10A NCAC 09 .0514 · Violation

Name of Operation: WEST FORSYTH CHRISTIAN PRESCHOOL Facility ID: 34001380 Consultant: CARA MCKEOWN-STEWART Operation Type: Center Case Number: Visit Date: 9/10/2025 Number Present: 43 Completed Date: 9/10/2025 Age: From 2 To 5 Total Minutes: 383 Time In: 09:22 AM Time Out: 03:45 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 Leanna Cardwell, Director. Your program currently operates with a Notice of Compliance. The NC Secretary of State website was reviewed on 11/05/2024, and Lewisville Baptist Church was listed as current and active. The program’s compliance history was 93% 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 9/25/2024. A sanitation inspection was completed 4/11/2025 with a Superior classification. The last fire inspection was conducted 4/11/2025. Ms. Cardwell provided me with a copy of this inspection during the visit. Program records and required postings were monitored. A fire drill was conducted on 8/28/2025. A lockdown and shelter-in-place drill were documented on 8/27/2025. An outdoor inspection was documented on 8/28/2025. Staff files and children’s records were monitored per DCDEE procedures. The files for four new staff members and three existing staff members were reviewed during the visit. The files for six 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 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 canister of disinfectant wipes labeled Keep Out of Reach of Children with additional warnings was observed stored greater than five feet from the ground, but in unlocked storage in Space 5. One door in the kitchen accessed and used by children enrolled to eat lunch was observed unlocked; this closet contained paint and other items required to be kept in locked storage. .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. On the playground used by children two years of age, fabric weed block with frayed pieces was observed emerging from the base of the playground border at the front right of the playground. In Space 6, greater than five plastic bags, foam-tipped art tools, one plastic wrapper, and small paper clips and push pins were observed in drawers or on shelves less than five feet from the ground and accessible to children two years of age. Each of these items in Space 6 was made inaccessible to children during the visit. .0604(q) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. The medical report for one existing staff member was not observed on file. 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. The TB test for one existing staff member was not observed on file. .0701(a) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. The health questionnaires for two new employees were not completed on the first date of or prior to employment. .0701(a) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. The emergency information forms for two new employees were not completed on the first date of or prior to employment. .0701(a) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. The annual staff evaluations for two existing employees (start dates of 2/05/24 and 8/01/24) had not been completed within one year of employment. 10A NCAC 09 .0514(f) 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 the emergency information for five staff members. .0607(d)(10) 1828 Jump ropes and rubber bands were accessible to children under five years of age without adult supervision. In Space 4, geoboards with rubber bands were observed accessible to children under five years of age. .0604(q) 1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. The signed receipt of the Shaken Baby and Abusive Head Trauma Policy was not observed on file for one new staff member. .0608(d)(1-4) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. The medication authorization form for a topical ointment did not contain the name of the ointment. The medication authorization form for one child with an emergency medication did not include the subject medical condition or allergic reaction. .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 9/24/2025. The following information must be included in your signed and dated compliance letter: • the name of your center • facility ID number • date • title of the person who signs the letter • each violation number(s) • describes accurately and in detail how and when you corrected each violation You may email the letter to 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: On the playground used by children two years of age, fabric weed block with frayed pieces was observed emerging from the base of the playground border at the front right of the playground, creating a potential choking hazard. It is imperative the outdoor environment be a safe place for children to engaged with and explore at all times. You may consider adding this as an item to monitor on your monthly playground inspection. The TB test for one existing staff member was not observed on file. The medical report for one existing staff member was not observed on file. The health questionnaires and emergency information forms for two new employees were not completed on the first date of or prior to employment. The signed receipt of the Shaken Baby and Abusive Head Trauma Policy was not observed on file for one new staff member. The annual staff evaluations for two existing employees (start dates of 2/05/24 and 8/01/24) had not been completed within one year of employment. It is important for all required documentation for children and staff to be on file and current at all times. Ms. Cardwell stated she may have accidentally removed the TB test and staff health report from the staff medical files while completing a file update to remove outdated paperwork. You may consider creating a system to conduct routine file reviews to ensure all required documentation is accurate and on file. Consultation provided during today’s visit: • Please review all posted Staff/ Child Ratio Worksheets in each classroom to ensure they reflect the age of the youngest child in the classroom, that you follow minimum staff: child ratio requirements aligned with each individual age group, and the maximum capacity of children in each classroom. • 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, 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

