Elevation Church

10A NCAC 09 .0607 · Violation

Name of Operation: ELEVATION CHURCH Facility ID: 60003506 Consultant: LISA EDDINS-SMITH Operation Type: Center Case Number: Visit Date: 2/25/2026 Number Present: 57 Completed Date: 2/25/2026 Age: From 0 To 5 Total Minutes: 245 Time In: 09:15 AM Time Out: 01:20 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 your program for compliance with applicable child care requirements for an annual compliance visit. The facility currently operates under G.S. 110-1-6 as a religious sponsored child care center. The program’s 18-month compliance history before today’s visit was 89%. The NC Secretary of State website was reviewed on February 23, 2026, and Elevation Church is listed as current-active. Upon arrival I was greeted by Donetta Dufrene, Director and Valerie Rios, Operations Director. We discussed thew visit and items to be monitored today. De’Erica Alston, Assistant Director, joined us for the walkthrough. Ms. Alston, Ms. Dufrene and Ms. Rios assisted me with the visit today. The last sanitation inspection was completed October 23, 2025, with a Superior classification. The last fire inspection was conducted on February 20, 2026, and the facility was approved for daytime care only. Posted items required were observed and met compliance Program records were reviewed. The last fire drill was conducted on February 5, 2026. The last shelter in place was conducted December 11, 2025. The playground inspections and the incident log were in compliance. The EPR is dated February 16, 2026. The ready-to-go file was monitored and a violation was cited. During the walk-through, I observed children in the indoor learning environments and found supervision and staff/child ratios to be in compliance. Children throughout the facility were participating in personal care routines, free choice of indoor and outdoor play activities, teacher directed activities and large group activities. Caregivers were observed interacting with children in a nurturing and caring manner. Each group was observed in approved/adequate space. Permit restrictions were met. I observed caregivers use nurturing and caring tones. Throughout the facility, material and equipment in each classroom were found in good repair and developmentally appropriate for the age range. I suggest more materials be available for children enrolled in the two year old classroom. I monitored each room for safe indoor environment and general safety. A violation was cited. There are three (3) children currently enrolled requiring emergency medications. I reviewed all required documentation and found in compliance. A violation was cited for storage of emergency medication. The two areas used for outdoor play were monitored. On the playground serving toddlers and twos a violation was cited for general safety concerns. See the violations section for details. On the play area serving preschoolers, the resilient surfacing under the stationary equipment slide did not meet critical height requirements although there is sufficient mulch on the outdoor play area. We discussed raking the mulch to met critical height reequipments under the equipment. I suggest moving the borders closer to the fall zones of the equipment requiring resilient surfacing, The center does not provide transportation. Seven (7) children’s files were selected, reviewed and one (1) violation was cited. The staff and training worksheet was used to review staff files and found in compliance. We discussed that forms requiring on or before employment must be signed before the employee begins work. The facility offers two options for date of employment based on payroll calendar. We discussed monitoring the dates carefully to maintain compliance. There have been two (2) new staff hired since the last routine unannounced visit. I monitored all new staff files. Ten (10) percent of veteran staff files were reviewed. I reviewed ABCMS prior to the visit and no record was found. A violation was cited. Please see technical assistance for more information. One (1) administrator completed the ITS-SIDS class November 18, 2025. The trainer has not emailed the training certificate. I reviewed emails sent requesting the certificate and will follow up with the trainer. The following violations cited today: Violation Number Comment Rule 705 Equipment and furnishings were not sturdy, stable and free of hazards. On the toddler outdoor play area concrete blocks installed to hold the poles for the shade had sharp corners exposed, the wood borders had splintering and a metal bench had sharp edges with rust exposed under seat slats. .0601(c) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. In Space 105, an epi-pen was stored in a bag lower than five feet accessible to children. .2820(b) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. In Space 146, plastic baggies were accessible to children in two (2) bags on hooks lower than five feet. .0604(q) 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 facility does not have an ABCMS roster on file with the NCDCDEE. G.S. 110-90.2 & .2703(r) 1823 The EPR Plan did not include the location of the Ready to Go File and or the required information. The ready to go file did not contain copies of each child's application including emergency information and emergency information for each staff member. .0607(d)(10) 1867 The depth of the loose surfacing was not based on critical height of the equipment. On the play area serving preschoolers, the resilient surfacing was less did not meet the critical height requirement at the end of the slide. .0605(k)(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 (1) child enrolled 6/12/23 signed and dated the policy 6/27/23. One (1) child enrolled 5/19/2022 signed and dated the policy 6/27/2022. .0608(b)(1-6) Compliance Statement 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 March 11, 2026, 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 considered 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 may be completed. Please email the information to: Lisa.Eddins-Smith@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address on file with DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time-period. DCDEE Website / Administrator Emails We discussed updating your email information with the NCDCDEE to receive all email blasts. Go to the home page of this website and scroll down to add yourself to the newsletters. Additionally, I will update all emails in my contact list to include all three administrators. I encourage you to utilize the DCDEE website, https://ncchildcare.ncdhhs.gov/, on a regular basis. All the laws, rules and regulations, item number listing, sanitation requirements, and provider documents can be found on the website. Additionally, there are many resources such as DCDEE Moodle where you can complete health and safety training free of charge. The What’s New tab provides current information that is sent out through blast emails. Staff and Children’s Files We discussed that the date of enrollment and date of employment should me monitored closely to maintain compliance with any signatures required to be on or before the first date of enrollment for a child and employment for a staff. Ready To Go File We discussed adding the staff and children’s information sheets to the ready to go file and placing all documents together in a backpack or binder to be taken with you in case of evacuation. Please review the detailed requirements to be included in your file here: 10A NCAC 09 .0607 EMERGENCY PREPAREDNESS AND RESPONSE IN CHILD CARE CENTERS (d) The Emergency Preparedness and Response Plan shall include: (1) written procedures for accounting for all in attendance including: (A) the location of the children, staff, volunteer and visitor attendance lists; and (B) the name of the person(s) responsible for bringing the children, staff, volunteer and visitor attendance lists in the event of an emergency. (2) a description for how and when children shall be transported; (3) methods for communicating with parents and emergency personnel or law enforcement; (4) a description of how children's nutritional and health needs will be met; (5) the relocation and reunification process; (6) emergency telephone numbers; (7) evacuation diagrams showing how the staff, children, and any other individuals who may be present will evacuate during an emergency; (8) the date of the last revision of the plan; (9) specific considerations for non-mobile children and children with special needs; and (10) the location of a Ready to Go File. A Ready to Go File means a collection of information on children, staff and the facility, to utilize, if an evacuation occurs. The file shall include, a copy of the Emergency Preparedness and Response Plan, contact information for individuals to pick-up children, each child's Application for Child Care, medication authorizations and instructions, any action plans for children with special health care needs, a list of any known food allergies of children and staff, staff contact information, Incident Report forms, an area map, and emergency telephone numbers. Additionally, you should review this plan with your employees annually as follows: (e) The trained staff shall review the Emergency Preparedness and Response Plan annually, or when information in the plan changes, to ensure all information is current. (f) All staff shall review the center's Emergency Preparedness and Response Plan during orientation and on an annual basis with the trained staff. Documentation of the review shall be maintained at the center in the individual's personnel file or in a file designated for emergency preparedness and response plan documents. (g) All substitutes and volunteers counted in ratio shall be informed of the child care center's Emergency Preparedness and Response Plan and its location. Documentation of this notice shall be maintained in the individual personnel files or in a file designated for emergency preparedness and response plan documents., ABCMS (Criminal Background System): We discussed the following requirements. I emailed the most current technical assistance page. We discussed that each employee needs a personal NCID and that the facility will need a business NCID to complete this process. The training must be completed in Moodle prior to adding employees to the roster. North Carolina child care administrators can now view and edit their facility’s staff roster in ABCMS, the DCDEE’s criminal background check system. Provider Access to ABCMS allows administrators to: • See the real-time background check status of staff members. • Run a printable report of the staff roster to assist with compliance visits. • See new background check applicants and add to staff roster. As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division 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 Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. Safe Outdoor Environment We discussed the outdoor play area and general safety concerns. I recommend that the borders be inspected closely for splintering and pinch points. The play equipment on the toddler play area needs to be moved away from the edge of the borders. The concrete blocks installed to hold the poles should be covered or upfitted with rubber protective edging You can remove some of the equipment if you need additional space to safely place play equipment. Monitor the metal benches regularly for sharp edges and rust. The mulch is only needed in the fall zones of the stationary equipment on the play area serving preschoolers. I suggest installing borders closer to the equipment to help keep the surfacing in place. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Thank you for your time today. If you have questions or concerns regarding today’s visit, please contact me at Lisa.Eddins-Smith@dhhs.nc.gov or 980-748-6270. 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. 110-1 · Violation

Name of Operation: ELEVATION CHURCH Facility ID: 60003506 Consultant: LISA EDDINS-SMITH Operation Type: Center Case Number: Visit Date: 2/25/2026 Number Present: 57 Completed Date: 2/25/2026 Age: From 0 To 5 Total Minutes: 245 Time In: 09:15 AM Time Out: 01:20 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 your program for compliance with applicable child care requirements for an annual compliance visit. The facility currently operates under G.S. 110-1-6 as a religious sponsored child care center. The program’s 18-month compliance history before today’s visit was 89%. The NC Secretary of State website was reviewed on February 23, 2026, and Elevation Church is listed as current-active. Upon arrival I was greeted by Donetta Dufrene, Director and Valerie Rios, Operations Director. We discussed thew visit and items to be monitored today. De’Erica Alston, Assistant Director, joined us for the walkthrough. Ms. Alston, Ms. Dufrene and Ms. Rios assisted me with the visit today. The last sanitation inspection was completed October 23, 2025, with a Superior classification. The last fire inspection was conducted on February 20, 2026, and the facility was approved for daytime care only. Posted items required were observed and met compliance Program records were reviewed. The last fire drill was conducted on February 5, 2026. The last shelter in place was conducted December 11, 2025. The playground inspections and the incident log were in compliance. The EPR is dated February 16, 2026. The ready-to-go file was monitored and a violation was cited. During the walk-through, I observed children in the indoor learning environments and found supervision and staff/child ratios to be in compliance. Children throughout the facility were participating in personal care routines, free choice of indoor and outdoor play activities, teacher directed activities and large group activities. Caregivers were observed interacting with children in a nurturing and caring manner. Each group was observed in approved/adequate space. Permit restrictions were met. I observed caregivers use nurturing and caring tones. Throughout the facility, material and equipment in each classroom were found in good repair and developmentally appropriate for the age range. I suggest more materials be available for children enrolled in the two year old classroom. I monitored each room for safe indoor environment and general safety. A violation was cited. There are three (3) children currently enrolled requiring emergency medications. I reviewed all required documentation and found in compliance. A violation was cited for storage of emergency medication. The two areas used for outdoor play were monitored. On the playground serving toddlers and twos a violation was cited for general safety concerns. See the violations section for details. On the play area serving preschoolers, the resilient surfacing under the stationary equipment slide did not meet critical height requirements although there is sufficient mulch on the outdoor play area. We discussed raking the mulch to met critical height reequipments under the equipment. I suggest moving the borders closer to the fall zones of the equipment requiring resilient surfacing, The center does not provide transportation. Seven (7) children’s files were selected, reviewed and one (1) violation was cited. The staff and training worksheet was used to review staff files and found in compliance. We discussed that forms requiring on or before employment must be signed before the employee begins work. The facility offers two options for date of employment based on payroll calendar. We discussed monitoring the dates carefully to maintain compliance. There have been two (2) new staff hired since the last routine unannounced visit. I monitored all new staff files. Ten (10) percent of veteran staff files were reviewed. I reviewed ABCMS prior to the visit and no record was found. A violation was cited. Please see technical assistance for more information. One (1) administrator completed the ITS-SIDS class November 18, 2025. The trainer has not emailed the training certificate. I reviewed emails sent requesting the certificate and will follow up with the trainer. The following violations cited today: Violation Number Comment Rule 705 Equipment and furnishings were not sturdy, stable and free of hazards. On the toddler outdoor play area concrete blocks installed to hold the poles for the shade had sharp corners exposed, the wood borders had splintering and a metal bench had sharp edges with rust exposed under seat slats. .0601(c) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. In Space 105, an epi-pen was stored in a bag lower than five feet accessible to children. .2820(b) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. In Space 146, plastic baggies were accessible to children in two (2) bags on hooks lower than five feet. .0604(q) 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 facility does not have an ABCMS roster on file with the NCDCDEE. G.S. 110-90.2 & .2703(r) 1823 The EPR Plan did not include the location of the Ready to Go File and or the required information. The ready to go file did not contain copies of each child's application including emergency information and emergency information for each staff member. .0607(d)(10) 1867 The depth of the loose surfacing was not based on critical height of the equipment. On the play area serving preschoolers, the resilient surfacing was less did not meet the critical height requirement at the end of the slide. .0605(k)(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 (1) child enrolled 6/12/23 signed and dated the policy 6/27/23. One (1) child enrolled 5/19/2022 signed and dated the policy 6/27/2022. .0608(b)(1-6) Compliance Statement 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 March 11, 2026, 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 considered 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 may be completed. Please email the information to: Lisa.Eddins-Smith@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address on file with DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time-period. DCDEE Website / Administrator Emails We discussed updating your email information with the NCDCDEE to receive all email blasts. Go to the home page of this website and scroll down to add yourself to the newsletters. Additionally, I will update all emails in my contact list to include all three administrators. I encourage you to utilize the DCDEE website, https://ncchildcare.ncdhhs.gov/, on a regular basis. All the laws, rules and regulations, item number listing, sanitation requirements, and provider documents can be found on the website. Additionally, there are many resources such as DCDEE Moodle where you can complete health and safety training free of charge. The What’s New tab provides current information that is sent out through blast emails. Staff and Children’s Files We discussed that the date of enrollment and date of employment should me monitored closely to maintain compliance with any signatures required to be on or before the first date of enrollment for a child and employment for a staff. Ready To Go File We discussed adding the staff and children’s information sheets to the ready to go file and placing all documents together in a backpack or binder to be taken with you in case of evacuation. Please review the detailed requirements to be included in your file here: 10A NCAC 09 .0607 EMERGENCY PREPAREDNESS AND RESPONSE IN CHILD CARE CENTERS (d) The Emergency Preparedness and Response Plan shall include: (1) written procedures for accounting for all in attendance including: (A) the location of the children, staff, volunteer and visitor attendance lists; and (B) the name of the person(s) responsible for bringing the children, staff, volunteer and visitor attendance lists in the event of an emergency. (2) a description for how and when children shall be transported; (3) methods for communicating with parents and emergency personnel or law enforcement; (4) a description of how children's nutritional and health needs will be met; (5) the relocation and reunification process; (6) emergency telephone numbers; (7) evacuation diagrams showing how the staff, children, and any other individuals who may be present will evacuate during an emergency; (8) the date of the last revision of the plan; (9) specific considerations for non-mobile children and children with special needs; and (10) the location of a Ready to Go File. A Ready to Go File means a collection of information on children, staff and the facility, to utilize, if an evacuation occurs. The file shall include, a copy of the Emergency Preparedness and Response Plan, contact information for individuals to pick-up children, each child's Application for Child Care, medication authorizations and instructions, any action plans for children with special health care needs, a list of any known food allergies of children and staff, staff contact information, Incident Report forms, an area map, and emergency telephone numbers. Additionally, you should review this plan with your employees annually as follows: (e) The trained staff shall review the Emergency Preparedness and Response Plan annually, or when information in the plan changes, to ensure all information is current. (f) All staff shall review the center's Emergency Preparedness and Response Plan during orientation and on an annual basis with the trained staff. Documentation of the review shall be maintained at the center in the individual's personnel file or in a file designated for emergency preparedness and response plan documents. (g) All substitutes and volunteers counted in ratio shall be informed of the child care center's Emergency Preparedness and Response Plan and its location. Documentation of this notice shall be maintained in the individual personnel files or in a file designated for emergency preparedness and response plan documents., ABCMS (Criminal Background System): We discussed the following requirements. I emailed the most current technical assistance page. We discussed that each employee needs a personal NCID and that the facility will need a business NCID to complete this process. The training must be completed in Moodle prior to adding employees to the roster. North Carolina child care administrators can now view and edit their facility’s staff roster in ABCMS, the DCDEE’s criminal background check system. Provider Access to ABCMS allows administrators to: • See the real-time background check status of staff members. • Run a printable report of the staff roster to assist with compliance visits. • See new background check applicants and add to staff roster. As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division 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 Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. Safe Outdoor Environment We discussed the outdoor play area and general safety concerns. I recommend that the borders be inspected closely for splintering and pinch points. The play equipment on the toddler play area needs to be moved away from the edge of the borders. The concrete blocks installed to hold the poles should be covered or upfitted with rubber protective edging You can remove some of the equipment if you need additional space to safely place play equipment. Monitor the metal benches regularly for sharp edges and rust. The mulch is only needed in the fall zones of the stationary equipment on the play area serving preschoolers. I suggest installing borders closer to the equipment to help keep the surfacing in place. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Thank you for your time today. If you have questions or concerns regarding today’s visit, please contact me at Lisa.Eddins-Smith@dhhs.nc.gov or 980-748-6270. 