Tabernacle Kids Early Learning Center

10A NCAC 09 .0803 · Violation

Name of Operation: TABERNACLE KIDS EARLY LEARNING CENTER Facility ID: 18000624 Consultant: KIMBERLY CRANE Operation Type: Center Case Number: Visit Date: 6/3/2026 Number Present: 90 Completed Date: 6/3/2026 Age: From 0 To 5 Total Minutes: 270 Time In: 09:00 AM Time Out: 01:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for an annual compliance visit. You, Stephanie Cook, Administrator, assisted me with today’s visit. Toni Washington, Child Care Consultant, assisted me with today’s visit. We reviewed the facility information found in our system. You stated there have been no changes to the facility number, fax number, web address, mailing address, or email address. I reviewed the permit including the restrictions, capacity, and age range on your permit and observed these being maintained. This facility currently operates with a Notice of Compliance, issued on August 20, 2024. This facility’s compliance history was 85% as of June 1, 2026. The most recent fire inspection was dated November 6, 2025 and received in my office on December 8, 2025. Fire drills were up to date, completed monthly, and documented on the Fire Drill Log. The last fire drill was completed on May 15, 2026. Emergency drills were up to date, completed quarterly, and documented on the Emergency Drill Log. The last emergency drill was a lockdown drill completed on March 30, 2026. The most recent sanitation inspection was dated April 29, 2026 with a Superior classification and zero demerits. The lead water test dated August 5, 2024 indicated that this facility’s drinking water source was within the required limits. The lead-based paint and asbestos test results dated August 11, 2025 indicated that this facility is exempt from lead-based paint testing based on a signed and submitted attestation statement and asbestos testing based on submitted property tax documents. You and I completed a walk-through of the licensed indoor spaces today. Children one year of age and older were eating snack, playing with toys, attending to personal care needs, playing outdoors, eating lunch, and napping. Children under one year of age were napping in cribs, eating in high chairs, being bottle fed and playing. Room 102 was approved for use when you are ready to move children and staff in the classroom. Room 113 was designated as the new staff lounge. You and I completed a walk-through of the licensed outdoor spaces today. No changes had been made to your outdoor area since the last visit. A current menu included the meal items that I observed prepared and served to the children during today’s visit. Appropriate nutritious snacks and meals included 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. Cold food and milk were stored in a commercial refrigerator in the kitchen at a temperature of thirty-five degrees Fahrenheit. Bottles and baby food provided by the parents and food and beverages provided by the facility was stored in compact refrigerators in each classroom at temperatures below forty-five 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. Ms. Washington monitored children’s records and staff records. A staff and training worksheet was available today and was included in this visit summary packet. Please continue to keep the staff and training worksheet up to date. Supervision, minimum staff/child ratios, minimum group sizes, approved space use, minimum space capacities, and permit restrictions were maintained today. The following violations were cited during today’s visit: Violation Number Comment Rule 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 Room 106, one aerosol can of Mod Podge was stored in an unlocked cabinet. .2820(b) 847 Parent's medication authorization did not include required information. In Room 107, one permission to administer over the counter medication was missing instructions for how to apply the medication and one permission to administer over the counter medication was missing instructions for when to apply the medication. 10A NCAC 09 .0803(4)(6-9) TECHNICAL ASSISTANCE: 1. 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 Mod Podge stored in an unlocked cabinet in Room 106. The teacher moved the aerosol can of Mod Podge to a locked cabinet in the classroom which corrected this violation today. To maintain compliance with this child care requirement, I suggested you review with your staff the storage requirements for all hazardous items including aerosol cans of any kind. 2. Per child care rule 10A NCAC 09 .0803(7), on the medication permission to administer form, the parent should include valid dates for the medication to be administered, the amount of medication to be administered, when, where, and how administer to administer the medication. During today’s visit, in Room 107, one permission to administer over the counter medication was missing instructions for how to apply the medication and one permission to administer over the counter medication was missing instructions for when to apply the medication. To correct this violation, I suggest you have the parents complete these blank areas on the permission to administer forms. To maintain compliance with this child care rule, 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. CONSULTATION: 1. The NC Summary of Child Care Law brochure and poster were both updated in November 2025 and are available on the DCDEE website at https://ncchildcare.ncdhhs.gov/Provider/Provider-Documents-and-Forms. The February 2025 version of the NC Summary of Child Care Law poster was posted in a prominent location in the facility. Please include and use the November 2025 version of the NC Summary of Child Care Law brochure in your enrollment packet. 2. As discussed today, 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. 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/Licensing/Getting-a-License DCDEE Updates, Current Projects, and information applicable to Child Care in NC: https://ncchildcare.ncdhhs.gov/Whats-New COMPLIANCE PLAN: Since I documented the actions you took today to correct violation item number 840, no compliance documentation is needed for violation item number 840. All violations cited and not corrected today must be corrected immediately. Please submit a written, signed, and dated statement to me at the email/address below detailing the steps taken to correct each violation. 1) Your compliance letter must include the following: 1. The name of your center 2. The center’s ID number 3. The date you write the letter 4. Address each violation stating how you corrected the violation and are now in compliance. 5. Your signature I should receive your compliance letter no later than June 17, 2026. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development and Early Education may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Child care programs are required to maintain compliance with all applicable child care rules and regulations at all times. North Carolina General Statute 110-90(4)(d) requires all child care facilities to maintain a compliance history of at least seventy-five percent (75%) for the past eighteen (18) months or during the length of time the facility has operated, whichever is less. Failure to do so may result in the issuance of a provisional license or other administrative action against the facility's license. Any violations cited during a visit may affect your score. Your letter may be mailed to me at: Kimberly Crane 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 end of this visit, a visit summary was prepared, reviewed, signed, 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

10A NCAC 09 .0701 · Violation

Name of Operation: TABERNACLE KIDS EARLY LEARNING CENTER Facility ID: 18000624 Consultant: KIMBERLY CRANE Operation Type: Center Case Number: Visit Date: 12/17/2025 Number Present: 106 Completed Date: 12/17/2025 Age: From 0 To 5 Total Minutes: 385 Time In: 08:55 AM Time Out: 11:20 AM Time In: 12:30 PM Time Out: 04:30 PM 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. Rebekah Newby, Administrative Assistant, assisted me with today’s visit. Stephanie Cook, Administrator, was not available today. I conducted your last annual compliance visit on June 27, 2025. 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, web 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 September 19, 2024. Your center's compliance history was 81% prior to today’s visit and was reviewed with you today. Your most recent fire inspection was dated November 6, 2025 and was received in my office on December 8, 2025. Your most recent sanitation inspection was dated December 15, 2025, with a Superior classification and two demerits. I verified that you completed the lead water testing required to be completed every three years. Today, I verified that those test results dated August 29, 2025 indicated that this facility’s drinking water source was within the required limits. I verified that as of August 11, 2025, this facility was exempt from lead-based paint and asbestos testing based on documentation this facility submitted. You 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 in Room 100 (Playroom) and classroom tables, transitions from indoor to outdoors and outdoors to indoors, teacher-directed lessons focused on alphabet recognition, number recognition, and beginning phonics, teacher-directed small group Christmas craft activities, playing outside, eating lunch, napping, attending to personal care routines and departing. I observed infants engaged in floor play, napping, bottle feeding, and buggy rides through the hallway. 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 were stored in a commercial refrigerator in the school kitchen at a temperature of thirty-eight degrees Fahrenheit. Cold food and juice was also stored in a full-size refrigerator in the staff lounge at a temperature of forty degrees Fahrenheit and compact refrigerators in each classroom at temperatures between thirty-six and forty-two degrees Fahrenheit. Meals served today met the meal pattern requirements. 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 eighteen 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 fifteen new staff members hired since the last annual compliance visit on June 27, 2025. I monitored staff record files for six support staff and the CBC qualification letter for the pastor. 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 and you declined the information at this time based on your commitment to your ministry goals and curriculum. The following violations were cited during today’s visit: Violation Number Comment Rule 847 Parent's medication authorization did not include required information. In Room 105, one permission to administer form for an over-the-counter topical ointment was missing the name of the medication and the amount to administer. In Room 105, two permission to administer forms for over-the-counter topical ointments were missing the amount to administer. In Room 108, one permission to administer form was missing the name of the medication and the amount to administer. 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 Room 108, one emergency medication expired on October 31, 2025 and the prescription for the medication expired in August 2025. .0803(12) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. One staff member with a date of employment of 08/27/2025 had TB test results on result dated 02/08/2024 which was more than twelve months old at the time of employment. .0701(a) TECHNICAL ASSISTANCE: 1. Per child care rule 10A NCAC 09 .0803(7), on the medication permission to administer form, the parent should include valid dates for the medication to be administered, the name of the prescription or over-the-counter medication, the amount of medication to be administered, when, where, and how administer to administer the medication. To correct this violation, I suggest you request that the parents revise the permission to administer forms to include the missing information. To maintain compliance with this child care rule, 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. 2. 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 Room 108, one emergency medication expired on October 31, 2025 and the prescription for the medication expired in August 2025 but the permission to administer authorization form was dated September 2025. To maintain compliance with this child care requirement, I suggest you and your staff check the expiration date and the discard after date of each prescription medication carefully before accepting the medication and the permission to administer form. I also suggest you return any expired medication within seventy-two hours or discard the item after seventy-two hours. 3. Per child care rule 10A NCAC 09 .0701(a), all staff, including the director and individuals who volunteer more than once per week must have negative TB test results or screening information on file prior to employment. The results indicate that the individual who is free of active tuberculosis may not be more than twelve months old. To correct this violation, I suggest you have the staff member have an updated TB screening/test results completed that would be current. To maintain compliance with this child care requirement, I suggested you give each new employee a blank copy of the TB Screening Form/TB Test Results documents 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. 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. If you are interested in information regarding the new star-rated license assessment process, please 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. 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: No compliance documentation is needed for violation item number 849 which was corrected during today’s visit. I documented the actions taken today to correct those violations in this 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 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 December 31, 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. 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

10A NCAC 09 .0803 · Violation

Name of Operation: TABERNACLE KIDS EARLY LEARNING CENTER Facility ID: 18000624 Consultant: KIMBERLY CRANE Operation Type: Center Case Number: Visit Date: 12/17/2025 Number Present: 106 Completed Date: 12/17/2025 Age: From 0 To 5 Total Minutes: 385 Time In: 08:55 AM Time Out: 11:20 AM Time In: 12:30 PM Time Out: 04:30 PM 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. Rebekah Newby, Administrative Assistant, assisted me with today’s visit. Stephanie Cook, Administrator, was not available today. I conducted your last annual compliance visit on June 27, 2025. 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, web 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 September 19, 2024. Your center's compliance history was 81% prior to today’s visit and was reviewed with you today. Your most recent fire inspection was dated November 6, 2025 and was received in my office on December 8, 2025. Your most recent sanitation inspection was dated December 15, 2025, with a Superior classification and two demerits. I verified that you completed the lead water testing required to be completed every three years. Today, I verified that those test results dated August 29, 2025 indicated that this facility’s drinking water source was within the required limits. I verified that as of August 11, 2025, this facility was exempt from lead-based paint and asbestos testing based on documentation this facility submitted. You 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 in Room 100 (Playroom) and classroom tables, transitions from indoor to outdoors and outdoors to indoors, teacher-directed lessons focused on alphabet recognition, number recognition, and beginning phonics, teacher-directed small group Christmas craft activities, playing outside, eating lunch, napping, attending to personal care routines and departing. I observed infants engaged in floor play, napping, bottle feeding, and buggy rides through the hallway. 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 were stored in a commercial refrigerator in the school kitchen at a temperature of thirty-eight degrees Fahrenheit. Cold food and juice was also stored in a full-size refrigerator in the staff lounge at a temperature of forty degrees Fahrenheit and compact refrigerators in each classroom at temperatures between thirty-six and forty-two degrees Fahrenheit. Meals served today met the meal pattern requirements. 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 eighteen 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 fifteen new staff members hired since the last annual compliance visit on June 27, 2025. I monitored staff record files for six support staff and the CBC qualification letter for the pastor. 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 and you declined the information at this time based on your commitment to your ministry goals and curriculum. The following violations were cited during today’s visit: Violation Number Comment Rule 847 Parent's medication authorization did not include required information. In Room 105, one permission to administer form for an over-the-counter topical ointment was missing the name of the medication and the amount to administer. In Room 105, two permission to administer forms for over-the-counter topical ointments were missing the amount to administer. In Room 108, one permission to administer form was missing the name of the medication and the amount to administer. 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 Room 108, one emergency medication expired on October 31, 2025 and the prescription for the medication expired in August 2025. .0803(12) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. One staff member with a date of employment of 08/27/2025 had TB test results on result dated 02/08/2024 which was more than twelve months old at the time of employment. .0701(a) TECHNICAL ASSISTANCE: 1. Per child care rule 10A NCAC 09 .0803(7), on the medication permission to administer form, the parent should include valid dates for the medication to be administered, the name of the prescription or over-the-counter medication, the amount of medication to be administered, when, where, and how administer to administer the medication. To correct this violation, I suggest you request that the parents revise the permission to administer forms to include the missing information. To maintain compliance with this child care rule, 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. 2. 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 Room 108, one emergency medication expired on October 31, 2025 and the prescription for the medication expired in August 2025 but the permission to administer authorization form was dated September 2025. To maintain compliance with this child care requirement, I suggest you and your staff check the expiration date and the discard after date of each prescription medication carefully before accepting the medication and the permission to administer form. I also suggest you return any expired medication within seventy-two hours or discard the item after seventy-two hours. 3. Per child care rule 10A NCAC 09 .0701(a), all staff, including the director and individuals who volunteer more than once per week must have negative TB test results or screening information on file prior to employment. The results indicate that the individual who is free of active tuberculosis may not be more than twelve months old. To correct this violation, I suggest you have the staff member have an updated TB screening/test results completed that would be current. To maintain compliance with this child care requirement, I suggested you give each new employee a blank copy of the TB Screening Form/TB Test Results documents 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. 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. If you are interested in information regarding the new star-rated license assessment process, please 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. 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: No compliance documentation is needed for violation item number 849 which was corrected during today’s visit. I documented the actions taken today to correct those violations in this 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 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 December 31, 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. 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

