Heaven Bound NEW Vision Church Childcare

10A NCAC 09 .0713 · Violation

Name of Operation: HEAVEN BOUND NEW VISION CHURCH CHILDCARE Facility ID: 78000467 Consultant: MIRIAM BYRD Operation Type: Center Case Number: Visit Date: 9/17/2025 Number Present: 0 Completed Date: 9/17/2025 Age: From 0 To 0 Total Minutes: 85 Time In: 09:50 AM Time Out: 11:15 AM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today's visit was to conduct an Annual Compliance visit to monitor applicable child care requirements during the Probationary Notice of Compliance. The Probationary Notice of Compliance is effective from October 24, 2024, to October 24, 2025, with approval for 42 children on first shift only and ages 0-12 years. Upon my arrival, Ms. Amy Harris, teacher, was at the facility and assisted me with the visit. There were no children present. On September 15, 2025, I contacted Ms. Nealy via telephone to check on the status of enrollment. She let me know that no children were currently enrolled at the facility. August 11, 2025 was the last time children were enrolled and attending. I conducted a walk-through of the indoor and outdoor areas that are used by children. Required posted items were in compliance. The approved spaces are equipped with child appropriate equipment and furnishings. The last fire drill was conducted on August 11, 2025, at 10:00 am. One child and one staff were present during the fire drill. The last shelter in place drill was conducted on August 11, 2025. The last playground inspection was conducted on August 11, 2025. Three violations of child care requirements were observed and documented during today's visit. The computer-generated report was printed at the conclusion of today's and reviewed with Ms. Harris. Violation Number Comment Rule 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. The last date of the annual EMC plan is 12-6-2023. 10A NCAC 09 .0802(a) 1805 A child care operator did not notify the Division of any new child care providers, as defined in G.S. 110-90.2(a)(2), who were hired or moved into the child care facility within five business days. The ABMCS Provider Portal was not completed. G.S. 110-90.2 & .2703(r) 1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. The last documented annual EPR plan was dated 12-6-2023. .0607(e) The violations documented must be corrected immediately. On or before October 2, 2025, I must receive a signed and dated compliance letter that describes accurately and in detail how and when the violations were corrected. You may email or mail the information to: Miriam.Byrd@dhhs.nc.gov or Miriam Byrd/Child Care Consultant, 2201 Mail Service Center, Raleigh, NC 27699-2201 If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Child care licensing requirements were established to ensure a safe and healthy child care environment. Therefore, it is important for you to be knowledgeable of all the licensing requirements that apply to your type of program. It is your responsibility to maintain compliance with all the applicable laws and rules at all times. The best way for you to make sure that you are meeting all requirements is to periodically review the child care law and rules. Make sure you visit the Division of Child Development's website (www.ncchildcare.nc.gov) on a regular basis to find out what's new in childcare. You can also find any needed Child Care forms by going on the web site and clicking on the "Provider" tab and then clicking on the "Provider Documents" tab. You are required to maintain compliance with all applicable child care rules and regulations at all times. NC GS 110- 90(4)(d) requires all child care facilities to maintain a compliance history score of at least 75% for the past 18 months or during the length of time the facility has operated, whichever is less. Failure to do so may result in the issuance of a provisional license or other administrative action. Your current compliance history score is 89% from 3/16/2024 to 9/15/2025. Technical assistance with ways to show verification of documented forms was provided. You can use a master acknowledgement sheet where employees sign and date after completing forms or training. A sample acknowledgement form was left with Ms. Harris. I reminded Ms. Harris of the requirement for completing the ABMCS Provider Portal. I emailed the ABCMS Provider Portal guide to Mrs. Nealy. As stated in NC General Statute 110-90.2 &.2703(r) child care operators are to notify the Division of Child Development and Early Education of any new child care providers working who were hired or moved into the child care facility within five business days. 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 the 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 referenced 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 granted, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ACBMS on an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify DCDEE of new child care providers working who were hired or moved into the child care facility within five business days. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. Based on information obtained prior to today’s visit, Mrs. Nealy has completed the following Stipulations within the Corrective Action Plan of the Probationary Notice of Compliance: 1. The child care operator shall maintain compliance at all times with all applicable child care requirements, including but not limited to, the following: • North Carolina General Statute § 110-91(7) & Child Care Rule 10A NCAC 09 .0713(a) regarding staff/child ratios • North Carolina General Statute § 110-91(7) & Child Care Rule 10A NCAC 09 .0713(a)(5)(6) regarding grouping of children • Child Care Rule 10A NCAC 09 .1801(a)(1-5) regarding supervision of children • North Carolina General Statute § 110-91(9) regarding accurate and accessible records Verification is on-going as visits are conducted 2. Within one (1) week after this Notice is received, Cederrina Nealy, administrator, shall contact Leisa Benson, Lead Child Care Consultant, 2201 Mail Service Center, Raleigh, NC 27699-2201, telephone number 919-819-9348, email Leisa.benson@dhhs.ng.gov, to arrange for a child care rules review. Special emphasis shall be placed on violations regarding supervision, staff/child ratios, group sizes and accurate records. All staff members, including administrative, fulltime, part-time, auxiliary, substitute, and volunteer staff, shall participate in this mandatory training. Documentation of the training shall be maintained in the facility files for review by representatives of the Division of Child Development and Early Education upon request. A rules review was conducted with Leisa Benson on January 27, 2025. 3. Within one (1) week after receiving the training, Ms. Nealy shall develop written policies and procedures regarding supervision of children, that describes, in detail, the steps the facility will take to ensure adequate supervision of children. The policies and procedures shall include, but not limited to, the following: • When children are arriving and departing from the facility each day • When children are toileting • When children are on the playground and when entering the building from the playground • When more than one group of children is combined • When children are napping/resting • When staff members need to complete tasks outside the classroom • Procedures for supervisory staff members to visit each classroom and monitor staff members’ implementation of the supervision plan • Procedures to periodically review the supervision plan with all staff members, including the review of the plan in the orientation of new staff members before they assume child care responsibilities • Consequences of staff members’ non-compliance with policies and procedures The policies and procedures shall be submitted to Miriam Byrd, Child Care Consultant, 2201 Mail Service Center, Raleigh, NC, 27699-2200, telephone number 910-709-5985, email Miriam.Byrd@dhhs.nc.gov, for approval. Ms. Byrd shall notify Ms. Nealy, orally and in writing, as to whether the written policies and procedures are approved or if modifications are needed. Once approved, the written policies and procedures shall be immediately implemented and permanently incorporated into the facility’s operating procedures. A copy of the approved policies and procedures shall be maintained in facility files for review by representatives of the Division of Child Development and Early Education upon request. Mrs. Nealy submitted the policies and procedures regarding supervision of children on March 15, 2025. She was informed on March 25, 2025, the policies and procedures meet the stipulations in the CAP. 4. Within two (2) weeks after receiving the training, Ms. Nealy shall develop a written plan that includes a staffing pattern plan which ensures staff/child ratios and group sizes are met throughout the day, but not limited to, the following: • In the classroom, on the playground, and during transition periods, including naptime, meals and snacks, bathroom time, transitioning from one caregiver to another, and when groups of children leave the classroom to go to another location • Plan for informing administration when staff members need to attend to personal care needs or to complete tasks outside the classroom or away from the group • When staff call out and/or the facility is short staffed • Frequent review of the plan with staff members, as well as incorporation in the orientation of new staff members • Consequences for staff members’ non-compliance with the plan The written plan shall be submitted to Ms. Byrd for approval. Ms. Byrd shall notify Ms. Nealy, orally and in writing, as to whether the written plan is approved or if modifications are needed. Once approved, the written plan shall be immediately implemented and permanently incorporated into the facility’s operating procedures. A copy of the approved written plan shall be maintained in facility files for review by representatives of the Division of Child Development and Early Education upon request. Mrs. Nealy submitted a written plan that ensures staff/child ratios and group sizes are met throughout the day on March 15, 2025. She was informed on March 25, 2025, the plan meets the stipulations in the CAP. 5. Within one (1) week after the items in #3 and #4 are completed, Ms. Nealy shall conduct a staff meeting to review the program’s approved policies and procedures and written plan. All staff members, including administrative, full-time, part-time, auxiliary, substitute, and volunteer staff, shall participate in this mandatory meeting. Documentation of the staff meeting shall include an attendance roster with the printed name and signature of each staff member in attendance, the date, time, and length of the meeting, and minutes documenting the information discussed during the meeting. In addition, each staff member must receive a copy of the supervision plan and the discipline policies and procedures and sign and date a copy of each to be kept in the staff member’s file. All documentation shall be maintained in the facility files for review by representatives of the Division of Child Development and Early Education upon request. Mrs. Nealy was informed on March 25, 2025, a staff meeting must be completed by April 1, 2025. A staff meeting was completed on March 28, 2025. 6. Within ninety (90) days after this notice is received, Ms. Nealy shall identify an Administrator for the facility that holds a level I or higher North Carolina Early Childhood Administration Credential or it’s equivalent as determined by the Division of Child Development and Early Education. The Administrator must be on site during operating hours or forty (40) hours per week, whichever is less. In the Administrator’s absence, Ms. Nealy must be on site at the facility during operating hours. Ms. Nealy must submit a schedule of her planned working hours to Ms. Byrd every Friday by email to Miriam.Byrd@dhhs.nc.gov for the following week. You were required to identify a Level I Administrator or it’s equivalent by February 6, 2025. Due to a death in your family and illness, you were given until February 28, 2025, to identify an Administrator for the facility that holds a level I or higher North Carolina Early Childhood Administration Credential or it’s equivalent. On February 26, 2025, you requested an extension for Stipulation #6 as you are currently enrolled in EDU 262 at Fayetteville Technical Community College. You are due to complete the class on May 14, 2025. You were informed on March 4, 2025, in writing, your extension request was granted until June 1, 2025, to submit the necessary transcript and information to the Workforce Unit upon completion of the class to determine if you are qualified as a Level I Administrator or higher. On July 9, 2025, Cedderrina Nealy was qualified as a Level I Administrator. As a reminder, Ms. Nealy must be on site during operating hours or forty (40) hours per week, whichever is less. Since January 25, 2025, Mrs. Nealy has submitted a schedule of her planned working hours every Friday by email for the following week. Please feel free to contact me at 910-709-5985 or Miriam.Byrd@dhhs.nc.gov. You can also contact Janet Edwards, Licensing Supervisor at 910- 709-4160 or janet.edwards@dhhs.nc.gov with any questions or concerns. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0802 · Violation

Name of Operation: HEAVEN BOUND NEW VISION CHURCH CHILDCARE Facility ID: 78000467 Consultant: MIRIAM BYRD Operation Type: Center Case Number: Visit Date: 9/17/2025 Number Present: 0 Completed Date: 9/17/2025 Age: From 0 To 0 Total Minutes: 85 Time In: 09:50 AM Time Out: 11:15 AM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today's visit was to conduct an Annual Compliance visit to monitor applicable child care requirements during the Probationary Notice of Compliance. The Probationary Notice of Compliance is effective from October 24, 2024, to October 24, 2025, with approval for 42 children on first shift only and ages 0-12 years. Upon my arrival, Ms. Amy Harris, teacher, was at the facility and assisted me with the visit. There were no children present. On September 15, 2025, I contacted Ms. Nealy via telephone to check on the status of enrollment. She let me know that no children were currently enrolled at the facility. August 11, 2025 was the last time children were enrolled and attending. I conducted a walk-through of the indoor and outdoor areas that are used by children. Required posted items were in compliance. The approved spaces are equipped with child appropriate equipment and furnishings. The last fire drill was conducted on August 11, 2025, at 10:00 am. One child and one staff were present during the fire drill. The last shelter in place drill was conducted on August 11, 2025. The last playground inspection was conducted on August 11, 2025. Three violations of child care requirements were observed and documented during today's visit. The computer-generated report was printed at the conclusion of today's and reviewed with Ms. Harris. Violation Number Comment Rule 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. The last date of the annual EMC plan is 12-6-2023. 10A NCAC 09 .0802(a) 1805 A child care operator did not notify the Division of any new child care providers, as defined in G.S. 110-90.2(a)(2), who were hired or moved into the child care facility within five business days. The ABMCS Provider Portal was not completed. G.S. 110-90.2 & .2703(r) 1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. The last documented annual EPR plan was dated 12-6-2023. .0607(e) The violations documented must be corrected immediately. On or before October 2, 2025, I must receive a signed and dated compliance letter that describes accurately and in detail how and when the violations were corrected. You may email or mail the information to: Miriam.Byrd@dhhs.nc.gov or Miriam Byrd/Child Care Consultant, 2201 Mail Service Center, Raleigh, NC 27699-2201 If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Child care licensing requirements were established to ensure a safe and healthy child care environment. Therefore, it is important for you to be knowledgeable of all the licensing requirements that apply to your type of program. It is your responsibility to maintain compliance with all the applicable laws and rules at all times. The best way for you to make sure that you are meeting all requirements is to periodically review the child care law and rules. Make sure you visit the Division of Child Development's website (www.ncchildcare.nc.gov) on a regular basis to find out what's new in childcare. You can also find any needed Child Care forms by going on the web site and clicking on the "Provider" tab and then clicking on the "Provider Documents" tab. You are required to maintain compliance with all applicable child care rules and regulations at all times. NC GS 110- 90(4)(d) requires all child care facilities to maintain a compliance history score of at least 75% for the past 18 months or during the length of time the facility has operated, whichever is less. Failure to do so may result in the issuance of a provisional license or other administrative action. Your current compliance history score is 89% from 3/16/2024 to 9/15/2025. Technical assistance with ways to show verification of documented forms was provided. You can use a master acknowledgement sheet where employees sign and date after completing forms or training. A sample acknowledgement form was left with Ms. Harris. I reminded Ms. Harris of the requirement for completing the ABMCS Provider Portal. I emailed the ABCMS Provider Portal guide to Mrs. Nealy. As stated in NC General Statute 110-90.2 &.2703(r) child care operators are to notify the Division of Child Development and Early Education of any new child care providers working who were hired or moved into the child care facility within five business days. 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 the 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 referenced 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 granted, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ACBMS on an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify DCDEE of new child care providers working who were hired or moved into the child care facility within five business days. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. Based on information obtained prior to today’s visit, Mrs. Nealy has completed the following Stipulations within the Corrective Action Plan of the Probationary Notice of Compliance: 1. The child care operator shall maintain compliance at all times with all applicable child care requirements, including but not limited to, the following: • North Carolina General Statute § 110-91(7) & Child Care Rule 10A NCAC 09 .0713(a) regarding staff/child ratios • North Carolina General Statute § 110-91(7) & Child Care Rule 10A NCAC 09 .0713(a)(5)(6) regarding grouping of children • Child Care Rule 10A NCAC 09 .1801(a)(1-5) regarding supervision of children • North Carolina General Statute § 110-91(9) regarding accurate and accessible records Verification is on-going as visits are conducted 2. Within one (1) week after this Notice is received, Cederrina Nealy, administrator, shall contact Leisa Benson, Lead Child Care Consultant, 2201 Mail Service Center, Raleigh, NC 27699-2201, telephone number 919-819-9348, email Leisa.benson@dhhs.ng.gov, to arrange for a child care rules review. Special emphasis shall be placed on violations regarding supervision, staff/child ratios, group sizes and accurate records. All staff members, including administrative, fulltime, part-time, auxiliary, substitute, and volunteer staff, shall participate in this mandatory training. Documentation of the training shall be maintained in the facility files for review by representatives of the Division of Child Development and Early Education upon request. A rules review was conducted with Leisa Benson on January 27, 2025. 3. Within one (1) week after receiving the training, Ms. Nealy shall develop written policies and procedures regarding supervision of children, that describes, in detail, the steps the facility will take to ensure adequate supervision of children. The policies and procedures shall include, but not limited to, the following: • When children are arriving and departing from the facility each day • When children are toileting • When children are on the playground and when entering the building from the playground • When more than one group of children is combined • When children are napping/resting • When staff members need to complete tasks outside the classroom • Procedures for supervisory staff members to visit each classroom and monitor staff members’ implementation of the supervision plan • Procedures to periodically review the supervision plan with all staff members, including the review of the plan in the orientation of new staff members before they assume child care responsibilities • Consequences of staff members’ non-compliance with policies and procedures The policies and procedures shall be submitted to Miriam Byrd, Child Care Consultant, 2201 Mail Service Center, Raleigh, NC, 27699-2200, telephone number 910-709-5985, email Miriam.Byrd@dhhs.nc.gov, for approval. Ms. Byrd shall notify Ms. Nealy, orally and in writing, as to whether the written policies and procedures are approved or if modifications are needed. Once approved, the written policies and procedures shall be immediately implemented and permanently incorporated into the facility’s operating procedures. A copy of the approved policies and procedures shall be maintained in facility files for review by representatives of the Division of Child Development and Early Education upon request. Mrs. Nealy submitted the policies and procedures regarding supervision of children on March 15, 2025. She was informed on March 25, 2025, the policies and procedures meet the stipulations in the CAP. 4. Within two (2) weeks after receiving the training, Ms. Nealy shall develop a written plan that includes a staffing pattern plan which ensures staff/child ratios and group sizes are met throughout the day, but not limited to, the following: • In the classroom, on the playground, and during transition periods, including naptime, meals and snacks, bathroom time, transitioning from one caregiver to another, and when groups of children leave the classroom to go to another location • Plan for informing administration when staff members need to attend to personal care needs or to complete tasks outside the classroom or away from the group • When staff call out and/or the facility is short staffed • Frequent review of the plan with staff members, as well as incorporation in the orientation of new staff members • Consequences for staff members’ non-compliance with the plan The written plan shall be submitted to Ms. Byrd for approval. Ms. Byrd shall notify Ms. Nealy, orally and in writing, as to whether the written plan is approved or if modifications are needed. Once approved, the written plan shall be immediately implemented and permanently incorporated into the facility’s operating procedures. A copy of the approved written plan shall be maintained in facility files for review by representatives of the Division of Child Development and Early Education upon request. Mrs. Nealy submitted a written plan that ensures staff/child ratios and group sizes are met throughout the day on March 15, 2025. She was informed on March 25, 2025, the plan meets the stipulations in the CAP. 5. Within one (1) week after the items in #3 and #4 are completed, Ms. Nealy shall conduct a staff meeting to review the program’s approved policies and procedures and written plan. All staff members, including administrative, full-time, part-time, auxiliary, substitute, and volunteer staff, shall participate in this mandatory meeting. Documentation of the staff meeting shall include an attendance roster with the printed name and signature of each staff member in attendance, the date, time, and length of the meeting, and minutes documenting the information discussed during the meeting. In addition, each staff member must receive a copy of the supervision plan and the discipline policies and procedures and sign and date a copy of each to be kept in the staff member’s file. All documentation shall be maintained in the facility files for review by representatives of the Division of Child Development and Early Education upon request. Mrs. Nealy was informed on March 25, 2025, a staff meeting must be completed by April 1, 2025. A staff meeting was completed on March 28, 2025. 6. Within ninety (90) days after this notice is received, Ms. Nealy shall identify an Administrator for the facility that holds a level I or higher North Carolina Early Childhood Administration Credential or it’s equivalent as determined by the Division of Child Development and Early Education. The Administrator must be on site during operating hours or forty (40) hours per week, whichever is less. In the Administrator’s absence, Ms. Nealy must be on site at the facility during operating hours. Ms. Nealy must submit a schedule of her planned working hours to Ms. Byrd every Friday by email to Miriam.Byrd@dhhs.nc.gov for the following week. You were required to identify a Level I Administrator or it’s equivalent by February 6, 2025. Due to a death in your family and illness, you were given until February 28, 2025, to identify an Administrator for the facility that holds a level I or higher North Carolina Early Childhood Administration Credential or it’s equivalent. On February 26, 2025, you requested an extension for Stipulation #6 as you are currently enrolled in EDU 262 at Fayetteville Technical Community College. You are due to complete the class on May 14, 2025. You were informed on March 4, 2025, in writing, your extension request was granted until June 1, 2025, to submit the necessary transcript and information to the Workforce Unit upon completion of the class to determine if you are qualified as a Level I Administrator or higher. On July 9, 2025, Cedderrina Nealy was qualified as a Level I Administrator. As a reminder, Ms. Nealy must be on site during operating hours or forty (40) hours per week, whichever is less. Since January 25, 2025, Mrs. Nealy has submitted a schedule of her planned working hours every Friday by email for the following week. Please feel free to contact me at 910-709-5985 or Miriam.Byrd@dhhs.nc.gov. You can also contact Janet Edwards, Licensing Supervisor at 910- 709-4160 or janet.edwards@dhhs.nc.gov with any questions or concerns. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1801 · Violation

Name of Operation: HEAVEN BOUND NEW VISION CHURCH CHILDCARE Facility ID: 78000467 Consultant: MIRIAM BYRD Operation Type: Center Case Number: Visit Date: 9/17/2025 Number Present: 0 Completed Date: 9/17/2025 Age: From 0 To 0 Total Minutes: 85 Time In: 09:50 AM Time Out: 11:15 AM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today's visit was to conduct an Annual Compliance visit to monitor applicable child care requirements during the Probationary Notice of Compliance. The Probationary Notice of Compliance is effective from October 24, 2024, to October 24, 2025, with approval for 42 children on first shift only and ages 0-12 years. Upon my arrival, Ms. Amy Harris, teacher, was at the facility and assisted me with the visit. There were no children present. On September 15, 2025, I contacted Ms. Nealy via telephone to check on the status of enrollment. She let me know that no children were currently enrolled at the facility. August 11, 2025 was the last time children were enrolled and attending. I conducted a walk-through of the indoor and outdoor areas that are used by children. Required posted items were in compliance. The approved spaces are equipped with child appropriate equipment and furnishings. The last fire drill was conducted on August 11, 2025, at 10:00 am. One child and one staff were present during the fire drill. The last shelter in place drill was conducted on August 11, 2025. The last playground inspection was conducted on August 11, 2025. Three violations of child care requirements were observed and documented during today's visit. The computer-generated report was printed at the conclusion of today's and reviewed with Ms. Harris. Violation Number Comment Rule 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. The last date of the annual EMC plan is 12-6-2023. 10A NCAC 09 .0802(a) 1805 A child care operator did not notify the Division of any new child care providers, as defined in G.S. 110-90.2(a)(2), who were hired or moved into the child care facility within five business days. The ABMCS Provider Portal was not completed. G.S. 110-90.2 & .2703(r) 1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. The last documented annual EPR plan was dated 12-6-2023. .0607(e) The violations documented must be corrected immediately. On or before October 2, 2025, I must receive a signed and dated compliance letter that describes accurately and in detail how and when the violations were corrected. You may email or mail the information to: Miriam.Byrd@dhhs.nc.gov or Miriam Byrd/Child Care Consultant, 2201 Mail Service Center, Raleigh, NC 27699-2201 If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Child care licensing requirements were established to ensure a safe and healthy child care environment. Therefore, it is important for you to be knowledgeable of all the licensing requirements that apply to your type of program. It is your responsibility to maintain compliance with all the applicable laws and rules at all times. The best way for you to make sure that you are meeting all requirements is to periodically review the child care law and rules. Make sure you visit the Division of Child Development's website (www.ncchildcare.nc.gov) on a regular basis to find out what's new in childcare. You can also find any needed Child Care forms by going on the web site and clicking on the "Provider" tab and then clicking on the "Provider Documents" tab. You are required to maintain compliance with all applicable child care rules and regulations at all times. NC GS 110- 90(4)(d) requires all child care facilities to maintain a compliance history score of at least 75% for the past 18 months or during the length of time the facility has operated, whichever is less. Failure to do so may result in the issuance of a provisional license or other administrative action. Your current compliance history score is 89% from 3/16/2024 to 9/15/2025. Technical assistance with ways to show verification of documented forms was provided. You can use a master acknowledgement sheet where employees sign and date after completing forms or training. A sample acknowledgement form was left with Ms. Harris. I reminded Ms. Harris of the requirement for completing the ABMCS Provider Portal. I emailed the ABCMS Provider Portal guide to Mrs. Nealy. As stated in NC General Statute 110-90.2 &.2703(r) child care operators are to notify the Division of Child Development and Early Education of any new child care providers working who were hired or moved into the child care facility within five business days. 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 the 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 referenced 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 granted, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ACBMS on an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify DCDEE of new child care providers working who were hired or moved into the child care facility within five business days. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. Based on information obtained prior to today’s visit, Mrs. Nealy has completed the following Stipulations within the Corrective Action Plan of the Probationary Notice of Compliance: 1. The child care operator shall maintain compliance at all times with all applicable child care requirements, including but not limited to, the following: • North Carolina General Statute § 110-91(7) & Child Care Rule 10A NCAC 09 .0713(a) regarding staff/child ratios • North Carolina General Statute § 110-91(7) & Child Care Rule 10A NCAC 09 .0713(a)(5)(6) regarding grouping of children • Child Care Rule 10A NCAC 09 .1801(a)(1-5) regarding supervision of children • North Carolina General Statute § 110-91(9) regarding accurate and accessible records Verification is on-going as visits are conducted 2. Within one (1) week after this Notice is received, Cederrina Nealy, administrator, shall contact Leisa Benson, Lead Child Care Consultant, 2201 Mail Service Center, Raleigh, NC 27699-2201, telephone number 919-819-9348, email Leisa.benson@dhhs.ng.gov, to arrange for a child care rules review. Special emphasis shall be placed on violations regarding supervision, staff/child ratios, group sizes and accurate records. All staff members, including administrative, fulltime, part-time, auxiliary, substitute, and volunteer staff, shall participate in this mandatory training. Documentation of the training shall be maintained in the facility files for review by representatives of the Division of Child Development and Early Education upon request. A rules review was conducted with Leisa Benson on January 27, 2025. 3. Within one (1) week after receiving the training, Ms. Nealy shall develop written policies and procedures regarding supervision of children, that describes, in detail, the steps the facility will take to ensure adequate supervision of children. The policies and procedures shall include, but not limited to, the following: • When children are arriving and departing from the facility each day • When children are toileting • When children are on the playground and when entering the building from the playground • When more than one group of children is combined • When children are napping/resting • When staff members need to complete tasks outside the classroom • Procedures for supervisory staff members to visit each classroom and monitor staff members’ implementation of the supervision plan • Procedures to periodically review the supervision plan with all staff members, including the review of the plan in the orientation of new staff members before they assume child care responsibilities • Consequences of staff members’ non-compliance with policies and procedures The policies and procedures shall be submitted to Miriam Byrd, Child Care Consultant, 2201 Mail Service Center, Raleigh, NC, 27699-2200, telephone number 910-709-5985, email Miriam.Byrd@dhhs.nc.gov, for approval. Ms. Byrd shall notify Ms. Nealy, orally and in writing, as to whether the written policies and procedures are approved or if modifications are needed. Once approved, the written policies and procedures shall be immediately implemented and permanently incorporated into the facility’s operating procedures. A copy of the approved policies and procedures shall be maintained in facility files for review by representatives of the Division of Child Development and Early Education upon request. Mrs. Nealy submitted the policies and procedures regarding supervision of children on March 15, 2025. She was informed on March 25, 2025, the policies and procedures meet the stipulations in the CAP. 4. Within two (2) weeks after receiving the training, Ms. Nealy shall develop a written plan that includes a staffing pattern plan which ensures staff/child ratios and group sizes are met throughout the day, but not limited to, the following: • In the classroom, on the playground, and during transition periods, including naptime, meals and snacks, bathroom time, transitioning from one caregiver to another, and when groups of children leave the classroom to go to another location • Plan for informing administration when staff members need to attend to personal care needs or to complete tasks outside the classroom or away from the group • When staff call out and/or the facility is short staffed • Frequent review of the plan with staff members, as well as incorporation in the orientation of new staff members • Consequences for staff members’ non-compliance with the plan The written plan shall be submitted to Ms. Byrd for approval. Ms. Byrd shall notify Ms. Nealy, orally and in writing, as to whether the written plan is approved or if modifications are needed. Once approved, the written plan shall be immediately implemented and permanently incorporated into the facility’s operating procedures. A copy of the approved written plan shall be maintained in facility files for review by representatives of the Division of Child Development and Early Education upon request. Mrs. Nealy submitted a written plan that ensures staff/child ratios and group sizes are met throughout the day on March 15, 2025. She was informed on March 25, 2025, the plan meets the stipulations in the CAP. 5. Within one (1) week after the items in #3 and #4 are completed, Ms. Nealy shall conduct a staff meeting to review the program’s approved policies and procedures and written plan. All staff members, including administrative, full-time, part-time, auxiliary, substitute, and volunteer staff, shall participate in this mandatory meeting. Documentation of the staff meeting shall include an attendance roster with the printed name and signature of each staff member in attendance, the date, time, and length of the meeting, and minutes documenting the information discussed during the meeting. In addition, each staff member must receive a copy of the supervision plan and the discipline policies and procedures and sign and date a copy of each to be kept in the staff member’s file. All documentation shall be maintained in the facility files for review by representatives of the Division of Child Development and Early Education upon request. Mrs. Nealy was informed on March 25, 2025, a staff meeting must be completed by April 1, 2025. A staff meeting was completed on March 28, 2025. 6. Within ninety (90) days after this notice is received, Ms. Nealy shall identify an Administrator for the facility that holds a level I or higher North Carolina Early Childhood Administration Credential or it’s equivalent as determined by the Division of Child Development and Early Education. The Administrator must be on site during operating hours or forty (40) hours per week, whichever is less. In the Administrator’s absence, Ms. Nealy must be on site at the facility during operating hours. Ms. Nealy must submit a schedule of her planned working hours to Ms. Byrd every Friday by email to Miriam.Byrd@dhhs.nc.gov for the following week. You were required to identify a Level I Administrator or it’s equivalent by February 6, 2025. Due to a death in your family and illness, you were given until February 28, 2025, to identify an Administrator for the facility that holds a level I or higher North Carolina Early Childhood Administration Credential or it’s equivalent. On February 26, 2025, you requested an extension for Stipulation #6 as you are currently enrolled in EDU 262 at Fayetteville Technical Community College. You are due to complete the class on May 14, 2025. You were informed on March 4, 2025, in writing, your extension request was granted until June 1, 2025, to submit the necessary transcript and information to the Workforce Unit upon completion of the class to determine if you are qualified as a Level I Administrator or higher. On July 9, 2025, Cedderrina Nealy was qualified as a Level I Administrator. As a reminder, Ms. Nealy must be on site during operating hours or forty (40) hours per week, whichever is less. Since January 25, 2025, Mrs. Nealy has submitted a schedule of her planned working hours every Friday by email for the following week. Please feel free to contact me at 910-709-5985 or Miriam.Byrd@dhhs.nc.gov. You can also contact Janet Edwards, Licensing Supervisor at 910- 709-4160 or janet.edwards@dhhs.nc.gov with any questions or concerns. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