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: ELEVATION CHURCH Facility ID: 60003506 Consultant: LISA EDDINS-SMITH Operation Type: Center Case Number: Visit Date: 2/25/2026 Number Present: 57 Completed Date: 2/25/2026 Age: From 0 To 5 Total Minutes: 245 Time In: 09:15 AM Time Out: 01:20 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 your program for compliance with applicable child care requirements for an annual compliance visit. The facility currently operates under G.S. 110-1-6 as a religious sponsored child care center. The program’s 18-month compliance history before today’s visit was 89%. The NC Secretary of State website was reviewed on February 23, 2026, and Elevation Church is listed as current-active. Upon arrival I was greeted by Donetta Dufrene, Director and Valerie Rios, Operations Director. We discussed thew visit and items to be monitored today. De’Erica Alston, Assistant Director, joined us for the walkthrough. Ms. Alston, Ms. Dufrene and Ms. Rios assisted me with the visit today. The last sanitation inspection was completed October 23, 2025, with a Superior classification. The last fire inspection was conducted on February 20, 2026, and the facility was approved for daytime care only. Posted items required were observed and met compliance Program records were reviewed. The last fire drill was conducted on February 5, 2026. The last shelter in place was conducted December 11, 2025. The playground inspections and the incident log were in compliance. The EPR is dated February 16, 2026. The ready-to-go file was monitored and a violation was cited. During the walk-through, I observed children in the indoor learning environments and found supervision and staff/child ratios to be in compliance. Children throughout the facility were participating in personal care routines, free choice of indoor and outdoor play activities, teacher directed activities and large group activities. Caregivers were observed interacting with children in a nurturing and caring manner. Each group was observed in approved/adequate space. Permit restrictions were met. I observed caregivers use nurturing and caring tones. Throughout the facility, material and equipment in each classroom were found in good repair and developmentally appropriate for the age range. I suggest more materials be available for children enrolled in the two year old classroom. I monitored each room for safe indoor environment and general safety. A violation was cited. There are three (3) children currently enrolled requiring emergency medications. I reviewed all required documentation and found in compliance. A violation was cited for storage of emergency medication. The two areas used for outdoor play were monitored. On the playground serving toddlers and twos a violation was cited for general safety concerns. See the violations section for details. On the play area serving preschoolers, the resilient surfacing under the stationary equipment slide did not meet critical height requirements although there is sufficient mulch on the outdoor play area. We discussed raking the mulch to met critical height reequipments under the equipment. I suggest moving the borders closer to the fall zones of the equipment requiring resilient surfacing, The center does not provide transportation. Seven (7) children’s files were selected, reviewed and one (1) violation was cited. The staff and training worksheet was used to review staff files and found in compliance. We discussed that forms requiring on or before employment must be signed before the employee begins work. The facility offers two options for date of employment based on payroll calendar. We discussed monitoring the dates carefully to maintain compliance. There have been two (2) new staff hired since the last routine unannounced visit. I monitored all new staff files. Ten (10) percent of veteran staff files were reviewed. I reviewed ABCMS prior to the visit and no record was found. A violation was cited. Please see technical assistance for more information. One (1) administrator completed the ITS-SIDS class November 18, 2025. The trainer has not emailed the training certificate. I reviewed emails sent requesting the certificate and will follow up with the trainer. The following violations cited today: Violation Number Comment Rule 705 Equipment and furnishings were not sturdy, stable and free of hazards. On the toddler outdoor play area concrete blocks installed to hold the poles for the shade had sharp corners exposed, the wood borders had splintering and a metal bench had sharp edges with rust exposed under seat slats. .0601(c) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. In Space 105, an epi-pen was stored in a bag lower than five feet accessible to children. .2820(b) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. In Space 146, plastic baggies were accessible to children in two (2) bags on hooks lower than five feet. .0604(q) 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 facility does not have an ABCMS roster on file with the NCDCDEE. G.S. 110-90.2 & .2703(r) 1823 The EPR Plan did not include the location of the Ready to Go File and or the required information. The ready to go file did not contain copies of each child's application including emergency information and emergency information for each staff member. .0607(d)(10) 1867 The depth of the loose surfacing was not based on critical height of the equipment. On the play area serving preschoolers, the resilient surfacing was less did not meet the critical height requirement at the end of the slide. .0605(k)(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 (1) child enrolled 6/12/23 signed and dated the policy 6/27/23. One (1) child enrolled 5/19/2022 signed and dated the policy 6/27/2022. .0608(b)(1-6) Compliance Statement 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 March 11, 2026, 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 considered 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 may be completed. Please email the information to: Lisa.Eddins-Smith@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address on file with DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time-period. DCDEE Website / Administrator Emails We discussed updating your email information with the NCDCDEE to receive all email blasts. Go to the home page of this website and scroll down to add yourself to the newsletters. Additionally, I will update all emails in my contact list to include all three administrators. I encourage you to utilize the DCDEE website, https://ncchildcare.ncdhhs.gov/, on a regular basis. All the laws, rules and regulations, item number listing, sanitation requirements, and provider documents can be found on the website. Additionally, there are many resources such as DCDEE Moodle where you can complete health and safety training free of charge. The What’s New tab provides current information that is sent out through blast emails. Staff and Children’s Files We discussed that the date of enrollment and date of employment should me monitored closely to maintain compliance with any signatures required to be on or before the first date of enrollment for a child and employment for a staff. Ready To Go File We discussed adding the staff and children’s information sheets to the ready to go file and placing all documents together in a backpack or binder to be taken with you in case of evacuation. Please review the detailed requirements to be included in your file here: 10A NCAC 09 .0607 EMERGENCY PREPAREDNESS AND RESPONSE IN CHILD CARE CENTERS (d) The Emergency Preparedness and Response Plan shall include: (1) written procedures for accounting for all in attendance including: (A) the location of the children, staff, volunteer and visitor attendance lists; and (B) the name of the person(s) responsible for bringing the children, staff, volunteer and visitor attendance lists in the event of an emergency. (2) a description for how and when children shall be transported; (3) methods for communicating with parents and emergency personnel or law enforcement; (4) a description of how children's nutritional and health needs will be met; (5) the relocation and reunification process; (6) emergency telephone numbers; (7) evacuation diagrams showing how the staff, children, and any other individuals who may be present will evacuate during an emergency; (8) the date of the last revision of the plan; (9) specific considerations for non-mobile children and children with special needs; and (10) the location of a Ready to Go File. A Ready to Go File means a collection of information on children, staff and the facility, to utilize, if an evacuation occurs. The file shall include, a copy of the Emergency Preparedness and Response Plan, contact information for individuals to pick-up children, each child's Application for Child Care, medication authorizations and instructions, any action plans for children with special health care needs, a list of any known food allergies of children and staff, staff contact information, Incident Report forms, an area map, and emergency telephone numbers. Additionally, you should review this plan with your employees annually as follows: (e) The trained staff shall review the Emergency Preparedness and Response Plan annually, or when information in the plan changes, to ensure all information is current. (f) All staff shall review the center's Emergency Preparedness and Response Plan during orientation and on an annual basis with the trained staff. Documentation of the review shall be maintained at the center in the individual's personnel file or in a file designated for emergency preparedness and response plan documents. (g) All substitutes and volunteers counted in ratio shall be informed of the child care center's Emergency Preparedness and Response Plan and its location. Documentation of this notice shall be maintained in the individual personnel files or in a file designated for emergency preparedness and response plan documents., ABCMS (Criminal Background System): We discussed the following requirements. I emailed the most current technical assistance page. We discussed that each employee needs a personal NCID and that the facility will need a business NCID to complete this process. The training must be completed in Moodle prior to adding employees to the roster. North Carolina child care administrators can now view and edit their facility’s staff roster in ABCMS, the DCDEE’s criminal background check system. Provider Access to ABCMS allows administrators to: • See the real-time background check status of staff members. • Run a printable report of the staff roster to assist with compliance visits. • See new background check applicants and add to staff roster. As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division 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 Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. Safe Outdoor Environment We discussed the outdoor play area and general safety concerns. I recommend that the borders be inspected closely for splintering and pinch points. The play equipment on the toddler play area needs to be moved away from the edge of the borders. The concrete blocks installed to hold the poles should be covered or upfitted with rubber protective edging You can remove some of the equipment if you need additional space to safely place play equipment. Monitor the metal benches regularly for sharp edges and rust. The mulch is only needed in the fall zones of the stationary equipment on the play area serving preschoolers. I suggest installing borders closer to the equipment to help keep the surfacing in place. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Thank you for your time today. If you have questions or concerns regarding today’s visit, please contact me at Lisa.Eddins-Smith@dhhs.nc.gov or 980-748-6270. 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: ELEVATION CHURCH Facility ID: 60003506 Consultant: LISA EDDINS-SMITH Operation Type: Center Case Number: Visit Date: 2/25/2026 Number Present: 57 Completed Date: 2/25/2026 Age: From 0 To 5 Total Minutes: 245 Time In: 09:15 AM Time Out: 01:20 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 your program for compliance with applicable child care requirements for an annual compliance visit. The facility currently operates under G.S. 110-1-6 as a religious sponsored child care center. The program’s 18-month compliance history before today’s visit was 89%. The NC Secretary of State website was reviewed on February 23, 2026, and Elevation Church is listed as current-active. Upon arrival I was greeted by Donetta Dufrene, Director and Valerie Rios, Operations Director. We discussed thew visit and items to be monitored today. De’Erica Alston, Assistant Director, joined us for the walkthrough. Ms. Alston, Ms. Dufrene and Ms. Rios assisted me with the visit today. The last sanitation inspection was completed October 23, 2025, with a Superior classification. The last fire inspection was conducted on February 20, 2026, and the facility was approved for daytime care only. Posted items required were observed and met compliance Program records were reviewed. The last fire drill was conducted on February 5, 2026. The last shelter in place was conducted December 11, 2025. The playground inspections and the incident log were in compliance. The EPR is dated February 16, 2026. The ready-to-go file was monitored and a violation was cited. During the walk-through, I observed children in the indoor learning environments and found supervision and staff/child ratios to be in compliance. Children throughout the facility were participating in personal care routines, free choice of indoor and outdoor play activities, teacher directed activities and large group activities. Caregivers were observed interacting with children in a nurturing and caring manner. Each group was observed in approved/adequate space. Permit restrictions were met. I observed caregivers use nurturing and caring tones. Throughout the facility, material and equipment in each classroom were found in good repair and developmentally appropriate for the age range. I suggest more materials be available for children enrolled in the two year old classroom. I monitored each room for safe indoor environment and general safety. A violation was cited. There are three (3) children currently enrolled requiring emergency medications. I reviewed all required documentation and found in compliance. A violation was cited for storage of emergency medication. The two areas used for outdoor play were monitored. On the playground serving toddlers and twos a violation was cited for general safety concerns. See the violations section for details. On the play area serving preschoolers, the resilient surfacing under the stationary equipment slide did not meet critical height requirements although there is sufficient mulch on the outdoor play area. We discussed raking the mulch to met critical height reequipments under the equipment. I suggest moving the borders closer to the fall zones of the equipment requiring resilient surfacing, The center does not provide transportation. Seven (7) children’s files were selected, reviewed and one (1) violation was cited. The staff and training worksheet was used to review staff files and found in compliance. We discussed that forms requiring on or before employment must be signed before the employee begins work. The facility offers two options for date of employment based on payroll calendar. We discussed monitoring the dates carefully to maintain compliance. There have been two (2) new staff hired since the last routine unannounced visit. I monitored all new staff files. Ten (10) percent of veteran staff files were reviewed. I reviewed ABCMS prior to the visit and no record was found. A violation was cited. Please see technical assistance for more information. One (1) administrator completed the ITS-SIDS class November 18, 2025. The trainer has not emailed the training certificate. I reviewed emails sent requesting the certificate and will follow up with the trainer. The following violations cited today: Violation Number Comment Rule 705 Equipment and furnishings were not sturdy, stable and free of hazards. On the toddler outdoor play area concrete blocks installed to hold the poles for the shade had sharp corners exposed, the wood borders had splintering and a metal bench had sharp edges with rust exposed under seat slats. .0601(c) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. In Space 105, an epi-pen was stored in a bag lower than five feet accessible to children. .2820(b) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. In Space 146, plastic baggies were accessible to children in two (2) bags on hooks lower than five feet. .0604(q) 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 facility does not have an ABCMS roster on file with the NCDCDEE. G.S. 110-90.2 & .2703(r) 1823 The EPR Plan did not include the location of the Ready to Go File and or the required information. The ready to go file did not contain copies of each child's application including emergency information and emergency information for each staff member. .0607(d)(10) 1867 The depth of the loose surfacing was not based on critical height of the equipment. On the play area serving preschoolers, the resilient surfacing was less did not meet the critical height requirement at the end of the slide. .0605(k)(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 (1) child enrolled 6/12/23 signed and dated the policy 6/27/23. One (1) child enrolled 5/19/2022 signed and dated the policy 6/27/2022. .0608(b)(1-6) Compliance Statement 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 March 11, 2026, 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 considered 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 may be completed. Please email the information to: Lisa.Eddins-Smith@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address on file with DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time-period. DCDEE Website / Administrator Emails We discussed updating your email information with the NCDCDEE to receive all email blasts. Go to the home page of this website and scroll down to add yourself to the newsletters. Additionally, I will update all emails in my contact list to include all three administrators. I encourage you to utilize the DCDEE website, https://ncchildcare.ncdhhs.gov/, on a regular basis. All the laws, rules and regulations, item number listing, sanitation requirements, and provider documents can be found on the website. Additionally, there are many resources such as DCDEE Moodle where you can complete health and safety training free of charge. The What’s New tab provides current information that is sent out through blast emails. Staff and Children’s Files We discussed that the date of enrollment and date of employment should me monitored closely to maintain compliance with any signatures required to be on or before the first date of enrollment for a child and employment for a staff. Ready To Go File We discussed adding the staff and children’s information sheets to the ready to go file and placing all documents together in a backpack or binder to be taken with you in case of evacuation. Please review the detailed requirements to be included in your file here: 10A NCAC 09 .0607 EMERGENCY PREPAREDNESS AND RESPONSE IN CHILD CARE CENTERS (d) The Emergency Preparedness and Response Plan shall include: (1) written procedures for accounting for all in attendance including: (A) the location of the children, staff, volunteer and visitor attendance lists; and (B) the name of the person(s) responsible for bringing the children, staff, volunteer and visitor attendance lists in the event of an emergency. (2) a description for how and when children shall be transported; (3) methods for communicating with parents and emergency personnel or law enforcement; (4) a description of how children's nutritional and health needs will be met; (5) the relocation and reunification process; (6) emergency telephone numbers; (7) evacuation diagrams showing how the staff, children, and any other individuals who may be present will evacuate during an emergency; (8) the date of the last revision of the plan; (9) specific considerations for non-mobile children and children with special needs; and (10) the location of a Ready to Go File. A Ready to Go File means a collection of information on children, staff and the facility, to utilize, if an evacuation occurs. The file shall include, a copy of the Emergency Preparedness and Response Plan, contact information for individuals to pick-up children, each child's Application for Child Care, medication authorizations and instructions, any action plans for children with special health care needs, a list of any known food allergies of children and staff, staff contact information, Incident Report forms, an area map, and emergency telephone numbers. Additionally, you should review this plan with your employees annually as follows: (e) The trained staff shall review the Emergency Preparedness and Response Plan annually, or when information in the plan changes, to ensure all information is current. (f) All staff shall review the center's Emergency Preparedness and Response Plan during orientation and on an annual basis with the trained staff. Documentation of the review shall be maintained at the center in the individual's personnel file or in a file designated for emergency preparedness and response plan documents. (g) All substitutes and volunteers counted in ratio shall be informed of the child care center's Emergency Preparedness and Response Plan and its location. Documentation of this notice shall be maintained in the individual personnel files or in a file designated for emergency preparedness and response plan documents., ABCMS (Criminal Background System): We discussed the following requirements. I emailed the most current technical assistance page. We discussed that each employee needs a personal NCID and that the facility will need a business NCID to complete this process. The training must be completed in Moodle prior to adding employees to the roster. North Carolina child care administrators can now view and edit their facility’s staff roster in ABCMS, the DCDEE’s criminal background check system. Provider Access to ABCMS allows administrators to: • See the real-time background check status of staff members. • Run a printable report of the staff roster to assist with compliance visits. • See new background check applicants and add to staff roster. As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division 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 Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. Safe Outdoor Environment We discussed the outdoor play area and general safety concerns. I recommend that the borders be inspected closely for splintering and pinch points. The play equipment on the toddler play area needs to be moved away from the edge of the borders. The concrete blocks installed to hold the poles should be covered or upfitted with rubber protective edging You can remove some of the equipment if you need additional space to safely place play equipment. Monitor the metal benches regularly for sharp edges and rust. The mulch is only needed in the fall zones of the stationary equipment on the play area serving preschoolers. I suggest installing borders closer to the equipment to help keep the surfacing in place. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Thank you for your time today. If you have questions or concerns regarding today’s visit, please contact me at Lisa.Eddins-Smith@dhhs.nc.gov or 980-748-6270. 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: ELEVATION CHURCH Facility ID: 60003506 Consultant: LISA EDDINS-SMITH Operation Type: Center Case Number: Visit Date: 7/21/2025 Number Present: 56 Completed Date: 7/21/2025 Age: From 0 To 5 Total Minutes: 175 Time In: 09:05 AM Time Out: 12:00 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 an annual compliance visit. The facility currently operates under G.S. 110-1-6 as a religious sponsored child care center. The program’s 18-month compliance history before today’s visit was 86%. Upon arrival I was greeted by Donetta Dufrene, Director. We met to discuss the visit. Valerie Rios, Operations Director and Kayla Wallace, Curriculum Support joined us to assist me with today’s visit. During the walk-through, I observed children in the indoor learning environments. Each classroom was monitored today. I observed children engaged in activity centers, large group circle time, teacher directed activities and group time. I observed teachers on the floor with the children encouraging play. The Staff and Training Worksheets were reviewed to verify existing staff were current with Criminal Background Checks, First Aid / CPR certification and IT-SIDS. No violations were cited. The following child care requirements were monitored during today’s visit: License Posted/Permit Restrictions: The center is a GS 110-106. All restrictions were in compliance. Permit restrictions were met Supervision: Each group of children was adequately supervised during the visit. Nurturing tones were heard when staff spoke with children. Staff/Child Ratio: The ratios were maintained during today’s visit. CPR: Each employee has current CPR. First Aid: Each employee has current First Aid. CBC Qualification: Staff were current with Criminal Background Check (CBC) qualification. ITS-SIDS, Safe sleep policy and sleep charts: All staff are current with ITS-SIDS. Safe sleep checks were in compliance. The Safe Sleep policy was posted and in compliance. Emergency Medical Care Plan: The Emergency Care Plan was posted and in compliance. Administration of Medication: Diaper creams were monitored and found in compliance. Emergency Medication was monitored. There are currently three (3) children enrolled requiring emergency medication. Two (2) violations were cited. See violations section for details. Storage of Hazardous Substances: All hazardous materials were stored properly and found in compliance. Storage of Medication: Emergency medication was stored properly. General Safety: I monitored the facility for general safety and found no violations. Discipline: There were no discipline concerns; appropriate discipline was provided. Adequate/Approved Space: Each group of children were observed in licensed approved space. Program Records: I reviewed all information required to be posted and found un compliance. The last Sanitation Inspection was completed May 8, 2025, with a superior rating and eight (8) demerits. The last fire inspection was completed March 13, 2025. The inspect ion was not emailed within one week of the inspection. A violation was cited. The incident log was monitored and in compliance. The emergency drill log was monitored and found in compliance. The last shelter in place drill due was conducted June 11, 2025, and the last fire drill was conducted July 17, 2025. The EPR plan is dated February 1, 2025. Playground Safety inspections were reviewed and found in compliance. The following violations were cited: Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The Fire Inspection conducted March 13, 2025 was not submitted within one week of the inspection visit. 10A NCAC 09 .0304(a) 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. Two (2) emergency medications were not in original container and did not have the original label. .0803(2)(a) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. In Space 102, one child requiring emergency medication had an Auvi-Q injector expired 6/23/2025. .0803(12) Compliance Statement: 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 August 4, 2025, 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 considered 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 may be completed. Please email the information to: Lisa.Eddins-Smith@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address on file with DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time-period. DCDEE Website I encourage you to utilize the DCDEE website, https://ncchildcare.ncdhhs.gov/, on a regular basis. All the laws, rules and regulations, item number listing, sanitation requirements, and provider documents can be found on the website. Additionally, there are many resources such as DCDEE Moodle where you can complete health and safety training free of charge. The What’s New tab provides current information that is sent out through blast emails. NC NC Foundations for Early Learning and Development (NCFELD) Training We discussed utilizing the NC Foundations for Early Learning and Development (NCFELD) as you write your lesson plans. I recommend taking the NC FELD training offered through Child Care Resources. The training description and calendar can be accessed here: https://www.childcareresourcesinc.org/training . CCRI will also contract training for your facility if you are interested. MOODLE We discussed that Moodle now offers orientation and child development training for your staff. Moddle can be accessed here: https://www.dcdee.moodle.nc.gov/ At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Thank you for your time today. If you have questions or concerns regarding today’s visit, please contact me at Lisa.Eddins-Smith@dhhs.nc.gov or 980-748-6270. 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. 110-1 · Violation

