Building Blocks Christian Academy/Lexington

10A NCAC 09 .0803 · Violation

Name of Operation: Building Blocks Christian Academy/Lexington Facility ID: 29000773 Consultant: RENA MCCAFFREY Operation Type: Center Case Number: Visit Date: 2/25/2026 Number Present: 46 Completed Date: 2/25/2026 Age: From 0 To 5 Total Minutes: 145 Time In: 08:55 AM Time Out: 11:20 AM Time In: Time Out: List to Use: Center Type Of Visit: Rated License Assessment Announced/Unannounced: Unannounced The purpose of today’s visit has been to conduct the Unannounced Routine and Rated License Assessment monitoring of Applicable Child Care requirements. This facility currently operates with a Four-Star Child Care license that was issued on April 22, 2025. The last Sanitation Inspection was conducted on January 9, 2026, with a "Superior" classification and five (5) demerits. The last Fire Inspection was conducted on February 4, 2026, and the facility was approved for daytime care only. Upon arrival at the facility, I was greeted by the director, Rebecca McLendon. I stated the purpose of my visit and together, we conducted a walkthrough of the facility. I monitored the indoor and outdoor spaces. The children were observed participating in indoor and outdoor free play, routines, circle time through a teacher, directed activity. A partial monitoring of childcare requirements was assessed this date. The permit is available, restrictions maintained. I monitored supervision, staff/child ratio, general safety, and discipline. The last Fire Drill was conducted on February 19, 2026. The last Lock Down/ Shelter-in-Place was on February 16, 2026. Playground Inspection was conducted on February 20, 2026. The following violations were observed, cited and technical assistance was offered. 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. There were two Equate sunscreen forms with no start and end dates on them. All forms must have the parents signature and a starting and ending dates on them. 10A NCAC 09 .0803(1)(a & b) 843 A drug or medicine was administered after its expiration date. There was a Desitin diaper cream permission form that had expired on 1/2/26. 10A NCAC 09 .0803(1)(d) The above violations must be corrected immediately, and a compliance letter must be drafted to demonstrate how and when corrections were made. The letter must reach my office on or before 5:00 pm March 7, 2026. You may submit the letter to me by email at rena.mccaffrey@dhhs.nc.gov. If a compliance letter is not received at my office before 5:00 pm March 7, 2026, a return visit may be conducted to ensure the violations cited have been corrected or addressed. Additional violation may be documented if each violation has not been properly corrected or otherwise addressed. You were provided with an opportunity to ask questions regarding child care requirements. TECHNICAL ASSISTANCE: Today we discussed that all permission to administer medication must have a start and ending date on them. This includes all sunscreens and diaper creams. Today one diaper cream (Desitin) in the twos expired on 1/2/26. RATED LICESNSE ASSESSMENT Consultation: The last rated license assessment was conducted in April of 2022. Today we looked at items in the classrooms that will need to be worked on. Please make sure that all lesson plans include the Foundational Practices recorded on their lesson plans. This helps the teacher to identify the skills they are teaching children in their classroom and make sure it is age appropriate. Playgrounds will need to have shade and make sure all toys are not broken and are age appropriate for that area. Please make sure there is no standing water on sand box covers before children arrive at the playground. Today we discussed your overall education and currently it looks like you will be at level 3 in education, however this can change if the staff can take the required CEUS to bring up your education levels. Today we reviewed the process of using the spiral books that have a scoring tool at the back of the book for teachers to score in their own classroom. Make sure you are using the ECERS-3 and ITERS-3 versions to score classrooms. Once all rooms have been scored you will use this information to prepare for scales and for your three-month study. This self-study is located on the NCRLAP website at https://www.ncrlap.org/ . Today we reviewed the CQI facility plan for the administrator to complete and Individual plans for each teacher to complete. I will be checking in on you to see how you are doing as you move forward through this process. Mrs. Rebecca stated that they are going to try to complete the Outreach assessment if they can. I suggested applying for the rated license scale as soon as you are ready in May of 2026. She has chosen pathway one for their facility. Currently NCRLAP is running behind in schedule so be mindful of when you are applying. To maintain a 4 star level you must receive a 3.50 in your ITERS and ECERS assessments. RESOURCES: -Child care programs can order free posters from the NC Child Care Health and Safety Resource Center at https://healthychildcare.unc.edu/. -For information on recalls regarding children’s products, food, medicine, and other products please visit www.recalls.gov . You can also sign up for e-mail alerts for recalled products at this site. National Resource Center: https://nrckids.org Southwestern Child Development at https://www.swcdcinc.org/ has CEU’S trainings available for teachers that may not meet their education requirements in full. Thank you for your assistance during today’s visit. If you have further questions or concerns, I can be reached atrena.mccaffrey@dhhs.nc.gov or by calling; 336-580-5670. You may also contact my supervisor, Kaye Adkins at kaye.adkins@dhhs.nc.gov. Thank you for all that you do to serve the children and families of North Carolina. 