10A NCAC 09 .0803 · Violation

Name of Operation: TABERNACLE KIDS EARLY LEARNING CENTER Facility ID: 18000624 Consultant: KIMBERLY CRANE Operation Type: Center Case Number: Visit Date: 6/27/2025 Number Present: 82 Completed Date: 6/27/2025 Age: From 0 To 5 Total Minutes: 437 Time In: 08:58 AM Time Out: 04:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for an annual compliance visit. You, Stephanie Cook, Administrator, assisted me with today’s visit. I reviewed with you today the facility information found in our system. You stated there have been no changes to the facility number, fax number, mailing address, or email address. You requested I add the facility web address to our database. I made that addition for you today. I reviewed the permit including 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 August 20, 2024. Your center's compliance history was 87% as of June 26, 2025 and was reviewed with you today. Your most recent fire inspection was dated October 25, 2024 and received in my office on October 30, 2024. Your most recent sanitation inspection was dated December 19, 2024 with a Superior classification and zero demerits. Your last lead water test results required to be completed every three years dated August 5, 2024 indicated that the facility’s drinking water source was within the required limits. I verified you have started the enrollment for the lead-based paint testing. I verified you have started the enrollment for asbestos testing. Please complete the enrollment for lead-based paint and asbestos testing. You and I completed a walk-through of the licensed indoor spaces today. Children were playing with toys, participating in teacher directed small group activities, participating in routine care activities, playing outdoors, napping and eating lunch. You and I completed a walk-through of the licensed outdoor spaces today. No changes had been made to your outdoor area since the last visit. A current menu included the meal items that I observed prepared and served to the children during today’s visit. Appropriate nutritious snacks and meals included a variety of foods and complied with Meal Patterns for Children in Child Care Programs. Meals were prepared in the school kitchen and served in the classrooms. Cold food and milk were stored in a commercial refrigerator in the kitchen at a temperature of thirty-nine degrees Fahrenheit. Bottles and baby food provided by the parents and food and beverages provided by the facility was stored in compact refrigerators in each classroom at temperatures below forty-five 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 monitored a random selection of eleven children’s files. As discussed today, since your facility is closed for the Fourth of July holiday next week, I will return on Thursday, July 10, 2025 to monitor the staff records. 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 533 Human 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 Room 105, one bottle, one jar of baby food, and seven pouches of baby food were not labeled with the name of the child and dated. 15A NCAC 18A .2804(d) 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 Room 109, one aerosol can of sunscreen was stored in an unlocked cabinet. .2820(b) 843 A drug or medicine was administered after its expiration date. In Room 107, one diaper ointment in expired in July 2024 and one diaper ointment expired in February 2025. In Room 111, one diaper ointment expired in November 2023. 10A NCAC 09 .0803(1)(d) 846 Over-the-counter medicines were not in their original containers or administered as authorized in writing by parent, physician or authorized health professional. Two diaper ointments in Room 105 and one sunscreen lotion in Room 109 were not labeled with the name of the child. 10A NCAC 09 .0803(4) 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. Two staff members with dates of employment of 05/27/2025 and 06/10/2025 reviewed the EMC Plan within their first days of employment but had not signed documentation and placed the documentation of the review in their file. One staff member with a date of employment of 03/01/2022 reviewed the EMC Plan on 08/25/2023 and in 08/2024 but had not signed documentation for the 2024 review and placed the documentation of the review in their file. 10A NCAC 09 .0802(a) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. The most recent health questionnaire on file for one staff member with a date of employment of 05/31/2022 was dated 08/25/2023. .0701(a) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. The most recent emergency information form on file for one staff member with a date of employment of 05/31/2022 was dated 08/25/2023. .0701(a) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. One child with a date of enrollment of 09/30/2024 did not have a medical exam on file. GS110-91(1) 1825 All staff did not review the center's EPR Plan during orientation and/or on an annual basis with the trained staff. Documentation of the review was not maintained on file. Two staff members with dates of employment of 05/27/2025 and 06/10/2025 reviewed the EPR Plan within their first days of employment but had not signed documentation and placed the documentation of the review in their file. One staff member with a date of employment of 03/01/2022 reviewed the EPR Plan on 08/25/2023 and in 08/2024 but had not signed documentation for the 2024 review and placed the documentation of the review in their file. .0607(f) 1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. One staff member with a date of employment of 03/11/2025 reviewed and signed the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy acknowledgement statement on 03/12/2025. The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy acknowledgement statement for two staff members with dates of employment of 08/08/2024 and 03/11/2025 was missing the date the policy was given and reviewed. .0608(d)(1-4) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. In Room 107, the permission to administer form for one sunscreen was missing when to apply the sunscreen. In Room 108, the permission to administer for one diaper ointment was missing the amount of ointment to apply. In Room 109, the permission to administer for one sunscreen was missing when to apply the sunscreen. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) TECHNICAL ASSISTANCE: 1. 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 sunscreen stored in an unlocked cabinet in Room 109. The administrator removed the aerosol can of sunscreen to a locked cabinet in the classroom which corrected this violation today. To maintain compliance with this child care requirement, I suggested you review with your staff the storage requirements for all hazardous items including aerosol cans of any kind. 2. Per sanitation rules for child care centers rule 15A NCAC 18A .2804(d), each bottle prepared at home and brought to the center and any food provided by the parent and brought to the center for any age child or food prepared by a staff member and brought to the center for consumption and stored in the refrigerator should be labeled with the name of the child or staff member and the date the bottle or food item(s) can be served to the child or staff member. Any leftover bottle contents should be returned to the parent or staff member at the end of the day. Food items should be labeled with the date the item was opened, and leftover food items should be discarded if not used in two days. During today’s visit, in Room 105, I observed one bottle, one jar of baby food, and seven pouches of baby food with no name or date. The teacher in Room 105 wrote the name of each child and today’s date the bottle, the jar of baby food, and on each pouch of baby food which corrected the violation today. To maintain compliance with this child care requirement, I suggest you review this sanitation rule with your staff and parents. 3. Per child care rule 10A NCAC 09 .0803(7), on the medication permission to administer form, the parent should include valid dates for the medication to be administered, the amount of medication to be administered, when, where, and how administer to administer the medication. To maintain compliance with this child care rule, I suggest you consider revising your medication permission to administer form for over the counter medications to include all the information required by the child care rule. I also 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. 4. Per child care rule 10A NCAC 09 .0803(4), over-the-counter diaper creams and sunscreens should be labeled with the name of the child, and the parent should include the name of the over-the-counter diaper cream or sunscreen on the medication permission to administer form. During today’s visit, two diaper ointments in Room 105 and one sunscreen lotion in Room 109 were not labeled with the name of the child. The administrator wrote the name of each child on their medication which corrected this violation today. To maintain compliance with this child care requirement, I suggest you monitor medications at least weekly to be sure the name is written on each medication since the name written on lotion type medications tends to rub off easily. 5. 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 Room 107, one diaper ointment in expired in July 2024 and one diaper ointment expired in February 2025. In Room 111, one diaper ointment expired in November 2023. The administrator removed these diaper ointments from the classrooms and placed them in her office to return to the parents today. To maintain compliance with this child care requirement, I suggest you and your staff check the expiration date of each medication carefully before accepting the medication and the permission to administer. I also suggest you return any expired medication within seventy-two hours and discard the item after seventy-two hours. 6. Per NC General Statute 110-91(1), each child should have a children’s medical report and immunization record on file on or before the child’s first day of attendance but no later than thirty days after enrollment. You stated you have a plan in place to ensure that each child has a medical report and immunization record on file within thirty days and do not know how this child’s due date was overlooked. I advised you to request the parent provide a copy of the medical report and immunization record upon return to the facility after the Fourth of July facility vacation next week. To maintain compliance with this child care requirement, I suggest you consider creating a tracking tool to assist you with keeping up with all the due dates for child records. CONSULTATION: 1. As discussed today, I will return on Thursday, July 10, 2025 to review staff records and complete the “Annual Compliance Checklist for Child Care Centers”. Any violations regarding staff records cited on July 10, 2025 will be added to today’s visit. 2. Best practice is to have a Medical Action Plan on file for each documented chronic illness regardless of whether a medication is provided by the family. 3. As discussed today, while electronically completed and signed child applications are allowed by child care rule, it would be best practice to provide each parent with a print copy of the discipline policy and the Prevention of Shaken Baby and Abusive Head Trauma (PSBAHT) policy and include the parent acknowledgment statement with the enrollment date, the name of the child, and the date the PSBAHT policy was given to the parent. I would also suggest that you require a handwritten signature from the parent for these two policies. 4. As discussed today, the child care rule includes a statement regarding no restraining of children which your discipline policy does not include. I advised you to revise your discipline policy to include all the child care requirements for discipline of children. 5. As discussed with you and your staff today, we all agreed that infants and toddlers should be allowed to sleep on demand and according to their sleep needs and not according to a sleep schedule. I advised you to take note of each child’s cues of sleepiness and place the child in their crib when they are sleepy. I advised you to allow the child to self-soothe for no more than ten to thirty minutes. After ten to thirty minutes of resting in their crib, if the infant has not fallen asleep, the child should be gotten up from the crib and allowed to play or interact with staff and engage in activities. 6. As discussed today, you can provide sensory play indoors or outdoors. I advised you to use play sand and water if possible. I reminded you to be careful when choosing other sensory materials being mindful of choking hazards and items small enough to be placed in the nose or ears. 7. As discussed today, I advised you to develop a plan for tracking the temperature of the plastic play equipment and the artificial surfacing. While I did not observe infant children on the hot surfacing today, I did walk on the surfacing without my shoes on and the surfacing was hot to the touch. While I did not observe children on the equipment in areas that were not in the shade, I did touch the equipment and the surfaces that were not in the shade were hot to the touch. 8. 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. The February 2025 version of the NC Summary of Child Care Law poster was posted 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. 9. 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 in 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. 10. The new QRIS Modernization Plan known as “Pathways to the Stars” is being added to law which included moving to the use of the updated Environmental Rating Scale (ERS-3 versions) for FCCERS, effective February 1, 2025. DCDEE. The NC Child Care Commission approved the proposed rules regarding the QRIS Modernization Plan on April 22, 2025 and will continue the rulemaking process to add the rule language to child care requirements. Hold Harmless provisions continue. Star rated license reassessments were postponed until the QRIS rulemaking process has been completed. Star rated license assessments are still required for new child care programs. A pathway for child care programs currently accredited through the approved accrediting bodies may now move to a three- or five-star license if they are not already at this star level. Providers need to submit a request to their licensing consultant and provide a copy of their accreditation award/certificate for processing: Accreditation Licensure Request Form. Please be reminded that any ERS assessment completed on or after February 1, 2025 will be assessed using the ERS-3 versions. 11. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/. 12. 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 13. 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 COMPLIANCE PLAN: No compliance documentation is needed for violations corrected during today’s visit. I documented the corrective actions taken today to correct those violations in the technical assistance section of this 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: 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 July 11, 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 .0802 · Violation