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

10A NCAC 09 .0701 · Violation

Name of Operation: WEST FORSYTH CHRISTIAN PRESCHOOL Facility ID: 34001380 Consultant: CARA MCKEOWN-STEWART Operation Type: Center Case Number: Visit Date: 9/10/2025 Number Present: 43 Completed Date: 9/10/2025 Age: From 2 To 5 Total Minutes: 383 Time In: 09:22 AM Time Out: 03:45 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 Leanna Cardwell, Director. Your program currently operates with a Notice of Compliance. The NC Secretary of State website was reviewed on 11/05/2024, and Lewisville Baptist Church was listed as current and active. The program’s compliance history was 93% 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 9/25/2024. A sanitation inspection was completed 4/11/2025 with a Superior classification. The last fire inspection was conducted 4/11/2025. Ms. Cardwell provided me with a copy of this inspection during the visit. Program records and required postings were monitored. A fire drill was conducted on 8/28/2025. A lockdown and shelter-in-place drill were documented on 8/27/2025. An outdoor inspection was documented on 8/28/2025. Staff files and children’s records were monitored per DCDEE procedures. The files for four new staff members and three existing staff members were reviewed during the visit. The files for six 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 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 canister of disinfectant wipes labeled Keep Out of Reach of Children with additional warnings was observed stored greater than five feet from the ground, but in unlocked storage in Space 5. One door in the kitchen accessed and used by children enrolled to eat lunch was observed unlocked; this closet contained paint and other items required to be kept in locked storage. .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. On the playground used by children two years of age, fabric weed block with frayed pieces was observed emerging from the base of the playground border at the front right of the playground. In Space 6, greater than five plastic bags, foam-tipped art tools, one plastic wrapper, and small paper clips and push pins were observed in drawers or on shelves less than five feet from the ground and accessible to children two years of age. Each of these items in Space 6 was made inaccessible to children during the visit. .0604(q) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. The medical report for one existing staff member was not observed on file. 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. The TB test for one existing staff member was not observed on file. .0701(a) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. The health questionnaires for two new employees were not completed on the first date of or prior to employment. .0701(a) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. The emergency information forms for two new employees were not completed on the first date of or prior to employment. .0701(a) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. The annual staff evaluations for two existing employees (start dates of 2/05/24 and 8/01/24) had not been completed within one year of employment. 10A NCAC 09 .0514(f) 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 the emergency information for five staff members. .0607(d)(10) 1828 Jump ropes and rubber bands were accessible to children under five years of age without adult supervision. In Space 4, geoboards with rubber bands were observed accessible to children under five years of age. .0604(q) 1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. The signed receipt of the Shaken Baby and Abusive Head Trauma Policy was not observed on file for one new staff member. .0608(d)(1-4) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. The medication authorization form for a topical ointment did not contain the name of the ointment. The medication authorization form for one child with an emergency medication did not include the subject medical condition or allergic reaction. .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 9/24/2025. The following information must be included in your signed and dated compliance letter: • the name of your center • facility ID number • date • title of the person who signs the letter • each violation number(s) • describes accurately and in detail how and when you corrected each violation You may email the letter to 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: On the playground used by children two years of age, fabric weed block with frayed pieces was observed emerging from the base of the playground border at the front right of the playground, creating a potential choking hazard. It is imperative the outdoor environment be a safe place for children to engaged with and explore at all times. You may consider adding this as an item to monitor on your monthly playground inspection. The TB test for one existing staff member was not observed on file. The medical report for one existing staff member was not observed on file. The health questionnaires and emergency information forms for two new employees were not completed on the first date of or prior to employment. The signed receipt of the Shaken Baby and Abusive Head Trauma Policy was not observed on file for one new staff member. The annual staff evaluations for two existing employees (start dates of 2/05/24 and 8/01/24) had not been completed within one year of employment. It is important for all required documentation for children and staff to be on file and current at all times. Ms. Cardwell stated she may have accidentally removed the TB test and staff health report from the staff medical files while completing a file update to remove outdated paperwork. You may consider creating a system to conduct routine file reviews to ensure all required documentation is accurate and on file. Consultation provided during today’s visit: • Please review all posted Staff/ Child Ratio Worksheets in each classroom to ensure they reflect the age of the youngest child in the classroom, that you follow minimum staff: child ratio requirements aligned with each individual age group, and the maximum capacity of children in each classroom. • 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, 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: WEST FORSYTH CHRISTIAN PRESCHOOL Facility ID: 34001380 Consultant: CARA MCKEOWN-STEWART Operation Type: Center Case Number: Visit Date: 9/10/2025 Number Present: 43 Completed Date: 9/10/2025 Age: From 2 To 5 Total Minutes: 383 Time In: 09:22 AM Time Out: 03:45 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 Leanna Cardwell, Director. Your program currently operates with a Notice of Compliance. The NC Secretary of State website was reviewed on 11/05/2024, and Lewisville Baptist Church was listed as current and active. The program’s compliance history was 93% 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 9/25/2024. A sanitation inspection was completed 4/11/2025 with a Superior classification. The last fire inspection was conducted 4/11/2025. Ms. Cardwell provided me with a copy of this inspection during the visit. Program records and required postings were monitored. A fire drill was conducted on 8/28/2025. A lockdown and shelter-in-place drill were documented on 8/27/2025. An outdoor inspection was documented on 8/28/2025. Staff files and children’s records were monitored per DCDEE procedures. The files for four new staff members and three existing staff members were reviewed during the visit. The files for six 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 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 canister of disinfectant wipes labeled Keep Out of Reach of Children with additional warnings was observed stored greater than five feet from the ground, but in unlocked storage in Space 5. One door in the kitchen accessed and used by children enrolled to eat lunch was observed unlocked; this closet contained paint and other items required to be kept in locked storage. .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. On the playground used by children two years of age, fabric weed block with frayed pieces was observed emerging from the base of the playground border at the front right of the playground. In Space 6, greater than five plastic bags, foam-tipped art tools, one plastic wrapper, and small paper clips and push pins were observed in drawers or on shelves less than five feet from the ground and accessible to children two years of age. Each of these items in Space 6 was made inaccessible to children during the visit. .0604(q) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. The medical report for one existing staff member was not observed on file. 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. The TB test for one existing staff member was not observed on file. .0701(a) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. The health questionnaires for two new employees were not completed on the first date of or prior to employment. .0701(a) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. The emergency information forms for two new employees were not completed on the first date of or prior to employment. .0701(a) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. The annual staff evaluations for two existing employees (start dates of 2/05/24 and 8/01/24) had not been completed within one year of employment. 10A NCAC 09 .0514(f) 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 the emergency information for five staff members. .0607(d)(10) 1828 Jump ropes and rubber bands were accessible to children under five years of age without adult supervision. In Space 4, geoboards with rubber bands were observed accessible to children under five years of age. .0604(q) 1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. The signed receipt of the Shaken Baby and Abusive Head Trauma Policy was not observed on file for one new staff member. .0608(d)(1-4) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. The medication authorization form for a topical ointment did not contain the name of the ointment. The medication authorization form for one child with an emergency medication did not include the subject medical condition or allergic reaction. .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 9/24/2025. The following information must be included in your signed and dated compliance letter: • the name of your center • facility ID number • date • title of the person who signs the letter • each violation number(s) • describes accurately and in detail how and when you corrected each violation You may email the letter to 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: On the playground used by children two years of age, fabric weed block with frayed pieces was observed emerging from the base of the playground border at the front right of the playground, creating a potential choking hazard. It is imperative the outdoor environment be a safe place for children to engaged with and explore at all times. You may consider adding this as an item to monitor on your monthly playground inspection. The TB test for one existing staff member was not observed on file. The medical report for one existing staff member was not observed on file. The health questionnaires and emergency information forms for two new employees were not completed on the first date of or prior to employment. The signed receipt of the Shaken Baby and Abusive Head Trauma Policy was not observed on file for one new staff member. The annual staff evaluations for two existing employees (start dates of 2/05/24 and 8/01/24) had not been completed within one year of employment. It is important for all required documentation for children and staff to be on file and current at all times. Ms. Cardwell stated she may have accidentally removed the TB test and staff health report from the staff medical files while completing a file update to remove outdated paperwork. You may consider creating a system to conduct routine file reviews to ensure all required documentation is accurate and on file. Consultation provided during today’s visit: • Please review all posted Staff/ Child Ratio Worksheets in each classroom to ensure they reflect the age of the youngest child in the classroom, that you follow minimum staff: child ratio requirements aligned with each individual age group, and the maximum capacity of children in each classroom. • 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, 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: WEST FORSYTH CHRISTIAN PRESCHOOL Facility ID: 34001380 Consultant: CARA MCKEOWN-STEWART Operation Type: Center Case Number: Visit Date: 3/20/2025 Number Present: 51 Completed Date: 3/20/2025 Age: From 2 To 5 Total Minutes: 220 Time In: 10:35 AM Time Out: 02:15 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 Leanna Cardwell, Director. Your program currently operates with a GS-110 Notice of Compliance. Restrictions include 1st shift care, children in care on ground level only, no cooking allowed, maximum capacity for Room 106 when twos are in care is 10 children; and sanctuary approved 1 hour per week. The program’s compliance history was 95% 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. No new staff members were reported at this program. Storage and administration of medication and medication authorization were monitored. Storage of hazardous items was monitored today. A playground inspection was recorded 2/28/2025. A fire drill was recorded 2/28/2025. A lockdown and shelter-in-place drill for the facility was recorded 2/07/2025. The most recent fire inspection was on 4/09/2024. I observed a sanitation inspection was last conducted on 6/21/2024 earning a Superior classification. The program does not transport children or participate in off-premise or aquatic 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 at the center were not maintained as children arrive and depart and/or were not made available for review. One child enrolled in Space 4 did not have a record of departure recorded. 10A NCAC 09 .0302(d)(4) 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 4, one aerosol spray bottle of Febreeze and one individual bottle of hand sanitizer were observed in an unlocked cabinet less than five feet from the ground. In Space 6, one canister of disinfectant wipes labeled Keep Out of Reach of Children with additional warnings was observed stored greater than five feet from the ground, but in unlocked storage in the bathroom used by children. The door to the kitchen containing items labeled Keep Out of Reach of Children with additional warnings was observed to be fully open, with no one present inside, while children were in the cafeteria eating lunch. .2820(b) 847 Parent's medication authorization did not include required information. The medication authorization for one child enrolled in Space 3 did not contain the subject medical conditions or allergic reactions. 10A NCAC 09 .0803(4)(6-9) 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 6, greater than five plastic bags and plastic diaper wrappers were observed to be accessible to children under three years of age. These plastic bags were made inaccessible to children during the visit. On the playground used by children ages two to five years old, fabric weed block was observed emerging at the base of a tube slide. .0604(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 1 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 4/03/2025. 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: On the playground used by children ages two to five years old, fabric weed block was observed emerging at the base of a tube slide, creating a potential choking hazard. It is important for the outdoor environment to be a safe place for children to explore and engage with at all times. Ms. Cardwell stated new playground equipment will begin to be installed in this area by Kaplan on Monday, 3/24/25 and that no form of weed block will be used on the playground moving forward. A medication authorization form for one topical ointment for a child enrolled in Space 1 was not observed on file for review. Ms. Cardwell stated she was not aware this lip ointment was not included on the existing topical medication authorization form for another lip ointment. It is imperative for all required medication documentation to be current and on file for review to ensure the health and safety of children enrolled. You may consider checking all topical medications parents bring into the program to ensure a completed topical medication authorization form has been fully completed. Consultation Provided During Visit: The following Child Care Rule was discussed with Ms. Cardwell during the visit: • 10A NCAC 09 .0801 APPLICATION FOR ENROLLMENT (b) regarding medical action plans When a child has a specific allergy, please note the details of this exact allergy on both the medication authorization form, and the medical action plan. • You must notify your consultant 30 days prior to changing the ownership status of your facility. 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. 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