G.S. 110-90 · Violation

Name of Operation: HEAVEN BOUND NEW VISION CHURCH CHILDCARE Facility ID: 78000467 Consultant: MIRIAM BYRD Operation Type: Center Case Number: Visit Date: 9/17/2025 Number Present: 0 Completed Date: 9/17/2025 Age: From 0 To 0 Total Minutes: 85 Time In: 09:50 AM Time Out: 11:15 AM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today's visit was to conduct an Annual Compliance visit to monitor applicable child care requirements during the Probationary Notice of Compliance. The Probationary Notice of Compliance is effective from October 24, 2024, to October 24, 2025, with approval for 42 children on first shift only and ages 0-12 years. Upon my arrival, Ms. Amy Harris, teacher, was at the facility and assisted me with the visit. There were no children present. On September 15, 2025, I contacted Ms. Nealy via telephone to check on the status of enrollment. She let me know that no children were currently enrolled at the facility. August 11, 2025 was the last time children were enrolled and attending. I conducted a walk-through of the indoor and outdoor areas that are used by children. Required posted items were in compliance. The approved spaces are equipped with child appropriate equipment and furnishings. The last fire drill was conducted on August 11, 2025, at 10:00 am. One child and one staff were present during the fire drill. The last shelter in place drill was conducted on August 11, 2025. The last playground inspection was conducted on August 11, 2025. Three violations of child care requirements were observed and documented during today's visit. The computer-generated report was printed at the conclusion of today's and reviewed with Ms. Harris. Violation Number Comment Rule 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. The last date of the annual EMC plan is 12-6-2023. 10A NCAC 09 .0802(a) 1805 A child care operator did not notify the Division of any new child care providers, as defined in G.S. 110-90.2(a)(2), who were hired or moved into the child care facility within five business days. The ABMCS Provider Portal was not completed. G.S. 110-90.2 & .2703(r) 1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. The last documented annual EPR plan was dated 12-6-2023. .0607(e) The violations documented must be corrected immediately. On or before October 2, 2025, I must receive a signed and dated compliance letter that describes accurately and in detail how and when the violations were corrected. You may email or mail the information to: Miriam.Byrd@dhhs.nc.gov or Miriam Byrd/Child Care Consultant, 2201 Mail Service Center, Raleigh, NC 27699-2201 If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Child care licensing requirements were established to ensure a safe and healthy child care environment. Therefore, it is important for you to be knowledgeable of all the licensing requirements that apply to your type of program. It is your responsibility to maintain compliance with all the applicable laws and rules at all times. The best way for you to make sure that you are meeting all requirements is to periodically review the child care law and rules. Make sure you visit the Division of Child Development's website (www.ncchildcare.nc.gov) on a regular basis to find out what's new in childcare. You can also find any needed Child Care forms by going on the web site and clicking on the "Provider" tab and then clicking on the "Provider Documents" tab. You are required to maintain compliance with all applicable child care rules and regulations at all times. NC GS 110- 90(4)(d) requires all child care facilities to maintain a compliance history score of at least 75% for the past 18 months or during the length of time the facility has operated, whichever is less. Failure to do so may result in the issuance of a provisional license or other administrative action. Your current compliance history score is 89% from 3/16/2024 to 9/15/2025. Technical assistance with ways to show verification of documented forms was provided. You can use a master acknowledgement sheet where employees sign and date after completing forms or training. A sample acknowledgement form was left with Ms. Harris. I reminded Ms. Harris of the requirement for completing the ABMCS Provider Portal. I emailed the ABCMS Provider Portal guide to Mrs. Nealy. As stated in NC General Statute 110-90.2 &.2703(r) child care operators are to notify the Division of Child Development and Early Education of any new child care providers working who were hired or moved into the child care facility within five business days. 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 the 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 referenced 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 granted, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ACBMS on an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify DCDEE of new child care providers working who were hired or moved into the child care facility within five business days. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. Based on information obtained prior to today’s visit, Mrs. Nealy has completed the following Stipulations within the Corrective Action Plan of the Probationary Notice of Compliance: 1. The child care operator shall maintain compliance at all times with all applicable child care requirements, including but not limited to, the following: • North Carolina General Statute § 110-91(7) & Child Care Rule 10A NCAC 09 .0713(a) regarding staff/child ratios • North Carolina General Statute § 110-91(7) & Child Care Rule 10A NCAC 09 .0713(a)(5)(6) regarding grouping of children • Child Care Rule 10A NCAC 09 .1801(a)(1-5) regarding supervision of children • North Carolina General Statute § 110-91(9) regarding accurate and accessible records Verification is on-going as visits are conducted 2. Within one (1) week after this Notice is received, Cederrina Nealy, administrator, shall contact Leisa Benson, Lead Child Care Consultant, 2201 Mail Service Center, Raleigh, NC 27699-2201, telephone number 919-819-9348, email Leisa.benson@dhhs.ng.gov, to arrange for a child care rules review. Special emphasis shall be placed on violations regarding supervision, staff/child ratios, group sizes and accurate records. All staff members, including administrative, fulltime, part-time, auxiliary, substitute, and volunteer staff, shall participate in this mandatory training. Documentation of the training shall be maintained in the facility files for review by representatives of the Division of Child Development and Early Education upon request. A rules review was conducted with Leisa Benson on January 27, 2025. 3. Within one (1) week after receiving the training, Ms. Nealy shall develop written policies and procedures regarding supervision of children, that describes, in detail, the steps the facility will take to ensure adequate supervision of children. The policies and procedures shall include, but not limited to, the following: • When children are arriving and departing from the facility each day • When children are toileting • When children are on the playground and when entering the building from the playground • When more than one group of children is combined • When children are napping/resting • When staff members need to complete tasks outside the classroom • Procedures for supervisory staff members to visit each classroom and monitor staff members’ implementation of the supervision plan • Procedures to periodically review the supervision plan with all staff members, including the review of the plan in the orientation of new staff members before they assume child care responsibilities • Consequences of staff members’ non-compliance with policies and procedures The policies and procedures shall be submitted to Miriam Byrd, Child Care Consultant, 2201 Mail Service Center, Raleigh, NC, 27699-2200, telephone number 910-709-5985, email Miriam.Byrd@dhhs.nc.gov, for approval. Ms. Byrd shall notify Ms. Nealy, orally and in writing, as to whether the written policies and procedures are approved or if modifications are needed. Once approved, the written policies and procedures shall be immediately implemented and permanently incorporated into the facility’s operating procedures. A copy of the approved policies and procedures shall be maintained in facility files for review by representatives of the Division of Child Development and Early Education upon request. Mrs. Nealy submitted the policies and procedures regarding supervision of children on March 15, 2025. She was informed on March 25, 2025, the policies and procedures meet the stipulations in the CAP. 4. Within two (2) weeks after receiving the training, Ms. Nealy shall develop a written plan that includes a staffing pattern plan which ensures staff/child ratios and group sizes are met throughout the day, but not limited to, the following: • In the classroom, on the playground, and during transition periods, including naptime, meals and snacks, bathroom time, transitioning from one caregiver to another, and when groups of children leave the classroom to go to another location • Plan for informing administration when staff members need to attend to personal care needs or to complete tasks outside the classroom or away from the group • When staff call out and/or the facility is short staffed • Frequent review of the plan with staff members, as well as incorporation in the orientation of new staff members • Consequences for staff members’ non-compliance with the plan The written plan shall be submitted to Ms. Byrd for approval. Ms. Byrd shall notify Ms. Nealy, orally and in writing, as to whether the written plan is approved or if modifications are needed. Once approved, the written plan shall be immediately implemented and permanently incorporated into the facility’s operating procedures. A copy of the approved written plan shall be maintained in facility files for review by representatives of the Division of Child Development and Early Education upon request. Mrs. Nealy submitted a written plan that ensures staff/child ratios and group sizes are met throughout the day on March 15, 2025. She was informed on March 25, 2025, the plan meets the stipulations in the CAP. 5. Within one (1) week after the items in #3 and #4 are completed, Ms. Nealy shall conduct a staff meeting to review the program’s approved policies and procedures and written plan. All staff members, including administrative, full-time, part-time, auxiliary, substitute, and volunteer staff, shall participate in this mandatory meeting. Documentation of the staff meeting shall include an attendance roster with the printed name and signature of each staff member in attendance, the date, time, and length of the meeting, and minutes documenting the information discussed during the meeting. In addition, each staff member must receive a copy of the supervision plan and the discipline policies and procedures and sign and date a copy of each to be kept in the staff member’s file. All documentation shall be maintained in the facility files for review by representatives of the Division of Child Development and Early Education upon request. Mrs. Nealy was informed on March 25, 2025, a staff meeting must be completed by April 1, 2025. A staff meeting was completed on March 28, 2025. 6. Within ninety (90) days after this notice is received, Ms. Nealy shall identify an Administrator for the facility that holds a level I or higher North Carolina Early Childhood Administration Credential or it’s equivalent as determined by the Division of Child Development and Early Education. The Administrator must be on site during operating hours or forty (40) hours per week, whichever is less. In the Administrator’s absence, Ms. Nealy must be on site at the facility during operating hours. Ms. Nealy must submit a schedule of her planned working hours to Ms. Byrd every Friday by email to Miriam.Byrd@dhhs.nc.gov for the following week. You were required to identify a Level I Administrator or it’s equivalent by February 6, 2025. Due to a death in your family and illness, you were given until February 28, 2025, to identify an Administrator for the facility that holds a level I or higher North Carolina Early Childhood Administration Credential or it’s equivalent. On February 26, 2025, you requested an extension for Stipulation #6 as you are currently enrolled in EDU 262 at Fayetteville Technical Community College. You are due to complete the class on May 14, 2025. You were informed on March 4, 2025, in writing, your extension request was granted until June 1, 2025, to submit the necessary transcript and information to the Workforce Unit upon completion of the class to determine if you are qualified as a Level I Administrator or higher. On July 9, 2025, Cedderrina Nealy was qualified as a Level I Administrator. As a reminder, Ms. Nealy must be on site during operating hours or forty (40) hours per week, whichever is less. Since January 25, 2025, Mrs. Nealy has submitted a schedule of her planned working hours every Friday by email for the following week. Please feel free to contact me at 910-709-5985 or Miriam.Byrd@dhhs.nc.gov. You can also contact Janet Edwards, Licensing Supervisor at 910- 709-4160 or janet.edwards@dhhs.nc.gov with any questions or concerns. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

NC GS 110- 90 · Violation

Name of Operation: HEAVEN BOUND NEW VISION CHURCH CHILDCARE Facility ID: 78000467 Consultant: MIRIAM BYRD Operation Type: Center Case Number: Visit Date: 9/17/2025 Number Present: 0 Completed Date: 9/17/2025 Age: From 0 To 0 Total Minutes: 85 Time In: 09:50 AM Time Out: 11:15 AM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today's visit was to conduct an Annual Compliance visit to monitor applicable child care requirements during the Probationary Notice of Compliance. The Probationary Notice of Compliance is effective from October 24, 2024, to October 24, 2025, with approval for 42 children on first shift only and ages 0-12 years. Upon my arrival, Ms. Amy Harris, teacher, was at the facility and assisted me with the visit. There were no children present. On September 15, 2025, I contacted Ms. Nealy via telephone to check on the status of enrollment. She let me know that no children were currently enrolled at the facility. August 11, 2025 was the last time children were enrolled and attending. I conducted a walk-through of the indoor and outdoor areas that are used by children. Required posted items were in compliance. The approved spaces are equipped with child appropriate equipment and furnishings. The last fire drill was conducted on August 11, 2025, at 10:00 am. One child and one staff were present during the fire drill. The last shelter in place drill was conducted on August 11, 2025. The last playground inspection was conducted on August 11, 2025. Three violations of child care requirements were observed and documented during today's visit. The computer-generated report was printed at the conclusion of today's and reviewed with Ms. Harris. Violation Number Comment Rule 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. The last date of the annual EMC plan is 12-6-2023. 10A NCAC 09 .0802(a) 1805 A child care operator did not notify the Division of any new child care providers, as defined in G.S. 110-90.2(a)(2), who were hired or moved into the child care facility within five business days. The ABMCS Provider Portal was not completed. G.S. 110-90.2 & .2703(r) 1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. The last documented annual EPR plan was dated 12-6-2023. .0607(e) The violations documented must be corrected immediately. On or before October 2, 2025, I must receive a signed and dated compliance letter that describes accurately and in detail how and when the violations were corrected. You may email or mail the information to: Miriam.Byrd@dhhs.nc.gov or Miriam Byrd/Child Care Consultant, 2201 Mail Service Center, Raleigh, NC 27699-2201 If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Child care licensing requirements were established to ensure a safe and healthy child care environment. Therefore, it is important for you to be knowledgeable of all the licensing requirements that apply to your type of program. It is your responsibility to maintain compliance with all the applicable laws and rules at all times. The best way for you to make sure that you are meeting all requirements is to periodically review the child care law and rules. Make sure you visit the Division of Child Development's website (www.ncchildcare.nc.gov) on a regular basis to find out what's new in childcare. You can also find any needed Child Care forms by going on the web site and clicking on the "Provider" tab and then clicking on the "Provider Documents" tab. You are required to maintain compliance with all applicable child care rules and regulations at all times. NC GS 110- 90(4)(d) requires all child care facilities to maintain a compliance history score of at least 75% for the past 18 months or during the length of time the facility has operated, whichever is less. Failure to do so may result in the issuance of a provisional license or other administrative action. Your current compliance history score is 89% from 3/16/2024 to 9/15/2025. Technical assistance with ways to show verification of documented forms was provided. You can use a master acknowledgement sheet where employees sign and date after completing forms or training. A sample acknowledgement form was left with Ms. Harris. I reminded Ms. Harris of the requirement for completing the ABMCS Provider Portal. I emailed the ABCMS Provider Portal guide to Mrs. Nealy. As stated in NC General Statute 110-90.2 &.2703(r) child care operators are to notify the Division of Child Development and Early Education of any new child care providers working who were hired or moved into the child care facility within five business days. 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 the 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 referenced 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 granted, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ACBMS on an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify DCDEE of new child care providers working who were hired or moved into the child care facility within five business days. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. Based on information obtained prior to today’s visit, Mrs. Nealy has completed the following Stipulations within the Corrective Action Plan of the Probationary Notice of Compliance: 1. The child care operator shall maintain compliance at all times with all applicable child care requirements, including but not limited to, the following: • North Carolina General Statute § 110-91(7) & Child Care Rule 10A NCAC 09 .0713(a) regarding staff/child ratios • North Carolina General Statute § 110-91(7) & Child Care Rule 10A NCAC 09 .0713(a)(5)(6) regarding grouping of children • Child Care Rule 10A NCAC 09 .1801(a)(1-5) regarding supervision of children • North Carolina General Statute § 110-91(9) regarding accurate and accessible records Verification is on-going as visits are conducted 2. Within one (1) week after this Notice is received, Cederrina Nealy, administrator, shall contact Leisa Benson, Lead Child Care Consultant, 2201 Mail Service Center, Raleigh, NC 27699-2201, telephone number 919-819-9348, email Leisa.benson@dhhs.ng.gov, to arrange for a child care rules review. Special emphasis shall be placed on violations regarding supervision, staff/child ratios, group sizes and accurate records. All staff members, including administrative, fulltime, part-time, auxiliary, substitute, and volunteer staff, shall participate in this mandatory training. Documentation of the training shall be maintained in the facility files for review by representatives of the Division of Child Development and Early Education upon request. A rules review was conducted with Leisa Benson on January 27, 2025. 3. Within one (1) week after receiving the training, Ms. Nealy shall develop written policies and procedures regarding supervision of children, that describes, in detail, the steps the facility will take to ensure adequate supervision of children. The policies and procedures shall include, but not limited to, the following: • When children are arriving and departing from the facility each day • When children are toileting • When children are on the playground and when entering the building from the playground • When more than one group of children is combined • When children are napping/resting • When staff members need to complete tasks outside the classroom • Procedures for supervisory staff members to visit each classroom and monitor staff members’ implementation of the supervision plan • Procedures to periodically review the supervision plan with all staff members, including the review of the plan in the orientation of new staff members before they assume child care responsibilities • Consequences of staff members’ non-compliance with policies and procedures The policies and procedures shall be submitted to Miriam Byrd, Child Care Consultant, 2201 Mail Service Center, Raleigh, NC, 27699-2200, telephone number 910-709-5985, email Miriam.Byrd@dhhs.nc.gov, for approval. Ms. Byrd shall notify Ms. Nealy, orally and in writing, as to whether the written policies and procedures are approved or if modifications are needed. Once approved, the written policies and procedures shall be immediately implemented and permanently incorporated into the facility’s operating procedures. A copy of the approved policies and procedures shall be maintained in facility files for review by representatives of the Division of Child Development and Early Education upon request. Mrs. Nealy submitted the policies and procedures regarding supervision of children on March 15, 2025. She was informed on March 25, 2025, the policies and procedures meet the stipulations in the CAP. 4. Within two (2) weeks after receiving the training, Ms. Nealy shall develop a written plan that includes a staffing pattern plan which ensures staff/child ratios and group sizes are met throughout the day, but not limited to, the following: • In the classroom, on the playground, and during transition periods, including naptime, meals and snacks, bathroom time, transitioning from one caregiver to another, and when groups of children leave the classroom to go to another location • Plan for informing administration when staff members need to attend to personal care needs or to complete tasks outside the classroom or away from the group • When staff call out and/or the facility is short staffed • Frequent review of the plan with staff members, as well as incorporation in the orientation of new staff members • Consequences for staff members’ non-compliance with the plan The written plan shall be submitted to Ms. Byrd for approval. Ms. Byrd shall notify Ms. Nealy, orally and in writing, as to whether the written plan is approved or if modifications are needed. Once approved, the written plan shall be immediately implemented and permanently incorporated into the facility’s operating procedures. A copy of the approved written plan shall be maintained in facility files for review by representatives of the Division of Child Development and Early Education upon request. Mrs. Nealy submitted a written plan that ensures staff/child ratios and group sizes are met throughout the day on March 15, 2025. She was informed on March 25, 2025, the plan meets the stipulations in the CAP. 5. Within one (1) week after the items in #3 and #4 are completed, Ms. Nealy shall conduct a staff meeting to review the program’s approved policies and procedures and written plan. All staff members, including administrative, full-time, part-time, auxiliary, substitute, and volunteer staff, shall participate in this mandatory meeting. Documentation of the staff meeting shall include an attendance roster with the printed name and signature of each staff member in attendance, the date, time, and length of the meeting, and minutes documenting the information discussed during the meeting. In addition, each staff member must receive a copy of the supervision plan and the discipline policies and procedures and sign and date a copy of each to be kept in the staff member’s file. All documentation shall be maintained in the facility files for review by representatives of the Division of Child Development and Early Education upon request. Mrs. Nealy was informed on March 25, 2025, a staff meeting must be completed by April 1, 2025. A staff meeting was completed on March 28, 2025. 6. Within ninety (90) days after this notice is received, Ms. Nealy shall identify an Administrator for the facility that holds a level I or higher North Carolina Early Childhood Administration Credential or it’s equivalent as determined by the Division of Child Development and Early Education. The Administrator must be on site during operating hours or forty (40) hours per week, whichever is less. In the Administrator’s absence, Ms. Nealy must be on site at the facility during operating hours. Ms. Nealy must submit a schedule of her planned working hours to Ms. Byrd every Friday by email to Miriam.Byrd@dhhs.nc.gov for the following week. You were required to identify a Level I Administrator or it’s equivalent by February 6, 2025. Due to a death in your family and illness, you were given until February 28, 2025, to identify an Administrator for the facility that holds a level I or higher North Carolina Early Childhood Administration Credential or it’s equivalent. On February 26, 2025, you requested an extension for Stipulation #6 as you are currently enrolled in EDU 262 at Fayetteville Technical Community College. You are due to complete the class on May 14, 2025. You were informed on March 4, 2025, in writing, your extension request was granted until June 1, 2025, to submit the necessary transcript and information to the Workforce Unit upon completion of the class to determine if you are qualified as a Level I Administrator or higher. On July 9, 2025, Cedderrina Nealy was qualified as a Level I Administrator. As a reminder, Ms. Nealy must be on site during operating hours or forty (40) hours per week, whichever is less. Since January 25, 2025, Mrs. Nealy has submitted a schedule of her planned working hours every Friday by email for the following week. Please feel free to contact me at 910-709-5985 or Miriam.Byrd@dhhs.nc.gov. You can also contact Janet Edwards, Licensing Supervisor at 910- 709-4160 or janet.edwards@dhhs.nc.gov with any questions or concerns. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0604 · Violation