Name of Operation: ELEVATION CHURCH Facility ID: 60003506 Consultant: LISA EDDINS-SMITH Operation Type: Center Case Number: Visit Date: 7/21/2025 Number Present: 56 Completed Date: 7/21/2025 Age: From 0 To 5 Total Minutes: 175 Time In: 09:05 AM Time Out: 12:00 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 an annual compliance visit. The facility currently operates under G.S. 110-1-6 as a religious sponsored child care center. The program’s 18-month compliance history before today’s visit was 86%. Upon arrival I was greeted by Donetta Dufrene, Director. We met to discuss the visit. Valerie Rios, Operations Director and Kayla Wallace, Curriculum Support joined us to assist me with today’s visit. During the walk-through, I observed children in the indoor learning environments. Each classroom was monitored today. I observed children engaged in activity centers, large group circle time, teacher directed activities and group time. I observed teachers on the floor with the children encouraging play. The Staff and Training Worksheets were reviewed to verify existing staff were current with Criminal Background Checks, First Aid / CPR certification and IT-SIDS. No violations were cited. The following child care requirements were monitored during today’s visit: License Posted/Permit Restrictions: The center is a GS 110-106. All restrictions were in compliance. Permit restrictions were met Supervision: Each group of children was adequately supervised during the visit. Nurturing tones were heard when staff spoke with children. Staff/Child Ratio: The ratios were maintained during today’s visit. CPR: Each employee has current CPR. First Aid: Each employee has current First Aid. CBC Qualification: Staff were current with Criminal Background Check (CBC) qualification. ITS-SIDS, Safe sleep policy and sleep charts: All staff are current with ITS-SIDS. Safe sleep checks were in compliance. The Safe Sleep policy was posted and in compliance. Emergency Medical Care Plan: The Emergency Care Plan was posted and in compliance. Administration of Medication: Diaper creams were monitored and found in compliance. Emergency Medication was monitored. There are currently three (3) children enrolled requiring emergency medication. Two (2) violations were cited. See violations section for details. Storage of Hazardous Substances: All hazardous materials were stored properly and found in compliance. Storage of Medication: Emergency medication was stored properly. General Safety: I monitored the facility for general safety and found no violations. Discipline: There were no discipline concerns; appropriate discipline was provided. Adequate/Approved Space: Each group of children were observed in licensed approved space. Program Records: I reviewed all information required to be posted and found un compliance. The last Sanitation Inspection was completed May 8, 2025, with a superior rating and eight (8) demerits. The last fire inspection was completed March 13, 2025. The inspect ion was not emailed within one week of the inspection. A violation was cited. The incident log was monitored and in compliance. The emergency drill log was monitored and found in compliance. The last shelter in place drill due was conducted June 11, 2025, and the last fire drill was conducted July 17, 2025. The EPR plan is dated February 1, 2025. Playground Safety inspections were reviewed and found in compliance. The following violations were cited: Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The Fire Inspection conducted March 13, 2025 was not submitted within one week of the inspection visit. 10A NCAC 09 .0304(a) 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. Two (2) emergency medications were not in original container and did not have the original label. .0803(2)(a) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. In Space 102, one child requiring emergency medication had an Auvi-Q injector expired 6/23/2025. .0803(12) Compliance Statement: 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 August 4, 2025, 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 considered 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 may be completed. Please email the information to: Lisa.Eddins-Smith@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address on file with DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time-period. DCDEE Website I encourage you to utilize the DCDEE website, https://ncchildcare.ncdhhs.gov/, on a regular basis. All the laws, rules and regulations, item number listing, sanitation requirements, and provider documents can be found on the website. Additionally, there are many resources such as DCDEE Moodle where you can complete health and safety training free of charge. The What’s New tab provides current information that is sent out through blast emails. NC NC Foundations for Early Learning and Development (NCFELD) Training We discussed utilizing the NC Foundations for Early Learning and Development (NCFELD) as you write your lesson plans. I recommend taking the NC FELD training offered through Child Care Resources. The training description and calendar can be accessed here: https://www.childcareresourcesinc.org/training . CCRI will also contract training for your facility if you are interested. MOODLE We discussed that Moodle now offers orientation and child development training for your staff. Moddle can be accessed here: https://www.dcdee.moodle.nc.gov/ At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Thank you for your time today. If you have questions or concerns regarding today’s visit, please contact me at Lisa.Eddins-Smith@dhhs.nc.gov or 980-748-6270. 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 110-106 · Violation

Name of Operation: ELEVATION CHURCH Facility ID: 60003506 Consultant: LISA EDDINS-SMITH Operation Type: Center Case Number: Visit Date: 7/21/2025 Number Present: 56 Completed Date: 7/21/2025 Age: From 0 To 5 Total Minutes: 175 Time In: 09:05 AM Time Out: 12:00 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 an annual compliance visit. The facility currently operates under G.S. 110-1-6 as a religious sponsored child care center. The program’s 18-month compliance history before today’s visit was 86%. Upon arrival I was greeted by Donetta Dufrene, Director. We met to discuss the visit. Valerie Rios, Operations Director and Kayla Wallace, Curriculum Support joined us to assist me with today’s visit. During the walk-through, I observed children in the indoor learning environments. Each classroom was monitored today. I observed children engaged in activity centers, large group circle time, teacher directed activities and group time. I observed teachers on the floor with the children encouraging play. The Staff and Training Worksheets were reviewed to verify existing staff were current with Criminal Background Checks, First Aid / CPR certification and IT-SIDS. No violations were cited. The following child care requirements were monitored during today’s visit: License Posted/Permit Restrictions: The center is a GS 110-106. All restrictions were in compliance. Permit restrictions were met Supervision: Each group of children was adequately supervised during the visit. Nurturing tones were heard when staff spoke with children. Staff/Child Ratio: The ratios were maintained during today’s visit. CPR: Each employee has current CPR. First Aid: Each employee has current First Aid. CBC Qualification: Staff were current with Criminal Background Check (CBC) qualification. ITS-SIDS, Safe sleep policy and sleep charts: All staff are current with ITS-SIDS. Safe sleep checks were in compliance. The Safe Sleep policy was posted and in compliance. Emergency Medical Care Plan: The Emergency Care Plan was posted and in compliance. Administration of Medication: Diaper creams were monitored and found in compliance. Emergency Medication was monitored. There are currently three (3) children enrolled requiring emergency medication. Two (2) violations were cited. See violations section for details. Storage of Hazardous Substances: All hazardous materials were stored properly and found in compliance. Storage of Medication: Emergency medication was stored properly. General Safety: I monitored the facility for general safety and found no violations. Discipline: There were no discipline concerns; appropriate discipline was provided. Adequate/Approved Space: Each group of children were observed in licensed approved space. Program Records: I reviewed all information required to be posted and found un compliance. The last Sanitation Inspection was completed May 8, 2025, with a superior rating and eight (8) demerits. The last fire inspection was completed March 13, 2025. The inspect ion was not emailed within one week of the inspection. A violation was cited. The incident log was monitored and in compliance. The emergency drill log was monitored and found in compliance. The last shelter in place drill due was conducted June 11, 2025, and the last fire drill was conducted July 17, 2025. The EPR plan is dated February 1, 2025. Playground Safety inspections were reviewed and found in compliance. The following violations were cited: Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The Fire Inspection conducted March 13, 2025 was not submitted within one week of the inspection visit. 10A NCAC 09 .0304(a) 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. Two (2) emergency medications were not in original container and did not have the original label. .0803(2)(a) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. In Space 102, one child requiring emergency medication had an Auvi-Q injector expired 6/23/2025. .0803(12) Compliance Statement: 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 August 4, 2025, 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 considered 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 may be completed. Please email the information to: Lisa.Eddins-Smith@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address on file with DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time-period. DCDEE Website I encourage you to utilize the DCDEE website, https://ncchildcare.ncdhhs.gov/, on a regular basis. All the laws, rules and regulations, item number listing, sanitation requirements, and provider documents can be found on the website. Additionally, there are many resources such as DCDEE Moodle where you can complete health and safety training free of charge. The What’s New tab provides current information that is sent out through blast emails. NC NC Foundations for Early Learning and Development (NCFELD) Training We discussed utilizing the NC Foundations for Early Learning and Development (NCFELD) as you write your lesson plans. I recommend taking the NC FELD training offered through Child Care Resources. The training description and calendar can be accessed here: https://www.childcareresourcesinc.org/training . CCRI will also contract training for your facility if you are interested. MOODLE We discussed that Moodle now offers orientation and child development training for your staff. Moddle can be accessed here: https://www.dcdee.moodle.nc.gov/ At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Thank you for your time today. If you have questions or concerns regarding today’s visit, please contact me at Lisa.Eddins-Smith@dhhs.nc.gov or 980-748-6270. 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: ELEVATION CHURCH Facility ID: 60003506 Consultant: LISA EDDINS-SMITH Operation Type: Center Case Number: Visit Date: 7/21/2025 Number Present: 56 Completed Date: 7/21/2025 Age: From 0 To 5 Total Minutes: 175 Time In: 09:05 AM Time Out: 12:00 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 an annual compliance visit. The facility currently operates under G.S. 110-1-6 as a religious sponsored child care center. The program’s 18-month compliance history before today’s visit was 86%. Upon arrival I was greeted by Donetta Dufrene, Director. We met to discuss the visit. Valerie Rios, Operations Director and Kayla Wallace, Curriculum Support joined us to assist me with today’s visit. During the walk-through, I observed children in the indoor learning environments. Each classroom was monitored today. I observed children engaged in activity centers, large group circle time, teacher directed activities and group time. I observed teachers on the floor with the children encouraging play. The Staff and Training Worksheets were reviewed to verify existing staff were current with Criminal Background Checks, First Aid / CPR certification and IT-SIDS. No violations were cited. The following child care requirements were monitored during today’s visit: License Posted/Permit Restrictions: The center is a GS 110-106. All restrictions were in compliance. Permit restrictions were met Supervision: Each group of children was adequately supervised during the visit. Nurturing tones were heard when staff spoke with children. Staff/Child Ratio: The ratios were maintained during today’s visit. CPR: Each employee has current CPR. First Aid: Each employee has current First Aid. CBC Qualification: Staff were current with Criminal Background Check (CBC) qualification. ITS-SIDS, Safe sleep policy and sleep charts: All staff are current with ITS-SIDS. Safe sleep checks were in compliance. The Safe Sleep policy was posted and in compliance. Emergency Medical Care Plan: The Emergency Care Plan was posted and in compliance. Administration of Medication: Diaper creams were monitored and found in compliance. Emergency Medication was monitored. There are currently three (3) children enrolled requiring emergency medication. Two (2) violations were cited. See violations section for details. Storage of Hazardous Substances: All hazardous materials were stored properly and found in compliance. Storage of Medication: Emergency medication was stored properly. General Safety: I monitored the facility for general safety and found no violations. Discipline: There were no discipline concerns; appropriate discipline was provided. Adequate/Approved Space: Each group of children were observed in licensed approved space. Program Records: I reviewed all information required to be posted and found un compliance. The last Sanitation Inspection was completed May 8, 2025, with a superior rating and eight (8) demerits. The last fire inspection was completed March 13, 2025. The inspect ion was not emailed within one week of the inspection. A violation was cited. The incident log was monitored and in compliance. The emergency drill log was monitored and found in compliance. The last shelter in place drill due was conducted June 11, 2025, and the last fire drill was conducted July 17, 2025. The EPR plan is dated February 1, 2025. Playground Safety inspections were reviewed and found in compliance. The following violations were cited: Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The Fire Inspection conducted March 13, 2025 was not submitted within one week of the inspection visit. 10A NCAC 09 .0304(a) 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. Two (2) emergency medications were not in original container and did not have the original label. .0803(2)(a) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. In Space 102, one child requiring emergency medication had an Auvi-Q injector expired 6/23/2025. .0803(12) Compliance Statement: 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 August 4, 2025, 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 considered 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 may be completed. Please email the information to: Lisa.Eddins-Smith@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address on file with DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time-period. DCDEE Website I encourage you to utilize the DCDEE website, https://ncchildcare.ncdhhs.gov/, on a regular basis. All the laws, rules and regulations, item number listing, sanitation requirements, and provider documents can be found on the website. Additionally, there are many resources such as DCDEE Moodle where you can complete health and safety training free of charge. The What’s New tab provides current information that is sent out through blast emails. NC NC Foundations for Early Learning and Development (NCFELD) Training We discussed utilizing the NC Foundations for Early Learning and Development (NCFELD) as you write your lesson plans. I recommend taking the NC FELD training offered through Child Care Resources. The training description and calendar can be accessed here: https://www.childcareresourcesinc.org/training . CCRI will also contract training for your facility if you are interested. MOODLE We discussed that Moodle now offers orientation and child development training for your staff. Moddle can be accessed here: https://www.dcdee.moodle.nc.gov/ At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Thank you for your time today. If you have questions or concerns regarding today’s visit, please contact me at Lisa.Eddins-Smith@dhhs.nc.gov or 980-748-6270. 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: ELEVATION CHURCH Facility ID: 60003506 Consultant: LISA EDDINS-SMITH Operation Type: Center Case Number: Visit Date: 3/3/2025 Number Present: 70 Completed Date: 3/3/2025 Age: From 0 To 5 Total Minutes: 315 Time In: 09:45 AM Time Out: 03:00 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 your program for compliance with applicable child care requirements for an annual compliance visit. The facility currently operates under G.S. 110-16 as a religious sponsored child care center. The program’s 18-month compliance history before today’s visit was 86%. The NC Secretary of State website was reviewed on February 28, 2025, and Elevation Church is listed as current-active. Upon arrival I was greeted by Donetta Dufrene, Director and Kayla Wallace, Admin. Support. I explained the purpose of my visit and reviewed the items to be monitored. Ms. Dufrene and Ms. Wallace assisted me with today’s visit. A sanitation inspection was completed October 31, 2024, with a Superior classification. The last fire inspection was conducted on March 14, 2024, and the facility was approved for daytime care only. Items required to be posted were observed in the office. We discussed moving the bulletin board to a place parents would be able to see the required posted items. I observed the Summary of Law dated 2019. A newer summary is available on our website under provider forms. A tobacco free facility sign was not posted at the entrance to the facility. Program records were reviewed. The last fire drill was conducted on February 24, 2025. The last shelter in place was conducted December 11, 2024. The playground inspections and the incident log were in compliance. The EPR is dated February 1,2025 and the ready-to-go file was monitored and found in compliance. During the walk-through, I observed children in the indoor and outdoor learning environments and found supervision and staff/child ratios to be in compliance. Children throughout the facility were participating in personal care routines, free choice of indoor and outdoor play activities, teacher directed activities and rest time. Caregivers were observed interacting with children in a nurturing and caring manner. I observed teachers on the floor with the children encouraging play. Each group was observed in approved/adequate space. Staff child ratio was observed in compliance. Several rooms were missing or had incorrect Staff/Child Worksheets posted. The facility was recently painted, and bulletin boards had not been rehung in several rooms. Permit restrictions were met. In the rooms serving infants I monitored all diaper creams, safe sleep charts, feeding schedules and Safe Sleep Policy customized and posted and found in compliance. I monitored all bottles and food for names and dates and found in compliance. Throughout the facility, material and equipment in each classroom were found in good repair and developmentally appropriate for the age range. I monitored each room for safe indoor environment and general safety. Several violations were cited for storage of hazardous materials, cords hanging down, outlets covered, plastic and small parts accessible to children under three. observed soft soap hand soap in both classrooms with the warning keep out of reach of children accessible to children. We discussed moving all bleach water, hand sanitizers and teacher materials to shelves which are five feet or higher. There is one child enrolled requiring emergency medications. The Medical Action Care Plan did not have a physician’s signature, and the emergency medication was not in the facility. The outdoor area was monitored. The resilient surfacing under the stationary plat equipment on the preschool playground did not meet critical depth requirements. The stationary equipment had bolts missing near the slide creating a pinch point for children. The center does not provide transportation. Eight (8) children’s files were selected for review and no violations were cited. The staff and training worksheet was used to review staff filles. There have been six (6) new staff hired since the last routine unannounced visit. I monitored all new staff files. Ten (10) percent of veteran staff files were reviewed. Violation Number Comment Rule 721 All equipment and furnishings were not in good repair. Bolts were missing on the stationary play equipment near the slide creating a pinch point. G.S. 110-91(6); .0601(b) 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. In Space 2, outlets near the bathroom were incovered. 10A NCAC 09 .0604(c) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. in Space 3, hand sanitizer and bleach solution were stored lower than five feet accessible to children. .2820(b) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. In Spaces 2 a grocery bag full of supplies, a small bubble wand in a child's backpack and a teacher storage drawer on a counter with plastic was accessible to children. In Space 3 paper clips and snack baggies were observed on a counter accessible to children. In Space 5, soiled clothes in a plastic bag were on a hook lower than five feet accessible to children. .0604(q) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. Two (2) staff members did not have a medical report on file prior to employment. 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. Two (2) employees did not have a TB Test on file prior to employment. .0701(a) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. Three (3) staff members did not have a health professional listed on the Emergency Information Form. .0701(a) 1835 The medical action plan was not updated on an annual basis or when changes to the plan were made by the child's parent or health care professional. A child requiring emergency medication did not have a medical action plan on file signed by a physician. .0801(b) 1867 The depth of the loose surfacing was not based on critical height of the equipment. The mulch under the stationary equipment on the preschool playground did not meet critical depth required. .0605(k)(1-4) 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. Six (6) employees did not have a signed policy on file prior to employment. .0608(d)(1-4) Compliance Statement: 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 March 17, 2025, 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 considered 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 may be completed. Please email the information to: Lisa.Eddins-Smith@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address on file with DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time-period. DCDEE Website: I encourage you to utilize the DCDEE website, https://ncchildcare.ncdhhs.gov/, on a regular basis. All the laws, rules and regulations, item number listing, sanitation requirements, and provider documents can be found on the website. Additionally, there are many resources such as DCDEE Moodle where you can complete health and safety training free of charge. The What’s New tab provides current information that is sent out through blast emails. Additionally, NC PreK resources are available on the website. Staff and training Worksheets: We discussed the importance of keeping staff and training worksheets up to date to include substitutes. I suggest keeping the Staff and training Worksheet on your desktop to update with staff changes and to monitor required dates for annual forms. Staff/Child Ratio Worksheet: We discussed that these sheets are required to be posted and accurately reflect the licensed capacity and youngest child enrolled currently in the classroom. The ratio will then be determined for the classroom according to the youngest child. We discussed reading all labels for the phrase “keep out of reach of children” and storing these items on a shelf higher than five feet. I suggest purchasing a choking tube to check all toys and items in classrooms serving children under three years of age. We discussed scheduling a time for a Technical Assistance meeting to discuss any questions you may have. ABCMS (Criminal Background System): North Carolina child care administrators can now view and edit their facility’s staff roster in ABCMS, the DCDEE’s criminal background check system. Provider Access to ABCMS allows administrators to: • See the real-time background check status of staff members. • Run a printable report of the staff roster to assist with compliance visits. • See new background check applicants and add to staff roster. As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division 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 Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Thank you for your time today. If you have questions or concerns regarding today’s visit, please contact me at Lisa.Eddins-Smith@dhhs.nc.gov or 980-748-6270. 