Sanctuary Childcare Center

10A NCAC 09 .0510 · Violation

Name of Operation: Sanctuary Childcare Center Facility ID: 67001210 Consultant: HEATHER ELLIOTT Operation Type: Center Case Number: Visit Date: 5/26/2026 Number Present: 19 Completed Date: 5/26/2026 Age: From 2 To 5 Total Minutes: 75 Time In: 09:45 AM Time Out: 11:00 AM Time In: Time Out: List to Use: Center Type Of Visit: Unannounced Visit Follow-Up Announced/Unannounced: Unannounced The purpose of today’s follow-up visit is to ensure that the employee with a Criminal Background Check Disqualification Letter is no longer on the premises. The facility operates with a Notice of Compliance. The facility provides care for children ranging in age from 2 to 5 years old, for first shift care only, a capacity of 40 children, and no cooking is allowed. This visit was made in conjunction with Heather Binder, child care investigation consultant. Limited monitoring occurred today. Upon arrival, M. Hyman, interim administrator, was present and available for consultation. Today 22 children are enrolled and 19 children are present, ranging in age from 2-5 years old. All four staff members were present and caring for children. A walk-through of the facility was conducted. Children in the facility were participating in free play. Children were participating in the following activities including, but not limited to, playing in the kitchen, reading books, and participating in a music activity. You have transitioned the children who were currently being cared for in an unapproved space and were being cared for in space 5, which is an unapproved space until a staff member could get approved space 2 set up for care. The staff split the children into the two approved indoor spaces while another staff member set up the classroom. A walk though of the facility was conducted. Based on observations during the walkthrough, J. Lammie was not present on the premises. A discussion with you was also held regarding the Disqualification Letter. Be reminded that the employee may not return until they are qualified through the Criminal Background Check Unit or a Summary Suspension could be issued. Today your new outdoor equipment was monitored for the applicable child care requirements. The new equipment was anchored and surrounded by 6 inches of mulch. There was/was not adequate space for the fall zones. This applies to your Playground Equipment must be positioned so a six-foot fall zone surrounds each or removed from the playground. Types of surfacing CANNOT be mixed in determining resilient surfacing depth; if mulch decomposes to soil-like consistency, it is no longer considered part of the resilient surfacing. The following violation was observed and documented today. The violation must be corrected immediately. Violation Number Comment Rule 209 Children used space that was not approved. Eight children were being cared for in an unapproved space. This is a repeat violation from May 22, 2026. GS 110-91(1)&(4-5) Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4)(d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Technical Assistance: As stated on the visit on May 22, 2026, any disqualified employees may not return on the premises until they qualify through the Criminal Background Check Unit or a Summary Suspension could be issued. All staff members must have a current qualifying letter on file and be able to review. Unapproved Space Today, children were being cared for in an unapproved space #5 while a staff member was setting up the classroom. This is a repeat violation. As stated on Friday May 22, 2026, we reviewed your floor plan and your building inspection. Items #34 and #35 on the building inspection form requires that each space used by children have a direct exit to the outside or an operable window that meets special exit requirements for educational occupancy. Potential space #4 does not have a direct exit to the outside; while it does contain two windows, they are not operable. Potential space 5 does not have a direct exit to the outside nor windows. Prior to using either space, you must obtain a new approved building, fire and sanitation inspection approving these spaces. The sanctuary space would also need to be approved for use if you are considering using it in the future. Consider arranging space 2 for use by children. Also remember you cannot care for children in any space that is not approved, including the director’s office, as that is an unapproved space as well. The only spaces that are approved for care are classroom space 1, space 2, space 3, and your outdoor playground. Outdoor For licensing purposes, stationary equipment is considered to be any equipment that is anchored to the ground OR is so heavy that it cannot be easily moved. Equipment over 18 inches in height that children can climb on must be installed on resilient surfacing, with a six-foot fall zone surrounding each piece of climbing apparatus; the fall zones cannot overlap. Emerging research tells us that children need to spend time outdoors to be healthy as they grow and develop. They will be smarter, better able to get along with others, healthier and happier when they have regular opportunities for free and unstructured play outdoors. Outdoor play is beneficial to children as well as caregivers. Research tells us that spending time outdoors, exposed to fresh air, sunlight, and natural elements such as trees and grass provides many health benefits. The outdoor learning environment offers a sense of freedom for children. Children are able to play freely with peers, expand their imagination beyond restraints of indoor activities, release energy and explore their sense of touch, smell, taste, and their sense of motion. Caregivers are in a unique position to utilize the outdoor environment to promote development and learning. Screen Time Today I suggested that you review Child Care Rule 10A NCAC 09 .0510 regarding screen time. If you choose to provide screen time at your facility, you must ensure that it is used to meet a developmental goal, that it is limited to 30 minutes per day and that the time is documented, and that free choice activities are offered for children not participating. I shared with you that screen time is also now prohibited for children under the age of three years old, therefore if any children this age are present the television may not be on. Facility staff should ensure that screen time does not displace healthy activities such as exercise, play in activity centers, and interactions with staff and children. For children of all ages, screen time should not be used during meal or snack time or during nap/rest times. When offered, screen time should be free of advertising and brand placement, violence, and sounds that tempt children to overuse the product. Classroom schedules should prioritize physical activity and increase personal social interactions and engagement during the day. It is important for young children to have active social interactions with adults and children. Screen time can distract children (and adults), limit conversations and play, and reduce healthy physical activity, increasing the risk for overweight and obesity. Overuse of screen time can also be associated with problems with behavior, limit-setting, and emotional and behavioral self-regulation; therefore, staff should avoid using screen time to calm a child down. Screen time is not without benefits, including learning from high-quality content, creative engagement, and social interactions. However, especially in young children, real-life social interactions promote greater learning and retention of knowledge and skills. For the latest information on child care rules and regulations, please visit the Division of Child Development and Early Education’s website at https://ncchildcare.ncdhhs.gov/ At the completion of the visit, the visit summary was printed, reviewed, and a copy was left with you. Contact me at heather.elliott@dhhs.nc.gov / 910-364-8728 or my supervisor Kim Sherry, kim.sherry@dhhs.nc.gov / 910- 824-0470 if you have any questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

GS 110-91 · Violation

Name of Operation: Sanctuary Childcare Center Facility ID: 67001210 Consultant: HEATHER ELLIOTT Operation Type: Center Case Number: Visit Date: 5/26/2026 Number Present: 19 Completed Date: 5/26/2026 Age: From 2 To 5 Total Minutes: 75 Time In: 09:45 AM Time Out: 11:00 AM Time In: Time Out: List to Use: Center Type Of Visit: Unannounced Visit Follow-Up Announced/Unannounced: Unannounced The purpose of today’s follow-up visit is to ensure that the employee with a Criminal Background Check Disqualification Letter is no longer on the premises. The facility operates with a Notice of Compliance. The facility provides care for children ranging in age from 2 to 5 years old, for first shift care only, a capacity of 40 children, and no cooking is allowed. This visit was made in conjunction with Heather Binder, child care investigation consultant. Limited monitoring occurred today. Upon arrival, M. Hyman, interim administrator, was present and available for consultation. Today 22 children are enrolled and 19 children are present, ranging in age from 2-5 years old. All four staff members were present and caring for children. A walk-through of the facility was conducted. Children in the facility were participating in free play. Children were participating in the following activities including, but not limited to, playing in the kitchen, reading books, and participating in a music activity. You have transitioned the children who were currently being cared for in an unapproved space and were being cared for in space 5, which is an unapproved space until a staff member could get approved space 2 set up for care. The staff split the children into the two approved indoor spaces while another staff member set up the classroom. A walk though of the facility was conducted. Based on observations during the walkthrough, J. Lammie was not present on the premises. A discussion with you was also held regarding the Disqualification Letter. Be reminded that the employee may not return until they are qualified through the Criminal Background Check Unit or a Summary Suspension could be issued. Today your new outdoor equipment was monitored for the applicable child care requirements. The new equipment was anchored and surrounded by 6 inches of mulch. There was/was not adequate space for the fall zones. This applies to your Playground Equipment must be positioned so a six-foot fall zone surrounds each or removed from the playground. Types of surfacing CANNOT be mixed in determining resilient surfacing depth; if mulch decomposes to soil-like consistency, it is no longer considered part of the resilient surfacing. The following violation was observed and documented today. The violation must be corrected immediately. Violation Number Comment Rule 209 Children used space that was not approved. Eight children were being cared for in an unapproved space. This is a repeat violation from May 22, 2026. GS 110-91(1)&(4-5) Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4)(d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Technical Assistance: As stated on the visit on May 22, 2026, any disqualified employees may not return on the premises until they qualify through the Criminal Background Check Unit or a Summary Suspension could be issued. All staff members must have a current qualifying letter on file and be able to review. Unapproved Space Today, children were being cared for in an unapproved space #5 while a staff member was setting up the classroom. This is a repeat violation. As stated on Friday May 22, 2026, we reviewed your floor plan and your building inspection. Items #34 and #35 on the building inspection form requires that each space used by children have a direct exit to the outside or an operable window that meets special exit requirements for educational occupancy. Potential space #4 does not have a direct exit to the outside; while it does contain two windows, they are not operable. Potential space 5 does not have a direct exit to the outside nor windows. Prior to using either space, you must obtain a new approved building, fire and sanitation inspection approving these spaces. The sanctuary space would also need to be approved for use if you are considering using it in the future. Consider arranging space 2 for use by children. Also remember you cannot care for children in any space that is not approved, including the director’s office, as that is an unapproved space as well. The only spaces that are approved for care are classroom space 1, space 2, space 3, and your outdoor playground. Outdoor For licensing purposes, stationary equipment is considered to be any equipment that is anchored to the ground OR is so heavy that it cannot be easily moved. Equipment over 18 inches in height that children can climb on must be installed on resilient surfacing, with a six-foot fall zone surrounding each piece of climbing apparatus; the fall zones cannot overlap. Emerging research tells us that children need to spend time outdoors to be healthy as they grow and develop. They will be smarter, better able to get along with others, healthier and happier when they have regular opportunities for free and unstructured play outdoors. Outdoor play is beneficial to children as well as caregivers. Research tells us that spending time outdoors, exposed to fresh air, sunlight, and natural elements such as trees and grass provides many health benefits. The outdoor learning environment offers a sense of freedom for children. Children are able to play freely with peers, expand their imagination beyond restraints of indoor activities, release energy and explore their sense of touch, smell, taste, and their sense of motion. Caregivers are in a unique position to utilize the outdoor environment to promote development and learning. Screen Time Today I suggested that you review Child Care Rule 10A NCAC 09 .0510 regarding screen time. If you choose to provide screen time at your facility, you must ensure that it is used to meet a developmental goal, that it is limited to 30 minutes per day and that the time is documented, and that free choice activities are offered for children not participating. I shared with you that screen time is also now prohibited for children under the age of three years old, therefore if any children this age are present the television may not be on. Facility staff should ensure that screen time does not displace healthy activities such as exercise, play in activity centers, and interactions with staff and children. For children of all ages, screen time should not be used during meal or snack time or during nap/rest times. When offered, screen time should be free of advertising and brand placement, violence, and sounds that tempt children to overuse the product. Classroom schedules should prioritize physical activity and increase personal social interactions and engagement during the day. It is important for young children to have active social interactions with adults and children. Screen time can distract children (and adults), limit conversations and play, and reduce healthy physical activity, increasing the risk for overweight and obesity. Overuse of screen time can also be associated with problems with behavior, limit-setting, and emotional and behavioral self-regulation; therefore, staff should avoid using screen time to calm a child down. Screen time is not without benefits, including learning from high-quality content, creative engagement, and social interactions. However, especially in young children, real-life social interactions promote greater learning and retention of knowledge and skills. For the latest information on child care rules and regulations, please visit the Division of Child Development and Early Education’s website at https://ncchildcare.ncdhhs.gov/ At the completion of the visit, the visit summary was printed, reviewed, and a copy was left with you. Contact me at heather.elliott@dhhs.nc.gov / 910-364-8728 or my supervisor Kim Sherry, kim.sherry@dhhs.nc.gov / 910- 824-0470 if you have any questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