Name of Operation: HEAVEN BOUND NEW VISION CHURCH CHILDCARE Facility ID: 78000467 Consultant: MIRIAM BYRD Operation Type: Center Case Number: Visit Date: 1/15/2025 Number Present: 0 Completed Date: 1/15/2025 Age: From 0 To 0 Total Minutes: 150 Time In: 10:00 AM Time Out: 12:30 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 monitor compliance with applicable childcare requirements pertinent to an annual compliance visit. The Annual Compliance Monitoring Checklist for Child Care Centers was used today to note requirements that were monitored. The program was issued a Probationary Notice of Compliance October 24, 2024 to October 24, 2025 with approval for a capacity of 42 children on first shift only and ages 0-12 years. Mrs. Cedderina Nealy, Administrator, was present during today’s visit. Janet Edwards, Licensing Supervisor, accompanied me during today’s visit. A walk-through was conducted of the indoor and outdoor areas. No children are currently enrolled or attending child care. We explained that you could have started providing care at any time once you received the Probationary Notice of Compliance. The Probationary Notice of Compliance has been active since October 24, 2024, however, you stated you have not had children in care since June 1, 2024. The last sanitation inspection was conducted on November 3, 2023 with 0 demerits and a Superior rating. A current sanitation inspection has not been completed as of today. The last fire inspection was conducted on October 26, 2023. A current fire inspection has not been completed as of today. The Emergency Drill log was reviewed during today’s visit. Two staff records were reviewed during today’s visit. There were nine (9) violations of child care requirements observed and documented during the visit. Each were thoroughly reviewed with Mrs. Nealy. Computer-generated report was printed at the conclusion of today's visit. Violation Number Comment Rule 104 Center has not passed required sanitation inspection and received an approved or superior rating. The last sanitation inspection was completed on November 3, 2023. 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. The last fire inspection was completed on October 26, 2024. 10A NCAC 09 .0304(a) 714 Openings in equipment, steps, decks, handrails, and fencing were not less than 3 1/2 inches or greater than 9 inches. The gap in the HVAC gate measured 4 1/2 inches. .0605(g) 716 All stationary equipment, more than 18 inches high, was not installed over protective surfacing. The climber with slide was not installed over protective surfacing. .0605(j) 721 All equipment and furnishings were not in good repair. There were no tires on the big wheel riding toy on the playground and a tricycle was cracked. G.S. 110-91(6); .0601(b) 805 Fire drills were not practiced monthly and/or the drill record was incomplete. There was no documentation of a fire drill completed for the month of May 2024. .0604(t); .0302(d)(5) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. An outlet was missing a protective cover in the space used by infants as well as in the women's dressing room of the bathroom. 10A NCAC 09 .0604(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. CPR certification for the director expired December 2024. .1102(d) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. One staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. .1102(g) The violation(s) must be corrected immediately. A signed and dated compliance letter must be received by January 29, 2025, describing how the violations were corrected. You can email the compliance letter to: Miriam.Byrd@dhhs.nc.gov or mail to: Miriam Byrd Child Care Consultant 2201 Mail Service Center Raleigh, NC 27699-2200 Miriam.Byrd@dhhs.nc.gov If you state in your letter that corrections have been made when they have not, this will be considered falsification of information. If you cannot meet the requirements by this date, you must contact me with a purposed timeline of the corrections. In some cases, this timeline may be extended. You are required to maintain compliance with all applicable child care rules and regulations at all times. NC GS 110- 90(4)(d) requires all child care facilities to maintain a compliance history score of at least 75% for the past 18 months or during the length of time the facility has operated, whichever is less. Failure to do so may result in the issuance of an administrative action. Child care licensing requirements were established to ensure a safe and healthy child care environment. Therefore, it is important for you to be knowledgeable of all the licensing requirements that apply to your type of program. It is your responsibility to maintain compliance with all the applicable laws and rules at all times. The best way for you to make sure that you are meeting all requirements is to periodically review the child care law and rules. I explained that you have access to the on-line version of the Child Care Rule Book, as well as a hard copy of the rules. I recommended that you visit the Division of Child Development's website (www.ncchildcare.nc.gov) on a regular basis to find out what's new in childcare. You could also find any needed Child Care forms by going on the web site and clicking on the "Provider" tab and then clicking on the "Provider Documents" tab. The Corrective Action Plan of the Probationary Notice of Compliance was reviewed thoroughly with Mrs. Nealy on November 25, 2024 and during today’s visit. Mrs. Nealy was given the opportunity to ask questions regarding each item. 1. The child care operator shall maintain compliance at all times with all applicable child care requirements, including but not limited to, the following: • North Carolina General Statute § 110-91(7) & Child Care Rule 10A NCAC 09 .0713(a) regarding staff/child ratios • North Carolina General Statute § 110-91(7) & Child Care Rule 10A NCAC 09 .0713(a)(5)(6) regarding grouping of children • Child Care Rule 10A NCAC 09 .1801(a)(1-5) regarding supervision of children • North Carolina General Statute § 110-91(9) regarding accurate and accessible records There were violations cited during today's visit in regards to safety, program records, and staff training. 2. Within one (1) week after this Notice is received, Cederrina Nealy, administrator, shall contact Leisa Benson, Lead Child Care Consultant, 2201 Mail Service Center, Raleigh, NC 27699-2201, telephone number 919-819-9348, email Leisa.benson@dhhs.ng.gov, to arrange for a child care rules review. Special emphasis shall be placed on violations regarding supervision, staff/child ratios, group sizes and accurate records. All staff members, including administrative, full-time, part-time, auxiliary, substitute, and volunteer staff, shall participate in this mandatory training. Documentation of the training shall be maintained in the facility files for review by representatives of the Division of Child Development and Early Education upon request. A rules review has been scheduled with Leisa Benson on January 23, 2024 at 12:30 PM. 3. Within one (1) week after receiving the training, Ms. Nealy shall develop written policies and procedures regarding supervision of children, that describes, in detail, the steps the facility will take to ensure adequate supervision of children. The policies and procedures shall include, but not limited to, the following: • When children are arriving and departing from the facility each day • When children are toileting • When children are on the playground and when entering the building from the playground • When more than one group of children is combined • When children are napping/resting • When staff members need to complete tasks outside the classroom • Procedures for supervisory staff members to visit each classroom and monitor staff members’ implementation of the supervision plan • Procedures to periodically review the supervision plan with all staff members, including the review of the plan in the orientation of new staff members before they assume child care responsibilities • Consequences of staff members’ non-compliance with policies and procedures The policies and procedures shall be submitted to Miriam Byrd, Child Care Consultant, 2201 Mail Service Center, Raleigh, NC, 27699-2200, telephone number 910-709-5985, email Miriam.Byrd@dhhs.nc.gov, for approval. Ms. Byrd shall notify Ms. Nealy, orally and in writing, as to whether the written policies and procedures are approved or if modifications are needed. Once approved, the written policies and procedures shall be immediately implemented and permanently incorporated into the facility’s operating procedures. A copy of the approved policies and procedures shall be maintained in facility files for review by representatives of the Division of Child Development and Early Education upon request. By January 30, 2025 you will need to submit the policies and procedures regarding supervision of children. 4. Within two (2) weeks after receiving the training, Ms. Nealy shall develop a written plan that includes a staffing pattern plan which ensures staff/child ratios and group sizes are met throughout the day including, but not limited to, the following: • In the classroom, on the playground, and during transition periods, including naptime, meals and snacks, bathroom time, transitioning from one caregiver to another, and when groups of children leave the classroom to go to another location • Plan for informing administration when staff members need to attend to personal care needs or to complete tasks outside the classroom or away from the group • When staff call out and/or the facility is short staffed • Frequent review of the plan with staff members, as well as incorporation in the orientation of new staff members • Consequences for staff members’ non-compliance with the plan By February 6, 2025, you will need to submit the written plan that includes a staffing pattern plan. The written plan shall be submitted to Ms. Byrd for approval. Ms. Byrd shall notify Ms. Nealy, orally and in writing, as to whether the written plan is approved or if modifications are needed. Once approved, the written plan shall be immediately implemented and permanently incorporated into the facility’s operating procedures. A copy of the approved written plan shall be maintained in facility files for review by representatives of the Division of Child Development and Early Education upon request. Mrs. Nealy submitted a Staffing Pattern Plan on December 9, 2024. A review was completed and I informed Ms. Nealy via email on December 11, 2024 and orally on December 16, 2024 regarding corrections that were needed. 5. Within one (1) week after the items in #3 and #4 are completed, Ms. Nealy shall conduct a staff meeting to review the program’s approved policies and procedures and written plan. All staff members, including administrative, full-time, part-time, auxiliary, substitute, and volunteer staff, shall participate in this mandatory meeting. Documentation of the staff meeting shall include an attendance roster with the printed name and signature of each staff member in attendance, the date, time, and length of the meeting, and minutes documenting the information discussed during the meeting. In addition, each staff member must receive a copy of the supervision plan and the discipline policies and procedures and sign and date a copy of each to be kept in the staff member’s file. All documentation shall be maintained in the facility files for review by representatives of the Division of Child Development and Early Education upon request. Once your policies and procedures have been approved you will need to conduct a staff meeting within one week. 6. Within ninety (90) days after this notice is received, Ms. Nealy shall identify an Administrator for the facility that holds a level I or higher North Carolina Early Childhood Administration Credential or it’s equivalent as determined by the Division of Child Development and Early Education. The Administrator must be on site during operating hours or forty (40) hours per week, whichever is less. In the Administrator’s absence, Ms. Nealy must be on site at the facility during operating hours. Ms. Nealy must submit a schedule of her planned working hours to Ms. Byrd every Friday by email to Miriam.Byrd@dhhs.nc.gov for the following week. You received the notice on November 6, 2024, therefore, by February 6, 2025 you shall identify an Administrator that holds a Level 1 or higher North Carolina Early Childhood Administration Credential or it's equivalent. During today's visit you stated that you currently do not have anyone identified with a Level 1 North Carolina Early Childhood Administration Credential. We gave you a form that outlined the requirements to be considered a Level 1 Administrator. A Pre-Service for Administrator form was left with you during today's visit that will need to be completed by February 6, 2025 identifying who the Administrator will be for the facility. In addition, starting on February 7, 2025 you must email me every Friday with you schedule of when you will be working at the facility for the upcoming week. Keep in mind that the Administrator must work at least 40 hours a week or during operating hours, whichever is less. You are required to be at the facility whenever the identified Administrator is not. Failure to meet all of the stipulations as outlined in the Corrective Action Plan may result in a more stringent action, up to and including, an order to cease operation. Regular monitoring visits will be conducted at the facility. Please notify me via email of any days that the facility is closed or not operating. The following was discussed with you during today's visit: 1. Ms. Amy Harris, staff member needs to complete the Administration to Medication training via MOODLE to complete the Health and Safety Training requirements. 2. Be sure to keep limbs and leaves to a minimum in the playground area. 3. The Safe Sleep Policy/poster must be posted in the space used by children less than 12 months of age. You can find the Safe Sleep Poster via https://healthychild-care.unc.edu/. As you currently do not have infants enrolled, this was not cited as a violation. 4. You were given the information regarding submitting your transcripts to the WORKS Unit of the Division of Child Development and Early Education website. Make sure to select DCDEE WORKS. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0304 · Violation

Name of Operation: HEAVEN BOUND NEW VISION CHURCH CHILDCARE Facility ID: 78000467 Consultant: MIRIAM BYRD Operation Type: Center Case Number: Visit Date: 1/15/2025 Number Present: 0 Completed Date: 1/15/2025 Age: From 0 To 0 Total Minutes: 150 Time In: 10:00 AM Time Out: 12:30 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 monitor compliance with applicable childcare requirements pertinent to an annual compliance visit. The Annual Compliance Monitoring Checklist for Child Care Centers was used today to note requirements that were monitored. The program was issued a Probationary Notice of Compliance October 24, 2024 to October 24, 2025 with approval for a capacity of 42 children on first shift only and ages 0-12 years. Mrs. Cedderina Nealy, Administrator, was present during today’s visit. Janet Edwards, Licensing Supervisor, accompanied me during today’s visit. A walk-through was conducted of the indoor and outdoor areas. No children are currently enrolled or attending child care. We explained that you could have started providing care at any time once you received the Probationary Notice of Compliance. The Probationary Notice of Compliance has been active since October 24, 2024, however, you stated you have not had children in care since June 1, 2024. The last sanitation inspection was conducted on November 3, 2023 with 0 demerits and a Superior rating. A current sanitation inspection has not been completed as of today. The last fire inspection was conducted on October 26, 2023. A current fire inspection has not been completed as of today. The Emergency Drill log was reviewed during today’s visit. Two staff records were reviewed during today’s visit. There were nine (9) violations of child care requirements observed and documented during the visit. Each were thoroughly reviewed with Mrs. Nealy. Computer-generated report was printed at the conclusion of today's visit. Violation Number Comment Rule 104 Center has not passed required sanitation inspection and received an approved or superior rating. The last sanitation inspection was completed on November 3, 2023. 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. The last fire inspection was completed on October 26, 2024. 10A NCAC 09 .0304(a) 714 Openings in equipment, steps, decks, handrails, and fencing were not less than 3 1/2 inches or greater than 9 inches. The gap in the HVAC gate measured 4 1/2 inches. .0605(g) 716 All stationary equipment, more than 18 inches high, was not installed over protective surfacing. The climber with slide was not installed over protective surfacing. .0605(j) 721 All equipment and furnishings were not in good repair. There were no tires on the big wheel riding toy on the playground and a tricycle was cracked. G.S. 110-91(6); .0601(b) 805 Fire drills were not practiced monthly and/or the drill record was incomplete. There was no documentation of a fire drill completed for the month of May 2024. .0604(t); .0302(d)(5) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. An outlet was missing a protective cover in the space used by infants as well as in the women's dressing room of the bathroom. 10A NCAC 09 .0604(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. CPR certification for the director expired December 2024. .1102(d) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. One staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. .1102(g) The violation(s) must be corrected immediately. A signed and dated compliance letter must be received by January 29, 2025, describing how the violations were corrected. You can email the compliance letter to: Miriam.Byrd@dhhs.nc.gov or mail to: Miriam Byrd Child Care Consultant 2201 Mail Service Center Raleigh, NC 27699-2200 Miriam.Byrd@dhhs.nc.gov If you state in your letter that corrections have been made when they have not, this will be considered falsification of information. If you cannot meet the requirements by this date, you must contact me with a purposed timeline of the corrections. In some cases, this timeline may be extended. You are required to maintain compliance with all applicable child care rules and regulations at all times. NC GS 110- 90(4)(d) requires all child care facilities to maintain a compliance history score of at least 75% for the past 18 months or during the length of time the facility has operated, whichever is less. Failure to do so may result in the issuance of an administrative action. Child care licensing requirements were established to ensure a safe and healthy child care environment. Therefore, it is important for you to be knowledgeable of all the licensing requirements that apply to your type of program. It is your responsibility to maintain compliance with all the applicable laws and rules at all times. The best way for you to make sure that you are meeting all requirements is to periodically review the child care law and rules. I explained that you have access to the on-line version of the Child Care Rule Book, as well as a hard copy of the rules. I recommended that you visit the Division of Child Development's website (www.ncchildcare.nc.gov) on a regular basis to find out what's new in childcare. You could also find any needed Child Care forms by going on the web site and clicking on the "Provider" tab and then clicking on the "Provider Documents" tab. The Corrective Action Plan of the Probationary Notice of Compliance was reviewed thoroughly with Mrs. Nealy on November 25, 2024 and during today’s visit. Mrs. Nealy was given the opportunity to ask questions regarding each item. 1. The child care operator shall maintain compliance at all times with all applicable child care requirements, including but not limited to, the following: • North Carolina General Statute § 110-91(7) & Child Care Rule 10A NCAC 09 .0713(a) regarding staff/child ratios • North Carolina General Statute § 110-91(7) & Child Care Rule 10A NCAC 09 .0713(a)(5)(6) regarding grouping of children • Child Care Rule 10A NCAC 09 .1801(a)(1-5) regarding supervision of children • North Carolina General Statute § 110-91(9) regarding accurate and accessible records There were violations cited during today's visit in regards to safety, program records, and staff training. 2. Within one (1) week after this Notice is received, Cederrina Nealy, administrator, shall contact Leisa Benson, Lead Child Care Consultant, 2201 Mail Service Center, Raleigh, NC 27699-2201, telephone number 919-819-9348, email Leisa.benson@dhhs.ng.gov, to arrange for a child care rules review. Special emphasis shall be placed on violations regarding supervision, staff/child ratios, group sizes and accurate records. All staff members, including administrative, full-time, part-time, auxiliary, substitute, and volunteer staff, shall participate in this mandatory training. Documentation of the training shall be maintained in the facility files for review by representatives of the Division of Child Development and Early Education upon request. A rules review has been scheduled with Leisa Benson on January 23, 2024 at 12:30 PM. 3. Within one (1) week after receiving the training, Ms. Nealy shall develop written policies and procedures regarding supervision of children, that describes, in detail, the steps the facility will take to ensure adequate supervision of children. The policies and procedures shall include, but not limited to, the following: • When children are arriving and departing from the facility each day • When children are toileting • When children are on the playground and when entering the building from the playground • When more than one group of children is combined • When children are napping/resting • When staff members need to complete tasks outside the classroom • Procedures for supervisory staff members to visit each classroom and monitor staff members’ implementation of the supervision plan • Procedures to periodically review the supervision plan with all staff members, including the review of the plan in the orientation of new staff members before they assume child care responsibilities • Consequences of staff members’ non-compliance with policies and procedures The policies and procedures shall be submitted to Miriam Byrd, Child Care Consultant, 2201 Mail Service Center, Raleigh, NC, 27699-2200, telephone number 910-709-5985, email Miriam.Byrd@dhhs.nc.gov, for approval. Ms. Byrd shall notify Ms. Nealy, orally and in writing, as to whether the written policies and procedures are approved or if modifications are needed. Once approved, the written policies and procedures shall be immediately implemented and permanently incorporated into the facility’s operating procedures. A copy of the approved policies and procedures shall be maintained in facility files for review by representatives of the Division of Child Development and Early Education upon request. By January 30, 2025 you will need to submit the policies and procedures regarding supervision of children. 4. Within two (2) weeks after receiving the training, Ms. Nealy shall develop a written plan that includes a staffing pattern plan which ensures staff/child ratios and group sizes are met throughout the day including, but not limited to, the following: • In the classroom, on the playground, and during transition periods, including naptime, meals and snacks, bathroom time, transitioning from one caregiver to another, and when groups of children leave the classroom to go to another location • Plan for informing administration when staff members need to attend to personal care needs or to complete tasks outside the classroom or away from the group • When staff call out and/or the facility is short staffed • Frequent review of the plan with staff members, as well as incorporation in the orientation of new staff members • Consequences for staff members’ non-compliance with the plan By February 6, 2025, you will need to submit the written plan that includes a staffing pattern plan. The written plan shall be submitted to Ms. Byrd for approval. Ms. Byrd shall notify Ms. Nealy, orally and in writing, as to whether the written plan is approved or if modifications are needed. Once approved, the written plan shall be immediately implemented and permanently incorporated into the facility’s operating procedures. A copy of the approved written plan shall be maintained in facility files for review by representatives of the Division of Child Development and Early Education upon request. Mrs. Nealy submitted a Staffing Pattern Plan on December 9, 2024. A review was completed and I informed Ms. Nealy via email on December 11, 2024 and orally on December 16, 2024 regarding corrections that were needed. 5. Within one (1) week after the items in #3 and #4 are completed, Ms. Nealy shall conduct a staff meeting to review the program’s approved policies and procedures and written plan. All staff members, including administrative, full-time, part-time, auxiliary, substitute, and volunteer staff, shall participate in this mandatory meeting. Documentation of the staff meeting shall include an attendance roster with the printed name and signature of each staff member in attendance, the date, time, and length of the meeting, and minutes documenting the information discussed during the meeting. In addition, each staff member must receive a copy of the supervision plan and the discipline policies and procedures and sign and date a copy of each to be kept in the staff member’s file. All documentation shall be maintained in the facility files for review by representatives of the Division of Child Development and Early Education upon request. Once your policies and procedures have been approved you will need to conduct a staff meeting within one week. 6. Within ninety (90) days after this notice is received, Ms. Nealy shall identify an Administrator for the facility that holds a level I or higher North Carolina Early Childhood Administration Credential or it’s equivalent as determined by the Division of Child Development and Early Education. The Administrator must be on site during operating hours or forty (40) hours per week, whichever is less. In the Administrator’s absence, Ms. Nealy must be on site at the facility during operating hours. Ms. Nealy must submit a schedule of her planned working hours to Ms. Byrd every Friday by email to Miriam.Byrd@dhhs.nc.gov for the following week. You received the notice on November 6, 2024, therefore, by February 6, 2025 you shall identify an Administrator that holds a Level 1 or higher North Carolina Early Childhood Administration Credential or it's equivalent. During today's visit you stated that you currently do not have anyone identified with a Level 1 North Carolina Early Childhood Administration Credential. We gave you a form that outlined the requirements to be considered a Level 1 Administrator. A Pre-Service for Administrator form was left with you during today's visit that will need to be completed by February 6, 2025 identifying who the Administrator will be for the facility. In addition, starting on February 7, 2025 you must email me every Friday with you schedule of when you will be working at the facility for the upcoming week. Keep in mind that the Administrator must work at least 40 hours a week or during operating hours, whichever is less. You are required to be at the facility whenever the identified Administrator is not. Failure to meet all of the stipulations as outlined in the Corrective Action Plan may result in a more stringent action, up to and including, an order to cease operation. Regular monitoring visits will be conducted at the facility. Please notify me via email of any days that the facility is closed or not operating. The following was discussed with you during today's visit: 1. Ms. Amy Harris, staff member needs to complete the Administration to Medication training via MOODLE to complete the Health and Safety Training requirements. 2. Be sure to keep limbs and leaves to a minimum in the playground area. 3. The Safe Sleep Policy/poster must be posted in the space used by children less than 12 months of age. You can find the Safe Sleep Poster via https://healthychild-care.unc.edu/. As you currently do not have infants enrolled, this was not cited as a violation. 4. You were given the information regarding submitting your transcripts to the WORKS Unit of the Division of Child Development and Early Education website. Make sure to select DCDEE WORKS. 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 .0713 · Violation

Name of Operation: HEAVEN BOUND NEW VISION CHURCH CHILDCARE Facility ID: 78000467 Consultant: MIRIAM BYRD Operation Type: Center Case Number: Visit Date: 1/15/2025 Number Present: 0 Completed Date: 1/15/2025 Age: From 0 To 0 Total Minutes: 150 Time In: 10:00 AM Time Out: 12:30 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 monitor compliance with applicable childcare requirements pertinent to an annual compliance visit. The Annual Compliance Monitoring Checklist for Child Care Centers was used today to note requirements that were monitored. The program was issued a Probationary Notice of Compliance October 24, 2024 to October 24, 2025 with approval for a capacity of 42 children on first shift only and ages 0-12 years. Mrs. Cedderina Nealy, Administrator, was present during today’s visit. Janet Edwards, Licensing Supervisor, accompanied me during today’s visit. A walk-through was conducted of the indoor and outdoor areas. No children are currently enrolled or attending child care. We explained that you could have started providing care at any time once you received the Probationary Notice of Compliance. The Probationary Notice of Compliance has been active since October 24, 2024, however, you stated you have not had children in care since June 1, 2024. The last sanitation inspection was conducted on November 3, 2023 with 0 demerits and a Superior rating. A current sanitation inspection has not been completed as of today. The last fire inspection was conducted on October 26, 2023. A current fire inspection has not been completed as of today. The Emergency Drill log was reviewed during today’s visit. Two staff records were reviewed during today’s visit. There were nine (9) violations of child care requirements observed and documented during the visit. Each were thoroughly reviewed with Mrs. Nealy. Computer-generated report was printed at the conclusion of today's visit. Violation Number Comment Rule 104 Center has not passed required sanitation inspection and received an approved or superior rating. The last sanitation inspection was completed on November 3, 2023. 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. The last fire inspection was completed on October 26, 2024. 10A NCAC 09 .0304(a) 714 Openings in equipment, steps, decks, handrails, and fencing were not less than 3 1/2 inches or greater than 9 inches. The gap in the HVAC gate measured 4 1/2 inches. .0605(g) 716 All stationary equipment, more than 18 inches high, was not installed over protective surfacing. The climber with slide was not installed over protective surfacing. .0605(j) 721 All equipment and furnishings were not in good repair. There were no tires on the big wheel riding toy on the playground and a tricycle was cracked. G.S. 110-91(6); .0601(b) 805 Fire drills were not practiced monthly and/or the drill record was incomplete. There was no documentation of a fire drill completed for the month of May 2024. .0604(t); .0302(d)(5) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. An outlet was missing a protective cover in the space used by infants as well as in the women's dressing room of the bathroom. 10A NCAC 09 .0604(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. CPR certification for the director expired December 2024. .1102(d) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. One staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. .1102(g) The violation(s) must be corrected immediately. A signed and dated compliance letter must be received by January 29, 2025, describing how the violations were corrected. You can email the compliance letter to: Miriam.Byrd@dhhs.nc.gov or mail to: Miriam Byrd Child Care Consultant 2201 Mail Service Center Raleigh, NC 27699-2200 Miriam.Byrd@dhhs.nc.gov If you state in your letter that corrections have been made when they have not, this will be considered falsification of information. If you cannot meet the requirements by this date, you must contact me with a purposed timeline of the corrections. In some cases, this timeline may be extended. You are required to maintain compliance with all applicable child care rules and regulations at all times. NC GS 110- 90(4)(d) requires all child care facilities to maintain a compliance history score of at least 75% for the past 18 months or during the length of time the facility has operated, whichever is less. Failure to do so may result in the issuance of an administrative action. Child care licensing requirements were established to ensure a safe and healthy child care environment. Therefore, it is important for you to be knowledgeable of all the licensing requirements that apply to your type of program. It is your responsibility to maintain compliance with all the applicable laws and rules at all times. The best way for you to make sure that you are meeting all requirements is to periodically review the child care law and rules. I explained that you have access to the on-line version of the Child Care Rule Book, as well as a hard copy of the rules. I recommended that you visit the Division of Child Development's website (www.ncchildcare.nc.gov) on a regular basis to find out what's new in childcare. You could also find any needed Child Care forms by going on the web site and clicking on the "Provider" tab and then clicking on the "Provider Documents" tab. The Corrective Action Plan of the Probationary Notice of Compliance was reviewed thoroughly with Mrs. Nealy on November 25, 2024 and during today’s visit. Mrs. Nealy was given the opportunity to ask questions regarding each item. 1. The child care operator shall maintain compliance at all times with all applicable child care requirements, including but not limited to, the following: • North Carolina General Statute § 110-91(7) & Child Care Rule 10A NCAC 09 .0713(a) regarding staff/child ratios • North Carolina General Statute § 110-91(7) & Child Care Rule 10A NCAC 09 .0713(a)(5)(6) regarding grouping of children • Child Care Rule 10A NCAC 09 .1801(a)(1-5) regarding supervision of children • North Carolina General Statute § 110-91(9) regarding accurate and accessible records There were violations cited during today's visit in regards to safety, program records, and staff training. 2. Within one (1) week after this Notice is received, Cederrina Nealy, administrator, shall contact Leisa Benson, Lead Child Care Consultant, 2201 Mail Service Center, Raleigh, NC 27699-2201, telephone number 919-819-9348, email Leisa.benson@dhhs.ng.gov, to arrange for a child care rules review. Special emphasis shall be placed on violations regarding supervision, staff/child ratios, group sizes and accurate records. All staff members, including administrative, full-time, part-time, auxiliary, substitute, and volunteer staff, shall participate in this mandatory training. Documentation of the training shall be maintained in the facility files for review by representatives of the Division of Child Development and Early Education upon request. A rules review has been scheduled with Leisa Benson on January 23, 2024 at 12:30 PM. 3. Within one (1) week after receiving the training, Ms. Nealy shall develop written policies and procedures regarding supervision of children, that describes, in detail, the steps the facility will take to ensure adequate supervision of children. The policies and procedures shall include, but not limited to, the following: • When children are arriving and departing from the facility each day • When children are toileting • When children are on the playground and when entering the building from the playground • When more than one group of children is combined • When children are napping/resting • When staff members need to complete tasks outside the classroom • Procedures for supervisory staff members to visit each classroom and monitor staff members’ implementation of the supervision plan • Procedures to periodically review the supervision plan with all staff members, including the review of the plan in the orientation of new staff members before they assume child care responsibilities • Consequences of staff members’ non-compliance with policies and procedures The policies and procedures shall be submitted to Miriam Byrd, Child Care Consultant, 2201 Mail Service Center, Raleigh, NC, 27699-2200, telephone number 910-709-5985, email Miriam.Byrd@dhhs.nc.gov, for approval. Ms. Byrd shall notify Ms. Nealy, orally and in writing, as to whether the written policies and procedures are approved or if modifications are needed. Once approved, the written policies and procedures shall be immediately implemented and permanently incorporated into the facility’s operating procedures. A copy of the approved policies and procedures shall be maintained in facility files for review by representatives of the Division of Child Development and Early Education upon request. By January 30, 2025 you will need to submit the policies and procedures regarding supervision of children. 4. Within two (2) weeks after receiving the training, Ms. Nealy shall develop a written plan that includes a staffing pattern plan which ensures staff/child ratios and group sizes are met throughout the day including, but not limited to, the following: • In the classroom, on the playground, and during transition periods, including naptime, meals and snacks, bathroom time, transitioning from one caregiver to another, and when groups of children leave the classroom to go to another location • Plan for informing administration when staff members need to attend to personal care needs or to complete tasks outside the classroom or away from the group • When staff call out and/or the facility is short staffed • Frequent review of the plan with staff members, as well as incorporation in the orientation of new staff members • Consequences for staff members’ non-compliance with the plan By February 6, 2025, you will need to submit the written plan that includes a staffing pattern plan. The written plan shall be submitted to Ms. Byrd for approval. Ms. Byrd shall notify Ms. Nealy, orally and in writing, as to whether the written plan is approved or if modifications are needed. Once approved, the written plan shall be immediately implemented and permanently incorporated into the facility’s operating procedures. A copy of the approved written plan shall be maintained in facility files for review by representatives of the Division of Child Development and Early Education upon request. Mrs. Nealy submitted a Staffing Pattern Plan on December 9, 2024. A review was completed and I informed Ms. Nealy via email on December 11, 2024 and orally on December 16, 2024 regarding corrections that were needed. 5. Within one (1) week after the items in #3 and #4 are completed, Ms. Nealy shall conduct a staff meeting to review the program’s approved policies and procedures and written plan. All staff members, including administrative, full-time, part-time, auxiliary, substitute, and volunteer staff, shall participate in this mandatory meeting. Documentation of the staff meeting shall include an attendance roster with the printed name and signature of each staff member in attendance, the date, time, and length of the meeting, and minutes documenting the information discussed during the meeting. In addition, each staff member must receive a copy of the supervision plan and the discipline policies and procedures and sign and date a copy of each to be kept in the staff member’s file. All documentation shall be maintained in the facility files for review by representatives of the Division of Child Development and Early Education upon request. Once your policies and procedures have been approved you will need to conduct a staff meeting within one week. 6. Within ninety (90) days after this notice is received, Ms. Nealy shall identify an Administrator for the facility that holds a level I or higher North Carolina Early Childhood Administration Credential or it’s equivalent as determined by the Division of Child Development and Early Education. The Administrator must be on site during operating hours or forty (40) hours per week, whichever is less. In the Administrator’s absence, Ms. Nealy must be on site at the facility during operating hours. Ms. Nealy must submit a schedule of her planned working hours to Ms. Byrd every Friday by email to Miriam.Byrd@dhhs.nc.gov for the following week. You received the notice on November 6, 2024, therefore, by February 6, 2025 you shall identify an Administrator that holds a Level 1 or higher North Carolina Early Childhood Administration Credential or it's equivalent. During today's visit you stated that you currently do not have anyone identified with a Level 1 North Carolina Early Childhood Administration Credential. We gave you a form that outlined the requirements to be considered a Level 1 Administrator. A Pre-Service for Administrator form was left with you during today's visit that will need to be completed by February 6, 2025 identifying who the Administrator will be for the facility. In addition, starting on February 7, 2025 you must email me every Friday with you schedule of when you will be working at the facility for the upcoming week. Keep in mind that the Administrator must work at least 40 hours a week or during operating hours, whichever is less. You are required to be at the facility whenever the identified Administrator is not. Failure to meet all of the stipulations as outlined in the Corrective Action Plan may result in a more stringent action, up to and including, an order to cease operation. Regular monitoring visits will be conducted at the facility. Please notify me via email of any days that the facility is closed or not operating. The following was discussed with you during today's visit: 1. Ms. Amy Harris, staff member needs to complete the Administration to Medication training via MOODLE to complete the Health and Safety Training requirements. 2. Be sure to keep limbs and leaves to a minimum in the playground area. 3. The Safe Sleep Policy/poster must be posted in the space used by children less than 12 months of age. You can find the Safe Sleep Poster via https://healthychild-care.unc.edu/. As you currently do not have infants enrolled, this was not cited as a violation. 4. You were given the information regarding submitting your transcripts to the WORKS Unit of the Division of Child Development and Early Education website. Make sure to select DCDEE WORKS. 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 .1801 · Violation