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: ELEVATION CHURCH Facility ID: 60003506 Consultant: LISA EDDINS-SMITH Operation Type: Center Case Number: Visit Date: 3/3/2025 Number Present: 70 Completed Date: 3/3/2025 Age: From 0 To 5 Total Minutes: 315 Time In: 09:45 AM Time Out: 03:00 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 your program for compliance with applicable child care requirements for an annual compliance visit. The facility currently operates under G.S. 110-16 as a religious sponsored child care center. The program’s 18-month compliance history before today’s visit was 86%. The NC Secretary of State website was reviewed on February 28, 2025, and Elevation Church is listed as current-active. Upon arrival I was greeted by Donetta Dufrene, Director and Kayla Wallace, Admin. Support. I explained the purpose of my visit and reviewed the items to be monitored. Ms. Dufrene and Ms. Wallace assisted me with today’s visit. A sanitation inspection was completed October 31, 2024, with a Superior classification. The last fire inspection was conducted on March 14, 2024, and the facility was approved for daytime care only. Items required to be posted were observed in the office. We discussed moving the bulletin board to a place parents would be able to see the required posted items. I observed the Summary of Law dated 2019. A newer summary is available on our website under provider forms. A tobacco free facility sign was not posted at the entrance to the facility. Program records were reviewed. The last fire drill was conducted on February 24, 2025. The last shelter in place was conducted December 11, 2024. The playground inspections and the incident log were in compliance. The EPR is dated February 1,2025 and the ready-to-go file was monitored and found in compliance. During the walk-through, I observed children in the indoor and outdoor learning environments and found supervision and staff/child ratios to be in compliance. Children throughout the facility were participating in personal care routines, free choice of indoor and outdoor play activities, teacher directed activities and rest time. Caregivers were observed interacting with children in a nurturing and caring manner. I observed teachers on the floor with the children encouraging play. Each group was observed in approved/adequate space. Staff child ratio was observed in compliance. Several rooms were missing or had incorrect Staff/Child Worksheets posted. The facility was recently painted, and bulletin boards had not been rehung in several rooms. Permit restrictions were met. In the rooms serving infants I monitored all diaper creams, safe sleep charts, feeding schedules and Safe Sleep Policy customized and posted and found in compliance. I monitored all bottles and food for names and dates and found in compliance. Throughout the facility, material and equipment in each classroom were found in good repair and developmentally appropriate for the age range. I monitored each room for safe indoor environment and general safety. Several violations were cited for storage of hazardous materials, cords hanging down, outlets covered, plastic and small parts accessible to children under three. observed soft soap hand soap in both classrooms with the warning keep out of reach of children accessible to children. We discussed moving all bleach water, hand sanitizers and teacher materials to shelves which are five feet or higher. There is one child enrolled requiring emergency medications. The Medical Action Care Plan did not have a physician’s signature, and the emergency medication was not in the facility. The outdoor area was monitored. The resilient surfacing under the stationary plat equipment on the preschool playground did not meet critical depth requirements. The stationary equipment had bolts missing near the slide creating a pinch point for children. The center does not provide transportation. Eight (8) children’s files were selected for review and no violations were cited. The staff and training worksheet was used to review staff filles. There have been six (6) new staff hired since the last routine unannounced visit. I monitored all new staff files. Ten (10) percent of veteran staff files were reviewed. Violation Number Comment Rule 721 All equipment and furnishings were not in good repair. Bolts were missing on the stationary play equipment near the slide creating a pinch point. G.S. 110-91(6); .0601(b) 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. In Space 2, outlets near the bathroom were incovered. 10A NCAC 09 .0604(c) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. in Space 3, hand sanitizer and bleach solution were stored lower than five feet accessible to children. .2820(b) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. In Spaces 2 a grocery bag full of supplies, a small bubble wand in a child's backpack and a teacher storage drawer on a counter with plastic was accessible to children. In Space 3 paper clips and snack baggies were observed on a counter accessible to children. In Space 5, soiled clothes in a plastic bag were on a hook lower than five feet accessible to children. .0604(q) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. Two (2) staff members did not have a medical report on file prior to employment. 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. Two (2) employees did not have a TB Test on file prior to employment. .0701(a) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. Three (3) staff members did not have a health professional listed on the Emergency Information Form. .0701(a) 1835 The medical action plan was not updated on an annual basis or when changes to the plan were made by the child's parent or health care professional. A child requiring emergency medication did not have a medical action plan on file signed by a physician. .0801(b) 1867 The depth of the loose surfacing was not based on critical height of the equipment. The mulch under the stationary equipment on the preschool playground did not meet critical depth required. .0605(k)(1-4) 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. Six (6) employees did not have a signed policy on file prior to employment. .0608(d)(1-4) Compliance Statement: 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 March 17, 2025, 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 considered 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 may be completed. Please email the information to: Lisa.Eddins-Smith@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address on file with DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time-period. DCDEE Website: I encourage you to utilize the DCDEE website, https://ncchildcare.ncdhhs.gov/, on a regular basis. All the laws, rules and regulations, item number listing, sanitation requirements, and provider documents can be found on the website. Additionally, there are many resources such as DCDEE Moodle where you can complete health and safety training free of charge. The What’s New tab provides current information that is sent out through blast emails. Additionally, NC PreK resources are available on the website. Staff and training Worksheets: We discussed the importance of keeping staff and training worksheets up to date to include substitutes. I suggest keeping the Staff and training Worksheet on your desktop to update with staff changes and to monitor required dates for annual forms. Staff/Child Ratio Worksheet: We discussed that these sheets are required to be posted and accurately reflect the licensed capacity and youngest child enrolled currently in the classroom. The ratio will then be determined for the classroom according to the youngest child. We discussed reading all labels for the phrase “keep out of reach of children” and storing these items on a shelf higher than five feet. I suggest purchasing a choking tube to check all toys and items in classrooms serving children under three years of age. We discussed scheduling a time for a Technical Assistance meeting to discuss any questions you may have. ABCMS (Criminal Background System): North Carolina child care administrators can now view and edit their facility’s staff roster in ABCMS, the DCDEE’s criminal background check system. Provider Access to ABCMS allows administrators to: • See the real-time background check status of staff members. • Run a printable report of the staff roster to assist with compliance visits. • See new background check applicants and add to staff roster. As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division 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 Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Thank you for your time today. If you have questions or concerns regarding today’s visit, please contact me at Lisa.Eddins-Smith@dhhs.nc.gov or 980-748-6270. 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. 110-16 · Violation

Name of Operation: ELEVATION CHURCH Facility ID: 60003506 Consultant: LISA EDDINS-SMITH Operation Type: Center Case Number: Visit Date: 3/3/2025 Number Present: 70 Completed Date: 3/3/2025 Age: From 0 To 5 Total Minutes: 315 Time In: 09:45 AM Time Out: 03:00 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 your program for compliance with applicable child care requirements for an annual compliance visit. The facility currently operates under G.S. 110-16 as a religious sponsored child care center. The program’s 18-month compliance history before today’s visit was 86%. The NC Secretary of State website was reviewed on February 28, 2025, and Elevation Church is listed as current-active. Upon arrival I was greeted by Donetta Dufrene, Director and Kayla Wallace, Admin. Support. I explained the purpose of my visit and reviewed the items to be monitored. Ms. Dufrene and Ms. Wallace assisted me with today’s visit. A sanitation inspection was completed October 31, 2024, with a Superior classification. The last fire inspection was conducted on March 14, 2024, and the facility was approved for daytime care only. Items required to be posted were observed in the office. We discussed moving the bulletin board to a place parents would be able to see the required posted items. I observed the Summary of Law dated 2019. A newer summary is available on our website under provider forms. A tobacco free facility sign was not posted at the entrance to the facility. Program records were reviewed. The last fire drill was conducted on February 24, 2025. The last shelter in place was conducted December 11, 2024. The playground inspections and the incident log were in compliance. The EPR is dated February 1,2025 and the ready-to-go file was monitored and found in compliance. During the walk-through, I observed children in the indoor and outdoor learning environments and found supervision and staff/child ratios to be in compliance. Children throughout the facility were participating in personal care routines, free choice of indoor and outdoor play activities, teacher directed activities and rest time. Caregivers were observed interacting with children in a nurturing and caring manner. I observed teachers on the floor with the children encouraging play. Each group was observed in approved/adequate space. Staff child ratio was observed in compliance. Several rooms were missing or had incorrect Staff/Child Worksheets posted. The facility was recently painted, and bulletin boards had not been rehung in several rooms. Permit restrictions were met. In the rooms serving infants I monitored all diaper creams, safe sleep charts, feeding schedules and Safe Sleep Policy customized and posted and found in compliance. I monitored all bottles and food for names and dates and found in compliance. Throughout the facility, material and equipment in each classroom were found in good repair and developmentally appropriate for the age range. I monitored each room for safe indoor environment and general safety. Several violations were cited for storage of hazardous materials, cords hanging down, outlets covered, plastic and small parts accessible to children under three. observed soft soap hand soap in both classrooms with the warning keep out of reach of children accessible to children. We discussed moving all bleach water, hand sanitizers and teacher materials to shelves which are five feet or higher. There is one child enrolled requiring emergency medications. The Medical Action Care Plan did not have a physician’s signature, and the emergency medication was not in the facility. The outdoor area was monitored. The resilient surfacing under the stationary plat equipment on the preschool playground did not meet critical depth requirements. The stationary equipment had bolts missing near the slide creating a pinch point for children. The center does not provide transportation. Eight (8) children’s files were selected for review and no violations were cited. The staff and training worksheet was used to review staff filles. There have been six (6) new staff hired since the last routine unannounced visit. I monitored all new staff files. Ten (10) percent of veteran staff files were reviewed. Violation Number Comment Rule 721 All equipment and furnishings were not in good repair. Bolts were missing on the stationary play equipment near the slide creating a pinch point. G.S. 110-91(6); .0601(b) 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. In Space 2, outlets near the bathroom were incovered. 10A NCAC 09 .0604(c) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. in Space 3, hand sanitizer and bleach solution were stored lower than five feet accessible to children. .2820(b) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. In Spaces 2 a grocery bag full of supplies, a small bubble wand in a child's backpack and a teacher storage drawer on a counter with plastic was accessible to children. In Space 3 paper clips and snack baggies were observed on a counter accessible to children. In Space 5, soiled clothes in a plastic bag were on a hook lower than five feet accessible to children. .0604(q) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. Two (2) staff members did not have a medical report on file prior to employment. 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. Two (2) employees did not have a TB Test on file prior to employment. .0701(a) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. Three (3) staff members did not have a health professional listed on the Emergency Information Form. .0701(a) 1835 The medical action plan was not updated on an annual basis or when changes to the plan were made by the child's parent or health care professional. A child requiring emergency medication did not have a medical action plan on file signed by a physician. .0801(b) 1867 The depth of the loose surfacing was not based on critical height of the equipment. The mulch under the stationary equipment on the preschool playground did not meet critical depth required. .0605(k)(1-4) 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. Six (6) employees did not have a signed policy on file prior to employment. .0608(d)(1-4) Compliance Statement: 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 March 17, 2025, 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 considered 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 may be completed. Please email the information to: Lisa.Eddins-Smith@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address on file with DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time-period. DCDEE Website: I encourage you to utilize the DCDEE website, https://ncchildcare.ncdhhs.gov/, on a regular basis. All the laws, rules and regulations, item number listing, sanitation requirements, and provider documents can be found on the website. Additionally, there are many resources such as DCDEE Moodle where you can complete health and safety training free of charge. The What’s New tab provides current information that is sent out through blast emails. Additionally, NC PreK resources are available on the website. Staff and training Worksheets: We discussed the importance of keeping staff and training worksheets up to date to include substitutes. I suggest keeping the Staff and training Worksheet on your desktop to update with staff changes and to monitor required dates for annual forms. Staff/Child Ratio Worksheet: We discussed that these sheets are required to be posted and accurately reflect the licensed capacity and youngest child enrolled currently in the classroom. The ratio will then be determined for the classroom according to the youngest child. We discussed reading all labels for the phrase “keep out of reach of children” and storing these items on a shelf higher than five feet. I suggest purchasing a choking tube to check all toys and items in classrooms serving children under three years of age. We discussed scheduling a time for a Technical Assistance meeting to discuss any questions you may have. ABCMS (Criminal Background System): North Carolina child care administrators can now view and edit their facility’s staff roster in ABCMS, the DCDEE’s criminal background check system. Provider Access to ABCMS allows administrators to: • See the real-time background check status of staff members. • Run a printable report of the staff roster to assist with compliance visits. • See new background check applicants and add to staff roster. As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division 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 Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Thank you for your time today. If you have questions or concerns regarding today’s visit, please contact me at Lisa.Eddins-Smith@dhhs.nc.gov or 980-748-6270. 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: ELEVATION CHURCH Facility ID: 60003506 Consultant: LISA EDDINS-SMITH Operation Type: Center Case Number: Visit Date: 3/3/2025 Number Present: 70 Completed Date: 3/3/2025 Age: From 0 To 5 Total Minutes: 315 Time In: 09:45 AM Time Out: 03:00 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 your program for compliance with applicable child care requirements for an annual compliance visit. The facility currently operates under G.S. 110-16 as a religious sponsored child care center. The program’s 18-month compliance history before today’s visit was 86%. The NC Secretary of State website was reviewed on February 28, 2025, and Elevation Church is listed as current-active. Upon arrival I was greeted by Donetta Dufrene, Director and Kayla Wallace, Admin. Support. I explained the purpose of my visit and reviewed the items to be monitored. Ms. Dufrene and Ms. Wallace assisted me with today’s visit. A sanitation inspection was completed October 31, 2024, with a Superior classification. The last fire inspection was conducted on March 14, 2024, and the facility was approved for daytime care only. Items required to be posted were observed in the office. We discussed moving the bulletin board to a place parents would be able to see the required posted items. I observed the Summary of Law dated 2019. A newer summary is available on our website under provider forms. A tobacco free facility sign was not posted at the entrance to the facility. Program records were reviewed. The last fire drill was conducted on February 24, 2025. The last shelter in place was conducted December 11, 2024. The playground inspections and the incident log were in compliance. The EPR is dated February 1,2025 and the ready-to-go file was monitored and found in compliance. During the walk-through, I observed children in the indoor and outdoor learning environments and found supervision and staff/child ratios to be in compliance. Children throughout the facility were participating in personal care routines, free choice of indoor and outdoor play activities, teacher directed activities and rest time. Caregivers were observed interacting with children in a nurturing and caring manner. I observed teachers on the floor with the children encouraging play. Each group was observed in approved/adequate space. Staff child ratio was observed in compliance. Several rooms were missing or had incorrect Staff/Child Worksheets posted. The facility was recently painted, and bulletin boards had not been rehung in several rooms. Permit restrictions were met. In the rooms serving infants I monitored all diaper creams, safe sleep charts, feeding schedules and Safe Sleep Policy customized and posted and found in compliance. I monitored all bottles and food for names and dates and found in compliance. Throughout the facility, material and equipment in each classroom were found in good repair and developmentally appropriate for the age range. I monitored each room for safe indoor environment and general safety. Several violations were cited for storage of hazardous materials, cords hanging down, outlets covered, plastic and small parts accessible to children under three. observed soft soap hand soap in both classrooms with the warning keep out of reach of children accessible to children. We discussed moving all bleach water, hand sanitizers and teacher materials to shelves which are five feet or higher. There is one child enrolled requiring emergency medications. The Medical Action Care Plan did not have a physician’s signature, and the emergency medication was not in the facility. The outdoor area was monitored. The resilient surfacing under the stationary plat equipment on the preschool playground did not meet critical depth requirements. The stationary equipment had bolts missing near the slide creating a pinch point for children. The center does not provide transportation. Eight (8) children’s files were selected for review and no violations were cited. The staff and training worksheet was used to review staff filles. There have been six (6) new staff hired since the last routine unannounced visit. I monitored all new staff files. Ten (10) percent of veteran staff files were reviewed. Violation Number Comment Rule 721 All equipment and furnishings were not in good repair. Bolts were missing on the stationary play equipment near the slide creating a pinch point. G.S. 110-91(6); .0601(b) 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. In Space 2, outlets near the bathroom were incovered. 10A NCAC 09 .0604(c) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. in Space 3, hand sanitizer and bleach solution were stored lower than five feet accessible to children. .2820(b) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. In Spaces 2 a grocery bag full of supplies, a small bubble wand in a child's backpack and a teacher storage drawer on a counter with plastic was accessible to children. In Space 3 paper clips and snack baggies were observed on a counter accessible to children. In Space 5, soiled clothes in a plastic bag were on a hook lower than five feet accessible to children. .0604(q) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. Two (2) staff members did not have a medical report on file prior to employment. 