foods, and complied with Meal Patterns for Children in Child Care Programs. Cold food and milk was stored in a commercial refrigerator in the kitchen at a temperature of thirty-five degrees Fahrenheit. Infant food and bottles were stored in a full-size refrigerator in room adjacent to Space 9 at a temperature of forty degrees Fahrenheit. I monitored hazardous product storage, medication storage, medication administration, general safety, and discipline. I monitored program records including emergency medical care plan, safe arrival and departure procedures, incident log, fire drills, emergency drills, and your Emergency Preparedness Response (EPR) Plan. I monitored staff record files for twenty-four returning staff members to verify current and valid Criminal Background Check (CBC) qualification letters, valid CPR and First Aid training, and completion of Emergency Preparedness and Response Training by at least one staff member. I monitored staff record files for eight new staff members hired since the last annual compliance visit on July 29, 2025. Staff and training worksheets were available and attached to this visit summary. Two new staff members were not included the staff and training worksheets and should be added for the next monitoring visit. I monitored health and safety requirements. I monitored supervision, staff-child ratios, group sizes, approved space use, space capacities, and permit restrictions. During today’s visit, I offered to review the QRIS Modernization Plan star-rated license process with Ms. Elkins, but she declined. I assisted Ms. Elkins in locating the QRIS Modernization Plan information on the DCDEE website. Someone from the facility will reach out to me if additional information for the QRIS Modernization Plan is needed The following violation was cited during today’s visit: Violation Number Comment Rule 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. In Space 2, the discard date on the prescription label of one emergency medication indicated that the emergency medication should be discarded after 02/08/2026. In Space 5, the permission to administer date for one emergency medication expired on 01/27/2026. In Space 6, the permission to administer dates for three topical ointments expired on 01/11/2026, 02/25/2026, and 02/25/2026. .0803(12) TECHNICAL ASSISTANCE: 1. Per child care rule 10A NCAC 09 .0803(12), expired medications and medications with expired permission to administer forms should be returned to the parent within seventy-two hours of expiration. During today’s visit, in Space 2, the discard date on the prescription label of one emergency medication indicated that emergency medication should be discarded after 02/08/2026. In Space 5, the permission to administer date expired on 01/27/2026 for one emergency medication. In Space 6, the permission to administer dates for three topical ointments expired 01/11/2026, 02/25/2026, and 02/25/2026. To correct these violations, I suggest you return the medications to the parents within seventy-two hours or discard the medications. To maintain compliance with this child care requirement, I suggest you and your staff check the expiration date of each permission to administer form on a regular basis and return the medications to the parents on or prior to the expired date of the permission. CONSULTATION: 1. 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. 2. 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. 3. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/. 4. 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 5. Here is the link to the training calendar from the Children’s Resource Center: https://childrensresourcecenter.org/training-calendar/. 6. 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. 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 March 19, 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. Child care programs are required to always maintain compliance with all applicable child care rules and regulations. 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 Post Office Box 6217 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. 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 my supervisor, Erin Pickard, 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

G.S. 110-90 · Violation

Name of Operation: FIRST BAPTIST CHURCH CHILD DEVELOPMENT CENTER Facility ID: 1854414 Consultant: KIMBERLY CRANE Operation Type: Center Case Number: Visit Date: 7/29/2025 Number Present: 58 Completed Date: 7/29/2025 Age: From 0 To 5 Total Minutes: 425 Time In: 09:10 AM Time Out: 12:25 PM Time In: 01:25 PM Time Out: 05:15 PM List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for an annual compliance visit. You, Elaine Robinson, Administrator, and Kelia Elkins, Assistant Director, assisted me with today’s visit. I conducted your last annual compliance visit on August 13, 2024. I reviewed with you today the facility information found in our system. You stated there have been no changes to the facility number, mailing address, or email address. I reviewed the permit including the restrictions, capacity, and age range on your permit and observed these being maintained. First Baptist Church Hickory, the owner of your facility, was viewed as current-active on the North Carolina Secretary of State website on July 29, 2025 and was reviewed with you today. Your program currently operates with a Notice of Compliance, issued on November 15, 2012. Your center's compliance history was 80% as of July 29, 2025. Your most recent fire inspection was dated September 11, 2024 and received in my office on October 31, 2024. Your most recent sanitation inspection was dated June 26, 2025 with a Superior classification and six demerits. Lead water testing is required to be completed every three years. Your last lead water test results dated March 15, 2024 indicated that this facility’s drinking water source was within the required limits. I verified this facility is exempt from the required lead-based paint testing and asbestos testing. Ms. Elkins and I completed a walk-through of the licensed indoor spaces today. Children were playing in activity areas, participating in teacher directed whole group and small group activities, participating in routine care activities, playing outdoors and eating lunch. Ms. Elkins and I completed a walk-through of the licensed outdoor spaces today. Ms. Elkins stated your facility had plans to install new kite shades on the playground used by two through five year old children. A current menu documented appropriate nutritious snacks and meals, showed a variety of foods, and complied with Meal Patterns for Children in Child Care Programs. Meals were prepared in the church kitchen and served in the cafeteria. Meals observed today met all meal pattern requirements. Milk and cold food were stored in a commercial refrigerator at forty-four degrees Fahrenheit. Infant bottles and food were stored at a temperature for thirty-nine degrees Fahrenheit in a full-size residential refrigerator located in the break room adjacent to Space 9 (Infants). I monitored hazardous product storage, medication storage, medication administration, general safety, and discipline. I monitored program records including emergency medical care plan, safe arrival and departure procedures, incident log, outdoor safety inspections, fire drills, emergency drills, and your Emergency Preparedness Response (EPR) Plan. I monitored two staff files selected from twenty-two established staff members and three new staff members hired since the last annual compliance visit on August 13, 2024. I verified the Criminal Background Check (CBC) qualification letter for the church representative responsible for the letter of intent to operate was current, valid, and on file. I monitored health and safety requirements. I monitored supervision, staff-child ratios, group sizes, approved space use, space capacities, and permit restrictions. The “Annual Compliance Monitoring Checklist for Child Care Centers” form was completed today. The following violation was cited during today’s visit: Violation Number Comment Rule 1805 A child care operator did not notify the Division of any new child care providers, as defined in G.S. 110-90.2(a)(2), who were hired or moved into the child care facility within five business days. No ABCMS roster was established for your facility and DCDEE was not notified within five business days of employment of new employees hired since your last monitoring visit. G.S. 110-90.2 & .2703(r) TECHNICAL ASSISTANCE: As stated in G.S. 110-90.2 & .2703(r), child care operators have five business days to notify the Division of any new child care providers working who were hired or moved into the child care facility. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. The compliance of this rule will be monitored during your next visit. Today, I observed no ABCMS roster established for your facility and DCDEE was not notified within five business days of employment of new employees hired since your last monitoring visit on April 9, 2025. To correct this violation, please follow the instructions below: 1. You will need both an Individual NCID and a Business NCID. 2. You will need an email address for your Individual NCID and a different email address for your Business NCID account. 3. Once you have created your Business NCID, complete the ABCMS Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. 4. Once the training has been completed and access has been given to you, you must verify your facility roster to ensure current staff are noted on the roster. To maintain compliance with this child care requirement, be sure to update this information in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. These actions satisfy the requirement to notify the Division within five business days of new child care providers working who were hired or moved into the child care facility. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance with any of this process, please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. CONSULTATION: 1. On June 26th, the North Carolina Rules Review Commission (RRC) approved the new QRIS Modernization Plan rules, known as “Pathways to the Stars”, adopted by the NC Child Care Commission during their April meeting. The Division of Child Development and Early Education is preparing a summary of the rules, an online training module for Moodle, and an implementation plan. A webinar will be scheduled later this month to share the implementation plan and will also provide resources that can assist you with understanding the new rules. The implementation plan will allow time for administrators/operators to learn and understand the different pathways and the changes within our system. Please be reminded that any ERS assessment completed on or after February 1, 2025 will be assessed using the ERS-3 versions. We encourage you to visit the QRIS Modernization page on the DCDEE website to learn more now. If you have not completed the QRIS survey, we’d love to hear from you. The information you provide will help us know how we can best serve you in preparing for this transition. 2. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/. 3. 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 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 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 QRIS Modernization Plan resources: https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization DCDEE Updates, Current Projects, and information applicable to Child Care in NC: https://ncchildcare.ncdhhs.gov/Whats-New 4. Here is the link to the Children’s Resource Center training calendar: https://gcc02.safelinks.protection.outlook.com/?url=https%3A%2F%2Fchildrensresourcecenter.org%2Ftraining-calendar%2F&data=05%7C02%7Ckimberly.crane%40dhhs.nc.gov%7C101c6551811740280b8508ddb4d5fefa%7C7a7681dcb9d0449a85c3ecc26cd7ed19%7C0%7C0%7C638865553370143920%7CUnknown%7CTWFpbGZsb3d8eyJFbXB0eU1hcGkiOnRydWUsIlYiOiIwLjAuMDAwMCIsIlAiOiJXaW4zMiIsIkFOIjoiTWFpbCIsIldUIjoyfQ%3D%3D%7C0%7C%7C%7C&sdata=OdnPYA%2B74ATZff2XV5xCwFjqwhdtx8vlujNbGYWB%2BNA%3D&reserved=0 5. If you would like an electronic link to any of the links shared above, please send me an email requesting the links that you’d wish to receive, and I will be glad to send the hyperlinks to you by email. 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 2) Supporting documentation including the following: 1. Please send supporting documentation such as training certificates, CBC letters, acknowledgement statements, and photographs for me to use to verify compliance. 2.Please DO NOT send staff or child medical documents or documentation for verification as this is a violation of HIPPA protocol. If needed I will verify these documents at the next monitoring visit. I should receive your compliance letter no later than August 12, 2025. Please be aware any information submitted by you is legal documentation. 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 Post Office Box 6217 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. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 At the end of this visit, a visit summary was prepared, reviewed, signed, and a copy was left with you today. We appreciate all you do 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 .0304 · Violation

Name of Operation: FIRST BAPTIST CHURCH CHILD DEVELOPMENT CENTER Facility ID: 1854414 Consultant: KIMBERLY CRANE Operation Type: Center Case Number: Visit Date: 4/9/2025 Number Present: 69 Completed Date: 4/9/2025 Age: From 0 To 5 Total Minutes: 390 Time In: 09:00 AM Time Out: 03:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for a routine unannounced visit. You, Elaine Robinson, Administrator, and Kelia Elkins, Assistant Director, assisted me with today’s visit. I conducted your last annual compliance visit on August 13, 2024. I reviewed with you today the facility information found in our system. You stated there have been no changes to the facility phone number, fax number, email address, or mailing address. I reviewed with you today the restrictions, capacity, and age range on your notice of compliance and observed these being maintained. Your program currently operates with a Notice of Compliance with an effective date of November 15, 2012. Your center's compliance history was 84% as of April 8, 2025, and was reviewed with you today. Your fire inspection was due in August 2024. Your most recent fire inspection was dated September 11, 2024, and was received in my office on October 31, 2024. Your most recent sanitation inspection was dated June 27, 2024, with a Superior classification and six demerits. I verified that you have completed the lead water testing required to be completed every three years. Today, I verified that those test results dated March 15, 2024, indicated that your facility’s drinking water source was within the required limits. I verified that your facility is exempt from lead-based paint and asbestos testing. Ms. Elkins and I completed a walk-through of the facility today. I monitored all indoor and outdoor licensed spaces. I observed children participating in free play in activity areas, transitioning from indoor to outdoor activities, playing outside, and attending to personal care routines. I observed infants engaged in floor play and napping. I observed a current menu documented appropriate nutritious snacks and meals, showed a variety of foods, and complied with Meal Patterns for Children in Child Care Programs. Meals were prepared in the church kitchen and served in the classrooms. I observed cold food and milk stored in a commercial refrigerator in the church kitchen at a temperature of 45 degrees Fahrenheit. I observed infant bottles and food stored in a residential refrigerator in the staff lounge/workroom at a temperature of 39 degrees Fahrenheit. I monitored hazardous product storage, medication storage, medication administration, general safety, and discipline. I monitored program records including emergency medical care plan, safe arrival and departure procedures, incident log, fire drills, emergency drills, and your Emergency Preparedness Response (EPR) Plan. I reviewed staff record files for twenty returning staff members to verify current and valid Criminal Background Check (CBC) qualification letters, valid CPR and First Aid training, valid ITS-SIDS training, completion of the Recognizing and Responding to Suspicions of Child Maltreatment training, and completion of Emergency Preparedness and Response Training by at least one staff member. I reviewed staff record files for three new staff members hired since the last annual compliance visit on August 13, 2024. You did not have these new staff members listed on a Staff and Training worksheet during today’s visit. I requested that you add these new staff members to a Staff and Training Worksheet and send the worksheet to me by Friday, April 11, 2025. I monitored health and safety requirements. I monitored supervision, staff-child ratios, group sizes, approved space use, space capacities, and permit restrictions. The following violations were cited during today’s visit: Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The annual fire inspection report was due no later than August 30, 2024. The most recent fire inspection was dated September 11, 2024, and received in my office by email on October 13, 2024. 10A NCAC 09 .0304(a) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. In Space 6, one aerosol can of Bath and Body Works "Tis the Season" air fragrance was stored in an unlocked cabinet. .2820(b) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. In Space 3, the discard date on the prescription label for one emergency medication expired on 03/19/2025. In Space 5, one diaper ointment/cream expired in 03/2025. .0803(12) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. Three staff members with a date of employment of 08/15/2024, 09/26/2024, and 10/02/2024 whose First Aid training was due by 11/15/2024, 12/26/2024, and 01/02/2025 completed First Aid training on 02/11/2025. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. Three staff members with a date of employment of 08/15/2024, 09/26/2024, and 10/02/2024 whose CPR training was due by 11/15/2024, 12/26/2024, and 01/02/2025 completed CPR training on 02/11/2025. .1102(d) TECHNICAL ASSISTANCE: 1. Per child care rule 10A NCAC 09 .0304(a), the operator/administrator should schedule and obtain a fire inspection within twelve months of the facility’s previous fire inspection. It is the responsibility of the operator/administrator to notify the local fire inspector when it is time for the facility’s annual fire inspection. The original copy of the approved fire inspection report should be sent to me by email within one week of completion. Your annual fire inspection report was due no later than August 30, 2024. Your most recent fire inspection was dated September 11, 2024, and received in my office by email on October 13, 2024. Because the fire inspection report was received prior to today’s visit, the violation was considered corrected during today’s visit. To maintain compliance with this child care requirement, I suggest you contact your local fire inspector on the first day of the month that your annual fire inspection is due and request an annual inspection be completed before the last day of the due month. I also suggest that you forward the fire inspection report to me once it is received from the fire inspector. 2. Per child care rule 10A NCAC 09 .0803(12), when a medication manufacture date, prescription label discard date, or date on the permission to administer form has expired, the medication should be returned to the parent within seventy-two hours. To maintain compliance with this child care requirement, I suggest you review medications, prescription labels, and permission to administer forms routinely to ensure ongoing compliance. When an expired medication is brought to the center from home, the expired medication should not be received by the center. 3. Per sanitation rule 15A NCAC 18A .2820(b), all cleaning supplies, aerosol cans, and items with “Keep out of the reach children” labels with additional warnings such as poison control contact numbers or first aid procedures should be stored in a locked cabinet, drawer, or closet. During today’s visit, I observed one aerosol can of Bath and Body Works Tis the Season air fragrance stored in an unlocked cabinet in Space 6. Today, Ms. Elkins placed the aerosol can of Bath and Body Works Tis the Season air fragrance in a locked closet in the classroom which corrected the violation during today’s visit. To maintain compliance with this child care requirement, I suggested you review this sanitation and child care requirement with your staff. 4. Per child care rule 10A NCAC 09 .1102(c)(d), each employee should complete First Aid and CPR training within ninety days of employment and maintain documentation in their staff record file as verification that the employee has completed CPR training. During today’s visit, I observed three staff members with a date of employment of 08/15/2024, 09/26/2024, and 10/02/2024 whose First Aid and CPR training was due by 11/15/2024, 12/26/2024, and 01/02/2025 but whose First Aid and CPR training was completed on 02/11/2025. Because the First Aid and CPR training was completed prior to today’s visit, the violation was considered corrected during today’s visit. To maintain compliance with this child care requirement, I suggest you enroll staff members in a First Aid and CPR training course during the first six weeks of new staff orientation that can be completed within the first ninety days of employment. CONSULTATION: 1. Please add the three new staff members with date of employment of 08/15/2024, 09/26/2024, and 10/02/2024 to a Staff and Training worksheet. Please send the Staff and Training worksheet to me by email no later than Friday, April 11, 2025. 2. The NC Summary of Child Care Law brochure and poster were both updated in February 2025 and are available on the DCDEE website at https://ncchildcare.ncdhhs.gov/Provider/Provider-Documents-and-Forms. Please post the February 2025 version of the NC Summary of Child Care Law poster in a prominent location in the facility. Please include and use the February 2025 version of the NC Summary of Child Care Law brochure in your enrollment packet. 3. As stated in G.S. 110-90.2 & .2703(r), child care operators have five business days to notify the Division of any new child care providers working who were hired or moved into the child care facility. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. The compliance of this rule will be monitored during your next visit. No action is needed on your part if you have already completed the ABCMS Provider Portal training and are currently using the ABCMS Provider Portal to update information regarding new hires or FCCH residents. Be sure this information is updated in ABCMS on an ongoing basis as staff members are hired and terminated and as FCCH residents move in or reach sixteen years of age. If you are not already using the ABCMS Provider Portal to update information regarding new hires or FCCH residents, you will need both an Individual NCID and a Business NCID. You will need an email address for your Individual NCID and a different email address for your Business NCID account. Once you have created your Business NCID, complete the ABCMS Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. Once the training has been completed and access has been given to you, you must verify your facility roster to ensure current staff or current FCCH residents are noted on the roster. This information should be updated in ABCMS on an ongoing basis as staff members are hired and when their employment is terminated and as FCCH residents change or reach sixteen years of age. These actions satisfy the requirement to notify the Division within five business days of new child care providers working who were hired or moved into the child care facility. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance, please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. 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/Licensing/Getting-a-License 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, Current Projects, and information applicable to Child Care in NC: https://ncchildcare.ncdhhs.gov/Whats-New COMPLIANCE PLAN: No compliance documentation is needed for those violation item numbers 106, 840, 1048, and 1049 which were corrected during today’s visit. I documented the corrective actions taken to correct those violations in today’s visit summary, 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 2) Supporting documentation including the following: Please send supporting documentation such as training certificates, CBC letters, acknowledgement statements, and photographs for me to use to verify compliance. Please DO NOT send staff or child medical documents or documentation for verification as this is a violation of HIPPA protocol. If needed I will verify these documents at the next monitoring visit. I should receive your compliance letter no later than April 23, 2025. Please be aware any information submitted by you is legal documentation. If you state in your compliance letter that corrections have been made when they have not, it will be considered falsification of information. 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. Child care programs are required to always maintain compliance with all applicable child care rules and regulations. 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 Post Office Box 6217 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. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you today. We appreciate all you do 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 .0803 · Violation

