Presbyterian Learning Center OF Lumberton, Inc.

NC GS 110- 90 · Violation

Name of Operation: PRESBYTERIAN LEARNING CENTER OF LUMBERTON, INC. Facility ID: 78000341 Consultant: MIRIAM BYRD Operation Type: Center Case Number: 0526-403L Visit Date: 6/2/2026 Number Present: 64 Completed Date: 6/2/2026 Age: From 0 To 5 Total Minutes: 90 Time In: 10:30 AM Time Out: 12:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to investigate a complaint report alleging violations of child care requirements regarding discipline. Upon my arrival I was greeted by Carolyn Tabil, Administrator. I reviewed the allegation with her and she was given an opportunity to respond to the concerns. Limiting monitoring of child care requirements occurred during today’s visit. Staff/child ratio, group size, capacity, use of space, nurture/care, and supervision were monitored. Allegation: An allegation was received that a staff member told a child, “If you do that, I will have him take that chair and bust you upside the head with it.” I interviewed the staff member (MT) identified in the complaint summary. I asked her what transpired to where she would make a statement. She stated that the child had a chair lifted up and was getting ready to hit another child in the head with it. She acknowledged making the statement and reported that her intent was to communicate a different message; however, the wording that was used was inappropriate and could be perceived as threatening. The staff member stated that she meant to say to the child, “What if so and so did that to you, how would you feel.” She stated as soon as the mother addressed her regarding the statement she recognized that the statement was not expressed appropriately. Based on the information obtained during today’s visit, the allegation regarding discipline is substantiated. Violation Number Comment Rule 1876 A child was yelled at, shamed, humiliated, frightened, threatened or bullied. A staff member acknowledged to making a threatening statement to a child. .1803(a)(9) Child care programs must be in compliance with applicable child care requirements at all times. The violation must be corrected immediately. During today's visit, you submitted a compliance letter stating the actions you have taken regarding the substantiated violation. The staff member was given a formal write up on May 27, 2026 and the staff member has registered for the following training course, via At Ease Business Solutions with Angel Adkins: Classroom Management on June 16, 2026. This training will focus on a process of learning how to create a positive and productive learning environment, as well as help teachers develop the skills they need to manage student behavior, prevent problems, and resolve conflicts. 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: The importance of maintaining positive and professional communication with children at all times was discussed. We discussed alternative strategies for addressing behaviors and the need to carefully consider word choice when communicating with children. I encouraged Mrs. Tabil to provide additional training and coaching on positive behavior guidance and staff-child interactions to ensure compliance with child care regulations and to promote a safe, supportive environment for all children. The administrator indicated understanding and agreed to monitor staff interactions and implement corrective measures as needed. Contact me at (910) 709-5985 or Miriam.Byrd@dhhs.nc.gov with any questions or concerns. You can 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 .0701 · Violation

Name of Operation: PRESBYTERIAN LEARNING CENTER OF LUMBERTON, INC. Facility ID: 78000341 Consultant: TURKESHIA MCCORMICK Operation Type: Center Case Number: Visit Date: 8/25/2025 Number Present: 68 Completed Date: 8/25/2025 Age: From 0 To 4 Total Minutes: 175 Time In: 09:15 AM Time Out: 12:10 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for a routine unannounced visit. Ms. Carolyn Tabil, Administrator, was present and assisted me during today’s visit. The last annual compliance visit was conducted on February 12, 2025. The program currently operates with a three-star license, issued March 30, 2020. During today's visit all areas used by the children were observed. Staff/child ratios, group size, supervision, use of licensed space, space capacity, and license restrictions were monitored. The license and emergency care plan were posted. Fire drills, medication administration procedures and storage of and storage of hazardous products were also monitored. A walk-through of the facility was completed today and all indoor and outdoor areas were monitored. I observed children in both the indoor and outdoor learning environments and found supervision and staff/child ratios to be in compliance. Children throughout the facility were participating in group time, free play in activity areas, teacher directed activities, outdoor play, transitions and personal care routines. The caregivers were interacting and meeting the developmental needs for each of the children. Lunch was observed and consisted of chicken and