Main Street Baptist Church Early Learning Center

10A NCAC 09 .0601 · Violation

Name of Operation: Main Street Baptist Church Early Learning Center Facility ID: 3452208 Consultant: CARA MCKEOWN-STEWART Operation Type: Center Case Number: Visit Date: 7/1/2026 Number Present: 27 Completed Date: 7/1/2026 Age: From 0 To 12 Total Minutes: 455 Time In: 09:25 AM Time Out: 05:00 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 facility to monitor compliance with applicable childcare requirements. This visit was conducted with Lekeshia Singletary, Director. Your program currently operates with a Notice of Compliance. The NC Secretary of State website was reviewed on 7/01/2026, and Main Street Baptist Church, Inc. was listed as current and active. The program’s compliance history was 84% 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. Upon arrival, staff/child ratio and space capacity were monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed interactions today. I observed children playing in activity centers, participating in general routines, and playing outdoors. I observed developmentally appropriate materials and activities were available to the children in the classrooms. The last annual compliance visit was conducted on 8/14/2025. A sanitation inspection was completed 6/23/2025 with an Approved classification. The last fire inspection was conducted 12/16/2025. Program records and required postings were monitored. A fire drill was conducted on 6/22/2026. A lockdown drill was documented on 6/29/2026. An outdoor inspection was documented on 6/18/2026. Staff files and children’s records were monitored per DCDEE procedures. The files for one new staff member and one existing staff member were reviewed during the visit. The files for five children enrolled were also reviewed during the visit. Storage of hazardous items was monitored today. Storage and administration of medication and medication authorization were monitored. You stated you will provide transportation in the summer during field trips for eleven (11) children of School Age and will provide routine transportation to and from school during the school year. I monitored emergency information, off-premise activity forms for all children being transported, the June schedules of off-premise activity forms for both the classroom for children four and five years of age, and School Age Children, and the bus log template. I monitored one (1) vehicle today. I observed one 2015 15-passenger Chevrolet van, license plate tag # PFD3931. A No Smoking sign was observed posted inside the vehicle. This vehicle was clean, in good repair, had working seatbelts, had adequate tire tread, and was current on inspections and insurance. Your next inspection date on this vehicle is due 6/30/2027 and the insurance is valid through 3/31/2027. I observed first aid kits and a fire extinguisher on the vehicle. Ms. Singletary stated parents provide all car seats and booster seats required for field trips. The following violations were cited during today’s visit: Violation Number Comment Rule 125 Daily records of arrival and departure times for children at the center were not maintained as children arrive and depart and/or were not made available for review. A record of arrival for three children enrolled in Space 3 was not observed recorded. 10A NCAC 09 .0302(d)(4) 453 The schedule of off premise activities was not current and/or did not include required information. The off-premise activity schedules posted outside the classrooms for children four and five years old and School Age did not include: shall include the location (physical address) of the activity; the purpose of the activity; the time(s) the activity will take place, or the name of the person(s) to be contacted in the event of an emergency. .1005(b)(5)(A-E) 476 Staff did not use the list of participating children to check attendance when leaving the center, periodically when the children were involved in the activity, before leaving the activity to return to the center, and/or upon return to the center. Attendance was not checked and recorded periodically for children four and five years of age and School Age during a field trip completed today. .1005(b)(6) 537 Baby food that had been opened was not covered, labeled with date opened, properly refrigerated and/or used within two days of opening. One bottle for one child enrolled in Space 2 was dated 6/29/26. 15A NCAC 18A .2804(d)&(g) 807 A safe indoor and outdoor environment was not provided for the children. On the playground used by children three to five years of age, fabric weed block was observed emerging in three areas, presenting a tripping hazard. 10A NCAC 09 .0601(a) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. In Space 6, a small spray bottle labeled “1/2 Isopropyl/ ½ H2O” was observed stored less than five feet from the ground on a shelf; the spray was observed by myself and Ms. Singletary to smell strongly of rubbing alcohol. Two bottles of hydrogen peroxide and one box of Alka-Seltzer tablets both labeled Keep Out of Reach of Children with additional warnings was observed in a bin accessible to children of School Age. Inside the unlocked room for snack storage, two Clorox cleaners labeled Keep Out of Reach of Children with additional warnings was observed. .2820(b) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. The medication authorization form for one child enrolled in Space 4 was observed to have a “valid to” date of 6/12/26. .0803(12) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. On the playground designated for children one year of age and less than one year of age, a plastic label was observed peeling off a stationary playhouse, presenting a choking hazard. .0604(q) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. The medical report for one child enrolled on 3/13/2026 was dated to have been completed on 6/16/2026. GS110-91(1) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. In Spaces 1 and 4, three medications for two children no longer used for the children were not returned to the parent. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) 1890 Each staff member did not have the required medical report, proof of tuberculosis test or screening and/or completed health questionnaire in a medical file, maintained separately from the staff member's individual personnel file. The health questionnaire for one new staff member was observed stored inside the staff member’s personnel file. .0701(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 7/15/2026. 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 cara.mckeown@dhhs.nc.gov or mail two copies of the letter to: Cara McKeown 4948 Martin View Lane Unit 146 Winston Salem, NC 27104 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 provided during today’s visit: The off-premise activity schedules posted outside the classrooms for children four and five years old and School Age did not include: shall include the location (physical address) of the activity; the purpose of the activity; the time(s) the activity will take place, or the name of the person(s) to be contacted in the event of an emergency. Attendance was not checked and recorded periodically for children four and five years of age and School Age during a field trip completed today. The medical report for one child enrolled on 3/13/2026 was dated 6/16/2026. A record of arrival for three children enrolled in Space 3 was not observed recorded; these times were recorded during the visit. In Spaces 1 and 4, three medications for two children no longer used for the children were not returned to the parent; these medications were removed from the classrooms during the visit. The medication authorization form for one child enrolled in Space 4 was observed to have a “valid to” date of 6/12/26; this medication was removed from the classroom during the visit. The health questionnaire for one new staff member was observed stored inside the staff member’s personnel file; this health questionnaire was removed and stored in a separate file during the visit. It is imperative all medication and transportation authorization forms and records of arrival/departure be completed, current, and on file for review for all children enrolled at all times. You may consider completing routine daily/ weekly/ monthly checks of these records to ensure all information is completed in an accurate and timely manner. On the playground designated for children one year of age and less than one year of age, a plastic label was observed peeling off a stationary playhouse, presenting a choking hazard; this label was removed during the visit. On the playground used by children three to five years of age, fabric weed block was observed emerging in three areas, presenting a tripping hazard. Ms. Singletary stated maintenance will be removing this weed block entirely from the premise. In Space 6, a small spray bottle labeled “1/2 Isopropyl/ ½ H2O” was observed stored less than five feet from the ground on a shelf; the spray was observed by myself and Ms. Singletary to smell strongly of rubbing alcohol. Two bottles of hydrogen peroxide and one box of Alka-Seltzer tablets both labeled Keep Out of Reach of Children with additional warnings was observed in a bin accessible to children of School Age. Each of these materials was removed from the classroom during the visit. Inside the unlocked room for snack storage, two Clorox cleaners labeled Keep Out of Reach of Children with additional warnings was observed; this closed was locked during the visit. It is imperative for indoor and outdoor areas of the playground to be safe environments with which to engage and explore at all times. You may consider adding these items to a regular daily classroom and playground checklist which is completed prior to children arriving for care and accessing these areas. Consultation provided during today’s visit: • You must notify your consultant 30 days prior to changing the ownership status of your facility. • Monitor all fall zones at the bases of the slides following children’s play each day to ensure they have the required surfacing depth of six inches or greater. • Ensure all menus posted are current. • Add a copy of your evacuation plan and floor plan to your most updated version of your EPR Plan. At the completion of the visit, this visit summary was printed, reviewed with, and a copy was provided to you, and you were given the opportunity to ask questions. 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. Cara McKeown, Child Care Consultant (336) 408-4849 cara.mckeown@dhhs.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: Main Street Baptist Church Early Learning Center Facility ID: 3452208 Consultant: CARA MCKEOWN-STEWART Operation Type: Center Case Number: Visit Date: 7/1/2026 Number Present: 27 Completed Date: 7/1/2026 Age: From 0 To 12 Total Minutes: 455 Time In: 09:25 AM Time Out: 05:00 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 facility to monitor compliance with applicable childcare requirements. This visit was conducted with Lekeshia Singletary, Director. Your program currently operates with a Notice of Compliance. The NC Secretary of State website was reviewed on 7/01/2026, and Main Street Baptist Church, Inc. was listed as current and active. The program’s compliance history was 84% 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. Upon arrival, staff/child ratio and space capacity were monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed interactions today. I observed children playing in activity centers, participating in general routines, and playing outdoors. I observed developmentally appropriate materials and activities were available to the children in the classrooms. The last annual compliance visit was conducted on 8/14/2025. A sanitation inspection was completed 6/23/2025 with an Approved classification. The last fire inspection was conducted 12/16/2025. Program records and required postings were monitored. A fire drill was conducted on 6/22/2026. A lockdown drill was documented on 6/29/2026. An outdoor inspection was documented on 6/18/2026. Staff files and children’s records were monitored per DCDEE procedures. The files for one new staff member and one existing staff member were reviewed during the visit. The files for five children enrolled were also reviewed during the visit. Storage of hazardous items was monitored today. Storage and administration of medication and medication authorization were monitored. You stated you will provide transportation in the summer during field trips for eleven (11) children of School Age and will provide routine transportation to and from school during the school year. I monitored emergency information, off-premise activity forms for all children being transported, the June schedules of off-premise activity forms for both the classroom for children four and five years of age, and School Age Children, and the bus log template. I monitored one (1) vehicle today. I observed one 2015 15-passenger Chevrolet van, license plate tag # PFD3931. A No Smoking sign was observed posted inside the vehicle. This vehicle was clean, in good repair, had working seatbelts, had adequate tire tread, and was current on inspections and insurance. Your next inspection date on this vehicle is due 6/30/2027 and the insurance is valid through 3/31/2027. I observed first aid kits and a fire extinguisher on the vehicle. Ms. Singletary stated parents provide all car seats and booster seats required for field trips. The following violations were cited during today’s visit: Violation Number Comment Rule 125 Daily records of arrival and departure times for children at the center were not maintained as children arrive and depart and/or were not made available for review. A record of arrival for three children enrolled in Space 3 was not observed recorded. 10A NCAC 09 .0302(d)(4) 453 The schedule of off premise activities was not current and/or did not include required information. The off-premise activity schedules posted outside the classrooms for children four and five years old and School Age did not include: shall include the location (physical address) of the activity; the purpose of the activity; the time(s) the activity will take place, or the name of the person(s) to be contacted in the event of an emergency. .1005(b)(5)(A-E) 476 Staff did not use the list of participating children to check attendance when leaving the center, periodically when the children were involved in the activity, before leaving the activity to return to the center, and/or upon return to the center. Attendance was not checked and recorded periodically for children four and five years of age and School Age during a field trip completed today. .1005(b)(6) 537 Baby food that had been opened was not covered, labeled with date opened, properly refrigerated and/or used within two days of opening. One bottle for one child enrolled in Space 2 was dated 6/29/26. 15A NCAC 18A .2804(d)&(g) 807 A safe indoor and outdoor environment was not provided for the children. On the playground used by children three to five years of age, fabric weed block was observed emerging in three areas, presenting a tripping hazard. 10A NCAC 09 .0601(a) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. In Space 6, a small spray bottle labeled “1/2 Isopropyl/ ½ H2O” was observed stored less than five feet from the ground on a shelf; the spray was observed by myself and Ms. Singletary to smell strongly of rubbing alcohol. Two bottles of hydrogen peroxide and one box of Alka-Seltzer tablets both labeled Keep Out of Reach of Children with additional warnings was observed in a bin accessible to children of School Age. Inside the unlocked room for snack storage, two Clorox cleaners labeled Keep Out of Reach of Children with additional warnings was observed. .2820(b) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. The medication authorization form for one child enrolled in Space 4 was observed to have a “valid to” date of 6/12/26. .0803(12) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. On the playground designated for children one year of age and less than one year of age, a plastic label was observed peeling off a stationary playhouse, presenting a choking hazard. .0604(q) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. The medical report for one child enrolled on 3/13/2026 was dated to have been completed on 6/16/2026. GS110-91(1) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. In Spaces 1 and 4, three medications for two children no longer used for the children were not returned to the parent. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) 1890 Each staff member did not have the required medical report, proof of tuberculosis test or screening and/or completed health questionnaire in a medical file, maintained separately from the staff member's individual personnel file. The health questionnaire for one new staff member was observed stored inside the staff member’s personnel file. .0701(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 7/15/2026. 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 cara.mckeown@dhhs.nc.gov or mail two copies of the letter to: Cara McKeown 4948 Martin View Lane Unit 146 Winston Salem, NC 27104 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 provided during today’s visit: The off-premise activity schedules posted outside the classrooms for children four and five years old and School Age did not include: shall include the location (physical address) of the activity; the purpose of the activity; the time(s) the activity will take place, or the name of the person(s) to be contacted in the event of an emergency. Attendance was not checked and recorded periodically for children four and five years of age and School Age during a field trip completed today. The medical report for one child enrolled on 3/13/2026 was dated 6/16/2026. A record of arrival for three children enrolled in Space 3 was not observed recorded; these times were recorded during the visit. In Spaces 1 and 4, three medications for two children no longer used for the children were not returned to the parent; these medications were removed from the classrooms during the visit. The medication authorization form for one child enrolled in Space 4 was observed to have a “valid to” date of 6/12/26; this medication was removed from the classroom during the visit. The health questionnaire for one new staff member was observed stored inside the staff member’s personnel file; this health questionnaire was removed and stored in a separate file during the visit. It is imperative all medication and transportation authorization forms and records of arrival/departure be completed, current, and on file for review for all children enrolled at all times. You may consider completing routine daily/ weekly/ monthly checks of these records to ensure all information is completed in an accurate and timely manner. On the playground designated for children one year of age and less than one year of age, a plastic label was observed peeling off a stationary playhouse, presenting a choking hazard; this label was removed during the visit. On the playground used by children three to five years of age, fabric weed block was observed emerging in three areas, presenting a tripping hazard. Ms. Singletary stated maintenance will be removing this weed block entirely from the premise. In Space 6, a small spray bottle labeled “1/2 Isopropyl/ ½ H2O” was observed stored less than five feet from the ground on a shelf; the spray was observed by myself and Ms. Singletary to smell strongly of rubbing alcohol. Two bottles of hydrogen peroxide and one box of Alka-Seltzer tablets both labeled Keep Out of Reach of Children with additional warnings was observed in a bin accessible to children of School Age. Each of these materials was removed from the classroom during the visit. Inside the unlocked room for snack storage, two Clorox cleaners labeled Keep Out of Reach of Children with additional warnings was observed; this closed was locked during the visit. It is imperative for indoor and outdoor areas of the playground to be safe environments with which to engage and explore at all times. You may consider adding these items to a regular daily classroom and playground checklist which is completed prior to children arriving for care and accessing these areas. Consultation provided during today’s visit: • You must notify your consultant 30 days prior to changing the ownership status of your facility. • Monitor all fall zones at the bases of the slides following children’s play each day to ensure they have the required surfacing depth of six inches or greater. • Ensure all menus posted are current. • Add a copy of your evacuation plan and floor plan to your most updated version of your EPR Plan. At the completion of the visit, this visit summary was printed, reviewed with, and a copy was provided to you, and you were given the opportunity to ask questions. 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. Cara McKeown, Child Care Consultant (336) 408-4849 cara.mckeown@dhhs.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

GS110-91 · Violation

Name of Operation: Main Street Baptist Church Early Learning Center Facility ID: 3452208 Consultant: CARA MCKEOWN-STEWART Operation Type: Center Case Number: Visit Date: 7/1/2026 Number Present: 27 Completed Date: 7/1/2026 Age: From 0 To 12 Total Minutes: 455 Time In: 09:25 AM Time Out: 05:00 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 facility to monitor compliance with applicable childcare requirements. This visit was conducted with Lekeshia Singletary, Director. Your program currently operates with a Notice of Compliance. The NC Secretary of State website was reviewed on 7/01/2026, and Main Street Baptist Church, Inc. was listed as current and active. The program’s compliance history was 84% 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. Upon arrival, staff/child ratio and space capacity were monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed interactions today. I observed children playing in activity centers, participating in general routines, and playing outdoors. I observed developmentally appropriate materials and activities were available to the children in the classrooms. The last annual compliance visit was conducted on 8/14/2025. A sanitation inspection was completed 6/23/2025 with an Approved classification. The last fire inspection was conducted 12/16/2025. Program records and required postings were monitored. A fire drill was conducted on 6/22/2026. A lockdown drill was documented on 6/29/2026. An outdoor inspection was documented on 6/18/2026. Staff files and children’s records were monitored per DCDEE procedures. The files for one new staff member and one existing staff member were reviewed during the visit. The files for five children enrolled were also reviewed during the visit. Storage of hazardous items was monitored today. Storage and administration of medication and medication authorization were monitored. You stated you will provide transportation in the summer during field trips for eleven (11) children of School Age and will provide routine transportation to and from school during the school year. I monitored emergency information, off-premise activity forms for all children being transported, the June schedules of off-premise activity forms for both the classroom for children four and five years of age, and School Age Children, and the bus log template. I monitored one (1) vehicle today. I observed one 2015 15-passenger Chevrolet van, license plate tag # PFD3931. A No Smoking sign was observed posted inside the vehicle. This vehicle was clean, in good repair, had working seatbelts, had adequate tire tread, and was current on inspections and insurance. Your next inspection date on this vehicle is due 6/30/2027 and the insurance is valid through 3/31/2027. I observed first aid kits and a fire extinguisher on the vehicle. Ms. Singletary stated parents provide all car seats and booster seats required for field trips. The following violations were cited during today’s visit: Violation Number Comment Rule 125 Daily records of arrival and departure times for children at the center were not maintained as children arrive and depart and/or were not made available for review. A record of arrival for three children enrolled in Space 3 was not observed recorded. 10A NCAC 09 .0302(d)(4) 453 The schedule of off premise activities was not current and/or did not include required information. The off-premise activity schedules posted outside the classrooms for children four and five years old and School Age did not include: shall include the location (physical address) of the activity; the purpose of the activity; the time(s) the activity will take place, or the name of the person(s) to be contacted in the event of an emergency. .1005(b)(5)(A-E) 476 Staff did not use the list of participating children to check attendance when leaving the center, periodically when the children were involved in the activity, before leaving the activity to return to the center, and/or upon return to the center. Attendance was not checked and recorded periodically for children four and five years of age and School Age during a field trip completed today. .1005(b)(6) 537 Baby food that had been opened was not covered, labeled with date opened, properly refrigerated and/or used within two days of opening. One bottle for one child enrolled in Space 2 was dated 6/29/26. 15A NCAC 18A .2804(d)&(g) 807 A safe indoor and outdoor environment was not provided for the children. On the playground used by children three to five years of age, fabric weed block was observed emerging in three areas, presenting a tripping hazard. 10A NCAC 09 .0601(a) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. In Space 6, a small spray bottle labeled “1/2 Isopropyl/ ½ H2O” was observed stored less than five feet from the ground on a shelf; the spray was observed by myself and Ms. Singletary to smell strongly of rubbing alcohol. Two bottles of hydrogen peroxide and one box of Alka-Seltzer tablets both labeled Keep Out of Reach of Children with additional warnings was observed in a bin accessible to children of School Age. Inside the unlocked room for snack storage, two Clorox cleaners labeled Keep Out of Reach of Children with additional warnings was observed. .2820(b) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. The medication authorization form for one child enrolled in Space 4 was observed to have a “valid to” date of 6/12/26. .0803(12) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. On the playground designated for children one year of age and less than one year of age, a plastic label was observed peeling off a stationary playhouse, presenting a choking hazard. .0604(q) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. The medical report for one child enrolled on 3/13/2026 was dated to have been completed on 6/16/2026. GS110-91(1) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. In Spaces 1 and 4, three medications for two children no longer used for the children were not returned to the parent. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) 1890 Each staff member did not have the required medical report, proof of tuberculosis test or screening and/or completed health questionnaire in a medical file, maintained separately from the staff member's individual personnel file. The health questionnaire for one new staff member was observed stored inside the staff member’s personnel file. .0701(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 7/15/2026. 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 cara.mckeown@dhhs.nc.gov or mail two copies of the letter to: Cara McKeown 4948 Martin View Lane Unit 146 Winston Salem, NC 27104 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 provided during today’s visit: The off-premise activity schedules posted outside the classrooms for children four and five years old and School Age did not include: shall include the location (physical address) of the activity; the purpose of the activity; the time(s) the activity will take place, or the name of the person(s) to be contacted in the event of an emergency. Attendance was not checked and recorded periodically for children four and five years of age and School Age during a field trip completed today. The medical report for one child enrolled on 3/13/2026 was dated 6/16/2026. A record of arrival for three children enrolled in Space 3 was not observed recorded; these times were recorded during the visit. In Spaces 1 and 4, three medications for two children no longer used for the children were not returned to the parent; these medications were removed from the classrooms during the visit. The medication authorization form for one child enrolled in Space 4 was observed to have a “valid to” date of 6/12/26; this medication was removed from the classroom during the visit. The health questionnaire for one new staff member was observed stored inside the staff member’s personnel file; this health questionnaire was removed and stored in a separate file during the visit. It is imperative all medication and transportation authorization forms and records of arrival/departure be completed, current, and on file for review for all children enrolled at all times. You may consider completing routine daily/ weekly/ monthly checks of these records to ensure all information is completed in an accurate and timely manner. On the playground designated for children one year of age and less than one year of age, a plastic label was observed peeling off a stationary playhouse, presenting a choking hazard; this label was removed during the visit. On the playground used by children three to five years of age, fabric weed block was observed emerging in three areas, presenting a tripping hazard. Ms. Singletary stated maintenance will be removing this weed block entirely from the premise. In Space 6, a small spray bottle labeled “1/2 Isopropyl/ ½ H2O” was observed stored less than five feet from the ground on a shelf; the spray was observed by myself and Ms. Singletary to smell strongly of rubbing alcohol. Two bottles of hydrogen peroxide and one box of Alka-Seltzer tablets both labeled Keep Out of Reach of Children with additional warnings was observed in a bin accessible to children of School Age. Each of these materials was removed from the classroom during the visit. Inside the unlocked room for snack storage, two Clorox cleaners labeled Keep Out of Reach of Children with additional warnings was observed; this closed was locked during the visit. It is imperative for indoor and outdoor areas of the playground to be safe environments with which to engage and explore at all times. You may consider adding these items to a regular daily classroom and playground checklist which is completed prior to children arriving for care and accessing these areas. Consultation provided during today’s visit: • You must notify your consultant 30 days prior to changing the ownership status of your facility. • Monitor all fall zones at the bases of the slides following children’s play each day to ensure they have the required surfacing depth of six inches or greater. • Ensure all menus posted are current. • Add a copy of your evacuation plan and floor plan to your most updated version of your EPR Plan. At the completion of the visit, this visit summary was printed, reviewed with, and a copy was provided to you, and you were given the opportunity to ask questions. 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. Cara McKeown, Child Care Consultant (336) 408-4849 cara.mckeown@dhhs.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: Main Street Baptist Church Early Learning Center Facility ID: 3452208 Consultant: CARA MCKEOWN-STEWART Operation Type: Center Case Number: Visit Date: 7/1/2026 Number Present: 27 Completed Date: 7/1/2026 Age: From 0 To 12 Total Minutes: 455 Time In: 09:25 AM Time Out: 05:00 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 facility to monitor compliance with applicable childcare requirements. This visit was conducted with Lekeshia Singletary, Director. Your program currently operates with a Notice of Compliance. The NC Secretary of State website was reviewed on 7/01/2026, and Main Street Baptist Church, Inc. was listed as current and active. The program’s compliance history was 84% 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. Upon arrival, staff/child ratio and space capacity were monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed interactions today. I observed children playing in activity centers, participating in general routines, and playing outdoors. I observed developmentally appropriate materials and activities were available to the children in the classrooms. The last annual compliance visit was conducted on 8/14/2025. A sanitation inspection was completed 6/23/2025 with an Approved classification. The last fire inspection was conducted 12/16/2025. Program records and required postings were monitored. A fire drill was conducted on 6/22/2026. A lockdown drill was documented on 6/29/2026. An outdoor inspection was documented on 6/18/2026. Staff files and children’s records were monitored per DCDEE procedures. The files for one new staff member and one existing staff member were reviewed during the visit. The files for five children enrolled were also reviewed during the visit. Storage of hazardous items was monitored today. Storage and administration of medication and medication authorization were monitored. You stated you will provide transportation in the summer during field trips for eleven (11) children of School Age and will provide routine transportation to and from school during the school year. I monitored emergency information, off-premise activity forms for all children being transported, the June schedules of off-premise activity forms for both the classroom for children four and five years of age, and School Age Children, and the bus log template. I monitored one (1) vehicle today. I observed one 2015 15-passenger Chevrolet van, license plate tag # PFD3931. A No Smoking sign was observed posted inside the vehicle. This vehicle was clean, in good repair, had working seatbelts, had adequate tire tread, and was current on inspections and insurance. Your next inspection date on this vehicle is due 6/30/2027 and the insurance is valid through 3/31/2027. I observed first aid kits and a fire extinguisher on the vehicle. Ms. Singletary stated parents provide all car seats and booster seats required for field trips. The following violations were cited during today’s visit: Violation Number Comment Rule 125 Daily records of arrival and departure times for children at the center were not maintained as children arrive and depart and/or were not made available for review. A record of arrival for three children enrolled in Space 3 was not observed recorded. 10A NCAC 09 .0302(d)(4) 453 The schedule of off premise activities was not current and/or did not include required information. The off-premise activity schedules posted outside the classrooms for children four and five years old and School Age did not include: shall include the location (physical address) of the activity; the purpose of the activity; the time(s) the activity will take place, or the name of the person(s) to be contacted in the event of an emergency. .1005(b)(5)(A-E) 476 Staff did not use the list of participating children to check attendance when leaving the center, periodically when the children were involved in the activity, before leaving the activity to return to the center, and/or upon return to the center. Attendance was not checked and recorded periodically for children four and five years of age and School Age during a field trip completed today. .1005(b)(6) 537 Baby food that had been opened was not covered, labeled with date opened, properly refrigerated and/or used within two days of opening. One bottle for one child enrolled in Space 2 was dated 6/29/26. 15A NCAC 18A .2804(d)&(g) 807 A safe indoor and outdoor environment was not provided for the children. On the playground used by children three to five years of age, fabric weed block was observed emerging in three areas, presenting a tripping hazard. 10A NCAC 09 .0601(a) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. In Space 6, a small spray bottle labeled “1/2 Isopropyl/ ½ H2O” was observed stored less than five feet from the ground on a shelf; the spray was observed by myself and Ms. Singletary to smell strongly of rubbing alcohol. Two bottles of hydrogen peroxide and one box of Alka-Seltzer tablets both labeled Keep Out of Reach of Children with additional warnings was observed in a bin accessible to children of School Age. Inside the unlocked room for snack storage, two Clorox cleaners labeled Keep Out of Reach of Children with additional warnings was observed. .2820(b) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. The medication authorization form for one child enrolled in Space 4 was observed to have a “valid to” date of 6/12/26. .0803(12) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. On the playground designated for children one year of age and less than one year of age, a plastic label was observed peeling off a stationary playhouse, presenting a choking hazard. .0604(q) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. The medical report for one child enrolled on 3/13/2026 was dated to have been completed on 6/16/2026. GS110-91(1) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. In Spaces 1 and 4, three medications for two children no longer used for the children were not returned to the parent. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) 1890 Each staff member did not have the required medical report, proof of tuberculosis test or screening and/or completed health questionnaire in a medical file, maintained separately from the staff member's individual personnel file. The health questionnaire for one new staff member was observed stored inside the staff member’s personnel file. .0701(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 7/15/2026. 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 cara.mckeown@dhhs.nc.gov or mail two copies of the letter to: Cara McKeown 4948 Martin View Lane Unit 146 Winston Salem, NC 27104 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 provided during today’s visit: The off-premise activity schedules posted outside the classrooms for children four and five years old and School Age did not include: shall include the location (physical address) of the activity; the purpose of the activity; the time(s) the activity will take place, or the name of the person(s) to be contacted in the event of an emergency. Attendance was not checked and recorded periodically for children four and five years of age and School Age during a field trip completed today. The medical report for one child enrolled on 3/13/2026 was dated 6/16/2026. A record of arrival for three children enrolled in Space 3 was not observed recorded; these times were recorded during the visit. In Spaces 1 and 4, three medications for two children no longer used for the children were not returned to the parent; these medications were removed from the classrooms during the visit. The medication authorization form for one child enrolled in Space 4 was observed to have a “valid to” date of 6/12/26; this medication was removed from the classroom during the visit. The health questionnaire for one new staff member was observed stored inside the staff member’s personnel file; this health questionnaire was removed and stored in a separate file during the visit. It is imperative all medication and transportation authorization forms and records of arrival/departure be completed, current, and on file for review for all children enrolled at all times. You may consider completing routine daily/ weekly/ monthly checks of these records to ensure all information is completed in an accurate and timely manner. On the playground designated for children one year of age and less than one year of age, a plastic label was observed peeling off a stationary playhouse, presenting a choking hazard; this label was removed during the visit. On the playground used by children three to five years of age, fabric weed block was observed emerging in three areas, presenting a tripping hazard. Ms. Singletary stated maintenance will be removing this weed block entirely from the premise. In Space 6, a small spray bottle labeled “1/2 Isopropyl/ ½ H2O” was observed stored less than five feet from the ground on a shelf; the spray was observed by myself and Ms. Singletary to smell strongly of rubbing alcohol. Two bottles of hydrogen peroxide and one box of Alka-Seltzer tablets both labeled Keep Out of Reach of Children with additional warnings was observed in a bin accessible to children of School Age. Each of these materials was removed from the classroom during the visit. Inside the unlocked room for snack storage, two Clorox cleaners labeled Keep Out of Reach of Children with additional warnings was observed; this closed was locked during the visit. It is imperative for indoor and outdoor areas of the playground to be safe environments with which to engage and explore at all times. You may consider adding these items to a regular daily classroom and playground checklist which is completed prior to children arriving for care and accessing these areas. Consultation provided during today’s visit: • You must notify your consultant 30 days prior to changing the ownership status of your facility. • Monitor all fall zones at the bases of the slides following children’s play each day to ensure they have the required surfacing depth of six inches or greater. • Ensure all menus posted are current. • Add a copy of your evacuation plan and floor plan to your most updated version of your EPR Plan. At the completion of the visit, this visit summary was printed, reviewed with, and a copy was provided to you, and you were given the opportunity to ask questions. 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. Cara McKeown, Child Care Consultant (336) 408-4849 cara.mckeown@dhhs.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 .0601 · Violation

Name of Operation: Main Street Baptist Church Early Learning Center Facility ID: 3452208 Consultant: CARA MCKEOWN-STEWART Operation Type: Center Case Number: Visit Date: 2/26/2026 Number Present: 35 Completed Date: 2/26/2026 Age: From 0 To 5 Total Minutes: 320 Time In: 09:40 AM Time Out: 03:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable childcare requirements for a routine unannounced visit. This visit was conducted by Cara McKeown-Stewart, Childcare Consultant with Director, Lekeshia Singletary. Your program currently operates with a GS-110 Notice of Compliance. Restrictions include 1st shift care, only 2nd grade and above on second floor, children under 2 ½ years old in rooms with direct exits only, and children under 2 ½ years of age are not allowed in the Fellowship Hall. The program’s compliance history was 80% 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 playing with toys, engaging in conversations and activities with their teachers, participating in general routines, and eating lunch during the visit. No new staff members were reported at this program. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Playground Safety, ITS-SIDS, Recognizing and Responding to Suspicions of Child Abuse and Maltreatment, Special Trainings, and Criminal Background Checks. Storage and administration of medication and medication authorization were monitored. Storage of hazardous items was monitored today. A playground inspection was recorded 2/09/2026. A fire drill was recorded 2/09/2026. A shelter-in-place drill for the facility was recorded 12/04/2025. The most recent fire inspection was on 12/16/2025; a copy of this inspection was provided to me during the visit. I observed a sanitation inspection was last conducted on 12/15/2025 earning a Superior classification. The program does not participate in off-premise or aquatic activities at this time. The following violations were cited during today’s visit: Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The most recent fire inspection was conducted on 12/16/2025; the last fire inspection prior to that was conducted on 11/19/24. 10A NCAC 09 .0304(a) 612 Each child's bed, cot, or 2" mat was not individually assigned and identified. A cot list was not observed posted in Spaces 3 and 5. 15A NCAC 18A .2821(b) & (c) 807 A safe indoor and outdoor environment was not provided for the children. On the playground used by children preschool age, the stationary play structure landing and stairs were observed to be cracked, with the surfacing stripped off; parts of the railings were also observed to be rusting. The chain securing the gate between the playground used by preschool children and the playground used by children of School Age was observed to be heavily rusting. Additionally, toward the back, center of the playground used by children of preschool age (facing away from the building), fabric weed block was observed emerging from the surfacing creating a potential tripping hazard. 10A NCAC 09 .0601(a) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. One spray bottle of Method All-Purpose surface cleaner labeled Keep Out of Reach of Children with additional warnings was observed on a shelf in Space 9, the classroom designated for children of School Age. .2820(b) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. In Spaces 3 and 4, respectively, the cabinets below both diaper tables were unlatched and observed to contain a thin plastic grocery bag and plastic, open diaper wrapper labeled with suffocation warnings for children. .0604(q) 1823 The EPR Plan did not include the location of the Ready to Go File and or the required information. The Ready to Go file was not observed to contain the emergency information for one staff member and the emergency medication information for one child enrolled. .0607(d)(10) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. A medication authorization form for one emergency medication for a child enrolled in Space 9 was not observed to have the subject medical conditions or allergic reactions recorded. One diaper cream for a child in Space 4 was not observed to be labeled with the child’s name. .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 3/12/2026. 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 cara.mckeown-stewart@dhhs.nc.gov or mail two copies of the letter to: Cara McKeown 4948 Martin View Lane Unit #146 Winston Salem, NC 27104 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 Provided During Visit: The most recent fire inspection was conducted on 12/16/2025; the last fire inspection prior to that was conducted on 11/19/24. It is important for all fire inspections to be completed annually for the safety of children enrolled and all staff. Ms. Singletary stated the church secretary called the fire inspector's office greater than three weeks prior to this inspection being due; she stated the secretary was told they were running behind on fire inspections. Ms. Singletary stated the inspector apologized for being late when he came to inspect the facility on 12/15/25. You may consider contacting the fire inspector one month prior to the due date this year to schedule your inspection. If you do not receive confirmation an inspection request has been received within two weeks, you may also consider following up with the fire inspection office to ensure your visit is conducted on time. In Spaces 3 and 4, respectively, the cabinets below both diaper tables were unlatched and observed to contain a thin plastic grocery bag and plastic, open diaper wrapper labeled with suffocation warnings for children. Both diaper tables were latched during the visit, making the plastic bag inaccessible to children, and the diaper wrappers were removed. One spray bottle of Method All-Purpose surface cleaner labeled Keep Out of Reach of Children with additional warnings was observed on a shelf in Space 9, the classroom designated for children of School Age; this bottle was disposed of during the visit. On the playground used by children preschool age, the stationary play structure landing and stairs were observed to be cracked, with the surfacing stripped off; parts of the railings were also observed to be rusting. The chain securing the gate between the playground used by preschool children and the playground used by children of School Age was observed to be heavily rusting. Additionally, toward the back, center of the playground used by children of preschool age (facing away from the building), fabric weed block was observed emerging from the surfacing creating a potential tripping hazard. It is extremely important for the indoor and outdoor learning environments to be safe places for children to engage with and explore at all times. Ms. Singletary stated she has already requested for the landing and stairs of the stationary structure to be repaired. You may consider adding monitoring for rust to your monthly playground inspection. A medication authorization form for one emergency medication for a child enrolled in Space 9 was not observed to have the subject medical conditions or allergic reactions recorded; the allergic reactions were added to this form during the visit. One diaper cream for a child in Space 4 was not observed to be labeled with the child’s name; the child’s name was written on the tube of diaper cream during the visit. The Ready to Go file was not observed to contain the emergency information for one staff member and the emergency medication information for one child enrolled; each of these documents was added to the Ready To Go file during the visit. It is imperative that all required documentation is current and on file at all times to ensure the health, safety, and quality of care of children enrolled. Ms. Singletary stated she was unaware the one emergency medication did not include all required information on the medication authorization form. You may consider reviewing all medications and required medication documentation as they are dropped off at the facility to ensure all requirements have been met prior to placing it in each child’s classroom. Consultation Provided During Visit: Ms. Singletary stated the room formerly used for young infants (Space 1 on the floor plan) is now closed and used for storage space only, and all classrooms have shifted in location one classroom to the right from their original locations, with the exception of the classroom for children of School Age. Ms. Singletary stated the licensed space formerly used as a conference room for the church (Space 9) is now used for School Age children enrolled. All spaces were monitored during the visit, and Ms. Singletary provided me with an updated floor plan during the visit. Contact Child Care Health Consultant, Keturah Oglesby, Smart Start of Forsyth County, for further guidance on potentially updating your policies regarding children who have diarrhea which is not contained by a diaper and children who require emergency medication. Ms. Oglesby can be contacted at: keturaho@smartstart-fc.org or (336) 714 - 4370. The following Child Care Rules were discussed with Ms. Singletary during the visit: • 15A NCAC 18A .2804 FOOD SUPPLIES (d)(e )(g)(k) regarding labeling and dating foods, breast milk, and formula for infants/ children enrolled - 10A NCAC 09 .0802 EMERGENCY MEDICAL CARE (h) regarding First Aid information sheets - Consider adding mulch to all fall zones on the playground used for children of preschool age. • You must notify your consultant 30 days prior to changing the ownership status of your facility. On-Going Professional Development In addition to the required Health and Safety Trainings, staff can access professional development training on the DCDEE website in Moodle under Early Childhood Professional Development in the categories of Child Care and Development Fund (CCDF), Orientation and Regulatory. Updated training modules are being added, including a Child Care Rule Rollout with new rules effective July 1, 2025, found under the Regulatory tab. Specifically, under the Orientation tab, I would encourage all staff to complete the training for “Child Development Module.” This training module provides a basic overview about child development and is designed to help early educators support infants, toddlers, and preschool children to reach their next developmental milestone. In addition to gaining introductory knowledge about child development, early educators will learn about the many resources and professional agencies available in North Carolina to help with promoting a responsive and engaging learning environment to support all children served. Upon completion, participants will receive one (1) contact hour credit (CHC). An individual NCID username and password is needed to access the DCDEE Moodle. If you experience problems with Moodle, contact dcdee_moodle_support@dhhs.nc.gov for assistance. For other training-related questions, please contact the Training and Program Development Consultant, Amia Eaton by calling (919) 814-6365 or emailing her at Amia.Eaton@dhhs.nc.gov At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with 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. Cara McKeown-Stewart, Child Care Consultant (336) 408-4849 cara.mckeown-stewart@dhhs.nc.gov Pamela Hauser, Supervisor pamela.hauser@dhhs.nc.gov (336) 317-5003 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 .0304 · Violation

Name of Operation: Main Street Baptist Church Early Learning Center Facility ID: 3452208 Consultant: CARA MCKEOWN-STEWART Operation Type: Center Case Number: Visit Date: 2/26/2026 Number Present: 35 Completed Date: 2/26/2026 Age: From 0 To 5 Total Minutes: 320 Time In: 09:40 AM Time Out: 03:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable childcare requirements for a routine unannounced visit. This visit was conducted by Cara McKeown-Stewart, Childcare Consultant with Director, Lekeshia Singletary. Your program currently operates with a GS-110 Notice of Compliance. Restrictions include 1st shift care, only 2nd grade and above on second floor, children under 2 ½ years old in rooms with direct exits only, and children under 2 ½ years of age are not allowed in the Fellowship Hall. The program’s compliance history was 80% 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 playing with toys, engaging in conversations and activities with their teachers, participating in general routines, and eating lunch during the visit. No new staff members were reported at this program. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Playground Safety, ITS-SIDS, Recognizing and Responding to Suspicions of Child Abuse and Maltreatment, Special Trainings, and Criminal Background Checks. Storage and administration of medication and medication authorization were monitored. Storage of hazardous items was monitored today. A playground inspection was recorded 2/09/2026. A fire drill was recorded 2/09/2026. A shelter-in-place drill for the facility was recorded 12/04/2025. The most recent fire inspection was on 12/16/2025; a copy of this inspection was provided to me during the visit. I observed a sanitation inspection was last conducted on 12/15/2025 earning a Superior classification. The program does not participate in off-premise or aquatic activities at this time. The following violations were cited during today’s visit: Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The most recent fire inspection was conducted on 12/16/2025; the last fire inspection prior to that was conducted on 11/19/24. 10A NCAC 09 .0304(a) 612 Each child's bed, cot, or 2" mat was not individually assigned and identified. A cot list was not observed posted in Spaces 3 and 5. 15A NCAC 18A .2821(b) & (c) 807 A safe indoor and outdoor environment was not provided for the children. On the playground used by children preschool age, the stationary play structure landing and stairs were observed to be cracked, with the surfacing stripped off; parts of the railings were also observed to be rusting. The chain securing the gate between the playground used by preschool children and the playground used by children of School Age was observed to be heavily rusting. Additionally, toward the back, center of the playground used by children of preschool age (facing away from the building), fabric weed block was observed emerging from the surfacing creating a potential tripping hazard. 10A NCAC 09 .0601(a) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. One spray bottle of Method All-Purpose surface cleaner labeled Keep Out of Reach of Children with additional warnings was observed on a shelf in Space 9, the classroom designated for children of School Age. .2820(b) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. In Spaces 3 and 4, respectively, the cabinets below both diaper tables were unlatched and observed to contain a thin plastic grocery bag and plastic, open diaper wrapper labeled with suffocation warnings for children. .0604(q) 1823 The EPR Plan did not include the location of the Ready to Go File and or the required information. The Ready to Go file was not observed to contain the emergency information for one staff member and the emergency medication information for one child enrolled. .0607(d)(10) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. A medication authorization form for one emergency medication for a child enrolled in Space 9 was not observed to have the subject medical conditions or allergic reactions recorded. One diaper cream for a child in Space 4 was not observed to be labeled with the child’s name. .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 3/12/2026. 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 cara.mckeown-stewart@dhhs.nc.gov or mail two copies of the letter to: Cara McKeown 4948 Martin View Lane Unit #146 Winston Salem, NC 27104 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 Provided During Visit: The most recent fire inspection was conducted on 12/16/2025; the last fire inspection prior to that was conducted on 11/19/24. It is important for all fire inspections to be completed annually for the safety of children enrolled and all staff. Ms. Singletary stated the church secretary called the fire inspector's office greater than three weeks prior to this inspection being due; she stated the secretary was told they were running behind on fire inspections. Ms. Singletary stated the inspector apologized for being late when he came to inspect the facility on 12/15/25. You may consider contacting the fire inspector one month prior to the due date this year to schedule your inspection. If you do not receive confirmation an inspection request has been received within two weeks, you may also consider following up with the fire inspection office to ensure your visit is conducted on time. In Spaces 3 and 4, respectively, the cabinets below both diaper tables were unlatched and observed to contain a thin plastic grocery bag and plastic, open diaper wrapper labeled with suffocation warnings for children. Both diaper tables were latched during the visit, making the plastic bag inaccessible to children, and the diaper wrappers were removed. One spray bottle of Method All-Purpose surface cleaner labeled Keep Out of Reach of Children with additional warnings was observed on a shelf in Space 9, the classroom designated for children of School Age; this bottle was disposed of during the visit. On the playground used by children preschool age, the stationary play structure landing and stairs were observed to be cracked, with the surfacing stripped off; parts of the railings were also observed to be rusting. The chain securing the gate between the playground used by preschool children and the playground used by children of School Age was observed to be heavily rusting. Additionally, toward the back, center of the playground used by children of preschool age (facing away from the building), fabric weed block was observed emerging from the surfacing creating a potential tripping hazard. It is extremely important for the indoor and outdoor learning environments to be safe places for children to engage with and explore at all times. Ms. Singletary stated she has already requested for the landing and stairs of the stationary structure to be repaired. You may consider adding monitoring for rust to your monthly playground inspection. A medication authorization form for one emergency medication for a child enrolled in Space 9 was not observed to have the subject medical conditions or allergic reactions recorded; the allergic reactions were added to this form during the visit. One diaper cream for a child in Space 4 was not observed to be labeled with the child’s name; the child’s name was written on the tube of diaper cream during the visit. The Ready to Go file was not observed to contain the emergency information for one staff member and the emergency medication information for one child enrolled; each of these documents was added to the Ready To Go file during the visit. It is imperative that all required documentation is current and on file at all times to ensure the health, safety, and quality of care of children enrolled. Ms. Singletary stated she was unaware the one emergency medication did not include all required information on the medication authorization form. You may consider reviewing all medications and required medication documentation as they are dropped off at the facility to ensure all requirements have been met prior to placing it in each child’s classroom. Consultation Provided During Visit: Ms. Singletary stated the room formerly used for young infants (Space 1 on the floor plan) is now closed and used for storage space only, and all classrooms have shifted in location one classroom to the right from their original locations, with the exception of the classroom for children of School Age. Ms. Singletary stated the licensed space formerly used as a conference room for the church (Space 9) is now used for School Age children enrolled. All spaces were monitored during the visit, and Ms. Singletary provided me with an updated floor plan during the visit. Contact Child Care Health Consultant, Keturah Oglesby, Smart Start of Forsyth County, for further guidance on potentially updating your policies regarding children who have diarrhea which is not contained by a diaper and children who require emergency medication. Ms. Oglesby can be contacted at: keturaho@smartstart-fc.org or (336) 714 - 4370. The following Child Care Rules were discussed with Ms. Singletary during the visit: • 15A NCAC 18A .2804 FOOD SUPPLIES (d)(e )(g)(k) regarding labeling and dating foods, breast milk, and formula for infants/ children enrolled - 10A NCAC 09 .0802 EMERGENCY MEDICAL CARE (h) regarding First Aid information sheets - Consider adding mulch to all fall zones on the playground used for children of preschool age. • You must notify your consultant 30 days prior to changing the ownership status of your facility. On-Going Professional Development In addition to the required Health and Safety Trainings, staff can access professional development training on the DCDEE website in Moodle under Early Childhood Professional Development in the categories of Child Care and Development Fund (CCDF), Orientation and Regulatory. Updated training modules are being added, including a Child Care Rule Rollout with new rules effective July 1, 2025, found under the Regulatory tab. Specifically, under the Orientation tab, I would encourage all staff to complete the training for “Child Development Module.” This training module provides a basic overview about child development and is designed to help early educators support infants, toddlers, and preschool children to reach their next developmental milestone. In addition to gaining introductory knowledge about child development, early educators will learn about the many resources and professional agencies available in North Carolina to help with promoting a responsive and engaging learning environment to support all children served. Upon completion, participants will receive one (1) contact hour credit (CHC). An individual NCID username and password is needed to access the DCDEE Moodle. If you experience problems with Moodle, contact dcdee_moodle_support@dhhs.nc.gov for assistance. For other training-related questions, please contact the Training and Program Development Consultant, Amia Eaton by calling (919) 814-6365 or emailing her at Amia.Eaton@dhhs.nc.gov At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with 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. Cara McKeown-Stewart, Child Care Consultant (336) 408-4849 cara.mckeown-stewart@dhhs.nc.gov Pamela Hauser, Supervisor pamela.hauser@dhhs.nc.gov (336) 317-5003 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: Main Street Baptist Church Early Learning Center Facility ID: 3452208 Consultant: CARA MCKEOWN-STEWART Operation Type: Center Case Number: Visit Date: 2/26/2026 Number Present: 35 Completed Date: 2/26/2026 Age: From 0 To 5 Total Minutes: 320 Time In: 09:40 AM Time Out: 03:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable childcare requirements for a routine unannounced visit. This visit was conducted by Cara McKeown-Stewart, Childcare Consultant with Director, Lekeshia Singletary. Your program currently operates with a GS-110 Notice of Compliance. Restrictions include 1st shift care, only 2nd grade and above on second floor, children under 2 ½ years old in rooms with direct exits only, and children under 2 ½ years of age are not allowed in the Fellowship Hall. The program’s compliance history was 80% 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 playing with toys, engaging in conversations and activities with their teachers, participating in general routines, and eating lunch during the visit. No new staff members were reported at this program. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Playground Safety, ITS-SIDS, Recognizing and Responding to Suspicions of Child Abuse and Maltreatment, Special Trainings, and Criminal Background Checks. Storage and administration of medication and medication authorization were monitored. Storage of hazardous items was monitored today. A playground inspection was recorded 2/09/2026. A fire drill was recorded 2/09/2026. A shelter-in-place drill for the facility was recorded 12/04/2025. The most recent fire inspection was on 12/16/2025; a copy of this inspection was provided to me during the visit. I observed a sanitation inspection was last conducted on 12/15/2025 earning a Superior classification. The program does not participate in off-premise or aquatic activities at this time. The following violations were cited during today’s visit: Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The most recent fire inspection was conducted on 12/16/2025; the last fire inspection prior to that was conducted on 11/19/24. 10A NCAC 09 .0304(a) 612 Each child's bed, cot, or 2" mat was not individually assigned and identified. A cot list was not observed posted in Spaces 3 and 5. 15A NCAC 18A .2821(b) & (c) 807 A safe indoor and outdoor environment was not provided for the children. On the playground used by children preschool age, the stationary play structure landing and stairs were observed to be cracked, with the surfacing stripped off; parts of the railings were also observed to be rusting. The chain securing the gate between the playground used by preschool children and the playground used by children of School Age was observed to be heavily rusting. Additionally, toward the back, center of the playground used by children of preschool age (facing away from the building), fabric weed block was observed emerging from the surfacing creating a potential tripping hazard. 10A NCAC 09 .0601(a) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. One spray bottle of Method All-Purpose surface cleaner labeled Keep Out of Reach of Children with additional warnings was observed on a shelf in Space 9, the classroom designated for children of School Age. .2820(b) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. In Spaces 3 and 4, respectively, the cabinets below both diaper tables were unlatched and observed to contain a thin plastic grocery bag and plastic, open diaper wrapper labeled with suffocation warnings for children. .0604(q) 1823 The EPR Plan did not include the location of the Ready to Go File and or the required information. The Ready to Go file was not observed to contain the emergency information for one staff member and the emergency medication information for one child enrolled. .0607(d)(10) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. A medication authorization form for one emergency medication for a child enrolled in Space 9 was not observed to have the subject medical conditions or allergic reactions recorded. One diaper cream for a child in Space 4 was not observed to be labeled with the child’s name. .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 3/12/2026. 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 cara.mckeown-stewart@dhhs.nc.gov or mail two copies of the letter to: Cara McKeown 4948 Martin View Lane Unit #146 Winston Salem, NC 27104 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 Provided During Visit: The most recent fire inspection was conducted on 12/16/2025; the last fire inspection prior to that was conducted on 11/19/24. It is important for all fire inspections to be completed annually for the safety of children enrolled and all staff. Ms. Singletary stated the church secretary called the fire inspector's office greater than three weeks prior to this inspection being due; she stated the secretary was told they were running behind on fire inspections. Ms. Singletary stated the inspector apologized for being late when he came to inspect the facility on 12/15/25. You may consider contacting the fire inspector one month prior to the due date this year to schedule your inspection. If you do not receive confirmation an inspection request has been received within two weeks, you may also consider following up with the fire inspection office to ensure your visit is conducted on time. In Spaces 3 and 4, respectively, the cabinets below both diaper tables were unlatched and observed to contain a thin plastic grocery bag and plastic, open diaper wrapper labeled with suffocation warnings for children. Both diaper tables were latched during the visit, making the plastic bag inaccessible to children, and the diaper wrappers were removed. One spray bottle of Method All-Purpose surface cleaner labeled Keep Out of Reach of Children with additional warnings was observed on a shelf in Space 9, the classroom designated for children of School Age; this bottle was disposed of during the visit. On the playground used by children preschool age, the stationary play structure landing and stairs were observed to be cracked, with the surfacing stripped off; parts of the railings were also observed to be rusting. The chain securing the gate between the playground used by preschool children and the playground used by children of School Age was observed to be heavily rusting. Additionally, toward the back, center of the playground used by children of preschool age (facing away from the building), fabric weed block was observed emerging from the surfacing creating a potential tripping hazard. It is extremely important for the indoor and outdoor learning environments to be safe places for children to engage with and explore at all times. Ms. Singletary stated she has already requested for the landing and stairs of the stationary structure to be repaired. You may consider adding monitoring for rust to your monthly playground inspection. A medication authorization form for one emergency medication for a child enrolled in Space 9 was not observed to have the subject medical conditions or allergic reactions recorded; the allergic reactions were added to this form during the visit. One diaper cream for a child in Space 4 was not observed to be labeled with the child’s name; the child’s name was written on the tube of diaper cream during the visit. The Ready to Go file was not observed to contain the emergency information for one staff member and the emergency medication information for one child enrolled; each of these documents was added to the Ready To Go file during the visit. It is imperative that all required documentation is current and on file at all times to ensure the health, safety, and quality of care of children enrolled. Ms. Singletary stated she was unaware the one emergency medication did not include all required information on the medication authorization form. You may consider reviewing all medications and required medication documentation as they are dropped off at the facility to ensure all requirements have been met prior to placing it in each child’s classroom. Consultation Provided During Visit: Ms. Singletary stated the room formerly used for young infants (Space 1 on the floor plan) is now closed and used for storage space only, and all classrooms have shifted in location one classroom to the right from their original locations, with the exception of the classroom for children of School Age. Ms. Singletary stated the licensed space formerly used as a conference room for the church (Space 9) is now used for School Age children enrolled. All spaces were monitored during the visit, and Ms. Singletary provided me with an updated floor plan during the visit. Contact Child Care Health Consultant, Keturah Oglesby, Smart Start of Forsyth County, for further guidance on potentially updating your policies regarding children who have diarrhea which is not contained by a diaper and children who require emergency medication. Ms. Oglesby can be contacted at: keturaho@smartstart-fc.org or (336) 714 - 4370. The following Child Care Rules were discussed with Ms. Singletary during the visit: • 15A NCAC 18A .2804 FOOD SUPPLIES (d)(e )(g)(k) regarding labeling and dating foods, breast milk, and formula for infants/ children enrolled - 10A NCAC 09 .0802 EMERGENCY MEDICAL CARE (h) regarding First Aid information sheets - Consider adding mulch to all fall zones on the playground used for children of preschool age. • You must notify your consultant 30 days prior to changing the ownership status of your facility. On-Going Professional Development In addition to the required Health and Safety Trainings, staff can access professional development training on the DCDEE website in Moodle under Early Childhood Professional Development in the categories of Child Care and Development Fund (CCDF), Orientation and Regulatory. Updated training modules are being added, including a Child Care Rule Rollout with new rules effective July 1, 2025, found under the Regulatory tab. Specifically, under the Orientation tab, I would encourage all staff to complete the training for “Child Development Module.” This training module provides a basic overview about child development and is designed to help early educators support infants, toddlers, and preschool children to reach their next developmental milestone. In addition to gaining introductory knowledge about child development, early educators will learn about the many resources and professional agencies available in North Carolina to help with promoting a responsive and engaging learning environment to support all children served. Upon completion, participants will receive one (1) contact hour credit (CHC). An individual NCID username and password is needed to access the DCDEE Moodle. If you experience problems with Moodle, contact dcdee_moodle_support@dhhs.nc.gov for assistance. For other training-related questions, please contact the Training and Program Development Consultant, Amia Eaton by calling (919) 814-6365 or emailing her at Amia.Eaton@dhhs.nc.gov At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with 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. Cara McKeown-Stewart, Child Care Consultant (336) 408-4849 cara.mckeown-stewart@dhhs.nc.gov Pamela Hauser, Supervisor pamela.hauser@dhhs.nc.gov (336) 317-5003 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: Main Street Baptist Church Early Learning Center Facility ID: 3452208 Consultant: CARA MCKEOWN-STEWART Operation Type: Center Case Number: Visit Date: 2/26/2026 Number Present: 35 Completed Date: 2/26/2026 Age: From 0 To 5 Total Minutes: 320 Time In: 09:40 AM Time Out: 03:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable childcare requirements for a routine unannounced visit. This visit was conducted by Cara McKeown-Stewart, Childcare Consultant with Director, Lekeshia Singletary. Your program currently operates with a GS-110 Notice of Compliance. Restrictions include 1st shift care, only 2nd grade and above on second floor, children under 2 ½ years old in rooms with direct exits only, and children under 2 ½ years of age are not allowed in the Fellowship Hall. The program’s compliance history was 80% 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 playing with toys, engaging in conversations and activities with their teachers, participating in general routines, and eating lunch during the visit. No new staff members were reported at this program. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Playground Safety, ITS-SIDS, Recognizing and Responding to Suspicions of Child Abuse and Maltreatment, Special Trainings, and Criminal Background Checks. Storage and administration of medication and medication authorization were monitored. Storage of hazardous items was monitored today. A playground inspection was recorded 2/09/2026. A fire drill was recorded 2/09/2026. A shelter-in-place drill for the facility was recorded 12/04/2025. The most recent fire inspection was on 12/16/2025; a copy of this inspection was provided to me during the visit. I observed a sanitation inspection was last conducted on 12/15/2025 earning a Superior classification. The program does not participate in off-premise or aquatic activities at this time. The following violations were cited during today’s visit: Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The most recent fire inspection was conducted on 12/16/2025; the last fire inspection prior to that was conducted on 11/19/24. 10A NCAC 09 .0304(a) 612 Each child's bed, cot, or 2" mat was not individually assigned and identified. A cot list was not observed posted in Spaces 3 and 5. 15A NCAC 18A .2821(b) & (c) 807 A safe indoor and outdoor environment was not provided for the children. On the playground used by children preschool age, the stationary play structure landing and stairs were observed to be cracked, with the surfacing stripped off; parts of the railings were also observed to be rusting. The chain securing the gate between the playground used by preschool children and the playground used by children of School Age was observed to be heavily rusting. Additionally, toward the back, center of the playground used by children of preschool age (facing away from the building), fabric weed block was observed emerging from the surfacing creating a potential tripping hazard. 10A NCAC 09 .0601(a) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. One spray bottle of Method All-Purpose surface cleaner labeled Keep Out of Reach of Children with additional warnings was observed on a shelf in Space 9, the classroom designated for children of School Age. .2820(b) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. In Spaces 3 and 4, respectively, the cabinets below both diaper tables were unlatched and observed to contain a thin plastic grocery bag and plastic, open diaper wrapper labeled with suffocation warnings for children. .0604(q) 1823 The EPR Plan did not include the location of the Ready to Go File and or the required information. The Ready to Go file was not observed to contain the emergency information for one staff member and the emergency medication information for one child enrolled. .0607(d)(10) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. A medication authorization form for one emergency medication for a child enrolled in Space 9 was not observed to have the subject medical conditions or allergic reactions recorded. One diaper cream for a child in Space 4 was not observed to be labeled with the child’s name. .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 3/12/2026. 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 cara.mckeown-stewart@dhhs.nc.gov or mail two copies of the letter to: Cara McKeown 4948 Martin View Lane Unit #146 Winston Salem, NC 27104 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 Provided During Visit: The most recent fire inspection was conducted on 12/16/2025; the last fire inspection prior to that was conducted on 11/19/24. It is important for all fire inspections to be completed annually for the safety of children enrolled and all staff. Ms. Singletary stated the church secretary called the fire inspector's office greater than three weeks prior to this inspection being due; she stated the secretary was told they were running behind on fire inspections. Ms. Singletary stated the inspector apologized for being late when he came to inspect the facility on 12/15/25. You may consider contacting the fire inspector one month prior to the due date this year to schedule your inspection. If you do not receive confirmation an inspection request has been received within two weeks, you may also consider following up with the fire inspection office to ensure your visit is conducted on time. In Spaces 3 and 4, respectively, the cabinets below both diaper tables were unlatched and observed to contain a thin plastic grocery bag and plastic, open diaper wrapper labeled with suffocation warnings for children. Both diaper tables were latched during the visit, making the plastic bag inaccessible to children, and the diaper wrappers were removed. One spray bottle of Method All-Purpose surface cleaner labeled Keep Out of Reach of Children with additional warnings was observed on a shelf in Space 9, the classroom designated for children of School Age; this bottle was disposed of during the visit. On the playground used by children preschool age, the stationary play structure landing and stairs were observed to be cracked, with the surfacing stripped off; parts of the railings were also observed to be rusting. The chain securing the gate between the playground used by preschool children and the playground used by children of School Age was observed to be heavily rusting. Additionally, toward the back, center of the playground used by children of preschool age (facing away from the building), fabric weed block was observed emerging from the surfacing creating a potential tripping hazard. It is extremely important for the indoor and outdoor learning environments to be safe places for children to engage with and explore at all times. Ms. Singletary stated she has already requested for the landing and stairs of the stationary structure to be repaired. You may consider adding monitoring for rust to your monthly playground inspection. A medication authorization form for one emergency medication for a child enrolled in Space 9 was not observed to have the subject medical conditions or allergic reactions recorded; the allergic reactions were added to this form during the visit. One diaper cream for a child in Space 4 was not observed to be labeled with the child’s name; the child’s name was written on the tube of diaper cream during the visit. The Ready to Go file was not observed to contain the emergency information for one staff member and the emergency medication information for one child enrolled; each of these documents was added to the Ready To Go file during the visit. It is imperative that all required documentation is current and on file at all times to ensure the health, safety, and quality of care of children enrolled. Ms. Singletary stated she was unaware the one emergency medication did not include all required information on the medication authorization form. You may consider reviewing all medications and required medication documentation as they are dropped off at the facility to ensure all requirements have been met prior to placing it in each child’s classroom. Consultation Provided During Visit: Ms. Singletary stated the room formerly used for young infants (Space 1 on the floor plan) is now closed and used for storage space only, and all classrooms have shifted in location one classroom to the right from their original locations, with the exception of the classroom for children of School Age. Ms. Singletary stated the licensed space formerly used as a conference room for the church (Space 9) is now used for School Age children enrolled. All spaces were monitored during the visit, and Ms. Singletary provided me with an updated floor plan during the visit. Contact Child Care Health Consultant, Keturah Oglesby, Smart Start of Forsyth County, for further guidance on potentially updating your policies regarding children who have diarrhea which is not contained by a diaper and children who require emergency medication. Ms. Oglesby can be contacted at: keturaho@smartstart-fc.org or (336) 714 - 4370. The following Child Care Rules were discussed with Ms. Singletary during the visit: • 15A NCAC 18A .2804 FOOD SUPPLIES (d)(e )(g)(k) regarding labeling and dating foods, breast milk, and formula for infants/ children enrolled - 10A NCAC 09 .0802 EMERGENCY MEDICAL CARE (h) regarding First Aid information sheets - Consider adding mulch to all fall zones on the playground used for children of preschool age. • You must notify your consultant 30 days prior to changing the ownership status of your facility. On-Going Professional Development In addition to the required Health and Safety Trainings, staff can access professional development training on the DCDEE website in Moodle under Early Childhood Professional Development in the categories of Child Care and Development Fund (CCDF), Orientation and Regulatory. Updated training modules are being added, including a Child Care Rule Rollout with new rules effective July 1, 2025, found under the Regulatory tab. Specifically, under the Orientation tab, I would encourage all staff to complete the training for “Child Development Module.” This training module provides a basic overview about child development and is designed to help early educators support infants, toddlers, and preschool children to reach their next developmental milestone. In addition to gaining introductory knowledge about child development, early educators will learn about the many resources and professional agencies available in North Carolina to help with promoting a responsive and engaging learning environment to support all children served. Upon completion, participants will receive one (1) contact hour credit (CHC). An individual NCID username and password is needed to access the DCDEE Moodle. If you experience problems with Moodle, contact dcdee_moodle_support@dhhs.nc.gov for assistance. For other training-related questions, please contact the Training and Program Development Consultant, Amia Eaton by calling (919) 814-6365 or emailing her at Amia.Eaton@dhhs.nc.gov At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with 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. Cara McKeown-Stewart, Child Care Consultant (336) 408-4849 cara.mckeown-stewart@dhhs.nc.gov Pamela Hauser, Supervisor pamela.hauser@dhhs.nc.gov (336) 317-5003 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 .0601 · Violation

Name of Operation: Main Street Baptist Church Early Learning Center Facility ID: 3452208 Consultant: CARA MCKEOWN-STEWART Operation Type: Center Case Number: 0825-358L Visit Date: 9/9/2025 Number Present: 27 Completed Date: 9/9/2025 Age: From 0 To 4 Total Minutes: 115 Time In: 11:35 AM Time Out: 01:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Self Report Announced/Unannounced: Unannounced The purpose of today’s visit was to obtain information related to a self-report received by the Division. During today’s visit, Lekeshia Singletary, Director, accompanied me during a walk-through of the facility. During the visit, I discussed the information with Ms. Singletary and reviewed video footage of the incident which occurred. Based on information obtained, the following was determined: In reviewing the video footage, a staff member was observed changing the pull-up of a child two years of age in Space 4, the classroom designated for older toddlers, children 18 months through two years of age. The staff member stood the child up on the changing table and started to place her hands beneath the child’s underarms to lift her down from the table. At that moment, another child enrolled in the classroom was observed sitting down on the pullout steps of the changing table crying. The staff member momentarily rotated her body and bent over to attend to the child crying on the stairs. At the same time this occurred, the child standing on the changing table had already begun leaning toward the staff member in anticipation of getting down, lost her balance, and fell to the ground. Ms. Singletary stated the staff member was terminated immediately, as all staff had recently been trained in detail on the sanitation and safety procedures involved with hand washing and diaper changing during a Professional Development Day held on 7/03/25. Ms. Singletary stated this training included facility rules inclusive of but not limited to: not ever standing a child up on the changing table and pushing the stairs of the table in (when applicable) so they are inaccessible when not being used by the child being changed. Ms. Singletary shared staff are expected to keep one hand on the child being changed at all times, and children are to be helped to the ground if staff need to provide extra assistance with pulling up pants or supporting another child. Ms. Singletary also stated these sanitation and safety procedures were reviewed in detail again on 8/26/25 during the facility’s August staff meeting following this occurrence. Limited monitoring of childcare requirements occurred during today’s visit. The following violation was confirmed during today’s visit: Violation Number Comment Rule 807 A safe indoor and outdoor environment was not provided for the children. A staff member was observed to momentarily take her hands and eyes off a child two years of age who was standing on a changing table to assist another child, and the child standing on the changing table fell to the ground. 10A NCAC 09 .0601(a) 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 9/23/25. 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 cara.mckeown-stewart@dhhs.nc.gov or mail two copies of the letter to: Cara McKeown 353 Jonestown Road, Unit #146 Winston Salem, NC 27104 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: A staff member was observed to momentarily take her hands and eyes off a child two years of age who was standing on a changing table to assist another child, and the child standing on the changing table fell to the ground. It is imperative that a safe environment is created and maintained for children in care at all times. You may consider conducting routine visits to classrooms designated for children one and two years of age to observe, model and coach staff on safe practices during the diaper changing process. 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. Cara McKeown-Stewart, Child Care Consultant (336) 528 - 9206 cara.mckeown-stewart@dhhs.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: Main Street Baptist Church Early Learning Center Facility ID: 3452208 Consultant: CARA MCKEOWN-STEWART Operation Type: Center Case Number: 0825-358L Visit Date: 9/9/2025 Number Present: 27 Completed Date: 9/9/2025 Age: From 0 To 4 Total Minutes: 115 Time In: 11:35 AM Time Out: 01:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Self Report Announced/Unannounced: Unannounced The purpose of today’s visit was to obtain information related to a self-report received by the Division. During today’s visit, Lekeshia Singletary, Director, accompanied me during a walk-through of the facility. During the visit, I discussed the information with Ms. Singletary and reviewed video footage of the incident which occurred. Based on information obtained, the following was determined: In reviewing the video footage, a staff member was observed changing the pull-up of a child two years of age in Space 4, the classroom designated for older toddlers, children 18 months through two years of age. The staff member stood the child up on the changing table and started to place her hands beneath the child’s underarms to lift her down from the table. At that moment, another child enrolled in the classroom was observed sitting down on the pullout steps of the changing table crying. The staff member momentarily rotated her body and bent over to attend to the child crying on the stairs. At the same time this occurred, the child standing on the changing table had already begun leaning toward the staff member in anticipation of getting down, lost her balance, and fell to the ground. Ms. Singletary stated the staff member was terminated immediately, as all staff had recently been trained in detail on the sanitation and safety procedures involved with hand washing and diaper changing during a Professional Development Day held on 7/03/25. Ms. Singletary stated this training included facility rules inclusive of but not limited to: not ever standing a child up on the changing table and pushing the stairs of the table in (when applicable) so they are inaccessible when not being used by the child being changed. Ms. Singletary shared staff are expected to keep one hand on the child being changed at all times, and children are to be helped to the ground if staff need to provide extra assistance with pulling up pants or supporting another child. Ms. Singletary also stated these sanitation and safety procedures were reviewed in detail again on 8/26/25 during the facility’s August staff meeting following this occurrence. Limited monitoring of childcare requirements occurred during today’s visit. The following violation was confirmed during today’s visit: Violation Number Comment Rule 807 A safe indoor and outdoor environment was not provided for the children. A staff member was observed to momentarily take her hands and eyes off a child two years of age who was standing on a changing table to assist another child, and the child standing on the changing table fell to the ground. 10A NCAC 09 .0601(a) 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 9/23/25. 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 cara.mckeown-stewart@dhhs.nc.gov or mail two copies of the letter to: Cara McKeown 353 Jonestown Road, Unit #146 Winston Salem, NC 27104 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: A staff member was observed to momentarily take her hands and eyes off a child two years of age who was standing on a changing table to assist another child, and the child standing on the changing table fell to the ground. It is imperative that a safe environment is created and maintained for children in care at all times. You may consider conducting routine visits to classrooms designated for children one and two years of age to observe, model and coach staff on safe practices during the diaper changing process. 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. Cara McKeown-Stewart, Child Care Consultant (336) 528 - 9206 cara.mckeown-stewart@dhhs.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: Main Street Baptist Church Early Learning Center Facility ID: 3452208 Consultant: CARA MCKEOWN-STEWART Operation Type: Center Case Number: Visit Date: 8/14/2025 Number Present: 22 Completed Date: 8/14/2025 Age: From 0 To 5 Total Minutes: 490 Time In: 08:30 AM Time Out: 04:40 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 facility to monitor compliance with applicable childcare requirements. This visit was conducted with Lekeshia Singletary, Director and Aislinn Hardin, Administrative Assistant. Your program currently operates with a Notice of Compliance. The NC Secretary of State website was reviewed on 8/14/2025, and Main Street Baptist Church, Inc. was listed as current and active. The program’s compliance history was 81% 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. Upon arrival, staff/child ratio and space capacity were monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed interactions today. I observed children playing in activity centers, participating in general routines, playing outdoors, and eating lunch. I observed developmentally appropriate materials and activities were available to the children in the classrooms. The last annual compliance visit was conducted on 9/04/2024. A sanitation inspection was completed 11/26/2024 with a Superior classification. The last fire inspection was conducted 11/19/2024. Program records and required postings were monitored. A fire drill was conducted on 7/31/2025. A lockdown drill was documented on 6/19/2025. An outdoor inspection was documented on 7/31/2025. Staff files and children’s records were monitored per DCDEE procedures. The files for two new staff members and one existing staff member were reviewed during the visit. The files for four children enrolled were also reviewed during the visit. Storage of hazardous items was monitored today. Storage and administration of medication and medication authorization were monitored. The program is not approved to provide transportation or participate in aquatic or off-premise activities at this time. The following violations were cited during today’s visit: Violation Number Comment Rule 114 A summary of the NC Child Care Law was not given to a parent of every child enrolled in the center. A signed receipt of NC Child Care Law was not observed on file for two children enrolled. GS 110-102 125 Daily records of arrival and departure times for children at the center were not maintained as children arrive and depart and/or were not made available for review. The arrival times for two children enrolled in both Spaces 4 and 5 were not recorded at the time of service. 10A NCAC 09 .0302(d)(4) 612 Each child's bed, cot, or 2" mat was not individually assigned and identified. A cot list was not observed posted in Spaces 3 and 4. 15A NCAC 18A .2821(b) & (c) 721 All equipment and furnishings were not in good repair. The handle on one toy kitchen cabinet in Space 6 was observed to be broken. G.S. 110-91(6); .0601(b) 830 A First Aid information sheet was not posted in a place for referral and/or the information sheet did not include all the required information. A First Aid poster was not observed posted in Space 6. .0802(h) 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. A hall closet containing items labeled Keep Out of Reach of Children with additional warnings was observed unlocked. .2820(b) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. The diaper cream for one child who was no longer enrolled in the program had not been returned to the parent or discarded. .0803(12) 1125 Before children were transported, written permission from a parent was not obtained that included when and where the child was to be transported, expected time of departure and arrival, and the transportation provider. Transportation authorization forms were not completed an on file for review for four children transported to school this morning. .1003(i)(j) 1320 Children's records that include an application for enrollment, medical and immunization records, and permission to seek emergency medical care was not on file for each child. The health assessments for two children enrolled were not observed on file, and the immunization records for two children enrolled were not observed on file for review. GS 110-91(1);.0302(d)(2); .0304(g) 1325 Parent’s statement includes the child’s name and date of enrollment and the date the parent signed the statement. The date of enrollment was not recorded on the Discipline Policies for two children enrolled. .1804(b) 1805 A child care operator did not notify the Division of any new child care providers, as defined in G.S. 110-90.2(a)(2), who were hired or moved into the child care facility within five business days. A facility profile for Criminal Background Checks had not been created; hence, the director and staff CBCs were not yet linked to this profile. G.S. 110-90.2 & .2703(r) 1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. One new staff member did not have a signed review of the EPR Plan on file. .0607(e) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. The topical medication authorization form for the diaper cream for one child enrolled was not observed on file. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) 1890 Each staff member did not have the required medical report, proof of tuberculosis test or screening and/or completed health questionnaire in a medical file, maintained separately from the staff member's individual personnel file. The health questionnaires for two new staff members were not stored separately from the staff members' personnel files. .0701(d) 1907 A copy of the Prevention of Shaken Baby and Abusive Head Trauma policy was not given to or explained to parents of newly enrolled children up to five years of age on or before the first day the child receives care at the center. A signed receipt of the Shaken Baby and Abusive Head Trauma Policy was not observed on file for two children enrolled. .0608(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 8/28/2024. 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 You may email the letter to cara.mckeown@dhhs.nc.gov or mail two copies of the letter to: Cara McKeown 353 Jonestown Road, Unit #146 Winston Salem, NC 27104 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 provided during today’s visit: Transportation authorization forms were not completed an on file for review for four children transported to school this morning. It is imperative all transportation authorization forms be completed and on file for review prior to transporting children enrolled. You may consider beginning to complete all required documentation for transporting children several weeks in advance of the school year beginning to ensure all necessary paperwork is complete and on file for review. You may also consider scheduling an announced Technical Assistance visit with me to review in detail the DCDEE Checklists which will support you in maintaining compliance at your facility: Program File Checklist, Staff File Checklist, Child File Checklist, Substitute File Checklist, and Volunteer File Checklist. A facility profile for Criminal Background Checks had not been created; hence, the director and staff CBCs were not yet linked to this profile. It is necessary for all staff members to be linked to the center’s facility profile in the ABCMS system, as the process of notifying the Division of any new child care providers working who were hired or moved into the child care facility within five business days has changed to include this process. Ms. Singletary stated she has the instructions I sent via email to complete this process. If you need additional assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. Consultation provided during today’s visit: Ms. Singletary stated she is interested in using the church van to begin to provide transportation for children of School Age to and from school and of Pre-K and School Age for field trips only during summers and/or breaks when children are not in school. All transportation and off-premise activity requirements and required forms were reviewed with Ms. Singletary during the visit. I monitored the vehicle which will be used to transport children during the visit. The vehicle is a 2015 Chevrolet 15-passenger, full size van, license plate # PFD3931. The insurance for the vehicle was observed to be valid from 3/31/2025 until 3/31/2026. The most recent inspection completed on the vehicle was conducted on 4/29/2025 and expires on 4/29/2026. The registration was observed to be current and expires on 6/30/2026. Ms. Singletary stated she and Ms. Aislinn Hardin (teacher/administrative assistant) will be the only individuals driving the vehicle. The NC Driver’s Licenses for both individuals were observed to be current and valid, expiring on 9/10/2032 and 9/12/2032 respectively. Ms. Singletary also stated parents of children being transported will provide all booster seats for children and that if a child’s parent does not leave a booster seat, that child will not be transported unless the parent brings one. All child safety restraints and seatbelts were monitored and observed to be properly functioning. A First Aid kit was observed to be located inside a small compartment above and just behind the driver’s seat and contained gloves, gauze, and band-aids. The tire tread was observed to be greater than 2/32 of an inch. Children’s applications containing identifying information, including the child's name, photograph, emergency contact information, and a copy of the emergency medical care information forms were observed located on the vehicle. Transportation boarding log templates were observed located on the vehicle. A fire extinguisher was observed located on the vehicle, but the needle on the gauge indicated the extinguisher may be underpressurized and need servicing, and it was also not secured or mounted in the vehicle. A No Smoking sign was also not observed in the vehicle. You will need to ensure a properly functioning fire extinguisher is properly mounted and secured, and a No Smoking sign is posted in the vehicle prior to transporting children. Ms. Singletary stated she would email me confirmation once these items were completed. Ms. Singletary provided me a copy of the transportation policies she created during the visit; however, these policies did not address how the program will meet all components of .1000 of Child Care Rule requirements. Once completed, send these to me, and I will review them to ensure all requirements for transportation have been addressed in your policies. You may not transport children until your transportation policies have been reviewed, a properly functioning fire extinguisher is secured/mounted on the vehicle, a No Smoking sign has been placed on the vehicle, and all children have complete, current transportation authorization forms on file and on the vehicle. SECTION .1000 - TRANSPORTATION STANDARDS 10A NCAC 09 .1001 SEAT AND CHILD SAFETY SEATS IN CHILD CARE CENTERS When children enrolled in a child care center are being transported, each adult and child shall be restrained with an individual seat belt or child safety seat appropriate to the child's age or weight in accordance with G.S. 20-135.2A located at http://www.buckleupnc.org/occupant-restraint-laws/seat-belt-law-summary/. Only one person shall occupy each seat belt or child safety seat. 10A NCAC 09 .1002 SAFE VEHICLES Vehicles used to transport children enrolled in child care centers shall be free of hazards such as, but not limited to, torn upholstery that allows children to remove the interior padding, broken windows, holes in the floor or roof, or tire treads of less than 2/32 of an inch. Vehicles used to transport children enrolled in child care centers shall comply with all applicable State and federal laws and regulations. Vehicles shall be insured for liability as required by State laws governing transportation of passengers pursuant to G.S. 20-279.21. Vehicles used to transport children in snowy, icy, and other hazardous weather conditions must be equipped with snow tires or chains as appropriate. 10A NCAC 09 .1003 SAFE PROCEDURES The driver or other staff member in the vehicle shall ensure that all children are transferred to an individual who is indicated on the child's application as specified in Rule .0801(a)(7) of this Chapter or as authorized by the parent. Each center shall establish procedures for pick-up and delivery of children to ensure children are protected from danger and not exposed to risk of harm. These procedures shall be communicated to parents, and a copy shall be posted in the center where they can be seen by the parents. A First Aid kit and fire extinguisher shall be located in each vehicle used to transport children. The First Aid kit and fire extinguisher shall be mounted or secured if kept in the passenger compartment. For each child being transported, identifying information, including the child's name, photograph, emergency contact information, and a copy of the emergency medical care information form required by Rule .0802(c) of this Chapter, shall be in the vehicle. The driver shall: (1) be 21 years old or a licensed bus driver; (2) have a valid driver's license of the type required under North Carolina Motor Vehicle Law for the vehicle being driven or comparable license from the state in which the driver resides; and (3) have no convictions of Driving While Impaired (DWI) or any other impaired driving offense within the previous three years. Each person in the vehicle shall be seated in the manufacturer's designated areas. No child shall ride in the load carrying area or floor of a vehicle. Children shall not be left in a vehicle unattended by an adult. Children shall be loaded and unloaded from curbside or in a safe, off-street area, out of the flow of traffic, so that they are protected from all traffic hazards. Before children are transported, written permission from a parent shall be obtained that shall include when and where the child is to be transported, expected time of departure and arrival, and the transportation provider. Parents may give standing permission, valid for up to 12 months, for transport of children to and from the center not including off premise activities as described in Rule .1005 of this Section. When children are transported, staff in each vehicle shall have a functioning cellular telephone or other functioning two-way voice communication device. Staff shall not use cellular telephones or other functioning two- way voice communication devices except in the case of an emergency and only when the vehicle is parked in a safe location. For routine transport of children to and from the center, staff shall have a list of the children being transported. Staff members shall use this list to document attendance as children board the vehicle and as they depart the vehicle. A list of all children being transported shall also be available at the center. 10A NCAC 09 .1004 STAFF/CHILD RATIOS When children aged two years and older are being transported, the staff/child ratios required for compliance with child care center rules as set forth in Rule .0713 of this Chapter shall apply. The driver may be counted in the staff/child ratio. When three or more children under the age of two years are being transported, the staff/child ratio requirements for child care centers set forth in Rule .0713 of this Chapter for children under age two shall be maintained. The driver shall not be counted in the staff/child ratio. When less than three children under the age of two years are being transported, the staff/child ratio requirements for child care centers set forth in Rule .0713 of this Chapter for children under age two shall be maintained. The driver may be counted in the staff/child ratio. 10A NCAC 09 .1005 OFF PREMISE ACTIVITIES IN CHILD CARE CENTERS Off premise activities refer to any activity that takes place away from a child care center's licensed and approved space. Licensed and approved space includes "primary space" as described in 10A NCAC 09 .1401(a), outdoor space as described in 10A NCAC 09 .1402, single use rooms, or other administrative areas. When children participate in off premise activities the following shall apply: (1) Children under the age of three shall not participate in off premise activities that involve children being transported in a motor vehicle. (2) When children are transported in a motor vehicle for off premise activities, the provisions in Rule (3) Before staff members walk children off premises for play or outings, the center shall obtain written permission from the parent of each child to be included in such activities. .1003(c) through (i) and (k) of this Chapter shall apply. (4) Parents may provide a written statement giving standing permission which may be valid for up to 12 months for participation in off premise activities that occur on a regular basis. (5) The center shall post a schedule of off premise activities in each participating classroom where it can be viewed by parents, and a copy shall be given to parents. The schedule shall be current and shall include the: location of the activity; purpose of the activity; time the activity will take place; date of the activity; and name of the person(s) to be contacted in the event of an emergency. (6) Each time that children are taken off the premises, staff shall take a list of the children participating in the activity with them. Staff members shall use this list to check attendance when leaving the center, periodically when the children are involved in the activity, before leaving the activity to return to the child care center, and upon return to the center. A list of all children participating in the off premise activity shall also be available at the center. The provisions of Subparagraphs (b)(1) and (5) of this Rule shall be waived to implement any child's Individualized Family Service Plan (IFSP) or Individualized Education Program (IEP). Ms. Singletary also provided me a copy of an incident report during the visit which required a child to seek medical attention. Ms. Singletary emailed me a completed copy of the incident report, witness statements, and termination form during the visit. Ms. Singletary stated in this documentation the child returned to care the same day and that the doctor said the child only had a bump on the forehead and no restrictions upon returning to care. • You must notify your consultant 30 days prior to changing the ownership status of your facility. • Please trim the berry bush which is located outside the fenced outdoor playground used for children of preschool age, but hangs over this fence into the playground area. • Monitor all fall zones at the bases of the slides following children’s play each day to ensure they have the required surfacing depth of six inches or greater. The following Child Care Rules were discussed with Ms. Singletary during the visit: SECTION .1000 - TRANSPORTATION STANDARDS 15A NCAC Sanitation Rule 18A .2826 LIGHTING AND THERMAL ENVIRONMENT (b) regarding classroom temperatures required for children older than infants (a maximum of 85 degrees) At the completion of the visit, this visit summary was reviewed with and provided to you, and you were given the opportunity to ask questions. 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. Cara McKeown, Child Care Consultant (336) 408-4849 cara.mckeown@dhhs.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 .1001 · Violation