Name of Operation: FIRST BAPTIST CHURCH CHILD DEVELOPMENT CENTER Facility ID: 1854414 Consultant: KIMBERLY CRANE Operation Type: Center Case Number: Visit Date: 4/9/2025 Number Present: 69 Completed Date: 4/9/2025 Age: From 0 To 5 Total Minutes: 390 Time In: 09:00 AM Time Out: 03:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for a routine unannounced visit. You, Elaine Robinson, Administrator, and Kelia Elkins, Assistant Director, assisted me with today’s visit. I conducted your last annual compliance visit on August 13, 2024. I reviewed with you today the facility information found in our system. You stated there have been no changes to the facility phone number, fax number, email address, or mailing address. I reviewed with you today the restrictions, capacity, and age range on your notice of compliance and observed these being maintained. Your program currently operates with a Notice of Compliance with an effective date of November 15, 2012. Your center's compliance history was 84% as of April 8, 2025, and was reviewed with you today. Your fire inspection was due in August 2024. Your most recent fire inspection was dated September 11, 2024, and was received in my office on October 31, 2024. Your most recent sanitation inspection was dated June 27, 2024, with a Superior classification and six demerits. I verified that you have completed the lead water testing required to be completed every three years. Today, I verified that those test results dated March 15, 2024, indicated that your facility’s drinking water source was within the required limits. I verified that your facility is exempt from lead-based paint and asbestos testing. Ms. Elkins and I completed a walk-through of the facility today. I monitored all indoor and outdoor licensed spaces. I observed children participating in free play in activity areas, transitioning from indoor to outdoor activities, playing outside, and attending to personal care routines. I observed infants engaged in floor play and napping. I observed a current menu documented appropriate nutritious snacks and meals, showed a variety of foods, and complied with Meal Patterns for Children in Child Care Programs. Meals were prepared in the church kitchen and served in the classrooms. I observed cold food and milk stored in a commercial refrigerator in the church kitchen at a temperature of 45 degrees Fahrenheit. I observed infant bottles and food stored in a residential refrigerator in the staff lounge/workroom at a temperature of 39 degrees Fahrenheit. I monitored hazardous product storage, medication storage, medication administration, general safety, and discipline. I monitored program records including emergency medical care plan, safe arrival and departure procedures, incident log, fire drills, emergency drills, and your Emergency Preparedness Response (EPR) Plan. I reviewed staff record files for twenty returning staff members to verify current and valid Criminal Background Check (CBC) qualification letters, valid CPR and First Aid training, valid ITS-SIDS training, completion of the Recognizing and Responding to Suspicions of Child Maltreatment training, and completion of Emergency Preparedness and Response Training by at least one staff member. I reviewed staff record files for three new staff members hired since the last annual compliance visit on August 13, 2024. You did not have these new staff members listed on a Staff and Training worksheet during today’s visit. I requested that you add these new staff members to a Staff and Training Worksheet and send the worksheet to me by Friday, April 11, 2025. I monitored health and safety requirements. I monitored supervision, staff-child ratios, group sizes, approved space use, space capacities, and permit restrictions. The following violations were cited during today’s visit: Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The annual fire inspection report was due no later than August 30, 2024. The most recent fire inspection was dated September 11, 2024, and received in my office by email on October 13, 2024. 10A NCAC 09 .0304(a) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. In Space 6, one aerosol can of Bath and Body Works "Tis the Season" air fragrance was stored in an unlocked cabinet. .2820(b) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. In Space 3, the discard date on the prescription label for one emergency medication expired on 03/19/2025. In Space 5, one diaper ointment/cream expired in 03/2025. .0803(12) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. Three staff members with a date of employment of 08/15/2024, 09/26/2024, and 10/02/2024 whose First Aid training was due by 11/15/2024, 12/26/2024, and 01/02/2025 completed First Aid training on 02/11/2025. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. Three staff members with a date of employment of 08/15/2024, 09/26/2024, and 10/02/2024 whose CPR training was due by 11/15/2024, 12/26/2024, and 01/02/2025 completed CPR training on 02/11/2025. .1102(d) TECHNICAL ASSISTANCE: 1. Per child care rule 10A NCAC 09 .0304(a), the operator/administrator should schedule and obtain a fire inspection within twelve months of the facility’s previous fire inspection. It is the responsibility of the operator/administrator to notify the local fire inspector when it is time for the facility’s annual fire inspection. The original copy of the approved fire inspection report should be sent to me by email within one week of completion. Your annual fire inspection report was due no later than August 30, 2024. Your most recent fire inspection was dated September 11, 2024, and received in my office by email on October 13, 2024. Because the fire inspection report was received prior to today’s visit, the violation was considered corrected during today’s visit. To maintain compliance with this child care requirement, I suggest you contact your local fire inspector on the first day of the month that your annual fire inspection is due and request an annual inspection be completed before the last day of the due month. I also suggest that you forward the fire inspection report to me once it is received from the fire inspector. 2. Per child care rule 10A NCAC 09 .0803(12), when a medication manufacture date, prescription label discard date, or date on the permission to administer form has expired, the medication should be returned to the parent within seventy-two hours. To maintain compliance with this child care requirement, I suggest you review medications, prescription labels, and permission to administer forms routinely to ensure ongoing compliance. When an expired medication is brought to the center from home, the expired medication should not be received by the center. 3. Per sanitation rule 15A NCAC 18A .2820(b), all cleaning supplies, aerosol cans, and items with “Keep out of the reach children” labels with additional warnings such as poison control contact numbers or first aid procedures should be stored in a locked cabinet, drawer, or closet. During today’s visit, I observed one aerosol can of Bath and Body Works Tis the Season air fragrance stored in an unlocked cabinet in Space 6. Today, Ms. Elkins placed the aerosol can of Bath and Body Works Tis the Season air fragrance in a locked closet in the classroom which corrected the violation during today’s visit. To maintain compliance with this child care requirement, I suggested you review this sanitation and child care requirement with your staff. 4. Per child care rule 10A NCAC 09 .1102(c)(d), each employee should complete First Aid and CPR training within ninety days of employment and maintain documentation in their staff record file as verification that the employee has completed CPR training. During today’s visit, I observed three staff members with a date of employment of 08/15/2024, 09/26/2024, and 10/02/2024 whose First Aid and CPR training was due by 11/15/2024, 12/26/2024, and 01/02/2025 but whose First Aid and CPR training was completed on 02/11/2025. Because the First Aid and CPR training was completed prior to today’s visit, the violation was considered corrected during today’s visit. To maintain compliance with this child care requirement, I suggest you enroll staff members in a First Aid and CPR training course during the first six weeks of new staff orientation that can be completed within the first ninety days of employment. CONSULTATION: 1. Please add the three new staff members with date of employment of 08/15/2024, 09/26/2024, and 10/02/2024 to a Staff and Training worksheet. Please send the Staff and Training worksheet to me by email no later than Friday, April 11, 2025. 2. The NC Summary of Child Care Law brochure and poster were both updated in February 2025 and are available on the DCDEE website at https://ncchildcare.ncdhhs.gov/Provider/Provider-Documents-and-Forms. Please post the February 2025 version of the NC Summary of Child Care Law poster in a prominent location in the facility. Please include and use the February 2025 version of the NC Summary of Child Care Law brochure in your enrollment packet. 3. As stated in G.S. 110-90.2 & .2703(r), child care operators have five business days to notify the Division of any new child care providers working who were hired or moved into the child care facility. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. The compliance of this rule will be monitored during your next visit. No action is needed on your part if you have already completed the ABCMS Provider Portal training and are currently using the ABCMS Provider Portal to update information regarding new hires or FCCH residents. Be sure this information is updated in ABCMS on an ongoing basis as staff members are hired and terminated and as FCCH residents move in or reach sixteen years of age. If you are not already using the ABCMS Provider Portal to update information regarding new hires or FCCH residents, you will need both an Individual NCID and a Business NCID. You will need an email address for your Individual NCID and a different email address for your Business NCID account. Once you have created your Business NCID, complete the ABCMS Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. Once the training has been completed and access has been given to you, you must verify your facility roster to ensure current staff or current FCCH residents are noted on the roster. This information should be updated in ABCMS on an ongoing basis as staff members are hired and when their employment is terminated and as FCCH residents change or reach sixteen years of age. These actions satisfy the requirement to notify the Division within five business days of new child care providers working who were hired or moved into the child care facility. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance, please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. 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/Licensing/Getting-a-License 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, Current Projects, and information applicable to Child Care in NC: https://ncchildcare.ncdhhs.gov/Whats-New COMPLIANCE PLAN: No compliance documentation is needed for those violation item numbers 106, 840, 1048, and 1049 which were corrected during today’s visit. I documented the corrective actions taken to correct those violations in today’s visit summary, 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 2) Supporting documentation including the following: Please send supporting documentation such as training certificates, CBC letters, acknowledgement statements, and photographs for me to use to verify compliance. Please DO NOT send staff or child medical documents or documentation for verification as this is a violation of HIPPA protocol. If needed I will verify these documents at the next monitoring visit. I should receive your compliance letter no later than April 23, 2025. Please be aware any information submitted by you is legal documentation. If you state in your compliance letter that corrections have been made when they have not, it will be considered falsification of information. 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. Child care programs are required to always maintain compliance with all applicable child care rules and regulations. 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 Post Office Box 6217 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. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you today. We appreciate all you do 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 .1102 · Violation

Name of Operation: FIRST BAPTIST CHURCH CHILD DEVELOPMENT CENTER Facility ID: 1854414 Consultant: KIMBERLY CRANE Operation Type: Center Case Number: Visit Date: 4/9/2025 Number Present: 69 Completed Date: 4/9/2025 Age: From 0 To 5 Total Minutes: 390 Time In: 09:00 AM Time Out: 03:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for a routine unannounced visit. You, Elaine Robinson, Administrator, and Kelia Elkins, Assistant Director, assisted me with today’s visit. I conducted your last annual compliance visit on August 13, 2024. I reviewed with you today the facility information found in our system. You stated there have been no changes to the facility phone number, fax number, email address, or mailing address. I reviewed with you today the restrictions, capacity, and age range on your notice of compliance and observed these being maintained. Your program currently operates with a Notice of Compliance with an effective date of November 15, 2012. Your center's compliance history was 84% as of April 8, 2025, and was reviewed with you today. Your fire inspection was due in August 2024. Your most recent fire inspection was dated September 11, 2024, and was received in my office on October 31, 2024. Your most recent sanitation inspection was dated June 27, 2024, with a Superior classification and six demerits. I verified that you have completed the lead water testing required to be completed every three years. Today, I verified that those test results dated March 15, 2024, indicated that your facility’s drinking water source was within the required limits. I verified that your facility is exempt from lead-based paint and asbestos testing. Ms. Elkins and I completed a walk-through of the facility today. I monitored all indoor and outdoor licensed spaces. I observed children participating in free play in activity areas, transitioning from indoor to outdoor activities, playing outside, and attending to personal care routines. I observed infants engaged in floor play and napping. I observed a current menu documented appropriate nutritious snacks and meals, showed a variety of foods, and complied with Meal Patterns for Children in Child Care Programs. Meals were prepared in the church kitchen and served in the classrooms. I observed cold food and milk stored in a commercial refrigerator in the church kitchen at a temperature of 45 degrees Fahrenheit. I observed infant bottles and food stored in a residential refrigerator in the staff lounge/workroom at a temperature of 39 degrees Fahrenheit. I monitored hazardous product storage, medication storage, medication administration, general safety, and discipline. I monitored program records including emergency medical care plan, safe arrival and departure procedures, incident log, fire drills, emergency drills, and your Emergency Preparedness Response (EPR) Plan. I reviewed staff record files for twenty returning staff members to verify current and valid Criminal Background Check (CBC) qualification letters, valid CPR and First Aid training, valid ITS-SIDS training, completion of the Recognizing and Responding to Suspicions of Child Maltreatment training, and completion of Emergency Preparedness and Response Training by at least one staff member. I reviewed staff record files for three new staff members hired since the last annual compliance visit on August 13, 2024. You did not have these new staff members listed on a Staff and Training worksheet during today’s visit. I requested that you add these new staff members to a Staff and Training Worksheet and send the worksheet to me by Friday, April 11, 2025. I monitored health and safety requirements. I monitored supervision, staff-child ratios, group sizes, approved space use, space capacities, and permit restrictions. The following violations were cited during today’s visit: Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The annual fire inspection report was due no later than August 30, 2024. The most recent fire inspection was dated September 11, 2024, and received in my office by email on October 13, 2024. 10A NCAC 09 .0304(a) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. In Space 6, one aerosol can of Bath and Body Works "Tis the Season" air fragrance was stored in an unlocked cabinet. .2820(b) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. In Space 3, the discard date on the prescription label for one emergency medication expired on 03/19/2025. In Space 5, one diaper ointment/cream expired in 03/2025. .0803(12) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. Three staff members with a date of employment of 08/15/2024, 09/26/2024, and 10/02/2024 whose First Aid training was due by 11/15/2024, 12/26/2024, and 01/02/2025 completed First Aid training on 02/11/2025. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. Three staff members with a date of employment of 08/15/2024, 09/26/2024, and 10/02/2024 whose CPR training was due by 11/15/2024, 12/26/2024, and 01/02/2025 completed CPR training on 02/11/2025. .1102(d) TECHNICAL ASSISTANCE: 1. Per child care rule 10A NCAC 09 .0304(a), the operator/administrator should schedule and obtain a fire inspection within twelve months of the facility’s previous fire inspection. It is the responsibility of the operator/administrator to notify the local fire inspector when it is time for the facility’s annual fire inspection. The original copy of the approved fire inspection report should be sent to me by email within one week of completion. Your annual fire inspection report was due no later than August 30, 2024. Your most recent fire inspection was dated September 11, 2024, and received in my office by email on October 13, 2024. Because the fire inspection report was received prior to today’s visit, the violation was considered corrected during today’s visit. To maintain compliance with this child care requirement, I suggest you contact your local fire inspector on the first day of the month that your annual fire inspection is due and request an annual inspection be completed before the last day of the due month. I also suggest that you forward the fire inspection report to me once it is received from the fire inspector. 2. Per child care rule 10A NCAC 09 .0803(12), when a medication manufacture date, prescription label discard date, or date on the permission to administer form has expired, the medication should be returned to the parent within seventy-two hours. To maintain compliance with this child care requirement, I suggest you review medications, prescription labels, and permission to administer forms routinely to ensure ongoing compliance. When an expired medication is brought to the center from home, the expired medication should not be received by the center. 3. Per sanitation rule 15A NCAC 18A .2820(b), all cleaning supplies, aerosol cans, and items with “Keep out of the reach children” labels with additional warnings such as poison control contact numbers or first aid procedures should be stored in a locked cabinet, drawer, or closet. During today’s visit, I observed one aerosol can of Bath and Body Works Tis the Season air fragrance stored in an unlocked cabinet in Space 6. Today, Ms. Elkins placed the aerosol can of Bath and Body Works Tis the Season air fragrance in a locked closet in the classroom which corrected the violation during today’s visit. To maintain compliance with this child care requirement, I suggested you review this sanitation and child care requirement with your staff. 4. Per child care rule 10A NCAC 09 .1102(c)(d), each employee should complete First Aid and CPR training within ninety days of employment and maintain documentation in their staff record file as verification that the employee has completed CPR training. During today’s visit, I observed three staff members with a date of employment of 08/15/2024, 09/26/2024, and 10/02/2024 whose First Aid and CPR training was due by 11/15/2024, 12/26/2024, and 01/02/2025 but whose First Aid and CPR training was completed on 02/11/2025. Because the First Aid and CPR training was completed prior to today’s visit, the violation was considered corrected during today’s visit. To maintain compliance with this child care requirement, I suggest you enroll staff members in a First Aid and CPR training course during the first six weeks of new staff orientation that can be completed within the first ninety days of employment. CONSULTATION: 1. Please add the three new staff members with date of employment of 08/15/2024, 09/26/2024, and 10/02/2024 to a Staff and Training worksheet. Please send the Staff and Training worksheet to me by email no later than Friday, April 11, 2025. 2. The NC Summary of Child Care Law brochure and poster were both updated in February 2025 and are available on the DCDEE website at https://ncchildcare.ncdhhs.gov/Provider/Provider-Documents-and-Forms. Please post the February 2025 version of the NC Summary of Child Care Law poster in a prominent location in the facility. Please include and use the February 2025 version of the NC Summary of Child Care Law brochure in your enrollment packet. 3. As stated in G.S. 110-90.2 & .2703(r), child care operators have five business days to notify the Division of any new child care providers working who were hired or moved into the child care facility. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. The compliance of this rule will be monitored during your next visit. No action is needed on your part if you have already completed the ABCMS Provider Portal training and are currently using the ABCMS Provider Portal to update information regarding new hires or FCCH residents. Be sure this information is updated in ABCMS on an ongoing basis as staff members are hired and terminated and as FCCH residents move in or reach sixteen years of age. If you are not already using the ABCMS Provider Portal to update information regarding new hires or FCCH residents, you will need both an Individual NCID and a Business NCID. You will need an email address for your Individual NCID and a different email address for your Business NCID account. Once you have created your Business NCID, complete the ABCMS Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. Once the training has been completed and access has been given to you, you must verify your facility roster to ensure current staff or current FCCH residents are noted on the roster. This information should be updated in ABCMS on an ongoing basis as staff members are hired and when their employment is terminated and as FCCH residents change or reach sixteen years of age. These actions satisfy the requirement to notify the Division within five business days of new child care providers working who were hired or moved into the child care facility. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance, please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. 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/Licensing/Getting-a-License 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, Current Projects, and information applicable to Child Care in NC: https://ncchildcare.ncdhhs.gov/Whats-New COMPLIANCE PLAN: No compliance documentation is needed for those violation item numbers 106, 840, 1048, and 1049 which were corrected during today’s visit. I documented the corrective actions taken to correct those violations in today’s visit summary, 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 2) Supporting documentation including the following: Please send supporting documentation such as training certificates, CBC letters, acknowledgement statements, and photographs for me to use to verify compliance. Please DO NOT send staff or child medical documents or documentation for verification as this is a violation of HIPPA protocol. If needed I will verify these documents at the next monitoring visit. I should receive your compliance letter no later than April 23, 2025. Please be aware any information submitted by you is legal documentation. If you state in your compliance letter that corrections have been made when they have not, it will be considered falsification of information. 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. Child care programs are required to always maintain compliance with all applicable child care rules and regulations. 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 Post Office Box 6217 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. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you today. We appreciate all you do 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