noodles, string beans, peaches, sliced bread and milk. Six new staff have been employed since my last visit. Those files were reviewed, and one violation were found. Rated license requirements were reviewed to ensure compliance was maintained with current program and education components as well as the quality point. The following violations were documented during today’s visit: Violation Number Comment Rule 811 Potentially hazardous items including but not limited to power tools, nails, chemicals, propane stoves, lawn mowers, gasoline, or kerosene were not stored in locked areas, removed from the premises, or made inaccessible to children. The door to the kitchen was left propped open while the propane stove was left on and unattended. .0604(a) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. B. Strickland who began employment on 4/19/2025 had not had an up to date medical assessment completed by the date of the visit. 10A NCAC 09 .0701(a) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before September 9, 2025, (an extra day given due to the upcoming Holiday) I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. 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. Mail or email the information to: Turkeshia McCormick, Child Care Consultant, PO Box 411, Lillington NC 27546. 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 Technical assistance was offered on the importance of locking the door to the kitchen when it is not occupied. Stoves, ovens, and cooktops can be hazardous if children tamper with their knobs and controls. To a curious child, an oven door may appear as an invitation, concealing risks. To prevent possible injuries or other preventable emergencies, be sure that the kitchen and any other areas that contain hazardous materials or machinery are locked and the key is placed out of reach of children. Technical assistance was also offered on creating a system for staff that allows them to periodically check required documentation to ensure that the dates are valid and that all necessary information is included. Technical assistance was also offered on providing alternate activities for children during planned group activities. Children have different attention spans and learn differently. By allowing children the opportunity to continue free play or other free choice activities you lessen the likelihood of possible disruptive behaviors during planned group activities. When you have to continually stop to redirect a child’s attention to the activity, you should take that opportunity to allow them to leave the group if they choose to. You can sometimes try creating different groups such as group A and group B, when completing routines like restroom breaks and handwashing for meals and snacks. This helps with reducing wait times and again preventing possible behavior issues that may arise. During these times, when one group is finished, they could read books quietly or have a small group time and talk about “today’s highlights” in which they tell their friends about the highlight of their day so far. These are just a couple of ideas to get the staff started on brainstorming ways to incorporate other activities that will be useful during transition times. For the latest information on child care rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with Mrs. Tabil. Contact me at Turkeshia McCormick, Child Care Consultant, 910-308-0895, Turkeshia.mccormick@dhhs.nc.gov if you have questions. 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: PRESBYTERIAN LEARNING CENTER OF LUMBERTON, INC. Facility ID: 78000341 Consultant: TURKESHIA MCCORMICK Operation Type: Center Case Number: Visit Date: 8/25/2025 Number Present: 68 Completed Date: 8/25/2025 Age: From 0 To 4 Total Minutes: 175 Time In: 09:15 AM Time Out: 12:10 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for a routine unannounced visit. Ms. Carolyn Tabil, Administrator, was present and assisted me during today’s visit. The last annual compliance visit was conducted on February 12, 2025. The program currently operates with a three-star license, issued March 30, 2020. During today's visit all areas used by the children were observed. Staff/child ratios, group size, supervision, use of licensed space, space capacity, and license restrictions were monitored. The license and emergency care plan were posted. Fire drills, medication administration procedures and storage of and storage of hazardous products were also monitored. A walk-through of the facility was completed today and all indoor and outdoor areas were monitored. I observed children in both the indoor and outdoor learning environments and found supervision and staff/child ratios to be in compliance. Children throughout the facility were participating in group time, free play in activity areas, teacher directed activities, outdoor play, transitions and personal care routines. The caregivers were interacting and meeting the developmental needs for each of the children. Lunch was observed and consisted of chicken and noodles, string beans, peaches, sliced bread and milk. Six new staff have been employed since my