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: Building Blocks Christian Academy/Lexington Facility ID: 29000773 Consultant: RENA MCCAFFREY Operation Type: Center Case Number: Visit Date: 2/25/2026 Number Present: 46 Completed Date: 2/25/2026 Age: From 0 To 5 Total Minutes: 145 Time In: 08:55 AM Time Out: 11:20 AM Time In: Time Out: List to Use: Center Type Of Visit: Rated License Assessment Announced/Unannounced: Unannounced The purpose of today’s visit has been to conduct the Unannounced Routine and Rated License Assessment monitoring of Applicable Child Care requirements. This facility currently operates with a Four-Star Child Care license that was issued on April 22, 2025. The last Sanitation Inspection was conducted on January 9, 2026, with a "Superior" classification and five (5) demerits. The last Fire Inspection was conducted on February 4, 2026, and the facility was approved for daytime care only. Upon arrival at the facility, I was greeted by the director, Rebecca McLendon. I stated the purpose of my visit and together, we conducted a walkthrough of the facility. I monitored the indoor and outdoor spaces. The children were observed participating in indoor and outdoor free play, routines, circle time through a teacher, directed activity. A partial monitoring of childcare requirements was assessed this date. The permit is available, restrictions maintained. I monitored supervision, staff/child ratio, general safety, and discipline. The last Fire Drill was conducted on February 19, 2026. The last Lock Down/ Shelter-in-Place was on February 16, 2026. Playground Inspection was conducted on February 20, 2026. The following violations were observed, cited and technical assistance was offered. 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. There were two Equate sunscreen forms with no start and end dates on them. All forms must have the parents signature and a starting and ending dates on them. 10A NCAC 09 .0803(1)(a & b) 843 A drug or medicine was administered after its expiration date. There was a Desitin diaper cream permission form that had expired on 1/2/26. 10A NCAC 09 .0803(1)(d) The above violations must be corrected immediately, and a compliance letter must be drafted to demonstrate how and when corrections were made. The letter must reach my office on or before 5:00 pm March 7, 2026. You may submit the letter to me by email at rena.mccaffrey@dhhs.nc.gov. If a compliance letter is not received at my office before 5:00 pm March 7, 2026, a return visit may be conducted to ensure the violations cited have been corrected or addressed. Additional violation may be documented if each violation has not been properly corrected or otherwise addressed. You were provided with an opportunity to ask questions regarding child care requirements. TECHNICAL ASSISTANCE: Today we discussed that all permission to administer medication must have a start and ending date on them. This includes all sunscreens and diaper creams. Today one diaper cream (Desitin) in the twos expired on 1/2/26. RATED LICESNSE ASSESSMENT Consultation: The last rated license assessment was conducted in April of 2022. Today we looked at items in the classrooms that will need to be worked on. Please make sure that all lesson plans include the Foundational Practices recorded on their lesson plans. This helps the teacher to identify the skills they are teaching children in their classroom and make sure it is age appropriate. Playgrounds will need to have shade and make sure all toys are not broken and are age appropriate for that area. Please make sure there is no standing water on sand box covers before children arrive at the playground. Today we discussed your overall education and currently it looks like you will be at level 3 in education, however this can change if the staff can take the required CEUS to bring up your education levels. Today we reviewed the process of using the spiral books that have a scoring tool at the back of the book for teachers to score in their own classroom. Make sure you are using the ECERS-3 and ITERS-3 versions to score classrooms. Once all rooms have been scored you will use this information to prepare for scales and for your three-month study. This self-study is located on the NCRLAP website at https://www.ncrlap.org/ . Today we reviewed the CQI facility plan for the administrator to complete and Individual plans for each teacher to complete. I will be checking in on you to see how you are doing as you move forward through this process. Mrs. Rebecca stated that they are going to try to complete the Outreach assessment if they