G.S. 110-90 · Violation

Name of Operation: FIRST BAPTIST CHURCH CHILD DEVELOPMENT CENTER Facility ID: 1854414 Consultant: KIMBERLY CRANE Operation Type: Center Case Number: Visit Date: 4/9/2025 Number Present: 69 Completed Date: 4/9/2025 Age: From 0 To 5 Total Minutes: 390 Time In: 09:00 AM Time Out: 03:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for a routine unannounced visit. You, Elaine Robinson, Administrator, and Kelia Elkins, Assistant Director, assisted me with today’s visit. I conducted your last annual compliance visit on August 13, 2024. I reviewed with you today the facility information found in our system. You stated there have been no changes to the facility phone number, fax number, email address, or mailing address. I reviewed with you today the restrictions, capacity, and age range on your notice of compliance and observed these being maintained. Your program currently operates with a Notice of Compliance with an effective date of November 15, 2012. Your center's compliance history was 84% as of April 8, 2025, and was reviewed with you today. Your fire inspection was due in August 2024. Your most recent fire inspection was dated September 11, 2024, and was received in my office on October 31, 2024. Your most recent sanitation inspection was dated June 27, 2024, with a Superior classification and six demerits. I verified that you have completed the lead water testing required to be completed every three years. Today, I verified that those test results dated March 15, 2024, indicated that your facility’s drinking water source was within the required limits. I verified that your facility is exempt from lead-based paint and asbestos testing. Ms. Elkins and I completed a walk-through of the facility today. I monitored all indoor and outdoor licensed spaces. I observed children participating in free play in activity areas, transitioning from indoor to outdoor activities, playing outside, and attending to personal care routines. I observed infants engaged in floor play and napping. I observed a current menu documented appropriate nutritious snacks and meals, showed a variety of foods, and complied with Meal Patterns for Children in Child Care Programs. Meals were prepared in the church kitchen and served in the classrooms. I observed cold food and milk stored in a commercial refrigerator in the church kitchen at a temperature of 45 degrees Fahrenheit. I observed infant bottles and food stored in a residential refrigerator in the staff lounge/workroom at a temperature of 39 degrees Fahrenheit. I monitored hazardous product storage, medication storage, medication administration, general safety, and discipline. I monitored program records including emergency medical care plan, safe arrival and departure procedures, incident log, fire drills, emergency drills, and your Emergency Preparedness Response (EPR) Plan. I reviewed staff record files for twenty returning staff members to verify current and valid Criminal Background Check (CBC) qualification letters, valid CPR and First Aid training, valid ITS-SIDS training, completion of the Recognizing and Responding to Suspicions of Child Maltreatment training, and completion of Emergency Preparedness and Response Training by at least one staff member. I reviewed staff record files for three new staff members hired since the last annual compliance visit on August 13, 2024. You did not have these new staff members listed on a Staff and Training worksheet during today’s visit. I requested that you add these new staff members to a Staff and Training Worksheet and send the worksheet to me by Friday, April 11, 2025. I monitored health and safety requirements. I monitored supervision, staff-child ratios, group sizes, approved space use, space capacities, and permit restrictions. The following violations were cited during today’s visit: Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The annual fire inspection report was due no later than August 30, 2024. The most recent fire inspection was dated September 11, 2024, and received in my office by email on October 13, 2024. 10A NCAC 09 .0304(a) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. In Space 6, one aerosol can of Bath and Body Works "Tis the Season" air fragrance was stored in an unlocked cabinet. .2820(b) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. In Space 3, the discard date on the prescription label for one emergency medication expired on 03/19/2025. In Space 5, one diaper ointment/cream expired in 03/2025. .0803(12) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. Three staff members with a date of employment of 08/15/2024, 09/26/2024, and 10/02/2024 whose First Aid training was due by 11/15/2024, 12/26/2024, and 01/02/2025 completed First Aid training on 02/11/2025. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. Three staff members with a date of employment of 08/15/2024, 09/26/2024, and 10/02/2024 whose CPR training was due by 11/15/2024, 12/26/2024, and 01/02/2025 completed CPR training on 02/11/2025. .1102(d) TECHNICAL ASSISTANCE: 1. Per child care rule 10A NCAC 09 .0304(a), the operator/administrator should schedule and obtain a fire inspection within twelve months of the facility’s previous fire inspection. It is the responsibility of the operator/administrator to notify the local fire inspector when it is time for the facility’s annual fire inspection. The original copy of the approved fire inspection report should be sent to me by email within one week of completion. Your annual fire inspection report was due no later than August 30, 2024. Your most recent fire inspection was dated September 11, 2024, and received in my office by email on October 13, 2024. Because the fire inspection report was received prior to today’s visit, the violation was considered corrected during today’s visit. To maintain compliance with this child care requirement, I suggest you contact your local fire inspector on the first day of the month that your annual fire inspection is due and request an annual inspection be completed before the last day of the due month. I also suggest that you forward the fire inspection report to me once it is received from the fire inspector. 2. Per child care rule 10A NCAC 09 .0803(12), when a medication manufacture date, prescription label discard date, or date on the permission to administer form has expired, the medication should be returned to the parent within seventy-two hours. To maintain compliance with this child care requirement, I suggest you review medications, prescription labels, and permission to administer forms routinely to ensure ongoing compliance. When an expired medication is brought to the center from home, the expired medication should not be received by the center. 3. Per sanitation rule 15A NCAC 18A .2820(b), all cleaning supplies, aerosol cans, and items with “Keep out of the reach children” labels with additional warnings such as poison control contact numbers or first aid procedures should be stored in a locked cabinet, drawer, or closet. During today’s visit, I observed one aerosol can of Bath and Body Works Tis the Season air fragrance stored in an unlocked cabinet in Space 6. Today, Ms. Elkins placed the aerosol can of Bath and Body Works Tis the Season air fragrance in a locked closet in the classroom which corrected the violation during today’s visit. To maintain compliance with this child care requirement, I suggested you review this sanitation and child care requirement with your staff. 4. Per child care rule 10A NCAC 09 .1102(c)(d), each employee should complete First Aid and CPR training within ninety days of employment and maintain documentation in their staff record file as verification that the employee has completed CPR training. During today’s visit, I observed three staff members with a date of employment of 08/15/2024, 09/26/2024, and 10/02/2024 whose First Aid and CPR training was due by 11/15/2024, 12/26/2024, and 01/02/2025 but whose First Aid and CPR training was completed on 02/11/2025. Because the First Aid and CPR training was completed prior to today’s visit, the violation was considered corrected during today’s visit. To maintain compliance with this child care requirement, I suggest you enroll staff members in a First Aid and CPR training course during the first six weeks of new staff orientation that can be completed within the first ninety days of employment. CONSULTATION: 1. Please add the three new staff members with date of employment of 08/15/2024, 09/26/2024, and 10/02/2024 to a Staff and Training worksheet. Please send the Staff and Training worksheet to me by email no later than Friday, April 11, 2025. 2. The NC Summary of Child Care Law brochure and poster were both updated in February 2025 and are available on the DCDEE website at https://ncchildcare.ncdhhs.gov/Provider/Provider-Documents-and-Forms. Please post the February 2025 version of the NC Summary of Child Care Law poster in a prominent location in the facility. Please include and use the February 2025 version of the NC Summary of Child Care Law brochure in your enrollment packet. 3. As stated in G.S. 110-90.2 & .2703(r), child care operators have five business days to notify the Division of any new child care providers working who were hired or moved into the child care facility. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. The compliance of this rule will be monitored during your next visit. No action is needed on your part if you have already completed the ABCMS Provider Portal training and are currently using the ABCMS Provider Portal to update information regarding new hires or FCCH residents. Be sure this information is updated in ABCMS on an ongoing basis as staff members are hired and terminated and as FCCH residents move in or reach sixteen years of age. If you are not already using the ABCMS Provider Portal to update information regarding new hires or FCCH residents, you will need both an Individual NCID and a Business NCID. You will need an email address for your Individual NCID and a different email address for your Business NCID account. Once you have created your Business NCID, complete the ABCMS Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. Once the training has been completed and access has been given to you, you must verify your facility roster to ensure current staff or current FCCH residents are noted on the roster. This information should be updated in ABCMS on an ongoing basis as staff members are hired and when their employment is terminated and as FCCH residents change or reach sixteen years of age. These actions satisfy the requirement to notify the Division within five business days of new child care providers working who were hired or moved into the child care facility. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance, please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. 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/Licensing/Getting-a-License 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, Current Projects, and information applicable to Child Care in NC: https://ncchildcare.ncdhhs.gov/Whats-New COMPLIANCE PLAN: No compliance documentation is needed for those violation item numbers 106, 840, 1048, and 1049 which were corrected during today’s visit. I documented the corrective actions taken to correct those violations in today’s visit summary, 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 2) Supporting documentation including the following: Please send supporting documentation such as training certificates, CBC letters, acknowledgement statements, and photographs for me to use to verify compliance. Please DO NOT send staff or child medical documents or documentation for verification as this is a violation of HIPPA protocol. If needed I will verify these documents at the next monitoring visit. I should receive your compliance letter no later than April 23, 2025. Please be aware any information submitted by you is legal documentation. If you state in your compliance letter that corrections have been made when they have not, it will be considered falsification of information. 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. Child care programs are required to always maintain compliance with all applicable child care rules and regulations. 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 Post Office Box 6217 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. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you today. We appreciate all you do 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 . 1102 · Violation

