Holy Cross Child Development Center

10A NCAC 09 .0604 · Violation

Name of Operation: HOLY CROSS CHILD DEVELOPMENT CENTER Facility ID: 3455124 Consultant: WHITNEY PARKER Operation Type: Center Case Number: Visit Date: 11/18/2025 Number Present: 44 Completed Date: 11/18/2025 Age: From 1 To 5 Total Minutes: 225 Time In: 08:30 AM Time Out: 12:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced An unannounced annual compliance visit was conducted at this childcare center to monitor compliance with applicable childcare requirements. This visit was conducted with Eva Kampwerth, Director. The program currently operates with a four-star license issued 5/3/19. Restrictions include daytime care only; has reduced group size by 1 in each group from 7 pt. level; meets enhanced ratios and enhanced space; children under 2 ½ years old in rooms with direct exits only. The license was observed, and the restrictions were found in compliance. The facility is owned and operated by the Holy Cross Catholic Church which has a 501(c)(3) exemption status. If any ownership changes need to be made, then you must notify your consultant at least thirty days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location, or inherited. The program’s compliance history was 89% prior to today’s visit. All programs are required to maintain at least 75% compliance. A walk-through of the facility was completed today. Indoor and outdoor areas were observed. Staff/child ratio and space capacity were monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed staff/child interactions today. I observed children eating morning snack, engaging in free play, routine activities, and group time. I observed materials and activities that were available to the children in the classrooms. Your program was also monitored for compliance with implementing an approved curriculum as required for all four- and five-star licensed facilities where four-year-old children are enrolled. Your facility uses the Creative Curriculum. The last annual compliance visit was conducted on 12/03/2024. A sanitation inspection was completed 11/25/2024 with a superior classification. The last fire inspection was conducted 12/02/2024. Program records and required postings were monitored. A fire drill was conducted on 11/07/2025. A shelter in place drill was documented on 09/26/2025. An outdoor inspection was documented on 11/07/2025. Staff files and children’s records were monitored per DCDEE procedures. Nutrition requirements were monitored per DCDEE procedures. Storage of hazardous items was monitored today. Hazardous items were stored in locked cabinets and locked closet. Storage and administration of medication were monitored. Medication authorization was monitored. You stated that you do routine transportation in the afternoon only for school-aged children and summer field trips for school-aged children. During today’s visit, I monitored emergency information, permission to transport forms for all children being transported, and the bus log. I observed a first aid kit and fire extinguisher on the vehicle. I monitored one vehicle today. I observed a 2011 Thomas Built Minibus, AJV-6069. This vehicle was clean, in good repair, had working seatbelts, had adequate tire tread, and was current on inspection and insurance. Your next inspection date on this vehicle is due November 2025 and the insurance is valid through 07/01/2026. The following violations were cited during today’s visit: Violation Number Comment Rule 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. During the visit, I observed one outlet not covered in space seven (7). 10A NCAC 09 .0604(c) 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. During the visit, I observed two (2) staff files that did not have documentation of reviewing the EMC annually. 10A NCAC 09 .0802(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. During the visit, I observed one (1) can of Redbull in space four (4) and one (1) McDonald's frappe in space seven (7) .0901(i) 1825 All staff did not review the center's EPR Plan during orientation and/or on an annual basis with the trained staff. Documentation of the review was not maintained on file. During the visit, I observed two (2) staff files that did not have documentation of reviewing the EPR plan annually. .0607(f) 1899 Health and safety training topics were not included as part of on-going training within five years of completing the previous health and safety training topics. During the visit, I observed two (2) staff files that did not have documentation of renewing the Recognizing and Responding to Suspicions of Child Maltreatment training. .1103(b) 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. You must correct the violations cited during today's visit immediately and send me documentation verifying compliance on or before 12/02/2025. The following information must be included in your signed and dated compliance letter: • the name of your center • facility ID number • date • title of the person who signs the letter • each violation number(s) • describes accurately and in detail how and when you corrected each violation You may email the letter to whitney.parker@dhhs.nc.gov or mail two copies of the letter to: Whitney Parker P.O. Box 1342 Lexington, NC 27293 If you state in your letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical assistance discussed during today’s visit related to violations: • During the visit, we discussed that all outlets must be covered at all times when not in use. You covered the outlet during the visit. • During the visit, we discussed that staff should 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. Staff can use cups that do not show the contents of the beverage. Staff should also avoid labels on beverages and/or food bags. You removed the two drinks from the childcare environment during the visit. • During the visit, we discussed that the Recognizing and Responding to Suspicions of Child Maltreatment are part of the health and safety trainings. All parts of the health and safety trainings must be renewed every five (5) years. You stated you were unaware that this training had to be renewed and would have staff update it immediately. • During the visit, we discussed that the EMC and EPR plan have to be reviewed with staff annually. You stated this was scheduled to be reviewed on Thursday of this week. Information discussed today related to the QRIS modernization plan: • During the visit, we discussed the QRIS modernization plan. I completed a template documenting the pathway you plan to pursue, identifying needs, documenting a timeline for completion, resources, next steps, etc. Over the next few months, I’ll be checking in with you, ahead of your next visit to check on progress and determine if additional assistance is needed with WORKS, NCRLAP/ERS, accreditation, etc. Additional Information/Consultation: • You must notify your consultant 30 days prior to changing the ownership status of your facility. • Make sure all employees have updated WORKS letters on file available for review. When evaluating education, we can only use the WORKS letters to determine each employee’s star rating. • Make sure you have a fire inspection by December 2025. When you receive your fire inspection, please email me a copy. • On your staff and training worksheet, line seven (7) should be the date that you placed the employees in the ABCMS Provider Portal. At the completion of the visit, this visit summary was reviewed with and provided to you. Thank you for your time and assistance during the visit. If you have any questions about the visit, please contact me or my supervisor using the information below. Whitney Parker, Child Care Consultant (336) 590-8765 whitney.parker@dhh.nc.gov Pamela Hauser, Supervisor pamela.hauser@dhhs.nc.gov 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/ 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: HOLY CROSS CHILD DEVELOPMENT CENTER Facility ID: 3455124 Consultant: WHITNEY PARKER Operation Type: Center Case Number: Visit Date: 11/18/2025 Number Present: 44 Completed Date: 11/18/2025 Age: From 1 To 5 Total Minutes: 225 Time In: 08:30 AM Time Out: 12:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced An unannounced annual compliance visit was conducted at this childcare center to monitor compliance with applicable childcare requirements. This visit was conducted with Eva Kampwerth, Director. The program currently operates with a four-star license issued 5/3/19. Restrictions include daytime care only; has reduced group size by 1 in each group from 7 pt. level; meets enhanced ratios and enhanced space; children under 2 ½ years old in rooms with direct exits only. The license was observed, and the restrictions were found in compliance. The facility is owned and operated by the Holy Cross Catholic Church which has a 501(c)(3) exemption status. If any ownership changes need to be made, then you must notify your consultant at least thirty days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location, or inherited. The program’s compliance history was 89% prior to today’s visit. All programs are required to maintain at least 75% compliance. A walk-through of the facility was completed today. Indoor and outdoor areas were observed. Staff/child ratio and space capacity were monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed staff/child interactions today. I observed children eating morning snack, engaging in free play, routine activities, and group time. I observed materials and activities that were available to the children in the classrooms. Your program was also monitored for compliance with implementing an approved curriculum as required for all four- and five-star licensed facilities where four-year-old children are enrolled. Your facility uses the Creative Curriculum. The last annual compliance visit was conducted on 12/03/2024. A sanitation inspection was completed 11/25/2024 with a superior classification. The last fire inspection was conducted 12/02/2024. Program records and required postings were monitored. A fire drill was conducted on 11/07/2025. A shelter in place drill was documented on 09/26/2025. An outdoor inspection was documented on 11/07/2025. Staff files and children’s records were monitored per DCDEE procedures. Nutrition requirements were monitored per DCDEE procedures. Storage of hazardous items was monitored today. Hazardous items were stored in locked cabinets and locked closet. Storage and administration of medication were monitored. Medication authorization was monitored. You stated that you do routine transportation in the afternoon only for school-aged children and summer field trips for school-aged children. During today’s visit, I monitored emergency information, permission to transport forms for all children being transported, and the bus log. I observed a first aid kit and fire extinguisher on the vehicle. I monitored one vehicle today. I observed a 2011 Thomas Built Minibus, AJV-6069. This vehicle was clean, in good repair, had working seatbelts, had adequate tire tread, and was current on inspection and insurance. Your next inspection date on this vehicle is due November 2025 and the insurance is valid through 07/01/2026. The following violations were cited during today’s visit: Violation Number Comment Rule 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. During the visit, I observed one outlet not covered in space seven (7). 