Name of Operation: HEAVEN BOUND NEW VISION CHURCH CHILDCARE Facility ID: 78000467 Consultant: MIRIAM BYRD Operation Type: Center Case Number: Visit Date: 1/15/2025 Number Present: 0 Completed Date: 1/15/2025 Age: From 0 To 0 Total Minutes: 150 Time In: 10:00 AM Time Out: 12:30 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 monitor compliance with applicable childcare requirements pertinent to an annual compliance visit. The Annual Compliance Monitoring Checklist for Child Care Centers was used today to note requirements that were monitored. The program was issued a Probationary Notice of Compliance October 24, 2024 to October 24, 2025 with approval for a capacity of 42 children on first shift only and ages 0-12 years. Mrs. Cedderina Nealy, Administrator, was present during today’s visit. Janet Edwards, Licensing Supervisor, accompanied me during today’s visit. A walk-through was conducted of the indoor and outdoor areas. No children are currently enrolled or attending child care. We explained that you could have started providing care at any time once you received the Probationary Notice of Compliance. The Probationary Notice of Compliance has been active since October 24, 2024, however, you stated you have not had children in care since June 1, 2024. The last sanitation inspection was conducted on November 3, 2023 with 0 demerits and a Superior rating. A current sanitation inspection has not been completed as of today. The last fire inspection was conducted on October 26, 2023. A current fire inspection has not been completed as of today. The Emergency Drill log was reviewed during today’s visit. Two staff records were reviewed during today’s visit. There were nine (9) violations of child care requirements observed and documented during the visit. Each were thoroughly reviewed with Mrs. Nealy. Computer-generated report was printed at the conclusion of today's visit. Violation Number Comment Rule 104 Center has not passed required sanitation inspection and received an approved or superior rating. The last sanitation inspection was completed on November 3, 2023. 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. The last fire inspection was completed on October 26, 2024. 10A NCAC 09 .0304(a) 714 Openings in equipment, steps, decks, handrails, and fencing were not less than 3 1/2 inches or greater than 9 inches. The gap in the HVAC gate measured 4 1/2 inches. .0605(g) 716 All stationary equipment, more than 18 inches high, was not installed over protective surfacing. The climber with slide was not installed over protective surfacing. .0605(j) 721 All equipment and furnishings were not in good repair. There were no tires on the big wheel riding toy on the playground and a tricycle was cracked. G.S. 110-91(6); .0601(b) 805 Fire drills were not practiced monthly and/or the drill record was incomplete. There was no documentation of a fire drill completed for the month of May 2024. .0604(t); .0302(d)(5) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. An outlet was missing a protective cover in the space used by infants as well as in the women's dressing room of the bathroom. 10A NCAC 09 .0604(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. CPR certification for the director expired December 2024. .1102(d) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. One staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. .1102(g) The violation(s) must be corrected immediately. A signed and dated compliance letter must be received by January 29, 2025, describing how the violations were corrected. You can email the compliance letter to: Miriam.Byrd@dhhs.nc.gov or mail to: Miriam Byrd Child Care Consultant 2201 Mail Service Center Raleigh, NC 27699-2200 Miriam.Byrd@dhhs.nc.gov If you state in your letter that corrections have been made when they have not, this will be considered falsification of information. If you cannot meet the requirements by this date, you must contact me with a purposed timeline of the corrections. In some cases, this timeline may be extended. You are required to maintain compliance with all applicable child care rules and regulations at all times. NC GS 110- 90(4)(d) requires all child care facilities to maintain a compliance history score of at least 75% for the past 18 months or during the length of time the facility has operated, whichever is less. Failure to do so may result in the issuance of an administrative action. Child care licensing requirements were established to ensure a safe and healthy child care environment. Therefore, it is important for you to be knowledgeable of all the licensing requirements that apply to your type of program. It is your responsibility to maintain compliance with all the applicable laws and rules at all times. The best way for you to make sure that you are meeting all requirements is to periodically review the child care law and rules. I explained that you have access to the on-line version of the Child Care Rule Book, as well as a hard copy of the rules. I recommended that you visit the Division of Child Development's website (www.ncchildcare.nc.gov) on a regular basis to find out what's new in childcare. You could also find any needed Child Care forms by going on the web site and clicking on the "Provider" tab and then clicking on the "Provider Documents" tab. The Corrective Action Plan of the Probationary Notice of Compliance was reviewed thoroughly with Mrs. Nealy on November 25, 2024 and during today’s visit. Mrs. Nealy was given the opportunity to ask questions regarding each item. 1. The child care operator shall maintain compliance at all times with all applicable child care requirements, including but not limited to, the following: • North Carolina General Statute § 110-91(7) & Child Care Rule 10A NCAC 09 .0713(a) regarding staff/child ratios • North Carolina General Statute § 110-91(7) & Child Care Rule 10A NCAC 09 .0713(a)(5)(6) regarding grouping of children • Child Care Rule 10A NCAC 09 .1801(a)(1-5) regarding supervision of children • North Carolina General Statute § 110-91(9) regarding accurate and accessible records There were violations cited during today's visit in regards to safety, program records, and staff training. 2. Within one (1) week after this Notice is received, Cederrina Nealy, administrator, shall contact Leisa Benson, Lead Child Care Consultant, 2201 Mail Service Center, Raleigh, NC 27699-2201, telephone number 919-819-9348, email Leisa.benson@dhhs.ng.gov, to arrange for a child care rules review. Special emphasis shall be placed on violations regarding supervision, staff/child ratios, group sizes and accurate records. All staff members, including administrative, full-time, part-time, auxiliary, substitute, and volunteer staff, shall participate in this mandatory training. Documentation of the training shall be maintained in the facility files for review by representatives of the Division of Child Development and Early Education upon request. A rules review has been scheduled with Leisa Benson on January 23, 2024 at 12:30 PM. 3. Within one (1) week after receiving the training, Ms. Nealy shall develop written policies and procedures regarding supervision of children, that describes, in detail, the steps the facility will take to ensure adequate supervision of children. The policies and procedures shall include, but not limited to, the following: • When children are arriving and departing from the facility each day • When children are toileting • When children are on the playground and when entering the building from the playground • When more than one group of children is combined • When children are napping/resting • When staff members need to complete tasks outside the classroom • Procedures for supervisory staff members to visit each classroom and monitor staff members’ implementation of the supervision plan • Procedures to periodically review the supervision plan with all staff members, including the review of the plan in the orientation of new staff members before they assume child care responsibilities • Consequences of staff members’ non-compliance with policies and procedures The policies and procedures shall be submitted to Miriam Byrd, Child Care Consultant, 2201 Mail Service Center, Raleigh, NC, 27699-2200, telephone number 910-709-5985, email Miriam.Byrd@dhhs.nc.gov, for approval. Ms. Byrd shall notify Ms. Nealy, orally and in writing, as to whether the written policies and procedures are approved or if modifications are needed. Once approved, the written policies and procedures shall be immediately implemented and permanently incorporated into the facility’s operating procedures. A copy of the approved policies and procedures shall be maintained in facility files for review by representatives of the Division of Child Development and Early Education upon request. By January 30, 2025 you will need to submit the policies and procedures regarding supervision of children. 4. Within two (2) weeks after receiving the training, Ms. Nealy shall develop a written plan that includes a staffing pattern plan which ensures staff/child ratios and group sizes are met throughout the day including, but not limited to, the following: • In the classroom, on the playground, and during transition periods, including naptime, meals and snacks, bathroom time, transitioning from one caregiver to another, and when groups of children leave the classroom to go to another location • Plan for informing administration when staff members need to attend to personal care needs or to complete tasks outside the classroom or away from the group • When staff call out and/or the facility is short staffed • Frequent review of the plan with staff members, as well as incorporation in the orientation of new staff members • Consequences for staff members’ non-compliance with the plan By February 6, 2025, you will need to submit the written plan that includes a staffing pattern plan. The written plan shall be submitted to Ms. Byrd for approval. Ms. Byrd shall notify Ms. Nealy, orally and in writing, as to whether the written plan is approved or if modifications are needed. Once approved, the written plan shall be immediately implemented and permanently incorporated into the facility’s operating procedures. A copy of the approved written plan shall be maintained in facility files for review by representatives of the Division of Child Development and Early Education upon request. Mrs. Nealy submitted a Staffing Pattern Plan on December 9, 2024. A review was completed and I informed Ms. Nealy via email on December 11, 2024 and orally on December 16, 2024 regarding corrections that were needed. 5. Within one (1) week after the items in #3 and #4 are completed, Ms. Nealy shall conduct a staff meeting to review the program’s approved policies and procedures and written plan. All staff members, including administrative, full-time, part-time, auxiliary, substitute, and volunteer staff, shall participate in this mandatory meeting. Documentation of the staff meeting shall include an attendance roster with the printed name and signature of each staff member in attendance, the date, time, and length of the meeting, and minutes documenting the information discussed during the meeting. In addition, each staff member must receive a copy of the supervision plan and the discipline policies and procedures and sign and date a copy of each to be kept in the staff member’s file. All documentation shall be maintained in the facility files for review by representatives of the Division of Child Development and Early Education upon request. Once your policies and procedures have been approved you will need to conduct a staff meeting within one week. 6. Within ninety (90) days after this notice is received, Ms. Nealy shall identify an Administrator for the facility that holds a level I or higher North Carolina Early Childhood Administration Credential or it’s equivalent as determined by the Division of Child Development and Early Education. The Administrator must be on site during operating hours or forty (40) hours per week, whichever is less. In the Administrator’s absence, Ms. Nealy must be on site at the facility during operating hours. Ms. Nealy must submit a schedule of her planned working hours to Ms. Byrd every Friday by email to Miriam.Byrd@dhhs.nc.gov for the following week. You received the notice on November 6, 2024, therefore, by February 6, 2025 you shall identify an Administrator that holds a Level 1 or higher North Carolina Early Childhood Administration Credential or it's equivalent. During today's visit you stated that you currently do not have anyone identified with a Level 1 North Carolina Early Childhood Administration Credential. We gave you a form that outlined the requirements to be considered a Level 1 Administrator. A Pre-Service for Administrator form was left with you during today's visit that will need to be completed by February 6, 2025 identifying who the Administrator will be for the facility. In addition, starting on February 7, 2025 you must email me every Friday with you schedule of when you will be working at the facility for the upcoming week. Keep in mind that the Administrator must work at least 40 hours a week or during operating hours, whichever is less. You are required to be at the facility whenever the identified Administrator is not. Failure to meet all of the stipulations as outlined in the Corrective Action Plan may result in a more stringent action, up to and including, an order to cease operation. Regular monitoring visits will be conducted at the facility. Please notify me via email of any days that the facility is closed or not operating. The following was discussed with you during today's visit: 1. Ms. Amy Harris, staff member needs to complete the Administration to Medication training via MOODLE to complete the Health and Safety Training requirements. 2. Be sure to keep limbs and leaves to a minimum in the playground area. 3. The Safe Sleep Policy/poster must be posted in the space used by children less than 12 months of age. You can find the Safe Sleep Poster via https://healthychild-care.unc.edu/. As you currently do not have infants enrolled, this was not cited as a violation. 4. You were given the information regarding submitting your transcripts to the WORKS Unit of the Division of Child Development and Early Education website. Make sure to select DCDEE WORKS. 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: HEAVEN BOUND NEW VISION CHURCH CHILDCARE Facility ID: 78000467 Consultant: MIRIAM BYRD Operation Type: Center Case Number: Visit Date: 1/15/2025 Number Present: 0 Completed Date: 1/15/2025 Age: From 0 To 0 Total Minutes: 150 Time In: 10:00 AM Time Out: 12:30 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 monitor compliance with applicable childcare requirements pertinent to an annual compliance visit. The Annual Compliance Monitoring Checklist for Child Care Centers was used today to note requirements that were monitored. The program was issued a Probationary Notice of Compliance October 24, 2024 to October 24, 2025 with approval for a capacity of 42 children on first shift only and ages 0-12 years. Mrs. Cedderina Nealy, Administrator, was present during today’s visit. Janet Edwards, Licensing Supervisor, accompanied me during today’s visit. A walk-through was conducted of the indoor and outdoor areas. No children are currently enrolled or attending child care. We explained that you could have started providing care at any time once you received the Probationary Notice of Compliance. The Probationary Notice of Compliance has been active since October 24, 2024, however, you stated you have not had children in care since June 1, 2024. The last sanitation inspection was conducted on November 3, 2023 with 0 demerits and a Superior rating. A current sanitation inspection has not been completed as of today. The last fire inspection was conducted on October 26, 2023. A current fire inspection has not been completed as of today. The Emergency Drill log was reviewed during today’s visit. Two staff records were reviewed during today’s visit. There were nine (9) violations of child care requirements observed and documented during the visit. Each were thoroughly reviewed with Mrs. Nealy. Computer-generated report was printed at the conclusion of today's visit. Violation Number Comment Rule 104 Center has not passed required sanitation inspection and received an approved or superior rating. The last sanitation inspection was completed on November 3, 2023. 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. The last fire inspection was completed on October 26, 2024. 10A NCAC 09 .0304(a) 714 Openings in equipment, steps, decks, handrails, and fencing were not less than 3 1/2 inches or greater than 9 inches. The gap in the HVAC gate measured 4 1/2 inches. .0605(g) 716 All stationary equipment, more than 18 inches high, was not installed over protective surfacing. The climber with slide was not installed over protective surfacing. .0605(j) 721 All equipment and furnishings were not in good repair. There were no tires on the big wheel riding toy on the playground and a tricycle was cracked. G.S. 110-91(6); .0601(b) 805 Fire drills were not practiced monthly and/or the drill record was incomplete. There was no documentation of a fire drill completed for the month of May 2024. .0604(t); .0302(d)(5) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. An outlet was missing a protective cover in the space used by infants as well as in the women's dressing room of the bathroom. 10A NCAC 09 .0604(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. CPR certification for the director expired December 2024. .1102(d) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. One staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. .1102(g) The violation(s) must be corrected immediately. A signed and dated compliance letter must be received by January 29, 2025, describing how the violations were corrected. You can email the compliance letter to: Miriam.Byrd@dhhs.nc.gov or mail to: Miriam Byrd Child Care Consultant 2201 Mail Service Center Raleigh, NC 27699-2200 Miriam.Byrd@dhhs.nc.gov If you state in your letter that corrections have been made when they have not, this will be considered falsification of information. If you cannot meet the requirements by this date, you must contact me with a purposed timeline of the corrections. In some cases, this timeline may be extended. You are required to maintain compliance with all applicable child care rules and regulations at all times. NC GS 110- 90(4)(d) requires all child care facilities to maintain a compliance history score of at least 75% for the past 18 months or during the length of time the facility has operated, whichever is less. Failure to do so may result in the issuance of an administrative action. Child care licensing requirements were established to ensure a safe and healthy child care environment. Therefore, it is important for you to be knowledgeable of all the licensing requirements that apply to your type of program. It is your responsibility to maintain compliance with all the applicable laws and rules at all times. The best way for you to make sure that you are meeting all requirements is to periodically review the child care law and rules. I explained that you have access to the on-line version of the Child Care Rule Book, as well as a hard copy of the rules. I recommended that you visit the Division of Child Development's website (www.ncchildcare.nc.gov) on a regular basis to find out what's new in childcare. You could also find any needed Child Care forms by going on the web site and clicking on the "Provider" tab and then clicking on the "Provider Documents" tab. The Corrective Action Plan of the Probationary Notice of Compliance was reviewed thoroughly with Mrs. Nealy on November 25, 2024 and during today’s visit. Mrs. Nealy was given the opportunity to ask questions regarding each item. 1. The child care operator shall maintain compliance at all times with all applicable child care requirements, including but not limited to, the following: • North Carolina General Statute § 110-91(7) & Child Care Rule 10A NCAC 09 .0713(a) regarding staff/child ratios • North Carolina General Statute § 110-91(7) & Child Care Rule 10A NCAC 09 .0713(a)(5)(6) regarding grouping of children • Child Care Rule 10A NCAC 09 .1801(a)(1-5) regarding supervision of children • North Carolina General Statute § 110-91(9) regarding accurate and accessible records There were violations cited during today's visit in regards to safety, program records, and staff training. 2. Within one (1) week after this Notice is received, Cederrina Nealy, administrator, shall contact Leisa Benson, Lead Child Care Consultant, 2201 Mail Service Center, Raleigh, NC 27699-2201, telephone number 919-819-9348, email Leisa.benson@dhhs.ng.gov, to arrange for a child care rules review. Special emphasis shall be placed on violations regarding supervision, staff/child ratios, group sizes and accurate records. All staff members, including administrative, full-time, part-time, auxiliary, substitute, and volunteer staff, shall participate in this mandatory training. Documentation of the training shall be maintained in the facility files for review by representatives of the Division of Child Development and Early Education upon request. A rules review has been scheduled with Leisa Benson on January 23, 2024 at 12:30 PM. 3. Within one (1) week after receiving the training, Ms. Nealy shall develop written policies and procedures regarding supervision of children, that describes, in detail, the steps the facility will take to ensure adequate supervision of children. The policies and procedures shall include, but not limited to, the following: • When children are arriving and departing from the facility each day • When children are toileting • When children are on the playground and when entering the building from the playground • When more than one group of children is combined • When children are napping/resting • When staff members need to complete tasks outside the classroom • Procedures for supervisory staff members to visit each classroom and monitor staff members’ implementation of the supervision plan • Procedures to periodically review the supervision plan with all staff members, including the review of the plan in the orientation of new staff members before they assume child care responsibilities • Consequences of staff members’ non-compliance with policies and procedures The policies and procedures shall be submitted to Miriam Byrd, Child Care Consultant, 2201 Mail Service Center, Raleigh, NC, 27699-2200, telephone number 910-709-5985, email Miriam.Byrd@dhhs.nc.gov, for approval. Ms. Byrd shall notify Ms. Nealy, orally and in writing, as to whether the written policies and procedures are approved or if modifications are needed. Once approved, the written policies and procedures shall be immediately implemented and permanently incorporated into the facility’s operating procedures. A copy of the approved policies and procedures shall be maintained in facility files for review by representatives of the Division of Child Development and Early Education upon request. By January 30, 2025 you will need to submit the policies and procedures regarding supervision of children. 4. Within two (2) weeks after receiving the training, Ms. Nealy shall develop a written plan that includes a staffing pattern plan which ensures staff/child ratios and group sizes are met throughout the day including, but not limited to, the following: • In the classroom, on the playground, and during transition periods, including naptime, meals and snacks, bathroom time, transitioning from one caregiver to another, and when groups of children leave the classroom to go to another location • Plan for informing administration when staff members need to attend to personal care needs or to complete tasks outside the classroom or away from the group • When staff call out and/or the facility is short staffed • Frequent review of the plan with staff members, as well as incorporation in the orientation of new staff members • Consequences for staff members’ non-compliance with the plan By February 6, 2025, you will need to submit the written plan that includes a staffing pattern plan. The written plan shall be submitted to Ms. Byrd for approval. Ms. Byrd shall notify Ms. Nealy, orally and in writing, as to whether the written plan is approved or if modifications are needed. Once approved, the written plan shall be immediately implemented and permanently incorporated into the facility’s operating procedures. A copy of the approved written plan shall be maintained in facility files for review by representatives of the Division of Child Development and Early Education upon request. Mrs. Nealy submitted a Staffing Pattern Plan on December 9, 2024. A review was completed and I informed Ms. Nealy via email on December 11, 2024 and orally on December 16, 2024 regarding corrections that were needed. 5. Within one (1) week after the items in #3 and #4 are completed, Ms. Nealy shall conduct a staff meeting to review the program’s approved policies and procedures and written plan. All staff members, including administrative, full-time, part-time, auxiliary, substitute, and volunteer staff, shall participate in this mandatory meeting. Documentation of the staff meeting shall include an attendance roster with the printed name and signature of each staff member in attendance, the date, time, and length of the meeting, and minutes documenting the information discussed during the meeting. In addition, each staff member must receive a copy of the supervision plan and the discipline policies and procedures and sign and date a copy of each to be kept in the staff member’s file. All documentation shall be maintained in the facility files for review by representatives of the Division of Child Development and Early Education upon request. Once your policies and procedures have been approved you will need to conduct a staff meeting within one week. 6. Within ninety (90) days after this notice is received, Ms. Nealy shall identify an Administrator for the facility that holds a level I or higher North Carolina Early Childhood Administration Credential or it’s equivalent as determined by the Division of Child Development and Early Education. The Administrator must be on site during operating hours or forty (40) hours per week, whichever is less. In the Administrator’s absence, Ms. Nealy must be on site at the facility during operating hours. Ms. Nealy must submit a schedule of her planned working hours to Ms. Byrd every Friday by email to Miriam.Byrd@dhhs.nc.gov for the following week. You received the notice on November 6, 2024, therefore, by February 6, 2025 you shall identify an Administrator that holds a Level 1 or higher North Carolina Early Childhood Administration Credential or it's equivalent. During today's visit you stated that you currently do not have anyone identified with a Level 1 North Carolina Early Childhood Administration Credential. We gave you a form that outlined the requirements to be considered a Level 1 Administrator. A Pre-Service for Administrator form was left with you during today's visit that will need to be completed by February 6, 2025 identifying who the Administrator will be for the facility. In addition, starting on February 7, 2025 you must email me every Friday with you schedule of when you will be working at the facility for the upcoming week. Keep in mind that the Administrator must work at least 40 hours a week or during operating hours, whichever is less. You are required to be at the facility whenever the identified Administrator is not. Failure to meet all of the stipulations as outlined in the Corrective Action Plan may result in a more stringent action, up to and including, an order to cease operation. Regular monitoring visits will be conducted at the facility. Please notify me via email of any days that the facility is closed or not operating. The following was discussed with you during today's visit: 1. Ms. Amy Harris, staff member needs to complete the Administration to Medication training via MOODLE to complete the Health and Safety Training requirements. 2. Be sure to keep limbs and leaves to a minimum in the playground area. 3. The Safe Sleep Policy/poster must be posted in the space used by children less than 12 months of age. You can find the Safe Sleep Poster via https://healthychild-care.unc.edu/. As you currently do not have infants enrolled, this was not cited as a violation. 4. You were given the information regarding submitting your transcripts to the WORKS Unit of the Division of Child Development and Early Education website. Make sure to select DCDEE WORKS. 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: HEAVEN BOUND NEW VISION CHURCH CHILDCARE Facility ID: 78000467 Consultant: MIRIAM BYRD Operation Type: Center Case Number: Visit Date: 1/15/2025 Number Present: 0 Completed Date: 1/15/2025 Age: From 0 To 0 Total Minutes: 150 Time In: 10:00 AM Time Out: 12:30 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 monitor compliance with applicable childcare requirements pertinent to an annual compliance visit. The Annual Compliance Monitoring Checklist for Child Care Centers was used today to note requirements that were monitored. The program was issued a Probationary Notice of Compliance October 24, 2024 to October 24, 2025 with approval for a capacity of 42 children on first shift only and ages 0-12 years. Mrs. Cedderina Nealy, Administrator, was present during today’s visit. Janet Edwards, Licensing Supervisor, accompanied me during today’s visit. A walk-through was conducted of the indoor and outdoor areas. No children are currently enrolled or attending child care. We explained that you could have started providing care at any time once you received the Probationary Notice of Compliance. The Probationary Notice of Compliance has been active since October 24, 2024, however, you stated you have not had children in care since June 1, 2024. The last sanitation inspection was conducted on November 3, 2023 with 0 demerits and a Superior rating. A current sanitation inspection has not been completed as of today. The last fire inspection was conducted on October 26, 2023. A current fire inspection has not been completed as of today. The Emergency Drill log was reviewed during today’s visit. Two staff records were reviewed during today’s visit. There were nine (9) violations of child care requirements observed and documented during the visit. Each were thoroughly reviewed with Mrs. Nealy. Computer-generated report was printed at the conclusion of today's visit. Violation Number Comment Rule 104 Center has not passed required sanitation inspection and received an approved or superior rating. The last sanitation inspection was completed on November 3, 2023. 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. The last fire inspection was completed on October 26, 2024. 10A NCAC 09 .0304(a) 714 Openings in equipment, steps, decks, handrails, and fencing were not less than 3 1/2 inches or greater than 9 inches. The gap in the HVAC gate measured 4 1/2 inches. .0605(g) 716 All stationary equipment, more than 18 inches high, was not installed over protective surfacing. The climber with slide was not installed over protective surfacing. .0605(j) 721 All equipment and furnishings were not in good repair. There were no tires on the big wheel riding toy on the playground and a tricycle was cracked. G.S. 110-91(6); .0601(b) 805 Fire drills were not practiced monthly and/or the drill record was incomplete. There was no documentation of a fire drill completed for the month of May 2024. .0604(t); .0302(d)(5) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. An outlet was missing a protective cover in the space used by infants as well as in the women's dressing room of the bathroom. 10A NCAC 09 .0604(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. CPR certification for the director expired December 2024. .1102(d) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. One staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. .1102(g) The violation(s) must be corrected immediately. A signed and dated compliance letter must be received by January 29, 2025, describing how the violations were corrected. You can email the compliance letter to: Miriam.Byrd@dhhs.nc.gov or mail to: Miriam Byrd Child Care Consultant 2201 Mail Service Center Raleigh, NC 27699-2200 Miriam.Byrd@dhhs.nc.gov If you state in your letter that corrections have been made when they have not, this will be considered falsification of information. If you cannot meet the requirements by this date, you must contact me with a purposed timeline of the corrections. In some cases, this timeline may be extended. You are required to maintain compliance with all applicable child care rules and regulations at all times. NC GS 110- 90(4)(d) requires all child care facilities to maintain a compliance history score of at least 75% for the past 18 months or during the length of time the facility has operated, whichever is less. Failure to do so may result in the issuance of an administrative action. Child care licensing requirements were established to ensure a safe and healthy child care environment. Therefore, it is important for you to be knowledgeable of all the licensing requirements that apply to your type of program. It is your responsibility to maintain compliance with all the applicable laws and rules at all times. The best way for you to make sure that you are meeting all requirements is to periodically review the child care law and rules. I explained that you have access to the on-line version of the Child Care Rule Book, as well as a hard copy of the rules. I recommended that you visit the Division of Child Development's website (www.ncchildcare.nc.gov) on a regular basis to find out what's new in childcare. You could also find any needed Child Care forms by going on the web site and clicking on the "Provider" tab and then clicking on the "Provider Documents" tab. The Corrective Action Plan of the Probationary Notice of Compliance was reviewed thoroughly with Mrs. Nealy on November 25, 2024 and during today’s visit. Mrs. Nealy was given the opportunity to ask questions regarding each item. 1. The child care operator shall maintain compliance at all times with all applicable child care requirements, including but not limited to, the following: • North Carolina General Statute § 110-91(7) & Child Care Rule 10A NCAC 09 .0713(a) regarding staff/child ratios • North Carolina General Statute § 110-91(7) & Child Care Rule 10A NCAC 09 .0713(a)(5)(6) regarding grouping of children • Child Care Rule 10A NCAC 09 .1801(a)(1-5) regarding supervision of children • North Carolina General Statute § 110-91(9) regarding accurate and accessible records There were violations cited during today's visit in regards to safety, program records, and staff training. 2. Within one (1) week after this Notice is received, Cederrina Nealy, administrator, shall contact Leisa Benson, Lead Child Care Consultant, 2201 Mail Service Center, Raleigh, NC 27699-2201, telephone number 919-819-9348, email Leisa.benson@dhhs.ng.gov, to arrange for a child care rules review. Special emphasis shall be placed on violations regarding supervision, staff/child ratios, group sizes and accurate records. All staff members, including administrative, full-time, part-time, auxiliary, substitute, and volunteer staff, shall participate in this mandatory training. Documentation of the training shall be maintained in the facility files for review by representatives of the Division of Child Development and Early Education upon request. A rules review has been scheduled with Leisa Benson on January 23, 2024 at 12:30 PM. 3. Within one (1) week after receiving the training, Ms. Nealy shall develop written policies and procedures regarding supervision of children, that describes, in detail, the steps the facility will take to ensure adequate supervision of children. The policies and procedures shall include, but not limited to, the following: • When children are arriving and departing from the facility each day • When children are toileting • When children are on the playground and when entering the building from the playground • When more than one group of children is combined • When children are napping/resting • When staff members need to complete tasks outside the classroom • Procedures for supervisory staff members to visit each classroom and monitor staff members’ implementation of the supervision plan • Procedures to periodically review the supervision plan with all staff members, including the review of the plan in the orientation of new staff members before they assume child care responsibilities • Consequences of staff members’ non-compliance with policies and procedures The policies and procedures shall be submitted to Miriam Byrd, Child Care Consultant, 2201 Mail Service Center, Raleigh, NC, 27699-2200, telephone number 910-709-5985, email Miriam.Byrd@dhhs.nc.gov, for approval. Ms. Byrd shall notify Ms. Nealy, orally and in writing, as to whether the written policies and procedures are approved or if modifications are needed. Once approved, the written policies and procedures shall be immediately implemented and permanently incorporated into the facility’s operating procedures. A copy of the approved policies and procedures shall be maintained in facility files for review by representatives of the Division of Child Development and Early Education upon request. By January 30, 2025 you will need to submit the policies and procedures regarding supervision of children. 4. Within two (2) weeks after receiving the training, Ms. Nealy shall develop a written plan that includes a staffing pattern plan which ensures staff/child ratios and group sizes are met throughout the day including, but not limited to, the following: • In the classroom, on the playground, and during transition periods, including naptime, meals and snacks, bathroom time, transitioning from one caregiver to another, and when groups of children leave the classroom to go to another location • Plan for informing administration when staff members need to attend to personal care needs or to complete tasks outside the classroom or away from the group • When staff call out and/or the facility is short staffed • Frequent review of the plan with staff members, as well as incorporation in the orientation of new staff members • Consequences for staff members’ non-compliance with the plan By February 6, 2025, you will need to submit the written plan that includes a staffing pattern plan. The written plan shall be submitted to Ms. Byrd for approval. Ms. Byrd shall notify Ms. Nealy, orally and in writing, as to whether the written plan is approved or if modifications are needed. Once approved, the written plan shall be immediately implemented and permanently incorporated into the facility’s operating procedures. A copy of the approved written plan shall be maintained in facility files for review by representatives of the Division of Child Development and Early Education upon request. Mrs. Nealy submitted a Staffing Pattern Plan on December 9, 2024. A review was completed and I informed Ms. Nealy via email on December 11, 2024 and orally on December 16, 2024 regarding corrections that were needed. 5. Within one (1) week after the items in #3 and #4 are completed, Ms. Nealy shall conduct a staff meeting to review the program’s approved policies and procedures and written plan. All staff members, including administrative, full-time, part-time, auxiliary, substitute, and volunteer staff, shall participate in this mandatory meeting. Documentation of the staff meeting shall include an attendance roster with the printed name and signature of each staff member in attendance, the date, time, and length of the meeting, and minutes documenting the information discussed during the meeting. In addition, each staff member must receive a copy of the supervision plan and the discipline policies and procedures and sign and date a copy of each to be kept in the staff member’s file. All documentation shall be maintained in the facility files for review by representatives of the Division of Child Development and Early Education upon request. Once your policies and procedures have been approved you will need to conduct a staff meeting within one week. 6. Within ninety (90) days after this notice is received, Ms. Nealy shall identify an Administrator for the facility that holds a level I or higher North Carolina Early Childhood Administration Credential or it’s equivalent as determined by the Division of Child Development and Early Education. The Administrator must be on site during operating hours or forty (40) hours per week, whichever is less. In the Administrator’s absence, Ms. Nealy must be on site at the facility during operating hours. Ms. Nealy must submit a schedule of her planned working hours to Ms. Byrd every Friday by email to Miriam.Byrd@dhhs.nc.gov for the following week. You received the notice on November 6, 2024, therefore, by February 6, 2025 you shall identify an Administrator that holds a Level 1 or higher North Carolina Early Childhood Administration Credential or it's equivalent. During today's visit you stated that you currently do not have anyone identified with a Level 1 North Carolina Early Childhood Administration Credential. We gave you a form that outlined the requirements to be considered a Level 1 Administrator. A Pre-Service for Administrator form was left with you during today's visit that will need to be completed by February 6, 2025 identifying who the Administrator will be for the facility. In addition, starting on February 7, 2025 you must email me every Friday with you schedule of when you will be working at the facility for the upcoming week. Keep in mind that the Administrator must work at least 40 hours a week or during operating hours, whichever is less. You are required to be at the facility whenever the identified Administrator is not. Failure to meet all of the stipulations as outlined in the Corrective Action Plan may result in a more stringent action, up to and including, an order to cease operation. Regular monitoring visits will be conducted at the facility. Please notify me via email of any days that the facility is closed or not operating. The following was discussed with you during today's visit: 1. Ms. Amy Harris, staff member needs to complete the Administration to Medication training via MOODLE to complete the Health and Safety Training requirements. 2. Be sure to keep limbs and leaves to a minimum in the playground area. 3. The Safe Sleep Policy/poster must be posted in the space used by children less than 12 months of age. You can find the Safe Sleep Poster via https://healthychild-care.unc.edu/. As you currently do not have infants enrolled, this was not cited as a violation. 4. You were given the information regarding submitting your transcripts to the WORKS Unit of the Division of Child Development and Early Education website. Make sure to select DCDEE WORKS. 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: HEAVEN BOUND NEW VISION CHURCH CHILDCARE Facility ID: 78000467 Consultant: MIRIAM BYRD Operation Type: Center Case Number: Visit Date: 5/9/2024 Number Present: 2 Completed Date: 5/9/2024 Age: From 1 To 2 Total Minutes: 50 Time In: 09:00 AM Time Out: 09:50 AM Time In: Time Out: List to Use: Center Type Of Visit: Other Announced/Unannounced: Unannounced The purpose of today’s visit was to hand deliver the following information to the operator: Cover Letter, Notice of Administrative Action of an Order to Cease Operation, and Appeal Information. Leisa Benson, Lead Licensing Consultant, accompanied me during today’s visit. Mrs. Cedderina Nealy, Co-Pastor and Administrator was not present. Two staff members were present. There were no children at the facility upon our arrival. Two children arrived within twenty minutes of our arrival. Mrs. Nealy arrived at 9:35 am. She accepted delivery of the Notice of Administrative Action of an Order to Cease Operation and the Appeal Information and was given a copy. We informed the staff members the Cease to Operate is effective in 30 days; which would be a closure date of June 9, 2024. She was given an opportunity to ask questions regarding the Order to Cease Operation. The Administrative Action and the Cover Letter must be posted in a location visible to parents and visitors near the entrance of the facility, even if you decide to appeal the action. Subsidy payments will end forty-five (45) days from today, even if you decide to appeal the action. Two violations of child care requirements were observed and documented. Computer-generated report was printed at the conclusion of today's visit. Violation Number Comment Rule 716 All stationary equipment, more than 18 inches high, was not installed over protective surfacing. The large climber located on the outdoor play area did not have adequate surfacing. .0605(j) 717 Surfacing did not extend six (6) feet beyond the external limits of the equipment or 3 feet for equipment used only by children less than 2 years of age. The surfacing under and around the large climber on the outdoor playground area did not extend (6) feet beyond the external limits of the equipment. .0605(l)(1-2) The above violations must be corrected immediately. A compliance letter explaining how the violations were corrected must be received by May 23, 2024. You may mail or email the statement to: Miriam Byrd, Child Care Consultant, PO Box 1731, Clinton, NC 28329 Miriam.Byrd@dhhs.nc.gov You are required to maintain compliance with all applicable child care rules and regulations at all times. NC GS 110- 90(4)(d) requires all child care facilities to maintain a compliance history score of at least 75% for the past 18 months or during the length of time the facility has operated, whichever is less. Failure to do so may result in the issuance of a provisional license or other administrative action. Child care licensing requirements were established to ensure a safe and healthy child care environment. Therefore, it is important for you to be knowledgeable of all the licensing requirements that apply to your type of program. It is your responsibility to maintain compliance with all the applicable laws and rules at all times. The best way for you to make sure that you are meeting all requirements is to periodically review the child care law and rules. I explained that you have access to the on-line version of the Child Care Rule Book, as well as a hard copy of the rules. I recommend that you visit the Division of Child Development's website (www.ncchildcare.nc.gov) on a regular basis to find out what's new in childcare. You could also find any needed Child Care forms by going on the web site and clicking on the "Provider" tab and then clicking on the "Provider Documents" tab. Technical assistance regarding fall zones and surfacing was provided. There was mulch under and around the large climber, however, there was not at least 6 inches for protective surfacing requirements. We recommend adding a border to contain the protective surfacing. Refer to The handout Playground Information to Use with the Environment Rating Scales that was left during the visit. This handout addresses the fall zones and protective surfacing for playground equipment. To correct the violations you can either remove the large climber out of the fenced in playground area or add at least 6 feet fall zone and at least 6 inches of resilient surfacing. Contact me at (910) 709-5985 or via email: Miriam.Byrd@dhhs.nc.gov with any questions or concerns. You may also contact Janet Edwards, Licensing Supervisor, (910) 709-4160, janet.edwards@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