NC GS 110-90 · Violation

Name of Operation: Sanctuary Childcare Center Facility ID: 67001210 Consultant: HEATHER ELLIOTT Operation Type: Center Case Number: Visit Date: 5/26/2026 Number Present: 19 Completed Date: 5/26/2026 Age: From 2 To 5 Total Minutes: 75 Time In: 09:45 AM Time Out: 11:00 AM Time In: Time Out: List to Use: Center Type Of Visit: Unannounced Visit Follow-Up Announced/Unannounced: Unannounced The purpose of today’s follow-up visit is to ensure that the employee with a Criminal Background Check Disqualification Letter is no longer on the premises. The facility operates with a Notice of Compliance. The facility provides care for children ranging in age from 2 to 5 years old, for first shift care only, a capacity of 40 children, and no cooking is allowed. This visit was made in conjunction with Heather Binder, child care investigation consultant. Limited monitoring occurred today. Upon arrival, M. Hyman, interim administrator, was present and available for consultation. Today 22 children are enrolled and 19 children are present, ranging in age from 2-5 years old. All four staff members were present and caring for children. A walk-through of the facility was conducted. Children in the facility were participating in free play. Children were participating in the following activities including, but not limited to, playing in the kitchen, reading books, and participating in a music activity. You have transitioned the children who were currently being cared for in an unapproved space and were being cared for in space 5, which is an unapproved space until a staff member could get approved space 2 set up for care. The staff split the children into the two approved indoor spaces while another staff member set up the classroom. A walk though of the facility was conducted. Based on observations during the walkthrough, J. Lammie was not present on the premises. A discussion with you was also held regarding the Disqualification Letter. Be reminded that the employee may not return until they are qualified through the Criminal Background Check Unit or a Summary Suspension could be issued. Today your new outdoor equipment was monitored for the applicable child care requirements. The new equipment was anchored and surrounded by 6 inches of mulch. There was/was not adequate space for the fall zones. This applies to your Playground Equipment must be positioned so a six-foot fall zone surrounds each or removed from the playground. Types of surfacing CANNOT be mixed in determining resilient surfacing depth; if mulch decomposes to soil-like consistency, it is no longer considered part of the resilient surfacing. The following violation was observed and documented today. The violation must be corrected immediately. Violation Number Comment Rule 209 Children used space that was not approved. Eight children were being cared for in an unapproved space. This is a repeat violation from May 22, 2026. GS 110-91(1)&(4-5) Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4)(d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Technical Assistance: As stated on the visit on May 22, 2026, any disqualified employees may not return on the premises until they qualify through the Criminal Background Check Unit or a Summary Suspension could be issued. All staff members must have a current qualifying letter on file and be able to review. Unapproved Space Today, children were being cared for in an unapproved space #5 while a staff member was setting up the classroom. This is a repeat violation. As stated on Friday May 22, 2026, we reviewed your floor plan and your building inspection. Items #34 and #35 on the building inspection form requires that each space used by children have a direct exit to the outside or an operable window that meets special exit requirements for educational occupancy. Potential space #4 does not have a direct exit to the outside; while it does contain two windows, they are not operable. Potential space 5 does not have a direct exit to the outside nor windows. Prior to using either space, you must obtain a new approved building, fire and sanitation inspection approving these spaces. The sanctuary space would also need to be approved for use if you are considering using it in the future. Consider arranging space 2 for use by children. Also remember you cannot care for children in any space that is not approved, including the director’s office, as that is an unapproved space as well. The only spaces that are approved for care are classroom space 1, space 2, space 3, and your outdoor playground. Outdoor For licensing purposes, stationary equipment is considered to be any equipment that is anchored to the ground OR is so heavy that it cannot be easily moved. Equipment over 18 inches in height that children can climb on must be installed on resilient surfacing, with a six-foot fall zone surrounding each piece of climbing apparatus; the fall zones cannot overlap. Emerging research tells us that children need to spend time outdoors to be healthy as they grow and develop. They will be smarter, better able to get along with others, healthier and happier when they have regular opportunities for free and unstructured play outdoors. Outdoor play is beneficial to children as well as caregivers. Research tells us that spending time outdoors, exposed to fresh air, sunlight, and natural elements such as trees and grass provides many health benefits. The outdoor learning environment offers a sense of freedom for children. Children are able to play freely with peers, expand their imagination beyond restraints of indoor activities, release energy and explore their sense of touch, smell, taste, and their sense of motion. Caregivers are in a unique position to utilize the outdoor environment to promote development and learning. Screen Time Today I suggested that you review Child Care Rule 10A NCAC 09 .0510 regarding screen time. If you choose to provide screen time at your facility, you must ensure that it is used to meet a developmental goal, that it is limited to 30 minutes per day and that the time is documented, and that free choice activities are offered for children not participating. I shared with you that screen time is also now prohibited for children under the age of three years old, therefore if any children this age are present the television may not be on. Facility staff should ensure that screen time does not displace healthy activities such as exercise, play in activity centers, and interactions with staff and children. For children of all ages, screen time should not be used during meal or snack time or during nap/rest times. When offered, screen time should be free of advertising and brand placement, violence, and sounds that tempt children to overuse the product. Classroom schedules should prioritize physical activity and increase personal social interactions and engagement during the day. It is important for young children to have active social interactions with adults and children. Screen time can distract children (and adults), limit conversations and play, and reduce healthy physical activity, increasing the risk for overweight and obesity. Overuse of screen time can also be associated with problems with behavior, limit-setting, and emotional and behavioral self-regulation; therefore, staff should avoid using screen time to calm a child down. Screen time is not without benefits, including learning from high-quality content, creative engagement, and social interactions. However, especially in young children, real-life social interactions promote greater learning and retention of knowledge and skills. For the latest information on child care rules and regulations, please visit the Division of Child Development and Early Education’s website at https://ncchildcare.ncdhhs.gov/ At the completion of the visit, the visit summary was printed, reviewed, and a copy was left with you. Contact me at heather.elliott@dhhs.nc.gov / 910-364-8728 or my supervisor Kim Sherry, kim.sherry@dhhs.nc.gov / 910- 824-0470 if you have any questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

GS 110-91 · Violation

Name of Operation: Sanctuary Childcare Center Facility ID: 67001210 Consultant: HEATHER ELLIOTT Operation Type: Center Case Number: Visit Date: 5/22/2026 Number Present: 18 Completed Date: 5/22/2026 Age: From 2 To 5 Total Minutes: 185 Time In: 09:40 AM Time Out: 12:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Other Announced/Unannounced: Unannounced The purpose of today's unannounced visit was to hand deliver a Criminal Background Check Disqualification Letters for Jessica Baker Lammie, administrator. Kim Sherry, Licensing Supervisor, accompanied me during today’s visit. Upon arrival today, you, Jessica Baker Lammie were present at the facility and actively working. After a copy of the Disqualification Letter was given to you, you were informed that you are unable to remain on the premises. Today I reviewed the disqualification letter with you. Jessica Lammie stated that she is aware that she cannot own, operate, be employed, or volunteer at a licensed facility. After the discussion, Ms. Lammie collected her personal items and left the premises. On yesterday, May 21, 2026, a visit was made to this facility. Upon arrival, one staff member was cleaning front glass doors at the facility while another staff member was outside with the children. There were six children present, ranging in age from 2 to 4. Ms. Jones contacted you via telephone and you stated you could return to the facility. After approximately 15 minutes, you telephoned the center and informed Kim Sherry, Licensing Supervisor, you had been involved in an accident, and you would be unable to return to the center. Ms. Sherry advised you to take care of yourself and we would return to the center at another time. This visit was conducted at the end of the facility’s operating day. At that time, all but two children had been picked up, and those children’s parents were expected to arrive momentarily. Today there are 22 children enrolled, and 18 children present, ranging from 2 to 5 years of age. All four staff members were present. There have been two new staff members hired since the last visit, and criminal background checks were reviewed today. Until an administrator can be put in place or until you receive a qualification letter, you feel confident that a staff member, S. Castaneda, could oversee the administrator’s responsibilities and daily operations upon your absence. You contacted the church’s contact J. Cook to discuss the situation. Mr. Cook arrived and we explained the disqualification process and discussed current enrollment, the children present, and how the departure of the administrator from the facility would impact child care operations. Today, I reminded you that your facility must stay in staff/child ratio at all times. . *Children of all ages may be cared for together in groups at the beginning and end of the operating day provided the staff/child ratio for the youngest child in the group is maintained. *When combining age groups, the staff/child ratio for the youngest child in the group shall be maintained for the entire group. 2 years old- 1 staff member to 10 children 3 years old – 1 staff member to 15 children 4 years old- 1 staff member to 20 children Space 1, can have a maximum of 15 children, space 2 can have a maximum of 10 children, and space 3 can have a maximum of 15 children. You stated your plan is to appoint M. Hyman to oversee the administrator’s responsibility and daily operations upon the administrator’s absence. Mr. Cook stated that M. Hyman will start on Tuesday May 26, 2026. Today we emailed you the Legal Designee Form to update for our files. Today, you were using an unapproved space. The space being used for the four- and five-year-old children is not an approved space. Currently, you are only approved to use 3 indoor spaces. You will need to have a new building inspection, fire inspection, and sanitation inspection to approve any other spaces you would like to use for care. Mr. Cook stated that he understands that this employee may not return until they qualified through the Criminal Background Check Unit or a Summary Suspension could be issued. One violation was cited today and corrected during the visit. Children were moved from the unapproved classroom space to space 1. Violation Number Comment Rule 209 Children used space that was not approved. Eight children, ranging in age from four to five, were cared for in an unapproved space. GS 110-91(1)&(4-5) A return visit will be made to verify that Ms. Lammie is not on the premises. Technical Assistance: Today we reviewed your floor plan and your building inspection. Items #34 and #35 on the building inspection form requires that each space used by children have a direct exit to the outside or an operable window that meets special exit requirements for educational occupancy. Potential space #4 does not have a direct exit to the outside; while it does contain two windows, they are not operable. Potential space 5 does not have a direct exit to the outside nor windows. Prior to using either space, you must obtain a new approved building, fire and sanitation inspection approving these spaces. The sanctuary space would also need to be approved for use if you are considering using it in the future. Consider arranging space 2 for use by children. For the latest information on child care rules and regulations, please visit the Division of Child Development and Early Education’s website at https://ncchildcare.ncdhhs.gov/ At the completion of the visit, the visit summary was printed, reviewed, and a copy was left with you. Contact me at heather.elliott@dhhs.nc.gov / 910-364-8728 or my supervisor Kim Sherry, kim.sherry@dhhs.nc.gov / 910- 824-0470 if you have any questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0601 · Violation

Name of Operation: Sanctuary Childcare Center Facility ID: 67001210 Consultant: HEATHER ELLIOTT Operation Type: Center Case Number: Visit Date: 2/9/2026 Number Present: 15 Completed Date: 2/9/2026 Age: From 2 To 4 Total Minutes: 190 Time In: 09:50 AM Time Out: 01:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for a routine unannounced visit. Jennifer Garner, Lead Child Care Consultant, assisted during today's visit. This facility operates with a Notice of Compliance. The facility is now receiving subsidy funding. The facility began operating on September 29, 2024. The facility provides care for children 2- 5 years of age, during first shift childcare, a capacity of 40 children, and no cooking allowed. As of today, the center has 94% compliance history. Sanctuary of Faith Inc, the non-profit corporation which owns the facility, was verified as current and active with the NC Secretary of State’s office today. A fire inspection was conducted on February 4, 2026; the facility was approved for daytime care only. An approved Sanitation inspection was completed on October 3, 2025 with a superior rating with 4 demerits. Jessica Lammie, administrator, was present and available for consultation. A walk-through of the facility was completed today, all indoor and outdoor learning environments were observed. There were 22 children enrolled and 15 children present, ages ranging from 2-4 years of age. Children throughout the facility were participating in group time, free play in activity areas, transitions, and personal care routines. In space one children were playing at the table with a variety of science and manipulative materials which included but not limited to shells, magnetic blocks, and rocks. In space 3, children were participating in group time and then the children transitioned to the outdoor playground. Each of the spaces had age-appropriate materials available for the children which included but not limited to books, puzzles, art materials, and manipulatives. An ABA therapist was present providing support. Files for all new staff members have been reviewed and found in compliance. During today’s visit child care requirements were monitored for compliance including supervision, staff/child ratios, CPR and First Aid, Criminal Background Checks, storage of hazardous materials, storage of medications, approved space, and other applicable requirements. The following violations were observed and documented today. All violations must be corrected immediately. Violation Number Comment Rule 807 A safe indoor and outdoor environment was not provided for the children. Upon arrival, it was observed that the kitchen door was ajar, making it assessable to children. 10A NCAC 09 .0601(a) 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. In the bathroom used by children, A& D original ointment, Aquaphor diaper rash cream, and Desitin was in an opened unlocked cabinet assessable to children. 15A NCAC 18A .2820(d) Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4)(d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before February 23, 2026, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware that any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Mail or email the information to: Heather Elliott, Child Care Consultant PO Box 161 Hampstead, NC 28443 910-364-8728 If you email the compliance letter, it must be sent from the email address on file with DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Technical Assistance: Today diaper creams were observed in an unlocked cabinet accessible to children in the bathroom. The cabinet door was open, the diaper creams were stored in boxes with diapers with wipes from two inches off the ground to four feet off the ground. We discussed the types of approved locks to include key locks, combination locks, and magnetic locks. We googled pictures of magnetic tot locks. You will need to relocate all diaper creams to a minimum of five feet off the ground or store them in locked storage. Upon arrival the kitchen door was ajar. The hot water in the kitchen is hot enough to potentially scald children, therefore the kitchen must be made inaccessible at all times. Today we reviewed your floor plan, your building inspection and visit summary dated September 14, 2023. Items #34 and #35 on the building inspection form requires that each space used by children have a direct exit to the outside or an operable window that meets special exit requirements for educational occupancy. Potential space #4 does not have a direct exit to the outside; while it does contain two windows, they are not operable. Potential space 5 does not have a direct exit to the outside nor windows. Prior to using either space, you must obtain a new approved building, fire and sanitation inspection approving these spaces. The sanctuary space would also need to be approved for use if you are considering using it in the future. Consider arranging space 2 for use by children. Today you stated that you were having trouble accessing the facility’s EPR plan, for technical assistance and on-going support regarding emergency preparedness and response in child care, contact the North Carolina Child Care Health and Safety Resource Center or 1-800-367-2229. CLEAN WATER FOR CAROLINA KIDS- Your facility’s status, according to Clean Classrooms for Carolina Kids website, shows the following: Water Testing- Completed on December 4, 2020. Water Testing must be completed every three years. There are no results available for this facility for both Lead-Based Paing and Asbestos. Your facility must complete necessary testing. ABCMS-Today we discussed that information should be updated in ABCMS on an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. For the latest information on child care rules and regulations, please visit the Division of Child Development and Early Education’s website at https://ncchildcare.ncdhhs.gov/ At the completion of the visit, the visit summary was printed, reviewed, and a copy was left with you. Contact me at heather.elliott@dhhs.nc.gov / 910-364-8728 or my supervisor Kim Sherry, kim.sherry@dhhs.nc.gov / 910-824-0470 if you have any questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