last visit. Those files were reviewed, and one violation were found. Rated license requirements were reviewed to ensure compliance was maintained with current program and education components as well as the quality point. The following violations were documented during today’s visit: Violation Number Comment Rule 811 Potentially hazardous items including but not limited to power tools, nails, chemicals, propane stoves, lawn mowers, gasoline, or kerosene were not stored in locked areas, removed from the premises, or made inaccessible to children. The door to the kitchen was left propped open while the propane stove was left on and unattended. .0604(a) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. B. Strickland who began employment on 4/19/2025 had not had an up to date medical assessment completed by the date of the visit. 10A NCAC 09 .0701(a) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before September 9, 2025, (an extra day given due to the upcoming Holiday) I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. 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. Mail or email the information to: Turkeshia McCormick, Child Care Consultant, PO Box 411, Lillington NC 27546. 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 Technical assistance was offered on the importance of locking the door to the kitchen when it is not occupied. Stoves, ovens, and cooktops can be hazardous if children tamper with their knobs and controls. To a curious child, an oven door may appear as an invitation, concealing risks. To prevent possible injuries or other preventable emergencies, be sure that the kitchen and any other areas that contain hazardous materials or machinery are locked and the key is placed out of reach of children. Technical assistance was also offered on creating a system for staff that allows them to periodically check required documentation to ensure that the dates are valid and that all necessary information is included. Technical assistance was also offered on providing alternate activities for children during planned group activities. Children have different attention spans and learn differently. By allowing children the opportunity to continue free play or other free choice activities you lessen the likelihood of possible disruptive behaviors during planned group activities. When you have to continually stop to redirect a child’s attention to the activity, you should take that opportunity to allow them to leave the group if they choose to. You can sometimes try creating different groups such as group A and group B, when completing routines like restroom breaks and handwashing for meals and snacks. This helps with reducing wait times and again preventing possible behavior issues that may arise. During these times, when one group is finished, they could read books quietly or have a small group time and talk about “today’s highlights” in which they tell their friends about the highlight of their day so far. These are just a couple of ideas to get the staff started on brainstorming ways to incorporate other activities that will be useful during transition times. For the latest information on child care rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with Mrs. Tabil. Contact me at Turkeshia McCormick, Child Care Consultant, 910-308-0895, Turkeshia.mccormick@dhhs.nc.gov if you have questions. 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: PRESBYTERIAN LEARNING CENTER OF LUMBERTON, INC. Facility ID: 78000341 Consultant: AMY TENILLE LOWERY Operation Type: Center Case Number: 0924-300A Visit Date: 10/2/2024 Number Present: 71 Completed Date: 10/2/2024 Age: From 0 To 4 Total Minutes: 60 Time In: 09:00 AM Time Out: 10:00 AM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Follow-Up Announced/Unannounced: Unannounced The purpose of this unannounced visit was to follow-up regarding allegations of violations of child care requirements at this child care facility. I conducted a walk-through of the facility unaccompanied. During the visit, I spoke with Carolyn Tabil, Administrator. Limited monitoring of child care requirements occurred during today’s visit. The following violations were observed and/or confirmed during today’s visit. Violation Number Comment Rule 902 Each child was not attended to in a nurturing and appropriate manner, or in keeping with the child's developmental needs. A staff member failed to treat children in a nurturing or appropriate manner when the staff member yelled at children. G.S. 110-91(10) 904 Child was handled roughly. On multiple occasions (dates unknown), a staff member was observed handling one-year-old children in a rough manner, including grabbing them by the wrist, squeezing their hands, twisting their arms, and pinching them. .1803(a)(1) All violations documented above must be corrected immediately. A written, dated, and signed letter of compliance must be submitted to me within one week, by October 9, 2024, describing how and when the violations were corrected and how compliance will be maintained in the future. The letter of compliance should be emailed to the address below. You may contact me at Tenille Lowery, Investigations Consultant, (910) 733-1129, tenille.lowery@dhhs.nc.gov, Fax: (919) 715-1013, or my supervisor, Melissa Loehr, Southeastern Investigations Supervisor, melissa.loehr@dhhs.nc.gov. Thank you for your time. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0606 · Violation