NC GS 110- 90 · Violation

Name of Operation: HEAVEN BOUND NEW VISION CHURCH CHILDCARE Facility ID: 78000467 Consultant: MIRIAM BYRD Operation Type: Center Case Number: Visit Date: 4/4/2024 Number Present: 6 Completed Date: 4/4/2024 Age: From 1 To 7 Total Minutes: 55 Time In: 10:15 AM Time Out: 11:10 AM Time In: Time Out: List to Use: Center Type Of Visit: Unannounced Visit Follow-Up Announced/Unannounced: Unannounced The purpose of today's unannounced visit was to follow up on violations cited during the visit conducted on March 27, 2024. A compliance letter was received on April 2, 2024. Mrs. Cedderina Nealy was not present during the visit. Upon my arrival in space #1, there was a one year old present with one caregiver (M. Tossie). The child was observed sleeping. In space #2, there were two children, age's 3-4, with one caregiver (A. Harris). They were observed participating in a teacher-directed activity. While I was in the fellowship hall, setting up my tablet and printer, I overheard A. Harris ask M. Tossie to come to her classroom. I overheard him state, "I can't leave the child". I then heard additional children come into the center so I walked back down the hallway. At that time, I observed M. Tossie in space #2 (with two additional children) and A. Harris was in space #1 (with one additional child). I asked A. Harris how did she switch classrooms and she stated they went out the exit doors. I then informed A. Harris that by doing that the children were left unattended. For both teachers to switch classrooms out the exit doors, the children were left unattended and unsupervised. I verified the following violations from the March 27, 2024 visit were corrected. Children were in approved space and qualified staff were present. Three violations of child care requirements were observed and documented during today's visit. Computer-generated report was printed at the conclusion of today's visit. Violation Number Comment Rule 303 Children were not adequately supervised at all times. A one year old child was left unattended in space #1 when the staff member walked out the exit door to go to the classroom next door (space #2). Two children, ages 3-4, were left unattended in space #2 when the staff member walked out the exit door to go to the classroom next door (space #1). Staff switched classrooms by using the exit doors. .1801(a)(1-5) 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. The last documented monthly outdoor playground inspection was completed on February 26, 2024. An outdoor inspection should have been completed in March. .0605(q) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The last documented lockdown drill was completed on December 14, 2023. A shelter-in-place should have been completed during the month of March. .0604(u);.0302(d)(8) The violations must be corrected immediately. You must email, or mail written verification addressing the individual violations and how they were corrected. The compliance letter must be received by April 18, 2024. Mail or email the compliance letter to: Miriam Byrd, Child Care Consultant, PO Box 1731, Clinton, NC 28329 Miriam.Byrd@dhhs.nc.gov You are required to maintain compliance with all applicable child care rules and regulations at all times. NC GS 110- 90(4)(d) requires all child care facilities to maintain a compliance history score of at least 75% for the past 18 months or during the length of time the facility has operated, whichever is less. Failure to do so may result in the issuance of a provisional license or other administrative action. Due to the continuous and willful violations of child care requirements the Division of Child Development and Early Education may seek to warrant a more stringent action, up to and including a revocation. On April 2, 2024, Mrs. Nealy submitted a Written Policy and Procedures regarding Supervision of Children (Stipulation #3 of the Corrective Action Plan of the Provisional Notice of Compliance). I informed Mrs. Nealy on April 3, 2024, in writing, the policies and procedures were approved. A copy of that approval was emailed to Mrs. Nealy as well as a copy was printed during today's visit and left at the facility. Mrs. Nealy must submit the written staffing pattern policy (stipulation #4 of the Corrective Action Plan of the Provisional Notice of Compliance). This policy must be received by April 10, 2024. A follow-up visit will be conducted to verify compliance with supervision of children. It is imperative that staff understand the importance of supervising children. Effective supervision is integral to creating environment that are safe and responsive to the needs of all children. It also helps to protect children from hazards or harm that may arise from their play and daily routines. Effective supervision also allows educators to engage in meaningful interactions with children. Contac me at (910) 709-5985 or via email Miriam.Byrd@dhhs.nc.gov or Janet Edwards, Licensing Supervisor, (910) 709-4160, janet.edwards@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

10A NCAC 09 .0713 · Violation

Name of Operation: HEAVEN BOUND NEW VISION CHURCH CHILDCARE Facility ID: 78000467 Consultant: MIRIAM BYRD Operation Type: Center Case Number: Visit Date: 3/27/2024 Number Present: 9 Completed Date: 3/27/2024 Age: From 1 To 4 Total Minutes: 85 Time In: 12:20 PM Time Out: 01:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Admin Action Follow-Up Lic Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance with applicable child care requirements during the Provisional Notice of Compliance that was issued November 9, 2023 to May 9, 2024. The Provisional Notice of Compliance, Cover Letter, and Corrective Action Plan was posted in a location visible to parents and visitors near the entrance of the child care facility. I was unaccompanied during the walk-through of the facility. Upon my arrival, two children, 4 years of age, were in an unapproved space (office) with an unqualified church member. Mrs. Nealy was in space #3 with her 24 year old niece, working on Easter activities. I immediately informed Mrs. Nealy the two children could not be in unapproved space nor with an unqualified church member. The two children were moved to space #3 with Mrs. Nealy. In space #1, there were three children, one years of age, with one caregiver. Children were observed napping. In space #3, there were four children, ages 2-4, with one caregiver. Children were observed napping in this space as well. Supervision, staff/child ratio, Adequate Approved Space and Permit Restrictions were monitored. Three violations of child care requirements were observed and documented. Each were thoroughly reviewed with Mrs. Nealy during today's visit. Computer-generated report was printed at the conclusion of today's visit. Violation Number Comment Rule 209 Children used space that was not approved. Two four-year old children were present in the office; which is not approved for child care. This was corrected during the visit when the two children were moved to space #3. GS 110-91(1)&(4-5) 1041 Prior to employment a Criminal Background Check was not completed. A Church member was supervising two four-year old children and did not complete the criminal background check. G.S. 110-90.2(b) 1757 A valid qualification letter was not on file and available to review at the facility. A Church member was supervising two four-year old children and a valid qualification letter was not on file and available to review at the facility. G.S. 110-90.2(b) & (d) & .2703(e) The violations cited today must be corrected immediately. A follow-up visit will be conducted within the next two weeks to verify compliance with children being in approved space and qualified staff members on site. In response to the violations, you must submit a compliance letter that explains in detail how the violations were corrected and how compliance will be maintained. A signed and dated letter must be received by April 10, 2024. You may mail or email the compliance letter to: Miriam Byrd, Child Care Consultant, PO Bo 1731, Clinton, NC 28329 Miriam.Byrd@dhhs.nc.gov In your compliance letter you must address the following: 1. Children will not be in unapproved space 2. Children will not be supervised by a staff member (full time, substitute, volunteer) who does not have a qualification letter on file If you state in your letter that corrections have been made when they have not, this will be considered falsification of information. If you cannot meet the requirements by this date, you must contact me with a purposed timeline of the corrections. In some cases, this timeline may be extended. You are required to maintain compliance with all applicable child care rules and regulations at all times. NC GS 110- 90(4)(d) requires all child care facilities to maintain a compliance history score of at least 75% for the past 18 months or during the length of time the facility has operated, whichever is less. Failure to do so may result in the issuance of a provisional license or other administrative action. The Volunteer Staff File checklist was given to Mrs. Nealy during today's visit. If the church member is used as a volunteer at any time that children are present and is counted in the staff/child ratio or supervises children, a criminal background qualification letter is needed. I informed Mrs. Nealy of the importance of complying with the applicable child care requirements, especially during the Provisional Notice of Compliance time period. It is imperative that you adhere to the requirements and the Corrective Action Plan. During today's visit, I informed Mrs. Nealy that she has not responded to any of my request regarding completion of the Stipulations #3 and #4 of the Corrective Action Plan. Both of those stipulations were thoroughly reviewed with Mrs. Nealy during the visit. 1. The child care operator shall maintain compliance at all times with all applicable child care requirements, including but not limited to, the following: • North Carolina General Statute § 110-91(7) & Child Care Rule 10A NCAC 09 .0713(a) regarding staff/child ratios • North Carolina General Statute § 110-91(7) & Child Care Rule 10A NCAC 09 .0713(a)(5)(6) regarding grouping of children • Child Care Rule 10A NCAC 09 .1801(a)(1-5) regarding supervision of children 2. Within one (1) week after this Notice is received, Cederrina Nealy, administrator, shall contact Leisa Benson, Lead Child Care Consultant, 2201 Mail Service Center, Raleigh, NC 27699-2201, telephone number 919-819-9348, email Leisa.benson@dhhs.ng.gov, to arrange for a child care rules review. Special emphasis shall be placed on violations regarding supervision, staff/child ratios, and group sizes. All staff members, including administrative, full-time, part-time, auxiliary, substitute, and volunteer staff, shall participate in this mandatory training. Documentation of the training shall be maintained in the facility files for review by representatives of the Division of Child Development and Early Education upon request. A Rules Review was conducted by Leisa Benson, Lead Child Care Consultant, on January 4, 2024. Documentation of the Statements of Understanding forms that were completed by all staff in attendance were obtained and are on file. 3. Within one (1) week after receiving the training, Ms. Nealy shall develop written policies and procedures regarding supervision of children, that describes, in detail, the steps the facility will take to ensure adequate supervision of children. The policies and procedures shall include, but not limited to, the following: • When children are arriving and departing from the facility each day • When children are toileting • When children are on the playground and when entering the building from the playground • When more than one group of children is combined • When children are napping/resting • When staff members need to complete tasks outside the classroom • Procedures for supervisory staff members to visit each classroom and monitor staff members’ implementation of the supervision plan • Procedures to periodically review the supervision plan with all staff members, including the review of the plan in the orientation of new staff members before they assume child care responsibilities • Consequences of staff members’ non-compliance with policies and procedures The policies and procedures shall be submitted to Miriam Byrd, Child Care Consultant, PO Box 1731, Clinton, NC 28329, telephone number 910-709-5985, email Miriam.Byrd@dhhs.nc.gov, for approval. Ms. Byrd shall notify Ms. Nealy, orally and in writing, as to whether the written policies and procedures are approved or if modifications are needed. Once approved, the written policies and procedures shall be immediately implemented and permanently incorporated into the facility’s operating procedures. A copy of the approved policies and procedures shall be maintained in facility files for review by representatives of the Division of Child Development and Early Education upon request. Mrs. Nealy submitted the policies and procedures on January 10, 2024. I contacted Mrs. Nealy, by telephone and in writing on January 22, 2024 that revisions to the policy were needed. Mrs. Nealy was given a date of February 5, 2024 to submit the requested revisions. During the Annual Compliance visit conducted on January 24, 2024, it was documented that the requested revisions were due February 5, 2024. During the Unannounced visit conducted on February 1, 2024, it was documented as a reminder that the requested revisions were due by February 5, 2024. On February 7, 2024, Mrs. Nealy was contacted by telephone requiring the status of the revisions. She stated she was working on them. As of March 27, 2024, Mrs. Nealy has not submitted the requested revisions nor has she contacted me for an extension request. Mrs. Nealy stated her not responding to the written documentation or the emails was an over-sight of hers. She was informed the written policies and procedures regarding supervision are due by April 10, 2024. 4. Within two (2) weeks after receiving the training, Ms. Nealy shall develop a written plan that includes a staffing pattern plan which ensures staff/child ratios and group sizes are met throughout the day including, but not limited to, the following: • In the classroom, on the playground, and during transition periods, including naptime, meals and snacks, bathroom time, transitioning from one caregiver to another, and when groups of children leave the classroom to go to another location • Plan for informing administration when staff members need to attend to personal care needs or to complete tasks outside the classroom or away from the group • When staff call out and/or the facility is short staffed • Frequent review of the plan with staff members, as well as incorporation in the orientation of new staff members • Consequences for staff members’ non-compliance with the plan The written plan shall be submitted to Ms. Byrd for approval. Ms. Byrd shall notify Ms. Nealy, orally and in writing, as to whether the written plan is approved or if modifications are needed. Once approved, the written plan shall be immediately implemented and permanently incorporated into the facility’s operating procedures. A copy of the approved written plan shall be maintained in facility files for review by representatives of the Division of Child Development and Early Education upon request. During the Annual Compliance visit conducted on January 24, 2024, it was documented that the written plan regarding staffing pattern must be received on or by January 31, 2024. It was documented that if an extension was required, Mrs. Nealy should contact me to discuss the reason for the extension. During the Unannounced visit conducted on February 1, 2024, Mrs. Nealy was reminded (in documentation) that the written plan for staffing pattern has not been received. A request was documented the staffing plan be submitted no later than February 8, 2024. It was documented that if the revisions to the supervision policy as well as the staffing plan were not received by the close of business on February 8, 2024, DCDEE may issue a more stringent action, up to and including a revocation. As of March 27, 2024, Mrs. Nealy has not submitted the written plan regarding staffing pattern nor has she contacted me for an extension request. The requirements for the written plan regarding a staffing pattern were thoroughly reviewed with Mrs. Nealy during today's visit and she was given a submission date of April 10, 2024. I informed Mrs. Nealy that by not complying with the Corrective Action Plan of the Provisional Notice of Compliance could result in a more stringent action, leading up to and including a revocation. Contact me at (910) 709-5985 or via email with any questions or concerns. You may also contact Janet Edwards, Licensing Supervisor, at (910) 709-4160, janet.edwards@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