NC GS 110-90 · Violation

Name of Operation: Sanctuary Childcare Center Facility ID: 67001210 Consultant: HEATHER ELLIOTT Operation Type: Center Case Number: Visit Date: 2/9/2026 Number Present: 15 Completed Date: 2/9/2026 Age: From 2 To 4 Total Minutes: 190 Time In: 09:50 AM Time Out: 01:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for a routine unannounced visit. Jennifer Garner, Lead Child Care Consultant, assisted during today's visit. This facility operates with a Notice of Compliance. The facility is now receiving subsidy funding. The facility began operating on September 29, 2024. The facility provides care for children 2- 5 years of age, during first shift childcare, a capacity of 40 children, and no cooking allowed. As of today, the center has 94% compliance history. Sanctuary of Faith Inc, the non-profit corporation which owns the facility, was verified as current and active with the NC Secretary of State’s office today. A fire inspection was conducted on February 4, 2026; the facility was approved for daytime care only. An approved Sanitation inspection was completed on October 3, 2025 with a superior rating with 4 demerits. Jessica Lammie, administrator, was present and available for consultation. A walk-through of the facility was completed today, all indoor and outdoor learning environments were observed. There were 22 children enrolled and 15 children present, ages ranging from 2-4 years of age. Children throughout the facility were participating in group time, free play in activity areas, transitions, and personal care routines. In space one children were playing at the table with a variety of science and manipulative materials which included but not limited to shells, magnetic blocks, and rocks. In space 3, children were participating in group time and then the children transitioned to the outdoor playground. Each of the spaces had age-appropriate materials available for the children which included but not limited to books, puzzles, art materials, and manipulatives. An ABA therapist was present providing support. Files for all new staff members have been reviewed and found in compliance. During today’s visit child care requirements were monitored for compliance including supervision, staff/child ratios, CPR and First Aid, Criminal Background Checks, storage of hazardous materials, storage of medications, approved space, and other applicable requirements. The following violations were observed and documented today. All violations must be corrected immediately. Violation Number Comment Rule 807 A safe indoor and outdoor environment was not provided for the children. Upon arrival, it was observed that the kitchen door was ajar, making it assessable to children. 10A NCAC 09 .0601(a) 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. In the bathroom used by children, A& D original ointment, Aquaphor diaper rash cream, and Desitin was in an opened unlocked cabinet assessable to children. 15A NCAC 18A .2820(d) Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4)(d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before February 23, 2026, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware that any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Mail or email the information to: Heather Elliott, Child Care Consultant PO Box 161 Hampstead, NC 28443 910-364-8728 If you email the compliance letter, it must be sent from the email address on file with DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Technical Assistance: Today diaper creams were observed in an unlocked cabinet accessible to children in the bathroom. The cabinet door was open, the diaper creams were stored in boxes with diapers with wipes from two inches off the ground to four feet off the ground. We discussed the types of approved locks to include key locks, combination locks, and magnetic locks. We googled pictures of magnetic tot locks. You will need to relocate all diaper creams to a minimum of five feet off the ground or store them in locked storage. Upon arrival the kitchen door was ajar. The hot water in the kitchen is hot enough to potentially scald children, therefore the kitchen must be made inaccessible at all times. Today we reviewed your floor plan, your building inspection and visit summary dated September 14, 2023. Items #34 and #35 on the building inspection form requires that each space used by children have a direct exit to the outside or an operable window that meets special exit requirements for educational occupancy. Potential space #4 does not have a direct exit to the outside; while it does contain two windows, they are not operable. Potential space 5 does not have a direct exit to the outside nor windows. Prior to using either space, you must obtain a new approved building, fire and sanitation inspection approving these spaces. The sanctuary space would also need to be approved for use if you are considering using it in the future. Consider arranging space 2 for use by children. Today you stated that you were having trouble accessing the facility’s EPR plan, for technical assistance and on-going support regarding emergency preparedness and response in child care, contact the North Carolina Child Care Health and Safety Resource Center or 1-800-367-2229. CLEAN WATER FOR CAROLINA KIDS- Your facility’s status, according to Clean Classrooms for Carolina Kids website, shows the following: Water Testing- Completed on December 4, 2020. Water Testing must be completed every three years. There are no results available for this facility for both Lead-Based Paing and Asbestos. Your facility must complete necessary testing. ABCMS-Today we discussed that information should be updated in ABCMS on an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. For the latest information on child care rules and regulations, please visit the Division of Child Development and Early Education’s website at https://ncchildcare.ncdhhs.gov/ At the completion of the visit, the visit summary was printed, reviewed, and a copy was left with you. Contact me at heather.elliott@dhhs.nc.gov / 910-364-8728 or my supervisor Kim Sherry, kim.sherry@dhhs.nc.gov / 910-824-0470 if you have any questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

NC GS 110-90 · Violation

Name of Operation: Sanctuary Childcare Center Facility ID: 67001210 Consultant: ANDREA JOHNSON Operation Type: Center Case Number: Visit Date: 8/20/2025 Number Present: 18 Completed Date: 8/20/2025 Age: From 2 To 6 Total Minutes: 167 Time In: 08:58 AM Time Out: 11:45 AM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance with applicable childcare requirements pertinent to an annual compliance visit. Your program currently operates with a Notice of Compliance issued September 28, 2023. The Administrator, Jeanny Woodruff, was available for consultation. The last annual compliance was conducted on August 27, 2024. The sanitation inspection was completed April 29, 2025, with a “Superior” classification. The last fire inspection was conducted on March 11, 2025. Your facility was approved for 1st shift care, and no cooking is allowed. The program’s compliance history was ninety-two (92) percent. The NC Secretary of State website was reviewed on August 20, 2025, and The Sanctuary of Faith was listed as current-active. Twenty-three (23) children between the ages of two (2) and six (6) years old are enrolled and eighteen (18) were present today. There are three (3) approved indoor spaces and one (1) approved outdoor spaces. At least five (5) activity areas including language, blocks, manipulatives, dramatic play, and art were available in the classroom. Age-appropriate materials and activities were provided for all children. Older preschool children assigned to indoor space #1 were observed transitioning from morning snack to routine toileting and handwashing. Younger preschool children assigned to indoor space #3 were engaged in a variety of free play activities which included dot art markers, legos, and baby dolls. After free play activities, the children were observed in the outdoor space running, riding tricycles, and sliding. Routine toileting, diapering, and handwashing procedures were monitored, and requirements were met. The outdoor space had a variety of gross motor equipment which included two (2) slides, three (3) see saw rockers, a variety of balls, sand pit, and stepping stones. Violation Number Comment Rule 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. The most recent playground inspection was completed on September 18, 2024. .0605(q) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. A shelter-in-place or lockdown drill has not been conducted in 2025. .0604(u);.0302(d)(8) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violations documented may impact the compliance history score. Any violations documented must be corrected immediately. On or before Wednesday, September 3, 2025, I must receive a written, dated, and signed compliance letter that describes accurately and in detail how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Andrea Johnson, Child Care Consultant andrea.johnson@dhhs.nc.gov PO Box 904 Beaufort, NC 28516 252-732-0183 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: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Technical Assistance: Emergency Drills: Lockdown or shelter-in-place drills should be practiced at least every three months as part of your facility's EPR plan. These drills should be documented on the Emergency Drill Record. Frequent practice will allow children and staff members to be familiar with the steps to take to keep everyone safe in an emergency. Today I suggested you plan the dates and times of your drills in advance and use calendar reminders to ensure they are completed at least every three months. EPR Plan - Technical Assistance & On-going Support Today, you reported you have completed EPR training and are in the process of updating your facility’s EPR Template. You have documented that all staff members reviewed the EPR Plan on August 15, 2025; however, you are having difficulties updating new information into the plan. For technical assistance and on-going support regarding emergency preparedness and response in child care, contact the North Carolina Child Care Health and Safety Resource Center or 1-800-367-2229. Clean Classrooms for Carolina Kids: Your facility, Sanctuary Childcare Services, status, according to the Clean Classrooms for Carolina Kids website, shows the following: • Water Testing-Completed on December 04, 2020. Water testing must be completed every three (3) years. • Lead-Based Paint-Enrollment Started/No Results Ready • Asbestos-Enrollment Started/No Results Ready Summer 2025: Is it Medicine? We think you’ll enjoy the Summer 2025 edition of the NC Child Care Health and Safety E-Newsletter. It includes in-depth information about health and safety concerns in early care and education settings, as well as information for child care programs to share with families. Check it out! Remember! You can contact the NC Resource Center for information, resources, and referrals on topics related to child health and health and safety in child care. Anyone in the greater early care and education community is welcome to call 1(800) 367-2229 (choose 1 then 2). Reminders: For the latest information on childcare rules and regulations, please visit the Division of Child Development and Early Education's website at: https://ncchildcare.ncdhhs.gov/ At the completion of the visit, this visit summary was reviewed with you printed and signed. As we discussed, this computer-generated visit summary serves as completion of the annual compliance visit. If you have any questions and/or concerns, you have my contact information. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0304 · Violation

Name of Operation: Sanctuary Childcare Center Facility ID: 67001210 Consultant: KIM SHERRY Operation Type: Center Case Number: Visit Date: 1/29/2025 Number Present: 1 Completed Date: 1/29/2025 Age: From 2 To 5 Total Minutes: 110 Time In: 09:55 AM Time Out: 11:45 AM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during this routine unannounced visit. This facility operates with a Notice of Compliance. The facility is now receiving subsidy funding. The facility began operating on September 29, 2024. The facility provides care for children 2- 5 years of age, during first shift childcare, a capacity of 40 children, and no cooking allowed. The center has an 90% compliance history. Sanctuary of Faith Inc, the non-profit corporation which owns the facility, was verified as current and active with the NC Secretary of State’s office on January 29, 2025. A fire inspection was conducted September 14, 2023; the facility was approved for daytime care only. An approved Sanitation inspection was completed on December 27, 2024. You, Miriam Hymom, administrator was present and available. Today, there were two classrooms operating, with thirteen children enrolled, eleven children present ranging in age from two to five years of age. Supervision, staff/child ratio, group size, use of licensed space, space capacity, license restrictions were monitored. The Notice of Compliance and Emergency Care plan were posted. I conducted a walk through and observations. One group was transitioning outdoors for free play and then a second group transitioned outdoors. There were few items and materials, toys, etc. available for the children to play with. Specifically, there was one trike, one small Little Tykes slide, four small see saws, and two balance rockers. There were not enough materials for the children to play resulting in behavioral issues. Children were picking up large arm full of pine straw and placing on top of children. Staff files- Limited monitored occurred. All licensing paperwork will be reviewed during the annual compliance visit. Criminal Background checks and CPR and First Aid training was verified today. You are the only staff member that has completed the trainings; therefore, you must be on premises at all times until others are trained. Child Care programs are expected to always achieve and maintain compliance with child care rules, and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The following violations were observed today and must be corrected immediately: Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The last fire inspection was completed September 14, 2023. 10A NCAC 09 .0304(a) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. A yellow plastic bag storing children's belongings was located in the bottom storage of a cubby. .0604(q) A compliance letter including detailed information about how the violations have been corrected must be received by February 7, 2025. Include any supporting documentation with your response (if applicable). Your letter will be used as verification that violations have been corrected, and compliance is maintained; your written response is considered a legal document so must be accurate and truthful. If you email the compliance letter, it must be sent using the email address registered with DCDEE and include your facility name and ID number. If sufficient information is not received by the due date, a follow-up visit will be conducted. Technical Assistance Regarding Violations Cited: A violation was documented related fire inspections. The last fire inspection was on September 14, 2023. Child Care Rule 10A NCAC 09 .0304 (a) states that each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division. I suggest noting the date of your most recent inspection on a calendar and setting a reminder for yourself to call and request your inspection at least one month in advance of the deadline. Reminders: First Aid and CPR-All staff who provide direct care for children at any time are now required to complete CPR and First Aid within 90 days hire. CPR and First Aid must be renewed on or before the expiration date on the certification card. At least one person with current CPR/First Aid must always be on-site. Take CPR and First Aid Training from an approved agency or from a trainer from an approved agency, e.g., American Red Cross (ARC), American Heart Association (AHA), American Health and Safety Institute (AHSI), National Safety Council. Other options are listed on the DCDEE website. On-line courses are not accepted for CPR or First Aid. Approved Courses must meet requirements for Pediatric CPR and First Aid and include infant, child, and adult CPR and pediatric First Aid (a first aid course focused on handling injuries and medical emergencies in children). If the center or home is not licensed for infants, infant CPR is not required. The participant must receive an official certification card or electronic certificate. These should be received from the instructor no more than one month after training is completed. It is the participants responsibility to make sure the CPR/First Aid course covers the required topics and results in the correct certification card. (See above.) A training certificate or roster alone does not meet the requirement. If the certification card does not reflect that pediatric First Aid was covered, the instructor needs to provide additional documentation to be included with the card. Preschoolers engaged in outdoor play activites will prevent boredom, which can result in inappropriate activities and behaviors. Incorporate active play like running, jumping, climbing, and throwing, provide open-ended materials for creative play, set up imaginative play scenarios, use chalk for drawing, play nature-themed games, and encourage exploration of their surroundings while supervising safety. Add additional trikes to prevent conflict, and other interesting materials. Continue to ensure a staff member with a Provisional Qualification letter is never left alone with children. I am planning a director’ meeting for April 2025. I will be sending information out once I have the date and time scheduled. I encourage you to attend. At the end of this visit, documentation was completed today. Please remember it is your responsibility to comply with all child care rules and requirements at all times. Email me at Kim.Sherry@dhhs.nc.gov or call me at (910) 824-0470 with questions or concerns. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

NC GS 110-90 · Violation

Name of Operation: Sanctuary Childcare Center Facility ID: 67001210 Consultant: KIM SHERRY Operation Type: Center Case Number: Visit Date: 1/29/2025 Number Present: 1 Completed Date: 1/29/2025 Age: From 2 To 5 Total Minutes: 110 Time In: 09:55 AM Time Out: 11:45 AM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during this routine unannounced visit. This facility operates with a Notice of Compliance. The facility is now receiving subsidy funding. The facility began operating on September 29, 2024. The facility provides care for children 2- 5 years of age, during first shift childcare, a capacity of 40 children, and no cooking allowed. The center has an 90% compliance history. Sanctuary of Faith Inc, the non-profit corporation which owns the facility, was verified as current and active with the NC Secretary of State’s office on January 29, 2025. A fire inspection was conducted September 14, 2023; the facility was approved for daytime care only. An approved Sanitation inspection was completed on December 27, 2024. You, Miriam Hymom, administrator was present and available. Today, there were two classrooms operating, with thirteen children enrolled, eleven children present ranging in age from two to five years of age. Supervision, staff/child ratio, group size, use of licensed space, space capacity, license restrictions were monitored. The Notice of Compliance and Emergency Care plan were posted. I conducted a walk through and observations. One group was transitioning outdoors for free play and then a second group transitioned outdoors. There were few items and materials, toys, etc. available for the children to play with. Specifically, there was one trike, one small Little Tykes slide, four small see saws, and two balance rockers. There were not enough materials for the children to play resulting in behavioral issues. Children were picking up large arm full of pine straw and placing on top of children. Staff files- Limited monitored occurred. All licensing paperwork will be reviewed during the annual compliance visit. Criminal Background checks and CPR and First Aid training was verified today. You are the only staff member that has completed the trainings; therefore, you must be on premises at all times until others are trained. Child Care programs are expected to always achieve and maintain compliance with child care rules, and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The following violations were observed today and must be corrected immediately: Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The last fire inspection was completed September 14, 2023. 10A NCAC 09 .0304(a) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. A yellow plastic bag storing children's belongings was located in the bottom storage of a cubby. .0604(q) A compliance letter including detailed information about how the violations have been corrected must be received by February 7, 2025. Include any supporting documentation with your response (if applicable). Your letter will be used as verification that violations have been corrected, and compliance is maintained; your written response is considered a legal document so must be accurate and truthful. If you email the compliance letter, it must be sent using the email address registered with DCDEE and include your facility name and ID number. If sufficient information is not received by the due date, a follow-up visit will be conducted. Technical Assistance Regarding Violations Cited: A violation was documented related fire inspections. The last fire inspection was on September 14, 2023. Child Care Rule 10A NCAC 09 .0304 (a) states that each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division. I suggest noting the date of your most recent inspection on a calendar and setting a reminder for yourself to call and request your inspection at least one month in advance of the deadline. Reminders: First Aid and CPR-All staff who provide direct care for children at any time are now required to complete CPR and First Aid within 90 days hire. CPR and First Aid must be renewed on or before the expiration date on the certification card. At least one person with current CPR/First Aid must always be on-site. Take CPR and First Aid Training from an approved agency or from a trainer from an approved agency, e.g., American Red Cross (ARC), American Heart Association (AHA), American Health and Safety Institute (AHSI), National Safety Council. Other options are listed on the DCDEE website. On-line courses are not accepted for CPR or First Aid. Approved Courses must meet requirements for Pediatric CPR and First Aid and include infant, child, and adult CPR and pediatric First Aid (a first aid course focused on handling injuries and medical emergencies in children). If the center or home is not licensed for infants, infant CPR is not required. The participant must receive an official certification card or electronic certificate. These should be received from the instructor no more than one month after training is completed. It is the participants responsibility to make sure the CPR/First Aid course covers the required topics and results in the correct certification card. (See above.) A training certificate or roster alone does not meet the requirement. If the certification card does not reflect that pediatric First Aid was covered, the instructor needs to provide additional documentation to be included with the card. Preschoolers engaged in outdoor play activites will prevent boredom, which can result in inappropriate activities and behaviors. Incorporate active play like running, jumping, climbing, and throwing, provide open-ended materials for creative play, set up imaginative play scenarios, use chalk for drawing, play nature-themed games, and encourage exploration of their surroundings while supervising safety. Add additional trikes to prevent conflict, and other interesting materials. Continue to ensure a staff member with a Provisional Qualification letter is never left alone with children. I am planning a director’ meeting for April 2025. I will be sending information out once I have the date and time scheduled. I encourage you to attend. At the end of this visit, documentation was completed today. Please remember it is your responsibility to comply with all child care rules and requirements at all times. Email me at Kim.Sherry@dhhs.nc.gov or call me at (910) 824-0470 with questions or concerns. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