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. Two (2) employees did not have a TB Test on file prior to employment. .0701(a) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. Three (3) staff members did not have a health professional listed on the Emergency Information Form. .0701(a) 1835 The medical action plan was not updated on an annual basis or when changes to the plan were made by the child's parent or health care professional. A child requiring emergency medication did not have a medical action plan on file signed by a physician. .0801(b) 1867 The depth of the loose surfacing was not based on critical height of the equipment. The mulch under the stationary equipment on the preschool playground did not meet critical depth required. .0605(k)(1-4) 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. Six (6) employees did not have a signed policy on file prior to employment. .0608(d)(1-4) Compliance Statement: 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 March 17, 2025, 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 considered 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 may be completed. Please email the information to: Lisa.Eddins-Smith@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address on file with DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time-period. DCDEE Website: I encourage you to utilize the DCDEE website, https://ncchildcare.ncdhhs.gov/, on a regular basis. All the laws, rules and regulations, item number listing, sanitation requirements, and provider documents can be found on the website. Additionally, there are many resources such as DCDEE Moodle where you can complete health and safety training free of charge. The What’s New tab provides current information that is sent out through blast emails. Additionally, NC PreK resources are available on the website. Staff and training Worksheets: We discussed the importance of keeping staff and training worksheets up to date to include substitutes. I suggest keeping the Staff and training Worksheet on your desktop to update with staff changes and to monitor required dates for annual forms. Staff/Child Ratio Worksheet: We discussed that these sheets are required to be posted and accurately reflect the licensed capacity and youngest child enrolled currently in the classroom. The ratio will then be determined for the classroom according to the youngest child. We discussed reading all labels for the phrase “keep out of reach of children” and storing these items on a shelf higher than five feet. I suggest purchasing a choking tube to check all toys and items in classrooms serving children under three years of age. We discussed scheduling a time for a Technical Assistance meeting to discuss any questions you may have. ABCMS (Criminal Background System): North Carolina child care administrators can now view and edit their facility’s staff roster in ABCMS, the DCDEE’s criminal background check system. Provider Access to ABCMS allows administrators to: • See the real-time background check status of staff members. • Run a printable report of the staff roster to assist with compliance visits. • See new background check applicants and add to staff roster. As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division 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 Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Thank you for your time today. If you have questions or concerns regarding today’s visit, please contact me at Lisa.Eddins-Smith@dhhs.nc.gov or 980-748-6270. 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: ELEVATION CHURCH Facility ID: 60003506 Consultant: LISA EDDINS-SMITH Operation Type: Center Case Number: Visit Date: 3/3/2025 Number Present: 70 Completed Date: 3/3/2025 Age: From 0 To 5 Total Minutes: 315 Time In: 09:45 AM Time Out: 03:00 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 your program for compliance with applicable child care requirements for an annual compliance visit. The facility currently operates under G.S. 110-16 as a religious sponsored child care center. The program’s 18-month compliance history before today’s visit was 86%. The NC Secretary of State website was reviewed on February 28, 2025, and Elevation Church is listed as current-active. Upon arrival I was greeted by Donetta Dufrene, Director and Kayla Wallace, Admin. Support. I explained the purpose of my visit and reviewed the items to be monitored. Ms. Dufrene and Ms. Wallace assisted me with today’s visit. A sanitation inspection was completed October 31, 2024, with a Superior classification. The last fire inspection was conducted on March 14, 2024, and the facility was approved for daytime care only. Items required to be posted were observed in the office. We discussed moving the bulletin board to a place parents would be able to see the required posted items. I observed the Summary of Law dated 2019. A newer summary is available on our website under provider forms. A tobacco free facility sign was not posted at the entrance to the facility. Program records were reviewed. The last fire drill was conducted on February 24, 2025. The last shelter in place was conducted December 11, 2024. The playground inspections and the incident log were in compliance. The EPR is dated February 1,2025 and the ready-to-go file was monitored and found in compliance. During the walk-through, I observed children in the indoor and outdoor learning environments and found supervision and staff/child ratios to be in compliance. Children throughout the facility were participating in personal care routines, free choice of indoor and outdoor play activities, teacher directed activities and rest time. Caregivers were observed interacting with children in a nurturing and caring manner. I observed teachers on the floor with the children encouraging play. Each group was observed in approved/adequate space. Staff child ratio was observed in compliance. Several rooms were missing or had incorrect Staff/Child Worksheets posted. The facility was recently painted, and bulletin boards had not been rehung in several rooms. Permit restrictions were met. In the rooms serving infants I monitored all diaper creams, safe sleep charts, feeding schedules and Safe Sleep Policy customized and posted and found in compliance. I monitored all bottles and food for names and dates and found in compliance. Throughout the facility, material and equipment in each classroom were found in good repair and developmentally appropriate for the age range. I monitored each room for safe indoor environment and general safety. Several violations were cited for storage of hazardous materials, cords hanging down, outlets covered, plastic and small parts accessible to children under three. observed soft soap hand soap in both classrooms with the warning keep out of reach of children accessible to children. We discussed moving all bleach water, hand sanitizers and teacher materials to shelves which are five feet or higher. There is one child enrolled requiring emergency medications. The Medical Action Care Plan did not have a physician’s signature, and the emergency medication was not in the facility. The outdoor area was monitored. The resilient surfacing under the stationary plat equipment on the preschool playground did not meet critical depth requirements. The stationary equipment had bolts missing near the slide creating a pinch point for children. The center does not provide transportation. Eight (8) children’s files were selected for review and no violations were cited. The staff and training worksheet was used to review staff filles. There have been six (6) new staff hired since the last routine unannounced visit. I monitored all new staff files. Ten (10) percent of veteran staff files were reviewed. Violation Number Comment Rule 721 All equipment and furnishings were not in good repair. Bolts were missing on the stationary play equipment near the slide creating a pinch point. G.S. 110-91(6); .0601(b) 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. In Space 2, outlets near the bathroom were incovered. 10A NCAC 09 .0604(c) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. in Space 3, hand sanitizer and bleach solution were stored lower than five feet accessible to children. .2820(b) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. In Spaces 2 a grocery bag full of supplies, a small bubble wand in a child's backpack and a teacher storage drawer on a counter with plastic was accessible to children. In Space 3 paper clips and snack baggies were observed on a counter accessible to children. In Space 5, soiled clothes in a plastic bag were on a hook lower than five feet accessible to children. .0604(q) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. Two (2) staff members did not have a medical report on file prior to employment. 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. Two (2) employees did not have a TB Test on file prior to employment. .0701(a) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. Three (3) staff members did not have a health professional listed on the Emergency Information Form. .0701(a) 1835 The medical action plan was not updated on an annual basis or when changes to the plan were made by the child's parent or health care professional. A child requiring emergency medication did not have a medical action plan on file signed by a physician. .0801(b) 1867 The depth of the loose surfacing was not based on critical height of the equipment. The mulch under the stationary equipment on the preschool playground did not meet critical depth required. .0605(k)(1-4) 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. Six (6) employees did not have a signed policy on file prior to employment. .0608(d)(1-4) Compliance Statement: 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 March 17, 2025, 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 considered 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 may be completed. Please email the information to: Lisa.Eddins-Smith@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address on file with DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time-period. DCDEE Website: I encourage you to utilize the DCDEE website, https://ncchildcare.ncdhhs.gov/, on a regular basis. All the laws, rules and regulations, item number listing, sanitation requirements, and provider documents can be found on the website. Additionally, there are many resources such as DCDEE Moodle where you can complete health and safety training free of charge. The What’s New tab provides current information that is sent out through blast emails. Additionally, NC PreK resources are available on the website. Staff and training Worksheets: We discussed the importance of keeping staff and training worksheets up to date to include substitutes. I suggest keeping the Staff and training Worksheet on your desktop to update with staff changes and to monitor required dates for annual forms. Staff/Child Ratio Worksheet: We discussed that these sheets are required to be posted and accurately reflect the licensed capacity and youngest child enrolled currently in the classroom. The ratio will then be determined for the classroom according to the youngest child. We discussed reading all labels for the phrase “keep out of reach of children” and storing these items on a shelf higher than five feet. I suggest purchasing a choking tube to check all toys and items in classrooms serving children under three years of age. We discussed scheduling a time for a Technical Assistance meeting to discuss any questions you may have. ABCMS (Criminal Background System): North Carolina child care administrators can now view and edit their facility’s staff roster in ABCMS, the DCDEE’s criminal background check system. Provider Access to ABCMS allows administrators to: • See the real-time background check status of staff members. • Run a printable report of the staff roster to assist with compliance visits. • See new background check applicants and add to staff roster. As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division 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 Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Thank you for your time today. If you have questions or concerns regarding today’s visit, please contact me at Lisa.Eddins-Smith@dhhs.nc.gov or 980-748-6270. 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: ELEVATION CHURCH Facility ID: 60003506 Consultant: LISA EDDINS-SMITH Operation Type: Center Case Number: Visit Date: 3/3/2025 Number Present: 70 Completed Date: 3/3/2025 Age: From 0 To 5 Total Minutes: 315 Time In: 09:45 AM Time Out: 03:00 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 your program for compliance with applicable child care requirements for an annual compliance visit. The facility currently operates under G.S. 110-16 as a religious sponsored child care center. The program’s 18-month compliance history before today’s visit was 86%. The NC Secretary of State website was reviewed on February 28, 2025, and Elevation Church is listed as current-active. Upon arrival I was greeted by Donetta Dufrene, Director and Kayla Wallace, Admin. Support. I explained the purpose of my visit and reviewed the items to be monitored. Ms. Dufrene and Ms. Wallace assisted me with today’s visit. A sanitation inspection was completed October 31, 2024, with a Superior classification. The last fire inspection was conducted on March 14, 2024, and the facility was approved for daytime care only. Items required to be posted were observed in the office. We discussed moving the bulletin board to a place parents would be able to see the required posted items. I observed the Summary of Law dated 2019. A newer summary is available on our website under provider forms. A tobacco free facility sign was not posted at the entrance to the facility. Program records were reviewed. The last fire drill was conducted on February 24, 2025. The last shelter in place was conducted December 11, 2024. The playground inspections and the incident log were in compliance. The EPR is dated February 1,2025 and the ready-to-go file was monitored and found in compliance. During the walk-through, I observed children in the indoor and outdoor learning environments and found supervision and staff/child ratios to be in compliance. Children throughout the facility were participating in personal care routines, free choice of indoor and outdoor play activities, teacher directed activities and rest time. Caregivers were observed interacting with children in a nurturing and caring manner. I observed teachers on the floor with the children encouraging play. Each group was observed in approved/adequate space. Staff child ratio was observed in compliance. Several rooms were missing or had incorrect Staff/Child Worksheets posted. The facility was recently painted, and bulletin boards had not been rehung in several rooms. Permit restrictions were met. In the rooms serving infants I monitored all diaper creams, safe sleep charts, feeding schedules and Safe Sleep Policy customized and posted and found in compliance. I monitored all bottles and food for names and dates and found in compliance. Throughout the facility, material and equipment in each classroom were found in good repair and developmentally appropriate for the age range. I monitored each room for safe indoor environment and general safety. Several violations were cited for storage of hazardous materials, cords hanging down, outlets covered, plastic and small parts accessible to children under three. observed soft soap hand soap in both classrooms with the warning keep out of reach of children accessible to children. We discussed moving all bleach water, hand sanitizers and teacher materials to shelves which are five feet or higher. There is one child enrolled requiring emergency medications. The Medical Action Care Plan did not have a physician’s signature, and the emergency medication was not in the facility. The outdoor area was monitored. The resilient surfacing under the stationary plat equipment on the preschool playground did not meet critical depth requirements. The stationary equipment had bolts missing near the slide creating a pinch point for children. The center does not provide transportation. Eight (8) children’s files were selected for review and no violations were cited. The staff and training worksheet was used to review staff filles. There have been six (6) new staff hired since the last routine unannounced visit. I monitored all new staff files. Ten (10) percent of veteran staff files were reviewed. Violation Number Comment Rule 721 All equipment and furnishings were not in good repair. Bolts were missing on the stationary play equipment near the slide creating a pinch point. G.S. 110-91(6); .0601(b) 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. In Space 2, outlets near the bathroom were incovered. 10A NCAC 09 .0604(c) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. in Space 3, hand sanitizer and bleach solution were stored lower than five feet accessible to children. .2820(b) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. In Spaces 2 a grocery bag full of supplies, a small bubble wand in a child's backpack and a teacher storage drawer on a counter with plastic was accessible to children. In Space 3 paper clips and snack baggies were observed on a counter accessible to children. In Space 5, soiled clothes in a plastic bag were on a hook lower than five feet accessible to children. .0604(q) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. Two (2) staff members did not have a medical report on file prior to employment. 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. Two (2) employees did not have a TB Test on file prior to employment. .0701(a) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. Three (3) staff members did not have a health professional listed on the Emergency Information Form. .0701(a) 1835 The medical action plan was not updated on an annual basis or when changes to the plan were made by the child's parent or health care professional. A child requiring emergency medication did not have a medical action plan on file signed by a physician. .0801(b) 1867 The depth of the loose surfacing was not based on critical height of the equipment. The mulch under the stationary equipment on the preschool playground did not meet critical depth required. .0605(k)(1-4) 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. Six (6) employees did not have a signed policy on file prior to employment. .0608(d)(1-4) Compliance Statement: 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 March 17, 2025, 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 considered 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 may be completed. Please email the information to: Lisa.Eddins-Smith@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address on file with DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time-period. DCDEE Website: I encourage you to utilize the DCDEE website, https://ncchildcare.ncdhhs.gov/, on a regular basis. All the laws, rules and regulations, item number listing, sanitation requirements, and provider documents can be found on the website. Additionally, there are many resources such as DCDEE Moodle where you can complete health and safety training free of charge. The What’s New tab provides current information that is sent out through blast emails. Additionally, NC PreK resources are available on the website. Staff and training Worksheets: We discussed the importance of keeping staff and training worksheets up to date to include substitutes. I suggest keeping the Staff and training Worksheet on your desktop to update with staff changes and to monitor required dates for annual forms. Staff/Child Ratio Worksheet: We discussed that these sheets are required to be posted and accurately reflect the licensed capacity and youngest child enrolled currently in the classroom. The ratio will then be determined for the classroom according to the youngest child. We discussed reading all labels for the phrase “keep out of reach of children” and storing these items on a shelf higher than five feet. I suggest purchasing a choking tube to check all toys and items in classrooms serving children under three years of age. We discussed scheduling a time for a Technical Assistance meeting to discuss any questions you may have. ABCMS (Criminal Background System): North Carolina child care administrators can now view and edit their facility’s staff roster in ABCMS, the DCDEE’s criminal background check system. Provider Access to ABCMS allows administrators to: • See the real-time background check status of staff members. • Run a printable report of the staff roster to assist with compliance visits. • See new background check applicants and add to staff roster. As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division 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 Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Thank you for your time today. If you have questions or concerns regarding today’s visit, please contact me at Lisa.Eddins-Smith@dhhs.nc.gov or 980-748-6270. 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: ELEVATION CHURCH Facility ID: 60003506 Consultant: KAYE DUNLAP Operation Type: Center Case Number: Visit Date: 9/11/2024 Number Present: 71 Completed Date: 9/11/2024 Age: From 0 To 4 Total Minutes: 230 Time In: 09:30 AM Time Out: 01:20 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. The facility currently operates under G.S. 110-1-6 as a religious sponsored child care center. The program’s 18-month compliance history before today’s visit was 85%. Director, B. Sheppard assisted me with today’s visit. A walk-through of the facility was conducted with the Director. During the walk-through, I observed children in the indoor and outdoor learning environments and found supervision and staff/child ratios to be in compliance. Children throughout the facility were participating in morning snack, personal care routines, free choice of indoor and outdoor play activities, teacher directed activities and rest time. Caregivers were observed interacting with children in a nurturing and caring manner. There have been ten new staff members hired since the annual compliance visit was conducted on March 13, 2024. Files for new staff were monitored. The Staff and Training Worksheets were reviewed to verify existing staff were current with criminal background checks, First Aid and CPR certification, and ITS-SIDS. The last fire inspection was conducted on March 14, 2024. The last sanitation inspection was conducted on March 26, 2024, with a “Superior” classification. A lockdown drill was conducted on June 13, 2024. The last fire drill was conducted on July 8, 2024. A shelter-in-place drill documented was July 29, 2024. Outdoor safety checks were also monitored today and occurring monthly as required. The following violations were cited today. Violation Number Comment Rule 805 Fire drills were not practiced monthly and/or the drill record was incomplete. Verification was not on file that a fire drill was conducted in the month of August 2024. .0604(t); .0302(d)(5) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. A new staff member's medical report was older than 12 months from hire date. 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. A new staff member's TB test was older than 12 months from hire date. .0701(a) 1044 Prior to the expiration date of the qualification letter, the child care provider did not complete and submit required forms to complete a criminal background check (a qualification letter is valid for a maximum of five years for the date of issuance). A staff member's qualification letter expired September 10, 2024. G.S. 110-90.2(b) & .2703(n)&(o) 1757 A valid qualification letter was not on file and available to review at the facility. One staff member did not have a valid qualification letter on file. The letter expired September 10, 2024. G.S. 110-90.2(b) & (d) & .2703(e) 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 violations documented may impact the compliance history score. The violation documented must be corrected immediately. On or before September 25, 2024, 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 considered 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 may be completed. Mail or email the information to: Kaye Dunlap, Child Care Consultant PO Box 627 Matthews, NC 28106 Kaye.Dunlap@dhhs.nc.gov The following technical assistance was provided: -A conversation was held with the Director regarding sound machines and lighting in the classrooms during rest time specifically in the infant/toddler classrooms. Lighting should be so that when visual checks are conducted you can see the rise and fall of the chest, skin color and possible overheating. Noise levels should be kept at a level so that you can hear if an infant is in distress. Based on the American Pediatric Academy sound machines should be used at a low tone and according to manufacturer’s guidelines. Multiply sound machines should not be used at the same time and cords cannot be accessible. -Criminal background qualification letters must be renewed prior to the expiration date. The criminal background qualification letter for K. Wallace expired September 10, 2024. The Director stated that Ms. Wallace had started the process of requalification. I was able to verify in the ABCMS system that an application and fingerprints were submitted September 5, 2024. Ms. Wallace has fifteen days from today’s visit to receive a qualification letter and place it on file. A copy of the letter must be emailed to me at the address below. If a qualification letter has not been received by September 26, 2024, Ms Wallace cannot be on the premises. -Storage of medication designated for emergencies should be stored in classrooms accessible to the staff in case of an emergency. Emergency medications should be stored at least five feet above the floor but not required to be in locked storage. -Fire drills must be conducted monthly and documented on the emergency drill log. A fire drill for August 2024 was not documented on the emergency drill log. The Director stated that a drill was conducted however did not get recorded on the log. It was explained that documentation on the log is required for verification that a drill was conducted. -A medical report and negative TB test must be completed prior to the first day of employment for staff. Medical reports and TB test must not be more than 12 months from hire date. Thank you for your time today. If you have any questions or concerns, please contact me at 704-594-0152 or by email at kaye.dunlap@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. 110-1 · Violation