Name of Operation: FIRST BAPTIST CHURCH CHILD DEVELOPMENT CENTER Facility ID: 1854414 Consultant: KIMBERLY CRANE Operation Type: Center Case Number: Visit Date: 8/13/2024 Number Present: 50 Completed Date: 8/13/2024 Age: From 0 To 5 Total Minutes: 442 Time In: 08:58 AM Time Out: 12:30 PM Time In: 01:30 PM Time Out: 05:20 PM List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for an annual compliance visit. You, Elaine Robinson, Director, assisted me with today’s visit. I conducted your last annual compliance visit on August 24, 2024. I reviewed with you today the facility information found in our system. You stated there have been no changes to your phone number, mailing address, or corporate contact for the facility. You stated the email address had changed. I will make that email address change for you. I reviewed the facility’s permit with you today. You stated there has been no change with the owner of your facility, First Baptist Church Hickory. I reviewed with you today the restrictions, capacity, and age range on your permit and observed these being maintained. Your program currently operates with a Notice of Compliance, issued on November 15, 2012. Your center's compliance history was 80% as of August 12, 2024. Your most recent fire inspection was dated August 30, 2023 and received in my office on August 31, 2023. Your most recent sanitation inspection was dated June 27, 2024 with a Superior classification and six demerits. Your last lead water test results dated March 15, 2024 indicated that your facility’s drinking water source was within the required limits. I verified that you had registered for the lead-based paint and asbestos testing and were determined to be exempt from this testing requirement based on the documentation provided that indicated all the buildings were built after 1988. You and I completed a walk-through of the licensed indoor spaces today. I observed children playing in activity areas, participating in teacher directed whole group and small group activities, participating in routine care activities, and eating lunch. A current menu documented appropriate nutritious snacks and meals, showed a variety of foods, and complied with Meal Patterns for Children in Child Care Programs. Meals were prepared in the kitchen and served in the classrooms. Today’s lunch included a ham and cheese sandwich on whole wheat bread, carrots with ranch dip, pears, and unflavored milk. Infant bottles and food were stored in a full-size refrigerator in the workroom adjacent to Space 9 (Infants) at 39 degrees Fahrenheit. Cold food and milk were stored in a commercial refrigerator in the kitchen at 45 degrees Fahrenheit. I monitored hazardous product storage, medication storage, medication administration, general safety, and discipline. I monitored program records including emergency medical care plan, safe arrival and departure procedures, incident log, outdoor safety inspections, fire drills, emergency drills, and your Emergency Preparedness Response (EPR) Plan. I reviewed staff record files for fifteen returning staff members and eight new staff members hired since the last annual compliance visit on August 24, 2023. I monitored health and safety requirements. I monitored supervision, staff-child ratios, group sizes, approved space use, space capacities, and permit restrictions. The “Annual Compliance Monitoring Checklist for Child Care Centers” form was completed today. The following violations were cited during today’s visit: Violation Number Comment Rule 1835 The medical action plan was not updated on an annual basis or when changes to the plan were made by the child's parent or health care professional. One child enrollment application listed asthma as a health concern but no medical action plan was completed or attached to the application. One child with a food allergy had a medical action plan on file with a physician signature dated 07/26/2023 and the medical action plan had not been updated annually. .0801(b) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. One seasonal staff member with a date of employment of 05/18/2023 had not completed the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment or before returning to a work schedule for the 2024 season. .1102(g) 1898 Staff did not complete the health and safety training within one year of employment. One staff member with a date of employment of 03/09/2023 did not have training certificates on file to confirm completion of health and safety training within the first year of employment. One seasonal employee with a date of employment of 05/18/2023 did not complete the health and safety trainings within the first year of employment and before returning to a work schedule for the 2024 season. .1102(a) TECHNICAL ASSISTANCE: 1. Any child with allergies (food or medication), diabetes, seizures, anaphylaxis, asthma, eczema, or any other chronic illness or medical condition that requires specialized medical treatment or attention regardless of whether the child has been prescribed medication for this chronic illness should have a Medical Action Plan (MAP) completed by the parent and/or the health care professional and attached to the child enrollment application. MAPs should be updated annually. Best practice is to also have a MAP on file for a staff member that has been diagnosed with a chronic illness. To maintain compliance with this child care requirement, I suggested you carefully review the child enrollment application documents when received from a parent and give the parent a MAP document to be completed by the parent or the doctor and returned to you before the child’s first day of attendance. 2. Per child care rule 10A NCAC 09 .1102(a), new employee’s should complete the Health & Safety (H&S) Training requirement within the first year of employment. Health and safety training should be in addition to the new staff orientation requirements. When you have seasonal staff return to work for a second season of employment, the seasonal staff member should complete all H&S training before resuming a return work schedule. To maintain compliance with this child care requirement, I suggest you plan for seasonal staff to have a day of orientation review and training on their first day returning to a work schedule. Best practice is to place a note in the file of each seasonal staff member that indicates the dates the seasonal staff worked at the facility. 3. Per child care rule 10A NCAC 09 . 1102(g), each child care administrator and all staff regardless of their role in the facility should complete the Recognizing and Responding to Suspicions of Child Maltreatment training through the NC Prevent Child Abuse website and/or present the administrator with the completion certificate within the first ninety days of employment. When you have seasonal staff return to work for a second season of employment, the seasonal staff member should complete all H&S training before resuming a return work schedule. To maintain compliance with this child care requirement, I suggest you plan for seasonal staff to have a day of orientation review and training on their first day returning to a work schedule. Best practice is to place a note in the file of each seasonal staff member that indicates the dates the seasonal staff worked at the facility. CONSULTATION: 1. When an employee leaves employment and then returns to employment regardless of the time that has passed, the new employment date should be recorded and the employee’s staff file should be updated to ensure all forms and documentation are in compliance with child care requirements. Leaving employment means the employee is no longer on your payroll and is no longer expected to return to your facility for work. Those staff members on a medical leave of absence, substitute staff, and seasonal staff could still be considered employees even if they are not working on a daily basis. Regardless of the reason for the time away from your facility’s employment, best practice would be to review the staff file for any returning employee prior to the first day of employment to be sure all required training is valid, all facility training and documentation is up to date with your current procedures and policies, and all staff training and documentation is in compliance with child care requirements. 2. Be watchful of wall scarring and chipping paint in the classrooms. 3. Please continue to visit DCDEE’s website at https://ncchildcare.ncdhhs.gov/ to get the latest information for child care settings and child care updates including the most up to date documents and forms. 4. Visit NC Child Care Health and Safety Resource Center at http://healthychildcare.unc.edu to find the following resources: technical assistance, coaching support, resources, handwashing and diapering posters, monthly newsletters, and a list of approved in-service trainings including, but not limited to, ITS-SIDS training and Emergency Preparedness and Response in Child Care training. COMPLIANCE PLAN: All other violations cited and not corrected today should 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 2) Supporting documentation including the following: Please send supporting documentation such as training certificates, CBC letters, acknowledgement statements, and photographs for me to use to verify compliance. Please DO NOT send staff or child medical documents or documentation for verification as this is a violation of HIPPA protocol. If needed I will verify these documents at the next monitoring visit. I should receive your compliance letter no later than August 27, 2024. Please be aware any information submitted by you is legal documentation. If you state in your compliance letter that corrections have been made when they have not, it will be considered falsification of information. 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 Post Office Box 6217 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. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 At the end of this visit, a visit summary was prepared, reviewed, signed, and a copy was left with you today. We appreciate all you do 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 .1102 · Violation

Name of Operation: FIRST BAPTIST CHURCH CHILD DEVELOPMENT CENTER Facility ID: 1854414 Consultant: KIMBERLY CRANE Operation Type: Center Case Number: Visit Date: 8/13/2024 Number Present: 50 Completed Date: 8/13/2024 Age: From 0 To 5 Total Minutes: 442 Time In: 08:58 AM Time Out: 12:30 PM Time In: 01:30 PM Time Out: 05:20 PM List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for an annual compliance visit. You, Elaine Robinson, Director, assisted me with today’s visit. I conducted your last annual compliance visit on August 24, 2024. I reviewed with you today the facility information found in our system. You stated there have been no changes to your phone number, mailing address, or corporate contact for the facility. You stated the email address had changed. I will make that email address change for you. I reviewed the facility’s permit with you today. You stated there has been no change with the owner of your facility, First Baptist Church Hickory. I reviewed with you today the restrictions, capacity, and age range on your permit and observed these being maintained. Your program currently operates with a Notice of Compliance, issued on November 15, 2012. Your center's compliance history was 80% as of August 12, 2024. Your most recent fire inspection was dated August 30, 2023 and received in my office on August 31, 2023. Your most recent sanitation inspection was dated June 27, 2024 with a Superior classification and six demerits. Your last lead water test results dated March 15, 2024 indicated that your facility’s drinking water source was within the required limits. I verified that you had registered for the lead-based paint and asbestos testing and were determined to be exempt from this testing requirement based on the documentation provided that indicated all the buildings were built after 1988. You and I completed a walk-through of the licensed indoor spaces today. I observed children playing in activity areas, participating in teacher directed whole group and small group activities, participating in routine care activities, and eating lunch. A current menu documented appropriate nutritious snacks and meals, showed a variety of foods, and complied with Meal Patterns for Children in Child Care Programs. Meals were prepared in the kitchen and served in the classrooms. Today’s lunch included a ham and cheese sandwich on whole wheat bread, carrots with ranch dip, pears, and unflavored milk. Infant bottles and food were stored in a full-size refrigerator in the workroom adjacent to Space 9 (Infants) at 39 degrees Fahrenheit. Cold food and milk were stored in a commercial refrigerator in the kitchen at 45 degrees Fahrenheit. I monitored hazardous product storage, medication storage, medication administration, general safety, and discipline. I monitored program records including emergency medical care plan, safe arrival and departure procedures, incident log, outdoor safety inspections, fire drills, emergency drills, and your Emergency Preparedness Response (EPR) Plan. I reviewed staff record files for fifteen returning staff members and eight new staff members hired since the last annual compliance visit on August 24, 2023. I monitored health and safety requirements. I monitored supervision, staff-child ratios, group sizes, approved space use, space capacities, and permit restrictions. The “Annual Compliance Monitoring Checklist for Child Care Centers” form was completed today. The following violations were cited during today’s visit: Violation Number Comment Rule 1835 The medical action plan was not updated on an annual basis or when changes to the plan were made by the child's parent or health care professional. One child enrollment application listed asthma as a health concern but no medical action plan was completed or attached to the application. One child with a food allergy had a medical action plan on file with a physician signature dated 07/26/2023 and the medical action plan had not been updated annually. .0801(b) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. One seasonal staff member with a date of employment of 05/18/2023 had not completed the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment or before returning to a work schedule for the 2024 season. .1102(g) 1898 Staff did not complete the health and safety training within one year of employment. One staff member with a date of employment of 03/09/2023 did not have training certificates on file to confirm completion of health and safety training within the first year of employment. One seasonal employee with a date of employment of 05/18/2023 did not complete the health and safety trainings within the first year of employment and before returning to a work schedule for the 2024 season. .1102(a) TECHNICAL ASSISTANCE: 1. Any child with allergies (food or medication), diabetes, seizures, anaphylaxis, asthma, eczema, or any other chronic illness or medical condition that requires specialized medical treatment or attention regardless of whether the child has been prescribed medication for this chronic illness should have a Medical Action Plan (MAP) completed by the parent and/or the health care professional and attached to the child enrollment application. MAPs should be updated annually. Best practice is to also have a MAP on file for a staff member that has been diagnosed with a chronic illness. To maintain compliance with this child care requirement, I suggested you carefully review the child enrollment application documents when received from a parent and give the parent a MAP document to be completed by the parent or the doctor and returned to you before the child’s first day of attendance. 2. Per child care rule 10A NCAC 09 .1102(a), new employee’s should complete the Health & Safety (H&S) Training requirement within the first year of employment. Health and safety training should be in addition to the new staff orientation requirements. When you have seasonal staff return to work for a second season of employment, the seasonal staff member should complete all H&S training before resuming a return work schedule. To maintain compliance with this child care requirement, I suggest you plan for seasonal staff to have a day of orientation review and training on their first day returning to a work schedule. Best practice is to place a note in the file of each seasonal staff member that indicates the dates the seasonal staff worked at the facility. 3. Per child care rule 10A NCAC 09 . 1102(g), each child care administrator and all staff regardless of their role in the facility should complete the Recognizing and Responding to Suspicions of Child Maltreatment training through the NC Prevent Child Abuse website and/or present the administrator with the completion certificate within the first ninety days of employment. When you have seasonal staff return to work for a second season of employment, the seasonal staff member should complete all H&S training before resuming a return work schedule. To maintain compliance with this child care requirement, I suggest you plan for seasonal staff to have a day of orientation review and training on their first day returning to a work schedule. Best practice is to place a note in the file of each seasonal staff member that indicates the dates the seasonal staff worked at the facility. CONSULTATION: 1. When an employee leaves employment and then returns to employment regardless of the time that has passed, the new employment date should be recorded and the employee’s staff file should be updated to ensure all forms and documentation are in compliance with child care requirements. Leaving employment means the employee is no longer on your payroll and is no longer expected to return to your facility for work. Those staff members on a medical leave of absence, substitute staff, and seasonal staff could still be considered employees even if they are not working on a daily basis. Regardless of the reason for the time away from your facility’s employment, best practice would be to review the staff file for any returning employee prior to the first day of employment to be sure all required training is valid, all facility training and documentation is up to date with your current procedures and policies, and all staff training and documentation is in compliance with child care requirements. 2. Be watchful of wall scarring and chipping paint in the classrooms. 3. Please continue to visit DCDEE’s website at https://ncchildcare.ncdhhs.gov/ to get the latest information for child care settings and child care updates including the most up to date documents and forms. 4. Visit NC Child Care Health and Safety Resource Center at http://healthychildcare.unc.edu to find the following resources: technical assistance, coaching support, resources, handwashing and diapering posters, monthly newsletters, and a list of approved in-service trainings including, but not limited to, ITS-SIDS training and Emergency Preparedness and Response in Child Care training. COMPLIANCE PLAN: All other violations cited and not corrected today should 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 2) Supporting documentation including the following: Please send supporting documentation such as training certificates, CBC letters, acknowledgement statements, and photographs for me to use to verify compliance. Please DO NOT send staff or child medical documents or documentation for verification as this is a violation of HIPPA protocol. If needed I will verify these documents at the next monitoring visit. I should receive your compliance letter no later than August 27, 2024. Please be aware any information submitted by you is legal documentation. If you state in your compliance letter that corrections have been made when they have not, it will be considered falsification of information. 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 Post Office Box 6217 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. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 At the end of this visit, a visit summary was prepared, reviewed, signed, and a copy was left with you today. We appreciate all you do 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 .0604 · Violation

Name of Operation: FIRST BAPTIST CHURCH CHILD DEVELOPMENT CENTER Facility ID: 1854414 Consultant: KIMBERLY CRANE Operation Type: Center Case Number: Visit Date: 3/8/2024 Number Present: 64 Completed Date: 3/8/2024 Age: From 0 To 5 Total Minutes: 480 Time In: 09:00 AM Time Out: 05:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for a routine unannounced visit. Kelia Elkins, Assistant Director, assisted me with today’s visit. Elaine Robinson, Director, was not available today. I conducted your last annual compliance visit on August 24, 2023. Your program currently operates with a Notice of Compliance with an effective date of November 15, 2012. First Baptist Church Hickory, owner of your facility, was viewed as current and active on the North Carolina Secretary of State (NC SOS) website on February 21, 2024 prior to today’s visit. We reviewed the facility profile document to ensure that there were no changes to your facility information. Ms. Elkins stated that there were no changes to the facility profile document. We reviewed the facility notice of compliance to ensure that there were no changes to your facility’s operation. Ms. Elkins stated there were no changes to your facility’s operation. Your center's compliance history was 84% as of March , 2024 was reviewed with you today. Your most recent fire inspection was dated August 30, 2023 and was received in my office on August 31, 2023. Your most recent sanitation inspection was dated December 20, 2023 with a Superior classification and four demerits. We completed a walk-through of the facility today. I observed children throughout the facility participating in free play in activity areas and personal care routines. I observed infants engaged in floor play. I observed a current menu documented appropriate nutritious snacks and meals, showed a variety of foods, and complied with Meal Patterns for Children in Child Care Programs. I observed meals prepared in the kitchen and served in the classrooms. I observed cold food and milk stored in a commercial refrigerator in the kitchen at a temperature of 44 degrees Fahrenheit. I observed infant bottles and food stored at a temperature of 38 degrees Fahrenheit in a full-size residential refrigerator located in the workroom adjacent to Space 9 (Infants). I monitored hazardous product storage, medication storage, medication administration, general safety, and discipline. I monitored program records including emergency medical care plan, safe arrival and departure procedures, incident log, outdoor safety inspections, fire drills, emergency drills, and your Emergency Preparedness Response (EPR) Plan. I reviewed staff record files for thirteen returning staff members to verify current and valid Criminal Background Check qualification letters, valid CPR and First Aid training, valid ITS-SIDS training and completion of the Recognizing and Responding to Suspicions of Child Maltreatment training. I reviewed staff record files for eight new staff members hired since the last annual compliance visit on August 8, 2023. I monitored health and safety requirements. I monitored supervision, staff-child ratios, group sizes, approved space use, space capacities, and permit restrictions. The following violations were cited during today’s visit: Violation Number Comment Rule 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. In Space 6, one electrical outlet on the wall at the counter was left uncovered. The teacher covered the electrical outlet. 10A NCAC 09 .0604(c) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. In Space 5, the spray bottles containing the sanitizing and disinfecting solutions mixed daily at the facility were stored in a wall basket in the bathroom that was mounted below five feet. The teacher moved the sanitizing and disinfecting spray bottles to a shelf in the bathroom that was mounted above five feet. .2820(b) 847 Parent's medication authorization did not include required information. In Space 2, one permission to administer an over the counter diaper ointment was missing the information for when to apply the ointment. In Space 8, one permission to administer an over the counter diaper ointment was missing the information for when to apply the ointment. 10A NCAC 09 .0803(4)(6-9) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. In Space 5, one permission to administer form for an emergency medication had expired on 02/28/2024 and the medication had not been returned to the parent. In Space 6, one permission to administer form for a over the counter diaper ointment had expired on 02/29/2024 and the medication had not been returned to the parent. In Space 6, one permission to administer form for a over the counter diaper ointment had expired on 03/01/2024 and the medication had not been returned to the parent. In Space 7, one permission to administer form for an emergency medication had expired on 02/02/2024 and the medication had not been returned to the parent. .0803(12) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. One staff member with a date of employment of 06/01/2023 was due to complete First Aid training by 09/01/2023 but First Aid training was completed on 01/22/2024. Because the First Aid training was completed prior to this visit, the violation was corrected. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. One staff member with a date of employment of 06/01/2023 was due to complete CPR training by 09/01/2023 but CPR training was completed on 01/22/2024. Because the CPR training was completed prior to this visit, the violation was corrected. .1102(d) 1757 A valid qualification letter was not on file and available to review at the facility. One employee with a date of employment of 08/30/2023 signed policy review statements dated 08/23/2023 but the CBC qualification letter was dated 08/30/2023. One employee with a date of employment of 11/20/2023 signed policy review statements dated 11/06/2023 but the CBC qualification letter was dated 11/16/2023. One employee with a date of employment of 10/30/2023 signed policy review statements dated 09/26/2023 but the CBC qualification letter was dated 10/05/2023. G.S. 110-90.2(b) & (d) & .2703(e) 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. To maintain compliance with this sanitation requirement, I suggest you review this sanitation rule with your staff. 2. Per child care rule 10A NCAC 09 .0803(7), on the medication permission to administer form, the parent must include valid dates for the medication to be administered, the amount of medication to be administered, and the manner in which the medication is to be administered. I suggest you and your staff review the medication permission slip when it is received from the parent to be sure all the required information has been provided by the parent. If any information is missing, I advise you and your staff to have the parents provide the information immediately before leaving the medication with you. 3. When a medication or a permission to administer form has expired, the medication should be returned to the parent within 72 hours. When an expired medication is brought to the center from home, the expired medication should not be received by the center. To maintain compliance with this child care requirement, I suggest you monitor medications in the classrooms at least once a month and remove those medications that expire that month and/or the permission to administer form expires that month. 4. Sanitizing and disinfecting solutions mixed on-site daily should be stored above five feet and inaccessible to the children. To maintain compliance with this child care requirement, I suggest you have all the shelves in the bathrooms mounted above five feet. 5. Per child care rule 10A NCAC 09 .1102(c)(d), each employee should complete First Aid and CPR training within 90 days of employment and maintain documentation in their staff record file as verification that the employee has completed First Aid and CPR training and maintains a current and valid First Aid and CPR certificate. To maintain compliance with this child care requirement, I suggest you contact fire departments, fire inspectors, community colleges, EMS departments, public health departments, and hospitals in your community, your local Resource and Referral agency, and Resource and Referral agencies in neighboring counties to acquire information of upcoming first aid and CPR classes you can register your staff to attend or instructors you may contact. 6. As discussed with you today and on March 1, 2023, employee’s may not complete any training topics on the New Staff Orientation Training form prior to your receiving a CBC qualification letter. Completing training shows an intent to hire and an employee cannot be hired prior to verifying the employee’s qualification as a child care provider. To maintain compliance with this child care requirement, I suggest you compile an application packet for employees that do not have a CBC qualification letter on file prior to submitting an application and a separate application packet for those employees that already have a CBC qualification letter on file prior to submitting an application. 7. Each employee should have a staff medical assessment on file on or before the first day of employment that includes a statement signed by a health care professional that indicates that the person is emotionally and physically fit to care for children. To maintain compliance with this child care requirement, I suggested you give each new employee a blank copy of the Staff Health Assessment/Medical Report document provided by DCDEE when a job offer is made and require the completed document to be on file on or before the new staff member’s first day of employment. 8. When an employee leaves employment and then returns to employment regardless of the time that has passed, the new employment date should be recorded and the employee’s staff file should be updated to ensure all forms and documentation are in compliance with child care requirements. Leaving employment means the employee is no longer on your payroll and is no longer expected to return to your facility for work. Those staff members on a medical leave of absence, substitute staff, and seasonal staff could still be considered employees even if they are not working on a daily basis. Regardless of the reason for the time away from your facility’s employment, best practice would be to review the staff file for any returning employee prior to the first day of employment to be sure all required training is valid, all facility training and documentation is up to date with your current procedures and policies, and all staff training and documentation is in compliance with child care requirements. CONSULTATION: 1 Be watchful of wall scarring and chipping paint in the classrooms. 2 Be sure to follow the parent’s instructions for sunscreen and be sure parent’s understand that if sunscreen is provided and the permission to administer form is valid, the staff must apply the sunscreen per their direction. 3 When staff members have personal containers of hand lotion and/or lip balm in the classroom, those items should be labeled with the staff member's name or labeled “staff” and stored above five feet if the item has a “Keep out of the reach of children” label and should be locked if it has additional warnings. 4 On August 24, 2023, you stated you may be interested in licensing an additional room in church to be used a gross motor activity area. I asked you to keep me informed of your decision to move forward with this licensing process. In September 2023, you called to inform me the room would not be approved by the building inspector and would therefore not be licensed. Today, I visited the gross motor activity area and observed the room set up for child play with indoor equipment and materials. You stated the room was not being used by child care but was used often by the church. Ms. Elkins stated “Stretch and Grow” continued to use the fellowship hall. 5 On August 24, 2023, you stated you may expand the courtyard outdoor play area to include a second fenced area for four-year-old children. You stated this expansion would depend on the approval of your submitted plan for the expansion grants. I asked you to keep me informed of your decision to move forward with this expansion for additional outdoor licensed space. Today, Ms. Elkins stated everything was on hold at this time due to not receiving any grant monies. COMPLIANCE PLAN: No compliance documentation is needed for those violations corrected during today’s visit. In the visit summary, I documented the corrective actions taken today to correct those violations. 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. Address your plan to ensure that you will not have that violation again. 6. Your signature 2) Supporting documentation including the following: Please send supporting documentation such as training certificates, CBC letters, acknowledgement statements, and photographs for me to use to verify compliance. Please DO NOT send staff or child medical documents or documentation for verification as this is a violation of HIPPA protocol. If needed I will verify these documents at the next monitoring visit. I should receive your compliance letter no later than March 22, 2024. Please be aware any information submitted by you is legal documentation. If you state in your compliance letter that corrections have been made when they have not, it will be considered falsification of information. If you cannot meet the requirements by this date you shall contact me with a timeline of the corrections. In some cases, this timeline may be extended. 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 Post Office Box 6217 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. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you today. We appreciate all you do 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 .0803 · Violation