NC GS 110-90 · Violation

Name of Operation: Sanctuary Childcare Center Facility ID: 67001210 Consultant: KIM SHERRY Operation Type: Center Case Number: Visit Date: 8/27/2024 Number Present: 11 Completed Date: 8/27/2024 Age: From 2 To 5 Total Minutes: 130 Time In: 09:00 AM Time Out: 11:10 AM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance unannounced visit. This facility operates with a Notice of Compliance. The facility is now receiving subsidy funding. The facility began operating on September 29, 2024. The facility provides care for children 2- 5 years of age, during first shift childcare, a capacity of 40 children, and no cooking allowed. The center has an 100% compliance history. Sanctuary of Faith Inc, the non-profit corporation which owns the facility, was verified as current and active with the NC Secretary of State’s office on May 22, 2024. A fire inspection was conducted September 14, 2023; the facility was approved for daytime care only. A new one is required prior to this date. Prior to the visit, the facility had an eighteen-month compliance history score of 88%. You, Anastasia Temoney, administrator was present and available. Today, there were two classrooms operating, with eleven children present. Children ranged in age from two to five years of age. Supervision, staff/child ratio, group size, use of licensed space, staff records, space capacity, license restrictions were monitored. The Notice of Compliance and Emergency Care plan were posted. There were three staff members employed. I conducted a walk through and observations. One group was outside and the second group was indoors, sitting at tables and playing with manipulatives. Later, this group transitioned outdoors. In the indoor and outdoor area, there were few items and materials, toys, etc. available for the children. In one classroom, there is one small bin with toys. In the corner there are a few books located on the bookshelf. In the other classroom, there was one long bin with manipulatives and a few books near the teacher’s desk. Outdoors, there are a couple of child size chairs, one plastic trike, two rockers, two wobbles, and balls. Violation Number Comment Rule 807 A safe indoor and outdoor environment was not provided for the children. Two protruding screws were observed on the wood boarder between the grass and the mulch. 10A NCAC 09 .0601(a) 808 The child care center premises, including the outdoor learning environment, was not clean, drained to minimize standing water, free of litter and hazards, and/or maintained in a manner which does not create conditions that attract or harbor pests. The grass path leading to the playground and the grass inside the fenced play area was overgrown. 15A NCAC 18A .2832(a) 832 There was no written emergency medical care (EMC) plan. The medical care plan is not current. 10A NCAC 09 .0802(a) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. One child enrolled February 26, 2024 and no health assessment is on file. GS110-91(1) 1323 Each child was not immunized as per Article 6 of Chapter 130A and an immunization record was not on file before or within 30 days after admission. Two children were enrolled more than 30 days and an immunization records are not on file. 10A NCAC 09 .0302(d)(2) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. One staff member employed on September 9, 2023 has not completed the training. .1102(g) Violation were documented and must be corrected immediately. On or before September 9, 2024, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Kim Sherry, Child Care Consultant, Kim.Sherry@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: name, position, facility name, and facility ID number. Child Care programs are expected to always achieve and maintain compliance with child care rules, and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. Technical Assistance: Two violations were documented related to safe environment in child care rules. -The child care center premises, including the outdoor learning environment, was not clean, drained to minimize standing water, free of litter and hazards, and/or maintained in a manner which does not create conditions that attract or harbor pests. The grass path leading to the playground and the grass inside the fenced play area was overgrown. Overgrown grass is an open invitation to pests. Tall grass also increases the risks of mosquito, flea, or tick invasion. -A safe indoor and outdoor environment was not provided for the children. Two protruding screws were observed on the wood boarder between the grass and the mulch. Projections become hazards when they extend beyond the recommended distance. Protrusions can cause bodily injury due to impact; specifically, they can spike, pierce, etc. a child’s skin. Other violations were discussed and must be corrected immediately. Send the training certificates once they are complete. Health and safety trainings including the Recognizing and Responding to Suspicions of Child Maltreatment webinar are required as part of on-going professional development to refresh and increase your awareness and knowledge regarding child development and safety. Trainings may be completed through Moodle. Moodle Support- The Division offers early childhood professionals a wide range of professional development opportunities through our online learning platform Moodle. As we continue expanding our training offerings, DCDEE has established a are required as part of on-going professional development to refresh and increase your awareness and knowledge regarding child development and safety. Trainings may be completed through Moodle. Rules- North Carolina Child Care Commission adopted child care rule changes in January 2024. Changes relate to definitions; lead and asbestos for centers and family child care homes; building requirements for family child care homes; multi-unit child care centers; and criminal background checks. Some of these rule changes may impact your facility. Please ensure you are using the updated January 2024 rule book, and you view information in the DCDEE Moodle. Additional Information: Required Water, Lead Paint, and Asbestos Testing - New child care rules require child care facilities to test for lead in drinking water, lead paint, and asbestos. Testing is required by 1/1/2025, but enrollment was required by 5/1/2024. Check out the FAQ in the updated Clean Classrooms for Carolina Kids. Currently there is funding to pay for the testing and to mitigate lead paint or asbestos hazards. Depending on the age of your home or building and the information you provide in the enrollment process, testing for lead paint and asbestos may not be required. (Lead paint was not used in homes built after 1978. Asbestos was not used in homes after 1988.). Send to me once complete. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me at Kim Sherry, Child Care Consultant, 910-824-1143, or Kim.Sherry@dhhs.nc.gov if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0601 · Violation

Name of Operation: Sanctuary Childcare Center Facility ID: 67001210 Consultant: KIM SHERRY Operation Type: Center Case Number: Visit Date: 8/27/2024 Number Present: 11 Completed Date: 8/27/2024 Age: From 2 To 5 Total Minutes: 130 Time In: 09:00 AM Time Out: 11:10 AM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance unannounced visit. This facility operates with a Notice of Compliance. The facility is now receiving subsidy funding. The facility began operating on September 29, 2024. The facility provides care for children 2- 5 years of age, during first shift childcare, a capacity of 40 children, and no cooking allowed. The center has an 100% compliance history. Sanctuary of Faith Inc, the non-profit corporation which owns the facility, was verified as current and active with the NC Secretary of State’s office on May 22, 2024. A fire inspection was conducted September 14, 2023; the facility was approved for daytime care only. A new one is required prior to this date. Prior to the visit, the facility had an eighteen-month compliance history score of 88%. You, Anastasia Temoney, administrator was present and available. Today, there were two classrooms operating, with eleven children present. Children ranged in age from two to five years of age. Supervision, staff/child ratio, group size, use of licensed space, staff records, space capacity, license restrictions were monitored. The Notice of Compliance and Emergency Care plan were posted. There were three staff members employed. I conducted a walk through and observations. One group was outside and the second group was indoors, sitting at tables and playing with manipulatives. Later, this group transitioned outdoors. In the indoor and outdoor area, there were few items and materials, toys, etc. available for the children. In one classroom, there is one small bin with toys. In the corner there are a few books located on the bookshelf. In the other classroom, there was one long bin with manipulatives and a few books near the teacher’s desk. Outdoors, there are a couple of child size chairs, one plastic trike, two rockers, two wobbles, and balls. Violation Number Comment Rule 807 A safe indoor and outdoor environment was not provided for the children. Two protruding screws were observed on the wood boarder between the grass and the mulch. 10A NCAC 09 .0601(a) 808 The child care center premises, including the outdoor learning environment, was not clean, drained to minimize standing water, free of litter and hazards, and/or maintained in a manner which does not create conditions that attract or harbor pests. The grass path leading to the playground and the grass inside the fenced play area was overgrown. 15A NCAC 18A .2832(a) 832 There was no written emergency medical care (EMC) plan. The medical care plan is not current. 10A NCAC 09 .0802(a) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. One child enrolled February 26, 2024 and no health assessment is on file. GS110-91(1) 1323 Each child was not immunized as per Article 6 of Chapter 130A and an immunization record was not on file before or within 30 days after admission. Two children were enrolled more than 30 days and an immunization records are not on file. 10A NCAC 09 .0302(d)(2) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. One staff member employed on September 9, 2023 has not completed the training. .1102(g) Violation were documented and must be corrected immediately. On or before September 9, 2024, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Kim Sherry, Child Care Consultant, Kim.Sherry@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: name, position, facility name, and facility ID number. Child Care programs are expected to always achieve and maintain compliance with child care rules, and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. Technical Assistance: Two violations were documented related to safe environment in child care rules. -The child care center premises, including the outdoor learning environment, was not clean, drained to minimize standing water, free of litter and hazards, and/or maintained in a manner which does not create conditions that attract or harbor pests. The grass path leading to the playground and the grass inside the fenced play area was overgrown. Overgrown grass is an open invitation to pests. Tall grass also increases the risks of mosquito, flea, or tick invasion. -A safe indoor and outdoor environment was not provided for the children. Two protruding screws were observed on the wood boarder between the grass and the mulch. Projections become hazards when they extend beyond the recommended distance. Protrusions can cause bodily injury due to impact; specifically, they can spike, pierce, etc. a child’s skin. Other violations were discussed and must be corrected immediately. Send the training certificates once they are complete. Health and safety trainings including the Recognizing and Responding to Suspicions of Child Maltreatment webinar are required as part of on-going professional development to refresh and increase your awareness and knowledge regarding child development and safety. Trainings may be completed through Moodle. Moodle Support- The Division offers early childhood professionals a wide range of professional development opportunities through our online learning platform Moodle. As we continue expanding our training offerings, DCDEE has established a are required as part of on-going professional development to refresh and increase your awareness and knowledge regarding child development and safety. Trainings may be completed through Moodle. Rules- North Carolina Child Care Commission adopted child care rule changes in January 2024. Changes relate to definitions; lead and asbestos for centers and family child care homes; building requirements for family child care homes; multi-unit child care centers; and criminal background checks. Some of these rule changes may impact your facility. Please ensure you are using the updated January 2024 rule book, and you view information in the DCDEE Moodle. Additional Information: Required Water, Lead Paint, and Asbestos Testing - New child care rules require child care facilities to test for lead in drinking water, lead paint, and asbestos. Testing is required by 1/1/2025, but enrollment was required by 5/1/2024. Check out the FAQ in the updated Clean Classrooms for Carolina Kids. Currently there is funding to pay for the testing and to mitigate lead paint or asbestos hazards. Depending on the age of your home or building and the information you provide in the enrollment process, testing for lead paint and asbestos may not be required. (Lead paint was not used in homes built after 1978. Asbestos was not used in homes after 1988.). Send to me once complete. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me at Kim Sherry, Child Care Consultant, 910-824-1143, or Kim.Sherry@dhhs.nc.gov if you have questions. 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: Sanctuary Childcare Center Facility ID: 67001210 Consultant: KIM SHERRY Operation Type: Center Case Number: Visit Date: 8/27/2024 Number Present: 11 Completed Date: 8/27/2024 Age: From 2 To 5 Total Minutes: 130 Time In: 09:00 AM Time Out: 11:10 AM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance unannounced visit. This facility operates with a Notice of Compliance. The facility is now receiving subsidy funding. The facility began operating on September 29, 2024. The facility provides care for children 2- 5 years of age, during first shift childcare, a capacity of 40 children, and no cooking allowed. The center has an 100% compliance history. Sanctuary of Faith Inc, the non-profit corporation which owns the facility, was verified as current and active with the NC Secretary of State’s office on May 22, 2024. A fire inspection was conducted September 14, 2023; the facility was approved for daytime care only. A new one is required prior to this date. Prior to the visit, the facility had an eighteen-month compliance history score of 88%. You, Anastasia Temoney, administrator was present and available. Today, there were two classrooms operating, with eleven children present. Children ranged in age from two to five years of age. Supervision, staff/child ratio, group size, use of licensed space, staff records, space capacity, license restrictions were monitored. The Notice of Compliance and Emergency Care plan were posted. There were three staff members employed. I conducted a walk through and observations. One group was outside and the second group was indoors, sitting at tables and playing with manipulatives. Later, this group transitioned outdoors. In the indoor and outdoor area, there were few items and materials, toys, etc. available for the children. In one classroom, there is one small bin with toys. In the corner there are a few books located on the bookshelf. In the other classroom, there was one long bin with manipulatives and a few books near the teacher’s desk. Outdoors, there are a couple of child size chairs, one plastic trike, two rockers, two wobbles, and balls. Violation Number Comment Rule 807 A safe indoor and outdoor environment was not provided for the children. Two protruding screws were observed on the wood boarder between the grass and the mulch. 10A NCAC 09 .0601(a) 808 The child care center premises, including the outdoor learning environment, was not clean, drained to minimize standing water, free of litter and hazards, and/or maintained in a manner which does not create conditions that attract or harbor pests. The grass path leading to the playground and the grass inside the fenced play area was overgrown. 15A NCAC 18A .2832(a) 832 There was no written emergency medical care (EMC) plan. The medical care plan is not current. 10A NCAC 09 .0802(a) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. One child enrolled February 26, 2024 and no health assessment is on file. GS110-91(1) 1323 Each child was not immunized as per Article 6 of Chapter 130A and an immunization record was not on file before or within 30 days after admission. Two children were enrolled more than 30 days and an immunization records are not on file. 10A NCAC 09 .0302(d)(2) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. One staff member employed on September 9, 2023 has not completed the training. .1102(g) Violation were documented and must be corrected immediately. On or before September 9, 2024, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Kim Sherry, Child Care Consultant, Kim.Sherry@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: name, position, facility name, and facility ID number. Child Care programs are expected to always achieve and maintain compliance with child care rules, and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. Technical Assistance: Two violations were documented related to safe environment in child care rules. -The child care center premises, including the outdoor learning environment, was not clean, drained to minimize standing water, free of litter and hazards, and/or maintained in a manner which does not create conditions that attract or harbor pests. The grass path leading to the playground and the grass inside the fenced play area was overgrown. Overgrown grass is an open invitation to pests. Tall grass also increases the risks of mosquito, flea, or tick invasion. -A safe indoor and outdoor environment was not provided for the children. Two protruding screws were observed on the wood boarder between the grass and the mulch. Projections become hazards when they extend beyond the recommended distance. Protrusions can cause bodily injury due to impact; specifically, they can spike, pierce, etc. a child’s skin. Other violations were discussed and must be corrected immediately. Send the training certificates once they are complete. Health and safety trainings including the Recognizing and Responding to Suspicions of Child Maltreatment webinar are required as part of on-going professional development to refresh and increase your awareness and knowledge regarding child development and safety. Trainings may be completed through Moodle. Moodle Support- The Division offers early childhood professionals a wide range of professional development opportunities through our online learning platform Moodle. As we continue expanding our training offerings, DCDEE has established a are required as part of on-going professional development to refresh and increase your awareness and knowledge regarding child development and safety. Trainings may be completed through Moodle. Rules- North Carolina Child Care Commission adopted child care rule changes in January 2024. Changes relate to definitions; lead and asbestos for centers and family child care homes; building requirements for family child care homes; multi-unit child care centers; and criminal background checks. Some of these rule changes may impact your facility. Please ensure you are using the updated January 2024 rule book, and you view information in the DCDEE Moodle. Additional Information: Required Water, Lead Paint, and Asbestos Testing - New child care rules require child care facilities to test for lead in drinking water, lead paint, and asbestos. Testing is required by 1/1/2025, but enrollment was required by 5/1/2024. Check out the FAQ in the updated Clean Classrooms for Carolina Kids. Currently there is funding to pay for the testing and to mitigate lead paint or asbestos hazards. Depending on the age of your home or building and the information you provide in the enrollment process, testing for lead paint and asbestos may not be required. (Lead paint was not used in homes built after 1978. Asbestos was not used in homes after 1988.). Send to me once complete. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me at Kim Sherry, Child Care Consultant, 910-824-1143, or Kim.Sherry@dhhs.nc.gov if you have questions. 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 .0302 · Violation