Name of Operation: Main Street Baptist Church Early Learning Center Facility ID: 3452208 Consultant: CARA MCKEOWN-STEWART Operation Type: Center Case Number: Visit Date: 8/14/2025 Number Present: 22 Completed Date: 8/14/2025 Age: From 0 To 5 Total Minutes: 490 Time In: 08:30 AM Time Out: 04:40 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 facility to monitor compliance with applicable childcare requirements. This visit was conducted with Lekeshia Singletary, Director and Aislinn Hardin, Administrative Assistant. Your program currently operates with a Notice of Compliance. The NC Secretary of State website was reviewed on 8/14/2025, and Main Street Baptist Church, Inc. was listed as current and active. The program’s compliance history was 81% 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. Upon arrival, staff/child ratio and space capacity were monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed interactions today. I observed children playing in activity centers, participating in general routines, playing outdoors, and eating lunch. I observed developmentally appropriate materials and activities were available to the children in the classrooms. The last annual compliance visit was conducted on 9/04/2024. A sanitation inspection was completed 11/26/2024 with a Superior classification. The last fire inspection was conducted 11/19/2024. Program records and required postings were monitored. A fire drill was conducted on 7/31/2025. A lockdown drill was documented on 6/19/2025. An outdoor inspection was documented on 7/31/2025. Staff files and children’s records were monitored per DCDEE procedures. The files for two new staff members and one existing staff member were reviewed during the visit. The files for four children enrolled were also reviewed during the visit. Storage of hazardous items was monitored today. Storage and administration of medication and medication authorization were monitored. The program is not approved to provide transportation or participate in aquatic or off-premise activities at this time. The following violations were cited during today’s visit: Violation Number Comment Rule 114 A summary of the NC Child Care Law was not given to a parent of every child enrolled in the center. A signed receipt of NC Child Care Law was not observed on file for two children enrolled. GS 110-102 125 Daily records of arrival and departure times for children at the center were not maintained as children arrive and depart and/or were not made available for review. The arrival times for two children enrolled in both Spaces 4 and 5 were not recorded at the time of service. 10A NCAC 09 .0302(d)(4) 612 Each child's bed, cot, or 2" mat was not individually assigned and identified. A cot list was not observed posted in Spaces 3 and 4. 15A NCAC 18A .2821(b) & (c) 721 All equipment and furnishings were not in good repair. The handle on one toy kitchen cabinet in Space 6 was observed to be broken. G.S. 110-91(6); .0601(b) 830 A First Aid information sheet was not posted in a place for referral and/or the information sheet did not include all the required information. A First Aid poster was not observed posted in Space 6. .0802(h) 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. A hall closet containing items labeled Keep Out of Reach of Children with additional warnings was observed unlocked. .2820(b) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. The diaper cream for one child who was no longer enrolled in the program had not been returned to the parent or discarded. .0803(12) 1125 Before children were transported, written permission from a parent was not obtained that included when and where the child was to be transported, expected time of departure and arrival, and the transportation provider. Transportation authorization forms were not completed an on file for review for four children transported to school this morning. .1003(i)(j) 1320 Children's records that include an application for enrollment, medical and immunization records, and permission to seek emergency medical care was not on file for each child. The health assessments for two children enrolled were not observed on file, and the immunization records for two children enrolled were not observed on file for review. GS 110-91(1);.0302(d)(2); .0304(g) 1325 Parent’s statement includes the child’s name and date of enrollment and the date the parent signed the statement. The date of enrollment was not recorded on the Discipline Policies for two children enrolled. .1804(b) 1805 A child care operator did not notify the Division of any new child care providers, as defined in G.S. 110-90.2(a)(2), who were hired or moved into the child care facility within five business days. A facility profile for Criminal Background Checks had not been created; hence, the director and staff CBCs were not yet linked to this profile. G.S. 110-90.2 & .2703(r) 1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. One new staff member did not have a signed review of the EPR Plan on file. .0607(e) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. The topical medication authorization form for the diaper cream for one child enrolled was not observed on file. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) 1890 Each staff member did not have the required medical report, proof of tuberculosis test or screening and/or completed health questionnaire in a medical file, maintained separately from the staff member's individual personnel file. The health questionnaires for two new staff members were not stored separately from the staff members' personnel files. .0701(d) 1907 A copy of the Prevention of Shaken Baby and Abusive Head Trauma policy was not given to or explained to parents of newly enrolled children up to five years of age on or before the first day the child receives care at the center. A signed receipt of the Shaken Baby and Abusive Head Trauma Policy was not observed on file for two children enrolled. .0608(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 8/28/2024. 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 You may email the letter to cara.mckeown@dhhs.nc.gov or mail two copies of the letter to: Cara McKeown 353 Jonestown Road, Unit #146 Winston Salem, NC 27104 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 provided during today’s visit: Transportation authorization forms were not completed an on file for review for four children transported to school this morning. It is imperative all transportation authorization forms be completed and on file for review prior to transporting children enrolled. You may consider beginning to complete all required documentation for transporting children several weeks in advance of the school year beginning to ensure all necessary paperwork is complete and on file for review. You may also consider scheduling an announced Technical Assistance visit with me to review in detail the DCDEE Checklists which will support you in maintaining compliance at your facility: Program File Checklist, Staff File Checklist, Child File Checklist, Substitute File Checklist, and Volunteer File Checklist. A facility profile for Criminal Background Checks had not been created; hence, the director and staff CBCs were not yet linked to this profile. It is necessary for all staff members to be linked to the center’s facility profile in the ABCMS system, as the process of notifying the Division of any new child care providers working who were hired or moved into the child care facility within five business days has changed to include this process. Ms. Singletary stated she has the instructions I sent via email to complete this process. If you need additional assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. Consultation provided during today’s visit: Ms. Singletary stated she is interested in using the church van to begin to provide transportation for children of School Age to and from school and of Pre-K and School Age for field trips only during summers and/or breaks when children are not in school. All transportation and off-premise activity requirements and required forms were reviewed with Ms. Singletary during the visit. I monitored the vehicle which will be used to transport children during the visit. The vehicle is a 2015 Chevrolet 15-passenger, full size van, license plate # PFD3931. The insurance for the vehicle was observed to be valid from 3/31/2025 until 3/31/2026. The most recent inspection completed on the vehicle was conducted on 4/29/2025 and expires on 4/29/2026. The registration was observed to be current and expires on 6/30/2026. Ms. Singletary stated she and Ms. Aislinn Hardin (teacher/administrative assistant) will be the only individuals driving the vehicle. The NC Driver’s Licenses for both individuals were observed to be current and valid, expiring on 9/10/2032 and 9/12/2032 respectively. Ms. Singletary also stated parents of children being transported will provide all booster seats for children and that if a child’s parent does not leave a booster seat, that child will not be transported unless the parent brings one. All child safety restraints and seatbelts were monitored and observed to be properly functioning. A First Aid kit was observed to be located inside a small compartment above and just behind the driver’s seat and contained gloves, gauze, and band-aids. The tire tread was observed to be greater than 2/32 of an inch. Children’s applications containing identifying information, including the child's name, photograph, emergency contact information, and a copy of the emergency medical care information forms were observed located on the vehicle. Transportation boarding log templates were observed located on the vehicle. A fire extinguisher was observed located on the vehicle, but the needle on the gauge indicated the extinguisher may be underpressurized and need servicing, and it was also not secured or mounted in the vehicle. A No Smoking sign was also not observed in the vehicle. You will need to ensure a properly functioning fire extinguisher is properly mounted and secured, and a No Smoking sign is posted in the vehicle prior to transporting children. Ms. Singletary stated she would email me confirmation once these items were completed. Ms. Singletary provided me a copy of the transportation policies she created during the visit; however, these policies did not address how the program will meet all components of .1000 of Child Care Rule requirements. Once completed, send these to me, and I will review them to ensure all requirements for transportation have been addressed in your policies. You may not transport children until your transportation policies have been reviewed, a properly functioning fire extinguisher is secured/mounted on the vehicle, a No Smoking sign has been placed on the vehicle, and all children have complete, current transportation authorization forms on file and on the vehicle. SECTION .1000 - TRANSPORTATION STANDARDS 10A NCAC 09 .1001 SEAT AND CHILD SAFETY SEATS IN CHILD CARE CENTERS When children enrolled in a child care center are being transported, each adult and child shall be restrained with an individual seat belt or child safety seat appropriate to the child's age or weight in accordance with G.S. 20-135.2A located at http://www.buckleupnc.org/occupant-restraint-laws/seat-belt-law-summary/. Only one person shall occupy each seat belt or child safety seat. 10A NCAC 09 .1002 SAFE VEHICLES Vehicles used to transport children enrolled in child care centers shall be free of hazards such as, but not limited to, torn upholstery that allows children to remove the interior padding, broken windows, holes in the floor or roof, or tire treads of less than 2/32 of an inch. Vehicles used to transport children enrolled in child care centers shall comply with all applicable State and federal laws and regulations. Vehicles shall be insured for liability as required by State laws governing transportation of passengers pursuant to G.S. 20-279.21. Vehicles used to transport children in snowy, icy, and other hazardous weather conditions must be equipped with snow tires or chains as appropriate. 10A NCAC 09 .1003 SAFE PROCEDURES The driver or other staff member in the vehicle shall ensure that all children are transferred to an individual who is indicated on the child's application as specified in Rule .0801(a)(7) of this Chapter or as authorized by the parent. Each center shall establish procedures for pick-up and delivery of children to ensure children are protected from danger and not exposed to risk of harm. These procedures shall be communicated to parents, and a copy shall be posted in the center where they can be seen by the parents. A First Aid kit and fire extinguisher shall be located in each vehicle used to transport children. The First Aid kit and fire extinguisher shall be mounted or secured if kept in the passenger compartment. For each child being transported, identifying information, including the child's name, photograph, emergency contact information, and a copy of the emergency medical care information form required by Rule .0802(c) of this Chapter, shall be in the vehicle. The driver shall: (1) be 21 years old or a licensed bus driver; (2) have a valid driver's license of the type required under North Carolina Motor Vehicle Law for the vehicle being driven or comparable license from the state in which the driver resides; and (3) have no convictions of Driving While Impaired (DWI) or any other impaired driving offense within the previous three years. Each person in the vehicle shall be seated in the manufacturer's designated areas. No child shall ride in the load carrying area or floor of a vehicle. Children shall not be left in a vehicle unattended by an adult. Children shall be loaded and unloaded from curbside or in a safe, off-street area, out of the flow of traffic, so that they are protected from all traffic hazards. Before children are transported, written permission from a parent shall be obtained that shall include when and where the child is to be transported, expected time of departure and arrival, and the transportation provider. Parents may give standing permission, valid for up to 12 months, for transport of children to and from the center not including off premise activities as described in Rule .1005 of this Section. When children are transported, staff in each vehicle shall have a functioning cellular telephone or other functioning two-way voice communication device. Staff shall not use cellular telephones or other functioning two- way voice communication devices except in the case of an emergency and only when the vehicle is parked in a safe location. For routine transport of children to and from the center, staff shall have a list of the children being transported. Staff members shall use this list to document attendance as children board the vehicle and as they depart the vehicle. A list of all children being transported shall also be available at the center. 10A NCAC 09 .1004 STAFF/CHILD RATIOS When children aged two years and older are being transported, the staff/child ratios required for compliance with child care center rules as set forth in Rule .0713 of this Chapter shall apply. The driver may be counted in the staff/child ratio. When three or more children under the age of two years are being transported, the staff/child ratio requirements for child care centers set forth in Rule .0713 of this Chapter for children under age two shall be maintained. The driver shall not be counted in the staff/child ratio. When less than three children under the age of two years are being transported, the staff/child ratio requirements for child care centers set forth in Rule .0713 of this Chapter for children under age two shall be maintained. The driver may be counted in the staff/child ratio. 10A NCAC 09 .1005 OFF PREMISE ACTIVITIES IN CHILD CARE CENTERS Off premise activities refer to any activity that takes place away from a child care center's licensed and approved space. Licensed and approved space includes "primary space" as described in 10A NCAC 09 .1401(a), outdoor space as described in 10A NCAC 09 .1402, single use rooms, or other administrative areas. When children participate in off premise activities the following shall apply: (1) Children under the age of three shall not participate in off premise activities that involve children being transported in a motor vehicle. (2) When children are transported in a motor vehicle for off premise activities, the provisions in Rule (3) Before staff members walk children off premises for play or outings, the center shall obtain written permission from the parent of each child to be included in such activities. .1003(c) through (i) and (k) of this Chapter shall apply. (4) Parents may provide a written statement giving standing permission which may be valid for up to 12 months for participation in off premise activities that occur on a regular basis. (5) The center shall post a schedule of off premise activities in each participating classroom where it can be viewed by parents, and a copy shall be given to parents. The schedule shall be current and shall include the: location of the activity; purpose of the activity; time the activity will take place; date of the activity; and name of the person(s) to be contacted in the event of an emergency. (6) Each time that children are taken off the premises, staff shall take a list of the children participating in the activity with them. Staff members shall use this list to check attendance when leaving the center, periodically when the children are involved in the activity, before leaving the activity to return to the child care center, and upon return to the center. A list of all children participating in the off premise activity shall also be available at the center. The provisions of Subparagraphs (b)(1) and (5) of this Rule shall be waived to implement any child's Individualized Family Service Plan (IFSP) or Individualized Education Program (IEP). Ms. Singletary also provided me a copy of an incident report during the visit which required a child to seek medical attention. Ms. Singletary emailed me a completed copy of the incident report, witness statements, and termination form during the visit. Ms. Singletary stated in this documentation the child returned to care the same day and that the doctor said the child only had a bump on the forehead and no restrictions upon returning to care. • You must notify your consultant 30 days prior to changing the ownership status of your facility. • Please trim the berry bush which is located outside the fenced outdoor playground used for children of preschool age, but hangs over this fence into the playground area. • Monitor all fall zones at the bases of the slides following children’s play each day to ensure they have the required surfacing depth of six inches or greater. The following Child Care Rules were discussed with Ms. Singletary during the visit: SECTION .1000 - TRANSPORTATION STANDARDS 15A NCAC Sanitation Rule 18A .2826 LIGHTING AND THERMAL ENVIRONMENT (b) regarding classroom temperatures required for children older than infants (a maximum of 85 degrees) At the completion of the visit, this visit summary was reviewed with and provided to you, and you were given the opportunity to ask questions. 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. Cara McKeown, Child Care Consultant (336) 408-4849 cara.mckeown@dhhs.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 .1002 · Violation

Name of Operation: Main Street Baptist Church Early Learning Center Facility ID: 3452208 Consultant: CARA MCKEOWN-STEWART Operation Type: Center Case Number: Visit Date: 8/14/2025 Number Present: 22 Completed Date: 8/14/2025 Age: From 0 To 5 Total Minutes: 490 Time In: 08:30 AM Time Out: 04:40 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 facility to monitor compliance with applicable childcare requirements. This visit was conducted with Lekeshia Singletary, Director and Aislinn Hardin, Administrative Assistant. Your program currently operates with a Notice of Compliance. The NC Secretary of State website was reviewed on 8/14/2025, and Main Street Baptist Church, Inc. was listed as current and active. The program’s compliance history was 81% 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. Upon arrival, staff/child ratio and space capacity were monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed interactions today. I observed children playing in activity centers, participating in general routines, playing outdoors, and eating lunch. I observed developmentally appropriate materials and activities were available to the children in the classrooms. The last annual compliance visit was conducted on 9/04/2024. A sanitation inspection was completed 11/26/2024 with a Superior classification. The last fire inspection was conducted 11/19/2024. Program records and required postings were monitored. A fire drill was conducted on 7/31/2025. A lockdown drill was documented on 6/19/2025. An outdoor inspection was documented on 7/31/2025. Staff files and children’s records were monitored per DCDEE procedures. The files for two new staff members and one existing staff member were reviewed during the visit. The files for four children enrolled were also reviewed during the visit. Storage of hazardous items was monitored today. Storage and administration of medication and medication authorization were monitored. The program is not approved to provide transportation or participate in aquatic or off-premise activities at this time. The following violations were cited during today’s visit: Violation Number Comment Rule 114 A summary of the NC Child Care Law was not given to a parent of every child enrolled in the center. A signed receipt of NC Child Care Law was not observed on file for two children enrolled. GS 110-102 125 Daily records of arrival and departure times for children at the center were not maintained as children arrive and depart and/or were not made available for review. The arrival times for two children enrolled in both Spaces 4 and 5 were not recorded at the time of service. 10A NCAC 09 .0302(d)(4) 612 Each child's bed, cot, or 2" mat was not individually assigned and identified. A cot list was not observed posted in Spaces 3 and 4. 15A NCAC 18A .2821(b) & (c) 721 All equipment and furnishings were not in good repair. The handle on one toy kitchen cabinet in Space 6 was observed to be broken. G.S. 110-91(6); .0601(b) 830 A First Aid information sheet was not posted in a place for referral and/or the information sheet did not include all the required information. A First Aid poster was not observed posted in Space 6. .0802(h) 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. A hall closet containing items labeled Keep Out of Reach of Children with additional warnings was observed unlocked. .2820(b) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. The diaper cream for one child who was no longer enrolled in the program had not been returned to the parent or discarded. .0803(12) 1125 Before children were transported, written permission from a parent was not obtained that included when and where the child was to be transported, expected time of departure and arrival, and the transportation provider. Transportation authorization forms were not completed an on file for review for four children transported to school this morning. .1003(i)(j) 1320 Children's records that include an application for enrollment, medical and immunization records, and permission to seek emergency medical care was not on file for each child. The health assessments for two children enrolled were not observed on file, and the immunization records for two children enrolled were not observed on file for review. GS 110-91(1);.0302(d)(2); .0304(g) 1325 Parent’s statement includes the child’s name and date of enrollment and the date the parent signed the statement. The date of enrollment was not recorded on the Discipline Policies for two children enrolled. .1804(b) 1805 A child care operator did not notify the Division of any new child care providers, as defined in G.S. 110-90.2(a)(2), who were hired or moved into the child care facility within five business days. A facility profile for Criminal Background Checks had not been created; hence, the director and staff CBCs were not yet linked to this profile. G.S. 110-90.2 & .2703(r) 1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. One new staff member did not have a signed review of the EPR Plan on file. .0607(e) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. The topical medication authorization form for the diaper cream for one child enrolled was not observed on file. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) 1890 Each staff member did not have the required medical report, proof of tuberculosis test or screening and/or completed health questionnaire in a medical file, maintained separately from the staff member's individual personnel file. The health questionnaires for two new staff members were not stored separately from the staff members' personnel files. .0701(d) 1907 A copy of the Prevention of Shaken Baby and Abusive Head Trauma policy was not given to or explained to parents of newly enrolled children up to five years of age on or before the first day the child receives care at the center. A signed receipt of the Shaken Baby and Abusive Head Trauma Policy was not observed on file for two children enrolled. .0608(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 8/28/2024. 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 You may email the letter to cara.mckeown@dhhs.nc.gov or mail two copies of the letter to: Cara McKeown 353 Jonestown Road, Unit #146 Winston Salem, NC 27104 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 provided during today’s visit: Transportation authorization forms were not completed an on file for review for four children transported to school this morning. It is imperative all transportation authorization forms be completed and on file for review prior to transporting children enrolled. You may consider beginning to complete all required documentation for transporting children several weeks in advance of the school year beginning to ensure all necessary paperwork is complete and on file for review. You may also consider scheduling an announced Technical Assistance visit with me to review in detail the DCDEE Checklists which will support you in maintaining compliance at your facility: Program File Checklist, Staff File Checklist, Child File Checklist, Substitute File Checklist, and Volunteer File Checklist. A facility profile for Criminal Background Checks had not been created; hence, the director and staff CBCs were not yet linked to this profile. It is necessary for all staff members to be linked to the center’s facility profile in the ABCMS system, as the process of notifying the Division of any new child care providers working who were hired or moved into the child care facility within five business days has changed to include this process. Ms. Singletary stated she has the instructions I sent via email to complete this process. If you need additional assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. Consultation provided during today’s visit: Ms. Singletary stated she is interested in using the church van to begin to provide transportation for children of School Age to and from school and of Pre-K and School Age for field trips only during summers and/or breaks when children are not in school. All transportation and off-premise activity requirements and required forms were reviewed with Ms. Singletary during the visit. I monitored the vehicle which will be used to transport children during the visit. The vehicle is a 2015 Chevrolet 15-passenger, full size van, license plate # PFD3931. The insurance for the vehicle was observed to be valid from 3/31/2025 until 3/31/2026. The most recent inspection completed on the vehicle was conducted on 4/29/2025 and expires on 4/29/2026. The registration was observed to be current and expires on 6/30/2026. Ms. Singletary stated she and Ms. Aislinn Hardin (teacher/administrative assistant) will be the only individuals driving the vehicle. The NC Driver’s Licenses for both individuals were observed to be current and valid, expiring on 9/10/2032 and 9/12/2032 respectively. Ms. Singletary also stated parents of children being transported will provide all booster seats for children and that if a child’s parent does not leave a booster seat, that child will not be transported unless the parent brings one. All child safety restraints and seatbelts were monitored and observed to be properly functioning. A First Aid kit was observed to be located inside a small compartment above and just behind the driver’s seat and contained gloves, gauze, and band-aids. The tire tread was observed to be greater than 2/32 of an inch. Children’s applications containing identifying information, including the child's name, photograph, emergency contact information, and a copy of the emergency medical care information forms were observed located on the vehicle. Transportation boarding log templates were observed located on the vehicle. A fire extinguisher was observed located on the vehicle, but the needle on the gauge indicated the extinguisher may be underpressurized and need servicing, and it was also not secured or mounted in the vehicle. A No Smoking sign was also not observed in the vehicle. You will need to ensure a properly functioning fire extinguisher is properly mounted and secured, and a No Smoking sign is posted in the vehicle prior to transporting children. Ms. Singletary stated she would email me confirmation once these items were completed. Ms. Singletary provided me a copy of the transportation policies she created during the visit; however, these policies did not address how the program will meet all components of .1000 of Child Care Rule requirements. Once completed, send these to me, and I will review them to ensure all requirements for transportation have been addressed in your policies. You may not transport children until your transportation policies have been reviewed, a properly functioning fire extinguisher is secured/mounted on the vehicle, a No Smoking sign has been placed on the vehicle, and all children have complete, current transportation authorization forms on file and on the vehicle. SECTION .1000 - TRANSPORTATION STANDARDS 10A NCAC 09 .1001 SEAT AND CHILD SAFETY SEATS IN CHILD CARE CENTERS When children enrolled in a child care center are being transported, each adult and child shall be restrained with an individual seat belt or child safety seat appropriate to the child's age or weight in accordance with G.S. 20-135.2A located at http://www.buckleupnc.org/occupant-restraint-laws/seat-belt-law-summary/. Only one person shall occupy each seat belt or child safety seat. 10A NCAC 09 .1002 SAFE VEHICLES Vehicles used to transport children enrolled in child care centers shall be free of hazards such as, but not limited to, torn upholstery that allows children to remove the interior padding, broken windows, holes in the floor or roof, or tire treads of less than 2/32 of an inch. Vehicles used to transport children enrolled in child care centers shall comply with all applicable State and federal laws and regulations. Vehicles shall be insured for liability as required by State laws governing transportation of passengers pursuant to G.S. 20-279.21. Vehicles used to transport children in snowy, icy, and other hazardous weather conditions must be equipped with snow tires or chains as appropriate. 10A NCAC 09 .1003 SAFE PROCEDURES The driver or other staff member in the vehicle shall ensure that all children are transferred to an individual who is indicated on the child's application as specified in Rule .0801(a)(7) of this Chapter or as authorized by the parent. Each center shall establish procedures for pick-up and delivery of children to ensure children are protected from danger and not exposed to risk of harm. These procedures shall be communicated to parents, and a copy shall be posted in the center where they can be seen by the parents. A First Aid kit and fire extinguisher shall be located in each vehicle used to transport children. The First Aid kit and fire extinguisher shall be mounted or secured if kept in the passenger compartment. For each child being transported, identifying information, including the child's name, photograph, emergency contact information, and a copy of the emergency medical care information form required by Rule .0802(c) of this Chapter, shall be in the vehicle. The driver shall: (1) be 21 years old or a licensed bus driver; (2) have a valid driver's license of the type required under North Carolina Motor Vehicle Law for the vehicle being driven or comparable license from the state in which the driver resides; and (3) have no convictions of Driving While Impaired (DWI) or any other impaired driving offense within the previous three years. Each person in the vehicle shall be seated in the manufacturer's designated areas. No child shall ride in the load carrying area or floor of a vehicle. Children shall not be left in a vehicle unattended by an adult. Children shall be loaded and unloaded from curbside or in a safe, off-street area, out of the flow of traffic, so that they are protected from all traffic hazards. Before children are transported, written permission from a parent shall be obtained that shall include when and where the child is to be transported, expected time of departure and arrival, and the transportation provider. Parents may give standing permission, valid for up to 12 months, for transport of children to and from the center not including off premise activities as described in Rule .1005 of this Section. When children are transported, staff in each vehicle shall have a functioning cellular telephone or other functioning two-way voice communication device. Staff shall not use cellular telephones or other functioning two- way voice communication devices except in the case of an emergency and only when the vehicle is parked in a safe location. For routine transport of children to and from the center, staff shall have a list of the children being transported. Staff members shall use this list to document attendance as children board the vehicle and as they depart the vehicle. A list of all children being transported shall also be available at the center. 10A NCAC 09 .1004 STAFF/CHILD RATIOS When children aged two years and older are being transported, the staff/child ratios required for compliance with child care center rules as set forth in Rule .0713 of this Chapter shall apply. The driver may be counted in the staff/child ratio. When three or more children under the age of two years are being transported, the staff/child ratio requirements for child care centers set forth in Rule .0713 of this Chapter for children under age two shall be maintained. The driver shall not be counted in the staff/child ratio. When less than three children under the age of two years are being transported, the staff/child ratio requirements for child care centers set forth in Rule .0713 of this Chapter for children under age two shall be maintained. The driver may be counted in the staff/child ratio. 10A NCAC 09 .1005 OFF PREMISE ACTIVITIES IN CHILD CARE CENTERS Off premise activities refer to any activity that takes place away from a child care center's licensed and approved space. Licensed and approved space includes "primary space" as described in 10A NCAC 09 .1401(a), outdoor space as described in 10A NCAC 09 .1402, single use rooms, or other administrative areas. When children participate in off premise activities the following shall apply: (1) Children under the age of three shall not participate in off premise activities that involve children being transported in a motor vehicle. (2) When children are transported in a motor vehicle for off premise activities, the provisions in Rule (3) Before staff members walk children off premises for play or outings, the center shall obtain written permission from the parent of each child to be included in such activities. .1003(c) through (i) and (k) of this Chapter shall apply. (4) Parents may provide a written statement giving standing permission which may be valid for up to 12 months for participation in off premise activities that occur on a regular basis. (5) The center shall post a schedule of off premise activities in each participating classroom where it can be viewed by parents, and a copy shall be given to parents. The schedule shall be current and shall include the: location of the activity; purpose of the activity; time the activity will take place; date of the activity; and name of the person(s) to be contacted in the event of an emergency. (6) Each time that children are taken off the premises, staff shall take a list of the children participating in the activity with them. Staff members shall use this list to check attendance when leaving the center, periodically when the children are involved in the activity, before leaving the activity to return to the child care center, and upon return to the center. A list of all children participating in the off premise activity shall also be available at the center. The provisions of Subparagraphs (b)(1) and (5) of this Rule shall be waived to implement any child's Individualized Family Service Plan (IFSP) or Individualized Education Program (IEP). Ms. Singletary also provided me a copy of an incident report during the visit which required a child to seek medical attention. Ms. Singletary emailed me a completed copy of the incident report, witness statements, and termination form during the visit. Ms. Singletary stated in this documentation the child returned to care the same day and that the doctor said the child only had a bump on the forehead and no restrictions upon returning to care. • You must notify your consultant 30 days prior to changing the ownership status of your facility. • Please trim the berry bush which is located outside the fenced outdoor playground used for children of preschool age, but hangs over this fence into the playground area. • Monitor all fall zones at the bases of the slides following children’s play each day to ensure they have the required surfacing depth of six inches or greater. The following Child Care Rules were discussed with Ms. Singletary during the visit: SECTION .1000 - TRANSPORTATION STANDARDS 15A NCAC Sanitation Rule 18A .2826 LIGHTING AND THERMAL ENVIRONMENT (b) regarding classroom temperatures required for children older than infants (a maximum of 85 degrees) At the completion of the visit, this visit summary was reviewed with and provided to you, and you were given the opportunity to ask questions. 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. Cara McKeown, Child Care Consultant (336) 408-4849 cara.mckeown@dhhs.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 .1003 · Violation

Name of Operation: Main Street Baptist Church Early Learning Center Facility ID: 3452208 Consultant: CARA MCKEOWN-STEWART Operation Type: Center Case Number: Visit Date: 8/14/2025 Number Present: 22 Completed Date: 8/14/2025 Age: From 0 To 5 Total Minutes: 490 Time In: 08:30 AM Time Out: 04:40 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 facility to monitor compliance with applicable childcare requirements. This visit was conducted with Lekeshia Singletary, Director and Aislinn Hardin, Administrative Assistant. Your program currently operates with a Notice of Compliance. The NC Secretary of State website was reviewed on 8/14/2025, and Main Street Baptist Church, Inc. was listed as current and active. The program’s compliance history was 81% 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. Upon arrival, staff/child ratio and space capacity were monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed interactions today. I observed children playing in activity centers, participating in general routines, playing outdoors, and eating lunch. I observed developmentally appropriate materials and activities were available to the children in the classrooms. The last annual compliance visit was conducted on 9/04/2024. A sanitation inspection was completed 11/26/2024 with a Superior classification. The last fire inspection was conducted 11/19/2024. Program records and required postings were monitored. A fire drill was conducted on 7/31/2025. A lockdown drill was documented on 6/19/2025. An outdoor inspection was documented on 7/31/2025. Staff files and children’s records were monitored per DCDEE procedures. The files for two new staff members and one existing staff member were reviewed during the visit. The files for four children enrolled were also reviewed during the visit. Storage of hazardous items was monitored today. Storage and administration of medication and medication authorization were monitored. The program is not approved to provide transportation or participate in aquatic or off-premise activities at this time. The following violations were cited during today’s visit: Violation Number Comment Rule 114 A summary of the NC Child Care Law was not given to a parent of every child enrolled in the center. A signed receipt of NC Child Care Law was not observed on file for two children enrolled. GS 110-102 125 Daily records of arrival and departure times for children at the center were not maintained as children arrive and depart and/or were not made available for review. The arrival times for two children enrolled in both Spaces 4 and 5 were not recorded at the time of service. 10A NCAC 09 .0302(d)(4) 612 Each child's bed, cot, or 2" mat was not individually assigned and identified. A cot list was not observed posted in Spaces 3 and 4. 15A NCAC 18A .2821(b) & (c) 721 All equipment and furnishings were not in good repair. The handle on one toy kitchen cabinet in Space 6 was observed to be broken. G.S. 110-91(6); .0601(b) 830 A First Aid information sheet was not posted in a place for referral and/or the information sheet did not include all the required information. A First Aid poster was not observed posted in Space 6. .0802(h) 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. A hall closet containing items labeled Keep Out of Reach of Children with additional warnings was observed unlocked. .2820(b) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. The diaper cream for one child who was no longer enrolled in the program had not been returned to the parent or discarded. .0803(12) 1125 Before children were transported, written permission from a parent was not obtained that included when and where the child was to be transported, expected time of departure and arrival, and the transportation provider. Transportation authorization forms were not completed an on file for review for four children transported to school this morning. .1003(i)(j) 1320 Children's records that include an application for enrollment, medical and immunization records, and permission to seek emergency medical care was not on file for each child. The health assessments for two children enrolled were not observed on file, and the immunization records for two children enrolled were not observed on file for review. GS 110-91(1);.0302(d)(2); .0304(g) 1325 Parent’s statement includes the child’s name and date of enrollment and the date the parent signed the statement. The date of enrollment was not recorded on the Discipline Policies for two children enrolled. .1804(b) 1805 A child care operator did not notify the Division of any new child care providers, as defined in G.S. 110-90.2(a)(2), who were hired or moved into the child care facility within five business days. A facility profile for Criminal Background Checks had not been created; hence, the director and staff CBCs were not yet linked to this profile. G.S. 110-90.2 & .2703(r) 1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. One new staff member did not have a signed review of the EPR Plan on file. .0607(e) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. The topical medication authorization form for the diaper cream for one child enrolled was not observed on file. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) 1890 Each staff member did not have the required medical report, proof of tuberculosis test or screening and/or completed health questionnaire in a medical file, maintained separately from the staff member's individual personnel file. The health questionnaires for two new staff members were not stored separately from the staff members' personnel files. .0701(d) 1907 A copy of the Prevention of Shaken Baby and Abusive Head Trauma policy was not given to or explained to parents of newly enrolled children up to five years of age on or before the first day the child receives care at the center. A signed receipt of the Shaken Baby and Abusive Head Trauma Policy was not observed on file for two children enrolled. .0608(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 8/28/2024. 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 You may email the letter to cara.mckeown@dhhs.nc.gov or mail two copies of the letter to: Cara McKeown 353 Jonestown Road, Unit #146 Winston Salem, NC 27104 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 provided during today’s visit: Transportation authorization forms were not completed an on file for review for four children transported to school this morning. It is imperative all transportation authorization forms be completed and on file for review prior to transporting children enrolled. You may consider beginning to complete all required documentation for transporting children several weeks in advance of the school year beginning to ensure all necessary paperwork is complete and on file for review. You may also consider scheduling an announced Technical Assistance visit with me to review in detail the DCDEE Checklists which will support you in maintaining compliance at your facility: Program File Checklist, Staff File Checklist, Child File Checklist, Substitute File Checklist, and Volunteer File Checklist. A facility profile for Criminal Background Checks had not been created; hence, the director and staff CBCs were not yet linked to this profile. It is necessary for all staff members to be linked to the center’s facility profile in the ABCMS system, as the process of notifying the Division of any new child care providers working who were hired or moved into the child care facility within five business days has changed to include this process. Ms. Singletary stated she has the instructions I sent via email to complete this process. If you need additional assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. Consultation provided during today’s visit: Ms. Singletary stated she is interested in using the church van to begin to provide transportation for children of School Age to and from school and of Pre-K and School Age for field trips only during summers and/or breaks when children are not in school. All transportation and off-premise activity requirements and required forms were reviewed with Ms. Singletary during the visit. I monitored the vehicle which will be used to transport children during the visit. The vehicle is a 2015 Chevrolet 15-passenger, full size van, license plate # PFD3931. The insurance for the vehicle was observed to be valid from 3/31/2025 until 3/31/2026. The most recent inspection completed on the vehicle was conducted on 4/29/2025 and expires on 4/29/2026. The registration was observed to be current and expires on 6/30/2026. Ms. Singletary stated she and Ms. Aislinn Hardin (teacher/administrative assistant) will be the only individuals driving the vehicle. The NC Driver’s Licenses for both individuals were observed to be current and valid, expiring on 9/10/2032 and 9/12/2032 respectively. Ms. Singletary also stated parents of children being transported will provide all booster seats for children and that if a child’s parent does not leave a booster seat, that child will not be transported unless the parent brings one. All child safety restraints and seatbelts were monitored and observed to be properly functioning. A First Aid kit was observed to be located inside a small compartment above and just behind the driver’s seat and contained gloves, gauze, and band-aids. The tire tread was observed to be greater than 2/32 of an inch. Children’s applications containing identifying information, including the child's name, photograph, emergency contact information, and a copy of the emergency medical care information forms were observed located on the vehicle. Transportation boarding log templates were observed located on the vehicle. A fire extinguisher was observed located on the vehicle, but the needle on the gauge indicated the extinguisher may be underpressurized and need servicing, and it was also not secured or mounted in the vehicle. A No Smoking sign was also not observed in the vehicle. You will need to ensure a properly functioning fire extinguisher is properly mounted and secured, and a No Smoking sign is posted in the vehicle prior to transporting children. Ms. Singletary stated she would email me confirmation once these items were completed. Ms. Singletary provided me a copy of the transportation policies she created during the visit; however, these policies did not address how the program will meet all components of .1000 of Child Care Rule requirements. Once completed, send these to me, and I will review them to ensure all requirements for transportation have been addressed in your policies. You may not transport children until your transportation policies have been reviewed, a properly functioning fire extinguisher is secured/mounted on the vehicle, a No Smoking sign has been placed on the vehicle, and all children have complete, current transportation authorization forms on file and on the vehicle. SECTION .1000 - TRANSPORTATION STANDARDS 10A NCAC 09 .1001 SEAT AND CHILD SAFETY SEATS IN CHILD CARE CENTERS When children enrolled in a child care center are being transported, each adult and child shall be restrained with an individual seat belt or child safety seat appropriate to the child's age or weight in accordance with G.S. 20-135.2A located at http://www.buckleupnc.org/occupant-restraint-laws/seat-belt-law-summary/. Only one person shall occupy each seat belt or child safety seat. 10A NCAC 09 .1002 SAFE VEHICLES Vehicles used to transport children enrolled in child care centers shall be free of hazards such as, but not limited to, torn upholstery that allows children to remove the interior padding, broken windows, holes in the floor or roof, or tire treads of less than 2/32 of an inch. Vehicles used to transport children enrolled in child care centers shall comply with all applicable State and federal laws and regulations. Vehicles shall be insured for liability as required by State laws governing transportation of passengers pursuant to G.S. 20-279.21. Vehicles used to transport children in snowy, icy, and other hazardous weather conditions must be equipped with snow tires or chains as appropriate. 10A NCAC 09 .1003 SAFE PROCEDURES The driver or other staff member in the vehicle shall ensure that all children are transferred to an individual who is indicated on the child's application as specified in Rule .0801(a)(7) of this Chapter or as authorized by the parent. Each center shall establish procedures for pick-up and delivery of children to ensure children are protected from danger and not exposed to risk of harm. These procedures shall be communicated to parents, and a copy shall be posted in the center where they can be seen by the parents. A First Aid kit and fire extinguisher shall be located in each vehicle used to transport children. The First Aid kit and fire extinguisher shall be mounted or secured if kept in the passenger compartment. For each child being transported, identifying information, including the child's name, photograph, emergency contact information, and a copy of the emergency medical care information form required by Rule .0802(c) of this Chapter, shall be in the vehicle. The driver shall: (1) be 21 years old or a licensed bus driver; (2) have a valid driver's license of the type required under North Carolina Motor Vehicle Law for the vehicle being driven or comparable license from the state in which the driver resides; and (3) have no convictions of Driving While Impaired (DWI) or any other impaired driving offense within the previous three years. Each person in the vehicle shall be seated in the manufacturer's designated areas. No child shall ride in the load carrying area or floor of a vehicle. Children shall not be left in a vehicle unattended by an adult. Children shall be loaded and unloaded from curbside or in a safe, off-street area, out of the flow of traffic, so that they are protected from all traffic hazards. Before children are transported, written permission from a parent shall be obtained that shall include when and where the child is to be transported, expected time of departure and arrival, and the transportation provider. Parents may give standing permission, valid for up to 12 months, for transport of children to and from the center not including off premise activities as described in Rule .1005 of this Section. When children are transported, staff in each vehicle shall have a functioning cellular telephone or other functioning two-way voice communication device. Staff shall not use cellular telephones or other functioning two- way voice communication devices except in the case of an emergency and only when the vehicle is parked in a safe location. For routine transport of children to and from the center, staff shall have a list of the children being transported. Staff members shall use this list to document attendance as children board the vehicle and as they depart the vehicle. A list of all children being transported shall also be available at the center. 10A NCAC 09 .1004 STAFF/CHILD RATIOS When children aged two years and older are being transported, the staff/child ratios required for compliance with child care center rules as set forth in Rule .0713 of this Chapter shall apply. The driver may be counted in the staff/child ratio. When three or more children under the age of two years are being transported, the staff/child ratio requirements for child care centers set forth in Rule .0713 of this Chapter for children under age two shall be maintained. The driver shall not be counted in the staff/child ratio. When less than three children under the age of two years are being transported, the staff/child ratio requirements for child care centers set forth in Rule .0713 of this Chapter for children under age two shall be maintained. The driver may be counted in the staff/child ratio. 10A NCAC 09 .1005 OFF PREMISE ACTIVITIES IN CHILD CARE CENTERS Off premise activities refer to any activity that takes place away from a child care center's licensed and approved space. Licensed and approved space includes "primary space" as described in 10A NCAC 09 .1401(a), outdoor space as described in 10A NCAC 09 .1402, single use rooms, or other administrative areas. When children participate in off premise activities the following shall apply: (1) Children under the age of three shall not participate in off premise activities that involve children being transported in a motor vehicle. (2) When children are transported in a motor vehicle for off premise activities, the provisions in Rule (3) Before staff members walk children off premises for play or outings, the center shall obtain written permission from the parent of each child to be included in such activities. .1003(c) through (i) and (k) of this Chapter shall apply. (4) Parents may provide a written statement giving standing permission which may be valid for up to 12 months for participation in off premise activities that occur on a regular basis. (5) The center shall post a schedule of off premise activities in each participating classroom where it can be viewed by parents, and a copy shall be given to parents. The schedule shall be current and shall include the: location of the activity; purpose of the activity; time the activity will take place; date of the activity; and name of the person(s) to be contacted in the event of an emergency. (6) Each time that children are taken off the premises, staff shall take a list of the children participating in the activity with them. Staff members shall use this list to check attendance when leaving the center, periodically when the children are involved in the activity, before leaving the activity to return to the child care center, and upon return to the center. A list of all children participating in the off premise activity shall also be available at the center. The provisions of Subparagraphs (b)(1) and (5) of this Rule shall be waived to implement any child's Individualized Family Service Plan (IFSP) or Individualized Education Program (IEP). Ms. Singletary also provided me a copy of an incident report during the visit which required a child to seek medical attention. Ms. Singletary emailed me a completed copy of the incident report, witness statements, and termination form during the visit. Ms. Singletary stated in this documentation the child returned to care the same day and that the doctor said the child only had a bump on the forehead and no restrictions upon returning to care. • You must notify your consultant 30 days prior to changing the ownership status of your facility. • Please trim the berry bush which is located outside the fenced outdoor playground used for children of preschool age, but hangs over this fence into the playground area. • Monitor all fall zones at the bases of the slides following children’s play each day to ensure they have the required surfacing depth of six inches or greater. The following Child Care Rules were discussed with Ms. Singletary during the visit: SECTION .1000 - TRANSPORTATION STANDARDS 15A NCAC Sanitation Rule 18A .2826 LIGHTING AND THERMAL ENVIRONMENT (b) regarding classroom temperatures required for children older than infants (a maximum of 85 degrees) At the completion of the visit, this visit summary was reviewed with and provided to you, and you were given the opportunity to ask questions. 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. Cara McKeown, Child Care Consultant (336) 408-4849 cara.mckeown@dhhs.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 .1004 · Violation

Name of Operation: Main Street Baptist Church Early Learning Center Facility ID: 3452208 Consultant: CARA MCKEOWN-STEWART Operation Type: Center Case Number: Visit Date: 8/14/2025 Number Present: 22 Completed Date: 8/14/2025 Age: From 0 To 5 Total Minutes: 490 Time In: 08:30 AM Time Out: 04:40 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 facility to monitor compliance with applicable childcare requirements. This visit was conducted with Lekeshia Singletary, Director and Aislinn Hardin, Administrative Assistant. Your program currently operates with a Notice of Compliance. The NC Secretary of State website was reviewed on 8/14/2025, and Main Street Baptist Church, Inc. was listed as current and active. The program’s compliance history was 81% 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. Upon arrival, staff/child ratio and space capacity were monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed interactions today. I observed children playing in activity centers, participating in general routines, playing outdoors, and eating lunch. I observed developmentally appropriate materials and activities were available to the children in the classrooms. The last annual compliance visit was conducted on 9/04/2024. A sanitation inspection was completed 11/26/2024 with a Superior classification. The last fire inspection was conducted 11/19/2024. Program records and required postings were monitored. A fire drill was conducted on 7/31/2025. A lockdown drill was documented on 6/19/2025. An outdoor inspection was documented on 7/31/2025. Staff files and children’s records were monitored per DCDEE procedures. The files for two new staff members and one existing staff member were reviewed during the visit. The files for four children enrolled were also reviewed during the visit. Storage of hazardous items was monitored today. Storage and administration of medication and medication authorization were monitored. The program is not approved to provide transportation or participate in aquatic or off-premise activities at this time. The following violations were cited during today’s visit: Violation Number Comment Rule 114 A summary of the NC Child Care Law was not given to a parent of every child enrolled in the center. A signed receipt of NC Child Care Law was not observed on file for two children enrolled. GS 110-102 125 Daily records of arrival and departure times for children at the center were not maintained as children arrive and depart and/or were not made available for review. The arrival times for two children enrolled in both Spaces 4 and 5 were not recorded at the time of service. 10A NCAC 09 .0302(d)(4) 612 Each child's bed, cot, or 2" mat was not individually assigned and identified. A cot list was not observed posted in Spaces 3 and 4. 15A NCAC 18A .2821(b) & (c) 721 All equipment and furnishings were not in good repair. The handle on one toy kitchen cabinet in Space 6 was observed to be broken. G.S. 110-91(6); .0601(b) 830 A First Aid information sheet was not posted in a place for referral and/or the information sheet did not include all the required information. A First Aid poster was not observed posted in Space 6. .0802(h) 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. A hall closet containing items labeled Keep Out of Reach of Children with additional warnings was observed unlocked. .2820(b) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. The diaper cream for one child who was no longer enrolled in the program had not been returned to the parent or discarded. .0803(12) 1125 Before children were transported, written permission from a parent was not obtained that included when and where the child was to be transported, expected time of departure and arrival, and the transportation provider. Transportation authorization forms were not completed an on file for review for four children transported to school this morning. .1003(i)(j) 1320 Children's records that include an application for enrollment, medical and immunization records, and permission to seek emergency medical care was not on file for each child. The health assessments for two children enrolled were not observed on file, and the immunization records for two children enrolled were not observed on file for review. GS 110-91(1);.0302(d)(2); .0304(g) 1325 Parent’s statement includes the child’s name and date of enrollment and the date the parent signed the statement. The date of enrollment was not recorded on the Discipline Policies for two children enrolled. .1804(b) 1805 A child care operator did not notify the Division of any new child care providers, as defined in G.S. 110-90.2(a)(2), who were hired or moved into the child care facility within five business days. A facility profile for Criminal Background Checks had not been created; hence, the director and staff CBCs were not yet linked to this profile. G.S. 110-90.2 & .2703(r) 1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. One new staff member did not have a signed review of the EPR Plan on file. .0607(e) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. The topical medication authorization form for the diaper cream for one child enrolled was not observed on file. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) 1890 Each staff member did not have the required medical report, proof of tuberculosis test or screening and/or completed health questionnaire in a medical file, maintained separately from the staff member's individual personnel file. The health questionnaires for two new staff members were not stored separately from the staff members' personnel files. .0701(d) 1907 A copy of the Prevention of Shaken Baby and Abusive Head Trauma policy was not given to or explained to parents of newly enrolled children up to five years of age on or before the first day the child receives care at the center. A signed receipt of the Shaken Baby and Abusive Head Trauma Policy was not observed on file for two children enrolled. .0608(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 8/28/2024. 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 You may email the letter to cara.mckeown@dhhs.nc.gov or mail two copies of the letter to: Cara McKeown 353 Jonestown Road, Unit #146 Winston Salem, NC 27104 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 provided during today’s visit: Transportation authorization forms were not completed an on file for review for four children transported to school this morning. It is imperative all transportation authorization forms be completed and on file for review prior to transporting children enrolled. You may consider beginning to complete all required documentation for transporting children several weeks in advance of the school year beginning to ensure all necessary paperwork is complete and on file for review. You may also consider scheduling an announced Technical Assistance visit with me to review in detail the DCDEE Checklists which will support you in maintaining compliance at your facility: Program File Checklist, Staff File Checklist, Child File Checklist, Substitute File Checklist, and Volunteer File Checklist. A facility profile for Criminal Background Checks had not been created; hence, the director and staff CBCs were not yet linked to this profile. It is necessary for all staff members to be linked to the center’s facility profile in the ABCMS system, as the process of notifying the Division of any new child care providers working who were hired or moved into the child care facility within five business days has changed to include this process. Ms. Singletary stated she has the instructions I sent via email to complete this process. If you need additional assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. Consultation provided during today’s visit: Ms. Singletary stated she is interested in using the church van to begin to provide transportation for children of School Age to and from school and of Pre-K and School Age for field trips only during summers and/or breaks when children are not in school. All transportation and off-premise activity requirements and required forms were reviewed with Ms. Singletary during the visit. I monitored the vehicle which will be used to transport children during the visit. The vehicle is a 2015 Chevrolet 15-passenger, full size van, license plate # PFD3931. The insurance for the vehicle was observed to be valid from 3/31/2025 until 3/31/2026. The most recent inspection completed on the vehicle was conducted on 4/29/2025 and expires on 4/29/2026. The registration was observed to be current and expires on 6/30/2026. Ms. Singletary stated she and Ms. Aislinn Hardin (teacher/administrative assistant) will be the only individuals driving the vehicle. The NC Driver’s Licenses for both individuals were observed to be current and valid, expiring on 9/10/2032 and 9/12/2032 respectively. Ms. Singletary also stated parents of children being transported will provide all booster seats for children and that if a child’s parent does not leave a booster seat, that child will not be transported unless the parent brings one. All child safety restraints and seatbelts were monitored and observed to be properly functioning. A First Aid kit was observed to be located inside a small compartment above and just behind the driver’s seat and contained gloves, gauze, and band-aids. The tire tread was observed to be greater than 2/32 of an inch. Children’s applications containing identifying information, including the child's name, photograph, emergency contact information, and a copy of the emergency medical care information forms were observed located on the vehicle. Transportation boarding log templates were observed located on the vehicle. A fire extinguisher was observed located on the vehicle, but the needle on the gauge indicated the extinguisher may be underpressurized and need servicing, and it was also not secured or mounted in the vehicle. A No Smoking sign was also not observed in the vehicle. You will need to ensure a properly functioning fire extinguisher is properly mounted and secured, and a No Smoking sign is posted in the vehicle prior to transporting children. Ms. Singletary stated she would email me confirmation once these items were completed. Ms. Singletary provided me a copy of the transportation policies she created during the visit; however, these policies did not address how the program will meet all components of .1000 of Child Care Rule requirements. Once completed, send these to me, and I will review them to ensure all requirements for transportation have been addressed in your policies. You may not transport children until your transportation policies have been reviewed, a properly functioning fire extinguisher is secured/mounted on the vehicle, a No Smoking sign has been placed on the vehicle, and all children have complete, current transportation authorization forms on file and on the vehicle. SECTION .1000 - TRANSPORTATION STANDARDS 10A NCAC 09 .1001 SEAT AND CHILD SAFETY SEATS IN CHILD CARE CENTERS When children enrolled in a child care center are being transported, each adult and child shall be restrained with an individual seat belt or child safety seat appropriate to the child's age or weight in accordance with G.S. 20-135.2A located at http://www.buckleupnc.org/occupant-restraint-laws/seat-belt-law-summary/. Only one person shall occupy each seat belt or child safety seat. 10A NCAC 09 .1002 SAFE VEHICLES Vehicles used to transport children enrolled in child care centers shall be free of hazards such as, but not limited to, torn upholstery that allows children to remove the interior padding, broken windows, holes in the floor or roof, or tire treads of less than 2/32 of an inch. Vehicles used to transport children enrolled in child care centers shall comply with all applicable State and federal laws and regulations. Vehicles shall be insured for liability as required by State laws governing transportation of passengers pursuant to G.S. 20-279.21. Vehicles used to transport children in snowy, icy, and other hazardous weather conditions must be equipped with snow tires or chains as appropriate. 10A NCAC 09 .1003 SAFE PROCEDURES The driver or other staff member in the vehicle shall ensure that all children are transferred to an individual who is indicated on the child's application as specified in Rule .0801(a)(7) of this Chapter or as authorized by the parent. Each center shall establish procedures for pick-up and delivery of children to ensure children are protected from danger and not exposed to risk of harm. These procedures shall be communicated to parents, and a copy shall be posted in the center where they can be seen by the parents. A First Aid kit and fire extinguisher shall be located in each vehicle used to transport children. The First Aid kit and fire extinguisher shall be mounted or secured if kept in the passenger compartment. For each child being transported, identifying information, including the child's name, photograph, emergency contact information, and a copy of the emergency medical care information form required by Rule .0802(c) of this Chapter, shall be in the vehicle. The driver shall: (1) be 21 years old or a licensed bus driver; (2) have a valid driver's license of the type required under North Carolina Motor Vehicle Law for the vehicle being driven or comparable license from the state in which the driver resides; and (3) have no convictions of Driving While Impaired (DWI) or any other impaired driving offense within the previous three years. Each person in the vehicle shall be seated in the manufacturer's designated areas. No child shall ride in the load carrying area or floor of a vehicle. Children shall not be left in a vehicle unattended by an adult. Children shall be loaded and unloaded from curbside or in a safe, off-street area, out of the flow of traffic, so that they are protected from all traffic hazards. Before children are transported, written permission from a parent shall be obtained that shall include when and where the child is to be transported, expected time of departure and arrival, and the transportation provider. Parents may give standing permission, valid for up to 12 months, for transport of children to and from the center not including off premise activities as described in Rule .1005 of this Section. When children are transported, staff in each vehicle shall have a functioning cellular telephone or other functioning two-way voice communication device. Staff shall not use cellular telephones or other functioning two- way voice communication devices except in the case of an emergency and only when the vehicle is parked in a safe location. For routine transport of children to and from the center, staff shall have a list of the children being transported. Staff members shall use this list to document attendance as children board the vehicle and as they depart the vehicle. A list of all children being transported shall also be available at the center. 10A NCAC 09 .1004 STAFF/CHILD RATIOS When children aged two years and older are being transported, the staff/child ratios required for compliance with child care center rules as set forth in Rule .0713 of this Chapter shall apply. The driver may be counted in the staff/child ratio. When three or more children under the age of two years are being transported, the staff/child ratio requirements for child care centers set forth in Rule .0713 of this Chapter for children under age two shall be maintained. The driver shall not be counted in the staff/child ratio. When less than three children under the age of two years are being transported, the staff/child ratio requirements for child care centers set forth in Rule .0713 of this Chapter for children under age two shall be maintained. The driver may be counted in the staff/child ratio. 10A NCAC 09 .1005 OFF PREMISE ACTIVITIES IN CHILD CARE CENTERS Off premise activities refer to any activity that takes place away from a child care center's licensed and approved space. Licensed and approved space includes "primary space" as described in 10A NCAC 09 .1401(a), outdoor space as described in 10A NCAC 09 .1402, single use rooms, or other administrative areas. When children participate in off premise activities the following shall apply: (1) Children under the age of three shall not participate in off premise activities that involve children being transported in a motor vehicle. (2) When children are transported in a motor vehicle for off premise activities, the provisions in Rule (3) Before staff members walk children off premises for play or outings, the center shall obtain written permission from the parent of each child to be included in such activities. .1003(c) through (i) and (k) of this Chapter shall apply. (4) Parents may provide a written statement giving standing permission which may be valid for up to 12 months for participation in off premise activities that occur on a regular basis. (5) The center shall post a schedule of off premise activities in each participating classroom where it can be viewed by parents, and a copy shall be given to parents. The schedule shall be current and shall include the: location of the activity; purpose of the activity; time the activity will take place; date of the activity; and name of the person(s) to be contacted in the event of an emergency. (6) Each time that children are taken off the premises, staff shall take a list of the children participating in the activity with them. Staff members shall use this list to check attendance when leaving the center, periodically when the children are involved in the activity, before leaving the activity to return to the child care center, and upon return to the center. A list of all children participating in the off premise activity shall also be available at the center. The provisions of Subparagraphs (b)(1) and (5) of this Rule shall be waived to implement any child's Individualized Family Service Plan (IFSP) or Individualized Education Program (IEP). Ms. Singletary also provided me a copy of an incident report during the visit which required a child to seek medical attention. Ms. Singletary emailed me a completed copy of the incident report, witness statements, and termination form during the visit. Ms. Singletary stated in this documentation the child returned to care the same day and that the doctor said the child only had a bump on the forehead and no restrictions upon returning to care. • You must notify your consultant 30 days prior to changing the ownership status of your facility. • Please trim the berry bush which is located outside the fenced outdoor playground used for children of preschool age, but hangs over this fence into the playground area. • Monitor all fall zones at the bases of the slides following children’s play each day to ensure they have the required surfacing depth of six inches or greater. The following Child Care Rules were discussed with Ms. Singletary during the visit: SECTION .1000 - TRANSPORTATION STANDARDS 15A NCAC Sanitation Rule 18A .2826 LIGHTING AND THERMAL ENVIRONMENT (b) regarding classroom temperatures required for children older than infants (a maximum of 85 degrees) At the completion of the visit, this visit summary was reviewed with and provided to you, and you were given the opportunity to ask questions. 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. Cara McKeown, Child Care Consultant (336) 408-4849 cara.mckeown@dhhs.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 .1005 · Violation

Name of Operation: Main Street Baptist Church Early Learning Center Facility ID: 3452208 Consultant: CARA MCKEOWN-STEWART Operation Type: Center Case Number: Visit Date: 8/14/2025 Number Present: 22 Completed Date: 8/14/2025 Age: From 0 To 5 Total Minutes: 490 Time In: 08:30 AM Time Out: 04:40 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 facility to monitor compliance with applicable childcare requirements. This visit was conducted with Lekeshia Singletary, Director and Aislinn Hardin, Administrative Assistant. Your program currently operates with a Notice of Compliance. The NC Secretary of State website was reviewed on 8/14/2025, and Main Street Baptist Church, Inc. was listed as current and active. The program’s compliance history was 81% 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. Upon arrival, staff/child ratio and space capacity were monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed interactions today. I observed children playing in activity centers, participating in general routines, playing outdoors, and eating lunch. I observed developmentally appropriate materials and activities were available to the children in the classrooms. The last annual compliance visit was conducted on 9/04/2024. A sanitation inspection was completed 11/26/2024 with a Superior classification. The last fire inspection was conducted 11/19/2024. Program records and required postings were monitored. A fire drill was conducted on 7/31/2025. A lockdown drill was documented on 6/19/2025. An outdoor inspection was documented on 7/31/2025. Staff files and children’s records were monitored per DCDEE procedures. The files for two new staff members and one existing staff member were reviewed during the visit. The files for four children enrolled were also reviewed during the visit. Storage of hazardous items was monitored today. Storage and administration of medication and medication authorization were monitored. The program is not approved to provide transportation or participate in aquatic or off-premise activities at this time. The following violations were cited during today’s visit: Violation Number Comment Rule 114 A summary of the NC Child Care Law was not given to a parent of every child enrolled in the center. A signed receipt of NC Child Care Law was not observed on file for two children enrolled. GS 110-102 125 Daily records of arrival and departure times for children at the center were not maintained as children arrive and depart and/or were not made available for review. The arrival times for two children enrolled in both Spaces 4 and 5 were not recorded at the time of service. 10A NCAC 09 .0302(d)(4) 612 Each child's bed, cot, or 2" mat was not individually assigned and identified. A cot list was not observed posted in Spaces 3 and 4. 15A NCAC 18A .2821(b) & (c) 721 All equipment and furnishings were not in good repair. The handle on one toy kitchen cabinet in Space 6 was observed to be broken. G.S. 110-91(6); .0601(b) 830 A First Aid information sheet was not posted in a place for referral and/or the information sheet did not include all the required information. A First Aid poster was not observed posted in Space 6. .0802(h) 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. A hall closet containing items labeled Keep Out of Reach of Children with additional warnings was observed unlocked. .2820(b) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. The diaper cream for one child who was no longer enrolled in the program had not been returned to the parent or discarded. .0803(12) 1125 Before children were transported, written permission from a parent was not obtained that included when and where the child was to be transported, expected time of departure and arrival, and the transportation provider. Transportation authorization forms were not completed an on file for review for four children transported to school this morning. .1003(i)(j) 1320 Children's records that include an application for enrollment, medical and immunization records, and permission to seek emergency medical care was not on file for each child. The health assessments for two children enrolled were not observed on file, and the immunization records for two children enrolled were not observed on file for review. GS 110-91(1);.0302(d)(2); .0304(g) 1325 Parent’s statement includes the child’s name and date of enrollment and the date the parent signed the statement. The date of enrollment was not recorded on the Discipline Policies for two children enrolled. .1804(b) 1805 A child care operator did not notify the Division of any new child care providers, as defined in G.S. 110-90.2(a)(2), who were hired or moved into the child care facility within five business days. A facility profile for Criminal Background Checks had not been created; hence, the director and staff CBCs were not yet linked to this profile. G.S. 110-90.2 & .2703(r) 1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. One new staff member did not have a signed review of the EPR Plan on file. .0607(e) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. The topical medication authorization form for the diaper cream for one child enrolled was not observed on file. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) 1890 Each staff member did not have the required medical report, proof of tuberculosis test or screening and/or completed health questionnaire in a medical file, maintained separately from the staff member's individual personnel file. The health questionnaires for two new staff members were not stored separately from the staff members' personnel files. .0701(d) 1907 A copy of the Prevention of Shaken Baby and Abusive Head Trauma policy was not given to or explained to parents of newly enrolled children up to five years of age on or before the first day the child receives care at the center. A signed receipt of the Shaken Baby and Abusive Head Trauma Policy was not observed on file for two children enrolled. .0608(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 8/28/2024. 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 You may email the letter to cara.mckeown@dhhs.nc.gov or mail two copies of the letter to: Cara McKeown 353 Jonestown Road, Unit #146 Winston Salem, NC 27104 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 provided during today’s visit: Transportation authorization forms were not completed an on file for review for four children transported to school this morning. It is imperative all transportation authorization forms be completed and on file for review prior to transporting children enrolled. You may consider beginning to complete all required documentation for transporting children several weeks in advance of the school year beginning to ensure all necessary paperwork is complete and on file for review. You may also consider scheduling an announced Technical Assistance visit with me to review in detail the DCDEE Checklists which will support you in maintaining compliance at your facility: Program File Checklist, Staff File Checklist, Child File Checklist, Substitute File Checklist, and Volunteer File Checklist. A facility profile for Criminal Background Checks had not been created; hence, the director and staff CBCs were not yet linked to this profile. It is necessary for all staff members to be linked to the center’s facility profile in the ABCMS system, as the process of notifying the Division of any new child care providers working who were hired or moved into the child care facility within five business days has changed to include this process. Ms. Singletary stated she has the instructions I sent via email to complete this process. If you need additional assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. Consultation provided during today’s visit: Ms. Singletary stated she is interested in using the church van to begin to provide transportation for children of School Age to and from school and of Pre-K and School Age for field trips only during summers and/or breaks when children are not in school. All transportation and off-premise activity requirements and required forms were reviewed with Ms. Singletary during the visit. I monitored the vehicle which will be used to transport children during the visit. The vehicle is a 2015 Chevrolet 15-passenger, full size van, license plate # PFD3931. The insurance for the vehicle was observed to be valid from 3/31/2025 until 3/31/2026. The most recent inspection completed on the vehicle was conducted on 4/29/2025 and expires on 4/29/2026. The registration was observed to be current and expires on 6/30/2026. Ms. Singletary stated she and Ms. Aislinn Hardin (teacher/administrative assistant) will be the only individuals driving the vehicle. The NC Driver’s Licenses for both individuals were observed to be current and valid, expiring on 9/10/2032 and 9/12/2032 respectively. Ms. Singletary also stated parents of children being transported will provide all booster seats for children and that if a child’s parent does not leave a booster seat, that child will not be transported unless the parent brings one. All child safety restraints and seatbelts were monitored and observed to be properly functioning. A First Aid kit was observed to be located inside a small compartment above and just behind the driver’s seat and contained gloves, gauze, and band-aids. The tire tread was observed to be greater than 2/32 of an inch. Children’s applications containing identifying information, including the child's name, photograph, emergency contact information, and a copy of the emergency medical care information forms were observed located on the vehicle. Transportation boarding log templates were observed located on the vehicle. A fire extinguisher was observed located on the vehicle, but the needle on the gauge indicated the extinguisher may be underpressurized and need servicing, and it was also not secured or mounted in the vehicle. A No Smoking sign was also not observed in the vehicle. You will need to ensure a properly functioning fire extinguisher is properly mounted and secured, and a No Smoking sign is posted in the vehicle prior to transporting children. Ms. Singletary stated she would email me confirmation once these items were completed. Ms. Singletary provided me a copy of the transportation policies she created during the visit; however, these policies did not address how the program will meet all components of .1000 of Child Care Rule requirements. Once completed, send these to me, and I will review them to ensure all requirements for transportation have been addressed in your policies. You may not transport children until your transportation policies have been reviewed, a properly functioning fire extinguisher is secured/mounted on the vehicle, a No Smoking sign has been placed on the vehicle, and all children have complete, current transportation authorization forms on file and on the vehicle. SECTION .1000 - TRANSPORTATION STANDARDS 10A NCAC 09 .1001 SEAT AND CHILD SAFETY SEATS IN CHILD CARE CENTERS When children enrolled in a child care center are being transported, each adult and child shall be restrained with an individual seat belt or child safety seat appropriate to the child's age or weight in accordance with G.S. 20-135.2A located at http://www.buckleupnc.org/occupant-restraint-laws/seat-belt-law-summary/. Only one person shall occupy each seat belt or child safety seat. 10A NCAC 09 .1002 SAFE VEHICLES Vehicles used to transport children enrolled in child care centers shall be free of hazards such as, but not limited to, torn upholstery that allows children to remove the interior padding, broken windows, holes in the floor or roof, or tire treads of less than 2/32 of an inch. Vehicles used to transport children enrolled in child care centers shall comply with all applicable State and federal laws and regulations. Vehicles shall be insured for liability as required by State laws governing transportation of passengers pursuant to G.S. 20-279.21. Vehicles used to transport children in snowy, icy, and other hazardous weather conditions must be equipped with snow tires or chains as appropriate. 10A NCAC 09 .1003 SAFE PROCEDURES The driver or other staff member in the vehicle shall ensure that all children are transferred to an individual who is indicated on the child's application as specified in Rule .0801(a)(7) of this Chapter or as authorized by the parent. Each center shall establish procedures for pick-up and delivery of children to ensure children are protected from danger and not exposed to risk of harm. These procedures shall be communicated to parents, and a copy shall be posted in the center where they can be seen by the parents. A First Aid kit and fire extinguisher shall be located in each vehicle used to transport children. The First Aid kit and fire extinguisher shall be mounted or secured if kept in the passenger compartment. For each child being transported, identifying information, including the child's name, photograph, emergency contact information, and a copy of the emergency medical care information form required by Rule .0802(c) of this Chapter, shall be in the vehicle. The driver shall: (1) be 21 years old or a licensed bus driver; (2) have a valid driver's license of the type required under North Carolina Motor Vehicle Law for the vehicle being driven or comparable license from the state in which the driver resides; and (3) have no convictions of Driving While Impaired (DWI) or any other impaired driving offense within the previous three years. Each person in the vehicle shall be seated in the manufacturer's designated areas. No child shall ride in the load carrying area or floor of a vehicle. Children shall not be left in a vehicle unattended by an adult. Children shall be loaded and unloaded from curbside or in a safe, off-street area, out of the flow of traffic, so that they are protected from all traffic hazards. Before children are transported, written permission from a parent shall be obtained that shall include when and where the child is to be transported, expected time of departure and arrival, and the transportation provider. Parents may give standing permission, valid for up to 12 months, for transport of children to and from the center not including off premise activities as described in Rule .1005 of this Section. When children are transported, staff in each vehicle shall have a functioning cellular telephone or other functioning two-way voice communication device. Staff shall not use cellular telephones or other functioning two- way voice communication devices except in the case of an emergency and only when the vehicle is parked in a safe location. For routine transport of children to and from the center, staff shall have a list of the children being transported. Staff members shall use this list to document attendance as children board the vehicle and as they depart the vehicle. A list of all children being transported shall also be available at the center. 10A NCAC 09 .1004 STAFF/CHILD RATIOS When children aged two years and older are being transported, the staff/child ratios required for compliance with child care center rules as set forth in Rule .0713 of this Chapter shall apply. The driver may be counted in the staff/child ratio. When three or more children under the age of two years are being transported, the staff/child ratio requirements for child care centers set forth in Rule .0713 of this Chapter for children under age two shall be maintained. The driver shall not be counted in the staff/child ratio. When less than three children under the age of two years are being transported, the staff/child ratio requirements for child care centers set forth in Rule .0713 of this Chapter for children under age two shall be maintained. The driver may be counted in the staff/child ratio. 10A NCAC 09 .1005 OFF PREMISE ACTIVITIES IN CHILD CARE CENTERS Off premise activities refer to any activity that takes place away from a child care center's licensed and approved space. Licensed and approved space includes "primary space" as described in 10A NCAC 09 .1401(a), outdoor space as described in 10A NCAC 09 .1402, single use rooms, or other administrative areas. When children participate in off premise activities the following shall apply: (1) Children under the age of three shall not participate in off premise activities that involve children being transported in a motor vehicle. (2) When children are transported in a motor vehicle for off premise activities, the provisions in Rule (3) Before staff members walk children off premises for play or outings, the center shall obtain written permission from the parent of each child to be included in such activities. .1003(c) through (i) and (k) of this Chapter shall apply. (4) Parents may provide a written statement giving standing permission which may be valid for up to 12 months for participation in off premise activities that occur on a regular basis. (5) The center shall post a schedule of off premise activities in each participating classroom where it can be viewed by parents, and a copy shall be given to parents. The schedule shall be current and shall include the: location of the activity; purpose of the activity; time the activity will take place; date of the activity; and name of the person(s) to be contacted in the event of an emergency. (6) Each time that children are taken off the premises, staff shall take a list of the children participating in the activity with them. Staff members shall use this list to check attendance when leaving the center, periodically when the children are involved in the activity, before leaving the activity to return to the child care center, and upon return to the center. A list of all children participating in the off premise activity shall also be available at the center. The provisions of Subparagraphs (b)(1) and (5) of this Rule shall be waived to implement any child's Individualized Family Service Plan (IFSP) or Individualized Education Program (IEP). Ms. Singletary also provided me a copy of an incident report during the visit which required a child to seek medical attention. Ms. Singletary emailed me a completed copy of the incident report, witness statements, and termination form during the visit. Ms. Singletary stated in this documentation the child returned to care the same day and that the doctor said the child only had a bump on the forehead and no restrictions upon returning to care. • You must notify your consultant 30 days prior to changing the ownership status of your facility. • Please trim the berry bush which is located outside the fenced outdoor playground used for children of preschool age, but hangs over this fence into the playground area. • Monitor all fall zones at the bases of the slides following children’s play each day to ensure they have the required surfacing depth of six inches or greater. The following Child Care Rules were discussed with Ms. Singletary during the visit: SECTION .1000 - TRANSPORTATION STANDARDS 15A NCAC Sanitation Rule 18A .2826 LIGHTING AND THERMAL ENVIRONMENT (b) regarding classroom temperatures required for children older than infants (a maximum of 85 degrees) At the completion of the visit, this visit summary was reviewed with and provided to you, and you were given the opportunity to ask questions. 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. Cara McKeown, Child Care Consultant (336) 408-4849 cara.mckeown@dhhs.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 .1401 · Violation

Name of Operation: Main Street Baptist Church Early Learning Center Facility ID: 3452208 Consultant: CARA MCKEOWN-STEWART Operation Type: Center Case Number: Visit Date: 8/14/2025 Number Present: 22 Completed Date: 8/14/2025 Age: From 0 To 5 Total Minutes: 490 Time In: 08:30 AM Time Out: 04:40 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 facility to monitor compliance with applicable childcare requirements. This visit was conducted with Lekeshia Singletary, Director and Aislinn Hardin, Administrative Assistant. Your program currently operates with a Notice of Compliance. The NC Secretary of State website was reviewed on 8/14/2025, and Main Street Baptist Church, Inc. was listed as current and active. The program’s compliance history was 81% 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. Upon arrival, staff/child ratio and space capacity were monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed interactions today. I observed children playing in activity centers, participating in general routines, playing outdoors, and eating lunch. I observed developmentally appropriate materials and activities were available to the children in the classrooms. The last annual compliance visit was conducted on 9/04/2024. A sanitation inspection was completed 11/26/2024 with a Superior classification. The last fire inspection was conducted 11/19/2024. Program records and required postings were monitored. A fire drill was conducted on 7/31/2025. A lockdown drill was documented on 6/19/2025. An outdoor inspection was documented on 7/31/2025. Staff files and children’s records were monitored per DCDEE procedures. The files for two new staff members and one existing staff member were reviewed during the visit. The files for four children enrolled were also reviewed during the visit. Storage of hazardous items was monitored today. Storage and administration of medication and medication authorization were monitored. The program is not approved to provide transportation or participate in aquatic or off-premise activities at this time. The following violations were cited during today’s visit: Violation Number Comment Rule 114 A summary of the NC Child Care Law was not given to a parent of every child enrolled in the center. A signed receipt of NC Child Care Law was not observed on file for two children enrolled. GS 110-102 125 Daily records of arrival and departure times for children at the center were not maintained as children arrive and depart and/or were not made available for review. The arrival times for two children enrolled in both Spaces 4 and 5 were not recorded at the time of service. 10A NCAC 09 .0302(d)(4) 612 Each child's bed, cot, or 2" mat was not individually assigned and identified. A cot list was not observed posted in Spaces 3 and 4. 15A NCAC 18A .2821(b) & (c) 721 All equipment and furnishings were not in good repair. The handle on one toy kitchen cabinet in Space 6 was observed to be broken. G.S. 110-91(6); .0601(b) 830 A First Aid information sheet was not posted in a place for referral and/or the information sheet did not include all the required information. A First Aid poster was not observed posted in Space 6. .0802(h) 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. A hall closet containing items labeled Keep Out of Reach of Children with additional warnings was observed unlocked. .2820(b) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. The diaper cream for one child who was no longer enrolled in the program had not been returned to the parent or discarded. .0803(12) 1125 Before children were transported, written permission from a parent was not obtained that included when and where the child was to be transported, expected time of departure and arrival, and the transportation provider. Transportation authorization forms were not completed an on file for review for four children transported to school this morning. .1003(i)(j) 1320 Children's records that include an application for enrollment, medical and immunization records, and permission to seek emergency medical care was not on file for each child. The health assessments for two children enrolled were not observed on file, and the immunization records for two children enrolled were not observed on file for review. GS 110-91(1);.0302(d)(2); .0304(g) 1325 Parent’s statement includes the child’s name and date of enrollment and the date the parent signed the statement. The date of enrollment was not recorded on the Discipline Policies for two children enrolled. .1804(b) 1805 A child care operator did not notify the Division of any new child care providers, as defined in G.S. 110-90.2(a)(2), who were hired or moved into the child care facility within five business days. A facility profile for Criminal Background Checks had not been created; hence, the director and staff CBCs were not yet linked to this profile. G.S. 110-90.2 & .2703(r) 1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. One new staff member did not have a signed review of the EPR Plan on file. .0607(e) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. The topical medication authorization form for the diaper cream for one child enrolled was not observed on file. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) 1890 Each staff member did not have the required medical report, proof of tuberculosis test or screening and/or completed health questionnaire in a medical file, maintained separately from the staff member's individual personnel file. The health questionnaires for two new staff members were not stored separately from the staff members' personnel files. .0701(d) 1907 A copy of the Prevention of Shaken Baby and Abusive Head Trauma policy was not given to or explained to parents of newly enrolled children up to five years of age on or before the first day the child receives care at the center. A signed receipt of the Shaken Baby and Abusive Head Trauma Policy was not observed on file for two children enrolled. .0608(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 8/28/2024. 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 You may email the letter to cara.mckeown@dhhs.nc.gov or mail two copies of the letter to: Cara McKeown 353 Jonestown Road, Unit #146 Winston Salem, NC 27104 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 provided during today’s visit: Transportation authorization forms were not completed an on file for review for four children transported to school this morning. It is imperative all transportation authorization forms be completed and on file for review prior to transporting children enrolled. You may consider beginning to complete all required documentation for transporting children several weeks in advance of the school year beginning to ensure all necessary paperwork is complete and on file for review. You may also consider scheduling an announced Technical Assistance visit with me to review in detail the DCDEE Checklists which will support you in maintaining compliance at your facility: Program File Checklist, Staff File Checklist, Child File Checklist, Substitute File Checklist, and Volunteer File Checklist. A facility profile for Criminal Background Checks had not been created; hence, the director and staff CBCs were not yet linked to this profile. It is necessary for all staff members to be linked to the center’s facility profile in the ABCMS system, as the process of notifying the Division of any new child care providers working who were hired or moved into the child care facility within five business days has changed to include this process. Ms. Singletary stated she has the instructions I sent via email to complete this process. If you need additional assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. Consultation provided during today’s visit: Ms. Singletary stated she is interested in using the church van to begin to provide transportation for children of School Age to and from school and of Pre-K and School Age for field trips only during summers and/or breaks when children are not in school. All transportation and off-premise activity requirements and required forms were reviewed with Ms. Singletary during the visit. I monitored the vehicle which will be used to transport children during the visit. The vehicle is a 2015 Chevrolet 15-passenger, full size van, license plate # PFD3931. The insurance for the vehicle was observed to be valid from 3/31/2025 until 3/31/2026. The most recent inspection completed on the vehicle was conducted on 4/29/2025 and expires on 4/29/2026. The registration was observed to be current and expires on 6/30/2026. Ms. Singletary stated she and Ms. Aislinn Hardin (teacher/administrative assistant) will be the only individuals driving the vehicle. The NC Driver’s Licenses for both individuals were observed to be current and valid, expiring on 9/10/2032 and 9/12/2032 respectively. Ms. Singletary also stated parents of children being transported will provide all booster seats for children and that if a child’s parent does not leave a booster seat, that child will not be transported unless the parent brings one. All child safety restraints and seatbelts were monitored and observed to be properly functioning. A First Aid kit was observed to be located inside a small compartment above and just behind the driver’s seat and contained gloves, gauze, and band-aids. The tire tread was observed to be greater than 2/32 of an inch. Children’s applications containing identifying information, including the child's name, photograph, emergency contact information, and a copy of the emergency medical care information forms were observed located on the vehicle. Transportation boarding log templates were observed located on the vehicle. A fire extinguisher was observed located on the vehicle, but the needle on the gauge indicated the extinguisher may be underpressurized and need servicing, and it was also not secured or mounted in the vehicle. A No Smoking sign was also not observed in the vehicle. You will need to ensure a properly functioning fire extinguisher is properly mounted and secured, and a No Smoking sign is posted in the vehicle prior to transporting children. Ms. Singletary stated she would email me confirmation once these items were completed. Ms. Singletary provided me a copy of the transportation policies she created during the visit; however, these policies did not address how the program will meet all components of .1000 of Child Care Rule requirements. Once completed, send these to me, and I will review them to ensure all requirements for transportation have been addressed in your policies. You may not transport children until your transportation policies have been reviewed, a properly functioning fire extinguisher is secured/mounted on the vehicle, a No Smoking sign has been placed on the vehicle, and all children have complete, current transportation authorization forms on file and on the vehicle. SECTION .1000 - TRANSPORTATION STANDARDS 10A NCAC 09 .1001 SEAT AND CHILD SAFETY SEATS IN CHILD CARE CENTERS When children enrolled in a child care center are being transported, each adult and child shall be restrained with an individual seat belt or child safety seat appropriate to the child's age or weight in accordance with G.S. 20-135.2A located at http://www.buckleupnc.org/occupant-restraint-laws/seat-belt-law-summary/. Only one person shall occupy each seat belt or child safety seat. 10A NCAC 09 .1002 SAFE VEHICLES Vehicles used to transport children enrolled in child care centers shall be free of hazards such as, but not limited to, torn upholstery that allows children to remove the interior padding, broken windows, holes in the floor or roof, or tire treads of less than 2/32 of an inch. Vehicles used to transport children enrolled in child care centers shall comply with all applicable State and federal laws and regulations. Vehicles shall be insured for liability as required by State laws governing transportation of passengers pursuant to G.S. 20-279.21. Vehicles used to transport children in snowy, icy, and other hazardous weather conditions must be equipped with snow tires or chains as appropriate. 10A NCAC 09 .1003 SAFE PROCEDURES The driver or other staff member in the vehicle shall ensure that all children are transferred to an individual who is indicated on the child's application as specified in Rule .0801(a)(7) of this Chapter or as authorized by the parent. Each center shall establish procedures for pick-up and delivery of children to ensure children are protected from danger and not exposed to risk of harm. These procedures shall be communicated to parents, and a copy shall be posted in the center where they can be seen by the parents. A First Aid kit and fire extinguisher shall be located in each vehicle used to transport children. The First Aid kit and fire extinguisher shall be mounted or secured if kept in the passenger compartment. For each child being transported, identifying information, including the child's name, photograph, emergency contact information, and a copy of the emergency medical care information form required by Rule .0802(c) of this Chapter, shall be in the vehicle. The driver shall: (1) be 21 years old or a licensed bus driver; (2) have a valid driver's license of the type required under North Carolina Motor Vehicle Law for the vehicle being driven or comparable license from the state in which the driver resides; and (3) have no convictions of Driving While Impaired (DWI) or any other impaired driving offense within the previous three years. Each person in the vehicle shall be seated in the manufacturer's designated areas. No child shall ride in the load carrying area or floor of a vehicle. Children shall not be left in a vehicle unattended by an adult. Children shall be loaded and unloaded from curbside or in a safe, off-street area, out of the flow of traffic, so that they are protected from all traffic hazards. Before children are transported, written permission from a parent shall be obtained that shall include when and where the child is to be transported, expected time of departure and arrival, and the transportation provider. Parents may give standing permission, valid for up to 12 months, for transport of children to and from the center not including off premise activities as described in Rule .1005 of this Section. When children are transported, staff in each vehicle shall have a functioning cellular telephone or other functioning two-way voice communication device. Staff shall not use cellular telephones or other functioning two- way voice communication devices except in the case of an emergency and only when the vehicle is parked in a safe location. For routine transport of children to and from the center, staff shall have a list of the children being transported. Staff members shall use this list to document attendance as children board the vehicle and as they depart the vehicle. A list of all children being transported shall also be available at the center. 10A NCAC 09 .1004 STAFF/CHILD RATIOS When children aged two years and older are being transported, the staff/child ratios required for compliance with child care center rules as set forth in Rule .0713 of this Chapter shall apply. The driver may be counted in the staff/child ratio. When three or more children under the age of two years are being transported, the staff/child ratio requirements for child care centers set forth in Rule .0713 of this Chapter for children under age two shall be maintained. The driver shall not be counted in the staff/child ratio. When less than three children under the age of two years are being transported, the staff/child ratio requirements for child care centers set forth in Rule .0713 of this Chapter for children under age two shall be maintained. The driver may be counted in the staff/child ratio. 10A NCAC 09 .1005 OFF PREMISE ACTIVITIES IN CHILD CARE CENTERS Off premise activities refer to any activity that takes place away from a child care center's licensed and approved space. Licensed and approved space includes "primary space" as described in 10A NCAC 09 .1401(a), outdoor space as described in 10A NCAC 09 .1402, single use rooms, or other administrative areas. When children participate in off premise activities the following shall apply: (1) Children under the age of three shall not participate in off premise activities that involve children being transported in a motor vehicle. (2) When children are transported in a motor vehicle for off premise activities, the provisions in Rule (3) Before staff members walk children off premises for play or outings, the center shall obtain written permission from the parent of each child to be included in such activities. .1003(c) through (i) and (k) of this Chapter shall apply. (4) Parents may provide a written statement giving standing permission which may be valid for up to 12 months for participation in off premise activities that occur on a regular basis. (5) The center shall post a schedule of off premise activities in each participating classroom where it can be viewed by parents, and a copy shall be given to parents. The schedule shall be current and shall include the: location of the activity; purpose of the activity; time the activity will take place; date of the activity; and name of the person(s) to be contacted in the event of an emergency. (6) Each time that children are taken off the premises, staff shall take a list of the children participating in the activity with them. Staff members shall use this list to check attendance when leaving the center, periodically when the children are involved in the activity, before leaving the activity to return to the child care center, and upon return to the center. A list of all children participating in the off premise activity shall also be available at the center. The provisions of Subparagraphs (b)(1) and (5) of this Rule shall be waived to implement any child's Individualized Family Service Plan (IFSP) or Individualized Education Program (IEP). Ms. Singletary also provided me a copy of an incident report during the visit which required a child to seek medical attention. Ms. Singletary emailed me a completed copy of the incident report, witness statements, and termination form during the visit. Ms. Singletary stated in this documentation the child returned to care the same day and that the doctor said the child only had a bump on the forehead and no restrictions upon returning to care. • You must notify your consultant 30 days prior to changing the ownership status of your facility. • Please trim the berry bush which is located outside the fenced outdoor playground used for children of preschool age, but hangs over this fence into the playground area. • Monitor all fall zones at the bases of the slides following children’s play each day to ensure they have the required surfacing depth of six inches or greater. The following Child Care Rules were discussed with Ms. Singletary during the visit: SECTION .1000 - TRANSPORTATION STANDARDS 15A NCAC Sanitation Rule 18A .2826 LIGHTING AND THERMAL ENVIRONMENT (b) regarding classroom temperatures required for children older than infants (a maximum of 85 degrees) At the completion of the visit, this visit summary was reviewed with and provided to you, and you were given the opportunity to ask questions. 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. Cara McKeown, Child Care Consultant (336) 408-4849 cara.mckeown@dhhs.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 .1402 · Violation

Name of Operation: Main Street Baptist Church Early Learning Center Facility ID: 3452208 Consultant: CARA MCKEOWN-STEWART Operation Type: Center Case Number: Visit Date: 8/14/2025 Number Present: 22 Completed Date: 8/14/2025 Age: From 0 To 5 Total Minutes: 490 Time In: 08:30 AM Time Out: 04:40 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 facility to monitor compliance with applicable childcare requirements. This visit was conducted with Lekeshia Singletary, Director and Aislinn Hardin, Administrative Assistant. Your program currently operates with a Notice of Compliance. The NC Secretary of State website was reviewed on 8/14/2025, and Main Street Baptist Church, Inc. was listed as current and active. The program’s compliance history was 81% 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. Upon arrival, staff/child ratio and space capacity were monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed interactions today. I observed children playing in activity centers, participating in general routines, playing outdoors, and eating lunch. I observed developmentally appropriate materials and activities were available to the children in the classrooms. The last annual compliance visit was conducted on 9/04/2024. A sanitation inspection was completed 11/26/2024 with a Superior classification. The last fire inspection was conducted 11/19/2024. Program records and required postings were monitored. A fire drill was conducted on 7/31/2025. A lockdown drill was documented on 6/19/2025. An outdoor inspection was documented on 7/31/2025. Staff files and children’s records were monitored per DCDEE procedures. The files for two new staff members and one existing staff member were reviewed during the visit. The files for four children enrolled were also reviewed during the visit. Storage of hazardous items was monitored today. Storage and administration of medication and medication authorization were monitored. The program is not approved to provide transportation or participate in aquatic or off-premise activities at this time. The following violations were cited during today’s visit: Violation Number Comment Rule 114 A summary of the NC Child Care Law was not given to a parent of every child enrolled in the center. A signed receipt of NC Child Care Law was not observed on file for two children enrolled. GS 110-102 125 Daily records of arrival and departure times for children at the center were not maintained as children arrive and depart and/or were not made available for review. The arrival times for two children enrolled in both Spaces 4 and 5 were not recorded at the time of service. 10A NCAC 09 .0302(d)(4) 612 Each child's bed, cot, or 2" mat was not individually assigned and identified. A cot list was not observed posted in Spaces 3 and 4. 15A NCAC 18A .2821(b) & (c) 721 All equipment and furnishings were not in good repair. The handle on one toy kitchen cabinet in Space 6 was observed to be broken. G.S. 110-91(6); .0601(b) 830 A First Aid information sheet was not posted in a place for referral and/or the information sheet did not include all the required information. A First Aid poster was not observed posted in Space 6. .0802(h) 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. A hall closet containing items labeled Keep Out of Reach of Children with additional warnings was observed unlocked. .2820(b) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. The diaper cream for one child who was no longer enrolled in the program had not been returned to the parent or discarded. .0803(12) 1125 Before children were transported, written permission from a parent was not obtained that included when and where the child was to be transported, expected time of departure and arrival, and the transportation provider. Transportation authorization forms were not completed an on file for review for four children transported to school this morning. .1003(i)(j) 1320 Children's records that include an application for enrollment, medical and immunization records, and permission to seek emergency medical care was not on file for each child. The health assessments for two children enrolled were not observed on file, and the immunization records for two children enrolled were not observed on file for review. GS 110-91(1);.0302(d)(2); .0304(g) 1325 Parent’s statement includes the child’s name and date of enrollment and the date the parent signed the statement. The date of enrollment was not recorded on the Discipline Policies for two children enrolled. .1804(b) 1805 A child care operator did not notify the Division of any new child care providers, as defined in G.S. 110-90.2(a)(2), who were hired or moved into the child care facility within five business days. A facility profile for Criminal Background Checks had not been created; hence, the director and staff CBCs were not yet linked to this profile. G.S. 110-90.2 & .2703(r) 1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. One new staff member did not have a signed review of the EPR Plan on file. .0607(e) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. The topical medication authorization form for the diaper cream for one child enrolled was not observed on file. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) 1890 Each staff member did not have the required medical report, proof of tuberculosis test or screening and/or completed health questionnaire in a medical file, maintained separately from the staff member's individual personnel file. The health questionnaires for two new staff members were not stored separately from the staff members' personnel files. .0701(d) 1907 A copy of the Prevention of Shaken Baby and Abusive Head Trauma policy was not given to or explained to parents of newly enrolled children up to five years of age on or before the first day the child receives care at the center. A signed receipt of the Shaken Baby and Abusive Head Trauma Policy was not observed on file for two children enrolled. .0608(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 8/28/2024. 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 You may email the letter to cara.mckeown@dhhs.nc.gov or mail two copies of the letter to: Cara McKeown 353 Jonestown Road, Unit #146 Winston Salem, NC 27104 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 provided during today’s visit: Transportation authorization forms were not completed an on file for review for four children transported to school this morning. It is imperative all transportation authorization forms be completed and on file for review prior to transporting children enrolled. You may consider beginning to complete all required documentation for transporting children several weeks in advance of the school year beginning to ensure all necessary paperwork is complete and on file for review. You may also consider scheduling an announced Technical Assistance visit with me to review in detail the DCDEE Checklists which will support you in maintaining compliance at your facility: Program File Checklist, Staff File Checklist, Child File Checklist, Substitute File Checklist, and Volunteer File Checklist. A facility profile for Criminal Background Checks had not been created; hence, the director and staff CBCs were not yet linked to this profile. It is necessary for all staff members to be linked to the center’s facility profile in the ABCMS system, as the process of notifying the Division of any new child care providers working who were hired or moved into the child care facility within five business days has changed to include this process. Ms. Singletary stated she has the instructions I sent via email to complete this process. If you need additional assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. Consultation provided during today’s visit: Ms. Singletary stated she is interested in using the church van to begin to provide transportation for children of School Age to and from school and of Pre-K and School Age for field trips only during summers and/or breaks when children are not in school. All transportation and off-premise activity requirements and required forms were reviewed with Ms. Singletary during the visit. I monitored the vehicle which will be used to transport children during the visit. The vehicle is a 2015 Chevrolet 15-passenger, full size van, license plate # PFD3931. The insurance for the vehicle was observed to be valid from 3/31/2025 until 3/31/2026. The most recent inspection completed on the vehicle was conducted on 4/29/2025 and expires on 4/29/2026. The registration was observed to be current and expires on 6/30/2026. Ms. Singletary stated she and Ms. Aislinn Hardin (teacher/administrative assistant) will be the only individuals driving the vehicle. The NC Driver’s Licenses for both individuals were observed to be current and valid, expiring on 9/10/2032 and 9/12/2032 respectively. Ms. Singletary also stated parents of children being transported will provide all booster seats for children and that if a child’s parent does not leave a booster seat, that child will not be transported unless the parent brings one. All child safety restraints and seatbelts were monitored and observed to be properly functioning. A First Aid kit was observed to be located inside a small compartment above and just behind the driver’s seat and contained gloves, gauze, and band-aids. The tire tread was observed to be greater than 2/32 of an inch. Children’s applications containing identifying information, including the child's name, photograph, emergency contact information, and a copy of the emergency medical care information forms were observed located on the vehicle. Transportation boarding log templates were observed located on the vehicle. A fire extinguisher was observed located on the vehicle, but the needle on the gauge indicated the extinguisher may be underpressurized and need servicing, and it was also not secured or mounted in the vehicle. A No Smoking sign was also not observed in the vehicle. You will need to ensure a properly functioning fire extinguisher is properly mounted and secured, and a No Smoking sign is posted in the vehicle prior to transporting children. Ms. Singletary stated she would email me confirmation once these items were completed. Ms. Singletary provided me a copy of the transportation policies she created during the visit; however, these policies did not address how the program will meet all components of .1000 of Child Care Rule requirements. Once completed, send these to me, and I will review them to ensure all requirements for transportation have been addressed in your policies. You may not transport children until your transportation policies have been reviewed, a properly functioning fire extinguisher is secured/mounted on the vehicle, a No Smoking sign has been placed on the vehicle, and all children have complete, current transportation authorization forms on file and on the vehicle. SECTION .1000 - TRANSPORTATION STANDARDS 10A NCAC 09 .1001 SEAT AND CHILD SAFETY SEATS IN CHILD CARE CENTERS When children enrolled in a child care center are being transported, each adult and child shall be restrained with an individual seat belt or child safety seat appropriate to the child's age or weight in accordance with G.S. 20-135.2A located at http://www.buckleupnc.org/occupant-restraint-laws/seat-belt-law-summary/. Only one person shall occupy each seat belt or child safety seat. 10A NCAC 09 .1002 SAFE VEHICLES Vehicles used to transport children enrolled in child care centers shall be free of hazards such as, but not limited to, torn upholstery that allows children to remove the interior padding, broken windows, holes in the floor or roof, or tire treads of less than 2/32 of an inch. Vehicles used to transport children enrolled in child care centers shall comply with all applicable State and federal laws and regulations. Vehicles shall be insured for liability as required by State laws governing transportation of passengers pursuant to G.S. 20-279.21. Vehicles used to transport children in snowy, icy, and other hazardous weather conditions must be equipped with snow tires or chains as appropriate. 10A NCAC 09 .1003 SAFE PROCEDURES The driver or other staff member in the vehicle shall ensure that all children are transferred to an individual who is indicated on the child's application as specified in Rule .0801(a)(7) of this Chapter or as authorized by the parent. Each center shall establish procedures for pick-up and delivery of children to ensure children are protected from danger and not exposed to risk of harm. These procedures shall be communicated to parents, and a copy shall be posted in the center where they can be seen by the parents. A First Aid kit and fire extinguisher shall be located in each vehicle used to transport children. The First Aid kit and fire extinguisher shall be mounted or secured if kept in the passenger compartment. For each child being transported, identifying information, including the child's name, photograph, emergency contact information, and a copy of the emergency medical care information form required by Rule .0802(c) of this Chapter, shall be in the vehicle. The driver shall: (1) be 21 years old or a licensed bus driver; (2) have a valid driver's license of the type required under North Carolina Motor Vehicle Law for the vehicle being driven or comparable license from the state in which the driver resides; and (3) have no convictions of Driving While Impaired (DWI) or any other impaired driving offense within the previous three years. Each person in the vehicle shall be seated in the manufacturer's designated areas. No child shall ride in the load carrying area or floor of a vehicle. Children shall not be left in a vehicle unattended by an adult. Children shall be loaded and unloaded from curbside or in a safe, off-street area, out of the flow of traffic, so that they are protected from all traffic hazards. Before children are transported, written permission from a parent shall be obtained that shall include when and where the child is to be transported, expected time of departure and arrival, and the transportation provider. Parents may give standing permission, valid for up to 12 months, for transport of children to and from the center not including off premise activities as described in Rule .1005 of this Section. When children are transported, staff in each vehicle shall have a functioning cellular telephone or other functioning two-way voice communication device. Staff shall not use cellular telephones or other functioning two- way voice communication devices except in the case of an emergency and only when the vehicle is parked in a safe location. For routine transport of children to and from the center, staff shall have a list of the children being transported. Staff members shall use this list to document attendance as children board the vehicle and as they depart the vehicle. A list of all children being transported shall also be available at the center. 10A NCAC 09 .1004 STAFF/CHILD RATIOS When children aged two years and older are being transported, the staff/child ratios required for compliance with child care center rules as set forth in Rule .0713 of this Chapter shall apply. The driver may be counted in the staff/child ratio. When three or more children under the age of two years are being transported, the staff/child ratio requirements for child care centers set forth in Rule .0713 of this Chapter for children under age two shall be maintained. The driver shall not be counted in the staff/child ratio. When less than three children under the age of two years are being transported, the staff/child ratio requirements for child care centers set forth in Rule .0713 of this Chapter for children under age two shall be maintained. The driver may be counted in the staff/child ratio. 10A NCAC 09 .1005 OFF PREMISE ACTIVITIES IN CHILD CARE CENTERS Off premise activities refer to any activity that takes place away from a child care center's licensed and approved space. Licensed and approved space includes "primary space" as described in 10A NCAC 09 .1401(a), outdoor space as described in 10A NCAC 09 .1402, single use rooms, or other administrative areas. When children participate in off premise activities the following shall apply: (1) Children under the age of three shall not participate in off premise activities that involve children being transported in a motor vehicle. (2) When children are transported in a motor vehicle for off premise activities, the provisions in Rule (3) Before staff members walk children off premises for play or outings, the center shall obtain written permission from the parent of each child to be included in such activities. .1003(c) through (i) and (k) of this Chapter shall apply. (4) Parents may provide a written statement giving standing permission which may be valid for up to 12 months for participation in off premise activities that occur on a regular basis. (5) The center shall post a schedule of off premise activities in each participating classroom where it can be viewed by parents, and a copy shall be given to parents. The schedule shall be current and shall include the: location of the activity; purpose of the activity; time the activity will take place; date of the activity; and name of the person(s) to be contacted in the event of an emergency. (6) Each time that children are taken off the premises, staff shall take a list of the children participating in the activity with them. Staff members shall use this list to check attendance when leaving the center, periodically when the children are involved in the activity, before leaving the activity to return to the child care center, and upon return to the center. A list of all children participating in the off premise activity shall also be available at the center. The provisions of Subparagraphs (b)(1) and (5) of this Rule shall be waived to implement any child's Individualized Family Service Plan (IFSP) or Individualized Education Program (IEP). Ms. Singletary also provided me a copy of an incident report during the visit which required a child to seek medical attention. Ms. Singletary emailed me a completed copy of the incident report, witness statements, and termination form during the visit. Ms. Singletary stated in this documentation the child returned to care the same day and that the doctor said the child only had a bump on the forehead and no restrictions upon returning to care. • You must notify your consultant 30 days prior to changing the ownership status of your facility. • Please trim the berry bush which is located outside the fenced outdoor playground used for children of preschool age, but hangs over this fence into the playground area. • Monitor all fall zones at the bases of the slides following children’s play each day to ensure they have the required surfacing depth of six inches or greater. The following Child Care Rules were discussed with Ms. Singletary during the visit: SECTION .1000 - TRANSPORTATION STANDARDS 15A NCAC Sanitation Rule 18A .2826 LIGHTING AND THERMAL ENVIRONMENT (b) regarding classroom temperatures required for children older than infants (a maximum of 85 degrees) At the completion of the visit, this visit summary was reviewed with and provided to you, and you were given the opportunity to ask questions. 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. Cara McKeown, Child Care Consultant (336) 408-4849 cara.mckeown@dhhs.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