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

10A NCAC 09 .0801 · Violation

Name of Operation: WEST FORSYTH CHRISTIAN PRESCHOOL Facility ID: 34001380 Consultant: CARA MCKEOWN-STEWART Operation Type: Center Case Number: Visit Date: 3/20/2025 Number Present: 51 Completed Date: 3/20/2025 Age: From 2 To 5 Total Minutes: 220 Time In: 10:35 AM Time Out: 02:15 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 Leanna Cardwell, Director. Your program currently operates with a GS-110 Notice of Compliance. Restrictions include 1st shift care, children in care on ground level only, no cooking allowed, maximum capacity for Room 106 when twos are in care is 10 children; and sanctuary approved 1 hour per week. The program’s compliance history was 95% 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. No new staff members were reported at this program. Storage and administration of medication and medication authorization were monitored. Storage of hazardous items was monitored today. A playground inspection was recorded 2/28/2025. A fire drill was recorded 2/28/2025. A lockdown and shelter-in-place drill for the facility was recorded 2/07/2025. The most recent fire inspection was on 4/09/2024. I observed a sanitation inspection was last conducted on 6/21/2024 earning a Superior classification. The program does not transport children or participate in off-premise or aquatic 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 at the center were not maintained as children arrive and depart and/or were not made available for review. One child enrolled in Space 4 did not have a record of departure recorded. 10A NCAC 09 .0302(d)(4) 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 4, one aerosol spray bottle of Febreeze and one individual bottle of hand sanitizer were observed in an unlocked cabinet less than five feet from the ground. In Space 6, one canister of disinfectant wipes labeled Keep Out of Reach of Children with additional warnings was observed stored greater than five feet from the ground, but in unlocked storage in the bathroom used by children. The door to the kitchen containing items labeled Keep Out of Reach of Children with additional warnings was observed to be fully open, with no one present inside, while children were in the cafeteria eating lunch. .2820(b) 847 Parent's medication authorization did not include required information. The medication authorization for one child enrolled in Space 3 did not contain the subject medical conditions or allergic reactions. 10A NCAC 09 .0803(4)(6-9) 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 6, greater than five plastic bags and plastic diaper wrappers were observed to be accessible to children under three years of age. These plastic bags were made inaccessible to children during the visit. On the playground used by children ages two to five years old, fabric weed block was observed emerging at the base of a tube slide. .0604(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 1 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 4/03/2025. 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: On the playground used by children ages two to five years old, fabric weed block was observed emerging at the base of a tube slide, creating a potential choking hazard. It is important for the outdoor environment to be a safe place for children to explore and engage with at all times. Ms. Cardwell stated new playground equipment will begin to be installed in this area by Kaplan on Monday, 3/24/25 and that no form of weed block will be used on the playground moving forward. A medication authorization form for one topical ointment for a child enrolled in Space 1 was not observed on file for review. Ms. Cardwell stated she was not aware this lip ointment was not included on the existing topical medication authorization form for another lip ointment. It is imperative for all required medication documentation to be current and on file for review to ensure the health and safety of children enrolled. You may consider checking all topical medications parents bring into the program to ensure a completed topical medication authorization form has been fully completed. Consultation Provided During Visit: The following Child Care Rule was discussed with Ms. Cardwell during the visit: • 10A NCAC 09 .0801 APPLICATION FOR ENROLLMENT (b) regarding medical action plans When a child has a specific allergy, please note the details of this exact allergy on both the medication authorization form, and the medical action plan. • You must notify your consultant 30 days prior to changing the ownership status of your facility. 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. 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: WEST FORSYTH CHRISTIAN PRESCHOOL Facility ID: 34001380 Consultant: CARA MCKEOWN-STEWART Operation Type: Center Case Number: Visit Date: 3/20/2025 Number Present: 51 Completed Date: 3/20/2025 Age: From 2 To 5 Total Minutes: 220 Time In: 10:35 AM Time Out: 02:15 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 Leanna Cardwell, Director. Your program currently operates with a GS-110 Notice of Compliance. Restrictions include 1st shift care, children in care on ground level only, no cooking allowed, maximum capacity for Room 106 when twos are in care is 10 children; and sanctuary approved 1 hour per week. The program’s compliance history was 95% 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. No new staff members were reported at this program. Storage and administration of medication and medication authorization were monitored. Storage of hazardous items was monitored today. A playground inspection was recorded 2/28/2025. A fire drill was recorded 2/28/2025. A lockdown and shelter-in-place drill for the facility was recorded 2/07/2025. The most recent fire inspection was on 4/09/2024. I observed a sanitation inspection was last conducted on 6/21/2024 earning a Superior classification. The program does not transport children or participate in off-premise or aquatic 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 at the center were not maintained as children arrive and depart and/or were not made available for review. One child enrolled in Space 4 did not have a record of departure recorded. 10A NCAC 09 .0302(d)(4) 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 4, one aerosol spray bottle of Febreeze and one individual bottle of hand sanitizer were observed in an unlocked cabinet less than five feet from the ground. In Space 6, one canister of disinfectant wipes labeled Keep Out of Reach of Children with additional warnings was observed stored greater than five feet from the ground, but in unlocked storage in the bathroom used by children. The door to the kitchen containing items labeled Keep Out of Reach of Children with additional warnings was observed to be fully open, with no one present inside, while children were in the cafeteria eating lunch. .2820(b) 847 Parent's medication authorization did not include required information. The medication authorization for one child enrolled in Space 3 did not contain the subject medical conditions or allergic reactions. 10A NCAC 09 .0803(4)(6-9) 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 6, greater than five plastic bags and plastic diaper wrappers were observed to be accessible to children under three years of age. These plastic bags were made inaccessible to children during the visit. On the playground used by children ages two to five years old, fabric weed block was observed emerging at the base of a tube slide. .0604(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 1 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 4/03/2025. 