Name of Operation: Sanctuary Childcare Center Facility ID: 67001210 Consultant: KIM SHERRY Operation Type: Center Case Number: Visit Date: 8/27/2024 Number Present: 11 Completed Date: 8/27/2024 Age: From 2 To 5 Total Minutes: 130 Time In: 09:00 AM Time Out: 11:10 AM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance unannounced visit. This facility operates with a Notice of Compliance. The facility is now receiving subsidy funding. The facility began operating on September 29, 2024. The facility provides care for children 2- 5 years of age, during first shift childcare, a capacity of 40 children, and no cooking allowed. The center has an 100% compliance history. Sanctuary of Faith Inc, the non-profit corporation which owns the facility, was verified as current and active with the NC Secretary of State’s office on May 22, 2024. A fire inspection was conducted September 14, 2023; the facility was approved for daytime care only. A new one is required prior to this date. Prior to the visit, the facility had an eighteen-month compliance history score of 88%. You, Anastasia Temoney, administrator was present and available. Today, there were two classrooms operating, with eleven children present. Children ranged in age from two to five years of age. Supervision, staff/child ratio, group size, use of licensed space, staff records, space capacity, license restrictions were monitored. The Notice of Compliance and Emergency Care plan were posted. There were three staff members employed. I conducted a walk through and observations. One group was outside and the second group was indoors, sitting at tables and playing with manipulatives. Later, this group transitioned outdoors. In the indoor and outdoor area, there were few items and materials, toys, etc. available for the children. In one classroom, there is one small bin with toys. In the corner there are a few books located on the bookshelf. In the other classroom, there was one long bin with manipulatives and a few books near the teacher’s desk. Outdoors, there are a couple of child size chairs, one plastic trike, two rockers, two wobbles, and balls. Violation Number Comment Rule 807 A safe indoor and outdoor environment was not provided for the children. Two protruding screws were observed on the wood boarder between the grass and the mulch. 10A NCAC 09 .0601(a) 808 The child care center premises, including the outdoor learning environment, was not clean, drained to minimize standing water, free of litter and hazards, and/or maintained in a manner which does not create conditions that attract or harbor pests. The grass path leading to the playground and the grass inside the fenced play area was overgrown. 15A NCAC 18A .2832(a) 832 There was no written emergency medical care (EMC) plan. The medical care plan is not current. 10A NCAC 09 .0802(a) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. One child enrolled February 26, 2024 and no health assessment is on file. GS110-91(1) 1323 Each child was not immunized as per Article 6 of Chapter 130A and an immunization record was not on file before or within 30 days after admission. Two children were enrolled more than 30 days and an immunization records are not on file. 10A NCAC 09 .0302(d)(2) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. One staff member employed on September 9, 2023 has not completed the training. .1102(g) Violation were documented and must be corrected immediately. On or before September 9, 2024, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Kim Sherry, Child Care Consultant, Kim.Sherry@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: name, position, facility name, and facility ID number. Child Care programs are expected to always achieve and maintain compliance with child care rules, and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. Technical Assistance: Two violations were documented related to safe environment in child care rules. -The child care center premises, including the outdoor learning environment, was not clean, drained to minimize standing water, free of litter and hazards, and/or maintained in a manner which does not create conditions that attract or harbor pests. The grass path leading to the playground and the grass inside the fenced play area was overgrown. Overgrown grass is an open invitation to pests. Tall grass also increases the risks of mosquito, flea, or tick invasion. -A safe indoor and outdoor environment was not provided for the children. Two protruding screws were observed on the wood boarder between the grass and the mulch. Projections become hazards when they extend beyond the recommended distance. Protrusions can cause bodily injury due to impact; specifically, they can spike, pierce, etc. a child’s skin. Other violations were discussed and must be corrected immediately. Send the training certificates once they are complete. Health and safety trainings including the Recognizing and Responding to Suspicions of Child Maltreatment webinar are required as part of on-going professional development to refresh and increase your awareness and knowledge regarding child development and safety. Trainings may be completed through Moodle. Moodle Support- The Division offers early childhood professionals a wide range of professional development opportunities through our online learning platform Moodle. As we continue expanding our training offerings, DCDEE has established a are required as part of on-going professional development to refresh and increase your awareness and knowledge regarding child development and safety. Trainings may be completed through Moodle. Rules- North Carolina Child Care Commission adopted child care rule changes in January 2024. Changes relate to definitions; lead and asbestos for centers and family child care homes; building requirements for family child care homes; multi-unit child care centers; and criminal background checks. Some of these rule changes may impact your facility. Please ensure you are using the updated January 2024 rule book, and you view information in the DCDEE Moodle. Additional Information: Required Water, Lead Paint, and Asbestos Testing - New child care rules require child care facilities to test for lead in drinking water, lead paint, and asbestos. Testing is required by 1/1/2025, but enrollment was required by 5/1/2024. Check out the FAQ in the updated Clean Classrooms for Carolina Kids. Currently there is funding to pay for the testing and to mitigate lead paint or asbestos hazards. Depending on the age of your home or building and the information you provide in the enrollment process, testing for lead paint and asbestos may not be required. (Lead paint was not used in homes built after 1978. Asbestos was not used in homes after 1988.). Send to me once complete. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me at Kim Sherry, Child Care Consultant, 910-824-1143, or Kim.Sherry@dhhs.nc.gov if you have questions. 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: Sanctuary Childcare Center Facility ID: 67001210 Consultant: KIM SHERRY Operation Type: Center Case Number: Visit Date: 8/27/2024 Number Present: 11 Completed Date: 8/27/2024 Age: From 2 To 5 Total Minutes: 130 Time In: 09:00 AM Time Out: 11:10 AM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance unannounced visit. This facility operates with a Notice of Compliance. The facility is now receiving subsidy funding. The facility began operating on September 29, 2024. The facility provides care for children 2- 5 years of age, during first shift childcare, a capacity of 40 children, and no cooking allowed. The center has an 100% compliance history. Sanctuary of Faith Inc, the non-profit corporation which owns the facility, was verified as current and active with the NC Secretary of State’s office on May 22, 2024. A fire inspection was conducted September 14, 2023; the facility was approved for daytime care only. A new one is required prior to this date. Prior to the visit, the facility had an eighteen-month compliance history score of 88%. You, Anastasia Temoney, administrator was present and available. Today, there were two classrooms operating, with eleven children present. Children ranged in age from two to five years of age. Supervision, staff/child ratio, group size, use of licensed space, staff records, space capacity, license restrictions were monitored. The Notice of Compliance and Emergency Care plan were posted. There were three staff members employed. I conducted a walk through and observations. One group was outside and the second group was indoors, sitting at tables and playing with manipulatives. Later, this group transitioned outdoors. In the indoor and outdoor area, there were few items and materials, toys, etc. available for the children. In one classroom, there is one small bin with toys. In the corner there are a few books located on the bookshelf. In the other classroom, there was one long bin with manipulatives and a few books near the teacher’s desk. Outdoors, there are a couple of child size chairs, one plastic trike, two rockers, two wobbles, and balls. Violation Number Comment Rule 807 A safe indoor and outdoor environment was not provided for the children. Two protruding screws were observed on the wood boarder between the grass and the mulch. 10A NCAC 09 .0601(a) 808 The child care center premises, including the outdoor learning environment, was not clean, drained to minimize standing water, free of litter and hazards, and/or maintained in a manner which does not create conditions that attract or harbor pests. The grass path leading to the playground and the grass inside the fenced play area was overgrown. 15A NCAC 18A .2832(a) 832 There was no written emergency medical care (EMC) plan. The medical care plan is not current. 10A NCAC 09 .0802(a) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. One child enrolled February 26, 2024 and no health assessment is on file. GS110-91(1) 1323 Each child was not immunized as per Article 6 of Chapter 130A and an immunization record was not on file before or within 30 days after admission. Two children were enrolled more than 30 days and an immunization records are not on file. 10A NCAC 09 .0302(d)(2) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. One staff member employed on September 9, 2023 has not completed the training. .1102(g) Violation were documented and must be corrected immediately. On or before September 9, 2024, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Kim Sherry, Child Care Consultant, Kim.Sherry@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: name, position, facility name, and facility ID number. Child Care programs are expected to always achieve and maintain compliance with child care rules, and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. Technical Assistance: Two violations were documented related to safe environment in child care rules. -The child care center premises, including the outdoor learning environment, was not clean, drained to minimize standing water, free of litter and hazards, and/or maintained in a manner which does not create conditions that attract or harbor pests. The grass path leading to the playground and the grass inside the fenced play area was overgrown. Overgrown grass is an open invitation to pests. Tall grass also increases the risks of mosquito, flea, or tick invasion. -A safe indoor and outdoor environment was not provided for the children. Two protruding screws were observed on the wood boarder between the grass and the mulch. Projections become hazards when they extend beyond the recommended distance. Protrusions can cause bodily injury due to impact; specifically, they can spike, pierce, etc. a child’s skin. Other violations were discussed and must be corrected immediately. Send the training certificates once they are complete. Health and safety trainings including the Recognizing and Responding to Suspicions of Child Maltreatment webinar are required as part of on-going professional development to refresh and increase your awareness and knowledge regarding child development and safety. Trainings may be completed through Moodle. Moodle Support- The Division offers early childhood professionals a wide range of professional development opportunities through our online learning platform Moodle. As we continue expanding our training offerings, DCDEE has established a are required as part of on-going professional development to refresh and increase your awareness and knowledge regarding child development and safety. Trainings may be completed through Moodle. Rules- North Carolina Child Care Commission adopted child care rule changes in January 2024. Changes relate to definitions; lead and asbestos for centers and family child care homes; building requirements for family child care homes; multi-unit child care centers; and criminal background checks. Some of these rule changes may impact your facility. Please ensure you are using the updated January 2024 rule book, and you view information in the DCDEE Moodle. Additional Information: Required Water, Lead Paint, and Asbestos Testing - New child care rules require child care facilities to test for lead in drinking water, lead paint, and asbestos. Testing is required by 1/1/2025, but enrollment was required by 5/1/2024. Check out the FAQ in the updated Clean Classrooms for Carolina Kids. Currently there is funding to pay for the testing and to mitigate lead paint or asbestos hazards. Depending on the age of your home or building and the information you provide in the enrollment process, testing for lead paint and asbestos may not be required. (Lead paint was not used in homes built after 1978. Asbestos was not used in homes after 1988.). Send to me once complete. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me at Kim Sherry, Child Care Consultant, 910-824-1143, or Kim.Sherry@dhhs.nc.gov if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0601 · Violation