Name of Operation: ELEVATION CHURCH Facility ID: 60003506 Consultant: KAYE DUNLAP Operation Type: Center Case Number: Visit Date: 9/11/2024 Number Present: 71 Completed Date: 9/11/2024 Age: From 0 To 4 Total Minutes: 230 Time In: 09:30 AM Time Out: 01:20 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. The facility currently operates under G.S. 110-1-6 as a religious sponsored child care center. The program’s 18-month compliance history before today’s visit was 85%. Director, B. Sheppard assisted me with today’s visit. A walk-through of the facility was conducted with the Director. During the walk-through, I observed children in the indoor and outdoor learning environments and found supervision and staff/child ratios to be in compliance. Children throughout the facility were participating in morning snack, personal care routines, free choice of indoor and outdoor play activities, teacher directed activities and rest time. Caregivers were observed interacting with children in a nurturing and caring manner. There have been ten new staff members hired since the annual compliance visit was conducted on March 13, 2024. Files for new staff were monitored. The Staff and Training Worksheets were reviewed to verify existing staff were current with criminal background checks, First Aid and CPR certification, and ITS-SIDS. The last fire inspection was conducted on March 14, 2024. The last sanitation inspection was conducted on March 26, 2024, with a “Superior” classification. A lockdown drill was conducted on June 13, 2024. The last fire drill was conducted on July 8, 2024. A shelter-in-place drill documented was July 29, 2024. Outdoor safety checks were also monitored today and occurring monthly as required. The following violations were cited today. Violation Number Comment Rule 805 Fire drills were not practiced monthly and/or the drill record was incomplete. Verification was not on file that a fire drill was conducted in the month of August 2024. .0604(t); .0302(d)(5) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. A new staff member's medical report was older than 12 months from hire date. 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. A new staff member's TB test was older than 12 months from hire date. .0701(a) 1044 Prior to the expiration date of the qualification letter, the child care provider did not complete and submit required forms to complete a criminal background check (a qualification letter is valid for a maximum of five years for the date of issuance). A staff member's qualification letter expired September 10, 2024. G.S. 110-90.2(b) & .2703(n)&(o) 1757 A valid qualification letter was not on file and available to review at the facility. One staff member did not have a valid qualification letter on file. The letter expired September 10, 2024. G.S. 110-90.2(b) & (d) & .2703(e) 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 violations documented may impact the compliance history score. The violation documented must be corrected immediately. On or before September 25, 2024, 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 considered 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 may be completed. Mail or email the information to: Kaye Dunlap, Child Care Consultant PO Box 627 Matthews, NC 28106 Kaye.Dunlap@dhhs.nc.gov The following technical assistance was provided: -A conversation was held with the Director regarding sound machines and lighting in the classrooms during rest time specifically in the infant/toddler classrooms. Lighting should be so that when visual checks are conducted you can see the rise and fall of the chest, skin color and possible overheating. Noise levels should be kept at a level so that you can hear if an infant is in distress. Based on the American Pediatric Academy sound machines should be used at a low tone and according to manufacturer’s guidelines. Multiply sound machines should not be used at the same time and cords cannot be accessible. -Criminal background qualification letters must be renewed prior to the expiration date. The criminal background qualification letter for K. Wallace expired September 10, 2024. The Director stated that Ms. Wallace had started the process of requalification. I was able to verify in the ABCMS system that an application and fingerprints were submitted September 5, 2024. Ms. Wallace has fifteen days from today’s visit to receive a qualification letter and place it on file. A copy of the letter must be emailed to me at the address below. If a qualification letter has not been received by September 26, 2024, Ms Wallace cannot be on the premises. -Storage of medication designated for emergencies should be stored in classrooms accessible to the staff in case of an emergency. Emergency medications should be stored at least five feet above the floor but not required to be in locked storage. -Fire drills must be conducted monthly and documented on the emergency drill log. A fire drill for August 2024 was not documented on the emergency drill log. The Director stated that a drill was conducted however did not get recorded on the log. It was explained that documentation on the log is required for verification that a drill was conducted. -A medical report and negative TB test must be completed prior to the first day of employment for staff. Medical reports and TB test must not be more than 12 months from hire date. Thank you for your time today. If you have any questions or concerns, please contact me at 704-594-0152 or by email at kaye.dunlap@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: ELEVATION CHURCH Facility ID: 60003506 Consultant: KAYE DUNLAP Operation Type: Center Case Number: Visit Date: 9/11/2024 Number Present: 71 Completed Date: 9/11/2024 Age: From 0 To 4 Total Minutes: 230 Time In: 09:30 AM Time Out: 01:20 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. The facility currently operates under G.S. 110-1-6 as a religious sponsored child care center. The program’s 18-month compliance history before today’s visit was 85%. Director, B. Sheppard assisted me with today’s visit. A walk-through of the facility was conducted with the Director. During the walk-through, I observed children in the indoor and outdoor learning environments and found supervision and staff/child ratios to be in compliance. Children throughout the facility were participating in morning snack, personal care routines, free choice of indoor and outdoor play activities, teacher directed activities and rest time. Caregivers were observed interacting with children in a nurturing and caring manner. There have been ten new staff members hired since the annual compliance visit was conducted on March 13, 2024. Files for new staff were monitored. The Staff and Training Worksheets were reviewed to verify existing staff were current with criminal background checks, First Aid and CPR certification, and ITS-SIDS. The last fire inspection was conducted on March 14, 2024. The last sanitation inspection was conducted on March 26, 2024, with a “Superior” classification. A lockdown drill was conducted on June 13, 2024. The last fire drill was conducted on July 8, 2024. A shelter-in-place drill documented was July 29, 2024. Outdoor safety checks were also monitored today and occurring monthly as required. The following violations were cited today. Violation Number Comment Rule 805 Fire drills were not practiced monthly and/or the drill record was incomplete. Verification was not on file that a fire drill was conducted in the month of August 2024. .0604(t); .0302(d)(5) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. A new staff member's medical report was older than 12 months from hire date. 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. A new staff member's TB test was older than 12 months from hire date. .0701(a) 1044 Prior to the expiration date of the qualification letter, the child care provider did not complete and submit required forms to complete a criminal background check (a qualification letter is valid for a maximum of five years for the date of issuance). A staff member's qualification letter expired September 10, 2024. G.S. 110-90.2(b) & .2703(n)&(o) 1757 A valid qualification letter was not on file and available to review at the facility. One staff member did not have a valid qualification letter on file. The letter expired September 10, 2024. G.S. 110-90.2(b) & (d) & .2703(e) 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 violations documented may impact the compliance history score. The violation documented must be corrected immediately. On or before September 25, 2024, 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 considered 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 may be completed. Mail or email the information to: Kaye Dunlap, Child Care Consultant PO Box 627 Matthews, NC 28106 Kaye.Dunlap@dhhs.nc.gov The following technical assistance was provided: -A conversation was held with the Director regarding sound machines and lighting in the classrooms during rest time specifically in the infant/toddler classrooms. Lighting should be so that when visual checks are conducted you can see the rise and fall of the chest, skin color and possible overheating. Noise levels should be kept at a level so that you can hear if an infant is in distress. Based on the American Pediatric Academy sound machines should be used at a low tone and according to manufacturer’s guidelines. Multiply sound machines should not be used at the same time and cords cannot be accessible. -Criminal background qualification letters must be renewed prior to the expiration date. The criminal background qualification letter for K. Wallace expired September 10, 2024. The Director stated that Ms. Wallace had started the process of requalification. I was able to verify in the ABCMS system that an application and fingerprints were submitted September 5, 2024. Ms. Wallace has fifteen days from today’s visit to receive a qualification letter and place it on file. A copy of the letter must be emailed to me at the address below. If a qualification letter has not been received by September 26, 2024, Ms Wallace cannot be on the premises. -Storage of medication designated for emergencies should be stored in classrooms accessible to the staff in case of an emergency. Emergency medications should be stored at least five feet above the floor but not required to be in locked storage. -Fire drills must be conducted monthly and documented on the emergency drill log. A fire drill for August 2024 was not documented on the emergency drill log. The Director stated that a drill was conducted however did not get recorded on the log. It was explained that documentation on the log is required for verification that a drill was conducted. -A medical report and negative TB test must be completed prior to the first day of employment for staff. Medical reports and TB test must not be more than 12 months from hire date. Thank you for your time today. If you have any questions or concerns, please contact me at 704-594-0152 or by email at kaye.dunlap@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: ELEVATION CHURCH Facility ID: 60003506 Consultant: KAYE DUNLAP Operation Type: Center Case Number: Visit Date: 9/11/2024 Number Present: 71 Completed Date: 9/11/2024 Age: From 0 To 4 Total Minutes: 230 Time In: 09:30 AM Time Out: 01:20 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. The facility currently operates under G.S. 110-1-6 as a religious sponsored child care center. The program’s 18-month compliance history before today’s visit was 85%. Director, B. Sheppard assisted me with today’s visit. A walk-through of the facility was conducted with the Director. During the walk-through, I observed children in the indoor and outdoor learning environments and found supervision and staff/child ratios to be in compliance. Children throughout the facility were participating in morning snack, personal care routines, free choice of indoor and outdoor play activities, teacher directed activities and rest time. Caregivers were observed interacting with children in a nurturing and caring manner. There have been ten new staff members hired since the annual compliance visit was conducted on March 13, 2024. Files for new staff were monitored. The Staff and Training Worksheets were reviewed to verify existing staff were current with criminal background checks, First Aid and CPR certification, and ITS-SIDS. The last fire inspection was conducted on March 14, 2024. The last sanitation inspection was conducted on March 26, 2024, with a “Superior” classification. A lockdown drill was conducted on June 13, 2024. The last fire drill was conducted on July 8, 2024. A shelter-in-place drill documented was July 29, 2024. Outdoor safety checks were also monitored today and occurring monthly as required. The following violations were cited today. Violation Number Comment Rule 805 Fire drills were not practiced monthly and/or the drill record was incomplete. Verification was not on file that a fire drill was conducted in the month of August 2024. .0604(t); .0302(d)(5) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. A new staff member's medical report was older than 12 months from hire date. 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. A new staff member's TB test was older than 12 months from hire date. .0701(a) 1044 Prior to the expiration date of the qualification letter, the child care provider did not complete and submit required forms to complete a criminal background check (a qualification letter is valid for a maximum of five years for the date of issuance). A staff member's qualification letter expired September 10, 2024. G.S. 110-90.2(b) & .2703(n)&(o) 1757 A valid qualification letter was not on file and available to review at the facility. One staff member did not have a valid qualification letter on file. The letter expired September 10, 2024. G.S. 110-90.2(b) & (d) & .2703(e) 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 violations documented may impact the compliance history score. The violation documented must be corrected immediately. On or before September 25, 2024, 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 considered 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 may be completed. Mail or email the information to: Kaye Dunlap, Child Care Consultant PO Box 627 Matthews, NC 28106 Kaye.Dunlap@dhhs.nc.gov The following technical assistance was provided: -A conversation was held with the Director regarding sound machines and lighting in the classrooms during rest time specifically in the infant/toddler classrooms. Lighting should be so that when visual checks are conducted you can see the rise and fall of the chest, skin color and possible overheating. Noise levels should be kept at a level so that you can hear if an infant is in distress. Based on the American Pediatric Academy sound machines should be used at a low tone and according to manufacturer’s guidelines. Multiply sound machines should not be used at the same time and cords cannot be accessible. -Criminal background qualification letters must be renewed prior to the expiration date. The criminal background qualification letter for K. Wallace expired September 10, 2024. The Director stated that Ms. Wallace had started the process of requalification. I was able to verify in the ABCMS system that an application and fingerprints were submitted September 5, 2024. Ms. Wallace has fifteen days from today’s visit to receive a qualification letter and place it on file. A copy of the letter must be emailed to me at the address below. If a qualification letter has not been received by September 26, 2024, Ms Wallace cannot be on the premises. -Storage of medication designated for emergencies should be stored in classrooms accessible to the staff in case of an emergency. Emergency medications should be stored at least five feet above the floor but not required to be in locked storage. -Fire drills must be conducted monthly and documented on the emergency drill log. A fire drill for August 2024 was not documented on the emergency drill log. The Director stated that a drill was conducted however did not get recorded on the log. It was explained that documentation on the log is required for verification that a drill was conducted. -A medical report and negative TB test must be completed prior to the first day of employment for staff. Medical reports and TB test must not be more than 12 months from hire date. Thank you for your time today. If you have any questions or concerns, please contact me at 704-594-0152 or by email at kaye.dunlap@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 .0803 · Violation

Name of Operation: ELEVATION CHURCH Facility ID: 60003506 Consultant: KAYE DUNLAP Operation Type: Center Case Number: Visit Date: 3/13/2024 Number Present: 71 Completed Date: 3/13/2024 Age: From 0 To 5 Total Minutes: 240 Time In: 09:30 AM Time Out: 01:30 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 your program for compliance with applicable child care requirements for an annual compliance visit. McCartney, Director and V. Rios, Assistant Director assisted me with the visit. Your facility currently operates under G.S. 110-106 as a religious sponsored child care center. The last annual compliance visit was conducted March 20, 2023. The sanitation inspection was completed October 25, 2023 with a “Superior” classification. The last fire inspection was conducted on December 29, 2022. The last fire drill was conducted on March 6, 2024 and a lockdown drill on December 13, 2023. The NC Secretary of State website was reviewed on March 12, 2024 and Elevation Church was listed as current- active. A walk-through of the facility was completed today, all indoor and outdoor areas were monitored. I observed children in the indoor and outdoor learning environment and found supervision and staff/child ratios to be in compliance. Children throughout the facility were participating in personal care routines, transitions, and free play of indoor and outdoor activities. The caregivers were interacting and meeting the developmental needs for each of the children. The following violations were documented. Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The last approved fire inspection was completed December 29, 2022. 10A NCAC 09 .0304(a) 615 Beds, cots and mats were not in good repair, properly handled, stored, or clean and sanitized between users. In space #105, the vinyl on six mats used for napping was torn. 15A NCAC 18A .2821(a) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. In space #102, there were two aerosol cans of sunscreen not stored in locked storage. .2820(b) 846 Over-the-counter medicines were not in their original containers or administered as authorized in writing by parent, physician or authorized health professional. In space #102, there were eleven bottles/containers of sunscreen with no permission from parents on file. There was also six containers of diaper creams with no permission and one container of bug repellent with no permission. 10A NCAC 09 .0803(4) 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. One staff member's medical report was older than 12 months from the hire date. 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. One staff member's TB test was older than 12 months from the hire date. .0701(a) 1320 Children's records that include an application for enrollment, medical and immunization records, and permission to seek emergency medical care was not on file for each child. The parent did not complete the top portion of the medical report for one child. GS 110-91(1);.0302(d)(2); .0304(g) 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 violations documented may impact the compliance history score. The violations documented must be corrected immediately. On or before March 27, 2024, 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 considered 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 may be completed. Mail or email the information to: Kaye Dunlap, Child Care Consultant PO Box 627 Matthews, NC 28106 Kaye.Dunlap@dhhs.nc.gov The following technical assistance was provided. -Non-prescription diaper creams and sunscreen shall be kept inaccessible to children when not in use, but are not required to be in locked storage. However, sunscreens in aerosol cans are required to be in locked storage. -Mats used for napping must be kept in good repair without torn vinyl so that they can be cleaned and sanitized. -An approved fire inspection must be completed on or before the date of the previous annual inspection. The inspection must be mailed or emailed to me within one week of receiving the inspection. The Director reported that the fire inspector was called today and will be conducting a visit today as well. -Medical Reports and TB test for staff must be within a year of the staff members hire date. -Parents must complete the entire top portion of the child’s medical report. -Each child must have permission from a parent to administer diaper creams and sunscreens. Items that are brought in should be sent home if permission is not received. -A recommendation was made for the staff to use headcount sheets as the classrooms move from one location to another. The Director printed the form during the visit to review. Thank you for your time today. If you have questions or concerns, please contact me at 704-594-0152 or by email at kaye.dunlap@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 .0304 · Violation

Name of Operation: ELEVATION CHURCH Facility ID: 60003506 Consultant: KAYE DUNLAP Operation Type: Center Case Number: Visit Date: 3/13/2024 Number Present: 71 Completed Date: 3/13/2024 Age: From 0 To 5 Total Minutes: 240 Time In: 09:30 AM Time Out: 01:30 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 your program for compliance with applicable child care requirements for an annual compliance visit. McCartney, Director and V. Rios, Assistant Director assisted me with the visit. Your facility currently operates under G.S. 110-106 as a religious sponsored child care center. The last annual compliance visit was conducted March 20, 2023. The sanitation inspection was completed October 25, 2023 with a “Superior” classification. The last fire inspection was conducted on December 29, 2022. The last fire drill was conducted on March 6, 2024 and a lockdown drill on December 13, 2023. The NC Secretary of State website was reviewed on March 12, 2024 and Elevation Church was listed as current- active. A walk-through of the facility was completed today, all indoor and outdoor areas were monitored. I observed children in the indoor and outdoor learning environment and found supervision and staff/child ratios to be in compliance. Children throughout the facility were participating in personal care routines, transitions, and free play of indoor and outdoor activities. The caregivers were interacting and meeting the developmental needs for each of the children. The following violations were documented. Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The last approved fire inspection was completed December 29, 2022. 10A NCAC 09 .0304(a) 615 Beds, cots and mats were not in good repair, properly handled, stored, or clean and sanitized between users. In space #105, the vinyl on six mats used for napping was torn. 15A NCAC 18A .2821(a) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. In space #102, there were two aerosol cans of sunscreen not stored in locked storage. .2820(b) 846 Over-the-counter medicines were not in their original containers or administered as authorized in writing by parent, physician or authorized health professional. In space #102, there were eleven bottles/containers of sunscreen with no permission from parents on file. There was also six containers of diaper creams with no permission and one container of bug repellent with no permission. 10A NCAC 09 .0803(4) 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. One staff member's medical report was older than 12 months from the hire date. 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. One staff member's TB test was older than 12 months from the hire date. .0701(a) 1320 Children's records that include an application for enrollment, medical and immunization records, and permission to seek emergency medical care was not on file for each child. The parent did not complete the top portion of the medical report for one child. GS 110-91(1);.0302(d)(2); .0304(g) 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 violations documented may impact the compliance history score. The violations documented must be corrected immediately. On or before March 27, 2024, 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 considered 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 may be completed. Mail or email the information to: Kaye Dunlap, Child Care Consultant PO Box 627 Matthews, NC 28106 Kaye.Dunlap@dhhs.nc.gov The following technical assistance was provided. -Non-prescription diaper creams and sunscreen shall be kept inaccessible to children when not in use, but are not required to be in locked storage. However, sunscreens in aerosol cans are required to be in locked storage. -Mats used for napping must be kept in good repair without torn vinyl so that they can be cleaned and sanitized. -An approved fire inspection must be completed on or before the date of the previous annual inspection. The inspection must be mailed or emailed to me within one week of receiving the inspection. The Director reported that the fire inspector was called today and will be conducting a visit today as well. -Medical Reports and TB test for staff must be within a year of the staff members hire date. -Parents must complete the entire top portion of the child’s medical report. -Each child must have permission from a parent to administer diaper creams and sunscreens. Items that are brought in should be sent home if permission is not received. -A recommendation was made for the staff to use headcount sheets as the classrooms move from one location to another. The Director printed the form during the visit to review. Thank you for your time today. If you have questions or concerns, please contact me at 704-594-0152 or by email at kaye.dunlap@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: ELEVATION CHURCH Facility ID: 60003506 Consultant: KAYE DUNLAP Operation Type: Center Case Number: Visit Date: 3/13/2024 Number Present: 71 Completed Date: 3/13/2024 Age: From 0 To 5 Total Minutes: 240 Time In: 09:30 AM Time Out: 01:30 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 your program for compliance with applicable child care requirements for an annual compliance visit. McCartney, Director and V. Rios, Assistant Director assisted me with the visit. Your facility currently operates under G.S. 110-106 as a religious sponsored child care center. The last annual compliance visit was conducted March 20, 2023. The sanitation inspection was completed October 25, 2023 with a “Superior” classification. The last fire inspection was conducted on December 29, 2022. The last fire drill was conducted on March 6, 2024 and a lockdown drill on December 13, 2023. The NC Secretary of State website was reviewed on March 12, 2024 and Elevation Church was listed as current- active. A walk-through of the facility was completed today, all indoor and outdoor areas were monitored. I observed children in the indoor and outdoor learning environment and found supervision and staff/child ratios to be in compliance. Children throughout the facility were participating in personal care routines, transitions, and free play of indoor and outdoor activities. The caregivers were interacting and meeting the developmental needs for each of the children. The following violations were documented. Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The last approved fire inspection was completed December 29, 2022. 10A NCAC 09 .0304(a) 615 Beds, cots and mats were not in good repair, properly handled, stored, or clean and sanitized between users. In space #105, the vinyl on six mats used for napping was torn. 15A NCAC 18A .2821(a) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. In space #102, there were two aerosol cans of sunscreen not stored in locked storage. .2820(b) 846 Over-the-counter medicines were not in their original containers or administered as authorized in writing by parent, physician or authorized health professional. In space #102, there were eleven bottles/containers of sunscreen with no permission from parents on file. There was also six containers of diaper creams with no permission and one container of bug repellent with no permission. 10A NCAC 09 .0803(4) 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. One staff member's medical report was older than 12 months from the hire date. 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. One staff member's TB test was older than 12 months from the hire date. .0701(a) 1320 Children's records that include an application for enrollment, medical and immunization records, and permission to seek emergency medical care was not on file for each child. The parent did not complete the top portion of the medical report for one child. GS 110-91(1);.0302(d)(2); .0304(g) 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 violations documented may impact the compliance history score. The violations documented must be corrected immediately. On or before March 27, 2024, 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 considered 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 may be completed. Mail or email the information to: Kaye Dunlap, Child Care Consultant PO Box 627 Matthews, NC 28106 Kaye.Dunlap@dhhs.nc.gov The following technical assistance was provided. -Non-prescription diaper creams and sunscreen shall be kept inaccessible to children when not in use, but are not required to be in locked storage. However, sunscreens in aerosol cans are required to be in locked storage. -Mats used for napping must be kept in good repair without torn vinyl so that they can be cleaned and sanitized. -An approved fire inspection must be completed on or before the date of the previous annual inspection. The inspection must be mailed or emailed to me within one week of receiving the inspection. The Director reported that the fire inspector was called today and will be conducting a visit today as well. -Medical Reports and TB test for staff must be within a year of the staff members hire date. -Parents must complete the entire top portion of the child’s medical report. -Each child must have permission from a parent to administer diaper creams and sunscreens. Items that are brought in should be sent home if permission is not received. -A recommendation was made for the staff to use headcount sheets as the classrooms move from one location to another. The Director printed the form during the visit to review. Thank you for your time today. If you have questions or concerns, please contact me at 704-594-0152 or by email at kaye.dunlap@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. 110-106 · Violation

Name of Operation: ELEVATION CHURCH Facility ID: 60003506 Consultant: KAYE DUNLAP Operation Type: Center Case Number: Visit Date: 3/13/2024 Number Present: 71 Completed Date: 3/13/2024 Age: From 0 To 5 Total Minutes: 240 Time In: 09:30 AM Time Out: 01:30 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 your program for compliance with applicable child care requirements for an annual compliance visit. McCartney, Director and V. Rios, Assistant Director assisted me with the visit. Your facility currently operates under G.S. 110-106 as a religious sponsored child care center. The last annual compliance visit was conducted March 20, 2023. The sanitation inspection was completed October 25, 2023 with a “Superior” classification. The last fire inspection was conducted on December 29, 2022. The last fire drill was conducted on March 6, 2024 and a lockdown drill on December 13, 2023. The NC Secretary of State website was reviewed on March 12, 2024 and Elevation Church was listed as current- active. A walk-through of the facility was completed today, all indoor and outdoor areas were monitored. I observed children in the indoor and outdoor learning environment and found supervision and staff/child ratios to be in compliance. Children throughout the facility were participating in personal care routines, transitions, and free play of indoor and outdoor activities. The caregivers were interacting and meeting the developmental needs for each of the children. The following violations were documented. Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The last approved fire inspection was completed December 29, 2022. 10A NCAC 09 .0304(a) 615 Beds, cots and mats were not in good repair, properly handled, stored, or clean and sanitized between users. In space #105, the vinyl on six mats used for napping was torn. 15A NCAC 18A .2821(a) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. In space #102, there were two aerosol cans of sunscreen not stored in locked storage. .2820(b) 846 Over-the-counter medicines were not in their original containers or administered as authorized in writing by parent, physician or authorized health professional. In space #102, there were eleven bottles/containers of sunscreen with no permission from parents on file. There was also six containers of diaper creams with no permission and one container of bug repellent with no permission. 10A NCAC 09 .0803(4) 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. One staff member's medical report was older than 12 months from the hire date. 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. One staff member's TB test was older than 12 months from the hire date. .0701(a) 1320 Children's records that include an application for enrollment, medical and immunization records, and permission to seek emergency medical care was not on file for each child. The parent did not complete the top portion of the medical report for one child. GS 110-91(1);.0302(d)(2); .0304(g) 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 violations documented may impact the compliance history score. The violations documented must be corrected immediately. On or before March 27, 2024, 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 considered 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 may be completed. Mail or email the information to: Kaye Dunlap, Child Care Consultant PO Box 627 Matthews, NC 28106 Kaye.Dunlap@dhhs.nc.gov The following technical assistance was provided. -Non-prescription diaper creams and sunscreen shall be kept inaccessible to children when not in use, but are not required to be in locked storage. However, sunscreens in aerosol cans are required to be in locked storage. -Mats used for napping must be kept in good repair without torn vinyl so that they can be cleaned and sanitized. -An approved fire inspection must be completed on or before the date of the previous annual inspection. The inspection must be mailed or emailed to me within one week of receiving the inspection. The Director reported that the fire inspector was called today and will be conducting a visit today as well. -Medical Reports and TB test for staff must be within a year of the staff members hire date. -Parents must complete the entire top portion of the child’s medical report. -Each child must have permission from a parent to administer diaper creams and sunscreens. Items that are brought in should be sent home if permission is not received. -A recommendation was made for the staff to use headcount sheets as the classrooms move from one location to another. The Director printed the form during the visit to review. Thank you for your time today. If you have questions or concerns, please contact me at 704-594-0152 or by email at kaye.dunlap@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: ELEVATION CHURCH Facility ID: 60003506 Consultant: KAYE DUNLAP Operation Type: Center Case Number: Visit Date: 3/13/2024 Number Present: 71 Completed Date: 3/13/2024 Age: From 0 To 5 Total Minutes: 240 Time In: 09:30 AM Time Out: 01:30 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 your program for compliance with applicable child care requirements for an annual compliance visit. McCartney, Director and V. Rios, Assistant Director assisted me with the visit. Your facility currently operates under G.S. 110-106 as a religious sponsored child care center. The last annual compliance visit was conducted March 20, 2023. The sanitation inspection was completed October 25, 2023 with a “Superior” classification. The last fire inspection was conducted on December 29, 2022. The last fire drill was conducted on March 6, 2024 and a lockdown drill on December 13, 2023. The NC Secretary of State website was reviewed on March 12, 2024 and Elevation Church was listed as current- active. A walk-through of the facility was completed today, all indoor and outdoor areas were monitored. I observed children in the indoor and outdoor learning environment and found supervision and staff/child ratios to be in compliance. Children throughout the facility were participating in personal care routines, transitions, and free play of indoor and outdoor activities. The caregivers were interacting and meeting the developmental needs for each of the children. The following violations were documented. Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The last approved fire inspection was completed December 29, 2022. 10A NCAC 09 .0304(a) 615 Beds, cots and mats were not in good repair, properly handled, stored, or clean and sanitized between users. In space #105, the vinyl on six mats used for napping was torn. 15A NCAC 18A .2821(a) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. In space #102, there were two aerosol cans of sunscreen not stored in locked storage. .2820(b) 846 Over-the-counter medicines were not in their original containers or administered as authorized in writing by parent, physician or authorized health professional. In space #102, there were eleven bottles/containers of sunscreen with no permission from parents on file. There was also six containers of diaper creams with no permission and one container of bug repellent with no permission. 10A NCAC 09 .0803(4) 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. One staff member's medical report was older than 12 months from the hire date. 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. One staff member's TB test was older than 12 months from the hire date. .0701(a) 1320 Children's records that include an application for enrollment, medical and immunization records, and permission to seek emergency medical care was not on file for each child. The parent did not complete the top portion of the medical report for one child. GS 110-91(1);.0302(d)(2); .0304(g) 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 violations documented may impact the compliance history score. The violations documented must be corrected immediately. On or before March 27, 2024, 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 considered 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 may be completed. Mail or email the information to: Kaye Dunlap, Child Care Consultant PO Box 627 Matthews, NC 28106 Kaye.Dunlap@dhhs.nc.gov The following technical assistance was provided. -Non-prescription diaper creams and sunscreen shall be kept inaccessible to children when not in use, but are not required to be in locked storage. However, sunscreens in aerosol cans are required to be in locked storage. -Mats used for napping must be kept in good repair without torn vinyl so that they can be cleaned and sanitized. -An approved fire inspection must be completed on or before the date of the previous annual inspection. The inspection must be mailed or emailed to me within one week of receiving the inspection. The Director reported that the fire inspector was called today and will be conducting a visit today as well. -Medical Reports and TB test for staff must be within a year of the staff members hire date. -Parents must complete the entire top portion of the child’s medical report. -Each child must have permission from a parent to administer diaper creams and sunscreens. Items that are brought in should be sent home if permission is not received. -A recommendation was made for the staff to use headcount sheets as the classrooms move from one location to another. The Director printed the form during the visit to review. Thank you for your time today. If you have questions or concerns, please contact me at 704-594-0152 or by email at kaye.dunlap@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: ELEVATION CHURCH Facility ID: 60003506 Consultant: KAYE DUNLAP Operation Type: Center Case Number: Visit Date: 3/13/2024 Number Present: 71 Completed Date: 3/13/2024 Age: From 0 To 5 Total Minutes: 240 Time In: 09:30 AM Time Out: 01:30 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 your program for compliance with applicable child care requirements for an annual compliance visit. McCartney, Director and V. Rios, Assistant Director assisted me with the visit. Your facility currently operates under G.S. 110-106 as a religious sponsored child care center. The last annual compliance visit was conducted March 20, 2023. The sanitation inspection was completed October 25, 2023 with a “Superior” classification. The last fire inspection was conducted on December 29, 2022. The last fire drill was conducted on March 6, 2024 and a lockdown drill on December 13, 2023. The NC Secretary of State website was reviewed on March 12, 2024 and Elevation Church was listed as current- active. A walk-through of the facility was completed today, all indoor and outdoor areas were monitored. I observed children in the indoor and outdoor learning environment and found supervision and staff/child ratios to be in compliance. Children throughout the facility were participating in personal care routines, transitions, and free play of indoor and outdoor activities. The caregivers were interacting and meeting the developmental needs for each of the children. The following violations were documented. Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The last approved fire inspection was completed December 29, 2022. 10A NCAC 09 .0304(a) 615 Beds, cots and mats were not in good repair, properly handled, stored, or clean and sanitized between users. In space #105, the vinyl on six mats used for napping was torn. 15A NCAC 18A .2821(a) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. In space #102, there were two aerosol cans of sunscreen not stored in locked storage. .2820(b) 846 Over-the-counter medicines were not in their original containers or administered as authorized in writing by parent, physician or authorized health professional. In space #102, there were eleven bottles/containers of sunscreen with no permission from parents on file. There was also six containers of diaper creams with no permission and one container of bug repellent with no permission. 10A NCAC 09 .0803(4) 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. One staff member's medical report was older than 12 months from the hire date. 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. One staff member's TB test was older than 12 months from the hire date. .0701(a) 1320 Children's records that include an application for enrollment, medical and immunization records, and permission to seek emergency medical care was not on file for each child. The parent did not complete the top portion of the medical report for one child. GS 110-91(1);.0302(d)(2); .0304(g) 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 violations documented may impact the compliance history score. The violations documented must be corrected immediately. On or before March 27, 2024, 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 considered 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 may be completed. Mail or email the information to: Kaye Dunlap, Child Care Consultant PO Box 627 Matthews, NC 28106 Kaye.Dunlap@dhhs.nc.gov The following technical assistance was provided. -Non-prescription diaper creams and sunscreen shall be kept inaccessible to children when not in use, but are not required to be in locked storage. However, sunscreens in aerosol cans are required to be in locked storage. -Mats used for napping must be kept in good repair without torn vinyl so that they can be cleaned and sanitized. -An approved fire inspection must be completed on or before the date of the previous annual inspection. The inspection must be mailed or emailed to me within one week of receiving the inspection. The Director reported that the fire inspector was called today and will be conducting a visit today as well. -Medical Reports and TB test for staff must be within a year of the staff members hire date. -Parents must complete the entire top portion of the child’s medical report. -Each child must have permission from a parent to administer diaper creams and sunscreens. Items that are brought in should be sent home if permission is not received. -A recommendation was made for the staff to use headcount sheets as the classrooms move from one location to another. The Director printed the form during the visit to review. Thank you for your time today. If you have questions or concerns, please contact me at 704-594-0152 or by email at kaye.dunlap@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 .0102 · Violation

Name of Operation: ELEVATION CHURCH Facility ID: 60003506 Consultant: KAYE DUNLAP Operation Type: Center Case Number: Visit Date: 10/16/2023 Number Present: 67 Completed Date: 10/16/2023 Age: From 0 To 5 Total Minutes: 135 Time In: 01:45 PM Time Out: 04:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor compliance of applicable child care requirements during the routine unannounced visit. Due to computer issues, the visit summary could not be completed in DCDEE’s Regulatory System. Once the system is working again, a computer-generated visit summary will be completed and emailed to you for a signature. During today’s visit, a walk through of the facility was conducted with the Director, A. McCartney. Children were observed participating in free choice of indoor learning activities, quiet activities, and rest time. The information below was included in the visit summary once the summary could be completed in the Regulatory System. The following items were monitored during today’s visit, supervision, staff/child ratio, first aid, CPR, special training, ITS-SIDS training, criminal background checks, emergency medical care plan, administering of medication, storage of hazardous products, storage of medication, general safety, discipline, adequate/approved space, program records, license posted, permit restrictions. The Staff and Training Worksheet from the annual compliance visit conducted on March 20, 2023, was reviewed to confirm existing staff were current with CPR, First Aid, ITS-SIDS training and criminal background qualifying letters. Four new staff members have been hired since the last visit in March 2023. Files for new staff were monitored today. The last approved fire inspection was conducted on December 29, 2022. The last sanitation inspection was conducted on April 6, 2023, with twenty-six demerits and an Approved rating. The last fire drill was conducted October 5, 2023, and a shelter-in-place drill on September 13, 2023. Outdoor safety inspections were also monitored and occurring monthly as required. There were five violations cited and corrected today. The violations were reviewed with the Director at the conclusion of the visit. Violation Number Comment Rule 837 The EMC plan did not name the person responsible, and at least one alternate, for choosing and carrying out the plan of action to obtain appropriate medical care. Although the facility had a EMC plan, it had not been updated to include the new Director. .0802(a)(1)(A-B); 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. One new staff member's hire date was prior to the date on their medical report. 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. One new staff member's hire date was prior to their TB test date. .0701(a) 1041 Prior to employment a Criminal Background Check was not completed. Three staff members were hired prior to completed a criminal background check. G.S. 110-90.2(b) 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 member did not have verification on file that the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was reviewed prior to caring for children. .0608(d)(1-4) A conversation was held with the Director regarding the violations cited. Below is the rule reference for each violation. § 110-90.2. Mandatory child care providers' criminal history checks. (b) Effective January 1, 1996, the Department shall ensure that, prior to employment and every three years thereafter, the criminal history of all child care providers is checked and a determination is made of the child care provider's fitness to have responsibility for the safety and well-being of children based on the criminal history. The Department shall ensure that all child care providers are checked for county, State, and federal criminal histories. 10A NCAC 09 .0608 PREVENTION OF SHAKEN BABY SYNDROME AND ABUSIVE HEAD TRAUMA (d) Within 30 days of adopting the policy, the child care center shall review the policy with existing staff members who provide care for children up to five years of age. Each child care center shall review the policy with new staff members prior to the individual providing care to children. The acknowledgement of this review shall contain: (1) the individual’s name; (2) the date the center’s policy was given and explained to the individual; (3) the individual’s signature; and (4) the date the individual signed the acknowledgment. The child care center shall retain the acknowledgement in the staff member’s file. 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS (a) Health and emergency information shall be obtained for staff members as specified in the Child care providers and uncompensated providers who are not substitute providers or volunteers as defined in 10A NCAC 09 .0102, including the director must have a medical report signed by a health care professional that indicates that the person is emotionally and physically fit to care for children. The medical report must be completed prior to employment and shall not be older than 12 months. All staff, including the director and individuals who volunteer more than once per week must have a Tuberculin (TB) Test or Screening. The results indicating the individual is free of active tuberculosis shall be obtained within the 12 months prior to the date of employment and must be on file on or before first day of work. 10A NCAC 09 .0802 EMERGENCY MEDICAL CARE (a) Each child care center shall have a written plan that sets forth the steps to follow in the event of a child medical emergency. The plan shall be reviewed with all staff annually and whenever the plan is revised. This plan shall give the procedures to be followed to ensure that any child who becomes ill or is injured and requires medical attention while in care at the center receives appropriate medical attention. The following information shall be included in the center's emergency medical care plan: (1) The name of the person and at least one alternate, responsible for carrying out that plan of action, ensuring that appropriate medical care is given, and determining which of the following is needed: (A) first aid given at the center for an injury or illness needing only minimal attention; and (B) calling 911 in accordance with CPR or First Aid training recommendations. (2) The name of the person and one alternate, at the center responsible for: (A) ensuring that the signed authorization described in Paragraph (d) of this Rule is taken with the ill or injured child to the medical facility; (B) accompanying the ill or injured child to the medical facility; (C) notifying a child's parents or emergency contact person about the illness or injury and where the child has been taken for treatment; (D) obtaining substitute staff, if needed, to maintain required staff/child ratio and adequate supervision of children who remain in the center; and (3) A statement giving the location of the telephone located on the premises available for use in case of emergency. A telephone located in an office in the center that is sometimes locked during the time the children are present shall not be designated for use in an emergency. (b) One person identified as the person or alternate responsible for carrying out the emergency medical care plan and ensuring that appropriate medical care is given shall: (1) be on the premises at all times; and (2) accompany children for off-premises activities. Thank you for your time today. If you have questions or concerns, please contact me at 704-594-0152 or by email at kaye.dunlap@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 .0608 · Violation