Name of Operation: FIRST BAPTIST CHURCH CHILD DEVELOPMENT CENTER Facility ID: 1854414 Consultant: KIMBERLY CRANE Operation Type: Center Case Number: Visit Date: 3/8/2024 Number Present: 64 Completed Date: 3/8/2024 Age: From 0 To 5 Total Minutes: 480 Time In: 09:00 AM Time Out: 05:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for a routine unannounced visit. Kelia Elkins, Assistant Director, assisted me with today’s visit. Elaine Robinson, Director, was not available today. I conducted your last annual compliance visit on August 24, 2023. Your program currently operates with a Notice of Compliance with an effective date of November 15, 2012. First Baptist Church Hickory, owner of your facility, was viewed as current and active on the North Carolina Secretary of State (NC SOS) website on February 21, 2024 prior to today’s visit. We reviewed the facility profile document to ensure that there were no changes to your facility information. Ms. Elkins stated that there were no changes to the facility profile document. We reviewed the facility notice of compliance to ensure that there were no changes to your facility’s operation. Ms. Elkins stated there were no changes to your facility’s operation. Your center's compliance history was 84% as of March , 2024 was reviewed with you today. Your most recent fire inspection was dated August 30, 2023 and was received in my office on August 31, 2023. Your most recent sanitation inspection was dated December 20, 2023 with a Superior classification and four demerits. We completed a walk-through of the facility today. I observed children throughout the facility participating in free play in activity areas and personal care routines. I observed infants engaged in floor play. I observed a current menu documented appropriate nutritious snacks and meals, showed a variety of foods, and complied with Meal Patterns for Children in Child Care Programs. I observed meals prepared in the kitchen and served in the classrooms. I observed cold food and milk stored in a commercial refrigerator in the kitchen at a temperature of 44 degrees Fahrenheit. I observed infant bottles and food stored at a temperature of 38 degrees Fahrenheit in a full-size residential refrigerator located in the workroom adjacent to Space 9 (Infants). I monitored hazardous product storage, medication storage, medication administration, general safety, and discipline. I monitored program records including emergency medical care plan, safe arrival and departure procedures, incident log, outdoor safety inspections, fire drills, emergency drills, and your Emergency Preparedness Response (EPR) Plan. I reviewed staff record files for thirteen returning staff members to verify current and valid Criminal Background Check qualification letters, valid CPR and First Aid training, valid ITS-SIDS training and completion of the Recognizing and Responding to Suspicions of Child Maltreatment training. I reviewed staff record files for eight new staff members hired since the last annual compliance visit on August 8, 2023. I monitored health and safety requirements. I monitored supervision, staff-child ratios, group sizes, approved space use, space capacities, and permit restrictions. The following violations were cited during today’s visit: Violation Number Comment Rule 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. In Space 6, one electrical outlet on the wall at the counter was left uncovered. The teacher covered the electrical outlet. 10A NCAC 09 .0604(c) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. In Space 5, the spray bottles containing the sanitizing and disinfecting solutions mixed daily at the facility were stored in a wall basket in the bathroom that was mounted below five feet. The teacher moved the sanitizing and disinfecting spray bottles to a shelf in the bathroom that was mounted above five feet. .2820(b) 847 Parent's medication authorization did not include required information. In Space 2, one permission to administer an over the counter diaper ointment was missing the information for when to apply the ointment. In Space 8, one permission to administer an over the counter diaper ointment was missing the information for when to apply the ointment. 10A NCAC 09 .0803(4)(6-9) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. In Space 5, one permission to administer form for an emergency medication had expired on 02/28/2024 and the medication had not been returned to the parent. In Space 6, one permission to administer form for a over the counter diaper ointment had expired on 02/29/2024 and the medication had not been returned to the parent. In Space 6, one permission to administer form for a over the counter diaper ointment had expired on 03/01/2024 and the medication had not been returned to the parent. In Space 7, one permission to administer form for an emergency medication had expired on 02/02/2024 and the medication had not been returned to the parent. .0803(12) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. One staff member with a date of employment of 06/01/2023 was due to complete First Aid training by 09/01/2023 but First Aid training was completed on 01/22/2024. Because the First Aid training was completed prior to this visit, the violation was corrected. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. One staff member with a date of employment of 06/01/2023 was due to complete CPR training by 09/01/2023 but CPR training was completed on 01/22/2024. Because the CPR training was completed prior to this visit, the violation was corrected. .1102(d) 1757 A valid qualification letter was not on file and available to review at the facility. One employee with a date of employment of 08/30/2023 signed policy review statements dated 08/23/2023 but the CBC qualification letter was dated 08/30/2023. One employee with a date of employment of 11/20/2023 signed policy review statements dated 11/06/2023 but the CBC qualification letter was dated 11/16/2023. One employee with a date of employment of 10/30/2023 signed policy review statements dated 09/26/2023 but the CBC qualification letter was dated 10/05/2023. G.S. 110-90.2(b) & (d) & .2703(e) 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. To maintain compliance with this sanitation requirement, I suggest you review this sanitation rule with your staff. 2. Per child care rule 10A NCAC 09 .0803(7), on the medication permission to administer form, the parent must include valid dates for the medication to be administered, the amount of medication to be administered, and the manner in which the medication is to be administered. I suggest you and your staff review the medication permission slip when it is received from the parent to be sure all the required information has been provided by the parent. If any information is missing, I advise you and your staff to have the parents provide the information immediately before leaving the medication with you. 3. When a medication or a permission to administer form has expired, the medication should be returned to the parent within 72 hours. When an expired medication is brought to the center from home, the expired medication should not be received by the center. To maintain compliance with this child care requirement, I suggest you monitor medications in the classrooms at least once a month and remove those medications that expire that month and/or the permission to administer form expires that month. 4. Sanitizing and disinfecting solutions mixed on-site daily should be stored above five feet and inaccessible to the children. To maintain compliance with this child care requirement, I suggest you have all the shelves in the bathrooms mounted above five feet. 5. Per child care rule 10A NCAC 09 .1102(c)(d), each employee should complete First Aid and CPR training within 90 days of employment and maintain documentation in their staff record file as verification that the employee has completed First Aid and CPR training and maintains a current and valid First Aid and CPR certificate. To maintain compliance with this child care requirement, I suggest you contact fire departments, fire inspectors, community colleges, EMS departments, public health departments, and hospitals in your community, your local Resource and Referral agency, and Resource and Referral agencies in neighboring counties to acquire information of upcoming first aid and CPR classes you can register your staff to attend or instructors you may contact. 6. As discussed with you today and on March 1, 2023, employee’s may not complete any training topics on the New Staff Orientation Training form prior to your receiving a CBC qualification letter. Completing training shows an intent to hire and an employee cannot be hired prior to verifying the employee’s qualification as a child care provider. To maintain compliance with this child care requirement, I suggest you compile an application packet for employees that do not have a CBC qualification letter on file prior to submitting an application and a separate application packet for those employees that already have a CBC qualification letter on file prior to submitting an application. 7. Each employee should have a staff medical assessment on file on or before the first day of employment that includes a statement signed by a health care professional that indicates that the person is emotionally and physically fit to care for children. To maintain compliance with this child care requirement, I suggested you give each new employee a blank copy of the Staff Health Assessment/Medical Report document provided by DCDEE when a job offer is made and require the completed document to be on file on or before the new staff member’s first day of employment. 8. When an employee leaves employment and then returns to employment regardless of the time that has passed, the new employment date should be recorded and the employee’s staff file should be updated to ensure all forms and documentation are in compliance with child care requirements. Leaving employment means the employee is no longer on your payroll and is no longer expected to return to your facility for work. Those staff members on a medical leave of absence, substitute staff, and seasonal staff could still be considered employees even if they are not working on a daily basis. Regardless of the reason for the time away from your facility’s employment, best practice would be to review the staff file for any returning employee prior to the first day of employment to be sure all required training is valid, all facility training and documentation is up to date with your current procedures and policies, and all staff training and documentation is in compliance with child care requirements. CONSULTATION: 1 Be watchful of wall scarring and chipping paint in the classrooms. 2 Be sure to follow the parent’s instructions for sunscreen and be sure parent’s understand that if sunscreen is provided and the permission to administer form is valid, the staff must apply the sunscreen per their direction. 3 When staff members have personal containers of hand lotion and/or lip balm in the classroom, those items should be labeled with the staff member's name or labeled “staff” and stored above five feet if the item has a “Keep out of the reach of children” label and should be locked if it has additional warnings. 4 On August 24, 2023, you stated you may be interested in licensing an additional room in church to be used a gross motor activity area. I asked you to keep me informed of your decision to move forward with this licensing process. In September 2023, you called to inform me the room would not be approved by the building inspector and would therefore not be licensed. Today, I visited the gross motor activity area and observed the room set up for child play with indoor equipment and materials. You stated the room was not being used by child care but was used often by the church. Ms. Elkins stated “Stretch and Grow” continued to use the fellowship hall. 5 On August 24, 2023, you stated you may expand the courtyard outdoor play area to include a second fenced area for four-year-old children. You stated this expansion would depend on the approval of your submitted plan for the expansion grants. I asked you to keep me informed of your decision to move forward with this expansion for additional outdoor licensed space. Today, Ms. Elkins stated everything was on hold at this time due to not receiving any grant monies. COMPLIANCE PLAN: No compliance documentation is needed for those violations corrected during today’s visit. In the visit summary, I documented the corrective actions taken today to correct those violations. 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. Address your plan to ensure that you will not have that violation again. 6. Your signature 2) Supporting documentation including the following: Please send supporting documentation such as training certificates, CBC letters, acknowledgement statements, and photographs for me to use to verify compliance. Please DO NOT send staff or child medical documents or documentation for verification as this is a violation of HIPPA protocol. If needed I will verify these documents at the next monitoring visit. I should receive your compliance letter no later than March 22, 2024. Please be aware any information submitted by you is legal documentation. If you state in your compliance letter that corrections have been made when they have not, it will be considered falsification of information. If you cannot meet the requirements by this date you shall contact me with a timeline of the corrections. In some cases, this timeline may be extended. 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 Post Office Box 6217 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. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you today. We appreciate all you do 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 .1102 · Violation