Name of Operation: Sanctuary Childcare Center Facility ID: 67001210 Consultant: KIM SHERRY Operation Type: Center Case Number: Visit Date: 5/23/2024 Number Present: 22 Completed Date: 5/23/2024 Age: From 2 To 5 Total Minutes: 170 Time In: 09:15 AM Time Out: 12:05 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during a routine unannounced visit. This facility operates with a Notice of Compliance. The facility does not contract to receive subsidy funding. The facility began operating on September 29, 2023. The facility provides care for children 2- 5 years of age, during first shift childcare, a capacity of 40 children, and no cooking allowed. Sanctuary of Faith Inc, the non-profit corporation which owns the facility, was verified as current and active with the NC Secretary of State’s office on May 22, 2024. On May 16, 2024, the center was issued a Provisional Sanitation Inspection, with 31 demerits. Today, Michael Singleton and Grace Rentrup, Environmental Health inspectors arrived during our visit and issued a Disapproved based on 6 point items for hazardous products not stored properly and refrigerated temperatures were not maintained. As discussed, a Superior or Approved Classification must be received immediately to continue to operate this child care center. A fire inspection was conducted September 14, 2023; the facility was approved for day time care only. Today, the exit lights were blinking, the fire panel was beeping and indicated a ‘Trouble’ status. Mr. Singleton contacted Jody Leverich, Onslow County Fire inspector to inform him of the fire alarm status. Mr. Leverich indicated during the initial inspection, the alarm panel indicated a similar status and the facility had it repaired. He plans to conduct a visit. You, Anastasia Temoney, administrator, was present. Your availability was limited as you were working in classroom space #2. There are twenty-three children enrolled and twenty-two children ages 2-5 were present today. All approved indoor and outdoor spaces were monitored today. Daily schedules were available for children. Children in Space 1 were sitting at the tables eating morning snack while the television played an alphabet video and nursery rhyme videos. Two-year-old children were outside in the play area. In the outdoor play area, there was one see-saw and one bike and five teacher chairs. Children in Space 3 were finishing up their morning snack and then engaged in one of the three activity areas available in the room before completing personal routines and joining the other children outdoors. In the outdoor play area the children ran, picked grass, and then engaged with a caregiver for a game of “Duck, Duck, Goose”. Morning snack and lunch for all children is provided from home. Violation Number Comment Rule 721 All equipment and furnishings were not in good repair. The green chain link fence on the left side of the playground was not secure nor attached to the metal poles. G.S. 110-91(6); .0601(b) 807 A safe indoor and outdoor environment was not provided for the children. On the path to the playground, there were three ant mounts accessible to the children. On the playground, there was one ant mound accessible to the children. 10A NCAC 09 .0601(a) 1792 Staff did not model appropriate eating behaviors by consuming food or beverages that meet the nutritional requirements specified in the Meal Patterns for Children in Child Care Programs in the presence of children in care. In classroom space #2, a bottle of Coca Cola and bottle of Gold Peak tea was sitting on a counter in view of the children. In classroom space #3, a can of Le Crox was observed on a child's cubby in the view of children. .0901(i) 9998 15A NCAC 18A .2820 STORAGE(g) Purses and other personal effects belonging to child care center employees shall be kept inaccessible to children. In classroom space #2, there were two staff member's personal bags located on the floor near a desk. 9999 15A NCAC 18A .2814 (a) In child care centers, food-contact surfaces, equipment, utensils, and single service articles shall be protected from contamination. There were seven water bottles observed lying on the ground throughout the playground. These water bottles were being used by children. Child Care programs are expected to always achieve and maintain compliance with child care rules, and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Violation(s) documented will impact the compliance history score. Violations were documented and must be corrected immediately. On or before May 31, 2024, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Kim Sherry, Child Care Consultant, Kim.Sherry@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: name, position, facility name, and facility ID number. Based on the violations and Disapproved Sanitation Inspection, an Administrative Action may be issued. Technical Assistance: A violation related to Unapproved Space in GS 110-91 (1) & 4-5. It was reported children in space #1 play in a room adjacent to their classroom which is not approved. Six children ranging from 2 to 3 years of age walked through the facility’s kitchen to get to the bathroom. During the September 14, 2023 visit, it was shared and documented in the visit summary the Building Inspector would determine which spaces would be approved for use by children. Based on that Building Inspection report, children may only have access to classroom spaces #1, #2 and #3. You may not use the space to the left of the entrance. This space does not have any windows. A violation related to Nutrition was documented in GS. 110-91(6); .0601(b). All equipment and furnishings were not in good repair. The green chain link fence on the left side of the playground was not secure nor attached to the metal poles. A violation related to Safety was documented in child care rule.0601. A safe indoor and outdoor environment was not provided for the children. On the path to the playground, there were three ant mounts accessible to the children. On the playground, there was one ant mound accessible to the children. A violation related to nutrition was documented in child care rule.0901- Staff did not model appropriate eating behaviors by consuming food or beverages that meet the nutritional requirements specified in the Meal Patterns for Children in Child Care Programs in the presence of children in care. In classroom space #2, a bottle of Coca Cola and bottle of Gold Peak tea were sitting on a counter in view of the children. In classroom space #3, a can of Le Crox was observed on a child's cubby in the view of children. A violation related to safe environment was documented in NCAC 18A .2820 STORAGE(g) Purses and other personal effects belonging to child care center employees shall be kept inaccessible to children. In classroom space #2, there were two staff member's personal bags located on the floor near a desk. Materials: Your facility operates as a Religious Sponsored facility; therefore, the type or the quantity of materials are not monitored or required. Keep in mind to keep children engaged, I encourage you to have a wide variety of materials that are arranged in learning centers. Design the classroom environment so that it meets the social, emotional, physical, and cognitive needs of developing children. Ensure there are enough toys in the facility. We find that behavior problems often arise when children do not have enough toys or materials to play with. Giving children toys and activities to engage in will help them learn and give them something to do. Think about what you need for children of different ages and interests. Plenty of paper to draw on; materials to sort, collect, trade, and share; dress-up clothes and props; puzzles and games; and well-maintained equipment to climb or ride on will keep children busy and interested. Ensure the toys match the children’s ages and abilities and challenge their new learning skills. Also, classic materials such as blocks, balls, books, puzzles, and art materials are good places to start when choosing toys. These materials can be used in a variety of ways by children at different ages and levels and can reinforce a wide variety of skills, including motor skills, math, language, and social skills. Safe, accessible storage areas can be a valuable resource in the child care environment. Storage enables child care providers to rotate materials based on the developmental needs and interests of the children. A storage area makes it possible to create collections of materials and props around specific themes and to build those themes into the curriculum at appropriate times during the year. It is recommended that children must go outside daily unless there is an active weather warning, lightening, etc. The schedule can be rearranged to accommodate outside play if needed. For example, you may take children outside early in the day to avoid hotter temperatures or you may take children outside later in the day to avoid cold weather. These guidelines shall be used when determining appropriate weather conditions for taking children outside for outdoor learning activities and playtime. This chart may be downloaded free of charge from http://idph.iowa.gov/Portals/1/Files/HCCI/weatherwatch.pdf. This chart will help you determine when temperatures outside may be too hot or too cold for children and will guide you on if time outside should be limited outside. Today you were outside from 10:00 am to 12:00 pm as of the time this was written. Children were brought in and out of the building to use the restroom as needed. You must remember that those children who are in diapers must be changed when they are soiled. Rules- North Carolina Child Care Commission adopted child care rule changes in January 2024. Changes relate to definitions; lead and asbestos for centers and family child care homes; building requirements for family child care homes; multi-unit child care centers; and criminal background checks. Some of these rule changes may impact your facility. Please ensure you are using the updated January 2024 rule book, and you view information in the DCDEE Moodle. Additional Information: Water Test- It’s time to enroll your facility in the Clean Classrooms for Carolina Kids program to identify and eliminate exposure to lead and asbestos hazards in building infrastructure. This program is an expansion of Clean Water for Carolina Kids, which previously tested all child care centers in the state for lead in water at drinking and food preparation taps. As this is a legislatively mandated effort, facilities are required to meet rule requirements to have tap water tested every three years and to have inspections for lead paint and asbestos if applicable. Steps: 1. Sign Up – Pre-enrollment webinars are available at cleanwaterforUSkids.org/carolina or paste https://bit.ly/3CK-webinar into your web browser to see available dates and times for the next month. 2. Enroll – At www.cleanwaterforUSkids.org/carolina using the PIN and complete the enrollment surveys for three program sections: 1) lead in water, 2) lead-based paint, and 3) asbestos. 3. Evaluate Hazards - The program will ship your facility a water sample kit and may coordinate an on-site visit by a professional to assess for lead-based paint and asbestos hazards, if needed. 4. Receive Results – Receive your results, recommendations, and water mitigation support, if needed. 5. Request Reimbursement - If you choose to conduct lead-based paint or asbestos mitigation, you can request reimbursement from NC DHHS. Visit the web site at: https://www.ncdhhs.gov/divisions/public-health/asbestos-and-leadbased-paintreimbursementprogram-arpa. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me at Kim Sherry, Child Care Consultant, 910-824-1143, or Kim.Sherry@dhhs.nc.gov if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

G.S. 110-91 · Violation

Name of Operation: Sanctuary Childcare Center Facility ID: 67001210 Consultant: KIM SHERRY Operation Type: Center Case Number: Visit Date: 5/23/2024 Number Present: 22 Completed Date: 5/23/2024 Age: From 2 To 5 Total Minutes: 170 Time In: 09:15 AM Time Out: 12:05 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during a routine unannounced visit. This facility operates with a Notice of Compliance. The facility does not contract to receive subsidy funding. The facility began operating on September 29, 2023. The facility provides care for children 2- 5 years of age, during first shift childcare, a capacity of 40 children, and no cooking allowed. Sanctuary of Faith Inc, the non-profit corporation which owns the facility, was verified as current and active with the NC Secretary of State’s office on May 22, 2024. On May 16, 2024, the center was issued a Provisional Sanitation Inspection, with 31 demerits. Today, Michael Singleton and Grace Rentrup, Environmental Health inspectors arrived during our visit and issued a Disapproved based on 6 point items for hazardous products not stored properly and refrigerated temperatures were not maintained. As discussed, a Superior or Approved Classification must be received immediately to continue to operate this child care center. A fire inspection was conducted September 14, 2023; the facility was approved for day time care only. Today, the exit lights were blinking, the fire panel was beeping and indicated a ‘Trouble’ status. Mr. Singleton contacted Jody Leverich, Onslow County Fire inspector to inform him of the fire alarm status. Mr. Leverich indicated during the initial inspection, the alarm panel indicated a similar status and the facility had it repaired. He plans to conduct a visit. You, Anastasia Temoney, administrator, was present. Your availability was limited as you were working in classroom space #2. There are twenty-three children enrolled and twenty-two children ages 2-5 were present today. All approved indoor and outdoor spaces were monitored today. Daily schedules were available for children. Children in Space 1 were sitting at the tables eating morning snack while the television played an alphabet video and nursery rhyme videos. Two-year-old children were outside in the play area. In the outdoor play area, there was one see-saw and one bike and five teacher chairs. Children in Space 3 were finishing up their morning snack and then engaged in one of the three activity areas available in the room before completing personal routines and joining the other children outdoors. In the outdoor play area the children ran, picked grass, and then engaged with a caregiver for a game of “Duck, Duck, Goose”. Morning snack and lunch for all children is provided from home. Violation Number Comment Rule 721 All equipment and furnishings were not in good repair. The green chain link fence on the left side of the playground was not secure nor attached to the metal poles. G.S. 110-91(6); .0601(b) 807 A safe indoor and outdoor environment was not provided for the children. On the path to the playground, there were three ant mounts accessible to the children. On the playground, there was one ant mound accessible to the children. 10A NCAC 09 .0601(a) 1792 Staff did not model appropriate eating behaviors by consuming food or beverages that meet the nutritional requirements specified in the Meal Patterns for Children in Child Care Programs in the presence of children in care. In classroom space #2, a bottle of Coca Cola and bottle of Gold Peak tea was sitting on a counter in view of the children. In classroom space #3, a can of Le Crox was observed on a child's cubby in the view of children. .0901(i) 9998 15A NCAC 18A .2820 STORAGE(g) Purses and other personal effects belonging to child care center employees shall be kept inaccessible to children. In classroom space #2, there were two staff member's personal bags located on the floor near a desk. 9999 15A NCAC 18A .2814 (a) In child care centers, food-contact surfaces, equipment, utensils, and single service articles shall be protected from contamination. There were seven water bottles observed lying on the ground throughout the playground. These water bottles were being used by children. Child Care programs are expected to always achieve and maintain compliance with child care rules, and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Violation(s) documented will impact the compliance history score. Violations were documented and must be corrected immediately. On or before May 31, 2024, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Kim Sherry, Child Care Consultant, Kim.Sherry@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: name, position, facility name, and facility ID number. Based on the violations and Disapproved Sanitation Inspection, an Administrative Action may be issued. Technical Assistance: A violation related to Unapproved Space in GS 110-91 (1) & 4-5. It was reported children in space #1 play in a room adjacent to their classroom which is not approved. Six children ranging from 2 to 3 years of age walked through the facility’s kitchen to get to the bathroom. During the September 14, 2023 visit, it was shared and documented in the visit summary the Building Inspector would determine which spaces would be approved for use by children. Based on that Building Inspection report, children may only have access to classroom spaces #1, #2 and #3. You may not use the space to the left of the entrance. This space does not have any windows. A violation related to Nutrition was documented in GS. 110-91(6); .0601(b). All equipment and furnishings were not in good repair. The green chain link fence on the left side of the playground was not secure nor attached to the metal poles. A violation related to Safety was documented in child care rule.0601. A safe indoor and outdoor environment was not provided for the children. On the path to the playground, there were three ant mounts accessible to the children. On the playground, there was one ant mound accessible to the children. A violation related to nutrition was documented in child care rule.0901- Staff did not model appropriate eating behaviors by consuming food or beverages that meet the nutritional requirements specified in the Meal Patterns for Children in Child Care Programs in the presence of children in care. In classroom space #2, a bottle of Coca Cola and bottle of Gold Peak tea were sitting on a counter in view of the children. In classroom space #3, a can of Le Crox was observed on a child's cubby in the view of children. A violation related to safe environment was documented in NCAC 18A .2820 STORAGE(g) Purses and other personal effects belonging to child care center employees shall be kept inaccessible to children. In classroom space #2, there were two staff member's personal bags located on the floor near a desk. Materials: Your facility operates as a Religious Sponsored facility; therefore, the type or the quantity of materials are not monitored or required. Keep in mind to keep children engaged, I encourage you to have a wide variety of materials that are arranged in learning centers. Design the classroom environment so that it meets the social, emotional, physical, and cognitive needs of developing children. Ensure there are enough toys in the facility. We find that behavior problems often arise when children do not have enough toys or materials to play with. Giving children toys and activities to engage in will help them learn and give them something to do. Think about what you need for children of different ages and interests. Plenty of paper to draw on; materials to sort, collect, trade, and share; dress-up clothes and props; puzzles and games; and well-maintained equipment to climb or ride on will keep children busy and interested. Ensure the toys match the children’s ages and abilities and challenge their new learning skills. Also, classic materials such as blocks, balls, books, puzzles, and art materials are good places to start when choosing toys. These materials can be used in a variety of ways by children at different ages and levels and can reinforce a wide variety of skills, including motor skills, math, language, and social skills. Safe, accessible storage areas can be a valuable resource in the child care environment. Storage enables child care providers to rotate materials based on the developmental needs and interests of the children. A storage area makes it possible to create collections of materials and props around specific themes and to build those themes into the curriculum at appropriate times during the year. It is recommended that children must go outside daily unless there is an active weather warning, lightening, etc. The schedule can be rearranged to accommodate outside play if needed. For example, you may take children outside early in the day to avoid hotter temperatures or you may take children outside later in the day to avoid cold weather. These guidelines shall be used when determining appropriate weather conditions for taking children outside for outdoor learning activities and playtime. This chart may be downloaded free of charge from http://idph.iowa.gov/Portals/1/Files/HCCI/weatherwatch.pdf. This chart will help you determine when temperatures outside may be too hot or too cold for children and will guide you on if time outside should be limited outside. Today you were outside from 10:00 am to 12:00 pm as of the time this was written. Children were brought in and out of the building to use the restroom as needed. You must remember that those children who are in diapers must be changed when they are soiled. Rules- North Carolina Child Care Commission adopted child care rule changes in January 2024. Changes relate to definitions; lead and asbestos for centers and family child care homes; building requirements for family child care homes; multi-unit child care centers; and criminal background checks. Some of these rule changes may impact your facility. Please ensure you are using the updated January 2024 rule book, and you view information in the DCDEE Moodle. Additional Information: Water Test- It’s time to enroll your facility in the Clean Classrooms for Carolina Kids program to identify and eliminate exposure to lead and asbestos hazards in building infrastructure. This program is an expansion of Clean Water for Carolina Kids, which previously tested all child care centers in the state for lead in water at drinking and food preparation taps. As this is a legislatively mandated effort, facilities are required to meet rule requirements to have tap water tested every three years and to have inspections for lead paint and asbestos if applicable. Steps: 1. Sign Up – Pre-enrollment webinars are available at cleanwaterforUSkids.org/carolina or paste https://bit.ly/3CK-webinar into your web browser to see available dates and times for the next month. 2. Enroll – At www.cleanwaterforUSkids.org/carolina using the PIN and complete the enrollment surveys for three program sections: 1) lead in water, 2) lead-based paint, and 3) asbestos. 3. Evaluate Hazards - The program will ship your facility a water sample kit and may coordinate an on-site visit by a professional to assess for lead-based paint and asbestos hazards, if needed. 4. Receive Results – Receive your results, recommendations, and water mitigation support, if needed. 5. Request Reimbursement - If you choose to conduct lead-based paint or asbestos mitigation, you can request reimbursement from NC DHHS. Visit the web site at: https://www.ncdhhs.gov/divisions/public-health/asbestos-and-leadbased-paintreimbursementprogram-arpa. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me at Kim Sherry, Child Care Consultant, 910-824-1143, or Kim.Sherry@dhhs.nc.gov if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