Name of Operation: TABERNACLE KIDS EARLY LEARNING CENTER Facility ID: 18000624 Consultant: KIMBERLY CRANE Operation Type: Center Case Number: Visit Date: 6/27/2025 Number Present: 82 Completed Date: 6/27/2025 Age: From 0 To 5 Total Minutes: 437 Time In: 08:58 AM Time Out: 04:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for an annual compliance visit. You, Stephanie Cook, Administrator, assisted me with today’s visit. I reviewed with you today the facility information found in our system. You stated there have been no changes to the facility number, fax number, mailing address, or email address. You requested I add the facility web address to our database. I made that addition for you today. I reviewed the permit including 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 August 20, 2024. Your center's compliance history was 87% as of June 26, 2025 and was reviewed with you today. Your most recent fire inspection was dated October 25, 2024 and received in my office on October 30, 2024. Your most recent sanitation inspection was dated December 19, 2024 with a Superior classification and zero demerits. Your last lead water test results required to be completed every three years dated August 5, 2024 indicated that the facility’s drinking water source was within the required limits. I verified you have started the enrollment for the lead-based paint testing. I verified you have started the enrollment for asbestos testing. Please complete the enrollment for lead-based paint and asbestos testing. You and I completed a walk-through of the licensed indoor spaces today. Children were playing with toys, participating in teacher directed small group activities, participating in routine care activities, playing outdoors, napping and eating lunch. You and I completed a walk-through of the licensed outdoor spaces today. No changes had been made to your outdoor area since the last visit. A current menu included the meal items that I observed prepared and served to the children during today’s visit. Appropriate nutritious snacks and meals included a variety of foods and complied with Meal Patterns for Children in Child Care Programs. Meals were prepared in the school kitchen and served in the classrooms. Cold food and milk were stored in a commercial refrigerator in the kitchen at a temperature of thirty-nine degrees Fahrenheit. Bottles and baby food provided by the parents and food and beverages provided by the facility was stored in compact refrigerators in each classroom at temperatures below forty-five 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 monitored a random selection of eleven children’s files. As discussed today, since your facility is closed for the Fourth of July holiday next week, I will return on Thursday, July 10, 2025 to monitor the staff records. 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 533 Human 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 Room 105, one bottle, one jar of baby food, and seven pouches of baby food were not labeled with the name of the child and dated. 15A NCAC 18A .2804(d) 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 Room 109, one aerosol can of sunscreen was stored in an unlocked cabinet. .2820(b) 843 A drug or medicine was administered after its expiration date. In Room 107, one diaper ointment in expired in July 2024 and one diaper ointment expired in February 2025. In Room 111, one diaper ointment expired in November 2023. 10A NCAC 09 .0803(1)(d) 846 Over-the-counter medicines were not in their original containers or administered as authorized in writing by parent, physician or authorized health professional. Two diaper ointments in Room 105 and one sunscreen lotion in Room 109 were not labeled with the name of the child. 10A NCAC 09 .0803(4) 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. Two staff members with dates of employment of 05/27/2025 and 06/10/2025 reviewed the EMC Plan within their first days of employment but had not signed documentation and placed the documentation of the review in their file. One staff member with a date of employment of 03/01/2022 reviewed the EMC Plan on 08/25/2023 and in 08/2024 but had not signed documentation for the 2024 review and placed the documentation of the review in their file. 10A NCAC 09 .0802(a) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. The most recent health questionnaire on file for one staff member with a date of employment of 05/31/2022 was dated 08/25/2023. .0701(a) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. The most recent emergency information form on file for one staff member with a date of employment of 05/31/2022 was dated 08/25/2023. .0701(a) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. One child with a date of enrollment of 09/30/2024 did not have a medical exam on file. GS110-91(1) 1825 All staff did not review the center's EPR Plan during orientation and/or on an annual basis with the trained staff. Documentation of the review was not maintained on file. Two staff members with dates of employment of 05/27/2025 and 06/10/2025 reviewed the EPR Plan within their first days of employment but had not signed documentation and placed the documentation of the review in their file. One staff member with a date of employment of 03/01/2022 reviewed the EPR Plan on 08/25/2023 and in 08/2024 but had not signed documentation for the 2024 review and placed the documentation of the review in their file. .0607(f) 1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. One staff member with a date of employment of 03/11/2025 reviewed and signed the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy acknowledgement statement on 03/12/2025. The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy acknowledgement statement for two staff members with dates of employment of 08/08/2024 and 03/11/2025 was missing the date the policy was given and reviewed. .0608(d)(1-4) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. In Room 107, the permission to administer form for one sunscreen was missing when to apply the sunscreen. In Room 108, the permission to administer for one diaper ointment was missing the amount of ointment to apply. In Room 109, the permission to administer for one sunscreen was missing when to apply the sunscreen. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) TECHNICAL ASSISTANCE: 1. 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 sunscreen stored in an unlocked cabinet in Room 109. The administrator removed the aerosol can of sunscreen to a locked cabinet in the classroom which corrected this violation today. To maintain compliance with this child care requirement, I suggested you review with your staff the storage requirements for all hazardous items including aerosol cans of any kind. 2. Per sanitation rules for child care centers rule 15A NCAC 18A .2804(d), each bottle prepared at home and brought to the center and any food provided by the parent and brought to the center for any age child or food prepared by a staff member and brought to the center for consumption and stored in the refrigerator should be labeled with the name of the child or staff member and the date the bottle or food item(s) can be served to the child or staff member. Any leftover bottle contents should be returned to the parent or staff member at the end of the day. Food items should be labeled with the date the item was opened, and leftover food items should be discarded if not used in two days. During today’s visit, in Room 105, I observed one bottle, one jar of baby food, and seven pouches of baby food with no name or date. The teacher in Room 105 wrote the name of each child and today’s date the bottle, the jar of baby food, and on each pouch of baby food which corrected the violation today. To maintain compliance with this child care requirement, I suggest you review this sanitation rule with your staff and parents. 3. Per child care rule 10A NCAC 09 .0803(7), on the medication permission to administer form, the parent should include valid dates for the medication to be administered, the amount of medication to be administered, when, where, and how administer to administer the medication. To maintain compliance with this child care rule, I suggest you consider revising your medication permission to administer form for over the counter medications to include all the information required by the child care rule. I also 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. 4. Per child care rule 10A NCAC 09 .0803(4), over-the-counter diaper creams and sunscreens should be labeled with the name of the child, and the parent should include the name of the over-the-counter diaper cream or sunscreen on the medication permission to administer form. During today’s visit, two diaper ointments in Room 105 and one sunscreen lotion in Room 109 were not labeled with the name of the child. The administrator wrote the name of each child on their medication which corrected this violation today. To maintain compliance with this child care requirement, I suggest you monitor medications at least weekly to be sure the name is written on each medication since the name written on lotion type medications tends to rub off easily. 5. 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 Room 107, one diaper ointment in expired in July 2024 and one diaper ointment expired in February 2025. In Room 111, one diaper ointment expired in November 2023. The administrator removed these diaper ointments from the classrooms and placed them in her office to return to the parents today. To maintain compliance with this child care requirement, I suggest you and your staff check the expiration date of each medication carefully before accepting the medication and the permission to administer. I also suggest you return any expired medication within seventy-two hours and discard the item after seventy-two hours. 6. Per NC General Statute 110-91(1), each child should have a children’s medical report and immunization record on file on or before the child’s first day of attendance but no later than thirty days after enrollment. You stated you have a plan in place to ensure that each child has a medical report and immunization record on file within thirty days and do not know how this child’s due date was overlooked. I advised you to request the parent provide a copy of the medical report and immunization record upon return to the facility after the Fourth of July facility vacation next week. To maintain compliance with this child care requirement, I suggest you consider creating a tracking tool to assist you with keeping up with all the due dates for child records. CONSULTATION: 1. As discussed today, I will return on Thursday, July 10, 2025 to review staff records and complete the “Annual Compliance Checklist for Child Care Centers”. Any violations regarding staff records cited on July 10, 2025 will be added to today’s visit. 2. Best practice is to have a Medical Action Plan on file for each documented chronic illness regardless of whether a medication is provided by the family. 3. As discussed today, while electronically completed and signed child applications are allowed by child care rule, it would be best practice to provide each parent with a print copy of the discipline policy and the Prevention of Shaken Baby and Abusive Head Trauma (PSBAHT) policy and include the parent acknowledgment statement with the enrollment date, the name of the child, and the date the PSBAHT policy was given to the parent. I would also suggest that you require a handwritten signature from the parent for these two policies. 4. As discussed today, the child care rule includes a statement regarding no restraining of children which your discipline policy does not include. I advised you to revise your discipline policy to include all the child care requirements for discipline of children. 5. As discussed with you and your staff today, we all agreed that infants and toddlers should be allowed to sleep on demand and according to their sleep needs and not according to a sleep schedule. I advised you to take note of each child’s cues of sleepiness and place the child in their crib when they are sleepy. I advised you to allow the child to self-soothe for no more than ten to thirty minutes. After ten to thirty minutes of resting in their crib, if the infant has not fallen asleep, the child should be gotten up from the crib and allowed to play or interact with staff and engage in activities. 6. As discussed today, you can provide sensory play indoors or outdoors. I advised you to use play sand and water if possible. I reminded you to be careful when choosing other sensory materials being mindful of choking hazards and items small enough to be placed in the nose or ears. 7. As discussed today, I advised you to develop a plan for tracking the temperature of the plastic play equipment and the artificial surfacing. While I did not observe infant children on the hot surfacing today, I did walk on the surfacing without my shoes on and the surfacing was hot to the touch. While I did not observe children on the equipment in areas that were not in the shade, I did touch the equipment and the surfaces that were not in the shade were hot to the touch. 8. 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. The February 2025 version of the NC Summary of Child Care Law poster was posted 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. 9. 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 in 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. 10. The new QRIS Modernization Plan known as “Pathways to the Stars” is being added to law which included moving to the use of the updated Environmental Rating Scale (ERS-3 versions) for FCCERS, effective February 1, 2025. DCDEE. The NC Child Care Commission approved the proposed rules regarding the QRIS Modernization Plan on April 22, 2025 and will continue the rulemaking process to add the rule language to child care requirements. Hold Harmless provisions continue. Star rated license reassessments were postponed until the QRIS rulemaking process has been completed. Star rated license assessments are still required for new child care programs. A pathway for child care programs currently accredited through the approved accrediting bodies may now move to a three- or five-star license if they are not already at this star level. Providers need to submit a request to their licensing consultant and provide a copy of their accreditation award/certificate for processing: Accreditation Licensure Request Form. Please be reminded that any ERS assessment completed on or after February 1, 2025 will be assessed using the ERS-3 versions. 11. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/. 12. 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 13. 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 COMPLIANCE PLAN: No compliance documentation is needed for violations corrected during today’s visit. I documented the corrective actions taken today to correct those violations in the technical assistance section of this 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: 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 July 11, 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 .0803 · Violation

Name of Operation: TABERNACLE KIDS EARLY LEARNING CENTER Facility ID: 18000624 Consultant: KIMBERLY CRANE Operation Type: Center Case Number: Visit Date: 6/27/2025 Number Present: 82 Completed Date: 6/27/2025 Age: From 0 To 5 Total Minutes: 437 Time In: 08:58 AM Time Out: 04:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for an annual compliance visit. You, Stephanie Cook, Administrator, assisted me with today’s visit. I reviewed with you today the facility information found in our system. You stated there have been no changes to the facility number, fax number, mailing address, or email address. You requested I add the facility web address to our database. I made that addition for you today. I reviewed the permit including 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 August 20, 2024. Your center's compliance history was 87% as of June 26, 2025 and was reviewed with you today. Your most recent fire inspection was dated October 25, 2024 and received in my office on October 30, 2024. Your most recent sanitation inspection was dated December 19, 2024 with a Superior classification and zero demerits. Your last lead water test results required to be completed every three years dated August 5, 2024 indicated that the facility’s drinking water source was within the required limits. I verified you have started the enrollment for the lead-based paint testing. I verified you have started the enrollment for asbestos testing. Please complete the enrollment for lead-based paint and asbestos testing. You and I completed a walk-through of the licensed indoor spaces today. Children were playing with toys, participating in teacher directed small group activities, participating in routine care activities, playing outdoors, napping and eating lunch. You and I completed a walk-through of the licensed outdoor spaces today. No changes had been made to your outdoor area since the last visit. A current menu included the meal items that I observed prepared and served to the children during today’s visit. Appropriate nutritious snacks and meals included a variety of foods and complied with Meal Patterns for Children in Child Care Programs. Meals were prepared in the school kitchen and served in the classrooms. Cold food and milk were stored in a commercial refrigerator in the kitchen at a temperature of thirty-nine degrees Fahrenheit. Bottles and baby food provided by the parents and food and beverages provided by the facility was stored in compact refrigerators in each classroom at temperatures below forty-five 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 monitored a random selection of eleven children’s files. As discussed today, since your facility is closed for the Fourth of July holiday next week, I will return on Thursday, July 10, 2025 to monitor the staff records. 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 533 Human 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 Room 105, one bottle, one jar of baby food, and seven pouches of baby food were not labeled with the name of the child and dated. 15A NCAC 18A .2804(d) 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 Room 109, one aerosol can of sunscreen was stored in an unlocked cabinet. .2820(b) 843 A drug or medicine was administered after its expiration date. In Room 107, one diaper ointment in expired in July 2024 and one diaper ointment expired in February 2025. In Room 111, one diaper ointment expired in November 2023. 10A NCAC 09 .0803(1)(d) 846 Over-the-counter medicines were not in their original containers or administered as authorized in writing by parent, physician or authorized health professional. Two diaper ointments in Room 105 and one sunscreen lotion in Room 109 were not labeled with the name of the child. 10A NCAC 09 .0803(4) 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. Two staff members with dates of employment of 05/27/2025 and 06/10/2025 reviewed the EMC Plan within their first days of employment but had not signed documentation and placed the documentation of the review in their file. One staff member with a date of employment of 03/01/2022 reviewed the EMC Plan on 08/25/2023 and in 08/2024 but had not signed documentation for the 2024 review and placed the documentation of the review in their file. 10A NCAC 09 .0802(a) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. The most recent health questionnaire on file for one staff member with a date of employment of 05/31/2022 was dated 08/25/2023. .0701(a) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. The most recent emergency information form on file for one staff member with a date of employment of 05/31/2022 was dated 08/25/2023. .0701(a) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. One child with a date of enrollment of 09/30/2024 did not have a medical exam on file. GS110-91(1) 1825 All staff did not review the center's EPR Plan during orientation and/or on an annual basis with the trained staff. Documentation of the review was not maintained on file. Two staff members with dates of employment of 05/27/2025 and 06/10/2025 reviewed the EPR Plan within their first days of employment but had not signed documentation and placed the documentation of the review in their file. One staff member with a date of employment of 03/01/2022 reviewed the EPR Plan on 08/25/2023 and in 08/2024 but had not signed documentation for the 2024 review and placed the documentation of the review in their file. .0607(f) 1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. One staff member with a date of employment of 03/11/2025 reviewed and signed the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy acknowledgement statement on 03/12/2025. The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy acknowledgement statement for two staff members with dates of employment of 08/08/2024 and 03/11/2025 was missing the date the policy was given and reviewed. .0608(d)(1-4) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. In Room 107, the permission to administer form for one sunscreen was missing when to apply the sunscreen. In Room 108, the permission to administer for one diaper ointment was missing the amount of ointment to apply. In Room 109, the permission to administer for one sunscreen was missing when to apply the sunscreen. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) TECHNICAL ASSISTANCE: 1. 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 sunscreen stored in an unlocked cabinet in Room 109. The administrator removed the aerosol can of sunscreen to a locked cabinet in the classroom which corrected this violation today. To maintain compliance with this child care requirement, I suggested you review with your staff the storage requirements for all hazardous items including aerosol cans of any kind. 2. Per sanitation rules for child care centers rule 15A NCAC 18A .2804(d), each bottle prepared at home and brought to the center and any food provided by the parent and brought to the center for any age child or food prepared by a staff member and brought to the center for consumption and stored in the refrigerator should be labeled with the name of the child or staff member and the date the bottle or food item(s) can be served to the child or staff member. Any leftover bottle contents should be returned to the parent or staff member at the end of the day. Food items should be labeled with the date the item was opened, and leftover food items should be discarded if not used in two days. During today’s visit, in Room 105, I observed one bottle, one jar of baby food, and seven pouches of baby food with no name or date. The teacher in Room 105 wrote the name of each child and today’s date the bottle, the jar of baby food, and on each pouch of baby food which corrected the violation today. To maintain compliance with this child care requirement, I suggest you review this sanitation rule with your staff and parents. 3. Per child care rule 10A NCAC 09 .0803(7), on the medication permission to administer form, the parent should include valid dates for the medication to be administered, the amount of medication to be administered, when, where, and how administer to administer the medication. To maintain compliance with this child care rule, I suggest you consider revising your medication permission to administer form for over the counter medications to include all the information required by the child care rule. I also 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. 4. Per child care rule 10A NCAC 09 .0803(4), over-the-counter diaper creams and sunscreens should be labeled with the name of the child, and the parent should include the name of the over-the-counter diaper cream or sunscreen on the medication permission to administer form. During today’s visit, two diaper ointments in Room 105 and one sunscreen lotion in Room 109 were not labeled with the name of the child. The administrator wrote the name of each child on their medication which corrected this violation today. To maintain compliance with this child care requirement, I suggest you monitor medications at least weekly to be sure the name is written on each medication since the name written on lotion type medications tends to rub off easily. 5. 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 Room 107, one diaper ointment in expired in July 2024 and one diaper ointment expired in February 2025. In Room 111, one diaper ointment expired in November 2023. The administrator removed these diaper ointments from the classrooms and placed them in her office to return to the parents today. To maintain compliance with this child care requirement, I suggest you and your staff check the expiration date of each medication carefully before accepting the medication and the permission to administer. I also suggest you return any expired medication within seventy-two hours and discard the item after seventy-two hours. 6. Per NC General Statute 110-91(1), each child should have a children’s medical report and immunization record on file on or before the child’s first day of attendance but no later than thirty days after enrollment. You stated you have a plan in place to ensure that each child has a medical report and immunization record on file within thirty days and do not know how this child’s due date was overlooked. I advised you to request the parent provide a copy of the medical report and immunization record upon return to the facility after the Fourth of July facility vacation next week. To maintain compliance with this child care requirement, I suggest you consider creating a tracking tool to assist you with keeping up with all the due dates for child records. CONSULTATION: 1. As discussed today, I will return on Thursday, July 10, 2025 to review staff records and complete the “Annual Compliance Checklist for Child Care Centers”. Any violations regarding staff records cited on July 10, 2025 will be added to today’s visit. 2. Best practice is to have a Medical Action Plan on file for each documented chronic illness regardless of whether a medication is provided by the family. 3. As discussed today, while electronically completed and signed child applications are allowed by child care rule, it would be best practice to provide each parent with a print copy of the discipline policy and the Prevention of Shaken Baby and Abusive Head Trauma (PSBAHT) policy and include the parent acknowledgment statement with the enrollment date, the name of the child, and the date the PSBAHT policy was given to the parent. I would also suggest that you require a handwritten signature from the parent for these two policies. 4. As discussed today, the child care rule includes a statement regarding no restraining of children which your discipline policy does not include. I advised you to revise your discipline policy to include all the child care requirements for discipline of children. 5. As discussed with you and your staff today, we all agreed that infants and toddlers should be allowed to sleep on demand and according to their sleep needs and not according to a sleep schedule. I advised you to take note of each child’s cues of sleepiness and place the child in their crib when they are sleepy. I advised you to allow the child to self-soothe for no more than ten to thirty minutes. After ten to thirty minutes of resting in their crib, if the infant has not fallen asleep, the child should be gotten up from the crib and allowed to play or interact with staff and engage in activities. 6. As discussed today, you can provide sensory play indoors or outdoors. I advised you to use play sand and water if possible. I reminded you to be careful when choosing other sensory materials being mindful of choking hazards and items small enough to be placed in the nose or ears. 7. As discussed today, I advised you to develop a plan for tracking the temperature of the plastic play equipment and the artificial surfacing. While I did not observe infant children on the hot surfacing today, I did walk on the surfacing without my shoes on and the surfacing was hot to the touch. While I did not observe children on the equipment in areas that were not in the shade, I did touch the equipment and the surfaces that were not in the shade were hot to the touch. 8. 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. The February 2025 version of the NC Summary of Child Care Law poster was posted 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. 9. 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 in 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. 10. The new QRIS Modernization Plan known as “Pathways to the Stars” is being added to law which included moving to the use of the updated Environmental Rating Scale (ERS-3 versions) for FCCERS, effective February 1, 2025. DCDEE. The NC Child Care Commission approved the proposed rules regarding the QRIS Modernization Plan on April 22, 2025 and will continue the rulemaking process to add the rule language to child care requirements. Hold Harmless provisions continue. Star rated license reassessments were postponed until the QRIS rulemaking process has been completed. Star rated license assessments are still required for new child care programs. A pathway for child care programs currently accredited through the approved accrediting bodies may now move to a three- or five-star license if they are not already at this star level. Providers need to submit a request to their licensing consultant and provide a copy of their accreditation award/certificate for processing: Accreditation Licensure Request Form. Please be reminded that any ERS assessment completed on or after February 1, 2025 will be assessed using the ERS-3 versions. 11. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/. 12. 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 13. 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 COMPLIANCE PLAN: No compliance documentation is needed for violations corrected during today’s visit. I documented the corrective actions taken today to correct those violations in the technical assistance section of this 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: 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 July 11, 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