10A NCAC 09 .0604(c) 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. During the visit, I observed two (2) staff files that did not have documentation of reviewing the EMC annually. 10A NCAC 09 .0802(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. During the visit, I observed one (1) can of Redbull in space four (4) and one (1) McDonald's frappe in space seven (7) .0901(i) 1825 All staff did not review the center's EPR Plan during orientation and/or on an annual basis with the trained staff. Documentation of the review was not maintained on file. During the visit, I observed two (2) staff files that did not have documentation of reviewing the EPR plan annually. .0607(f) 1899 Health and safety training topics were not included as part of on-going training within five years of completing the previous health and safety training topics. During the visit, I observed two (2) staff files that did not have documentation of renewing the Recognizing and Responding to Suspicions of Child Maltreatment training. .1103(b) 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. You must correct the violations cited during today's visit immediately and send me documentation verifying compliance on or before 12/02/2025. The following information must be included in your signed and dated compliance letter: • the name of your center • facility ID number • date • title of the person who signs the letter • each violation number(s) • describes accurately and in detail how and when you corrected each violation You may email the letter to whitney.parker@dhhs.nc.gov or mail two copies of the letter to: Whitney Parker P.O. Box 1342 Lexington, NC 27293 If you state in your letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical assistance discussed during today’s visit related to violations: • During the visit, we discussed that all outlets must be covered at all times when not in use. You covered the outlet during the visit. • During the visit, we discussed that staff should 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. Staff can use cups that do not show the contents of the beverage. Staff should also avoid labels on beverages and/or food bags. You removed the two drinks from the childcare environment during the visit. • During the visit, we discussed that the Recognizing and Responding to Suspicions of Child Maltreatment are part of the health and safety trainings. All parts of the health and safety trainings must be renewed every five (5) years. You stated you were unaware that this training had to be renewed and would have staff update it immediately. • During the visit, we discussed that the EMC and EPR plan have to be reviewed with staff annually. You stated this was scheduled to be reviewed on Thursday of this week. Information discussed today related to the QRIS modernization plan: • During the visit, we discussed the QRIS modernization plan. I completed a template documenting the pathway you plan to pursue, identifying needs, documenting a timeline for completion, resources, next steps, etc. Over the next few months, I’ll be checking in with you, ahead of your next visit to check on progress and determine if additional assistance is needed with WORKS, NCRLAP/ERS, accreditation, etc. Additional Information/Consultation: • You must notify your consultant 30 days prior to changing the ownership status of your facility. • Make sure all employees have updated WORKS letters on file available for review. When evaluating education, we can only use the WORKS letters to determine each employee’s star rating. • Make sure you have a fire inspection by December 2025. When you receive your fire inspection, please email me a copy. • On your staff and training worksheet, line seven (7) should be the date that you placed the employees in the ABCMS Provider Portal. At the completion of the visit, this visit summary was reviewed with and provided to you. Thank you for your time and assistance during the visit. If you have any questions about the visit, please contact me or my supervisor using the information below. Whitney Parker, Child Care Consultant (336) 590-8765 whitney.parker@dhh.nc.gov Pamela Hauser, Supervisor pamela.hauser@dhhs.nc.gov 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/ 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: HOLY CROSS CHILD DEVELOPMENT CENTER Facility ID: 3455124 Consultant: WHITNEY PARKER Operation Type: Center Case Number: Visit Date: 11/18/2025 Number Present: 44 Completed Date: 11/18/2025 Age: From 1 To 5 Total Minutes: 225 Time In: 08:30 AM Time Out: 12:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced An unannounced annual compliance visit was conducted at this childcare center to monitor compliance with applicable childcare requirements. This visit was conducted with Eva Kampwerth, Director. The program currently operates with a four-star license issued 5/3/19. Restrictions include daytime care only; has reduced group size by 1 in each group from 7 pt. level; meets enhanced ratios and enhanced space; children under 2 ½ years old in rooms with direct exits only. The license was observed, and the restrictions were found in compliance. The facility is owned and operated by the Holy Cross Catholic Church which has a 501(c)(3) exemption status. If any ownership changes need to be made, then you must notify your consultant at least thirty days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location, or inherited. The program’s compliance history was 89% prior to today’s visit. All programs are required to maintain at least 75% compliance. A walk-through of the facility was completed today. Indoor and outdoor areas were observed. Staff/child ratio and space capacity were monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed staff/child interactions today. I observed children eating morning snack, engaging in free play, routine activities, and group time. I observed materials and activities that were available to the children in the classrooms. Your program was also monitored for compliance with implementing an approved curriculum as required for all four- and five-star licensed facilities where four-year-old children are enrolled. Your facility uses the Creative Curriculum. The last annual compliance visit was conducted on 12/03/2024. A sanitation inspection was completed 11/25/2024 with a superior classification. The last fire inspection was conducted 12/02/2024. Program records and required postings were monitored. A fire drill was conducted on 11/07/2025. A shelter in place drill was documented on 09/26/2025. An outdoor inspection was documented on 11/07/2025. Staff files and children’s records were monitored per DCDEE procedures. Nutrition requirements were monitored per DCDEE procedures. Storage of hazardous items was monitored today. Hazardous items were stored in locked cabinets and locked closet. Storage and administration of medication were monitored. Medication authorization was monitored. You stated that you do routine transportation in the afternoon only for school-aged children and summer field trips for school-aged children. During today’s visit, I monitored emergency information, permission to transport forms for all children being transported, and the bus log. I observed a first aid kit and fire extinguisher on the vehicle. I monitored one vehicle today. I observed a 2011 Thomas Built Minibus, AJV-6069. This vehicle was clean, in good repair, had working seatbelts, had adequate tire tread, and was current on inspection and insurance. Your next inspection date on this vehicle is due November 2025 and the insurance is valid through 07/01/2026. The following violations were cited during today’s visit: Violation Number Comment Rule 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. During the visit, I observed one outlet not covered in space seven (7). 10A NCAC 09 .0604(c) 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. During the visit, I observed two (2) staff files that did not have documentation of reviewing the EMC annually. 