G.S. 110-90 · Violation

Name of Operation: Main Street Baptist Church Early Learning Center Facility ID: 3452208 Consultant: CARA MCKEOWN-STEWART Operation Type: Center Case Number: Visit Date: 8/14/2025 Number Present: 22 Completed Date: 8/14/2025 Age: From 0 To 5 Total Minutes: 490 Time In: 08:30 AM Time Out: 04:40 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 facility to monitor compliance with applicable childcare requirements. This visit was conducted with Lekeshia Singletary, Director and Aislinn Hardin, Administrative Assistant. Your program currently operates with a Notice of Compliance. The NC Secretary of State website was reviewed on 8/14/2025, and Main Street Baptist Church, Inc. was listed as current and active. The program’s compliance history was 81% 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. Upon arrival, staff/child ratio and space capacity were monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed interactions today. I observed children playing in activity centers, participating in general routines, playing outdoors, and eating lunch. I observed developmentally appropriate materials and activities were available to the children in the classrooms. The last annual compliance visit was conducted on 9/04/2024. A sanitation inspection was completed 11/26/2024 with a Superior classification. The last fire inspection was conducted 11/19/2024. Program records and required postings were monitored. A fire drill was conducted on 7/31/2025. A lockdown drill was documented on 6/19/2025. An outdoor inspection was documented on 7/31/2025. Staff files and children’s records were monitored per DCDEE procedures. The files for two new staff members and one existing staff member were reviewed during the visit. The files for four children enrolled were also reviewed during the visit. Storage of hazardous items was monitored today. Storage and administration of medication and medication authorization were monitored. The program is not approved to provide transportation or participate in aquatic or off-premise activities at this time. The following violations were cited during today’s visit: Violation Number Comment Rule 114 A summary of the NC Child Care Law was not given to a parent of every child enrolled in the center. A signed receipt of NC Child Care Law was not observed on file for two children enrolled. GS 110-102 125 Daily records of arrival and departure times for children at the center were not maintained as children arrive and depart and/or were not made available for review. The arrival times for two children enrolled in both Spaces 4 and 5 were not recorded at the time of service. 10A NCAC 09 .0302(d)(4) 612 Each child's bed, cot, or 2" mat was not individually assigned and identified. A cot list was not observed posted in Spaces 3 and 4. 15A NCAC 18A .2821(b) & (c) 721 All equipment and furnishings were not in good repair. The handle on one toy kitchen cabinet in Space 6 was observed to be broken. G.S. 110-91(6); .0601(b) 830 A First Aid information sheet was not posted in a place for referral and/or the information sheet did not include all the required information. A First Aid poster was not observed posted in Space 6. .0802(h) 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. A hall closet containing items labeled Keep Out of Reach of Children with additional warnings was observed unlocked. .2820(b) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. The diaper cream for one child who was no longer enrolled in the program had not been returned to the parent or discarded. .0803(12) 1125 Before children were transported, written permission from a parent was not obtained that included when and where the child was to be transported, expected time of departure and arrival, and the transportation provider. Transportation authorization forms were not completed an on file for review for four children transported to school this morning. .1003(i)(j) 1320 Children's records that include an application for enrollment, medical and immunization records, and permission to seek emergency medical care was not on file for each child. The health assessments for two children enrolled were not observed on file, and the immunization records for two children enrolled were not observed on file for review. GS 110-91(1);.0302(d)(2); .0304(g) 1325 Parent’s statement includes the child’s name and date of enrollment and the date the parent signed the statement. The date of enrollment was not recorded on the Discipline Policies for two children enrolled. .1804(b) 1805 A child care operator did not notify the Division of any new child care providers, as defined in G.S. 110-90.2(a)(2), who were hired or moved into the child care facility within five business days. A facility profile for Criminal Background Checks had not been created; hence, the director and staff CBCs were not yet linked to this profile. G.S. 110-90.2 & .2703(r) 1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. One new staff member did not have a signed review of the EPR Plan on file. .0607(e) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. The topical medication authorization form for the diaper cream for one child enrolled was not observed on file. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) 1890 Each staff member did not have the required medical report, proof of tuberculosis test or screening and/or completed health questionnaire in a medical file, maintained separately from the staff member's individual personnel file. The health questionnaires for two new staff members were not stored separately from the staff members' personnel files. .0701(d) 1907 A copy of the Prevention of Shaken Baby and Abusive Head Trauma policy was not given to or explained to parents of newly enrolled children up to five years of age on or before the first day the child receives care at the center. A signed receipt of the Shaken Baby and Abusive Head Trauma Policy was not observed on file for two children enrolled. .0608(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 8/28/2024. 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 You may email the letter to cara.mckeown@dhhs.nc.gov or mail two copies of the letter to: Cara McKeown 353 Jonestown Road, Unit #146 Winston Salem, NC 27104 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 provided during today’s visit: Transportation authorization forms were not completed an on file for review for four children transported to school this morning. It is imperative all transportation authorization forms be completed and on file for review prior to transporting children enrolled. You may consider beginning to complete all required documentation for transporting children several weeks in advance of the school year beginning to ensure all necessary paperwork is complete and on file for review. You may also consider scheduling an announced Technical Assistance visit with me to review in detail the DCDEE Checklists which will support you in maintaining compliance at your facility: Program File Checklist, Staff File Checklist, Child File Checklist, Substitute File Checklist, and Volunteer File Checklist. A facility profile for Criminal Background Checks had not been created; hence, the director and staff CBCs were not yet linked to this profile. It is necessary for all staff members to be linked to the center’s facility profile in the ABCMS system, as the process of notifying the Division of any new child care providers working who were hired or moved into the child care facility within five business days has changed to include this process. Ms. Singletary stated she has the instructions I sent via email to complete this process. If you need additional assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. Consultation provided during today’s visit: Ms. Singletary stated she is interested in using the church van to begin to provide transportation for children of School Age to and from school and of Pre-K and School Age for field trips only during summers and/or breaks when children are not in school. All transportation and off-premise activity requirements and required forms were reviewed with Ms. Singletary during the visit. I monitored the vehicle which will be used to transport children during the visit. The vehicle is a 2015 Chevrolet 15-passenger, full size van, license plate # PFD3931. The insurance for the vehicle was observed to be valid from 3/31/2025 until 3/31/2026. The most recent inspection completed on the vehicle was conducted on 4/29/2025 and expires on 4/29/2026. The registration was observed to be current and expires on 6/30/2026. Ms. Singletary stated she and Ms. Aislinn Hardin (teacher/administrative assistant) will be the only individuals driving the vehicle. The NC Driver’s Licenses for both individuals were observed to be current and valid, expiring on 9/10/2032 and 9/12/2032 respectively. Ms. Singletary also stated parents of children being transported will provide all booster seats for children and that if a child’s parent does not leave a booster seat, that child will not be transported unless the parent brings one. All child safety restraints and seatbelts were monitored and observed to be properly functioning. A First Aid kit was observed to be located inside a small compartment above and just behind the driver’s seat and contained gloves, gauze, and band-aids. The tire tread was observed to be greater than 2/32 of an inch. Children’s applications containing identifying information, including the child's name, photograph, emergency contact information, and a copy of the emergency medical care information forms were observed located on the vehicle. Transportation boarding log templates were observed located on the vehicle. A fire extinguisher was observed located on the vehicle, but the needle on the gauge indicated the extinguisher may be underpressurized and need servicing, and it was also not secured or mounted in the vehicle. A No Smoking sign was also not observed in the vehicle. You will need to ensure a properly functioning fire extinguisher is properly mounted and secured, and a No Smoking sign is posted in the vehicle prior to transporting children. Ms. Singletary stated she would email me confirmation once these items were completed. Ms. Singletary provided me a copy of the transportation policies she created during the visit; however, these policies did not address how the program will meet all components of .1000 of Child Care Rule requirements. Once completed, send these to me, and I will review them to ensure all requirements for transportation have been addressed in your policies. You may not transport children until your transportation policies have been reviewed, a properly functioning fire extinguisher is secured/mounted on the vehicle, a No Smoking sign has been placed on the vehicle, and all children have complete, current transportation authorization forms on file and on the vehicle. SECTION .1000 - TRANSPORTATION STANDARDS 10A NCAC 09 .1001 SEAT AND CHILD SAFETY SEATS IN CHILD CARE CENTERS When children enrolled in a child care center are being transported, each adult and child shall be restrained with an individual seat belt or child safety seat appropriate to the child's age or weight in accordance with G.S. 20-135.2A located at http://www.buckleupnc.org/occupant-restraint-laws/seat-belt-law-summary/. Only one person shall occupy each seat belt or child safety seat. 10A NCAC 09 .1002 SAFE VEHICLES Vehicles used to transport children enrolled in child care centers shall be free of hazards such as, but not limited to, torn upholstery that allows children to remove the interior padding, broken windows, holes in the floor or roof, or tire treads of less than 2/32 of an inch. Vehicles used to transport children enrolled in child care centers shall comply with all applicable State and federal laws and regulations. Vehicles shall be insured for liability as required by State laws governing transportation of passengers pursuant to G.S. 20-279.21. Vehicles used to transport children in snowy, icy, and other hazardous weather conditions must be equipped with snow tires or chains as appropriate. 10A NCAC 09 .1003 SAFE PROCEDURES The driver or other staff member in the vehicle shall ensure that all children are transferred to an individual who is indicated on the child's application as specified in Rule .0801(a)(7) of this Chapter or as authorized by the parent. Each center shall establish procedures for pick-up and delivery of children to ensure children are protected from danger and not exposed to risk of harm. These procedures shall be communicated to parents, and a copy shall be posted in the center where they can be seen by the parents. A First Aid kit and fire extinguisher shall be located in each vehicle used to transport children. The First Aid kit and fire extinguisher shall be mounted or secured if kept in the passenger compartment. For each child being transported, identifying information, including the child's name, photograph, emergency contact information, and a copy of the emergency medical care information form required by Rule .0802(c) of this Chapter, shall be in the vehicle. The driver shall: (1) be 21 years old or a licensed bus driver; (2) have a valid driver's license of the type required under North Carolina Motor Vehicle Law for the vehicle being driven or comparable license from the state in which the driver resides; and (3) have no convictions of Driving While Impaired (DWI) or any other impaired driving offense within the previous three years. Each person in the vehicle shall be seated in the manufacturer's designated areas. No child shall ride in the load carrying area or floor of a vehicle. Children shall not be left in a vehicle unattended by an adult. Children shall be loaded and unloaded from curbside or in a safe, off-street area, out of the flow of traffic, so that they are protected from all traffic hazards. Before children are transported, written permission from a parent shall be obtained that shall include when and where the child is to be transported, expected time of departure and arrival, and the transportation provider. Parents may give standing permission, valid for up to 12 months, for transport of children to and from the center not including off premise activities as described in Rule .1005 of this Section. When children are transported, staff in each vehicle shall have a functioning cellular telephone or other functioning two-way voice communication device. Staff shall not use cellular telephones or other functioning two- way voice communication devices except in the case of an emergency and only when the vehicle is parked in a safe location. For routine transport of children to and from the center, staff shall have a list of the children being transported. Staff members shall use this list to document attendance as children board the vehicle and as they depart the vehicle. A list of all children being transported shall also be available at the center. 10A NCAC 09 .1004 STAFF/CHILD RATIOS When children aged two years and older are being transported, the staff/child ratios required for compliance with child care center rules as set forth in Rule .0713 of this Chapter shall apply. The driver may be counted in the staff/child ratio. When three or more children under the age of two years are being transported, the staff/child ratio requirements for child care centers set forth in Rule .0713 of this Chapter for children under age two shall be maintained. The driver shall not be counted in the staff/child ratio. When less than three children under the age of two years are being transported, the staff/child ratio requirements for child care centers set forth in Rule .0713 of this Chapter for children under age two shall be maintained. The driver may be counted in the staff/child ratio. 10A NCAC 09 .1005 OFF PREMISE ACTIVITIES IN CHILD CARE CENTERS Off premise activities refer to any activity that takes place away from a child care center's licensed and approved space. Licensed and approved space includes "primary space" as described in 10A NCAC 09 .1401(a), outdoor space as described in 10A NCAC 09 .1402, single use rooms, or other administrative areas. When children participate in off premise activities the following shall apply: (1) Children under the age of three shall not participate in off premise activities that involve children being transported in a motor vehicle. (2) When children are transported in a motor vehicle for off premise activities, the provisions in Rule (3) Before staff members walk children off premises for play or outings, the center shall obtain written permission from the parent of each child to be included in such activities. .1003(c) through (i) and (k) of this Chapter shall apply. (4) Parents may provide a written statement giving standing permission which may be valid for up to 12 months for participation in off premise activities that occur on a regular basis. (5) The center shall post a schedule of off premise activities in each participating classroom where it can be viewed by parents, and a copy shall be given to parents. The schedule shall be current and shall include the: location of the activity; purpose of the activity; time the activity will take place; date of the activity; and name of the person(s) to be contacted in the event of an emergency. (6) Each time that children are taken off the premises, staff shall take a list of the children participating in the activity with them. Staff members shall use this list to check attendance when leaving the center, periodically when the children are involved in the activity, before leaving the activity to return to the child care center, and upon return to the center. A list of all children participating in the off premise activity shall also be available at the center. The provisions of Subparagraphs (b)(1) and (5) of this Rule shall be waived to implement any child's Individualized Family Service Plan (IFSP) or Individualized Education Program (IEP). Ms. Singletary also provided me a copy of an incident report during the visit which required a child to seek medical attention. Ms. Singletary emailed me a completed copy of the incident report, witness statements, and termination form during the visit. Ms. Singletary stated in this documentation the child returned to care the same day and that the doctor said the child only had a bump on the forehead and no restrictions upon returning to care. • You must notify your consultant 30 days prior to changing the ownership status of your facility. • Please trim the berry bush which is located outside the fenced outdoor playground used for children of preschool age, but hangs over this fence into the playground area. • Monitor all fall zones at the bases of the slides following children’s play each day to ensure they have the required surfacing depth of six inches or greater. The following Child Care Rules were discussed with Ms. Singletary during the visit: SECTION .1000 - TRANSPORTATION STANDARDS 15A NCAC Sanitation Rule 18A .2826 LIGHTING AND THERMAL ENVIRONMENT (b) regarding classroom temperatures required for children older than infants (a maximum of 85 degrees) At the completion of the visit, this visit summary was reviewed with and provided to you, and you were given the opportunity to ask questions. 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. Cara McKeown, Child Care Consultant (336) 408-4849 cara.mckeown@dhhs.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

G.S. 110-91 · Violation

Name of Operation: Main Street Baptist Church Early Learning Center Facility ID: 3452208 Consultant: CARA MCKEOWN-STEWART Operation Type: Center Case Number: Visit Date: 8/14/2025 Number Present: 22 Completed Date: 8/14/2025 Age: From 0 To 5 Total Minutes: 490 Time In: 08:30 AM Time Out: 04:40 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 facility to monitor compliance with applicable childcare requirements. This visit was conducted with Lekeshia Singletary, Director and Aislinn Hardin, Administrative Assistant. Your program currently operates with a Notice of Compliance. The NC Secretary of State website was reviewed on 8/14/2025, and Main Street Baptist Church, Inc. was listed as current and active. The program’s compliance history was 81% 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. Upon arrival, staff/child ratio and space capacity were monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed interactions today. I observed children playing in activity centers, participating in general routines, playing outdoors, and eating lunch. I observed developmentally appropriate materials and activities were available to the children in the classrooms. The last annual compliance visit was conducted on 9/04/2024. A sanitation inspection was completed 11/26/2024 with a Superior classification. The last fire inspection was conducted 11/19/2024. Program records and required postings were monitored. A fire drill was conducted on 7/31/2025. A lockdown drill was documented on 6/19/2025. An outdoor inspection was documented on 7/31/2025. Staff files and children’s records were monitored per DCDEE procedures. The files for two new staff members and one existing staff member were reviewed during the visit. The files for four children enrolled were also reviewed during the visit. Storage of hazardous items was monitored today. Storage and administration of medication and medication authorization were monitored. The program is not approved to provide transportation or participate in aquatic or off-premise activities at this time. The following violations were cited during today’s visit: Violation Number Comment Rule 114 A summary of the NC Child Care Law was not given to a parent of every child enrolled in the center. A signed receipt of NC Child Care Law was not observed on file for two children enrolled. GS 110-102 125 Daily records of arrival and departure times for children at the center were not maintained as children arrive and depart and/or were not made available for review. The arrival times for two children enrolled in both Spaces 4 and 5 were not recorded at the time of service. 10A NCAC 09 .0302(d)(4) 612 Each child's bed, cot, or 2" mat was not individually assigned and identified. A cot list was not observed posted in Spaces 3 and 4. 15A NCAC 18A .2821(b) & (c) 721 All equipment and furnishings were not in good repair. The handle on one toy kitchen cabinet in Space 6 was observed to be broken. G.S. 110-91(6); .0601(b) 830 A First Aid information sheet was not posted in a place for referral and/or the information sheet did not include all the required information. A First Aid poster was not observed posted in Space 6. .0802(h) 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. A hall closet containing items labeled Keep Out of Reach of Children with additional warnings was observed unlocked. .2820(b) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. The diaper cream for one child who was no longer enrolled in the program had not been returned to the parent or discarded. .0803(12) 1125 Before children were transported, written permission from a parent was not obtained that included when and where the child was to be transported, expected time of departure and arrival, and the transportation provider. Transportation authorization forms were not completed an on file for review for four children transported to school this morning. .1003(i)(j) 1320 Children's records that include an application for enrollment, medical and immunization records, and permission to seek emergency medical care was not on file for each child. The health assessments for two children enrolled were not observed on file, and the immunization records for two children enrolled were not observed on file for review. GS 110-91(1);.0302(d)(2); .0304(g) 1325 Parent’s statement includes the child’s name and date of enrollment and the date the parent signed the statement. The date of enrollment was not recorded on the Discipline Policies for two children enrolled. .1804(b) 1805 A child care operator did not notify the Division of any new child care providers, as defined in G.S. 110-90.2(a)(2), who were hired or moved into the child care facility within five business days. A facility profile for Criminal Background Checks had not been created; hence, the director and staff CBCs were not yet linked to this profile. G.S. 110-90.2 & .2703(r) 1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. One new staff member did not have a signed review of the EPR Plan on file. .0607(e) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. The topical medication authorization form for the diaper cream for one child enrolled was not observed on file. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) 1890 Each staff member did not have the required medical report, proof of tuberculosis test or screening and/or completed health questionnaire in a medical file, maintained separately from the staff member's individual personnel file. The health questionnaires for two new staff members were not stored separately from the staff members' personnel files. .0701(d) 1907 A copy of the Prevention of Shaken Baby and Abusive Head Trauma policy was not given to or explained to parents of newly enrolled children up to five years of age on or before the first day the child receives care at the center. A signed receipt of the Shaken Baby and Abusive Head Trauma Policy was not observed on file for two children enrolled. .0608(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 8/28/2024. 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 You may email the letter to cara.mckeown@dhhs.nc.gov or mail two copies of the letter to: Cara McKeown 353 Jonestown Road, Unit #146 Winston Salem, NC 27104 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 provided during today’s visit: Transportation authorization forms were not completed an on file for review for four children transported to school this morning. It is imperative all transportation authorization forms be completed and on file for review prior to transporting children enrolled. You may consider beginning to complete all required documentation for transporting children several weeks in advance of the school year beginning to ensure all necessary paperwork is complete and on file for review. You may also consider scheduling an announced Technical Assistance visit with me to review in detail the DCDEE Checklists which will support you in maintaining compliance at your facility: Program File Checklist, Staff File Checklist, Child File Checklist, Substitute File Checklist, and Volunteer File Checklist. A facility profile for Criminal Background Checks had not been created; hence, the director and staff CBCs were not yet linked to this profile. It is necessary for all staff members to be linked to the center’s facility profile in the ABCMS system, as the process of notifying the Division of any new child care providers working who were hired or moved into the child care facility within five business days has changed to include this process. Ms. Singletary stated she has the instructions I sent via email to complete this process. If you need additional assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. Consultation provided during today’s visit: Ms. Singletary stated she is interested in using the church van to begin to provide transportation for children of School Age to and from school and of Pre-K and School Age for field trips only during summers and/or breaks when children are not in school. All transportation and off-premise activity requirements and required forms were reviewed with Ms. Singletary during the visit. I monitored the vehicle which will be used to transport children during the visit. The vehicle is a 2015 Chevrolet 15-passenger, full size van, license plate # PFD3931. The insurance for the vehicle was observed to be valid from 3/31/2025 until 3/31/2026. The most recent inspection completed on the vehicle was conducted on 4/29/2025 and expires on 4/29/2026. The registration was observed to be current and expires on 6/30/2026. Ms. Singletary stated she and Ms. Aislinn Hardin (teacher/administrative assistant) will be the only individuals driving the vehicle. The NC Driver’s Licenses for both individuals were observed to be current and valid, expiring on 9/10/2032 and 9/12/2032 respectively. Ms. Singletary also stated parents of children being transported will provide all booster seats for children and that if a child’s parent does not leave a booster seat, that child will not be transported unless the parent brings one. All child safety restraints and seatbelts were monitored and observed to be properly functioning. A First Aid kit was observed to be located inside a small compartment above and just behind the driver’s seat and contained gloves, gauze, and band-aids. The tire tread was observed to be greater than 2/32 of an inch. Children’s applications containing identifying information, including the child's name, photograph, emergency contact information, and a copy of the emergency medical care information forms were observed located on the vehicle. Transportation boarding log templates were observed located on the vehicle. A fire extinguisher was observed located on the vehicle, but the needle on the gauge indicated the extinguisher may be underpressurized and need servicing, and it was also not secured or mounted in the vehicle. A No Smoking sign was also not observed in the vehicle. You will need to ensure a properly functioning fire extinguisher is properly mounted and secured, and a No Smoking sign is posted in the vehicle prior to transporting children. Ms. Singletary stated she would email me confirmation once these items were completed. Ms. Singletary provided me a copy of the transportation policies she created during the visit; however, these policies did not address how the program will meet all components of .1000 of Child Care Rule requirements. Once completed, send these to me, and I will review them to ensure all requirements for transportation have been addressed in your policies. You may not transport children until your transportation policies have been reviewed, a properly functioning fire extinguisher is secured/mounted on the vehicle, a No Smoking sign has been placed on the vehicle, and all children have complete, current transportation authorization forms on file and on the vehicle. SECTION .1000 - TRANSPORTATION STANDARDS 10A NCAC 09 .1001 SEAT AND CHILD SAFETY SEATS IN CHILD CARE CENTERS When children enrolled in a child care center are being transported, each adult and child shall be restrained with an individual seat belt or child safety seat appropriate to the child's age or weight in accordance with G.S. 20-135.2A located at http://www.buckleupnc.org/occupant-restraint-laws/seat-belt-law-summary/. Only one person shall occupy each seat belt or child safety seat. 10A NCAC 09 .1002 SAFE VEHICLES Vehicles used to transport children enrolled in child care centers shall be free of hazards such as, but not limited to, torn upholstery that allows children to remove the interior padding, broken windows, holes in the floor or roof, or tire treads of less than 2/32 of an inch. Vehicles used to transport children enrolled in child care centers shall comply with all applicable State and federal laws and regulations. Vehicles shall be insured for liability as required by State laws governing transportation of passengers pursuant to G.S. 20-279.21. Vehicles used to transport children in snowy, icy, and other hazardous weather conditions must be equipped with snow tires or chains as appropriate. 10A NCAC 09 .1003 SAFE PROCEDURES The driver or other staff member in the vehicle shall ensure that all children are transferred to an individual who is indicated on the child's application as specified in Rule .0801(a)(7) of this Chapter or as authorized by the parent. Each center shall establish procedures for pick-up and delivery of children to ensure children are protected from danger and not exposed to risk of harm. These procedures shall be communicated to parents, and a copy shall be posted in the center where they can be seen by the parents. A First Aid kit and fire extinguisher shall be located in each vehicle used to transport children. The First Aid kit and fire extinguisher shall be mounted or secured if kept in the passenger compartment. For each child being transported, identifying information, including the child's name, photograph, emergency contact information, and a copy of the emergency medical care information form required by Rule .0802(c) of this Chapter, shall be in the vehicle. The driver shall: (1) be 21 years old or a licensed bus driver; (2) have a valid driver's license of the type required under North Carolina Motor Vehicle Law for the vehicle being driven or comparable license from the state in which the driver resides; and (3) have no convictions of Driving While Impaired (DWI) or any other impaired driving offense within the previous three years. Each person in the vehicle shall be seated in the manufacturer's designated areas. No child shall ride in the load carrying area or floor of a vehicle. Children shall not be left in a vehicle unattended by an adult. Children shall be loaded and unloaded from curbside or in a safe, off-street area, out of the flow of traffic, so that they are protected from all traffic hazards. Before children are transported, written permission from a parent shall be obtained that shall include when and where the child is to be transported, expected time of departure and arrival, and the transportation provider. Parents may give standing permission, valid for up to 12 months, for transport of children to and from the center not including off premise activities as described in Rule .1005 of this Section. When children are transported, staff in each vehicle shall have a functioning cellular telephone or other functioning two-way voice communication device. Staff shall not use cellular telephones or other functioning two- way voice communication devices except in the case of an emergency and only when the vehicle is parked in a safe location. For routine transport of children to and from the center, staff shall have a list of the children being transported. Staff members shall use this list to document attendance as children board the vehicle and as they depart the vehicle. A list of all children being transported shall also be available at the center. 10A NCAC 09 .1004 STAFF/CHILD RATIOS When children aged two years and older are being transported, the staff/child ratios required for compliance with child care center rules as set forth in Rule .0713 of this Chapter shall apply. The driver may be counted in the staff/child ratio. When three or more children under the age of two years are being transported, the staff/child ratio requirements for child care centers set forth in Rule .0713 of this Chapter for children under age two shall be maintained. The driver shall not be counted in the staff/child ratio. When less than three children under the age of two years are being transported, the staff/child ratio requirements for child care centers set forth in Rule .0713 of this Chapter for children under age two shall be maintained. The driver may be counted in the staff/child ratio. 10A NCAC 09 .1005 OFF PREMISE ACTIVITIES IN CHILD CARE CENTERS Off premise activities refer to any activity that takes place away from a child care center's licensed and approved space. Licensed and approved space includes "primary space" as described in 10A NCAC 09 .1401(a), outdoor space as described in 10A NCAC 09 .1402, single use rooms, or other administrative areas. When children participate in off premise activities the following shall apply: (1) Children under the age of three shall not participate in off premise activities that involve children being transported in a motor vehicle. (2) When children are transported in a motor vehicle for off premise activities, the provisions in Rule (3) Before staff members walk children off premises for play or outings, the center shall obtain written permission from the parent of each child to be included in such activities. .1003(c) through (i) and (k) of this Chapter shall apply. (4) Parents may provide a written statement giving standing permission which may be valid for up to 12 months for participation in off premise activities that occur on a regular basis. (5) The center shall post a schedule of off premise activities in each participating classroom where it can be viewed by parents, and a copy shall be given to parents. The schedule shall be current and shall include the: location of the activity; purpose of the activity; time the activity will take place; date of the activity; and name of the person(s) to be contacted in the event of an emergency. (6) Each time that children are taken off the premises, staff shall take a list of the children participating in the activity with them. Staff members shall use this list to check attendance when leaving the center, periodically when the children are involved in the activity, before leaving the activity to return to the child care center, and upon return to the center. A list of all children participating in the off premise activity shall also be available at the center. The provisions of Subparagraphs (b)(1) and (5) of this Rule shall be waived to implement any child's Individualized Family Service Plan (IFSP) or Individualized Education Program (IEP). Ms. Singletary also provided me a copy of an incident report during the visit which required a child to seek medical attention. Ms. Singletary emailed me a completed copy of the incident report, witness statements, and termination form during the visit. Ms. Singletary stated in this documentation the child returned to care the same day and that the doctor said the child only had a bump on the forehead and no restrictions upon returning to care. • You must notify your consultant 30 days prior to changing the ownership status of your facility. • Please trim the berry bush which is located outside the fenced outdoor playground used for children of preschool age, but hangs over this fence into the playground area. • Monitor all fall zones at the bases of the slides following children’s play each day to ensure they have the required surfacing depth of six inches or greater. The following Child Care Rules were discussed with Ms. Singletary during the visit: SECTION .1000 - TRANSPORTATION STANDARDS 15A NCAC Sanitation Rule 18A .2826 LIGHTING AND THERMAL ENVIRONMENT (b) regarding classroom temperatures required for children older than infants (a maximum of 85 degrees) At the completion of the visit, this visit summary was reviewed with and provided to you, and you were given the opportunity to ask questions. 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. Cara McKeown, Child Care Consultant (336) 408-4849 cara.mckeown@dhhs.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

GS 110-102 · Violation

Name of Operation: Main Street Baptist Church Early Learning Center Facility ID: 3452208 Consultant: CARA MCKEOWN-STEWART Operation Type: Center Case Number: Visit Date: 8/14/2025 Number Present: 22 Completed Date: 8/14/2025 Age: From 0 To 5 Total Minutes: 490 Time In: 08:30 AM Time Out: 04:40 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 facility to monitor compliance with applicable childcare requirements. This visit was conducted with Lekeshia Singletary, Director and Aislinn Hardin, Administrative Assistant. Your program currently operates with a Notice of Compliance. The NC Secretary of State website was reviewed on 8/14/2025, and Main Street Baptist Church, Inc. was listed as current and active. The program’s compliance history was 81% 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. Upon arrival, staff/child ratio and space capacity were monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed interactions today. I observed children playing in activity centers, participating in general routines, playing outdoors, and eating lunch. I observed developmentally appropriate materials and activities were available to the children in the classrooms. The last annual compliance visit was conducted on 9/04/2024. A sanitation inspection was completed 11/26/2024 with a Superior classification. The last fire inspection was conducted 11/19/2024. Program records and required postings were monitored. A fire drill was conducted on 7/31/2025. A lockdown drill was documented on 6/19/2025. An outdoor inspection was documented on 7/31/2025. Staff files and children’s records were monitored per DCDEE procedures. The files for two new staff members and one existing staff member were reviewed during the visit. The files for four children enrolled were also reviewed during the visit. Storage of hazardous items was monitored today. Storage and administration of medication and medication authorization were monitored. The program is not approved to provide transportation or participate in aquatic or off-premise activities at this time. The following violations were cited during today’s visit: Violation Number Comment Rule 114 A summary of the NC Child Care Law was not given to a parent of every child enrolled in the center. A signed receipt of NC Child Care Law was not observed on file for two children enrolled. GS 110-102 125 Daily records of arrival and departure times for children at the center were not maintained as children arrive and depart and/or were not made available for review. The arrival times for two children enrolled in both Spaces 4 and 5 were not recorded at the time of service. 10A NCAC 09 .0302(d)(4) 612 Each child's bed, cot, or 2" mat was not individually assigned and identified. A cot list was not observed posted in Spaces 3 and 4. 15A NCAC 18A .2821(b) & (c) 721 All equipment and furnishings were not in good repair. The handle on one toy kitchen cabinet in Space 6 was observed to be broken. G.S. 110-91(6); .0601(b) 830 A First Aid information sheet was not posted in a place for referral and/or the information sheet did not include all the required information. A First Aid poster was not observed posted in Space 6. .0802(h) 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. A hall closet containing items labeled Keep Out of Reach of Children with additional warnings was observed unlocked. .2820(b) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. The diaper cream for one child who was no longer enrolled in the program had not been returned to the parent or discarded. .0803(12) 1125 Before children were transported, written permission from a parent was not obtained that included when and where the child was to be transported, expected time of departure and arrival, and the transportation provider. Transportation authorization forms were not completed an on file for review for four children transported to school this morning. .1003(i)(j) 1320 Children's records that include an application for enrollment, medical and immunization records, and permission to seek emergency medical care was not on file for each child. The health assessments for two children enrolled were not observed on file, and the immunization records for two children enrolled were not observed on file for review. GS 110-91(1);.0302(d)(2); .0304(g) 1325 Parent’s statement includes the child’s name and date of enrollment and the date the parent signed the statement. The date of enrollment was not recorded on the Discipline Policies for two children enrolled. .1804(b) 1805 A child care operator did not notify the Division of any new child care providers, as defined in G.S. 110-90.2(a)(2), who were hired or moved into the child care facility within five business days. A facility profile for Criminal Background Checks had not been created; hence, the director and staff CBCs were not yet linked to this profile. G.S. 110-90.2 & .2703(r) 1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. One new staff member did not have a signed review of the EPR Plan on file. .0607(e) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. The topical medication authorization form for the diaper cream for one child enrolled was not observed on file. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) 1890 Each staff member did not have the required medical report, proof of tuberculosis test or screening and/or completed health questionnaire in a medical file, maintained separately from the staff member's individual personnel file. The health questionnaires for two new staff members were not stored separately from the staff members' personnel files. .0701(d) 1907 A copy of the Prevention of Shaken Baby and Abusive Head Trauma policy was not given to or explained to parents of newly enrolled children up to five years of age on or before the first day the child receives care at the center. A signed receipt of the Shaken Baby and Abusive Head Trauma Policy was not observed on file for two children enrolled. .0608(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 8/28/2024. 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 You may email the letter to cara.mckeown@dhhs.nc.gov or mail two copies of the letter to: Cara McKeown 353 Jonestown Road, Unit #146 Winston Salem, NC 27104 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 provided during today’s visit: Transportation authorization forms were not completed an on file for review for four children transported to school this morning. It is imperative all transportation authorization forms be completed and on file for review prior to transporting children enrolled. You may consider beginning to complete all required documentation for transporting children several weeks in advance of the school year beginning to ensure all necessary paperwork is complete and on file for review. You may also consider scheduling an announced Technical Assistance visit with me to review in detail the DCDEE Checklists which will support you in maintaining compliance at your facility: Program File Checklist, Staff File Checklist, Child File Checklist, Substitute File Checklist, and Volunteer File Checklist. A facility profile for Criminal Background Checks had not been created; hence, the director and staff CBCs were not yet linked to this profile. It is necessary for all staff members to be linked to the center’s facility profile in the ABCMS system, as the process of notifying the Division of any new child care providers working who were hired or moved into the child care facility within five business days has changed to include this process. Ms. Singletary stated she has the instructions I sent via email to complete this process. If you need additional assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. Consultation provided during today’s visit: Ms. Singletary stated she is interested in using the church van to begin to provide transportation for children of School Age to and from school and of Pre-K and School Age for field trips only during summers and/or breaks when children are not in school. All transportation and off-premise activity requirements and required forms were reviewed with Ms. Singletary during the visit. I monitored the vehicle which will be used to transport children during the visit. The vehicle is a 2015 Chevrolet 15-passenger, full size van, license plate # PFD3931. The insurance for the vehicle was observed to be valid from 3/31/2025 until 3/31/2026. The most recent inspection completed on the vehicle was conducted on 4/29/2025 and expires on 4/29/2026. The registration was observed to be current and expires on 6/30/2026. Ms. Singletary stated she and Ms. Aislinn Hardin (teacher/administrative assistant) will be the only individuals driving the vehicle. The NC Driver’s Licenses for both individuals were observed to be current and valid, expiring on 9/10/2032 and 9/12/2032 respectively. Ms. Singletary also stated parents of children being transported will provide all booster seats for children and that if a child’s parent does not leave a booster seat, that child will not be transported unless the parent brings one. All child safety restraints and seatbelts were monitored and observed to be properly functioning. A First Aid kit was observed to be located inside a small compartment above and just behind the driver’s seat and contained gloves, gauze, and band-aids. The tire tread was observed to be greater than 2/32 of an inch. Children’s applications containing identifying information, including the child's name, photograph, emergency contact information, and a copy of the emergency medical care information forms were observed located on the vehicle. Transportation boarding log templates were observed located on the vehicle. A fire extinguisher was observed located on the vehicle, but the needle on the gauge indicated the extinguisher may be underpressurized and need servicing, and it was also not secured or mounted in the vehicle. A No Smoking sign was also not observed in the vehicle. You will need to ensure a properly functioning fire extinguisher is properly mounted and secured, and a No Smoking sign is posted in the vehicle prior to transporting children. Ms. Singletary stated she would email me confirmation once these items were completed. Ms. Singletary provided me a copy of the transportation policies she created during the visit; however, these policies did not address how the program will meet all components of .1000 of Child Care Rule requirements. Once completed, send these to me, and I will review them to ensure all requirements for transportation have been addressed in your policies. You may not transport children until your transportation policies have been reviewed, a properly functioning fire extinguisher is secured/mounted on the vehicle, a No Smoking sign has been placed on the vehicle, and all children have complete, current transportation authorization forms on file and on the vehicle. SECTION .1000 - TRANSPORTATION STANDARDS 10A NCAC 09 .1001 SEAT AND CHILD SAFETY SEATS IN CHILD CARE CENTERS When children enrolled in a child care center are being transported, each adult and child shall be restrained with an individual seat belt or child safety seat appropriate to the child's age or weight in accordance with G.S. 20-135.2A located at http://www.buckleupnc.org/occupant-restraint-laws/seat-belt-law-summary/. Only one person shall occupy each seat belt or child safety seat. 10A NCAC 09 .1002 SAFE VEHICLES Vehicles used to transport children enrolled in child care centers shall be free of hazards such as, but not limited to, torn upholstery that allows children to remove the interior padding, broken windows, holes in the floor or roof, or tire treads of less than 2/32 of an inch. Vehicles used to transport children enrolled in child care centers shall comply with all applicable State and federal laws and regulations. Vehicles shall be insured for liability as required by State laws governing transportation of passengers pursuant to G.S. 20-279.21. Vehicles used to transport children in snowy, icy, and other hazardous weather conditions must be equipped with snow tires or chains as appropriate. 10A NCAC 09 .1003 SAFE PROCEDURES The driver or other staff member in the vehicle shall ensure that all children are transferred to an individual who is indicated on the child's application as specified in Rule .0801(a)(7) of this Chapter or as authorized by the parent. Each center shall establish procedures for pick-up and delivery of children to ensure children are protected from danger and not exposed to risk of harm. These procedures shall be communicated to parents, and a copy shall be posted in the center where they can be seen by the parents. A First Aid kit and fire extinguisher shall be located in each vehicle used to transport children. The First Aid kit and fire extinguisher shall be mounted or secured if kept in the passenger compartment. For each child being transported, identifying information, including the child's name, photograph, emergency contact information, and a copy of the emergency medical care information form required by Rule .0802(c) of this Chapter, shall be in the vehicle. The driver shall: (1) be 21 years old or a licensed bus driver; (2) have a valid driver's license of the type required under North Carolina Motor Vehicle Law for the vehicle being driven or comparable license from the state in which the driver resides; and (3) have no convictions of Driving While Impaired (DWI) or any other impaired driving offense within the previous three years. Each person in the vehicle shall be seated in the manufacturer's designated areas. No child shall ride in the load carrying area or floor of a vehicle. Children shall not be left in a vehicle unattended by an adult. Children shall be loaded and unloaded from curbside or in a safe, off-street area, out of the flow of traffic, so that they are protected from all traffic hazards. Before children are transported, written permission from a parent shall be obtained that shall include when and where the child is to be transported, expected time of departure and arrival, and the transportation provider. Parents may give standing permission, valid for up to 12 months, for transport of children to and from the center not including off premise activities as described in Rule .1005 of this Section. When children are transported, staff in each vehicle shall have a functioning cellular telephone or other functioning two-way voice communication device. Staff shall not use cellular telephones or other functioning two- way voice communication devices except in the case of an emergency and only when the vehicle is parked in a safe location. For routine transport of children to and from the center, staff shall have a list of the children being transported. Staff members shall use this list to document attendance as children board the vehicle and as they depart the vehicle. A list of all children being transported shall also be available at the center. 10A NCAC 09 .1004 STAFF/CHILD RATIOS When children aged two years and older are being transported, the staff/child ratios required for compliance with child care center rules as set forth in Rule .0713 of this Chapter shall apply. The driver may be counted in the staff/child ratio. When three or more children under the age of two years are being transported, the staff/child ratio requirements for child care centers set forth in Rule .0713 of this Chapter for children under age two shall be maintained. The driver shall not be counted in the staff/child ratio. When less than three children under the age of two years are being transported, the staff/child ratio requirements for child care centers set forth in Rule .0713 of this Chapter for children under age two shall be maintained. The driver may be counted in the staff/child ratio. 10A NCAC 09 .1005 OFF PREMISE ACTIVITIES IN CHILD CARE CENTERS Off premise activities refer to any activity that takes place away from a child care center's licensed and approved space. Licensed and approved space includes "primary space" as described in 10A NCAC 09 .1401(a), outdoor space as described in 10A NCAC 09 .1402, single use rooms, or other administrative areas. When children participate in off premise activities the following shall apply: (1) Children under the age of three shall not participate in off premise activities that involve children being transported in a motor vehicle. (2) When children are transported in a motor vehicle for off premise activities, the provisions in Rule (3) Before staff members walk children off premises for play or outings, the center shall obtain written permission from the parent of each child to be included in such activities. .1003(c) through (i) and (k) of this Chapter shall apply. (4) Parents may provide a written statement giving standing permission which may be valid for up to 12 months for participation in off premise activities that occur on a regular basis. (5) The center shall post a schedule of off premise activities in each participating classroom where it can be viewed by parents, and a copy shall be given to parents. The schedule shall be current and shall include the: location of the activity; purpose of the activity; time the activity will take place; date of the activity; and name of the person(s) to be contacted in the event of an emergency. (6) Each time that children are taken off the premises, staff shall take a list of the children participating in the activity with them. Staff members shall use this list to check attendance when leaving the center, periodically when the children are involved in the activity, before leaving the activity to return to the child care center, and upon return to the center. A list of all children participating in the off premise activity shall also be available at the center. The provisions of Subparagraphs (b)(1) and (5) of this Rule shall be waived to implement any child's Individualized Family Service Plan (IFSP) or Individualized Education Program (IEP). Ms. Singletary also provided me a copy of an incident report during the visit which required a child to seek medical attention. Ms. Singletary emailed me a completed copy of the incident report, witness statements, and termination form during the visit. Ms. Singletary stated in this documentation the child returned to care the same day and that the doctor said the child only had a bump on the forehead and no restrictions upon returning to care. • You must notify your consultant 30 days prior to changing the ownership status of your facility. • Please trim the berry bush which is located outside the fenced outdoor playground used for children of preschool age, but hangs over this fence into the playground area. • Monitor all fall zones at the bases of the slides following children’s play each day to ensure they have the required surfacing depth of six inches or greater. The following Child Care Rules were discussed with Ms. Singletary during the visit: SECTION .1000 - TRANSPORTATION STANDARDS 15A NCAC Sanitation Rule 18A .2826 LIGHTING AND THERMAL ENVIRONMENT (b) regarding classroom temperatures required for children older than infants (a maximum of 85 degrees) At the completion of the visit, this visit summary was reviewed with and provided to you, and you were given the opportunity to ask questions. 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. Cara McKeown, Child Care Consultant (336) 408-4849 cara.mckeown@dhhs.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

GS 110-91 · Violation

Name of Operation: Main Street Baptist Church Early Learning Center Facility ID: 3452208 Consultant: CARA MCKEOWN-STEWART Operation Type: Center Case Number: Visit Date: 8/14/2025 Number Present: 22 Completed Date: 8/14/2025 Age: From 0 To 5 Total Minutes: 490 Time In: 08:30 AM Time Out: 04:40 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 facility to monitor compliance with applicable childcare requirements. This visit was conducted with Lekeshia Singletary, Director and Aislinn Hardin, Administrative Assistant. Your program currently operates with a Notice of Compliance. The NC Secretary of State website was reviewed on 8/14/2025, and Main Street Baptist Church, Inc. was listed as current and active. The program’s compliance history was 81% 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. Upon arrival, staff/child ratio and space capacity were monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed interactions today. I observed children playing in activity centers, participating in general routines, playing outdoors, and eating lunch. I observed developmentally appropriate materials and activities were available to the children in the classrooms. The last annual compliance visit was conducted on 9/04/2024. A sanitation inspection was completed 11/26/2024 with a Superior classification. The last fire inspection was conducted 11/19/2024. Program records and required postings were monitored. A fire drill was conducted on 7/31/2025. A lockdown drill was documented on 6/19/2025. An outdoor inspection was documented on 7/31/2025. Staff files and children’s records were monitored per DCDEE procedures. The files for two new staff members and one existing staff member were reviewed during the visit. The files for four children enrolled were also reviewed during the visit. Storage of hazardous items was monitored today. Storage and administration of medication and medication authorization were monitored. The program is not approved to provide transportation or participate in aquatic or off-premise activities at this time. The following violations were cited during today’s visit: Violation Number Comment Rule 114 A summary of the NC Child Care Law was not given to a parent of every child enrolled in the center. A signed receipt of NC Child Care Law was not observed on file for two children enrolled. GS 110-102 125 Daily records of arrival and departure times for children at the center were not maintained as children arrive and depart and/or were not made available for review. The arrival times for two children enrolled in both Spaces 4 and 5 were not recorded at the time of service. 10A NCAC 09 .0302(d)(4) 612 Each child's bed, cot, or 2" mat was not individually assigned and identified. A cot list was not observed posted in Spaces 3 and 4. 15A NCAC 18A .2821(b) & (c) 721 All equipment and furnishings were not in good repair. The handle on one toy kitchen cabinet in Space 6 was observed to be broken. G.S. 110-91(6); .0601(b) 830 A First Aid information sheet was not posted in a place for referral and/or the information sheet did not include all the required information. A First Aid poster was not observed posted in Space 6. .0802(h) 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. A hall closet containing items labeled Keep Out of Reach of Children with additional warnings was observed unlocked. .2820(b) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. The diaper cream for one child who was no longer enrolled in the program had not been returned to the parent or discarded. .0803(12) 1125 Before children were transported, written permission from a parent was not obtained that included when and where the child was to be transported, expected time of departure and arrival, and the transportation provider. Transportation authorization forms were not completed an on file for review for four children transported to school this morning. .1003(i)(j) 1320 Children's records that include an application for enrollment, medical and immunization records, and permission to seek emergency medical care was not on file for each child. The health assessments for two children enrolled were not observed on file, and the immunization records for two children enrolled were not observed on file for review. GS 110-91(1);.0302(d)(2); .0304(g) 1325 Parent’s statement includes the child’s name and date of enrollment and the date the parent signed the statement. The date of enrollment was not recorded on the Discipline Policies for two children enrolled. .1804(b) 1805 A child care operator did not notify the Division of any new child care providers, as defined in G.S. 110-90.2(a)(2), who were hired or moved into the child care facility within five business days. A facility profile for Criminal Background Checks had not been created; hence, the director and staff CBCs were not yet linked to this profile. G.S. 110-90.2 & .2703(r) 1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. One new staff member did not have a signed review of the EPR Plan on file. .0607(e) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. The topical medication authorization form for the diaper cream for one child enrolled was not observed on file. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) 1890 Each staff member did not have the required medical report, proof of tuberculosis test or screening and/or completed health questionnaire in a medical file, maintained separately from the staff member's individual personnel file. The health questionnaires for two new staff members were not stored separately from the staff members' personnel files. .0701(d) 1907 A copy of the Prevention of Shaken Baby and Abusive Head Trauma policy was not given to or explained to parents of newly enrolled children up to five years of age on or before the first day the child receives care at the center. A signed receipt of the Shaken Baby and Abusive Head Trauma Policy was not observed on file for two children enrolled. .0608(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 8/28/2024. 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 You may email the letter to cara.mckeown@dhhs.nc.gov or mail two copies of the letter to: Cara McKeown 353 Jonestown Road, Unit #146 Winston Salem, NC 27104 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 provided during today’s visit: Transportation authorization forms were not completed an on file for review for four children transported to school this morning. It is imperative all transportation authorization forms be completed and on file for review prior to transporting children enrolled. You may consider beginning to complete all required documentation for transporting children several weeks in advance of the school year beginning to ensure all necessary paperwork is complete and on file for review. You may also consider scheduling an announced Technical Assistance visit with me to review in detail the DCDEE Checklists which will support you in maintaining compliance at your facility: Program File Checklist, Staff File Checklist, Child File Checklist, Substitute File Checklist, and Volunteer File Checklist. A facility profile for Criminal Background Checks had not been created; hence, the director and staff CBCs were not yet linked to this profile. It is necessary for all staff members to be linked to the center’s facility profile in the ABCMS system, as the process of notifying the Division of any new child care providers working who were hired or moved into the child care facility within five business days has changed to include this process. Ms. Singletary stated she has the instructions I sent via email to complete this process. If you need additional assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. Consultation provided during today’s visit: Ms. Singletary stated she is interested in using the church van to begin to provide transportation for children of School Age to and from school and of Pre-K and School Age for field trips only during summers and/or breaks when children are not in school. All transportation and off-premise activity requirements and required forms were reviewed with Ms. Singletary during the visit. I monitored the vehicle which will be used to transport children during the visit. The vehicle is a 2015 Chevrolet 15-passenger, full size van, license plate # PFD3931. The insurance for the vehicle was observed to be valid from 3/31/2025 until 3/31/2026. The most recent inspection completed on the vehicle was conducted on 4/29/2025 and expires on 4/29/2026. The registration was observed to be current and expires on 6/30/2026. Ms. Singletary stated she and Ms. Aislinn Hardin (teacher/administrative assistant) will be the only individuals driving the vehicle. The NC Driver’s Licenses for both individuals were observed to be current and valid, expiring on 9/10/2032 and 9/12/2032 respectively. Ms. Singletary also stated parents of children being transported will provide all booster seats for children and that if a child’s parent does not leave a booster seat, that child will not be transported unless the parent brings one. All child safety restraints and seatbelts were monitored and observed to be properly functioning. A First Aid kit was observed to be located inside a small compartment above and just behind the driver’s seat and contained gloves, gauze, and band-aids. The tire tread was observed to be greater than 2/32 of an inch. Children’s applications containing identifying information, including the child's name, photograph, emergency contact information, and a copy of the emergency medical care information forms were observed located on the vehicle. Transportation boarding log templates were observed located on the vehicle. A fire extinguisher was observed located on the vehicle, but the needle on the gauge indicated the extinguisher may be underpressurized and need servicing, and it was also not secured or mounted in the vehicle. A No Smoking sign was also not observed in the vehicle. You will need to ensure a properly functioning fire extinguisher is properly mounted and secured, and a No Smoking sign is posted in the vehicle prior to transporting children. Ms. Singletary stated she would email me confirmation once these items were completed. Ms. Singletary provided me a copy of the transportation policies she created during the visit; however, these policies did not address how the program will meet all components of .1000 of Child Care Rule requirements. Once completed, send these to me, and I will review them to ensure all requirements for transportation have been addressed in your policies. You may not transport children until your transportation policies have been reviewed, a properly functioning fire extinguisher is secured/mounted on the vehicle, a No Smoking sign has been placed on the vehicle, and all children have complete, current transportation authorization forms on file and on the vehicle. SECTION .1000 - TRANSPORTATION STANDARDS 10A NCAC 09 .1001 SEAT AND CHILD SAFETY SEATS IN CHILD CARE CENTERS When children enrolled in a child care center are being transported, each adult and child shall be restrained with an individual seat belt or child safety seat appropriate to the child's age or weight in accordance with G.S. 20-135.2A located at http://www.buckleupnc.org/occupant-restraint-laws/seat-belt-law-summary/. Only one person shall occupy each seat belt or child safety seat. 10A NCAC 09 .1002 SAFE VEHICLES Vehicles used to transport children enrolled in child care centers shall be free of hazards such as, but not limited to, torn upholstery that allows children to remove the interior padding, broken windows, holes in the floor or roof, or tire treads of less than 2/32 of an inch. Vehicles used to transport children enrolled in child care centers shall comply with all applicable State and federal laws and regulations. Vehicles shall be insured for liability as required by State laws governing transportation of passengers pursuant to G.S. 20-279.21. Vehicles used to transport children in snowy, icy, and other hazardous weather conditions must be equipped with snow tires or chains as appropriate. 10A NCAC 09 .1003 SAFE PROCEDURES The driver or other staff member in the vehicle shall ensure that all children are transferred to an individual who is indicated on the child's application as specified in Rule .0801(a)(7) of this Chapter or as authorized by the parent. Each center shall establish procedures for pick-up and delivery of children to ensure children are protected from danger and not exposed to risk of harm. These procedures shall be communicated to parents, and a copy shall be posted in the center where they can be seen by the parents. A First Aid kit and fire extinguisher shall be located in each vehicle used to transport children. The First Aid kit and fire extinguisher shall be mounted or secured if kept in the passenger compartment. For each child being transported, identifying information, including the child's name, photograph, emergency contact information, and a copy of the emergency medical care information form required by Rule .0802(c) of this Chapter, shall be in the vehicle. The driver shall: (1) be 21 years old or a licensed bus driver; (2) have a valid driver's license of the type required under North Carolina Motor Vehicle Law for the vehicle being driven or comparable license from the state in which the driver resides; and (3) have no convictions of Driving While Impaired (DWI) or any other impaired driving offense within the previous three years. Each person in the vehicle shall be seated in the manufacturer's designated areas. No child shall ride in the load carrying area or floor of a vehicle. Children shall not be left in a vehicle unattended by an adult. Children shall be loaded and unloaded from curbside or in a safe, off-street area, out of the flow of traffic, so that they are protected from all traffic hazards. Before children are transported, written permission from a parent shall be obtained that shall include when and where the child is to be transported, expected time of departure and arrival, and the transportation provider. Parents may give standing permission, valid for up to 12 months, for transport of children to and from the center not including off premise activities as described in Rule .1005 of this Section. When children are transported, staff in each vehicle shall have a functioning cellular telephone or other functioning two-way voice communication device. Staff shall not use cellular telephones or other functioning two- way voice communication devices except in the case of an emergency and only when the vehicle is parked in a safe location. For routine transport of children to and from the center, staff shall have a list of the children being transported. Staff members shall use this list to document attendance as children board the vehicle and as they depart the vehicle. A list of all children being transported shall also be available at the center. 10A NCAC 09 .1004 STAFF/CHILD RATIOS When children aged two years and older are being transported, the staff/child ratios required for compliance with child care center rules as set forth in Rule .0713 of this Chapter shall apply. The driver may be counted in the staff/child ratio. When three or more children under the age of two years are being transported, the staff/child ratio requirements for child care centers set forth in Rule .0713 of this Chapter for children under age two shall be maintained. The driver shall not be counted in the staff/child ratio. When less than three children under the age of two years are being transported, the staff/child ratio requirements for child care centers set forth in Rule .0713 of this Chapter for children under age two shall be maintained. The driver may be counted in the staff/child ratio. 10A NCAC 09 .1005 OFF PREMISE ACTIVITIES IN CHILD CARE CENTERS Off premise activities refer to any activity that takes place away from a child care center's licensed and approved space. Licensed and approved space includes "primary space" as described in 10A NCAC 09 .1401(a), outdoor space as described in 10A NCAC 09 .1402, single use rooms, or other administrative areas. When children participate in off premise activities the following shall apply: (1) Children under the age of three shall not participate in off premise activities that involve children being transported in a motor vehicle. (2) When children are transported in a motor vehicle for off premise activities, the provisions in Rule (3) Before staff members walk children off premises for play or outings, the center shall obtain written permission from the parent of each child to be included in such activities. .1003(c) through (i) and (k) of this Chapter shall apply. (4) Parents may provide a written statement giving standing permission which may be valid for up to 12 months for participation in off premise activities that occur on a regular basis. (5) The center shall post a schedule of off premise activities in each participating classroom where it can be viewed by parents, and a copy shall be given to parents. The schedule shall be current and shall include the: location of the activity; purpose of the activity; time the activity will take place; date of the activity; and name of the person(s) to be contacted in the event of an emergency. (6) Each time that children are taken off the premises, staff shall take a list of the children participating in the activity with them. Staff members shall use this list to check attendance when leaving the center, periodically when the children are involved in the activity, before leaving the activity to return to the child care center, and upon return to the center. A list of all children participating in the off premise activity shall also be available at the center. The provisions of Subparagraphs (b)(1) and (5) of this Rule shall be waived to implement any child's Individualized Family Service Plan (IFSP) or Individualized Education Program (IEP). Ms. Singletary also provided me a copy of an incident report during the visit which required a child to seek medical attention. Ms. Singletary emailed me a completed copy of the incident report, witness statements, and termination form during the visit. Ms. Singletary stated in this documentation the child returned to care the same day and that the doctor said the child only had a bump on the forehead and no restrictions upon returning to care. • You must notify your consultant 30 days prior to changing the ownership status of your facility. • Please trim the berry bush which is located outside the fenced outdoor playground used for children of preschool age, but hangs over this fence into the playground area. • Monitor all fall zones at the bases of the slides following children’s play each day to ensure they have the required surfacing depth of six inches or greater. The following Child Care Rules were discussed with Ms. Singletary during the visit: SECTION .1000 - TRANSPORTATION STANDARDS 15A NCAC Sanitation Rule 18A .2826 LIGHTING AND THERMAL ENVIRONMENT (b) regarding classroom temperatures required for children older than infants (a maximum of 85 degrees) At the completion of the visit, this visit summary was reviewed with and provided to you, and you were given the opportunity to ask questions. 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. Cara McKeown, Child Care Consultant (336) 408-4849 cara.mckeown@dhhs.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: Main Street Baptist Church Early Learning Center Facility ID: 3452208 Consultant: CARA MCKEOWN-STEWART Operation Type: Center Case Number: Visit Date: 8/14/2025 Number Present: 22 Completed Date: 8/14/2025 Age: From 0 To 5 Total Minutes: 490 Time In: 08:30 AM Time Out: 04:40 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 facility to monitor compliance with applicable childcare requirements. This visit was conducted with Lekeshia Singletary, Director and Aislinn Hardin, Administrative Assistant. Your program currently operates with a Notice of Compliance. The NC Secretary of State website was reviewed on 8/14/2025, and Main Street Baptist Church, Inc. was listed as current and active. The program’s compliance history was 81% 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. Upon arrival, staff/child ratio and space capacity were monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed interactions today. I observed children playing in activity centers, participating in general routines, playing outdoors, and eating lunch. I observed developmentally appropriate materials and activities were available to the children in the classrooms. The last annual compliance visit was conducted on 9/04/2024. A sanitation inspection was completed 11/26/2024 with a Superior classification. The last fire inspection was conducted 11/19/2024. Program records and required postings were monitored. A fire drill was conducted on 7/31/2025. A lockdown drill was documented on 6/19/2025. An outdoor inspection was documented on 7/31/2025. Staff files and children’s records were monitored per DCDEE procedures. The files for two new staff members and one existing staff member were reviewed during the visit. The files for four children enrolled were also reviewed during the visit. Storage of hazardous items was monitored today. Storage and administration of medication and medication authorization were monitored. The program is not approved to provide transportation or participate in aquatic or off-premise activities at this time. The following violations were cited during today’s visit: Violation Number Comment Rule 114 A summary of the NC Child Care Law was not given to a parent of every child enrolled in the center. A signed receipt of NC Child Care Law was not observed on file for two children enrolled. GS 110-102 125 Daily records of arrival and departure times for children at the center were not maintained as children arrive and depart and/or were not made available for review. The arrival times for two children enrolled in both Spaces 4 and 5 were not recorded at the time of service. 10A NCAC 09 .0302(d)(4) 612 Each child's bed, cot, or 2" mat was not individually assigned and identified. A cot list was not observed posted in Spaces 3 and 4. 15A NCAC 18A .2821(b) & (c) 721 All equipment and furnishings were not in good repair. The handle on one toy kitchen cabinet in Space 6 was observed to be broken. G.S. 110-91(6); .0601(b) 830 A First Aid information sheet was not posted in a place for referral and/or the information sheet did not include all the required information. A First Aid poster was not observed posted in Space 6. .0802(h) 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. A hall closet containing items labeled Keep Out of Reach of Children with additional warnings was observed unlocked. .2820(b) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. The diaper cream for one child who was no longer enrolled in the program had not been returned to the parent or discarded. .0803(12) 1125 Before children were transported, written permission from a parent was not obtained that included when and where the child was to be transported, expected time of departure and arrival, and the transportation provider. Transportation authorization forms were not completed an on file for review for four children transported to school this morning. .1003(i)(j) 1320 Children's records that include an application for enrollment, medical and immunization records, and permission to seek emergency medical care was not on file for each child. The health assessments for two children enrolled were not observed on file, and the immunization records for two children enrolled were not observed on file for review. GS 110-91(1);.0302(d)(2); .0304(g) 1325 Parent’s statement includes the child’s name and date of enrollment and the date the parent signed the statement. The date of enrollment was not recorded on the Discipline Policies for two children enrolled. .1804(b) 1805 A child care operator did not notify the Division of any new child care providers, as defined in G.S. 110-90.2(a)(2), who were hired or moved into the child care facility within five business days. A facility profile for Criminal Background Checks had not been created; hence, the director and staff CBCs were not yet linked to this profile. G.S. 110-90.2 & .2703(r) 1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. One new staff member did not have a signed review of the EPR Plan on file. .0607(e) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. The topical medication authorization form for the diaper cream for one child enrolled was not observed on file. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) 1890 Each staff member did not have the required medical report, proof of tuberculosis test or screening and/or completed health questionnaire in a medical file, maintained separately from the staff member's individual personnel file. The health questionnaires for two new staff members were not stored separately from the staff members' personnel files. .0701(d) 1907 A copy of the Prevention of Shaken Baby and Abusive Head Trauma policy was not given to or explained to parents of newly enrolled children up to five years of age on or before the first day the child receives care at the center. A signed receipt of the Shaken Baby and Abusive Head Trauma Policy was not observed on file for two children enrolled. .0608(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 8/28/2024. 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 You may email the letter to cara.mckeown@dhhs.nc.gov or mail two copies of the letter to: Cara McKeown 353 Jonestown Road, Unit #146 Winston Salem, NC 27104 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 provided during today’s visit: Transportation authorization forms were not completed an on file for review for four children transported to school this morning. It is imperative all transportation authorization forms be completed and on file for review prior to transporting children enrolled. You may consider beginning to complete all required documentation for transporting children several weeks in advance of the school year beginning to ensure all necessary paperwork is complete and on file for review. You may also consider scheduling an announced Technical Assistance visit with me to review in detail the DCDEE Checklists which will support you in maintaining compliance at your facility: Program File Checklist, Staff File Checklist, Child File Checklist, Substitute File Checklist, and Volunteer File Checklist. A facility profile for Criminal Background Checks had not been created; hence, the director and staff CBCs were not yet linked to this profile. It is necessary for all staff members to be linked to the center’s facility profile in the ABCMS system, as the process of notifying the Division of any new child care providers working who were hired or moved into the child care facility within five business days has changed to include this process. Ms. Singletary stated she has the instructions I sent via email to complete this process. If you need additional assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. Consultation provided during today’s visit: Ms. Singletary stated she is interested in using the church van to begin to provide transportation for children of School Age to and from school and of Pre-K and School Age for field trips only during summers and/or breaks when children are not in school. All transportation and off-premise activity requirements and required forms were reviewed with Ms. Singletary during the visit. I monitored the vehicle which will be used to transport children during the visit. The vehicle is a 2015 Chevrolet 15-passenger, full size van, license plate # PFD3931. The insurance for the vehicle was observed to be valid from 3/31/2025 until 3/31/2026. The most recent inspection completed on the vehicle was conducted on 4/29/2025 and expires on 4/29/2026. The registration was observed to be current and expires on 6/30/2026. Ms. Singletary stated she and Ms. Aislinn Hardin (teacher/administrative assistant) will be the only individuals driving the vehicle. The NC Driver’s Licenses for both individuals were observed to be current and valid, expiring on 9/10/2032 and 9/12/2032 respectively. Ms. Singletary also stated parents of children being transported will provide all booster seats for children and that if a child’s parent does not leave a booster seat, that child will not be transported unless the parent brings one. All child safety restraints and seatbelts were monitored and observed to be properly functioning. A First Aid kit was observed to be located inside a small compartment above and just behind the driver’s seat and contained gloves, gauze, and band-aids. The tire tread was observed to be greater than 2/32 of an inch. Children’s applications containing identifying information, including the child's name, photograph, emergency contact information, and a copy of the emergency medical care information forms were observed located on the vehicle. Transportation boarding log templates were observed located on the vehicle. A fire extinguisher was observed located on the vehicle, but the needle on the gauge indicated the extinguisher may be underpressurized and need servicing, and it was also not secured or mounted in the vehicle. A No Smoking sign was also not observed in the vehicle. You will need to ensure a properly functioning fire extinguisher is properly mounted and secured, and a No Smoking sign is posted in the vehicle prior to transporting children. Ms. Singletary stated she would email me confirmation once these items were completed. Ms. Singletary provided me a copy of the transportation policies she created during the visit; however, these policies did not address how the program will meet all components of .1000 of Child Care Rule requirements. Once completed, send these to me, and I will review them to ensure all requirements for transportation have been addressed in your policies. You may not transport children until your transportation policies have been reviewed, a properly functioning fire extinguisher is secured/mounted on the vehicle, a No Smoking sign has been placed on the vehicle, and all children have complete, current transportation authorization forms on file and on the vehicle. SECTION .1000 - TRANSPORTATION STANDARDS 10A NCAC 09 .1001 SEAT AND CHILD SAFETY SEATS IN CHILD CARE CENTERS When children enrolled in a child care center are being transported, each adult and child shall be restrained with an individual seat belt or child safety seat appropriate to the child's age or weight in accordance with G.S. 20-135.2A located at http://www.buckleupnc.org/occupant-restraint-laws/seat-belt-law-summary/. Only one person shall occupy each seat belt or child safety seat. 10A NCAC 09 .1002 SAFE VEHICLES Vehicles used to transport children enrolled in child care centers shall be free of hazards such as, but not limited to, torn upholstery that allows children to remove the interior padding, broken windows, holes in the floor or roof, or tire treads of less than 2/32 of an inch. Vehicles used to transport children enrolled in child care centers shall comply with all applicable State and federal laws and regulations. Vehicles shall be insured for liability as required by State laws governing transportation of passengers pursuant to G.S. 20-279.21. Vehicles used to transport children in snowy, icy, and other hazardous weather conditions must be equipped with snow tires or chains as appropriate. 10A NCAC 09 .1003 SAFE PROCEDURES The driver or other staff member in the vehicle shall ensure that all children are transferred to an individual who is indicated on the child's application as specified in Rule .0801(a)(7) of this Chapter or as authorized by the parent. Each center shall establish procedures for pick-up and delivery of children to ensure children are protected from danger and not exposed to risk of harm. These procedures shall be communicated to parents, and a copy shall be posted in the center where they can be seen by the parents. A First Aid kit and fire extinguisher shall be located in each vehicle used to transport children. The First Aid kit and fire extinguisher shall be mounted or secured if kept in the passenger compartment. For each child being transported, identifying information, including the child's name, photograph, emergency contact information, and a copy of the emergency medical care information form required by Rule .0802(c) of this Chapter, shall be in the vehicle. The driver shall: (1) be 21 years old or a licensed bus driver; (2) have a valid driver's license of the type required under North Carolina Motor Vehicle Law for the vehicle being driven or comparable license from the state in which the driver resides; and (3) have no convictions of Driving While Impaired (DWI) or any other impaired driving offense within the previous three years. Each person in the vehicle shall be seated in the manufacturer's designated areas. No child shall ride in the load carrying area or floor of a vehicle. Children shall not be left in a vehicle unattended by an adult. Children shall be loaded and unloaded from curbside or in a safe, off-street area, out of the flow of traffic, so that they are protected from all traffic hazards. Before children are transported, written permission from a parent shall be obtained that shall include when and where the child is to be transported, expected time of departure and arrival, and the transportation provider. Parents may give standing permission, valid for up to 12 months, for transport of children to and from the center not including off premise activities as described in Rule .1005 of this Section. When children are transported, staff in each vehicle shall have a functioning cellular telephone or other functioning two-way voice communication device. Staff shall not use cellular telephones or other functioning two- way voice communication devices except in the case of an emergency and only when the vehicle is parked in a safe location. For routine transport of children to and from the center, staff shall have a list of the children being transported. Staff members shall use this list to document attendance as children board the vehicle and as they depart the vehicle. A list of all children being transported shall also be available at the center. 10A NCAC 09 .1004 STAFF/CHILD RATIOS When children aged two years and older are being transported, the staff/child ratios required for compliance with child care center rules as set forth in Rule .0713 of this Chapter shall apply. The driver may be counted in the staff/child ratio. When three or more children under the age of two years are being transported, the staff/child ratio requirements for child care centers set forth in Rule .0713 of this Chapter for children under age two shall be maintained. The driver shall not be counted in the staff/child ratio. When less than three children under the age of two years are being transported, the staff/child ratio requirements for child care centers set forth in Rule .0713 of this Chapter for children under age two shall be maintained. The driver may be counted in the staff/child ratio. 10A NCAC 09 .1005 OFF PREMISE ACTIVITIES IN CHILD CARE CENTERS Off premise activities refer to any activity that takes place away from a child care center's licensed and approved space. Licensed and approved space includes "primary space" as described in 10A NCAC 09 .1401(a), outdoor space as described in 10A NCAC 09 .1402, single use rooms, or other administrative areas. When children participate in off premise activities the following shall apply: (1) Children under the age of three shall not participate in off premise activities that involve children being transported in a motor vehicle. (2) When children are transported in a motor vehicle for off premise activities, the provisions in Rule (3) Before staff members walk children off premises for play or outings, the center shall obtain written permission from the parent of each child to be included in such activities. .1003(c) through (i) and (k) of this Chapter shall apply. (4) Parents may provide a written statement giving standing permission which may be valid for up to 12 months for participation in off premise activities that occur on a regular basis. (5) The center shall post a schedule of off premise activities in each participating classroom where it can be viewed by parents, and a copy shall be given to parents. The schedule shall be current and shall include the: location of the activity; purpose of the activity; time the activity will take place; date of the activity; and name of the person(s) to be contacted in the event of an emergency. (6) Each time that children are taken off the premises, staff shall take a list of the children participating in the activity with them. Staff members shall use this list to check attendance when leaving the center, periodically when the children are involved in the activity, before leaving the activity to return to the child care center, and upon return to the center. A list of all children participating in the off premise activity shall also be available at the center. The provisions of Subparagraphs (b)(1) and (5) of this Rule shall be waived to implement any child's Individualized Family Service Plan (IFSP) or Individualized Education Program (IEP). Ms. Singletary also provided me a copy of an incident report during the visit which required a child to seek medical attention. Ms. Singletary emailed me a completed copy of the incident report, witness statements, and termination form during the visit. Ms. Singletary stated in this documentation the child returned to care the same day and that the doctor said the child only had a bump on the forehead and no restrictions upon returning to care. • You must notify your consultant 30 days prior to changing the ownership status of your facility. • Please trim the berry bush which is located outside the fenced outdoor playground used for children of preschool age, but hangs over this fence into the playground area. • Monitor all fall zones at the bases of the slides following children’s play each day to ensure they have the required surfacing depth of six inches or greater. The following Child Care Rules were discussed with Ms. Singletary during the visit: SECTION .1000 - TRANSPORTATION STANDARDS 15A NCAC Sanitation Rule 18A .2826 LIGHTING AND THERMAL ENVIRONMENT (b) regarding classroom temperatures required for children older than infants (a maximum of 85 degrees) At the completion of the visit, this visit summary was reviewed with and provided to you, and you were given the opportunity to ask questions. 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. Cara McKeown, Child Care Consultant (336) 408-4849 cara.mckeown@dhhs.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 .0901 · Violation

Name of Operation: Main Street Baptist Church Early Learning Center Facility ID: 3452208 Consultant: CARA MCKEOWN-STEWART Operation Type: Center Case Number: Visit Date: 2/26/2025 Number Present: 35 Completed Date: 2/26/2025 Age: From 0 To 5 Total Minutes: 240 Time In: 11:00 AM Time Out: 03:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable childcare requirements for a routine unannounced visit. This visit was conducted by Cara McKeown-Stewart, Childcare Consultant with Aislinn Hardin, Lead Teacher and Administrative Support. Director, Lekeshia Singletary, was not present during the visit. Your program currently operates with a GS-110 Notice of Compliance. Restrictions include 1st shift care, only 2nd grade and above on second floor, children under 2 ½ years old in rooms with direct exits only, and children under 2 ½ years of age are not allowed in the Fellowship Hall. The program’s compliance history was 85% 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 playing with toys, playing outside, engaging in conversations and activities with their teachers, participating in general routines, and eating lunch during the visit. One new staff member was reported at this program. The file for this staff member was reviewed. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Playground Safety, ITS-SIDS, Recognizing and Responding to Suspicions of Child Abuse and Maltreatment, Special Trainings, and Criminal Background Checks. Storage and administration of medication and medication authorization were monitored. Storage of hazardous items was monitored today. A playground inspection was recorded 12/31/2024. A fire drill was recorded 2/06/2025. A lockdown drill for the facility was recorded 2/18/2025. The most recent fire inspection was on 11/19/2024. I observed a sanitation inspection was last conducted on 11/26/2024 earning a Superior classification. The program does not participate in off-premise or aquatic activities at this time. The following violations were cited during today’s visit: Violation Number Comment Rule 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. The emergency medication for one child enrolled in Space 6 expired in November, 2024. .0803(12) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. In Space 3, a space designated for children one year of age, one elastic hairband was observed in a plastic bin accessible to children in care, creating a potential choking hazard. Two plastic bags were observed stored in cubbies less than five feet from the ground and accessible to children under the age of three in the hallway outside of both Spaces 5 and 6. .0604(q) 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. A playground inspection for January, 2025 was not observed on file for review. .0605(q) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. A medication authorization form for one topical ointment for a child enrolled in Space 2 was not observed on file for review. The medication authorization form for one child enrolled with an emergency medication in Space 8 was not observed on file for review. .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 3/12/2025. 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 cara.mckeown-stewart@dhhs.nc.gov or mail two copies of the letter to: Cara McKeown 353 Jonestown Road, Unit #146 Winston Salem, NC 27104 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 Provided During Visit: In Space 3, a space designated for children one year of age, one elastic hairband was observed in a plastic bin accessible to children in care, creating a potential choking hazard. Two plastic bags were observed stored in cubbies less than five feet from the ground and accessible to children under the age of three in the hallway outside of both Spaces 5 and 6. Each of these items was made inaccessible to children during the visit. A medication authorization form for one topical ointment for a child enrolled in Space 2 was not observed on file for review. The emergency medication for one child enrolled in Space 6 expired in November, 2024. The medication authorization form for one child enrolled with an emergency medication in Space 8 was not observed on file for review. A playground inspection for January, 2025 was not observed on file for review. It is imperative that all required documentation is current and on file at all times to ensure the health, safety, and quality of care of children enrolled. Ms. Hardin stated the parent of the child in Space 2 had completed a form at one point for this topical ointment, but the form was somehow misplaced. She also stated the January, 2025 playground inspection had been completed, but is on the director’s computer; the director was not present during today’s visit. Ms. Hardin stated she was unaware the one emergency medication had expired and that the other did not include a medication authorization form. You may consider reviewing all medications and required medication documentation as it is dropped off at the facility to ensure all requirements have been met prior to placing it in each child’s classroom. You may also consider keeping a record of medication expiration dates so you are aware when specific medications for children enrolled are preparing to expire. Consultation Provided During Visit: The following Child Care Rule was discussed with Ms. Hardin during the visit: • 15A NCAC 18A .2804 FOOD SUPPLIES (d)(e )(g)(k) regarding labeling and dating foods, breast milk, and formula for infants/ children enrolled • 10A NCAC 09 .0901 GENERAL NUTRITION REQUIREMENTS (b) North Carolina child care administrators can now view and edit their facility’s staff roster in ABCMS, the DCDEE’s criminal background check system. Provider Access to ABCMS allows administrators to: • See the real-time background check status of staff members. • Run a printable report of the staff roster to assist with compliance visits. • See new background check applicants and add to staff roster. To get started, complete the ABCMS Child Care Provider Portal Training in Moodle—a video tutorial followed by a few questions. The process of notifying the Division 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 child care 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) 814-6401 and someone will assist you. • 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. Cara McKeown-Stewart, Child Care Consultant (336) 408-4849 cara.mckeown-stewart@dhhs.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: Main Street Baptist Church Early Learning Center Facility ID: 3452208 Consultant: CARA MCKEOWN-STEWART Operation Type: Center Case Number: Visit Date: 2/26/2025 Number Present: 35 Completed Date: 2/26/2025 Age: From 0 To 5 Total Minutes: 240 Time In: 11:00 AM Time Out: 03:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable childcare requirements for a routine unannounced visit. This visit was conducted by Cara McKeown-Stewart, Childcare Consultant with Aislinn Hardin, Lead Teacher and Administrative Support. Director, Lekeshia Singletary, was not present during the visit. Your program currently operates with a GS-110 Notice of Compliance. Restrictions include 1st shift care, only 2nd grade and above on second floor, children under 2 ½ years old in rooms with direct exits only, and children under 2 ½ years of age are not allowed in the Fellowship Hall. The program’s compliance history was 85% 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 playing with toys, playing outside, engaging in conversations and activities with their teachers, participating in general routines, and eating lunch during the visit. One new staff member was reported at this program. The file for this staff member was reviewed. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Playground Safety, ITS-SIDS, Recognizing and Responding to Suspicions of Child Abuse and Maltreatment, Special Trainings, and Criminal Background Checks. Storage and administration of medication and medication authorization were monitored. Storage of hazardous items was monitored today. A playground inspection was recorded 12/31/2024. A fire drill was recorded 2/06/2025. A lockdown drill for the facility was recorded 2/18/2025. The most recent fire inspection was on 11/19/2024. I observed a sanitation inspection was last conducted on 11/26/2024 earning a Superior classification. The program does not participate in off-premise or aquatic activities at this time. The following violations were cited during today’s visit: Violation Number Comment Rule 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. The emergency medication for one child enrolled in Space 6 expired in November, 2024. .0803(12) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. In Space 3, a space designated for children one year of age, one elastic hairband was observed in a plastic bin accessible to children in care, creating a potential choking hazard. Two plastic bags were observed stored in cubbies less than five feet from the ground and accessible to children under the age of three in the hallway outside of both Spaces 5 and 6. .0604(q) 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. A playground inspection for January, 2025 was not observed on file for review. .0605(q) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. A medication authorization form for one topical ointment for a child enrolled in Space 2 was not observed on file for review. The medication authorization form for one child enrolled with an emergency medication in Space 8 was not observed on file for review. .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 3/12/2025. 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 cara.mckeown-stewart@dhhs.nc.gov or mail two copies of the letter to: Cara McKeown 353 Jonestown Road, Unit #146 Winston Salem, NC 27104 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 Provided During Visit: In Space 3, a space designated for children one year of age, one elastic hairband was observed in a plastic bin accessible to children in care, creating a potential choking hazard. Two plastic bags were observed stored in cubbies less than five feet from the ground and accessible to children under the age of three in the hallway outside of both Spaces 5 and 6. Each of these items was made inaccessible to children during the visit. A medication authorization form for one topical ointment for a child enrolled in Space 2 was not observed on file for review. The emergency medication for one child enrolled in Space 6 expired in November, 2024. The medication authorization form for one child enrolled with an emergency medication in Space 8 was not observed on file for review. A playground inspection for January, 2025 was not observed on file for review. It is imperative that all required documentation is current and on file at all times to ensure the health, safety, and quality of care of children enrolled. Ms. Hardin stated the parent of the child in Space 2 had completed a form at one point for this topical ointment, but the form was somehow misplaced. She also stated the January, 2025 playground inspection had been completed, but is on the director’s computer; the director was not present during today’s visit. Ms. Hardin stated she was unaware the one emergency medication had expired and that the other did not include a medication authorization form. You may consider reviewing all medications and required medication documentation as it is dropped off at the facility to ensure all requirements have been met prior to placing it in each child’s classroom. You may also consider keeping a record of medication expiration dates so you are aware when specific medications for children enrolled are preparing to expire. Consultation Provided During Visit: The following Child Care Rule was discussed with Ms. Hardin during the visit: • 15A NCAC 18A .2804 FOOD SUPPLIES (d)(e )(g)(k) regarding labeling and dating foods, breast milk, and formula for infants/ children enrolled • 10A NCAC 09 .0901 GENERAL NUTRITION REQUIREMENTS (b) North Carolina child care administrators can now view and edit their facility’s staff roster in ABCMS, the DCDEE’s criminal background check system. Provider Access to ABCMS allows administrators to: • See the real-time background check status of staff members. • Run a printable report of the staff roster to assist with compliance visits. • See new background check applicants and add to staff roster. To get started, complete the ABCMS Child Care Provider Portal Training in Moodle—a video tutorial followed by a few questions. The process of notifying the Division 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 child care 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) 814-6401 and someone will assist you. • 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. Cara McKeown-Stewart, Child Care Consultant (336) 408-4849 cara.mckeown-stewart@dhhs.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 .0601 · Violation