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: On the playground used by children ages two to five years old, fabric weed block was observed emerging at the base of a tube slide, creating a potential choking hazard. It is important for the outdoor environment to be a safe place for children to explore and engage with at all times. Ms. Cardwell stated new playground equipment will begin to be installed in this area by Kaplan on Monday, 3/24/25 and that no form of weed block will be used on the playground moving forward. A medication authorization form for one topical ointment for a child enrolled in Space 1 was not observed on file for review. Ms. Cardwell stated she was not aware this lip ointment was not included on the existing topical medication authorization form for another lip ointment. It is imperative for all required medication documentation to be current and on file for review to ensure the health and safety of children enrolled. You may consider checking all topical medications parents bring into the program to ensure a completed topical medication authorization form has been fully completed. Consultation Provided During Visit: The following Child Care Rule was discussed with Ms. Cardwell during the visit: • 10A NCAC 09 .0801 APPLICATION FOR ENROLLMENT (b) regarding medical action plans When a child has a specific allergy, please note the details of this exact allergy on both the medication authorization form, and the medical action plan. • You must notify your consultant 30 days prior to changing the ownership status of your facility. 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. 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: WEST FORSYTH CHRISTIAN PRESCHOOL Facility ID: 34001380 Consultant: CARA MCKEOWN-STEWART Operation Type: Center Case Number: Visit Date: 3/20/2025 Number Present: 51 Completed Date: 3/20/2025 Age: From 2 To 5 Total Minutes: 220 Time In: 10:35 AM Time Out: 02:15 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 Leanna Cardwell, Director. Your program currently operates with a GS-110 Notice of Compliance. Restrictions include 1st shift care, children in care on ground level only, no cooking allowed, maximum capacity for Room 106 when twos are in care is 10 children; and sanctuary approved 1 hour per week. The program’s compliance history was 95% 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. No new staff members were reported at this program. Storage and administration of medication and medication authorization were monitored. Storage of hazardous items was monitored today. A playground inspection was recorded 2/28/2025. A fire drill was recorded 2/28/2025. A lockdown and shelter-in-place drill for the facility was recorded 2/07/2025. The most recent fire inspection was on 4/09/2024. I observed a sanitation inspection was last conducted on 6/21/2024 earning a Superior classification. The program does not transport children or participate in off-premise or aquatic 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 at the center were not maintained as children arrive and depart and/or were not made available for review. One child enrolled in Space 4 did not have a record of departure recorded. 10A NCAC 09 .0302(d)(4) 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 4, one aerosol spray bottle of Febreeze and one individual bottle of hand sanitizer were observed in an unlocked cabinet less than five feet from the ground. In Space 6, one canister of disinfectant wipes labeled Keep Out of Reach of Children with additional warnings was observed stored greater than five feet from the ground, but in unlocked storage in the bathroom used by children. The door to the kitchen containing items labeled Keep Out of Reach of Children with additional warnings was observed to be fully open, with no one present inside, while children were in the cafeteria eating lunch. .2820(b) 847 Parent's medication authorization did not include required information. The medication authorization for one child enrolled in Space 3 did not contain the subject medical conditions or allergic reactions. 10A NCAC 09 .0803(4)(6-9) 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 6, greater than five plastic bags and plastic diaper wrappers were observed to be accessible to children under three years of age. These plastic bags were made inaccessible to children during the visit. On the playground used by children ages two to five years old, fabric weed block was observed emerging at the base of a tube slide. .0604(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 1 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 4/03/2025. 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: On the playground used by children ages two to five years old, fabric weed block was observed emerging at the base of a tube slide, creating a potential choking hazard. It is important for the outdoor environment to be a safe place for children to explore and engage with at all times. Ms. Cardwell stated new playground equipment will begin to be installed in this area by Kaplan on Monday, 3/24/25 and that no form of weed block will be used on the playground moving forward. A medication authorization form for one topical ointment for a child enrolled in Space 1 was not observed on file for review. Ms. Cardwell stated she was not aware this lip ointment was not included on the existing topical medication authorization form for another lip ointment. It is imperative for all required medication documentation to be current and on file for review to ensure the health and safety of children enrolled. You may consider checking all topical medications parents bring into the program to ensure a completed topical medication authorization form has been fully completed. Consultation Provided During Visit: The following Child Care Rule was discussed with Ms. Cardwell during the visit: • 10A NCAC 09 .0801 APPLICATION FOR ENROLLMENT (b) regarding medical action plans When a child has a specific allergy, please note the details of this exact allergy on both the medication authorization form, and the medical action plan. • You must notify your consultant 30 days prior to changing the ownership status of your facility. 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. 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: WEST FORSYTH CHRISTIAN PRESCHOOL Facility ID: 34001380 Consultant: JACLYN FLOWE Operation Type: Center Case Number: 0923-368A Visit Date: 10/4/2023 Number Present: 52 Completed Date: 10/4/2023 Age: From 2 To 5 Total Minutes: 275 Time In: 09:45 AM Time Out: 02:20 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of this unannounced visit was to investigate allegations of violations of child care requirements at this child care facility. Scott Mason, lead investigations consultant, was also present during the visit. Rosemary Drinkuth, administrator, accompanied us during a walk-through of the facility. During the visit, I discussed the allegations with Ms. Drinkuth and additional staff members. Limited monitoring of child care requirements occurred during today’s visit. Violation Number Comment Rule 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. 10A NCAC 09 .0803(1)(a & b) 902 Each child was not attended to in a nurturing and appropriate manner, or in keeping with the child's developmental needs. On more than one occasion, a staff member failed to attend to multiple two-year-old children in a nurturing and appropriate manner when the staff member picked children up by their upper arm, sat children down forcefully, spoke to children in an aggressive tone to correct behavior, pulled children by their arm when children did not want to walk, forcefully pulled children’s nap mats from underneath them causing children to fall, showed a picture of the Chucky doll to a child, and called the child Chucky, instead of their proper name. G.S. 110-91(10) 1911 An incident report was not completed and mailed to a Division representative within seven days after the incident when medical treatment was required. An incident report was completed on July 6, 2023; however, staff did not mail an incident report to a DCDEE representative after a child received medical attention as a result of an injury occurring at the facility. .0802(f) You may contact me, Jaclyn Flowe, Investigations Consultant, at phone number 704-495-5363, email at jaclyn.flowe@dhhs.nc.gov, or you may contact 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