10A NCAC 09 .0802(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. During the visit, I observed one (1) can of Redbull in space four (4) and one (1) McDonald's frappe in space seven (7) .0901(i) 1825 All staff did not review the center's EPR Plan during orientation and/or on an annual basis with the trained staff. Documentation of the review was not maintained on file. During the visit, I observed two (2) staff files that did not have documentation of reviewing the EPR plan annually. .0607(f) 1899 Health and safety training topics were not included as part of on-going training within five years of completing the previous health and safety training topics. During the visit, I observed two (2) staff files that did not have documentation of renewing the Recognizing and Responding to Suspicions of Child Maltreatment training. .1103(b) 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. You must correct the violations cited during today's visit immediately and send me documentation verifying compliance on or before 12/02/2025. The following information must be included in your signed and dated compliance letter: • the name of your center • facility ID number • date • title of the person who signs the letter • each violation number(s) • describes accurately and in detail how and when you corrected each violation You may email the letter to whitney.parker@dhhs.nc.gov or mail two copies of the letter to: Whitney Parker P.O. Box 1342 Lexington, NC 27293 If you state in your letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical assistance discussed during today’s visit related to violations: • During the visit, we discussed that all outlets must be covered at all times when not in use. You covered the outlet during the visit. • During the visit, we discussed that staff should 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. Staff can use cups that do not show the contents of the beverage. Staff should also avoid labels on beverages and/or food bags. You removed the two drinks from the childcare environment during the visit. • During the visit, we discussed that the Recognizing and Responding to Suspicions of Child Maltreatment are part of the health and safety trainings. All parts of the health and safety trainings must be renewed every five (5) years. You stated you were unaware that this training had to be renewed and would have staff update it immediately. • During the visit, we discussed that the EMC and EPR plan have to be reviewed with staff annually. You stated this was scheduled to be reviewed on Thursday of this week. Information discussed today related to the QRIS modernization plan: • During the visit, we discussed the QRIS modernization plan. I completed a template documenting the pathway you plan to pursue, identifying needs, documenting a timeline for completion, resources, next steps, etc. Over the next few months, I’ll be checking in with you, ahead of your next visit to check on progress and determine if additional assistance is needed with WORKS, NCRLAP/ERS, accreditation, etc. Additional Information/Consultation: • You must notify your consultant 30 days prior to changing the ownership status of your facility. • Make sure all employees have updated WORKS letters on file available for review. When evaluating education, we can only use the WORKS letters to determine each employee’s star rating. • Make sure you have a fire inspection by December 2025. When you receive your fire inspection, please email me a copy. • On your staff and training worksheet, line seven (7) should be the date that you placed the employees in the ABCMS Provider Portal. At the completion of the visit, this visit summary was reviewed with and provided to you. Thank you for your time and assistance during the visit. If you have any questions about the visit, please contact me or my supervisor using the information below. Whitney Parker, Child Care Consultant (336) 590-8765 whitney.parker@dhh.nc.gov Pamela Hauser, Supervisor pamela.hauser@dhhs.nc.gov 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/ 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: HOLY CROSS CHILD DEVELOPMENT CENTER Facility ID: 3455124 Consultant: WHITNEY PARKER Operation Type: Center Case Number: Visit Date: 6/12/2025 Number Present: 57 Completed Date: 6/12/2025 Age: From 1 To 9 Total Minutes: 90 Time In: 08:50 AM Time Out: 10:20 AM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable childcare requirements for a routine unannounced visit. This visit was conducted with Eva Kampwerth, Director. The program currently operates with a four-star license issued 5/3/19. Restrictions include daytime care only; has reduced group size by 1 in each group from 7 pt. level; meets enhanced ratios and enhanced space; children under 2 ½ years old in rooms with direct exits only. The facility is owned and operated by the Holy Cross Catholic Church which has a 501(c)(3) exemption status. If any ownership changes need to be made, then you must notify your consultant at least thirty days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location, or inherited. The program’s compliance history was 90% prior to today’s visit. All programs are required to maintain at least 75% compliance. Today, the following items were monitored: • Supervision • Staff / Child Ratio • CPR / First Aid • Special Training • CBC Qualification • ITS – SIDS • Emergency Medical Care Plan • Administration of Medication • Storage of Hazardous Products • Storage of Medication • General Safety • Discipline • Adequate / Approved Space • Program Records • License Posted • Permit Restrictions The license was observed, and the restrictions were found in compliance. A walk-through of the facility was completed today. Indoor and outdoor areas were observed. Staff/child ratio and space capacity were monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed staff/child interactions today. I observed children eating breakfast, engaging in free play, routine activities, and group time. Two new staff were reported at this program. Files for new staff were reviewed. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Playground Safety, ITS-SIDS, Special Training including Health and Safety Training and Criminal Background Checks. Storage and administration of medication were monitored. Medication authorization was monitored. Storage hazardous items was monitored today. A playground inspection was recorded 6/5/25. A fire drill was recorded 5/31/25. A lock down drill for the facility was recorded 5/28/25. The most recent fire inspection was on 12/2/24. I observed a sanitation inspection was last conducted on 11/25/24 earning a superior classification. You stated that you do routine transportation in the afternoon only for school-aged children and summer field trips for school-aged children. During today’s visit, I observed first aid kits and fire extinguishers on the vehicle. I monitored one vehicle today. I observed a 2011 Thomas Built Minibus, AJV-6069. Your next inspection date on this vehicle is due November 2025 and the insurance is valid through 07/01/2025. The following violation was cited during today’s visit: Violation Number Comment Rule 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. During the visit, I observed two (2) expired medication forms in space three (3). .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-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. You must correct the violations cited during today's visit immediately and send me documentation verifying compliance on or before 06/27/2025. The following information must be included in your signed and dated compliance letter: • the name of your center • facility ID number • date • title of the person who signs the letter • each violation number(s) • describes accurately and in detail how and when you corrected each violation If you state in your letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. You may email the letter to whitney.parker@dhhs.nc.gov or mail two copies of the letter to: Whitney Parker P.O. Box 1342 Lexington, NC 27293 Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical assistance discussed during today’s visit related to violations: • We discussed that all diaper creams must have current forms on file. You pulled the expired forms during the visit and stated that you would have them updated today at pick up. Additional Information/Consultation: • You must notify your consultant 30 days prior to changing the ownership status of your facility. At the completion of the visit, this visit summary was reviewed with and provided to you. Thank you for your time and assistance during the visit. If you have any questions about the visit, please contact me or my supervisor using the information below. Whitney Parker, Child Care Consultant (336) 590-8765 whitney.parker@dhh.nc.gov Pamela Hauser, Supervisor pamela.hauser@dhhs.nc.gov 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/ If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0803 · Violation

Name of Operation: HOLY CROSS CHILD DEVELOPMENT CENTER Facility ID: 3455124 Consultant: WHITNEY PARKER Operation Type: Center Case Number: Visit Date: 12/3/2024 Number Present: 26 Completed Date: 12/3/2024 Age: From 1 To 5 Total Minutes: 180 Time In: 09:00 AM Time Out: 12:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced An unannounced annual compliance visit was conducted at this childcare center to monitor compliance with applicable childcare requirements. This visit was conducted by Whitney Parker, Childcare Consultant with Eva Kampwerth, Director. The program currently operates with a four-star license issued 5/3/19. Restrictions include daytime care only; has reduced group size by 1 in each group from 7 pt. level; meets enhanced ratios and enhanced space; children under 2 ½ years old in rooms with direct exits only. The license was observed, and the restrictions were found in compliance. The facility is owned and operated by the Holy Cross Catholic Church which has a 501(c)(3) exemption status. If any ownership changes need to be made, then you must notify your consultant at least thirty days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location, or inherited. The program’s compliance history was 91% prior to today’s visit. All programs are required to maintain at least 75% compliance. A walk-through of the facility was completed today. Indoor and outdoor areas were observed. Staff/child ratio and space capacity were monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed staff/child interactions today. I observed children engaging in free play, routine activities, and group time. I observed materials and activities that were available to the children in the classrooms. Your program was also monitored for