Name of Operation: FIRST BAPTIST CHURCH CHILD DEVELOPMENT CENTER Facility ID: 1854414 Consultant: KIMBERLY CRANE Operation Type: Center Case Number: Visit Date: 3/8/2024 Number Present: 64 Completed Date: 3/8/2024 Age: From 0 To 5 Total Minutes: 480 Time In: 09:00 AM Time Out: 05:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for a routine unannounced visit. Kelia Elkins, Assistant Director, assisted me with today’s visit. Elaine Robinson, Director, was not available today. I conducted your last annual compliance visit on August 24, 2023. Your program currently operates with a Notice of Compliance with an effective date of November 15, 2012. First Baptist Church Hickory, owner of your facility, was viewed as current and active on the North Carolina Secretary of State (NC SOS) website on February 21, 2024 prior to today’s visit. We reviewed the facility profile document to ensure that there were no changes to your facility information. Ms. Elkins stated that there were no changes to the facility profile document. We reviewed the facility notice of compliance to ensure that there were no changes to your facility’s operation. Ms. Elkins stated there were no changes to your facility’s operation. Your center's compliance history was 84% as of March , 2024 was reviewed with you today. Your most recent fire inspection was dated August 30, 2023 and was received in my office on August 31, 2023. Your most recent sanitation inspection was dated December 20, 2023 with a Superior classification and four demerits. We completed a walk-through of the facility today. I observed children throughout the facility participating in free play in activity areas and personal care routines. I observed infants engaged in floor play. I observed a current menu documented appropriate nutritious snacks and meals, showed a variety of foods, and complied with Meal Patterns for Children in Child Care Programs. I observed meals prepared in the kitchen and served in the classrooms. I observed cold food and milk stored in a commercial refrigerator in the kitchen at a temperature of 44 degrees Fahrenheit. I observed infant bottles and food stored at a temperature of 38 degrees Fahrenheit in a full-size residential refrigerator located in the workroom adjacent to Space 9 (Infants). I monitored hazardous product storage, medication storage, medication administration, general safety, and discipline. I monitored program records including emergency medical care plan, safe arrival and departure procedures, incident log, outdoor safety inspections, fire drills, emergency drills, and your Emergency Preparedness Response (EPR) Plan. I reviewed staff record files for thirteen returning staff members to verify current and valid Criminal Background Check qualification letters, valid CPR and First Aid training, valid ITS-SIDS training and completion of the Recognizing and Responding to Suspicions of Child Maltreatment training. I reviewed staff record files for eight new staff members hired since the last annual compliance visit on August 8, 2023. I monitored health and safety requirements. I monitored supervision, staff-child ratios, group sizes, approved space use, space capacities, and permit restrictions. The following violations were cited during today’s visit: Violation Number Comment Rule 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. In Space 6, one electrical outlet on the wall at the counter was left uncovered. The teacher covered the electrical outlet. 10A NCAC 09 .0604(c) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. In Space 5, the spray bottles containing the sanitizing and disinfecting solutions mixed daily at the facility were stored in a wall basket in the bathroom that was mounted below five feet. The teacher moved the sanitizing and disinfecting spray bottles to a shelf in the bathroom that was mounted above five feet. .2820(b) 847 Parent's medication authorization did not include required information. In Space 2, one permission to administer an over the counter diaper ointment was missing the information for when to apply the ointment. In Space 8, one permission to administer an over the counter diaper ointment was missing the information for when to apply the ointment. 10A NCAC 09 .0803(4)(6-9) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. In Space 5, one permission to administer form for an emergency medication had expired on 02/28/2024 and the medication had not been returned to the parent. In Space 6, one permission to administer form for a over the counter diaper ointment had expired on 02/29/2024 and the medication had not been returned to the parent. In Space 6, one permission to administer form for a over the counter diaper ointment had expired on 03/01/2024 and the medication had not been returned to the parent. In Space 7, one permission to administer form for an emergency medication had expired on 02/02/2024 and the medication had not been returned to the parent. .0803(12) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. One staff member with a date of employment of 06/01/2023 was due to complete First Aid training by 09/01/2023 but First Aid training was completed on 01/22/2024. Because the First Aid training was completed prior to this visit, the violation was corrected. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. One staff member with a date of employment of 06/01/2023 was due to complete CPR training by 09/01/2023 but CPR training was completed on 01/22/2024. Because the CPR training was completed prior to this visit, the violation was corrected. .1102(d) 1757 A valid qualification letter was not on file and available to review at the facility. One employee with a date of employment of 08/30/2023 signed policy review statements dated 08/23/2023 but the CBC qualification letter was dated 08/30/2023. One employee with a date of employment of 11/20/2023 signed policy review statements dated 11/06/2023 but the CBC qualification letter was dated 11/16/2023. One employee with a date of employment of 10/30/2023 signed policy review statements dated 09/26/2023 but the CBC qualification letter was dated 10/05/2023. G.S. 110-90.2(b) & (d) & .2703(e) 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. To maintain compliance with this sanitation requirement, I suggest you review this sanitation rule with your staff. 2. Per child care rule 10A NCAC 09 .0803(7), on the medication permission to administer form, the parent must include valid dates for the medication to be administered, the amount of medication to be administered, and the manner in which the medication is to be administered. I suggest you and your staff review the medication permission slip when it is received from the parent to be sure all the required information has been provided by the parent. If any information is missing, I advise you and your staff to have the parents provide the information immediately before leaving the medication with you. 3. When a medication or a permission to administer form has expired, the medication should be returned to the parent within 72 hours. When an expired medication is brought to the center from home, the expired medication should not be received by the center. To maintain compliance with this child care requirement, I suggest you monitor medications in the classrooms at least once a month and remove those medications that expire that month and/or the permission to administer form expires that month. 4. Sanitizing and disinfecting solutions mixed on-site daily should be stored above five feet and inaccessible to the children. To maintain compliance with this child care requirement, I suggest you have all the shelves in the bathrooms mounted above five feet. 5. Per child care rule 10A NCAC 09 .1102(c)(d), each employee should complete First Aid and CPR training within 90 days of employment and maintain documentation in their staff record file as verification that the employee has completed First Aid and CPR training and maintains a current and valid First Aid and CPR certificate. To maintain compliance with this child care requirement, I suggest you contact fire departments, fire inspectors, community colleges, EMS departments, public health departments, and hospitals in your community, your local Resource and Referral agency, and Resource and Referral agencies in neighboring counties to acquire information of upcoming first aid and CPR classes you can register your staff to attend or instructors you may contact. 6. As discussed with you today and on March 1, 2023, employee’s may not complete any training topics on the New Staff Orientation Training form prior to your receiving a CBC qualification letter. Completing training shows an intent to hire and an employee cannot be hired prior to verifying the employee’s qualification as a child care provider. To maintain compliance with this child care requirement, I suggest you compile an application packet for employees that do not have a CBC qualification letter on file prior to submitting an application and a separate application packet for those employees that already have a CBC qualification letter on file prior to submitting an application. 7. Each employee should have a staff medical assessment on file on or before the first day of employment that includes a statement signed by a health care professional that indicates that the person is emotionally and physically fit to care for children. To maintain compliance with this child care requirement, I suggested you give each new employee a blank copy of the Staff Health Assessment/Medical Report document provided by DCDEE when a job offer is made and require the completed document to be on file on or before the new staff member’s first day of employment. 8. When an employee leaves employment and then returns to employment regardless of the time that has passed, the new employment date should be recorded and the employee’s staff file should be updated to ensure all forms and documentation are in compliance with child care requirements. Leaving employment means the employee is no longer on your payroll and is no longer expected to return to your facility for work. Those staff members on a medical leave of absence, substitute staff, and seasonal staff could still be considered employees even if they are not working on a daily basis. Regardless of the reason for the time away from your facility’s employment, best practice would be to review the staff file for any returning employee prior to the first day of employment to be sure all required training is valid, all facility training and documentation is up to date with your current procedures and policies, and all staff training and documentation is in compliance with child care requirements. CONSULTATION: 1 Be watchful of wall scarring and chipping paint in the classrooms. 2 Be sure to follow the parent’s instructions for sunscreen and be sure parent’s understand that if sunscreen is provided and the permission to administer form is valid, the staff must apply the sunscreen per their direction. 3 When staff members have personal containers of hand lotion and/or lip balm in the classroom, those items should be labeled with the staff member's name or labeled “staff” and stored above five feet if the item has a “Keep out of the reach of children” label and should be locked if it has additional warnings. 4 On August 24, 2023, you stated you may be interested in licensing an additional room in church to be used a gross motor activity area. I asked you to keep me informed of your decision to move forward with this licensing process. In September 2023, you called to inform me the room would not be approved by the building inspector and would therefore not be licensed. Today, I visited the gross motor activity area and observed the room set up for child play with indoor equipment and materials. You stated the room was not being used by child care but was used often by the church. Ms. Elkins stated “Stretch and Grow” continued to use the fellowship hall. 5 On August 24, 2023, you stated you may expand the courtyard outdoor play area to include a second fenced area for four-year-old children. You stated this expansion would depend on the approval of your submitted plan for the expansion grants. I asked you to keep me informed of your decision to move forward with this expansion for additional outdoor licensed space. Today, Ms. Elkins stated everything was on hold at this time due to not receiving any grant monies. COMPLIANCE PLAN: No compliance documentation is needed for those violations corrected during today’s visit. In the visit summary, I documented the corrective actions taken today to correct those violations. 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. Address your plan to ensure that you will not have that violation again. 6. Your signature 2) Supporting documentation including the following: Please send supporting documentation such as training certificates, CBC letters, acknowledgement statements, and photographs for me to use to verify compliance. Please DO NOT send staff or child medical documents or documentation for verification as this is a violation of HIPPA protocol. If needed I will verify these documents at the next monitoring visit. I should receive your compliance letter no later than March 22, 2024. Please be aware any information submitted by you is legal documentation. If you state in your compliance letter that corrections have been made when they have not, it will be considered falsification of information. If you cannot meet the requirements by this date you shall contact me with a timeline of the corrections. In some cases, this timeline may be extended. 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 Post Office Box 6217 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. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you today. We appreciate all you do 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

G.S. 110-90 · Violation

Name of Operation: FIRST BAPTIST CHURCH CHILD DEVELOPMENT CENTER Facility ID: 1854414 Consultant: KIMBERLY CRANE Operation Type: Center Case Number: Visit Date: 3/8/2024 Number Present: 64 Completed Date: 3/8/2024 Age: From 0 To 5 Total Minutes: 480 Time In: 09:00 AM Time Out: 05:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for a routine unannounced visit. Kelia Elkins, Assistant Director, assisted me with today’s visit. Elaine Robinson, Director, was not available today. I conducted your last annual compliance visit on August 24, 2023. Your program currently operates with a Notice of Compliance with an effective date of November 15, 2012. First Baptist Church Hickory, owner of your facility, was viewed as current and active on the North Carolina Secretary of State (NC SOS) website on February 21, 2024 prior to today’s visit. We reviewed the facility profile document to ensure that there were no changes to your facility information. Ms. Elkins stated that there were no changes to the facility profile document. We reviewed the facility notice of compliance to ensure that there were no changes to your facility’s operation. Ms. Elkins stated there were no changes to your facility’s operation. Your center's compliance history was 84% as of March , 2024 was reviewed with you today. Your most recent fire inspection was dated August 30, 2023 and was received in my office on August 31, 2023. Your most recent sanitation inspection was dated December 20, 2023 with a Superior classification and four demerits. We completed a walk-through of the facility today. I observed children throughout the facility participating in free play in activity areas and personal care routines. I observed infants engaged in floor play. I observed a current menu documented appropriate nutritious snacks and meals, showed a variety of foods, and complied with Meal Patterns for Children in Child Care Programs. I observed meals prepared in the kitchen and served in the classrooms. I observed cold food and milk stored in a commercial refrigerator in the kitchen at a temperature of 44 degrees Fahrenheit. I observed infant bottles and food stored at a temperature of 38 degrees Fahrenheit in a full-size residential refrigerator located in the workroom adjacent to Space 9 (Infants). I monitored hazardous product storage, medication storage, medication administration, general safety, and discipline. I monitored program records including emergency medical care plan, safe arrival and departure procedures, incident log, outdoor safety inspections, fire drills, emergency drills, and your Emergency Preparedness Response (EPR) Plan. I reviewed staff record files for thirteen returning staff members to verify current and valid Criminal Background Check qualification letters, valid CPR and First Aid training, valid ITS-SIDS training and completion of the Recognizing and Responding to Suspicions of Child Maltreatment training. I reviewed staff record files for eight new staff members hired since the last annual compliance visit on August 8, 2023. I monitored health and safety requirements. I monitored supervision, staff-child ratios, group sizes, approved space use, space capacities, and permit restrictions. The following violations were cited during today’s visit: Violation Number Comment Rule 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. In Space 6, one electrical outlet on the wall at the counter was left uncovered. The teacher covered the electrical outlet. 10A NCAC 09 .0604(c) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. In Space 5, the spray bottles containing the sanitizing and disinfecting solutions mixed daily at the facility were stored in a wall basket in the bathroom that was mounted below five feet. The teacher moved the sanitizing and disinfecting spray bottles to a shelf in the bathroom that was mounted above five feet. .2820(b) 847 Parent's medication authorization did not include required information. In Space 2, one permission to administer an over the counter diaper ointment was missing the information for when to apply the ointment. In Space 8, one permission to administer an over the counter diaper ointment was missing the information for when to apply the ointment. 10A NCAC 09 .0803(4)(6-9) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. In Space 5, one permission to administer form for an emergency medication had expired on 02/28/2024 and the medication had not been returned to the parent. In Space 6, one permission to administer form for a over the counter diaper ointment had expired on 02/29/2024 and the medication had not been returned to the parent. In Space 6, one permission to administer form for a over the counter diaper ointment had expired on 03/01/2024 and the medication had not been returned to the parent. In Space 7, one permission to administer form for an emergency medication had expired on 02/02/2024 and the medication had not been returned to the parent. .0803(12) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. One staff member with a date of employment of 06/01/2023 was due to complete First Aid training by 09/01/2023 but First Aid training was completed on 01/22/2024. Because the First Aid training was completed prior to this visit, the violation was corrected. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. One staff member with a date of employment of 06/01/2023 was due to complete CPR training by 09/01/2023 but CPR training was completed on 01/22/2024. Because the CPR training was completed prior to this visit, the violation was corrected. .1102(d) 1757 A valid qualification letter was not on file and available to review at the facility. One employee with a date of employment of 08/30/2023 signed policy review statements dated 08/23/2023 but the CBC qualification letter was dated 08/30/2023. One employee with a date of employment of 11/20/2023 signed policy review statements dated 11/06/2023 but the CBC qualification letter was dated 11/16/2023. One employee with a date of employment of 10/30/2023 signed policy review statements dated 09/26/2023 but the CBC qualification letter was dated 10/05/2023. G.S. 110-90.2(b) & (d) & .2703(e) 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. To maintain compliance with this sanitation requirement, I suggest you review this sanitation rule with your staff. 2. Per child care rule 10A NCAC 09 .0803(7), on the medication permission to administer form, the parent must include valid dates for the medication to be administered, the amount of medication to be administered, and the manner in which the medication is to be administered. I suggest you and your staff review the medication permission slip when it is received from the parent to be sure all the required information has been provided by the parent. If any information is missing, I advise you and your staff to have the parents provide the information immediately before leaving the medication with you. 3. When a medication or a permission to administer form has expired, the medication should be returned to the parent within 72 hours. When an expired medication is brought to the center from home, the expired medication should not be received by the center. To maintain compliance with this child care requirement, I suggest you monitor medications in the classrooms at least once a month and remove those medications that expire that month and/or the permission to administer form expires that month. 4. Sanitizing and disinfecting solutions mixed on-site daily should be stored above five feet and inaccessible to the children. To maintain compliance with this child care requirement, I suggest you have all the shelves in the bathrooms mounted above five feet. 5. Per child care rule 10A NCAC 09 .1102(c)(d), each employee should complete First Aid and CPR training within 90 days of employment and maintain documentation in their staff record file as verification that the employee has completed First Aid and CPR training and maintains a current and valid First Aid and CPR certificate. To maintain compliance with this child care requirement, I suggest you contact fire departments, fire inspectors, community colleges, EMS departments, public health departments, and hospitals in your community, your local Resource and Referral agency, and Resource and Referral agencies in neighboring counties to acquire information of upcoming first aid and CPR classes you can register your staff to attend or instructors you may contact. 6. As discussed with you today and on March 1, 2023, employee’s may not complete any training topics on the New Staff Orientation Training form prior to your receiving a CBC qualification letter. Completing training shows an intent to hire and an employee cannot be hired prior to verifying the employee’s qualification as a child care provider. To maintain compliance with this child care requirement, I suggest you compile an application packet for employees that do not have a CBC qualification letter on file prior to submitting an application and a separate application packet for those employees that already have a CBC qualification letter on file prior to submitting an application. 7. Each employee should have a staff medical assessment on file on or before the first day of employment that includes a statement signed by a health care professional that indicates that the person is emotionally and physically fit to care for children. To maintain compliance with this child care requirement, I suggested you give each new employee a blank copy of the Staff Health Assessment/Medical Report document provided by DCDEE when a job offer is made and require the completed document to be on file on or before the new staff member’s first day of employment. 8. When an employee leaves employment and then returns to employment regardless of the time that has passed, the new employment date should be recorded and the employee’s staff file should be updated to ensure all forms and documentation are in compliance with child care requirements. Leaving employment means the employee is no longer on your payroll and is no longer expected to return to your facility for work. Those staff members on a medical leave of absence, substitute staff, and seasonal staff could still be considered employees even if they are not working on a daily basis. Regardless of the reason for the time away from your facility’s employment, best practice would be to review the staff file for any returning employee prior to the first day of employment to be sure all required training is valid, all facility training and documentation is up to date with your current procedures and policies, and all staff training and documentation is in compliance with child care requirements. CONSULTATION: 1 Be watchful of wall scarring and chipping paint in the classrooms. 2 Be sure to follow the parent’s instructions for sunscreen and be sure parent’s understand that if sunscreen is provided and the permission to administer form is valid, the staff must apply the sunscreen per their direction. 3 When staff members have personal containers of hand lotion and/or lip balm in the classroom, those items should be labeled with the staff member's name or labeled “staff” and stored above five feet if the item has a “Keep out of the reach of children” label and should be locked if it has additional warnings. 4 On August 24, 2023, you stated you may be interested in licensing an additional room in church to be used a gross motor activity area. I asked you to keep me informed of your decision to move forward with this licensing process. In September 2023, you called to inform me the room would not be approved by the building inspector and would therefore not be licensed. Today, I visited the gross motor activity area and observed the room set up for child play with indoor equipment and materials. You stated the room was not being used by child care but was used often by the church. Ms. Elkins stated “Stretch and Grow” continued to use the fellowship hall. 5 On August 24, 2023, you stated you may expand the courtyard outdoor play area to include a second fenced area for four-year-old children. You stated this expansion would depend on the approval of your submitted plan for the expansion grants. I asked you to keep me informed of your decision to move forward with this expansion for additional outdoor licensed space. Today, Ms. Elkins stated everything was on hold at this time due to not receiving any grant monies. COMPLIANCE PLAN: No compliance documentation is needed for those violations corrected during today’s visit. In the visit summary, I documented the corrective actions taken today to correct those violations. 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. Address your plan to ensure that you will not have that violation again. 6. Your signature 2) Supporting documentation including the following: Please send supporting documentation such as training certificates, CBC letters, acknowledgement statements, and photographs for me to use to verify compliance. Please DO NOT send staff or child medical documents or documentation for verification as this is a violation of HIPPA protocol. If needed I will verify these documents at the next monitoring visit. I should receive your compliance letter no later than March 22, 2024. Please be aware any information submitted by you is legal documentation. If you state in your compliance letter that corrections have been made when they have not, it will be considered falsification of information. If you cannot meet the requirements by this date you shall contact me with a timeline of the corrections. In some cases, this timeline may be extended. 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 Post Office Box 6217 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. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you today. We appreciate all you do 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 .0604 · Violation