Name of Operation: Main Street Baptist Church Early Learning Center Facility ID: 3452208 Consultant: CARA MCKEOWN-STEWART Operation Type: Center Case Number: Visit Date: 9/5/2024 Number Present: 30 Completed Date: 9/5/2024 Age: From 0 To 5 Total Minutes: 438 Time In: 08:40 AM Time Out: 11:48 AM Time In: 12:50 PM Time Out: 05:00 PM List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced An unannounced annual compliance visit was conducted at this childcare facility to monitor compliance with applicable childcare requirements. This visit was conducted by Cara McKeown-Stewart and Emily Lamquaye, Child Care Consultants with Lekeshia Singletary, Director. Your program currently operates with a Notice of Compliance. The NC Secretary of State website was reviewed on 9/05/2024 and Main Street Baptist Church, Inc. was listed as current and active. 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. Upon arrival, staff/child ratio and space capacity were monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed interactions today. I observed children playing in activity centers, participating in general routines, playing outdoors, and eating lunch. I observed developmentally appropriate materials and activities were available to the children in the classrooms. The last annual compliance visit was conducted on 9/12/2023. A sanitation inspection was completed 5/02/2024 with a Superior classification. The last fire inspection was conducted 11/28/2023. A copy of this inspection was provided to me during the visit. Program records and required postings were monitored. A fire drill was conducted on 8/28/2024. A shelter in place drill was documented on 8/01/2024. An outdoor inspection was documented on 9/04/2024. Staff files and children’s records were monitored per DCDEE procedures. The files for four new staff members and one existing staff member were reviewed during the visit. The files for five children enrolled were also reviewed during the visit. Storage of hazardous items was monitored today. Storage and administration of medication and medication authorization were monitored and found to be in compliance. The program does not provide transportation or off-premise activities at this time. 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. Arrival and departure times were not observed to be recorded for one child enrolled in Space 3 and 1 child enrolled in Space 5. 10A NCAC 09 .0302(d)(4) 612 Each child's bed, cot, or 2" mat was not individually assigned and identified. A cot list was not observed to be posted in Space 3. 15A NCAC 18A .2821(b) & (c) 620 All walls and ceilings including doors and windows were not kept clean, free of visible fungal growth, and in good repair. One wall in Space 7 and one wall in Space 8 were observed to have peeling paint. 15A NCAC 18A .2825(a) 807 A safe indoor and outdoor environment was not provided for the children. The plastic bench of an outdoor picnic table located on the playground used by children of preschool age was observed to be cracked and a potential pinching hazard. Thorns sharp to the touch were observed growing on the inside of the left side of the playground used for children of School Age. 10A NCAC 09 .0601(a) 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. An outlet cover in Space 7 was observed without a safety cover. 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. A closet in Space 7 containing bleach and detergent was observed to be unlocked. .2820(b) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. In Space 1, a diaper table cupboard containing a plastic open diaper wrapper and a plastic bag was observed to be unlatched. .0604(q) 1221 Personnel policies did not include the required information as listed in rule. One new staff member and one existing staff member did not have a signed receipt of Personnel Policies on file for review. 10A NCAC 09 .0514(d)(1-7) 1329 Application for enrollment did not include all required information. The application for one child enrolled did not include emergency medical information. .0801(a)(1-7) 1823 The EPR Plan did not include the location of the Ready to Go File and or the required information. The Ready to Go File did not include the emergency information for one new employee. .0607(d)(10) 1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. A signed annual EPR review was not observed on file for two staff members. .0607(e) 1867 The depth of the loose surfacing was not based on critical height of the equipment. The mulch surfacing on the playgrounds used by children of infant/toddler and preschool age measured between two and five inches in greater than five fall zones. .0605(k)(1-4) 1887 Each infant was not served only bottles labeled with their individual name. In Space 1, the bottles for two children enrolled did not include a date. .0902(d) 1893 Distance learning was used to complete First Aid, CPR and/or playground safety training. One new staff member completed CPR/FA training through an unapproved organization, the National CPR Foundation. 10A NCAC 09 .1102(c-e); 10A NCAC 09 .1105(3) 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 9/19/2023. 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 cara.mckeown@dhhs.nc.gov or mail two copies of the letter to: Cara McKeown 353 Jonestown Road, Unit #146 Winston Salem, NC 27104 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 provided during today’s visit: The plastic bench of an outdoor picnic table located on the playground used by children of preschool age was observed to be cracked and a potential pinching hazard. Thorns sharp to the touch were observed growing on the inside of the left side of the playground used for children of School Age. The mulch surfacing on the playgrounds used by children of infant/toddler and preschool age measured between two and five inches in greater than five fall zones. It is imperative for the outdoor environment to be a safe place for children to explore. Ms. Singletary stated she was not aware of the issues regarding the picnic table and the thorns. She stated early in the visit the facility had just received mulch, and she asked us to measure it and provide feedback on its depth. You may consider raking mulch from the many other areas of the playgrounds containing extra mulch into the current fall zones needing additional surfacing depth. Ms. Singletary also stated the facility may add grass to one area of the playground used for preschool children eventually, and the mulch currently in that space will be reallocated to other areas. Consultation provided during today’s visit: Ms. Singletary stated she is interested in using the church van to begin to provide transportation for children of Pre-K and School Age for field trips only. All transportation and off-premise activity requirements and required forms were reviewed with Ms. Singletary during the visit. I stated Ms. Singletary must create transportation policies and submit them to me for review prior to transporting children enrolled. I encouraged Ms. Singletary to reach out to Keturah Oglesby, Child Care Health Consultant, for guidance and support as she develops transportation policies. The church van which will be used to transport children was observed during the visit, and transportation requirements regarding the vehicle were further discussed. I stated Ms. Singletary should contact me once all requirements for transportation have been met. Once contacted by Ms. Singletary, I will schedule a visit for me to monitor requirements for transportation and to approve the facility to transport children. A playground diagram for each of the three playgrounds at the facility (infant/toddler, preschool, and School Age) was not in the working file or in the Master file. Each playground was measured during today’s visit. I stated to Ms. Singletary I would email her a copy of each playground diagram and respective outdoor space calculation worksheets following the visit, once I completed them. • You must notify your consultant 30 days prior to changing the ownership status of your facility. • As a reminder, the EPR Plan for the facility is due to be updated by the end of this month. • Please schedule the grass to be cut and any vegetation growing into the outdoor play area to be trimmed. • When an infant is placed on his/her back to sleep in a crib or approved sleeping apparatus, please always record the first position for the infant on the sleep log as “B” for “Back”, even if the infant immediately rolls over to his or her side or stomach. • Please ensure each cot list includes the names of all children enrolled in that classroom. - Please monitor child-sized furniture for wear to ensure proper cleaning and sanitation of these items can occur. • The Child Care Health Consultant for Forsyth County is Keturah Oglesby at Smart Start of Forsyth County. Ms. Oglesby can be contacted at: keturaho@smartstart-fc.org. This HELPLINE will offer guidance to teachers and providers dealing with challenging behaviors as soon as they need the support and assistance. Please see link below and attached flyer: https://mailchi.mp/c698573cdce8/newsblast-for-ccrrs-in-north-carolina-6227800?e=0157f79327 The following Child Care Rules were discussed with Ms. Singletary during the visit: SECTION .1000 - TRANSPORTATION STANDARDS 10A NCAC 09 .0514 OPERATIONAL AND PERSONNEL POLICIES (e )(g) 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. Cara McKeown, Child Care Consultant (336) 408-4849 cara.mckeown@dhhs.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: Main Street Baptist Church Early Learning Center Facility ID: 3452208 Consultant: CARA MCKEOWN-STEWART Operation Type: Center Case Number: Visit Date: 9/5/2024 Number Present: 30 Completed Date: 9/5/2024 Age: From 0 To 5 Total Minutes: 438 Time In: 08:40 AM Time Out: 11:48 AM Time In: 12:50 PM Time Out: 05:00 PM List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced An unannounced annual compliance visit was conducted at this childcare facility to monitor compliance with applicable childcare requirements. This visit was conducted by Cara McKeown-Stewart and Emily Lamquaye, Child Care Consultants with Lekeshia Singletary, Director. Your program currently operates with a Notice of Compliance. The NC Secretary of State website was reviewed on 9/05/2024 and Main Street Baptist Church, Inc. was listed as current and active. 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. Upon arrival, staff/child ratio and space capacity were monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed interactions today. I observed children playing in activity centers, participating in general routines, playing outdoors, and eating lunch. I observed developmentally appropriate materials and activities were available to the children in the classrooms. The last annual compliance visit was conducted on 9/12/2023. A sanitation inspection was completed 5/02/2024 with a Superior classification. The last fire inspection was conducted 11/28/2023. A copy of this inspection was provided to me during the visit. Program records and required postings were monitored. A fire drill was conducted on 8/28/2024. A shelter in place drill was documented on 8/01/2024. An outdoor inspection was documented on 9/04/2024. Staff files and children’s records were monitored per DCDEE procedures. The files for four new staff members and one existing staff member were reviewed during the visit. The files for five children enrolled were also reviewed during the visit. Storage of hazardous items was monitored today. Storage and administration of medication and medication authorization were monitored and found to be in compliance. The program does not provide transportation or off-premise activities at this time. 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. Arrival and departure times were not observed to be recorded for one child enrolled in Space 3 and 1 child enrolled in Space 5. 10A NCAC 09 .0302(d)(4) 612 Each child's bed, cot, or 2" mat was not individually assigned and identified. A cot list was not observed to be posted in Space 3. 15A NCAC 18A .2821(b) & (c) 620 All walls and ceilings including doors and windows were not kept clean, free of visible fungal growth, and in good repair. One wall in Space 7 and one wall in Space 8 were observed to have peeling paint. 15A NCAC 18A .2825(a) 807 A safe indoor and outdoor environment was not provided for the children. The plastic bench of an outdoor picnic table located on the playground used by children of preschool age was observed to be cracked and a potential pinching hazard. Thorns sharp to the touch were observed growing on the inside of the left side of the playground used for children of School Age. 10A NCAC 09 .0601(a) 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. An outlet cover in Space 7 was observed without a safety cover. 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. A closet in Space 7 containing bleach and detergent was observed to be unlocked. .2820(b) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. In Space 1, a diaper table cupboard containing a plastic open diaper wrapper and a plastic bag was observed to be unlatched. .0604(q) 1221 Personnel policies did not include the required information as listed in rule. One new staff member and one existing staff member did not have a signed receipt of Personnel Policies on file for review. 10A NCAC 09 .0514(d)(1-7) 1329 Application for enrollment did not include all required information. The application for one child enrolled did not include emergency medical information. .0801(a)(1-7) 1823 The EPR Plan did not include the location of the Ready to Go File and or the required information. The Ready to Go File did not include the emergency information for one new employee. .0607(d)(10) 1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. A signed annual EPR review was not observed on file for two staff members. .0607(e) 1867 The depth of the loose surfacing was not based on critical height of the equipment. The mulch surfacing on the playgrounds used by children of infant/toddler and preschool age measured between two and five inches in greater than five fall zones. .0605(k)(1-4) 1887 Each infant was not served only bottles labeled with their individual name. In Space 1, the bottles for two children enrolled did not include a date. .0902(d) 1893 Distance learning was used to complete First Aid, CPR and/or playground safety training. One new staff member completed CPR/FA training through an unapproved organization, the National CPR Foundation. 10A NCAC 09 .1102(c-e); 10A NCAC 09 .1105(3) 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 9/19/2023. 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 cara.mckeown@dhhs.nc.gov or mail two copies of the letter to: Cara McKeown 353 Jonestown Road, Unit #146 Winston Salem, NC 27104 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 provided during today’s visit: The plastic bench of an outdoor picnic table located on the playground used by children of preschool age was observed to be cracked and a potential pinching hazard. Thorns sharp to the touch were observed growing on the inside of the left side of the playground used for children of School Age. The mulch surfacing on the playgrounds used by children of infant/toddler and preschool age measured between two and five inches in greater than five fall zones. It is imperative for the outdoor environment to be a safe place for children to explore. Ms. Singletary stated she was not aware of the issues regarding the picnic table and the thorns. She stated early in the visit the facility had just received mulch, and she asked us to measure it and provide feedback on its depth. You may consider raking mulch from the many other areas of the playgrounds containing extra mulch into the current fall zones needing additional surfacing depth. Ms. Singletary also stated the facility may add grass to one area of the playground used for preschool children eventually, and the mulch currently in that space will be reallocated to other areas. Consultation provided during today’s visit: Ms. Singletary stated she is interested in using the church van to begin to provide transportation for children of Pre-K and School Age for field trips only. All transportation and off-premise activity requirements and required forms were reviewed with Ms. Singletary during the visit. I stated Ms. Singletary must create transportation policies and submit them to me for review prior to transporting children enrolled. I encouraged Ms. Singletary to reach out to Keturah Oglesby, Child Care Health Consultant, for guidance and support as she develops transportation policies. The church van which will be used to transport children was observed during the visit, and transportation requirements regarding the vehicle were further discussed. I stated Ms. Singletary should contact me once all requirements for transportation have been met. Once contacted by Ms. Singletary, I will schedule a visit for me to monitor requirements for transportation and to approve the facility to transport children. A playground diagram for each of the three playgrounds at the facility (infant/toddler, preschool, and School Age) was not in the working file or in the Master file. Each playground was measured during today’s visit. I stated to Ms. Singletary I would email her a copy of each playground diagram and respective outdoor space calculation worksheets following the visit, once I completed them. • You must notify your consultant 30 days prior to changing the ownership status of your facility. • As a reminder, the EPR Plan for the facility is due to be updated by the end of this month. • Please schedule the grass to be cut and any vegetation growing into the outdoor play area to be trimmed. • When an infant is placed on his/her back to sleep in a crib or approved sleeping apparatus, please always record the first position for the infant on the sleep log as “B” for “Back”, even if the infant immediately rolls over to his or her side or stomach. • Please ensure each cot list includes the names of all children enrolled in that classroom. - Please monitor child-sized furniture for wear to ensure proper cleaning and sanitation of these items can occur. • The Child Care Health Consultant for Forsyth County is Keturah Oglesby at Smart Start of Forsyth County. Ms. Oglesby can be contacted at: keturaho@smartstart-fc.org. This HELPLINE will offer guidance to teachers and providers dealing with challenging behaviors as soon as they need the support and assistance. Please see link below and attached flyer: https://mailchi.mp/c698573cdce8/newsblast-for-ccrrs-in-north-carolina-6227800?e=0157f79327 The following Child Care Rules were discussed with Ms. Singletary during the visit: SECTION .1000 - TRANSPORTATION STANDARDS 10A NCAC 09 .0514 OPERATIONAL AND PERSONNEL POLICIES (e )(g) 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. Cara McKeown, Child Care Consultant (336) 408-4849 cara.mckeown@dhhs.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: Main Street Baptist Church Early Learning Center Facility ID: 3452208 Consultant: CARA MCKEOWN-STEWART Operation Type: Center Case Number: Visit Date: 9/5/2024 Number Present: 30 Completed Date: 9/5/2024 Age: From 0 To 5 Total Minutes: 438 Time In: 08:40 AM Time Out: 11:48 AM Time In: 12:50 PM Time Out: 05:00 PM List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced An unannounced annual compliance visit was conducted at this childcare facility to monitor compliance with applicable childcare requirements. This visit was conducted by Cara McKeown-Stewart and Emily Lamquaye, Child Care Consultants with Lekeshia Singletary, Director. Your program currently operates with a Notice of Compliance. The NC Secretary of State website was reviewed on 9/05/2024 and Main Street Baptist Church, Inc. was listed as current and active. 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. Upon arrival, staff/child ratio and space capacity were monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed interactions today. I observed children playing in activity centers, participating in general routines, playing outdoors, and eating lunch. I observed developmentally appropriate materials and activities were available to the children in the classrooms. The last annual compliance visit was conducted on 9/12/2023. A sanitation inspection was completed 5/02/2024 with a Superior classification. The last fire inspection was conducted 11/28/2023. A copy of this inspection was provided to me during the visit. Program records and required postings were monitored. A fire drill was conducted on 8/28/2024. A shelter in place drill was documented on 8/01/2024. An outdoor inspection was documented on 9/04/2024. Staff files and children’s records were monitored per DCDEE procedures. The files for four new staff members and one existing staff member were reviewed during the visit. The files for five children enrolled were also reviewed during the visit. Storage of hazardous items was monitored today. Storage and administration of medication and medication authorization were monitored and found to be in compliance. The program does not provide transportation or off-premise activities at this time. 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. Arrival and departure times were not observed to be recorded for one child enrolled in Space 3 and 1 child enrolled in Space 5. 10A NCAC 09 .0302(d)(4) 612 Each child's bed, cot, or 2" mat was not individually assigned and identified. A cot list was not observed to be posted in Space 3. 15A NCAC 18A .2821(b) & (c) 620 All walls and ceilings including doors and windows were not kept clean, free of visible fungal growth, and in good repair. One wall in Space 7 and one wall in Space 8 were observed to have peeling paint. 15A NCAC 18A .2825(a) 807 A safe indoor and outdoor environment was not provided for the children. The plastic bench of an outdoor picnic table located on the playground used by children of preschool age was observed to be cracked and a potential pinching hazard. Thorns sharp to the touch were observed growing on the inside of the left side of the playground used for children of School Age. 10A NCAC 09 .0601(a) 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. An outlet cover in Space 7 was observed without a safety cover. 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. A closet in Space 7 containing bleach and detergent was observed to be unlocked. .2820(b) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. In Space 1, a diaper table cupboard containing a plastic open diaper wrapper and a plastic bag was observed to be unlatched. .0604(q) 1221 Personnel policies did not include the required information as listed in rule. One new staff member and one existing staff member did not have a signed receipt of Personnel Policies on file for review. 10A NCAC 09 .0514(d)(1-7) 1329 Application for enrollment did not include all required information. The application for one child enrolled did not include emergency medical information. .0801(a)(1-7) 1823 The EPR Plan did not include the location of the Ready to Go File and or the required information. The Ready to Go File did not include the emergency information for one new employee. .0607(d)(10) 1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. A signed annual EPR review was not observed on file for two staff members. .0607(e) 1867 The depth of the loose surfacing was not based on critical height of the equipment. The mulch surfacing on the playgrounds used by children of infant/toddler and preschool age measured between two and five inches in greater than five fall zones. .0605(k)(1-4) 1887 Each infant was not served only bottles labeled with their individual name. In Space 1, the bottles for two children enrolled did not include a date. .0902(d) 1893 Distance learning was used to complete First Aid, CPR and/or playground safety training. One new staff member completed CPR/FA training through an unapproved organization, the National CPR Foundation. 10A NCAC 09 .1102(c-e); 10A NCAC 09 .1105(3) 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 9/19/2023. 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 cara.mckeown@dhhs.nc.gov or mail two copies of the letter to: Cara McKeown 353 Jonestown Road, Unit #146 Winston Salem, NC 27104 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 provided during today’s visit: The plastic bench of an outdoor picnic table located on the playground used by children of preschool age was observed to be cracked and a potential pinching hazard. Thorns sharp to the touch were observed growing on the inside of the left side of the playground used for children of School Age. The mulch surfacing on the playgrounds used by children of infant/toddler and preschool age measured between two and five inches in greater than five fall zones. It is imperative for the outdoor environment to be a safe place for children to explore. Ms. Singletary stated she was not aware of the issues regarding the picnic table and the thorns. She stated early in the visit the facility had just received mulch, and she asked us to measure it and provide feedback on its depth. You may consider raking mulch from the many other areas of the playgrounds containing extra mulch into the current fall zones needing additional surfacing depth. Ms. Singletary also stated the facility may add grass to one area of the playground used for preschool children eventually, and the mulch currently in that space will be reallocated to other areas. Consultation provided during today’s visit: Ms. Singletary stated she is interested in using the church van to begin to provide transportation for children of Pre-K and School Age for field trips only. All transportation and off-premise activity requirements and required forms were reviewed with Ms. Singletary during the visit. I stated Ms. Singletary must create transportation policies and submit them to me for review prior to transporting children enrolled. I encouraged Ms. Singletary to reach out to Keturah Oglesby, Child Care Health Consultant, for guidance and support as she develops transportation policies. The church van which will be used to transport children was observed during the visit, and transportation requirements regarding the vehicle were further discussed. I stated Ms. Singletary should contact me once all requirements for transportation have been met. Once contacted by Ms. Singletary, I will schedule a visit for me to monitor requirements for transportation and to approve the facility to transport children. A playground diagram for each of the three playgrounds at the facility (infant/toddler, preschool, and School Age) was not in the working file or in the Master file. Each playground was measured during today’s visit. I stated to Ms. Singletary I would email her a copy of each playground diagram and respective outdoor space calculation worksheets following the visit, once I completed them. • You must notify your consultant 30 days prior to changing the ownership status of your facility. • As a reminder, the EPR Plan for the facility is due to be updated by the end of this month. • Please schedule the grass to be cut and any vegetation growing into the outdoor play area to be trimmed. • When an infant is placed on his/her back to sleep in a crib or approved sleeping apparatus, please always record the first position for the infant on the sleep log as “B” for “Back”, even if the infant immediately rolls over to his or her side or stomach. • Please ensure each cot list includes the names of all children enrolled in that classroom. - Please monitor child-sized furniture for wear to ensure proper cleaning and sanitation of these items can occur. • The Child Care Health Consultant for Forsyth County is Keturah Oglesby at Smart Start of Forsyth County. Ms. Oglesby can be contacted at: keturaho@smartstart-fc.org. This HELPLINE will offer guidance to teachers and providers dealing with challenging behaviors as soon as they need the support and assistance. Please see link below and attached flyer: https://mailchi.mp/c698573cdce8/newsblast-for-ccrrs-in-north-carolina-6227800?e=0157f79327 The following Child Care Rules were discussed with Ms. Singletary during the visit: SECTION .1000 - TRANSPORTATION STANDARDS 10A NCAC 09 .0514 OPERATIONAL AND PERSONNEL POLICIES (e )(g) 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. Cara McKeown, Child Care Consultant (336) 408-4849 cara.mckeown@dhhs.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 .0514 · Violation

Name of Operation: Main Street Baptist Church Early Learning Center Facility ID: 3452208 Consultant: CARA MCKEOWN-STEWART Operation Type: Center Case Number: Visit Date: 9/5/2024 Number Present: 30 Completed Date: 9/5/2024 Age: From 0 To 5 Total Minutes: 438 Time In: 08:40 AM Time Out: 11:48 AM Time In: 12:50 PM Time Out: 05:00 PM List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced An unannounced annual compliance visit was conducted at this childcare facility to monitor compliance with applicable childcare requirements. This visit was conducted by Cara McKeown-Stewart and Emily Lamquaye, Child Care Consultants with Lekeshia Singletary, Director. Your program currently operates with a Notice of Compliance. The NC Secretary of State website was reviewed on 9/05/2024 and Main Street Baptist Church, Inc. was listed as current and active. 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. Upon arrival, staff/child ratio and space capacity were monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed interactions today. I observed children playing in activity centers, participating in general routines, playing outdoors, and eating lunch. I observed developmentally appropriate materials and activities were available to the children in the classrooms. The last annual compliance visit was conducted on 9/12/2023. A sanitation inspection was completed 5/02/2024 with a Superior classification. The last fire inspection was conducted 11/28/2023. A copy of this inspection was provided to me during the visit. Program records and required postings were monitored. A fire drill was conducted on 8/28/2024. A shelter in place drill was documented on 8/01/2024. An outdoor inspection was documented on 9/04/2024. Staff files and children’s records were monitored per DCDEE procedures. The files for four new staff members and one existing staff member were reviewed during the visit. The files for five children enrolled were also reviewed during the visit. Storage of hazardous items was monitored today. Storage and administration of medication and medication authorization were monitored and found to be in compliance. The program does not provide transportation or off-premise activities at this time. 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. Arrival and departure times were not observed to be recorded for one child enrolled in Space 3 and 1 child enrolled in Space 5. 10A NCAC 09 .0302(d)(4) 612 Each child's bed, cot, or 2" mat was not individually assigned and identified. A cot list was not observed to be posted in Space 3. 15A NCAC 18A .2821(b) & (c) 620 All walls and ceilings including doors and windows were not kept clean, free of visible fungal growth, and in good repair. One wall in Space 7 and one wall in Space 8 were observed to have peeling paint. 15A NCAC 18A .2825(a) 807 A safe indoor and outdoor environment was not provided for the children. The plastic bench of an outdoor picnic table located on the playground used by children of preschool age was observed to be cracked and a potential pinching hazard. Thorns sharp to the touch were observed growing on the inside of the left side of the playground used for children of School Age. 10A NCAC 09 .0601(a) 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. An outlet cover in Space 7 was observed without a safety cover. 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. A closet in Space 7 containing bleach and detergent was observed to be unlocked. .2820(b) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. In Space 1, a diaper table cupboard containing a plastic open diaper wrapper and a plastic bag was observed to be unlatched. .0604(q) 1221 Personnel policies did not include the required information as listed in rule. One new staff member and one existing staff member did not have a signed receipt of Personnel Policies on file for review. 10A NCAC 09 .0514(d)(1-7) 1329 Application for enrollment did not include all required information. The application for one child enrolled did not include emergency medical information. .0801(a)(1-7) 1823 The EPR Plan did not include the location of the Ready to Go File and or the required information. The Ready to Go File did not include the emergency information for one new employee. .0607(d)(10) 1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. A signed annual EPR review was not observed on file for two staff members. .0607(e) 1867 The depth of the loose surfacing was not based on critical height of the equipment. The mulch surfacing on the playgrounds used by children of infant/toddler and preschool age measured between two and five inches in greater than five fall zones. .0605(k)(1-4) 1887 Each infant was not served only bottles labeled with their individual name. In Space 1, the bottles for two children enrolled did not include a date. .0902(d) 1893 Distance learning was used to complete First Aid, CPR and/or playground safety training. One new staff member completed CPR/FA training through an unapproved organization, the National CPR Foundation. 10A NCAC 09 .1102(c-e); 10A NCAC 09 .1105(3) 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 9/19/2023. 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 cara.mckeown@dhhs.nc.gov or mail two copies of the letter to: Cara McKeown 353 Jonestown Road, Unit #146 Winston Salem, NC 27104 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 provided during today’s visit: The plastic bench of an outdoor picnic table located on the playground used by children of preschool age was observed to be cracked and a potential pinching hazard. Thorns sharp to the touch were observed growing on the inside of the left side of the playground used for children of School Age. The mulch surfacing on the playgrounds used by children of infant/toddler and preschool age measured between two and five inches in greater than five fall zones. It is imperative for the outdoor environment to be a safe place for children to explore. Ms. Singletary stated she was not aware of the issues regarding the picnic table and the thorns. She stated early in the visit the facility had just received mulch, and she asked us to measure it and provide feedback on its depth. You may consider raking mulch from the many other areas of the playgrounds containing extra mulch into the current fall zones needing additional surfacing depth. Ms. Singletary also stated the facility may add grass to one area of the playground used for preschool children eventually, and the mulch currently in that space will be reallocated to other areas. Consultation provided during today’s visit: Ms. Singletary stated she is interested in using the church van to begin to provide transportation for children of Pre-K and School Age for field trips only. All transportation and off-premise activity requirements and required forms were reviewed with Ms. Singletary during the visit. I stated Ms. Singletary must create transportation policies and submit them to me for review prior to transporting children enrolled. I encouraged Ms. Singletary to reach out to Keturah Oglesby, Child Care Health Consultant, for guidance and support as she develops transportation policies. The church van which will be used to transport children was observed during the visit, and transportation requirements regarding the vehicle were further discussed. I stated Ms. Singletary should contact me once all requirements for transportation have been met. Once contacted by Ms. Singletary, I will schedule a visit for me to monitor requirements for transportation and to approve the facility to transport children. A playground diagram for each of the three playgrounds at the facility (infant/toddler, preschool, and School Age) was not in the working file or in the Master file. Each playground was measured during today’s visit. I stated to Ms. Singletary I would email her a copy of each playground diagram and respective outdoor space calculation worksheets following the visit, once I completed them. • You must notify your consultant 30 days prior to changing the ownership status of your facility. • As a reminder, the EPR Plan for the facility is due to be updated by the end of this month. • Please schedule the grass to be cut and any vegetation growing into the outdoor play area to be trimmed. • When an infant is placed on his/her back to sleep in a crib or approved sleeping apparatus, please always record the first position for the infant on the sleep log as “B” for “Back”, even if the infant immediately rolls over to his or her side or stomach. • Please ensure each cot list includes the names of all children enrolled in that classroom. - Please monitor child-sized furniture for wear to ensure proper cleaning and sanitation of these items can occur. • The Child Care Health Consultant for Forsyth County is Keturah Oglesby at Smart Start of Forsyth County. Ms. Oglesby can be contacted at: keturaho@smartstart-fc.org. This HELPLINE will offer guidance to teachers and providers dealing with challenging behaviors as soon as they need the support and assistance. Please see link below and attached flyer: https://mailchi.mp/c698573cdce8/newsblast-for-ccrrs-in-north-carolina-6227800?e=0157f79327 The following Child Care Rules were discussed with Ms. Singletary during the visit: SECTION .1000 - TRANSPORTATION STANDARDS 10A NCAC 09 .0514 OPERATIONAL AND PERSONNEL POLICIES (e )(g) 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. Cara McKeown, Child Care Consultant (336) 408-4849 cara.mckeown@dhhs.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 .1102 · Violation

Name of Operation: Main Street Baptist Church Early Learning Center Facility ID: 3452208 Consultant: CARA MCKEOWN-STEWART Operation Type: Center Case Number: Visit Date: 9/5/2024 Number Present: 30 Completed Date: 9/5/2024 Age: From 0 To 5 Total Minutes: 438 Time In: 08:40 AM Time Out: 11:48 AM Time In: 12:50 PM Time Out: 05:00 PM List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced An unannounced annual compliance visit was conducted at this childcare facility to monitor compliance with applicable childcare requirements. This visit was conducted by Cara McKeown-Stewart and Emily Lamquaye, Child Care Consultants with Lekeshia Singletary, Director. Your program currently operates with a Notice of Compliance. The NC Secretary of State website was reviewed on 9/05/2024 and Main Street Baptist Church, Inc. was listed as current and active. 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. Upon arrival, staff/child ratio and space capacity were monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed interactions today. I observed children playing in activity centers, participating in general routines, playing outdoors, and eating lunch. I observed developmentally appropriate materials and activities were available to the children in the classrooms. The last annual compliance visit was conducted on 9/12/2023. A sanitation inspection was completed 5/02/2024 with a Superior classification. The last fire inspection was conducted 11/28/2023. A copy of this inspection was provided to me during the visit. Program records and required postings were monitored. A fire drill was conducted on 8/28/2024. A shelter in place drill was documented on 8/01/2024. An outdoor inspection was documented on 9/04/2024. Staff files and children’s records were monitored per DCDEE procedures. The files for four new staff members and one existing staff member were reviewed during the visit. The files for five children enrolled were also reviewed during the visit. Storage of hazardous items was monitored today. Storage and administration of medication and medication authorization were monitored and found to be in compliance. The program does not provide transportation or off-premise activities at this time. 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. Arrival and departure times were not observed to be recorded for one child enrolled in Space 3 and 1 child enrolled in Space 5. 10A NCAC 09 .0302(d)(4) 612 Each child's bed, cot, or 2" mat was not individually assigned and identified. A cot list was not observed to be posted in Space 3. 15A NCAC 18A .2821(b) & (c) 620 All walls and ceilings including doors and windows were not kept clean, free of visible fungal growth, and in good repair. One wall in Space 7 and one wall in Space 8 were observed to have peeling paint. 15A NCAC 18A .2825(a) 807 A safe indoor and outdoor environment was not provided for the children. The plastic bench of an outdoor picnic table located on the playground used by children of preschool age was observed to be cracked and a potential pinching hazard. Thorns sharp to the touch were observed growing on the inside of the left side of the playground used for children of School Age. 10A NCAC 09 .0601(a) 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. An outlet cover in Space 7 was observed without a safety cover. 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. A closet in Space 7 containing bleach and detergent was observed to be unlocked. .2820(b) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. In Space 1, a diaper table cupboard containing a plastic open diaper wrapper and a plastic bag was observed to be unlatched. .0604(q) 1221 Personnel policies did not include the required information as listed in rule. One new staff member and one existing staff member did not have a signed receipt of Personnel Policies on file for review. 10A NCAC 09 .0514(d)(1-7) 1329 Application for enrollment did not include all required information. The application for one child enrolled did not include emergency medical information. .0801(a)(1-7) 1823 The EPR Plan did not include the location of the Ready to Go File and or the required information. The Ready to Go File did not include the emergency information for one new employee. .0607(d)(10) 1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. A signed annual EPR review was not observed on file for two staff members. .0607(e) 1867 The depth of the loose surfacing was not based on critical height of the equipment. The mulch surfacing on the playgrounds used by children of infant/toddler and preschool age measured between two and five inches in greater than five fall zones. .0605(k)(1-4) 1887 Each infant was not served only bottles labeled with their individual name. In Space 1, the bottles for two children enrolled did not include a date. .0902(d) 1893 Distance learning was used to complete First Aid, CPR and/or playground safety training. One new staff member completed CPR/FA training through an unapproved organization, the National CPR Foundation. 10A NCAC 09 .1102(c-e); 10A NCAC 09 .1105(3) 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 9/19/2023. 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 cara.mckeown@dhhs.nc.gov or mail two copies of the letter to: Cara McKeown 353 Jonestown Road, Unit #146 Winston Salem, NC 27104 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 provided during today’s visit: The plastic bench of an outdoor picnic table located on the playground used by children of preschool age was observed to be cracked and a potential pinching hazard. Thorns sharp to the touch were observed growing on the inside of the left side of the playground used for children of School Age. The mulch surfacing on the playgrounds used by children of infant/toddler and preschool age measured between two and five inches in greater than five fall zones. It is imperative for the outdoor environment to be a safe place for children to explore. Ms. Singletary stated she was not aware of the issues regarding the picnic table and the thorns. She stated early in the visit the facility had just received mulch, and she asked us to measure it and provide feedback on its depth. You may consider raking mulch from the many other areas of the playgrounds containing extra mulch into the current fall zones needing additional surfacing depth. Ms. Singletary also stated the facility may add grass to one area of the playground used for preschool children eventually, and the mulch currently in that space will be reallocated to other areas. Consultation provided during today’s visit: Ms. Singletary stated she is interested in using the church van to begin to provide transportation for children of Pre-K and School Age for field trips only. All transportation and off-premise activity requirements and required forms were reviewed with Ms. Singletary during the visit. I stated Ms. Singletary must create transportation policies and submit them to me for review prior to transporting children enrolled. I encouraged Ms. Singletary to reach out to Keturah Oglesby, Child Care Health Consultant, for guidance and support as she develops transportation policies. The church van which will be used to transport children was observed during the visit, and transportation requirements regarding the vehicle were further discussed. I stated Ms. Singletary should contact me once all requirements for transportation have been met. Once contacted by Ms. Singletary, I will schedule a visit for me to monitor requirements for transportation and to approve the facility to transport children. A playground diagram for each of the three playgrounds at the facility (infant/toddler, preschool, and School Age) was not in the working file or in the Master file. Each playground was measured during today’s visit. I stated to Ms. Singletary I would email her a copy of each playground diagram and respective outdoor space calculation worksheets following the visit, once I completed them. • You must notify your consultant 30 days prior to changing the ownership status of your facility. • As a reminder, the EPR Plan for the facility is due to be updated by the end of this month. • Please schedule the grass to be cut and any vegetation growing into the outdoor play area to be trimmed. • When an infant is placed on his/her back to sleep in a crib or approved sleeping apparatus, please always record the first position for the infant on the sleep log as “B” for “Back”, even if the infant immediately rolls over to his or her side or stomach. • Please ensure each cot list includes the names of all children enrolled in that classroom. - Please monitor child-sized furniture for wear to ensure proper cleaning and sanitation of these items can occur. • The Child Care Health Consultant for Forsyth County is Keturah Oglesby at Smart Start of Forsyth County. Ms. Oglesby can be contacted at: keturaho@smartstart-fc.org. This HELPLINE will offer guidance to teachers and providers dealing with challenging behaviors as soon as they need the support and assistance. Please see link below and attached flyer: https://mailchi.mp/c698573cdce8/newsblast-for-ccrrs-in-north-carolina-6227800?e=0157f79327 The following Child Care Rules were discussed with Ms. Singletary during the visit: SECTION .1000 - TRANSPORTATION STANDARDS 10A NCAC 09 .0514 OPERATIONAL AND PERSONNEL POLICIES (e )(g) 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. Cara McKeown, Child Care Consultant (336) 408-4849 cara.mckeown@dhhs.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 .1105 · Violation

Name of Operation: Main Street Baptist Church Early Learning Center Facility ID: 3452208 Consultant: CARA MCKEOWN-STEWART Operation Type: Center Case Number: Visit Date: 9/5/2024 Number Present: 30 Completed Date: 9/5/2024 Age: From 0 To 5 Total Minutes: 438 Time In: 08:40 AM Time Out: 11:48 AM Time In: 12:50 PM Time Out: 05:00 PM List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced An unannounced annual compliance visit was conducted at this childcare facility to monitor compliance with applicable childcare requirements. This visit was conducted by Cara McKeown-Stewart and Emily Lamquaye, Child Care Consultants with Lekeshia Singletary, Director. Your program currently operates with a Notice of Compliance. The NC Secretary of State website was reviewed on 9/05/2024 and Main Street Baptist Church, Inc. was listed as current and active. 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. Upon arrival, staff/child ratio and space capacity were monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed interactions today. I observed children playing in activity centers, participating in general routines, playing outdoors, and eating lunch. I observed developmentally appropriate materials and activities were available to the children in the classrooms. The last annual compliance visit was conducted on 9/12/2023. A sanitation inspection was completed 5/02/2024 with a Superior classification. The last fire inspection was conducted 11/28/2023. A copy of this inspection was provided to me during the visit. Program records and required postings were monitored. A fire drill was conducted on 8/28/2024. A shelter in place drill was documented on 8/01/2024. An outdoor inspection was documented on 9/04/2024. Staff files and children’s records were monitored per DCDEE procedures. The files for four new staff members and one existing staff member were reviewed during the visit. The files for five children enrolled were also reviewed during the visit. Storage of hazardous items was monitored today. Storage and administration of medication and medication authorization were monitored and found to be in compliance. The program does not provide transportation or off-premise activities at this time. 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. Arrival and departure times were not observed to be recorded for one child enrolled in Space 3 and 1 child enrolled in Space 5. 10A NCAC 09 .0302(d)(4) 612 Each child's bed, cot, or 2" mat was not individually assigned and identified. A cot list was not observed to be posted in Space 3. 15A NCAC 18A .2821(b) & (c) 620 All walls and ceilings including doors and windows were not kept clean, free of visible fungal growth, and in good repair. One wall in Space 7 and one wall in Space 8 were observed to have peeling paint. 15A NCAC 18A .2825(a) 807 A safe indoor and outdoor environment was not provided for the children. The plastic bench of an outdoor picnic table located on the playground used by children of preschool age was observed to be cracked and a potential pinching hazard. Thorns sharp to the touch were observed growing on the inside of the left side of the playground used for children of School Age. 10A NCAC 09 .0601(a) 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. An outlet cover in Space 7 was observed without a safety cover. 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. A closet in Space 7 containing bleach and detergent was observed to be unlocked. .2820(b) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. In Space 1, a diaper table cupboard containing a plastic open diaper wrapper and a plastic bag was observed to be unlatched. .0604(q) 1221 Personnel policies did not include the required information as listed in rule. One new staff member and one existing staff member did not have a signed receipt of Personnel Policies on file for review. 10A NCAC 09 .0514(d)(1-7) 1329 Application for enrollment did not include all required information. The application for one child enrolled did not include emergency medical information. .0801(a)(1-7) 1823 The EPR Plan did not include the location of the Ready to Go File and or the required information. The Ready to Go File did not include the emergency information for one new employee. .0607(d)(10) 1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. A signed annual EPR review was not observed on file for two staff members. .0607(e) 1867 The depth of the loose surfacing was not based on critical height of the equipment. The mulch surfacing on the playgrounds used by children of infant/toddler and preschool age measured between two and five inches in greater than five fall zones. .0605(k)(1-4) 1887 Each infant was not served only bottles labeled with their individual name. In Space 1, the bottles for two children enrolled did not include a date. .0902(d) 1893 Distance learning was used to complete First Aid, CPR and/or playground safety training. One new staff member completed CPR/FA training through an unapproved organization, the National CPR Foundation. 10A NCAC 09 .1102(c-e); 10A NCAC 09 .1105(3) 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 9/19/2023. 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 cara.mckeown@dhhs.nc.gov or mail two copies of the letter to: Cara McKeown 353 Jonestown Road, Unit #146 Winston Salem, NC 27104 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 provided during today’s visit: The plastic bench of an outdoor picnic table located on the playground used by children of preschool age was observed to be cracked and a potential pinching hazard. Thorns sharp to the touch were observed growing on the inside of the left side of the playground used for children of School Age. The mulch surfacing on the playgrounds used by children of infant/toddler and preschool age measured between two and five inches in greater than five fall zones. It is imperative for the outdoor environment to be a safe place for children to explore. Ms. Singletary stated she was not aware of the issues regarding the picnic table and the thorns. She stated early in the visit the facility had just received mulch, and she asked us to measure it and provide feedback on its depth. You may consider raking mulch from the many other areas of the playgrounds containing extra mulch into the current fall zones needing additional surfacing depth. Ms. Singletary also stated the facility may add grass to one area of the playground used for preschool children eventually, and the mulch currently in that space will be reallocated to other areas. Consultation provided during today’s visit: Ms. Singletary stated she is interested in using the church van to begin to provide transportation for children of Pre-K and School Age for field trips only. All transportation and off-premise activity requirements and required forms were reviewed with Ms. Singletary during the visit. I stated Ms. Singletary must create transportation policies and submit them to me for review prior to transporting children enrolled. I encouraged Ms. Singletary to reach out to Keturah Oglesby, Child Care Health Consultant, for guidance and support as she develops transportation policies. The church van which will be used to transport children was observed during the visit, and transportation requirements regarding the vehicle were further discussed. I stated Ms. Singletary should contact me once all requirements for transportation have been met. Once contacted by Ms. Singletary, I will schedule a visit for me to monitor requirements for transportation and to approve the facility to transport children. A playground diagram for each of the three playgrounds at the facility (infant/toddler, preschool, and School Age) was not in the working file or in the Master file. Each playground was measured during today’s visit. I stated to Ms. Singletary I would email her a copy of each playground diagram and respective outdoor space calculation worksheets following the visit, once I completed them. • You must notify your consultant 30 days prior to changing the ownership status of your facility. • As a reminder, the EPR Plan for the facility is due to be updated by the end of this month. • Please schedule the grass to be cut and any vegetation growing into the outdoor play area to be trimmed. • When an infant is placed on his/her back to sleep in a crib or approved sleeping apparatus, please always record the first position for the infant on the sleep log as “B” for “Back”, even if the infant immediately rolls over to his or her side or stomach. • Please ensure each cot list includes the names of all children enrolled in that classroom. - Please monitor child-sized furniture for wear to ensure proper cleaning and sanitation of these items can occur. • The Child Care Health Consultant for Forsyth County is Keturah Oglesby at Smart Start of Forsyth County. Ms. Oglesby can be contacted at: keturaho@smartstart-fc.org. This HELPLINE will offer guidance to teachers and providers dealing with challenging behaviors as soon as they need the support and assistance. Please see link below and attached flyer: https://mailchi.mp/c698573cdce8/newsblast-for-ccrrs-in-north-carolina-6227800?e=0157f79327 The following Child Care Rules were discussed with Ms. Singletary during the visit: SECTION .1000 - TRANSPORTATION STANDARDS 10A NCAC 09 .0514 OPERATIONAL AND PERSONNEL POLICIES (e )(g) 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. Cara McKeown, Child Care Consultant (336) 408-4849 cara.mckeown@dhhs.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: Main Street Baptist Church Early Learning Center Facility ID: 3452208 Consultant: CARA MCKEOWN-STEWART Operation Type: Center Case Number: Visit Date: 9/5/2024 Number Present: 30 Completed Date: 9/5/2024 Age: From 0 To 5 Total Minutes: 438 Time In: 08:40 AM Time Out: 11:48 AM Time In: 12:50 PM Time Out: 05:00 PM List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced An unannounced annual compliance visit was conducted at this childcare facility to monitor compliance with applicable childcare requirements. This visit was conducted by Cara McKeown-Stewart and Emily Lamquaye, Child Care Consultants with Lekeshia Singletary, Director. Your program currently operates with a Notice of Compliance. The NC Secretary of State website was reviewed on 9/05/2024 and Main Street Baptist Church, Inc. was listed as current and active. 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. Upon arrival, staff/child ratio and space capacity were monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed interactions today. I observed children playing in activity centers, participating in general routines, playing outdoors, and eating lunch. I observed developmentally appropriate materials and activities were available to the children in the classrooms. The last annual compliance visit was conducted on 9/12/2023. A sanitation inspection was completed 5/02/2024 with a Superior classification. The last fire inspection was conducted 11/28/2023. A copy of this inspection was provided to me during the visit. Program records and required postings were monitored. A fire drill was conducted on 8/28/2024. A shelter in place drill was documented on 8/01/2024. An outdoor inspection was documented on 9/04/2024. Staff files and children’s records were monitored per DCDEE procedures. The files for four new staff members and one existing staff member were reviewed during the visit. The files for five children enrolled were also reviewed during the visit. Storage of hazardous items was monitored today. Storage and administration of medication and medication authorization were monitored and found to be in compliance. The program does not provide transportation or off-premise activities at this time. 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. Arrival and departure times were not observed to be recorded for one child enrolled in Space 3 and 1 child enrolled in Space 5. 10A NCAC 09 .0302(d)(4) 612 Each child's bed, cot, or 2" mat was not individually assigned and identified. A cot list was not observed to be posted in Space 3. 15A NCAC 18A .2821(b) & (c) 620 All walls and ceilings including doors and windows were not kept clean, free of visible fungal growth, and in good repair. One wall in Space 7 and one wall in Space 8 were observed to have peeling paint. 15A NCAC 18A .2825(a) 807 A safe indoor and outdoor environment was not provided for the children. The plastic bench of an outdoor picnic table located on the playground used by children of preschool age was observed to be cracked and a potential pinching hazard. Thorns sharp to the touch were observed growing on the inside of the left side of the playground used for children of School Age. 10A NCAC 09 .0601(a) 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. An outlet cover in Space 7 was observed without a safety cover. 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. A closet in Space 7 containing bleach and detergent was observed to be unlocked. .2820(b) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. In Space 1, a diaper table cupboard containing a plastic open diaper wrapper and a plastic bag was observed to be unlatched. .0604(q) 1221 Personnel policies did not include the required information as listed in rule. One new staff member and one existing staff member did not have a signed receipt of Personnel Policies on file for review. 10A NCAC 09 .0514(d)(1-7) 1329 Application for enrollment did not include all required information. The application for one child enrolled did not include emergency medical information. .0801(a)(1-7) 1823 The EPR Plan did not include the location of the Ready to Go File and or the required information. The Ready to Go File did not include the emergency information for one new employee. .0607(d)(10) 1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. A signed annual EPR review was not observed on file for two staff members. .0607(e) 1867 The depth of the loose surfacing was not based on critical height of the equipment. The mulch surfacing on the playgrounds used by children of infant/toddler and preschool age measured between two and five inches in greater than five fall zones. .0605(k)(1-4) 1887 Each infant was not served only bottles labeled with their individual name. In Space 1, the bottles for two children enrolled did not include a date. .0902(d) 1893 Distance learning was used to complete First Aid, CPR and/or playground safety training. One new staff member completed CPR/FA training through an unapproved organization, the National CPR Foundation. 10A NCAC 09 .1102(c-e); 10A NCAC 09 .1105(3) 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 9/19/2023. 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 cara.mckeown@dhhs.nc.gov or mail two copies of the letter to: Cara McKeown 353 Jonestown Road, Unit #146 Winston Salem, NC 27104 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 provided during today’s visit: The plastic bench of an outdoor picnic table located on the playground used by children of preschool age was observed to be cracked and a potential pinching hazard. Thorns sharp to the touch were observed growing on the inside of the left side of the playground used for children of School Age. The mulch surfacing on the playgrounds used by children of infant/toddler and preschool age measured between two and five inches in greater than five fall zones. It is imperative for the outdoor environment to be a safe place for children to explore. Ms. Singletary stated she was not aware of the issues regarding the picnic table and the thorns. She stated early in the visit the facility had just received mulch, and she asked us to measure it and provide feedback on its depth. You may consider raking mulch from the many other areas of the playgrounds containing extra mulch into the current fall zones needing additional surfacing depth. Ms. Singletary also stated the facility may add grass to one area of the playground used for preschool children eventually, and the mulch currently in that space will be reallocated to other areas. Consultation provided during today’s visit: Ms. Singletary stated she is interested in using the church van to begin to provide transportation for children of Pre-K and School Age for field trips only. All transportation and off-premise activity requirements and required forms were reviewed with Ms. Singletary during the visit. I stated Ms. Singletary must create transportation policies and submit them to me for review prior to transporting children enrolled. I encouraged Ms. Singletary to reach out to Keturah Oglesby, Child Care Health Consultant, for guidance and support as she develops transportation policies. The church van which will be used to transport children was observed during the visit, and transportation requirements regarding the vehicle were further discussed. I stated Ms. Singletary should contact me once all requirements for transportation have been met. Once contacted by Ms. Singletary, I will schedule a visit for me to monitor requirements for transportation and to approve the facility to transport children. A playground diagram for each of the three playgrounds at the facility (infant/toddler, preschool, and School Age) was not in the working file or in the Master file. Each playground was measured during today’s visit. I stated to Ms. Singletary I would email her a copy of each playground diagram and respective outdoor space calculation worksheets following the visit, once I completed them. • You must notify your consultant 30 days prior to changing the ownership status of your facility. • As a reminder, the EPR Plan for the facility is due to be updated by the end of this month. • Please schedule the grass to be cut and any vegetation growing into the outdoor play area to be trimmed. • When an infant is placed on his/her back to sleep in a crib or approved sleeping apparatus, please always record the first position for the infant on the sleep log as “B” for “Back”, even if the infant immediately rolls over to his or her side or stomach. • Please ensure each cot list includes the names of all children enrolled in that classroom. - Please monitor child-sized furniture for wear to ensure proper cleaning and sanitation of these items can occur. • The Child Care Health Consultant for Forsyth County is Keturah Oglesby at Smart Start of Forsyth County. Ms. Oglesby can be contacted at: keturaho@smartstart-fc.org. This HELPLINE will offer guidance to teachers and providers dealing with challenging behaviors as soon as they need the support and assistance. Please see link below and attached flyer: https://mailchi.mp/c698573cdce8/newsblast-for-ccrrs-in-north-carolina-6227800?e=0157f79327 The following Child Care Rules were discussed with Ms. Singletary during the visit: SECTION .1000 - TRANSPORTATION STANDARDS 10A NCAC 09 .0514 OPERATIONAL AND PERSONNEL POLICIES (e )(g) 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. Cara McKeown, Child Care Consultant (336) 408-4849 cara.mckeown@dhhs.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: Main Street Baptist Church Early Learning Center Facility ID: 3452208 Consultant: CARA MCKEOWN-STEWART Operation Type: Center Case Number: Visit Date: 3/21/2024 Number Present: 41 Completed Date: 3/21/2024 Age: From 0 To 5 Total Minutes: 369 Time In: 09:36 AM Time Out: 03:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable childcare requirements for a routine unannounced visit. This visit was conducted by Cara McKeown-Stewart, Childcare Consultant with Aislinn Hardin, Administrative Assistant. I spoke with Lekeshia Singletary, Director, briefly upon arrival, but Ms. Singletary was unable to be present for the visit. Your program currently operates with a G.S. 110 Notice of Compliance effective 11/20/2009. Restrictions include 1st shift care, only 2nd grade and above on second floor; children under 2 ½ years old in rooms with direct exits only; children under 2 ½ years of age not allowed in fellowship hall. The NC Secretary of State website was reviewed on 3/21/2024 and Main Street Baptist Church, Inc. was listed as current and active. The program’s compliance history was 88 % 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 playing with toys, engaging in conversations and activities with their teachers, playing outdoors, participating in general routines, and eating lunch during the visit. Five 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 Criminal Background Checks. Medication storage, emergency medication, and parent authorization to administer medications were monitored. Storage of hazardous items was monitored today. The most recent playground inspection was recorded 1/29/2024. A fire drill was recorded 3/04/2024. The most recent lock down drill for the facility was recorded 12/12/2023. The most recent fire inspection was on 11/28/2023. I observed a sanitation inspection was last conducted on 10/02/2023 earning a Superior classification. The program does not provide transportation during the school year or participate in off-premise or aquatic activities at this time. Ms. Singletary stated this morning she is interested in transporting children four years of age and older for field trips during the summer, and potentially, for Pre-K field trips that occur during the school year. I stated to Ms. Singletary she would need to contact me to schedule a visit to monitor transportation for the facility prior to beginning to transport children enrolled for Summer Camp. 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. Times of arrival were not recorded for four children enrolled in Space 3, two children enrolled in Space 4, 1 child enrolled in Space 5, and 1 child enrolled in Space 6. 10A NCAC 09 .0302(d)(4) 612 Each child's bed, cot, or 2" mat was not individually assigned and identified. Verification of children's cots and/or mats being individually assigned and identified was not observable in Spaces 4, 5, and 6. 15A NCAC 18A .2821(b) & (c) 802 Safe pick-up and delivery procedures were not communicated to parents and/or were not posted where they can be seen by the parents. Safe pick-up and delivery procedures were not posted. .1003(b) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. Two canisters of disinfectant wipes labeled Keep Out of Reach of Children with additional warnings were observed greater than five feet from the floor but in unlocked storage, both in Space 3, and in Space 5. .2820(b) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. The emergency medication for one child enrolled expired in January, 2024. .0803(12) 856 The indoor and/or outdoor premises was not checked once a day, prior to initial use, ensuring debris, and broken equipment was removed and disposed of. Greater than ten pieces of trash were observed, collectively, on all three playgrounds, inclusive of an unopened sample package of triple antibiotic ointment labeled Keep Out of Reach of Children with additional warnings. 10A NCAC 09 .0604(p) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. Two plastic bags were observed in an unlatched cupboard to the left of the refrigerator accessible to mobile infants in Space 2. These were made inaccessible to children during the visit. One plastic bag containing plastic bags was observed less than five feet from the ground on a counter in Space 3, accessible to children one year of age; this bag was made inaccessible during the visit. A plastic bag was observed less than five feet from the ground, accessible to children under three years of age, in a child's cubby in Space 4; this bag was made inaccessible during the visit. One open plastic diaper wrapper was observed in Space 6, in an unlatched cupboard, accessible to children under three years of age; this wrapper was disposed of during the visit. Fabric weed block was observed emerging from the surfacing on the playground, near the white plastic siding, used by children under three years of age. .0604(q) 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. A playground inspection was not observed on file for February, 2024. .0605(q) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. A certificate for CPR/FA was dated and observed on file for one new employee for 4/19/2023. This employee had a recorded start date of 11/14/2022. .1102(d) 1823 The EPR Plan did not include the location of the Ready to Go File and or the required information. The Ready to Go file did not contain emergency information for two employees; this was corrected during the visit. The Ready to Go file did not contain the applications for seven children enrolled. .0607(d)(10) 1867 The depth of the loose surfacing was not based on critical height of the equipment. The mulch in the fall zone of Playground 1, used by children under three years of age, measured four inches in depth. The mulch in seven of the eleven fall zones on Playground 2, used by preschool children, measured between two and five inches in depth. .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 4/04/2024. 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 cara.mckeown-stewart@dhhs.nc.gov or mail two copies of the letter to: Cara McKeown 353 Jonestown Road, Unit #146 Winston Salem, NC 27104 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: • Two plastic bags were observed in an unlatched cupboard to the left of the refrigerator accessible to mobile infants in Space 2. These were made inaccessible to children during the visit. One plastic bag containing plastic bags was observed less than five feet from the ground on a counter in Space 3, accessible to children one year of age; this bag was made inaccessible during the visit. A plastic bag was observed less than five feet from the ground in a child's cubby in Space 4; this bag was made inaccessible during the visit. One open plastic diaper wrapper was observed in an unlatched cupboard, accessible to children under three years of age; this wrapper was disposed of during the visit. Fabric weed block was observed emerging from the surfacing on the playground used by children under three years of age, near the white plastic siding. It is important for the indoor and outdoor environment to be consistently monitored so that children can explore the learning environment safely. Ms. Hardin stated she did not realize these were issues in the classrooms or on the playground. I recommended administration consider adding monitoring of these items to her monthly playground inspection and creating indoor safety daily inspections. The Ready to Go file did not contain emergency information for two employees; this was corrected during the visit. The Ready to Go file did not contain the applications for seven children enrolled. Safe pick-up and delivery procedures were not posted. A certificate for CPR/FA was dated and observed on file for one new employee for 4/19/2023. This employee had a recorded start date of 11/14/2022. Times of arrival were not recorded for four children enrolled in Space 3, two children enrolled in Space 4, 1 child enrolled in Space 5, and 1 child enrolled in Space 6. It is extremely important for accurate records to be maintained at all times to ensure the health, safety, and quality of care for children enrolled. Ms. Hardin stated administration is reminding parents to sign their children in and out each day. She also placed all staff emergency information in the Ready to Go file during the visit. I recommended administration consider adding reviewing procedures for recording arrival/departure with staff so staff sign children in and out if parents forget to do so. I also recommended administration set a routine schedule to monitor all staff, program, and children’s files for completeness and accuracy. • The mulch in the fall zone of Playground 1, used by children under three years of age, measured four inches in depth. The mulch in seven of the eleven fall zones on Playground 2, used by preschool children, measured between two and five inches in depth. It is important that mulch measures the required depth in all fall zones to ensure the physical safety of children who are climbing and playing on the equipment. Ms. Singletary stated this morning the facility is considering investing in playground border to help keep the mulch from spreading to other areas of the playground. I recommended to Ms. Hardin that mulch be temporarily moved from areas of the playground which do not require mulch into the fall zones until a permanent solution can be identified. • Greater than ten pieces of trash were observed, collectively, on all three playgrounds, inclusive of an unopened sample package of triple antibiotic ointment labeled Keep Out of Reach of Children with additional warnings. It is important for all areas in which children are enrolled and have access to, remain clean. Ms. Singletary and Ms. Hardin stated a homeschooling program utilizes this outdoor area on Wednesdays during the school year. Both ladies stated they would reach out to representatives for this group to review requirements for the outdoor environment. I recommended administration have one staff member monitor this playground on Thursday mornings, prior to the children’s use moving forward. Additional Information/Consultation: • You must notify your consultant 30 days prior to changing the ownership status of your facility. •The following Child Care Rules were thoroughly discussed with Ms. Hardin and Ms. Singletary during the visit: 15A NCAC 18A .2803 HANDWASHING 10A NCAC 09 .0605 OUTDOOR LEARNING ENVIRONMENT IN CHILD CARE CENTERS (i) 15A NCAC 18A .2825 WALLS AND CEILINGS (a) 10A NCAC 09 .0801 APPLICATION FOR ENROLLMENT (b) 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS (6) 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (c ) 10A NCAC 09 .2615 STAFF/CHILD RATIOS 10A NCAC 09 .1802 STAFF/CHILD INTERACTIONS 10A NCAC 09 .0606 SAFE SLEEP PRACTICES (a)(1) SECTION .1000 - TRANSPORTATION STANDARDS Please be reminded a lockdown/shelter-in-place drill is due to be completed by the end of March, 2024. Please be reminded the staff member with a start date of 1/02/2024 must have CPR/FA certification completed and on file by 4/02/2024. 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. Cara McKeown-Stewart, Child Care Consultant (336) 408-4849 cara.mckeown-stewart@dhhs.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: Main Street Baptist Church Early Learning Center Facility ID: 3452208 Consultant: CARA MCKEOWN-STEWART Operation Type: Center Case Number: Visit Date: 3/21/2024 Number Present: 41 Completed Date: 3/21/2024 Age: From 0 To 5 Total Minutes: 369 Time In: 09:36 AM Time Out: 03:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable childcare requirements for a routine unannounced visit. This visit was conducted by Cara McKeown-Stewart, Childcare Consultant with Aislinn Hardin, Administrative Assistant. I spoke with Lekeshia Singletary, Director, briefly upon arrival, but Ms. Singletary was unable to be present for the visit. Your program currently operates with a G.S. 110 Notice of Compliance effective 11/20/2009. Restrictions include 1st shift care, only 2nd grade and above on second floor; children under 2 ½ years old in rooms with direct exits only; children under 2 ½ years of age not allowed in fellowship hall. The NC Secretary of State website was reviewed on 3/21/2024 and Main Street Baptist Church, Inc. was listed as current and active. The program’s compliance history was 88 % 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 playing with toys, engaging in conversations and activities with their teachers, playing outdoors, participating in general routines, and eating lunch during the visit. Five 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 Criminal Background Checks. Medication storage, emergency medication, and parent authorization to administer medications were monitored. Storage of hazardous items was monitored today. The most recent playground inspection was recorded 1/29/2024. A fire drill was recorded 3/04/2024. The most recent lock down drill for the facility was recorded 12/12/2023. The most recent fire inspection was on 11/28/2023. I observed a sanitation inspection was last conducted on 10/02/2023 earning a Superior classification. The program does not provide transportation during the school year or participate in off-premise or aquatic activities at this time. Ms. Singletary stated this morning she is interested in transporting children four years of age and older for field trips during the summer, and potentially, for Pre-K field trips that occur during the school year. I stated to Ms. Singletary she would need to contact me to schedule a visit to monitor transportation for the facility prior to beginning to transport children enrolled for Summer Camp. 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. Times of arrival were not recorded for four children enrolled in Space 3, two children enrolled in Space 4, 1 child enrolled in Space 5, and 1 child enrolled in Space 6. 10A NCAC 09 .0302(d)(4) 612 Each child's bed, cot, or 2" mat was not individually assigned and identified. Verification of children's cots and/or mats being individually assigned and identified was not observable in Spaces 4, 5, and 6. 15A NCAC 18A .2821(b) & (c) 802 Safe pick-up and delivery procedures were not communicated to parents and/or were not posted where they can be seen by the parents. Safe pick-up and delivery procedures were not posted. .1003(b) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. Two canisters of disinfectant wipes labeled Keep Out of Reach of Children with additional warnings were observed greater than five feet from the floor but in unlocked storage, both in Space 3, and in Space 5. .2820(b) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. The emergency medication for one child enrolled expired in January, 2024. .0803(12) 856 The indoor and/or outdoor premises was not checked once a day, prior to initial use, ensuring debris, and broken equipment was removed and disposed of. Greater than ten pieces of trash were observed, collectively, on all three playgrounds, inclusive of an unopened sample package of triple antibiotic ointment labeled Keep Out of Reach of Children with additional warnings. 10A NCAC 09 .0604(p) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. Two plastic bags were observed in an unlatched cupboard to the left of the refrigerator accessible to mobile infants in Space 2. These were made inaccessible to children during the visit. One plastic bag containing plastic bags was observed less than five feet from the ground on a counter in Space 3, accessible to children one year of age; this bag was made inaccessible during the visit. A plastic bag was observed less than five feet from the ground, accessible to children under three years of age, in a child's cubby in Space 4; this bag was made inaccessible during the visit. One open plastic diaper wrapper was observed in Space 6, in an unlatched cupboard, accessible to children under three years of age; this wrapper was disposed of during the visit. Fabric weed block was observed emerging from the surfacing on the playground, near the white plastic siding, used by children under three years of age. .0604(q) 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. A playground inspection was not observed on file for February, 2024. .0605(q) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. A certificate for CPR/FA was dated and observed on file for one new employee for 4/19/2023. This employee had a recorded start date of 11/14/2022. .1102(d) 1823 The EPR Plan did not include the location of the Ready to Go File and or the required information. The Ready to Go file did not contain emergency information for two employees; this was corrected during the visit. The Ready to Go file did not contain the applications for seven children enrolled. .0607(d)(10) 1867 The depth of the loose surfacing was not based on critical height of the equipment. The mulch in the fall zone of Playground 1, used by children under three years of age, measured four inches in depth. The mulch in seven of the eleven fall zones on Playground 2, used by preschool children, measured between two and five inches in depth. .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 4/04/2024. 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 cara.mckeown-stewart@dhhs.nc.gov or mail two copies of the letter to: Cara McKeown 353 Jonestown Road, Unit #146 Winston Salem, NC 27104 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: • Two plastic bags were observed in an unlatched cupboard to the left of the refrigerator accessible to mobile infants in Space 2. These were made inaccessible to children during the visit. One plastic bag containing plastic bags was observed less than five feet from the ground on a counter in Space 3, accessible to children one year of age; this bag was made inaccessible during the visit. A plastic bag was observed less than five feet from the ground in a child's cubby in Space 4; this bag was made inaccessible during the visit. One open plastic diaper wrapper was observed in an unlatched cupboard, accessible to children under three years of age; this wrapper was disposed of during the visit. Fabric weed block was observed emerging from the surfacing on the playground used by children under three years of age, near the white plastic siding. It is important for the indoor and outdoor environment to be consistently monitored so that children can explore the learning environment safely. Ms. Hardin stated she did not realize these were issues in the classrooms or on the playground. I recommended administration consider adding monitoring of these items to her monthly playground inspection and creating indoor safety daily inspections. The Ready to Go file did not contain emergency information for two employees; this was corrected during the visit. The Ready to Go file did not contain the applications for seven children enrolled. Safe pick-up and delivery procedures were not posted. A certificate for CPR/FA was dated and observed on file for one new employee for 4/19/2023. This employee had a recorded start date of 11/14/2022. Times of arrival were not recorded for four children enrolled in Space 3, two children enrolled in Space 4, 1 child enrolled in Space 5, and 1 child enrolled in Space 6. It is extremely important for accurate records to be maintained at all times to ensure the health, safety, and quality of care for children enrolled. Ms. Hardin stated administration is reminding parents to sign their children in and out each day. She also placed all staff emergency information in the Ready to Go file during the visit. I recommended administration consider adding reviewing procedures for recording arrival/departure with staff so staff sign children in and out if parents forget to do so. I also recommended administration set a routine schedule to monitor all staff, program, and children’s files for completeness and accuracy. • The mulch in the fall zone of Playground 1, used by children under three years of age, measured four inches in depth. The mulch in seven of the eleven fall zones on Playground 2, used by preschool children, measured between two and five inches in depth. It is important that mulch measures the required depth in all fall zones to ensure the physical safety of children who are climbing and playing on the equipment. Ms. Singletary stated this morning the facility is considering investing in playground border to help keep the mulch from spreading to other areas of the playground. I recommended to Ms. Hardin that mulch be temporarily moved from areas of the playground which do not require mulch into the fall zones until a permanent solution can be identified. • Greater than ten pieces of trash were observed, collectively, on all three playgrounds, inclusive of an unopened sample package of triple antibiotic ointment labeled Keep Out of Reach of Children with additional warnings. It is important for all areas in which children are enrolled and have access to, remain clean. Ms. Singletary and Ms. Hardin stated a homeschooling program utilizes this outdoor area on Wednesdays during the school year. Both ladies stated they would reach out to representatives for this group to review requirements for the outdoor environment. I recommended administration have one staff member monitor this playground on Thursday mornings, prior to the children’s use moving forward. Additional Information/Consultation: • You must notify your consultant 30 days prior to changing the ownership status of your facility. •The following Child Care Rules were thoroughly discussed with Ms. Hardin and Ms. Singletary during the visit: 15A NCAC 18A .2803 HANDWASHING 10A NCAC 09 .0605 OUTDOOR LEARNING ENVIRONMENT IN CHILD CARE CENTERS (i) 15A NCAC 18A .2825 WALLS AND CEILINGS (a) 10A NCAC 09 .0801 APPLICATION FOR ENROLLMENT (b) 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS (6) 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (c ) 10A NCAC 09 .2615 STAFF/CHILD RATIOS 10A NCAC 09 .1802 STAFF/CHILD INTERACTIONS 10A NCAC 09 .0606 SAFE SLEEP PRACTICES (a)(1) SECTION .1000 - TRANSPORTATION STANDARDS Please be reminded a lockdown/shelter-in-place drill is due to be completed by the end of March, 2024. Please be reminded the staff member with a start date of 1/02/2024 must have CPR/FA certification completed and on file by 4/02/2024. 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. Cara McKeown-Stewart, Child Care Consultant (336) 408-4849 cara.mckeown-stewart@dhhs.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: Main Street Baptist Church Early Learning Center Facility ID: 3452208 Consultant: CARA MCKEOWN-STEWART Operation Type: Center Case Number: Visit Date: 3/21/2024 Number Present: 41 Completed Date: 3/21/2024 Age: From 0 To 5 Total Minutes: 369 Time In: 09:36 AM Time Out: 03:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable childcare requirements for a routine unannounced visit. This visit was conducted by Cara McKeown-Stewart, Childcare Consultant with Aislinn Hardin, Administrative Assistant. I spoke with Lekeshia Singletary, Director, briefly upon arrival, but Ms. Singletary was unable to be present for the visit. Your program currently operates with a G.S. 110 Notice of Compliance effective 11/20/2009. Restrictions include 1st shift care, only 2nd grade and above on second floor; children under 2 ½ years old in rooms with direct exits only; children under 2 ½ years of age not allowed in fellowship hall. The NC Secretary of State website was reviewed on 3/21/2024 and Main Street Baptist Church, Inc. was listed as current and active. The program’s compliance history was 88 % 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 playing with toys, engaging in conversations and activities with their teachers, playing outdoors, participating in general routines, and eating lunch during the visit. Five 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 Criminal Background Checks. Medication storage, emergency medication, and parent authorization to administer medications were monitored. Storage of hazardous items was monitored today. The most recent playground inspection was recorded 1/29/2024. A fire drill was recorded 3/04/2024. The most recent lock down drill for the facility was recorded 12/12/2023. The most recent fire inspection was on 11/28/2023. I observed a sanitation inspection was last conducted on 10/02/2023 earning a Superior classification. The program does not provide transportation during the school year or participate in off-premise or aquatic activities at this time. Ms. Singletary stated this morning she is interested in transporting children four years of age and older for field trips during the summer, and potentially, for Pre-K field trips that occur during the school year. I stated to Ms. Singletary she would need to contact me to schedule a visit to monitor transportation for the facility prior to beginning to transport children enrolled for Summer Camp. 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. Times of arrival were not recorded for four children enrolled in Space 3, two children enrolled in Space 4, 1 child enrolled in Space 5, and 1 child enrolled in Space 6. 10A NCAC 09 .0302(d)(4) 612 Each child's bed, cot, or 2" mat was not individually assigned and identified. Verification of children's cots and/or mats being individually assigned and identified was not observable in Spaces 4, 5, and 6. 15A NCAC 18A .2821(b) & (c) 802 Safe pick-up and delivery procedures were not communicated to parents and/or were not posted where they can be seen by the parents. Safe pick-up and delivery procedures were not posted. .1003(b) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. Two canisters of disinfectant wipes labeled Keep Out of Reach of Children with additional warnings were observed greater than five feet from the floor but in unlocked storage, both in Space 3, and in Space 5. .2820(b) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. The emergency medication for one child enrolled expired in January, 2024. .0803(12) 856 The indoor and/or outdoor premises was not checked once a day, prior to initial use, ensuring debris, and broken equipment was removed and disposed of. Greater than ten pieces of trash were observed, collectively, on all three playgrounds, inclusive of an unopened sample package of triple antibiotic ointment labeled Keep Out of Reach of Children with additional warnings. 10A NCAC 09 .0604(p) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. Two plastic bags were observed in an unlatched cupboard to the left of the refrigerator accessible to mobile infants in Space 2. These were made inaccessible to children during the visit. One plastic bag containing plastic bags was observed less than five feet from the ground on a counter in Space 3, accessible to children one year of age; this bag was made inaccessible during the visit. A plastic bag was observed less than five feet from the ground, accessible to children under three years of age, in a child's cubby in Space 4; this bag was made inaccessible during the visit. One open plastic diaper wrapper was observed in Space 6, in an unlatched cupboard, accessible to children under three years of age; this wrapper was disposed of during the visit. Fabric weed block was observed emerging from the surfacing on the playground, near the white plastic siding, used by children under three years of age. .0604(q) 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. A playground inspection was not observed on file for February, 2024. .0605(q) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. A certificate for CPR/FA was dated and observed on file for one new employee for 4/19/2023. This employee had a recorded start date of 11/14/2022. .1102(d) 1823 The EPR Plan did not include the location of the Ready to Go File and or the required information. The Ready to Go file did not contain emergency information for two employees; this was corrected during the visit. The Ready to Go file did not contain the applications for seven children enrolled. .0607(d)(10) 1867 The depth of the loose surfacing was not based on critical height of the equipment. The mulch in the fall zone of Playground 1, used by children under three years of age, measured four inches in depth. The mulch in seven of the eleven fall zones on Playground 2, used by preschool children, measured between two and five inches in depth. .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 4/04/2024. 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 cara.mckeown-stewart@dhhs.nc.gov or mail two copies of the letter to: Cara McKeown 353 Jonestown Road, Unit #146 Winston Salem, NC 27104 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: • Two plastic bags were observed in an unlatched cupboard to the left of the refrigerator accessible to mobile infants in Space 2. These were made inaccessible to children during the visit. One plastic bag containing plastic bags was observed less than five feet from the ground on a counter in Space 3, accessible to children one year of age; this bag was made inaccessible during the visit. A plastic bag was observed less than five feet from the ground in a child's cubby in Space 4; this bag was made inaccessible during the visit. One open plastic diaper wrapper was observed in an unlatched cupboard, accessible to children under three years of age; this wrapper was disposed of during the visit. Fabric weed block was observed emerging from the surfacing on the playground used by children under three years of age, near the white plastic siding. It is important for the indoor and outdoor environment to be consistently monitored so that children can explore the learning environment safely. Ms. Hardin stated she did not realize these were issues in the classrooms or on the playground. I recommended administration consider adding monitoring of these items to her monthly playground inspection and creating indoor safety daily inspections. The Ready to Go file did not contain emergency information for two employees; this was corrected during the visit. The Ready to Go file did not contain the applications for seven children enrolled. Safe pick-up and delivery procedures were not posted. A certificate for CPR/FA was dated and observed on file for one new employee for 4/19/2023. This employee had a recorded start date of 11/14/2022. Times of arrival were not recorded for four children enrolled in Space 3, two children enrolled in Space 4, 1 child enrolled in Space 5, and 1 child enrolled in Space 6. It is extremely important for accurate records to be maintained at all times to ensure the health, safety, and quality of care for children enrolled. Ms. Hardin stated administration is reminding parents to sign their children in and out each day. She also placed all staff emergency information in the Ready to Go file during the visit. I recommended administration consider adding reviewing procedures for recording arrival/departure with staff so staff sign children in and out if parents forget to do so. I also recommended administration set a routine schedule to monitor all staff, program, and children’s files for completeness and accuracy. • The mulch in the fall zone of Playground 1, used by children under three years of age, measured four inches in depth. The mulch in seven of the eleven fall zones on Playground 2, used by preschool children, measured between two and five inches in depth. It is important that mulch measures the required depth in all fall zones to ensure the physical safety of children who are climbing and playing on the equipment. Ms. Singletary stated this morning the facility is considering investing in playground border to help keep the mulch from spreading to other areas of the playground. I recommended to Ms. Hardin that mulch be temporarily moved from areas of the playground which do not require mulch into the fall zones until a permanent solution can be identified. • Greater than ten pieces of trash were observed, collectively, on all three playgrounds, inclusive of an unopened sample package of triple antibiotic ointment labeled Keep Out of Reach of Children with additional warnings. It is important for all areas in which children are enrolled and have access to, remain clean. Ms. Singletary and Ms. Hardin stated a homeschooling program utilizes this outdoor area on Wednesdays during the school year. Both ladies stated they would reach out to representatives for this group to review requirements for the outdoor environment. I recommended administration have one staff member monitor this playground on Thursday mornings, prior to the children’s use moving forward. Additional Information/Consultation: • You must notify your consultant 30 days prior to changing the ownership status of your facility. •The following Child Care Rules were thoroughly discussed with Ms. Hardin and Ms. Singletary during the visit: 15A NCAC 18A .2803 HANDWASHING 10A NCAC 09 .0605 OUTDOOR LEARNING ENVIRONMENT IN CHILD CARE CENTERS (i) 15A NCAC 18A .2825 WALLS AND CEILINGS (a) 10A NCAC 09 .0801 APPLICATION FOR ENROLLMENT (b) 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS (6) 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (c ) 10A NCAC 09 .2615 STAFF/CHILD RATIOS 10A NCAC 09 .1802 STAFF/CHILD INTERACTIONS 10A NCAC 09 .0606 SAFE SLEEP PRACTICES (a)(1) SECTION .1000 - TRANSPORTATION STANDARDS Please be reminded a lockdown/shelter-in-place drill is due to be completed by the end of March, 2024. Please be reminded the staff member with a start date of 1/02/2024 must have CPR/FA certification completed and on file by 4/02/2024. 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. Cara McKeown-Stewart, Child Care Consultant (336) 408-4849 cara.mckeown-stewart@dhhs.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 .0605 · Violation

Name of Operation: Main Street Baptist Church Early Learning Center Facility ID: 3452208 Consultant: CARA MCKEOWN-STEWART Operation Type: Center Case Number: Visit Date: 3/21/2024 Number Present: 41 Completed Date: 3/21/2024 Age: From 0 To 5 Total Minutes: 369 Time In: 09:36 AM Time Out: 03:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable childcare requirements for a routine unannounced visit. This visit was conducted by Cara McKeown-Stewart, Childcare Consultant with Aislinn Hardin, Administrative Assistant. I spoke with Lekeshia Singletary, Director, briefly upon arrival, but Ms. Singletary was unable to be present for the visit. Your program currently operates with a G.S. 110 Notice of Compliance effective 11/20/2009. Restrictions include 1st shift care, only 2nd grade and above on second floor; children under 2 ½ years old in rooms with direct exits only; children under 2 ½ years of age not allowed in fellowship hall. The NC Secretary of State website was reviewed on 3/21/2024 and Main Street Baptist Church, Inc. was listed as current and active. The program’s compliance history was 88 % 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 playing with toys, engaging in conversations and activities with their teachers, playing outdoors, participating in general routines, and eating lunch during the visit. Five 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 Criminal Background Checks. Medication storage, emergency medication, and parent authorization to administer medications were monitored. Storage of hazardous items was monitored today. The most recent playground inspection was recorded 1/29/2024. A fire drill was recorded 3/04/2024. The most recent lock down drill for the facility was recorded 12/12/2023. The most recent fire inspection was on 11/28/2023. I observed a sanitation inspection was last conducted on 10/02/2023 earning a Superior classification. The program does not provide transportation during the school year or participate in off-premise or aquatic activities at this time. Ms. Singletary stated this morning she is interested in transporting children four years of age and older for field trips during the summer, and potentially, for Pre-K field trips that occur during the school year. I stated to Ms. Singletary she would need to contact me to schedule a visit to monitor transportation for the facility prior to beginning to transport children enrolled for Summer Camp. 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. Times of arrival were not recorded for four children enrolled in Space 3, two children enrolled in Space 4, 1 child enrolled in Space 5, and 1 child enrolled in Space 6. 10A NCAC 09 .0302(d)(4) 612 Each child's bed, cot, or 2" mat was not individually assigned and identified. Verification of children's cots and/or mats being individually assigned and identified was not observable in Spaces 4, 5, and 6. 15A NCAC 18A .2821(b) & (c) 802 Safe pick-up and delivery procedures were not communicated to parents and/or were not posted where they can be seen by the parents. Safe pick-up and delivery procedures were not posted. .1003(b) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. Two canisters of disinfectant wipes labeled Keep Out of Reach of Children with additional warnings were observed greater than five feet from the floor but in unlocked storage, both in Space 3, and in Space 5. .2820(b) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. The emergency medication for one child enrolled expired in January, 2024. .0803(12) 856 The indoor and/or outdoor premises was not checked once a day, prior to initial use, ensuring debris, and broken equipment was removed and disposed of. Greater than ten pieces of trash were observed, collectively, on all three playgrounds, inclusive of an unopened sample package of triple antibiotic ointment labeled Keep Out of Reach of Children with additional warnings. 10A NCAC 09 .0604(p) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. Two plastic bags were observed in an unlatched cupboard to the left of the refrigerator accessible to mobile infants in Space 2. These were made inaccessible to children during the visit. One plastic bag containing plastic bags was observed less than five feet from the ground on a counter in Space 3, accessible to children one year of age; this bag was made inaccessible during the visit. A plastic bag was observed less than five feet from the ground, accessible to children under three years of age, in a child's cubby in Space 4; this bag was made inaccessible during the visit. One open plastic diaper wrapper was observed in Space 6, in an unlatched cupboard, accessible to children under three years of age; this wrapper was disposed of during the visit. Fabric weed block was observed emerging from the surfacing on the playground, near the white plastic siding, used by children under three years of age. .0604(q) 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. A playground inspection was not observed on file for February, 2024. .0605(q) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. A certificate for CPR/FA was dated and observed on file for one new employee for 4/19/2023. This employee had a recorded start date of 11/14/2022. .1102(d) 1823 The EPR Plan did not include the location of the Ready to Go File and or the required information. The Ready to Go file did not contain emergency information for two employees; this was corrected during the visit. The Ready to Go file did not contain the applications for seven children enrolled. .0607(d)(10) 1867 The depth of the loose surfacing was not based on critical height of the equipment. The mulch in the fall zone of Playground 1, used by children under three years of age, measured four inches in depth. The mulch in seven of the eleven fall zones on Playground 2, used by preschool children, measured between two and five inches in depth. .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 4/04/2024. 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 cara.mckeown-stewart@dhhs.nc.gov or mail two copies of the letter to: Cara McKeown 353 Jonestown Road, Unit #146 Winston Salem, NC 27104 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: • Two plastic bags were observed in an unlatched cupboard to the left of the refrigerator accessible to mobile infants in Space 2. These were made inaccessible to children during the visit. One plastic bag containing plastic bags was observed less than five feet from the ground on a counter in Space 3, accessible to children one year of age; this bag was made inaccessible during the visit. A plastic bag was observed less than five feet from the ground in a child's cubby in Space 4; this bag was made inaccessible during the visit. One open plastic diaper wrapper was observed in an unlatched cupboard, accessible to children under three years of age; this wrapper was disposed of during the visit. Fabric weed block was observed emerging from the surfacing on the playground used by children under three years of age, near the white plastic siding. It is important for the indoor and outdoor environment to be consistently monitored so that children can explore the learning environment safely. Ms. Hardin stated she did not realize these were issues in the classrooms or on the playground. I recommended administration consider adding monitoring of these items to her monthly playground inspection and creating indoor safety daily inspections. The Ready to Go file did not contain emergency information for two employees; this was corrected during the visit. The Ready to Go file did not contain the applications for seven children enrolled. Safe pick-up and delivery procedures were not posted. A certificate for CPR/FA was dated and observed on file for one new employee for 4/19/2023. This employee had a recorded start date of 11/14/2022. Times of arrival were not recorded for four children enrolled in Space 3, two children enrolled in Space 4, 1 child enrolled in Space 5, and 1 child enrolled in Space 6. It is extremely important for accurate records to be maintained at all times to ensure the health, safety, and quality of care for children enrolled. Ms. Hardin stated administration is reminding parents to sign their children in and out each day. She also placed all staff emergency information in the Ready to Go file during the visit. I recommended administration consider adding reviewing procedures for recording arrival/departure with staff so staff sign children in and out if parents forget to do so. I also recommended administration set a routine schedule to monitor all staff, program, and children’s files for completeness and accuracy. • The mulch in the fall zone of Playground 1, used by children under three years of age, measured four inches in depth. The mulch in seven of the eleven fall zones on Playground 2, used by preschool children, measured between two and five inches in depth. It is important that mulch measures the required depth in all fall zones to ensure the physical safety of children who are climbing and playing on the equipment. Ms. Singletary stated this morning the facility is considering investing in playground border to help keep the mulch from spreading to other areas of the playground. I recommended to Ms. Hardin that mulch be temporarily moved from areas of the playground which do not require mulch into the fall zones until a permanent solution can be identified. • Greater than ten pieces of trash were observed, collectively, on all three playgrounds, inclusive of an unopened sample package of triple antibiotic ointment labeled Keep Out of Reach of Children with additional warnings. It is important for all areas in which children are enrolled and have access to, remain clean. Ms. Singletary and Ms. Hardin stated a homeschooling program utilizes this outdoor area on Wednesdays during the school year. Both ladies stated they would reach out to representatives for this group to review requirements for the outdoor environment. I recommended administration have one staff member monitor this playground on Thursday mornings, prior to the children’s use moving forward. Additional Information/Consultation: • You must notify your consultant 30 days prior to changing the ownership status of your facility. •The following Child Care Rules were thoroughly discussed with Ms. Hardin and Ms. Singletary during the visit: 15A NCAC 18A .2803 HANDWASHING 10A NCAC 09 .0605 OUTDOOR LEARNING ENVIRONMENT IN CHILD CARE CENTERS (i) 15A NCAC 18A .2825 WALLS AND CEILINGS (a) 10A NCAC 09 .0801 APPLICATION FOR ENROLLMENT (b) 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS (6) 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (c ) 10A NCAC 09 .2615 STAFF/CHILD RATIOS 10A NCAC 09 .1802 STAFF/CHILD INTERACTIONS 10A NCAC 09 .0606 SAFE SLEEP PRACTICES (a)(1) SECTION .1000 - TRANSPORTATION STANDARDS Please be reminded a lockdown/shelter-in-place drill is due to be completed by the end of March, 2024. Please be reminded the staff member with a start date of 1/02/2024 must have CPR/FA certification completed and on file by 4/02/2024. 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. Cara McKeown-Stewart, Child Care Consultant (336) 408-4849 cara.mckeown-stewart@dhhs.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 .0606 · Violation

Name of Operation: Main Street Baptist Church Early Learning Center Facility ID: 3452208 Consultant: CARA MCKEOWN-STEWART Operation Type: Center Case Number: Visit Date: 3/21/2024 Number Present: 41 Completed Date: 3/21/2024 Age: From 0 To 5 Total Minutes: 369 Time In: 09:36 AM Time Out: 03:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable childcare requirements for a routine unannounced visit. This visit was conducted by Cara McKeown-Stewart, Childcare Consultant with Aislinn Hardin, Administrative Assistant. I spoke with Lekeshia Singletary, Director, briefly upon arrival, but Ms. Singletary was unable to be present for the visit. Your program currently operates with a G.S. 110 Notice of Compliance effective 11/20/2009. Restrictions include 1st shift care, only 2nd grade and above on second floor; children under 2 ½ years old in rooms with direct exits only; children under 2 ½ years of age not allowed in fellowship hall. The NC Secretary of State website was reviewed on 3/21/2024 and Main Street Baptist Church, Inc. was listed as current and active. The program’s compliance history was 88 % 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 playing with toys, engaging in conversations and activities with their teachers, playing outdoors, participating in general routines, and eating lunch during the visit. Five 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 Criminal Background Checks. Medication storage, emergency medication, and parent authorization to administer medications were monitored. Storage of hazardous items was monitored today. The most recent playground inspection was recorded 1/29/2024. A fire drill was recorded 3/04/2024. The most recent lock down drill for the facility was recorded 12/12/2023. The most recent fire inspection was on 11/28/2023. I observed a sanitation inspection was last conducted on 10/02/2023 earning a Superior classification. The program does not provide transportation during the school year or participate in off-premise or aquatic activities at this time. Ms. Singletary stated this morning she is interested in transporting children four years of age and older for field trips during the summer, and potentially, for Pre-K field trips that occur during the school year. I stated to Ms. Singletary she would need to contact me to schedule a visit to monitor transportation for the facility prior to beginning to transport children enrolled for Summer Camp. 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. Times of arrival were not recorded for four children enrolled in Space 3, two children enrolled in Space 4, 1 child enrolled in Space 5, and 1 child enrolled in Space 6. 10A NCAC 09 .0302(d)(4) 612 Each child's bed, cot, or 2" mat was not individually assigned and identified. Verification of children's cots and/or mats being individually assigned and identified was not observable in Spaces 4, 5, and 6. 15A NCAC 18A .2821(b) & (c) 802 Safe pick-up and delivery procedures were not communicated to parents and/or were not posted where they can be seen by the parents. Safe pick-up and delivery procedures were not posted. .1003(b) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. Two canisters of disinfectant wipes labeled Keep Out of Reach of Children with additional warnings were observed greater than five feet from the floor but in unlocked storage, both in Space 3, and in Space 5. .2820(b) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. The emergency medication for one child enrolled expired in January, 2024. .0803(12) 856 The indoor and/or outdoor premises was not checked once a day, prior to initial use, ensuring debris, and broken equipment was removed and disposed of. Greater than ten pieces of trash were observed, collectively, on all three playgrounds, inclusive of an unopened sample package of triple antibiotic ointment labeled Keep Out of Reach of Children with additional warnings. 10A NCAC 09 .0604(p) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. Two plastic bags were observed in an unlatched cupboard to the left of the refrigerator accessible to mobile infants in Space 2. These were made inaccessible to children during the visit. One plastic bag containing plastic bags was observed less than five feet from the ground on a counter in Space 3, accessible to children one year of age; this bag was made inaccessible during the visit. A plastic bag was observed less than five feet from the ground, accessible to children under three years of age, in a child's cubby in Space 4; this bag was made inaccessible during the visit. One open plastic diaper wrapper was observed in Space 6, in an unlatched cupboard, accessible to children under three years of age; this wrapper was disposed of during the visit. Fabric weed block was observed emerging from the surfacing on the playground, near the white plastic siding, used by children under three years of age. .0604(q) 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. A playground inspection was not observed on file for February, 2024. .0605(q) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. A certificate for CPR/FA was dated and observed on file for one new employee for 4/19/2023. This employee had a recorded start date of 11/14/2022. .1102(d) 1823 The EPR Plan did not include the location of the Ready to Go File and or the required information. The Ready to Go file did not contain emergency information for two employees; this was corrected during the visit. The Ready to Go file did not contain the applications for seven children enrolled. .0607(d)(10) 1867 The depth of the loose surfacing was not based on critical height of the equipment. The mulch in the fall zone of Playground 1, used by children under three years of age, measured four inches in depth. The mulch in seven of the eleven fall zones on Playground 2, used by preschool children, measured between two and five inches in depth. .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 4/04/2024. 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 cara.mckeown-stewart@dhhs.nc.gov or mail two copies of the letter to: Cara McKeown 353 Jonestown Road, Unit #146 Winston Salem, NC 27104 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: • Two plastic bags were observed in an unlatched cupboard to the left of the refrigerator accessible to mobile infants in Space 2. These were made inaccessible to children during the visit. One plastic bag containing plastic bags was observed less than five feet from the ground on a counter in Space 3, accessible to children one year of age; this bag was made inaccessible during the visit. A plastic bag was observed less than five feet from the ground in a child's cubby in Space 4; this bag was made inaccessible during the visit. One open plastic diaper wrapper was observed in an unlatched cupboard, accessible to children under three years of age; this wrapper was disposed of during the visit. Fabric weed block was observed emerging from the surfacing on the playground used by children under three years of age, near the white plastic siding. It is important for the indoor and outdoor environment to be consistently monitored so that children can explore the learning environment safely. Ms. Hardin stated she did not realize these were issues in the classrooms or on the playground. I recommended administration consider adding monitoring of these items to her monthly playground inspection and creating indoor safety daily inspections. The Ready to Go file did not contain emergency information for two employees; this was corrected during the visit. The Ready to Go file did not contain the applications for seven children enrolled. Safe pick-up and delivery procedures were not posted. A certificate for CPR/FA was dated and observed on file for one new employee for 4/19/2023. This employee had a recorded start date of 11/14/2022. Times of arrival were not recorded for four children enrolled in Space 3, two children enrolled in Space 4, 1 child enrolled in Space 5, and 1 child enrolled in Space 6. It is extremely important for accurate records to be maintained at all times to ensure the health, safety, and quality of care for children enrolled. Ms. Hardin stated administration is reminding parents to sign their children in and out each day. She also placed all staff emergency information in the Ready to Go file during the visit. I recommended administration consider adding reviewing procedures for recording arrival/departure with staff so staff sign children in and out if parents forget to do so. I also recommended administration set a routine schedule to monitor all staff, program, and children’s files for completeness and accuracy. • The mulch in the fall zone of Playground 1, used by children under three years of age, measured four inches in depth. The mulch in seven of the eleven fall zones on Playground 2, used by preschool children, measured between two and five inches in depth. It is important that mulch measures the required depth in all fall zones to ensure the physical safety of children who are climbing and playing on the equipment. Ms. Singletary stated this morning the facility is considering investing in playground border to help keep the mulch from spreading to other areas of the playground. I recommended to Ms. Hardin that mulch be temporarily moved from areas of the playground which do not require mulch into the fall zones until a permanent solution can be identified. • Greater than ten pieces of trash were observed, collectively, on all three playgrounds, inclusive of an unopened sample package of triple antibiotic ointment labeled Keep Out of Reach of Children with additional warnings. It is important for all areas in which children are enrolled and have access to, remain clean. Ms. Singletary and Ms. Hardin stated a homeschooling program utilizes this outdoor area on Wednesdays during the school year. Both ladies stated they would reach out to representatives for this group to review requirements for the outdoor environment. I recommended administration have one staff member monitor this playground on Thursday mornings, prior to the children’s use moving forward. Additional Information/Consultation: • You must notify your consultant 30 days prior to changing the ownership status of your facility. •The following Child Care Rules were thoroughly discussed with Ms. Hardin and Ms. Singletary during the visit: 15A NCAC 18A .2803 HANDWASHING 10A NCAC 09 .0605 OUTDOOR LEARNING ENVIRONMENT IN CHILD CARE CENTERS (i) 15A NCAC 18A .2825 WALLS AND CEILINGS (a) 10A NCAC 09 .0801 APPLICATION FOR ENROLLMENT (b) 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS (6) 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (c ) 10A NCAC 09 .2615 STAFF/CHILD RATIOS 10A NCAC 09 .1802 STAFF/CHILD INTERACTIONS 10A NCAC 09 .0606 SAFE SLEEP PRACTICES (a)(1) SECTION .1000 - TRANSPORTATION STANDARDS Please be reminded a lockdown/shelter-in-place drill is due to be completed by the end of March, 2024. Please be reminded the staff member with a start date of 1/02/2024 must have CPR/FA certification completed and on file by 4/02/2024. 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. Cara McKeown-Stewart, Child Care Consultant (336) 408-4849 cara.mckeown-stewart@dhhs.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 .0801 · Violation