compliance with implementing an approved curriculum as required for all four- and five-star licensed facilities where four-year-old children are enrolled. Your facility uses the Creative Curriculum. The last annual compliance visit was conducted on 12/13/2023. A sanitation inspection was completed 11/25/2024 with a superior classification. The last fire inspection was conducted 12/02/2024. Program records and required postings were monitored. A fire drill was conducted on 11/27/2024. A shelter in place drill was documented on 10/31/2024. An outdoor inspection was documented on 11/27/2024. Staff files and children’s records were monitored per DCDEE procedures. Nutrition requirements were monitored per DCDEE procedures. Storage of hazardous items was monitored today. Storage and administration of medication were monitored. Medication authorization was monitored. You stated that you do routine transportation in the afternoon only for school-aged children and summer field trips for school-aged children. During today’s visit, I monitored emergency information, permission to transport forms for all children being transported, and the bus log. I observed first aid kit and fire extinguisher on the vehicle. I monitored one vehicle today. I observed a 2011 Thomas Built Minibus, AJV-6069. This vehicle was clean, in good repair, had working seatbelts, had adequate tire tread, and was current on inspection and insurance. Your next inspection date on this vehicle is due November 2025 and the insurance is valid through 07/01/2025. The following violations were cited during today’s visit: Violation Number Comment Rule 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. During the visit, I observed two containers of disinfectant wipes stored on a shelf over five vertical feet in unlocked storage. .2820(b) 847 Parent's medication authorization did not include required information. During the visit, I observed three (3) medication forms in space two (2) and one (1) medication form in space three (3) that were missing medication expiration dates. 10A NCAC 09 .0803(4)(6-9) 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. All violations cited today were corrected during the visit. A correction letter is not due at this time. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical assistance discussed during today’s visit related to violations: • We discussed that all disinfecting wipes must be stored in locked storage again. You moved the wipes to locked storage during the visit. • We discussed that medication authorization forms must be filled out completely. The missing information on the forms were added to the forms during the visit. Additional Information/Consultation: • You must notify your consultant 30 days prior to changing the ownership status of your facility. •The hold harmless was extended until the QRIS modernization has been completed. The previous cohort model is no longer in effect. Starting on February 1, 2025, the ECERS-3, ITERS-3, and FCCERS-3—also known as the "3s"—will be used for DCDEE environment rating scale assessments. The DCDEE and the North Carolina Rated License Assessment Project (NCRLAP) are collaboratively working on preparations for the transition to the third editions. These third editions come with a spiral binding at the top, replacing the current revised editions. Visit the NCRLAP’s website for more information about updated resources, credit hour trainings, and outreach assessment opportunities to help you become familiar with these tools. For official environment rating scale assessments for a NC Star Rated License, the NCRLAP will use the Revised editions until February 1, 2025. You can find more information at this link: https://ncrlap.org/Resources/pages/get-ready-for-3s/ • The process of notifying the Division of new employees has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new childcare providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. At the completion of the visit, this visit summary was reviewed with and provided to you. Thank you for your time and assistance during the visit. If you have any questions about the visit, please contact me or my supervisor using the information below. Whitney Parker, Child Care Consultant (336) 590-8765 whitney.parker@dhh.nc.gov Pamela Hauser, Supervisor pamela.hauser@dhhs.nc.gov 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/ 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: HOLY CROSS CHILD DEVELOPMENT CENTER Facility ID: 3455124 Consultant: WHITNEY PARKER Operation Type: Center Case Number: Visit Date: 12/3/2024 Number Present: 26 Completed Date: 12/3/2024 Age: From 1 To 5 Total Minutes: 180 Time In: 09:00 AM Time Out: 12:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced An unannounced annual compliance visit was conducted at this childcare center to monitor compliance with applicable childcare requirements. This visit was conducted by Whitney Parker, Childcare Consultant with Eva Kampwerth, Director. The program currently operates with a four-star license issued 5/3/19. Restrictions include daytime care only; has reduced group size by 1 in each group from 7 pt. level; meets enhanced ratios and enhanced space; children under 2 ½ years old in rooms with direct exits only. The license was observed, and the restrictions were found in compliance. The facility is owned and operated by the Holy Cross Catholic Church which has a 501(c)(3) exemption status. If any ownership changes need to be made, then you must notify your consultant at least thirty days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location, or inherited. The program’s compliance history was 91% prior to today’s visit. All programs are required to maintain at least 75% compliance. A walk-through of the facility was completed today. Indoor and outdoor areas were observed. Staff/child ratio and space capacity were monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed staff/child interactions today. I observed children engaging in free play, routine activities, and group time. I observed materials and activities that were available to the children in the classrooms. Your program was also monitored for compliance with implementing an approved curriculum as required for all four- and five-star licensed facilities where four-year-old children are enrolled. Your facility uses the Creative Curriculum. The last annual compliance visit was conducted on 12/13/2023. A sanitation inspection was completed 11/25/2024 with a superior classification. The last fire inspection was conducted 12/02/2024. Program records and required postings were monitored. A fire drill was conducted on 11/27/2024. A shelter in place drill was documented on 10/31/2024. An outdoor inspection was documented on 11/27/2024. Staff files and children’s records were monitored per DCDEE procedures. Nutrition requirements were monitored per DCDEE procedures. Storage of hazardous items was monitored today. Storage and administration of medication were monitored. Medication authorization was monitored. You stated that you do routine transportation in the afternoon only for school-aged children and summer field trips for school-aged children. During today’s visit, I monitored emergency information, permission to transport forms for all children being transported, and the bus log. I observed first aid kit and fire extinguisher on the vehicle. I monitored one vehicle today. I observed a 2011 Thomas Built Minibus, AJV-6069. This vehicle was clean, in good repair, had working seatbelts, had adequate tire tread, and was current on inspection and insurance. Your next inspection date on this vehicle is due November 2025 and the insurance is valid through 07/01/2025. The following violations were cited during today’s visit: Violation Number Comment Rule 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. During the visit, I observed two containers of disinfectant wipes stored on a shelf over five vertical feet in unlocked storage. .2820(b) 847 Parent's medication authorization did not include required information. During the visit, I observed three (3) medication forms in space two (2) and one (1) medication form in space three (3) that were missing medication expiration dates. 10A NCAC 09 .0803(4)(6-9) 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. All violations cited today were corrected during the visit. A correction letter is not due at this time. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical assistance discussed during today’s visit related to violations: • We discussed that all disinfecting wipes must be stored in locked storage again. You moved the wipes to locked storage during the visit. • We discussed that medication authorization forms must be filled out completely. The missing information on the forms were added to the forms during the visit. Additional Information/Consultation: • You must notify your consultant 30 days prior to changing the ownership status of your facility. •The hold harmless was extended until the QRIS modernization has been completed. The previous cohort model is no longer in effect. Starting on February 1, 2025, the ECERS-3, ITERS-3, and FCCERS-3—also known as the "3s"—will be used for DCDEE environment rating scale assessments. The DCDEE and the North Carolina Rated License Assessment Project (NCRLAP) are collaboratively working on preparations for the transition to the third editions. These third editions come with a spiral binding at the top, replacing the current revised editions. Visit the NCRLAP’s website for more information about updated resources, credit hour trainings, and outreach assessment opportunities to help you become familiar with these tools. For official environment rating scale assessments for a NC Star Rated License, the NCRLAP will use the Revised editions until February 1, 2025. You can find more information at this link: https://ncrlap.org/Resources/pages/get-ready-for-3s/ • The process of notifying the Division of new employees has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new childcare providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. At the completion of the visit, this visit summary was reviewed with and provided to you. Thank you for your time and assistance during the visit. If you have any questions about the visit, please contact me or my supervisor using the information below. Whitney Parker, Child Care Consultant (336) 590-8765 whitney.parker@dhh.nc.gov Pamela Hauser, Supervisor pamela.hauser@dhhs.nc.gov 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/ If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0604 · Violation