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

G.S. 110-91 · Violation

Name of Operation: WEST FORSYTH CHRISTIAN PRESCHOOL Facility ID: 34001380 Consultant: JACLYN FLOWE Operation Type: Center Case Number: 0923-368A Visit Date: 10/4/2023 Number Present: 52 Completed Date: 10/4/2023 Age: From 2 To 5 Total Minutes: 275 Time In: 09:45 AM Time Out: 02:20 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of this unannounced visit was to investigate allegations of violations of child care requirements at this child care facility. Scott Mason, lead investigations consultant, was also present during the visit. Rosemary Drinkuth, administrator, accompanied us during a walk-through of the facility. During the visit, I discussed the allegations with Ms. Drinkuth and additional staff members. Limited monitoring of child care requirements occurred during today’s visit. Violation Number Comment Rule 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. 10A NCAC 09 .0803(1)(a & b) 902 Each child was not attended to in a nurturing and appropriate manner, or in keeping with the child's developmental needs. On more than one occasion, a staff member failed to attend to multiple two-year-old children in a nurturing and appropriate manner when the staff member picked children up by their upper arm, sat children down forcefully, spoke to children in an aggressive tone to correct behavior, pulled children by their arm when children did not want to walk, forcefully pulled children’s nap mats from underneath them causing children to fall, showed a picture of the Chucky doll to a child, and called the child Chucky, instead of their proper name. G.S. 110-91(10) 1911 An incident report was not completed and mailed to a Division representative within seven days after the incident when medical treatment was required. An incident report was completed on July 6, 2023; however, staff did not mail an incident report to a DCDEE representative after a child received medical attention as a result of an injury occurring at the facility. .0802(f) You may contact me, Jaclyn Flowe, Investigations Consultant, at phone number 704-495-5363, email at jaclyn.flowe@dhhs.nc.gov, or you may contact 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