G.S. 110-90 · Violation

Name of Operation: TABERNACLE KIDS EARLY LEARNING CENTER Facility ID: 18000624 Consultant: KIMBERLY CRANE Operation Type: Center Case Number: Visit Date: 6/27/2025 Number Present: 82 Completed Date: 6/27/2025 Age: From 0 To 5 Total Minutes: 437 Time In: 08:58 AM Time Out: 04:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for an annual compliance visit. You, Stephanie Cook, Administrator, assisted me with today’s visit. I reviewed with you today the facility information found in our system. You stated there have been no changes to the facility number, fax number, mailing address, or email address. You requested I add the facility web address to our database. I made that addition for you today. I reviewed the permit including 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 August 20, 2024. Your center's compliance history was 87% as of June 26, 2025 and was reviewed with you today. Your most recent fire inspection was dated October 25, 2024 and received in my office on October 30, 2024. Your most recent sanitation inspection was dated December 19, 2024 with a Superior classification and zero demerits. Your last lead water test results required to be completed every three years dated August 5, 2024 indicated that the facility’s drinking water source was within the required limits. I verified you have started the enrollment for the lead-based paint testing. I verified you have started the enrollment for asbestos testing. Please complete the enrollment for lead-based paint and asbestos testing. You and I completed a walk-through of the licensed indoor spaces today. Children were playing with toys, participating in teacher directed small group activities, participating in routine care activities, playing outdoors, napping and eating lunch. You and I completed a walk-through of the licensed outdoor spaces today. No changes had been made to your outdoor area since the last visit. A current menu included the meal items that I observed prepared and served to the children during today’s visit. Appropriate nutritious snacks and meals included a variety of foods and complied with Meal Patterns for Children in Child Care Programs. Meals were prepared in the school kitchen and served in the classrooms. Cold food and milk were stored in a commercial refrigerator in the kitchen at a temperature of thirty-nine degrees Fahrenheit. Bottles and baby food provided by the parents and food and beverages provided by the facility was stored in compact refrigerators in each classroom at temperatures below forty-five 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 monitored a random selection of eleven children’s files. As discussed today, since your facility is closed for the Fourth of July holiday next week, I will return on Thursday, July 10, 2025 to monitor the staff records. 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 533 Human 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 Room 105, one bottle, one jar of baby food, and seven pouches of baby food were not labeled with the name of the child and dated. 15A NCAC 18A .2804(d) 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 Room 109, one aerosol can of sunscreen was stored in an unlocked cabinet. .2820(b) 843 A drug or medicine was administered after its expiration date. In Room 107, one diaper ointment in expired in July 2024 and one diaper ointment expired in February 2025. In Room 111, one diaper ointment expired in November 2023. 10A NCAC 09 .0803(1)(d) 846 Over-the-counter medicines were not in their original containers or administered as authorized in writing by parent, physician or authorized health professional. Two diaper ointments in Room 105 and one sunscreen lotion in Room 109 were not labeled with the name of the child. 10A NCAC 09 .0803(4) 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. Two staff members with dates of employment of 05/27/2025 and 06/10/2025 reviewed the EMC Plan within their first days of employment but had not signed documentation and placed the documentation of the review in their file. One staff member with a date of employment of 03/01/2022 reviewed the EMC Plan on 08/25/2023 and in 08/2024 but had not signed documentation for the 2024 review and placed the documentation of the review in their file. 10A NCAC 09 .0802(a) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. The most recent health questionnaire on file for one staff member with a date of employment of 05/31/2022 was dated 08/25/2023. .0701(a) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. The most recent emergency information form on file for one staff member with a date of employment of 05/31/2022 was dated 08/25/2023. .0701(a) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. One child with a date of enrollment of 09/30/2024 did not have a medical exam on file. GS110-91(1) 1825 All staff did not review the center's EPR Plan during orientation and/or on an annual basis with the trained staff. Documentation of the review was not maintained on file. Two staff members with dates of employment of 05/27/2025 and 06/10/2025 reviewed the EPR Plan within their first days of employment but had not signed documentation and placed the documentation of the review in their file. One staff member with a date of employment of 03/01/2022 reviewed the EPR Plan on 08/25/2023 and in 08/2024 but had not signed documentation for the 2024 review and placed the documentation of the review in their file. .0607(f) 1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. One staff member with a date of employment of 03/11/2025 reviewed and signed the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy acknowledgement statement on 03/12/2025. The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy acknowledgement statement for two staff members with dates of employment of 08/08/2024 and 03/11/2025 was missing the date the policy was given and reviewed. .0608(d)(1-4) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. In Room 107, the permission to administer form for one sunscreen was missing when to apply the sunscreen. In Room 108, the permission to administer for one diaper ointment was missing the amount of ointment to apply. In Room 109, the permission to administer for one sunscreen was missing when to apply the sunscreen. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) TECHNICAL ASSISTANCE: 1. 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 sunscreen stored in an unlocked cabinet in Room 109. The administrator removed the aerosol can of sunscreen to a locked cabinet in the classroom which corrected this violation today. To maintain compliance with this child care requirement, I suggested you review with your staff the storage requirements for all hazardous items including aerosol cans of any kind. 2. Per sanitation rules for child care centers rule 15A NCAC 18A .2804(d), each bottle prepared at home and brought to the center and any food provided by the parent and brought to the center for any age child or food prepared by a staff member and brought to the center for consumption and stored in the refrigerator should be labeled with the name of the child or staff member and the date the bottle or food item(s) can be served to the child or staff member. Any leftover bottle contents should be returned to the parent or staff member at the end of the day. Food items should be labeled with the date the item was opened, and leftover food items should be discarded if not used in two days. During today’s visit, in Room 105, I observed one bottle, one jar of baby food, and seven pouches of baby food with no name or date. The teacher in Room 105 wrote the name of each child and today’s date the bottle, the jar of baby food, and on each pouch of baby food which corrected the violation today. To maintain compliance with this child care requirement, I suggest you review this sanitation rule with your staff and parents. 3. Per child care rule 10A NCAC 09 .0803(7), on the medication permission to administer form, the parent should include valid dates for the medication to be administered, the amount of medication to be administered, when, where, and how administer to administer the medication. To maintain compliance with this child care rule, I suggest you consider revising your medication permission to administer form for over the counter medications to include all the information required by the child care rule. I also 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. 4. Per child care rule 10A NCAC 09 .0803(4), over-the-counter diaper creams and sunscreens should be labeled with the name of the child, and the parent should include the name of the over-the-counter diaper cream or sunscreen on the medication permission to administer form. During today’s visit, two diaper ointments in Room 105 and one sunscreen lotion in Room 109 were not labeled with the name of the child. The administrator wrote the name of each child on their medication which corrected this violation today. To maintain compliance with this child care requirement, I suggest you monitor medications at least weekly to be sure the name is written on each medication since the name written on lotion type medications tends to rub off easily. 5. 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 Room 107, one diaper ointment in expired in July 2024 and one diaper ointment expired in February 2025. In Room 111, one diaper ointment expired in November 2023. The administrator removed these diaper ointments from the classrooms and placed them in her office to return to the parents today. To maintain compliance with this child care requirement, I suggest you and your staff check the expiration date of each medication carefully before accepting the medication and the permission to administer. I also suggest you return any expired medication within seventy-two hours and discard the item after seventy-two hours. 6. Per NC General Statute 110-91(1), each child should have a children’s medical report and immunization record on file on or before the child’s first day of attendance but no later than thirty days after enrollment. You stated you have a plan in place to ensure that each child has a medical report and immunization record on file within thirty days and do not know how this child’s due date was overlooked. I advised you to request the parent provide a copy of the medical report and immunization record upon return to the facility after the Fourth of July facility vacation next week. To maintain compliance with this child care requirement, I suggest you consider creating a tracking tool to assist you with keeping up with all the due dates for child records. CONSULTATION: 1. As discussed today, I will return on Thursday, July 10, 2025 to review staff records and complete the “Annual Compliance Checklist for Child Care Centers”. Any violations regarding staff records cited on July 10, 2025 will be added to today’s visit. 2. Best practice is to have a Medical Action Plan on file for each documented chronic illness regardless of whether a medication is provided by the family. 3. As discussed today, while electronically completed and signed child applications are allowed by child care rule, it would be best practice to provide each parent with a print copy of the discipline policy and the Prevention of Shaken Baby and Abusive Head Trauma (PSBAHT) policy and include the parent acknowledgment statement with the enrollment date, the name of the child, and the date the PSBAHT policy was given to the parent. I would also suggest that you require a handwritten signature from the parent for these two policies. 4. As discussed today, the child care rule includes a statement regarding no restraining of children which your discipline policy does not include. I advised you to revise your discipline policy to include all the child care requirements for discipline of children. 5. As discussed with you and your staff today, we all agreed that infants and toddlers should be allowed to sleep on demand and according to their sleep needs and not according to a sleep schedule. I advised you to take note of each child’s cues of sleepiness and place the child in their crib when they are sleepy. I advised you to allow the child to self-soothe for no more than ten to thirty minutes. After ten to thirty minutes of resting in their crib, if the infant has not fallen asleep, the child should be gotten up from the crib and allowed to play or interact with staff and engage in activities. 6. As discussed today, you can provide sensory play indoors or outdoors. I advised you to use play sand and water if possible. I reminded you to be careful when choosing other sensory materials being mindful of choking hazards and items small enough to be placed in the nose or ears. 7. As discussed today, I advised you to develop a plan for tracking the temperature of the plastic play equipment and the artificial surfacing. While I did not observe infant children on the hot surfacing today, I did walk on the surfacing without my shoes on and the surfacing was hot to the touch. While I did not observe children on the equipment in areas that were not in the shade, I did touch the equipment and the surfaces that were not in the shade were hot to the touch. 8. 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. The February 2025 version of the NC Summary of Child Care Law poster was posted 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. 9. 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 in 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. 10. The new QRIS Modernization Plan known as “Pathways to the Stars” is being added to law which included moving to the use of the updated Environmental Rating Scale (ERS-3 versions) for FCCERS, effective February 1, 2025. DCDEE. The NC Child Care Commission approved the proposed rules regarding the QRIS Modernization Plan on April 22, 2025 and will continue the rulemaking process to add the rule language to child care requirements. Hold Harmless provisions continue. Star rated license reassessments were postponed until the QRIS rulemaking process has been completed. Star rated license assessments are still required for new child care programs. A pathway for child care programs currently accredited through the approved accrediting bodies may now move to a three- or five-star license if they are not already at this star level. Providers need to submit a request to their licensing consultant and provide a copy of their accreditation award/certificate for processing: Accreditation Licensure Request Form. Please be reminded that any ERS assessment completed on or after February 1, 2025 will be assessed using the ERS-3 versions. 11. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/. 12. 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 13. 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 COMPLIANCE PLAN: No compliance documentation is needed for violations corrected during today’s visit. I documented the corrective actions taken today to correct those violations in the technical assistance section of this 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: 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 July 11, 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