Name of Operation: Main Street Baptist Church Early Learning Center Facility ID: 3452208 Consultant: CARA MCKEOWN-STEWART Operation Type: Center Case Number: Visit Date: 3/21/2024 Number Present: 41 Completed Date: 3/21/2024 Age: From 0 To 5 Total Minutes: 369 Time In: 09:36 AM Time Out: 03:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable childcare requirements for a routine unannounced visit. This visit was conducted by Cara McKeown-Stewart, Childcare Consultant with Aislinn Hardin, Administrative Assistant. I spoke with Lekeshia Singletary, Director, briefly upon arrival, but Ms. Singletary was unable to be present for the visit. Your program currently operates with a G.S. 110 Notice of Compliance effective 11/20/2009. Restrictions include 1st shift care, only 2nd grade and above on second floor; children under 2 ½ years old in rooms with direct exits only; children under 2 ½ years of age not allowed in fellowship hall. The NC Secretary of State website was reviewed on 3/21/2024 and Main Street Baptist Church, Inc. was listed as current and active. The program’s compliance history was 88 % 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 playing with toys, engaging in conversations and activities with their teachers, playing outdoors, participating in general routines, and eating lunch during the visit. Five 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 Criminal Background Checks. Medication storage, emergency medication, and parent authorization to administer medications were monitored. Storage of hazardous items was monitored today. The most recent playground inspection was recorded 1/29/2024. A fire drill was recorded 3/04/2024. The most recent lock down drill for the facility was recorded 12/12/2023. The most recent fire inspection was on 11/28/2023. I observed a sanitation inspection was last conducted on 10/02/2023 earning a Superior classification. The program does not provide transportation during the school year or participate in off-premise or aquatic activities at this time. Ms. Singletary stated this morning she is interested in transporting children four years of age and older for field trips during the summer, and potentially, for Pre-K field trips that occur during the school year. I stated to Ms. Singletary she would need to contact me to schedule a visit to monitor transportation for the facility prior to beginning to transport children enrolled for Summer Camp. 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. Times of arrival were not recorded for four children enrolled in Space 3, two children enrolled in Space 4, 1 child enrolled in Space 5, and 1 child enrolled in Space 6. 10A NCAC 09 .0302(d)(4) 612 Each child's bed, cot, or 2" mat was not individually assigned and identified. Verification of children's cots and/or mats being individually assigned and identified was not observable in Spaces 4, 5, and 6. 15A NCAC 18A .2821(b) & (c) 802 Safe pick-up and delivery procedures were not communicated to parents and/or were not posted where they can be seen by the parents. Safe pick-up and delivery procedures were not posted. .1003(b) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. Two canisters of disinfectant wipes labeled Keep Out of Reach of Children with additional warnings were observed greater than five feet from the floor but in unlocked storage, both in Space 3, and in Space 5. .2820(b) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. The emergency medication for one child enrolled expired in January, 2024. .0803(12) 856 The indoor and/or outdoor premises was not checked once a day, prior to initial use, ensuring debris, and broken equipment was removed and disposed of. Greater than ten pieces of trash were observed, collectively, on all three playgrounds, inclusive of an unopened sample package of triple antibiotic ointment labeled Keep Out of Reach of Children with additional warnings. 10A NCAC 09 .0604(p) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. Two plastic bags were observed in an unlatched cupboard to the left of the refrigerator accessible to mobile infants in Space 2. These were made inaccessible to children during the visit. One plastic bag containing plastic bags was observed less than five feet from the ground on a counter in Space 3, accessible to children one year of age; this bag was made inaccessible during the visit. A plastic bag was observed less than five feet from the ground, accessible to children under three years of age, in a child's cubby in Space 4; this bag was made inaccessible during the visit. One open plastic diaper wrapper was observed in Space 6, in an unlatched cupboard, accessible to children under three years of age; this wrapper was disposed of during the visit. Fabric weed block was observed emerging from the surfacing on the playground, near the white plastic siding, used by children under three years of age. .0604(q) 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. A playground inspection was not observed on file for February, 2024. .0605(q) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. A certificate for CPR/FA was dated and observed on file for one new employee for 4/19/2023. This employee had a recorded start date of 11/14/2022. .1102(d) 1823 The EPR Plan did not include the location of the Ready to Go File and or the required information. The Ready to Go file did not contain emergency information for two employees; this was corrected during the visit. The Ready to Go file did not contain the applications for seven children enrolled. .0607(d)(10) 1867 The depth of the loose surfacing was not based on critical height of the equipment. The mulch in the fall zone of Playground 1, used by children under three years of age, measured four inches in depth. The mulch in seven of the eleven fall zones on Playground 2, used by preschool children, measured between two and five inches in depth. .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 4/04/2024. 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 cara.mckeown-stewart@dhhs.nc.gov or mail two copies of the letter to: Cara McKeown 353 Jonestown Road, Unit #146 Winston Salem, NC 27104 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: • Two plastic bags were observed in an unlatched cupboard to the left of the refrigerator accessible to mobile infants in Space 2. These were made inaccessible to children during the visit. One plastic bag containing plastic bags was observed less than five feet from the ground on a counter in Space 3, accessible to children one year of age; this bag was made inaccessible during the visit. A plastic bag was observed less than five feet from the ground in a child's cubby in Space 4; this bag was made inaccessible during the visit. One open plastic diaper wrapper was observed in an unlatched cupboard, accessible to children under three years of age; this wrapper was disposed of during the visit. Fabric weed block was observed emerging from the surfacing on the playground used by children under three years of age, near the white plastic siding. It is important for the indoor and outdoor environment to be consistently monitored so that children can explore the learning environment safely. Ms. Hardin stated she did not realize these were issues in the classrooms or on the playground. I recommended administration consider adding monitoring of these items to her monthly playground inspection and creating indoor safety daily inspections. The Ready to Go file did not contain emergency information for two employees; this was corrected during the visit. The Ready to Go file did not contain the applications for seven children enrolled. Safe pick-up and delivery procedures were not posted. A certificate for CPR/FA was dated and observed on file for one new employee for 4/19/2023. This employee had a recorded start date of 11/14/2022. Times of arrival were not recorded for four children enrolled in Space 3, two children enrolled in Space 4, 1 child enrolled in Space 5, and 1 child enrolled in Space 6. It is extremely important for accurate records to be maintained at all times to ensure the health, safety, and quality of care for children enrolled. Ms. Hardin stated administration is reminding parents to sign their children in and out each day. She also placed all staff emergency information in the Ready to Go file during the visit. I recommended administration consider adding reviewing procedures for recording arrival/departure with staff so staff sign children in and out if parents forget to do so. I also recommended administration set a routine schedule to monitor all staff, program, and children’s files for completeness and accuracy. • The mulch in the fall zone of Playground 1, used by children under three years of age, measured four inches in depth. The mulch in seven of the eleven fall zones on Playground 2, used by preschool children, measured between two and five inches in depth. It is important that mulch measures the required depth in all fall zones to ensure the physical safety of children who are climbing and playing on the equipment. Ms. Singletary stated this morning the facility is considering investing in playground border to help keep the mulch from spreading to other areas of the playground. I recommended to Ms. Hardin that mulch be temporarily moved from areas of the playground which do not require mulch into the fall zones until a permanent solution can be identified. • Greater than ten pieces of trash were observed, collectively, on all three playgrounds, inclusive of an unopened sample package of triple antibiotic ointment labeled Keep Out of Reach of Children with additional warnings. It is important for all areas in which children are enrolled and have access to, remain clean. Ms. Singletary and Ms. Hardin stated a homeschooling program utilizes this outdoor area on Wednesdays during the school year. Both ladies stated they would reach out to representatives for this group to review requirements for the outdoor environment. I recommended administration have one staff member monitor this playground on Thursday mornings, prior to the children’s use moving forward. Additional Information/Consultation: • You must notify your consultant 30 days prior to changing the ownership status of your facility. •The following Child Care Rules were thoroughly discussed with Ms. Hardin and Ms. Singletary during the visit: 15A NCAC 18A .2803 HANDWASHING 10A NCAC 09 .0605 OUTDOOR LEARNING ENVIRONMENT IN CHILD CARE CENTERS (i) 15A NCAC 18A .2825 WALLS AND CEILINGS (a) 10A NCAC 09 .0801 APPLICATION FOR ENROLLMENT (b) 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS (6) 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (c ) 10A NCAC 09 .2615 STAFF/CHILD RATIOS 10A NCAC 09 .1802 STAFF/CHILD INTERACTIONS 10A NCAC 09 .0606 SAFE SLEEP PRACTICES (a)(1) SECTION .1000 - TRANSPORTATION STANDARDS Please be reminded a lockdown/shelter-in-place drill is due to be completed by the end of March, 2024. Please be reminded the staff member with a start date of 1/02/2024 must have CPR/FA certification completed and on file by 4/02/2024. 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. Cara McKeown-Stewart, Child Care Consultant (336) 408-4849 cara.mckeown-stewart@dhhs.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: Main Street Baptist Church Early Learning Center Facility ID: 3452208 Consultant: CARA MCKEOWN-STEWART Operation Type: Center Case Number: Visit Date: 3/21/2024 Number Present: 41 Completed Date: 3/21/2024 Age: From 0 To 5 Total Minutes: 369 Time In: 09:36 AM Time Out: 03:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable childcare requirements for a routine unannounced visit. This visit was conducted by Cara McKeown-Stewart, Childcare Consultant with Aislinn Hardin, Administrative Assistant. I spoke with Lekeshia Singletary, Director, briefly upon arrival, but Ms. Singletary was unable to be present for the visit. Your program currently operates with a G.S. 110 Notice of Compliance effective 11/20/2009. Restrictions include 1st shift care, only 2nd grade and above on second floor; children under 2 ½ years old in rooms with direct exits only; children under 2 ½ years of age not allowed in fellowship hall. The NC Secretary of State website was reviewed on 3/21/2024 and Main Street Baptist Church, Inc. was listed as current and active. The program’s compliance history was 88 % 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 playing with toys, engaging in conversations and activities with their teachers, playing outdoors, participating in general routines, and eating lunch during the visit. Five 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 Criminal Background Checks. Medication storage, emergency medication, and parent authorization to administer medications were monitored. Storage of hazardous items was monitored today. The most recent playground inspection was recorded 1/29/2024. A fire drill was recorded 3/04/2024. The most recent lock down drill for the facility was recorded 12/12/2023. The most recent fire inspection was on 11/28/2023. I observed a sanitation inspection was last conducted on 10/02/2023 earning a Superior classification. The program does not provide transportation during the school year or participate in off-premise or aquatic activities at this time. Ms. Singletary stated this morning she is interested in transporting children four years of age and older for field trips during the summer, and potentially, for Pre-K field trips that occur during the school year. I stated to Ms. Singletary she would need to contact me to schedule a visit to monitor transportation for the facility prior to beginning to transport children enrolled for Summer Camp. 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. Times of arrival were not recorded for four children enrolled in Space 3, two children enrolled in Space 4, 1 child enrolled in Space 5, and 1 child enrolled in Space 6. 10A NCAC 09 .0302(d)(4) 612 Each child's bed, cot, or 2" mat was not individually assigned and identified. Verification of children's cots and/or mats being individually assigned and identified was not observable in Spaces 4, 5, and 6. 15A NCAC 18A .2821(b) & (c) 802 Safe pick-up and delivery procedures were not communicated to parents and/or were not posted where they can be seen by the parents. Safe pick-up and delivery procedures were not posted. .1003(b) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. Two canisters of disinfectant wipes labeled Keep Out of Reach of Children with additional warnings were observed greater than five feet from the floor but in unlocked storage, both in Space 3, and in Space 5. .2820(b) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. The emergency medication for one child enrolled expired in January, 2024. .0803(12) 856 The indoor and/or outdoor premises was not checked once a day, prior to initial use, ensuring debris, and broken equipment was removed and disposed of. Greater than ten pieces of trash were observed, collectively, on all three playgrounds, inclusive of an unopened sample package of triple antibiotic ointment labeled Keep Out of Reach of Children with additional warnings. 10A NCAC 09 .0604(p) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. Two plastic bags were observed in an unlatched cupboard to the left of the refrigerator accessible to mobile infants in Space 2. These were made inaccessible to children during the visit. One plastic bag containing plastic bags was observed less than five feet from the ground on a counter in Space 3, accessible to children one year of age; this bag was made inaccessible during the visit. A plastic bag was observed less than five feet from the ground, accessible to children under three years of age, in a child's cubby in Space 4; this bag was made inaccessible during the visit. One open plastic diaper wrapper was observed in Space 6, in an unlatched cupboard, accessible to children under three years of age; this wrapper was disposed of during the visit. Fabric weed block was observed emerging from the surfacing on the playground, near the white plastic siding, used by children under three years of age. .0604(q) 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. A playground inspection was not observed on file for February, 2024. .0605(q) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. A certificate for CPR/FA was dated and observed on file for one new employee for 4/19/2023. This employee had a recorded start date of 11/14/2022. .1102(d) 1823 The EPR Plan did not include the location of the Ready to Go File and or the required information. The Ready to Go file did not contain emergency information for two employees; this was corrected during the visit. The Ready to Go file did not contain the applications for seven children enrolled. .0607(d)(10) 1867 The depth of the loose surfacing was not based on critical height of the equipment. The mulch in the fall zone of Playground 1, used by children under three years of age, measured four inches in depth. The mulch in seven of the eleven fall zones on Playground 2, used by preschool children, measured between two and five inches in depth. .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 4/04/2024. 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 cara.mckeown-stewart@dhhs.nc.gov or mail two copies of the letter to: Cara McKeown 353 Jonestown Road, Unit #146 Winston Salem, NC 27104 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: • Two plastic bags were observed in an unlatched cupboard to the left of the refrigerator accessible to mobile infants in Space 2. These were made inaccessible to children during the visit. One plastic bag containing plastic bags was observed less than five feet from the ground on a counter in Space 3, accessible to children one year of age; this bag was made inaccessible during the visit. A plastic bag was observed less than five feet from the ground in a child's cubby in Space 4; this bag was made inaccessible during the visit. One open plastic diaper wrapper was observed in an unlatched cupboard, accessible to children under three years of age; this wrapper was disposed of during the visit. Fabric weed block was observed emerging from the surfacing on the playground used by children under three years of age, near the white plastic siding. It is important for the indoor and outdoor environment to be consistently monitored so that children can explore the learning environment safely. Ms. Hardin stated she did not realize these were issues in the classrooms or on the playground. I recommended administration consider adding monitoring of these items to her monthly playground inspection and creating indoor safety daily inspections. The Ready to Go file did not contain emergency information for two employees; this was corrected during the visit. The Ready to Go file did not contain the applications for seven children enrolled. Safe pick-up and delivery procedures were not posted. A certificate for CPR/FA was dated and observed on file for one new employee for 4/19/2023. This employee had a recorded start date of 11/14/2022. Times of arrival were not recorded for four children enrolled in Space 3, two children enrolled in Space 4, 1 child enrolled in Space 5, and 1 child enrolled in Space 6. It is extremely important for accurate records to be maintained at all times to ensure the health, safety, and quality of care for children enrolled. Ms. Hardin stated administration is reminding parents to sign their children in and out each day. She also placed all staff emergency information in the Ready to Go file during the visit. I recommended administration consider adding reviewing procedures for recording arrival/departure with staff so staff sign children in and out if parents forget to do so. I also recommended administration set a routine schedule to monitor all staff, program, and children’s files for completeness and accuracy. • The mulch in the fall zone of Playground 1, used by children under three years of age, measured four inches in depth. The mulch in seven of the eleven fall zones on Playground 2, used by preschool children, measured between two and five inches in depth. It is important that mulch measures the required depth in all fall zones to ensure the physical safety of children who are climbing and playing on the equipment. Ms. Singletary stated this morning the facility is considering investing in playground border to help keep the mulch from spreading to other areas of the playground. I recommended to Ms. Hardin that mulch be temporarily moved from areas of the playground which do not require mulch into the fall zones until a permanent solution can be identified. • Greater than ten pieces of trash were observed, collectively, on all three playgrounds, inclusive of an unopened sample package of triple antibiotic ointment labeled Keep Out of Reach of Children with additional warnings. It is important for all areas in which children are enrolled and have access to, remain clean. Ms. Singletary and Ms. Hardin stated a homeschooling program utilizes this outdoor area on Wednesdays during the school year. Both ladies stated they would reach out to representatives for this group to review requirements for the outdoor environment. I recommended administration have one staff member monitor this playground on Thursday mornings, prior to the children’s use moving forward. Additional Information/Consultation: • You must notify your consultant 30 days prior to changing the ownership status of your facility. •The following Child Care Rules were thoroughly discussed with Ms. Hardin and Ms. Singletary during the visit: 15A NCAC 18A .2803 HANDWASHING 10A NCAC 09 .0605 OUTDOOR LEARNING ENVIRONMENT IN CHILD CARE CENTERS (i) 15A NCAC 18A .2825 WALLS AND CEILINGS (a) 10A NCAC 09 .0801 APPLICATION FOR ENROLLMENT (b) 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS (6) 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (c ) 10A NCAC 09 .2615 STAFF/CHILD RATIOS 10A NCAC 09 .1802 STAFF/CHILD INTERACTIONS 10A NCAC 09 .0606 SAFE SLEEP PRACTICES (a)(1) SECTION .1000 - TRANSPORTATION STANDARDS Please be reminded a lockdown/shelter-in-place drill is due to be completed by the end of March, 2024. Please be reminded the staff member with a start date of 1/02/2024 must have CPR/FA certification completed and on file by 4/02/2024. 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. Cara McKeown-Stewart, Child Care Consultant (336) 408-4849 cara.mckeown-stewart@dhhs.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 .1802 · Violation

Name of Operation: Main Street Baptist Church Early Learning Center Facility ID: 3452208 Consultant: CARA MCKEOWN-STEWART Operation Type: Center Case Number: Visit Date: 3/21/2024 Number Present: 41 Completed Date: 3/21/2024 Age: From 0 To 5 Total Minutes: 369 Time In: 09:36 AM Time Out: 03:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable childcare requirements for a routine unannounced visit. This visit was conducted by Cara McKeown-Stewart, Childcare Consultant with Aislinn Hardin, Administrative Assistant. I spoke with Lekeshia Singletary, Director, briefly upon arrival, but Ms. Singletary was unable to be present for the visit. Your program currently operates with a G.S. 110 Notice of Compliance effective 11/20/2009. Restrictions include 1st shift care, only 2nd grade and above on second floor; children under 2 ½ years old in rooms with direct exits only; children under 2 ½ years of age not allowed in fellowship hall. The NC Secretary of State website was reviewed on 3/21/2024 and Main Street Baptist Church, Inc. was listed as current and active. The program’s compliance history was 88 % 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 playing with toys, engaging in conversations and activities with their teachers, playing outdoors, participating in general routines, and eating lunch during the visit. Five 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 Criminal Background Checks. Medication storage, emergency medication, and parent authorization to administer medications were monitored. Storage of hazardous items was monitored today. The most recent playground inspection was recorded 1/29/2024. A fire drill was recorded 3/04/2024. The most recent lock down drill for the facility was recorded 12/12/2023. The most recent fire inspection was on 11/28/2023. I observed a sanitation inspection was last conducted on 10/02/2023 earning a Superior classification. The program does not provide transportation during the school year or participate in off-premise or aquatic activities at this time. Ms. Singletary stated this morning she is interested in transporting children four years of age and older for field trips during the summer, and potentially, for Pre-K field trips that occur during the school year. I stated to Ms. Singletary she would need to contact me to schedule a visit to monitor transportation for the facility prior to beginning to transport children enrolled for Summer Camp. 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. Times of arrival were not recorded for four children enrolled in Space 3, two children enrolled in Space 4, 1 child enrolled in Space 5, and 1 child enrolled in Space 6. 10A NCAC 09 .0302(d)(4) 612 Each child's bed, cot, or 2" mat was not individually assigned and identified. Verification of children's cots and/or mats being individually assigned and identified was not observable in Spaces 4, 5, and 6. 15A NCAC 18A .2821(b) & (c) 802 Safe pick-up and delivery procedures were not communicated to parents and/or were not posted where they can be seen by the parents. Safe pick-up and delivery procedures were not posted. .1003(b) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. Two canisters of disinfectant wipes labeled Keep Out of Reach of Children with additional warnings were observed greater than five feet from the floor but in unlocked storage, both in Space 3, and in Space 5. .2820(b) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. The emergency medication for one child enrolled expired in January, 2024. .0803(12) 856 The indoor and/or outdoor premises was not checked once a day, prior to initial use, ensuring debris, and broken equipment was removed and disposed of. Greater than ten pieces of trash were observed, collectively, on all three playgrounds, inclusive of an unopened sample package of triple antibiotic ointment labeled Keep Out of Reach of Children with additional warnings. 10A NCAC 09 .0604(p) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. Two plastic bags were observed in an unlatched cupboard to the left of the refrigerator accessible to mobile infants in Space 2. These were made inaccessible to children during the visit. One plastic bag containing plastic bags was observed less than five feet from the ground on a counter in Space 3, accessible to children one year of age; this bag was made inaccessible during the visit. A plastic bag was observed less than five feet from the ground, accessible to children under three years of age, in a child's cubby in Space 4; this bag was made inaccessible during the visit. One open plastic diaper wrapper was observed in Space 6, in an unlatched cupboard, accessible to children under three years of age; this wrapper was disposed of during the visit. Fabric weed block was observed emerging from the surfacing on the playground, near the white plastic siding, used by children under three years of age. .0604(q) 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. A playground inspection was not observed on file for February, 2024. .0605(q) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. A certificate for CPR/FA was dated and observed on file for one new employee for 4/19/2023. This employee had a recorded start date of 11/14/2022. .1102(d) 1823 The EPR Plan did not include the location of the Ready to Go File and or the required information. The Ready to Go file did not contain emergency information for two employees; this was corrected during the visit. The Ready to Go file did not contain the applications for seven children enrolled. .0607(d)(10) 1867 The depth of the loose surfacing was not based on critical height of the equipment. The mulch in the fall zone of Playground 1, used by children under three years of age, measured four inches in depth. The mulch in seven of the eleven fall zones on Playground 2, used by preschool children, measured between two and five inches in depth. .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 4/04/2024. 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 cara.mckeown-stewart@dhhs.nc.gov or mail two copies of the letter to: Cara McKeown 353 Jonestown Road, Unit #146 Winston Salem, NC 27104 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: • Two plastic bags were observed in an unlatched cupboard to the left of the refrigerator accessible to mobile infants in Space 2. These were made inaccessible to children during the visit. One plastic bag containing plastic bags was observed less than five feet from the ground on a counter in Space 3, accessible to children one year of age; this bag was made inaccessible during the visit. A plastic bag was observed less than five feet from the ground in a child's cubby in Space 4; this bag was made inaccessible during the visit. One open plastic diaper wrapper was observed in an unlatched cupboard, accessible to children under three years of age; this wrapper was disposed of during the visit. Fabric weed block was observed emerging from the surfacing on the playground used by children under three years of age, near the white plastic siding. It is important for the indoor and outdoor environment to be consistently monitored so that children can explore the learning environment safely. Ms. Hardin stated she did not realize these were issues in the classrooms or on the playground. I recommended administration consider adding monitoring of these items to her monthly playground inspection and creating indoor safety daily inspections. The Ready to Go file did not contain emergency information for two employees; this was corrected during the visit. The Ready to Go file did not contain the applications for seven children enrolled. Safe pick-up and delivery procedures were not posted. A certificate for CPR/FA was dated and observed on file for one new employee for 4/19/2023. This employee had a recorded start date of 11/14/2022. Times of arrival were not recorded for four children enrolled in Space 3, two children enrolled in Space 4, 1 child enrolled in Space 5, and 1 child enrolled in Space 6. It is extremely important for accurate records to be maintained at all times to ensure the health, safety, and quality of care for children enrolled. Ms. Hardin stated administration is reminding parents to sign their children in and out each day. She also placed all staff emergency information in the Ready to Go file during the visit. I recommended administration consider adding reviewing procedures for recording arrival/departure with staff so staff sign children in and out if parents forget to do so. I also recommended administration set a routine schedule to monitor all staff, program, and children’s files for completeness and accuracy. • The mulch in the fall zone of Playground 1, used by children under three years of age, measured four inches in depth. The mulch in seven of the eleven fall zones on Playground 2, used by preschool children, measured between two and five inches in depth. It is important that mulch measures the required depth in all fall zones to ensure the physical safety of children who are climbing and playing on the equipment. Ms. Singletary stated this morning the facility is considering investing in playground border to help keep the mulch from spreading to other areas of the playground. I recommended to Ms. Hardin that mulch be temporarily moved from areas of the playground which do not require mulch into the fall zones until a permanent solution can be identified. • Greater than ten pieces of trash were observed, collectively, on all three playgrounds, inclusive of an unopened sample package of triple antibiotic ointment labeled Keep Out of Reach of Children with additional warnings. It is important for all areas in which children are enrolled and have access to, remain clean. Ms. Singletary and Ms. Hardin stated a homeschooling program utilizes this outdoor area on Wednesdays during the school year. Both ladies stated they would reach out to representatives for this group to review requirements for the outdoor environment. I recommended administration have one staff member monitor this playground on Thursday mornings, prior to the children’s use moving forward. Additional Information/Consultation: • You must notify your consultant 30 days prior to changing the ownership status of your facility. •The following Child Care Rules were thoroughly discussed with Ms. Hardin and Ms. Singletary during the visit: 15A NCAC 18A .2803 HANDWASHING 10A NCAC 09 .0605 OUTDOOR LEARNING ENVIRONMENT IN CHILD CARE CENTERS (i) 15A NCAC 18A .2825 WALLS AND CEILINGS (a) 10A NCAC 09 .0801 APPLICATION FOR ENROLLMENT (b) 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS (6) 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (c ) 10A NCAC 09 .2615 STAFF/CHILD RATIOS 10A NCAC 09 .1802 STAFF/CHILD INTERACTIONS 10A NCAC 09 .0606 SAFE SLEEP PRACTICES (a)(1) SECTION .1000 - TRANSPORTATION STANDARDS Please be reminded a lockdown/shelter-in-place drill is due to be completed by the end of March, 2024. Please be reminded the staff member with a start date of 1/02/2024 must have CPR/FA certification completed and on file by 4/02/2024. 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. Cara McKeown-Stewart, Child Care Consultant (336) 408-4849 cara.mckeown-stewart@dhhs.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 .2615 · Violation

Name of Operation: Main Street Baptist Church Early Learning Center Facility ID: 3452208 Consultant: CARA MCKEOWN-STEWART Operation Type: Center Case Number: Visit Date: 3/21/2024 Number Present: 41 Completed Date: 3/21/2024 Age: From 0 To 5 Total Minutes: 369 Time In: 09:36 AM Time Out: 03:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable childcare requirements for a routine unannounced visit. This visit was conducted by Cara McKeown-Stewart, Childcare Consultant with Aislinn Hardin, Administrative Assistant. I spoke with Lekeshia Singletary, Director, briefly upon arrival, but Ms. Singletary was unable to be present for the visit. Your program currently operates with a G.S. 110 Notice of Compliance effective 11/20/2009. Restrictions include 1st shift care, only 2nd grade and above on second floor; children under 2 ½ years old in rooms with direct exits only; children under 2 ½ years of age not allowed in fellowship hall. The NC Secretary of State website was reviewed on 3/21/2024 and Main Street Baptist Church, Inc. was listed as current and active. The program’s compliance history was 88 % 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 playing with toys, engaging in conversations and activities with their teachers, playing outdoors, participating in general routines, and eating lunch during the visit. Five 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 Criminal Background Checks. Medication storage, emergency medication, and parent authorization to administer medications were monitored. Storage of hazardous items was monitored today. The most recent playground inspection was recorded 1/29/2024. A fire drill was recorded 3/04/2024. The most recent lock down drill for the facility was recorded 12/12/2023. The most recent fire inspection was on 11/28/2023. I observed a sanitation inspection was last conducted on 10/02/2023 earning a Superior classification. The program does not provide transportation during the school year or participate in off-premise or aquatic activities at this time. Ms. Singletary stated this morning she is interested in transporting children four years of age and older for field trips during the summer, and potentially, for Pre-K field trips that occur during the school year. I stated to Ms. Singletary she would need to contact me to schedule a visit to monitor transportation for the facility prior to beginning to transport children enrolled for Summer Camp. 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. Times of arrival were not recorded for four children enrolled in Space 3, two children enrolled in Space 4, 1 child enrolled in Space 5, and 1 child enrolled in Space 6. 10A NCAC 09 .0302(d)(4) 612 Each child's bed, cot, or 2" mat was not individually assigned and identified. Verification of children's cots and/or mats being individually assigned and identified was not observable in Spaces 4, 5, and 6. 15A NCAC 18A .2821(b) & (c) 802 Safe pick-up and delivery procedures were not communicated to parents and/or were not posted where they can be seen by the parents. Safe pick-up and delivery procedures were not posted. .1003(b) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. Two canisters of disinfectant wipes labeled Keep Out of Reach of Children with additional warnings were observed greater than five feet from the floor but in unlocked storage, both in Space 3, and in Space 5. .2820(b) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. The emergency medication for one child enrolled expired in January, 2024. .0803(12) 856 The indoor and/or outdoor premises was not checked once a day, prior to initial use, ensuring debris, and broken equipment was removed and disposed of. Greater than ten pieces of trash were observed, collectively, on all three playgrounds, inclusive of an unopened sample package of triple antibiotic ointment labeled Keep Out of Reach of Children with additional warnings. 10A NCAC 09 .0604(p) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. Two plastic bags were observed in an unlatched cupboard to the left of the refrigerator accessible to mobile infants in Space 2. These were made inaccessible to children during the visit. One plastic bag containing plastic bags was observed less than five feet from the ground on a counter in Space 3, accessible to children one year of age; this bag was made inaccessible during the visit. A plastic bag was observed less than five feet from the ground, accessible to children under three years of age, in a child's cubby in Space 4; this bag was made inaccessible during the visit. One open plastic diaper wrapper was observed in Space 6, in an unlatched cupboard, accessible to children under three years of age; this wrapper was disposed of during the visit. Fabric weed block was observed emerging from the surfacing on the playground, near the white plastic siding, used by children under three years of age. .0604(q) 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. A playground inspection was not observed on file for February, 2024. .0605(q) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. A certificate for CPR/FA was dated and observed on file for one new employee for 4/19/2023. This employee had a recorded start date of 11/14/2022. .1102(d) 1823 The EPR Plan did not include the location of the Ready to Go File and or the required information. The Ready to Go file did not contain emergency information for two employees; this was corrected during the visit. The Ready to Go file did not contain the applications for seven children enrolled. .0607(d)(10) 1867 The depth of the loose surfacing was not based on critical height of the equipment. The mulch in the fall zone of Playground 1, used by children under three years of age, measured four inches in depth. The mulch in seven of the eleven fall zones on Playground 2, used by preschool children, measured between two and five inches in depth. .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 4/04/2024. 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 cara.mckeown-stewart@dhhs.nc.gov or mail two copies of the letter to: Cara McKeown 353 Jonestown Road, Unit #146 Winston Salem, NC 27104 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: • Two plastic bags were observed in an unlatched cupboard to the left of the refrigerator accessible to mobile infants in Space 2. These were made inaccessible to children during the visit. One plastic bag containing plastic bags was observed less than five feet from the ground on a counter in Space 3, accessible to children one year of age; this bag was made inaccessible during the visit. A plastic bag was observed less than five feet from the ground in a child's cubby in Space 4; this bag was made inaccessible during the visit. One open plastic diaper wrapper was observed in an unlatched cupboard, accessible to children under three years of age; this wrapper was disposed of during the visit. Fabric weed block was observed emerging from the surfacing on the playground used by children under three years of age, near the white plastic siding. It is important for the indoor and outdoor environment to be consistently monitored so that children can explore the learning environment safely. Ms. Hardin stated she did not realize these were issues in the classrooms or on the playground. I recommended administration consider adding monitoring of these items to her monthly playground inspection and creating indoor safety daily inspections. The Ready to Go file did not contain emergency information for two employees; this was corrected during the visit. The Ready to Go file did not contain the applications for seven children enrolled. Safe pick-up and delivery procedures were not posted. A certificate for CPR/FA was dated and observed on file for one new employee for 4/19/2023. This employee had a recorded start date of 11/14/2022. Times of arrival were not recorded for four children enrolled in Space 3, two children enrolled in Space 4, 1 child enrolled in Space 5, and 1 child enrolled in Space 6. It is extremely important for accurate records to be maintained at all times to ensure the health, safety, and quality of care for children enrolled. Ms. Hardin stated administration is reminding parents to sign their children in and out each day. She also placed all staff emergency information in the Ready to Go file during the visit. I recommended administration consider adding reviewing procedures for recording arrival/departure with staff so staff sign children in and out if parents forget to do so. I also recommended administration set a routine schedule to monitor all staff, program, and children’s files for completeness and accuracy. • The mulch in the fall zone of Playground 1, used by children under three years of age, measured four inches in depth. The mulch in seven of the eleven fall zones on Playground 2, used by preschool children, measured between two and five inches in depth. It is important that mulch measures the required depth in all fall zones to ensure the physical safety of children who are climbing and playing on the equipment. Ms. Singletary stated this morning the facility is considering investing in playground border to help keep the mulch from spreading to other areas of the playground. I recommended to Ms. Hardin that mulch be temporarily moved from areas of the playground which do not require mulch into the fall zones until a permanent solution can be identified. • Greater than ten pieces of trash were observed, collectively, on all three playgrounds, inclusive of an unopened sample package of triple antibiotic ointment labeled Keep Out of Reach of Children with additional warnings. It is important for all areas in which children are enrolled and have access to, remain clean. Ms. Singletary and Ms. Hardin stated a homeschooling program utilizes this outdoor area on Wednesdays during the school year. Both ladies stated they would reach out to representatives for this group to review requirements for the outdoor environment. I recommended administration have one staff member monitor this playground on Thursday mornings, prior to the children’s use moving forward. Additional Information/Consultation: • You must notify your consultant 30 days prior to changing the ownership status of your facility. •The following Child Care Rules were thoroughly discussed with Ms. Hardin and Ms. Singletary during the visit: 15A NCAC 18A .2803 HANDWASHING 10A NCAC 09 .0605 OUTDOOR LEARNING ENVIRONMENT IN CHILD CARE CENTERS (i) 15A NCAC 18A .2825 WALLS AND CEILINGS (a) 10A NCAC 09 .0801 APPLICATION FOR ENROLLMENT (b) 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS (6) 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (c ) 10A NCAC 09 .2615 STAFF/CHILD RATIOS 10A NCAC 09 .1802 STAFF/CHILD INTERACTIONS 10A NCAC 09 .0606 SAFE SLEEP PRACTICES (a)(1) SECTION .1000 - TRANSPORTATION STANDARDS Please be reminded a lockdown/shelter-in-place drill is due to be completed by the end of March, 2024. Please be reminded the staff member with a start date of 1/02/2024 must have CPR/FA certification completed and on file by 4/02/2024. 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. Cara McKeown-Stewart, Child Care Consultant (336) 408-4849 cara.mckeown-stewart@dhhs.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: Main Street Baptist Church Early Learning Center Facility ID: 3452208 Consultant: CARA MCKEOWN-STEWART Operation Type: Center Case Number: Visit Date: 3/21/2024 Number Present: 41 Completed Date: 3/21/2024 Age: From 0 To 5 Total Minutes: 369 Time In: 09:36 AM Time Out: 03:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable childcare requirements for a routine unannounced visit. This visit was conducted by Cara McKeown-Stewart, Childcare Consultant with Aislinn Hardin, Administrative Assistant. I spoke with Lekeshia Singletary, Director, briefly upon arrival, but Ms. Singletary was unable to be present for the visit. Your program currently operates with a G.S. 110 Notice of Compliance effective 11/20/2009. Restrictions include 1st shift care, only 2nd grade and above on second floor; children under 2 ½ years old in rooms with direct exits only; children under 2 ½ years of age not allowed in fellowship hall. The NC Secretary of State website was reviewed on 3/21/2024 and Main Street Baptist Church, Inc. was listed as current and active. The program’s compliance history was 88 % 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 playing with toys, engaging in conversations and activities with their teachers, playing outdoors, participating in general routines, and eating lunch during the visit. Five 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 Criminal Background Checks. Medication storage, emergency medication, and parent authorization to administer medications were monitored. Storage of hazardous items was monitored today. The most recent playground inspection was recorded 1/29/2024. A fire drill was recorded 3/04/2024. The most recent lock down drill for the facility was recorded 12/12/2023. The most recent fire inspection was on 11/28/2023. I observed a sanitation inspection was last conducted on 10/02/2023 earning a Superior classification. The program does not provide transportation during the school year or participate in off-premise or aquatic activities at this time. Ms. Singletary stated this morning she is interested in transporting children four years of age and older for field trips during the summer, and potentially, for Pre-K field trips that occur during the school year. I stated to Ms. Singletary she would need to contact me to schedule a visit to monitor transportation for the facility prior to beginning to transport children enrolled for Summer Camp. 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. Times of arrival were not recorded for four children enrolled in Space 3, two children enrolled in Space 4, 1 child enrolled in Space 5, and 1 child enrolled in Space 6. 10A NCAC 09 .0302(d)(4) 612 Each child's bed, cot, or 2" mat was not individually assigned and identified. Verification of children's cots and/or mats being individually assigned and identified was not observable in Spaces 4, 5, and 6. 15A NCAC 18A .2821(b) & (c) 802 Safe pick-up and delivery procedures were not communicated to parents and/or were not posted where they can be seen by the parents. Safe pick-up and delivery procedures were not posted. .1003(b) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. Two canisters of disinfectant wipes labeled Keep Out of Reach of Children with additional warnings were observed greater than five feet from the floor but in unlocked storage, both in Space 3, and in Space 5. .2820(b) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. The emergency medication for one child enrolled expired in January, 2024. .0803(12) 856 The indoor and/or outdoor premises was not checked once a day, prior to initial use, ensuring debris, and broken equipment was removed and disposed of. Greater than ten pieces of trash were observed, collectively, on all three playgrounds, inclusive of an unopened sample package of triple antibiotic ointment labeled Keep Out of Reach of Children with additional warnings. 10A NCAC 09 .0604(p) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. Two plastic bags were observed in an unlatched cupboard to the left of the refrigerator accessible to mobile infants in Space 2. These were made inaccessible to children during the visit. One plastic bag containing plastic bags was observed less than five feet from the ground on a counter in Space 3, accessible to children one year of age; this bag was made inaccessible during the visit. A plastic bag was observed less than five feet from the ground, accessible to children under three years of age, in a child's cubby in Space 4; this bag was made inaccessible during the visit. One open plastic diaper wrapper was observed in Space 6, in an unlatched cupboard, accessible to children under three years of age; this wrapper was disposed of during the visit. Fabric weed block was observed emerging from the surfacing on the playground, near the white plastic siding, used by children under three years of age. .0604(q) 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. A playground inspection was not observed on file for February, 2024. .0605(q) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. A certificate for CPR/FA was dated and observed on file for one new employee for 4/19/2023. This employee had a recorded start date of 11/14/2022. .1102(d) 1823 The EPR Plan did not include the location of the Ready to Go File and or the required information. The Ready to Go file did not contain emergency information for two employees; this was corrected during the visit. The Ready to Go file did not contain the applications for seven children enrolled. .0607(d)(10) 1867 The depth of the loose surfacing was not based on critical height of the equipment. The mulch in the fall zone of Playground 1, used by children under three years of age, measured four inches in depth. The mulch in seven of the eleven fall zones on Playground 2, used by preschool children, measured between two and five inches in depth. .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 4/04/2024. 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 cara.mckeown-stewart@dhhs.nc.gov or mail two copies of the letter to: Cara McKeown 353 Jonestown Road, Unit #146 Winston Salem, NC 27104 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: • Two plastic bags were observed in an unlatched cupboard to the left of the refrigerator accessible to mobile infants in Space 2. These were made inaccessible to children during the visit. One plastic bag containing plastic bags was observed less than five feet from the ground on a counter in Space 3, accessible to children one year of age; this bag was made inaccessible during the visit. A plastic bag was observed less than five feet from the ground in a child's cubby in Space 4; this bag was made inaccessible during the visit. One open plastic diaper wrapper was observed in an unlatched cupboard, accessible to children under three years of age; this wrapper was disposed of during the visit. Fabric weed block was observed emerging from the surfacing on the playground used by children under three years of age, near the white plastic siding. It is important for the indoor and outdoor environment to be consistently monitored so that children can explore the learning environment safely. Ms. Hardin stated she did not realize these were issues in the classrooms or on the playground. I recommended administration consider adding monitoring of these items to her monthly playground inspection and creating indoor safety daily inspections. The Ready to Go file did not contain emergency information for two employees; this was corrected during the visit. The Ready to Go file did not contain the applications for seven children enrolled. Safe pick-up and delivery procedures were not posted. A certificate for CPR/FA was dated and observed on file for one new employee for 4/19/2023. This employee had a recorded start date of 11/14/2022. Times of arrival were not recorded for four children enrolled in Space 3, two children enrolled in Space 4, 1 child enrolled in Space 5, and 1 child enrolled in Space 6. It is extremely important for accurate records to be maintained at all times to ensure the health, safety, and quality of care for children enrolled. Ms. Hardin stated administration is reminding parents to sign their children in and out each day. She also placed all staff emergency information in the Ready to Go file during the visit. I recommended administration consider adding reviewing procedures for recording arrival/departure with staff so staff sign children in and out if parents forget to do so. I also recommended administration set a routine schedule to monitor all staff, program, and children’s files for completeness and accuracy. • The mulch in the fall zone of Playground 1, used by children under three years of age, measured four inches in depth. The mulch in seven of the eleven fall zones on Playground 2, used by preschool children, measured between two and five inches in depth. It is important that mulch measures the required depth in all fall zones to ensure the physical safety of children who are climbing and playing on the equipment. Ms. Singletary stated this morning the facility is considering investing in playground border to help keep the mulch from spreading to other areas of the playground. I recommended to Ms. Hardin that mulch be temporarily moved from areas of the playground which do not require mulch into the fall zones until a permanent solution can be identified. • Greater than ten pieces of trash were observed, collectively, on all three playgrounds, inclusive of an unopened sample package of triple antibiotic ointment labeled Keep Out of Reach of Children with additional warnings. It is important for all areas in which children are enrolled and have access to, remain clean. Ms. Singletary and Ms. Hardin stated a homeschooling program utilizes this outdoor area on Wednesdays during the school year. Both ladies stated they would reach out to representatives for this group to review requirements for the outdoor environment. I recommended administration have one staff member monitor this playground on Thursday mornings, prior to the children’s use moving forward. Additional Information/Consultation: • You must notify your consultant 30 days prior to changing the ownership status of your facility. •The following Child Care Rules were thoroughly discussed with Ms. Hardin and Ms. Singletary during the visit: 15A NCAC 18A .2803 HANDWASHING 10A NCAC 09 .0605 OUTDOOR LEARNING ENVIRONMENT IN CHILD CARE CENTERS (i) 15A NCAC 18A .2825 WALLS AND CEILINGS (a) 10A NCAC 09 .0801 APPLICATION FOR ENROLLMENT (b) 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS (6) 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (c ) 10A NCAC 09 .2615 STAFF/CHILD RATIOS 10A NCAC 09 .1802 STAFF/CHILD INTERACTIONS 10A NCAC 09 .0606 SAFE SLEEP PRACTICES (a)(1) SECTION .1000 - TRANSPORTATION STANDARDS Please be reminded a lockdown/shelter-in-place drill is due to be completed by the end of March, 2024. Please be reminded the staff member with a start date of 1/02/2024 must have CPR/FA certification completed and on file by 4/02/2024. 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. Cara McKeown-Stewart, Child Care Consultant (336) 408-4849 cara.mckeown-stewart@dhhs.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 .0606 · Violation

Name of Operation: Main Street Baptist Church Early Learning Center Facility ID: 3452208 Consultant: MICHAEL SCOTT MASON Operation Type: Center Case Number: Visit Date: 9/21/2023 Number Present: 31 Completed Date: 9/21/2023 Age: From 0 To 4 Total Minutes: 105 Time In: 09:30 AM Time Out: 11:15 AM Time In: Time Out: List to Use: Center Type Of Visit: Admin Action Follow-Up A/N Announced/Unannounced: Unannounced The purpose of today's unannounced visit was to monitor compliance with the Corrective Action Plan (CAP), included in the Written Warning, issued on August 7, 2023. Jaclyn Flowe, Investigations Consultant, was also present during the visit. We conducted a walk-through of the facility unaccompanied. I spoke with Lakeshia Singletary, Administrator, and informed her of the purpose of the visit. I observed a copy of the administrative action, cover letter, and CAP posted as required. I also reminded Ms. Singletary the information must remain posted until October 7, 2023, and receipt of the CAP completion letter. Limited monitoring of child care requirements occurred during today’s visit. I monitored supervision, staff/child ratio, CPR, First Aid, criminal background check, ITS-SIDS, discipline, adequate/approved space, licensed posted, and permit restrictions. I reviewed a copy of the staff training worksheet and verified valid CPR training, First Aid training, ITS-SIDS training, and criminal background check qualification letters for all current staff members. The following violations were observed and/or confirmed during today’s visit. Violation Number Comment Rule 871 Center staff did not comply with the safe sleep policy. A staff member allowed an infant to sleep in a bouncy seat. 10A NCAC 09 .0606(a) All violations documented above must be corrected immediately. A written, dated, and signed letter of compliance must be submitted to me within one week, by 9/28/23, describing how and when the violations were corrected and how compliance will be maintained in the future. The letter of compliance should be emailed to scott.mason@dhhs.nc.gov. I monitored for compliance with the CAP as follows: Item #1 – Compliance with Child Care Rules. A violation related to safe sleep was cited. This item was not in compliance. . Item #2 – Written Plan for a Safe Environment. Ms. Singletary submitted the written plan on August 30, 2023. The written plan was approved. This item is completed. Item #3 – Required Staff Meeting, Ms. Singletary conducted the meeting with all staff members on September 6, 2023. Ms. Singletary submitted the meeting roster. This item is complete. Violations of child care requirements, particularly repeated violations, could result in a civil penalty and/or administrative action that could jeopardize the status of the license for the child care facility. You may contact me, Scott Mason, Lead Investigations Consultant, at phone # 919-594-4841, email at scott.mason@dhhs.nc.gov, or Elizabeth Nichols, North Central Investigations Team Supervisor at elizabeth.nichols@dhhs.nc.gov. Thank you for your time. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0601 · Violation

Name of Operation: Main Street Baptist Church Early Learning Center Facility ID: 3452208 Consultant: CARA MCKEOWN-STEWART Operation Type: Center Case Number: Visit Date: 9/12/2023 Number Present: 38 Completed Date: 9/12/2023 Age: From 0 To 5 Total Minutes: 490 Time In: 08:20 AM Time Out: 04:30 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 facility to monitor compliance with applicable childcare requirements. This visit was conducted by Cara McKeown-Stewart, Child Care Consultant with Aislinn Hardin, Lead Teacher. Director, Lakeshia Singletary, was not present during the visit today. Your program currently operates with a notice of compliance. The NC Secretary of State website was reviewed on 9/12/2023 and Main Street Baptist Church, Inc. was listed as current and active. The program’s compliance history was 100% 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. In Space 2, three outlets located on a power strip were observed without safety covers. Ms. Hardin covered each of these outlets with a safety cover during the visit. The facility has two playgrounds, one used for infants and toddlers, and the other for children of preschool and School Age. On the playground used by infants and toddlers, two holes were observed side-by-side along the PVC pipe located to the left of the gate entrance, presenting a potential tripping and safety hazard. A large, rusted spike was observed at the base of the rain gutter near the entrance to this playground. The bases of four metal roof supports were observed to be heavily rusted. A cracked area, sharp to the touch, was observed on a non-stationary slide/swing structure. On the playground used by children of preschool and School Age, four rusted chain latches were observed on the inside of the fencing. The latch to the shed was observed to be heavily rusted. Greater than three sections of fencing were observed to be heavily rusted. The base of a rain pipe was observed to be cracked and sharp to the touch, with wire mesh surrounding the base also observed to be sharp to the touch. The mulch measures between 1 and 4 inches in greater than 6 fall zones. The stationary structure was observed to have rust forming on the rails of the stairs. The landings of the large, stationary climbing structure were observed to be cracked in greater than three areas, each of which have metal exposed which was observed to be beginning to rust. Upon arrival, staff/child ratio and space capacity were monitored as indicated on the attached worksheet. In Space 2, one child enrolled was not signed in upon arrival. In Space 7, one child was not signed in upon arrival. Supervision was adequate during the visit. I observed positive interactions today. I observed children playing in activity centers, participating in general routines and eating lunch. I observed developmentally appropriate materials and activities were available to the children in the classrooms. The last annual compliance visit was conducted on 9/21/2022. A sanitation inspection was completed 4/06/2023 with a Superior classification. The last fire inspection was conducted 11/11/2022. Program records and required postings were monitored. A fire drill was conducted on 8/03/2023. A shelter in place drill was documented on 6/15/2023. An outdoor inspection was documented on 8/31/2023. The Ready to Go file was not available for review. All incident reports were not recorded on classroom incident logs. Staff files and children’s records were monitored per DCDEE procedures. Staff medical statements, proof of a tuberculosis test or screening, and completed health questionnaires were included in the personnel files of three staff members, but were not maintained separately from the staff members’ individual personnel files in the center in separate medical files. A signed and dated statement of receipt of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not observed on file for two children enrolled. The infant feeding plans for four children enrolled were not signed by a parent. The infant feeding plans for two children enrolled were not updated and dated. A record of Health and Safety Training was not observed on file for one existing staff member. A signed receipt of operational and personnel policies was not on file for two new staff members and one existing staff member. An annual signed review of the Emergency Preparedness and Response Plan was not on file for two new staff members and one existing staff member. An annual signed review of the Emergency Medical Care Plan was not on file for two new staff members and one existing staff member. An annual staff evaluation was not on file for one existing staff member. Storage of hazardous items was monitored today. In Space 2, a bottle of Fabuloso disinfecting cleanser, labeled Keep Out of Reach of Children with additional warnings, was observed on a counter less than five feet from the ground. Ms. Hardin placed this item into locked storage during the visit. Storage and administration of medication were monitored. Medication authorization was monitored. The program does not provide transportation; however, during a phone conversation during the visit with Ms. Singletary, Director, this morning, Ms. Singletary stated she is interested in using the church van to begin to provide transportation for children of Pre-K and School Age for field trips only. I stated Ms. Singletary should contact me once all requirements for transportation have been met. Once contacted by Ms. Singletary, I will schedule a visit for me to monitor requirements for transportation and to approve the facility to transport children. The following violations were cited during today’s visit: Violation Number Comment Rule 124 The center did not maintain records as required in rule, and/or were not made available to the Division for review. A signed and dated statement of receipt of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not observed on file for two children enrolled. The infant feeding plans for four children enrolled were not signed by a parent. The infant feeding plans for two children enrolled were not updated and dated. A record of Health and Safety Training was not observed on file for one existing staff member. A signed receipt of operational and personnel policies was not on file for two new staff members and one existing staff member. An annual signed review of the Emergency Preparedness and Response Plan was not on file for two new staff members and one existing staff member. An annual signed review of the Emergency Medical Care Plan was not on file for two new staff members and one existing staff member. An annual staff evaluation was not on file for one existing staff member. G.S. 110-91(9); .0304(g); .2318 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 2, one child enrolled was not signed in upon arrival. In Space 7, one child was not signed in upon arrival. 10A NCAC 09 .0302(d)(4) 807 A safe indoor and outdoor environment was not provided for the children. Ms. Hardin covered each of these outlets with a safety cover during the visit. On the playground used by infants and toddlers, two holes were observed side-by-side along the PVC pipe located to the left of the gate entrance, presenting a potential tripping and safety hazard. A large, rusted spike was observed at the base of the rain gutter near the entrance to this playground. The bases of four metal roof supports were observed to be heavily rusted. A cracked area, sharp to the touch, was observed on a non-stationary slide/swing structure. On the playground used by children of preschool and School Age, four rusted chain latches were observed on the inside of the fencing. The latch to the shed was observed to be heavily rusted. Greater than three sections of fencing were observed to be heavily rusted. The base of a rain pipe was observed to be cracked and sharp to the touch, with wire mesh surrounding the base also observed to be sharp to the touch. The stationary structure was observed to have rust forming on the rails of the stairs. The landings of the large, stationary climbing structure were observed to be cracked in greater than three areas, each of which have metal exposed which was observed to be beginning to rust. 10A NCAC 09 .0601(a) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. In Space 2, a bottle of Fabuloso disinfecting cleanser, labeled Keep Out of Reach of Children with additional warnings, was observed on a counter less than five feet from the ground. .2820(b) 853 Incident logs were not completed and maintained as required. All incident reports were not recorded on classroom incident logs. .0802(g)(1-6) 1823 The EPR Plan did not include the location of the Ready to Go File and or the required information. The Ready to Go file was not available for review. .0607(d)(10) 1867 The depth of the loose surfacing was not based on critical height of the equipment. The mulch measures between 1 and 4 inches in greater than 6 fall zones on the playground for preschoolers and children of School Age. .0605(k)(1-4) 1890 Each staff member did not have the required medical report, proof of tuberculosis test or screening and/or completed health questionnaire in a medical file, maintained separately from the staff member's individual personnel file. Staff medical statements, proof of a tuberculosis test or screening, and completed health questionnaires were included in the personnel files of three staff members, but were not maintained separately from the staff members’ individual personnel files in the center in separate medical files. .0701(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 9/26/2023. 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 cara.mckeown@dhhs.nc.gov or mail two copies of the letter to: Cara McKeown 353 Jonestown Road, Unit #146 Winston Salem, NC 27104 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 provided during today’s visit: • You must notify your consultant 30 days prior to changing the ownership status of your facility. The following Child Care Rules were thoroughly discussed with Ms. Hardin during the visit: 10A NCAC 09 .0607 EMERGENCY PREPAREDNESS AND RESPONSE IN CHILD CARE CENTERS (10) the location of a Ready to Go File. A Ready to Go File means a collection of information on children, staff and the facility, to utilize, if an evacuation occurs. The file shall include, a copy of the Emergency Preparedness and Response Plan, contact information for individuals to pick-up children, each child's Application for Child Care, medication authorizations and instructions, any action plans for children with special health care needs, a list of any known food allergies of children and staff, staff contact information, Incident Report forms, an area map, and emergency telephone numbers. 15A NCAC 18A .2820 STORAGE (b) Toxic substances, which include 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 shall be kept in the original container or in another labeled container, used according to the manufacturer's instructions, and stored in a locked storage room or cabinet when not in use. Locked storage rooms and cabinets shall include those which are unlocked with a combination lock, electronic or magnetic device, keypad, key, or equivalent locking device. Keys and electronic or magnetic unlocking devices shall be kept out of the reach of a child and shall not be stored in the lock. Toxic substances shall be stored below or separate from medications and food. Any other product that is labeled "keep out of reach of children" and does not have any other warnings on the label shall be kept inaccessible to children when not in use, but is not required to be kept in locked storage. For the purpose of Paragraphs (b), (c), and (d) of this Rule, a product shall be considered inaccessible to children when stored on a shelf or in an unlocked cabinet that is mounted a minimum vertical distance of five feet above the finished floor. 10A NCAC 09 .1715 OPERATIONAL POLICIES (a) Each operator shall have written operational policies that include at least the following information: (2) the age range of the children served; (7) a schedule of daily, weekly, and monthly cleaning duties; (10) a description of opportunities for parent participation. 10A NCAC 09 .0605 OUTDOOR LEARNING ENVIRONMENT IN CHILD CARE CENTERS (m) Exceptions to Paragraph (l) of this Rule are as follows: (3) Tot swings shall have protective surfacing that extends two times the length of the pivot point to the bottom of the swing seat. The surfacing shall be to the front and rear of the swing. Tot swings are defined as swings with enclosed seats. 10A NCAC 09 .1003 SAFE PROCEDURES (b) Each center shall establish procedures for pick-up and delivery of children to ensure children are protected from danger and not exposed to risk of harm. These procedures shall be communicated to parents, and a copy shall be posted in the center where they can be seen by the parents. 10A NCAC 09 .0302 APPLICATION FOR A LICENSE FOR A CHILD CARE CENTER During the pre-licensing visit the applicant shall have the following available for review pursuant to 10A NCAC 09 .0304(g): (5) records of monthly fire drills documenting the date and time of each drill, the length of time taken to evacuate the building, and the signature of the person who conducted the drill as required by NC Fire Code 405.5; A copy of the form may be found on the Division's website at http://ncchildcare.ncdhhs.gov/pdf_forms/EPR_EmergencyDrillLog_Centers.pdf; (8) records of lockdown or shelter-in-place drills as defined in 10A NCAC 09 .0102, giving the date each drill was held, the time of day, the length of time taken to get into designated locations and the signature of the person who conducted the drill. A copy of the form may be found on the Division's website at https://ncchildcare.ncdhhs.gov/pdf_forms/EPR_EmergencyDrillLog_Centers.pdf. 10A NCAC 09 .1005 OFF PREMISE ACTIVITIES IN CHILD CARE CENTERS (a) Off premise activities refer to any activity that takes place away from a child care center’s licensed and approved space. Licensed and approved space includes "primary space" as described in 10A NCAC 09 .1401(a), outdoor space as described in 10A NCAC 09 .1402, single use rooms, or other administrative areas. (b) When children participate in off premise activities the following shall apply: (1) Children under the age of three shall not participate in off premise activities that involve children being transported in a motor vehicle. (2) When children are transported in a motor vehicle for off premise activities, the provisions in Rule .1003(c) through (i) and (k) of this Chapter shall apply. (3) Before staff members walk children off premises for play or outings, the center shall obtain written permission from the parent of each child to be included in such activities. (4) Parents may provide a written statement giving standing permission which may be valid for up to 12 months for participation in off premise activities that occur on a regular basis. (5) The center shall post a schedule of off premise activities in each participating classroom where it can be viewed by parents, and a copy shall be given to parents. The schedule shall be current and shall include the: (A) location of the activity; (B) purpose of the activity; (C) time the activity will take place; (D) date of the activity; and (E) name of the person(s) to be contacted in the event of an emergency. (6) Each time that children are taken off the premises, staff shall take a list of the children participating in the activity with them. Staff members shall use this list to check attendance when leaving the center, periodically when the children are involved in the activity, before leaving the activity to return to the child care center, and upon return to the center. A list of all children participating in the off premise activity shall also be available at the center. (c) The provisions of Subparagraphs (b)(1) and (5) of this Rule shall be waived to implement any child's Individualized Family Service Plan (IFSP) or Individualized Education Program (IEP). 10A NCAC 09 .1723 TRANSPORTATION REQUIREMENTS To assure the safety of children whenever they are transported, the operator, or any other transportation provider, shall: (1) ensure that vehicles used to transport children are free of hazards such as but not limited to, torn upholstery that allows children to remove the interior padding, broken windows, holes in the floor or roof, or tire treads of less than 2/32 of an inch; (2) ensure that vehicles used to transport children comply with all applicable State and federal laws and regulations; (3) ensure that vehicles are insured for liability as required by State laws governing transportation of passengers pursuant to G.S. 20-279.21; (4) ensure that vehicles used to transport children in snowy, icy, and other hazardous weather conditions are equipped with snow tires, or chains; (5) have written permission from a parent to transport his or her child and notify the parent when and where the child is to be transported, and the name of the transportation provider. Parents may give standing permission, valid for up to 12 months, for transport of children to and from the home; (6) ensure that all children are transferred to an individual who is indicated on the child's application for enrollment as specified in Rule .1721(a)(3) of this Section or as authorized by the parent; (7) load and unload children from curbside or in a safe, off-street area, out of the flow of traffic, so that they are protected from all traffic hazards; (8) ensure that all children regardless of age or location in the vehicle shall be restrained with an individual seat belt or child safety seat appropriate to the child's age or weight in accordance with G.S. 20-135.2A located at http://www.buckleupnc.org/occupant-restraint-laws/seat-belt-law-summary/. Only one person shall occupy each seat belt or child safety seat; (9) be at least 21 years old, and have a valid driver's license of the type required under the North Carolina Motor Vehicle Law for the vehicle being driven, or comparable license from the state in which the driver resides, and no convictions of Driving While Impaired (DWI), or any other impaired driving offense, within the last three years; (10) ensure that each child is seated in a manufacturer's designated area. No child shall ride in the load carrying area or floor of a vehicle; (11) have a First Aid kit and fire extinguisher located in the vehicle used to transport children; (12) never leave children in a vehicle unattended by an adult; (13) have identifying information in the vehicle about each child being transported, including the child's name, photograph, emergency contact information, and a copy of the emergency medical care information form required by Rule .1721(a)(3) of this Section; and (14) have a functioning cellular telephone or other functioning two-way voice communication device with them for use in an emergency. The transportation provider shall not use cellular telephones or other functioning two-way communication devices except in the case of an emergency and only when the vehicle is parked in a safe location; and (15) conduct off-premise activities as follows: (a) before the operator walks children off premises for play or outings, the parent of each child shall give written permission for the child to participate in such activities; (b) parents may provide a written statement giving standing permission which may be valid for up to 12 months for participation in off premise activities that occur on a regular basis; and (c) each time the children are taken off premises, the operator shall take identifying information about each child including the child's name, photograph, emergency contact information, a copy of the emergency medical care information form required by 10A NCAC 09 .1721(a)(3) of this Section. 10A NCAC 09 .0605 OUTDOOR LEARNING ENVIRONMENT IN CHILD CARE CENTERS (g) Any openings in equipment, steps, decks, handrails, and fencing shall be smaller than 3 ½ inches or greater than 9 inches to prevent entrapment. 10A NCAC 09 .0302 APPLICATION FOR A LICENSE FOR A CHILD CARE CENTER (a) An application for a license for a child care center shall be submitted on the form provided by the Division, which may be found online at http://ncchildcare.ncdhhs.gov/PDF_forms/FacilityProfileApp.pdf. The application for a child care center license shall include the following information: (d) During the pre-licensing visit the applicant shall have the following available for review pursuant to 10A NCAC 09 .0304(g): (4) daily records of arrival and departure times at the center for each child which shall be maintained as children arrive and depart; 15A NCAC 18A .2803 HANDWASHING (a) Child care center employees shall wash their hands as follows when at work in a child care center: (1) upon reporting for work at the child care center: (2) before and after handling or preparing food; (3) before bottle feeding a child; (4) before providing food service; (5) before handling clean utensils; (6) after toileting or handling of body fluids, including but not limited to saliva, nasal secretions, vomitus, feces, urine, blood, secretions from sores, and pustulant discharge; (7) after diaper changing; (8) after handling soiled items that are not clean; (9) after being outdoors; (10) after handling animals or animal cages; and (11) after removing disposable gloves. (b) The use of a hand antiseptic does not replace the requirements for handwashing in Paragraph (a) of this Rule except that an employee who is supervising a child or children outdoors may use a hand antiseptic while outdoors in lieu of handwashing, provided that the employee's hands are washed in accordance with Paragraph (e) of this Rule when the employee returns indoors. Hand antiseptic shall not be used in lieu of handwashing when the employee's action that necessitates handwashing is diapering, food preparation, or food service. (c) Child care center employees shall ensure that children wash their hands as follows: (1) upon arrival at the child care center; (2) after each diaper change or visit to the toilet; (3) before eating meals or snacks; (4) before and after water play; (5) after being outdoors; and (6) after handling animals or animal cages. (d) Except when the action that necessitates handwashing is diapering and before eating meals or snacks, hand antiseptics may be used in lieu of handwashing while a child is outdoors, provided that the child's hands are washed when the child returns indoors. (e) Handwashing procedures shall include the following steps: (1) using liquid soap and tempered water; (2) rubbing hands vigorously with soap and tempered water for 15 seconds; (3) washing all surfaces of the hands, to include the backs of hands, palms, wrists, under fingernails, and between fingers; (4) rinsing the hands under tempered water for 10 seconds; (5) drying the hands with a paper towel or other hand-drying device; and (6) turning off faucet with a paper towel or other method without recontaminating hands. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (q) Plastic bags, toys, toy parts small enough to be swallowed, and materials that can be torn apart, such as foam rubber and styrofoam, shall not be accessible to children under three years of age. However, styrofoam plates and larger pieces of foam rubber may be used for supervised art activities and styrofoam plates may be used for food service. Jump ropes and rubber bands shall not be accessible to children under five years of age without adult supervision. Balloons shall be prohibited for children of all ages. • Please remove all foam blocks from classroom activity centers with teeth marks or small pieces missing. • I recommend activity plans for each classroom are current and posted. • I recommend all push pins be removed from the corkboard lining the wall of the classroom used for infants, to prevent a safety hazard. • Please ensure all required classroom postings are posted for review. • Please ensure all cribs for infants enrolled in a classroom are labeled with their names. • When an infant is placed on his/her back to sleep in a crib or approved sleeping apparatus, please always record the first position for the infant on the sleep log as “B” for “Back”, even if the infant immediately rolls over to his or her side or stomach. • Please record specific amounts of diaper cream or other non-prescription topical ointment to be administered on medication authorization forms. • Please record specific times to administer diaper cream or other non-prescription topical ointment, such as “when redness occurs”. • Please ensure all staff members know where required forms are located in the classrooms they serve. • Please ensure a cot list is posted in all classrooms. • You can access the Automated Background Check Management System (ABCMS) at the following link to print a copy of your most recent Criminal Background Check qualifying letter: https://ncabcms.nc.gov/DCDEE/Applicant/ • Please monitor the fencing surrounding the playground for developing rust. • You may access Health and Safety trainings through the following link on the Division website: https://www.dcdee.moodle.nc.gov/ Please choose the Services tab, DCDEE Moodle, Professional Development, Regulatory, and then the 2023 CCDF Health and Safety trainings. • Please also pressure wash outdoor equipment (climbing tunnel on Pre-K/SA playground) with developing mildew. • Please use the most recently updated forms from the Division website for children, staff, and program records; these can be accessed at the following website: https://ncchildcare.ncdhhs.gov/Provider/Provider-Documents-and-Forms • Please record all current completed Health and Safety trainings on the Health and Safety Training Log. • Please access the Risk Management Portal at the following website to update Emergency Preparedness and Response Plan: https://rmp.nc.gov/portal/portal.aspx# • Please review all children’s records to ensure that all forms have been fully completed, inclusive of a recorded date of enrollment (when applicable) and date signed by the parent/guardian. • The Child Care Health Consultant for Forsyth County is Keturah Oglesby at Smart Start of Forsyth County. Ms. Oglesby can be contacted at: keturaho@smartstart-fc.org. • Please ensure parents update infant feeding schedules as children get older. 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. Cara McKeown, Child Care Consultant (336) 408-4849 cara.mckeown@dhhs.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 .0102 · Violation

Name of Operation: Main Street Baptist Church Early Learning Center Facility ID: 3452208 Consultant: CARA MCKEOWN-STEWART Operation Type: Center Case Number: Visit Date: 9/12/2023 Number Present: 38 Completed Date: 9/12/2023 Age: From 0 To 5 Total Minutes: 490 Time In: 08:20 AM Time Out: 04:30 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 facility to monitor compliance with applicable childcare requirements. This visit was conducted by Cara McKeown-Stewart, Child Care Consultant with Aislinn Hardin, Lead Teacher. Director, Lakeshia Singletary, was not present during the visit today. Your program currently operates with a notice of compliance. The NC Secretary of State website was reviewed on 9/12/2023 and Main Street Baptist Church, Inc. was listed as current and active. The program’s compliance history was 100% 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. In Space 2, three outlets located on a power strip were observed without safety covers. Ms. Hardin covered each of these outlets with a safety cover during the visit. The facility has two playgrounds, one used for infants and toddlers, and the other for children of preschool and School Age. On the playground used by infants and toddlers, two holes were observed side-by-side along the PVC pipe located to the left of the gate entrance, presenting a potential tripping and safety hazard. A large, rusted spike was observed at the base of the rain gutter near the entrance to this playground. The bases of four metal roof supports were observed to be heavily rusted. A cracked area, sharp to the touch, was observed on a non-stationary slide/swing structure. On the playground used by children of preschool and School Age, four rusted chain latches were observed on the inside of the fencing. The latch to the shed was observed to be heavily rusted. Greater than three sections of fencing were observed to be heavily rusted. The base of a rain pipe was observed to be cracked and sharp to the touch, with wire mesh surrounding the base also observed to be sharp to the touch. The mulch measures between 1 and 4 inches in greater than 6 fall zones. The stationary structure was observed to have rust forming on the rails of the stairs. The landings of the large, stationary climbing structure were observed to be cracked in greater than three areas, each of which have metal exposed which was observed to be beginning to rust. Upon arrival, staff/child ratio and space capacity were monitored as indicated on the attached worksheet. In Space 2, one child enrolled was not signed in upon arrival. In Space 7, one child was not signed in upon arrival. Supervision was adequate during the visit. I observed positive interactions today. I observed children playing in activity centers, participating in general routines and eating lunch. I observed developmentally appropriate materials and activities were available to the children in the classrooms. The last annual compliance visit was conducted on 9/21/2022. A sanitation inspection was completed 4/06/2023 with a Superior classification. The last fire inspection was conducted 11/11/2022. Program records and required postings were monitored. A fire drill was conducted on 8/03/2023. A shelter in place drill was documented on 6/15/2023. An outdoor inspection was documented on 8/31/2023. The Ready to Go file was not available for review. All incident reports were not recorded on classroom incident logs. Staff files and children’s records were monitored per DCDEE procedures. Staff medical statements, proof of a tuberculosis test or screening, and completed health questionnaires were included in the personnel files of three staff members, but were not maintained separately from the staff members’ individual personnel files in the center in separate medical files. A signed and dated statement of receipt of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not observed on file for two children enrolled. The infant feeding plans for four children enrolled were not signed by a parent. The infant feeding plans for two children enrolled were not updated and dated. A record of Health and Safety Training was not observed on file for one existing staff member. A signed receipt of operational and personnel policies was not on file for two new staff members and one existing staff member. An annual signed review of the Emergency Preparedness and Response Plan was not on file for two new staff members and one existing staff member. An annual signed review of the Emergency Medical Care Plan was not on file for two new staff members and one existing staff member. An annual staff evaluation was not on file for one existing staff member. Storage of hazardous items was monitored today. In Space 2, a bottle of Fabuloso disinfecting cleanser, labeled Keep Out of Reach of Children with additional warnings, was observed on a counter less than five feet from the ground. Ms. Hardin placed this item into locked storage during the visit. Storage and administration of medication were monitored. Medication authorization was monitored. The program does not provide transportation; however, during a phone conversation during the visit with Ms. Singletary, Director, this morning, Ms. Singletary stated she is interested in using the church van to begin to provide transportation for children of Pre-K and School Age for field trips only. I stated Ms. Singletary should contact me once all requirements for transportation have been met. Once contacted by Ms. Singletary, I will schedule a visit for me to monitor requirements for transportation and to approve the facility to transport children. The following violations were cited during today’s visit: Violation Number Comment Rule 124 The center did not maintain records as required in rule, and/or were not made available to the Division for review. A signed and dated statement of receipt of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not observed on file for two children enrolled. The infant feeding plans for four children enrolled were not signed by a parent. The infant feeding plans for two children enrolled were not updated and dated. A record of Health and Safety Training was not observed on file for one existing staff member. A signed receipt of operational and personnel policies was not on file for two new staff members and one existing staff member. An annual signed review of the Emergency Preparedness and Response Plan was not on file for two new staff members and one existing staff member. An annual signed review of the Emergency Medical Care Plan was not on file for two new staff members and one existing staff member. An annual staff evaluation was not on file for one existing staff member. G.S. 110-91(9); .0304(g); .2318 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 2, one child enrolled was not signed in upon arrival. In Space 7, one child was not signed in upon arrival. 10A NCAC 09 .0302(d)(4) 807 A safe indoor and outdoor environment was not provided for the children. Ms. Hardin covered each of these outlets with a safety cover during the visit. On the playground used by infants and toddlers, two holes were observed side-by-side along the PVC pipe located to the left of the gate entrance, presenting a potential tripping and safety hazard. A large, rusted spike was observed at the base of the rain gutter near the entrance to this playground. The bases of four metal roof supports were observed to be heavily rusted. A cracked area, sharp to the touch, was observed on a non-stationary slide/swing structure. On the playground used by children of preschool and School Age, four rusted chain latches were observed on the inside of the fencing. The latch to the shed was observed to be heavily rusted. Greater than three sections of fencing were observed to be heavily rusted. The base of a rain pipe was observed to be cracked and sharp to the touch, with wire mesh surrounding the base also observed to be sharp to the touch. The stationary structure was observed to have rust forming on the rails of the stairs. The landings of the large, stationary climbing structure were observed to be cracked in greater than three areas, each of which have metal exposed which was observed to be beginning to rust. 10A NCAC 09 .0601(a) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. In Space 2, a bottle of Fabuloso disinfecting cleanser, labeled Keep Out of Reach of Children with additional warnings, was observed on a counter less than five feet from the ground. .2820(b) 853 Incident logs were not completed and maintained as required. All incident reports were not recorded on classroom incident logs. .0802(g)(1-6) 1823 The EPR Plan did not include the location of the Ready to Go File and or the required information. The Ready to Go file was not available for review. .0607(d)(10) 1867 The depth of the loose surfacing was not based on critical height of the equipment. The mulch measures between 1 and 4 inches in greater than 6 fall zones on the playground for preschoolers and children of School Age. .0605(k)(1-4) 1890 Each staff member did not have the required medical report, proof of tuberculosis test or screening and/or completed health questionnaire in a medical file, maintained separately from the staff member's individual personnel file. Staff medical statements, proof of a tuberculosis test or screening, and completed health questionnaires were included in the personnel files of three staff members, but were not maintained separately from the staff members’ individual personnel files in the center in separate medical files. .0701(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 9/26/2023. 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 cara.mckeown@dhhs.nc.gov or mail two copies of the letter to: Cara McKeown 353 Jonestown Road, Unit #146 Winston Salem, NC 27104 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 provided during today’s visit: • You must notify your consultant 30 days prior to changing the ownership status of your facility. The following Child Care Rules were thoroughly discussed with Ms. Hardin during the visit: 10A NCAC 09 .0607 EMERGENCY PREPAREDNESS AND RESPONSE IN CHILD CARE CENTERS (10) the location of a Ready to Go File. A Ready to Go File means a collection of information on children, staff and the facility, to utilize, if an evacuation occurs. The file shall include, a copy of the Emergency Preparedness and Response Plan, contact information for individuals to pick-up children, each child's Application for Child Care, medication authorizations and instructions, any action plans for children with special health care needs, a list of any known food allergies of children and staff, staff contact information, Incident Report forms, an area map, and emergency telephone numbers. 15A NCAC 18A .2820 STORAGE (b) Toxic substances, which include 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 shall be kept in the original container or in another labeled container, used according to the manufacturer's instructions, and stored in a locked storage room or cabinet when not in use. Locked storage rooms and cabinets shall include those which are unlocked with a combination lock, electronic or magnetic device, keypad, key, or equivalent locking device. Keys and electronic or magnetic unlocking devices shall be kept out of the reach of a child and shall not be stored in the lock. Toxic substances shall be stored below or separate from medications and food. Any other product that is labeled "keep out of reach of children" and does not have any other warnings on the label shall be kept inaccessible to children when not in use, but is not required to be kept in locked storage. For the purpose of Paragraphs (b), (c), and (d) of this Rule, a product shall be considered inaccessible to children when stored on a shelf or in an unlocked cabinet that is mounted a minimum vertical distance of five feet above the finished floor. 10A NCAC 09 .1715 OPERATIONAL POLICIES (a) Each operator shall have written operational policies that include at least the following information: (2) the age range of the children served; (7) a schedule of daily, weekly, and monthly cleaning duties; (10) a description of opportunities for parent participation. 10A NCAC 09 .0605 OUTDOOR LEARNING ENVIRONMENT IN CHILD CARE CENTERS (m) Exceptions to Paragraph (l) of this Rule are as follows: (3) Tot swings shall have protective surfacing that extends two times the length of the pivot point to the bottom of the swing seat. The surfacing shall be to the front and rear of the swing. Tot swings are defined as swings with enclosed seats. 10A NCAC 09 .1003 SAFE PROCEDURES (b) Each center shall establish procedures for pick-up and delivery of children to ensure children are protected from danger and not exposed to risk of harm. These procedures shall be communicated to parents, and a copy shall be posted in the center where they can be seen by the parents. 10A NCAC 09 .0302 APPLICATION FOR A LICENSE FOR A CHILD CARE CENTER During the pre-licensing visit the applicant shall have the following available for review pursuant to 10A NCAC 09 .0304(g): (5) records of monthly fire drills documenting the date and time of each drill, the length of time taken to evacuate the building, and the signature of the person who conducted the drill as required by NC Fire Code 405.5; A copy of the form may be found on the Division's website at http://ncchildcare.ncdhhs.gov/pdf_forms/EPR_EmergencyDrillLog_Centers.pdf; (8) records of lockdown or shelter-in-place drills as defined in 10A NCAC 09 .0102, giving the date each drill was held, the time of day, the length of time taken to get into designated locations and the signature of the person who conducted the drill. A copy of the form may be found on the Division's website at https://ncchildcare.ncdhhs.gov/pdf_forms/EPR_EmergencyDrillLog_Centers.pdf. 10A NCAC 09 .1005 OFF PREMISE ACTIVITIES IN CHILD CARE CENTERS (a) Off premise activities refer to any activity that takes place away from a child care center’s licensed and approved space. Licensed and approved space includes "primary space" as described in 10A NCAC 09 .1401(a), outdoor space as described in 10A NCAC 09 .1402, single use rooms, or other administrative areas. (b) When children participate in off premise activities the following shall apply: (1) Children under the age of three shall not participate in off premise activities that involve children being transported in a motor vehicle. (2) When children are transported in a motor vehicle for off premise activities, the provisions in Rule .1003(c) through (i) and (k) of this Chapter shall apply. (3) Before staff members walk children off premises for play or outings, the center shall obtain written permission from the parent of each child to be included in such activities. (4) Parents may provide a written statement giving standing permission which may be valid for up to 12 months for participation in off premise activities that occur on a regular basis. (5) The center shall post a schedule of off premise activities in each participating classroom where it can be viewed by parents, and a copy shall be given to parents. The schedule shall be current and shall include the: (A) location of the activity; (B) purpose of the activity; (C) time the activity will take place; (D) date of the activity; and (E) name of the person(s) to be contacted in the event of an emergency. (6) Each time that children are taken off the premises, staff shall take a list of the children participating in the activity with them. Staff members shall use this list to check attendance when leaving the center, periodically when the children are involved in the activity, before leaving the activity to return to the child care center, and upon return to the center. A list of all children participating in the off premise activity shall also be available at the center. (c) The provisions of Subparagraphs (b)(1) and (5) of this Rule shall be waived to implement any child's Individualized Family Service Plan (IFSP) or Individualized Education Program (IEP). 10A NCAC 09 .1723 TRANSPORTATION REQUIREMENTS To assure the safety of children whenever they are transported, the operator, or any other transportation provider, shall: (1) ensure that vehicles used to transport children are free of hazards such as but not limited to, torn upholstery that allows children to remove the interior padding, broken windows, holes in the floor or roof, or tire treads of less than 2/32 of an inch; (2) ensure that vehicles used to transport children comply with all applicable State and federal laws and regulations; (3) ensure that vehicles are insured for liability as required by State laws governing transportation of passengers pursuant to G.S. 20-279.21; (4) ensure that vehicles used to transport children in snowy, icy, and other hazardous weather conditions are equipped with snow tires, or chains; (5) have written permission from a parent to transport his or her child and notify the parent when and where the child is to be transported, and the name of the transportation provider. Parents may give standing permission, valid for up to 12 months, for transport of children to and from the home; (6) ensure that all children are transferred to an individual who is indicated on the child's application for enrollment as specified in Rule .1721(a)(3) of this Section or as authorized by the parent; (7) load and unload children from curbside or in a safe, off-street area, out of the flow of traffic, so that they are protected from all traffic hazards; (8) ensure that all children regardless of age or location in the vehicle shall be restrained with an individual seat belt or child safety seat appropriate to the child's age or weight in accordance with G.S. 20-135.2A located at http://www.buckleupnc.org/occupant-restraint-laws/seat-belt-law-summary/. Only one person shall occupy each seat belt or child safety seat; (9) be at least 21 years old, and have a valid driver's license of the type required under the North Carolina Motor Vehicle Law for the vehicle being driven, or comparable license from the state in which the driver resides, and no convictions of Driving While Impaired (DWI), or any other impaired driving offense, within the last three years; (10) ensure that each child is seated in a manufacturer's designated area. No child shall ride in the load carrying area or floor of a vehicle; (11) have a First Aid kit and fire extinguisher located in the vehicle used to transport children; (12) never leave children in a vehicle unattended by an adult; (13) have identifying information in the vehicle about each child being transported, including the child's name, photograph, emergency contact information, and a copy of the emergency medical care information form required by Rule .1721(a)(3) of this Section; and (14) have a functioning cellular telephone or other functioning two-way voice communication device with them for use in an emergency. The transportation provider shall not use cellular telephones or other functioning two-way communication devices except in the case of an emergency and only when the vehicle is parked in a safe location; and (15) conduct off-premise activities as follows: (a) before the operator walks children off premises for play or outings, the parent of each child shall give written permission for the child to participate in such activities; (b) parents may provide a written statement giving standing permission which may be valid for up to 12 months for participation in off premise activities that occur on a regular basis; and (c) each time the children are taken off premises, the operator shall take identifying information about each child including the child's name, photograph, emergency contact information, a copy of the emergency medical care information form required by 10A NCAC 09 .1721(a)(3) of this Section. 10A NCAC 09 .0605 OUTDOOR LEARNING ENVIRONMENT IN CHILD CARE CENTERS (g) Any openings in equipment, steps, decks, handrails, and fencing shall be smaller than 3 ½ inches or greater than 9 inches to prevent entrapment. 10A NCAC 09 .0302 APPLICATION FOR A LICENSE FOR A CHILD CARE CENTER (a) An application for a license for a child care center shall be submitted on the form provided by the Division, which may be found online at http://ncchildcare.ncdhhs.gov/PDF_forms/FacilityProfileApp.pdf. The application for a child care center license shall include the following information: (d) During the pre-licensing visit the applicant shall have the following available for review pursuant to 10A NCAC 09 .0304(g): (4) daily records of arrival and departure times at the center for each child which shall be maintained as children arrive and depart; 15A NCAC 18A .2803 HANDWASHING (a) Child care center employees shall wash their hands as follows when at work in a child care center: (1) upon reporting for work at the child care center: (2) before and after handling or preparing food; (3) before bottle feeding a child; (4) before providing food service; (5) before handling clean utensils; (6) after toileting or handling of body fluids, including but not limited to saliva, nasal secretions, vomitus, feces, urine, blood, secretions from sores, and pustulant discharge; (7) after diaper changing; (8) after handling soiled items that are not clean; (9) after being outdoors; (10) after handling animals or animal cages; and (11) after removing disposable gloves. (b) The use of a hand antiseptic does not replace the requirements for handwashing in Paragraph (a) of this Rule except that an employee who is supervising a child or children outdoors may use a hand antiseptic while outdoors in lieu of handwashing, provided that the employee's hands are washed in accordance with Paragraph (e) of this Rule when the employee returns indoors. Hand antiseptic shall not be used in lieu of handwashing when the employee's action that necessitates handwashing is diapering, food preparation, or food service. (c) Child care center employees shall ensure that children wash their hands as follows: (1) upon arrival at the child care center; (2) after each diaper change or visit to the toilet; (3) before eating meals or snacks; (4) before and after water play; (5) after being outdoors; and (6) after handling animals or animal cages. (d) Except when the action that necessitates handwashing is diapering and before eating meals or snacks, hand antiseptics may be used in lieu of handwashing while a child is outdoors, provided that the child's hands are washed when the child returns indoors. (e) Handwashing procedures shall include the following steps: (1) using liquid soap and tempered water; (2) rubbing hands vigorously with soap and tempered water for 15 seconds; (3) washing all surfaces of the hands, to include the backs of hands, palms, wrists, under fingernails, and between fingers; (4) rinsing the hands under tempered water for 10 seconds; (5) drying the hands with a paper towel or other hand-drying device; and (6) turning off faucet with a paper towel or other method without recontaminating hands. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (q) Plastic bags, toys, toy parts small enough to be swallowed, and materials that can be torn apart, such as foam rubber and styrofoam, shall not be accessible to children under three years of age. However, styrofoam plates and larger pieces of foam rubber may be used for supervised art activities and styrofoam plates may be used for food service. Jump ropes and rubber bands shall not be accessible to children under five years of age without adult supervision. Balloons shall be prohibited for children of all ages. • Please remove all foam blocks from classroom activity centers with teeth marks or small pieces missing. • I recommend activity plans for each classroom are current and posted. • I recommend all push pins be removed from the corkboard lining the wall of the classroom used for infants, to prevent a safety hazard. • Please ensure all required classroom postings are posted for review. • Please ensure all cribs for infants enrolled in a classroom are labeled with their names. • When an infant is placed on his/her back to sleep in a crib or approved sleeping apparatus, please always record the first position for the infant on the sleep log as “B” for “Back”, even if the infant immediately rolls over to his or her side or stomach. • Please record specific amounts of diaper cream or other non-prescription topical ointment to be administered on medication authorization forms. • Please record specific times to administer diaper cream or other non-prescription topical ointment, such as “when redness occurs”. • Please ensure all staff members know where required forms are located in the classrooms they serve. • Please ensure a cot list is posted in all classrooms. • You can access the Automated Background Check Management System (ABCMS) at the following link to print a copy of your most recent Criminal Background Check qualifying letter: https://ncabcms.nc.gov/DCDEE/Applicant/ • Please monitor the fencing surrounding the playground for developing rust. • You may access Health and Safety trainings through the following link on the Division website: https://www.dcdee.moodle.nc.gov/ Please choose the Services tab, DCDEE Moodle, Professional Development, Regulatory, and then the 2023 CCDF Health and Safety trainings. • Please also pressure wash outdoor equipment (climbing tunnel on Pre-K/SA playground) with developing mildew. • Please use the most recently updated forms from the Division website for children, staff, and program records; these can be accessed at the following website: https://ncchildcare.ncdhhs.gov/Provider/Provider-Documents-and-Forms • Please record all current completed Health and Safety trainings on the Health and Safety Training Log. • Please access the Risk Management Portal at the following website to update Emergency Preparedness and Response Plan: https://rmp.nc.gov/portal/portal.aspx# • Please review all children’s records to ensure that all forms have been fully completed, inclusive of a recorded date of enrollment (when applicable) and date signed by the parent/guardian. • The Child Care Health Consultant for Forsyth County is Keturah Oglesby at Smart Start of Forsyth County. Ms. Oglesby can be contacted at: keturaho@smartstart-fc.org. • Please ensure parents update infant feeding schedules as children get older. 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. Cara McKeown, Child Care Consultant (336) 408-4849 cara.mckeown@dhhs.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: Main Street Baptist Church Early Learning Center Facility ID: 3452208 Consultant: CARA MCKEOWN-STEWART Operation Type: Center Case Number: Visit Date: 9/12/2023 Number Present: 38 Completed Date: 9/12/2023 Age: From 0 To 5 Total Minutes: 490 Time In: 08:20 AM Time Out: 04:30 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 facility to monitor compliance with applicable childcare requirements. This visit was conducted by Cara McKeown-Stewart, Child Care Consultant with Aislinn Hardin, Lead Teacher. Director, Lakeshia Singletary, was not present during the visit today. Your program currently operates with a notice of compliance. The NC Secretary of State website was reviewed on 9/12/2023 and Main Street Baptist Church, Inc. was listed as current and active. The program’s compliance history was 100% 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. In Space 2, three outlets located on a power strip were observed without safety covers. Ms. Hardin covered each of these outlets with a safety cover during the visit. The facility has two playgrounds, one used for infants and toddlers, and the other for children of preschool and School Age. On the playground used by infants and toddlers, two holes were observed side-by-side along the PVC pipe located to the left of the gate entrance, presenting a potential tripping and safety hazard. A large, rusted spike was observed at the base of the rain gutter near the entrance to this playground. The bases of four metal roof supports were observed to be heavily rusted. A cracked area, sharp to the touch, was observed on a non-stationary slide/swing structure. On the playground used by children of preschool and School Age, four rusted chain latches were observed on the inside of the fencing. The latch to the shed was observed to be heavily rusted. Greater than three sections of fencing were observed to be heavily rusted. The base of a rain pipe was observed to be cracked and sharp to the touch, with wire mesh surrounding the base also observed to be sharp to the touch. The mulch measures between 1 and 4 inches in greater than 6 fall zones. The stationary structure was observed to have rust forming on the rails of the stairs. The landings of the large, stationary climbing structure were observed to be cracked in greater than three areas, each of which have metal exposed which was observed to be beginning to rust. Upon arrival, staff/child ratio and space capacity were monitored as indicated on the attached worksheet. In Space 2, one child enrolled was not signed in upon arrival. In Space 7, one child was not signed in upon arrival. Supervision was adequate during the visit. I observed positive interactions today. I observed children playing in activity centers, participating in general routines and eating lunch. I observed developmentally appropriate materials and activities were available to the children in the classrooms. The last annual compliance visit was conducted on 9/21/2022. A sanitation inspection was completed 4/06/2023 with a Superior classification. The last fire inspection was conducted 11/11/2022. Program records and required postings were monitored. A fire drill was conducted on 8/03/2023. A shelter in place drill was documented on 6/15/2023. An outdoor inspection was documented on 8/31/2023. The Ready to Go file was not available for review. All incident reports were not recorded on classroom incident logs. Staff files and children’s records were monitored per DCDEE procedures. Staff medical statements, proof of a tuberculosis test or screening, and completed health questionnaires were included in the personnel files of three staff members, but were not maintained separately from the staff members’ individual personnel files in the center in separate medical files. A signed and dated statement of receipt of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not observed on file for two children enrolled. The infant feeding plans for four children enrolled were not signed by a parent. The infant feeding plans for two children enrolled were not updated and dated. A record of Health and Safety Training was not observed on file for one existing staff member. A signed receipt of operational and personnel policies was not on file for two new staff members and one existing staff member. An annual signed review of the Emergency Preparedness and Response Plan was not on file for two new staff members and one existing staff member. An annual signed review of the Emergency Medical Care Plan was not on file for two new staff members and one existing staff member. An annual staff evaluation was not on file for one existing staff member. Storage of hazardous items was monitored today. In Space 2, a bottle of Fabuloso disinfecting cleanser, labeled Keep Out of Reach of Children with additional warnings, was observed on a counter less than five feet from the ground. Ms. Hardin placed this item into locked storage during the visit. Storage and administration of medication were monitored. Medication authorization was monitored. The program does not provide transportation; however, during a phone conversation during the visit with Ms. Singletary, Director, this morning, Ms. Singletary stated she is interested in using the church van to begin to provide transportation for children of Pre-K and School Age for field trips only. I stated Ms. Singletary should contact me once all requirements for transportation have been met. Once contacted by Ms. Singletary, I will schedule a visit for me to monitor requirements for transportation and to approve the facility to transport children. The following violations were cited during today’s visit: Violation Number Comment Rule 124 The center did not maintain records as required in rule, and/or were not made available to the Division for review. A signed and dated statement of receipt of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not observed on file for two children enrolled. The infant feeding plans for four children enrolled were not signed by a parent. The infant feeding plans for two children enrolled were not updated and dated. A record of Health and Safety Training was not observed on file for one existing staff member. A signed receipt of operational and personnel policies was not on file for two new staff members and one existing staff member. An annual signed review of the Emergency Preparedness and Response Plan was not on file for two new staff members and one existing staff member. An annual signed review of the Emergency Medical Care Plan was not on file for two new staff members and one existing staff member. An annual staff evaluation was not on file for one existing staff member. G.S. 110-91(9); .0304(g); .2318 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 2, one child enrolled was not signed in upon arrival. In Space 7, one child was not signed in upon arrival. 10A NCAC 09 .0302(d)(4) 807 A safe indoor and outdoor environment was not provided for the children. Ms. Hardin covered each of these outlets with a safety cover during the visit. On the playground used by infants and toddlers, two holes were observed side-by-side along the PVC pipe located to the left of the gate entrance, presenting a potential tripping and safety hazard. A large, rusted spike was observed at the base of the rain gutter near the entrance to this playground. The bases of four metal roof supports were observed to be heavily rusted. A cracked area, sharp to the touch, was observed on a non-stationary slide/swing structure. On the playground used by children of preschool and School Age, four rusted chain latches were observed on the inside of the fencing. The latch to the shed was observed to be heavily rusted. Greater than three sections of fencing were observed to be heavily rusted. The base of a rain pipe was observed to be cracked and sharp to the touch, with wire mesh surrounding the base also observed to be sharp to the touch. The stationary structure was observed to have rust forming on the rails of the stairs. The landings of the large, stationary climbing structure were observed to be cracked in greater than three areas, each of which have metal exposed which was observed to be beginning to rust. 10A NCAC 09 .0601(a) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. In Space 2, a bottle of Fabuloso disinfecting cleanser, labeled Keep Out of Reach of Children with additional warnings, was observed on a counter less than five feet from the ground. .2820(b) 853 Incident logs were not completed and maintained as required. All incident reports were not recorded on classroom incident logs. .0802(g)(1-6) 1823 The EPR Plan did not include the location of the Ready to Go File and or the required information. The Ready to Go file was not available for review. .0607(d)(10) 1867 The depth of the loose surfacing was not based on critical height of the equipment. The mulch measures between 1 and 4 inches in greater than 6 fall zones on the playground for preschoolers and children of School Age. .0605(k)(1-4) 1890 Each staff member did not have the required medical report, proof of tuberculosis test or screening and/or completed health questionnaire in a medical file, maintained separately from the staff member's individual personnel file. Staff medical statements, proof of a tuberculosis test or screening, and completed health questionnaires were included in the personnel files of three staff members, but were not maintained separately from the staff members’ individual personnel files in the center in separate medical files. .0701(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 9/26/2023. 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 cara.mckeown@dhhs.nc.gov or mail two copies of the letter to: Cara McKeown 353 Jonestown Road, Unit #146 Winston Salem, NC 27104 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 provided during today’s visit: • You must notify your consultant 30 days prior to changing the ownership status of your facility. The following Child Care Rules were thoroughly discussed with Ms. Hardin during the visit: 10A NCAC 09 .0607 EMERGENCY PREPAREDNESS AND RESPONSE IN CHILD CARE CENTERS (10) the location of a Ready to Go File. A Ready to Go File means a collection of information on children, staff and the facility, to utilize, if an evacuation occurs. The file shall include, a copy of the Emergency Preparedness and Response Plan, contact information for individuals to pick-up children, each child's Application for Child Care, medication authorizations and instructions, any action plans for children with special health care needs, a list of any known food allergies of children and staff, staff contact information, Incident Report forms, an area map, and emergency telephone numbers. 15A NCAC 18A .2820 STORAGE (b) Toxic substances, which include 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 shall be kept in the original container or in another labeled container, used according to the manufacturer's instructions, and stored in a locked storage room or cabinet when not in use. Locked storage rooms and cabinets shall include those which are unlocked with a combination lock, electronic or magnetic device, keypad, key, or equivalent locking device. Keys and electronic or magnetic unlocking devices shall be kept out of the reach of a child and shall not be stored in the lock. Toxic substances shall be stored below or separate from medications and food. Any other product that is labeled "keep out of reach of children" and does not have any other warnings on the label shall be kept inaccessible to children when not in use, but is not required to be kept in locked storage. For the purpose of Paragraphs (b), (c), and (d) of this Rule, a product shall be considered inaccessible to children when stored on a shelf or in an unlocked cabinet that is mounted a minimum vertical distance of five feet above the finished floor. 10A NCAC 09 .1715 OPERATIONAL POLICIES (a) Each operator shall have written operational policies that include at least the following information: (2) the age range of the children served; (7) a schedule of daily, weekly, and monthly cleaning duties; (10) a description of opportunities for parent participation. 10A NCAC 09 .0605 OUTDOOR LEARNING ENVIRONMENT IN CHILD CARE CENTERS (m) Exceptions to Paragraph (l) of this Rule are as follows: (3) Tot swings shall have protective surfacing that extends two times the length of the pivot point to the bottom of the swing seat. The surfacing shall be to the front and rear of the swing. Tot swings are defined as swings with enclosed seats. 10A NCAC 09 .1003 SAFE PROCEDURES (b) Each center shall establish procedures for pick-up and delivery of children to ensure children are protected from danger and not exposed to risk of harm. These procedures shall be communicated to parents, and a copy shall be posted in the center where they can be seen by the parents. 10A NCAC 09 .0302 APPLICATION FOR A LICENSE FOR A CHILD CARE CENTER During the pre-licensing visit the applicant shall have the following available for review pursuant to 10A NCAC 09 .0304(g): (5) records of monthly fire drills documenting the date and time of each drill, the length of time taken to evacuate the building, and the signature of the person who conducted the drill as required by NC Fire Code 405.5; A copy of the form may be found on the Division's website at http://ncchildcare.ncdhhs.gov/pdf_forms/EPR_EmergencyDrillLog_Centers.pdf; (8) records of lockdown or shelter-in-place drills as defined in 10A NCAC 09 .0102, giving the date each drill was held, the time of day, the length of time taken to get into designated locations and the signature of the person who conducted the drill. A copy of the form may be found on the Division's website at https://ncchildcare.ncdhhs.gov/pdf_forms/EPR_EmergencyDrillLog_Centers.pdf. 10A NCAC 09 .1005 OFF PREMISE ACTIVITIES IN CHILD CARE CENTERS (a) Off premise activities refer to any activity that takes place away from a child care center’s licensed and approved space. Licensed and approved space includes "primary space" as described in 10A NCAC 09 .1401(a), outdoor space as described in 10A NCAC 09 .1402, single use rooms, or other administrative areas. (b) When children participate in off premise activities the following shall apply: (1) Children under the age of three shall not participate in off premise activities that involve children being transported in a motor vehicle. (2) When children are transported in a motor vehicle for off premise activities, the provisions in Rule .1003(c) through (i) and (k) of this Chapter shall apply. (3) Before staff members walk children off premises for play or outings, the center shall obtain written permission from the parent of each child to be included in such activities. (4) Parents may provide a written statement giving standing permission which may be valid for up to 12 months for participation in off premise activities that occur on a regular basis. (5) The center shall post a schedule of off premise activities in each participating classroom where it can be viewed by parents, and a copy shall be given to parents. The schedule shall be current and shall include the: (A) location of the activity; (B) purpose of the activity; (C) time the activity will take place; (D) date of the activity; and (E) name of the person(s) to be contacted in the event of an emergency. (6) Each time that children are taken off the premises, staff shall take a list of the children participating in the activity with them. Staff members shall use this list to check attendance when leaving the center, periodically when the children are involved in the activity, before leaving the activity to return to the child care center, and upon return to the center. A list of all children participating in the off premise activity shall also be available at the center. (c) The provisions of Subparagraphs (b)(1) and (5) of this Rule shall be waived to implement any child's Individualized Family Service Plan (IFSP) or Individualized Education Program (IEP). 10A NCAC 09 .1723 TRANSPORTATION REQUIREMENTS To assure the safety of children whenever they are transported, the operator, or any other transportation provider, shall: (1) ensure that vehicles used to transport children are free of hazards such as but not limited to, torn upholstery that allows children to remove the interior padding, broken windows, holes in the floor or roof, or tire treads of less than 2/32 of an inch; (2) ensure that vehicles used to transport children comply with all applicable State and federal laws and regulations; (3) ensure that vehicles are insured for liability as required by State laws governing transportation of passengers pursuant to G.S. 20-279.21; (4) ensure that vehicles used to transport children in snowy, icy, and other hazardous weather conditions are equipped with snow tires, or chains; (5) have written permission from a parent to transport his or her child and notify the parent when and where the child is to be transported, and the name of the transportation provider. Parents may give standing permission, valid for up to 12 months, for transport of children to and from the home; (6) ensure that all children are transferred to an individual who is indicated on the child's application for enrollment as specified in Rule .1721(a)(3) of this Section or as authorized by the parent; (7) load and unload children from curbside or in a safe, off-street area, out of the flow of traffic, so that they are protected from all traffic hazards; (8) ensure that all children regardless of age or location in the vehicle shall be restrained with an individual seat belt or child safety seat appropriate to the child's age or weight in accordance with G.S. 20-135.2A located at http://www.buckleupnc.org/occupant-restraint-laws/seat-belt-law-summary/. Only one person shall occupy each seat belt or child safety seat; (9) be at least 21 years old, and have a valid driver's license of the type required under the North Carolina Motor Vehicle Law for the vehicle being driven, or comparable license from the state in which the driver resides, and no convictions of Driving While Impaired (DWI), or any other impaired driving offense, within the last three years; (10) ensure that each child is seated in a manufacturer's designated area. No child shall ride in the load carrying area or floor of a vehicle; (11) have a First Aid kit and fire extinguisher located in the vehicle used to transport children; (12) never leave children in a vehicle unattended by an adult; (13) have identifying information in the vehicle about each child being transported, including the child's name, photograph, emergency contact information, and a copy of the emergency medical care information form required by Rule .1721(a)(3) of this Section; and (14) have a functioning cellular telephone or other functioning two-way voice communication device with them for use in an emergency. The transportation provider shall not use cellular telephones or other functioning two-way communication devices except in the case of an emergency and only when the vehicle is parked in a safe location; and (15) conduct off-premise activities as follows: (a) before the operator walks children off premises for play or outings, the parent of each child shall give written permission for the child to participate in such activities; (b) parents may provide a written statement giving standing permission which may be valid for up to 12 months for participation in off premise activities that occur on a regular basis; and (c) each time the children are taken off premises, the operator shall take identifying information about each child including the child's name, photograph, emergency contact information, a copy of the emergency medical care information form required by 10A NCAC 09 .1721(a)(3) of this Section. 10A NCAC 09 .0605 OUTDOOR LEARNING ENVIRONMENT IN CHILD CARE CENTERS (g) Any openings in equipment, steps, decks, handrails, and fencing shall be smaller than 3 ½ inches or greater than 9 inches to prevent entrapment. 10A NCAC 09 .0302 APPLICATION FOR A LICENSE FOR A CHILD CARE CENTER (a) An application for a license for a child care center shall be submitted on the form provided by the Division, which may be found online at http://ncchildcare.ncdhhs.gov/PDF_forms/FacilityProfileApp.pdf. The application for a child care center license shall include the following information: (d) During the pre-licensing visit the applicant shall have the following available for review pursuant to 10A NCAC 09 .0304(g): (4) daily records of arrival and departure times at the center for each child which shall be maintained as children arrive and depart; 15A NCAC 18A .2803 HANDWASHING (a) Child care center employees shall wash their hands as follows when at work in a child care center: (1) upon reporting for work at the child care center: (2) before and after handling or preparing food; (3) before bottle feeding a child; (4) before providing food service; (5) before handling clean utensils; (6) after toileting or handling of body fluids, including but not limited to saliva, nasal secretions, vomitus, feces, urine, blood, secretions from sores, and pustulant discharge; (7) after diaper changing; (8) after handling soiled items that are not clean; (9) after being outdoors; (10) after handling animals or animal cages; and (11) after removing disposable gloves. (b) The use of a hand antiseptic does not replace the requirements for handwashing in Paragraph (a) of this Rule except that an employee who is supervising a child or children outdoors may use a hand antiseptic while outdoors in lieu of handwashing, provided that the employee's hands are washed in accordance with Paragraph (e) of this Rule when the employee returns indoors. Hand antiseptic shall not be used in lieu of handwashing when the employee's action that necessitates handwashing is diapering, food preparation, or food service. (c) Child care center employees shall ensure that children wash their hands as follows: (1) upon arrival at the child care center; (2) after each diaper change or visit to the toilet; (3) before eating meals or snacks; (4) before and after water play; (5) after being outdoors; and (6) after handling animals or animal cages. (d) Except when the action that necessitates handwashing is diapering and before eating meals or snacks, hand antiseptics may be used in lieu of handwashing while a child is outdoors, provided that the child's hands are washed when the child returns indoors. (e) Handwashing procedures shall include the following steps: (1) using liquid soap and tempered water; (2) rubbing hands vigorously with soap and tempered water for 15 seconds; (3) washing all surfaces of the hands, to include the backs of hands, palms, wrists, under fingernails, and between fingers; (4) rinsing the hands under tempered water for 10 seconds; (5) drying the hands with a paper towel or other hand-drying device; and (6) turning off faucet with a paper towel or other method without recontaminating hands. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (q) Plastic bags, toys, toy parts small enough to be swallowed, and materials that can be torn apart, such as foam rubber and styrofoam, shall not be accessible to children under three years of age. However, styrofoam plates and larger pieces of foam rubber may be used for supervised art activities and styrofoam plates may be used for food service. Jump ropes and rubber bands shall not be accessible to children under five years of age without adult supervision. Balloons shall be prohibited for children of all ages. • Please remove all foam blocks from classroom activity centers with teeth marks or small pieces missing. • I recommend activity plans for each classroom are current and posted. • I recommend all push pins be removed from the corkboard lining the wall of the classroom used for infants, to prevent a safety hazard. • Please ensure all required classroom postings are posted for review. • Please ensure all cribs for infants enrolled in a classroom are labeled with their names. • When an infant is placed on his/her back to sleep in a crib or approved sleeping apparatus, please always record the first position for the infant on the sleep log as “B” for “Back”, even if the infant immediately rolls over to his or her side or stomach. • Please record specific amounts of diaper cream or other non-prescription topical ointment to be administered on medication authorization forms. • Please record specific times to administer diaper cream or other non-prescription topical ointment, such as “when redness occurs”. • Please ensure all staff members know where required forms are located in the classrooms they serve. • Please ensure a cot list is posted in all classrooms. • You can access the Automated Background Check Management System (ABCMS) at the following link to print a copy of your most recent Criminal Background Check qualifying letter: https://ncabcms.nc.gov/DCDEE/Applicant/ • Please monitor the fencing surrounding the playground for developing rust. • You may access Health and Safety trainings through the following link on the Division website: https://www.dcdee.moodle.nc.gov/ Please choose the Services tab, DCDEE Moodle, Professional Development, Regulatory, and then the 2023 CCDF Health and Safety trainings. • Please also pressure wash outdoor equipment (climbing tunnel on Pre-K/SA playground) with developing mildew. • Please use the most recently updated forms from the Division website for children, staff, and program records; these can be accessed at the following website: https://ncchildcare.ncdhhs.gov/Provider/Provider-Documents-and-Forms • Please record all current completed Health and Safety trainings on the Health and Safety Training Log. • Please access the Risk Management Portal at the following website to update Emergency Preparedness and Response Plan: https://rmp.nc.gov/portal/portal.aspx# • Please review all children’s records to ensure that all forms have been fully completed, inclusive of a recorded date of enrollment (when applicable) and date signed by the parent/guardian. • The Child Care Health Consultant for Forsyth County is Keturah Oglesby at Smart Start of Forsyth County. Ms. Oglesby can be contacted at: keturaho@smartstart-fc.org. • Please ensure parents update infant feeding schedules as children get older. 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. Cara McKeown, Child Care Consultant (336) 408-4849 cara.mckeown@dhhs.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 .0304 · Violation