10A NCAC 09 .1801 · Violation

Name of Operation: HEAVEN BOUND NEW VISION CHURCH CHILDCARE Facility ID: 78000467 Consultant: MIRIAM BYRD Operation Type: Center Case Number: Visit Date: 3/27/2024 Number Present: 9 Completed Date: 3/27/2024 Age: From 1 To 4 Total Minutes: 85 Time In: 12:20 PM Time Out: 01:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Admin Action Follow-Up Lic Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance with applicable child care requirements during the Provisional Notice of Compliance that was issued November 9, 2023 to May 9, 2024. The Provisional Notice of Compliance, Cover Letter, and Corrective Action Plan was posted in a location visible to parents and visitors near the entrance of the child care facility. I was unaccompanied during the walk-through of the facility. Upon my arrival, two children, 4 years of age, were in an unapproved space (office) with an unqualified church member. Mrs. Nealy was in space #3 with her 24 year old niece, working on Easter activities. I immediately informed Mrs. Nealy the two children could not be in unapproved space nor with an unqualified church member. The two children were moved to space #3 with Mrs. Nealy. In space #1, there were three children, one years of age, with one caregiver. Children were observed napping. In space #3, there were four children, ages 2-4, with one caregiver. Children were observed napping in this space as well. Supervision, staff/child ratio, Adequate Approved Space and Permit Restrictions were monitored. Three violations of child care requirements were observed and documented. Each were thoroughly reviewed with Mrs. Nealy during today's visit. Computer-generated report was printed at the conclusion of today's visit. Violation Number Comment Rule 209 Children used space that was not approved. Two four-year old children were present in the office; which is not approved for child care. This was corrected during the visit when the two children were moved to space #3. GS 110-91(1)&(4-5) 1041 Prior to employment a Criminal Background Check was not completed. A Church member was supervising two four-year old children and did not complete the criminal background check. G.S. 110-90.2(b) 1757 A valid qualification letter was not on file and available to review at the facility. A Church member was supervising two four-year old children and a valid qualification letter was not on file and available to review at the facility. G.S. 110-90.2(b) & (d) & .2703(e) The violations cited today must be corrected immediately. A follow-up visit will be conducted within the next two weeks to verify compliance with children being in approved space and qualified staff members on site. In response to the violations, you must submit a compliance letter that explains in detail how the violations were corrected and how compliance will be maintained. A signed and dated letter must be received by April 10, 2024. You may mail or email the compliance letter to: Miriam Byrd, Child Care Consultant, PO Bo 1731, Clinton, NC 28329 Miriam.Byrd@dhhs.nc.gov In your compliance letter you must address the following: 1. Children will not be in unapproved space 2. Children will not be supervised by a staff member (full time, substitute, volunteer) who does not have a qualification letter on file If you state in your letter that corrections have been made when they have not, this will be considered falsification of information. If you cannot meet the requirements by this date, you must contact me with a purposed timeline of the corrections. In some cases, this timeline may be extended. You are required to maintain compliance with all applicable child care rules and regulations at all times. NC GS 110- 90(4)(d) requires all child care facilities to maintain a compliance history score of at least 75% for the past 18 months or during the length of time the facility has operated, whichever is less. Failure to do so may result in the issuance of a provisional license or other administrative action. The Volunteer Staff File checklist was given to Mrs. Nealy during today's visit. If the church member is used as a volunteer at any time that children are present and is counted in the staff/child ratio or supervises children, a criminal background qualification letter is needed. I informed Mrs. Nealy of the importance of complying with the applicable child care requirements, especially during the Provisional Notice of Compliance time period. It is imperative that you adhere to the requirements and the Corrective Action Plan. During today's visit, I informed Mrs. Nealy that she has not responded to any of my request regarding completion of the Stipulations #3 and #4 of the Corrective Action Plan. Both of those stipulations were thoroughly reviewed with Mrs. Nealy during the visit. 1. The child care operator shall maintain compliance at all times with all applicable child care requirements, including but not limited to, the following: • North Carolina General Statute § 110-91(7) & Child Care Rule 10A NCAC 09 .0713(a) regarding staff/child ratios • North Carolina General Statute § 110-91(7) & Child Care Rule 10A NCAC 09 .0713(a)(5)(6) regarding grouping of children • Child Care Rule 10A NCAC 09 .1801(a)(1-5) regarding supervision of children 2. Within one (1) week after this Notice is received, Cederrina Nealy, administrator, shall contact Leisa Benson, Lead Child Care Consultant, 2201 Mail Service Center, Raleigh, NC 27699-2201, telephone number 919-819-9348, email Leisa.benson@dhhs.ng.gov, to arrange for a child care rules review. Special emphasis shall be placed on violations regarding supervision, staff/child ratios, and group sizes. All staff members, including administrative, full-time, part-time, auxiliary, substitute, and volunteer staff, shall participate in this mandatory training. Documentation of the training shall be maintained in the facility files for review by representatives of the Division of Child Development and Early Education upon request. A Rules Review was conducted by Leisa Benson, Lead Child Care Consultant, on January 4, 2024. Documentation of the Statements of Understanding forms that were completed by all staff in attendance were obtained and are on file. 3. Within one (1) week after receiving the training, Ms. Nealy shall develop written policies and procedures regarding supervision of children, that describes, in detail, the steps the facility will take to ensure adequate supervision of children. The policies and procedures shall include, but not limited to, the following: • When children are arriving and departing from the facility each day • When children are toileting • When children are on the playground and when entering the building from the playground • When more than one group of children is combined • When children are napping/resting • When staff members need to complete tasks outside the classroom • Procedures for supervisory staff members to visit each classroom and monitor staff members’ implementation of the supervision plan • Procedures to periodically review the supervision plan with all staff members, including the review of the plan in the orientation of new staff members before they assume child care responsibilities • Consequences of staff members’ non-compliance with policies and procedures The policies and procedures shall be submitted to Miriam Byrd, Child Care Consultant, PO Box 1731, Clinton, NC 28329, telephone number 910-709-5985, email Miriam.Byrd@dhhs.nc.gov, for approval. Ms. Byrd shall notify Ms. Nealy, orally and in writing, as to whether the written policies and procedures are approved or if modifications are needed. Once approved, the written policies and procedures shall be immediately implemented and permanently incorporated into the facility’s operating procedures. A copy of the approved policies and procedures shall be maintained in facility files for review by representatives of the Division of Child Development and Early Education upon request. Mrs. Nealy submitted the policies and procedures on January 10, 2024. I contacted Mrs. Nealy, by telephone and in writing on January 22, 2024 that revisions to the policy were needed. Mrs. Nealy was given a date of February 5, 2024 to submit the requested revisions. During the Annual Compliance visit conducted on January 24, 2024, it was documented that the requested revisions were due February 5, 2024. During the Unannounced visit conducted on February 1, 2024, it was documented as a reminder that the requested revisions were due by February 5, 2024. On February 7, 2024, Mrs. Nealy was contacted by telephone requiring the status of the revisions. She stated she was working on them. As of March 27, 2024, Mrs. Nealy has not submitted the requested revisions nor has she contacted me for an extension request. Mrs. Nealy stated her not responding to the written documentation or the emails was an over-sight of hers. She was informed the written policies and procedures regarding supervision are due by April 10, 2024. 4. Within two (2) weeks after receiving the training, Ms. Nealy shall develop a written plan that includes a staffing pattern plan which ensures staff/child ratios and group sizes are met throughout the day including, but not limited to, the following: • In the classroom, on the playground, and during transition periods, including naptime, meals and snacks, bathroom time, transitioning from one caregiver to another, and when groups of children leave the classroom to go to another location • Plan for informing administration when staff members need to attend to personal care needs or to complete tasks outside the classroom or away from the group • When staff call out and/or the facility is short staffed • Frequent review of the plan with staff members, as well as incorporation in the orientation of new staff members • Consequences for staff members’ non-compliance with the plan The written plan shall be submitted to Ms. Byrd for approval. Ms. Byrd shall notify Ms. Nealy, orally and in writing, as to whether the written plan is approved or if modifications are needed. Once approved, the written plan shall be immediately implemented and permanently incorporated into the facility’s operating procedures. A copy of the approved written plan shall be maintained in facility files for review by representatives of the Division of Child Development and Early Education upon request. During the Annual Compliance visit conducted on January 24, 2024, it was documented that the written plan regarding staffing pattern must be received on or by January 31, 2024. It was documented that if an extension was required, Mrs. Nealy should contact me to discuss the reason for the extension. During the Unannounced visit conducted on February 1, 2024, Mrs. Nealy was reminded (in documentation) that the written plan for staffing pattern has not been received. A request was documented the staffing plan be submitted no later than February 8, 2024. It was documented that if the revisions to the supervision policy as well as the staffing plan were not received by the close of business on February 8, 2024, DCDEE may issue a more stringent action, up to and including a revocation. As of March 27, 2024, Mrs. Nealy has not submitted the written plan regarding staffing pattern nor has she contacted me for an extension request. The requirements for the written plan regarding a staffing pattern were thoroughly reviewed with Mrs. Nealy during today's visit and she was given a submission date of April 10, 2024. I informed Mrs. Nealy that by not complying with the Corrective Action Plan of the Provisional Notice of Compliance could result in a more stringent action, leading up to and including a revocation. Contact me at (910) 709-5985 or via email with any questions or concerns. You may also contact Janet Edwards, Licensing Supervisor, at (910) 709-4160, janet.edwards@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: HEAVEN BOUND NEW VISION CHURCH CHILDCARE Facility ID: 78000467 Consultant: MIRIAM BYRD Operation Type: Center Case Number: Visit Date: 3/27/2024 Number Present: 9 Completed Date: 3/27/2024 Age: From 1 To 4 Total Minutes: 85 Time In: 12:20 PM Time Out: 01:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Admin Action Follow-Up Lic Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance with applicable child care requirements during the Provisional Notice of Compliance that was issued November 9, 2023 to May 9, 2024. The Provisional Notice of Compliance, Cover Letter, and Corrective Action Plan was posted in a location visible to parents and visitors near the entrance of the child care facility. I was unaccompanied during the walk-through of the facility. Upon my arrival, two children, 4 years of age, were in an unapproved space (office) with an unqualified church member. Mrs. Nealy was in space #3 with her 24 year old niece, working on Easter activities. I immediately informed Mrs. Nealy the two children could not be in unapproved space nor with an unqualified church member. The two children were moved to space #3 with Mrs. Nealy. In space #1, there were three children, one years of age, with one caregiver. Children were observed napping. In space #3, there were four children, ages 2-4, with one caregiver. Children were observed napping in this space as well. Supervision, staff/child ratio, Adequate Approved Space and Permit Restrictions were monitored. Three violations of child care requirements were observed and documented. Each were thoroughly reviewed with Mrs. Nealy during today's visit. Computer-generated report was printed at the conclusion of today's visit. Violation Number Comment Rule 209 Children used space that was not approved. Two four-year old children were present in the office; which is not approved for child care. This was corrected during the visit when the two children were moved to space #3. GS 110-91(1)&(4-5) 1041 Prior to employment a Criminal Background Check was not completed. A Church member was supervising two four-year old children and did not complete the criminal background check. G.S. 110-90.2(b) 1757 A valid qualification letter was not on file and available to review at the facility. A Church member was supervising two four-year old children and a valid qualification letter was not on file and available to review at the facility. G.S. 110-90.2(b) & (d) & .2703(e) The violations cited today must be corrected immediately. A follow-up visit will be conducted within the next two weeks to verify compliance with children being in approved space and qualified staff members on site. In response to the violations, you must submit a compliance letter that explains in detail how the violations were corrected and how compliance will be maintained. A signed and dated letter must be received by April 10, 2024. You may mail or email the compliance letter to: Miriam Byrd, Child Care Consultant, PO Bo 1731, Clinton, NC 28329 Miriam.Byrd@dhhs.nc.gov In your compliance letter you must address the following: 1. Children will not be in unapproved space 2. Children will not be supervised by a staff member (full time, substitute, volunteer) who does not have a qualification letter on file If you state in your letter that corrections have been made when they have not, this will be considered falsification of information. If you cannot meet the requirements by this date, you must contact me with a purposed timeline of the corrections. In some cases, this timeline may be extended. You are required to maintain compliance with all applicable child care rules and regulations at all times. NC GS 110- 90(4)(d) requires all child care facilities to maintain a compliance history score of at least 75% for the past 18 months or during the length of time the facility has operated, whichever is less. Failure to do so may result in the issuance of a provisional license or other administrative action. The Volunteer Staff File checklist was given to Mrs. Nealy during today's visit. If the church member is used as a volunteer at any time that children are present and is counted in the staff/child ratio or supervises children, a criminal background qualification letter is needed. I informed Mrs. Nealy of the importance of complying with the applicable child care requirements, especially during the Provisional Notice of Compliance time period. It is imperative that you adhere to the requirements and the Corrective Action Plan. During today's visit, I informed Mrs. Nealy that she has not responded to any of my request regarding completion of the Stipulations #3 and #4 of the Corrective Action Plan. Both of those stipulations were thoroughly reviewed with Mrs. Nealy during the visit. 1. The child care operator shall maintain compliance at all times with all applicable child care requirements, including but not limited to, the following: • North Carolina General Statute § 110-91(7) & Child Care Rule 10A NCAC 09 .0713(a) regarding staff/child ratios • North Carolina General Statute § 110-91(7) & Child Care Rule 10A NCAC 09 .0713(a)(5)(6) regarding grouping of children • Child Care Rule 10A NCAC 09 .1801(a)(1-5) regarding supervision of children 2. Within one (1) week after this Notice is received, Cederrina Nealy, administrator, shall contact Leisa Benson, Lead Child Care Consultant, 2201 Mail Service Center, Raleigh, NC 27699-2201, telephone number 919-819-9348, email Leisa.benson@dhhs.ng.gov, to arrange for a child care rules review. Special emphasis shall be placed on violations regarding supervision, staff/child ratios, and group sizes. All staff members, including administrative, full-time, part-time, auxiliary, substitute, and volunteer staff, shall participate in this mandatory training. Documentation of the training shall be maintained in the facility files for review by representatives of the Division of Child Development and Early Education upon request. A Rules Review was conducted by Leisa Benson, Lead Child Care Consultant, on January 4, 2024. Documentation of the Statements of Understanding forms that were completed by all staff in attendance were obtained and are on file. 3. Within one (1) week after receiving the training, Ms. Nealy shall develop written policies and procedures regarding supervision of children, that describes, in detail, the steps the facility will take to ensure adequate supervision of children. The policies and procedures shall include, but not limited to, the following: • When children are arriving and departing from the facility each day • When children are toileting • When children are on the playground and when entering the building from the playground • When more than one group of children is combined • When children are napping/resting • When staff members need to complete tasks outside the classroom • Procedures for supervisory staff members to visit each classroom and monitor staff members’ implementation of the supervision plan • Procedures to periodically review the supervision plan with all staff members, including the review of the plan in the orientation of new staff members before they assume child care responsibilities • Consequences of staff members’ non-compliance with policies and procedures The policies and procedures shall be submitted to Miriam Byrd, Child Care Consultant, PO Box 1731, Clinton, NC 28329, telephone number 910-709-5985, email Miriam.Byrd@dhhs.nc.gov, for approval. Ms. Byrd shall notify Ms. Nealy, orally and in writing, as to whether the written policies and procedures are approved or if modifications are needed. Once approved, the written policies and procedures shall be immediately implemented and permanently incorporated into the facility’s operating procedures. A copy of the approved policies and procedures shall be maintained in facility files for review by representatives of the Division of Child Development and Early Education upon request. Mrs. Nealy submitted the policies and procedures on January 10, 2024. I contacted Mrs. Nealy, by telephone and in writing on January 22, 2024 that revisions to the policy were needed. Mrs. Nealy was given a date of February 5, 2024 to submit the requested revisions. During the Annual Compliance visit conducted on January 24, 2024, it was documented that the requested revisions were due February 5, 2024. During the Unannounced visit conducted on February 1, 2024, it was documented as a reminder that the requested revisions were due by February 5, 2024. On February 7, 2024, Mrs. Nealy was contacted by telephone requiring the status of the revisions. She stated she was working on them. As of March 27, 2024, Mrs. Nealy has not submitted the requested revisions nor has she contacted me for an extension request. Mrs. Nealy stated her not responding to the written documentation or the emails was an over-sight of hers. She was informed the written policies and procedures regarding supervision are due by April 10, 2024. 4. Within two (2) weeks after receiving the training, Ms. Nealy shall develop a written plan that includes a staffing pattern plan which ensures staff/child ratios and group sizes are met throughout the day including, but not limited to, the following: • In the classroom, on the playground, and during transition periods, including naptime, meals and snacks, bathroom time, transitioning from one caregiver to another, and when groups of children leave the classroom to go to another location • Plan for informing administration when staff members need to attend to personal care needs or to complete tasks outside the classroom or away from the group • When staff call out and/or the facility is short staffed • Frequent review of the plan with staff members, as well as incorporation in the orientation of new staff members • Consequences for staff members’ non-compliance with the plan The written plan shall be submitted to Ms. Byrd for approval. Ms. Byrd shall notify Ms. Nealy, orally and in writing, as to whether the written plan is approved or if modifications are needed. Once approved, the written plan shall be immediately implemented and permanently incorporated into the facility’s operating procedures. A copy of the approved written plan shall be maintained in facility files for review by representatives of the Division of Child Development and Early Education upon request. During the Annual Compliance visit conducted on January 24, 2024, it was documented that the written plan regarding staffing pattern must be received on or by January 31, 2024. It was documented that if an extension was required, Mrs. Nealy should contact me to discuss the reason for the extension. During the Unannounced visit conducted on February 1, 2024, Mrs. Nealy was reminded (in documentation) that the written plan for staffing pattern has not been received. A request was documented the staffing plan be submitted no later than February 8, 2024. It was documented that if the revisions to the supervision policy as well as the staffing plan were not received by the close of business on February 8, 2024, DCDEE may issue a more stringent action, up to and including a revocation. As of March 27, 2024, Mrs. Nealy has not submitted the written plan regarding staffing pattern nor has she contacted me for an extension request. The requirements for the written plan regarding a staffing pattern were thoroughly reviewed with Mrs. Nealy during today's visit and she was given a submission date of April 10, 2024. I informed Mrs. Nealy that by not complying with the Corrective Action Plan of the Provisional Notice of Compliance could result in a more stringent action, leading up to and including a revocation. Contact me at (910) 709-5985 or via email with any questions or concerns. You may also contact Janet Edwards, Licensing Supervisor, at (910) 709-4160, janet.edwards@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

GS 110-91 · Violation

Name of Operation: HEAVEN BOUND NEW VISION CHURCH CHILDCARE Facility ID: 78000467 Consultant: MIRIAM BYRD Operation Type: Center Case Number: Visit Date: 3/27/2024 Number Present: 9 Completed Date: 3/27/2024 Age: From 1 To 4 Total Minutes: 85 Time In: 12:20 PM Time Out: 01:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Admin Action Follow-Up Lic Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance with applicable child care requirements during the Provisional Notice of Compliance that was issued November 9, 2023 to May 9, 2024. The Provisional Notice of Compliance, Cover Letter, and Corrective Action Plan was posted in a location visible to parents and visitors near the entrance of the child care facility. I was unaccompanied during the walk-through of the facility. Upon my arrival, two children, 4 years of age, were in an unapproved space (office) with an unqualified church member. Mrs. Nealy was in space #3 with her 24 year old niece, working on Easter activities. I immediately informed Mrs. Nealy the two children could not be in unapproved space nor with an unqualified church member. The two children were moved to space #3 with Mrs. Nealy. In space #1, there were three children, one years of age, with one caregiver. Children were observed napping. In space #3, there were four children, ages 2-4, with one caregiver. Children were observed napping in this space as well. Supervision, staff/child ratio, Adequate Approved Space and Permit Restrictions were monitored. Three violations of child care requirements were observed and documented. Each were thoroughly reviewed with Mrs. Nealy during today's visit. Computer-generated report was printed at the conclusion of today's visit. Violation Number Comment Rule 209 Children used space that was not approved. Two four-year old children were present in the office; which is not approved for child care. This was corrected during the visit when the two children were moved to space #3. GS 110-91(1)&(4-5) 1041 Prior to employment a Criminal Background Check was not completed. A Church member was supervising two four-year old children and did not complete the criminal background check. G.S. 110-90.2(b) 1757 A valid qualification letter was not on file and available to review at the facility. A Church member was supervising two four-year old children and a valid qualification letter was not on file and available to review at the facility. G.S. 110-90.2(b) & (d) & .2703(e) The violations cited today must be corrected immediately. A follow-up visit will be conducted within the next two weeks to verify compliance with children being in approved space and qualified staff members on site. In response to the violations, you must submit a compliance letter that explains in detail how the violations were corrected and how compliance will be maintained. A signed and dated letter must be received by April 10, 2024. You may mail or email the compliance letter to: Miriam Byrd, Child Care Consultant, PO Bo 1731, Clinton, NC 28329 Miriam.Byrd@dhhs.nc.gov In your compliance letter you must address the following: 1. Children will not be in unapproved space 2. Children will not be supervised by a staff member (full time, substitute, volunteer) who does not have a qualification letter on file If you state in your letter that corrections have been made when they have not, this will be considered falsification of information. If you cannot meet the requirements by this date, you must contact me with a purposed timeline of the corrections. In some cases, this timeline may be extended. You are required to maintain compliance with all applicable child care rules and regulations at all times. NC GS 110- 90(4)(d) requires all child care facilities to maintain a compliance history score of at least 75% for the past 18 months or during the length of time the facility has operated, whichever is less. Failure to do so may result in the issuance of a provisional license or other administrative action. The Volunteer Staff File checklist was given to Mrs. Nealy during today's visit. If the church member is used as a volunteer at any time that children are present and is counted in the staff/child ratio or supervises children, a criminal background qualification letter is needed. I informed Mrs. Nealy of the importance of complying with the applicable child care requirements, especially during the Provisional Notice of Compliance time period. It is imperative that you adhere to the requirements and the Corrective Action Plan. During today's visit, I informed Mrs. Nealy that she has not responded to any of my request regarding completion of the Stipulations #3 and #4 of the Corrective Action Plan. Both of those stipulations were thoroughly reviewed with Mrs. Nealy during the visit. 1. The child care operator shall maintain compliance at all times with all applicable child care requirements, including but not limited to, the following: • North Carolina General Statute § 110-91(7) & Child Care Rule 10A NCAC 09 .0713(a) regarding staff/child ratios • North Carolina General Statute § 110-91(7) & Child Care Rule 10A NCAC 09 .0713(a)(5)(6) regarding grouping of children • Child Care Rule 10A NCAC 09 .1801(a)(1-5) regarding supervision of children 2. Within one (1) week after this Notice is received, Cederrina Nealy, administrator, shall contact Leisa Benson, Lead Child Care Consultant, 2201 Mail Service Center, Raleigh, NC 27699-2201, telephone number 919-819-9348, email Leisa.benson@dhhs.ng.gov, to arrange for a child care rules review. Special emphasis shall be placed on violations regarding supervision, staff/child ratios, and group sizes. All staff members, including administrative, full-time, part-time, auxiliary, substitute, and volunteer staff, shall participate in this mandatory training. Documentation of the training shall be maintained in the facility files for review by representatives of the Division of Child Development and Early Education upon request. A Rules Review was conducted by Leisa Benson, Lead Child Care Consultant, on January 4, 2024. Documentation of the Statements of Understanding forms that were completed by all staff in attendance were obtained and are on file. 3. Within one (1) week after receiving the training, Ms. Nealy shall develop written policies and procedures regarding supervision of children, that describes, in detail, the steps the facility will take to ensure adequate supervision of children. The policies and procedures shall include, but not limited to, the following: • When children are arriving and departing from the facility each day • When children are toileting • When children are on the playground and when entering the building from the playground • When more than one group of children is combined • When children are napping/resting • When staff members need to complete tasks outside the classroom • Procedures for supervisory staff members to visit each classroom and monitor staff members’ implementation of the supervision plan • Procedures to periodically review the supervision plan with all staff members, including the review of the plan in the orientation of new staff members before they assume child care responsibilities • Consequences of staff members’ non-compliance with policies and procedures The policies and procedures shall be submitted to Miriam Byrd, Child Care Consultant, PO Box 1731, Clinton, NC 28329, telephone number 910-709-5985, email Miriam.Byrd@dhhs.nc.gov, for approval. Ms. Byrd shall notify Ms. Nealy, orally and in writing, as to whether the written policies and procedures are approved or if modifications are needed. Once approved, the written policies and procedures shall be immediately implemented and permanently incorporated into the facility’s operating procedures. A copy of the approved policies and procedures shall be maintained in facility files for review by representatives of the Division of Child Development and Early Education upon request. Mrs. Nealy submitted the policies and procedures on January 10, 2024. I contacted Mrs. Nealy, by telephone and in writing on January 22, 2024 that revisions to the policy were needed. Mrs. Nealy was given a date of February 5, 2024 to submit the requested revisions. During the Annual Compliance visit conducted on January 24, 2024, it was documented that the requested revisions were due February 5, 2024. During the Unannounced visit conducted on February 1, 2024, it was documented as a reminder that the requested revisions were due by February 5, 2024. On February 7, 2024, Mrs. Nealy was contacted by telephone requiring the status of the revisions. She stated she was working on them. As of March 27, 2024, Mrs. Nealy has not submitted the requested revisions nor has she contacted me for an extension request. Mrs. Nealy stated her not responding to the written documentation or the emails was an over-sight of hers. She was informed the written policies and procedures regarding supervision are due by April 10, 2024. 4. Within two (2) weeks after receiving the training, Ms. Nealy shall develop a written plan that includes a staffing pattern plan which ensures staff/child ratios and group sizes are met throughout the day including, but not limited to, the following: • In the classroom, on the playground, and during transition periods, including naptime, meals and snacks, bathroom time, transitioning from one caregiver to another, and when groups of children leave the classroom to go to another location • Plan for informing administration when staff members need to attend to personal care needs or to complete tasks outside the classroom or away from the group • When staff call out and/or the facility is short staffed • Frequent review of the plan with staff members, as well as incorporation in the orientation of new staff members • Consequences for staff members’ non-compliance with the plan The written plan shall be submitted to Ms. Byrd for approval. Ms. Byrd shall notify Ms. Nealy, orally and in writing, as to whether the written plan is approved or if modifications are needed. Once approved, the written plan shall be immediately implemented and permanently incorporated into the facility’s operating procedures. A copy of the approved written plan shall be maintained in facility files for review by representatives of the Division of Child Development and Early Education upon request. During the Annual Compliance visit conducted on January 24, 2024, it was documented that the written plan regarding staffing pattern must be received on or by January 31, 2024. It was documented that if an extension was required, Mrs. Nealy should contact me to discuss the reason for the extension. During the Unannounced visit conducted on February 1, 2024, Mrs. Nealy was reminded (in documentation) that the written plan for staffing pattern has not been received. A request was documented the staffing plan be submitted no later than February 8, 2024. It was documented that if the revisions to the supervision policy as well as the staffing plan were not received by the close of business on February 8, 2024, DCDEE may issue a more stringent action, up to and including a revocation. As of March 27, 2024, Mrs. Nealy has not submitted the written plan regarding staffing pattern nor has she contacted me for an extension request. The requirements for the written plan regarding a staffing pattern were thoroughly reviewed with Mrs. Nealy during today's visit and she was given a submission date of April 10, 2024. I informed Mrs. Nealy that by not complying with the Corrective Action Plan of the Provisional Notice of Compliance could result in a more stringent action, leading up to and including a revocation. Contact me at (910) 709-5985 or via email with any questions or concerns. You may also contact Janet Edwards, Licensing Supervisor, at (910) 709-4160, janet.edwards@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