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

10A NCAC 09 .0901 · Violation

Name of Operation: WEST FORSYTH CHRISTIAN PRESCHOOL Facility ID: 34001380 Consultant: AUDREY DAVIS Operation Type: Center Case Number: Visit Date: 10/3/2023 Number Present: 55 Completed Date: 10/3/2023 Age: From 2 To 5 Total Minutes: 300 Time In: 09:20 AM Time Out: 02:20 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 GS110 childcare facility to monitor compliance with applicable childcare requirements. This visit was conducted by Audrey Davis childcare consultant with Rosemary Drinkuth, center director; and Leanna Cardwell, assistant director. Your program currently operates with a notice of compliance last issued 4/20/23. Restrictions include day time care only; children in care only on ground level; no cooking allowed in the building; maximum capacity for room 106 is 10 children when 2’s are in care; and sanctuary approved 1 hour per week. This program is owned and operated by Lewisville Baptist Church which has been verified as current and active with the NC Secretary of State. The program’s compliance history was 96% 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 positive interactions today. I observed children having indoor and outdoor play, group time, lunch, and rest. I observed developmentally appropriate materials and activities were available to the children in the classrooms. A sanitation inspection was completed 8/30/22 with a Superior classification. The last fire inspection was conducted 8/25/22. You agreed to call both inspectors to schedule your inspections. Program records and required postings were monitored. A fire drill was documented on 9/28/23 and a lockdown and a shelter in place emergency drill were documented 8/21/23. The monthly playground inspection was completed 9/28/23. Staff files and children’s records were monitored per DCDEE procedures. Storage of hazardous items was monitored today and are stored in the locked kitchen in a locked cabinet. Storage and administration of medication were monitored. Medication authorization was observed. The program does not provide transportation to and from the center or for field trips. The following violations were observed and documented during today’s visit: Violation Number Comment Rule 104 Center has not passed required sanitation inspection and received an approved or superior rating. The most recent sanitation inspection for this center was conducted 8/30/22 and not annually as required. 10A NCAC 09 .0304(b) 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. A fire inspection for this center was last conducted 8/25/22. 10A NCAC 09 .0304(a) 501 Meals/snacks did not comply with the Meal Patterns for Children in Child Care Programs. Per parents' preference, the facility has used the nutrition opt out form as permission to serve water instead of milk at lunch in situations wherein the parent was not providing all foods and beverages for their child. 10A NCAC 09 .0901(a) 847 Parent's medication authorization did not include required information. A permission form for a topical cream did not include the name of the cream and an expiration date for the course of treatment. 10A NCAC 09 .0803(4)(6-9) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. A staff employed 7/20/23 (AE) after did not present a medical form which was less than a year old. 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. Upon employment, a staff did not present a TB test with a negative reading. The staff (CC) presented a TB screening form with two items marked "yes". A different staff employed 7/20/23 did not present a TB test with a negative reading. .0701(a) Child Care programs are expected to be in 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 October 17, 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 Audrey.Davis@dhhs.nc.gov or mail two copies of the letter to: Audrey Davis P.O. Box 17273 Winston-Salem, NC 27116 If you state in your letter that corrections or changes have been made when they have not yet been made, 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 by 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: • Staff emergency information can be maintained in the staff’s main personnel file and not required to be filed separately with the staff’s medical information. • Nutrition opt out forms are only required when a family wishes to provide all foods and beverages their child consumes daily when in your care. When a parent completes an opt-out form, the center is not to provide any foods or drinks for the child EXCEPT in the event the parent does not provide any food items for their child to eat during scheduled meals and/ or snacks. The opt-out form is NOT for opting out of one meal component and also is not for opting out of a specific meal or snack. At the completion of today’s visit, this visit summary was reviewed with Rosemary Drinkuth and Leanna Cardwell from my computer screen and emailed to you at rdrinkuth@wfcpreschool.com If you have any questions about the visit, please contact me or my supervisor using the information below. Audrey Davis, Child Care Consultant (336)317-6514 Audrey.Davis@dhh.nc.gov Pamela Hauser, Supervisor pamela.hauser@dhhs.nc.gov For the latest information on childcare rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ Thank you for your time and assistance during the visit. 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

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

10A NCAC 09 .0304 · Violation

Name of Operation: WEST FORSYTH CHRISTIAN PRESCHOOL Facility ID: 34001380 Consultant: AUDREY DAVIS Operation Type: Center Case Number: Visit Date: 10/3/2023 Number Present: 55 Completed Date: 10/3/2023 Age: From 2 To 5 Total Minutes: 300 Time In: 09:20 AM Time Out: 02:20 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 GS110 childcare facility to monitor compliance with applicable childcare requirements. This visit was conducted by Audrey Davis childcare consultant with Rosemary Drinkuth, center director; and Leanna Cardwell, assistant director. Your program currently operates with a notice of compliance last issued 4/20/23. Restrictions include day time care only; children in care only on ground level; no cooking allowed in the building; maximum capacity for room 106 is 10 children when 2’s are in care; and sanctuary approved 1 hour per week. This program is owned and operated by Lewisville Baptist Church which has been verified as current and active with the NC Secretary of State. The program’s compliance history was 96% 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 positive interactions today. I observed children having indoor and outdoor play, group time, lunch, and rest. I observed developmentally appropriate materials and activities were available to the children in the classrooms. A sanitation inspection was completed 8/30/22 with a Superior classification. The last fire inspection was conducted 8/25/22. You agreed to call both inspectors to schedule your inspections. Program records and required postings were monitored. A fire drill was documented on 9/28/23 and a lockdown and a shelter in place emergency drill were documented 8/21/23. The monthly playground inspection was completed 9/28/23. Staff files and children’s records were monitored per DCDEE procedures. Storage of hazardous items was monitored today and are stored in the locked kitchen in a locked cabinet. Storage and administration of medication were monitored. Medication authorization was observed. The program does not provide transportation to and from the center or for field trips. The following violations were observed and documented during today’s visit: Violation Number Comment Rule 104 Center has not passed required sanitation inspection and received an approved or superior rating. The most recent sanitation inspection for this center was conducted 8/30/22 and not annually as required. 10A NCAC 09 .0304(b) 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. A fire inspection for this center was last conducted 8/25/22. 10A NCAC 09 .0304(a) 501 Meals/snacks did not comply with the Meal Patterns for Children in Child Care Programs. Per parents' preference, the facility has used the nutrition opt out form as permission to serve water instead of milk at lunch in situations wherein the parent was not providing all foods and beverages for their child. 10A NCAC 09 .0901(a) 847 Parent's medication authorization did not include required information. A permission form for a topical cream did not include the name of the cream and an expiration date for the course of treatment. 10A NCAC 09 .0803(4)(6-9) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. A staff employed 7/20/23 (AE) after did not present a medical form which was less than a year old. 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. Upon employment, a staff did not present a TB test with a negative reading. The staff (CC) presented a TB screening form with two items marked "yes". A different staff employed 7/20/23 did not present a TB test with a negative reading. .0701(a) Child Care programs are expected to be in 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 October 17, 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 Audrey.Davis@dhhs.nc.gov or mail two copies of the letter to: Audrey Davis P.O. Box 17273 Winston-Salem, NC 27116 If you state in your letter that corrections or changes have been made when they have not yet been made, 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 by 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: • Staff emergency information can be maintained in the staff’s main personnel file and not required to be filed separately with the staff’s medical information. • Nutrition opt out forms are only required when a family wishes to provide all foods and beverages their child consumes daily when in your care. When a parent completes an opt-out form, the center is not to provide any foods or drinks for the child EXCEPT in the event the parent does not provide any food items for their child to eat during scheduled meals and/ or snacks. The opt-out form is NOT for opting out of one meal component and also is not for opting out of a specific meal or snack. At the completion of today’s visit, this visit summary was reviewed with Rosemary Drinkuth and Leanna Cardwell from my computer screen and emailed to you at rdrinkuth@wfcpreschool.com If you have any questions about the visit, please contact me or my supervisor using the information below. Audrey Davis, Child Care Consultant (336)317-6514 Audrey.Davis@dhh.nc.gov Pamela Hauser, Supervisor pamela.hauser@dhhs.nc.gov For the latest information on childcare rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ Thank you for your time and assistance during the visit. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0701 · Violation