Name of Operation: PRESBYTERIAN LEARNING CENTER OF LUMBERTON, INC. Facility ID: 78000341 Consultant: MIRIAM BYRD Operation Type: Center Case Number: Visit Date: 9/10/2024 Number Present: 68 Completed Date: 9/10/2924 Age: From 0 To 4 Total Minutes: 90 Time In: 12:30 PM Time Out: 02:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for a routine unannounced visit. Ms. Carolyn Tabil, Administrator, was present and assisted me during today’s visit. The last annual compliance visit was conducted February 15, 2024. The program currently operates with a three-star license, issued March 30, 2020. During today's visit all areas used by the children were observed. Staff/child ratios, group size, supervision, use of licensed space, space capacity, and license restrictions were monitored. The license and emergency care plan were posted. Fire drills, medication administration procedures and storage of and storage of hazardous products were also monitored. I observed groups of child napping during the visit. Two spaces occupied by infants were observed. I observed one infant sleeping on a boppy pillow on the carpet area. Another infant was observed on the carpet area but was not asleep. Both children had bottles propped near them. I reminded caregivers that once they observed a child sleeping the need to move the child to their crib for napping. I also reminded caregivers that bottles could not be propped. If a child is able to hole their own bottle or sippy cup, they must be placed in an appropriate feeding device. The sleeping child was moved to their crib and the bottles were discarded. There were two violations child care requirements observed today. Both were corrected during the visit; therefore a compliance letter is not required. The computer-generated report was completed at the conclusion of today’s visit and a copy was left with Ms. Tabil. Violation Number Comment Rule 531 Bottles were propped. Two bottles were observed propped in the second space used for infants. This was corrected when the bottles were discarded. 10A NCAC 09 .0902(b) 871 Center staff did not comply with the safe sleep policy. An infant was observed sleeping on a boppy pillow located on the carpet area. Item 11 of the center's Infant Safe Sleep policy was not followed. This was corrected during the visit when the child was placed in their crib. 10A NCAC 09 .0606(a) Child care programs must be in compliance with applicable child care requirements 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 with sleeping infants was provided. Babies should always be on their own sleep surface. Bed sharing is a risk factor for SUIDS and other sleep related deaths. Babies should be on their back for every sleep. The crib should be empty. Never use soft bedding, comforters, pillows, loose sheets, blankets, sheepskins, toys, positioners or bumpers in the crib or sleep area. Babies should not sleep on adult beds, couches, armchairs or other soft sleep surfaces – they should be on a firm mattress in their own sleep space. Babies should not sleep in car seats or swings, as they may not be able to keep their airway open. If they fall asleep while in a car seat or swing, move them to a safe sleep place. Contact me at (910) 709-5985 or via email: Miriam.Byrd@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 .0902 · Violation

Name of Operation: PRESBYTERIAN LEARNING CENTER OF LUMBERTON, INC. Facility ID: 78000341 Consultant: MIRIAM BYRD Operation Type: Center Case Number: Visit Date: 9/10/2024 Number Present: 68 Completed Date: 9/10/2924 Age: From 0 To 4 Total Minutes: 90 Time In: 12:30 PM Time Out: 02:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for a routine unannounced visit. Ms. Carolyn Tabil, Administrator, was present and assisted me during today’s visit. The last annual compliance visit was conducted February 15, 2024. The program currently operates with a three-star license, issued March 30, 2020. During today's visit all areas used by the children were observed. Staff/child ratios, group size, supervision, use of licensed space, space capacity, and license restrictions were monitored. The license and emergency care plan were posted. Fire drills, medication administration procedures and storage of and storage of hazardous products were also monitored. I observed groups of child napping during the visit. Two spaces occupied by infants were observed. I observed one infant sleeping on a boppy pillow on the carpet area. Another infant was observed on the carpet area but was not asleep. Both children had bottles propped near them. I reminded caregivers that once they observed a child sleeping the need to move the child to their crib for napping. I also reminded caregivers that bottles could not be propped. If a child is able to hole their own bottle or sippy cup, they must be placed in an appropriate feeding device. The sleeping child was moved to their crib and the bottles were discarded. There were two violations child care requirements observed today. Both were corrected during the visit; therefore a compliance letter is not required. The computer-generated report was completed at the conclusion of today’s visit and a copy was left with Ms. Tabil. Violation Number Comment Rule 531 Bottles were propped. Two bottles were observed propped in the second space used for infants. This was corrected when the bottles were discarded. 