NC GS 110- 90 · Violation

Name of Operation: HEAVEN BOUND NEW VISION CHURCH CHILDCARE Facility ID: 78000467 Consultant: MIRIAM BYRD Operation Type: Center Case Number: Visit Date: 3/27/2024 Number Present: 9 Completed Date: 3/27/2024 Age: From 1 To 4 Total Minutes: 85 Time In: 12:20 PM Time Out: 01:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Admin Action Follow-Up Lic Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance with applicable child care requirements during the Provisional Notice of Compliance that was issued November 9, 2023 to May 9, 2024. The Provisional Notice of Compliance, Cover Letter, and Corrective Action Plan was posted in a location visible to parents and visitors near the entrance of the child care facility. I was unaccompanied during the walk-through of the facility. Upon my arrival, two children, 4 years of age, were in an unapproved space (office) with an unqualified church member. Mrs. Nealy was in space #3 with her 24 year old niece, working on Easter activities. I immediately informed Mrs. Nealy the two children could not be in unapproved space nor with an unqualified church member. The two children were moved to space #3 with Mrs. Nealy. In space #1, there were three children, one years of age, with one caregiver. Children were observed napping. In space #3, there were four children, ages 2-4, with one caregiver. Children were observed napping in this space as well. Supervision, staff/child ratio, Adequate Approved Space and Permit Restrictions were monitored. Three violations of child care requirements were observed and documented. Each were thoroughly reviewed with Mrs. Nealy during today's visit. Computer-generated report was printed at the conclusion of today's visit. Violation Number Comment Rule 209 Children used space that was not approved. Two four-year old children were present in the office; which is not approved for child care. This was corrected during the visit when the two children were moved to space #3. GS 110-91(1)&(4-5) 1041 Prior to employment a Criminal Background Check was not completed. A Church member was supervising two four-year old children and did not complete the criminal background check. G.S. 110-90.2(b) 1757 A valid qualification letter was not on file and available to review at the facility. A Church member was supervising two four-year old children and a valid qualification letter was not on file and available to review at the facility. G.S. 110-90.2(b) & (d) & .2703(e) The violations cited today must be corrected immediately. A follow-up visit will be conducted within the next two weeks to verify compliance with children being in approved space and qualified staff members on site. In response to the violations, you must submit a compliance letter that explains in detail how the violations were corrected and how compliance will be maintained. A signed and dated letter must be received by April 10, 2024. You may mail or email the compliance letter to: Miriam Byrd, Child Care Consultant, PO Bo 1731, Clinton, NC 28329 Miriam.Byrd@dhhs.nc.gov In your compliance letter you must address the following: 1. Children will not be in unapproved space 2. Children will not be supervised by a staff member (full time, substitute, volunteer) who does not have a qualification letter on file If you state in your letter that corrections have been made when they have not, this will be considered falsification of information. If you cannot meet the requirements by this date, you must contact me with a purposed timeline of the corrections. In some cases, this timeline may be extended. You are required to maintain compliance with all applicable child care rules and regulations at all times. NC GS 110- 90(4)(d) requires all child care facilities to maintain a compliance history score of at least 75% for the past 18 months or during the length of time the facility has operated, whichever is less. Failure to do so may result in the issuance of a provisional license or other administrative action. The Volunteer Staff File checklist was given to Mrs. Nealy during today's visit. If the church member is used as a volunteer at any time that children are present and is counted in the staff/child ratio or supervises children, a criminal background qualification letter is needed. I informed Mrs. Nealy of the importance of complying with the applicable child care requirements, especially during the Provisional Notice of Compliance time period. It is imperative that you adhere to the requirements and the Corrective Action Plan. During today's visit, I informed Mrs. Nealy that she has not responded to any of my request regarding completion of the Stipulations #3 and #4 of the Corrective Action Plan. Both of those stipulations were thoroughly reviewed with Mrs. Nealy during the visit. 1. The child care operator shall maintain compliance at all times with all applicable child care requirements, including but not limited to, the following: • North Carolina General Statute § 110-91(7) & Child Care Rule 10A NCAC 09 .0713(a) regarding staff/child ratios • North Carolina General Statute § 110-91(7) & Child Care Rule 10A NCAC 09 .0713(a)(5)(6) regarding grouping of children • Child Care Rule 10A NCAC 09 .1801(a)(1-5) regarding supervision of children 2. Within one (1) week after this Notice is received, Cederrina Nealy, administrator, shall contact Leisa Benson, Lead Child Care Consultant, 2201 Mail Service Center, Raleigh, NC 27699-2201, telephone number 919-819-9348, email Leisa.benson@dhhs.ng.gov, to arrange for a child care rules review. Special emphasis shall be placed on violations regarding supervision, staff/child ratios, and group sizes. All staff members, including administrative, full-time, part-time, auxiliary, substitute, and volunteer staff, shall participate in this mandatory training. Documentation of the training shall be maintained in the facility files for review by representatives of the Division of Child Development and Early Education upon request. A Rules Review was conducted by Leisa Benson, Lead Child Care Consultant, on January 4, 2024. Documentation of the Statements of Understanding forms that were completed by all staff in attendance were obtained and are on file. 3. Within one (1) week after receiving the training, Ms. Nealy shall develop written policies and procedures regarding supervision of children, that describes, in detail, the steps the facility will take to ensure adequate supervision of children. The policies and procedures shall include, but not limited to, the following: • When children are arriving and departing from the facility each day • When children are toileting • When children are on the playground and when entering the building from the playground • When more than one group of children is combined • When children are napping/resting • When staff members need to complete tasks outside the classroom • Procedures for supervisory staff members to visit each classroom and monitor staff members’ implementation of the supervision plan • Procedures to periodically review the supervision plan with all staff members, including the review of the plan in the orientation of new staff members before they assume child care responsibilities • Consequences of staff members’ non-compliance with policies and procedures The policies and procedures shall be submitted to Miriam Byrd, Child Care Consultant, PO Box 1731, Clinton, NC 28329, telephone number 910-709-5985, email Miriam.Byrd@dhhs.nc.gov, for approval. Ms. Byrd shall notify Ms. Nealy, orally and in writing, as to whether the written policies and procedures are approved or if modifications are needed. Once approved, the written policies and procedures shall be immediately implemented and permanently incorporated into the facility’s operating procedures. A copy of the approved policies and procedures shall be maintained in facility files for review by representatives of the Division of Child Development and Early Education upon request. Mrs. Nealy submitted the policies and procedures on January 10, 2024. I contacted Mrs. Nealy, by telephone and in writing on January 22, 2024 that revisions to the policy were needed. Mrs. Nealy was given a date of February 5, 2024 to submit the requested revisions. During the Annual Compliance visit conducted on January 24, 2024, it was documented that the requested revisions were due February 5, 2024. During the Unannounced visit conducted on February 1, 2024, it was documented as a reminder that the requested revisions were due by February 5, 2024. On February 7, 2024, Mrs. Nealy was contacted by telephone requiring the status of the revisions. She stated she was working on them. As of March 27, 2024, Mrs. Nealy has not submitted the requested revisions nor has she contacted me for an extension request. Mrs. Nealy stated her not responding to the written documentation or the emails was an over-sight of hers. She was informed the written policies and procedures regarding supervision are due by April 10, 2024. 4. Within two (2) weeks after receiving the training, Ms. Nealy shall develop a written plan that includes a staffing pattern plan which ensures staff/child ratios and group sizes are met throughout the day including, but not limited to, the following: • In the classroom, on the playground, and during transition periods, including naptime, meals and snacks, bathroom time, transitioning from one caregiver to another, and when groups of children leave the classroom to go to another location • Plan for informing administration when staff members need to attend to personal care needs or to complete tasks outside the classroom or away from the group • When staff call out and/or the facility is short staffed • Frequent review of the plan with staff members, as well as incorporation in the orientation of new staff members • Consequences for staff members’ non-compliance with the plan The written plan shall be submitted to Ms. Byrd for approval. Ms. Byrd shall notify Ms. Nealy, orally and in writing, as to whether the written plan is approved or if modifications are needed. Once approved, the written plan shall be immediately implemented and permanently incorporated into the facility’s operating procedures. A copy of the approved written plan shall be maintained in facility files for review by representatives of the Division of Child Development and Early Education upon request. During the Annual Compliance visit conducted on January 24, 2024, it was documented that the written plan regarding staffing pattern must be received on or by January 31, 2024. It was documented that if an extension was required, Mrs. Nealy should contact me to discuss the reason for the extension. During the Unannounced visit conducted on February 1, 2024, Mrs. Nealy was reminded (in documentation) that the written plan for staffing pattern has not been received. A request was documented the staffing plan be submitted no later than February 8, 2024. It was documented that if the revisions to the supervision policy as well as the staffing plan were not received by the close of business on February 8, 2024, DCDEE may issue a more stringent action, up to and including a revocation. As of March 27, 2024, Mrs. Nealy has not submitted the written plan regarding staffing pattern nor has she contacted me for an extension request. The requirements for the written plan regarding a staffing pattern were thoroughly reviewed with Mrs. Nealy during today's visit and she was given a submission date of April 10, 2024. I informed Mrs. Nealy that by not complying with the Corrective Action Plan of the Provisional Notice of Compliance could result in a more stringent action, leading up to and including a revocation. Contact me at (910) 709-5985 or via email with any questions or concerns. You may also contact Janet Edwards, Licensing Supervisor, at (910) 709-4160, janet.edwards@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

10A NCAC 09 .0713 · Violation

Name of Operation: HEAVEN BOUND NEW VISION CHURCH CHILDCARE Facility ID: 78000467 Consultant: MIRIAM BYRD Operation Type: Center Case Number: Visit Date: 2/27/2024 Number Present: 5 Completed Date: 2/27/2024 Age: From 1 To 4 Total Minutes: 170 Time In: 10:10 AM Time Out: 01:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Admin Action Follow-Up Lic Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance with applicable child care requirements during the Provisional Notice of Compliance that was issued November 9, 2023 to May 9, 2024. The Provisional Notice of Compliance, Cover Letter, and Corrective Action Plan was posted in a location visible to parents and visitors near the entrance of the child care facility. Mrs. Cedderina Nealy, Director, was not present during today's visit. I was unaccompanied during the walk-through of the facility. Five children, ages 1-4, were present with 3 caregivers. Children were participating in teacher-directed activities and free play indoors. Supervision, staff/child ratio, Adequate Approved Space and Permit Restrictions were observed. Today's lunch consisted of hot dogs with bun fruit cocktail, baked beans and milk. During the Annual Compliance visit conducted on January 24, 2024 and the unannounced visits conducted on February 1, 2024 and February 14, 2024, staff and children records were not made available for review. During today's visit I reviewed all staff and children's files. Nine violations of child care requirements were observed and documented. Computer-generated report was printed at the conclusion of today's visit. Violation Number Comment Rule 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. A substitute caregiver did not have TB test results 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 director's health questionnaire was completed on 1-9-2023. An annual health questions was not on file. .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 director's emergency information was dated 1-9-2023. An annual emergency information form was not on file. .0701(a) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. One new staff did not receive at least 16 hours of orientation by January 15, 2024. .1101(a) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. One new employee was hired 12-4-2023. Orientation within the first two weeks was completed on 1-8-2024; not within the first two weeks of employment. .1101(a)(b) 1314 Emergency information did not name childs health care professional. One child did not have a health care professional listed. Two children did not have the hospital preference listed. .0802(c)(2) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. Two children did not have a medical exam/health assessment on file. GS110-91(1) 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. One new staff did not have a signed acknowledgement of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy on file. .0608(d)(1-4) 1908 A child's file did not have a statement with parent signature acknowledging receipt and explanation of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy and/or the acknowledgement did not have all the required information. One child's file did not have a statement with parent signature acknowledging receipt of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy. .0608(b)(1-6) The violations must be corrected immediately. In your response to the violations cited during today's visit, you are required to submit a compliance letter that explains in detail how each violation was corrected. A signed and dated compliance letter must be received no later than March 12, 2024. You can mail or email the letter to: Miriam Byrd, Child Care Consultant, PO Box 1731, Clinton, NC 28329 Miriam.Byrd@dhhs.nc.gov If you state in your letter that corrections have been made when they have not, this will be considered falsification of information. If you cannot meet the requirements by this date, you must contact me with a purposed timeline of the corrections. In some cases, this timeline may be extended. In your compliance letter, make sure to address the following: *K. Nealy did not have a signed TB test results on file *The first 2 weeks of orientation for S. Wooten was completed after the required 2 weeks (1-8-2024). State how this will be corrected for future applicants. *The 6 weeks orientation for S. Wooten should have been completed by 1-15-2024. State that the orientation has been completed. *The shaken baby head trauma policy signature of receipt was not on file for A. Harris. *The health questionnaire and emergency information for C. Nealy was not updated annually (last completed 1-9-2023) *V. Cheatman did not have the health care professional listed on the emergency medical care information *The Martinez children did not have the hospital preference listed on the emergency medical care information *The McMillian children did not have a medical exam/health assessment on file before enrollment or within 30 days after admission *K. Williams did not have a signed statement by the parent/guardian that the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was received and reviewed Make sure to review the staff and training worksheet as well as the children's records form left during today's visit. You are required to maintain compliance with all applicable child care rules and regulations at all times. NC GS 110- 90(4)(d) requires all child care facilities to maintain a compliance history score of at least 75% for the past 18 months or during the length of time the facility has operated, whichever is less. Failure to do so may result in the issuance of a provisional license or other administrative action. Child care licensing requirements were established to ensure a safe and healthy child care environment. Therefore, it is important for you to be knowledgeable of all the licensing requirements that apply to your type of program. It is your responsibility to maintain compliance with all the applicable laws and rules at all times. The best way for you to make sure that you are meeting all requirements is to periodically review the child care law and rules. I explained that you have access to the on-line version of the Child Care Rule Book, as well as a hard copy of the rules. I recommend that you visit the Division of Child Development's website (www.ncchildcare.nc.gov) on a regular basis to find out what's new in childcare. You could also find any needed Child Care forms by going on the web site and clicking on the "Provider" tab and then clicking on the "Provider Documents" tab. The Corrective Action Plan of the Provisional Notice of Compliance was monitored during today’s visit. 1. The child care operator shall maintain compliance at all times with all applicable child care requirements, including but not limited to, the following: • North Carolina General Statute § 110-91(7) & Child Care Rule 10A NCAC 09 .0713(a) regarding staff/child ratios • North Carolina General Statute § 110-91(7) & Child Care Rule 10A NCAC 09 .0713(a)(5)(6) regarding grouping of children • Child Care Rule 10A NCAC 09 .1801(a)(1-5) regarding supervision of children *Staff/child ratios, grouping of children and supervision were in compliance during today's visit. 2. Within one (1) week after this Notice is received, Cederrina Nealy, administrator, shall contact Leisa Benson, Lead Child Care Consultant, 2201 Mail Service Center, Raleigh, NC 27699-2201, telephone number 919-819-9348, email Leisa.benson@dhhs.ng.gov, to arrange for a child care rules review. Special emphasis shall be placed on violations regarding supervision, staff/child ratios, and group sizes. All staff members, including administrative, full-time, part-time, auxiliary, substitute, and volunteer staff, shall participate in this mandatory training. Documentation of the training shall be maintained in the facility files for review by representatives of the Division of Child Development and Early Education upon request. A Rules Review was conducted by Leisa Benson, Lead Child Care Consultant, on January 4, 2024. Documentation of the Statements of Understanding forms that were completed by all staff in attendance were obtained and are on file. 3. Within one (1) week after receiving the training, Ms. Nealy shall develop written policies and procedures regarding supervision of children, that describes, in detail, the steps the facility will take to ensure adequate supervision of children. The policies and procedures shall include, but not limited to, the following: • When children are arriving and departing from the facility each day • When children are toileting • When children are on the playground and when entering the building from the playground • When more than one group of children is combined • When children are napping/resting • When staff members need to complete tasks outside the classroom • Procedures for supervisory staff members to visit each classroom and monitor staff members’ implementation of the supervision plan • Procedures to periodically review the supervision plan with all staff members, including the review of the plan in the orientation of new staff members before they assume child care responsibilities • Consequences of staff members’ non-compliance with policies and procedures The policies and procedures shall be submitted to Miriam Byrd, Child Care Consultant, PO Box 1731, Clinton, NC 28329, telephone number 910-709-5985, email Miriam.Byrd@dhhs.nc.gov, for approval. Ms. Byrd shall notify Ms. Nealy, orally and in writing, as to whether the written policies and procedures are approved or if modifications are needed. Once approved, the written policies and procedures shall be immediately implemented and permanently incorporated into the facility’s operating procedures. A copy of the approved policies and procedures shall be maintained in facility files for review by representatives of the Division of Child Development and Early Education upon request. Mrs. Nealy submitted the policies and procedures on January 10, 2024. Mrs. Nealy was contacted by telephone and in writing on January 22, 2024 that revisions to the policy were needed. Mrs. Nealy was given a date of February 5, 2024 to submit the requested revisions. During the Annual Compliance visit conducted on January 24, 2024, it was documented that the requested revisions were due February 5, 2024. During the Unannounced visit conducted on February 1, 2024, it was documented as a reminder that the requested revisions were due by February 5, 2024. On February 7, 2024, Mrs. Nealy was contacted by telephone requiring the status of the revisions. She stated she was working on them. As of today, Mrs. Nealy has not submitted the requested revisions nor has she contacted me for an extension request. 4. Within two (2) weeks after receiving the training, Ms. Nealy shall develop a written plan that includes a staffing pattern plan which ensures staff/child ratios and group sizes are met throughout the day including, but not limited to, the following: • In the classroom, on the playground, and during transition periods, including naptime, meals and snacks, bathroom time, transitioning from one caregiver to another, and when groups of children leave the classroom to go to another location • Plan for informing administration when staff members need to attend to personal care needs or to complete tasks outside the classroom or away from the group • When staff call out and/or the facility is short staffed • Frequent review of the plan with staff members, as well as incorporation in the orientation of new staff members • Consequences for staff members’ non-compliance with the plan The written plan shall be submitted to Ms. Byrd for approval. Ms. Byrd shall notify Ms. Nealy, orally and in writing, as to whether the written plan is approved or if modifications are needed. Once approved, the written plan shall be immediately implemented and permanently incorporated into the facility’s operating procedures. A copy of the approved written plan shall be maintained in facility files for review by representatives of the Division of Child Development and Early Education upon request. During the Annual Compliance visit conducted on January 24, 2024, it was documented that the written plan regarding staffing pattern must be received on or by January 31, 2024. It was documented that if an extension was required, Mrs. Nealy should contact me to discuss the reason for the extension. During the Unannounced visit conducted on February 1, 2024, Mrs. Nealy was reminded (in documentation) that the written plan for staffing pattern has not been received. A request was documented the staffing plan be submitted no later than February 8, 2024. It was documented that if the revisions to the supervision policy as well as the staffing plan were not received by the close of business on February 8, 2024, DCDEE may issue a more stringent action, up to and including a revocation. As of today, Mrs. Nealy has not submitted the written plan regarding staffing pattern nor has she contacted me for an extension request. Due to Mrs. Nealy not complying with the Corrective Action Plan, the Division of Child Development and Early Education may proceed with a more stringent action, up to and including a revocation. Contact me with any questions or concerns at (910) 709-5958 or via email. You may also contact Janet Edwards, Licensing Supervisor at (910( 709-4160, janet.edwards@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

10A NCAC 09 .1801 · Violation

Name of Operation: HEAVEN BOUND NEW VISION CHURCH CHILDCARE Facility ID: 78000467 Consultant: MIRIAM BYRD Operation Type: Center Case Number: Visit Date: 2/27/2024 Number Present: 5 Completed Date: 2/27/2024 Age: From 1 To 4 Total Minutes: 170 Time In: 10:10 AM Time Out: 01:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Admin Action Follow-Up Lic Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance with applicable child care requirements during the Provisional Notice of Compliance that was issued November 9, 2023 to May 9, 2024. The Provisional Notice of Compliance, Cover Letter, and Corrective Action Plan was posted in a location visible to parents and visitors near the entrance of the child care facility. Mrs. Cedderina Nealy, Director, was not present during today's visit. I was unaccompanied during the walk-through of the facility. Five children, ages 1-4, were present with 3 caregivers. Children were participating in teacher-directed activities and free play indoors. Supervision, staff/child ratio, Adequate Approved Space and Permit Restrictions were observed. Today's lunch consisted of hot dogs with bun fruit cocktail, baked beans and milk. During the Annual Compliance visit conducted on January 24, 2024 and the unannounced visits conducted on February 1, 2024 and February 14, 2024, staff and children records were not made available for review. During today's visit I reviewed all staff and children's files. Nine violations of child care requirements were observed and documented. Computer-generated report was printed at the conclusion of today's visit. Violation Number Comment Rule 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. A substitute caregiver did not have TB test results 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 director's health questionnaire was completed on 1-9-2023. An annual health questions was not on file. .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 director's emergency information was dated 1-9-2023. An annual emergency information form was not on file. .0701(a) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. One new staff did not receive at least 16 hours of orientation by January 15, 2024. .1101(a) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. One new employee was hired 12-4-2023. Orientation within the first two weeks was completed on 1-8-2024; not within the first two weeks of employment. .1101(a)(b) 1314 Emergency information did not name childs health care professional. One child did not have a health care professional listed. Two children did not have the hospital preference listed. .0802(c)(2) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. Two children did not have a medical exam/health assessment on file. GS110-91(1) 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. One new staff did not have a signed acknowledgement of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy on file. .0608(d)(1-4) 1908 A child's file did not have a statement with parent signature acknowledging receipt and explanation of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy and/or the acknowledgement did not have all the required information. One child's file did not have a statement with parent signature acknowledging receipt of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy. .0608(b)(1-6) The violations must be corrected immediately. In your response to the violations cited during today's visit, you are required to submit a compliance letter that explains in detail how each violation was corrected. A signed and dated compliance letter must be received no later than March 12, 2024. You can mail or email the letter to: Miriam Byrd, Child Care Consultant, PO Box 1731, Clinton, NC 28329 Miriam.Byrd@dhhs.nc.gov If you state in your letter that corrections have been made when they have not, this will be considered falsification of information. If you cannot meet the requirements by this date, you must contact me with a purposed timeline of the corrections. In some cases, this timeline may be extended. In your compliance letter, make sure to address the following: *K. Nealy did not have a signed TB test results on file *The first 2 weeks of orientation for S. Wooten was completed after the required 2 weeks (1-8-2024). State how this will be corrected for future applicants. *The 6 weeks orientation for S. Wooten should have been completed by 1-15-2024. State that the orientation has been completed. *The shaken baby head trauma policy signature of receipt was not on file for A. Harris. *The health questionnaire and emergency information for C. Nealy was not updated annually (last completed 1-9-2023) *V. Cheatman did not have the health care professional listed on the emergency medical care information *The Martinez children did not have the hospital preference listed on the emergency medical care information *The McMillian children did not have a medical exam/health assessment on file before enrollment or within 30 days after admission *K. Williams did not have a signed statement by the parent/guardian that the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was received and reviewed Make sure to review the staff and training worksheet as well as the children's records form left during today's visit. You are required to maintain compliance with all applicable child care rules and regulations at all times. NC GS 110- 90(4)(d) requires all child care facilities to maintain a compliance history score of at least 75% for the past 18 months or during the length of time the facility has operated, whichever is less. Failure to do so may result in the issuance of a provisional license or other administrative action. Child care licensing requirements were established to ensure a safe and healthy child care environment. Therefore, it is important for you to be knowledgeable of all the licensing requirements that apply to your type of program. It is your responsibility to maintain compliance with all the applicable laws and rules at all times. The best way for you to make sure that you are meeting all requirements is to periodically review the child care law and rules. I explained that you have access to the on-line version of the Child Care Rule Book, as well as a hard copy of the rules. I recommend that you visit the Division of Child Development's website (www.ncchildcare.nc.gov) on a regular basis to find out what's new in childcare. You could also find any needed Child Care forms by going on the web site and clicking on the "Provider" tab and then clicking on the "Provider Documents" tab. The Corrective Action Plan of the Provisional Notice of Compliance was monitored during today’s visit. 1. The child care operator shall maintain compliance at all times with all applicable child care requirements, including but not limited to, the following: • North Carolina General Statute § 110-91(7) & Child Care Rule 10A NCAC 09 .0713(a) regarding staff/child ratios • North Carolina General Statute § 110-91(7) & Child Care Rule 10A NCAC 09 .0713(a)(5)(6) regarding grouping of children • Child Care Rule 10A NCAC 09 .1801(a)(1-5) regarding supervision of children *Staff/child ratios, grouping of children and supervision were in compliance during today's visit. 2. Within one (1) week after this Notice is received, Cederrina Nealy, administrator, shall contact Leisa Benson, Lead Child Care Consultant, 2201 Mail Service Center, Raleigh, NC 27699-2201, telephone number 919-819-9348, email Leisa.benson@dhhs.ng.gov, to arrange for a child care rules review. Special emphasis shall be placed on violations regarding supervision, staff/child ratios, and group sizes. All staff members, including administrative, full-time, part-time, auxiliary, substitute, and volunteer staff, shall participate in this mandatory training. Documentation of the training shall be maintained in the facility files for review by representatives of the Division of Child Development and Early Education upon request. A Rules Review was conducted by Leisa Benson, Lead Child Care Consultant, on January 4, 2024. Documentation of the Statements of Understanding forms that were completed by all staff in attendance were obtained and are on file. 3. Within one (1) week after receiving the training, Ms. Nealy shall develop written policies and procedures regarding supervision of children, that describes, in detail, the steps the facility will take to ensure adequate supervision of children. The policies and procedures shall include, but not limited to, the following: • When children are arriving and departing from the facility each day • When children are toileting • When children are on the playground and when entering the building from the playground • When more than one group of children is combined • When children are napping/resting • When staff members need to complete tasks outside the classroom • Procedures for supervisory staff members to visit each classroom and monitor staff members’ implementation of the supervision plan • Procedures to periodically review the supervision plan with all staff members, including the review of the plan in the orientation of new staff members before they assume child care responsibilities • Consequences of staff members’ non-compliance with policies and procedures The policies and procedures shall be submitted to Miriam Byrd, Child Care Consultant, PO Box 1731, Clinton, NC 28329, telephone number 910-709-5985, email Miriam.Byrd@dhhs.nc.gov, for approval. Ms. Byrd shall notify Ms. Nealy, orally and in writing, as to whether the written policies and procedures are approved or if modifications are needed. Once approved, the written policies and procedures shall be immediately implemented and permanently incorporated into the facility’s operating procedures. A copy of the approved policies and procedures shall be maintained in facility files for review by representatives of the Division of Child Development and Early Education upon request. Mrs. Nealy submitted the policies and procedures on January 10, 2024. Mrs. Nealy was contacted by telephone and in writing on January 22, 2024 that revisions to the policy were needed. Mrs. Nealy was given a date of February 5, 2024 to submit the requested revisions. During the Annual Compliance visit conducted on January 24, 2024, it was documented that the requested revisions were due February 5, 2024. During the Unannounced visit conducted on February 1, 2024, it was documented as a reminder that the requested revisions were due by February 5, 2024. On February 7, 2024, Mrs. Nealy was contacted by telephone requiring the status of the revisions. She stated she was working on them. As of today, Mrs. Nealy has not submitted the requested revisions nor has she contacted me for an extension request. 4. Within two (2) weeks after receiving the training, Ms. Nealy shall develop a written plan that includes a staffing pattern plan which ensures staff/child ratios and group sizes are met throughout the day including, but not limited to, the following: • In the classroom, on the playground, and during transition periods, including naptime, meals and snacks, bathroom time, transitioning from one caregiver to another, and when groups of children leave the classroom to go to another location • Plan for informing administration when staff members need to attend to personal care needs or to complete tasks outside the classroom or away from the group • When staff call out and/or the facility is short staffed • Frequent review of the plan with staff members, as well as incorporation in the orientation of new staff members • Consequences for staff members’ non-compliance with the plan The written plan shall be submitted to Ms. Byrd for approval. Ms. Byrd shall notify Ms. Nealy, orally and in writing, as to whether the written plan is approved or if modifications are needed. Once approved, the written plan shall be immediately implemented and permanently incorporated into the facility’s operating procedures. A copy of the approved written plan shall be maintained in facility files for review by representatives of the Division of Child Development and Early Education upon request. During the Annual Compliance visit conducted on January 24, 2024, it was documented that the written plan regarding staffing pattern must be received on or by January 31, 2024. It was documented that if an extension was required, Mrs. Nealy should contact me to discuss the reason for the extension. During the Unannounced visit conducted on February 1, 2024, Mrs. Nealy was reminded (in documentation) that the written plan for staffing pattern has not been received. A request was documented the staffing plan be submitted no later than February 8, 2024. It was documented that if the revisions to the supervision policy as well as the staffing plan were not received by the close of business on February 8, 2024, DCDEE may issue a more stringent action, up to and including a revocation. As of today, Mrs. Nealy has not submitted the written plan regarding staffing pattern nor has she contacted me for an extension request. Due to Mrs. Nealy not complying with the Corrective Action Plan, the Division of Child Development and Early Education may proceed with a more stringent action, up to and including a revocation. Contact me with any questions or concerns at (910) 709-5958 or via email. You may also contact Janet Edwards, Licensing Supervisor at (910( 709-4160, janet.edwards@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