can. I suggested applying for the rated license scale as soon as you are ready in May of 2026. She has chosen pathway one for their facility. Currently NCRLAP is running behind in schedule so be mindful of when you are applying. To maintain a 4 star level you must receive a 3.50 in your ITERS and ECERS assessments. RESOURCES: -Child care programs can order free posters from the NC Child Care Health and Safety Resource Center at https://healthychildcare.unc.edu/. -For information on recalls regarding children’s products, food, medicine, and other products please visit www.recalls.gov . You can also sign up for e-mail alerts for recalled products at this site. National Resource Center: https://nrckids.org Southwestern Child Development at https://www.swcdcinc.org/ has CEU’S trainings available for teachers that may not meet their education requirements in full. Thank you for your assistance during today’s visit. If you have further questions or concerns, I can be reached atrena.mccaffrey@dhhs.nc.gov or by calling; 336-580-5670. You may also contact my supervisor, Kaye Adkins at kaye.adkins@dhhs.nc.gov. Thank you for all that you do to serve the children and families of North Carolina. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0601 · Violation

Name of Operation: Building Blocks Christian Academy/Lexington Facility ID: 29000773 Consultant: RENA MCCAFFREY Operation Type: Center Case Number: Visit Date: 9/30/2025 Number Present: 30 Completed Date: 9/30/2025 Age: From 0 To 4 Total Minutes: 180 Time In: 09:50 AM Time Out: 12:50 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to complete an annual monitoring of Applicable Child Care requirements. The last Annual Compliance visit was conducted on October 21, 2024. This facility currently operates with a Four-Star Child Care license that was issued on April 22, 2025. The last Sanitation Inspection was conducted on February 27, 2024, with a "Superior" classification and (4) demerits. The last Fire Inspection was conducted on February 7, 2025, and the facility was approved for daytime care only. The last Fire Drill was conducted on September 4, 2025. The last Lock Down/ Shelter-in-Place was on September 1, 2025. The last Playground Inspection was conducted on September 4, 2025. Upon arrival, I was greeted by director, Rebecca McLendon. Today I met the new owner, Kathern Garner. I stated the purpose of my visit and was assisted on a walkthrough of the facility where attendance was documented, and observations made. Today the children were having free play inside in centers. The one-year-olds class was closed for an illness. A checklist was used to note the requirements I monitored today. The Department of the Secretary’s website was used to check the status of the corporation of “Building Blocks Christian Academy Lexington LLC.” on September 26, 2025. The facility was found to be active but not current with a Limited Liability. This must be resolved as soon as possible. During today's visit, I completed a full assessment of applicable Child Care Requirements; license posted, restrictions maintained, staff/child ratio and adequate approved space. Program Records and Criminal Background Checks were also monitored. Staff and Children’s files were monitored as well as Emergency Drills, Medication, and Playground Inspections. This facility does not provide transportation. The following violations were observed during today’s visit and technical assistance was offered. Violation Number Comment Rule 533 Human milk, formula and other bottled beverages including sippy cups, sent from child's home were not fully prepared, dated, and labeled for the appropriate child. Two sippy cups were not labeled with the child's name on them. 15A NCAC 18A .2804(d) 541 The written feeding plan did not include the child's name, parent signature, and/or was not dated when received by the center. Two infant feeding plans did not have a parents signature on them. .0902(a) 807 A safe indoor and outdoor environment was not provided for the children. The playground had several sand boxes with no covers on them. 10A NCAC 09 .0601(a) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. A. Hopkins did not complete First Aid training within 90 days of hire. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. A. Hopkins did not complete CPR training within 90 days of hire. .1102(d) 1054 Documentation of staff's on-going training was not on file and/or was not current . Several new staff did not have a in-service training form to document ongoing training hours and certificates of trainings were not on file. 10A NCAC 09 .1106(a) 1311 Emergency medical care information was not on file in the center on the child's first day of attendance and/or was not updated as changes occurred or at least annually for each child. One child did not have an medical action plan for asthma. .0802(c) 1317 Authorization for emergency medical care information was not signed by child's parent. Medical information form was not signed or dated by the parent for a child who had asthma. .0802(d) 1322 A written statement from each child's parent giving standing permission which may be valid for up to twelve months for participation in off premise activities that