Name of Operation: WEST FORSYTH CHRISTIAN PRESCHOOL Facility ID: 34001380 Consultant: AUDREY DAVIS Operation Type: Center Case Number: Visit Date: 10/3/2023 Number Present: 55 Completed Date: 10/3/2023 Age: From 2 To 5 Total Minutes: 300 Time In: 09:20 AM Time Out: 02:20 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 GS110 childcare facility to monitor compliance with applicable childcare requirements. This visit was conducted by Audrey Davis childcare consultant with Rosemary Drinkuth, center director; and Leanna Cardwell, assistant director. Your program currently operates with a notice of compliance last issued 4/20/23. Restrictions include day time care only; children in care only on ground level; no cooking allowed in the building; maximum capacity for room 106 is 10 children when 2’s are in care; and sanctuary approved 1 hour per week. This program is owned and operated by Lewisville Baptist Church which has been verified as current and active with the NC Secretary of State. The program’s compliance history was 96% 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 positive interactions today. I observed children having indoor and outdoor play, group time, lunch, and rest. I observed developmentally appropriate materials and activities were available to the children in the classrooms. A sanitation inspection was completed 8/30/22 with a Superior classification. The last fire inspection was conducted 8/25/22. You agreed to call both inspectors to schedule your inspections. Program records and required postings were monitored. A fire drill was documented on 9/28/23 and a lockdown and a shelter in place emergency drill were documented 8/21/23. The monthly playground inspection was completed 9/28/23. Staff files and children’s records were monitored per DCDEE procedures. Storage of hazardous items was monitored today and are stored in the locked kitchen in a locked cabinet. Storage and administration of medication were monitored. Medication authorization was observed. The program does not provide transportation to and from the center or for field trips. The following violations were observed and documented during today’s visit: Violation Number Comment Rule 104 Center has not passed required sanitation inspection and received an approved or superior rating. The most recent sanitation inspection for this center was conducted 8/30/22 and not annually as required. 10A NCAC 09 .0304(b) 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. A fire inspection for this center was last conducted 8/25/22. 10A NCAC 09 .0304(a) 501 Meals/snacks did not comply with the Meal Patterns for Children in Child Care Programs. Per parents' preference, the facility has used the nutrition opt out form as permission to serve water instead of milk at lunch in situations wherein the parent was not providing all foods and beverages for their child. 10A NCAC 09 .0901(a) 847 Parent's medication authorization did not include required information. A permission form for a topical cream did not include the name of the cream and an expiration date for the course of treatment. 10A NCAC 09 .0803(4)(6-9) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. A staff employed 7/20/23 (AE) after did not present a medical form which was less than a year old. 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. Upon employment, a staff did not present a TB test with a negative reading. The staff (CC) presented a TB screening form with two items marked "yes". A different staff employed 7/20/23 did not present a TB test with a negative reading. .0701(a) Child Care programs are expected to be in 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 October 17, 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 Audrey.Davis@dhhs.nc.gov or mail two copies of the letter to: Audrey Davis P.O. Box 17273 Winston-Salem, NC 27116 If you state in your letter that corrections or changes have been made when they have not yet been made, 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 by 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: • Staff emergency information can be maintained in the staff’s main personnel file and not required to be filed separately with the staff’s medical information. • Nutrition opt out forms are only required when a family wishes to provide all foods and beverages their child consumes daily when in your care. When a parent completes an opt-out form, the center is not to provide any foods or drinks for the child EXCEPT in the event the parent does not provide any food items for their child to eat during scheduled meals and/ or snacks. The opt-out form is NOT for opting out of one meal component and also is not for opting out of a specific meal or snack. At the completion of today’s visit, this visit summary was reviewed with Rosemary Drinkuth and Leanna Cardwell from my computer screen and emailed to you at rdrinkuth@wfcpreschool.com If you have any questions about the visit, please contact me or my supervisor using the information below. Audrey Davis, Child Care Consultant (336)317-6514 Audrey.Davis@dhh.nc.gov Pamela Hauser, Supervisor pamela.hauser@dhhs.nc.gov For the latest information on childcare rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ Thank you for your time and assistance during the visit. 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: WEST FORSYTH CHRISTIAN PRESCHOOL Facility ID: 34001380 Consultant: AUDREY DAVIS Operation Type: Center Case Number: Visit Date: 10/3/2023 Number Present: 55 Completed Date: 10/3/2023 Age: From 2 To 5 Total Minutes: 300 Time In: 09:20 AM Time Out: 02:20 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 GS110 childcare facility to monitor compliance with applicable childcare requirements. This visit was conducted by Audrey Davis childcare consultant with Rosemary Drinkuth, center director; and Leanna Cardwell, assistant director. Your program currently operates with a notice of compliance last issued 4/20/23. Restrictions include day time care only; children in care only on ground level; no cooking allowed in the building; maximum capacity for room 106 is 10 children when 2’s are in care; and sanctuary approved 1 hour per week. This program is owned and operated by Lewisville Baptist Church which has been verified as current and active with the NC Secretary of State. The program’s compliance history was 96% 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 positive interactions today. I observed children having indoor and outdoor play, group time, lunch, and rest. I observed developmentally appropriate materials and activities were available to the children in the classrooms. A sanitation inspection was completed 8/30/22 with a Superior classification. The last fire inspection was conducted 8/25/22. You agreed to call both inspectors to schedule your inspections. Program records and required postings were monitored. A fire drill was documented on 9/28/23 and a lockdown and a shelter in place emergency drill were documented 8/21/23. The monthly playground inspection was completed 9/28/23. Staff files and children’s records were monitored per DCDEE procedures. Storage of hazardous items was monitored today and are stored in the locked kitchen in a locked cabinet. Storage and administration of medication were monitored. Medication authorization was observed. The program does not provide transportation to and from the center or for field trips. The following violations were observed and documented during today’s visit: Violation Number Comment Rule 104 Center has not passed required sanitation inspection and received an approved or superior rating. The most recent sanitation inspection for this center was conducted 8/30/22 and not annually as required. 10A NCAC 09 .0304(b) 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. A fire inspection for this center was last conducted 8/25/22. 