GS110-91 · Violation

Name of Operation: TABERNACLE KIDS EARLY LEARNING CENTER Facility ID: 18000624 Consultant: KIMBERLY CRANE Operation Type: Center Case Number: Visit Date: 6/27/2025 Number Present: 82 Completed Date: 6/27/2025 Age: From 0 To 5 Total Minutes: 437 Time In: 08:58 AM Time Out: 04:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for an annual compliance visit. You, Stephanie Cook, Administrator, assisted me with today’s visit. I reviewed with you today the facility information found in our system. You stated there have been no changes to the facility number, fax number, mailing address, or email address. You requested I add the facility web address to our database. I made that addition for you today. I reviewed the permit including 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 August 20, 2024. Your center's compliance history was 87% as of June 26, 2025 and was reviewed with you today. Your most recent fire inspection was dated October 25, 2024 and received in my office on October 30, 2024. Your most recent sanitation inspection was dated December 19, 2024 with a Superior classification and zero demerits. Your last lead water test results required to be completed every three years dated August 5, 2024 indicated that the facility’s drinking water source was within the required limits. I verified you have started the enrollment for the lead-based paint testing. I verified you have started the enrollment for asbestos testing. Please complete the enrollment for lead-based paint and asbestos testing. You and I completed a walk-through of the licensed indoor spaces today. Children were playing with toys, participating in teacher directed small group activities, participating in routine care activities, playing outdoors, napping and eating lunch. You and I completed a walk-through of the licensed outdoor spaces today. No changes had been made to your outdoor area since the last visit. A current menu included the meal items that I observed prepared and served to the children during today’s visit. Appropriate nutritious snacks and meals included a variety of foods and complied with Meal Patterns for Children in Child Care Programs. Meals were prepared in the school kitchen and served in the classrooms. Cold food and milk were stored in a commercial refrigerator in the kitchen at a temperature of thirty-nine degrees Fahrenheit. Bottles and baby food provided by the parents and food and beverages provided by the facility was stored in compact refrigerators in each classroom at temperatures below forty-five 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 monitored a random selection of eleven children’s files. As discussed today, since your facility is closed for the Fourth of July holiday next week, I will return on Thursday, July 10, 2025 to monitor the staff records. 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 533 Human 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 Room 105, one bottle, one jar of baby food, and seven pouches of baby food were not labeled with the name of the child and dated. 15A NCAC 18A .2804(d) 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 Room 109, one aerosol can of sunscreen was stored in an unlocked cabinet. .2820(b) 843 A drug or medicine was administered after its expiration date. In Room 107, one diaper ointment in expired in July 2024 and one diaper ointment expired in February 2025. In Room 111, one diaper ointment expired in November 2023. 10A NCAC 09 .0803(1)(d) 846 Over-the-counter medicines were not in their original containers or administered as authorized in writing by parent, physician or authorized health professional. Two diaper ointments in Room 105 and one sunscreen lotion in Room 109 were not labeled with the name of the child. 10A NCAC 09 .0803(4) 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. Two staff members with dates of employment of 05/27/2025 and 06/10/2025 reviewed the EMC Plan within their first days of employment but had not signed documentation and placed the documentation of the review in their file. One staff member with a date of employment of 03/01/2022 reviewed the EMC Plan on 08/25/2023 and in 08/2024 but had not signed documentation for the 2024 review and placed the documentation of the review in their file. 10A NCAC 09 .0802(a) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. The most recent health questionnaire on file for one staff member with a date of employment of 05/31/2022 was dated 08/25/2023. .0701(a) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. The most recent emergency information form on file for one staff member with a date of employment of 05/31/2022 was dated 08/25/2023. .0701(a) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. One child with a date of enrollment of 09/30/2024 did not have a medical exam on file. GS110-91(1) 1825 All staff did not review the center's EPR Plan during orientation and/or on an annual basis with the trained staff. Documentation of the review was not maintained on file. Two staff members with dates of employment of 05/27/2025 and 06/10/2025 reviewed the EPR Plan within their first days of employment but had not signed documentation and placed the documentation of the review in their file. One staff member with a date of employment of 03/01/2022 reviewed the EPR Plan on 08/25/2023 and in 08/2024 but had not signed documentation for the 2024 review and placed the documentation of the review in their file. .0607(f) 1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. One staff member with a date of employment of 03/11/2025 reviewed and signed the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy acknowledgement statement on 03/12/2025. The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy acknowledgement statement for two staff members with dates of employment of 08/08/2024 and 03/11/2025 was missing the date the policy was given and reviewed. .0608(d)(1-4) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. In Room 107, the permission to administer form for one sunscreen was missing when to apply the sunscreen. In Room 108, the permission to administer for one diaper ointment was missing the amount of ointment to apply. In Room 109, the permission to administer for one sunscreen was missing when to apply the sunscreen. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) TECHNICAL ASSISTANCE: 1. 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 sunscreen stored in an unlocked cabinet in Room 109. The administrator removed the aerosol can of sunscreen to a locked cabinet in the classroom which corrected this violation today. To maintain compliance with this child care requirement, I suggested you review with your staff the storage requirements for all hazardous items including aerosol cans of any kind. 2. Per sanitation rules for child care centers rule 15A NCAC 18A .2804(d), each bottle prepared at home and brought to the center and any food provided by the parent and brought to the center for any age child or food prepared by a staff member and brought to the center for consumption and stored in the refrigerator should be labeled with the name of the child or staff member and the date the bottle or food item(s) can be served to the child or staff member. Any leftover bottle contents should be returned to the parent or staff member at the end of the day. Food items should be labeled with the date the item was opened, and leftover food items should be discarded if not used in two days. During today’s visit, in Room 105, I observed one bottle, one jar of baby food, and seven pouches of baby food with no name or date. The teacher in Room 105 wrote the name of each child and today’s date the bottle, the jar of baby food, and on each pouch of baby food which corrected the violation today. To maintain compliance with this child care requirement, I suggest you review this sanitation rule with your staff and parents. 3. Per child care rule 10A NCAC 09 .0803(7), on the medication permission to administer form, the parent should include valid dates for the medication to be administered, the amount of medication to be administered, when, where, and how administer to administer the medication. To maintain compliance with this child care rule, I suggest you consider revising your medication permission to administer form for over the counter medications to include all the information required by the child care rule. I also 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. 4. Per child care rule 10A NCAC 09 .0803(4), over-the-counter diaper creams and sunscreens should be labeled with the name of the child, and the parent should include the name of the over-the-counter diaper cream or sunscreen on the medication permission to administer form. During today’s visit, two diaper ointments in Room 105 and one sunscreen lotion in Room 109 were not labeled with the name of the child. The administrator wrote the name of each child on their medication which corrected this violation today. To maintain compliance with this child care requirement, I suggest you monitor medications at least weekly to be sure the name is written on each medication since the name written on lotion type medications tends to rub off easily. 5. 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 Room 107, one diaper ointment in expired in July 2024 and one diaper ointment expired in February 2025. In Room 111, one diaper ointment expired in November 2023. The administrator removed these diaper ointments from the classrooms and placed them in her office to return to the parents today. To maintain compliance with this child care requirement, I suggest you and your staff check the expiration date of each medication carefully before accepting the medication and the permission to administer. I also suggest you return any expired medication within seventy-two hours and discard the item after seventy-two hours. 6. Per NC General Statute 110-91(1), each child should have a children’s medical report and immunization record on file on or before the child’s first day of attendance but no later than thirty days after enrollment. You stated you have a plan in place to ensure that each child has a medical report and immunization record on file within thirty days and do not know how this child’s due date was overlooked. I advised you to request the parent provide a copy of the medical report and immunization record upon return to the facility after the Fourth of July facility vacation next week. To maintain compliance with this child care requirement, I suggest you consider creating a tracking tool to assist you with keeping up with all the due dates for child records. CONSULTATION: 1. As discussed today, I will return on Thursday, July 10, 2025 to review staff records and complete the “Annual Compliance Checklist for Child Care Centers”. Any violations regarding staff records cited on July 10, 2025 will be added to today’s visit. 2. Best practice is to have a Medical Action Plan on file for each documented chronic illness regardless of whether a medication is provided by the family. 3. As discussed today, while electronically completed and signed child applications are allowed by child care rule, it would be best practice to provide each parent with a print copy of the discipline policy and the Prevention of Shaken Baby and Abusive Head Trauma (PSBAHT) policy and include the parent acknowledgment statement with the enrollment date, the name of the child, and the date the PSBAHT policy was given to the parent. I would also suggest that you require a handwritten signature from the parent for these two policies. 4. As discussed today, the child care rule includes a statement regarding no restraining of children which your discipline policy does not include. I advised you to revise your discipline policy to include all the child care requirements for discipline of children. 5. As discussed with you and your staff today, we all agreed that infants and toddlers should be allowed to sleep on demand and according to their sleep needs and not according to a sleep schedule. I advised you to take note of each child’s cues of sleepiness and place the child in their crib when they are sleepy. I advised you to allow the child to self-soothe for no more than ten to thirty minutes. After ten to thirty minutes of resting in their crib, if the infant has not fallen asleep, the child should be gotten up from the crib and allowed to play or interact with staff and engage in activities. 6. As discussed today, you can provide sensory play indoors or outdoors. I advised you to use play sand and water if possible. I reminded you to be careful when choosing other sensory materials being mindful of choking hazards and items small enough to be placed in the nose or ears. 7. As discussed today, I advised you to develop a plan for tracking the temperature of the plastic play equipment and the artificial surfacing. While I did not observe infant children on the hot surfacing today, I did walk on the surfacing without my shoes on and the surfacing was hot to the touch. While I did not observe children on the equipment in areas that were not in the shade, I did touch the equipment and the surfaces that were not in the shade were hot to the touch. 8. 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. The February 2025 version of the NC Summary of Child Care Law poster was posted 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. 9. 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 in 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. 10. The new QRIS Modernization Plan known as “Pathways to the Stars” is being added to law which included moving to the use of the updated Environmental Rating Scale (ERS-3 versions) for FCCERS, effective February 1, 2025. DCDEE. The NC Child Care Commission approved the proposed rules regarding the QRIS Modernization Plan on April 22, 2025 and will continue the rulemaking process to add the rule language to child care requirements. Hold Harmless provisions continue. Star rated license reassessments were postponed until the QRIS rulemaking process has been completed. Star rated license assessments are still required for new child care programs. A pathway for child care programs currently accredited through the approved accrediting bodies may now move to a three- or five-star license if they are not already at this star level. Providers need to submit a request to their licensing consultant and provide a copy of their accreditation award/certificate for processing: Accreditation Licensure Request Form. Please be reminded that any ERS assessment completed on or after February 1, 2025 will be assessed using the ERS-3 versions. 11. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/. 12. 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 13. 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 COMPLIANCE PLAN: No compliance documentation is needed for violations corrected during today’s visit. I documented the corrective actions taken today to correct those violations in the technical assistance section of this 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: 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 July 11, 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 .0902 · Violation

Name of Operation: TABERNACLE KIDS EARLY LEARNING CENTER Facility ID: 18000624 Consultant: KIMBERLY CRANE Operation Type: Center Case Number: Visit Date: 9/19/2024 Number Present: 55 Completed Date: 9/19/2024 Age: From 0 To 5 Total Minutes: 455 Time In: 09:05 AM Time Out: 01:10 PM Time In: 02:00 PM Time Out: 05:30 PM 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, Stephanie Cook, Director, assisted me with today’s visit. I conducted your last annual compliance visit on December 13, 2023. I reviewed with you today the facility information found in our system. You stated there have been no changes to your phone number, email address, mailing address, or corporate contact for the facility. You stated the fax number for the facility had changed and I made this change for you today. You stated there has been no change with the corporation, Tabernacle Baptist Church Of Hickory, that owns your facility. I reviewed 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 August 19, 2024. Your center's compliance history was 90% as of September 16, 2024 and was reviewed with you today. Your most recent fire inspection was dated July 25, 2024. You stated you were waiting on your first sanitation inspection after opening your facility to children. Arrival times, departure times, and attendance were recorded with the Bright Wheel application. Records were ready for review today electronically. You and I completed a walk-through of the facility today. I monitored all indoor and outdoor licensed spaces. I observed children throughout the facility participating in free play in activity areas, eating snack, transitioning from indoor to outdoor play, and personal care routines. A current menu was posted, documented appropriate nutritious snacks and meals, showed a variety of foods, and complied with Meal Patterns for Children in Child Care Programs. Today’s lunch included pepperoni pizza sliders, curly fries, veggie cup, Rice Krispy treat, and unflavored milk. Meals were prepared in the kitchen and served in the classrooms. Cold food and milk were stored in a commercial refrigerator in the kitchen at a temperature of 35 degrees Fahrenheit. Infant bottles and food were stored in a compact refrigerator in Space 105 at 42 degrees Fahrenheit. Cold food was also stored in compact refrigerators in each classroom at temperatures between 30 and 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 nineteen returning staff members to verify current and valid Criminal Background Check qualification letters, valid CPR and First Aid training, valid ITS-SIDS training, and Emergency Preparedness Response training for at least one staff member. I reviewed staff record files for sixteen new staff members hired prior to and since the facility opened in its new location on August 20, 2024. I observed that you voluntarily required all staff members to complete the Recognizing and Responding to Suspicions of Child Maltreatment training and ITS-SIDS training for all staff. 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 533 Human 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 Room 105, bottles for infant and food for one-year-olds sent from home were not labeled with the name of the child and the date the food was to be served. 15A NCAC 18A .2804(d) 540 An individual written feeding plan was not provided by child's parent or health care provider or was not followed and posted. An infant feeding plan was not completed by the parent and on file for one child younger than fifteen months. Infant feeding plans were not posted in Room 105 were children younger than fifteen months of age were enrolled and attending. 10A NCAC 09 .0902(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. Two aerosol cans of shaving cream were stored in an unlocked cabinet in Room 101. .2820(b) 887 Caregivers did not document compliance with visually checking on sleeping infants aged 12 months or younger and/or the documents were not maintained for a minimum of one month. No safe sleep checks were being logged in Room 105 were an infant child younger than twelve months of age was enrolled and attending. .0606(g) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. One staff member with a date of employment of 08/08/2024 did not have a staff medical report on file on or before the first day of employment. 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. One staff member with a date of employment of 08/08/2024 did not have a TB test or screening on file that was dated twelve months or less. The TB test result on file was dated 08/05/2015. .0701(a) 1041 Prior to employment a Criminal Background Check was not completed. One staff member with a date of employment of 08/08/2024 did not have a Criminal Background Check (CBC) qualification letter on file prior to employment. G.S. 110-90.2(b) 1757 A valid qualification letter was not on file and available to review at the facility. One staff member with a date of employment of 08/08/2024 did not have a Criminal Background Check (CBC) qualification letter on file. G.S. 110-90.2(b) & (d) & .2703(e) TECHNICAL ASSISTANCE: 1. 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 two aerosol cans of shaving cream stored in an unlocked cabinet in Room 101. The administrator removed the two aerosol cans of shaving cream from the classroom and the administrative assistant locked them in a drawer in her office which corrected this violation today. To maintain compliance with this child care requirement, I suggested you review with your staff the storage requirements for all hazardous items. 2. Per child care rule 10A NCAC 09 .0606(g), caregivers should document compliance with visually checking on sleeping infants aged twelve months or younger and the documents should be maintained for a minimum of one month. During today’s visit, I observed no safe sleep checks being logged in Room 105 were an infant child younger than twelve months was enrolled and attending. Later in the visit, you showed me the safe sleep check logs that the teachers began using today. I was able to verify the use of the safe sleep check log which corrected this violation today. To maintain compliance with this child care requirement, I suggested you continue to use the safe sleep log to document the visual checks of sleeping infant children and keep those documents on file in the facility for at least one month. Best practice is to keep the safe sleep check logs on file for as long as the child is enrolled and for at least one year after the child is no longer enrolled if storage space allows. 3. Per child care rule 10A NCAC 09 .0902(a), an individual written feeding plan should be provided by each child's parent or health care provider on or before the child’s first day of attendance, should be followed, and should be posted in the classroom. You stated you had the infant feeding plan on file for one of the two children under fifteen months of age that were enrolled. During today’s visit, you had the parent of the second child complete the infant feeding plan which I was able to review and verify today. To maintain compliance with this child care requirement, I suggested you require the infant feeding plan be completed on file prior to the child’s first day of attendance. I also suggested you post each infant feeding plan in the classroom on or before the child’s first day of attendance. 4. Per child care rule 10A NCAC 09. .0701(a), 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. During today’s visit, one staff member with a date of employment of 08/08/2024 did not have a staff medical assessment on file. During the visit, the staff member was able to secure a staff medical assessment document dated 09/19/2024 from the health care professional and the administrator placed the document in the staff member’s file which corrected this violation. 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. 5. Per child care rule 10A NCAC 09 .0701(a), all staff, including the director and individuals who volunteer more than once per week must have negative TB test results or screening information on file prior to employment. The results indicating the individual is free of active tuberculosis may not be more than twelve months old. To maintain compliance with this child care requirement, I suggested you give each new employee a blank copy of the TB Screening and TB Test Results documents provided by DCDEE when a job offer is made and require one of the completed documents to be on file on or before the new staff member’s first day of employment. 6. Per G.S. 110-90.2(b) & (d) & 10A NCAC 09 .2703(e), each employee should have a valid Criminal Background Check (CBC) qualification letter on file in their staff records. Today, one staff member, Catherine Goniea, with a date of employment of 08/08/2024 did not have a CBC qualification letter on file. During today’s visit, you removed Ms. Goniea from the classroom and brought her to the administrative assistant’s office to contact the CBC Unit. After making phone contact with the CBC Unit it was determined that out of state documentation was pending and a provisional CBC qualification letter had not been issued. After Ms. Cook and Ms. Goniea worked with the CBC Unit, a valid and current CBC qualification letter was issued by the CBC Unit today. The CBC qualification letter dated September 19, 2024 and issued to Catherine Goniea was printed and placed in her staff record file today which corrected this violation. To maintain compliance with this child care requirement, I suggested you resolve any future issues regarding issuance of CBC qualification letters with the CBC Unit prior to hiring the new employee. 7. Per sanitation rules for child care centers rule 15A NCAC 18A .2804(d), each bottle prepared at home and brought to the center and any food provided by the parent and brought to the center for any age child or food prepared by a staff member and brought to the center for consumption and stored in the refrigerator should be labeled with the name of the child or staff member and the date the bottle or food item(s) can be served to the child or staff member. Any leftover bottle contents or meal items should be returned to the parent or staff member at the end of the day. To maintain compliance with this child care requirement, I suggest you review this sanitation rule with your staff and parents. CONSULTATION: 1. Shaving cream and other household products as considered hazardous items and should be kept inaccessible to children and stored in locked storage. These types of items should not be used as teaching materials. 2. Best practice is to have a Medical Action Plan on file for each documented chronic illness regardless of whether a medication is provided by the family. 3. In Room 105, two cribs were equipped with four inch mattresses that were softer and were not protected by a water-proof mattress protector. I reminded you to use these softer mattresses with children older than twelve months who were not at risk of ITS-SIDS. I also reminded you to protect the mattress with a water-proof mattress cover that would allow the mattress to be easily cleaned and disinfected daily and as soiled. 4. 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. 5. 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: No compliance documentation is needed for violation item numbers 533, 840, 887, 1032, 1041, and 1757 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. 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 October 3, 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 .0606 · Violation