Name of Operation: Main Street Baptist Church Early Learning Center Facility ID: 3452208 Consultant: CARA MCKEOWN-STEWART Operation Type: Center Case Number: Visit Date: 9/12/2023 Number Present: 38 Completed Date: 9/12/2023 Age: From 0 To 5 Total Minutes: 490 Time In: 08:20 AM Time Out: 04:30 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 facility to monitor compliance with applicable childcare requirements. This visit was conducted by Cara McKeown-Stewart, Child Care Consultant with Aislinn Hardin, Lead Teacher. Director, Lakeshia Singletary, was not present during the visit today. Your program currently operates with a notice of compliance. The NC Secretary of State website was reviewed on 9/12/2023 and Main Street Baptist Church, Inc. was listed as current and active. The program’s compliance history was 100% 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. In Space 2, three outlets located on a power strip were observed without safety covers. Ms. Hardin covered each of these outlets with a safety cover during the visit. The facility has two playgrounds, one used for infants and toddlers, and the other for children of preschool and School Age. On the playground used by infants and toddlers, two holes were observed side-by-side along the PVC pipe located to the left of the gate entrance, presenting a potential tripping and safety hazard. A large, rusted spike was observed at the base of the rain gutter near the entrance to this playground. The bases of four metal roof supports were observed to be heavily rusted. A cracked area, sharp to the touch, was observed on a non-stationary slide/swing structure. On the playground used by children of preschool and School Age, four rusted chain latches were observed on the inside of the fencing. The latch to the shed was observed to be heavily rusted. Greater than three sections of fencing were observed to be heavily rusted. The base of a rain pipe was observed to be cracked and sharp to the touch, with wire mesh surrounding the base also observed to be sharp to the touch. The mulch measures between 1 and 4 inches in greater than 6 fall zones. The stationary structure was observed to have rust forming on the rails of the stairs. The landings of the large, stationary climbing structure were observed to be cracked in greater than three areas, each of which have metal exposed which was observed to be beginning to rust. Upon arrival, staff/child ratio and space capacity were monitored as indicated on the attached worksheet. In Space 2, one child enrolled was not signed in upon arrival. In Space 7, one child was not signed in upon arrival. Supervision was adequate during the visit. I observed positive interactions today. I observed children playing in activity centers, participating in general routines and eating lunch. I observed developmentally appropriate materials and activities were available to the children in the classrooms. The last annual compliance visit was conducted on 9/21/2022. A sanitation inspection was completed 4/06/2023 with a Superior classification. The last fire inspection was conducted 11/11/2022. Program records and required postings were monitored. A fire drill was conducted on 8/03/2023. A shelter in place drill was documented on 6/15/2023. An outdoor inspection was documented on 8/31/2023. The Ready to Go file was not available for review. All incident reports were not recorded on classroom incident logs. Staff files and children’s records were monitored per DCDEE procedures. Staff medical statements, proof of a tuberculosis test or screening, and completed health questionnaires were included in the personnel files of three staff members, but were not maintained separately from the staff members’ individual personnel files in the center in separate medical files. A signed and dated statement of receipt of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not observed on file for two children enrolled. The infant feeding plans for four children enrolled were not signed by a parent. The infant feeding plans for two children enrolled were not updated and dated. A record of Health and Safety Training was not observed on file for one existing staff member. A signed receipt of operational and personnel policies was not on file for two new staff members and one existing staff member. An annual signed review of the Emergency Preparedness and Response Plan was not on file for two new staff members and one existing staff member. An annual signed review of the Emergency Medical Care Plan was not on file for two new staff members and one existing staff member. An annual staff evaluation was not on file for one existing staff member. Storage of hazardous items was monitored today. In Space 2, a bottle of Fabuloso disinfecting cleanser, labeled Keep Out of Reach of Children with additional warnings, was observed on a counter less than five feet from the ground. Ms. Hardin placed this item into locked storage during the visit. Storage and administration of medication were monitored. Medication authorization was monitored. The program does not provide transportation; however, during a phone conversation during the visit with Ms. Singletary, Director, this morning, Ms. Singletary stated she is interested in using the church van to begin to provide transportation for children of Pre-K and School Age for field trips only. I stated Ms. Singletary should contact me once all requirements for transportation have been met. Once contacted by Ms. Singletary, I will schedule a visit for me to monitor requirements for transportation and to approve the facility to transport children. The following violations were cited during today’s visit: Violation Number Comment Rule 124 The center did not maintain records as required in rule, and/or were not made available to the Division for review. A signed and dated statement of receipt of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not observed on file for two children enrolled. The infant feeding plans for four children enrolled were not signed by a parent. The infant feeding plans for two children enrolled were not updated and dated. A record of Health and Safety Training was not observed on file for one existing staff member. A signed receipt of operational and personnel policies was not on file for two new staff members and one existing staff member. An annual signed review of the Emergency Preparedness and Response Plan was not on file for two new staff members and one existing staff member. An annual signed review of the Emergency Medical Care Plan was not on file for two new staff members and one existing staff member. An annual staff evaluation was not on file for one existing staff member. G.S. 110-91(9); .0304(g); .2318 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 2, one child enrolled was not signed in upon arrival. In Space 7, one child was not signed in upon arrival. 10A NCAC 09 .0302(d)(4) 807 A safe indoor and outdoor environment was not provided for the children. Ms. Hardin covered each of these outlets with a safety cover during the visit. On the playground used by infants and toddlers, two holes were observed side-by-side along the PVC pipe located to the left of the gate entrance, presenting a potential tripping and safety hazard. A large, rusted spike was observed at the base of the rain gutter near the entrance to this playground. The bases of four metal roof supports were observed to be heavily rusted. A cracked area, sharp to the touch, was observed on a non-stationary slide/swing structure. On the playground used by children of preschool and School Age, four rusted chain latches were observed on the inside of the fencing. The latch to the shed was observed to be heavily rusted. Greater than three sections of fencing were observed to be heavily rusted. The base of a rain pipe was observed to be cracked and sharp to the touch, with wire mesh surrounding the base also observed to be sharp to the touch. The stationary structure was observed to have rust forming on the rails of the stairs. The landings of the large, stationary climbing structure were observed to be cracked in greater than three areas, each of which have metal exposed which was observed to be beginning to rust. 10A NCAC 09 .0601(a) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. In Space 2, a bottle of Fabuloso disinfecting cleanser, labeled Keep Out of Reach of Children with additional warnings, was observed on a counter less than five feet from the ground. .2820(b) 853 Incident logs were not completed and maintained as required. All incident reports were not recorded on classroom incident logs. .0802(g)(1-6) 1823 The EPR Plan did not include the location of the Ready to Go File and or the required information. The Ready to Go file was not available for review. .0607(d)(10) 1867 The depth of the loose surfacing was not based on critical height of the equipment. The mulch measures between 1 and 4 inches in greater than 6 fall zones on the playground for preschoolers and children of School Age. .0605(k)(1-4) 1890 Each staff member did not have the required medical report, proof of tuberculosis test or screening and/or completed health questionnaire in a medical file, maintained separately from the staff member's individual personnel file. Staff medical statements, proof of a tuberculosis test or screening, and completed health questionnaires were included in the personnel files of three staff members, but were not maintained separately from the staff members’ individual personnel files in the center in separate medical files. .0701(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 9/26/2023. 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 cara.mckeown@dhhs.nc.gov or mail two copies of the letter to: Cara McKeown 353 Jonestown Road, Unit #146 Winston Salem, NC 27104 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 provided during today’s visit: • You must notify your consultant 30 days prior to changing the ownership status of your facility. The following Child Care Rules were thoroughly discussed with Ms. Hardin during the visit: 10A NCAC 09 .0607 EMERGENCY PREPAREDNESS AND RESPONSE IN CHILD CARE CENTERS (10) the location of a Ready to Go File. A Ready to Go File means a collection of information on children, staff and the facility, to utilize, if an evacuation occurs. The file shall include, a copy of the Emergency Preparedness and Response Plan, contact information for individuals to pick-up children, each child's Application for Child Care, medication authorizations and instructions, any action plans for children with special health care needs, a list of any known food allergies of children and staff, staff contact information, Incident Report forms, an area map, and emergency telephone numbers. 15A NCAC 18A .2820 STORAGE (b) Toxic substances, which include 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 shall be kept in the original container or in another labeled container, used according to the manufacturer's instructions, and stored in a locked storage room or cabinet when not in use. Locked storage rooms and cabinets shall include those which are unlocked with a combination lock, electronic or magnetic device, keypad, key, or equivalent locking device. Keys and electronic or magnetic unlocking devices shall be kept out of the reach of a child and shall not be stored in the lock. Toxic substances shall be stored below or separate from medications and food. Any other product that is labeled "keep out of reach of children" and does not have any other warnings on the label shall be kept inaccessible to children when not in use, but is not required to be kept in locked storage. For the purpose of Paragraphs (b), (c), and (d) of this Rule, a product shall be considered inaccessible to children when stored on a shelf or in an unlocked cabinet that is mounted a minimum vertical distance of five feet above the finished floor. 10A NCAC 09 .1715 OPERATIONAL POLICIES (a) Each operator shall have written operational policies that include at least the following information: (2) the age range of the children served; (7) a schedule of daily, weekly, and monthly cleaning duties; (10) a description of opportunities for parent participation. 10A NCAC 09 .0605 OUTDOOR LEARNING ENVIRONMENT IN CHILD CARE CENTERS (m) Exceptions to Paragraph (l) of this Rule are as follows: (3) Tot swings shall have protective surfacing that extends two times the length of the pivot point to the bottom of the swing seat. The surfacing shall be to the front and rear of the swing. Tot swings are defined as swings with enclosed seats. 10A NCAC 09 .1003 SAFE PROCEDURES (b) Each center shall establish procedures for pick-up and delivery of children to ensure children are protected from danger and not exposed to risk of harm. These procedures shall be communicated to parents, and a copy shall be posted in the center where they can be seen by the parents. 10A NCAC 09 .0302 APPLICATION FOR A LICENSE FOR A CHILD CARE CENTER During the pre-licensing visit the applicant shall have the following available for review pursuant to 10A NCAC 09 .0304(g): (5) records of monthly fire drills documenting the date and time of each drill, the length of time taken to evacuate the building, and the signature of the person who conducted the drill as required by NC Fire Code 405.5; A copy of the form may be found on the Division's website at http://ncchildcare.ncdhhs.gov/pdf_forms/EPR_EmergencyDrillLog_Centers.pdf; (8) records of lockdown or shelter-in-place drills as defined in 10A NCAC 09 .0102, giving the date each drill was held, the time of day, the length of time taken to get into designated locations and the signature of the person who conducted the drill. A copy of the form may be found on the Division's website at https://ncchildcare.ncdhhs.gov/pdf_forms/EPR_EmergencyDrillLog_Centers.pdf. 10A NCAC 09 .1005 OFF PREMISE ACTIVITIES IN CHILD CARE CENTERS (a) Off premise activities refer to any activity that takes place away from a child care center’s licensed and approved space. Licensed and approved space includes "primary space" as described in 10A NCAC 09 .1401(a), outdoor space as described in 10A NCAC 09 .1402, single use rooms, or other administrative areas. (b) When children participate in off premise activities the following shall apply: (1) Children under the age of three shall not participate in off premise activities that involve children being transported in a motor vehicle. (2) When children are transported in a motor vehicle for off premise activities, the provisions in Rule .1003(c) through (i) and (k) of this Chapter shall apply. (3) Before staff members walk children off premises for play or outings, the center shall obtain written permission from the parent of each child to be included in such activities. (4) Parents may provide a written statement giving standing permission which may be valid for up to 12 months for participation in off premise activities that occur on a regular basis. (5) The center shall post a schedule of off premise activities in each participating classroom where it can be viewed by parents, and a copy shall be given to parents. The schedule shall be current and shall include the: (A) location of the activity; (B) purpose of the activity; (C) time the activity will take place; (D) date of the activity; and (E) name of the person(s) to be contacted in the event of an emergency. (6) Each time that children are taken off the premises, staff shall take a list of the children participating in the activity with them. Staff members shall use this list to check attendance when leaving the center, periodically when the children are involved in the activity, before leaving the activity to return to the child care center, and upon return to the center. A list of all children participating in the off premise activity shall also be available at the center. (c) The provisions of Subparagraphs (b)(1) and (5) of this Rule shall be waived to implement any child's Individualized Family Service Plan (IFSP) or Individualized Education Program (IEP). 10A NCAC 09 .1723 TRANSPORTATION REQUIREMENTS To assure the safety of children whenever they are transported, the operator, or any other transportation provider, shall: (1) ensure that vehicles used to transport children are free of hazards such as but not limited to, torn upholstery that allows children to remove the interior padding, broken windows, holes in the floor or roof, or tire treads of less than 2/32 of an inch; (2) ensure that vehicles used to transport children comply with all applicable State and federal laws and regulations; (3) ensure that vehicles are insured for liability as required by State laws governing transportation of passengers pursuant to G.S. 20-279.21; (4) ensure that vehicles used to transport children in snowy, icy, and other hazardous weather conditions are equipped with snow tires, or chains; (5) have written permission from a parent to transport his or her child and notify the parent when and where the child is to be transported, and the name of the transportation provider. Parents may give standing permission, valid for up to 12 months, for transport of children to and from the home; (6) ensure that all children are transferred to an individual who is indicated on the child's application for enrollment as specified in Rule .1721(a)(3) of this Section or as authorized by the parent; (7) load and unload children from curbside or in a safe, off-street area, out of the flow of traffic, so that they are protected from all traffic hazards; (8) ensure that all children regardless of age or location in the vehicle shall be restrained with an individual seat belt or child safety seat appropriate to the child's age or weight in accordance with G.S. 20-135.2A located at http://www.buckleupnc.org/occupant-restraint-laws/seat-belt-law-summary/. Only one person shall occupy each seat belt or child safety seat; (9) be at least 21 years old, and have a valid driver's license of the type required under the North Carolina Motor Vehicle Law for the vehicle being driven, or comparable license from the state in which the driver resides, and no convictions of Driving While Impaired (DWI), or any other impaired driving offense, within the last three years; (10) ensure that each child is seated in a manufacturer's designated area. No child shall ride in the load carrying area or floor of a vehicle; (11) have a First Aid kit and fire extinguisher located in the vehicle used to transport children; (12) never leave children in a vehicle unattended by an adult; (13) have identifying information in the vehicle about each child being transported, including the child's name, photograph, emergency contact information, and a copy of the emergency medical care information form required by Rule .1721(a)(3) of this Section; and (14) have a functioning cellular telephone or other functioning two-way voice communication device with them for use in an emergency. The transportation provider shall not use cellular telephones or other functioning two-way communication devices except in the case of an emergency and only when the vehicle is parked in a safe location; and (15) conduct off-premise activities as follows: (a) before the operator walks children off premises for play or outings, the parent of each child shall give written permission for the child to participate in such activities; (b) parents may provide a written statement giving standing permission which may be valid for up to 12 months for participation in off premise activities that occur on a regular basis; and (c) each time the children are taken off premises, the operator shall take identifying information about each child including the child's name, photograph, emergency contact information, a copy of the emergency medical care information form required by 10A NCAC 09 .1721(a)(3) of this Section. 10A NCAC 09 .0605 OUTDOOR LEARNING ENVIRONMENT IN CHILD CARE CENTERS (g) Any openings in equipment, steps, decks, handrails, and fencing shall be smaller than 3 ½ inches or greater than 9 inches to prevent entrapment. 10A NCAC 09 .0302 APPLICATION FOR A LICENSE FOR A CHILD CARE CENTER (a) An application for a license for a child care center shall be submitted on the form provided by the Division, which may be found online at http://ncchildcare.ncdhhs.gov/PDF_forms/FacilityProfileApp.pdf. The application for a child care center license shall include the following information: (d) During the pre-licensing visit the applicant shall have the following available for review pursuant to 10A NCAC 09 .0304(g): (4) daily records of arrival and departure times at the center for each child which shall be maintained as children arrive and depart; 15A NCAC 18A .2803 HANDWASHING (a) Child care center employees shall wash their hands as follows when at work in a child care center: (1) upon reporting for work at the child care center: (2) before and after handling or preparing food; (3) before bottle feeding a child; (4) before providing food service; (5) before handling clean utensils; (6) after toileting or handling of body fluids, including but not limited to saliva, nasal secretions, vomitus, feces, urine, blood, secretions from sores, and pustulant discharge; (7) after diaper changing; (8) after handling soiled items that are not clean; (9) after being outdoors; (10) after handling animals or animal cages; and (11) after removing disposable gloves. (b) The use of a hand antiseptic does not replace the requirements for handwashing in Paragraph (a) of this Rule except that an employee who is supervising a child or children outdoors may use a hand antiseptic while outdoors in lieu of handwashing, provided that the employee's hands are washed in accordance with Paragraph (e) of this Rule when the employee returns indoors. Hand antiseptic shall not be used in lieu of handwashing when the employee's action that necessitates handwashing is diapering, food preparation, or food service. (c) Child care center employees shall ensure that children wash their hands as follows: (1) upon arrival at the child care center; (2) after each diaper change or visit to the toilet; (3) before eating meals or snacks; (4) before and after water play; (5) after being outdoors; and (6) after handling animals or animal cages. (d) Except when the action that necessitates handwashing is diapering and before eating meals or snacks, hand antiseptics may be used in lieu of handwashing while a child is outdoors, provided that the child's hands are washed when the child returns indoors. (e) Handwashing procedures shall include the following steps: (1) using liquid soap and tempered water; (2) rubbing hands vigorously with soap and tempered water for 15 seconds; (3) washing all surfaces of the hands, to include the backs of hands, palms, wrists, under fingernails, and between fingers; (4) rinsing the hands under tempered water for 10 seconds; (5) drying the hands with a paper towel or other hand-drying device; and (6) turning off faucet with a paper towel or other method without recontaminating hands. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (q) Plastic bags, toys, toy parts small enough to be swallowed, and materials that can be torn apart, such as foam rubber and styrofoam, shall not be accessible to children under three years of age. However, styrofoam plates and larger pieces of foam rubber may be used for supervised art activities and styrofoam plates may be used for food service. Jump ropes and rubber bands shall not be accessible to children under five years of age without adult supervision. Balloons shall be prohibited for children of all ages. • Please remove all foam blocks from classroom activity centers with teeth marks or small pieces missing. • I recommend activity plans for each classroom are current and posted. • I recommend all push pins be removed from the corkboard lining the wall of the classroom used for infants, to prevent a safety hazard. • Please ensure all required classroom postings are posted for review. • Please ensure all cribs for infants enrolled in a classroom are labeled with their names. • When an infant is placed on his/her back to sleep in a crib or approved sleeping apparatus, please always record the first position for the infant on the sleep log as “B” for “Back”, even if the infant immediately rolls over to his or her side or stomach. • Please record specific amounts of diaper cream or other non-prescription topical ointment to be administered on medication authorization forms. • Please record specific times to administer diaper cream or other non-prescription topical ointment, such as “when redness occurs”. • Please ensure all staff members know where required forms are located in the classrooms they serve. • Please ensure a cot list is posted in all classrooms. • You can access the Automated Background Check Management System (ABCMS) at the following link to print a copy of your most recent Criminal Background Check qualifying letter: https://ncabcms.nc.gov/DCDEE/Applicant/ • Please monitor the fencing surrounding the playground for developing rust. • You may access Health and Safety trainings through the following link on the Division website: https://www.dcdee.moodle.nc.gov/ Please choose the Services tab, DCDEE Moodle, Professional Development, Regulatory, and then the 2023 CCDF Health and Safety trainings. • Please also pressure wash outdoor equipment (climbing tunnel on Pre-K/SA playground) with developing mildew. • Please use the most recently updated forms from the Division website for children, staff, and program records; these can be accessed at the following website: https://ncchildcare.ncdhhs.gov/Provider/Provider-Documents-and-Forms • Please record all current completed Health and Safety trainings on the Health and Safety Training Log. • Please access the Risk Management Portal at the following website to update Emergency Preparedness and Response Plan: https://rmp.nc.gov/portal/portal.aspx# • Please review all children’s records to ensure that all forms have been fully completed, inclusive of a recorded date of enrollment (when applicable) and date signed by the parent/guardian. • The Child Care Health Consultant for Forsyth County is Keturah Oglesby at Smart Start of Forsyth County. Ms. Oglesby can be contacted at: keturaho@smartstart-fc.org. • Please ensure parents update infant feeding schedules as children get older. 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. Cara McKeown, Child Care Consultant (336) 408-4849 cara.mckeown@dhhs.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: Main Street Baptist Church Early Learning Center Facility ID: 3452208 Consultant: CARA MCKEOWN-STEWART Operation Type: Center Case Number: Visit Date: 9/12/2023 Number Present: 38 Completed Date: 9/12/2023 Age: From 0 To 5 Total Minutes: 490 Time In: 08:20 AM Time Out: 04:30 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 facility to monitor compliance with applicable childcare requirements. This visit was conducted by Cara McKeown-Stewart, Child Care Consultant with Aislinn Hardin, Lead Teacher. Director, Lakeshia Singletary, was not present during the visit today. Your program currently operates with a notice of compliance. The NC Secretary of State website was reviewed on 9/12/2023 and Main Street Baptist Church, Inc. was listed as current and active. The program’s compliance history was 100% 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. In Space 2, three outlets located on a power strip were observed without safety covers. Ms. Hardin covered each of these outlets with a safety cover during the visit. The facility has two playgrounds, one used for infants and toddlers, and the other for children of preschool and School Age. On the playground used by infants and toddlers, two holes were observed side-by-side along the PVC pipe located to the left of the gate entrance, presenting a potential tripping and safety hazard. A large, rusted spike was observed at the base of the rain gutter near the entrance to this playground. The bases of four metal roof supports were observed to be heavily rusted. A cracked area, sharp to the touch, was observed on a non-stationary slide/swing structure. On the playground used by children of preschool and School Age, four rusted chain latches were observed on the inside of the fencing. The latch to the shed was observed to be heavily rusted. Greater than three sections of fencing were observed to be heavily rusted. The base of a rain pipe was observed to be cracked and sharp to the touch, with wire mesh surrounding the base also observed to be sharp to the touch. The mulch measures between 1 and 4 inches in greater than 6 fall zones. The stationary structure was observed to have rust forming on the rails of the stairs. The landings of the large, stationary climbing structure were observed to be cracked in greater than three areas, each of which have metal exposed which was observed to be beginning to rust. Upon arrival, staff/child ratio and space capacity were monitored as indicated on the attached worksheet. In Space 2, one child enrolled was not signed in upon arrival. In Space 7, one child was not signed in upon arrival. Supervision was adequate during the visit. I observed positive interactions today. I observed children playing in activity centers, participating in general routines and eating lunch. I observed developmentally appropriate materials and activities were available to the children in the classrooms. The last annual compliance visit was conducted on 9/21/2022. A sanitation inspection was completed 4/06/2023 with a Superior classification. The last fire inspection was conducted 11/11/2022. Program records and required postings were monitored. A fire drill was conducted on 8/03/2023. A shelter in place drill was documented on 6/15/2023. An outdoor inspection was documented on 8/31/2023. The Ready to Go file was not available for review. All incident reports were not recorded on classroom incident logs. Staff files and children’s records were monitored per DCDEE procedures. Staff medical statements, proof of a tuberculosis test or screening, and completed health questionnaires were included in the personnel files of three staff members, but were not maintained separately from the staff members’ individual personnel files in the center in separate medical files. A signed and dated statement of receipt of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not observed on file for two children enrolled. The infant feeding plans for four children enrolled were not signed by a parent. The infant feeding plans for two children enrolled were not updated and dated. A record of Health and Safety Training was not observed on file for one existing staff member. A signed receipt of operational and personnel policies was not on file for two new staff members and one existing staff member. An annual signed review of the Emergency Preparedness and Response Plan was not on file for two new staff members and one existing staff member. An annual signed review of the Emergency Medical Care Plan was not on file for two new staff members and one existing staff member. An annual staff evaluation was not on file for one existing staff member. Storage of hazardous items was monitored today. In Space 2, a bottle of Fabuloso disinfecting cleanser, labeled Keep Out of Reach of Children with additional warnings, was observed on a counter less than five feet from the ground. Ms. Hardin placed this item into locked storage during the visit. Storage and administration of medication were monitored. Medication authorization was monitored. The program does not provide transportation; however, during a phone conversation during the visit with Ms. Singletary, Director, this morning, Ms. Singletary stated she is interested in using the church van to begin to provide transportation for children of Pre-K and School Age for field trips only. I stated Ms. Singletary should contact me once all requirements for transportation have been met. Once contacted by Ms. Singletary, I will schedule a visit for me to monitor requirements for transportation and to approve the facility to transport children. The following violations were cited during today’s visit: Violation Number Comment Rule 124 The center did not maintain records as required in rule, and/or were not made available to the Division for review. A signed and dated statement of receipt of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not observed on file for two children enrolled. The infant feeding plans for four children enrolled were not signed by a parent. The infant feeding plans for two children enrolled were not updated and dated. A record of Health and Safety Training was not observed on file for one existing staff member. A signed receipt of operational and personnel policies was not on file for two new staff members and one existing staff member. An annual signed review of the Emergency Preparedness and Response Plan was not on file for two new staff members and one existing staff member. An annual signed review of the Emergency Medical Care Plan was not on file for two new staff members and one existing staff member. An annual staff evaluation was not on file for one existing staff member. G.S. 110-91(9); .0304(g); .2318 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 2, one child enrolled was not signed in upon arrival. In Space 7, one child was not signed in upon arrival. 10A NCAC 09 .0302(d)(4) 807 A safe indoor and outdoor environment was not provided for the children. Ms. Hardin covered each of these outlets with a safety cover during the visit. On the playground used by infants and toddlers, two holes were observed side-by-side along the PVC pipe located to the left of the gate entrance, presenting a potential tripping and safety hazard. A large, rusted spike was observed at the base of the rain gutter near the entrance to this playground. The bases of four metal roof supports were observed to be heavily rusted. A cracked area, sharp to the touch, was observed on a non-stationary slide/swing structure. On the playground used by children of preschool and School Age, four rusted chain latches were observed on the inside of the fencing. The latch to the shed was observed to be heavily rusted. Greater than three sections of fencing were observed to be heavily rusted. The base of a rain pipe was observed to be cracked and sharp to the touch, with wire mesh surrounding the base also observed to be sharp to the touch. The stationary structure was observed to have rust forming on the rails of the stairs. The landings of the large, stationary climbing structure were observed to be cracked in greater than three areas, each of which have metal exposed which was observed to be beginning to rust. 10A NCAC 09 .0601(a) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. In Space 2, a bottle of Fabuloso disinfecting cleanser, labeled Keep Out of Reach of Children with additional warnings, was observed on a counter less than five feet from the ground. .2820(b) 853 Incident logs were not completed and maintained as required. All incident reports were not recorded on classroom incident logs. .0802(g)(1-6) 1823 The EPR Plan did not include the location of the Ready to Go File and or the required information. The Ready to Go file was not available for review. .0607(d)(10) 1867 The depth of the loose surfacing was not based on critical height of the equipment. The mulch measures between 1 and 4 inches in greater than 6 fall zones on the playground for preschoolers and children of School Age. .0605(k)(1-4) 1890 Each staff member did not have the required medical report, proof of tuberculosis test or screening and/or completed health questionnaire in a medical file, maintained separately from the staff member's individual personnel file. Staff medical statements, proof of a tuberculosis test or screening, and completed health questionnaires were included in the personnel files of three staff members, but were not maintained separately from the staff members’ individual personnel files in the center in separate medical files. .0701(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 9/26/2023. 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 cara.mckeown@dhhs.nc.gov or mail two copies of the letter to: Cara McKeown 353 Jonestown Road, Unit #146 Winston Salem, NC 27104 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 provided during today’s visit: • You must notify your consultant 30 days prior to changing the ownership status of your facility. The following Child Care Rules were thoroughly discussed with Ms. Hardin during the visit: 10A NCAC 09 .0607 EMERGENCY PREPAREDNESS AND RESPONSE IN CHILD CARE CENTERS (10) the location of a Ready to Go File. A Ready to Go File means a collection of information on children, staff and the facility, to utilize, if an evacuation occurs. The file shall include, a copy of the Emergency Preparedness and Response Plan, contact information for individuals to pick-up children, each child's Application for Child Care, medication authorizations and instructions, any action plans for children with special health care needs, a list of any known food allergies of children and staff, staff contact information, Incident Report forms, an area map, and emergency telephone numbers. 15A NCAC 18A .2820 STORAGE (b) Toxic substances, which include 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 shall be kept in the original container or in another labeled container, used according to the manufacturer's instructions, and stored in a locked storage room or cabinet when not in use. Locked storage rooms and cabinets shall include those which are unlocked with a combination lock, electronic or magnetic device, keypad, key, or equivalent locking device. Keys and electronic or magnetic unlocking devices shall be kept out of the reach of a child and shall not be stored in the lock. Toxic substances shall be stored below or separate from medications and food. Any other product that is labeled "keep out of reach of children" and does not have any other warnings on the label shall be kept inaccessible to children when not in use, but is not required to be kept in locked storage. For the purpose of Paragraphs (b), (c), and (d) of this Rule, a product shall be considered inaccessible to children when stored on a shelf or in an unlocked cabinet that is mounted a minimum vertical distance of five feet above the finished floor. 10A NCAC 09 .1715 OPERATIONAL POLICIES (a) Each operator shall have written operational policies that include at least the following information: (2) the age range of the children served; (7) a schedule of daily, weekly, and monthly cleaning duties; (10) a description of opportunities for parent participation. 10A NCAC 09 .0605 OUTDOOR LEARNING ENVIRONMENT IN CHILD CARE CENTERS (m) Exceptions to Paragraph (l) of this Rule are as follows: (3) Tot swings shall have protective surfacing that extends two times the length of the pivot point to the bottom of the swing seat. The surfacing shall be to the front and rear of the swing. Tot swings are defined as swings with enclosed seats. 10A NCAC 09 .1003 SAFE PROCEDURES (b) Each center shall establish procedures for pick-up and delivery of children to ensure children are protected from danger and not exposed to risk of harm. These procedures shall be communicated to parents, and a copy shall be posted in the center where they can be seen by the parents. 10A NCAC 09 .0302 APPLICATION FOR A LICENSE FOR A CHILD CARE CENTER During the pre-licensing visit the applicant shall have the following available for review pursuant to 10A NCAC 09 .0304(g): (5) records of monthly fire drills documenting the date and time of each drill, the length of time taken to evacuate the building, and the signature of the person who conducted the drill as required by NC Fire Code 405.5; A copy of the form may be found on the Division's website at http://ncchildcare.ncdhhs.gov/pdf_forms/EPR_EmergencyDrillLog_Centers.pdf; (8) records of lockdown or shelter-in-place drills as defined in 10A NCAC 09 .0102, giving the date each drill was held, the time of day, the length of time taken to get into designated locations and the signature of the person who conducted the drill. A copy of the form may be found on the Division's website at https://ncchildcare.ncdhhs.gov/pdf_forms/EPR_EmergencyDrillLog_Centers.pdf. 10A NCAC 09 .1005 OFF PREMISE ACTIVITIES IN CHILD CARE CENTERS (a) Off premise activities refer to any activity that takes place away from a child care center’s licensed and approved space. Licensed and approved space includes "primary space" as described in 10A NCAC 09 .1401(a), outdoor space as described in 10A NCAC 09 .1402, single use rooms, or other administrative areas. (b) When children participate in off premise activities the following shall apply: (1) Children under the age of three shall not participate in off premise activities that involve children being transported in a motor vehicle. (2) When children are transported in a motor vehicle for off premise activities, the provisions in Rule .1003(c) through (i) and (k) of this Chapter shall apply. (3) Before staff members walk children off premises for play or outings, the center shall obtain written permission from the parent of each child to be included in such activities. (4) Parents may provide a written statement giving standing permission which may be valid for up to 12 months for participation in off premise activities that occur on a regular basis. (5) The center shall post a schedule of off premise activities in each participating classroom where it can be viewed by parents, and a copy shall be given to parents. The schedule shall be current and shall include the: (A) location of the activity; (B) purpose of the activity; (C) time the activity will take place; (D) date of the activity; and (E) name of the person(s) to be contacted in the event of an emergency. (6) Each time that children are taken off the premises, staff shall take a list of the children participating in the activity with them. Staff members shall use this list to check attendance when leaving the center, periodically when the children are involved in the activity, before leaving the activity to return to the child care center, and upon return to the center. A list of all children participating in the off premise activity shall also be available at the center. (c) The provisions of Subparagraphs (b)(1) and (5) of this Rule shall be waived to implement any child's Individualized Family Service Plan (IFSP) or Individualized Education Program (IEP). 10A NCAC 09 .1723 TRANSPORTATION REQUIREMENTS To assure the safety of children whenever they are transported, the operator, or any other transportation provider, shall: (1) ensure that vehicles used to transport children are free of hazards such as but not limited to, torn upholstery that allows children to remove the interior padding, broken windows, holes in the floor or roof, or tire treads of less than 2/32 of an inch; (2) ensure that vehicles used to transport children comply with all applicable State and federal laws and regulations; (3) ensure that vehicles are insured for liability as required by State laws governing transportation of passengers pursuant to G.S. 20-279.21; (4) ensure that vehicles used to transport children in snowy, icy, and other hazardous weather conditions are equipped with snow tires, or chains; (5) have written permission from a parent to transport his or her child and notify the parent when and where the child is to be transported, and the name of the transportation provider. Parents may give standing permission, valid for up to 12 months, for transport of children to and from the home; (6) ensure that all children are transferred to an individual who is indicated on the child's application for enrollment as specified in Rule .1721(a)(3) of this Section or as authorized by the parent; (7) load and unload children from curbside or in a safe, off-street area, out of the flow of traffic, so that they are protected from all traffic hazards; (8) ensure that all children regardless of age or location in the vehicle shall be restrained with an individual seat belt or child safety seat appropriate to the child's age or weight in accordance with G.S. 20-135.2A located at http://www.buckleupnc.org/occupant-restraint-laws/seat-belt-law-summary/. Only one person shall occupy each seat belt or child safety seat; (9) be at least 21 years old, and have a valid driver's license of the type required under the North Carolina Motor Vehicle Law for the vehicle being driven, or comparable license from the state in which the driver resides, and no convictions of Driving While Impaired (DWI), or any other impaired driving offense, within the last three years; (10) ensure that each child is seated in a manufacturer's designated area. No child shall ride in the load carrying area or floor of a vehicle; (11) have a First Aid kit and fire extinguisher located in the vehicle used to transport children; (12) never leave children in a vehicle unattended by an adult; (13) have identifying information in the vehicle about each child being transported, including the child's name, photograph, emergency contact information, and a copy of the emergency medical care information form required by Rule .1721(a)(3) of this Section; and (14) have a functioning cellular telephone or other functioning two-way voice communication device with them for use in an emergency. The transportation provider shall not use cellular telephones or other functioning two-way communication devices except in the case of an emergency and only when the vehicle is parked in a safe location; and (15) conduct off-premise activities as follows: (a) before the operator walks children off premises for play or outings, the parent of each child shall give written permission for the child to participate in such activities; (b) parents may provide a written statement giving standing permission which may be valid for up to 12 months for participation in off premise activities that occur on a regular basis; and (c) each time the children are taken off premises, the operator shall take identifying information about each child including the child's name, photograph, emergency contact information, a copy of the emergency medical care information form required by 10A NCAC 09 .1721(a)(3) of this Section. 10A NCAC 09 .0605 OUTDOOR LEARNING ENVIRONMENT IN CHILD CARE CENTERS (g) Any openings in equipment, steps, decks, handrails, and fencing shall be smaller than 3 ½ inches or greater than 9 inches to prevent entrapment. 10A NCAC 09 .0302 APPLICATION FOR A LICENSE FOR A CHILD CARE CENTER (a) An application for a license for a child care center shall be submitted on the form provided by the Division, which may be found online at http://ncchildcare.ncdhhs.gov/PDF_forms/FacilityProfileApp.pdf. The application for a child care center license shall include the following information: (d) During the pre-licensing visit the applicant shall have the following available for review pursuant to 10A NCAC 09 .0304(g): (4) daily records of arrival and departure times at the center for each child which shall be maintained as children arrive and depart; 15A NCAC 18A .2803 HANDWASHING (a) Child care center employees shall wash their hands as follows when at work in a child care center: (1) upon reporting for work at the child care center: (2) before and after handling or preparing food; (3) before bottle feeding a child; (4) before providing food service; (5) before handling clean utensils; (6) after toileting or handling of body fluids, including but not limited to saliva, nasal secretions, vomitus, feces, urine, blood, secretions from sores, and pustulant discharge; (7) after diaper changing; (8) after handling soiled items that are not clean; (9) after being outdoors; (10) after handling animals or animal cages; and (11) after removing disposable gloves. (b) The use of a hand antiseptic does not replace the requirements for handwashing in Paragraph (a) of this Rule except that an employee who is supervising a child or children outdoors may use a hand antiseptic while outdoors in lieu of handwashing, provided that the employee's hands are washed in accordance with Paragraph (e) of this Rule when the employee returns indoors. Hand antiseptic shall not be used in lieu of handwashing when the employee's action that necessitates handwashing is diapering, food preparation, or food service. (c) Child care center employees shall ensure that children wash their hands as follows: (1) upon arrival at the child care center; (2) after each diaper change or visit to the toilet; (3) before eating meals or snacks; (4) before and after water play; (5) after being outdoors; and (6) after handling animals or animal cages. (d) Except when the action that necessitates handwashing is diapering and before eating meals or snacks, hand antiseptics may be used in lieu of handwashing while a child is outdoors, provided that the child's hands are washed when the child returns indoors. (e) Handwashing procedures shall include the following steps: (1) using liquid soap and tempered water; (2) rubbing hands vigorously with soap and tempered water for 15 seconds; (3) washing all surfaces of the hands, to include the backs of hands, palms, wrists, under fingernails, and between fingers; (4) rinsing the hands under tempered water for 10 seconds; (5) drying the hands with a paper towel or other hand-drying device; and (6) turning off faucet with a paper towel or other method without recontaminating hands. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (q) Plastic bags, toys, toy parts small enough to be swallowed, and materials that can be torn apart, such as foam rubber and styrofoam, shall not be accessible to children under three years of age. However, styrofoam plates and larger pieces of foam rubber may be used for supervised art activities and styrofoam plates may be used for food service. Jump ropes and rubber bands shall not be accessible to children under five years of age without adult supervision. Balloons shall be prohibited for children of all ages. • Please remove all foam blocks from classroom activity centers with teeth marks or small pieces missing. • I recommend activity plans for each classroom are current and posted. • I recommend all push pins be removed from the corkboard lining the wall of the classroom used for infants, to prevent a safety hazard. • Please ensure all required classroom postings are posted for review. • Please ensure all cribs for infants enrolled in a classroom are labeled with their names. • When an infant is placed on his/her back to sleep in a crib or approved sleeping apparatus, please always record the first position for the infant on the sleep log as “B” for “Back”, even if the infant immediately rolls over to his or her side or stomach. • Please record specific amounts of diaper cream or other non-prescription topical ointment to be administered on medication authorization forms. • Please record specific times to administer diaper cream or other non-prescription topical ointment, such as “when redness occurs”. • Please ensure all staff members know where required forms are located in the classrooms they serve. • Please ensure a cot list is posted in all classrooms. • You can access the Automated Background Check Management System (ABCMS) at the following link to print a copy of your most recent Criminal Background Check qualifying letter: https://ncabcms.nc.gov/DCDEE/Applicant/ • Please monitor the fencing surrounding the playground for developing rust. • You may access Health and Safety trainings through the following link on the Division website: https://www.dcdee.moodle.nc.gov/ Please choose the Services tab, DCDEE Moodle, Professional Development, Regulatory, and then the 2023 CCDF Health and Safety trainings. • Please also pressure wash outdoor equipment (climbing tunnel on Pre-K/SA playground) with developing mildew. • Please use the most recently updated forms from the Division website for children, staff, and program records; these can be accessed at the following website: https://ncchildcare.ncdhhs.gov/Provider/Provider-Documents-and-Forms • Please record all current completed Health and Safety trainings on the Health and Safety Training Log. • Please access the Risk Management Portal at the following website to update Emergency Preparedness and Response Plan: https://rmp.nc.gov/portal/portal.aspx# • Please review all children’s records to ensure that all forms have been fully completed, inclusive of a recorded date of enrollment (when applicable) and date signed by the parent/guardian. • The Child Care Health Consultant for Forsyth County is Keturah Oglesby at Smart Start of Forsyth County. Ms. Oglesby can be contacted at: keturaho@smartstart-fc.org. • Please ensure parents update infant feeding schedules as children get older. 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. Cara McKeown, Child Care Consultant (336) 408-4849 cara.mckeown@dhhs.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 .0605 · Violation

Name of Operation: Main Street Baptist Church Early Learning Center Facility ID: 3452208 Consultant: CARA MCKEOWN-STEWART Operation Type: Center Case Number: Visit Date: 9/12/2023 Number Present: 38 Completed Date: 9/12/2023 Age: From 0 To 5 Total Minutes: 490 Time In: 08:20 AM Time Out: 04:30 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 facility to monitor compliance with applicable childcare requirements. This visit was conducted by Cara McKeown-Stewart, Child Care Consultant with Aislinn Hardin, Lead Teacher. Director, Lakeshia Singletary, was not present during the visit today. Your program currently operates with a notice of compliance. The NC Secretary of State website was reviewed on 9/12/2023 and Main Street Baptist Church, Inc. was listed as current and active. The program’s compliance history was 100% 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. In Space 2, three outlets located on a power strip were observed without safety covers. Ms. Hardin covered each of these outlets with a safety cover during the visit. The facility has two playgrounds, one used for infants and toddlers, and the other for children of preschool and School Age. On the playground used by infants and toddlers, two holes were observed side-by-side along the PVC pipe located to the left of the gate entrance, presenting a potential tripping and safety hazard. A large, rusted spike was observed at the base of the rain gutter near the entrance to this playground. The bases of four metal roof supports were observed to be heavily rusted. A cracked area, sharp to the touch, was observed on a non-stationary slide/swing structure. On the playground used by children of preschool and School Age, four rusted chain latches were observed on the inside of the fencing. The latch to the shed was observed to be heavily rusted. Greater than three sections of fencing were observed to be heavily rusted. The base of a rain pipe was observed to be cracked and sharp to the touch, with wire mesh surrounding the base also observed to be sharp to the touch. The mulch measures between 1 and 4 inches in greater than 6 fall zones. The stationary structure was observed to have rust forming on the rails of the stairs. The landings of the large, stationary climbing structure were observed to be cracked in greater than three areas, each of which have metal exposed which was observed to be beginning to rust. Upon arrival, staff/child ratio and space capacity were monitored as indicated on the attached worksheet. In Space 2, one child enrolled was not signed in upon arrival. In Space 7, one child was not signed in upon arrival. Supervision was adequate during the visit. I observed positive interactions today. I observed children playing in activity centers, participating in general routines and eating lunch. I observed developmentally appropriate materials and activities were available to the children in the classrooms. The last annual compliance visit was conducted on 9/21/2022. A sanitation inspection was completed 4/06/2023 with a Superior classification. The last fire inspection was conducted 11/11/2022. Program records and required postings were monitored. A fire drill was conducted on 8/03/2023. A shelter in place drill was documented on 6/15/2023. An outdoor inspection was documented on 8/31/2023. The Ready to Go file was not available for review. All incident reports were not recorded on classroom incident logs. Staff files and children’s records were monitored per DCDEE procedures. Staff medical statements, proof of a tuberculosis test or screening, and completed health questionnaires were included in the personnel files of three staff members, but were not maintained separately from the staff members’ individual personnel files in the center in separate medical files. A signed and dated statement of receipt of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not observed on file for two children enrolled. The infant feeding plans for four children enrolled were not signed by a parent. The infant feeding plans for two children enrolled were not updated and dated. A record of Health and Safety Training was not observed on file for one existing staff member. A signed receipt of operational and personnel policies was not on file for two new staff members and one existing staff member. An annual signed review of the Emergency Preparedness and Response Plan was not on file for two new staff members and one existing staff member. An annual signed review of the Emergency Medical Care Plan was not on file for two new staff members and one existing staff member. An annual staff evaluation was not on file for one existing staff member. Storage of hazardous items was monitored today. In Space 2, a bottle of Fabuloso disinfecting cleanser, labeled Keep Out of Reach of Children with additional warnings, was observed on a counter less than five feet from the ground. Ms. Hardin placed this item into locked storage during the visit. Storage and administration of medication were monitored. Medication authorization was monitored. The program does not provide transportation; however, during a phone conversation during the visit with Ms. Singletary, Director, this morning, Ms. Singletary stated she is interested in using the church van to begin to provide transportation for children of Pre-K and School Age for field trips only. I stated Ms. Singletary should contact me once all requirements for transportation have been met. Once contacted by Ms. Singletary, I will schedule a visit for me to monitor requirements for transportation and to approve the facility to transport children. The following violations were cited during today’s visit: Violation Number Comment Rule 124 The center did not maintain records as required in rule, and/or were not made available to the Division for review. A signed and dated statement of receipt of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not observed on file for two children enrolled. The infant feeding plans for four children enrolled were not signed by a parent. The infant feeding plans for two children enrolled were not updated and dated. A record of Health and Safety Training was not observed on file for one existing staff member. A signed receipt of operational and personnel policies was not on file for two new staff members and one existing staff member. An annual signed review of the Emergency Preparedness and Response Plan was not on file for two new staff members and one existing staff member. An annual signed review of the Emergency Medical Care Plan was not on file for two new staff members and one existing staff member. An annual staff evaluation was not on file for one existing staff member. G.S. 110-91(9); .0304(g); .2318 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 2, one child enrolled was not signed in upon arrival. In Space 7, one child was not signed in upon arrival. 10A NCAC 09 .0302(d)(4) 807 A safe indoor and outdoor environment was not provided for the children. Ms. Hardin covered each of these outlets with a safety cover during the visit. On the playground used by infants and toddlers, two holes were observed side-by-side along the PVC pipe located to the left of the gate entrance, presenting a potential tripping and safety hazard. A large, rusted spike was observed at the base of the rain gutter near the entrance to this playground. The bases of four metal roof supports were observed to be heavily rusted. A cracked area, sharp to the touch, was observed on a non-stationary slide/swing structure. On the playground used by children of preschool and School Age, four rusted chain latches were observed on the inside of the fencing. The latch to the shed was observed to be heavily rusted. Greater than three sections of fencing were observed to be heavily rusted. The base of a rain pipe was observed to be cracked and sharp to the touch, with wire mesh surrounding the base also observed to be sharp to the touch. The stationary structure was observed to have rust forming on the rails of the stairs. The landings of the large, stationary climbing structure were observed to be cracked in greater than three areas, each of which have metal exposed which was observed to be beginning to rust. 10A NCAC 09 .0601(a) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. In Space 2, a bottle of Fabuloso disinfecting cleanser, labeled Keep Out of Reach of Children with additional warnings, was observed on a counter less than five feet from the ground. .2820(b) 853 Incident logs were not completed and maintained as required. All incident reports were not recorded on classroom incident logs. .0802(g)(1-6) 1823 The EPR Plan did not include the location of the Ready to Go File and or the required information. The Ready to Go file was not available for review. .0607(d)(10) 1867 The depth of the loose surfacing was not based on critical height of the equipment. The mulch measures between 1 and 4 inches in greater than 6 fall zones on the playground for preschoolers and children of School Age. .0605(k)(1-4) 1890 Each staff member did not have the required medical report, proof of tuberculosis test or screening and/or completed health questionnaire in a medical file, maintained separately from the staff member's individual personnel file. Staff medical statements, proof of a tuberculosis test or screening, and completed health questionnaires were included in the personnel files of three staff members, but were not maintained separately from the staff members’ individual personnel files in the center in separate medical files. .0701(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 9/26/2023. 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 cara.mckeown@dhhs.nc.gov or mail two copies of the letter to: Cara McKeown 353 Jonestown Road, Unit #146 Winston Salem, NC 27104 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 provided during today’s visit: • You must notify your consultant 30 days prior to changing the ownership status of your facility. The following Child Care Rules were thoroughly discussed with Ms. Hardin during the visit: 10A NCAC 09 .0607 EMERGENCY PREPAREDNESS AND RESPONSE IN CHILD CARE CENTERS (10) the location of a Ready to Go File. A Ready to Go File means a collection of information on children, staff and the facility, to utilize, if an evacuation occurs. The file shall include, a copy of the Emergency Preparedness and Response Plan, contact information for individuals to pick-up children, each child's Application for Child Care, medication authorizations and instructions, any action plans for children with special health care needs, a list of any known food allergies of children and staff, staff contact information, Incident Report forms, an area map, and emergency telephone numbers. 15A NCAC 18A .2820 STORAGE (b) Toxic substances, which include 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 shall be kept in the original container or in another labeled container, used according to the manufacturer's instructions, and stored in a locked storage room or cabinet when not in use. Locked storage rooms and cabinets shall include those which are unlocked with a combination lock, electronic or magnetic device, keypad, key, or equivalent locking device. Keys and electronic or magnetic unlocking devices shall be kept out of the reach of a child and shall not be stored in the lock. Toxic substances shall be stored below or separate from medications and food. Any other product that is labeled "keep out of reach of children" and does not have any other warnings on the label shall be kept inaccessible to children when not in use, but is not required to be kept in locked storage. For the purpose of Paragraphs (b), (c), and (d) of this Rule, a product shall be considered inaccessible to children when stored on a shelf or in an unlocked cabinet that is mounted a minimum vertical distance of five feet above the finished floor. 10A NCAC 09 .1715 OPERATIONAL POLICIES (a) Each operator shall have written operational policies that include at least the following information: (2) the age range of the children served; (7) a schedule of daily, weekly, and monthly cleaning duties; (10) a description of opportunities for parent participation. 10A NCAC 09 .0605 OUTDOOR LEARNING ENVIRONMENT IN CHILD CARE CENTERS (m) Exceptions to Paragraph (l) of this Rule are as follows: (3) Tot swings shall have protective surfacing that extends two times the length of the pivot point to the bottom of the swing seat. The surfacing shall be to the front and rear of the swing. Tot swings are defined as swings with enclosed seats. 10A NCAC 09 .1003 SAFE PROCEDURES (b) Each center shall establish procedures for pick-up and delivery of children to ensure children are protected from danger and not exposed to risk of harm. These procedures shall be communicated to parents, and a copy shall be posted in the center where they can be seen by the parents. 10A NCAC 09 .0302 APPLICATION FOR A LICENSE FOR A CHILD CARE CENTER During the pre-licensing visit the applicant shall have the following available for review pursuant to 10A NCAC 09 .0304(g): (5) records of monthly fire drills documenting the date and time of each drill, the length of time taken to evacuate the building, and the signature of the person who conducted the drill as required by NC Fire Code 405.5; A copy of the form may be found on the Division's website at http://ncchildcare.ncdhhs.gov/pdf_forms/EPR_EmergencyDrillLog_Centers.pdf; (8) records of lockdown or shelter-in-place drills as defined in 10A NCAC 09 .0102, giving the date each drill was held, the time of day, the length of time taken to get into designated locations and the signature of the person who conducted the drill. A copy of the form may be found on the Division's website at https://ncchildcare.ncdhhs.gov/pdf_forms/EPR_EmergencyDrillLog_Centers.pdf. 10A NCAC 09 .1005 OFF PREMISE ACTIVITIES IN CHILD CARE CENTERS (a) Off premise activities refer to any activity that takes place away from a child care center’s licensed and approved space. Licensed and approved space includes "primary space" as described in 10A NCAC 09 .1401(a), outdoor space as described in 10A NCAC 09 .1402, single use rooms, or other administrative areas. (b) When children participate in off premise activities the following shall apply: (1) Children under the age of three shall not participate in off premise activities that involve children being transported in a motor vehicle. (2) When children are transported in a motor vehicle for off premise activities, the provisions in Rule .1003(c) through (i) and (k) of this Chapter shall apply. (3) Before staff members walk children off premises for play or outings, the center shall obtain written permission from the parent of each child to be included in such activities. (4) Parents may provide a written statement giving standing permission which may be valid for up to 12 months for participation in off premise activities that occur on a regular basis. (5) The center shall post a schedule of off premise activities in each participating classroom where it can be viewed by parents, and a copy shall be given to parents. The schedule shall be current and shall include the: (A) location of the activity; (B) purpose of the activity; (C) time the activity will take place; (D) date of the activity; and (E) name of the person(s) to be contacted in the event of an emergency. (6) Each time that children are taken off the premises, staff shall take a list of the children participating in the activity with them. Staff members shall use this list to check attendance when leaving the center, periodically when the children are involved in the activity, before leaving the activity to return to the child care center, and upon return to the center. A list of all children participating in the off premise activity shall also be available at the center. (c) The provisions of Subparagraphs (b)(1) and (5) of this Rule shall be waived to implement any child's Individualized Family Service Plan (IFSP) or Individualized Education Program (IEP). 10A NCAC 09 .1723 TRANSPORTATION REQUIREMENTS To assure the safety of children whenever they are transported, the operator, or any other transportation provider, shall: (1) ensure that vehicles used to transport children are free of hazards such as but not limited to, torn upholstery that allows children to remove the interior padding, broken windows, holes in the floor or roof, or tire treads of less than 2/32 of an inch; (2) ensure that vehicles used to transport children comply with all applicable State and federal laws and regulations; (3) ensure that vehicles are insured for liability as required by State laws governing transportation of passengers pursuant to G.S. 20-279.21; (4) ensure that vehicles used to transport children in snowy, icy, and other hazardous weather conditions are equipped with snow tires, or chains; (5) have written permission from a parent to transport his or her child and notify the parent when and where the child is to be transported, and the name of the transportation provider. Parents may give standing permission, valid for up to 12 months, for transport of children to and from the home; (6) ensure that all children are transferred to an individual who is indicated on the child's application for enrollment as specified in Rule .1721(a)(3) of this Section or as authorized by the parent; (7) load and unload children from curbside or in a safe, off-street area, out of the flow of traffic, so that they are protected from all traffic hazards; (8) ensure that all children regardless of age or location in the vehicle shall be restrained with an individual seat belt or child safety seat appropriate to the child's age or weight in accordance with G.S. 20-135.2A located at http://www.buckleupnc.org/occupant-restraint-laws/seat-belt-law-summary/. Only one person shall occupy each seat belt or child safety seat; (9) be at least 21 years old, and have a valid driver's license of the type required under the North Carolina Motor Vehicle Law for the vehicle being driven, or comparable license from the state in which the driver resides, and no convictions of Driving While Impaired (DWI), or any other impaired driving offense, within the last three years; (10) ensure that each child is seated in a manufacturer's designated area. No child shall ride in the load carrying area or floor of a vehicle; (11) have a First Aid kit and fire extinguisher located in the vehicle used to transport children; (12) never leave children in a vehicle unattended by an adult; (13) have identifying information in the vehicle about each child being transported, including the child's name, photograph, emergency contact information, and a copy of the emergency medical care information form required by Rule .1721(a)(3) of this Section; and (14) have a functioning cellular telephone or other functioning two-way voice communication device with them for use in an emergency. The transportation provider shall not use cellular telephones or other functioning two-way communication devices except in the case of an emergency and only when the vehicle is parked in a safe location; and (15) conduct off-premise activities as follows: (a) before the operator walks children off premises for play or outings, the parent of each child shall give written permission for the child to participate in such activities; (b) parents may provide a written statement giving standing permission which may be valid for up to 12 months for participation in off premise activities that occur on a regular basis; and (c) each time the children are taken off premises, the operator shall take identifying information about each child including the child's name, photograph, emergency contact information, a copy of the emergency medical care information form required by 10A NCAC 09 .1721(a)(3) of this Section. 10A NCAC 09 .0605 OUTDOOR LEARNING ENVIRONMENT IN CHILD CARE CENTERS (g) Any openings in equipment, steps, decks, handrails, and fencing shall be smaller than 3 ½ inches or greater than 9 inches to prevent entrapment. 10A NCAC 09 .0302 APPLICATION FOR A LICENSE FOR A CHILD CARE CENTER (a) An application for a license for a child care center shall be submitted on the form provided by the Division, which may be found online at http://ncchildcare.ncdhhs.gov/PDF_forms/FacilityProfileApp.pdf. The application for a child care center license shall include the following information: (d) During the pre-licensing visit the applicant shall have the following available for review pursuant to 10A NCAC 09 .0304(g): (4) daily records of arrival and departure times at the center for each child which shall be maintained as children arrive and depart; 15A NCAC 18A .2803 HANDWASHING (a) Child care center employees shall wash their hands as follows when at work in a child care center: (1) upon reporting for work at the child care center: (2) before and after handling or preparing food; (3) before bottle feeding a child; (4) before providing food service; (5) before handling clean utensils; (6) after toileting or handling of body fluids, including but not limited to saliva, nasal secretions, vomitus, feces, urine, blood, secretions from sores, and pustulant discharge; (7) after diaper changing; (8) after handling soiled items that are not clean; (9) after being outdoors; (10) after handling animals or animal cages; and (11) after removing disposable gloves. (b) The use of a hand antiseptic does not replace the requirements for handwashing in Paragraph (a) of this Rule except that an employee who is supervising a child or children outdoors may use a hand antiseptic while outdoors in lieu of handwashing, provided that the employee's hands are washed in accordance with Paragraph (e) of this Rule when the employee returns indoors. Hand antiseptic shall not be used in lieu of handwashing when the employee's action that necessitates handwashing is diapering, food preparation, or food service. (c) Child care center employees shall ensure that children wash their hands as follows: (1) upon arrival at the child care center; (2) after each diaper change or visit to the toilet; (3) before eating meals or snacks; (4) before and after water play; (5) after being outdoors; and (6) after handling animals or animal cages. (d) Except when the action that necessitates handwashing is diapering and before eating meals or snacks, hand antiseptics may be used in lieu of handwashing while a child is outdoors, provided that the child's hands are washed when the child returns indoors. (e) Handwashing procedures shall include the following steps: (1) using liquid soap and tempered water; (2) rubbing hands vigorously with soap and tempered water for 15 seconds; (3) washing all surfaces of the hands, to include the backs of hands, palms, wrists, under fingernails, and between fingers; (4) rinsing the hands under tempered water for 10 seconds; (5) drying the hands with a paper towel or other hand-drying device; and (6) turning off faucet with a paper towel or other method without recontaminating hands. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (q) Plastic bags, toys, toy parts small enough to be swallowed, and materials that can be torn apart, such as foam rubber and styrofoam, shall not be accessible to children under three years of age. However, styrofoam plates and larger pieces of foam rubber may be used for supervised art activities and styrofoam plates may be used for food service. Jump ropes and rubber bands shall not be accessible to children under five years of age without adult supervision. Balloons shall be prohibited for children of all ages. • Please remove all foam blocks from classroom activity centers with teeth marks or small pieces missing. • I recommend activity plans for each classroom are current and posted. • I recommend all push pins be removed from the corkboard lining the wall of the classroom used for infants, to prevent a safety hazard. • Please ensure all required classroom postings are posted for review. • Please ensure all cribs for infants enrolled in a classroom are labeled with their names. • When an infant is placed on his/her back to sleep in a crib or approved sleeping apparatus, please always record the first position for the infant on the sleep log as “B” for “Back”, even if the infant immediately rolls over to his or her side or stomach. • Please record specific amounts of diaper cream or other non-prescription topical ointment to be administered on medication authorization forms. • Please record specific times to administer diaper cream or other non-prescription topical ointment, such as “when redness occurs”. • Please ensure all staff members know where required forms are located in the classrooms they serve. • Please ensure a cot list is posted in all classrooms. • You can access the Automated Background Check Management System (ABCMS) at the following link to print a copy of your most recent Criminal Background Check qualifying letter: https://ncabcms.nc.gov/DCDEE/Applicant/ • Please monitor the fencing surrounding the playground for developing rust. • You may access Health and Safety trainings through the following link on the Division website: https://www.dcdee.moodle.nc.gov/ Please choose the Services tab, DCDEE Moodle, Professional Development, Regulatory, and then the 2023 CCDF Health and Safety trainings. • Please also pressure wash outdoor equipment (climbing tunnel on Pre-K/SA playground) with developing mildew. • Please use the most recently updated forms from the Division website for children, staff, and program records; these can be accessed at the following website: https://ncchildcare.ncdhhs.gov/Provider/Provider-Documents-and-Forms • Please record all current completed Health and Safety trainings on the Health and Safety Training Log. • Please access the Risk Management Portal at the following website to update Emergency Preparedness and Response Plan: https://rmp.nc.gov/portal/portal.aspx# • Please review all children’s records to ensure that all forms have been fully completed, inclusive of a recorded date of enrollment (when applicable) and date signed by the parent/guardian. • The Child Care Health Consultant for Forsyth County is Keturah Oglesby at Smart Start of Forsyth County. Ms. Oglesby can be contacted at: keturaho@smartstart-fc.org. • Please ensure parents update infant feeding schedules as children get older. 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. Cara McKeown, Child Care Consultant (336) 408-4849 cara.mckeown@dhhs.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 .0607 · Violation

Name of Operation: Main Street Baptist Church Early Learning Center Facility ID: 3452208 Consultant: CARA MCKEOWN-STEWART Operation Type: Center Case Number: Visit Date: 9/12/2023 Number Present: 38 Completed Date: 9/12/2023 Age: From 0 To 5 Total Minutes: 490 Time In: 08:20 AM Time Out: 04:30 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 facility to monitor compliance with applicable childcare requirements. This visit was conducted by Cara McKeown-Stewart, Child Care Consultant with Aislinn Hardin, Lead Teacher. Director, Lakeshia Singletary, was not present during the visit today. Your program currently operates with a notice of compliance. The NC Secretary of State website was reviewed on 9/12/2023 and Main Street Baptist Church, Inc. was listed as current and active. The program’s compliance history was 100% 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. In Space 2, three outlets located on a power strip were observed without safety covers. Ms. Hardin covered each of these outlets with a safety cover during the visit. The facility has two playgrounds, one used for infants and toddlers, and the other for children of preschool and School Age. On the playground used by infants and toddlers, two holes were observed side-by-side along the PVC pipe located to the left of the gate entrance, presenting a potential tripping and safety hazard. A large, rusted spike was observed at the base of the rain gutter near the entrance to this playground. The bases of four metal roof supports were observed to be heavily rusted. A cracked area, sharp to the touch, was observed on a non-stationary slide/swing structure. On the playground used by children of preschool and School Age, four rusted chain latches were observed on the inside of the fencing. The latch to the shed was observed to be heavily rusted. Greater than three sections of fencing were observed to be heavily rusted. The base of a rain pipe was observed to be cracked and sharp to the touch, with wire mesh surrounding the base also observed to be sharp to the touch. The mulch measures between 1 and 4 inches in greater than 6 fall zones. The stationary structure was observed to have rust forming on the rails of the stairs. The landings of the large, stationary climbing structure were observed to be cracked in greater than three areas, each of which have metal exposed which was observed to be beginning to rust. Upon arrival, staff/child ratio and space capacity were monitored as indicated on the attached worksheet. In Space 2, one child enrolled was not signed in upon arrival. In Space 7, one child was not signed in upon arrival. Supervision was adequate during the visit. I observed positive interactions today. I observed children playing in activity centers, participating in general routines and eating lunch. I observed developmentally appropriate materials and activities were available to the children in the classrooms. The last annual compliance visit was conducted on 9/21/2022. A sanitation inspection was completed 4/06/2023 with a Superior classification. The last fire inspection was conducted 11/11/2022. Program records and required postings were monitored. A fire drill was conducted on 8/03/2023. A shelter in place drill was documented on 6/15/2023. An outdoor inspection was documented on 8/31/2023. The Ready to Go file was not available for review. All incident reports were not recorded on classroom incident logs. Staff files and children’s records were monitored per DCDEE procedures. Staff medical statements, proof of a tuberculosis test or screening, and completed health questionnaires were included in the personnel files of three staff members, but were not maintained separately from the staff members’ individual personnel files in the center in separate medical files. A signed and dated statement of receipt of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not observed on file for two children enrolled. The infant feeding plans for four children enrolled were not signed by a parent. The infant feeding plans for two children enrolled were not updated and dated. A record of Health and Safety Training was not observed on file for one existing staff member. A signed receipt of operational and personnel policies was not on file for two new staff members and one existing staff member. An annual signed review of the Emergency Preparedness and Response Plan was not on file for two new staff members and one existing staff member. An annual signed review of the Emergency Medical Care Plan was not on file for two new staff members and one existing staff member. An annual staff evaluation was not on file for one existing staff member. Storage of hazardous items was monitored today. In Space 2, a bottle of Fabuloso disinfecting cleanser, labeled Keep Out of Reach of Children with additional warnings, was observed on a counter less than five feet from the ground. Ms. Hardin placed this item into locked storage during the visit. Storage and administration of medication were monitored. Medication authorization was monitored. The program does not provide transportation; however, during a phone conversation during the visit with Ms. Singletary, Director, this morning, Ms. Singletary stated she is interested in using the church van to begin to provide transportation for children of Pre-K and School Age for field trips only. I stated Ms. Singletary should contact me once all requirements for transportation have been met. Once contacted by Ms. Singletary, I will schedule a visit for me to monitor requirements for transportation and to approve the facility to transport children. The following violations were cited during today’s visit: Violation Number Comment Rule 124 The center did not maintain records as required in rule, and/or were not made available to the Division for review. A signed and dated statement of receipt of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not observed on file for two children enrolled. The infant feeding plans for four children enrolled were not signed by a parent. The infant feeding plans for two children enrolled were not updated and dated. A record of Health and Safety Training was not observed on file for one existing staff member. A signed receipt of operational and personnel policies was not on file for two new staff members and one existing staff member. An annual signed review of the Emergency Preparedness and Response Plan was not on file for two new staff members and one existing staff member. An annual signed review of the Emergency Medical Care Plan was not on file for two new staff members and one existing staff member. An annual staff evaluation was not on file for one existing staff member. G.S. 110-91(9); .0304(g); .2318 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 2, one child enrolled was not signed in upon arrival. In Space 7, one child was not signed in upon arrival. 10A NCAC 09 .0302(d)(4) 807 A safe indoor and outdoor environment was not provided for the children. Ms. Hardin covered each of these outlets with a safety cover during the visit. On the playground used by infants and toddlers, two holes were observed side-by-side along the PVC pipe located to the left of the gate entrance, presenting a potential tripping and safety hazard. A large, rusted spike was observed at the base of the rain gutter near the entrance to this playground. The bases of four metal roof supports were observed to be heavily rusted. A cracked area, sharp to the touch, was observed on a non-stationary slide/swing structure. On the playground used by children of preschool and School Age, four rusted chain latches were observed on the inside of the fencing. The latch to the shed was observed to be heavily rusted. Greater than three sections of fencing were observed to be heavily rusted. The base of a rain pipe was observed to be cracked and sharp to the touch, with wire mesh surrounding the base also observed to be sharp to the touch. The stationary structure was observed to have rust forming on the rails of the stairs. The landings of the large, stationary climbing structure were observed to be cracked in greater than three areas, each of which have metal exposed which was observed to be beginning to rust. 10A NCAC 09 .0601(a) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. In Space 2, a bottle of Fabuloso disinfecting cleanser, labeled Keep Out of Reach of Children with additional warnings, was observed on a counter less than five feet from the ground. .2820(b) 853 Incident logs were not completed and maintained as required. All incident reports were not recorded on classroom incident logs. .0802(g)(1-6) 1823 The EPR Plan did not include the location of the Ready to Go File and or the required information. The Ready to Go file was not available for review. .0607(d)(10) 1867 The depth of the loose surfacing was not based on critical height of the equipment. The mulch measures between 1 and 4 inches in greater than 6 fall zones on the playground for preschoolers and children of School Age. .0605(k)(1-4) 1890 Each staff member did not have the required medical report, proof of tuberculosis test or screening and/or completed health questionnaire in a medical file, maintained separately from the staff member's individual personnel file. Staff medical statements, proof of a tuberculosis test or screening, and completed health questionnaires were included in the personnel files of three staff members, but were not maintained separately from the staff members’ individual personnel files in the center in separate medical files. .0701(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 9/26/2023. 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 cara.mckeown@dhhs.nc.gov or mail two copies of the letter to: Cara McKeown 353 Jonestown Road, Unit #146 Winston Salem, NC 27104 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 provided during today’s visit: • You must notify your consultant 30 days prior to changing the ownership status of your facility. The following Child Care Rules were thoroughly discussed with Ms. Hardin during the visit: 10A NCAC 09 .0607 EMERGENCY PREPAREDNESS AND RESPONSE IN CHILD CARE CENTERS (10) the location of a Ready to Go File. A Ready to Go File means a collection of information on children, staff and the facility, to utilize, if an evacuation occurs. The file shall include, a copy of the Emergency Preparedness and Response Plan, contact information for individuals to pick-up children, each child's Application for Child Care, medication authorizations and instructions, any action plans for children with special health care needs, a list of any known food allergies of children and staff, staff contact information, Incident Report forms, an area map, and emergency telephone numbers. 15A NCAC 18A .2820 STORAGE (b) Toxic substances, which include 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 shall be kept in the original container or in another labeled container, used according to the manufacturer's instructions, and stored in a locked storage room or cabinet when not in use. Locked storage rooms and cabinets shall include those which are unlocked with a combination lock, electronic or magnetic device, keypad, key, or equivalent locking device. Keys and electronic or magnetic unlocking devices shall be kept out of the reach of a child and shall not be stored in the lock. Toxic substances shall be stored below or separate from medications and food. Any other product that is labeled "keep out of reach of children" and does not have any other warnings on the label shall be kept inaccessible to children when not in use, but is not required to be kept in locked storage. For the purpose of Paragraphs (b), (c), and (d) of this Rule, a product shall be considered inaccessible to children when stored on a shelf or in an unlocked cabinet that is mounted a minimum vertical distance of five feet above the finished floor. 10A NCAC 09 .1715 OPERATIONAL POLICIES (a) Each operator shall have written operational policies that include at least the following information: (2) the age range of the children served; (7) a schedule of daily, weekly, and monthly cleaning duties; (10) a description of opportunities for parent participation. 10A NCAC 09 .0605 OUTDOOR LEARNING ENVIRONMENT IN CHILD CARE CENTERS (m) Exceptions to Paragraph (l) of this Rule are as follows: (3) Tot swings shall have protective surfacing that extends two times the length of the pivot point to the bottom of the swing seat. The surfacing shall be to the front and rear of the swing. Tot swings are defined as swings with enclosed seats. 10A NCAC 09 .1003 SAFE PROCEDURES (b) Each center shall establish procedures for pick-up and delivery of children to ensure children are protected from danger and not exposed to risk of harm. These procedures shall be communicated to parents, and a copy shall be posted in the center where they can be seen by the parents. 10A NCAC 09 .0302 APPLICATION FOR A LICENSE FOR A CHILD CARE CENTER During the pre-licensing visit the applicant shall have the following available for review pursuant to 10A NCAC 09 .0304(g): (5) records of monthly fire drills documenting the date and time of each drill, the length of time taken to evacuate the building, and the signature of the person who conducted the drill as required by NC Fire Code 405.5; A copy of the form may be found on the Division's website at http://ncchildcare.ncdhhs.gov/pdf_forms/EPR_EmergencyDrillLog_Centers.pdf; (8) records of lockdown or shelter-in-place drills as defined in 10A NCAC 09 .0102, giving the date each drill was held, the time of day, the length of time taken to get into designated locations and the signature of the person who conducted the drill. A copy of the form may be found on the Division's website at https://ncchildcare.ncdhhs.gov/pdf_forms/EPR_EmergencyDrillLog_Centers.pdf. 10A NCAC 09 .1005 OFF PREMISE ACTIVITIES IN CHILD CARE CENTERS (a) Off premise activities refer to any activity that takes place away from a child care center’s licensed and approved space. Licensed and approved space includes "primary space" as described in 10A NCAC 09 .1401(a), outdoor space as described in 10A NCAC 09 .1402, single use rooms, or other administrative areas. (b) When children participate in off premise activities the following shall apply: (1) Children under the age of three shall not participate in off premise activities that involve children being transported in a motor vehicle. (2) When children are transported in a motor vehicle for off premise activities, the provisions in Rule .1003(c) through (i) and (k) of this Chapter shall apply. (3) Before staff members walk children off premises for play or outings, the center shall obtain written permission from the parent of each child to be included in such activities. (4) Parents may provide a written statement giving standing permission which may be valid for up to 12 months for participation in off premise activities that occur on a regular basis. (5) The center shall post a schedule of off premise activities in each participating classroom where it can be viewed by parents, and a copy shall be given to parents. The schedule shall be current and shall include the: (A) location of the activity; (B) purpose of the activity; (C) time the activity will take place; (D) date of the activity; and (E) name of the person(s) to be contacted in the event of an emergency. (6) Each time that children are taken off the premises, staff shall take a list of the children participating in the activity with them. Staff members shall use this list to check attendance when leaving the center, periodically when the children are involved in the activity, before leaving the activity to return to the child care center, and upon return to the center. A list of all children participating in the off premise activity shall also be available at the center. (c) The provisions of Subparagraphs (b)(1) and (5) of this Rule shall be waived to implement any child's Individualized Family Service Plan (IFSP) or Individualized Education Program (IEP). 10A NCAC 09 .1723 TRANSPORTATION REQUIREMENTS To assure the safety of children whenever they are transported, the operator, or any other transportation provider, shall: (1) ensure that vehicles used to transport children are free of hazards such as but not limited to, torn upholstery that allows children to remove the interior padding, broken windows, holes in the floor or roof, or tire treads of less than 2/32 of an inch; (2) ensure that vehicles used to transport children comply with all applicable State and federal laws and regulations; (3) ensure that vehicles are insured for liability as required by State laws governing transportation of passengers pursuant to G.S. 20-279.21; (4) ensure that vehicles used to transport children in snowy, icy, and other hazardous weather conditions are equipped with snow tires, or chains; (5) have written permission from a parent to transport his or her child and notify the parent when and where the child is to be transported, and the name of the transportation provider. Parents may give standing permission, valid for up to 12 months, for transport of children to and from the home; (6) ensure that all children are transferred to an individual who is indicated on the child's application for enrollment as specified in Rule .1721(a)(3) of this Section or as authorized by the parent; (7) load and unload children from curbside or in a safe, off-street area, out of the flow of traffic, so that they are protected from all traffic hazards; (8) ensure that all children regardless of age or location in the vehicle shall be restrained with an individual seat belt or child safety seat appropriate to the child's age or weight in accordance with G.S. 20-135.2A located at http://www.buckleupnc.org/occupant-restraint-laws/seat-belt-law-summary/. Only one person shall occupy each seat belt or child safety seat; (9) be at least 21 years old, and have a valid driver's license of the type required under the North Carolina Motor Vehicle Law for the vehicle being driven, or comparable license from the state in which the driver resides, and no convictions of Driving While Impaired (DWI), or any other impaired driving offense, within the last three years; (10) ensure that each child is seated in a manufacturer's designated area. No child shall ride in the load carrying area or floor of a vehicle; (11) have a First Aid kit and fire extinguisher located in the vehicle used to transport children; (12) never leave children in a vehicle unattended by an adult; (13) have identifying information in the vehicle about each child being transported, including the child's name, photograph, emergency contact information, and a copy of the emergency medical care information form required by Rule .1721(a)(3) of this Section; and (14) have a functioning cellular telephone or other functioning two-way voice communication device with them for use in an emergency. The transportation provider shall not use cellular telephones or other functioning two-way communication devices except in the case of an emergency and only when the vehicle is parked in a safe location; and (15) conduct off-premise activities as follows: (a) before the operator walks children off premises for play or outings, the parent of each child shall give written permission for the child to participate in such activities; (b) parents may provide a written statement giving standing permission which may be valid for up to 12 months for participation in off premise activities that occur on a regular basis; and (c) each time the children are taken off premises, the operator shall take identifying information about each child including the child's name, photograph, emergency contact information, a copy of the emergency medical care information form required by 10A NCAC 09 .1721(a)(3) of this Section. 10A NCAC 09 .0605 OUTDOOR LEARNING ENVIRONMENT IN CHILD CARE CENTERS (g) Any openings in equipment, steps, decks, handrails, and fencing shall be smaller than 3 ½ inches or greater than 9 inches to prevent entrapment. 10A NCAC 09 .0302 APPLICATION FOR A LICENSE FOR A CHILD CARE CENTER (a) An application for a license for a child care center shall be submitted on the form provided by the Division, which may be found online at http://ncchildcare.ncdhhs.gov/PDF_forms/FacilityProfileApp.pdf. The application for a child care center license shall include the following information: (d) During the pre-licensing visit the applicant shall have the following available for review pursuant to 10A NCAC 09 .0304(g): (4) daily records of arrival and departure times at the center for each child which shall be maintained as children arrive and depart; 15A NCAC 18A .2803 HANDWASHING (a) Child care center employees shall wash their hands as follows when at work in a child care center: (1) upon reporting for work at the child care center: (2) before and after handling or preparing food; (3) before bottle feeding a child; (4) before providing food service; (5) before handling clean utensils; (6) after toileting or handling of body fluids, including but not limited to saliva, nasal secretions, vomitus, feces, urine, blood, secretions from sores, and pustulant discharge; (7) after diaper changing; (8) after handling soiled items that are not clean; (9) after being outdoors; (10) after handling animals or animal cages; and (11) after removing disposable gloves. (b) The use of a hand antiseptic does not replace the requirements for handwashing in Paragraph (a) of this Rule except that an employee who is supervising a child or children outdoors may use a hand antiseptic while outdoors in lieu of handwashing, provided that the employee's hands are washed in accordance with Paragraph (e) of this Rule when the employee returns indoors. Hand antiseptic shall not be used in lieu of handwashing when the employee's action that necessitates handwashing is diapering, food preparation, or food service. (c) Child care center employees shall ensure that children wash their hands as follows: (1) upon arrival at the child care center; (2) after each diaper change or visit to the toilet; (3) before eating meals or snacks; (4) before and after water play; (5) after being outdoors; and (6) after handling animals or animal cages. (d) Except when the action that necessitates handwashing is diapering and before eating meals or snacks, hand antiseptics may be used in lieu of handwashing while a child is outdoors, provided that the child's hands are washed when the child returns indoors. (e) Handwashing procedures shall include the following steps: (1) using liquid soap and tempered water; (2) rubbing hands vigorously with soap and tempered water for 15 seconds; (3) washing all surfaces of the hands, to include the backs of hands, palms, wrists, under fingernails, and between fingers; (4) rinsing the hands under tempered water for 10 seconds; (5) drying the hands with a paper towel or other hand-drying device; and (6) turning off faucet with a paper towel or other method without recontaminating hands. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (q) Plastic bags, toys, toy parts small enough to be swallowed, and materials that can be torn apart, such as foam rubber and styrofoam, shall not be accessible to children under three years of age. However, styrofoam plates and larger pieces of foam rubber may be used for supervised art activities and styrofoam plates may be used for food service. Jump ropes and rubber bands shall not be accessible to children under five years of age without adult supervision. Balloons shall be prohibited for children of all ages. • Please remove all foam blocks from classroom activity centers with teeth marks or small pieces missing. • I recommend activity plans for each classroom are current and posted. • I recommend all push pins be removed from the corkboard lining the wall of the classroom used for infants, to prevent a safety hazard. • Please ensure all required classroom postings are posted for review. • Please ensure all cribs for infants enrolled in a classroom are labeled with their names. • When an infant is placed on his/her back to sleep in a crib or approved sleeping apparatus, please always record the first position for the infant on the sleep log as “B” for “Back”, even if the infant immediately rolls over to his or her side or stomach. • Please record specific amounts of diaper cream or other non-prescription topical ointment to be administered on medication authorization forms. • Please record specific times to administer diaper cream or other non-prescription topical ointment, such as “when redness occurs”. • Please ensure all staff members know where required forms are located in the classrooms they serve. • Please ensure a cot list is posted in all classrooms. • You can access the Automated Background Check Management System (ABCMS) at the following link to print a copy of your most recent Criminal Background Check qualifying letter: https://ncabcms.nc.gov/DCDEE/Applicant/ • Please monitor the fencing surrounding the playground for developing rust. • You may access Health and Safety trainings through the following link on the Division website: https://www.dcdee.moodle.nc.gov/ Please choose the Services tab, DCDEE Moodle, Professional Development, Regulatory, and then the 2023 CCDF Health and Safety trainings. • Please also pressure wash outdoor equipment (climbing tunnel on Pre-K/SA playground) with developing mildew. • Please use the most recently updated forms from the Division website for children, staff, and program records; these can be accessed at the following website: https://ncchildcare.ncdhhs.gov/Provider/Provider-Documents-and-Forms • Please record all current completed Health and Safety trainings on the Health and Safety Training Log. • Please access the Risk Management Portal at the following website to update Emergency Preparedness and Response Plan: https://rmp.nc.gov/portal/portal.aspx# • Please review all children’s records to ensure that all forms have been fully completed, inclusive of a recorded date of enrollment (when applicable) and date signed by the parent/guardian. • The Child Care Health Consultant for Forsyth County is Keturah Oglesby at Smart Start of Forsyth County. Ms. Oglesby can be contacted at: keturaho@smartstart-fc.org. • Please ensure parents update infant feeding schedules as children get older. 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. Cara McKeown, Child Care Consultant (336) 408-4849 cara.mckeown@dhhs.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 .1003 · Violation