Name of Operation: HOLY CROSS CHILD DEVELOPMENT CENTER Facility ID: 3455124 Consultant: WHITNEY PARKER Operation Type: Center Case Number: Visit Date: 6/18/2024 Number Present: 55 Completed Date: 6/18/2024 Age: From 1 To 10 Total Minutes: 150 Time In: 09:00 AM Time Out: 11:30 AM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable childcare requirements for a routine unannounced visit. This visit was conducted by Whitney Parker, Childcare Consultant, with Eva Kampwerth, Director. The program currently operates with a four-star license issued 5/3/19. Restrictions include daytime care only; has reduced group size by 1 in each group from 7 pt. level; meets enhanced ratios and enhanced space; children under 2 ½ years old in rooms with direct exits only. The facility is owned and operated by the Holy Cross Catholic Church which has a 501(c)(3) exemption status. If any ownership changes need to be made, then you must notify your consultant at least thirty days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location, or inherited. The program’s compliance history was 93% prior to today’s visit. All programs are required to maintain at least 75% compliance. Today, the following items were monitored: • Supervision • Staff / Child Ratio • CPR / First Aid • Special Training • CBC Qualification • ITS – SIDS • Emergency Medical Care Plan • Administration of Medication • Storage of Hazardous Products • Storage of Medication • General Safety • Discipline • Adequate / Approved Space • Program Records • License Posted • Permit Restrictions The license was observed, and the restrictions were found in compliance. A walk-through of the facility was completed today. Indoor and outdoor areas were observed. Staff/child ratio and space capacity were monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed staff/child interactions today. I observed children engaging in free play, routine activities, and group time. Three new staff were reported at this program. Files for new staff were reviewed. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Playground Safety, ITS-SIDS, Special Training including Health and Safety Training and Criminal Background Checks. Storage and administration of medication were monitored. Medication authorization was monitored. Storage hazardous items was monitored today. A playground inspection was recorded 05/06/2024. A fire drill was recorded 05/31/2024. A shelter in place drill for the facility was recorded 03/26/2024. The most recent fire inspection was on 12/18/2023. I observed a sanitation inspection was last conducted on 05/31/2024 earning a superior classification. You stated that you do routine transportation in the afternoon only for school-aged children and summer field trips for school-aged children. During today’s visit, I monitored emergency information, permission to transport forms for all children being transported, and the bus log. I observed first aid kits and fire extinguishers on the vehicle. I monitored one vehicle today. I observed a 2011 Thomas Built Minibus, AJV-6069. This vehicle was clean, in good repair, had working seatbelts, had adequate tire tread, and was current on inspection and insurance. Your next inspection date on this vehicle is due November 2024 and the insurance is valid through 07/01/2024. The following violations were cited during today’s visit: Violation Number Comment Rule 125 Daily records of arrival and departure times for children enrolled at the center were not maintained as children arrive and depart and/or were not made available for review. During today's visit, I observed one child not signed in in space five and one child not signed in in space seven. 10A NCAC 09 .0302(d)(4) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. During today's visit, I observed two uncovered outlets in space eight. 10A NCAC 09 .0604(c) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. During today's visit, I observed a large bottle of dish detergent with three warning labels stored in an unlocked cabinet in space seven. .2820(b) 1867 The depth of the loose surfacing was not based on critical height of the equipment. During today's visit, I observed three to five inches of rubber mulch installed under a large playground structure and swing set. .0605(k)(1-4) 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. You must correct the violations cited during today's visit immediately and send me documentation verifying compliance on or before 07/02/2024. The following information must be included in your signed and dated compliance letter: • the name of your center • facility ID number • date • title of the person who signs the letter • each violation number(s) • describes accurately and in detail how and when you corrected each violation If you state in your letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. You may email the letter to whitney.parker@dhhs.nc.gov or mail two copies of the letter to: Whitney Parker P.O. Box 1342 Lexington, NC 27293 Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical assistance discussed during today’s visit: • We discussed rule .0302(d)(4) during the visit. Children must be signed in upon arrival and signed out upon departure to ensure there is an accurate head count of children at all times. You stated the children had just arrived and you signed them in during the visit. • We discussed rule .0604(c). Children can be injured by inserting objects into the slots of electrical outlets. For this reason, all electrical outlets, including those on power strips, not in use that are in areas accessible to children must be protected with a safety plug or a tamper-resistant electrical outlet. You stated these are typically removed for cleaning purposes and covered the outlets during the visit. • We discussed rule 15A NCAC 18A.2820(b). Hazardous materials must be kept in locked storage when two or more warning labels are present. You stated the bulk dish detergent was not able to be locked in the cabinet, so you removed them from the cabinet during the visit. • We discussed rule .0605 (k)(1-4). The depth of the loose surfacing material shall be based on the critical height of the equipment, which is defined as the maximum height that a child may sit, or stand, as follows: (1) equipment with a critical height of 5 feet or less shall have 6 inches of loose surface materials. Depth surfacing is critical to ensuring the safety of children when falls occur. For stationary outdoor equipment used by children two years of age or older, the protective surfacing shall extend beyond the external limits of the equipment for six feet. Swings shall have protective surfacing that extends two times the length of the pivot point to the surface below. The surfacing shall be to the front and rear of the swing. You stated you would pull the mulch from other areas and possibly order more to ensure the depth met six inches. Additional Information/Consultation: • You must notify your consultant 30 days prior to changing the ownership status of your facility. • On 02/21/2024, I emailed you a document regarding required Lead and Asbestos Testing. Ms. Kampwerth confirmed during today’s visit that the email was received and provided information that she has enrolled in and completed the testing process. • We are still in the process of gathering more information regarding the ownership status of your facility. I will reach out to you with more information when I have received additional guidance. At the completion of the visit, this visit summary was reviewed with and provided to you. Thank you for your time and assistance during the visit. If you have any questions about the visit, please contact me or my supervisor using the information below. Whitney Parker, Child Care Consultant (336) 590-8765 whitney.parker@dhh.nc.gov Pamela Hauser, Supervisor pamela.hauser@dhhs.nc.gov 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/ 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: HOLY CROSS CHILD DEVELOPMENT CENTER Facility ID: 3455124 Consultant: WHITNEY PARKER Operation Type: Center Case Number: Visit Date: 6/18/2024 Number Present: 55 Completed Date: 6/18/2024 Age: From 1 To 10 Total Minutes: 150 Time In: 09:00 AM Time Out: 11:30 AM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable childcare requirements for a routine unannounced visit. This visit was conducted by Whitney Parker, Childcare Consultant, with Eva Kampwerth, Director. The program currently operates with a four-star license issued 5/3/19. Restrictions include daytime care only; has reduced group size by 1 in each group from 7 pt. level; meets enhanced ratios and enhanced space; children under 2 ½ years old in rooms with direct exits only. The facility is owned and operated by the Holy Cross Catholic Church which has a 501(c)(3) exemption status. If any ownership changes need to be made, then you must notify your consultant at least thirty days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location, or inherited. The program’s compliance history was 93% prior to today’s visit. All programs are required to maintain at least 75% compliance. Today, the following items were monitored: • Supervision • Staff / Child Ratio • CPR / First Aid • Special Training • CBC Qualification • ITS – SIDS • Emergency Medical Care Plan • Administration of Medication • Storage of Hazardous Products • Storage of Medication • General Safety • Discipline • Adequate / Approved Space • Program Records • License Posted • Permit Restrictions The license was observed, and the restrictions were found in compliance. A walk-through of the facility was completed today. Indoor and outdoor areas were observed. Staff/child ratio and space capacity were monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed staff/child interactions today. I observed children engaging in free play, routine activities, and group time. Three new staff were reported at this program. Files for new staff were reviewed. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Playground Safety, ITS-SIDS, Special Training including Health and Safety Training and Criminal Background Checks. Storage and administration of medication were monitored. Medication authorization was monitored. Storage hazardous items was monitored today. A playground inspection was recorded 05/06/2024. A fire drill was recorded 05/31/2024. A shelter in place drill for the facility was recorded 03/26/2024. The most recent fire inspection was on 12/18/2023. I observed a sanitation inspection was last conducted on 05/31/2024 earning a superior classification. You stated that you do routine transportation in the afternoon only for school-aged children and summer field trips for school-aged children. During today’s visit, I monitored emergency information, permission to transport forms for all children being transported, and the bus log. I observed first aid kits and fire extinguishers on the vehicle. I monitored one vehicle today. I observed a 2011 Thomas Built Minibus, AJV-6069. This vehicle was clean, in good repair, had working seatbelts, had adequate tire tread, and was current on inspection and insurance. Your next inspection date on this vehicle is due November 2024 and the insurance is valid through 07/01/2024. The following violations were cited during today’s visit: Violation Number Comment Rule 125 Daily records of arrival and departure times for children enrolled at the center were not maintained as children arrive and depart and/or were not made available for review. During today's visit, I observed one child not signed in in space five and one child not signed in in space seven. 10A NCAC 09 .0302(d)(4) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. During today's visit, I observed two uncovered outlets in space eight. 10A NCAC 09 .0604(c) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. During today's visit, I observed a large bottle of dish detergent with three warning labels stored in an unlocked cabinet in space seven. .2820(b) 1867 The depth of the loose surfacing was not based on critical height of the equipment. During today's visit, I observed three to five inches of rubber mulch installed under a large playground structure and swing set. .0605(k)(1-4) 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. You must correct the violations cited during today's visit immediately and send me documentation verifying compliance on or before 07/02/2024. The following information must be included in your signed and dated compliance letter: • the name of your center • facility ID number • date • title of the person who signs the letter • each violation number(s) • describes accurately and in detail how and when you corrected each violation If you state in your letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. You may email the letter to whitney.parker@dhhs.nc.gov or mail two copies of the letter to: Whitney Parker P.O. Box 1342 Lexington, NC 27293 Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical assistance discussed during today’s visit: • We discussed rule .0302(d)(4) during the visit. Children must be signed in upon arrival and signed out upon departure to ensure there is an accurate head count of children at all times. You stated the children had just arrived and you signed them in during the visit. • We discussed rule .0604(c). Children can be injured by inserting objects into the slots of electrical outlets. For this reason, all electrical outlets, including those on power strips, not in use that are in areas accessible to children must be protected with a safety plug or a tamper-resistant electrical outlet. You stated these are typically removed for cleaning purposes and covered the outlets during the visit. • We discussed rule 15A NCAC 18A.2820(b). Hazardous materials must be kept in locked storage when two or more warning labels are present. You stated the bulk dish detergent was not able to be locked in the cabinet, so you removed them from the cabinet during the visit. • We discussed rule .0605 (k)(1-4). The depth of the loose surfacing material shall be based on the critical height of the equipment, which is defined as the maximum height that a child may sit, or stand, as follows: (1) equipment with a critical height of 5 feet or less shall have 6 inches of loose surface materials. Depth surfacing is critical to ensuring the safety of children when falls occur. For stationary outdoor equipment used by children two years of age or older, the protective surfacing shall extend beyond the external limits of the equipment for six feet. Swings shall have protective surfacing that extends two times the length of the pivot point to the surface below. The surfacing shall be to the front and rear of the swing. You stated you would pull the mulch from other areas and possibly order more to ensure the depth met six inches. Additional Information/Consultation: • You must notify your consultant 30 days prior to changing the ownership status of your facility. • On 02/21/2024, I emailed you a document regarding required Lead and Asbestos Testing. Ms. Kampwerth confirmed during today’s visit that the email was received and provided information that she has enrolled in and completed the testing process. • We are still in the process of gathering more information regarding the ownership status of your facility. I will reach out to you with more information when I have received additional guidance. At the completion of the visit, this visit summary was reviewed with and provided to you. Thank you for your time and assistance during the visit. If you have any questions about the visit, please contact me or my supervisor using the information below. Whitney Parker, Child Care Consultant (336) 590-8765 whitney.parker@dhh.nc.gov Pamela Hauser, Supervisor pamela.hauser@dhhs.nc.gov 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/ 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: HOLY CROSS CHILD DEVELOPMENT CENTER Facility ID: 3455124 Consultant: WHITNEY PARKER Operation Type: Center Case Number: Visit Date: 6/18/2024 Number Present: 55 Completed Date: 6/18/2024 Age: From 1 To 10 Total Minutes: 150 Time In: 09:00 AM Time Out: 11:30 AM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable childcare requirements for a routine unannounced visit. This visit was conducted by Whitney Parker, Childcare Consultant, with Eva Kampwerth, Director. The program currently operates with a four-star license issued 5/3/19. Restrictions include daytime care only; has reduced group size by 1 in each group from 7 pt. level; meets enhanced ratios and enhanced space; children under 2 ½ years old in rooms with direct exits only. The facility is owned and operated by the Holy Cross Catholic Church which has a 501(c)(3) exemption status. If any ownership changes need to be made, then you must notify your consultant at least thirty days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location, or inherited. The program’s compliance history was 93% prior to today’s visit. All programs are required to maintain at least 75% compliance. Today, the following items were monitored: • Supervision • Staff / Child Ratio • CPR / First Aid • Special Training • CBC Qualification • ITS – SIDS • Emergency Medical Care Plan • Administration of Medication • Storage of Hazardous Products • Storage of Medication • General Safety • Discipline • Adequate / Approved Space • Program Records • License Posted • Permit Restrictions The license was observed, and the restrictions were found in compliance. A walk-through of the facility was completed today. Indoor and outdoor areas were observed. Staff/child ratio and space capacity were monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed staff/child interactions today. I observed children engaging in free play, routine activities, and group time. Three new staff were reported at this program. Files for new staff were reviewed. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Playground Safety, ITS-SIDS, Special Training including Health and Safety Training and Criminal Background Checks. Storage and administration of medication were monitored. Medication authorization was monitored. Storage hazardous items was monitored today. A playground inspection was recorded 05/06/2024. A fire drill was recorded 05/31/2024. A shelter in place drill for the facility was recorded 03/26/2024. The most recent fire inspection was on 12/18/2023. I observed a sanitation inspection was last conducted on 05/31/2024 earning a superior classification. You stated that you do routine transportation in the afternoon only for school-aged children and summer field trips for school-aged children. During today’s visit, I monitored emergency information, permission to transport forms for all children being transported, and the bus log. I observed first aid kits and fire extinguishers on the vehicle. I monitored one vehicle today. I observed a 2011 Thomas Built Minibus, AJV-6069. This vehicle was clean, in good repair, had working seatbelts, had adequate tire tread, and was current on inspection and insurance. Your next inspection date on this vehicle is due November 2024 and the insurance is valid through 07/01/2024. The following violations were cited during today’s visit: Violation Number Comment Rule 125 Daily records of arrival and departure times for children enrolled at the center were not maintained as children arrive and depart and/or were not made available for review. During today's visit, I observed one child not signed in in space five and one child not signed in in space seven. 10A NCAC 09 .0302(d)(4) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. During today's visit, I observed two uncovered outlets in space eight. 