Name of Operation: TABERNACLE KIDS EARLY LEARNING CENTER Facility ID: 18000624 Consultant: KIMBERLY CRANE Operation Type: Center Case Number: Visit Date: 9/19/2024 Number Present: 55 Completed Date: 9/19/2024 Age: From 0 To 5 Total Minutes: 455 Time In: 09:05 AM Time Out: 01:10 PM Time In: 02:00 PM Time Out: 05:30 PM 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, Stephanie Cook, Director, assisted me with today’s visit. I conducted your last annual compliance visit on December 13, 2023. I reviewed with you today the facility information found in our system. You stated there have been no changes to your phone number, email address, mailing address, or corporate contact for the facility. You stated the fax number for the facility had changed and I made this change for you today. You stated there has been no change with the corporation, Tabernacle Baptist Church Of Hickory, that owns your facility. I reviewed 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 August 19, 2024. Your center's compliance history was 90% as of September 16, 2024 and was reviewed with you today. Your most recent fire inspection was dated July 25, 2024. You stated you were waiting on your first sanitation inspection after opening your facility to children. Arrival times, departure times, and attendance were recorded with the Bright Wheel application. Records were ready for review today electronically. You and I completed a walk-through of the facility today. I monitored all indoor and outdoor licensed spaces. I observed children throughout the facility participating in free play in activity areas, eating snack, transitioning from indoor to outdoor play, and personal care routines. A current menu was posted, documented appropriate nutritious snacks and meals, showed a variety of foods, and complied with Meal Patterns for Children in Child Care Programs. Today’s lunch included pepperoni pizza sliders, curly fries, veggie cup, Rice Krispy treat, and unflavored milk. Meals were prepared in the kitchen and served in the classrooms. Cold food and milk were stored in a commercial refrigerator in the kitchen at a temperature of 35 degrees Fahrenheit. Infant bottles and food were stored in a compact refrigerator in Space 105 at 42 degrees Fahrenheit. Cold food was also stored in compact refrigerators in each classroom at temperatures between 30 and 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 nineteen returning staff members to verify current and valid Criminal Background Check qualification letters, valid CPR and First Aid training, valid ITS-SIDS training, and Emergency Preparedness Response training for at least one staff member. I reviewed staff record files for sixteen new staff members hired prior to and since the facility opened in its new location on August 20, 2024. I observed that you voluntarily required all staff members to complete the Recognizing and Responding to Suspicions of Child Maltreatment training and ITS-SIDS training for all staff. 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 533 Human 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 Room 105, bottles for infant and food for one-year-olds sent from home were not labeled with the name of the child and the date the food was to be served. 15A NCAC 18A .2804(d) 540 An individual written feeding plan was not provided by child's parent or health care provider or was not followed and posted. An infant feeding plan was not completed by the parent and on file for one child younger than fifteen months. Infant feeding plans were not posted in Room 105 were children younger than fifteen months of age were enrolled and attending. 10A NCAC 09 .0902(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. Two aerosol cans of shaving cream were stored in an unlocked cabinet in Room 101. .2820(b) 887 Caregivers did not document compliance with visually checking on sleeping infants aged 12 months or younger and/or the documents were not maintained for a minimum of one month. No safe sleep checks were being logged in Room 105 were an infant child younger than twelve months of age was enrolled and attending. .0606(g) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. One staff member with a date of employment of 08/08/2024 did not have a staff medical report on file on or before the first day of employment. 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. One staff member with a date of employment of 08/08/2024 did not have a TB test or screening on file that was dated twelve months or less. The TB test result on file was dated 08/05/2015. .0701(a) 1041 Prior to employment a Criminal Background Check was not completed. One staff member with a date of employment of 08/08/2024 did not have a Criminal Background Check (CBC) qualification letter on file prior to employment. G.S. 110-90.2(b) 1757 A valid qualification letter was not on file and available to review at the facility. One staff member with a date of employment of 08/08/2024 did not have a Criminal Background Check (CBC) qualification letter on file. G.S. 110-90.2(b) & (d) & .2703(e) TECHNICAL ASSISTANCE: 1. 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 two aerosol cans of shaving cream stored in an unlocked cabinet in Room 101. The administrator removed the two aerosol cans of shaving cream from the classroom and the administrative assistant locked them in a drawer in her office which corrected this violation today. To maintain compliance with this child care requirement, I suggested you review with your staff the storage requirements for all hazardous items. 2. Per child care rule 10A NCAC 09 .0606(g), caregivers should document compliance with visually checking on sleeping infants aged twelve months or younger and the documents should be maintained for a minimum of one month. During today’s visit, I observed no safe sleep checks being logged in Room 105 were an infant child younger than twelve months was enrolled and attending. Later in the visit, you showed me the safe sleep check logs that the teachers began using today. I was able to verify the use of the safe sleep check log which corrected this violation today. To maintain compliance with this child care requirement, I suggested you continue to use the safe sleep log to document the visual checks of sleeping infant children and keep those documents on file in the facility for at least one month. Best practice is to keep the safe sleep check logs on file for as long as the child is enrolled and for at least one year after the child is no longer enrolled if storage space allows. 3. Per child care rule 10A NCAC 09 .0902(a), an individual written feeding plan should be provided by each child's parent or health care provider on or before the child’s first day of attendance, should be followed, and should be posted in the classroom. You stated you had the infant feeding plan on file for one of the two children under fifteen months of age that were enrolled. During today’s visit, you had the parent of the second child complete the infant feeding plan which I was able to review and verify today. To maintain compliance with this child care requirement, I suggested you require the infant feeding plan be completed on file prior to the child’s first day of attendance. I also suggested you post each infant feeding plan in the classroom on or before the child’s first day of attendance. 4. Per child care rule 10A NCAC 09. .0701(a), 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. During today’s visit, one staff member with a date of employment of 08/08/2024 did not have a staff medical assessment on file. During the visit, the staff member was able to secure a staff medical assessment document dated 09/19/2024 from the health care professional and the administrator placed the document in the staff member’s file which corrected this violation. 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. 5. Per child care rule 10A NCAC 09 .0701(a), all staff, including the director and individuals who volunteer more than once per week must have negative TB test results or screening information on file prior to employment. The results indicating the individual is free of active tuberculosis may not be more than twelve months old. To maintain compliance with this child care requirement, I suggested you give each new employee a blank copy of the TB Screening and TB Test Results documents provided by DCDEE when a job offer is made and require one of the completed documents to be on file on or before the new staff member’s first day of employment. 6. Per G.S. 110-90.2(b) & (d) & 10A NCAC 09 .2703(e), each employee should have a valid Criminal Background Check (CBC) qualification letter on file in their staff records. Today, one staff member, Catherine Goniea, with a date of employment of 08/08/2024 did not have a CBC qualification letter on file. During today’s visit, you removed Ms. Goniea from the classroom and brought her to the administrative assistant’s office to contact the CBC Unit. After making phone contact with the CBC Unit it was determined that out of state documentation was pending and a provisional CBC qualification letter had not been issued. After Ms. Cook and Ms. Goniea worked with the CBC Unit, a valid and current CBC qualification letter was issued by the CBC Unit today. The CBC qualification letter dated September 19, 2024 and issued to Catherine Goniea was printed and placed in her staff record file today which corrected this violation. To maintain compliance with this child care requirement, I suggested you resolve any future issues regarding issuance of CBC qualification letters with the CBC Unit prior to hiring the new employee. 7. Per sanitation rules for child care centers rule 15A NCAC 18A .2804(d), each bottle prepared at home and brought to the center and any food provided by the parent and brought to the center for any age child or food prepared by a staff member and brought to the center for consumption and stored in the refrigerator should be labeled with the name of the child or staff member and the date the bottle or food item(s) can be served to the child or staff member. Any leftover bottle contents or meal items should be returned to the parent or staff member at the end of the day. To maintain compliance with this child care requirement, I suggest you review this sanitation rule with your staff and parents. CONSULTATION: 1. Shaving cream and other household products as considered hazardous items and should be kept inaccessible to children and stored in locked storage. These types of items should not be used as teaching materials. 2. Best practice is to have a Medical Action Plan on file for each documented chronic illness regardless of whether a medication is provided by the family. 3. In Room 105, two cribs were equipped with four inch mattresses that were softer and were not protected by a water-proof mattress protector. I reminded you to use these softer mattresses with children older than twelve months who were not at risk of ITS-SIDS. I also reminded you to protect the mattress with a water-proof mattress cover that would allow the mattress to be easily cleaned and disinfected daily and as soiled. 4. 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. 5. 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: No compliance documentation is needed for violation item numbers 533, 840, 887, 1032, 1041, and 1757 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. 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 October 3, 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 .0701 · Violation