occur on a regular basis was not available. Several children did not have permission for outside the fenced area in the event of an emergency form on file. .1005(b)(4) The above violations must be corrected immediately. A Corrective Action Letter must be drafted with the name of your facility, the facility identification number, and your signature. The letter must be received by my office on, or before October 13, 2025. The letter should include: Each item number of noncompliance cited. Describe how and when the violations were corrected. Please include accompanying documentation of compliance. The letter can be emailed to rena.mccaffrey@dhhs.nc.gov. If a letter of compliance is not received at my office by 5:00 pm on October 13, 2025, a return visit may be conducted to ensure the violations cited have been corrected or addressed. Additional violation may be documented if each violation has not been properly corrected or otherwise addressed. Please be aware that any information received during this monitoring visit and any violations cited may be included in any future administrative actions. Violations of child care requirements, particularly repeated violations, could result in a civil penalty and/or administrative action that could jeopardize the status of the license for the child care facility. Technical Assistance: Today I discussed that each parent must sign an outside the fenced are permission form in the event of an emergency arises and the children are made to evacuate the building. All sippy cups must have the child’s name on them and be out of other children’s reach, this way a child doesn’t drink another child’s drink. All feeding schedules must have a parent’s signature and date on them after completing the required information. Today there was a child with albuterol used for asthma condition. This must always be accompanied by an asthma action plan and have the parent’s signature and doctor’s signature explain what the signs of asthma are. This must be posted in the classroom for other teachers to see but due to HIPPA laws not for anyone else to see. Therefore, a coversheet must be over the plan labeled Action Plan. This way the child’s medical information is covered. Each staff member must have an on-going training form on file. This is a way for the director to keep track of how much in-service has been completed on an annual basis. All new hires are required to complete first aid and CPR training within three months of hire date. All staff must complete their on-going in-service training requirements based on their level of education. Outdoor sand boxes must be kept covered after children are done playing in them. An uncovered sand box can bring stray cats in and can cause pin worms if children play in them and do not wash their hands. Reminders: L. Gobble needs to complete part A and B of administering medication training on “Moodle”. S. Ward needs to complete part A and B of administering medication training on “Moodle”. M. Simerson needs to complete part A and B of administering medication training on “Moodle”. B. Birchfield needs to complete First Aid and CPR training before 10/30/25. You and your staff were provided with an opportunity to ask questions regarding interpretation and implementation of all child care requirements. Child care licensing rules and regulations are established to ensure a safe and healthy environment for children in care. Therefore, it is important for you to be knowledgeable of all the licensing requirements that apply to your program. It is your responsibility to always maintain compliance with all the applicable laws and rules. The best way for you to make sure that you meet all requirements is to periodically review the child care law and rules. Both are available on the DCDEE website https://ncchildcare.ncdhhs.gov/ on the home page under the ‘Services’ tab. UPDATES: Please check out our “What’s New” on the division’s website at: https://ncchildcare.ncdhhs.gov/ Please refer to the Division of Child Development and Early Education website, http://ncchildcare.ncdhhs.gov for additional information regarding: What’s New QRIS. Once QRIS is implemented, you will receive information from DCDEE regarding the new pathways for licensure and your timeframe for completing your license renewal. A great resource is NCRLAP at https://www.ncrlap.org/. This website has several resources to assist you with the Rated License Assessment process. Please make sure all teachers have uploaded their education in the “Works unit” located on the DCDEE website at https://ncchildcare.ncdhhs.gov. We discussed each of the violations cited today at the closing of the visit. Thank you for your assistance during today’s visit. If you have further questions or concerns, I can be reached at rena.mccaffrey@dhhs.nc.gov or by calling; 336-580-5670. You may also contact my supervisor, Kaye Adkins at kaye.adkins@dhhs.nc.gov. Thank you for all that you do to serve the children and families of North Carolina. 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 .1106 · Violation