GS110-91 · Violation

Name of Operation: HEAVEN BOUND NEW VISION CHURCH CHILDCARE Facility ID: 78000467 Consultant: MIRIAM BYRD Operation Type: Center Case Number: Visit Date: 2/27/2024 Number Present: 5 Completed Date: 2/27/2024 Age: From 1 To 4 Total Minutes: 170 Time In: 10:10 AM Time Out: 01:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Admin Action Follow-Up Lic Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance with applicable child care requirements during the Provisional Notice of Compliance that was issued November 9, 2023 to May 9, 2024. The Provisional Notice of Compliance, Cover Letter, and Corrective Action Plan was posted in a location visible to parents and visitors near the entrance of the child care facility. Mrs. Cedderina Nealy, Director, was not present during today's visit. I was unaccompanied during the walk-through of the facility. Five children, ages 1-4, were present with 3 caregivers. Children were participating in teacher-directed activities and free play indoors. Supervision, staff/child ratio, Adequate Approved Space and Permit Restrictions were observed. Today's lunch consisted of hot dogs with bun fruit cocktail, baked beans and milk. During the Annual Compliance visit conducted on January 24, 2024 and the unannounced visits conducted on February 1, 2024 and February 14, 2024, staff and children records were not made available for review. During today's visit I reviewed all staff and children's files. Nine violations of child care requirements were observed and documented. Computer-generated report was printed at the conclusion of today's visit. Violation Number Comment Rule 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. A substitute caregiver did not have TB test results 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 director's health questionnaire was completed on 1-9-2023. An annual health questions was not on file. .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 director's emergency information was dated 1-9-2023. An annual emergency information form was not on file. .0701(a) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. One new staff did not receive at least 16 hours of orientation by January 15, 2024. .1101(a) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. One new employee was hired 12-4-2023. Orientation within the first two weeks was completed on 1-8-2024; not within the first two weeks of employment. .1101(a)(b) 1314 Emergency information did not name childs health care professional. One child did not have a health care professional listed. Two children did not have the hospital preference listed. .0802(c)(2) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. Two children did not have a medical exam/health assessment on file. GS110-91(1) 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. One new staff did not have a signed acknowledgement of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy on file. .0608(d)(1-4) 1908 A child's file did not have a statement with parent signature acknowledging receipt and explanation of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy and/or the acknowledgement did not have all the required information. One child's file did not have a statement with parent signature acknowledging receipt of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy. .0608(b)(1-6) The violations must be corrected immediately. In your response to the violations cited during today's visit, you are required to submit a compliance letter that explains in detail how each violation was corrected. A signed and dated compliance letter must be received no later than March 12, 2024. You can mail or email the letter to: Miriam Byrd, Child Care Consultant, PO Box 1731, Clinton, NC 28329 Miriam.Byrd@dhhs.nc.gov If you state in your letter that corrections have been made when they have not, this will be considered falsification of information. If you cannot meet the requirements by this date, you must contact me with a purposed timeline of the corrections. In some cases, this timeline may be extended. In your compliance letter, make sure to address the following: *K. Nealy did not have a signed TB test results on file *The first 2 weeks of orientation for S. Wooten was completed after the required 2 weeks (1-8-2024). State how this will be corrected for future applicants. *The 6 weeks orientation for S. Wooten should have been completed by 1-15-2024. State that the orientation has been completed. *The shaken baby head trauma policy signature of receipt was not on file for A. Harris. *The health questionnaire and emergency information for C. Nealy was not updated annually (last completed 1-9-2023) *V. Cheatman did not have the health care professional listed on the emergency medical care information *The Martinez children did not have the hospital preference listed on the emergency medical care information *The McMillian children did not have a medical exam/health assessment on file before enrollment or within 30 days after admission *K. Williams did not have a signed statement by the parent/guardian that the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was received and reviewed Make sure to review the staff and training worksheet as well as the children's records form left during today's visit. You are required to maintain compliance with all applicable child care rules and regulations at all times. NC GS 110- 90(4)(d) requires all child care facilities to maintain a compliance history score of at least 75% for the past 18 months or during the length of time the facility has operated, whichever is less. Failure to do so may result in the issuance of a provisional license or other administrative action. Child care licensing requirements were established to ensure a safe and healthy child care environment. Therefore, it is important for you to be knowledgeable of all the licensing requirements that apply to your type of program. It is your responsibility to maintain compliance with all the applicable laws and rules at all times. The best way for you to make sure that you are meeting all requirements is to periodically review the child care law and rules. I explained that you have access to the on-line version of the Child Care Rule Book, as well as a hard copy of the rules. I recommend that you visit the Division of Child Development's website (www.ncchildcare.nc.gov) on a regular basis to find out what's new in childcare. You could also find any needed Child Care forms by going on the web site and clicking on the "Provider" tab and then clicking on the "Provider Documents" tab. The Corrective Action Plan of the Provisional Notice of Compliance was monitored during today’s visit. 1. The child care operator shall maintain compliance at all times with all applicable child care requirements, including but not limited to, the following: • North Carolina General Statute § 110-91(7) & Child Care Rule 10A NCAC 09 .0713(a) regarding staff/child ratios • North Carolina General Statute § 110-91(7) & Child Care Rule 10A NCAC 09 .0713(a)(5)(6) regarding grouping of children • Child Care Rule 10A NCAC 09 .1801(a)(1-5) regarding supervision of children *Staff/child ratios, grouping of children and supervision were in compliance during today's visit. 2. Within one (1) week after this Notice is received, Cederrina Nealy, administrator, shall contact Leisa Benson, Lead Child Care Consultant, 2201 Mail Service Center, Raleigh, NC 27699-2201, telephone number 919-819-9348, email Leisa.benson@dhhs.ng.gov, to arrange for a child care rules review. Special emphasis shall be placed on violations regarding supervision, staff/child ratios, and group sizes. All staff members, including administrative, full-time, part-time, auxiliary, substitute, and volunteer staff, shall participate in this mandatory training. Documentation of the training shall be maintained in the facility files for review by representatives of the Division of Child Development and Early Education upon request. A Rules Review was conducted by Leisa Benson, Lead Child Care Consultant, on January 4, 2024. Documentation of the Statements of Understanding forms that were completed by all staff in attendance were obtained and are on file. 3. Within one (1) week after receiving the training, Ms. Nealy shall develop written policies and procedures regarding supervision of children, that describes, in detail, the steps the facility will take to ensure adequate supervision of children. The policies and procedures shall include, but not limited to, the following: • When children are arriving and departing from the facility each day • When children are toileting • When children are on the playground and when entering the building from the playground • When more than one group of children is combined • When children are napping/resting • When staff members need to complete tasks outside the classroom • Procedures for supervisory staff members to visit each classroom and monitor staff members’ implementation of the supervision plan • Procedures to periodically review the supervision plan with all staff members, including the review of the plan in the orientation of new staff members before they assume child care responsibilities • Consequences of staff members’ non-compliance with policies and procedures The policies and procedures shall be submitted to Miriam Byrd, Child Care Consultant, PO Box 1731, Clinton, NC 28329, telephone number 910-709-5985, email Miriam.Byrd@dhhs.nc.gov, for approval. Ms. Byrd shall notify Ms. Nealy, orally and in writing, as to whether the written policies and procedures are approved or if modifications are needed. Once approved, the written policies and procedures shall be immediately implemented and permanently incorporated into the facility’s operating procedures. A copy of the approved policies and procedures shall be maintained in facility files for review by representatives of the Division of Child Development and Early Education upon request. Mrs. Nealy submitted the policies and procedures on January 10, 2024. Mrs. Nealy was contacted by telephone and in writing on January 22, 2024 that revisions to the policy were needed. Mrs. Nealy was given a date of February 5, 2024 to submit the requested revisions. During the Annual Compliance visit conducted on January 24, 2024, it was documented that the requested revisions were due February 5, 2024. During the Unannounced visit conducted on February 1, 2024, it was documented as a reminder that the requested revisions were due by February 5, 2024. On February 7, 2024, Mrs. Nealy was contacted by telephone requiring the status of the revisions. She stated she was working on them. As of today, Mrs. Nealy has not submitted the requested revisions nor has she contacted me for an extension request. 4. Within two (2) weeks after receiving the training, Ms. Nealy shall develop a written plan that includes a staffing pattern plan which ensures staff/child ratios and group sizes are met throughout the day including, but not limited to, the following: • In the classroom, on the playground, and during transition periods, including naptime, meals and snacks, bathroom time, transitioning from one caregiver to another, and when groups of children leave the classroom to go to another location • Plan for informing administration when staff members need to attend to personal care needs or to complete tasks outside the classroom or away from the group • When staff call out and/or the facility is short staffed • Frequent review of the plan with staff members, as well as incorporation in the orientation of new staff members • Consequences for staff members’ non-compliance with the plan The written plan shall be submitted to Ms. Byrd for approval. Ms. Byrd shall notify Ms. Nealy, orally and in writing, as to whether the written plan is approved or if modifications are needed. Once approved, the written plan shall be immediately implemented and permanently incorporated into the facility’s operating procedures. A copy of the approved written plan shall be maintained in facility files for review by representatives of the Division of Child Development and Early Education upon request. During the Annual Compliance visit conducted on January 24, 2024, it was documented that the written plan regarding staffing pattern must be received on or by January 31, 2024. It was documented that if an extension was required, Mrs. Nealy should contact me to discuss the reason for the extension. During the Unannounced visit conducted on February 1, 2024, Mrs. Nealy was reminded (in documentation) that the written plan for staffing pattern has not been received. A request was documented the staffing plan be submitted no later than February 8, 2024. It was documented that if the revisions to the supervision policy as well as the staffing plan were not received by the close of business on February 8, 2024, DCDEE may issue a more stringent action, up to and including a revocation. As of today, Mrs. Nealy has not submitted the written plan regarding staffing pattern nor has she contacted me for an extension request. Due to Mrs. Nealy not complying with the Corrective Action Plan, the Division of Child Development and Early Education may proceed with a more stringent action, up to and including a revocation. Contact me with any questions or concerns at (910) 709-5958 or via email. You may also contact Janet Edwards, Licensing Supervisor at (910( 709-4160, janet.edwards@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

NC GS 110- 90 · Violation

Name of Operation: HEAVEN BOUND NEW VISION CHURCH CHILDCARE Facility ID: 78000467 Consultant: MIRIAM BYRD Operation Type: Center Case Number: Visit Date: 2/27/2024 Number Present: 5 Completed Date: 2/27/2024 Age: From 1 To 4 Total Minutes: 170 Time In: 10:10 AM Time Out: 01:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Admin Action Follow-Up Lic Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance with applicable child care requirements during the Provisional Notice of Compliance that was issued November 9, 2023 to May 9, 2024. The Provisional Notice of Compliance, Cover Letter, and Corrective Action Plan was posted in a location visible to parents and visitors near the entrance of the child care facility. Mrs. Cedderina Nealy, Director, was not present during today's visit. I was unaccompanied during the walk-through of the facility. Five children, ages 1-4, were present with 3 caregivers. Children were participating in teacher-directed activities and free play indoors. Supervision, staff/child ratio, Adequate Approved Space and Permit Restrictions were observed. Today's lunch consisted of hot dogs with bun fruit cocktail, baked beans and milk. During the Annual Compliance visit conducted on January 24, 2024 and the unannounced visits conducted on February 1, 2024 and February 14, 2024, staff and children records were not made available for review. During today's visit I reviewed all staff and children's files. Nine violations of child care requirements were observed and documented. Computer-generated report was printed at the conclusion of today's visit. Violation Number Comment Rule 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. A substitute caregiver did not have TB test results 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 director's health questionnaire was completed on 1-9-2023. An annual health questions was not on file. .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 director's emergency information was dated 1-9-2023. An annual emergency information form was not on file. .0701(a) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. One new staff did not receive at least 16 hours of orientation by January 15, 2024. .1101(a) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. One new employee was hired 12-4-2023. Orientation within the first two weeks was completed on 1-8-2024; not within the first two weeks of employment. .1101(a)(b) 1314 Emergency information did not name childs health care professional. One child did not have a health care professional listed. Two children did not have the hospital preference listed. .0802(c)(2) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. Two children did not have a medical exam/health assessment on file. GS110-91(1) 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. One new staff did not have a signed acknowledgement of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy on file. .0608(d)(1-4) 1908 A child's file did not have a statement with parent signature acknowledging receipt and explanation of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy and/or the acknowledgement did not have all the required information. One child's file did not have a statement with parent signature acknowledging receipt of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy. .0608(b)(1-6) The violations must be corrected immediately. In your response to the violations cited during today's visit, you are required to submit a compliance letter that explains in detail how each violation was corrected. A signed and dated compliance letter must be received no later than March 12, 2024. You can mail or email the letter to: Miriam Byrd, Child Care Consultant, PO Box 1731, Clinton, NC 28329 Miriam.Byrd@dhhs.nc.gov If you state in your letter that corrections have been made when they have not, this will be considered falsification of information. If you cannot meet the requirements by this date, you must contact me with a purposed timeline of the corrections. In some cases, this timeline may be extended. In your compliance letter, make sure to address the following: *K. Nealy did not have a signed TB test results on file *The first 2 weeks of orientation for S. Wooten was completed after the required 2 weeks (1-8-2024). State how this will be corrected for future applicants. *The 6 weeks orientation for S. Wooten should have been completed by 1-15-2024. State that the orientation has been completed. *The shaken baby head trauma policy signature of receipt was not on file for A. Harris. *The health questionnaire and emergency information for C. Nealy was not updated annually (last completed 1-9-2023) *V. Cheatman did not have the health care professional listed on the emergency medical care information *The Martinez children did not have the hospital preference listed on the emergency medical care information *The McMillian children did not have a medical exam/health assessment on file before enrollment or within 30 days after admission *K. Williams did not have a signed statement by the parent/guardian that the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was received and reviewed Make sure to review the staff and training worksheet as well as the children's records form left during today's visit. You are required to maintain compliance with all applicable child care rules and regulations at all times. NC GS 110- 90(4)(d) requires all child care facilities to maintain a compliance history score of at least 75% for the past 18 months or during the length of time the facility has operated, whichever is less. Failure to do so may result in the issuance of a provisional license or other administrative action. Child care licensing requirements were established to ensure a safe and healthy child care environment. Therefore, it is important for you to be knowledgeable of all the licensing requirements that apply to your type of program. It is your responsibility to maintain compliance with all the applicable laws and rules at all times. The best way for you to make sure that you are meeting all requirements is to periodically review the child care law and rules. I explained that you have access to the on-line version of the Child Care Rule Book, as well as a hard copy of the rules. I recommend that you visit the Division of Child Development's website (www.ncchildcare.nc.gov) on a regular basis to find out what's new in childcare. You could also find any needed Child Care forms by going on the web site and clicking on the "Provider" tab and then clicking on the "Provider Documents" tab. The Corrective Action Plan of the Provisional Notice of Compliance was monitored during today’s visit. 1. The child care operator shall maintain compliance at all times with all applicable child care requirements, including but not limited to, the following: • North Carolina General Statute § 110-91(7) & Child Care Rule 10A NCAC 09 .0713(a) regarding staff/child ratios • North Carolina General Statute § 110-91(7) & Child Care Rule 10A NCAC 09 .0713(a)(5)(6) regarding grouping of children • Child Care Rule 10A NCAC 09 .1801(a)(1-5) regarding supervision of children *Staff/child ratios, grouping of children and supervision were in compliance during today's visit. 2. Within one (1) week after this Notice is received, Cederrina Nealy, administrator, shall contact Leisa Benson, Lead Child Care Consultant, 2201 Mail Service Center, Raleigh, NC 27699-2201, telephone number 919-819-9348, email Leisa.benson@dhhs.ng.gov, to arrange for a child care rules review. Special emphasis shall be placed on violations regarding supervision, staff/child ratios, and group sizes. All staff members, including administrative, full-time, part-time, auxiliary, substitute, and volunteer staff, shall participate in this mandatory training. Documentation of the training shall be maintained in the facility files for review by representatives of the Division of Child Development and Early Education upon request. A Rules Review was conducted by Leisa Benson, Lead Child Care Consultant, on January 4, 2024. Documentation of the Statements of Understanding forms that were completed by all staff in attendance were obtained and are on file. 3. Within one (1) week after receiving the training, Ms. Nealy shall develop written policies and procedures regarding supervision of children, that describes, in detail, the steps the facility will take to ensure adequate supervision of children. The policies and procedures shall include, but not limited to, the following: • When children are arriving and departing from the facility each day • When children are toileting • When children are on the playground and when entering the building from the playground • When more than one group of children is combined • When children are napping/resting • When staff members need to complete tasks outside the classroom • Procedures for supervisory staff members to visit each classroom and monitor staff members’ implementation of the supervision plan • Procedures to periodically review the supervision plan with all staff members, including the review of the plan in the orientation of new staff members before they assume child care responsibilities • Consequences of staff members’ non-compliance with policies and procedures The policies and procedures shall be submitted to Miriam Byrd, Child Care Consultant, PO Box 1731, Clinton, NC 28329, telephone number 910-709-5985, email Miriam.Byrd@dhhs.nc.gov, for approval. Ms. Byrd shall notify Ms. Nealy, orally and in writing, as to whether the written policies and procedures are approved or if modifications are needed. Once approved, the written policies and procedures shall be immediately implemented and permanently incorporated into the facility’s operating procedures. A copy of the approved policies and procedures shall be maintained in facility files for review by representatives of the Division of Child Development and Early Education upon request. Mrs. Nealy submitted the policies and procedures on January 10, 2024. Mrs. Nealy was contacted by telephone and in writing on January 22, 2024 that revisions to the policy were needed. Mrs. Nealy was given a date of February 5, 2024 to submit the requested revisions. During the Annual Compliance visit conducted on January 24, 2024, it was documented that the requested revisions were due February 5, 2024. During the Unannounced visit conducted on February 1, 2024, it was documented as a reminder that the requested revisions were due by February 5, 2024. On February 7, 2024, Mrs. Nealy was contacted by telephone requiring the status of the revisions. She stated she was working on them. As of today, Mrs. Nealy has not submitted the requested revisions nor has she contacted me for an extension request. 4. Within two (2) weeks after receiving the training, Ms. Nealy shall develop a written plan that includes a staffing pattern plan which ensures staff/child ratios and group sizes are met throughout the day including, but not limited to, the following: • In the classroom, on the playground, and during transition periods, including naptime, meals and snacks, bathroom time, transitioning from one caregiver to another, and when groups of children leave the classroom to go to another location • Plan for informing administration when staff members need to attend to personal care needs or to complete tasks outside the classroom or away from the group • When staff call out and/or the facility is short staffed • Frequent review of the plan with staff members, as well as incorporation in the orientation of new staff members • Consequences for staff members’ non-compliance with the plan The written plan shall be submitted to Ms. Byrd for approval. Ms. Byrd shall notify Ms. Nealy, orally and in writing, as to whether the written plan is approved or if modifications are needed. Once approved, the written plan shall be immediately implemented and permanently incorporated into the facility’s operating procedures. A copy of the approved written plan shall be maintained in facility files for review by representatives of the Division of Child Development and Early Education upon request. During the Annual Compliance visit conducted on January 24, 2024, it was documented that the written plan regarding staffing pattern must be received on or by January 31, 2024. It was documented that if an extension was required, Mrs. Nealy should contact me to discuss the reason for the extension. During the Unannounced visit conducted on February 1, 2024, Mrs. Nealy was reminded (in documentation) that the written plan for staffing pattern has not been received. A request was documented the staffing plan be submitted no later than February 8, 2024. It was documented that if the revisions to the supervision policy as well as the staffing plan were not received by the close of business on February 8, 2024, DCDEE may issue a more stringent action, up to and including a revocation. As of today, Mrs. Nealy has not submitted the written plan regarding staffing pattern nor has she contacted me for an extension request. Due to Mrs. Nealy not complying with the Corrective Action Plan, the Division of Child Development and Early Education may proceed with a more stringent action, up to and including a revocation. Contact me with any questions or concerns at (910) 709-5958 or via email. You may also contact Janet Edwards, Licensing Supervisor at (910( 709-4160, janet.edwards@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. 110-91 · Violation

Name of Operation: HEAVEN BOUND NEW VISION CHURCH CHILDCARE Facility ID: 78000467 Consultant: MIRIAM BYRD Operation Type: Center Case Number: Visit Date: 2/14/2024 Number Present: 5 Completed Date: 2/14/2024 Age: From 1 To 4 Total Minutes: 60 Time In: 12:50 PM Time Out: 01:50 PM Time In: Time Out: List to Use: Center Type Of Visit: Unannounced Visit Follow-Up Announced/Unannounced: Unannounced The purpose of today's visit was to monitor compliance with staff and children's records. During the visits conducted on January 24, 2024 and February 1, 2024, the staff and children's records could not be monitored as part of the visit due to staff that were present at that time not having access to the locked office. A compliance letter was obtained on February 9, 2024 from Mrs. Nealy, Administrator, stating the Assistant Director, T. Mitchell has the keys to the locked office. Upon my arrival today, Ms. Mitchell was not present and the two remaining staff (D. Tossie and S. Wooten) do not have the keys to have access to the records. The violations of staff and children records not being made accessible was documented. Computer-generated report was printed at the conclusion of today's visit. Violation Number Comment Rule 108 The operator made an effort to falsify information. It was noted on the compliance letter received February 9, 2024, a staff member would have the keys so the staff and children records in the locked office would be made available for review. The staff member was not present during today's visit; therefore, the records were not accessible. G.S. 110-91(14) 1043 All staff records, except financial records, were not made available for review. Staff records are kept in the locked office and the two staff present did not have keys to unlock the office. This is a repeat violation. G.S. 110-91( 9) 1328 Children's records were not made available for review. Children's records are kept in the locked office. The two staff present did not have a way to unlock the office. This is a repeat violation. G.S. 110-91(9) Mrs. Nealy was informed via visits that were conducted and through email messages, since January 24, 2024, regarding meeting the Corrective Action Plan of the Provisional Notice of Compliance issued November 9, 2023 to May 9, 2024. As of today, Mrs. Nealy has not made any attempts with responding to the following requested information: February 5, 2024- Revisions to the written policy and procedures regarding Supervision were due. Extension was granted for February 8, 2024. February 8, 2024- Item #4 of the Corrective Action Plan- a written plan regarding staffing pattern (originally due January 31, 2024) Due to Mrs. Nealy not complying with the Corrective Action Plan and repeat violations of staff and children records not being made accessible, the Division of Child Development and Early Education may proceed with a more stringent action, up to and including a revocation. Contact me with any questions or concerns at (910) 709-5985 or via email: Miriam.Byrd@dhhs.nc.gov. You may also contact Janet Edwards, Licensing Supervisor, (910) 709-4160, janet.edwards@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