Name of Operation: TABERNACLE KIDS EARLY LEARNING CENTER Facility ID: 18000624 Consultant: KIMBERLY CRANE Operation Type: Center Case Number: Visit Date: 9/19/2024 Number Present: 55 Completed Date: 9/19/2024 Age: From 0 To 5 Total Minutes: 455 Time In: 09:05 AM Time Out: 01:10 PM Time In: 02:00 PM Time Out: 05:30 PM 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, Stephanie Cook, Director, assisted me with today’s visit. I conducted your last annual compliance visit on December 13, 2023. I reviewed with you today the facility information found in our system. You stated there have been no changes to your phone number, email address, mailing address, or corporate contact for the facility. You stated the fax number for the facility had changed and I made this change for you today. You stated there has been no change with the corporation, Tabernacle Baptist Church Of Hickory, that owns your facility. I reviewed 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 August 19, 2024. Your center's compliance history was 90% as of September 16, 2024 and was reviewed with you today. Your most recent fire inspection was dated July 25, 2024. You stated you were waiting on your first sanitation inspection after opening your facility to children. Arrival times, departure times, and attendance were recorded with the Bright Wheel application. Records were ready for review today electronically. You and I completed a walk-through of the facility today. I monitored all indoor and outdoor licensed spaces. I observed children throughout the facility participating in free play in activity areas, eating snack, transitioning from indoor to outdoor play, and personal care routines. A current menu was posted, documented appropriate nutritious snacks and meals, showed a variety of foods, and complied with Meal Patterns for Children in Child Care Programs. Today’s lunch included pepperoni pizza sliders, curly fries, veggie cup, Rice Krispy treat, and unflavored milk. Meals were prepared in the kitchen and served in the classrooms. Cold food and milk were stored in a commercial refrigerator in the kitchen at a temperature of 35 degrees Fahrenheit. Infant bottles and food were stored in a compact refrigerator in Space 105 at 42 degrees Fahrenheit. Cold food was also stored in compact refrigerators in each classroom at temperatures between 30 and 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 nineteen returning staff members to verify current and valid Criminal Background Check qualification letters, valid CPR and First Aid training, valid ITS-SIDS training, and Emergency Preparedness Response training for at least one staff member. I reviewed staff record files for sixteen new staff members hired prior to and since the facility opened in its new location on August 20, 2024. I observed that you voluntarily required all staff members to complete the Recognizing and Responding to Suspicions of Child Maltreatment training and ITS-SIDS training for all staff. 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 533 Human 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 Room 105, bottles for infant and food for one-year-olds sent from home were not labeled with the name of the child and the date the food was to be served. 15A NCAC 18A .2804(d) 540 An individual written feeding plan was not provided by child's parent or health care provider or was not followed and posted. An infant feeding plan was not completed by the parent and on file for one child younger than fifteen months. Infant feeding plans were not posted in Room 105 were children younger than fifteen months of age were enrolled and attending. 10A NCAC 09 .0902(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. Two aerosol cans of shaving cream were stored in an unlocked cabinet in Room 101. .2820(b) 887 Caregivers did not document compliance with visually checking on sleeping infants aged 12 months or younger and/or the documents were not maintained for a minimum of one month. No safe sleep checks were being logged in Room 105 were an infant child younger than twelve months of age was enrolled and attending. .0606(g) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. One staff member with a date of employment of 08/08/2024 did not have a staff medical report on file on or before the first day of employment. 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. One staff member with a date of employment of 08/08/2024 did not have a TB test or screening on file that was dated twelve months or less. The TB test result on file was dated 08/05/2015. .0701(a) 1041 Prior to employment a Criminal Background Check was not completed. One staff member with a date of employment of 08/08/2024 did not have a Criminal Background Check (CBC) qualification letter on file prior to employment. G.S. 110-90.2(b) 1757 A valid qualification letter was not on file and available to review at the facility. One staff member with a date of employment of 08/08/2024 did not have a Criminal Background Check (CBC) qualification letter on file. G.S. 110-90.2(b) & (d) & .2703(e) TECHNICAL ASSISTANCE: 1. 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 two aerosol cans of shaving cream stored in an unlocked cabinet in Room 101. The administrator removed the two aerosol cans of shaving cream from the classroom and the administrative assistant locked them in a drawer in her office which corrected this violation today. To maintain compliance with this child care requirement, I suggested you review with your staff the storage requirements for all hazardous items. 2. Per child care rule 10A NCAC 09 .0606(g), caregivers should document compliance with visually checking on sleeping infants aged twelve months or younger and the documents should be maintained for a minimum of one month. During today’s visit, I observed no safe sleep checks being logged in Room 105 were an infant child younger than twelve months was enrolled and attending. Later in the visit, you showed me the safe sleep check logs that the teachers began using today. I was able to verify the use of the safe sleep check log which corrected this violation today. To maintain compliance with this child care requirement, I suggested you continue to use the safe sleep log to document the visual checks of sleeping infant children and keep those documents on file in the facility for at least one month. Best practice is to keep the safe sleep check logs on file for as long as the child is enrolled and for at least one year after the child is no longer enrolled if storage space allows. 3. Per child care rule 10A NCAC 09 .0902(a), an individual written feeding plan should be provided by each child's parent or health care provider on or before the child’s first day of attendance, should be followed, and should be posted in the classroom. You stated you had the infant feeding plan on file for one of the two children under fifteen months of age that were enrolled. During today’s visit, you had the parent of the second child complete the infant feeding plan which I was able to review and verify today. To maintain compliance with this child care requirement, I suggested you require the infant feeding plan be completed on file prior to the child’s first day of attendance. I also suggested you post each infant feeding plan in the classroom on or before the child’s first day of attendance. 4. Per child care rule 10A NCAC 09. .0701(a), 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. During today’s visit, one staff member with a date of employment of 08/08/2024 did not have a staff medical assessment on file. During the visit, the staff member was able to secure a staff medical assessment document dated 09/19/2024 from the health care professional and the administrator placed the document in the staff member’s file which corrected this violation. 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. 5. Per child care rule 10A NCAC 09 .0701(a), all staff, including the director and individuals who volunteer more than once per week must have negative TB test results or screening information on file prior to employment. The results indicating the individual is free of active tuberculosis may not be more than twelve months old. To maintain compliance with this child care requirement, I suggested you give each new employee a blank copy of the TB Screening and TB Test Results documents provided by DCDEE when a job offer is made and require one of the completed documents to be on file on or before the new staff member’s first day of employment. 6. Per G.S. 110-90.2(b) & (d) & 10A NCAC 09 .2703(e), each employee should have a valid Criminal Background Check (CBC) qualification letter on file in their staff records. Today, one staff member, Catherine Goniea, with a date of employment of 08/08/2024 did not have a CBC qualification letter on file. During today’s visit, you removed Ms. Goniea from the classroom and brought her to the administrative assistant’s office to contact the CBC Unit. After making phone contact with the CBC Unit it was determined that out of state documentation was pending and a provisional CBC qualification letter had not been issued. After Ms. Cook and Ms. Goniea worked with the CBC Unit, a valid and current CBC qualification letter was issued by the CBC Unit today. The CBC qualification letter dated September 19, 2024 and issued to Catherine Goniea was printed and placed in her staff record file today which corrected this violation. To maintain compliance with this child care requirement, I suggested you resolve any future issues regarding issuance of CBC qualification letters with the CBC Unit prior to hiring the new employee. 7. Per sanitation rules for child care centers rule 15A NCAC 18A .2804(d), each bottle prepared at home and brought to the center and any food provided by the parent and brought to the center for any age child or food prepared by a staff member and brought to the center for consumption and stored in the refrigerator should be labeled with the name of the child or staff member and the date the bottle or food item(s) can be served to the child or staff member. Any leftover bottle contents or meal items should be returned to the parent or staff member at the end of the day. To maintain compliance with this child care requirement, I suggest you review this sanitation rule with your staff and parents. CONSULTATION: 1. Shaving cream and other household products as considered hazardous items and should be kept inaccessible to children and stored in locked storage. These types of items should not be used as teaching materials. 2. Best practice is to have a Medical Action Plan on file for each documented chronic illness regardless of whether a medication is provided by the family. 3. In Room 105, two cribs were equipped with four inch mattresses that were softer and were not protected by a water-proof mattress protector. I reminded you to use these softer mattresses with children older than twelve months who were not at risk of ITS-SIDS. I also reminded you to protect the mattress with a water-proof mattress cover that would allow the mattress to be easily cleaned and disinfected daily and as soiled. 4. 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. 5. 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: No compliance documentation is needed for violation item numbers 533, 840, 887, 1032, 1041, and 1757 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. 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 October 3, 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 .0902 · Violation

Name of Operation: TABERNACLE KIDS EARLY LEARNING CENTER Facility ID: 18000624 Consultant: KIMBERLY CRANE Operation Type: Center Case Number: Visit Date: 9/19/2024 Number Present: 55 Completed Date: 9/19/2024 Age: From 0 To 5 Total Minutes: 455 Time In: 09:05 AM Time Out: 01:10 PM Time In: 02:00 PM Time Out: 05:30 PM 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, Stephanie Cook, Director, assisted me with today’s visit. I conducted your last annual compliance visit on December 13, 2023. I reviewed with you today the facility information found in our system. You stated there have been no changes to your phone number, email address, mailing address, or corporate contact for the facility. You stated the fax number for the facility had changed and I made this change for you today. You stated there has been no change with the corporation, Tabernacle Baptist Church Of Hickory, that owns your facility. I reviewed 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 August 19, 2024. Your center's compliance history was 90% as of September 16, 2024 and was reviewed with you today. Your most recent fire inspection was dated July 25, 2024. You stated you were waiting on your first sanitation inspection after opening your facility to children. Arrival times, departure times, and attendance were recorded with the Bright Wheel application. Records were ready for review today electronically. You and I completed a walk-through of the facility today. I monitored all indoor and outdoor licensed spaces. I observed children throughout the facility participating in free play in activity areas, eating snack, transitioning from indoor to outdoor play, and personal care routines. A current menu was posted, documented appropriate nutritious snacks and meals, showed a variety of foods, and complied with Meal Patterns for Children in Child Care Programs. Today’s lunch included pepperoni pizza sliders, curly fries, veggie cup, Rice Krispy treat, and unflavored milk. Meals were prepared in the kitchen and served in the classrooms. Cold food and milk were stored in a commercial refrigerator in the kitchen at a temperature of 35 degrees Fahrenheit. Infant bottles and food were stored in a compact refrigerator in Space 105 at 42 degrees Fahrenheit. Cold food was also stored in compact refrigerators in each classroom at temperatures between 30 and 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 nineteen returning staff members to verify current and valid Criminal Background Check qualification letters, valid CPR and First Aid training, valid ITS-SIDS training, and Emergency Preparedness Response training for at least one staff member. I reviewed staff record files for sixteen new staff members hired prior to and since the facility opened in its new location on August 20, 2024. I observed that you voluntarily required all staff members to complete the Recognizing and Responding to Suspicions of Child Maltreatment training and ITS-SIDS training for all staff. 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 533 Human 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 Room 105, bottles for infant and food for one-year-olds sent from home were not labeled with the name of the child and the date the food was to be served. 15A NCAC 18A .2804(d) 540 An individual written feeding plan was not provided by child's parent or health care provider or was not followed and posted. An infant feeding plan was not completed by the parent and on file for one child younger than fifteen months. Infant feeding plans were not posted in Room 105 were children younger than fifteen months of age were enrolled and attending. 10A NCAC 09 .0902(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. Two aerosol cans of shaving cream were stored in an unlocked cabinet in Room 101. .2820(b) 887 Caregivers did not document compliance with visually checking on sleeping infants aged 12 months or younger and/or the documents were not maintained for a minimum of one month. No safe sleep checks were being logged in Room 105 were an infant child younger than twelve months of age was enrolled and attending. .0606(g) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. One staff member with a date of employment of 08/08/2024 did not have a staff medical report on file on or before the first day of employment. 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. One staff member with a date of employment of 08/08/2024 did not have a TB test or screening on file that was dated twelve months or less. The TB test result on file was dated 08/05/2015. .0701(a) 1041 Prior to employment a Criminal Background Check was not completed. One staff member with a date of employment of 08/08/2024 did not have a Criminal Background Check (CBC) qualification letter on file prior to employment. G.S. 110-90.2(b) 1757 A valid qualification letter was not on file and available to review at the facility. One staff member with a date of employment of 08/08/2024 did not have a Criminal Background Check (CBC) qualification letter on file. G.S. 110-90.2(b) & (d) & .2703(e) TECHNICAL ASSISTANCE: 1. 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 two aerosol cans of shaving cream stored in an unlocked cabinet in Room 101. The administrator removed the two aerosol cans of shaving cream from the classroom and the administrative assistant locked them in a drawer in her office which corrected this violation today. To maintain compliance with this child care requirement, I suggested you review with your staff the storage requirements for all hazardous items. 2. Per child care rule 10A NCAC 09 .0606(g), caregivers should document compliance with visually checking on sleeping infants aged twelve months or younger and the documents should be maintained for a minimum of one month. During today’s visit, I observed no safe sleep checks being logged in Room 105 were an infant child younger than twelve months was enrolled and attending. Later in the visit, you showed me the safe sleep check logs that the teachers began using today. I was able to verify the use of the safe sleep check log which corrected this violation today. To maintain compliance with this child care requirement, I suggested you continue to use the safe sleep log to document the visual checks of sleeping infant children and keep those documents on file in the facility for at least one month. Best practice is to keep the safe sleep check logs on file for as long as the child is enrolled and for at least one year after the child is no longer enrolled if storage space allows. 3. Per child care rule 10A NCAC 09 .0902(a), an individual written feeding plan should be provided by each child's parent or health care provider on or before the child’s first day of attendance, should be followed, and should be posted in the classroom. You stated you had the infant feeding plan on file for one of the two children under fifteen months of age that were enrolled. During today’s visit, you had the parent of the second child complete the infant feeding plan which I was able to review and verify today. To maintain compliance with this child care requirement, I suggested you require the infant feeding plan be completed on file prior to the child’s first day of attendance. I also suggested you post each infant feeding plan in the classroom on or before the child’s first day of attendance. 4. Per child care rule 10A NCAC 09. .0701(a), 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. During today’s visit, one staff member with a date of employment of 08/08/2024 did not have a staff medical assessment on file. During the visit, the staff member was able to secure a staff medical assessment document dated 09/19/2024 from the health care professional and the administrator placed the document in the staff member’s file which corrected this violation. 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. 5. Per child care rule 10A NCAC 09 .0701(a), all staff, including the director and individuals who volunteer more than once per week must have negative TB test results or screening information on file prior to employment. The results indicating the individual is free of active tuberculosis may not be more than twelve months old. To maintain compliance with this child care requirement, I suggested you give each new employee a blank copy of the TB Screening and TB Test Results documents provided by DCDEE when a job offer is made and require one of the completed documents to be on file on or before the new staff member’s first day of employment. 6. Per G.S. 110-90.2(b) & (d) & 10A NCAC 09 .2703(e), each employee should have a valid Criminal Background Check (CBC) qualification letter on file in their staff records. Today, one staff member, Catherine Goniea, with a date of employment of 08/08/2024 did not have a CBC qualification letter on file. During today’s visit, you removed Ms. Goniea from the classroom and brought her to the administrative assistant’s office to contact the CBC Unit. After making phone contact with the CBC Unit it was determined that out of state documentation was pending and a provisional CBC qualification letter had not been issued. After Ms. Cook and Ms. Goniea worked with the CBC Unit, a valid and current CBC qualification letter was issued by the CBC Unit today. The CBC qualification letter dated September 19, 2024 and issued to Catherine Goniea was printed and placed in her staff record file today which corrected this violation. To maintain compliance with this child care requirement, I suggested you resolve any future issues regarding issuance of CBC qualification letters with the CBC Unit prior to hiring the new employee. 7. Per sanitation rules for child care centers rule 15A NCAC 18A .2804(d), each bottle prepared at home and brought to the center and any food provided by the parent and brought to the center for any age child or food prepared by a staff member and brought to the center for consumption and stored in the refrigerator should be labeled with the name of the child or staff member and the date the bottle or food item(s) can be served to the child or staff member. Any leftover bottle contents or meal items should be returned to the parent or staff member at the end of the day. To maintain compliance with this child care requirement, I suggest you review this sanitation rule with your staff and parents. CONSULTATION: 1. Shaving cream and other household products as considered hazardous items and should be kept inaccessible to children and stored in locked storage. These types of items should not be used as teaching materials. 2. Best practice is to have a Medical Action Plan on file for each documented chronic illness regardless of whether a medication is provided by the family. 3. In Room 105, two cribs were equipped with four inch mattresses that were softer and were not protected by a water-proof mattress protector. I reminded you to use these softer mattresses with children older than twelve months who were not at risk of ITS-SIDS. I also reminded you to protect the mattress with a water-proof mattress cover that would allow the mattress to be easily cleaned and disinfected daily and as soiled. 4. 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. 5. 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: No compliance documentation is needed for violation item numbers 533, 840, 887, 1032, 1041, and 1757 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. 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 October 3, 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 .2703 · Violation