Name of Operation: Building Blocks Christian Academy/Lexington Facility ID: 29000773 Consultant: RENA MCCAFFREY Operation Type: Center Case Number: Visit Date: 9/30/2025 Number Present: 30 Completed Date: 9/30/2025 Age: From 0 To 4 Total Minutes: 180 Time In: 09:50 AM Time Out: 12:50 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to complete an annual monitoring of Applicable Child Care requirements. The last Annual Compliance visit was conducted on October 21, 2024. This facility currently operates with a Four-Star Child Care license that was issued on April 22, 2025. The last Sanitation Inspection was conducted on February 27, 2024, with a "Superior" classification and (4) demerits. The last Fire Inspection was conducted on February 7, 2025, and the facility was approved for daytime care only. The last Fire Drill was conducted on September 4, 2025. The last Lock Down/ Shelter-in-Place was on September 1, 2025. The last Playground Inspection was conducted on September 4, 2025. Upon arrival, I was greeted by director, Rebecca McLendon. Today I met the new owner, Kathern Garner. I stated the purpose of my visit and was assisted on a walkthrough of the facility where attendance was documented, and observations made. Today the children were having free play inside in centers. The one-year-olds class was closed for an illness. A checklist was used to note the requirements I monitored today. The Department of the Secretary’s website was used to check the status of the corporation of “Building Blocks Christian Academy Lexington LLC.” on September 26, 2025. The facility was found to be active but not current with a Limited Liability. This must be resolved as soon as possible. During today's visit, I completed a full assessment of applicable Child Care Requirements; license posted, restrictions maintained, staff/child ratio and adequate approved space. Program Records and Criminal Background Checks were also monitored. Staff and Children’s files were monitored as well as Emergency Drills, Medication, and Playground Inspections. This facility does not provide transportation. The following violations were observed during today’s visit and technical assistance was offered. Violation Number Comment Rule 533 Human milk, formula and other bottled beverages including sippy cups, sent from child's home were not fully prepared, dated, and labeled for the appropriate child. Two sippy cups were not labeled with the child's name on them. 15A NCAC 18A .2804(d) 541 The written feeding plan did not include the child's name, parent signature, and/or was not dated when received by the center. Two infant feeding plans did not have a parents signature on them. .0902(a) 807 A safe indoor and outdoor environment was not provided for the children. The playground had several sand boxes with no covers on them. 10A NCAC 09 .0601(a) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. A. Hopkins did not complete First Aid training within 90 days of hire. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. A. Hopkins did not complete CPR training within 90 days of hire. .1102(d) 1054 Documentation of staff's on-going training was not on file and/or was not current . Several new staff did not have a in-service training form to document ongoing training hours and certificates of trainings were not on file. 10A NCAC 09 .1106(a) 1311 Emergency medical care information was not on file in the center on the child's first day of attendance and/or was not updated as changes occurred or at least annually for each child. One child did not have an medical action plan for asthma. .0802(c) 1317 Authorization for emergency medical care information was not signed by child's parent. Medical information form was not signed or dated by the parent for a child who had asthma. .0802(d) 1322 A written statement from each child's parent giving standing permission which may be valid for up to twelve months for participation in off premise activities that occur on a regular basis was not available. Several children did not have permission for outside the fenced area in the event of an emergency form on file. .1005(b)(4) The above violations must be corrected immediately. A Corrective Action Letter must be drafted with the name of your facility, the facility identification number, and your signature. The letter must be received by my office on, or before October 13, 2025. The letter should include: Each item number of noncompliance cited. Describe how and when the violations were corrected. Please include accompanying documentation of compliance. The letter can be emailed to rena.mccaffrey@dhhs.nc.gov. If a letter of compliance is not received at my office by 5:00 pm on October 13, 2025, a return visit may be conducted to ensure the violations cited have been corrected or addressed. Additional violation may be documented if each violation has not been properly corrected or otherwise addressed. Please be aware that any information received during this monitoring visit and any violations cited may be included in any future administrative actions. Violations of child care requirements, particularly repeated violations, could result in a civil penalty and/or administrative action that could jeopardize the status of the license for the child care facility. Technical Assistance: Today I discussed that each parent must sign an outside the fenced are permission form