GS 110-91 · Violation

Name of Operation: Sanctuary Childcare Center Facility ID: 67001210 Consultant: KIM SHERRY Operation Type: Center Case Number: Visit Date: 5/23/2024 Number Present: 22 Completed Date: 5/23/2024 Age: From 2 To 5 Total Minutes: 170 Time In: 09:15 AM Time Out: 12:05 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during a routine unannounced visit. This facility operates with a Notice of Compliance. The facility does not contract to receive subsidy funding. The facility began operating on September 29, 2023. The facility provides care for children 2- 5 years of age, during first shift childcare, a capacity of 40 children, and no cooking allowed. Sanctuary of Faith Inc, the non-profit corporation which owns the facility, was verified as current and active with the NC Secretary of State’s office on May 22, 2024. On May 16, 2024, the center was issued a Provisional Sanitation Inspection, with 31 demerits. Today, Michael Singleton and Grace Rentrup, Environmental Health inspectors arrived during our visit and issued a Disapproved based on 6 point items for hazardous products not stored properly and refrigerated temperatures were not maintained. As discussed, a Superior or Approved Classification must be received immediately to continue to operate this child care center. A fire inspection was conducted September 14, 2023; the facility was approved for day time care only. Today, the exit lights were blinking, the fire panel was beeping and indicated a ‘Trouble’ status. Mr. Singleton contacted Jody Leverich, Onslow County Fire inspector to inform him of the fire alarm status. Mr. Leverich indicated during the initial inspection, the alarm panel indicated a similar status and the facility had it repaired. He plans to conduct a visit. You, Anastasia Temoney, administrator, was present. Your availability was limited as you were working in classroom space #2. There are twenty-three children enrolled and twenty-two children ages 2-5 were present today. All approved indoor and outdoor spaces were monitored today. Daily schedules were available for children. Children in Space 1 were sitting at the tables eating morning snack while the television played an alphabet video and nursery rhyme videos. Two-year-old children were outside in the play area. In the outdoor play area, there was one see-saw and one bike and five teacher chairs. Children in Space 3 were finishing up their morning snack and then engaged in one of the three activity areas available in the room before completing personal routines and joining the other children outdoors. In the outdoor play area the children ran, picked grass, and then engaged with a caregiver for a game of “Duck, Duck, Goose”. Morning snack and lunch for all children is provided from home. Violation Number Comment Rule 721 All equipment and furnishings were not in good repair. The green chain link fence on the left side of the playground was not secure nor attached to the metal poles. G.S. 110-91(6); .0601(b) 807 A safe indoor and outdoor environment was not provided for the children. On the path to the playground, there were three ant mounts accessible to the children. On the playground, there was one ant mound accessible to the children. 10A NCAC 09 .0601(a) 1792 Staff did not model appropriate eating behaviors by consuming food or beverages that meet the nutritional requirements specified in the Meal Patterns for Children in Child Care Programs in the presence of children in care. In classroom space #2, a bottle of Coca Cola and bottle of Gold Peak tea was sitting on a counter in view of the children. In classroom space #3, a can of Le Crox was observed on a child's cubby in the view of children. .0901(i) 9998 15A NCAC 18A .2820 STORAGE(g) Purses and other personal effects belonging to child care center employees shall be kept inaccessible to children. In classroom space #2, there were two staff member's personal bags located on the floor near a desk. 9999 15A NCAC 18A .2814 (a) In child care centers, food-contact surfaces, equipment, utensils, and single service articles shall be protected from contamination. There were seven water bottles observed lying on the ground throughout the playground. These water bottles were being used by children. Child Care programs are expected to always achieve and maintain compliance with child care rules, and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Violation(s) documented will impact the compliance history score. Violations were documented and must be corrected immediately. On or before May 31, 2024, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Kim Sherry, Child Care Consultant, Kim.Sherry@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: name, position, facility name, and facility ID number. Based on the violations and Disapproved Sanitation Inspection, an Administrative Action may be issued. Technical Assistance: A violation related to Unapproved Space in GS 110-91 (1) & 4-5. It was reported children in space #1 play in a room adjacent to their classroom which is not approved. Six children ranging from 2 to 3 years of age walked through the facility’s kitchen to get to the bathroom. During the September 14, 2023 visit, it was shared and documented in the visit summary the Building Inspector would determine which spaces would be approved for use by children. Based on that Building Inspection report, children may only have access to classroom spaces #1, #2 and #3. You may not use the space to the left of the entrance. This space does not have any windows. A violation related to Nutrition was documented in GS. 110-91(6); .0601(b). All equipment and furnishings were not in good repair. The green chain link fence on the left side of the playground was not secure nor attached to the metal poles. A violation related to Safety was documented in child care rule.0601. A safe indoor and outdoor environment was not provided for the children. On the path to the playground, there were three ant mounts accessible to the children. On the playground, there was one ant mound accessible to the children. A violation related to nutrition was documented in child care rule.0901- Staff did not model appropriate eating behaviors by consuming food or beverages that meet the nutritional requirements specified in the Meal Patterns for Children in Child Care Programs in the presence of children in care. In classroom space #2, a bottle of Coca Cola and bottle of Gold Peak tea were sitting on a counter in view of the children. In classroom space #3, a can of Le Crox was observed on a child's cubby in the view of children. A violation related to safe environment was documented in NCAC 18A .2820 STORAGE(g) Purses and other personal effects belonging to child care center employees shall be kept inaccessible to children. In classroom space #2, there were two staff member's personal bags located on the floor near a desk. Materials: Your facility operates as a Religious Sponsored facility; therefore, the type or the quantity of materials are not monitored or required. Keep in mind to keep children engaged, I encourage you to have a wide variety of materials that are arranged in learning centers. Design the classroom environment so that it meets the social, emotional, physical, and cognitive needs of developing children. Ensure there are enough toys in the facility. We find that behavior problems often arise when children do not have enough toys or materials to play with. Giving children toys and activities to engage in will help them learn and give them something to do. Think about what you need for children of different ages and interests. Plenty of paper to draw on; materials to sort, collect, trade, and share; dress-up clothes and props; puzzles and games; and well-maintained equipment to climb or ride on will keep children busy and interested. Ensure the toys match the children’s ages and abilities and challenge their new learning skills. Also, classic materials such as blocks, balls, books, puzzles, and art materials are good places to start when choosing toys. These materials can be used in a variety of ways by children at different ages and levels and can reinforce a wide variety of skills, including motor skills, math, language, and social skills. Safe, accessible storage areas can be a valuable resource in the child care environment. Storage enables child care providers to rotate materials based on the developmental needs and interests of the children. A storage area makes it possible to create collections of materials and props around specific themes and to build those themes into the curriculum at appropriate times during the year. It is recommended that children must go outside daily unless there is an active weather warning, lightening, etc. The schedule can be rearranged to accommodate outside play if needed. For example, you may take children outside early in the day to avoid hotter temperatures or you may take children outside later in the day to avoid cold weather. These guidelines shall be used when determining appropriate weather conditions for taking children outside for outdoor learning activities and playtime. This chart may be downloaded free of charge from http://idph.iowa.gov/Portals/1/Files/HCCI/weatherwatch.pdf. This chart will help you determine when temperatures outside may be too hot or too cold for children and will guide you on if time outside should be limited outside. Today you were outside from 10:00 am to 12:00 pm as of the time this was written. Children were brought in and out of the building to use the restroom as needed. You must remember that those children who are in diapers must be changed when they are soiled. Rules- North Carolina Child Care Commission adopted child care rule changes in January 2024. Changes relate to definitions; lead and asbestos for centers and family child care homes; building requirements for family child care homes; multi-unit child care centers; and criminal background checks. Some of these rule changes may impact your facility. Please ensure you are using the updated January 2024 rule book, and you view information in the DCDEE Moodle. Additional Information: Water Test- It’s time to enroll your facility in the Clean Classrooms for Carolina Kids program to identify and eliminate exposure to lead and asbestos hazards in building infrastructure. This program is an expansion of Clean Water for Carolina Kids, which previously tested all child care centers in the state for lead in water at drinking and food preparation taps. As this is a legislatively mandated effort, facilities are required to meet rule requirements to have tap water tested every three years and to have inspections for lead paint and asbestos if applicable. Steps: 1. Sign Up – Pre-enrollment webinars are available at cleanwaterforUSkids.org/carolina or paste https://bit.ly/3CK-webinar into your web browser to see available dates and times for the next month. 2. Enroll – At www.cleanwaterforUSkids.org/carolina using the PIN and complete the enrollment surveys for three program sections: 1) lead in water, 2) lead-based paint, and 3) asbestos. 3. Evaluate Hazards - The program will ship your facility a water sample kit and may coordinate an on-site visit by a professional to assess for lead-based paint and asbestos hazards, if needed. 4. Receive Results – Receive your results, recommendations, and water mitigation support, if needed. 5. Request Reimbursement - If you choose to conduct lead-based paint or asbestos mitigation, you can request reimbursement from NC DHHS. Visit the web site at: https://www.ncdhhs.gov/divisions/public-health/asbestos-and-leadbased-paintreimbursementprogram-arpa. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me at Kim Sherry, Child Care Consultant, 910-824-1143, or Kim.Sherry@dhhs.nc.gov if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