Name of Operation: TABERNACLE KIDS EARLY LEARNING CENTER Facility ID: 18000624 Consultant: KIMBERLY CRANE Operation Type: Center Case Number: Visit Date: 9/19/2024 Number Present: 55 Completed Date: 9/19/2024 Age: From 0 To 5 Total Minutes: 455 Time In: 09:05 AM Time Out: 01:10 PM Time In: 02:00 PM Time Out: 05:30 PM 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, Stephanie Cook, Director, assisted me with today’s visit. I conducted your last annual compliance visit on December 13, 2023. I reviewed with you today the facility information found in our system. You stated there have been no changes to your phone number, email address, mailing address, or corporate contact for the facility. You stated the fax number for the facility had changed and I made this change for you today. You stated there has been no change with the corporation, Tabernacle Baptist Church Of Hickory, that owns your facility. I reviewed 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 August 19, 2024. Your center's compliance history was 90% as of September 16, 2024 and was reviewed with you today. Your most recent fire inspection was dated July 25, 2024. You stated you were waiting on your first sanitation inspection after opening your facility to children. Arrival times, departure times, and attendance were recorded with the Bright Wheel application. Records were ready for review today electronically. You and I completed a walk-through of the facility today. I monitored all indoor and outdoor licensed spaces. I observed children throughout the facility participating in free play in activity areas, eating snack, transitioning from indoor to outdoor play, and personal care routines. A current menu was posted, documented appropriate nutritious snacks and meals, showed a variety of foods, and complied with Meal Patterns for Children in Child Care Programs. Today’s lunch included pepperoni pizza sliders, curly fries, veggie cup, Rice Krispy treat, and unflavored milk. Meals were prepared in the kitchen and served in the classrooms. Cold food and milk were stored in a commercial refrigerator in the kitchen at a temperature of 35 degrees Fahrenheit. Infant bottles and food were stored in a compact refrigerator in Space 105 at 42 degrees Fahrenheit. Cold food was also stored in compact refrigerators in each classroom at temperatures between 30 and 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 nineteen returning staff members to verify current and valid Criminal Background Check qualification letters, valid CPR and First Aid training, valid ITS-SIDS training, and Emergency Preparedness Response training for at least one staff member. I reviewed staff record files for sixteen new staff members hired prior to and since the facility opened in its new location on August 20, 2024. I observed that you voluntarily required all staff members to complete the Recognizing and Responding to Suspicions of Child Maltreatment training and ITS-SIDS training for all staff. 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 533 Human 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 Room 105, bottles for infant and food for one-year-olds sent from home were not labeled with the name of the child and the date the food was to be served. 15A NCAC 18A .2804(d) 540 An individual written feeding plan was not provided by child's parent or health care provider or was not followed and posted. An infant feeding plan was not completed by the parent and on file for one child younger than fifteen months. Infant feeding plans were not posted in Room 105 were children younger than fifteen months of age were enrolled and attending. 10A NCAC 09 .0902(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. Two aerosol cans of shaving cream were stored in an unlocked cabinet in Room 101. .2820(b) 887 Caregivers did not document compliance with visually checking on sleeping infants aged 12 months or younger and/or the documents were not maintained for a minimum of one month. No safe sleep checks were being logged in Room 105 were an infant child younger than twelve months of age was enrolled and attending. .0606(g) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. One staff member with a date of employment of 08/08/2024 did not have a staff medical report on file on or before the first day of employment. 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. One staff member with a date of employment of 08/08/2024 did not have a TB test or screening on file that was dated twelve months or less. The TB test result on file was dated 08/05/2015. .0701(a) 1041 Prior to employment a Criminal Background Check was not completed. One staff member with a date of employment of 08/08/2024 did not have a Criminal Background Check (CBC) qualification letter on file prior to employment. G.S. 110-90.2(b) 1757 A valid qualification letter was not on file and available to review at the facility. One staff member with a date of employment of 08/08/2024 did not have a Criminal Background Check (CBC) qualification letter on file. G.S. 110-90.2(b) & (d) & .2703(e) TECHNICAL ASSISTANCE: 1. 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 two aerosol cans of shaving cream stored in an unlocked cabinet in Room 101. The administrator removed the two aerosol cans of shaving cream from the classroom and the administrative assistant locked them in a drawer in her office which corrected this violation today. To maintain compliance with this child care requirement, I suggested you review with your staff the storage requirements for all hazardous items. 2. Per child care rule 10A NCAC 09 .0606(g), caregivers should document compliance with visually checking on sleeping infants aged twelve months or younger and the documents should be maintained for a minimum of one month. During today’s visit, I observed no safe sleep checks being logged in Room 105 were an infant child younger than twelve months was enrolled and attending. Later in the visit, you showed me the safe sleep check logs that the teachers began using today. I was able to verify the use of the safe sleep check log which corrected this violation today. To maintain compliance with this child care requirement, I suggested you continue to use the safe sleep log to document the visual checks of sleeping infant children and keep those documents on file in the facility for at least one month. Best practice is to keep the safe sleep check logs on file for as long as the child is enrolled and for at least one year after the child is no longer enrolled if storage space allows. 3. Per child care rule 10A NCAC 09 .0902(a), an individual written feeding plan should be provided by each child's parent or health care provider on or before the child’s first day of attendance, should be followed, and should be posted in the classroom. You stated you had the infant feeding plan on file for one of the two children under fifteen months of age that were enrolled. During today’s visit, you had the parent of the second child complete the infant feeding plan which I was able to review and verify today. To maintain compliance with this child care requirement, I suggested you require the infant feeding plan be completed on file prior to the child’s first day of attendance. I also suggested you post each infant feeding plan in the classroom on or before the child’s first day of attendance. 4. Per child care rule 10A NCAC 09. .0701(a), 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. During today’s visit, one staff member with a date of employment of 08/08/2024 did not have a staff medical assessment on file. During the visit, the staff member was able to secure a staff medical assessment document dated 09/19/2024 from the health care professional and the administrator placed the document in the staff member’s file which corrected this violation. 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. 5. Per child care rule 10A NCAC 09 .0701(a), all staff, including the director and individuals who volunteer more than once per week must have negative TB test results or screening information on file prior to employment. The results indicating the individual is free of active tuberculosis may not be more than twelve months old. To maintain compliance with this child care requirement, I suggested you give each new employee a blank copy of the TB Screening and TB Test Results documents provided by DCDEE when a job offer is made and require one of the completed documents to be on file on or before the new staff member’s first day of employment. 6. Per G.S. 110-90.2(b) & (d) & 10A NCAC 09 .2703(e), each employee should have a valid Criminal Background Check (CBC) qualification letter on file in their staff records. Today, one staff member, Catherine Goniea, with a date of employment of 08/08/2024 did not have a CBC qualification letter on file. During today’s visit, you removed Ms. Goniea from the classroom and brought her to the administrative assistant’s office to contact the CBC Unit. After making phone contact with the CBC Unit it was determined that out of state documentation was pending and a provisional CBC qualification letter had not been issued. After Ms. Cook and Ms. Goniea worked with the CBC Unit, a valid and current CBC qualification letter was issued by the CBC Unit today. The CBC qualification letter dated September 19, 2024 and issued to Catherine Goniea was printed and placed in her staff record file today which corrected this violation. To maintain compliance with this child care requirement, I suggested you resolve any future issues regarding issuance of CBC qualification letters with the CBC Unit prior to hiring the new employee. 7. Per sanitation rules for child care centers rule 15A NCAC 18A .2804(d), each bottle prepared at home and brought to the center and any food provided by the parent and brought to the center for any age child or food prepared by a staff member and brought to the center for consumption and stored in the refrigerator should be labeled with the name of the child or staff member and the date the bottle or food item(s) can be served to the child or staff member. Any leftover bottle contents or meal items should be returned to the parent or staff member at the end of the day. To maintain compliance with this child care requirement, I suggest you review this sanitation rule with your staff and parents. CONSULTATION: 1. Shaving cream and other household products as considered hazardous items and should be kept inaccessible to children and stored in locked storage. These types of items should not be used as teaching materials. 2. Best practice is to have a Medical Action Plan on file for each documented chronic illness regardless of whether a medication is provided by the family. 3. In Room 105, two cribs were equipped with four inch mattresses that were softer and were not protected by a water-proof mattress protector. I reminded you to use these softer mattresses with children older than twelve months who were not at risk of ITS-SIDS. I also reminded you to protect the mattress with a water-proof mattress cover that would allow the mattress to be easily cleaned and disinfected daily and as soiled. 4. 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. 5. 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: No compliance documentation is needed for violation item numbers 533, 840, 887, 1032, 1041, and 1757 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. 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 October 3, 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: TABERNACLE KIDS EARLY LEARNING CENTER Facility ID: 18000624 Consultant: KIMBERLY CRANE Operation Type: Center Case Number: Visit Date: 9/19/2024 Number Present: 55 Completed Date: 9/19/2024 Age: From 0 To 5 Total Minutes: 455 Time In: 09:05 AM Time Out: 01:10 PM Time In: 02:00 PM Time Out: 05:30 PM 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, Stephanie Cook, Director, assisted me with today’s visit. I conducted your last annual compliance visit on December 13, 2023. I reviewed with you today the facility information found in our system. You stated there have been no changes to your phone number, email address, mailing address, or corporate contact for the facility. You stated the fax number for the facility had changed and I made this change for you today. You stated there has been no change with the corporation, Tabernacle Baptist Church Of Hickory, that owns your facility. I reviewed 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 August 19, 2024. Your center's compliance history was 90% as of September 16, 2024 and was reviewed with you today. Your most recent fire inspection was dated July 25, 2024. You stated you were waiting on your first sanitation inspection after opening your facility to children. Arrival times, departure times, and attendance were recorded with the Bright Wheel application. Records were ready for review today electronically. You and I completed a walk-through of the facility today. I monitored all indoor and outdoor licensed spaces. I observed children throughout the facility participating in free play in activity areas, eating snack, transitioning from indoor to outdoor play, and personal care routines. A current menu was posted, documented appropriate nutritious snacks and meals, showed a variety of foods, and complied with Meal Patterns for Children in Child Care Programs. Today’s lunch included pepperoni pizza sliders, curly fries, veggie cup, Rice Krispy treat, and unflavored milk. Meals were prepared in the kitchen and served in the classrooms. Cold food and milk were stored in a commercial refrigerator in the kitchen at a temperature of 35 degrees Fahrenheit. Infant bottles and food were stored in a compact refrigerator in Space 105 at 42 degrees Fahrenheit. Cold food was also stored in compact refrigerators in each classroom at temperatures between 30 and 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 nineteen returning staff members to verify current and valid Criminal Background Check qualification letters, valid CPR and First Aid training, valid ITS-SIDS training, and Emergency Preparedness Response training for at least one staff member. I reviewed staff record files for sixteen new staff members hired prior to and since the facility opened in its new location on August 20, 2024. I observed that you voluntarily required all staff members to complete the Recognizing and Responding to Suspicions of Child Maltreatment training and ITS-SIDS training for all staff. 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 533 Human 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 Room 105, bottles for infant and food for one-year-olds sent from home were not labeled with the name of the child and the date the food was to be served. 15A NCAC 18A .2804(d) 540 An individual written feeding plan was not provided by child's parent or health care provider or was not followed and posted. An infant feeding plan was not completed by the parent and on file for one child younger than fifteen months. Infant feeding plans were not posted in Room 105 were children younger than fifteen months of age were enrolled and attending. 10A NCAC 09 .0902(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. Two aerosol cans of shaving cream were stored in an unlocked cabinet in Room 101. .2820(b) 887 Caregivers did not document compliance with visually checking on sleeping infants aged 12 months or younger and/or the documents were not maintained for a minimum of one month. No safe sleep checks were being logged in Room 105 were an infant child younger than twelve months of age was enrolled and attending. .0606(g) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. One staff member with a date of employment of 08/08/2024 did not have a staff medical report on file on or before the first day of employment. 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. One staff member with a date of employment of 08/08/2024 did not have a TB test or screening on file that was dated twelve months or less. The TB test result on file was dated 08/05/2015. .0701(a) 1041 Prior to employment a Criminal Background Check was not completed. One staff member with a date of employment of 08/08/2024 did not have a Criminal Background Check (CBC) qualification letter on file prior to employment. G.S. 110-90.2(b) 1757 A valid qualification letter was not on file and available to review at the facility. One staff member with a date of employment of 08/08/2024 did not have a Criminal Background Check (CBC) qualification letter on file. G.S. 110-90.2(b) & (d) & .2703(e) TECHNICAL ASSISTANCE: 1. 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 two aerosol cans of shaving cream stored in an unlocked cabinet in Room 101. The administrator removed the two aerosol cans of shaving cream from the classroom and the administrative assistant locked them in a drawer in her office which corrected this violation today. To maintain compliance with this child care requirement, I suggested you review with your staff the storage requirements for all hazardous items. 2. Per child care rule 10A NCAC 09 .0606(g), caregivers should document compliance with visually checking on sleeping infants aged twelve months or younger and the documents should be maintained for a minimum of one month. During today’s visit, I observed no safe sleep checks being logged in Room 105 were an infant child younger than twelve months was enrolled and attending. Later in the visit, you showed me the safe sleep check logs that the teachers began using today. I was able to verify the use of the safe sleep check log which corrected this violation today. To maintain compliance with this child care requirement, I suggested you continue to use the safe sleep log to document the visual checks of sleeping infant children and keep those documents on file in the facility for at least one month. Best practice is to keep the safe sleep check logs on file for as long as the child is enrolled and for at least one year after the child is no longer enrolled if storage space allows. 3. Per child care rule 10A NCAC 09 .0902(a), an individual written feeding plan should be provided by each child's parent or health care provider on or before the child’s first day of attendance, should be followed, and should be posted in the classroom. You stated you had the infant feeding plan on file for one of the two children under fifteen months of age that were enrolled. During today’s visit, you had the parent of the second child complete the infant feeding plan which I was able to review and verify today. To maintain compliance with this child care requirement, I suggested you require the infant feeding plan be completed on file prior to the child’s first day of attendance. I also suggested you post each infant feeding plan in the classroom on or before the child’s first day of attendance. 4. Per child care rule 10A NCAC 09. .0701(a), 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. During today’s visit, one staff member with a date of employment of 08/08/2024 did not have a staff medical assessment on file. During the visit, the staff member was able to secure a staff medical assessment document dated 09/19/2024 from the health care professional and the administrator placed the document in the staff member’s file which corrected this violation. 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. 5. Per child care rule 10A NCAC 09 .0701(a), all staff, including the director and individuals who volunteer more than once per week must have negative TB test results or screening information on file prior to employment. The results indicating the individual is free of active tuberculosis may not be more than twelve months old. To maintain compliance with this child care requirement, I suggested you give each new employee a blank copy of the TB Screening and TB Test Results documents provided by DCDEE when a job offer is made and require one of the completed documents to be on file on or before the new staff member’s first day of employment. 6. Per G.S. 110-90.2(b) & (d) & 10A NCAC 09 .2703(e), each employee should have a valid Criminal Background Check (CBC) qualification letter on file in their staff records. Today, one staff member, Catherine Goniea, with a date of employment of 08/08/2024 did not have a CBC qualification letter on file. During today’s visit, you removed Ms. Goniea from the classroom and brought her to the administrative assistant’s office to contact the CBC Unit. After making phone contact with the CBC Unit it was determined that out of state documentation was pending and a provisional CBC qualification letter had not been issued. After Ms. Cook and Ms. Goniea worked with the CBC Unit, a valid and current CBC qualification letter was issued by the CBC Unit today. The CBC qualification letter dated September 19, 2024 and issued to Catherine Goniea was printed and placed in her staff record file today which corrected this violation. To maintain compliance with this child care requirement, I suggested you resolve any future issues regarding issuance of CBC qualification letters with the CBC Unit prior to hiring the new employee. 7. Per sanitation rules for child care centers rule 15A NCAC 18A .2804(d), each bottle prepared at home and brought to the center and any food provided by the parent and brought to the center for any age child or food prepared by a staff member and brought to the center for consumption and stored in the refrigerator should be labeled with the name of the child or staff member and the date the bottle or food item(s) can be served to the child or staff member. Any leftover bottle contents or meal items should be returned to the parent or staff member at the end of the day. To maintain compliance with this child care requirement, I suggest you review this sanitation rule with your staff and parents. CONSULTATION: 1. Shaving cream and other household products as considered hazardous items and should be kept inaccessible to children and stored in locked storage. These types of items should not be used as teaching materials. 2. Best practice is to have a Medical Action Plan on file for each documented chronic illness regardless of whether a medication is provided by the family. 3. In Room 105, two cribs were equipped with four inch mattresses that were softer and were not protected by a water-proof mattress protector. I reminded you to use these softer mattresses with children older than twelve months who were not at risk of ITS-SIDS. I also reminded you to protect the mattress with a water-proof mattress cover that would allow the mattress to be easily cleaned and disinfected daily and as soiled. 4. 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. 5. 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: No compliance documentation is needed for violation item numbers 533, 840, 887, 1032, 1041, and 1757 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. 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 October 3, 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