Name of Operation: Main Street Baptist Church Early Learning Center Facility ID: 3452208 Consultant: CARA MCKEOWN-STEWART Operation Type: Center Case Number: Visit Date: 9/12/2023 Number Present: 38 Completed Date: 9/12/2023 Age: From 0 To 5 Total Minutes: 490 Time In: 08:20 AM Time Out: 04:30 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 facility to monitor compliance with applicable childcare requirements. This visit was conducted by Cara McKeown-Stewart, Child Care Consultant with Aislinn Hardin, Lead Teacher. Director, Lakeshia Singletary, was not present during the visit today. Your program currently operates with a notice of compliance. The NC Secretary of State website was reviewed on 9/12/2023 and Main Street Baptist Church, Inc. was listed as current and active. The program’s compliance history was 100% 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. In Space 2, three outlets located on a power strip were observed without safety covers. Ms. Hardin covered each of these outlets with a safety cover during the visit. The facility has two playgrounds, one used for infants and toddlers, and the other for children of preschool and School Age. On the playground used by infants and toddlers, two holes were observed side-by-side along the PVC pipe located to the left of the gate entrance, presenting a potential tripping and safety hazard. A large, rusted spike was observed at the base of the rain gutter near the entrance to this playground. The bases of four metal roof supports were observed to be heavily rusted. A cracked area, sharp to the touch, was observed on a non-stationary slide/swing structure. On the playground used by children of preschool and School Age, four rusted chain latches were observed on the inside of the fencing. The latch to the shed was observed to be heavily rusted. Greater than three sections of fencing were observed to be heavily rusted. The base of a rain pipe was observed to be cracked and sharp to the touch, with wire mesh surrounding the base also observed to be sharp to the touch. The mulch measures between 1 and 4 inches in greater than 6 fall zones. The stationary structure was observed to have rust forming on the rails of the stairs. The landings of the large, stationary climbing structure were observed to be cracked in greater than three areas, each of which have metal exposed which was observed to be beginning to rust. Upon arrival, staff/child ratio and space capacity were monitored as indicated on the attached worksheet. In Space 2, one child enrolled was not signed in upon arrival. In Space 7, one child was not signed in upon arrival. Supervision was adequate during the visit. I observed positive interactions today. I observed children playing in activity centers, participating in general routines and eating lunch. I observed developmentally appropriate materials and activities were available to the children in the classrooms. The last annual compliance visit was conducted on 9/21/2022. A sanitation inspection was completed 4/06/2023 with a Superior classification. The last fire inspection was conducted 11/11/2022. Program records and required postings were monitored. A fire drill was conducted on 8/03/2023. A shelter in place drill was documented on 6/15/2023. An outdoor inspection was documented on 8/31/2023. The Ready to Go file was not available for review. All incident reports were not recorded on classroom incident logs. Staff files and children’s records were monitored per DCDEE procedures. Staff medical statements, proof of a tuberculosis test or screening, and completed health questionnaires were included in the personnel files of three staff members, but were not maintained separately from the staff members’ individual personnel files in the center in separate medical files. A signed and dated statement of receipt of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not observed on file for two children enrolled. The infant feeding plans for four children enrolled were not signed by a parent. The infant feeding plans for two children enrolled were not updated and dated. A record of Health and Safety Training was not observed on file for one existing staff member. A signed receipt of operational and personnel policies was not on file for two new staff members and one existing staff member. An annual signed review of the Emergency Preparedness and Response Plan was not on file for two new staff members and one existing staff member. An annual signed review of the Emergency Medical Care Plan was not on file for two new staff members and one existing staff member. An annual staff evaluation was not on file for one existing staff member. Storage of hazardous items was monitored today. In Space 2, a bottle of Fabuloso disinfecting cleanser, labeled Keep Out of Reach of Children with additional warnings, was observed on a counter less than five feet from the ground. Ms. Hardin placed this item into locked storage during the visit. Storage and administration of medication were monitored. Medication authorization was monitored. The program does not provide transportation; however, during a phone conversation during the visit with Ms. Singletary, Director, this morning, Ms. Singletary stated she is interested in using the church van to begin to provide transportation for children of Pre-K and School Age for field trips only. I stated Ms. Singletary should contact me once all requirements for transportation have been met. Once contacted by Ms. Singletary, I will schedule a visit for me to monitor requirements for transportation and to approve the facility to transport children. The following violations were cited during today’s visit: Violation Number Comment Rule 124 The center did not maintain records as required in rule, and/or were not made available to the Division for review. A signed and dated statement of receipt of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not observed on file for two children enrolled. The infant feeding plans for four children enrolled were not signed by a parent. The infant feeding plans for two children enrolled were not updated and dated. A record of Health and Safety Training was not observed on file for one existing staff member. A signed receipt of operational and personnel policies was not on file for two new staff members and one existing staff member. An annual signed review of the Emergency Preparedness and Response Plan was not on file for two new staff members and one existing staff member. An annual signed review of the Emergency Medical Care Plan was not on file for two new staff members and one existing staff member. An annual staff evaluation was not on file for one existing staff member. G.S. 110-91(9); .0304(g); .2318 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 2, one child enrolled was not signed in upon arrival. In Space 7, one child was not signed in upon arrival. 10A NCAC 09 .0302(d)(4) 807 A safe indoor and outdoor environment was not provided for the children. Ms. Hardin covered each of these outlets with a safety cover during the visit. On the playground used by infants and toddlers, two holes were observed side-by-side along the PVC pipe located to the left of the gate entrance, presenting a potential tripping and safety hazard. A large, rusted spike was observed at the base of the rain gutter near the entrance to this playground. The bases of four metal roof supports were observed to be heavily rusted. A cracked area, sharp to the touch, was observed on a non-stationary slide/swing structure. On the playground used by children of preschool and School Age, four rusted chain latches were observed on the inside of the fencing. The latch to the shed was observed to be heavily rusted. Greater than three sections of fencing were observed to be heavily rusted. The base of a rain pipe was observed to be cracked and sharp to the touch, with wire mesh surrounding the base also observed to be sharp to the touch. The stationary structure was observed to have rust forming on the rails of the stairs. The landings of the large, stationary climbing structure were observed to be cracked in greater than three areas, each of which have metal exposed which was observed to be beginning to rust. 10A NCAC 09 .0601(a) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. In Space 2, a bottle of Fabuloso disinfecting cleanser, labeled Keep Out of Reach of Children with additional warnings, was observed on a counter less than five feet from the ground. .2820(b) 853 Incident logs were not completed and maintained as required. All incident reports were not recorded on classroom incident logs. .0802(g)(1-6) 1823 The EPR Plan did not include the location of the Ready to Go File and or the required information. The Ready to Go file was not available for review. .0607(d)(10) 1867 The depth of the loose surfacing was not based on critical height of the equipment. The mulch measures between 1 and 4 inches in greater than 6 fall zones on the playground for preschoolers and children of School Age. .0605(k)(1-4) 1890 Each staff member did not have the required medical report, proof of tuberculosis test or screening and/or completed health questionnaire in a medical file, maintained separately from the staff member's individual personnel file. Staff medical statements, proof of a tuberculosis test or screening, and completed health questionnaires were included in the personnel files of three staff members, but were not maintained separately from the staff members’ individual personnel files in the center in separate medical files. .0701(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 9/26/2023. 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 cara.mckeown@dhhs.nc.gov or mail two copies of the letter to: Cara McKeown 353 Jonestown Road, Unit #146 Winston Salem, NC 27104 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 provided during today’s visit: • You must notify your consultant 30 days prior to changing the ownership status of your facility. The following Child Care Rules were thoroughly discussed with Ms. Hardin during the visit: 10A NCAC 09 .0607 EMERGENCY PREPAREDNESS AND RESPONSE IN CHILD CARE CENTERS (10) the location of a Ready to Go File. A Ready to Go File means a collection of information on children, staff and the facility, to utilize, if an evacuation occurs. The file shall include, a copy of the Emergency Preparedness and Response Plan, contact information for individuals to pick-up children, each child's Application for Child Care, medication authorizations and instructions, any action plans for children with special health care needs, a list of any known food allergies of children and staff, staff contact information, Incident Report forms, an area map, and emergency telephone numbers. 15A NCAC 18A .2820 STORAGE (b) Toxic substances, which include 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 shall be kept in the original container or in another labeled container, used according to the manufacturer's instructions, and stored in a locked storage room or cabinet when not in use. Locked storage rooms and cabinets shall include those which are unlocked with a combination lock, electronic or magnetic device, keypad, key, or equivalent locking device. Keys and electronic or magnetic unlocking devices shall be kept out of the reach of a child and shall not be stored in the lock. Toxic substances shall be stored below or separate from medications and food. Any other product that is labeled "keep out of reach of children" and does not have any other warnings on the label shall be kept inaccessible to children when not in use, but is not required to be kept in locked storage. For the purpose of Paragraphs (b), (c), and (d) of this Rule, a product shall be considered inaccessible to children when stored on a shelf or in an unlocked cabinet that is mounted a minimum vertical distance of five feet above the finished floor. 10A NCAC 09 .1715 OPERATIONAL POLICIES (a) Each operator shall have written operational policies that include at least the following information: (2) the age range of the children served; (7) a schedule of daily, weekly, and monthly cleaning duties; (10) a description of opportunities for parent participation. 10A NCAC 09 .0605 OUTDOOR LEARNING ENVIRONMENT IN CHILD CARE CENTERS (m) Exceptions to Paragraph (l) of this Rule are as follows: (3) Tot swings shall have protective surfacing that extends two times the length of the pivot point to the bottom of the swing seat. The surfacing shall be to the front and rear of the swing. Tot swings are defined as swings with enclosed seats. 10A NCAC 09 .1003 SAFE PROCEDURES (b) Each center shall establish procedures for pick-up and delivery of children to ensure children are protected from danger and not exposed to risk of harm. These procedures shall be communicated to parents, and a copy shall be posted in the center where they can be seen by the parents. 10A NCAC 09 .0302 APPLICATION FOR A LICENSE FOR A CHILD CARE CENTER During the pre-licensing visit the applicant shall have the following available for review pursuant to 10A NCAC 09 .0304(g): (5) records of monthly fire drills documenting the date and time of each drill, the length of time taken to evacuate the building, and the signature of the person who conducted the drill as required by NC Fire Code 405.5; A copy of the form may be found on the Division's website at http://ncchildcare.ncdhhs.gov/pdf_forms/EPR_EmergencyDrillLog_Centers.pdf; (8) records of lockdown or shelter-in-place drills as defined in 10A NCAC 09 .0102, giving the date each drill was held, the time of day, the length of time taken to get into designated locations and the signature of the person who conducted the drill. A copy of the form may be found on the Division's website at https://ncchildcare.ncdhhs.gov/pdf_forms/EPR_EmergencyDrillLog_Centers.pdf. 10A NCAC 09 .1005 OFF PREMISE ACTIVITIES IN CHILD CARE CENTERS (a) Off premise activities refer to any activity that takes place away from a child care center’s licensed and approved space. Licensed and approved space includes "primary space" as described in 10A NCAC 09 .1401(a), outdoor space as described in 10A NCAC 09 .1402, single use rooms, or other administrative areas. (b) When children participate in off premise activities the following shall apply: (1) Children under the age of three shall not participate in off premise activities that involve children being transported in a motor vehicle. (2) When children are transported in a motor vehicle for off premise activities, the provisions in Rule .1003(c) through (i) and (k) of this Chapter shall apply. (3) Before staff members walk children off premises for play or outings, the center shall obtain written permission from the parent of each child to be included in such activities. (4) Parents may provide a written statement giving standing permission which may be valid for up to 12 months for participation in off premise activities that occur on a regular basis. (5) The center shall post a schedule of off premise activities in each participating classroom where it can be viewed by parents, and a copy shall be given to parents. The schedule shall be current and shall include the: (A) location of the activity; (B) purpose of the activity; (C) time the activity will take place; (D) date of the activity; and (E) name of the person(s) to be contacted in the event of an emergency. (6) Each time that children are taken off the premises, staff shall take a list of the children participating in the activity with them. Staff members shall use this list to check attendance when leaving the center, periodically when the children are involved in the activity, before leaving the activity to return to the child care center, and upon return to the center. A list of all children participating in the off premise activity shall also be available at the center. (c) The provisions of Subparagraphs (b)(1) and (5) of this Rule shall be waived to implement any child's Individualized Family Service Plan (IFSP) or Individualized Education Program (IEP). 10A NCAC 09 .1723 TRANSPORTATION REQUIREMENTS To assure the safety of children whenever they are transported, the operator, or any other transportation provider, shall: (1) ensure that vehicles used to transport children are free of hazards such as but not limited to, torn upholstery that allows children to remove the interior padding, broken windows, holes in the floor or roof, or tire treads of less than 2/32 of an inch; (2) ensure that vehicles used to transport children comply with all applicable State and federal laws and regulations; (3) ensure that vehicles are insured for liability as required by State laws governing transportation of passengers pursuant to G.S. 20-279.21; (4) ensure that vehicles used to transport children in snowy, icy, and other hazardous weather conditions are equipped with snow tires, or chains; (5) have written permission from a parent to transport his or her child and notify the parent when and where the child is to be transported, and the name of the transportation provider. Parents may give standing permission, valid for up to 12 months, for transport of children to and from the home; (6) ensure that all children are transferred to an individual who is indicated on the child's application for enrollment as specified in Rule .1721(a)(3) of this Section or as authorized by the parent; (7) load and unload children from curbside or in a safe, off-street area, out of the flow of traffic, so that they are protected from all traffic hazards; (8) ensure that all children regardless of age or location in the vehicle shall be restrained with an individual seat belt or child safety seat appropriate to the child's age or weight in accordance with G.S. 20-135.2A located at http://www.buckleupnc.org/occupant-restraint-laws/seat-belt-law-summary/. Only one person shall occupy each seat belt or child safety seat; (9) be at least 21 years old, and have a valid driver's license of the type required under the North Carolina Motor Vehicle Law for the vehicle being driven, or comparable license from the state in which the driver resides, and no convictions of Driving While Impaired (DWI), or any other impaired driving offense, within the last three years; (10) ensure that each child is seated in a manufacturer's designated area. No child shall ride in the load carrying area or floor of a vehicle; (11) have a First Aid kit and fire extinguisher located in the vehicle used to transport children; (12) never leave children in a vehicle unattended by an adult; (13) have identifying information in the vehicle about each child being transported, including the child's name, photograph, emergency contact information, and a copy of the emergency medical care information form required by Rule .1721(a)(3) of this Section; and (14) have a functioning cellular telephone or other functioning two-way voice communication device with them for use in an emergency. The transportation provider shall not use cellular telephones or other functioning two-way communication devices except in the case of an emergency and only when the vehicle is parked in a safe location; and (15) conduct off-premise activities as follows: (a) before the operator walks children off premises for play or outings, the parent of each child shall give written permission for the child to participate in such activities; (b) parents may provide a written statement giving standing permission which may be valid for up to 12 months for participation in off premise activities that occur on a regular basis; and (c) each time the children are taken off premises, the operator shall take identifying information about each child including the child's name, photograph, emergency contact information, a copy of the emergency medical care information form required by 10A NCAC 09 .1721(a)(3) of this Section. 10A NCAC 09 .0605 OUTDOOR LEARNING ENVIRONMENT IN CHILD CARE CENTERS (g) Any openings in equipment, steps, decks, handrails, and fencing shall be smaller than 3 ½ inches or greater than 9 inches to prevent entrapment. 10A NCAC 09 .0302 APPLICATION FOR A LICENSE FOR A CHILD CARE CENTER (a) An application for a license for a child care center shall be submitted on the form provided by the Division, which may be found online at http://ncchildcare.ncdhhs.gov/PDF_forms/FacilityProfileApp.pdf. The application for a child care center license shall include the following information: (d) During the pre-licensing visit the applicant shall have the following available for review pursuant to 10A NCAC 09 .0304(g): (4) daily records of arrival and departure times at the center for each child which shall be maintained as children arrive and depart; 15A NCAC 18A .2803 HANDWASHING (a) Child care center employees shall wash their hands as follows when at work in a child care center: (1) upon reporting for work at the child care center: (2) before and after handling or preparing food; (3) before bottle feeding a child; (4) before providing food service; (5) before handling clean utensils; (6) after toileting or handling of body fluids, including but not limited to saliva, nasal secretions, vomitus, feces, urine, blood, secretions from sores, and pustulant discharge; (7) after diaper changing; (8) after handling soiled items that are not clean; (9) after being outdoors; (10) after handling animals or animal cages; and (11) after removing disposable gloves. (b) The use of a hand antiseptic does not replace the requirements for handwashing in Paragraph (a) of this Rule except that an employee who is supervising a child or children outdoors may use a hand antiseptic while outdoors in lieu of handwashing, provided that the employee's hands are washed in accordance with Paragraph (e) of this Rule when the employee returns indoors. Hand antiseptic shall not be used in lieu of handwashing when the employee's action that necessitates handwashing is diapering, food preparation, or food service. (c) Child care center employees shall ensure that children wash their hands as follows: (1) upon arrival at the child care center; (2) after each diaper change or visit to the toilet; (3) before eating meals or snacks; (4) before and after water play; (5) after being outdoors; and (6) after handling animals or animal cages. (d) Except when the action that necessitates handwashing is diapering and before eating meals or snacks, hand antiseptics may be used in lieu of handwashing while a child is outdoors, provided that the child's hands are washed when the child returns indoors. (e) Handwashing procedures shall include the following steps: (1) using liquid soap and tempered water; (2) rubbing hands vigorously with soap and tempered water for 15 seconds; (3) washing all surfaces of the hands, to include the backs of hands, palms, wrists, under fingernails, and between fingers; (4) rinsing the hands under tempered water for 10 seconds; (5) drying the hands with a paper towel or other hand-drying device; and (6) turning off faucet with a paper towel or other method without recontaminating hands. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (q) Plastic bags, toys, toy parts small enough to be swallowed, and materials that can be torn apart, such as foam rubber and styrofoam, shall not be accessible to children under three years of age. However, styrofoam plates and larger pieces of foam rubber may be used for supervised art activities and styrofoam plates may be used for food service. Jump ropes and rubber bands shall not be accessible to children under five years of age without adult supervision. Balloons shall be prohibited for children of all ages. • Please remove all foam blocks from classroom activity centers with teeth marks or small pieces missing. • I recommend activity plans for each classroom are current and posted. • I recommend all push pins be removed from the corkboard lining the wall of the classroom used for infants, to prevent a safety hazard. • Please ensure all required classroom postings are posted for review. • Please ensure all cribs for infants enrolled in a classroom are labeled with their names. • When an infant is placed on his/her back to sleep in a crib or approved sleeping apparatus, please always record the first position for the infant on the sleep log as “B” for “Back”, even if the infant immediately rolls over to his or her side or stomach. • Please record specific amounts of diaper cream or other non-prescription topical ointment to be administered on medication authorization forms. • Please record specific times to administer diaper cream or other non-prescription topical ointment, such as “when redness occurs”. • Please ensure all staff members know where required forms are located in the classrooms they serve. • Please ensure a cot list is posted in all classrooms. • You can access the Automated Background Check Management System (ABCMS) at the following link to print a copy of your most recent Criminal Background Check qualifying letter: https://ncabcms.nc.gov/DCDEE/Applicant/ • Please monitor the fencing surrounding the playground for developing rust. • You may access Health and Safety trainings through the following link on the Division website: https://www.dcdee.moodle.nc.gov/ Please choose the Services tab, DCDEE Moodle, Professional Development, Regulatory, and then the 2023 CCDF Health and Safety trainings. • Please also pressure wash outdoor equipment (climbing tunnel on Pre-K/SA playground) with developing mildew. • Please use the most recently updated forms from the Division website for children, staff, and program records; these can be accessed at the following website: https://ncchildcare.ncdhhs.gov/Provider/Provider-Documents-and-Forms • Please record all current completed Health and Safety trainings on the Health and Safety Training Log. • Please access the Risk Management Portal at the following website to update Emergency Preparedness and Response Plan: https://rmp.nc.gov/portal/portal.aspx# • Please review all children’s records to ensure that all forms have been fully completed, inclusive of a recorded date of enrollment (when applicable) and date signed by the parent/guardian. • The Child Care Health Consultant for Forsyth County is Keturah Oglesby at Smart Start of Forsyth County. Ms. Oglesby can be contacted at: keturaho@smartstart-fc.org. • Please ensure parents update infant feeding schedules as children get older. 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. Cara McKeown, Child Care Consultant (336) 408-4849 cara.mckeown@dhhs.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 .1005 · Violation

Name of Operation: Main Street Baptist Church Early Learning Center Facility ID: 3452208 Consultant: CARA MCKEOWN-STEWART Operation Type: Center Case Number: Visit Date: 9/12/2023 Number Present: 38 Completed Date: 9/12/2023 Age: From 0 To 5 Total Minutes: 490 Time In: 08:20 AM Time Out: 04:30 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 facility to monitor compliance with applicable childcare requirements. This visit was conducted by Cara McKeown-Stewart, Child Care Consultant with Aislinn Hardin, Lead Teacher. Director, Lakeshia Singletary, was not present during the visit today. Your program currently operates with a notice of compliance. The NC Secretary of State website was reviewed on 9/12/2023 and Main Street Baptist Church, Inc. was listed as current and active. The program’s compliance history was 100% 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. In Space 2, three outlets located on a power strip were observed without safety covers. Ms. Hardin covered each of these outlets with a safety cover during the visit. The facility has two playgrounds, one used for infants and toddlers, and the other for children of preschool and School Age. On the playground used by infants and toddlers, two holes were observed side-by-side along the PVC pipe located to the left of the gate entrance, presenting a potential tripping and safety hazard. A large, rusted spike was observed at the base of the rain gutter near the entrance to this playground. The bases of four metal roof supports were observed to be heavily rusted. A cracked area, sharp to the touch, was observed on a non-stationary slide/swing structure. On the playground used by children of preschool and School Age, four rusted chain latches were observed on the inside of the fencing. The latch to the shed was observed to be heavily rusted. Greater than three sections of fencing were observed to be heavily rusted. The base of a rain pipe was observed to be cracked and sharp to the touch, with wire mesh surrounding the base also observed to be sharp to the touch. The mulch measures between 1 and 4 inches in greater than 6 fall zones. The stationary structure was observed to have rust forming on the rails of the stairs. The landings of the large, stationary climbing structure were observed to be cracked in greater than three areas, each of which have metal exposed which was observed to be beginning to rust. Upon arrival, staff/child ratio and space capacity were monitored as indicated on the attached worksheet. In Space 2, one child enrolled was not signed in upon arrival. In Space 7, one child was not signed in upon arrival. Supervision was adequate during the visit. I observed positive interactions today. I observed children playing in activity centers, participating in general routines and eating lunch. I observed developmentally appropriate materials and activities were available to the children in the classrooms. The last annual compliance visit was conducted on 9/21/2022. A sanitation inspection was completed 4/06/2023 with a Superior classification. The last fire inspection was conducted 11/11/2022. Program records and required postings were monitored. A fire drill was conducted on 8/03/2023. A shelter in place drill was documented on 6/15/2023. An outdoor inspection was documented on 8/31/2023. The Ready to Go file was not available for review. All incident reports were not recorded on classroom incident logs. Staff files and children’s records were monitored per DCDEE procedures. Staff medical statements, proof of a tuberculosis test or screening, and completed health questionnaires were included in the personnel files of three staff members, but were not maintained separately from the staff members’ individual personnel files in the center in separate medical files. A signed and dated statement of receipt of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not observed on file for two children enrolled. The infant feeding plans for four children enrolled were not signed by a parent. The infant feeding plans for two children enrolled were not updated and dated. A record of Health and Safety Training was not observed on file for one existing staff member. A signed receipt of operational and personnel policies was not on file for two new staff members and one existing staff member. An annual signed review of the Emergency Preparedness and Response Plan was not on file for two new staff members and one existing staff member. An annual signed review of the Emergency Medical Care Plan was not on file for two new staff members and one existing staff member. An annual staff evaluation was not on file for one existing staff member. Storage of hazardous items was monitored today. In Space 2, a bottle of Fabuloso disinfecting cleanser, labeled Keep Out of Reach of Children with additional warnings, was observed on a counter less than five feet from the ground. Ms. Hardin placed this item into locked storage during the visit. Storage and administration of medication were monitored. Medication authorization was monitored. The program does not provide transportation; however, during a phone conversation during the visit with Ms. Singletary, Director, this morning, Ms. Singletary stated she is interested in using the church van to begin to provide transportation for children of Pre-K and School Age for field trips only. I stated Ms. Singletary should contact me once all requirements for transportation have been met. Once contacted by Ms. Singletary, I will schedule a visit for me to monitor requirements for transportation and to approve the facility to transport children. The following violations were cited during today’s visit: Violation Number Comment Rule 124 The center did not maintain records as required in rule, and/or were not made available to the Division for review. A signed and dated statement of receipt of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not observed on file for two children enrolled. The infant feeding plans for four children enrolled were not signed by a parent. The infant feeding plans for two children enrolled were not updated and dated. A record of Health and Safety Training was not observed on file for one existing staff member. A signed receipt of operational and personnel policies was not on file for two new staff members and one existing staff member. An annual signed review of the Emergency Preparedness and Response Plan was not on file for two new staff members and one existing staff member. An annual signed review of the Emergency Medical Care Plan was not on file for two new staff members and one existing staff member. An annual staff evaluation was not on file for one existing staff member. G.S. 110-91(9); .0304(g); .2318 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 2, one child enrolled was not signed in upon arrival. In Space 7, one child was not signed in upon arrival. 10A NCAC 09 .0302(d)(4) 807 A safe indoor and outdoor environment was not provided for the children. Ms. Hardin covered each of these outlets with a safety cover during the visit. On the playground used by infants and toddlers, two holes were observed side-by-side along the PVC pipe located to the left of the gate entrance, presenting a potential tripping and safety hazard. A large, rusted spike was observed at the base of the rain gutter near the entrance to this playground. The bases of four metal roof supports were observed to be heavily rusted. A cracked area, sharp to the touch, was observed on a non-stationary slide/swing structure. On the playground used by children of preschool and School Age, four rusted chain latches were observed on the inside of the fencing. The latch to the shed was observed to be heavily rusted. Greater than three sections of fencing were observed to be heavily rusted. The base of a rain pipe was observed to be cracked and sharp to the touch, with wire mesh surrounding the base also observed to be sharp to the touch. The stationary structure was observed to have rust forming on the rails of the stairs. The landings of the large, stationary climbing structure were observed to be cracked in greater than three areas, each of which have metal exposed which was observed to be beginning to rust. 10A NCAC 09 .0601(a) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. In Space 2, a bottle of Fabuloso disinfecting cleanser, labeled Keep Out of Reach of Children with additional warnings, was observed on a counter less than five feet from the ground. .2820(b) 853 Incident logs were not completed and maintained as required. All incident reports were not recorded on classroom incident logs. .0802(g)(1-6) 1823 The EPR Plan did not include the location of the Ready to Go File and or the required information. The Ready to Go file was not available for review. .0607(d)(10) 1867 The depth of the loose surfacing was not based on critical height of the equipment. The mulch measures between 1 and 4 inches in greater than 6 fall zones on the playground for preschoolers and children of School Age. .0605(k)(1-4) 1890 Each staff member did not have the required medical report, proof of tuberculosis test or screening and/or completed health questionnaire in a medical file, maintained separately from the staff member's individual personnel file. Staff medical statements, proof of a tuberculosis test or screening, and completed health questionnaires were included in the personnel files of three staff members, but were not maintained separately from the staff members’ individual personnel files in the center in separate medical files. .0701(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 9/26/2023. 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 cara.mckeown@dhhs.nc.gov or mail two copies of the letter to: Cara McKeown 353 Jonestown Road, Unit #146 Winston Salem, NC 27104 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 provided during today’s visit: • You must notify your consultant 30 days prior to changing the ownership status of your facility. The following Child Care Rules were thoroughly discussed with Ms. Hardin during the visit: 10A NCAC 09 .0607 EMERGENCY PREPAREDNESS AND RESPONSE IN CHILD CARE CENTERS (10) the location of a Ready to Go File. A Ready to Go File means a collection of information on children, staff and the facility, to utilize, if an evacuation occurs. The file shall include, a copy of the Emergency Preparedness and Response Plan, contact information for individuals to pick-up children, each child's Application for Child Care, medication authorizations and instructions, any action plans for children with special health care needs, a list of any known food allergies of children and staff, staff contact information, Incident Report forms, an area map, and emergency telephone numbers. 15A NCAC 18A .2820 STORAGE (b) Toxic substances, which include 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 shall be kept in the original container or in another labeled container, used according to the manufacturer's instructions, and stored in a locked storage room or cabinet when not in use. Locked storage rooms and cabinets shall include those which are unlocked with a combination lock, electronic or magnetic device, keypad, key, or equivalent locking device. Keys and electronic or magnetic unlocking devices shall be kept out of the reach of a child and shall not be stored in the lock. Toxic substances shall be stored below or separate from medications and food. Any other product that is labeled "keep out of reach of children" and does not have any other warnings on the label shall be kept inaccessible to children when not in use, but is not required to be kept in locked storage. For the purpose of Paragraphs (b), (c), and (d) of this Rule, a product shall be considered inaccessible to children when stored on a shelf or in an unlocked cabinet that is mounted a minimum vertical distance of five feet above the finished floor. 10A NCAC 09 .1715 OPERATIONAL POLICIES (a) Each operator shall have written operational policies that include at least the following information: (2) the age range of the children served; (7) a schedule of daily, weekly, and monthly cleaning duties; (10) a description of opportunities for parent participation. 10A NCAC 09 .0605 OUTDOOR LEARNING ENVIRONMENT IN CHILD CARE CENTERS (m) Exceptions to Paragraph (l) of this Rule are as follows: (3) Tot swings shall have protective surfacing that extends two times the length of the pivot point to the bottom of the swing seat. The surfacing shall be to the front and rear of the swing. Tot swings are defined as swings with enclosed seats. 10A NCAC 09 .1003 SAFE PROCEDURES (b) Each center shall establish procedures for pick-up and delivery of children to ensure children are protected from danger and not exposed to risk of harm. These procedures shall be communicated to parents, and a copy shall be posted in the center where they can be seen by the parents. 10A NCAC 09 .0302 APPLICATION FOR A LICENSE FOR A CHILD CARE CENTER During the pre-licensing visit the applicant shall have the following available for review pursuant to 10A NCAC 09 .0304(g): (5) records of monthly fire drills documenting the date and time of each drill, the length of time taken to evacuate the building, and the signature of the person who conducted the drill as required by NC Fire Code 405.5; A copy of the form may be found on the Division's website at http://ncchildcare.ncdhhs.gov/pdf_forms/EPR_EmergencyDrillLog_Centers.pdf; (8) records of lockdown or shelter-in-place drills as defined in 10A NCAC 09 .0102, giving the date each drill was held, the time of day, the length of time taken to get into designated locations and the signature of the person who conducted the drill. A copy of the form may be found on the Division's website at https://ncchildcare.ncdhhs.gov/pdf_forms/EPR_EmergencyDrillLog_Centers.pdf. 10A NCAC 09 .1005 OFF PREMISE ACTIVITIES IN CHILD CARE CENTERS (a) Off premise activities refer to any activity that takes place away from a child care center’s licensed and approved space. Licensed and approved space includes "primary space" as described in 10A NCAC 09 .1401(a), outdoor space as described in 10A NCAC 09 .1402, single use rooms, or other administrative areas. (b) When children participate in off premise activities the following shall apply: (1) Children under the age of three shall not participate in off premise activities that involve children being transported in a motor vehicle. (2) When children are transported in a motor vehicle for off premise activities, the provisions in Rule .1003(c) through (i) and (k) of this Chapter shall apply. (3) Before staff members walk children off premises for play or outings, the center shall obtain written permission from the parent of each child to be included in such activities. (4) Parents may provide a written statement giving standing permission which may be valid for up to 12 months for participation in off premise activities that occur on a regular basis. (5) The center shall post a schedule of off premise activities in each participating classroom where it can be viewed by parents, and a copy shall be given to parents. The schedule shall be current and shall include the: (A) location of the activity; (B) purpose of the activity; (C) time the activity will take place; (D) date of the activity; and (E) name of the person(s) to be contacted in the event of an emergency. (6) Each time that children are taken off the premises, staff shall take a list of the children participating in the activity with them. Staff members shall use this list to check attendance when leaving the center, periodically when the children are involved in the activity, before leaving the activity to return to the child care center, and upon return to the center. A list of all children participating in the off premise activity shall also be available at the center. (c) The provisions of Subparagraphs (b)(1) and (5) of this Rule shall be waived to implement any child's Individualized Family Service Plan (IFSP) or Individualized Education Program (IEP). 10A NCAC 09 .1723 TRANSPORTATION REQUIREMENTS To assure the safety of children whenever they are transported, the operator, or any other transportation provider, shall: (1) ensure that vehicles used to transport children are free of hazards such as but not limited to, torn upholstery that allows children to remove the interior padding, broken windows, holes in the floor or roof, or tire treads of less than 2/32 of an inch; (2) ensure that vehicles used to transport children comply with all applicable State and federal laws and regulations; (3) ensure that vehicles are insured for liability as required by State laws governing transportation of passengers pursuant to G.S. 20-279.21; (4) ensure that vehicles used to transport children in snowy, icy, and other hazardous weather conditions are equipped with snow tires, or chains; (5) have written permission from a parent to transport his or her child and notify the parent when and where the child is to be transported, and the name of the transportation provider. Parents may give standing permission, valid for up to 12 months, for transport of children to and from the home; (6) ensure that all children are transferred to an individual who is indicated on the child's application for enrollment as specified in Rule .1721(a)(3) of this Section or as authorized by the parent; (7) load and unload children from curbside or in a safe, off-street area, out of the flow of traffic, so that they are protected from all traffic hazards; (8) ensure that all children regardless of age or location in the vehicle shall be restrained with an individual seat belt or child safety seat appropriate to the child's age or weight in accordance with G.S. 20-135.2A located at http://www.buckleupnc.org/occupant-restraint-laws/seat-belt-law-summary/. Only one person shall occupy each seat belt or child safety seat; (9) be at least 21 years old, and have a valid driver's license of the type required under the North Carolina Motor Vehicle Law for the vehicle being driven, or comparable license from the state in which the driver resides, and no convictions of Driving While Impaired (DWI), or any other impaired driving offense, within the last three years; (10) ensure that each child is seated in a manufacturer's designated area. No child shall ride in the load carrying area or floor of a vehicle; (11) have a First Aid kit and fire extinguisher located in the vehicle used to transport children; (12) never leave children in a vehicle unattended by an adult; (13) have identifying information in the vehicle about each child being transported, including the child's name, photograph, emergency contact information, and a copy of the emergency medical care information form required by Rule .1721(a)(3) of this Section; and (14) have a functioning cellular telephone or other functioning two-way voice communication device with them for use in an emergency. The transportation provider shall not use cellular telephones or other functioning two-way communication devices except in the case of an emergency and only when the vehicle is parked in a safe location; and (15) conduct off-premise activities as follows: (a) before the operator walks children off premises for play or outings, the parent of each child shall give written permission for the child to participate in such activities; (b) parents may provide a written statement giving standing permission which may be valid for up to 12 months for participation in off premise activities that occur on a regular basis; and (c) each time the children are taken off premises, the operator shall take identifying information about each child including the child's name, photograph, emergency contact information, a copy of the emergency medical care information form required by 10A NCAC 09 .1721(a)(3) of this Section. 10A NCAC 09 .0605 OUTDOOR LEARNING ENVIRONMENT IN CHILD CARE CENTERS (g) Any openings in equipment, steps, decks, handrails, and fencing shall be smaller than 3 ½ inches or greater than 9 inches to prevent entrapment. 10A NCAC 09 .0302 APPLICATION FOR A LICENSE FOR A CHILD CARE CENTER (a) An application for a license for a child care center shall be submitted on the form provided by the Division, which may be found online at http://ncchildcare.ncdhhs.gov/PDF_forms/FacilityProfileApp.pdf. The application for a child care center license shall include the following information: (d) During the pre-licensing visit the applicant shall have the following available for review pursuant to 10A NCAC 09 .0304(g): (4) daily records of arrival and departure times at the center for each child which shall be maintained as children arrive and depart; 15A NCAC 18A .2803 HANDWASHING (a) Child care center employees shall wash their hands as follows when at work in a child care center: (1) upon reporting for work at the child care center: (2) before and after handling or preparing food; (3) before bottle feeding a child; (4) before providing food service; (5) before handling clean utensils; (6) after toileting or handling of body fluids, including but not limited to saliva, nasal secretions, vomitus, feces, urine, blood, secretions from sores, and pustulant discharge; (7) after diaper changing; (8) after handling soiled items that are not clean; (9) after being outdoors; (10) after handling animals or animal cages; and (11) after removing disposable gloves. (b) The use of a hand antiseptic does not replace the requirements for handwashing in Paragraph (a) of this Rule except that an employee who is supervising a child or children outdoors may use a hand antiseptic while outdoors in lieu of handwashing, provided that the employee's hands are washed in accordance with Paragraph (e) of this Rule when the employee returns indoors. Hand antiseptic shall not be used in lieu of handwashing when the employee's action that necessitates handwashing is diapering, food preparation, or food service. (c) Child care center employees shall ensure that children wash their hands as follows: (1) upon arrival at the child care center; (2) after each diaper change or visit to the toilet; (3) before eating meals or snacks; (4) before and after water play; (5) after being outdoors; and (6) after handling animals or animal cages. (d) Except when the action that necessitates handwashing is diapering and before eating meals or snacks, hand antiseptics may be used in lieu of handwashing while a child is outdoors, provided that the child's hands are washed when the child returns indoors. (e) Handwashing procedures shall include the following steps: (1) using liquid soap and tempered water; (2) rubbing hands vigorously with soap and tempered water for 15 seconds; (3) washing all surfaces of the hands, to include the backs of hands, palms, wrists, under fingernails, and between fingers; (4) rinsing the hands under tempered water for 10 seconds; (5) drying the hands with a paper towel or other hand-drying device; and (6) turning off faucet with a paper towel or other method without recontaminating hands. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (q) Plastic bags, toys, toy parts small enough to be swallowed, and materials that can be torn apart, such as foam rubber and styrofoam, shall not be accessible to children under three years of age. However, styrofoam plates and larger pieces of foam rubber may be used for supervised art activities and styrofoam plates may be used for food service. Jump ropes and rubber bands shall not be accessible to children under five years of age without adult supervision. Balloons shall be prohibited for children of all ages. • Please remove all foam blocks from classroom activity centers with teeth marks or small pieces missing. • I recommend activity plans for each classroom are current and posted. • I recommend all push pins be removed from the corkboard lining the wall of the classroom used for infants, to prevent a safety hazard. • Please ensure all required classroom postings are posted for review. • Please ensure all cribs for infants enrolled in a classroom are labeled with their names. • When an infant is placed on his/her back to sleep in a crib or approved sleeping apparatus, please always record the first position for the infant on the sleep log as “B” for “Back”, even if the infant immediately rolls over to his or her side or stomach. • Please record specific amounts of diaper cream or other non-prescription topical ointment to be administered on medication authorization forms. • Please record specific times to administer diaper cream or other non-prescription topical ointment, such as “when redness occurs”. • Please ensure all staff members know where required forms are located in the classrooms they serve. • Please ensure a cot list is posted in all classrooms. • You can access the Automated Background Check Management System (ABCMS) at the following link to print a copy of your most recent Criminal Background Check qualifying letter: https://ncabcms.nc.gov/DCDEE/Applicant/ • Please monitor the fencing surrounding the playground for developing rust. • You may access Health and Safety trainings through the following link on the Division website: https://www.dcdee.moodle.nc.gov/ Please choose the Services tab, DCDEE Moodle, Professional Development, Regulatory, and then the 2023 CCDF Health and Safety trainings. • Please also pressure wash outdoor equipment (climbing tunnel on Pre-K/SA playground) with developing mildew. • Please use the most recently updated forms from the Division website for children, staff, and program records; these can be accessed at the following website: https://ncchildcare.ncdhhs.gov/Provider/Provider-Documents-and-Forms • Please record all current completed Health and Safety trainings on the Health and Safety Training Log. • Please access the Risk Management Portal at the following website to update Emergency Preparedness and Response Plan: https://rmp.nc.gov/portal/portal.aspx# • Please review all children’s records to ensure that all forms have been fully completed, inclusive of a recorded date of enrollment (when applicable) and date signed by the parent/guardian. • The Child Care Health Consultant for Forsyth County is Keturah Oglesby at Smart Start of Forsyth County. Ms. Oglesby can be contacted at: keturaho@smartstart-fc.org. • Please ensure parents update infant feeding schedules as children get older. 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. Cara McKeown, Child Care Consultant (336) 408-4849 cara.mckeown@dhhs.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 .1401 · Violation

Name of Operation: Main Street Baptist Church Early Learning Center Facility ID: 3452208 Consultant: CARA MCKEOWN-STEWART Operation Type: Center Case Number: Visit Date: 9/12/2023 Number Present: 38 Completed Date: 9/12/2023 Age: From 0 To 5 Total Minutes: 490 Time In: 08:20 AM Time Out: 04:30 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 facility to monitor compliance with applicable childcare requirements. This visit was conducted by Cara McKeown-Stewart, Child Care Consultant with Aislinn Hardin, Lead Teacher. Director, Lakeshia Singletary, was not present during the visit today. Your program currently operates with a notice of compliance. The NC Secretary of State website was reviewed on 9/12/2023 and Main Street Baptist Church, Inc. was listed as current and active. The program’s compliance history was 100% 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. In Space 2, three outlets located on a power strip were observed without safety covers. Ms. Hardin covered each of these outlets with a safety cover during the visit. The facility has two playgrounds, one used for infants and toddlers, and the other for children of preschool and School Age. On the playground used by infants and toddlers, two holes were observed side-by-side along the PVC pipe located to the left of the gate entrance, presenting a potential tripping and safety hazard. A large, rusted spike was observed at the base of the rain gutter near the entrance to this playground. The bases of four metal roof supports were observed to be heavily rusted. A cracked area, sharp to the touch, was observed on a non-stationary slide/swing structure. On the playground used by children of preschool and School Age, four rusted chain latches were observed on the inside of the fencing. The latch to the shed was observed to be heavily rusted. Greater than three sections of fencing were observed to be heavily rusted. The base of a rain pipe was observed to be cracked and sharp to the touch, with wire mesh surrounding the base also observed to be sharp to the touch. The mulch measures between 1 and 4 inches in greater than 6 fall zones. The stationary structure was observed to have rust forming on the rails of the stairs. The landings of the large, stationary climbing structure were observed to be cracked in greater than three areas, each of which have metal exposed which was observed to be beginning to rust. Upon arrival, staff/child ratio and space capacity were monitored as indicated on the attached worksheet. In Space 2, one child enrolled was not signed in upon arrival. In Space 7, one child was not signed in upon arrival. Supervision was adequate during the visit. I observed positive interactions today. I observed children playing in activity centers, participating in general routines and eating lunch. I observed developmentally appropriate materials and activities were available to the children in the classrooms. The last annual compliance visit was conducted on 9/21/2022. A sanitation inspection was completed 4/06/2023 with a Superior classification. The last fire inspection was conducted 11/11/2022. Program records and required postings were monitored. A fire drill was conducted on 8/03/2023. A shelter in place drill was documented on 6/15/2023. An outdoor inspection was documented on 8/31/2023. The Ready to Go file was not available for review. All incident reports were not recorded on classroom incident logs. Staff files and children’s records were monitored per DCDEE procedures. Staff medical statements, proof of a tuberculosis test or screening, and completed health questionnaires were included in the personnel files of three staff members, but were not maintained separately from the staff members’ individual personnel files in the center in separate medical files. A signed and dated statement of receipt of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not observed on file for two children enrolled. The infant feeding plans for four children enrolled were not signed by a parent. The infant feeding plans for two children enrolled were not updated and dated. A record of Health and Safety Training was not observed on file for one existing staff member. A signed receipt of operational and personnel policies was not on file for two new staff members and one existing staff member. An annual signed review of the Emergency Preparedness and Response Plan was not on file for two new staff members and one existing staff member. An annual signed review of the Emergency Medical Care Plan was not on file for two new staff members and one existing staff member. An annual staff evaluation was not on file for one existing staff member. Storage of hazardous items was monitored today. In Space 2, a bottle of Fabuloso disinfecting cleanser, labeled Keep Out of Reach of Children with additional warnings, was observed on a counter less than five feet from the ground. Ms. Hardin placed this item into locked storage during the visit. Storage and administration of medication were monitored. Medication authorization was monitored. The program does not provide transportation; however, during a phone conversation during the visit with Ms. Singletary, Director, this morning, Ms. Singletary stated she is interested in using the church van to begin to provide transportation for children of Pre-K and School Age for field trips only. I stated Ms. Singletary should contact me once all requirements for transportation have been met. Once contacted by Ms. Singletary, I will schedule a visit for me to monitor requirements for transportation and to approve the facility to transport children. The following violations were cited during today’s visit: Violation Number Comment Rule 124 The center did not maintain records as required in rule, and/or were not made available to the Division for review. A signed and dated statement of receipt of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not observed on file for two children enrolled. The infant feeding plans for four children enrolled were not signed by a parent. The infant feeding plans for two children enrolled were not updated and dated. A record of Health and Safety Training was not observed on file for one existing staff member. A signed receipt of operational and personnel policies was not on file for two new staff members and one existing staff member. An annual signed review of the Emergency Preparedness and Response Plan was not on file for two new staff members and one existing staff member. An annual signed review of the Emergency Medical Care Plan was not on file for two new staff members and one existing staff member. An annual staff evaluation was not on file for one existing staff member. G.S. 110-91(9); .0304(g); .2318 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 2, one child enrolled was not signed in upon arrival. In Space 7, one child was not signed in upon arrival. 10A NCAC 09 .0302(d)(4) 807 A safe indoor and outdoor environment was not provided for the children. Ms. Hardin covered each of these outlets with a safety cover during the visit. On the playground used by infants and toddlers, two holes were observed side-by-side along the PVC pipe located to the left of the gate entrance, presenting a potential tripping and safety hazard. A large, rusted spike was observed at the base of the rain gutter near the entrance to this playground. The bases of four metal roof supports were observed to be heavily rusted. A cracked area, sharp to the touch, was observed on a non-stationary slide/swing structure. On the playground used by children of preschool and School Age, four rusted chain latches were observed on the inside of the fencing. The latch to the shed was observed to be heavily rusted. Greater than three sections of fencing were observed to be heavily rusted. The base of a rain pipe was observed to be cracked and sharp to the touch, with wire mesh surrounding the base also observed to be sharp to the touch. The stationary structure was observed to have rust forming on the rails of the stairs. The landings of the large, stationary climbing structure were observed to be cracked in greater than three areas, each of which have metal exposed which was observed to be beginning to rust. 10A NCAC 09 .0601(a) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. In Space 2, a bottle of Fabuloso disinfecting cleanser, labeled Keep Out of Reach of Children with additional warnings, was observed on a counter less than five feet from the ground. .2820(b) 853 Incident logs were not completed and maintained as required. All incident reports were not recorded on classroom incident logs. .0802(g)(1-6) 1823 The EPR Plan did not include the location of the Ready to Go File and or the required information. The Ready to Go file was not available for review. .0607(d)(10) 1867 The depth of the loose surfacing was not based on critical height of the equipment. The mulch measures between 1 and 4 inches in greater than 6 fall zones on the playground for preschoolers and children of School Age. .0605(k)(1-4) 1890 Each staff member did not have the required medical report, proof of tuberculosis test or screening and/or completed health questionnaire in a medical file, maintained separately from the staff member's individual personnel file. Staff medical statements, proof of a tuberculosis test or screening, and completed health questionnaires were included in the personnel files of three staff members, but were not maintained separately from the staff members’ individual personnel files in the center in separate medical files. .0701(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 9/26/2023. 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 cara.mckeown@dhhs.nc.gov or mail two copies of the letter to: Cara McKeown 353 Jonestown Road, Unit #146 Winston Salem, NC 27104 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 provided during today’s visit: • You must notify your consultant 30 days prior to changing the ownership status of your facility. The following Child Care Rules were thoroughly discussed with Ms. Hardin during the visit: 10A NCAC 09 .0607 EMERGENCY PREPAREDNESS AND RESPONSE IN CHILD CARE CENTERS (10) the location of a Ready to Go File. A Ready to Go File means a collection of information on children, staff and the facility, to utilize, if an evacuation occurs. The file shall include, a copy of the Emergency Preparedness and Response Plan, contact information for individuals to pick-up children, each child's Application for Child Care, medication authorizations and instructions, any action plans for children with special health care needs, a list of any known food allergies of children and staff, staff contact information, Incident Report forms, an area map, and emergency telephone numbers. 15A NCAC 18A .2820 STORAGE (b) Toxic substances, which include 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 shall be kept in the original container or in another labeled container, used according to the manufacturer's instructions, and stored in a locked storage room or cabinet when not in use. Locked storage rooms and cabinets shall include those which are unlocked with a combination lock, electronic or magnetic device, keypad, key, or equivalent locking device. Keys and electronic or magnetic unlocking devices shall be kept out of the reach of a child and shall not be stored in the lock. Toxic substances shall be stored below or separate from medications and food. Any other product that is labeled "keep out of reach of children" and does not have any other warnings on the label shall be kept inaccessible to children when not in use, but is not required to be kept in locked storage. For the purpose of Paragraphs (b), (c), and (d) of this Rule, a product shall be considered inaccessible to children when stored on a shelf or in an unlocked cabinet that is mounted a minimum vertical distance of five feet above the finished floor. 10A NCAC 09 .1715 OPERATIONAL POLICIES (a) Each operator shall have written operational policies that include at least the following information: (2) the age range of the children served; (7) a schedule of daily, weekly, and monthly cleaning duties; (10) a description of opportunities for parent participation. 10A NCAC 09 .0605 OUTDOOR LEARNING ENVIRONMENT IN CHILD CARE CENTERS (m) Exceptions to Paragraph (l) of this Rule are as follows: (3) Tot swings shall have protective surfacing that extends two times the length of the pivot point to the bottom of the swing seat. The surfacing shall be to the front and rear of the swing. Tot swings are defined as swings with enclosed seats. 10A NCAC 09 .1003 SAFE PROCEDURES (b) Each center shall establish procedures for pick-up and delivery of children to ensure children are protected from danger and not exposed to risk of harm. These procedures shall be communicated to parents, and a copy shall be posted in the center where they can be seen by the parents. 10A NCAC 09 .0302 APPLICATION FOR A LICENSE FOR A CHILD CARE CENTER During the pre-licensing visit the applicant shall have the following available for review pursuant to 10A NCAC 09 .0304(g): (5) records of monthly fire drills documenting the date and time of each drill, the length of time taken to evacuate the building, and the signature of the person who conducted the drill as required by NC Fire Code 405.5; A copy of the form may be found on the Division's website at http://ncchildcare.ncdhhs.gov/pdf_forms/EPR_EmergencyDrillLog_Centers.pdf; (8) records of lockdown or shelter-in-place drills as defined in 10A NCAC 09 .0102, giving the date each drill was held, the time of day, the length of time taken to get into designated locations and the signature of the person who conducted the drill. A copy of the form may be found on the Division's website at https://ncchildcare.ncdhhs.gov/pdf_forms/EPR_EmergencyDrillLog_Centers.pdf. 10A NCAC 09 .1005 OFF PREMISE ACTIVITIES IN CHILD CARE CENTERS (a) Off premise activities refer to any activity that takes place away from a child care center’s licensed and approved space. Licensed and approved space includes "primary space" as described in 10A NCAC 09 .1401(a), outdoor space as described in 10A NCAC 09 .1402, single use rooms, or other administrative areas. (b) When children participate in off premise activities the following shall apply: (1) Children under the age of three shall not participate in off premise activities that involve children being transported in a motor vehicle. (2) When children are transported in a motor vehicle for off premise activities, the provisions in Rule .1003(c) through (i) and (k) of this Chapter shall apply. (3) Before staff members walk children off premises for play or outings, the center shall obtain written permission from the parent of each child to be included in such activities. (4) Parents may provide a written statement giving standing permission which may be valid for up to 12 months for participation in off premise activities that occur on a regular basis. (5) The center shall post a schedule of off premise activities in each participating classroom where it can be viewed by parents, and a copy shall be given to parents. The schedule shall be current and shall include the: (A) location of the activity; (B) purpose of the activity; (C) time the activity will take place; (D) date of the activity; and (E) name of the person(s) to be contacted in the event of an emergency. (6) Each time that children are taken off the premises, staff shall take a list of the children participating in the activity with them. Staff members shall use this list to check attendance when leaving the center, periodically when the children are involved in the activity, before leaving the activity to return to the child care center, and upon return to the center. A list of all children participating in the off premise activity shall also be available at the center. (c) The provisions of Subparagraphs (b)(1) and (5) of this Rule shall be waived to implement any child's Individualized Family Service Plan (IFSP) or Individualized Education Program (IEP). 10A NCAC 09 .1723 TRANSPORTATION REQUIREMENTS To assure the safety of children whenever they are transported, the operator, or any other transportation provider, shall: (1) ensure that vehicles used to transport children are free of hazards such as but not limited to, torn upholstery that allows children to remove the interior padding, broken windows, holes in the floor or roof, or tire treads of less than 2/32 of an inch; (2) ensure that vehicles used to transport children comply with all applicable State and federal laws and regulations; (3) ensure that vehicles are insured for liability as required by State laws governing transportation of passengers pursuant to G.S. 20-279.21; (4) ensure that vehicles used to transport children in snowy, icy, and other hazardous weather conditions are equipped with snow tires, or chains; (5) have written permission from a parent to transport his or her child and notify the parent when and where the child is to be transported, and the name of the transportation provider. Parents may give standing permission, valid for up to 12 months, for transport of children to and from the home; (6) ensure that all children are transferred to an individual who is indicated on the child's application for enrollment as specified in Rule .1721(a)(3) of this Section or as authorized by the parent; (7) load and unload children from curbside or in a safe, off-street area, out of the flow of traffic, so that they are protected from all traffic hazards; (8) ensure that all children regardless of age or location in the vehicle shall be restrained with an individual seat belt or child safety seat appropriate to the child's age or weight in accordance with G.S. 20-135.2A located at http://www.buckleupnc.org/occupant-restraint-laws/seat-belt-law-summary/. Only one person shall occupy each seat belt or child safety seat; (9) be at least 21 years old, and have a valid driver's license of the type required under the North Carolina Motor Vehicle Law for the vehicle being driven, or comparable license from the state in which the driver resides, and no convictions of Driving While Impaired (DWI), or any other impaired driving offense, within the last three years; (10) ensure that each child is seated in a manufacturer's designated area. No child shall ride in the load carrying area or floor of a vehicle; (11) have a First Aid kit and fire extinguisher located in the vehicle used to transport children; (12) never leave children in a vehicle unattended by an adult; (13) have identifying information in the vehicle about each child being transported, including the child's name, photograph, emergency contact information, and a copy of the emergency medical care information form required by Rule .1721(a)(3) of this Section; and (14) have a functioning cellular telephone or other functioning two-way voice communication device with them for use in an emergency. The transportation provider shall not use cellular telephones or other functioning two-way communication devices except in the case of an emergency and only when the vehicle is parked in a safe location; and (15) conduct off-premise activities as follows: (a) before the operator walks children off premises for play or outings, the parent of each child shall give written permission for the child to participate in such activities; (b) parents may provide a written statement giving standing permission which may be valid for up to 12 months for participation in off premise activities that occur on a regular basis; and (c) each time the children are taken off premises, the operator shall take identifying information about each child including the child's name, photograph, emergency contact information, a copy of the emergency medical care information form required by 10A NCAC 09 .1721(a)(3) of this Section. 10A NCAC 09 .0605 OUTDOOR LEARNING ENVIRONMENT IN CHILD CARE CENTERS (g) Any openings in equipment, steps, decks, handrails, and fencing shall be smaller than 3 ½ inches or greater than 9 inches to prevent entrapment. 10A NCAC 09 .0302 APPLICATION FOR A LICENSE FOR A CHILD CARE CENTER (a) An application for a license for a child care center shall be submitted on the form provided by the Division, which may be found online at http://ncchildcare.ncdhhs.gov/PDF_forms/FacilityProfileApp.pdf. The application for a child care center license shall include the following information: (d) During the pre-licensing visit the applicant shall have the following available for review pursuant to 10A NCAC 09 .0304(g): (4) daily records of arrival and departure times at the center for each child which shall be maintained as children arrive and depart; 15A NCAC 18A .2803 HANDWASHING (a) Child care center employees shall wash their hands as follows when at work in a child care center: (1) upon reporting for work at the child care center: (2) before and after handling or preparing food; (3) before bottle feeding a child; (4) before providing food service; (5) before handling clean utensils; (6) after toileting or handling of body fluids, including but not limited to saliva, nasal secretions, vomitus, feces, urine, blood, secretions from sores, and pustulant discharge; (7) after diaper changing; (8) after handling soiled items that are not clean; (9) after being outdoors; (10) after handling animals or animal cages; and (11) after removing disposable gloves. (b) The use of a hand antiseptic does not replace the requirements for handwashing in Paragraph (a) of this Rule except that an employee who is supervising a child or children outdoors may use a hand antiseptic while outdoors in lieu of handwashing, provided that the employee's hands are washed in accordance with Paragraph (e) of this Rule when the employee returns indoors. Hand antiseptic shall not be used in lieu of handwashing when the employee's action that necessitates handwashing is diapering, food preparation, or food service. (c) Child care center employees shall ensure that children wash their hands as follows: (1) upon arrival at the child care center; (2) after each diaper change or visit to the toilet; (3) before eating meals or snacks; (4) before and after water play; (5) after being outdoors; and (6) after handling animals or animal cages. (d) Except when the action that necessitates handwashing is diapering and before eating meals or snacks, hand antiseptics may be used in lieu of handwashing while a child is outdoors, provided that the child's hands are washed when the child returns indoors. (e) Handwashing procedures shall include the following steps: (1) using liquid soap and tempered water; (2) rubbing hands vigorously with soap and tempered water for 15 seconds; (3) washing all surfaces of the hands, to include the backs of hands, palms, wrists, under fingernails, and between fingers; (4) rinsing the hands under tempered water for 10 seconds; (5) drying the hands with a paper towel or other hand-drying device; and (6) turning off faucet with a paper towel or other method without recontaminating hands. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (q) Plastic bags, toys, toy parts small enough to be swallowed, and materials that can be torn apart, such as foam rubber and styrofoam, shall not be accessible to children under three years of age. However, styrofoam plates and larger pieces of foam rubber may be used for supervised art activities and styrofoam plates may be used for food service. Jump ropes and rubber bands shall not be accessible to children under five years of age without adult supervision. Balloons shall be prohibited for children of all ages. • Please remove all foam blocks from classroom activity centers with teeth marks or small pieces missing. • I recommend activity plans for each classroom are current and posted. • I recommend all push pins be removed from the corkboard lining the wall of the classroom used for infants, to prevent a safety hazard. • Please ensure all required classroom postings are posted for review. • Please ensure all cribs for infants enrolled in a classroom are labeled with their names. • When an infant is placed on his/her back to sleep in a crib or approved sleeping apparatus, please always record the first position for the infant on the sleep log as “B” for “Back”, even if the infant immediately rolls over to his or her side or stomach. • Please record specific amounts of diaper cream or other non-prescription topical ointment to be administered on medication authorization forms. • Please record specific times to administer diaper cream or other non-prescription topical ointment, such as “when redness occurs”. • Please ensure all staff members know where required forms are located in the classrooms they serve. • Please ensure a cot list is posted in all classrooms. • You can access the Automated Background Check Management System (ABCMS) at the following link to print a copy of your most recent Criminal Background Check qualifying letter: https://ncabcms.nc.gov/DCDEE/Applicant/ • Please monitor the fencing surrounding the playground for developing rust. • You may access Health and Safety trainings through the following link on the Division website: https://www.dcdee.moodle.nc.gov/ Please choose the Services tab, DCDEE Moodle, Professional Development, Regulatory, and then the 2023 CCDF Health and Safety trainings. • Please also pressure wash outdoor equipment (climbing tunnel on Pre-K/SA playground) with developing mildew. • Please use the most recently updated forms from the Division website for children, staff, and program records; these can be accessed at the following website: https://ncchildcare.ncdhhs.gov/Provider/Provider-Documents-and-Forms • Please record all current completed Health and Safety trainings on the Health and Safety Training Log. • Please access the Risk Management Portal at the following website to update Emergency Preparedness and Response Plan: https://rmp.nc.gov/portal/portal.aspx# • Please review all children’s records to ensure that all forms have been fully completed, inclusive of a recorded date of enrollment (when applicable) and date signed by the parent/guardian. • The Child Care Health Consultant for Forsyth County is Keturah Oglesby at Smart Start of Forsyth County. Ms. Oglesby can be contacted at: keturaho@smartstart-fc.org. • Please ensure parents update infant feeding schedules as children get older. 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. Cara McKeown, Child Care Consultant (336) 408-4849 cara.mckeown@dhhs.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 .1402 · Violation

Name of Operation: Main Street Baptist Church Early Learning Center Facility ID: 3452208 Consultant: CARA MCKEOWN-STEWART Operation Type: Center Case Number: Visit Date: 9/12/2023 Number Present: 38 Completed Date: 9/12/2023 Age: From 0 To 5 Total Minutes: 490 Time In: 08:20 AM Time Out: 04:30 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 facility to monitor compliance with applicable childcare requirements. This visit was conducted by Cara McKeown-Stewart, Child Care Consultant with Aislinn Hardin, Lead Teacher. Director, Lakeshia Singletary, was not present during the visit today. Your program currently operates with a notice of compliance. The NC Secretary of State website was reviewed on 9/12/2023 and Main Street Baptist Church, Inc. was listed as current and active. The program’s compliance history was 100% 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. In Space 2, three outlets located on a power strip were observed without safety covers. Ms. Hardin covered each of these outlets with a safety cover during the visit. The facility has two playgrounds, one used for infants and toddlers, and the other for children of preschool and School Age. On the playground used by infants and toddlers, two holes were observed side-by-side along the PVC pipe located to the left of the gate entrance, presenting a potential tripping and safety hazard. A large, rusted spike was observed at the base of the rain gutter near the entrance to this playground. The bases of four metal roof supports were observed to be heavily rusted. A cracked area, sharp to the touch, was observed on a non-stationary slide/swing structure. On the playground used by children of preschool and School Age, four rusted chain latches were observed on the inside of the fencing. The latch to the shed was observed to be heavily rusted. Greater than three sections of fencing were observed to be heavily rusted. The base of a rain pipe was observed to be cracked and sharp to the touch, with wire mesh surrounding the base also observed to be sharp to the touch. The mulch measures between 1 and 4 inches in greater than 6 fall zones. The stationary structure was observed to have rust forming on the rails of the stairs. The landings of the large, stationary climbing structure were observed to be cracked in greater than three areas, each of which have metal exposed which was observed to be beginning to rust. Upon arrival, staff/child ratio and space capacity were monitored as indicated on the attached worksheet. In Space 2, one child enrolled was not signed in upon arrival. In Space 7, one child was not signed in upon arrival. Supervision was adequate during the visit. I observed positive interactions today. I observed children playing in activity centers, participating in general routines and eating lunch. I observed developmentally appropriate materials and activities were available to the children in the classrooms. The last annual compliance visit was conducted on 9/21/2022. A sanitation inspection was completed 4/06/2023 with a Superior classification. The last fire inspection was conducted 11/11/2022. Program records and required postings were monitored. A fire drill was conducted on 8/03/2023. A shelter in place drill was documented on 6/15/2023. An outdoor inspection was documented on 8/31/2023. The Ready to Go file was not available for review. All incident reports were not recorded on classroom incident logs. Staff files and children’s records were monitored per DCDEE procedures. Staff medical statements, proof of a tuberculosis test or screening, and completed health questionnaires were included in the personnel files of three staff members, but were not maintained separately from the staff members’ individual personnel files in the center in separate medical files. A signed and dated statement of receipt of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not observed on file for two children enrolled. The infant feeding plans for four children enrolled were not signed by a parent. The infant feeding plans for two children enrolled were not updated and dated. A record of Health and Safety Training was not observed on file for one existing staff member. A signed receipt of operational and personnel policies was not on file for two new staff members and one existing staff member. An annual signed review of the Emergency Preparedness and Response Plan was not on file for two new staff members and one existing staff member. An annual signed review of the Emergency Medical Care Plan was not on file for two new staff members and one existing staff member. An annual staff evaluation was not on file for one existing staff member. Storage of hazardous items was monitored today. In Space 2, a bottle of Fabuloso disinfecting cleanser, labeled Keep Out of Reach of Children with additional warnings, was observed on a counter less than five feet from the ground. Ms. Hardin placed this item into locked storage during the visit. Storage and administration of medication were monitored. Medication authorization was monitored. The program does not provide transportation; however, during a phone conversation during the visit with Ms. Singletary, Director, this morning, Ms. Singletary stated she is interested in using the church van to begin to provide transportation for children of Pre-K and School Age for field trips only. I stated Ms. Singletary should contact me once all requirements for transportation have been met. Once contacted by Ms. Singletary, I will schedule a visit for me to monitor requirements for transportation and to approve the facility to transport children. The following violations were cited during today’s visit: Violation Number Comment Rule 124 The center did not maintain records as required in rule, and/or were not made available to the Division for review. A signed and dated statement of receipt of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not observed on file for two children enrolled. The infant feeding plans for four children enrolled were not signed by a parent. The infant feeding plans for two children enrolled were not updated and dated. A record of Health and Safety Training was not observed on file for one existing staff member. A signed receipt of operational and personnel policies was not on file for two new staff members and one existing staff member. An annual signed review of the Emergency Preparedness and Response Plan was not on file for two new staff members and one existing staff member. An annual signed review of the Emergency Medical Care Plan was not on file for two new staff members and one existing staff member. An annual staff evaluation was not on file for one existing staff member. G.S. 110-91(9); .0304(g); .2318 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 2, one child enrolled was not signed in upon arrival. In Space 7, one child was not signed in upon arrival. 10A NCAC 09 .0302(d)(4) 807 A safe indoor and outdoor environment was not provided for the children. Ms. Hardin covered each of these outlets with a safety cover during the visit. On the playground used by infants and toddlers, two holes were observed side-by-side along the PVC pipe located to the left of the gate entrance, presenting a potential tripping and safety hazard. A large, rusted spike was observed at the base of the rain gutter near the entrance to this playground. The bases of four metal roof supports were observed to be heavily rusted. A cracked area, sharp to the touch, was observed on a non-stationary slide/swing structure. On the playground used by children of preschool and School Age, four rusted chain latches were observed on the inside of the fencing. The latch to the shed was observed to be heavily rusted. Greater than three sections of fencing were observed to be heavily rusted. The base of a rain pipe was observed to be cracked and sharp to the touch, with wire mesh surrounding the base also observed to be sharp to the touch. The stationary structure was observed to have rust forming on the rails of the stairs. The landings of the large, stationary climbing structure were observed to be cracked in greater than three areas, each of which have metal exposed which was observed to be beginning to rust. 10A NCAC 09 .0601(a) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. In Space 2, a bottle of Fabuloso disinfecting cleanser, labeled Keep Out of Reach of Children with additional warnings, was observed on a counter less than five feet from the ground. .2820(b) 853 Incident logs were not completed and maintained as required. All incident reports were not recorded on classroom incident logs. .0802(g)(1-6) 1823 The EPR Plan did not include the location of the Ready to Go File and or the required information. The Ready to Go file was not available for review. .0607(d)(10) 1867 The depth of the loose surfacing was not based on critical height of the equipment. The mulch measures between 1 and 4 inches in greater than 6 fall zones on the playground for preschoolers and children of School Age. .0605(k)(1-4) 1890 Each staff member did not have the required medical report, proof of tuberculosis test or screening and/or completed health questionnaire in a medical file, maintained separately from the staff member's individual personnel file. Staff medical statements, proof of a tuberculosis test or screening, and completed health questionnaires were included in the personnel files of three staff members, but were not maintained separately from the staff members’ individual personnel files in the center in separate medical files. .0701(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 9/26/2023. 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 cara.mckeown@dhhs.nc.gov or mail two copies of the letter to: Cara McKeown 353 Jonestown Road, Unit #146 Winston Salem, NC 27104 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 provided during today’s visit: • You must notify your consultant 30 days prior to changing the ownership status of your facility. The following Child Care Rules were thoroughly discussed with Ms. Hardin during the visit: 10A NCAC 09 .0607 EMERGENCY PREPAREDNESS AND RESPONSE IN CHILD CARE CENTERS (10) the location of a Ready to Go File. A Ready to Go File means a collection of information on children, staff and the facility, to utilize, if an evacuation occurs. The file shall include, a copy of the Emergency Preparedness and Response Plan, contact information for individuals to pick-up children, each child's Application for Child Care, medication authorizations and instructions, any action plans for children with special health care needs, a list of any known food allergies of children and staff, staff contact information, Incident Report forms, an area map, and emergency telephone numbers. 15A NCAC 18A .2820 STORAGE (b) Toxic substances, which include 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 shall be kept in the original container or in another labeled container, used according to the manufacturer's instructions, and stored in a locked storage room or cabinet when not in use. Locked storage rooms and cabinets shall include those which are unlocked with a combination lock, electronic or magnetic device, keypad, key, or equivalent locking device. Keys and electronic or magnetic unlocking devices shall be kept out of the reach of a child and shall not be stored in the lock. Toxic substances shall be stored below or separate from medications and food. Any other product that is labeled "keep out of reach of children" and does not have any other warnings on the label shall be kept inaccessible to children when not in use, but is not required to be kept in locked storage. For the purpose of Paragraphs (b), (c), and (d) of this Rule, a product shall be considered inaccessible to children when stored on a shelf or in an unlocked cabinet that is mounted a minimum vertical distance of five feet above the finished floor. 10A NCAC 09 .1715 OPERATIONAL POLICIES (a) Each operator shall have written operational policies that include at least the following information: (2) the age range of the children served; (7) a schedule of daily, weekly, and monthly cleaning duties; (10) a description of opportunities for parent participation. 10A NCAC 09 .0605 OUTDOOR LEARNING ENVIRONMENT IN CHILD CARE CENTERS (m) Exceptions to Paragraph (l) of this Rule are as follows: (3) Tot swings shall have protective surfacing that extends two times the length of the pivot point to the bottom of the swing seat. The surfacing shall be to the front and rear of the swing. Tot swings are defined as swings with enclosed seats. 10A NCAC 09 .1003 SAFE PROCEDURES (b) Each center shall establish procedures for pick-up and delivery of children to ensure children are protected from danger and not exposed to risk of harm. These procedures shall be communicated to parents, and a copy shall be posted in the center where they can be seen by the parents. 10A NCAC 09 .0302 APPLICATION FOR A LICENSE FOR A CHILD CARE CENTER During the pre-licensing visit the applicant shall have the following available for review pursuant to 10A NCAC 09 .0304(g): (5) records of monthly fire drills documenting the date and time of each drill, the length of time taken to evacuate the building, and the signature of the person who conducted the drill as required by NC Fire Code 405.5; A copy of the form may be found on the Division's website at http://ncchildcare.ncdhhs.gov/pdf_forms/EPR_EmergencyDrillLog_Centers.pdf; (8) records of lockdown or shelter-in-place drills as defined in 10A NCAC 09 .0102, giving the date each drill was held, the time of day, the length of time taken to get into designated locations and the signature of the person who conducted the drill. A copy of the form may be found on the Division's website at https://ncchildcare.ncdhhs.gov/pdf_forms/EPR_EmergencyDrillLog_Centers.pdf. 10A NCAC 09 .1005 OFF PREMISE ACTIVITIES IN CHILD CARE CENTERS (a) Off premise activities refer to any activity that takes place away from a child care center’s licensed and approved space. Licensed and approved space includes "primary space" as described in 10A NCAC 09 .1401(a), outdoor space as described in 10A NCAC 09 .1402, single use rooms, or other administrative areas. (b) When children participate in off premise activities the following shall apply: (1) Children under the age of three shall not participate in off premise activities that involve children being transported in a motor vehicle. (2) When children are transported in a motor vehicle for off premise activities, the provisions in Rule .1003(c) through (i) and (k) of this Chapter shall apply. (3) Before staff members walk children off premises for play or outings, the center shall obtain written permission from the parent of each child to be included in such activities. (4) Parents may provide a written statement giving standing permission which may be valid for up to 12 months for participation in off premise activities that occur on a regular basis. (5) The center shall post a schedule of off premise activities in each participating classroom where it can be viewed by parents, and a copy shall be given to parents. The schedule shall be current and shall include the: (A) location of the activity; (B) purpose of the activity; (C) time the activity will take place; (D) date of the activity; and (E) name of the person(s) to be contacted in the event of an emergency. (6) Each time that children are taken off the premises, staff shall take a list of the children participating in the activity with them. Staff members shall use this list to check attendance when leaving the center, periodically when the children are involved in the activity, before leaving the activity to return to the child care center, and upon return to the center. A list of all children participating in the off premise activity shall also be available at the center. (c) The provisions of Subparagraphs (b)(1) and (5) of this Rule shall be waived to implement any child's Individualized Family Service Plan (IFSP) or Individualized Education Program (IEP). 10A NCAC 09 .1723 TRANSPORTATION REQUIREMENTS To assure the safety of children whenever they are transported, the operator, or any other transportation provider, shall: (1) ensure that vehicles used to transport children are free of hazards such as but not limited to, torn upholstery that allows children to remove the interior padding, broken windows, holes in the floor or roof, or tire treads of less than 2/32 of an inch; (2) ensure that vehicles used to transport children comply with all applicable State and federal laws and regulations; (3) ensure that vehicles are insured for liability as required by State laws governing transportation of passengers pursuant to G.S. 20-279.21; (4) ensure that vehicles used to transport children in snowy, icy, and other hazardous weather conditions are equipped with snow tires, or chains; (5) have written permission from a parent to transport his or her child and notify the parent when and where the child is to be transported, and the name of the transportation provider. Parents may give standing permission, valid for up to 12 months, for transport of children to and from the home; (6) ensure that all children are transferred to an individual who is indicated on the child's application for enrollment as specified in Rule .1721(a)(3) of this Section or as authorized by the parent; (7) load and unload children from curbside or in a safe, off-street area, out of the flow of traffic, so that they are protected from all traffic hazards; (8) ensure that all children regardless of age or location in the vehicle shall be restrained with an individual seat belt or child safety seat appropriate to the child's age or weight in accordance with G.S. 20-135.2A located at http://www.buckleupnc.org/occupant-restraint-laws/seat-belt-law-summary/. Only one person shall occupy each seat belt or child safety seat; (9) be at least 21 years old, and have a valid driver's license of the type required under the North Carolina Motor Vehicle Law for the vehicle being driven, or comparable license from the state in which the driver resides, and no convictions of Driving While Impaired (DWI), or any other impaired driving offense, within the last three years; (10) ensure that each child is seated in a manufacturer's designated area. No child shall ride in the load carrying area or floor of a vehicle; (11) have a First Aid kit and fire extinguisher located in the vehicle used to transport children; (12) never leave children in a vehicle unattended by an adult; (13) have identifying information in the vehicle about each child being transported, including the child's name, photograph, emergency contact information, and a copy of the emergency medical care information form required by Rule .1721(a)(3) of this Section; and (14) have a functioning cellular telephone or other functioning two-way voice communication device with them for use in an emergency. The transportation provider shall not use cellular telephones or other functioning two-way communication devices except in the case of an emergency and only when the vehicle is parked in a safe location; and (15) conduct off-premise activities as follows: (a) before the operator walks children off premises for play or outings, the parent of each child shall give written permission for the child to participate in such activities; (b) parents may provide a written statement giving standing permission which may be valid for up to 12 months for participation in off premise activities that occur on a regular basis; and (c) each time the children are taken off premises, the operator shall take identifying information about each child including the child's name, photograph, emergency contact information, a copy of the emergency medical care information form required by 10A NCAC 09 .1721(a)(3) of this Section. 10A NCAC 09 .0605 OUTDOOR LEARNING ENVIRONMENT IN CHILD CARE CENTERS (g) Any openings in equipment, steps, decks, handrails, and fencing shall be smaller than 3 ½ inches or greater than 9 inches to prevent entrapment. 10A NCAC 09 .0302 APPLICATION FOR A LICENSE FOR A CHILD CARE CENTER (a) An application for a license for a child care center shall be submitted on the form provided by the Division, which may be found online at http://ncchildcare.ncdhhs.gov/PDF_forms/FacilityProfileApp.pdf. The application for a child care center license shall include the following information: (d) During the pre-licensing visit the applicant shall have the following available for review pursuant to 10A NCAC 09 .0304(g): (4) daily records of arrival and departure times at the center for each child which shall be maintained as children arrive and depart; 15A NCAC 18A .2803 HANDWASHING (a) Child care center employees shall wash their hands as follows when at work in a child care center: (1) upon reporting for work at the child care center: (2) before and after handling or preparing food; (3) before bottle feeding a child; (4) before providing food service; (5) before handling clean utensils; (6) after toileting or handling of body fluids, including but not limited to saliva, nasal secretions, vomitus, feces, urine, blood, secretions from sores, and pustulant discharge; (7) after diaper changing; (8) after handling soiled items that are not clean; (9) after being outdoors; (10) after handling animals or animal cages; and (11) after removing disposable gloves. (b) The use of a hand antiseptic does not replace the requirements for handwashing in Paragraph (a) of this Rule except that an employee who is supervising a child or children outdoors may use a hand antiseptic while outdoors in lieu of handwashing, provided that the employee's hands are washed in accordance with Paragraph (e) of this Rule when the employee returns indoors. Hand antiseptic shall not be used in lieu of handwashing when the employee's action that necessitates handwashing is diapering, food preparation, or food service. (c) Child care center employees shall ensure that children wash their hands as follows: (1) upon arrival at the child care center; (2) after each diaper change or visit to the toilet; (3) before eating meals or snacks; (4) before and after water play; (5) after being outdoors; and (6) after handling animals or animal cages. (d) Except when the action that necessitates handwashing is diapering and before eating meals or snacks, hand antiseptics may be used in lieu of handwashing while a child is outdoors, provided that the child's hands are washed when the child returns indoors. (e) Handwashing procedures shall include the following steps: (1) using liquid soap and tempered water; (2) rubbing hands vigorously with soap and tempered water for 15 seconds; (3) washing all surfaces of the hands, to include the backs of hands, palms, wrists, under fingernails, and between fingers; (4) rinsing the hands under tempered water for 10 seconds; (5) drying the hands with a paper towel or other hand-drying device; and (6) turning off faucet with a paper towel or other method without recontaminating hands. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (q) Plastic bags, toys, toy parts small enough to be swallowed, and materials that can be torn apart, such as foam rubber and styrofoam, shall not be accessible to children under three years of age. However, styrofoam plates and larger pieces of foam rubber may be used for supervised art activities and styrofoam plates may be used for food service. Jump ropes and rubber bands shall not be accessible to children under five years of age without adult supervision. Balloons shall be prohibited for children of all ages. • Please remove all foam blocks from classroom activity centers with teeth marks or small pieces missing. • I recommend activity plans for each classroom are current and posted. • I recommend all push pins be removed from the corkboard lining the wall of the classroom used for infants, to prevent a safety hazard. • Please ensure all required classroom postings are posted for review. • Please ensure all cribs for infants enrolled in a classroom are labeled with their names. • When an infant is placed on his/her back to sleep in a crib or approved sleeping apparatus, please always record the first position for the infant on the sleep log as “B” for “Back”, even if the infant immediately rolls over to his or her side or stomach. • Please record specific amounts of diaper cream or other non-prescription topical ointment to be administered on medication authorization forms. • Please record specific times to administer diaper cream or other non-prescription topical ointment, such as “when redness occurs”. • Please ensure all staff members know where required forms are located in the classrooms they serve. • Please ensure a cot list is posted in all classrooms. • You can access the Automated Background Check Management System (ABCMS) at the following link to print a copy of your most recent Criminal Background Check qualifying letter: https://ncabcms.nc.gov/DCDEE/Applicant/ • Please monitor the fencing surrounding the playground for developing rust. • You may access Health and Safety trainings through the following link on the Division website: https://www.dcdee.moodle.nc.gov/ Please choose the Services tab, DCDEE Moodle, Professional Development, Regulatory, and then the 2023 CCDF Health and Safety trainings. • Please also pressure wash outdoor equipment (climbing tunnel on Pre-K/SA playground) with developing mildew. • Please use the most recently updated forms from the Division website for children, staff, and program records; these can be accessed at the following website: https://ncchildcare.ncdhhs.gov/Provider/Provider-Documents-and-Forms • Please record all current completed Health and Safety trainings on the Health and Safety Training Log. • Please access the Risk Management Portal at the following website to update Emergency Preparedness and Response Plan: https://rmp.nc.gov/portal/portal.aspx# • Please review all children’s records to ensure that all forms have been fully completed, inclusive of a recorded date of enrollment (when applicable) and date signed by the parent/guardian. • The Child Care Health Consultant for Forsyth County is Keturah Oglesby at Smart Start of Forsyth County. Ms. Oglesby can be contacted at: keturaho@smartstart-fc.org. • Please ensure parents update infant feeding schedules as children get older. 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. Cara McKeown, Child Care Consultant (336) 408-4849 cara.mckeown@dhhs.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 .1715 · Violation