GS. 110-91 · Violation

Name of Operation: Sanctuary Childcare Center Facility ID: 67001210 Consultant: KIM SHERRY Operation Type: Center Case Number: Visit Date: 5/23/2024 Number Present: 22 Completed Date: 5/23/2024 Age: From 2 To 5 Total Minutes: 170 Time In: 09:15 AM Time Out: 12:05 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during a routine unannounced visit. This facility operates with a Notice of Compliance. The facility does not contract to receive subsidy funding. The facility began operating on September 29, 2023. The facility provides care for children 2- 5 years of age, during first shift childcare, a capacity of 40 children, and no cooking allowed. Sanctuary of Faith Inc, the non-profit corporation which owns the facility, was verified as current and active with the NC Secretary of State’s office on May 22, 2024. On May 16, 2024, the center was issued a Provisional Sanitation Inspection, with 31 demerits. Today, Michael Singleton and Grace Rentrup, Environmental Health inspectors arrived during our visit and issued a Disapproved based on 6 point items for hazardous products not stored properly and refrigerated temperatures were not maintained. As discussed, a Superior or Approved Classification must be received immediately to continue to operate this child care center. A fire inspection was conducted September 14, 2023; the facility was approved for day time care only. Today, the exit lights were blinking, the fire panel was beeping and indicated a ‘Trouble’ status. Mr. Singleton contacted Jody Leverich, Onslow County Fire inspector to inform him of the fire alarm status. Mr. Leverich indicated during the initial inspection, the alarm panel indicated a similar status and the facility had it repaired. He plans to conduct a visit. You, Anastasia Temoney, administrator, was present. Your availability was limited as you were working in classroom space #2. There are twenty-three children enrolled and twenty-two children ages 2-5 were present today. All approved indoor and outdoor spaces were monitored today. Daily schedules were available for children. Children in Space 1 were sitting at the tables eating morning snack while the television played an alphabet video and nursery rhyme videos. Two-year-old children were outside in the play area. In the outdoor play area, there was one see-saw and one bike and five teacher chairs. Children in Space 3 were finishing up their morning snack and then engaged in one of the three activity areas available in the room before completing personal routines and joining the other children outdoors. In the outdoor play area the children ran, picked grass, and then engaged with a caregiver for a game of “Duck, Duck, Goose”. Morning snack and lunch for all children is provided from home. Violation Number Comment Rule 721 All equipment and furnishings were not in good repair. The green chain link fence on the left side of the playground was not secure nor attached to the metal poles. G.S. 110-91(6); .0601(b) 807 A safe indoor and outdoor environment was not provided for the children. On the path to the playground, there were three ant mounts accessible to the children. On the playground, there was one ant mound accessible to the children. 10A NCAC 09 .0601(a) 1792 Staff did not model appropriate eating behaviors by consuming food or beverages that meet the nutritional requirements specified in the Meal Patterns for Children in Child Care Programs in the presence of children in care. In classroom space #2, a bottle of Coca Cola and bottle of Gold Peak tea was sitting on a counter in view of the children. In classroom space #3, a can of Le Crox was observed on a child's cubby in the view of children. .0901(i) 9998 15A NCAC 18A .2820 STORAGE(g) Purses and other personal effects belonging to child care center employees shall be kept inaccessible to children. In classroom space #2, there were two staff member's personal bags located on the floor near a desk. 9999 15A NCAC 18A .2814 (a) In child care centers, food-contact surfaces, equipment, utensils, and single service articles shall be protected from contamination. There were seven water bottles observed lying on the ground throughout the playground. These water bottles were being used by children. Child Care programs are expected to always achieve and maintain compliance with child care rules, and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Violation(s) documented will impact the compliance history score. Violations were documented and must be corrected immediately. On or before May 31, 2024, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Kim Sherry, Child Care Consultant, Kim.Sherry@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: name, position, facility name, and facility ID number. Based on the violations and Disapproved Sanitation Inspection, an Administrative Action may be issued. Technical Assistance: A violation related to Unapproved Space in GS 110-91 (1) & 4-5. It was reported children in space #1 play in a room adjacent to their classroom which is not approved. Six children ranging from 2 to 3 years of age walked through the facility’s kitchen to get to the bathroom. During the September 14, 2023 visit, it was shared and documented in the visit summary the Building Inspector would determine which spaces would be approved for use by children. Based on that Building Inspection report, children may only have access to classroom spaces #1, #2 and #3. You may not use the space to the left of the entrance. This space does not have any windows. A violation related to Nutrition was documented in GS. 110-91(6); .0601(b). All equipment and furnishings were not in good repair. The green chain link fence on the left side of the playground was not secure nor attached to the metal poles. A violation related to Safety was documented in child care rule.0601. A safe indoor and outdoor environment was not provided for the children. On the path to the playground, there were three ant mounts accessible to the children. On the playground, there was one ant mound accessible to the children. A violation related to nutrition was documented in child care rule.0901- Staff did not model appropriate eating behaviors by consuming food or beverages that meet the nutritional requirements specified in the Meal Patterns for Children in Child Care Programs in the presence of children in care. In classroom space #2, a bottle of Coca Cola and bottle of Gold Peak tea were sitting on a counter in view of the children. In classroom space #3, a can of Le Crox was observed on a child's cubby in the view of children. A violation related to safe environment was documented in NCAC 18A .2820 STORAGE(g) Purses and other personal effects belonging to child care center employees shall be kept inaccessible to children. In classroom space #2, there were two staff member's personal bags located on the floor near a desk. Materials: Your facility operates as a Religious Sponsored facility; therefore, the type or the quantity of materials are not monitored or required. Keep in mind to keep children engaged, I encourage you to have a wide variety of materials that are arranged in learning centers. Design the classroom environment so that it meets the social, emotional, physical, and cognitive needs of developing children. Ensure there are enough toys in the facility. We find that behavior problems often arise when children do not have enough toys or materials to play with. Giving children toys and activities to engage in will help them learn and give them something to do. Think about what you need for children of different ages and interests. Plenty of paper to draw on; materials to sort, collect, trade, and share; dress-up clothes and props; puzzles and games; and well-maintained equipment to climb or ride on will keep children busy and interested. Ensure the toys match the children’s ages and abilities and challenge their new learning skills. Also, classic materials such as blocks, balls, books, puzzles, and art materials are good places to start when choosing toys. These materials can be used in a variety of ways by children at different ages and levels and can reinforce a wide variety of skills, including motor skills, math, language, and social skills. Safe, accessible storage areas can be a valuable resource in the child care environment. Storage enables child care providers to rotate materials based on the developmental needs and interests of the children. A storage area makes it possible to create collections of materials and props around specific themes and to build those themes into the curriculum at appropriate times during the year. It is recommended that children must go outside daily unless there is an active weather warning, lightening, etc. The schedule can be rearranged to accommodate outside play if needed. For example, you may take children outside early in the day to avoid hotter temperatures or you may take children outside later in the day to avoid cold weather. These guidelines shall be used when determining appropriate weather conditions for taking children outside for outdoor learning activities and playtime. This chart may be downloaded free of charge from http://idph.iowa.gov/Portals/1/Files/HCCI/weatherwatch.pdf. This chart will help you determine when temperatures outside may be too hot or too cold for children and will guide you on if time outside should be limited outside. Today you were outside from 10:00 am to 12:00 pm as of the time this was written. Children were brought in and out of the building to use the restroom as needed. You must remember that those children who are in diapers must be changed when they are soiled. Rules- North Carolina Child Care Commission adopted child care rule changes in January 2024. Changes relate to definitions; lead and asbestos for centers and family child care homes; building requirements for family child care homes; multi-unit child care centers; and criminal background checks. Some of these rule changes may impact your facility. Please ensure you are using the updated January 2024 rule book, and you view information in the DCDEE Moodle. Additional Information: Water Test- It’s time to enroll your facility in the Clean Classrooms for Carolina Kids program to identify and eliminate exposure to lead and asbestos hazards in building infrastructure. This program is an expansion of Clean Water for Carolina Kids, which previously tested all child care centers in the state for lead in water at drinking and food preparation taps. As this is a legislatively mandated effort, facilities are required to meet rule requirements to have tap water tested every three years and to have inspections for lead paint and asbestos if applicable. Steps: 1. Sign Up – Pre-enrollment webinars are available at cleanwaterforUSkids.org/carolina or paste https://bit.ly/3CK-webinar into your web browser to see available dates and times for the next month. 2. Enroll – At www.cleanwaterforUSkids.org/carolina using the PIN and complete the enrollment surveys for three program sections: 1) lead in water, 2) lead-based paint, and 3) asbestos. 3. Evaluate Hazards - The program will ship your facility a water sample kit and may coordinate an on-site visit by a professional to assess for lead-based paint and asbestos hazards, if needed. 4. Receive Results – Receive your results, recommendations, and water mitigation support, if needed. 5. Request Reimbursement - If you choose to conduct lead-based paint or asbestos mitigation, you can request reimbursement from NC DHHS. Visit the web site at: https://www.ncdhhs.gov/divisions/public-health/asbestos-and-leadbased-paintreimbursementprogram-arpa. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me at Kim Sherry, Child Care Consultant, 910-824-1143, or Kim.Sherry@dhhs.nc.gov if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

NC GS 110-90 · Violation

Name of Operation: Sanctuary Childcare Center Facility ID: 67001210 Consultant: KIM SHERRY Operation Type: Center Case Number: Visit Date: 5/23/2024 Number Present: 22 Completed Date: 5/23/2024 Age: From 2 To 5 Total Minutes: 170 Time In: 09:15 AM Time Out: 12:05 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during a routine unannounced visit. This facility operates with a Notice of Compliance. The facility does not contract to receive subsidy funding. The facility began operating on September 29, 2023. The facility provides care for children 2- 5 years of age, during first shift childcare, a capacity of 40 children, and no cooking allowed. Sanctuary of Faith Inc, the non-profit corporation which owns the facility, was verified as current and active with the NC Secretary of State’s office on May 22, 2024. On May 16, 2024, the center was issued a Provisional Sanitation Inspection, with 31 demerits. Today, Michael Singleton and Grace Rentrup, Environmental Health inspectors arrived during our visit and issued a Disapproved based on 6 point items for hazardous products not stored properly and refrigerated temperatures were not maintained. As discussed, a Superior or Approved Classification must be received immediately to continue to operate this child care center. A fire inspection was conducted September 14, 2023; the facility was approved for day time care only. Today, the exit lights were blinking, the fire panel was beeping and indicated a ‘Trouble’ status. Mr. Singleton contacted Jody Leverich, Onslow County Fire inspector to inform him of the fire alarm status. Mr. Leverich indicated during the initial inspection, the alarm panel indicated a similar status and the facility had it repaired. He plans to conduct a visit. You, Anastasia Temoney, administrator, was present. Your availability was limited as you were working in classroom space #2. There are twenty-three children enrolled and twenty-two children ages 2-5 were present today. All approved indoor and outdoor spaces were monitored today. Daily schedules were available for children. Children in Space 1 were sitting at the tables eating morning snack while the television played an alphabet video and nursery rhyme videos. Two-year-old children were outside in the play area. In the outdoor play area, there was one see-saw and one bike and five teacher chairs. Children in Space 3 were finishing up their morning snack and then engaged in one of the three activity areas available in the room before completing personal routines and joining the other children outdoors. In the outdoor play area the children ran, picked grass, and then engaged with a caregiver for a game of “Duck, Duck, Goose”. Morning snack and lunch for all children is provided from home. Violation Number Comment Rule 721 All equipment and furnishings were not in good repair. The green chain link fence on the left side of the playground was not secure nor attached to the metal poles. G.S. 110-91(6); .0601(b) 807 A safe indoor and outdoor environment was not provided for the children. On the path to the playground, there were three ant mounts accessible to the children. On the playground, there was one ant mound accessible to the children. 10A NCAC 09 .0601(a) 1792 Staff did not model appropriate eating behaviors by consuming food or beverages that meet the nutritional requirements specified in the Meal Patterns for Children in Child Care Programs in the presence of children in care. In classroom space #2, a bottle of Coca Cola and bottle of Gold Peak tea was sitting on a counter in view of the children. In classroom space #3, a can of Le Crox was observed on a child's cubby in the view of children. .0901(i) 9998 15A NCAC 18A .2820 STORAGE(g) Purses and other personal effects belonging to child care center employees shall be kept inaccessible to children. In classroom space #2, there were two staff member's personal bags located on the floor near a desk. 9999 15A NCAC 18A .2814 (a) In child care centers, food-contact surfaces, equipment, utensils, and single service articles shall be protected from contamination. There were seven water bottles observed lying on the ground throughout the playground. These water bottles were being used by children. Child Care programs are expected to always achieve and maintain compliance with child care rules, and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Violation(s) documented will impact the compliance history score. Violations were documented and must be corrected immediately. On or before May 31, 2024, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Kim Sherry, Child Care Consultant, Kim.Sherry@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: name, position, facility name, and facility ID number. Based on the violations and Disapproved Sanitation Inspection, an Administrative Action may be issued. Technical Assistance: A violation related to Unapproved Space in GS 110-91 (1) & 4-5. It was reported children in space #1 play in a room adjacent to their classroom which is not approved. Six children ranging from 2 to 3 years of age walked through the facility’s kitchen to get to the bathroom. During the September 14, 2023 visit, it was shared and documented in the visit summary the Building Inspector would determine which spaces would be approved for use by children. Based on that Building Inspection report, children may only have access to classroom spaces #1, #2 and #3. You may not use the space to the left of the entrance. This space does not have any windows. A violation related to Nutrition was documented in GS. 110-91(6); .0601(b). All equipment and furnishings were not in good repair. The green chain link fence on the left side of the playground was not secure nor attached to the metal poles. A violation related to Safety was documented in child care rule.0601. A safe indoor and outdoor environment was not provided for the children. On the path to the playground, there were three ant mounts accessible to the children. On the playground, there was one ant mound accessible to the children. A violation related to nutrition was documented in child care rule.0901- Staff did not model appropriate eating behaviors by consuming food or beverages that meet the nutritional requirements specified in the Meal Patterns for Children in Child Care Programs in the presence of children in care. In classroom space #2, a bottle of Coca Cola and bottle of Gold Peak tea were sitting on a counter in view of the children. In classroom space #3, a can of Le Crox was observed on a child's cubby in the view of children. A violation related to safe environment was documented in NCAC 18A .2820 STORAGE(g) Purses and other personal effects belonging to child care center employees shall be kept inaccessible to children. In classroom space #2, there were two staff member's personal bags located on the floor near a desk. Materials: Your facility operates as a Religious Sponsored facility; therefore, the type or the quantity of materials are not monitored or required. Keep in mind to keep children engaged, I encourage you to have a wide variety of materials that are arranged in learning centers. Design the classroom environment so that it meets the social, emotional, physical, and cognitive needs of developing children. Ensure there are enough toys in the facility. We find that behavior problems often arise when children do not have enough toys or materials to play with. Giving children toys and activities to engage in will help them learn and give them something to do. Think about what you need for children of different ages and interests. Plenty of paper to draw on; materials to sort, collect, trade, and share; dress-up clothes and props; puzzles and games; and well-maintained equipment to climb or ride on will keep children busy and interested. Ensure the toys match the children’s ages and abilities and challenge their new learning skills. Also, classic materials such as blocks, balls, books, puzzles, and art materials are good places to start when choosing toys. These materials can be used in a variety of ways by children at different ages and levels and can reinforce a wide variety of skills, including motor skills, math, language, and social skills. Safe, accessible storage areas can be a valuable resource in the child care environment. Storage enables child care providers to rotate materials based on the developmental needs and interests of the children. A storage area makes it possible to create collections of materials and props around specific themes and to build those themes into the curriculum at appropriate times during the year. It is recommended that children must go outside daily unless there is an active weather warning, lightening, etc. The schedule can be rearranged to accommodate outside play if needed. For example, you may take children outside early in the day to avoid hotter temperatures or you may take children outside later in the day to avoid cold weather. These guidelines shall be used when determining appropriate weather conditions for taking children outside for outdoor learning activities and playtime. This chart may be downloaded free of charge from http://idph.iowa.gov/Portals/1/Files/HCCI/weatherwatch.pdf. This chart will help you determine when temperatures outside may be too hot or too cold for children and will guide you on if time outside should be limited outside. Today you were outside from 10:00 am to 12:00 pm as of the time this was written. Children were brought in and out of the building to use the restroom as needed. You must remember that those children who are in diapers must be changed when they are soiled. Rules- North Carolina Child Care Commission adopted child care rule changes in January 2024. Changes relate to definitions; lead and asbestos for centers and family child care homes; building requirements for family child care homes; multi-unit child care centers; and criminal background checks. Some of these rule changes may impact your facility. Please ensure you are using the updated January 2024 rule book, and you view information in the DCDEE Moodle. Additional Information: Water Test- It’s time to enroll your facility in the Clean Classrooms for Carolina Kids program to identify and eliminate exposure to lead and asbestos hazards in building infrastructure. This program is an expansion of Clean Water for Carolina Kids, which previously tested all child care centers in the state for lead in water at drinking and food preparation taps. As this is a legislatively mandated effort, facilities are required to meet rule requirements to have tap water tested every three years and to have inspections for lead paint and asbestos if applicable. Steps: 1. Sign Up – Pre-enrollment webinars are available at cleanwaterforUSkids.org/carolina or paste https://bit.ly/3CK-webinar into your web browser to see available dates and times for the next month. 2. Enroll – At www.cleanwaterforUSkids.org/carolina using the PIN and complete the enrollment surveys for three program sections: 1) lead in water, 2) lead-based paint, and 3) asbestos. 3. Evaluate Hazards - The program will ship your facility a water sample kit and may coordinate an on-site visit by a professional to assess for lead-based paint and asbestos hazards, if needed. 4. Receive Results – Receive your results, recommendations, and water mitigation support, if needed. 5. Request Reimbursement - If you choose to conduct lead-based paint or asbestos mitigation, you can request reimbursement from NC DHHS. Visit the web site at: https://www.ncdhhs.gov/divisions/public-health/asbestos-and-leadbased-paintreimbursementprogram-arpa. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me at Kim Sherry, Child Care Consultant, 910-824-1143, or Kim.Sherry@dhhs.nc.gov if you have questions. 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