10A NCAC 09 .0304(a) 501 Meals/snacks did not comply with the Meal Patterns for Children in Child Care Programs. Per parents' preference, the facility has used the nutrition opt out form as permission to serve water instead of milk at lunch in situations wherein the parent was not providing all foods and beverages for their child. 10A NCAC 09 .0901(a) 847 Parent's medication authorization did not include required information. A permission form for a topical cream did not include the name of the cream and an expiration date for the course of treatment. 10A NCAC 09 .0803(4)(6-9) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. A staff employed 7/20/23 (AE) after did not present a medical form which was less than a year old. 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. Upon employment, a staff did not present a TB test with a negative reading. The staff (CC) presented a TB screening form with two items marked "yes". A different staff employed 7/20/23 did not present a TB test with a negative reading. .0701(a) Child Care programs are expected to be in 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 October 17, 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 Audrey.Davis@dhhs.nc.gov or mail two copies of the letter to: Audrey Davis P.O. Box 17273 Winston-Salem, NC 27116 If you state in your letter that corrections or changes have been made when they have not yet been made, 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 by 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: • Staff emergency information can be maintained in the staff’s main personnel file and not required to be filed separately with the staff’s medical information. • Nutrition opt out forms are only required when a family wishes to provide all foods and beverages their child consumes daily when in your care. When a parent completes an opt-out form, the center is not to provide any foods or drinks for the child EXCEPT in the event the parent does not provide any food items for their child to eat during scheduled meals and/ or snacks. The opt-out form is NOT for opting out of one meal component and also is not for opting out of a specific meal or snack. At the completion of today’s visit, this visit summary was reviewed with Rosemary Drinkuth and Leanna Cardwell from my computer screen and emailed to you at rdrinkuth@wfcpreschool.com If you have any questions about the visit, please contact me or my supervisor using the information below. Audrey Davis, Child Care Consultant (336)317-6514 Audrey.Davis@dhh.nc.gov Pamela Hauser, Supervisor pamela.hauser@dhhs.nc.gov For the latest information on childcare rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ Thank you for your time and assistance during the visit. 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: WEST FORSYTH CHRISTIAN PRESCHOOL Facility ID: 34001380 Consultant: AUDREY DAVIS Operation Type: Center Case Number: Visit Date: 10/3/2023 Number Present: 55 Completed Date: 10/3/2023 Age: From 2 To 5 Total Minutes: 300 Time In: 09:20 AM Time Out: 02:20 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 GS110 childcare facility to monitor compliance with applicable childcare requirements. This visit was conducted by Audrey Davis childcare consultant with Rosemary Drinkuth, center director; and Leanna Cardwell, assistant director. Your program currently operates with a notice of compliance last issued 4/20/23. Restrictions include day time care only; children in care only on ground level; no cooking allowed in the building; maximum capacity for room 106 is 10 children when 2’s are in care; and sanctuary approved 1 hour per week. This program is owned and operated by Lewisville Baptist Church which has been verified as current and active with the NC Secretary of State. The program’s compliance history was 96% 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 positive interactions today. I observed children having indoor and outdoor play, group time, lunch, and rest. I observed developmentally appropriate materials and activities were available to the children in the classrooms. A sanitation inspection was completed 8/30/22 with a Superior classification. The last fire inspection was conducted 8/25/22. You agreed to call both inspectors to schedule your inspections. Program records and required postings were monitored. A fire drill was documented on 9/28/23 and a lockdown and a shelter in place emergency drill were documented 8/21/23. The monthly playground inspection was completed 9/28/23. Staff files and children’s records were monitored per DCDEE procedures. Storage of hazardous items was monitored today and are stored in the locked kitchen in a locked cabinet. Storage and administration of medication were monitored. Medication authorization was observed. The program does not provide transportation to and from the center or for field trips. The following violations were observed and documented during today’s visit: Violation Number Comment Rule 104 Center has not passed required sanitation inspection and received an approved or superior rating. The most recent sanitation inspection for this center was conducted 8/30/22 and not annually as required. 10A NCAC 09 .0304(b) 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. A fire inspection for this center was last conducted 8/25/22. 10A NCAC 09 .0304(a) 501 Meals/snacks did not comply with the Meal Patterns for Children in Child Care Programs. Per parents' preference, the facility has used the nutrition opt out form as permission to serve water instead of milk at lunch in situations wherein the parent was not providing all foods and beverages for their child. 10A NCAC 09 .0901(a) 847 Parent's medication authorization did not include required information. A permission form for a topical cream did not include the name of the cream and an expiration date for the course of treatment. 10A NCAC 09 .0803(4)(6-9) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. A staff employed 7/20/23 (AE) after did not present a medical form which was less than a year old. 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. Upon employment, a staff did not present a TB test with a negative reading. The staff (CC) presented a TB screening form with two items marked "yes". A different staff employed 7/20/23 did not present a TB test with a negative reading. .0701(a) Child Care programs are expected to be in 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 October 17, 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 Audrey.Davis@dhhs.nc.gov or mail two copies of the letter to: Audrey Davis P.O. Box 17273 Winston-Salem, NC 27116 If you state in your letter that corrections or changes have been made when they have not yet been made, 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 by 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: • Staff emergency information can be maintained in the staff’s main personnel file and not required to be filed separately with the staff’s medical information. • Nutrition opt out forms are only required when a family wishes to provide all foods and beverages their child consumes daily when in your care. When a parent completes an opt-out form, the center is not to provide any foods or drinks for the child EXCEPT in the event the parent does not provide any food items for their child to eat during scheduled meals and/ or snacks. The opt-out form is NOT for opting out of one meal component and also is not for opting out of a specific meal or snack. At the completion of today’s visit, this visit summary was reviewed with Rosemary Drinkuth and Leanna Cardwell from my computer screen and emailed to you at rdrinkuth@wfcpreschool.com If you have any questions about the visit, please contact me or my supervisor using the information below. Audrey Davis, Child Care Consultant (336)317-6514 Audrey.Davis@dhh.nc.gov Pamela Hauser, Supervisor pamela.hauser@dhhs.nc.gov For the latest information on childcare rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ Thank you for your time and assistance during the visit. 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