Name of Operation: Main Street Baptist Church Early Learning Center Facility ID: 3452208 Consultant: CARA MCKEOWN-STEWART Operation Type: Center Case Number: Visit Date: 9/12/2023 Number Present: 38 Completed Date: 9/12/2023 Age: From 0 To 5 Total Minutes: 490 Time In: 08:20 AM Time Out: 04:30 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 facility to monitor compliance with applicable childcare requirements. This visit was conducted by Cara McKeown-Stewart, Child Care Consultant with Aislinn Hardin, Lead Teacher. Director, Lakeshia Singletary, was not present during the visit today. Your program currently operates with a notice of compliance. The NC Secretary of State website was reviewed on 9/12/2023 and Main Street Baptist Church, Inc. was listed as current and active. The program’s compliance history was 100% 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. In Space 2, three outlets located on a power strip were observed without safety covers. Ms. Hardin covered each of these outlets with a safety cover during the visit. The facility has two playgrounds, one used for infants and toddlers, and the other for children of preschool and School Age. On the playground used by infants and toddlers, two holes were observed side-by-side along the PVC pipe located to the left of the gate entrance, presenting a potential tripping and safety hazard. A large, rusted spike was observed at the base of the rain gutter near the entrance to this playground. The bases of four metal roof supports were observed to be heavily rusted. A cracked area, sharp to the touch, was observed on a non-stationary slide/swing structure. On the playground used by children of preschool and School Age, four rusted chain latches were observed on the inside of the fencing. The latch to the shed was observed to be heavily rusted. Greater than three sections of fencing were observed to be heavily rusted. The base of a rain pipe was observed to be cracked and sharp to the touch, with wire mesh surrounding the base also observed to be sharp to the touch. The mulch measures between 1 and 4 inches in greater than 6 fall zones. The stationary structure was observed to have rust forming on the rails of the stairs. The landings of the large, stationary climbing structure were observed to be cracked in greater than three areas, each of which have metal exposed which was observed to be beginning to rust. Upon arrival, staff/child ratio and space capacity were monitored as indicated on the attached worksheet. In Space 2, one child enrolled was not signed in upon arrival. In Space 7, one child was not signed in upon arrival. Supervision was adequate during the visit. I observed positive interactions today. I observed children playing in activity centers, participating in general routines and eating lunch. I observed developmentally appropriate materials and activities were available to the children in the classrooms. The last annual compliance visit was conducted on 9/21/2022. A sanitation inspection was completed 4/06/2023 with a Superior classification. The last fire inspection was conducted 11/11/2022. Program records and required postings were monitored. A fire drill was conducted on 8/03/2023. A shelter in place drill was documented on 6/15/2023. An outdoor inspection was documented on 8/31/2023. The Ready to Go file was not available for review. All incident reports were not recorded on classroom incident logs. Staff files and children’s records were monitored per DCDEE procedures. Staff medical statements, proof of a tuberculosis test or screening, and completed health questionnaires were included in the personnel files of three staff members, but were not maintained separately from the staff members’ individual personnel files in the center in separate medical files. A signed and dated statement of receipt of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not observed on file for two children enrolled. The infant feeding plans for four children enrolled were not signed by a parent. The infant feeding plans for two children enrolled were not updated and dated. A record of Health and Safety Training was not observed on file for one existing staff member. A signed receipt of operational and personnel policies was not on file for two new staff members and one existing staff member. An annual signed review of the Emergency Preparedness and Response Plan was not on file for two new staff members and one existing staff member. An annual signed review of the Emergency Medical Care Plan was not on file for two new staff members and one existing staff member. An annual staff evaluation was not on file for one existing staff member. Storage of hazardous items was monitored today. In Space 2, a bottle of Fabuloso disinfecting cleanser, labeled Keep Out of Reach of Children with additional warnings, was observed on a counter less than five feet from the ground. Ms. Hardin placed this item into locked storage during the visit. Storage and administration of medication were monitored. Medication authorization was monitored. The program does not provide transportation; however, during a phone conversation during the visit with Ms. Singletary, Director, this morning, Ms. Singletary stated she is interested in using the church van to begin to provide transportation for children of Pre-K and School Age for field trips only. I stated Ms. Singletary should contact me once all requirements for transportation have been met. Once contacted by Ms. Singletary, I will schedule a visit for me to monitor requirements for transportation and to approve the facility to transport children. The following violations were cited during today’s visit: Violation Number Comment Rule 124 The center did not maintain records as required in rule, and/or were not made available to the Division for review. A signed and dated statement of receipt of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not observed on file for two children enrolled. The infant feeding plans for four children enrolled were not signed by a parent. The infant feeding plans for two children enrolled were not updated and dated. A record of Health and Safety Training was not observed on file for one existing staff member. A signed receipt of operational and personnel policies was not on file for two new staff members and one existing staff member. An annual signed review of the Emergency Preparedness and Response Plan was not on file for two new staff members and one existing staff member. An annual signed review of the Emergency Medical Care Plan was not on file for two new staff members and one existing staff member. An annual staff evaluation was not on file for one existing staff member. G.S. 110-91(9); .0304(g); .2318 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 2, one child enrolled was not signed in upon arrival. In Space 7, one child was not signed in upon arrival. 10A NCAC 09 .0302(d)(4) 807 A safe indoor and outdoor environment was not provided for the children. Ms. Hardin covered each of these outlets with a safety cover during the visit. On the playground used by infants and toddlers, two holes were observed side-by-side along the PVC pipe located to the left of the gate entrance, presenting a potential tripping and safety hazard. A large, rusted spike was observed at the base of the rain gutter near the entrance to this playground. The bases of four metal roof supports were observed to be heavily rusted. A cracked area, sharp to the touch, was observed on a non-stationary slide/swing structure. On the playground used by children of preschool and School Age, four rusted chain latches were observed on the inside of the fencing. The latch to the shed was observed to be heavily rusted. Greater than three sections of fencing were observed to be heavily rusted. The base of a rain pipe was observed to be cracked and sharp to the touch, with wire mesh surrounding the base also observed to be sharp to the touch. The stationary structure was observed to have rust forming on the rails of the stairs. The landings of the large, stationary climbing structure were observed to be cracked in greater than three areas, each of which have metal exposed which was observed to be beginning to rust. 10A NCAC 09 .0601(a) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. In Space 2, a bottle of Fabuloso disinfecting cleanser, labeled Keep Out of Reach of Children with additional warnings, was observed on a counter less than five feet from the ground. .2820(b) 853 Incident logs were not completed and maintained as required. All incident reports were not recorded on classroom incident logs. .0802(g)(1-6) 1823 The EPR Plan did not include the location of the Ready to Go File and or the required information. The Ready to Go file was not available for review. .0607(d)(10) 1867 The depth of the loose surfacing was not based on critical height of the equipment. The mulch measures between 1 and 4 inches in greater than 6 fall zones on the playground for preschoolers and children of School Age. .0605(k)(1-4) 1890 Each staff member did not have the required medical report, proof of tuberculosis test or screening and/or completed health questionnaire in a medical file, maintained separately from the staff member's individual personnel file. Staff medical statements, proof of a tuberculosis test or screening, and completed health questionnaires were included in the personnel files of three staff members, but were not maintained separately from the staff members’ individual personnel files in the center in separate medical files. .0701(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 9/26/2023. 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 cara.mckeown@dhhs.nc.gov or mail two copies of the letter to: Cara McKeown 353 Jonestown Road, Unit #146 Winston Salem, NC 27104 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 provided during today’s visit: • You must notify your consultant 30 days prior to changing the ownership status of your facility. The following Child Care Rules were thoroughly discussed with Ms. Hardin during the visit: 10A NCAC 09 .0607 EMERGENCY PREPAREDNESS AND RESPONSE IN CHILD CARE CENTERS (10) the location of a Ready to Go File. A Ready to Go File means a collection of information on children, staff and the facility, to utilize, if an evacuation occurs. The file shall include, a copy of the Emergency Preparedness and Response Plan, contact information for individuals to pick-up children, each child's Application for Child Care, medication authorizations and instructions, any action plans for children with special health care needs, a list of any known food allergies of children and staff, staff contact information, Incident Report forms, an area map, and emergency telephone numbers. 15A NCAC 18A .2820 STORAGE (b) Toxic substances, which include 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 shall be kept in the original container or in another labeled container, used according to the manufacturer's instructions, and stored in a locked storage room or cabinet when not in use. Locked storage rooms and cabinets shall include those which are unlocked with a combination lock, electronic or magnetic device, keypad, key, or equivalent locking device. Keys and electronic or magnetic unlocking devices shall be kept out of the reach of a child and shall not be stored in the lock. Toxic substances shall be stored below or separate from medications and food. Any other product that is labeled "keep out of reach of children" and does not have any other warnings on the label shall be kept inaccessible to children when not in use, but is not required to be kept in locked storage. For the purpose of Paragraphs (b), (c), and (d) of this Rule, a product shall be considered inaccessible to children when stored on a shelf or in an unlocked cabinet that is mounted a minimum vertical distance of five feet above the finished floor. 10A NCAC 09 .1715 OPERATIONAL POLICIES (a) Each operator shall have written operational policies that include at least the following information: (2) the age range of the children served; (7) a schedule of daily, weekly, and monthly cleaning duties; (10) a description of opportunities for parent participation. 10A NCAC 09 .0605 OUTDOOR LEARNING ENVIRONMENT IN CHILD CARE CENTERS (m) Exceptions to Paragraph (l) of this Rule are as follows: (3) Tot swings shall have protective surfacing that extends two times the length of the pivot point to the bottom of the swing seat. The surfacing shall be to the front and rear of the swing. Tot swings are defined as swings with enclosed seats. 10A NCAC 09 .1003 SAFE PROCEDURES (b) Each center shall establish procedures for pick-up and delivery of children to ensure children are protected from danger and not exposed to risk of harm. These procedures shall be communicated to parents, and a copy shall be posted in the center where they can be seen by the parents. 10A NCAC 09 .0302 APPLICATION FOR A LICENSE FOR A CHILD CARE CENTER During the pre-licensing visit the applicant shall have the following available for review pursuant to 10A NCAC 09 .0304(g): (5) records of monthly fire drills documenting the date and time of each drill, the length of time taken to evacuate the building, and the signature of the person who conducted the drill as required by NC Fire Code 405.5; A copy of the form may be found on the Division's website at http://ncchildcare.ncdhhs.gov/pdf_forms/EPR_EmergencyDrillLog_Centers.pdf; (8) records of lockdown or shelter-in-place drills as defined in 10A NCAC 09 .0102, giving the date each drill was held, the time of day, the length of time taken to get into designated locations and the signature of the person who conducted the drill. A copy of the form may be found on the Division's website at https://ncchildcare.ncdhhs.gov/pdf_forms/EPR_EmergencyDrillLog_Centers.pdf. 10A NCAC 09 .1005 OFF PREMISE ACTIVITIES IN CHILD CARE CENTERS (a) Off premise activities refer to any activity that takes place away from a child care center’s licensed and approved space. Licensed and approved space includes "primary space" as described in 10A NCAC 09 .1401(a), outdoor space as described in 10A NCAC 09 .1402, single use rooms, or other administrative areas. (b) When children participate in off premise activities the following shall apply: (1) Children under the age of three shall not participate in off premise activities that involve children being transported in a motor vehicle. (2) When children are transported in a motor vehicle for off premise activities, the provisions in Rule .1003(c) through (i) and (k) of this Chapter shall apply. (3) Before staff members walk children off premises for play or outings, the center shall obtain written permission from the parent of each child to be included in such activities. (4) Parents may provide a written statement giving standing permission which may be valid for up to 12 months for participation in off premise activities that occur on a regular basis. (5) The center shall post a schedule of off premise activities in each participating classroom where it can be viewed by parents, and a copy shall be given to parents. The schedule shall be current and shall include the: (A) location of the activity; (B) purpose of the activity; (C) time the activity will take place; (D) date of the activity; and (E) name of the person(s) to be contacted in the event of an emergency. (6) Each time that children are taken off the premises, staff shall take a list of the children participating in the activity with them. Staff members shall use this list to check attendance when leaving the center, periodically when the children are involved in the activity, before leaving the activity to return to the child care center, and upon return to the center. A list of all children participating in the off premise activity shall also be available at the center. (c) The provisions of Subparagraphs (b)(1) and (5) of this Rule shall be waived to implement any child's Individualized Family Service Plan (IFSP) or Individualized Education Program (IEP). 10A NCAC 09 .1723 TRANSPORTATION REQUIREMENTS To assure the safety of children whenever they are transported, the operator, or any other transportation provider, shall: (1) ensure that vehicles used to transport children are free of hazards such as but not limited to, torn upholstery that allows children to remove the interior padding, broken windows, holes in the floor or roof, or tire treads of less than 2/32 of an inch; (2) ensure that vehicles used to transport children comply with all applicable State and federal laws and regulations; (3) ensure that vehicles are insured for liability as required by State laws governing transportation of passengers pursuant to G.S. 20-279.21; (4) ensure that vehicles used to transport children in snowy, icy, and other hazardous weather conditions are equipped with snow tires, or chains; (5) have written permission from a parent to transport his or her child and notify the parent when and where the child is to be transported, and the name of the transportation provider. Parents may give standing permission, valid for up to 12 months, for transport of children to and from the home; (6) ensure that all children are transferred to an individual who is indicated on the child's application for enrollment as specified in Rule .1721(a)(3) of this Section or as authorized by the parent; (7) load and unload children from curbside or in a safe, off-street area, out of the flow of traffic, so that they are protected from all traffic hazards; (8) ensure that all children regardless of age or location in the vehicle shall be restrained with an individual seat belt or child safety seat appropriate to the child's age or weight in accordance with G.S. 20-135.2A located at http://www.buckleupnc.org/occupant-restraint-laws/seat-belt-law-summary/. Only one person shall occupy each seat belt or child safety seat; (9) be at least 21 years old, and have a valid driver's license of the type required under the North Carolina Motor Vehicle Law for the vehicle being driven, or comparable license from the state in which the driver resides, and no convictions of Driving While Impaired (DWI), or any other impaired driving offense, within the last three years; (10) ensure that each child is seated in a manufacturer's designated area. No child shall ride in the load carrying area or floor of a vehicle; (11) have a First Aid kit and fire extinguisher located in the vehicle used to transport children; (12) never leave children in a vehicle unattended by an adult; (13) have identifying information in the vehicle about each child being transported, including the child's name, photograph, emergency contact information, and a copy of the emergency medical care information form required by Rule .1721(a)(3) of this Section; and (14) have a functioning cellular telephone or other functioning two-way voice communication device with them for use in an emergency. The transportation provider shall not use cellular telephones or other functioning two-way communication devices except in the case of an emergency and only when the vehicle is parked in a safe location; and (15) conduct off-premise activities as follows: (a) before the operator walks children off premises for play or outings, the parent of each child shall give written permission for the child to participate in such activities; (b) parents may provide a written statement giving standing permission which may be valid for up to 12 months for participation in off premise activities that occur on a regular basis; and (c) each time the children are taken off premises, the operator shall take identifying information about each child including the child's name, photograph, emergency contact information, a copy of the emergency medical care information form required by 10A NCAC 09 .1721(a)(3) of this Section. 10A NCAC 09 .0605 OUTDOOR LEARNING ENVIRONMENT IN CHILD CARE CENTERS (g) Any openings in equipment, steps, decks, handrails, and fencing shall be smaller than 3 ½ inches or greater than 9 inches to prevent entrapment. 10A NCAC 09 .0302 APPLICATION FOR A LICENSE FOR A CHILD CARE CENTER (a) An application for a license for a child care center shall be submitted on the form provided by the Division, which may be found online at http://ncchildcare.ncdhhs.gov/PDF_forms/FacilityProfileApp.pdf. The application for a child care center license shall include the following information: (d) During the pre-licensing visit the applicant shall have the following available for review pursuant to 10A NCAC 09 .0304(g): (4) daily records of arrival and departure times at the center for each child which shall be maintained as children arrive and depart; 15A NCAC 18A .2803 HANDWASHING (a) Child care center employees shall wash their hands as follows when at work in a child care center: (1) upon reporting for work at the child care center: (2) before and after handling or preparing food; (3) before bottle feeding a child; (4) before providing food service; (5) before handling clean utensils; (6) after toileting or handling of body fluids, including but not limited to saliva, nasal secretions, vomitus, feces, urine, blood, secretions from sores, and pustulant discharge; (7) after diaper changing; (8) after handling soiled items that are not clean; (9) after being outdoors; (10) after handling animals or animal cages; and (11) after removing disposable gloves. (b) The use of a hand antiseptic does not replace the requirements for handwashing in Paragraph (a) of this Rule except that an employee who is supervising a child or children outdoors may use a hand antiseptic while outdoors in lieu of handwashing, provided that the employee's hands are washed in accordance with Paragraph (e) of this Rule when the employee returns indoors. Hand antiseptic shall not be used in lieu of handwashing when the employee's action that necessitates handwashing is diapering, food preparation, or food service. (c) Child care center employees shall ensure that children wash their hands as follows: (1) upon arrival at the child care center; (2) after each diaper change or visit to the toilet; (3) before eating meals or snacks; (4) before and after water play; (5) after being outdoors; and (6) after handling animals or animal cages. (d) Except when the action that necessitates handwashing is diapering and before eating meals or snacks, hand antiseptics may be used in lieu of handwashing while a child is outdoors, provided that the child's hands are washed when the child returns indoors. (e) Handwashing procedures shall include the following steps: (1) using liquid soap and tempered water; (2) rubbing hands vigorously with soap and tempered water for 15 seconds; (3) washing all surfaces of the hands, to include the backs of hands, palms, wrists, under fingernails, and between fingers; (4) rinsing the hands under tempered water for 10 seconds; (5) drying the hands with a paper towel or other hand-drying device; and (6) turning off faucet with a paper towel or other method without recontaminating hands. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (q) Plastic bags, toys, toy parts small enough to be swallowed, and materials that can be torn apart, such as foam rubber and styrofoam, shall not be accessible to children under three years of age. However, styrofoam plates and larger pieces of foam rubber may be used for supervised art activities and styrofoam plates may be used for food service. Jump ropes and rubber bands shall not be accessible to children under five years of age without adult supervision. Balloons shall be prohibited for children of all ages. • Please remove all foam blocks from classroom activity centers with teeth marks or small pieces missing. • I recommend activity plans for each classroom are current and posted. • I recommend all push pins be removed from the corkboard lining the wall of the classroom used for infants, to prevent a safety hazard. • Please ensure all required classroom postings are posted for review. • Please ensure all cribs for infants enrolled in a classroom are labeled with their names. • When an infant is placed on his/her back to sleep in a crib or approved sleeping apparatus, please always record the first position for the infant on the sleep log as “B” for “Back”, even if the infant immediately rolls over to his or her side or stomach. • Please record specific amounts of diaper cream or other non-prescription topical ointment to be administered on medication authorization forms. • Please record specific times to administer diaper cream or other non-prescription topical ointment, such as “when redness occurs”. • Please ensure all staff members know where required forms are located in the classrooms they serve. • Please ensure a cot list is posted in all classrooms. • You can access the Automated Background Check Management System (ABCMS) at the following link to print a copy of your most recent Criminal Background Check qualifying letter: https://ncabcms.nc.gov/DCDEE/Applicant/ • Please monitor the fencing surrounding the playground for developing rust. • You may access Health and Safety trainings through the following link on the Division website: https://www.dcdee.moodle.nc.gov/ Please choose the Services tab, DCDEE Moodle, Professional Development, Regulatory, and then the 2023 CCDF Health and Safety trainings. • Please also pressure wash outdoor equipment (climbing tunnel on Pre-K/SA playground) with developing mildew. • Please use the most recently updated forms from the Division website for children, staff, and program records; these can be accessed at the following website: https://ncchildcare.ncdhhs.gov/Provider/Provider-Documents-and-Forms • Please record all current completed Health and Safety trainings on the Health and Safety Training Log. • Please access the Risk Management Portal at the following website to update Emergency Preparedness and Response Plan: https://rmp.nc.gov/portal/portal.aspx# • Please review all children’s records to ensure that all forms have been fully completed, inclusive of a recorded date of enrollment (when applicable) and date signed by the parent/guardian. • The Child Care Health Consultant for Forsyth County is Keturah Oglesby at Smart Start of Forsyth County. Ms. Oglesby can be contacted at: keturaho@smartstart-fc.org. • Please ensure parents update infant feeding schedules as children get older. 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. Cara McKeown, Child Care Consultant (336) 408-4849 cara.mckeown@dhhs.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 .1721 · Violation

Name of Operation: Main Street Baptist Church Early Learning Center Facility ID: 3452208 Consultant: CARA MCKEOWN-STEWART Operation Type: Center Case Number: Visit Date: 9/12/2023 Number Present: 38 Completed Date: 9/12/2023 Age: From 0 To 5 Total Minutes: 490 Time In: 08:20 AM Time Out: 04:30 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 facility to monitor compliance with applicable childcare requirements. This visit was conducted by Cara McKeown-Stewart, Child Care Consultant with Aislinn Hardin, Lead Teacher. Director, Lakeshia Singletary, was not present during the visit today. Your program currently operates with a notice of compliance. The NC Secretary of State website was reviewed on 9/12/2023 and Main Street Baptist Church, Inc. was listed as current and active. The program’s compliance history was 100% 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. In Space 2, three outlets located on a power strip were observed without safety covers. Ms. Hardin covered each of these outlets with a safety cover during the visit. The facility has two playgrounds, one used for infants and toddlers, and the other for children of preschool and School Age. On the playground used by infants and toddlers, two holes were observed side-by-side along the PVC pipe located to the left of the gate entrance, presenting a potential tripping and safety hazard. A large, rusted spike was observed at the base of the rain gutter near the entrance to this playground. The bases of four metal roof supports were observed to be heavily rusted. A cracked area, sharp to the touch, was observed on a non-stationary slide/swing structure. On the playground used by children of preschool and School Age, four rusted chain latches were observed on the inside of the fencing. The latch to the shed was observed to be heavily rusted. Greater than three sections of fencing were observed to be heavily rusted. The base of a rain pipe was observed to be cracked and sharp to the touch, with wire mesh surrounding the base also observed to be sharp to the touch. The mulch measures between 1 and 4 inches in greater than 6 fall zones. The stationary structure was observed to have rust forming on the rails of the stairs. The landings of the large, stationary climbing structure were observed to be cracked in greater than three areas, each of which have metal exposed which was observed to be beginning to rust. Upon arrival, staff/child ratio and space capacity were monitored as indicated on the attached worksheet. In Space 2, one child enrolled was not signed in upon arrival. In Space 7, one child was not signed in upon arrival. Supervision was adequate during the visit. I observed positive interactions today. I observed children playing in activity centers, participating in general routines and eating lunch. I observed developmentally appropriate materials and activities were available to the children in the classrooms. The last annual compliance visit was conducted on 9/21/2022. A sanitation inspection was completed 4/06/2023 with a Superior classification. The last fire inspection was conducted 11/11/2022. Program records and required postings were monitored. A fire drill was conducted on 8/03/2023. A shelter in place drill was documented on 6/15/2023. An outdoor inspection was documented on 8/31/2023. The Ready to Go file was not available for review. All incident reports were not recorded on classroom incident logs. Staff files and children’s records were monitored per DCDEE procedures. Staff medical statements, proof of a tuberculosis test or screening, and completed health questionnaires were included in the personnel files of three staff members, but were not maintained separately from the staff members’ individual personnel files in the center in separate medical files. A signed and dated statement of receipt of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not observed on file for two children enrolled. The infant feeding plans for four children enrolled were not signed by a parent. The infant feeding plans for two children enrolled were not updated and dated. A record of Health and Safety Training was not observed on file for one existing staff member. A signed receipt of operational and personnel policies was not on file for two new staff members and one existing staff member. An annual signed review of the Emergency Preparedness and Response Plan was not on file for two new staff members and one existing staff member. An annual signed review of the Emergency Medical Care Plan was not on file for two new staff members and one existing staff member. An annual staff evaluation was not on file for one existing staff member. Storage of hazardous items was monitored today. In Space 2, a bottle of Fabuloso disinfecting cleanser, labeled Keep Out of Reach of Children with additional warnings, was observed on a counter less than five feet from the ground. Ms. Hardin placed this item into locked storage during the visit. Storage and administration of medication were monitored. Medication authorization was monitored. The program does not provide transportation; however, during a phone conversation during the visit with Ms. Singletary, Director, this morning, Ms. Singletary stated she is interested in using the church van to begin to provide transportation for children of Pre-K and School Age for field trips only. I stated Ms. Singletary should contact me once all requirements for transportation have been met. Once contacted by Ms. Singletary, I will schedule a visit for me to monitor requirements for transportation and to approve the facility to transport children. The following violations were cited during today’s visit: Violation Number Comment Rule 124 The center did not maintain records as required in rule, and/or were not made available to the Division for review. A signed and dated statement of receipt of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not observed on file for two children enrolled. The infant feeding plans for four children enrolled were not signed by a parent. The infant feeding plans for two children enrolled were not updated and dated. A record of Health and Safety Training was not observed on file for one existing staff member. A signed receipt of operational and personnel policies was not on file for two new staff members and one existing staff member. An annual signed review of the Emergency Preparedness and Response Plan was not on file for two new staff members and one existing staff member. An annual signed review of the Emergency Medical Care Plan was not on file for two new staff members and one existing staff member. An annual staff evaluation was not on file for one existing staff member. G.S. 110-91(9); .0304(g); .2318 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 2, one child enrolled was not signed in upon arrival. In Space 7, one child was not signed in upon arrival. 10A NCAC 09 .0302(d)(4) 807 A safe indoor and outdoor environment was not provided for the children. Ms. Hardin covered each of these outlets with a safety cover during the visit. On the playground used by infants and toddlers, two holes were observed side-by-side along the PVC pipe located to the left of the gate entrance, presenting a potential tripping and safety hazard. A large, rusted spike was observed at the base of the rain gutter near the entrance to this playground. The bases of four metal roof supports were observed to be heavily rusted. A cracked area, sharp to the touch, was observed on a non-stationary slide/swing structure. On the playground used by children of preschool and School Age, four rusted chain latches were observed on the inside of the fencing. The latch to the shed was observed to be heavily rusted. Greater than three sections of fencing were observed to be heavily rusted. The base of a rain pipe was observed to be cracked and sharp to the touch, with wire mesh surrounding the base also observed to be sharp to the touch. The stationary structure was observed to have rust forming on the rails of the stairs. The landings of the large, stationary climbing structure were observed to be cracked in greater than three areas, each of which have metal exposed which was observed to be beginning to rust. 10A NCAC 09 .0601(a) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. In Space 2, a bottle of Fabuloso disinfecting cleanser, labeled Keep Out of Reach of Children with additional warnings, was observed on a counter less than five feet from the ground. .2820(b) 853 Incident logs were not completed and maintained as required. All incident reports were not recorded on classroom incident logs. .0802(g)(1-6) 1823 The EPR Plan did not include the location of the Ready to Go File and or the required information. The Ready to Go file was not available for review. .0607(d)(10) 1867 The depth of the loose surfacing was not based on critical height of the equipment. The mulch measures between 1 and 4 inches in greater than 6 fall zones on the playground for preschoolers and children of School Age. .0605(k)(1-4) 1890 Each staff member did not have the required medical report, proof of tuberculosis test or screening and/or completed health questionnaire in a medical file, maintained separately from the staff member's individual personnel file. Staff medical statements, proof of a tuberculosis test or screening, and completed health questionnaires were included in the personnel files of three staff members, but were not maintained separately from the staff members’ individual personnel files in the center in separate medical files. .0701(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 9/26/2023. 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 cara.mckeown@dhhs.nc.gov or mail two copies of the letter to: Cara McKeown 353 Jonestown Road, Unit #146 Winston Salem, NC 27104 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 provided during today’s visit: • You must notify your consultant 30 days prior to changing the ownership status of your facility. The following Child Care Rules were thoroughly discussed with Ms. Hardin during the visit: 10A NCAC 09 .0607 EMERGENCY PREPAREDNESS AND RESPONSE IN CHILD CARE CENTERS (10) the location of a Ready to Go File. A Ready to Go File means a collection of information on children, staff and the facility, to utilize, if an evacuation occurs. The file shall include, a copy of the Emergency Preparedness and Response Plan, contact information for individuals to pick-up children, each child's Application for Child Care, medication authorizations and instructions, any action plans for children with special health care needs, a list of any known food allergies of children and staff, staff contact information, Incident Report forms, an area map, and emergency telephone numbers. 15A NCAC 18A .2820 STORAGE (b) Toxic substances, which include 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 shall be kept in the original container or in another labeled container, used according to the manufacturer's instructions, and stored in a locked storage room or cabinet when not in use. Locked storage rooms and cabinets shall include those which are unlocked with a combination lock, electronic or magnetic device, keypad, key, or equivalent locking device. Keys and electronic or magnetic unlocking devices shall be kept out of the reach of a child and shall not be stored in the lock. Toxic substances shall be stored below or separate from medications and food. Any other product that is labeled "keep out of reach of children" and does not have any other warnings on the label shall be kept inaccessible to children when not in use, but is not required to be kept in locked storage. For the purpose of Paragraphs (b), (c), and (d) of this Rule, a product shall be considered inaccessible to children when stored on a shelf or in an unlocked cabinet that is mounted a minimum vertical distance of five feet above the finished floor. 10A NCAC 09 .1715 OPERATIONAL POLICIES (a) Each operator shall have written operational policies that include at least the following information: (2) the age range of the children served; (7) a schedule of daily, weekly, and monthly cleaning duties; (10) a description of opportunities for parent participation. 10A NCAC 09 .0605 OUTDOOR LEARNING ENVIRONMENT IN CHILD CARE CENTERS (m) Exceptions to Paragraph (l) of this Rule are as follows: (3) Tot swings shall have protective surfacing that extends two times the length of the pivot point to the bottom of the swing seat. The surfacing shall be to the front and rear of the swing. Tot swings are defined as swings with enclosed seats. 10A NCAC 09 .1003 SAFE PROCEDURES (b) Each center shall establish procedures for pick-up and delivery of children to ensure children are protected from danger and not exposed to risk of harm. These procedures shall be communicated to parents, and a copy shall be posted in the center where they can be seen by the parents. 10A NCAC 09 .0302 APPLICATION FOR A LICENSE FOR A CHILD CARE CENTER During the pre-licensing visit the applicant shall have the following available for review pursuant to 10A NCAC 09 .0304(g): (5) records of monthly fire drills documenting the date and time of each drill, the length of time taken to evacuate the building, and the signature of the person who conducted the drill as required by NC Fire Code 405.5; A copy of the form may be found on the Division's website at http://ncchildcare.ncdhhs.gov/pdf_forms/EPR_EmergencyDrillLog_Centers.pdf; (8) records of lockdown or shelter-in-place drills as defined in 10A NCAC 09 .0102, giving the date each drill was held, the time of day, the length of time taken to get into designated locations and the signature of the person who conducted the drill. A copy of the form may be found on the Division's website at https://ncchildcare.ncdhhs.gov/pdf_forms/EPR_EmergencyDrillLog_Centers.pdf. 10A NCAC 09 .1005 OFF PREMISE ACTIVITIES IN CHILD CARE CENTERS (a) Off premise activities refer to any activity that takes place away from a child care center’s licensed and approved space. Licensed and approved space includes "primary space" as described in 10A NCAC 09 .1401(a), outdoor space as described in 10A NCAC 09 .1402, single use rooms, or other administrative areas. (b) When children participate in off premise activities the following shall apply: (1) Children under the age of three shall not participate in off premise activities that involve children being transported in a motor vehicle. (2) When children are transported in a motor vehicle for off premise activities, the provisions in Rule .1003(c) through (i) and (k) of this Chapter shall apply. (3) Before staff members walk children off premises for play or outings, the center shall obtain written permission from the parent of each child to be included in such activities. (4) Parents may provide a written statement giving standing permission which may be valid for up to 12 months for participation in off premise activities that occur on a regular basis. (5) The center shall post a schedule of off premise activities in each participating classroom where it can be viewed by parents, and a copy shall be given to parents. The schedule shall be current and shall include the: (A) location of the activity; (B) purpose of the activity; (C) time the activity will take place; (D) date of the activity; and (E) name of the person(s) to be contacted in the event of an emergency. (6) Each time that children are taken off the premises, staff shall take a list of the children participating in the activity with them. Staff members shall use this list to check attendance when leaving the center, periodically when the children are involved in the activity, before leaving the activity to return to the child care center, and upon return to the center. A list of all children participating in the off premise activity shall also be available at the center. (c) The provisions of Subparagraphs (b)(1) and (5) of this Rule shall be waived to implement any child's Individualized Family Service Plan (IFSP) or Individualized Education Program (IEP). 10A NCAC 09 .1723 TRANSPORTATION REQUIREMENTS To assure the safety of children whenever they are transported, the operator, or any other transportation provider, shall: (1) ensure that vehicles used to transport children are free of hazards such as but not limited to, torn upholstery that allows children to remove the interior padding, broken windows, holes in the floor or roof, or tire treads of less than 2/32 of an inch; (2) ensure that vehicles used to transport children comply with all applicable State and federal laws and regulations; (3) ensure that vehicles are insured for liability as required by State laws governing transportation of passengers pursuant to G.S. 20-279.21; (4) ensure that vehicles used to transport children in snowy, icy, and other hazardous weather conditions are equipped with snow tires, or chains; (5) have written permission from a parent to transport his or her child and notify the parent when and where the child is to be transported, and the name of the transportation provider. Parents may give standing permission, valid for up to 12 months, for transport of children to and from the home; (6) ensure that all children are transferred to an individual who is indicated on the child's application for enrollment as specified in Rule .1721(a)(3) of this Section or as authorized by the parent; (7) load and unload children from curbside or in a safe, off-street area, out of the flow of traffic, so that they are protected from all traffic hazards; (8) ensure that all children regardless of age or location in the vehicle shall be restrained with an individual seat belt or child safety seat appropriate to the child's age or weight in accordance with G.S. 20-135.2A located at http://www.buckleupnc.org/occupant-restraint-laws/seat-belt-law-summary/. Only one person shall occupy each seat belt or child safety seat; (9) be at least 21 years old, and have a valid driver's license of the type required under the North Carolina Motor Vehicle Law for the vehicle being driven, or comparable license from the state in which the driver resides, and no convictions of Driving While Impaired (DWI), or any other impaired driving offense, within the last three years; (10) ensure that each child is seated in a manufacturer's designated area. No child shall ride in the load carrying area or floor of a vehicle; (11) have a First Aid kit and fire extinguisher located in the vehicle used to transport children; (12) never leave children in a vehicle unattended by an adult; (13) have identifying information in the vehicle about each child being transported, including the child's name, photograph, emergency contact information, and a copy of the emergency medical care information form required by Rule .1721(a)(3) of this Section; and (14) have a functioning cellular telephone or other functioning two-way voice communication device with them for use in an emergency. The transportation provider shall not use cellular telephones or other functioning two-way communication devices except in the case of an emergency and only when the vehicle is parked in a safe location; and (15) conduct off-premise activities as follows: (a) before the operator walks children off premises for play or outings, the parent of each child shall give written permission for the child to participate in such activities; (b) parents may provide a written statement giving standing permission which may be valid for up to 12 months for participation in off premise activities that occur on a regular basis; and (c) each time the children are taken off premises, the operator shall take identifying information about each child including the child's name, photograph, emergency contact information, a copy of the emergency medical care information form required by 10A NCAC 09 .1721(a)(3) of this Section. 10A NCAC 09 .0605 OUTDOOR LEARNING ENVIRONMENT IN CHILD CARE CENTERS (g) Any openings in equipment, steps, decks, handrails, and fencing shall be smaller than 3 ½ inches or greater than 9 inches to prevent entrapment. 10A NCAC 09 .0302 APPLICATION FOR A LICENSE FOR A CHILD CARE CENTER (a) An application for a license for a child care center shall be submitted on the form provided by the Division, which may be found online at http://ncchildcare.ncdhhs.gov/PDF_forms/FacilityProfileApp.pdf. The application for a child care center license shall include the following information: (d) During the pre-licensing visit the applicant shall have the following available for review pursuant to 10A NCAC 09 .0304(g): (4) daily records of arrival and departure times at the center for each child which shall be maintained as children arrive and depart; 15A NCAC 18A .2803 HANDWASHING (a) Child care center employees shall wash their hands as follows when at work in a child care center: (1) upon reporting for work at the child care center: (2) before and after handling or preparing food; (3) before bottle feeding a child; (4) before providing food service; (5) before handling clean utensils; (6) after toileting or handling of body fluids, including but not limited to saliva, nasal secretions, vomitus, feces, urine, blood, secretions from sores, and pustulant discharge; (7) after diaper changing; (8) after handling soiled items that are not clean; (9) after being outdoors; (10) after handling animals or animal cages; and (11) after removing disposable gloves. (b) The use of a hand antiseptic does not replace the requirements for handwashing in Paragraph (a) of this Rule except that an employee who is supervising a child or children outdoors may use a hand antiseptic while outdoors in lieu of handwashing, provided that the employee's hands are washed in accordance with Paragraph (e) of this Rule when the employee returns indoors. Hand antiseptic shall not be used in lieu of handwashing when the employee's action that necessitates handwashing is diapering, food preparation, or food service. (c) Child care center employees shall ensure that children wash their hands as follows: (1) upon arrival at the child care center; (2) after each diaper change or visit to the toilet; (3) before eating meals or snacks; (4) before and after water play; (5) after being outdoors; and (6) after handling animals or animal cages. (d) Except when the action that necessitates handwashing is diapering and before eating meals or snacks, hand antiseptics may be used in lieu of handwashing while a child is outdoors, provided that the child's hands are washed when the child returns indoors. (e) Handwashing procedures shall include the following steps: (1) using liquid soap and tempered water; (2) rubbing hands vigorously with soap and tempered water for 15 seconds; (3) washing all surfaces of the hands, to include the backs of hands, palms, wrists, under fingernails, and between fingers; (4) rinsing the hands under tempered water for 10 seconds; (5) drying the hands with a paper towel or other hand-drying device; and (6) turning off faucet with a paper towel or other method without recontaminating hands. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (q) Plastic bags, toys, toy parts small enough to be swallowed, and materials that can be torn apart, such as foam rubber and styrofoam, shall not be accessible to children under three years of age. However, styrofoam plates and larger pieces of foam rubber may be used for supervised art activities and styrofoam plates may be used for food service. Jump ropes and rubber bands shall not be accessible to children under five years of age without adult supervision. Balloons shall be prohibited for children of all ages. • Please remove all foam blocks from classroom activity centers with teeth marks or small pieces missing. • I recommend activity plans for each classroom are current and posted. • I recommend all push pins be removed from the corkboard lining the wall of the classroom used for infants, to prevent a safety hazard. • Please ensure all required classroom postings are posted for review. • Please ensure all cribs for infants enrolled in a classroom are labeled with their names. • When an infant is placed on his/her back to sleep in a crib or approved sleeping apparatus, please always record the first position for the infant on the sleep log as “B” for “Back”, even if the infant immediately rolls over to his or her side or stomach. • Please record specific amounts of diaper cream or other non-prescription topical ointment to be administered on medication authorization forms. • Please record specific times to administer diaper cream or other non-prescription topical ointment, such as “when redness occurs”. • Please ensure all staff members know where required forms are located in the classrooms they serve. • Please ensure a cot list is posted in all classrooms. • You can access the Automated Background Check Management System (ABCMS) at the following link to print a copy of your most recent Criminal Background Check qualifying letter: https://ncabcms.nc.gov/DCDEE/Applicant/ • Please monitor the fencing surrounding the playground for developing rust. • You may access Health and Safety trainings through the following link on the Division website: https://www.dcdee.moodle.nc.gov/ Please choose the Services tab, DCDEE Moodle, Professional Development, Regulatory, and then the 2023 CCDF Health and Safety trainings. • Please also pressure wash outdoor equipment (climbing tunnel on Pre-K/SA playground) with developing mildew. • Please use the most recently updated forms from the Division website for children, staff, and program records; these can be accessed at the following website: https://ncchildcare.ncdhhs.gov/Provider/Provider-Documents-and-Forms • Please record all current completed Health and Safety trainings on the Health and Safety Training Log. • Please access the Risk Management Portal at the following website to update Emergency Preparedness and Response Plan: https://rmp.nc.gov/portal/portal.aspx# • Please review all children’s records to ensure that all forms have been fully completed, inclusive of a recorded date of enrollment (when applicable) and date signed by the parent/guardian. • The Child Care Health Consultant for Forsyth County is Keturah Oglesby at Smart Start of Forsyth County. Ms. Oglesby can be contacted at: keturaho@smartstart-fc.org. • Please ensure parents update infant feeding schedules as children get older. 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. Cara McKeown, Child Care Consultant (336) 408-4849 cara.mckeown@dhhs.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 .1723 · Violation

Name of Operation: Main Street Baptist Church Early Learning Center Facility ID: 3452208 Consultant: CARA MCKEOWN-STEWART Operation Type: Center Case Number: Visit Date: 9/12/2023 Number Present: 38 Completed Date: 9/12/2023 Age: From 0 To 5 Total Minutes: 490 Time In: 08:20 AM Time Out: 04:30 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 facility to monitor compliance with applicable childcare requirements. This visit was conducted by Cara McKeown-Stewart, Child Care Consultant with Aislinn Hardin, Lead Teacher. Director, Lakeshia Singletary, was not present during the visit today. Your program currently operates with a notice of compliance. The NC Secretary of State website was reviewed on 9/12/2023 and Main Street Baptist Church, Inc. was listed as current and active. The program’s compliance history was 100% 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. In Space 2, three outlets located on a power strip were observed without safety covers. Ms. Hardin covered each of these outlets with a safety cover during the visit. The facility has two playgrounds, one used for infants and toddlers, and the other for children of preschool and School Age. On the playground used by infants and toddlers, two holes were observed side-by-side along the PVC pipe located to the left of the gate entrance, presenting a potential tripping and safety hazard. A large, rusted spike was observed at the base of the rain gutter near the entrance to this playground. The bases of four metal roof supports were observed to be heavily rusted. A cracked area, sharp to the touch, was observed on a non-stationary slide/swing structure. On the playground used by children of preschool and School Age, four rusted chain latches were observed on the inside of the fencing. The latch to the shed was observed to be heavily rusted. Greater than three sections of fencing were observed to be heavily rusted. The base of a rain pipe was observed to be cracked and sharp to the touch, with wire mesh surrounding the base also observed to be sharp to the touch. The mulch measures between 1 and 4 inches in greater than 6 fall zones. The stationary structure was observed to have rust forming on the rails of the stairs. The landings of the large, stationary climbing structure were observed to be cracked in greater than three areas, each of which have metal exposed which was observed to be beginning to rust. Upon arrival, staff/child ratio and space capacity were monitored as indicated on the attached worksheet. In Space 2, one child enrolled was not signed in upon arrival. In Space 7, one child was not signed in upon arrival. Supervision was adequate during the visit. I observed positive interactions today. I observed children playing in activity centers, participating in general routines and eating lunch. I observed developmentally appropriate materials and activities were available to the children in the classrooms. The last annual compliance visit was conducted on 9/21/2022. A sanitation inspection was completed 4/06/2023 with a Superior classification. The last fire inspection was conducted 11/11/2022. Program records and required postings were monitored. A fire drill was conducted on 8/03/2023. A shelter in place drill was documented on 6/15/2023. An outdoor inspection was documented on 8/31/2023. The Ready to Go file was not available for review. All incident reports were not recorded on classroom incident logs. Staff files and children’s records were monitored per DCDEE procedures. Staff medical statements, proof of a tuberculosis test or screening, and completed health questionnaires were included in the personnel files of three staff members, but were not maintained separately from the staff members’ individual personnel files in the center in separate medical files. A signed and dated statement of receipt of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not observed on file for two children enrolled. The infant feeding plans for four children enrolled were not signed by a parent. The infant feeding plans for two children enrolled were not updated and dated. A record of Health and Safety Training was not observed on file for one existing staff member. A signed receipt of operational and personnel policies was not on file for two new staff members and one existing staff member. An annual signed review of the Emergency Preparedness and Response Plan was not on file for two new staff members and one existing staff member. An annual signed review of the Emergency Medical Care Plan was not on file for two new staff members and one existing staff member. An annual staff evaluation was not on file for one existing staff member. Storage of hazardous items was monitored today. In Space 2, a bottle of Fabuloso disinfecting cleanser, labeled Keep Out of Reach of Children with additional warnings, was observed on a counter less than five feet from the ground. Ms. Hardin placed this item into locked storage during the visit. Storage and administration of medication were monitored. Medication authorization was monitored. The program does not provide transportation; however, during a phone conversation during the visit with Ms. Singletary, Director, this morning, Ms. Singletary stated she is interested in using the church van to begin to provide transportation for children of Pre-K and School Age for field trips only. I stated Ms. Singletary should contact me once all requirements for transportation have been met. Once contacted by Ms. Singletary, I will schedule a visit for me to monitor requirements for transportation and to approve the facility to transport children. The following violations were cited during today’s visit: Violation Number Comment Rule 124 The center did not maintain records as required in rule, and/or were not made available to the Division for review. A signed and dated statement of receipt of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not observed on file for two children enrolled. The infant feeding plans for four children enrolled were not signed by a parent. The infant feeding plans for two children enrolled were not updated and dated. A record of Health and Safety Training was not observed on file for one existing staff member. A signed receipt of operational and personnel policies was not on file for two new staff members and one existing staff member. An annual signed review of the Emergency Preparedness and Response Plan was not on file for two new staff members and one existing staff member. An annual signed review of the Emergency Medical Care Plan was not on file for two new staff members and one existing staff member. An annual staff evaluation was not on file for one existing staff member. G.S. 110-91(9); .0304(g); .2318 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 2, one child enrolled was not signed in upon arrival. In Space 7, one child was not signed in upon arrival. 10A NCAC 09 .0302(d)(4) 807 A safe indoor and outdoor environment was not provided for the children. Ms. Hardin covered each of these outlets with a safety cover during the visit. On the playground used by infants and toddlers, two holes were observed side-by-side along the PVC pipe located to the left of the gate entrance, presenting a potential tripping and safety hazard. A large, rusted spike was observed at the base of the rain gutter near the entrance to this playground. The bases of four metal roof supports were observed to be heavily rusted. A cracked area, sharp to the touch, was observed on a non-stationary slide/swing structure. On the playground used by children of preschool and School Age, four rusted chain latches were observed on the inside of the fencing. The latch to the shed was observed to be heavily rusted. Greater than three sections of fencing were observed to be heavily rusted. The base of a rain pipe was observed to be cracked and sharp to the touch, with wire mesh surrounding the base also observed to be sharp to the touch. The stationary structure was observed to have rust forming on the rails of the stairs. The landings of the large, stationary climbing structure were observed to be cracked in greater than three areas, each of which have metal exposed which was observed to be beginning to rust. 10A NCAC 09 .0601(a) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. In Space 2, a bottle of Fabuloso disinfecting cleanser, labeled Keep Out of Reach of Children with additional warnings, was observed on a counter less than five feet from the ground. .2820(b) 853 Incident logs were not completed and maintained as required. All incident reports were not recorded on classroom incident logs. .0802(g)(1-6) 1823 The EPR Plan did not include the location of the Ready to Go File and or the required information. The Ready to Go file was not available for review. .0607(d)(10) 1867 The depth of the loose surfacing was not based on critical height of the equipment. The mulch measures between 1 and 4 inches in greater than 6 fall zones on the playground for preschoolers and children of School Age. .0605(k)(1-4) 1890 Each staff member did not have the required medical report, proof of tuberculosis test or screening and/or completed health questionnaire in a medical file, maintained separately from the staff member's individual personnel file. Staff medical statements, proof of a tuberculosis test or screening, and completed health questionnaires were included in the personnel files of three staff members, but were not maintained separately from the staff members’ individual personnel files in the center in separate medical files. .0701(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 9/26/2023. 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 cara.mckeown@dhhs.nc.gov or mail two copies of the letter to: Cara McKeown 353 Jonestown Road, Unit #146 Winston Salem, NC 27104 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 provided during today’s visit: • You must notify your consultant 30 days prior to changing the ownership status of your facility. The following Child Care Rules were thoroughly discussed with Ms. Hardin during the visit: 10A NCAC 09 .0607 EMERGENCY PREPAREDNESS AND RESPONSE IN CHILD CARE CENTERS (10) the location of a Ready to Go File. A Ready to Go File means a collection of information on children, staff and the facility, to utilize, if an evacuation occurs. The file shall include, a copy of the Emergency Preparedness and Response Plan, contact information for individuals to pick-up children, each child's Application for Child Care, medication authorizations and instructions, any action plans for children with special health care needs, a list of any known food allergies of children and staff, staff contact information, Incident Report forms, an area map, and emergency telephone numbers. 15A NCAC 18A .2820 STORAGE (b) Toxic substances, which include 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 shall be kept in the original container or in another labeled container, used according to the manufacturer's instructions, and stored in a locked storage room or cabinet when not in use. Locked storage rooms and cabinets shall include those which are unlocked with a combination lock, electronic or magnetic device, keypad, key, or equivalent locking device. Keys and electronic or magnetic unlocking devices shall be kept out of the reach of a child and shall not be stored in the lock. Toxic substances shall be stored below or separate from medications and food. Any other product that is labeled "keep out of reach of children" and does not have any other warnings on the label shall be kept inaccessible to children when not in use, but is not required to be kept in locked storage. For the purpose of Paragraphs (b), (c), and (d) of this Rule, a product shall be considered inaccessible to children when stored on a shelf or in an unlocked cabinet that is mounted a minimum vertical distance of five feet above the finished floor. 10A NCAC 09 .1715 OPERATIONAL POLICIES (a) Each operator shall have written operational policies that include at least the following information: (2) the age range of the children served; (7) a schedule of daily, weekly, and monthly cleaning duties; (10) a description of opportunities for parent participation. 10A NCAC 09 .0605 OUTDOOR LEARNING ENVIRONMENT IN CHILD CARE CENTERS (m) Exceptions to Paragraph (l) of this Rule are as follows: (3) Tot swings shall have protective surfacing that extends two times the length of the pivot point to the bottom of the swing seat. The surfacing shall be to the front and rear of the swing. Tot swings are defined as swings with enclosed seats. 10A NCAC 09 .1003 SAFE PROCEDURES (b) Each center shall establish procedures for pick-up and delivery of children to ensure children are protected from danger and not exposed to risk of harm. These procedures shall be communicated to parents, and a copy shall be posted in the center where they can be seen by the parents. 10A NCAC 09 .0302 APPLICATION FOR A LICENSE FOR A CHILD CARE CENTER During the pre-licensing visit the applicant shall have the following available for review pursuant to 10A NCAC 09 .0304(g): (5) records of monthly fire drills documenting the date and time of each drill, the length of time taken to evacuate the building, and the signature of the person who conducted the drill as required by NC Fire Code 405.5; A copy of the form may be found on the Division's website at http://ncchildcare.ncdhhs.gov/pdf_forms/EPR_EmergencyDrillLog_Centers.pdf; (8) records of lockdown or shelter-in-place drills as defined in 10A NCAC 09 .0102, giving the date each drill was held, the time of day, the length of time taken to get into designated locations and the signature of the person who conducted the drill. A copy of the form may be found on the Division's website at https://ncchildcare.ncdhhs.gov/pdf_forms/EPR_EmergencyDrillLog_Centers.pdf. 10A NCAC 09 .1005 OFF PREMISE ACTIVITIES IN CHILD CARE CENTERS (a) Off premise activities refer to any activity that takes place away from a child care center’s licensed and approved space. Licensed and approved space includes "primary space" as described in 10A NCAC 09 .1401(a), outdoor space as described in 10A NCAC 09 .1402, single use rooms, or other administrative areas. (b) When children participate in off premise activities the following shall apply: (1) Children under the age of three shall not participate in off premise activities that involve children being transported in a motor vehicle. (2) When children are transported in a motor vehicle for off premise activities, the provisions in Rule .1003(c) through (i) and (k) of this Chapter shall apply. (3) Before staff members walk children off premises for play or outings, the center shall obtain written permission from the parent of each child to be included in such activities. (4) Parents may provide a written statement giving standing permission which may be valid for up to 12 months for participation in off premise activities that occur on a regular basis. (5) The center shall post a schedule of off premise activities in each participating classroom where it can be viewed by parents, and a copy shall be given to parents. The schedule shall be current and shall include the: (A) location of the activity; (B) purpose of the activity; (C) time the activity will take place; (D) date of the activity; and (E) name of the person(s) to be contacted in the event of an emergency. (6) Each time that children are taken off the premises, staff shall take a list of the children participating in the activity with them. Staff members shall use this list to check attendance when leaving the center, periodically when the children are involved in the activity, before leaving the activity to return to the child care center, and upon return to the center. A list of all children participating in the off premise activity shall also be available at the center. (c) The provisions of Subparagraphs (b)(1) and (5) of this Rule shall be waived to implement any child's Individualized Family Service Plan (IFSP) or Individualized Education Program (IEP). 10A NCAC 09 .1723 TRANSPORTATION REQUIREMENTS To assure the safety of children whenever they are transported, the operator, or any other transportation provider, shall: (1) ensure that vehicles used to transport children are free of hazards such as but not limited to, torn upholstery that allows children to remove the interior padding, broken windows, holes in the floor or roof, or tire treads of less than 2/32 of an inch; (2) ensure that vehicles used to transport children comply with all applicable State and federal laws and regulations; (3) ensure that vehicles are insured for liability as required by State laws governing transportation of passengers pursuant to G.S. 20-279.21; (4) ensure that vehicles used to transport children in snowy, icy, and other hazardous weather conditions are equipped with snow tires, or chains; (5) have written permission from a parent to transport his or her child and notify the parent when and where the child is to be transported, and the name of the transportation provider. Parents may give standing permission, valid for up to 12 months, for transport of children to and from the home; (6) ensure that all children are transferred to an individual who is indicated on the child's application for enrollment as specified in Rule .1721(a)(3) of this Section or as authorized by the parent; (7) load and unload children from curbside or in a safe, off-street area, out of the flow of traffic, so that they are protected from all traffic hazards; (8) ensure that all children regardless of age or location in the vehicle shall be restrained with an individual seat belt or child safety seat appropriate to the child's age or weight in accordance with G.S. 20-135.2A located at http://www.buckleupnc.org/occupant-restraint-laws/seat-belt-law-summary/. Only one person shall occupy each seat belt or child safety seat; (9) be at least 21 years old, and have a valid driver's license of the type required under the North Carolina Motor Vehicle Law for the vehicle being driven, or comparable license from the state in which the driver resides, and no convictions of Driving While Impaired (DWI), or any other impaired driving offense, within the last three years; (10) ensure that each child is seated in a manufacturer's designated area. No child shall ride in the load carrying area or floor of a vehicle; (11) have a First Aid kit and fire extinguisher located in the vehicle used to transport children; (12) never leave children in a vehicle unattended by an adult; (13) have identifying information in the vehicle about each child being transported, including the child's name, photograph, emergency contact information, and a copy of the emergency medical care information form required by Rule .1721(a)(3) of this Section; and (14) have a functioning cellular telephone or other functioning two-way voice communication device with them for use in an emergency. The transportation provider shall not use cellular telephones or other functioning two-way communication devices except in the case of an emergency and only when the vehicle is parked in a safe location; and (15) conduct off-premise activities as follows: (a) before the operator walks children off premises for play or outings, the parent of each child shall give written permission for the child to participate in such activities; (b) parents may provide a written statement giving standing permission which may be valid for up to 12 months for participation in off premise activities that occur on a regular basis; and (c) each time the children are taken off premises, the operator shall take identifying information about each child including the child's name, photograph, emergency contact information, a copy of the emergency medical care information form required by 10A NCAC 09 .1721(a)(3) of this Section. 10A NCAC 09 .0605 OUTDOOR LEARNING ENVIRONMENT IN CHILD CARE CENTERS (g) Any openings in equipment, steps, decks, handrails, and fencing shall be smaller than 3 ½ inches or greater than 9 inches to prevent entrapment. 10A NCAC 09 .0302 APPLICATION FOR A LICENSE FOR A CHILD CARE CENTER (a) An application for a license for a child care center shall be submitted on the form provided by the Division, which may be found online at http://ncchildcare.ncdhhs.gov/PDF_forms/FacilityProfileApp.pdf. The application for a child care center license shall include the following information: (d) During the pre-licensing visit the applicant shall have the following available for review pursuant to 10A NCAC 09 .0304(g): (4) daily records of arrival and departure times at the center for each child which shall be maintained as children arrive and depart; 15A NCAC 18A .2803 HANDWASHING (a) Child care center employees shall wash their hands as follows when at work in a child care center: (1) upon reporting for work at the child care center: (2) before and after handling or preparing food; (3) before bottle feeding a child; (4) before providing food service; (5) before handling clean utensils; (6) after toileting or handling of body fluids, including but not limited to saliva, nasal secretions, vomitus, feces, urine, blood, secretions from sores, and pustulant discharge; (7) after diaper changing; (8) after handling soiled items that are not clean; (9) after being outdoors; (10) after handling animals or animal cages; and (11) after removing disposable gloves. (b) The use of a hand antiseptic does not replace the requirements for handwashing in Paragraph (a) of this Rule except that an employee who is supervising a child or children outdoors may use a hand antiseptic while outdoors in lieu of handwashing, provided that the employee's hands are washed in accordance with Paragraph (e) of this Rule when the employee returns indoors. Hand antiseptic shall not be used in lieu of handwashing when the employee's action that necessitates handwashing is diapering, food preparation, or food service. (c) Child care center employees shall ensure that children wash their hands as follows: (1) upon arrival at the child care center; (2) after each diaper change or visit to the toilet; (3) before eating meals or snacks; (4) before and after water play; (5) after being outdoors; and (6) after handling animals or animal cages. (d) Except when the action that necessitates handwashing is diapering and before eating meals or snacks, hand antiseptics may be used in lieu of handwashing while a child is outdoors, provided that the child's hands are washed when the child returns indoors. (e) Handwashing procedures shall include the following steps: (1) using liquid soap and tempered water; (2) rubbing hands vigorously with soap and tempered water for 15 seconds; (3) washing all surfaces of the hands, to include the backs of hands, palms, wrists, under fingernails, and between fingers; (4) rinsing the hands under tempered water for 10 seconds; (5) drying the hands with a paper towel or other hand-drying device; and (6) turning off faucet with a paper towel or other method without recontaminating hands. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (q) Plastic bags, toys, toy parts small enough to be swallowed, and materials that can be torn apart, such as foam rubber and styrofoam, shall not be accessible to children under three years of age. However, styrofoam plates and larger pieces of foam rubber may be used for supervised art activities and styrofoam plates may be used for food service. Jump ropes and rubber bands shall not be accessible to children under five years of age without adult supervision. Balloons shall be prohibited for children of all ages. • Please remove all foam blocks from classroom activity centers with teeth marks or small pieces missing. • I recommend activity plans for each classroom are current and posted. • I recommend all push pins be removed from the corkboard lining the wall of the classroom used for infants, to prevent a safety hazard. • Please ensure all required classroom postings are posted for review. • Please ensure all cribs for infants enrolled in a classroom are labeled with their names. • When an infant is placed on his/her back to sleep in a crib or approved sleeping apparatus, please always record the first position for the infant on the sleep log as “B” for “Back”, even if the infant immediately rolls over to his or her side or stomach. • Please record specific amounts of diaper cream or other non-prescription topical ointment to be administered on medication authorization forms. • Please record specific times to administer diaper cream or other non-prescription topical ointment, such as “when redness occurs”. • Please ensure all staff members know where required forms are located in the classrooms they serve. • Please ensure a cot list is posted in all classrooms. • You can access the Automated Background Check Management System (ABCMS) at the following link to print a copy of your most recent Criminal Background Check qualifying letter: https://ncabcms.nc.gov/DCDEE/Applicant/ • Please monitor the fencing surrounding the playground for developing rust. • You may access Health and Safety trainings through the following link on the Division website: https://www.dcdee.moodle.nc.gov/ Please choose the Services tab, DCDEE Moodle, Professional Development, Regulatory, and then the 2023 CCDF Health and Safety trainings. • Please also pressure wash outdoor equipment (climbing tunnel on Pre-K/SA playground) with developing mildew. • Please use the most recently updated forms from the Division website for children, staff, and program records; these can be accessed at the following website: https://ncchildcare.ncdhhs.gov/Provider/Provider-Documents-and-Forms • Please record all current completed Health and Safety trainings on the Health and Safety Training Log. • Please access the Risk Management Portal at the following website to update Emergency Preparedness and Response Plan: https://rmp.nc.gov/portal/portal.aspx# • Please review all children’s records to ensure that all forms have been fully completed, inclusive of a recorded date of enrollment (when applicable) and date signed by the parent/guardian. • The Child Care Health Consultant for Forsyth County is Keturah Oglesby at Smart Start of Forsyth County. Ms. Oglesby can be contacted at: keturaho@smartstart-fc.org. • Please ensure parents update infant feeding schedules as children get older. 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. Cara McKeown, Child Care Consultant (336) 408-4849 cara.mckeown@dhhs.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

G.S. 110-91 · Violation

Name of Operation: Main Street Baptist Church Early Learning Center Facility ID: 3452208 Consultant: CARA MCKEOWN-STEWART Operation Type: Center Case Number: Visit Date: 9/12/2023 Number Present: 38 Completed Date: 9/12/2023 Age: From 0 To 5 Total Minutes: 490 Time In: 08:20 AM Time Out: 04:30 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 facility to monitor compliance with applicable childcare requirements. This visit was conducted by Cara McKeown-Stewart, Child Care Consultant with Aislinn Hardin, Lead Teacher. Director, Lakeshia Singletary, was not present during the visit today. Your program currently operates with a notice of compliance. The NC Secretary of State website was reviewed on 9/12/2023 and Main Street Baptist Church, Inc. was listed as current and active. The program’s compliance history was 100% 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. In Space 2, three outlets located on a power strip were observed without safety covers. Ms. Hardin covered each of these outlets with a safety cover during the visit. The facility has two playgrounds, one used for infants and toddlers, and the other for children of preschool and School Age. On the playground used by infants and toddlers, two holes were observed side-by-side along the PVC pipe located to the left of the gate entrance, presenting a potential tripping and safety hazard. A large, rusted spike was observed at the base of the rain gutter near the entrance to this playground. The bases of four metal roof supports were observed to be heavily rusted. A cracked area, sharp to the touch, was observed on a non-stationary slide/swing structure. On the playground used by children of preschool and School Age, four rusted chain latches were observed on the inside of the fencing. The latch to the shed was observed to be heavily rusted. Greater than three sections of fencing were observed to be heavily rusted. The base of a rain pipe was observed to be cracked and sharp to the touch, with wire mesh surrounding the base also observed to be sharp to the touch. The mulch measures between 1 and 4 inches in greater than 6 fall zones. The stationary structure was observed to have rust forming on the rails of the stairs. The landings of the large, stationary climbing structure were observed to be cracked in greater than three areas, each of which have metal exposed which was observed to be beginning to rust. Upon arrival, staff/child ratio and space capacity were monitored as indicated on the attached worksheet. In Space 2, one child enrolled was not signed in upon arrival. In Space 7, one child was not signed in upon arrival. Supervision was adequate during the visit. I observed positive interactions today. I observed children playing in activity centers, participating in general routines and eating lunch. I observed developmentally appropriate materials and activities were available to the children in the classrooms. The last annual compliance visit was conducted on 9/21/2022. A sanitation inspection was completed 4/06/2023 with a Superior classification. The last fire inspection was conducted 11/11/2022. Program records and required postings were monitored. A fire drill was conducted on 8/03/2023. A shelter in place drill was documented on 6/15/2023. An outdoor inspection was documented on 8/31/2023. The Ready to Go file was not available for review. All incident reports were not recorded on classroom incident logs. Staff files and children’s records were monitored per DCDEE procedures. Staff medical statements, proof of a tuberculosis test or screening, and completed health questionnaires were included in the personnel files of three staff members, but were not maintained separately from the staff members’ individual personnel files in the center in separate medical files. A signed and dated statement of receipt of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not observed on file for two children enrolled. The infant feeding plans for four children enrolled were not signed by a parent. The infant feeding plans for two children enrolled were not updated and dated. A record of Health and Safety Training was not observed on file for one existing staff member. A signed receipt of operational and personnel policies was not on file for two new staff members and one existing staff member. An annual signed review of the Emergency Preparedness and Response Plan was not on file for two new staff members and one existing staff member. An annual signed review of the Emergency Medical Care Plan was not on file for two new staff members and one existing staff member. An annual staff evaluation was not on file for one existing staff member. Storage of hazardous items was monitored today. In Space 2, a bottle of Fabuloso disinfecting cleanser, labeled Keep Out of Reach of Children with additional warnings, was observed on a counter less than five feet from the ground. Ms. Hardin placed this item into locked storage during the visit. Storage and administration of medication were monitored. Medication authorization was monitored. The program does not provide transportation; however, during a phone conversation during the visit with Ms. Singletary, Director, this morning, Ms. Singletary stated she is interested in using the church van to begin to provide transportation for children of Pre-K and School Age for field trips only. I stated Ms. Singletary should contact me once all requirements for transportation have been met. Once contacted by Ms. Singletary, I will schedule a visit for me to monitor requirements for transportation and to approve the facility to transport children. The following violations were cited during today’s visit: Violation Number Comment Rule 124 The center did not maintain records as required in rule, and/or were not made available to the Division for review. A signed and dated statement of receipt of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not observed on file for two children enrolled. The infant feeding plans for four children enrolled were not signed by a parent. The infant feeding plans for two children enrolled were not updated and dated. A record of Health and Safety Training was not observed on file for one existing staff member. A signed receipt of operational and personnel policies was not on file for two new staff members and one existing staff member. An annual signed review of the Emergency Preparedness and Response Plan was not on file for two new staff members and one existing staff member. An annual signed review of the Emergency Medical Care Plan was not on file for two new staff members and one existing staff member. An annual staff evaluation was not on file for one existing staff member. G.S. 110-91(9); .0304(g); .2318 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 2, one child enrolled was not signed in upon arrival. In Space 7, one child was not signed in upon arrival. 10A NCAC 09 .0302(d)(4) 807 A safe indoor and outdoor environment was not provided for the children. Ms. Hardin covered each of these outlets with a safety cover during the visit. On the playground used by infants and toddlers, two holes were observed side-by-side along the PVC pipe located to the left of the gate entrance, presenting a potential tripping and safety hazard. A large, rusted spike was observed at the base of the rain gutter near the entrance to this playground. The bases of four metal roof supports were observed to be heavily rusted. A cracked area, sharp to the touch, was observed on a non-stationary slide/swing structure. On the playground used by children of preschool and School Age, four rusted chain latches were observed on the inside of the fencing. The latch to the shed was observed to be heavily rusted. Greater than three sections of fencing were observed to be heavily rusted. The base of a rain pipe was observed to be cracked and sharp to the touch, with wire mesh surrounding the base also observed to be sharp to the touch. The stationary structure was observed to have rust forming on the rails of the stairs. The landings of the large, stationary climbing structure were observed to be cracked in greater than three areas, each of which have metal exposed which was observed to be beginning to rust. 10A NCAC 09 .0601(a) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. In Space 2, a bottle of Fabuloso disinfecting cleanser, labeled Keep Out of Reach of Children with additional warnings, was observed on a counter less than five feet from the ground. .2820(b) 853 Incident logs were not completed and maintained as required. All incident reports were not recorded on classroom incident logs. .0802(g)(1-6) 1823 The EPR Plan did not include the location of the Ready to Go File and or the required information. The Ready to Go file was not available for review. .0607(d)(10) 1867 The depth of the loose surfacing was not based on critical height of the equipment. The mulch measures between 1 and 4 inches in greater than 6 fall zones on the playground for preschoolers and children of School Age. .0605(k)(1-4) 1890 Each staff member did not have the required medical report, proof of tuberculosis test or screening and/or completed health questionnaire in a medical file, maintained separately from the staff member's individual personnel file. Staff medical statements, proof of a tuberculosis test or screening, and completed health questionnaires were included in the personnel files of three staff members, but were not maintained separately from the staff members’ individual personnel files in the center in separate medical files. .0701(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 9/26/2023. 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 cara.mckeown@dhhs.nc.gov or mail two copies of the letter to: Cara McKeown 353 Jonestown Road, Unit #146 Winston Salem, NC 27104 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 provided during today’s visit: • You must notify your consultant 30 days prior to changing the ownership status of your facility. The following Child Care Rules were thoroughly discussed with Ms. Hardin during the visit: 10A NCAC 09 .0607 EMERGENCY PREPAREDNESS AND RESPONSE IN CHILD CARE CENTERS (10) the location of a Ready to Go File. A Ready to Go File means a collection of information on children, staff and the facility, to utilize, if an evacuation occurs. The file shall include, a copy of the Emergency Preparedness and Response Plan, contact information for individuals to pick-up children, each child's Application for Child Care, medication authorizations and instructions, any action plans for children with special health care needs, a list of any known food allergies of children and staff, staff contact information, Incident Report forms, an area map, and emergency telephone numbers. 15A NCAC 18A .2820 STORAGE (b) Toxic substances, which include 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 shall be kept in the original container or in another labeled container, used according to the manufacturer's instructions, and stored in a locked storage room or cabinet when not in use. Locked storage rooms and cabinets shall include those which are unlocked with a combination lock, electronic or magnetic device, keypad, key, or equivalent locking device. Keys and electronic or magnetic unlocking devices shall be kept out of the reach of a child and shall not be stored in the lock. Toxic substances shall be stored below or separate from medications and food. Any other product that is labeled "keep out of reach of children" and does not have any other warnings on the label shall be kept inaccessible to children when not in use, but is not required to be kept in locked storage. For the purpose of Paragraphs (b), (c), and (d) of this Rule, a product shall be considered inaccessible to children when stored on a shelf or in an unlocked cabinet that is mounted a minimum vertical distance of five feet above the finished floor. 10A NCAC 09 .1715 OPERATIONAL POLICIES (a) Each operator shall have written operational policies that include at least the following information: (2) the age range of the children served; (7) a schedule of daily, weekly, and monthly cleaning duties; (10) a description of opportunities for parent participation. 10A NCAC 09 .0605 OUTDOOR LEARNING ENVIRONMENT IN CHILD CARE CENTERS (m) Exceptions to Paragraph (l) of this Rule are as follows: (3) Tot swings shall have protective surfacing that extends two times the length of the pivot point to the bottom of the swing seat. The surfacing shall be to the front and rear of the swing. Tot swings are defined as swings with enclosed seats. 10A NCAC 09 .1003 SAFE PROCEDURES (b) Each center shall establish procedures for pick-up and delivery of children to ensure children are protected from danger and not exposed to risk of harm. These procedures shall be communicated to parents, and a copy shall be posted in the center where they can be seen by the parents. 10A NCAC 09 .0302 APPLICATION FOR A LICENSE FOR A CHILD CARE CENTER During the pre-licensing visit the applicant shall have the following available for review pursuant to 10A NCAC 09 .0304(g): (5) records of monthly fire drills documenting the date and time of each drill, the length of time taken to evacuate the building, and the signature of the person who conducted the drill as required by NC Fire Code 405.5; A copy of the form may be found on the Division's website at http://ncchildcare.ncdhhs.gov/pdf_forms/EPR_EmergencyDrillLog_Centers.pdf; (8) records of lockdown or shelter-in-place drills as defined in 10A NCAC 09 .0102, giving the date each drill was held, the time of day, the length of time taken to get into designated locations and the signature of the person who conducted the drill. A copy of the form may be found on the Division's website at https://ncchildcare.ncdhhs.gov/pdf_forms/EPR_EmergencyDrillLog_Centers.pdf. 10A NCAC 09 .1005 OFF PREMISE ACTIVITIES IN CHILD CARE CENTERS (a) Off premise activities refer to any activity that takes place away from a child care center’s licensed and approved space. Licensed and approved space includes "primary space" as described in 10A NCAC 09 .1401(a), outdoor space as described in 10A NCAC 09 .1402, single use rooms, or other administrative areas. (b) When children participate in off premise activities the following shall apply: (1) Children under the age of three shall not participate in off premise activities that involve children being transported in a motor vehicle. (2) When children are transported in a motor vehicle for off premise activities, the provisions in Rule .1003(c) through (i) and (k) of this Chapter shall apply. (3) Before staff members walk children off premises for play or outings, the center shall obtain written permission from the parent of each child to be included in such activities. (4) Parents may provide a written statement giving standing permission which may be valid for up to 12 months for participation in off premise activities that occur on a regular basis. (5) The center shall post a schedule of off premise activities in each participating classroom where it can be viewed by parents, and a copy shall be given to parents. The schedule shall be current and shall include the: (A) location of the activity; (B) purpose of the activity; (C) time the activity will take place; (D) date of the activity; and (E) name of the person(s) to be contacted in the event of an emergency. (6) Each time that children are taken off the premises, staff shall take a list of the children participating in the activity with them. Staff members shall use this list to check attendance when leaving the center, periodically when the children are involved in the activity, before leaving the activity to return to the child care center, and upon return to the center. A list of all children participating in the off premise activity shall also be available at the center. (c) The provisions of Subparagraphs (b)(1) and (5) of this Rule shall be waived to implement any child's Individualized Family Service Plan (IFSP) or Individualized Education Program (IEP). 10A NCAC 09 .1723 TRANSPORTATION REQUIREMENTS To assure the safety of children whenever they are transported, the operator, or any other transportation provider, shall: (1) ensure that vehicles used to transport children are free of hazards such as but not limited to, torn upholstery that allows children to remove the interior padding, broken windows, holes in the floor or roof, or tire treads of less than 2/32 of an inch; (2) ensure that vehicles used to transport children comply with all applicable State and federal laws and regulations; (3) ensure that vehicles are insured for liability as required by State laws governing transportation of passengers pursuant to G.S. 20-279.21; (4) ensure that vehicles used to transport children in snowy, icy, and other hazardous weather conditions are equipped with snow tires, or chains; (5) have written permission from a parent to transport his or her child and notify the parent when and where the child is to be transported, and the name of the transportation provider. Parents may give standing permission, valid for up to 12 months, for transport of children to and from the home; (6) ensure that all children are transferred to an individual who is indicated on the child's application for enrollment as specified in Rule .1721(a)(3) of this Section or as authorized by the parent; (7) load and unload children from curbside or in a safe, off-street area, out of the flow of traffic, so that they are protected from all traffic hazards; (8) ensure that all children regardless of age or location in the vehicle shall be restrained with an individual seat belt or child safety seat appropriate to the child's age or weight in accordance with G.S. 20-135.2A located at http://www.buckleupnc.org/occupant-restraint-laws/seat-belt-law-summary/. Only one person shall occupy each seat belt or child safety seat; (9) be at least 21 years old, and have a valid driver's license of the type required under the North Carolina Motor Vehicle Law for the vehicle being driven, or comparable license from the state in which the driver resides, and no convictions of Driving While Impaired (DWI), or any other impaired driving offense, within the last three years; (10) ensure that each child is seated in a manufacturer's designated area. No child shall ride in the load carrying area or floor of a vehicle; (11) have a First Aid kit and fire extinguisher located in the vehicle used to transport children; (12) never leave children in a vehicle unattended by an adult; (13) have identifying information in the vehicle about each child being transported, including the child's name, photograph, emergency contact information, and a copy of the emergency medical care information form required by Rule .1721(a)(3) of this Section; and (14) have a functioning cellular telephone or other functioning two-way voice communication device with them for use in an emergency. The transportation provider shall not use cellular telephones or other functioning two-way communication devices except in the case of an emergency and only when the vehicle is parked in a safe location; and (15) conduct off-premise activities as follows: (a) before the operator walks children off premises for play or outings, the parent of each child shall give written permission for the child to participate in such activities; (b) parents may provide a written statement giving standing permission which may be valid for up to 12 months for participation in off premise activities that occur on a regular basis; and (c) each time the children are taken off premises, the operator shall take identifying information about each child including the child's name, photograph, emergency contact information, a copy of the emergency medical care information form required by 10A NCAC 09 .1721(a)(3) of this Section. 10A NCAC 09 .0605 OUTDOOR LEARNING ENVIRONMENT IN CHILD CARE CENTERS (g) Any openings in equipment, steps, decks, handrails, and fencing shall be smaller than 3 ½ inches or greater than 9 inches to prevent entrapment. 10A NCAC 09 .0302 APPLICATION FOR A LICENSE FOR A CHILD CARE CENTER (a) An application for a license for a child care center shall be submitted on the form provided by the Division, which may be found online at http://ncchildcare.ncdhhs.gov/PDF_forms/FacilityProfileApp.pdf. The application for a child care center license shall include the following information: (d) During the pre-licensing visit the applicant shall have the following available for review pursuant to 10A NCAC 09 .0304(g): (4) daily records of arrival and departure times at the center for each child which shall be maintained as children arrive and depart; 15A NCAC 18A .2803 HANDWASHING (a) Child care center employees shall wash their hands as follows when at work in a child care center: (1) upon reporting for work at the child care center: (2) before and after handling or preparing food; (3) before bottle feeding a child; (4) before providing food service; (5) before handling clean utensils; (6) after toileting or handling of body fluids, including but not limited to saliva, nasal secretions, vomitus, feces, urine, blood, secretions from sores, and pustulant discharge; (7) after diaper changing; (8) after handling soiled items that are not clean; (9) after being outdoors; (10) after handling animals or animal cages; and (11) after removing disposable gloves. (b) The use of a hand antiseptic does not replace the requirements for handwashing in Paragraph (a) of this Rule except that an employee who is supervising a child or children outdoors may use a hand antiseptic while outdoors in lieu of handwashing, provided that the employee's hands are washed in accordance with Paragraph (e) of this Rule when the employee returns indoors. Hand antiseptic shall not be used in lieu of handwashing when the employee's action that necessitates handwashing is diapering, food preparation, or food service. (c) Child care center employees shall ensure that children wash their hands as follows: (1) upon arrival at the child care center; (2) after each diaper change or visit to the toilet; (3) before eating meals or snacks; (4) before and after water play; (5) after being outdoors; and (6) after handling animals or animal cages. (d) Except when the action that necessitates handwashing is diapering and before eating meals or snacks, hand antiseptics may be used in lieu of handwashing while a child is outdoors, provided that the child's hands are washed when the child returns indoors. (e) Handwashing procedures shall include the following steps: (1) using liquid soap and tempered water; (2) rubbing hands vigorously with soap and tempered water for 15 seconds; (3) washing all surfaces of the hands, to include the backs of hands, palms, wrists, under fingernails, and between fingers; (4) rinsing the hands under tempered water for 10 seconds; (5) drying the hands with a paper towel or other hand-drying device; and (6) turning off faucet with a paper towel or other method without recontaminating hands. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (q) Plastic bags, toys, toy parts small enough to be swallowed, and materials that can be torn apart, such as foam rubber and styrofoam, shall not be accessible to children under three years of age. However, styrofoam plates and larger pieces of foam rubber may be used for supervised art activities and styrofoam plates may be used for food service. Jump ropes and rubber bands shall not be accessible to children under five years of age without adult supervision. Balloons shall be prohibited for children of all ages. • Please remove all foam blocks from classroom activity centers with teeth marks or small pieces missing. • I recommend activity plans for each classroom are current and posted. • I recommend all push pins be removed from the corkboard lining the wall of the classroom used for infants, to prevent a safety hazard. • Please ensure all required classroom postings are posted for review. • Please ensure all cribs for infants enrolled in a classroom are labeled with their names. • When an infant is placed on his/her back to sleep in a crib or approved sleeping apparatus, please always record the first position for the infant on the sleep log as “B” for “Back”, even if the infant immediately rolls over to his or her side or stomach. • Please record specific amounts of diaper cream or other non-prescription topical ointment to be administered on medication authorization forms. • Please record specific times to administer diaper cream or other non-prescription topical ointment, such as “when redness occurs”. • Please ensure all staff members know where required forms are located in the classrooms they serve. • Please ensure a cot list is posted in all classrooms. • You can access the Automated Background Check Management System (ABCMS) at the following link to print a copy of your most recent Criminal Background Check qualifying letter: https://ncabcms.nc.gov/DCDEE/Applicant/ • Please monitor the fencing surrounding the playground for developing rust. • You may access Health and Safety trainings through the following link on the Division website: https://www.dcdee.moodle.nc.gov/ Please choose the Services tab, DCDEE Moodle, Professional Development, Regulatory, and then the 2023 CCDF Health and Safety trainings. • Please also pressure wash outdoor equipment (climbing tunnel on Pre-K/SA playground) with developing mildew. • Please use the most recently updated forms from the Division website for children, staff, and program records; these can be accessed at the following website: https://ncchildcare.ncdhhs.gov/Provider/Provider-Documents-and-Forms • Please record all current completed Health and Safety trainings on the Health and Safety Training Log. • Please access the Risk Management Portal at the following website to update Emergency Preparedness and Response Plan: https://rmp.nc.gov/portal/portal.aspx# • Please review all children’s records to ensure that all forms have been fully completed, inclusive of a recorded date of enrollment (when applicable) and date signed by the parent/guardian. • The Child Care Health Consultant for Forsyth County is Keturah Oglesby at Smart Start of Forsyth County. Ms. Oglesby can be contacted at: keturaho@smartstart-fc.org. • Please ensure parents update infant feeding schedules as children get older. 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. Cara McKeown, Child Care Consultant (336) 408-4849 cara.mckeown@dhhs.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: Main Street Baptist Church Early Learning Center Facility ID: 3452208 Consultant: CARA MCKEOWN-STEWART Operation Type: Center Case Number: Visit Date: 9/12/2023 Number Present: 38 Completed Date: 9/12/2023 Age: From 0 To 5 Total Minutes: 490 Time In: 08:20 AM Time Out: 04:30 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 facility to monitor compliance with applicable childcare requirements. This visit was conducted by Cara McKeown-Stewart, Child Care Consultant with Aislinn Hardin, Lead Teacher. Director, Lakeshia Singletary, was not present during the visit today. Your program currently operates with a notice of compliance. The NC Secretary of State website was reviewed on 9/12/2023 and Main Street Baptist Church, Inc. was listed as current and active. The program’s compliance history was 100% 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. In Space 2, three outlets located on a power strip were observed without safety covers. Ms. Hardin covered each of these outlets with a safety cover during the visit. The facility has two playgrounds, one used for infants and toddlers, and the other for children of preschool and School Age. On the playground used by infants and toddlers, two holes were observed side-by-side along the PVC pipe located to the left of the gate entrance, presenting a potential tripping and safety hazard. A large, rusted spike was observed at the base of the rain gutter near the entrance to this playground. The bases of four metal roof supports were observed to be heavily rusted. A cracked area, sharp to the touch, was observed on a non-stationary slide/swing structure. On the playground used by children of preschool and School Age, four rusted chain latches were observed on the inside of the fencing. The latch to the shed was observed to be heavily rusted. Greater than three sections of fencing were observed to be heavily rusted. The base of a rain pipe was observed to be cracked and sharp to the touch, with wire mesh surrounding the base also observed to be sharp to the touch. The mulch measures between 1 and 4 inches in greater than 6 fall zones. The stationary structure was observed to have rust forming on the rails of the stairs. The landings of the large, stationary climbing structure were observed to be cracked in greater than three areas, each of which have metal exposed which was observed to be beginning to rust. Upon arrival, staff/child ratio and space capacity were monitored as indicated on the attached worksheet. In Space 2, one child enrolled was not signed in upon arrival. In Space 7, one child was not signed in upon arrival. Supervision was adequate during the visit. I observed positive interactions today. I observed children playing in activity centers, participating in general routines and eating lunch. I observed developmentally appropriate materials and activities were available to the children in the classrooms. The last annual compliance visit was conducted on 9/21/2022. A sanitation inspection was completed 4/06/2023 with a Superior classification. The last fire inspection was conducted 11/11/2022. Program records and required postings were monitored. A fire drill was conducted on 8/03/2023. A shelter in place drill was documented on 6/15/2023. An outdoor inspection was documented on 8/31/2023. The Ready to Go file was not available for review. All incident reports were not recorded on classroom incident logs. Staff files and children’s records were monitored per DCDEE procedures. Staff medical statements, proof of a tuberculosis test or screening, and completed health questionnaires were included in the personnel files of three staff members, but were not maintained separately from the staff members’ individual personnel files in the center in separate medical files. A signed and dated statement of receipt of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not observed on file for two children enrolled. The infant feeding plans for four children enrolled were not signed by a parent. The infant feeding plans for two children enrolled were not updated and dated. A record of Health and Safety Training was not observed on file for one existing staff member. A signed receipt of operational and personnel policies was not on file for two new staff members and one existing staff member. An annual signed review of the Emergency Preparedness and Response Plan was not on file for two new staff members and one existing staff member. An annual signed review of the Emergency Medical Care Plan was not on file for two new staff members and one existing staff member. An annual staff evaluation was not on file for one existing staff member. Storage of hazardous items was monitored today. In Space 2, a bottle of Fabuloso disinfecting cleanser, labeled Keep Out of Reach of Children with additional warnings, was observed on a counter less than five feet from the ground. Ms. Hardin placed this item into locked storage during the visit. Storage and administration of medication were monitored. Medication authorization was monitored. The program does not provide transportation; however, during a phone conversation during the visit with Ms. Singletary, Director, this morning, Ms. Singletary stated she is interested in using the church van to begin to provide transportation for children of Pre-K and School Age for field trips only. I stated Ms. Singletary should contact me once all requirements for transportation have been met. Once contacted by Ms. Singletary, I will schedule a visit for me to monitor requirements for transportation and to approve the facility to transport children. The following violations were cited during today’s visit: Violation Number Comment Rule 124 The center did not maintain records as required in rule, and/or were not made available to the Division for review. A signed and dated statement of receipt of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not observed on file for two children enrolled. The infant feeding plans for four children enrolled were not signed by a parent. The infant feeding plans for two children enrolled were not updated and dated. A record of Health and Safety Training was not observed on file for one existing staff member. A signed receipt of operational and personnel policies was not on file for two new staff members and one existing staff member. An annual signed review of the Emergency Preparedness and Response Plan was not on file for two new staff members and one existing staff member. An annual signed review of the Emergency Medical Care Plan was not on file for two new staff members and one existing staff member. An annual staff evaluation was not on file for one existing staff member. G.S. 110-91(9); .0304(g); .2318 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 2, one child enrolled was not signed in upon arrival. In Space 7, one child was not signed in upon arrival. 10A NCAC 09 .0302(d)(4) 807 A safe indoor and outdoor environment was not provided for the children. Ms. Hardin covered each of these outlets with a safety cover during the visit. On the playground used by infants and toddlers, two holes were observed side-by-side along the PVC pipe located to the left of the gate entrance, presenting a potential tripping and safety hazard. A large, rusted spike was observed at the base of the rain gutter near the entrance to this playground. The bases of four metal roof supports were observed to be heavily rusted. A cracked area, sharp to the touch, was observed on a non-stationary slide/swing structure. On the playground used by children of preschool and School Age, four rusted chain latches were observed on the inside of the fencing. The latch to the shed was observed to be heavily rusted. Greater than three sections of fencing were observed to be heavily rusted. The base of a rain pipe was observed to be cracked and sharp to the touch, with wire mesh surrounding the base also observed to be sharp to the touch. The stationary structure was observed to have rust forming on the rails of the stairs. The landings of the large, stationary climbing structure were observed to be cracked in greater than three areas, each of which have metal exposed which was observed to be beginning to rust. 10A NCAC 09 .0601(a) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. In Space 2, a bottle of Fabuloso disinfecting cleanser, labeled Keep Out of Reach of Children with additional warnings, was observed on a counter less than five feet from the ground. .2820(b) 853 Incident logs were not completed and maintained as required. All incident reports were not recorded on classroom incident logs. .0802(g)(1-6) 1823 The EPR Plan did not include the location of the Ready to Go File and or the required information. The Ready to Go file was not available for review. .0607(d)(10) 1867 The depth of the loose surfacing was not based on critical height of the equipment. The mulch measures between 1 and 4 inches in greater than 6 fall zones on the playground for preschoolers and children of School Age. .0605(k)(1-4) 1890 Each staff member did not have the required medical report, proof of tuberculosis test or screening and/or completed health questionnaire in a medical file, maintained separately from the staff member's individual personnel file. Staff medical statements, proof of a tuberculosis test or screening, and completed health questionnaires were included in the personnel files of three staff members, but were not maintained separately from the staff members’ individual personnel files in the center in separate medical files. .0701(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 9/26/2023. 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 cara.mckeown@dhhs.nc.gov or mail two copies of the letter to: Cara McKeown 353 Jonestown Road, Unit #146 Winston Salem, NC 27104 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 provided during today’s visit: • You must notify your consultant 30 days prior to changing the ownership status of your facility. The following Child Care Rules were thoroughly discussed with Ms. Hardin during the visit: 10A NCAC 09 .0607 EMERGENCY PREPAREDNESS AND RESPONSE IN CHILD CARE CENTERS (10) the location of a Ready to Go File. A Ready to Go File means a collection of information on children, staff and the facility, to utilize, if an evacuation occurs. The file shall include, a copy of the Emergency Preparedness and Response Plan, contact information for individuals to pick-up children, each child's Application for Child Care, medication authorizations and instructions, any action plans for children with special health care needs, a list of any known food allergies of children and staff, staff contact information, Incident Report forms, an area map, and emergency telephone numbers. 15A NCAC 18A .2820 STORAGE (b) Toxic substances, which include 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 shall be kept in the original container or in another labeled container, used according to the manufacturer's instructions, and stored in a locked storage room or cabinet when not in use. Locked storage rooms and cabinets shall include those which are unlocked with a combination lock, electronic or magnetic device, keypad, key, or equivalent locking device. Keys and electronic or magnetic unlocking devices shall be kept out of the reach of a child and shall not be stored in the lock. Toxic substances shall be stored below or separate from medications and food. Any other product that is labeled "keep out of reach of children" and does not have any other warnings on the label shall be kept inaccessible to children when not in use, but is not required to be kept in locked storage. For the purpose of Paragraphs (b), (c), and (d) of this Rule, a product shall be considered inaccessible to children when stored on a shelf or in an unlocked cabinet that is mounted a minimum vertical distance of five feet above the finished floor. 10A NCAC 09 .1715 OPERATIONAL POLICIES (a) Each operator shall have written operational policies that include at least the following information: (2) the age range of the children served; (7) a schedule of daily, weekly, and monthly cleaning duties; (10) a description of opportunities for parent participation. 10A NCAC 09 .0605 OUTDOOR LEARNING ENVIRONMENT IN CHILD CARE CENTERS (m) Exceptions to Paragraph (l) of this Rule are as follows: (3) Tot swings shall have protective surfacing that extends two times the length of the pivot point to the bottom of the swing seat. The surfacing shall be to the front and rear of the swing. Tot swings are defined as swings with enclosed seats. 10A NCAC 09 .1003 SAFE PROCEDURES (b) Each center shall establish procedures for pick-up and delivery of children to ensure children are protected from danger and not exposed to risk of harm. These procedures shall be communicated to parents, and a copy shall be posted in the center where they can be seen by the parents. 10A NCAC 09 .0302 APPLICATION FOR A LICENSE FOR A CHILD CARE CENTER During the pre-licensing visit the applicant shall have the following available for review pursuant to 10A NCAC 09 .0304(g): (5) records of monthly fire drills documenting the date and time of each drill, the length of time taken to evacuate the building, and the signature of the person who conducted the drill as required by NC Fire Code 405.5; A copy of the form may be found on the Division's website at http://ncchildcare.ncdhhs.gov/pdf_forms/EPR_EmergencyDrillLog_Centers.pdf; (8) records of lockdown or shelter-in-place drills as defined in 10A NCAC 09 .0102, giving the date each drill was held, the time of day, the length of time taken to get into designated locations and the signature of the person who conducted the drill. A copy of the form may be found on the Division's website at https://ncchildcare.ncdhhs.gov/pdf_forms/EPR_EmergencyDrillLog_Centers.pdf. 10A NCAC 09 .1005 OFF PREMISE ACTIVITIES IN CHILD CARE CENTERS (a) Off premise activities refer to any activity that takes place away from a child care center’s licensed and approved space. Licensed and approved space includes "primary space" as described in 10A NCAC 09 .1401(a), outdoor space as described in 10A NCAC 09 .1402, single use rooms, or other administrative areas. (b) When children participate in off premise activities the following shall apply: (1) Children under the age of three shall not participate in off premise activities that involve children being transported in a motor vehicle. (2) When children are transported in a motor vehicle for off premise activities, the provisions in Rule .1003(c) through (i) and (k) of this Chapter shall apply. (3) Before staff members walk children off premises for play or outings, the center shall obtain written permission from the parent of each child to be included in such activities. (4) Parents may provide a written statement giving standing permission which may be valid for up to 12 months for participation in off premise activities that occur on a regular basis. (5) The center shall post a schedule of off premise activities in each participating classroom where it can be viewed by parents, and a copy shall be given to parents. The schedule shall be current and shall include the: (A) location of the activity; (B) purpose of the activity; (C) time the activity will take place; (D) date of the activity; and (E) name of the person(s) to be contacted in the event of an emergency. (6) Each time that children are taken off the premises, staff shall take a list of the children participating in the activity with them. Staff members shall use this list to check attendance when leaving the center, periodically when the children are involved in the activity, before leaving the activity to return to the child care center, and upon return to the center. A list of all children participating in the off premise activity shall also be available at the center. (c) The provisions of Subparagraphs (b)(1) and (5) of this Rule shall be waived to implement any child's Individualized Family Service Plan (IFSP) or Individualized Education Program (IEP). 10A NCAC 09 .1723 TRANSPORTATION REQUIREMENTS To assure the safety of children whenever they are transported, the operator, or any other transportation provider, shall: (1) ensure that vehicles used to transport children are free of hazards such as but not limited to, torn upholstery that allows children to remove the interior padding, broken windows, holes in the floor or roof, or tire treads of less than 2/32 of an inch; (2) ensure that vehicles used to transport children comply with all applicable State and federal laws and regulations; (3) ensure that vehicles are insured for liability as required by State laws governing transportation of passengers pursuant to G.S. 20-279.21; (4) ensure that vehicles used to transport children in snowy, icy, and other hazardous weather conditions are equipped with snow tires, or chains; (5) have written permission from a parent to transport his or her child and notify the parent when and where the child is to be transported, and the name of the transportation provider. Parents may give standing permission, valid for up to 12 months, for transport of children to and from the home; (6) ensure that all children are transferred to an individual who is indicated on the child's application for enrollment as specified in Rule .1721(a)(3) of this Section or as authorized by the parent; (7) load and unload children from curbside or in a safe, off-street area, out of the flow of traffic, so that they are protected from all traffic hazards; (8) ensure that all children regardless of age or location in the vehicle shall be restrained with an individual seat belt or child safety seat appropriate to the child's age or weight in accordance with G.S. 20-135.2A located at http://www.buckleupnc.org/occupant-restraint-laws/seat-belt-law-summary/. Only one person shall occupy each seat belt or child safety seat; (9) be at least 21 years old, and have a valid driver's license of the type required under the North Carolina Motor Vehicle Law for the vehicle being driven, or comparable license from the state in which the driver resides, and no convictions of Driving While Impaired (DWI), or any other impaired driving offense, within the last three years; (10) ensure that each child is seated in a manufacturer's designated area. No child shall ride in the load carrying area or floor of a vehicle; (11) have a First Aid kit and fire extinguisher located in the vehicle used to transport children; (12) never leave children in a vehicle unattended by an adult; (13) have identifying information in the vehicle about each child being transported, including the child's name, photograph, emergency contact information, and a copy of the emergency medical care information form required by Rule .1721(a)(3) of this Section; and (14) have a functioning cellular telephone or other functioning two-way voice communication device with them for use in an emergency. The transportation provider shall not use cellular telephones or other functioning two-way communication devices except in the case of an emergency and only when the vehicle is parked in a safe location; and (15) conduct off-premise activities as follows: (a) before the operator walks children off premises for play or outings, the parent of each child shall give written permission for the child to participate in such activities; (b) parents may provide a written statement giving standing permission which may be valid for up to 12 months for participation in off premise activities that occur on a regular basis; and (c) each time the children are taken off premises, the operator shall take identifying information about each child including the child's name, photograph, emergency contact information, a copy of the emergency medical care information form required by 10A NCAC 09 .1721(a)(3) of this Section. 10A NCAC 09 .0605 OUTDOOR LEARNING ENVIRONMENT IN CHILD CARE CENTERS (g) Any openings in equipment, steps, decks, handrails, and fencing shall be smaller than 3 ½ inches or greater than 9 inches to prevent entrapment. 10A NCAC 09 .0302 APPLICATION FOR A LICENSE FOR A CHILD CARE CENTER (a) An application for a license for a child care center shall be submitted on the form provided by the Division, which may be found online at http://ncchildcare.ncdhhs.gov/PDF_forms/FacilityProfileApp.pdf. The application for a child care center license shall include the following information: (d) During the pre-licensing visit the applicant shall have the following available for review pursuant to 10A NCAC 09 .0304(g): (4) daily records of arrival and departure times at the center for each child which shall be maintained as children arrive and depart; 15A NCAC 18A .2803 HANDWASHING (a) Child care center employees shall wash their hands as follows when at work in a child care center: (1) upon reporting for work at the child care center: (2) before and after handling or preparing food; (3) before bottle feeding a child; (4) before providing food service; (5) before handling clean utensils; (6) after toileting or handling of body fluids, including but not limited to saliva, nasal secretions, vomitus, feces, urine, blood, secretions from sores, and pustulant discharge; (7) after diaper changing; (8) after handling soiled items that are not clean; (9) after being outdoors; (10) after handling animals or animal cages; and (11) after removing disposable gloves. (b) The use of a hand antiseptic does not replace the requirements for handwashing in Paragraph (a) of this Rule except that an employee who is supervising a child or children outdoors may use a hand antiseptic while outdoors in lieu of handwashing, provided that the employee's hands are washed in accordance with Paragraph (e) of this Rule when the employee returns indoors. Hand antiseptic shall not be used in lieu of handwashing when the employee's action that necessitates handwashing is diapering, food preparation, or food service. (c) Child care center employees shall ensure that children wash their hands as follows: (1) upon arrival at the child care center; (2) after each diaper change or visit to the toilet; (3) before eating meals or snacks; (4) before and after water play; (5) after being outdoors; and (6) after handling animals or animal cages. (d) Except when the action that necessitates handwashing is diapering and before eating meals or snacks, hand antiseptics may be used in lieu of handwashing while a child is outdoors, provided that the child's hands are washed when the child returns indoors. (e) Handwashing procedures shall include the following steps: (1) using liquid soap and tempered water; (2) rubbing hands vigorously with soap and tempered water for 15 seconds; (3) washing all surfaces of the hands, to include the backs of hands, palms, wrists, under fingernails, and between fingers; (4) rinsing the hands under tempered water for 10 seconds; (5) drying the hands with a paper towel or other hand-drying device; and (6) turning off faucet with a paper towel or other method without recontaminating hands. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (q) Plastic bags, toys, toy parts small enough to be swallowed, and materials that can be torn apart, such as foam rubber and styrofoam, shall not be accessible to children under three years of age. However, styrofoam plates and larger pieces of foam rubber may be used for supervised art activities and styrofoam plates may be used for food service. Jump ropes and rubber bands shall not be accessible to children under five years of age without adult supervision. Balloons shall be prohibited for children of all ages. • Please remove all foam blocks from classroom activity centers with teeth marks or small pieces missing. • I recommend activity plans for each classroom are current and posted. • I recommend all push pins be removed from the corkboard lining the wall of the classroom used for infants, to prevent a safety hazard. • Please ensure all required classroom postings are posted for review. • Please ensure all cribs for infants enrolled in a classroom are labeled with their names. • When an infant is placed on his/her back to sleep in a crib or approved sleeping apparatus, please always record the first position for the infant on the sleep log as “B” for “Back”, even if the infant immediately rolls over to his or her side or stomach. • Please record specific amounts of diaper cream or other non-prescription topical ointment to be administered on medication authorization forms. • Please record specific times to administer diaper cream or other non-prescription topical ointment, such as “when redness occurs”. • Please ensure all staff members know where required forms are located in the classrooms they serve. • Please ensure a cot list is posted in all classrooms. • You can access the Automated Background Check Management System (ABCMS) at the following link to print a copy of your most recent Criminal Background Check qualifying letter: https://ncabcms.nc.gov/DCDEE/Applicant/ • Please monitor the fencing surrounding the playground for developing rust. • You may access Health and Safety trainings through the following link on the Division website: https://www.dcdee.moodle.nc.gov/ Please choose the Services tab, DCDEE Moodle, Professional Development, Regulatory, and then the 2023 CCDF Health and Safety trainings. • Please also pressure wash outdoor equipment (climbing tunnel on Pre-K/SA playground) with developing mildew. • Please use the most recently updated forms from the Division website for children, staff, and program records; these can be accessed at the following website: https://ncchildcare.ncdhhs.gov/Provider/Provider-Documents-and-Forms • Please record all current completed Health and Safety trainings on the Health and Safety Training Log. • Please access the Risk Management Portal at the following website to update Emergency Preparedness and Response Plan: https://rmp.nc.gov/portal/portal.aspx# • Please review all children’s records to ensure that all forms have been fully completed, inclusive of a recorded date of enrollment (when applicable) and date signed by the parent/guardian. • The Child Care Health Consultant for Forsyth County is Keturah Oglesby at Smart Start of Forsyth County. Ms. Oglesby can be contacted at: keturaho@smartstart-fc.org. • Please ensure parents update infant feeding schedules as children get older. 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. Cara McKeown, Child Care Consultant (336) 408-4849 cara.mckeown@dhhs.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