Name of Operation: FIRST BAPTIST CHURCH CHILD DEVELOPMENT CENTER Facility ID: 1854414 Consultant: KIMBERLY CRANE Operation Type: Center Case Number: Visit Date: 8/24/2023 Number Present: 50 Completed Date: 8/24/2023 Age: From 0 To 5 Total Minutes: 440 Time In: 09:05 AM Time Out: 12:00 PM Time In: 01:05 PM Time Out: 05:30 PM List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for an annual compliance visit. You, Elaine Robinson, Administrator, assisted me with today’s visit. I conducted your last annual compliance visit on September 1, 2022. Your facility, owned by First Baptist Church Hickory, was current and active as viewed on the North Carolina Secretary of State website on August 21, 2023. Your program currently operates with a Notice of Compliance letter issued to First Baptist Church Hickory on November 15, 2012. Your program’s compliance history was 79% as of August 21, 2023 and was reviewed with you today. Your last sanitation inspection was dated June 21, 2023 with a Superior classification and 7 demerits. Your last fire inspection was dated August 23, 2022 and was received in my office on August 25, 2022. I visited each licensed indoor space in and each outdoor space with you today. You stated Space 10 (fellowship hall) was not being used at this time and children were eating lunch in the classrooms. I observed children playing in activity areas, participating in whole group teacher lead activities, and transitioning to outdoor play. While not required for your facility, I observed current daily schedules and activity plans voluntarily posted in most classrooms. I observed children adequately supervised during today’s visit. I observed minimum staff-child ratios maintained during today’s visit. I observed adequate approved minimum space used during today’s visit. I observed permit restrictions including “Second grade and above on second floor only” maintained during today’s visit. I reviewed program records, children’s records, and staff records. I completed the “Annual Compliance Monitoring Checklist for Child Care Centers” during today’s visit. The following violation(s) were documented: Violation Number Comment Rule 533 Breast milk, formula and other bottled beverages including sippy cups, sent from child's home were not fully prepared, dated, and labeled for the appropriate child. In Space 9, three bottles brought from home were not dated with the date the bottles could be served to the child. In Space 9, one pouch of fruit sauce brought from home was not labeled with the name of the child and the date the food could be served to the child. In Space 9, one container of food brought from home was not labeled with the date the food could be served to the child. A staff member labeled the bottles with today's date as the date the bottle was to be served to the child. A staff member labeled the pouch of fruit sauce with the name of the child and today's date as the date the pouch was to be served to the child. A staff member labled the container of food with today's date as the date the food could be served to the child. 15A NCAC 18A .2804(d) 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. In Space 6, the outlets on two strands of decorative lighting were not covered. The teacher removed the decorative lighting from the classroom. 10A NCAC 09 .0604(c) 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. In Space 8, three permission to administer slips for over-the-counter topical medications were missing information for how to apply the medication. In Space 8, one permission to administer slip for and over-the-counter topical medication was missing information for when to apply the medication. In Space 8, one permission to administer slip for and over-the-counter topical medication was missing information for the amount to apply the medication. 10A NCAC 09 .0803(1)(a & b) 846 Over-the-counter medicines were not in their original containers or administered as authorized in writing by parent, physician or authorized health professional. In Space 1, one over-the-counter sunscreen was not labeled with the name of the child. The teacher labeled the sunscreen with the name of the child. 10A NCAC 09 .0803(4) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. In Space 8, used grocery bags, opened shrink-wrapped bags of diapers, and ziploc bags were stored on shelves below five feet in a cabinet with malfunctioning magnetic locks. The teacher moved the plastic bags to a locked closet. .0604(q) Compliance Plan: All violations cited should 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. 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. Address your plan to ensure that you will not have that violation again. 6. Your signature I advise you to be prepared to provide supporting documentation in the form of photos, documents, certificates, etc. should I request them in order to clarify or verify compliance. I must receive your compliance letter no later than September 7, 2023. Please be aware any information submitted by you is legal documentation. If you state in your compliance letter that corrections have been made when they have not, it will be considered falsification of information. If you cannot meet the requirements by this date you shall contact me with a timeline of the corrections. In some cases, this timeline may be extended. 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 Post Office Box 6217 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. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 During today’s visit, I provided the following technical assistance: 1) Bottles and food brought from home should be labeled with the name of the child and dated with the date the food may be served to the child. 2) Over-the-counter medications should be labeled with the name of the child. 3) Per child care rule 10A NCAC 09 .0803 (7), a parent may give standing authorization for up to 12 months to apply over the counter, topical ointments, topical teething ointment or gel, insect repellents, lotions, creams, fluoridated toothpaste, and powders, such as sunscreen, diapering creams, baby lotion, and baby powder, to a child, when needed. The permission to administer slip should include: (a) the child's name; (b) the name of the authorized ointments, repellents, lotions, creams, fluoridated toothpaste, and powders; (c) when and the amount to administer the ointments, repellents, lotions, creams, fluoridated toothpaste, and powders; (d) how to apply the ointments, repellents, lotions, creams, fluoridated toothpaste, and powders shall be applied; (e) the signature of the parent; (f) the date the authorization was signed by the parent; and (g) the length of time the authorization is valid, if less than 12 months. 4) Per child care rule 10A NCAC 09 .0604(c), each electrical outlet and power strip outlet should be covered including seasonal decorative lighting. The electrical outlet built in to the decorative lighting cord should be covered in addition to the unused wall outlet or the unused power strip outlet. 5) Per child care rule 10A NCAC 09 .0604(q), plastic bags including diaper wipe refill bags, Ziploc bags, grocery bags, and opened shrink wrapped or bagged products should be stored inaccessible to children above five feet or in a locked cabinet, closet, or drawer. 6) As discussed today, water warmed in a bowl is the best option for warming a bottle. While bottle warming devices are not being used in your facility and are not prohibited in child care, should you choose to use a bottle warming device you should follow the manufacturer instructions, make the device inaccessible to the children, and secure cords from dangling and out of the reach of children. I recommended you contact you your environmental health specialist to discuss bottle warming options specific to your facility. 7) Today, you asked me to explain the difference between the general medical action plan, the food allergy action plan, and the anaphylaxis action plan. I explained the general medical action plan may be used for any or all of the typical chronic illnesses seen in the child care setting and for those rare chronic illnesses that require ongoing monitoring and/or medication. I explained the food allergy action plan is used when a child has been medically diagnosed with a food allergy but may be used to document symptoms associated with food sensitivities that are being observed by the parent and the medical professional. I explained the anaphylaxis action plan is most commonly used when exposure to a non-food allergen results in an anaphylaxis reaction. 8) Today, we discussed off-premises activities being those activities that require the children to move outside the licensed spaces. We discussed completing off-premises activities permission slips, posting schedules of off-premises activities, and using rosters to document headcount sheets during off-premises activities. 9) As discussed today, sanitation rules were revised and readopted as of July 1, 2023. These revised sanitation rules will be enforced beginning January 1, 2024. Until then, technical assistance is being given as needed. You stated you had not had a chance to attend the trainings in July 2023. I shared information of two additional trainings being offered on September 20 and September 26 from 9:00am to 11:30am. I advised you to watch your email for an email blast from DCDEE which would include the link to the TEAMS meetings. Today, you stated you may expand the courtyard outdoor play area to include a second fenced area for four-year-old children. You stated this expansion would depend on the approval of your submitted plan for the expansion grants. I asked you to keep me informed of your decision to move forward with this expansion for additional outdoor licensed space. Today, you stated you may be interested in licensing an additional room in church to be used a gross motor activity area. I asked you to keep me informed of your decision to move forward with this licensing process. Today, I observed parents picking up children from the lobby of the church and not entering the child care hallway and/or classrooms. After asking you to explain why parents were not entering the hallway or classrooms, you stated earlier in the preschool year, you had informed parents they were allowed to enter the hallway if they wished to see the classroom or speak with a teacher but for continued health cautions, you had asked parents to continue to drop-off and pick-up in the lobby. You stated beginning Monday, August 28, 2023, parents will be entering the hallway and dropping off at the office area or taking their child to directly to the classroom. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you today. Please continue to visit DCDEE’s website at https://ncchildcare.ncdhhs.gov/ to get the latest information for child care settings and child care updates including the most up to date documents and forms. We appreciate all you, your staff, and First Baptist Church of Hickory do 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, Kris Updike, by email at kris.updike@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 .0803 · Violation

Name of Operation: FIRST BAPTIST CHURCH CHILD DEVELOPMENT CENTER Facility ID: 1854414 Consultant: KIMBERLY CRANE Operation Type: Center Case Number: Visit Date: 8/24/2023 Number Present: 50 Completed Date: 8/24/2023 Age: From 0 To 5 Total Minutes: 440 Time In: 09:05 AM Time Out: 12:00 PM Time In: 01:05 PM Time Out: 05:30 PM List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for an annual compliance visit. You, Elaine Robinson, Administrator, assisted me with today’s visit. I conducted your last annual compliance visit on September 1, 2022. Your facility, owned by First Baptist Church Hickory, was current and active as viewed on the North Carolina Secretary of State website on August 21, 2023. Your program currently operates with a Notice of Compliance letter issued to First Baptist Church Hickory on November 15, 2012. Your program’s compliance history was 79% as of August 21, 2023 and was reviewed with you today. Your last sanitation inspection was dated June 21, 2023 with a Superior classification and 7 demerits. Your last fire inspection was dated August 23, 2022 and was received in my office on August 25, 2022. I visited each licensed indoor space in and each outdoor space with you today. You stated Space 10 (fellowship hall) was not being used at this time and children were eating lunch in the classrooms. I observed children playing in activity areas, participating in whole group teacher lead activities, and transitioning to outdoor play. While not required for your facility, I observed current daily schedules and activity plans voluntarily posted in most classrooms. I observed children adequately supervised during today’s visit. I observed minimum staff-child ratios maintained during today’s visit. I observed adequate approved minimum space used during today’s visit. I observed permit restrictions including “Second grade and above on second floor only” maintained during today’s visit. I reviewed program records, children’s records, and staff records. I completed the “Annual Compliance Monitoring Checklist for Child Care Centers” during today’s visit. The following violation(s) were documented: Violation Number Comment Rule 533 Breast milk, formula and other bottled beverages including sippy cups, sent from child's home were not fully prepared, dated, and labeled for the appropriate child. In Space 9, three bottles brought from home were not dated with the date the bottles could be served to the child. In Space 9, one pouch of fruit sauce brought from home was not labeled with the name of the child and the date the food could be served to the child. In Space 9, one container of food brought from home was not labeled with the date the food could be served to the child. A staff member labeled the bottles with today's date as the date the bottle was to be served to the child. A staff member labeled the pouch of fruit sauce with the name of the child and today's date as the date the pouch was to be served to the child. A staff member labled the container of food with today's date as the date the food could be served to the child. 15A NCAC 18A .2804(d) 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. In Space 6, the outlets on two strands of decorative lighting were not covered. The teacher removed the decorative lighting from the classroom. 10A NCAC 09 .0604(c) 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. In Space 8, three permission to administer slips for over-the-counter topical medications were missing information for how to apply the medication. In Space 8, one permission to administer slip for and over-the-counter topical medication was missing information for when to apply the medication. In Space 8, one permission to administer slip for and over-the-counter topical medication was missing information for the amount to apply the medication. 10A NCAC 09 .0803(1)(a & b) 846 Over-the-counter medicines were not in their original containers or administered as authorized in writing by parent, physician or authorized health professional. In Space 1, one over-the-counter sunscreen was not labeled with the name of the child. The teacher labeled the sunscreen with the name of the child. 10A NCAC 09 .0803(4) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. In Space 8, used grocery bags, opened shrink-wrapped bags of diapers, and ziploc bags were stored on shelves below five feet in a cabinet with malfunctioning magnetic locks. The teacher moved the plastic bags to a locked closet. .0604(q) Compliance Plan: All violations cited should 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. 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. Address your plan to ensure that you will not have that violation again. 6. Your signature I advise you to be prepared to provide supporting documentation in the form of photos, documents, certificates, etc. should I request them in order to clarify or verify compliance. I must receive your compliance letter no later than September 7, 2023. Please be aware any information submitted by you is legal documentation. If you state in your compliance letter that corrections have been made when they have not, it will be considered falsification of information. If you cannot meet the requirements by this date you shall contact me with a timeline of the corrections. In some cases, this timeline may be extended. 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 Post Office Box 6217 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. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 During today’s visit, I provided the following technical assistance: 1) Bottles and food brought from home should be labeled with the name of the child and dated with the date the food may be served to the child. 2) Over-the-counter medications should be labeled with the name of the child. 3) Per child care rule 10A NCAC 09 .0803 (7), a parent may give standing authorization for up to 12 months to apply over the counter, topical ointments, topical teething ointment or gel, insect repellents, lotions, creams, fluoridated toothpaste, and powders, such as sunscreen, diapering creams, baby lotion, and baby powder, to a child, when needed. The permission to administer slip should include: (a) the child's name; (b) the name of the authorized ointments, repellents, lotions, creams, fluoridated toothpaste, and powders; (c) when and the amount to administer the ointments, repellents, lotions, creams, fluoridated toothpaste, and powders; (d) how to apply the ointments, repellents, lotions, creams, fluoridated toothpaste, and powders shall be applied; (e) the signature of the parent; (f) the date the authorization was signed by the parent; and (g) the length of time the authorization is valid, if less than 12 months. 4) Per child care rule 10A NCAC 09 .0604(c), each electrical outlet and power strip outlet should be covered including seasonal decorative lighting. The electrical outlet built in to the decorative lighting cord should be covered in addition to the unused wall outlet or the unused power strip outlet. 5) Per child care rule 10A NCAC 09 .0604(q), plastic bags including diaper wipe refill bags, Ziploc bags, grocery bags, and opened shrink wrapped or bagged products should be stored inaccessible to children above five feet or in a locked cabinet, closet, or drawer. 6) As discussed today, water warmed in a bowl is the best option for warming a bottle. While bottle warming devices are not being used in your facility and are not prohibited in child care, should you choose to use a bottle warming device you should follow the manufacturer instructions, make the device inaccessible to the children, and secure cords from dangling and out of the reach of children. I recommended you contact you your environmental health specialist to discuss bottle warming options specific to your facility. 7) Today, you asked me to explain the difference between the general medical action plan, the food allergy action plan, and the anaphylaxis action plan. I explained the general medical action plan may be used for any or all of the typical chronic illnesses seen in the child care setting and for those rare chronic illnesses that require ongoing monitoring and/or medication. I explained the food allergy action plan is used when a child has been medically diagnosed with a food allergy but may be used to document symptoms associated with food sensitivities that are being observed by the parent and the medical professional. I explained the anaphylaxis action plan is most commonly used when exposure to a non-food allergen results in an anaphylaxis reaction. 8) Today, we discussed off-premises activities being those activities that require the children to move outside the licensed spaces. We discussed completing off-premises activities permission slips, posting schedules of off-premises activities, and using rosters to document headcount sheets during off-premises activities. 9) As discussed today, sanitation rules were revised and readopted as of July 1, 2023. These revised sanitation rules will be enforced beginning January 1, 2024. Until then, technical assistance is being given as needed. You stated you had not had a chance to attend the trainings in July 2023. I shared information of two additional trainings being offered on September 20 and September 26 from 9:00am to 11:30am. I advised you to watch your email for an email blast from DCDEE which would include the link to the TEAMS meetings. Today, you stated you may expand the courtyard outdoor play area to include a second fenced area for four-year-old children. You stated this expansion would depend on the approval of your submitted plan for the expansion grants. I asked you to keep me informed of your decision to move forward with this expansion for additional outdoor licensed space. Today, you stated you may be interested in licensing an additional room in church to be used a gross motor activity area. I asked you to keep me informed of your decision to move forward with this licensing process. Today, I observed parents picking up children from the lobby of the church and not entering the child care hallway and/or classrooms. After asking you to explain why parents were not entering the hallway or classrooms, you stated earlier in the preschool year, you had informed parents they were allowed to enter the hallway if they wished to see the classroom or speak with a teacher but for continued health cautions, you had asked parents to continue to drop-off and pick-up in the lobby. You stated beginning Monday, August 28, 2023, parents will be entering the hallway and dropping off at the office area or taking their child to directly to the classroom. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you today. Please continue to visit DCDEE’s website at https://ncchildcare.ncdhhs.gov/ to get the latest information for child care settings and child care updates including the most up to date documents and forms. We appreciate all you, your staff, and First Baptist Church of Hickory do 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, Kris Updike, by email at kris.updike@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 .0604 · Violation