10A NCAC 09 .0902(b) 871 Center staff did not comply with the safe sleep policy. An infant was observed sleeping on a boppy pillow located on the carpet area. Item 11 of the center's Infant Safe Sleep policy was not followed. This was corrected during the visit when the child was placed in their crib. 10A NCAC 09 .0606(a) Child care programs must be in compliance with applicable child care requirements 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 with sleeping infants was provided. Babies should always be on their own sleep surface. Bed sharing is a risk factor for SUIDS and other sleep related deaths. Babies should be on their back for every sleep. The crib should be empty. Never use soft bedding, comforters, pillows, loose sheets, blankets, sheepskins, toys, positioners or bumpers in the crib or sleep area. Babies should not sleep on adult beds, couches, armchairs or other soft sleep surfaces – they should be on a firm mattress in their own sleep space. Babies should not sleep in car seats or swings, as they may not be able to keep their airway open. If they fall asleep while in a car seat or swing, move them to a safe sleep place. Contact me at (910) 709-5985 or via email: Miriam.Byrd@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: PRESBYTERIAN LEARNING CENTER OF LUMBERTON, INC. Facility ID: 78000341 Consultant: MIRIAM BYRD Operation Type: Center Case Number: Visit Date: 9/10/2024 Number Present: 68 Completed Date: 9/10/2924 Age: From 0 To 4 Total Minutes: 90 Time In: 12:30 PM Time Out: 02:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for a routine unannounced visit. Ms. Carolyn Tabil, Administrator, was present and assisted me during today’s visit. The last annual compliance visit was conducted February 15, 2024. The program currently operates with a three-star license, issued March 30, 2020. During today's visit all areas used by the children were observed. Staff/child ratios, group size, supervision, use of licensed space, space capacity, and license restrictions were monitored. The license and emergency care plan were posted. Fire drills, medication administration procedures and storage of and storage of hazardous products were also monitored. I observed groups of child napping during the visit. Two spaces occupied by infants were observed. I observed one infant sleeping on a boppy pillow on the carpet area. Another infant was observed on the carpet area but was not asleep. Both children had bottles propped near them. I reminded caregivers that once they observed a child sleeping the need to move the child to their crib for napping. I also reminded caregivers that bottles could not be propped. If a child is able to hole their own bottle or sippy cup, they must be placed in an appropriate feeding device. The sleeping child was moved to their crib and the bottles were discarded. There were two violations child care requirements observed today. Both were corrected during the visit; therefore a compliance letter is not required. The computer-generated report was completed at the conclusion of today’s visit and a copy was left with Ms. Tabil. Violation Number Comment Rule 531 Bottles were propped. Two bottles were observed propped in the second space used for infants. This was corrected when the bottles were discarded. 10A NCAC 09 .0902(b) 871 Center staff did not comply with the safe sleep policy. An infant was observed sleeping on a boppy pillow located on the carpet area. Item 11 of the center's Infant Safe Sleep policy was not followed. This was corrected during the visit when the child was placed in their crib. 10A NCAC 09 .0606(a) Child care programs must be in compliance with applicable child care requirements 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 with sleeping infants was provided. Babies should always be on their own sleep surface. Bed sharing is a risk factor for SUIDS and other sleep related deaths. Babies should be on their back for every sleep. The crib should be empty. Never use soft bedding, comforters, pillows, loose sheets, blankets, sheepskins, toys, positioners or bumpers in the crib or sleep area. Babies should not sleep on adult beds, couches, armchairs or other soft sleep surfaces – they should be on a firm mattress in their own sleep space. Babies should not sleep in car seats or swings, as they may not be able to keep their airway open. If they fall asleep while in a car seat or swing, move them to a safe sleep place. Contact me at (910) 709-5985 or via email: Miriam.Byrd@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