10A NCAC 09 .0604(c) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. During today's visit, I observed a large bottle of dish detergent with three warning labels stored in an unlocked cabinet in space seven. .2820(b) 1867 The depth of the loose surfacing was not based on critical height of the equipment. During today's visit, I observed three to five inches of rubber mulch installed under a large playground structure and swing set. .0605(k)(1-4) 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. You must correct the violations cited during today's visit immediately and send me documentation verifying compliance on or before 07/02/2024. The following information must be included in your signed and dated compliance letter: • the name of your center • facility ID number • date • title of the person who signs the letter • each violation number(s) • describes accurately and in detail how and when you corrected each violation If you state in your letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. You may email the letter to whitney.parker@dhhs.nc.gov or mail two copies of the letter to: Whitney Parker P.O. Box 1342 Lexington, NC 27293 Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical assistance discussed during today’s visit: • We discussed rule .0302(d)(4) during the visit. Children must be signed in upon arrival and signed out upon departure to ensure there is an accurate head count of children at all times. You stated the children had just arrived and you signed them in during the visit. • We discussed rule .0604(c). Children can be injured by inserting objects into the slots of electrical outlets. For this reason, all electrical outlets, including those on power strips, not in use that are in areas accessible to children must be protected with a safety plug or a tamper-resistant electrical outlet. You stated these are typically removed for cleaning purposes and covered the outlets during the visit. • We discussed rule 15A NCAC 18A.2820(b). Hazardous materials must be kept in locked storage when two or more warning labels are present. You stated the bulk dish detergent was not able to be locked in the cabinet, so you removed them from the cabinet during the visit. • We discussed rule .0605 (k)(1-4). The depth of the loose surfacing material shall be based on the critical height of the equipment, which is defined as the maximum height that a child may sit, or stand, as follows: (1) equipment with a critical height of 5 feet or less shall have 6 inches of loose surface materials. Depth surfacing is critical to ensuring the safety of children when falls occur. For stationary outdoor equipment used by children two years of age or older, the protective surfacing shall extend beyond the external limits of the equipment for six feet. Swings shall have protective surfacing that extends two times the length of the pivot point to the surface below. The surfacing shall be to the front and rear of the swing. You stated you would pull the mulch from other areas and possibly order more to ensure the depth met six inches. Additional Information/Consultation: • You must notify your consultant 30 days prior to changing the ownership status of your facility. • On 02/21/2024, I emailed you a document regarding required Lead and Asbestos Testing. Ms. Kampwerth confirmed during today’s visit that the email was received and provided information that she has enrolled in and completed the testing process. • We are still in the process of gathering more information regarding the ownership status of your facility. I will reach out to you with more information when I have received additional guidance. At the completion of the visit, this visit summary was reviewed with and provided to you. Thank you for your time and assistance during the visit. If you have any questions about the visit, please contact me or my supervisor using the information below. Whitney Parker, Child Care Consultant (336) 590-8765 whitney.parker@dhh.nc.gov Pamela Hauser, Supervisor pamela.hauser@dhhs.nc.gov 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/ 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: HOLY CROSS CHILD DEVELOPMENT CENTER Facility ID: 3455124 Consultant: WHITNEY PARKER Operation Type: Center Case Number: Visit Date: 12/13/2023 Number Present: 48 Completed Date: 12/13/2023 Age: From 1 To 5 Total Minutes: 280 Time In: 09:00 AM Time Out: 01:40 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced An unannounced annual compliance visit was conducted at this childcare center to monitor compliance with applicable childcare requirements. This visit was conducted by Whitney Parker, Childcare Consultant, with Eva Kampwerth, Interim Director. The program currently operates with a four-star license issued 5/3/19. Restrictions include daytime care only; has reduced group size by 1 in each group from 7 pt. level; meets enhanced ratios and enhanced space; children under 2 ½ years old in rooms with direct exits only. The license was observed, and the restrictions were found in compliance. The program’s compliance history was 95% prior to today’s visit. All programs are required to maintain at least 75% compliance. A walk-through of the facility was completed today. Indoor and outdoor areas were observed. Staff/child ratio and space capacity were monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed staff/child interactions today. I observed children engaging in free play, routine activities, and group time. I observed materials and activities that were available to the children in the classrooms. Your program was also monitored for compliance with implementing an approved curriculum as required for all four- and five-star licensed facilities where four-year-old children are enrolled. Your facility uses the Creative Curriculum. The last annual compliance visit was conducted on 01/24/2023. A sanitation inspection was completed 10/09/2023 with a superior classification. The last fire inspection was conducted 01/24/2023. Program records and required postings were monitored. In space five, I observed one child that was not signed in. A fire drill was conducted on 11/27/2023. A shelter in place drill was documented on 08/31/2023. An outdoor inspection was documented on 11/28/2023. Staff files and children’s records were monitored per DCDEE procedures. Nutrition requirements were monitored per DCDEE procedures. Storage of hazardous items was monitored today. Hazardous items were stored in a locked classroom. Storage and administration of medication were monitored. Medication authorization was monitored. In space two, I observed a medication authorization form that was not filled out completely. In space three, I observed a medication authorization form that had expired. You stated that you do routine transportation in the afternoon only for school-aged children and summer field trips for school-aged children. During today’s visit, I monitored emergency information, permission to transport forms for all children being transported, and the bus log. I observed first aid kits and fire extinguishers on the vehicle. I monitored one vehicle today. I observed a 2011 Thomas Built Minibus, AJV-6069. This vehicle was clean, in good repair, had working seatbelts, had adequate tire tread, and was current on inspection and insurance. Your next inspection date on this vehicle is due October 2024 and the insurance is valid through 07/01/2024. The following violations were cited during today’s visit: Violation Number Comment Rule 125 Daily records of arrival and departure times for children enrolled at the center were not maintained as children arrive and depart and/or were not made available for review. In space five, I observed one child that was not signed in. 10A NCAC 09 .0302(d)(4) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. In space two, I observed a medication authorization form that was not filled out completely. In space three, I observed a medication authorization form that had expired. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-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. You must correct the violations cited during today's visit immediately and send me documentation verifying compliance on or before 12/27/2023. The following information must be included in your signed and dated compliance letter: • the name of your center • facility ID number • date • title of the person who signs the letter • each violation number(s) • describes accurately and in detail how and when you corrected each violation You may email the letter to whitney.parker@dhhs.nc.gov or mail two copies of the letter to: Whitney Parker P.O. Box 1342 Lexington, NC 27293 If you state in your letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical assistance discussed during today’s visit: •Children must be signed in upon arrival. We discussed ensuring that staff are signing children in if parents do not. •Medication permission forms must be completed fully by parents. We discussed ensuring that staff have these completed fully. •Medication permission forms for diaper creams are valid for one year. We discussed ensuring that staff update these as needed to ensure validity dates are accurate. Additional Information/Consultation: •You must notify your consultant 30 days prior to changing the ownership status of your facility. During today’s visit, we discussed the current ownership status of your facility. We discussed that your facility is listed as a non-profit corporation owned by the Holy Cross Catholic Church. We discussed that The Foundation of the Roman Catholic Diocese of Charlotte, Inc. is registered with the Secretary of the State, however, they are not listed on your paperwork. Father Carter stated he will be working with your legal team to discuss options of completing an updated packet or creating a new corporation. If an entirely new corporation is created, an ownership change would likely occur and the facility would have to enter the pre-licensing phase which would include a temporary