in the event of an emergency arises and the children are made to evacuate the building. All sippy cups must have the child’s name on them and be out of other children’s reach, this way a child doesn’t drink another child’s drink. All feeding schedules must have a parent’s signature and date on them after completing the required information. Today there was a child with albuterol used for asthma condition. This must always be accompanied by an asthma action plan and have the parent’s signature and doctor’s signature explain what the signs of asthma are. This must be posted in the classroom for other teachers to see but due to HIPPA laws not for anyone else to see. Therefore, a coversheet must be over the plan labeled Action Plan. This way the child’s medical information is covered. Each staff member must have an on-going training form on file. This is a way for the director to keep track of how much in-service has been completed on an annual basis. All new hires are required to complete first aid and CPR training within three months of hire date. All staff must complete their on-going in-service training requirements based on their level of education. Outdoor sand boxes must be kept covered after children are done playing in them. An uncovered sand box can bring stray cats in and can cause pin worms if children play in them and do not wash their hands. Reminders: L. Gobble needs to complete part A and B of administering medication training on “Moodle”. S. Ward needs to complete part A and B of administering medication training on “Moodle”. M. Simerson needs to complete part A and B of administering medication training on “Moodle”. B. Birchfield needs to complete First Aid and CPR training before 10/30/25. You and your staff were provided with an opportunity to ask questions regarding interpretation and implementation of all child care requirements. Child care licensing rules and regulations are established to ensure a safe and healthy environment for children in care. Therefore, it is important for you to be knowledgeable of all the licensing requirements that apply to your program. It is your responsibility to always maintain compliance with all the applicable laws and rules. The best way for you to make sure that you meet all requirements is to periodically review the child care law and rules. Both are available on the DCDEE website https://ncchildcare.ncdhhs.gov/ on the home page under the ‘Services’ tab. UPDATES: Please check out our “What’s New” on the division’s website at: https://ncchildcare.ncdhhs.gov/ Please refer to the Division of Child Development and Early Education website, http://ncchildcare.ncdhhs.gov for additional information regarding: What’s New QRIS. Once QRIS is implemented, you will receive information from DCDEE regarding the new pathways for licensure and your timeframe for completing your license renewal. A great resource is NCRLAP at https://www.ncrlap.org/. This website has several resources to assist you with the Rated License Assessment process. Please make sure all teachers have uploaded their education in the “Works unit” located on the DCDEE website at https://ncchildcare.ncdhhs.gov. We discussed each of the violations cited today at the closing of the visit. Thank you for your assistance during today’s visit. If you have further questions or concerns, I can be reached at rena.mccaffrey@dhhs.nc.gov or by calling; 336-580-5670. You may also contact my supervisor, Kaye Adkins at kaye.adkins@dhhs.nc.gov. Thank you for all that you do to serve the children and families of North Carolina. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

G.S. 110-91 · Violation

Name of Operation: Building Blocks Christian Academy/Lexington Facility ID: 29000773 Consultant: MARCIA HUMPHREY Operation Type: Center Case Number: Visit Date: 2/5/2025 Number Present: 42 Completed Date: 2/5/2025 Age: From 0 To 4 Total Minutes: 270 Time In: 10:30 AM Time Out: 03:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Temp Time Period Announced/Unannounced: Unannounced The purpose of today’s unannounced visit has been to complete the second temporary time period visit for this childcare center. The facility had a change of ownership. When I arrived, I was greeted by the center director, Mrs. Rebecca McLendon. The owner Mrs. Katherine Varner arrived during the visit. I explained the purpose of my visit. I conducted an assisted walk-through of the facility. The last sanitation inspection was conducted 11/14/24 with a ‘Superior’ classification and 0 demerits. The last fire inspection was conducted 10/31/24 and was approved for day-time care only. The fire drill was last completed on 1/30/25. The Shelter-in-place was last completed on 12/19/24. Lastly the outdoor play inspection was last completed on 2/3/25. The building inspections concerns were discussed with Upper Management/Licensing Supervisor, Kaye Adkins and based on the facility original building inspection meeting code (which has been placed in the new file from 1990), this change of ownership is grandfathered in due to this facility not changing its use and the facility not having stopped operation. During today’s visit, the children were observed in group time activity with their