Name of Operation: FIRST BAPTIST CHURCH CHILD DEVELOPMENT CENTER Facility ID: 1854414 Consultant: KIMBERLY CRANE Operation Type: Center Case Number: Visit Date: 8/24/2023 Number Present: 50 Completed Date: 8/24/2023 Age: From 0 To 5 Total Minutes: 440 Time In: 09:05 AM Time Out: 12:00 PM Time In: 01:05 PM Time Out: 05:30 PM List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for an annual compliance visit. You, Elaine Robinson, Administrator, assisted me with today’s visit. I conducted your last annual compliance visit on September 1, 2022. Your facility, owned by First Baptist Church Hickory, was current and active as viewed on the North Carolina Secretary of State website on August 21, 2023. Your program currently operates with a Notice of Compliance letter issued to First Baptist Church Hickory on November 15, 2012. Your program’s compliance history was 79% as of August 21, 2023 and was reviewed with you today. Your last sanitation inspection was dated June 21, 2023 with a Superior classification and 7 demerits. Your last fire inspection was dated August 23, 2022 and was received in my office on August 25, 2022. I visited each licensed indoor space in and each outdoor space with you today. You stated Space 10 (fellowship hall) was not being used at this time and children were eating lunch in the classrooms. I observed children playing in activity areas, participating in whole group teacher lead activities, and transitioning to outdoor play. While not required for your facility, I observed current daily schedules and activity plans voluntarily posted in most classrooms. I observed children adequately supervised during today’s visit. I observed minimum staff-child ratios maintained during today’s visit. I observed adequate approved minimum space used during today’s visit. I observed permit restrictions including “Second grade and above on second floor only” maintained during today’s visit. I reviewed program records, children’s records, and staff records. I completed the “Annual Compliance Monitoring Checklist for Child Care Centers” during today’s visit. The following violation(s) were documented: Violation Number Comment Rule 533 Breast milk, formula and other bottled beverages including sippy cups, sent from child's home were not fully prepared, dated, and labeled for the appropriate child. In Space 9, three bottles brought from home were not dated with the date the bottles could be served to the child. In Space 9, one pouch of fruit sauce brought from home was not labeled with the name of the child and the date the food could be served to the child. In Space 9, one container of food brought from home was not labeled with the date the food could be served to the child. A staff member labeled the bottles with today's date as the date the bottle was to be served to the child. A staff member labeled the pouch of fruit sauce with the name of the child and today's date as the date the pouch was to be served to the child. A staff member labled the container of food with today's date as the date the food could be served to the child. 15A NCAC 18A .2804(d) 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. In Space 6, the outlets on two strands of decorative lighting were not covered. The teacher removed the decorative lighting from the classroom. 10A NCAC 09 .0604(c) 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. In Space 8, three permission to administer slips for over-the-counter topical medications were missing information for how to apply the medication. In Space 8, one permission to administer slip for and over-the-counter topical medication was missing information for when to apply the medication. In Space 8, one permission to administer slip for and over-the-counter topical medication was missing information for the amount to apply the medication. 10A NCAC 09 .0803(1)(a & b) 846 Over-the-counter medicines were not in their original containers or administered as authorized in writing by parent, physician or authorized health professional. In Space 1, one over-the-counter sunscreen was not labeled with the name of the child. The teacher labeled the sunscreen with the name of the child. 10A NCAC 09 .0803(4) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. In Space 8, used grocery bags, opened shrink-wrapped bags of diapers, and ziploc bags were stored on shelves below five feet in a cabinet with malfunctioning magnetic locks. The teacher moved the plastic bags to a locked closet. .0604(q) Compliance Plan: All violations cited should 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. 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. Address your plan to ensure that you will not have that violation again. 6. Your signature I advise you to be prepared to provide supporting documentation in the form of photos, documents, certificates, etc. should I request them in order to clarify or verify compliance. I must receive your compliance letter no later than September 7, 2023. Please be aware any information submitted by you is legal documentation. If you state in your compliance letter that corrections have been made when they have not, it will be considered falsification of information. If you cannot meet the requirements by this date you shall contact me with a timeline of the corrections. In some cases, this timeline may be extended. 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 Post Office Box 6217 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. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 During today’s visit, I provided the following technical assistance: 1) Bottles and food brought from home should be labeled with the name of the child and dated with the date the food may be served to the child. 2) Over-the-counter medications should be labeled with the name of the child. 3) Per child care rule 10A NCAC 09 .0803 (7), a parent may give standing authorization for up to 12 months to apply over the counter, topical ointments, topical teething ointment or gel, insect repellents, lotions, creams, fluoridated toothpaste, and powders, such as sunscreen, diapering creams, baby lotion, and baby powder, to a child, when needed. The permission to administer slip should include: (a) the child's name; (b) the name of the authorized ointments, repellents, lotions, creams, fluoridated toothpaste, and powders; (c) when and the amount to administer the ointments, repellents, lotions, creams, fluoridated toothpaste, and powders; (d) how to apply the ointments, repellents, lotions, creams, fluoridated toothpaste, and powders shall be applied; (e) the signature of the parent; (f) the date the authorization was signed by the parent; and (g) the length of time the authorization is valid, if less than 12 months. 4) Per child care rule 10A NCAC 09 .0604(c), each electrical outlet and power strip outlet should be covered including seasonal decorative lighting. The electrical outlet built in to the decorative lighting cord should be covered in addition to the unused wall outlet or the unused power strip outlet. 5) Per child care rule 10A NCAC 09 .0604(q), plastic bags including diaper wipe refill bags, Ziploc bags, grocery bags, and opened shrink wrapped or bagged products should be stored inaccessible to children above five feet or in a locked cabinet, closet, or drawer. 6) As discussed today, water warmed in a bowl is the best option for warming a bottle. While bottle warming devices are not being used in your facility and are not prohibited in child care, should you choose to use a bottle warming device you should follow the manufacturer instructions, make the device inaccessible to the children, and secure cords from dangling and out of the reach of children. I recommended you contact you your environmental health specialist to discuss bottle warming options specific to your facility. 7) Today, you asked me to explain the difference between the general medical action plan, the food allergy action plan, and the anaphylaxis action plan. I explained the general medical action plan may be used for any or all of the typical chronic illnesses seen in the child care setting and for those rare chronic illnesses that require ongoing monitoring and/or medication. I explained the food allergy action plan is used when a child has been medically diagnosed with a food allergy but may be used to document symptoms associated with food sensitivities that are being observed by the parent and the medical professional. I explained the anaphylaxis action plan is most commonly used when exposure to a non-food allergen results in an anaphylaxis reaction. 8) Today, we discussed off-premises activities being those activities that require the children to move outside the licensed spaces. We discussed completing off-premises activities permission slips, posting schedules of off-premises activities, and using rosters to document headcount sheets during off-premises activities. 9) As discussed today, sanitation rules were revised and readopted as of July 1, 2023. These revised sanitation rules will be enforced beginning January 1, 2024. Until then, technical assistance is being given as needed. You stated you had not had a chance to attend the trainings in July 2023. I shared information of two additional trainings being offered on September 20 and September 26 from 9:00am to 11:30am. I advised you to watch your email for an email blast from DCDEE which would include the link to the TEAMS meetings. Today, you stated you may expand the courtyard outdoor play area to include a second fenced area for four-year-old children. You stated this expansion would depend on the approval of your submitted plan for the expansion grants. I asked you to keep me informed of your decision to move forward with this expansion for additional outdoor licensed space. Today, you stated you may be interested in licensing an additional room in church to be used a gross motor activity area. I asked you to keep me informed of your decision to move forward with this licensing process. Today, I observed parents picking up children from the lobby of the church and not entering the child care hallway and/or classrooms. After asking you to explain why parents were not entering the hallway or classrooms, you stated earlier in the preschool year, you had informed parents they were allowed to enter the hallway if they wished to see the classroom or speak with a teacher but for continued health cautions, you had asked parents to continue to drop-off and pick-up in the lobby. You stated beginning Monday, August 28, 2023, parents will be entering the hallway and dropping off at the office area or taking their child to directly to the classroom. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you today. Please continue to visit DCDEE’s website at https://ncchildcare.ncdhhs.gov/ to get the latest information for child care settings and child care updates including the most up to date documents and forms. We appreciate all you, your staff, and First Baptist Church of Hickory do 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, Kris Updike, by email at kris.updike@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 .0803 · Violation

Name of Operation: FIRST BAPTIST CHURCH CHILD DEVELOPMENT CENTER Facility ID: 1854414 Consultant: KIMBERLY CRANE Operation Type: Center Case Number: Visit Date: 8/24/2023 Number Present: 50 Completed Date: 8/24/2023 Age: From 0 To 5 Total Minutes: 440 Time In: 09:05 AM Time Out: 12:00 PM Time In: 01:05 PM Time Out: 05:30 PM List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for an annual compliance visit. You, Elaine Robinson, Administrator, assisted me with today’s visit. I conducted your last annual compliance visit on September 1, 2022. Your facility, owned by First Baptist Church Hickory, was current and active as viewed on the North Carolina Secretary of State website on August 21, 2023. Your program currently operates with a Notice of Compliance letter issued to First Baptist Church Hickory on November 15, 2012. Your program’s compliance history was 79% as of August 21, 2023 and was reviewed with you today. Your last sanitation inspection was dated June 21, 2023 with a Superior classification and 7 demerits. Your last fire inspection was dated August 23, 2022 and was received in my office on August 25, 2022. I visited each licensed indoor space in and each outdoor space with you today. You stated Space 10 (fellowship hall) was not being used at this time and children were eating lunch in the classrooms. I observed children playing in activity areas, participating in whole group teacher lead activities, and transitioning to outdoor play. While not required for your facility, I observed current daily schedules and activity plans voluntarily posted in most classrooms. I observed children adequately supervised during today’s visit. I observed minimum staff-child ratios maintained during today’s visit. I observed adequate approved minimum space used during today’s visit. I observed permit restrictions including “Second grade and above on second floor only” maintained during today’s visit. I reviewed program records, children’s records, and staff records. I completed the “Annual Compliance Monitoring Checklist for Child Care Centers” during today’s visit. The following violation(s) were documented: Violation Number Comment Rule 533 Breast milk, formula and other bottled beverages including sippy cups, sent from child's home were not fully prepared, dated, and labeled for the appropriate child. In Space 9, three bottles brought from home were not dated with the date the bottles could be served to the child. In Space 9, one pouch of fruit sauce brought from home was not labeled with the name of the child and the date the food could be served to the child. In Space 9, one container of food brought from home was not labeled with the date the food could be served to the child. A staff member labeled the bottles with today's date as the date the bottle was to be served to the child. A staff member labeled the pouch of fruit sauce with the name of the child and today's date as the date the pouch was to be served to the child. A staff member labled the container of food with today's date as the date the food could be served to the child. 15A NCAC 18A .2804(d) 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. In Space 6, the outlets on two strands of decorative lighting were not covered. The teacher removed the decorative lighting from the classroom. 10A NCAC 09 .0604(c) 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. In Space 8, three permission to administer slips for over-the-counter topical medications were missing information for how to apply the medication. In Space 8, one permission to administer slip for and over-the-counter topical medication was missing information for when to apply the medication. In Space 8, one permission to administer slip for and over-the-counter topical medication was missing information for the amount to apply the medication. 10A NCAC 09 .0803(1)(a & b) 846 Over-the-counter medicines were not in their original containers or administered as authorized in writing by parent, physician or authorized health professional. In Space 1, one over-the-counter sunscreen was not labeled with the name of the child. The teacher labeled the sunscreen with the name of the child. 10A NCAC 09 .0803(4) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. In Space 8, used grocery bags, opened shrink-wrapped bags of diapers, and ziploc bags were stored on shelves below five feet in a cabinet with malfunctioning magnetic locks. The teacher moved the plastic bags to a locked closet. .0604(q) Compliance Plan: All violations cited should 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. 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. Address your plan to ensure that you will not have that violation again. 6. Your signature I advise you to be prepared to provide supporting documentation in the form of photos, documents, certificates, etc. should I request them in order to clarify or verify compliance. I must receive your compliance letter no later than September 7, 2023. Please be aware any information submitted by you is legal documentation. If you state in your compliance letter that corrections have been made when they have not, it will be considered falsification of information. If you cannot meet the requirements by this date you shall contact me with a timeline of the corrections. In some cases, this timeline may be extended. 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 Post Office Box 6217 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. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 During today’s visit, I provided the following technical assistance: 1) Bottles and food brought from home should be labeled with the name of the child and dated with the date the food may be served to the child. 2) Over-the-counter medications should be labeled with the name of the child. 3) Per child care rule 10A NCAC 09 .0803 (7), a parent may give standing authorization for up to 12 months to apply over the counter, topical ointments, topical teething ointment or gel, insect repellents, lotions, creams, fluoridated toothpaste, and powders, such as sunscreen, diapering creams, baby lotion, and baby powder, to a child, when needed. The permission to administer slip should include: (a) the child's name; (b) the name of the authorized ointments, repellents, lotions, creams, fluoridated toothpaste, and powders; (c) when and the amount to administer the ointments, repellents, lotions, creams, fluoridated toothpaste, and powders; (d) how to apply the ointments, repellents, lotions, creams, fluoridated toothpaste, and powders shall be applied; (e) the signature of the parent; (f) the date the authorization was signed by the parent; and (g) the length of time the authorization is valid, if less than 12 months. 4) Per child care rule 10A NCAC 09 .0604(c), each electrical outlet and power strip outlet should be covered including seasonal decorative lighting. The electrical outlet built in to the decorative lighting cord should be covered in addition to the unused wall outlet or the unused power strip outlet. 5) Per child care rule 10A NCAC 09 .0604(q), plastic bags including diaper wipe refill bags, Ziploc bags, grocery bags, and opened shrink wrapped or bagged products should be stored inaccessible to children above five feet or in a locked cabinet, closet, or drawer. 6) As discussed today, water warmed in a bowl is the best option for warming a bottle. While bottle warming devices are not being used in your facility and are not prohibited in child care, should you choose to use a bottle warming device you should follow the manufacturer instructions, make the device inaccessible to the children, and secure cords from dangling and out of the reach of children. I recommended you contact you your environmental health specialist to discuss bottle warming options specific to your facility. 7) Today, you asked me to explain the difference between the general medical action plan, the food allergy action plan, and the anaphylaxis action plan. I explained the general medical action plan may be used for any or all of the typical chronic illnesses seen in the child care setting and for those rare chronic illnesses that require ongoing monitoring and/or medication. I explained the food allergy action plan is used when a child has been medically diagnosed with a food allergy but may be used to document symptoms associated with food sensitivities that are being observed by the parent and the medical professional. I explained the anaphylaxis action plan is most commonly used when exposure to a non-food allergen results in an anaphylaxis reaction. 8) Today, we discussed off-premises activities being those activities that require the children to move outside the licensed spaces. We discussed completing off-premises activities permission slips, posting schedules of off-premises activities, and using rosters to document headcount sheets during off-premises activities. 9) As discussed today, sanitation rules were revised and readopted as of July 1, 2023. These revised sanitation rules will be enforced beginning January 1, 2024. Until then, technical assistance is being given as needed. You stated you had not had a chance to attend the trainings in July 2023. I shared information of two additional trainings being offered on September 20 and September 26 from 9:00am to 11:30am. I advised you to watch your email for an email blast from DCDEE which would include the link to the TEAMS meetings. Today, you stated you may expand the courtyard outdoor play area to include a second fenced area for four-year-old children. You stated this expansion would depend on the approval of your submitted plan for the expansion grants. I asked you to keep me informed of your decision to move forward with this expansion for additional outdoor licensed space. Today, you stated you may be interested in licensing an additional room in church to be used a gross motor activity area. I asked you to keep me informed of your decision to move forward with this licensing process. Today, I observed parents picking up children from the lobby of the church and not entering the child care hallway and/or classrooms. After asking you to explain why parents were not entering the hallway or classrooms, you stated earlier in the preschool year, you had informed parents they were allowed to enter the hallway if they wished to see the classroom or speak with a teacher but for continued health cautions, you had asked parents to continue to drop-off and pick-up in the lobby. You stated beginning Monday, August 28, 2023, parents will be entering the hallway and dropping off at the office area or taking their child to directly to the classroom. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you today. Please continue to visit DCDEE’s website at https://ncchildcare.ncdhhs.gov/ to get the latest information for child care settings and child care updates including the most up to date documents and forms. We appreciate all you, your staff, and First Baptist Church of Hickory do 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, Kris Updike, by email at kris.updike@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