license and all new inspections. If this option is chosen, you will need to contact me for more information at that time on what steps need to be taken with your current license and I will get you in touch with our lead consultant to begin the process. •Make sure you have a fire inspection completed by 01/24/2024. Once you receive a copy of this inspection, please email me a copy of the inspection. •Make sure to add driver emergency information to the transportation binder. •Keep a check on the fence line of the playground used by two-year-old children. Make sure the bottom of the fence remains flush with the ground. •On an annual basis, review and update your EPR plan and print the first page to reflect the current year review date. •During your new employee orientation, make sure you are reviewing your own policies and not the health and safety training policies. •On the staff and training worksheet, the EPR training line should only be completed for individuals who have had the EPR trainings. •Therapists on site who perform pull out services must have a CBC qualifying letter on file for review to pull out children and work with them individually alone. •You are in cohort two. For more information on resuming the star rated license, please visit this website: https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/Resuming-Star-Rated-License. I will reach out to you prior to the beginning of the preparation year of your assigned cohort and will provide guidance to assist you as you begin the process. If you have questions prior to me reaching out, please don’t hesitate to contact me. At the completion of the visit, this visit summary was reviewed with and provided to you. Thank you for your time and assistance during the visit. If you have any questions about the visit, please contact me or my supervisor using the information below. Whitney Parker, Child Care Consultant (336) 590-8765 whitney.parker@dhh.nc.gov Pamela Hauser, Supervisor pamela.hauser@dhhs.nc.gov 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/ 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: HOLY CROSS CHILD DEVELOPMENT CENTER Facility ID: 3455124 Consultant: WHITNEY PARKER Operation Type: Center Case Number: Visit Date: 12/13/2023 Number Present: 48 Completed Date: 12/13/2023 Age: From 1 To 5 Total Minutes: 280 Time In: 09:00 AM Time Out: 01:40 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced An unannounced annual compliance visit was conducted at this childcare center to monitor compliance with applicable childcare requirements. This visit was conducted by Whitney Parker, Childcare Consultant, with Eva Kampwerth, Interim Director. The program currently operates with a four-star license issued 5/3/19. Restrictions include daytime care only; has reduced group size by 1 in each group from 7 pt. level; meets enhanced ratios and enhanced space; children under 2 ½ years old in rooms with direct exits only. The license was observed, and the restrictions were found in compliance. The program’s compliance history was 95% prior to today’s visit. All programs are required to maintain at least 75% compliance. A walk-through of the facility was completed today. Indoor and outdoor areas were observed. Staff/child ratio and space capacity were monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed staff/child interactions today. I observed children engaging in free play, routine activities, and group time. I observed materials and activities that were available to the children in the classrooms. Your program was also monitored for compliance with implementing an approved curriculum as required for all four- and five-star licensed facilities where four-year-old children are enrolled. Your facility uses the Creative Curriculum. The last annual compliance visit was conducted on 01/24/2023. A sanitation inspection was completed 10/09/2023 with a superior classification. The last fire inspection was conducted 01/24/2023. Program records and required postings were monitored. In space five, I observed one child that was not signed in. A fire drill was conducted on 11/27/2023. A shelter in place drill was documented on 08/31/2023. An outdoor inspection was documented on 11/28/2023. Staff files and children’s records were monitored per DCDEE procedures. Nutrition requirements were monitored per DCDEE procedures. Storage of hazardous items was monitored today. Hazardous items were stored in a locked classroom. Storage and administration of medication were monitored. Medication authorization was monitored. In space two, I observed a medication authorization form that was not filled out completely. In space three, I observed a medication authorization form that had expired. You stated that you do routine transportation in the afternoon only for school-aged children and summer field trips for school-aged children. During today’s visit, I monitored emergency information, permission to transport forms for all children being transported, and the bus log. I observed first aid kits and fire extinguishers on the vehicle. I monitored one vehicle today. I observed a 2011 Thomas Built Minibus, AJV-6069. This vehicle was clean, in good repair, had working seatbelts, had adequate tire tread, and was current on inspection and insurance. Your next inspection date on this vehicle is due October 2024 and the insurance is valid through 07/01/2024. The following violations were cited during today’s visit: Violation Number Comment Rule 125 Daily records of arrival and departure times for children enrolled at the center were not maintained as children arrive and depart and/or were not made available for review. In space five, I observed one child that was not signed in. 10A NCAC 09 .0302(d)(4) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. In space two, I observed a medication authorization form that was not filled out completely. In space three, I observed a medication authorization form that had expired. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-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. You must correct the violations cited during today's visit immediately and send me documentation verifying compliance on or before 12/27/2023. The following information must be included in your signed and dated compliance letter: • the name of your center • facility ID number • date • title of the person who signs the letter • each violation number(s) • describes accurately and in detail how and when you corrected each violation You may email the letter to whitney.parker@dhhs.nc.gov or mail two copies of the letter to: Whitney Parker P.O. Box 1342 Lexington, NC 27293 If you state in your letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical assistance discussed during today’s visit: •Children must be signed in upon arrival. We discussed ensuring that staff are signing children in if parents do not. •Medication permission forms must be completed fully by parents. We discussed ensuring that staff have these completed fully. •Medication permission forms for diaper creams are valid for one year. We discussed ensuring that staff update these as needed to ensure validity dates are accurate. Additional Information/Consultation: •You must notify your consultant 30 days prior to changing the ownership status of your facility. During today’s visit, we discussed the current ownership status of your facility. We discussed that your facility is listed as a non-profit corporation owned by the Holy Cross Catholic Church. We discussed that The Foundation of the Roman Catholic Diocese of Charlotte, Inc. is registered with the Secretary of the State, however, they are not listed on your paperwork. Father Carter stated he will be working with your legal team to discuss options of completing an updated packet or creating a new corporation. If an entirely new corporation is created, an ownership change would likely occur and the facility would have to enter the pre-licensing phase which would include a temporary license and all new inspections. If this option is chosen, you will need to contact me for more information at that time on what steps need to be taken with your current license and I will get you in touch with our lead consultant to begin the process. •Make sure you have a fire inspection completed by 01/24/2024. Once you receive a copy of this inspection, please email me a copy of the inspection. •Make sure to add driver emergency information to the transportation binder. •Keep a check on the fence line of the playground used by two-year-old children. Make sure the bottom of the fence remains flush with the ground. •On an annual basis, review and update your EPR plan and print the first page to reflect the current year review date. •During your new employee orientation, make sure you are reviewing your own policies and not the health and safety training policies. •On the staff and training worksheet, the EPR training line should only be completed for individuals who have had the EPR trainings. •Therapists on site who perform pull out services must have a CBC qualifying letter on file for review to pull out children and work with them individually alone. •You are in cohort two. For more information on resuming the star rated license, please visit this website: https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/Resuming-Star-Rated-License. I will reach out to you prior to the beginning of the preparation year of your assigned cohort and will provide guidance to assist you as you begin the process. If you have questions prior to me reaching out, please don’t hesitate to contact me. At the completion of the visit, this visit summary was reviewed with and provided to you. Thank you for your time and assistance during the visit. If you have any questions about the visit, please contact me or my supervisor using the information below. Whitney Parker, Child Care Consultant (336) 590-8765 whitney.parker@dhh.nc.gov Pamela Hauser, Supervisor pamela.hauser@dhhs.nc.gov 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/ 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