caregivers, eating lunch and preparing for rest time. The current ITERS-R and ECERS-R score was completed on 4/27/22. The facility received a score of 5.39 on the ECERS-R and a score of 5.21 on the ITERS-R for an overall score of 5.3. The facility does not transport children. The following items were observed in compliance during today’s visit: license posted, summary of law posted, staff: child ratio posted and observed in compliance, supervision, sign in/out sheets current, attendance taken daily, daily schedule posted, menus posted, lesson plans posted, and daily schedule posted. All new employee's files were reviewed today along with current employee's. In addition, 10 percent of children files were reviewed based on the number of children present in care. The temporary license was issued 10/21/24 and expires 4/21/25. The following violation(s) were documented and technical assistance regarding maintaining compliance was offered. Violation Number Comment Rule 533 Human milk, formula and other bottled beverages including sippy cups, sent from child's home were not fully prepared, dated, and labeled for the appropriate child. One infant child's bottles were not labeled at dated. 15A NCAC 18A .2804(d) 612 Each child's bed, cot, or 2" mat was not individually assigned and identified. In the infant classroom space #6 there were two cribs not individually assigned and identified. 15A NCAC 18A .2821(b) & (c) 721 All equipment and furnishings were not in good repair. In space #4, in the housekeeping center the handle on the sink was loose and the door hinge at the top of the refrigerator was loose. G.S. 110-91(6); .0601(b) 851 When medication was administered, documentation was not completed or maintained for 6 months and/or the documentation did not include the required information. In space #5, 2/3's classroom medication was administered and not documented on the correct form for prescribed medication. .0803(13)(a-e); .2318(3) 887 Caregivers did not document compliance with visually checking on sleeping infants aged 12 months or younger and/or the documents were not maintained for a minimum of one month. There were several gaps with several infant children logs not showing documentation of the caregiver visually checking on the sleeping infants when in care. .0606(g) Mrs. Rebecca and Mrs. Varner were provided an opportunity to ask questions regarding interpretation and implementation of all childcare requirements. Each violation cited was discussed with the owner and center director. The violation(s) documented above must be corrected immediately. A signed and dated letter of compliance must be received on or 2/19/25. The letter must include the following: *Facility Name and ID number *List of each violation number *How each violation was corrected All requested documentation must accompany the Corrective Action Letter. The letter can be emailed to marcia.humphrey@dhhs.nc.gov. TECHNICAL ASSISTANCE: I discussed with Mrs. Rebecca the importance of making sure all bottles are labeled and dated every day. In addition, I observed several gaps in dates not showing where infants were monitored while sleeping when present in care. I informed Mrs. Rebecca that this needs to be maintained when infant children are in care and maintained for review for a representative of DCDEE for a minimum of thirty days. I informed Mrs. Rebecca that it is very important to make sure the correct medication form is given to the parent/guardian to complete. There is a different form for topical ointments and doctor prescribed medication with a label attached to the medication. I discussed this in detail today with the center director and the owner. I showed them both under the DCDEE provider documents tab the correct medication form that needed to be completed for prescribed medications. CONSULTATION AND RESOURCES: The rated license points will be based upon the previous license issued prior to the change of ownership. This will be discussed more during the next visit. Upcoming training opportunities can be found on the CCSA website https://www.childcareservices.org/programs/ccrr/professional-development/ Documents and forms for DCDEE licensure can be found at https://ncchildcare.ncdhhs.gov/Provider/Provider-Documents-and-Forms. AGENCY NEWS AND UPDATES: Please refer to the Division of Child Development and Early Education website, http://ncchildcare.ncdhhs.gov for additional information regarding: *What’s New Tab If you have and questions or concerns, I can be reached by email at marcia.humphrey@dhhs.nc.gov or phone call at (919) 259-5860. You can also contact my Licensing Supervisor, Kaye Adkins at kaye.adkins@dhhs.nc.gov If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

G.S. 110-90 · Violation

Name of Operation: Building Blocks Christian Academy/Lexington Facility ID: 29000773 Consultant: MARCIA HUMPHREY Operation Type: Center Case Number: Visit Date: 11/20/2024 Number Present: 46 Completed Date: 11/20/2024 Age: From 0 To 4 Total Minutes: 165 Time In: 10:30 AM Time Out: 01:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Temp Time Period Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to complete first Temporary Time Period Visits. I was greeted by the center director Mrs. Rebecca McLendon. The owner Mrs. Katherine Varner arrived a short time after my arrival. Mrs. McLendon accompanied me during today's walk-through of the five classrooms and the outdoor play area. Attendance was observed in all five classrooms during today’s visit. Upon my arrival, I observed the children preparing for lunch or involved with story time with their caregiver. During today’s visit I completed a sampling of staff and children files, applicable to child care requirements. In addition, I observed the NC Summary of the Law, Safe Arrival and Departure procedures, Emergency Medical Care Plan, Emergency Numbers, Emergency Procedures, and a First Aid reference sheet. The Temporary License was issued to this facility on 10/21/24 and expires on 4/21/25. All required inspections (fire drill, outdoor play and lockdown drill) were reviewed and completed within the required timeframe. This facility just had their annual compliance visit completed on 7/3/24, by their Licensing Consultant Rena McCaffrey. During this visit the staff and training worksheets and children records were reviewed, therefore during today's visit I only reviewed two new employee files and five children records. I did review on the staff and training worksheet for prior employee's their criminal records qualifying letter for staff, CPR and First-Aid trainings and ITS-SIDS trainings and all were current. I will attach a copy of the completed staff and training worksheet from July 3, 24 to this visit summary. There was on violation cited during today's visit: Violation Number Comment Rule 1044 Prior to the expiration date of the qualification letter, the child care provider did not complete and submit required forms to complete a criminal background check (a qualification letter is valid for a maximum of five years for the date of issuance). One employee's qualifying letter expired on 9/9/24. G.S. 110-90.2(b) & .2703(n)&(o) In order to comply with NC Child Care Laws and Rules any violation cited must be corrected IMMEDIATELY. A Compliance letter must be sent by December 4, 2024. The letter must address each violation cited. Please send to my email address Marcia.Humphrey@dhhs.nc.gov and be sure to include the following: *Facility Name *Facility ID number *Each Item number TECHNICAL ASSITANCE: I informed the owner and center director as technical assistance the importance of making sure all current employee's qualifying letter are current. The criminal records qualifying letter is good for five years based off the date of when the letter was issued. No one can start working in children unless they have received a qualifying letter form our agency. INSPECTIONS: Prior to today's visit I received all of the required inspections. The Building Inspection was completed on 10/31/24 and there were no safety concerns but I discussed with Mrs. Varner the concerns on the building inspection forms with regards to 1hr-fire resistance and non-combustible wood. The Fire Inspection was also completed on 10/31/24 and the facility was approved for daytime care only. Lastly the Sanitation Inspection was completed on 11/14/24 with 0 demerits for Superior Classification. REMINDERS: LICENSING REQUIREMENTS When you accept your Child Care License, you are agreeing to follow the Law, Rules and Requirements pertaining to and governing Child Care in NC. Although a review of applicable rules was conducted, the center owner and director remain responsible for reading, understanding and applying all rules contained in the Child Care Requirements at all times, even if they were not discussed with you. It is also your responsibility to ask Division staff questions for clarification of requirements you do not understand and to monitor your staff to ensure that all requirements are being met on a daily basis. From this point forward, it is the owner and director’s responsibility to assure that the center maintains compliance with all applicable minimum licensing requirements, including, but not limited to the following: COMPLIANCE HISTORY In order to move to a star rated license at the end of the Temporary Time Period, you must have at least a 75% compliance history. Please be mindful of the fact that even a few violations, especially those associated with staff/child ratio, supervision of children, licensed capacity and meeting license restrictions, could have a negative impact on your compliance status. You will be informed of any violations of the Child Care Requirements noted during the monitoring visits and they will be calculated in to the program’s Compliance History Score. Any violations documented during visits to your center may have an impact on the total compliance history score and cause your score to drop below the mandated level. Should this occur, your center may not be eligible for an enhanced rated license at the end of your temporary license time period and you may be at risk of being issued a Provisional License or denied a permanent license. If you have any additional questions or concerns I can be reached at (919) 259-5860 or by email at marcia.humphrey@dhhs.nc.gov. My Licensing Supervisor can also be reached at Kaye.Adkins@dhhs.nc.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