Name of Operation: ELEVATION CHURCH Facility ID: 60003506 Consultant: KAYE DUNLAP Operation Type: Center Case Number: Visit Date: 10/16/2023 Number Present: 67 Completed Date: 10/16/2023 Age: From 0 To 5 Total Minutes: 135 Time In: 01:45 PM Time Out: 04:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor compliance of applicable child care requirements during the routine unannounced visit. Due to computer issues, the visit summary could not be completed in DCDEE’s Regulatory System. Once the system is working again, a computer-generated visit summary will be completed and emailed to you for a signature. During today’s visit, a walk through of the facility was conducted with the Director, A. McCartney. Children were observed participating in free choice of indoor learning activities, quiet activities, and rest time. The information below was included in the visit summary once the summary could be completed in the Regulatory System. The following items were monitored during today’s visit, supervision, staff/child ratio, first aid, CPR, special training, ITS-SIDS training, criminal background checks, emergency medical care plan, administering of medication, storage of hazardous products, storage of medication, general safety, discipline, adequate/approved space, program records, license posted, permit restrictions. The Staff and Training Worksheet from the annual compliance visit conducted on March 20, 2023, was reviewed to confirm existing staff were current with CPR, First Aid, ITS-SIDS training and criminal background qualifying letters. Four new staff members have been hired since the last visit in March 2023. Files for new staff were monitored today. The last approved fire inspection was conducted on December 29, 2022. The last sanitation inspection was conducted on April 6, 2023, with twenty-six demerits and an Approved rating. The last fire drill was conducted October 5, 2023, and a shelter-in-place drill on September 13, 2023. Outdoor safety inspections were also monitored and occurring monthly as required. There were five violations cited and corrected today. The violations were reviewed with the Director at the conclusion of the visit. Violation Number Comment Rule 837 The EMC plan did not name the person responsible, and at least one alternate, for choosing and carrying out the plan of action to obtain appropriate medical care. Although the facility had a EMC plan, it had not been updated to include the new Director. .0802(a)(1)(A-B); 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. One new staff member's hire date was prior to the date on their medical report. 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. One new staff member's hire date was prior to their TB test date. .0701(a) 1041 Prior to employment a Criminal Background Check was not completed. Three staff members were hired prior to completed a criminal background check. G.S. 110-90.2(b) 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 member did not have verification on file that the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was reviewed prior to caring for children. .0608(d)(1-4) A conversation was held with the Director regarding the violations cited. Below is the rule reference for each violation. § 110-90.2. Mandatory child care providers' criminal history checks. (b) Effective January 1, 1996, the Department shall ensure that, prior to employment and every three years thereafter, the criminal history of all child care providers is checked and a determination is made of the child care provider's fitness to have responsibility for the safety and well-being of children based on the criminal history. The Department shall ensure that all child care providers are checked for county, State, and federal criminal histories. 10A NCAC 09 .0608 PREVENTION OF SHAKEN BABY SYNDROME AND ABUSIVE HEAD TRAUMA (d) Within 30 days of adopting the policy, the child care center shall review the policy with existing staff members who provide care for children up to five years of age. Each child care center shall review the policy with new staff members prior to the individual providing care to children. The acknowledgement of this review shall contain: (1) the individual’s name; (2) the date the center’s policy was given and explained to the individual; (3) the individual’s signature; and (4) the date the individual signed the acknowledgment. The child care center shall retain the acknowledgement in the staff member’s file. 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS (a) Health and emergency information shall be obtained for staff members as specified in the Child care providers and uncompensated providers who are not substitute providers or volunteers as defined in 10A NCAC 09 .0102, including the director must have a medical report signed by a health care professional that indicates that the person is emotionally and physically fit to care for children. The medical report must be completed prior to employment and shall not be older than 12 months. All staff, including the director and individuals who volunteer more than once per week must have a Tuberculin (TB) Test or Screening. The results indicating the individual is free of active tuberculosis shall be obtained within the 12 months prior to the date of employment and must be on file on or before first day of work. 10A NCAC 09 .0802 EMERGENCY MEDICAL CARE (a) Each child care center shall have a written plan that sets forth the steps to follow in the event of a child medical emergency. The plan shall be reviewed with all staff annually and whenever the plan is revised. This plan shall give the procedures to be followed to ensure that any child who becomes ill or is injured and requires medical attention while in care at the center receives appropriate medical attention. The following information shall be included in the center's emergency medical care plan: (1) The name of the person and at least one alternate, responsible for carrying out that plan of action, ensuring that appropriate medical care is given, and determining which of the following is needed: (A) first aid given at the center for an injury or illness needing only minimal attention; and (B) calling 911 in accordance with CPR or First Aid training recommendations. (2) The name of the person and one alternate, at the center responsible for: (A) ensuring that the signed authorization described in Paragraph (d) of this Rule is taken with the ill or injured child to the medical facility; (B) accompanying the ill or injured child to the medical facility; (C) notifying a child's parents or emergency contact person about the illness or injury and where the child has been taken for treatment; (D) obtaining substitute staff, if needed, to maintain required staff/child ratio and adequate supervision of children who remain in the center; and (3) A statement giving the location of the telephone located on the premises available for use in case of emergency. A telephone located in an office in the center that is sometimes locked during the time the children are present shall not be designated for use in an emergency. (b) One person identified as the person or alternate responsible for carrying out the emergency medical care plan and ensuring that appropriate medical care is given shall: (1) be on the premises at all times; and (2) accompany children for off-premises activities. Thank you for your time today. If you have questions or concerns, please contact me at 704-594-0152 or by email at kaye.dunlap@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: ELEVATION CHURCH Facility ID: 60003506 Consultant: KAYE DUNLAP Operation Type: Center Case Number: Visit Date: 10/16/2023 Number Present: 67 Completed Date: 10/16/2023 Age: From 0 To 5 Total Minutes: 135 Time In: 01:45 PM Time Out: 04:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor compliance of applicable child care requirements during the routine unannounced visit. Due to computer issues, the visit summary could not be completed in DCDEE’s Regulatory System. Once the system is working again, a computer-generated visit summary will be completed and emailed to you for a signature. During today’s visit, a walk through of the facility was conducted with the Director, A. McCartney. Children were observed participating in free choice of indoor learning activities, quiet activities, and rest time. The information below was included in the visit summary once the summary could be completed in the Regulatory System. The following items were monitored during today’s visit, supervision, staff/child ratio, first aid, CPR, special training, ITS-SIDS training, criminal background checks, emergency medical care plan, administering of medication, storage of hazardous products, storage of medication, general safety, discipline, adequate/approved space, program records, license posted, permit restrictions. The Staff and Training Worksheet from the annual compliance visit conducted on March 20, 2023, was reviewed to confirm existing staff were current with CPR, First Aid, ITS-SIDS training and criminal background qualifying letters. Four new staff members have been hired since the last visit in March 2023. Files for new staff were monitored today. The last approved fire inspection was conducted on December 29, 2022. The last sanitation inspection was conducted on April 6, 2023, with twenty-six demerits and an Approved rating. The last fire drill was conducted October 5, 2023, and a shelter-in-place drill on September 13, 2023. Outdoor safety inspections were also monitored and occurring monthly as required. There were five violations cited and corrected today. The violations were reviewed with the Director at the conclusion of the visit. Violation Number Comment Rule 837 The EMC plan did not name the person responsible, and at least one alternate, for choosing and carrying out the plan of action to obtain appropriate medical care. Although the facility had a EMC plan, it had not been updated to include the new Director. .0802(a)(1)(A-B); 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. One new staff member's hire date was prior to the date on their medical report. 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. One new staff member's hire date was prior to their TB test date. .0701(a) 1041 Prior to employment a Criminal Background Check was not completed. Three staff members were hired prior to completed a criminal background check. G.S. 110-90.2(b) 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 member did not have verification on file that the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was reviewed prior to caring for children. .0608(d)(1-4) A conversation was held with the Director regarding the violations cited. Below is the rule reference for each violation. § 110-90.2. Mandatory child care providers' criminal history checks. (b) Effective January 1, 1996, the Department shall ensure that, prior to employment and every three years thereafter, the criminal history of all child care providers is checked and a determination is made of the child care provider's fitness to have responsibility for the safety and well-being of children based on the criminal history. The Department shall ensure that all child care providers are checked for county, State, and federal criminal histories. 10A NCAC 09 .0608 PREVENTION OF SHAKEN BABY SYNDROME AND ABUSIVE HEAD TRAUMA (d) Within 30 days of adopting the policy, the child care center shall review the policy with existing staff members who provide care for children up to five years of age. Each child care center shall review the policy with new staff members prior to the individual providing care to children. The acknowledgement of this review shall contain: (1) the individual’s name; (2) the date the center’s policy was given and explained to the individual; (3) the individual’s signature; and (4) the date the individual signed the acknowledgment. The child care center shall retain the acknowledgement in the staff member’s file. 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS (a) Health and emergency information shall be obtained for staff members as specified in the Child care providers and uncompensated providers who are not substitute providers or volunteers as defined in 10A NCAC 09 .0102, including the director must have a medical report signed by a health care professional that indicates that the person is emotionally and physically fit to care for children. The medical report must be completed prior to employment and shall not be older than 12 months. All staff, including the director and individuals who volunteer more than once per week must have a Tuberculin (TB) Test or Screening. The results indicating the individual is free of active tuberculosis shall be obtained within the 12 months prior to the date of employment and must be on file on or before first day of work. 10A NCAC 09 .0802 EMERGENCY MEDICAL CARE (a) Each child care center shall have a written plan that sets forth the steps to follow in the event of a child medical emergency. The plan shall be reviewed with all staff annually and whenever the plan is revised. This plan shall give the procedures to be followed to ensure that any child who becomes ill or is injured and requires medical attention while in care at the center receives appropriate medical attention. The following information shall be included in the center's emergency medical care plan: (1) The name of the person and at least one alternate, responsible for carrying out that plan of action, ensuring that appropriate medical care is given, and determining which of the following is needed: (A) first aid given at the center for an injury or illness needing only minimal attention; and (B) calling 911 in accordance with CPR or First Aid training recommendations. (2) The name of the person and one alternate, at the center responsible for: (A) ensuring that the signed authorization described in Paragraph (d) of this Rule is taken with the ill or injured child to the medical facility; (B) accompanying the ill or injured child to the medical facility; (C) notifying a child's parents or emergency contact person about the illness or injury and where the child has been taken for treatment; (D) obtaining substitute staff, if needed, to maintain required staff/child ratio and adequate supervision of children who remain in the center; and (3) A statement giving the location of the telephone located on the premises available for use in case of emergency. A telephone located in an office in the center that is sometimes locked during the time the children are present shall not be designated for use in an emergency. (b) One person identified as the person or alternate responsible for carrying out the emergency medical care plan and ensuring that appropriate medical care is given shall: (1) be on the premises at all times; and (2) accompany children for off-premises activities. Thank you for your time today. If you have questions or concerns, please contact me at 704-594-0152 or by email at kaye.dunlap@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 .0802 · Violation

Name of Operation: ELEVATION CHURCH Facility ID: 60003506 Consultant: KAYE DUNLAP Operation Type: Center Case Number: Visit Date: 10/16/2023 Number Present: 67 Completed Date: 10/16/2023 Age: From 0 To 5 Total Minutes: 135 Time In: 01:45 PM Time Out: 04:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor compliance of applicable child care requirements during the routine unannounced visit. Due to computer issues, the visit summary could not be completed in DCDEE’s Regulatory System. Once the system is working again, a computer-generated visit summary will be completed and emailed to you for a signature. During today’s visit, a walk through of the facility was conducted with the Director, A. McCartney. Children were observed participating in free choice of indoor learning activities, quiet activities, and rest time. The information below was included in the visit summary once the summary could be completed in the Regulatory System. The following items were monitored during today’s visit, supervision, staff/child ratio, first aid, CPR, special training, ITS-SIDS training, criminal background checks, emergency medical care plan, administering of medication, storage of hazardous products, storage of medication, general safety, discipline, adequate/approved space, program records, license posted, permit restrictions. The Staff and Training Worksheet from the annual compliance visit conducted on March 20, 2023, was reviewed to confirm existing staff were current with CPR, First Aid, ITS-SIDS training and criminal background qualifying letters. Four new staff members have been hired since the last visit in March 2023. Files for new staff were monitored today. The last approved fire inspection was conducted on December 29, 2022. The last sanitation inspection was conducted on April 6, 2023, with twenty-six demerits and an Approved rating. The last fire drill was conducted October 5, 2023, and a shelter-in-place drill on September 13, 2023. Outdoor safety inspections were also monitored and occurring monthly as required. There were five violations cited and corrected today. The violations were reviewed with the Director at the conclusion of the visit. Violation Number Comment Rule 837 The EMC plan did not name the person responsible, and at least one alternate, for choosing and carrying out the plan of action to obtain appropriate medical care. Although the facility had a EMC plan, it had not been updated to include the new Director. .0802(a)(1)(A-B); 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. One new staff member's hire date was prior to the date on their medical report. 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. One new staff member's hire date was prior to their TB test date. .0701(a) 1041 Prior to employment a Criminal Background Check was not completed. Three staff members were hired prior to completed a criminal background check. G.S. 110-90.2(b) 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 member did not have verification on file that the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was reviewed prior to caring for children. .0608(d)(1-4) A conversation was held with the Director regarding the violations cited. Below is the rule reference for each violation. § 110-90.2. Mandatory child care providers' criminal history checks. (b) Effective January 1, 1996, the Department shall ensure that, prior to employment and every three years thereafter, the criminal history of all child care providers is checked and a determination is made of the child care provider's fitness to have responsibility for the safety and well-being of children based on the criminal history. The Department shall ensure that all child care providers are checked for county, State, and federal criminal histories. 10A NCAC 09 .0608 PREVENTION OF SHAKEN BABY SYNDROME AND ABUSIVE HEAD TRAUMA (d) Within 30 days of adopting the policy, the child care center shall review the policy with existing staff members who provide care for children up to five years of age. Each child care center shall review the policy with new staff members prior to the individual providing care to children. The acknowledgement of this review shall contain: (1) the individual’s name; (2) the date the center’s policy was given and explained to the individual; (3) the individual’s signature; and (4) the date the individual signed the acknowledgment. The child care center shall retain the acknowledgement in the staff member’s file. 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS (a) Health and emergency information shall be obtained for staff members as specified in the Child care providers and uncompensated providers who are not substitute providers or volunteers as defined in 10A NCAC 09 .0102, including the director must have a medical report signed by a health care professional that indicates that the person is emotionally and physically fit to care for children. The medical report must be completed prior to employment and shall not be older than 12 months. All staff, including the director and individuals who volunteer more than once per week must have a Tuberculin (TB) Test or Screening. The results indicating the individual is free of active tuberculosis shall be obtained within the 12 months prior to the date of employment and must be on file on or before first day of work. 10A NCAC 09 .0802 EMERGENCY MEDICAL CARE (a) Each child care center shall have a written plan that sets forth the steps to follow in the event of a child medical emergency. The plan shall be reviewed with all staff annually and whenever the plan is revised. This plan shall give the procedures to be followed to ensure that any child who becomes ill or is injured and requires medical attention while in care at the center receives appropriate medical attention. The following information shall be included in the center's emergency medical care plan: (1) The name of the person and at least one alternate, responsible for carrying out that plan of action, ensuring that appropriate medical care is given, and determining which of the following is needed: (A) first aid given at the center for an injury or illness needing only minimal attention; and (B) calling 911 in accordance with CPR or First Aid training recommendations. (2) The name of the person and one alternate, at the center responsible for: (A) ensuring that the signed authorization described in Paragraph (d) of this Rule is taken with the ill or injured child to the medical facility; (B) accompanying the ill or injured child to the medical facility; (C) notifying a child's parents or emergency contact person about the illness or injury and where the child has been taken for treatment; (D) obtaining substitute staff, if needed, to maintain required staff/child ratio and adequate supervision of children who remain in the center; and (3) A statement giving the location of the telephone located on the premises available for use in case of emergency. A telephone located in an office in the center that is sometimes locked during the time the children are present shall not be designated for use in an emergency. (b) One person identified as the person or alternate responsible for carrying out the emergency medical care plan and ensuring that appropriate medical care is given shall: (1) be on the premises at all times; and (2) accompany children for off-premises activities. Thank you for your time today. If you have questions or concerns, please contact me at 704-594-0152 or by email at kaye.dunlap@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: ELEVATION CHURCH Facility ID: 60003506 Consultant: KAYE DUNLAP Operation Type: Center Case Number: Visit Date: 10/16/2023 Number Present: 67 Completed Date: 10/16/2023 Age: From 0 To 5 Total Minutes: 135 Time In: 01:45 PM Time Out: 04:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor compliance of applicable child care requirements during the routine unannounced visit. Due to computer issues, the visit summary could not be completed in DCDEE’s Regulatory System. Once the system is working again, a computer-generated visit summary will be completed and emailed to you for a signature. During today’s visit, a walk through of the facility was conducted with the Director, A. McCartney. Children were observed participating in free choice of indoor learning activities, quiet activities, and rest time. The information below was included in the visit summary once the summary could be completed in the Regulatory System. The following items were monitored during today’s visit, supervision, staff/child ratio, first aid, CPR, special training, ITS-SIDS training, criminal background checks, emergency medical care plan, administering of medication, storage of hazardous products, storage of medication, general safety, discipline, adequate/approved space, program records, license posted, permit restrictions. The Staff and Training Worksheet from the annual compliance visit conducted on March 20, 2023, was reviewed to confirm existing staff were current with CPR, First Aid, ITS-SIDS training and criminal background qualifying letters. Four new staff members have been hired since the last visit in March 2023. Files for new staff were monitored today. The last approved fire inspection was conducted on December 29, 2022. The last sanitation inspection was conducted on April 6, 2023, with twenty-six demerits and an Approved rating. The last fire drill was conducted October 5, 2023, and a shelter-in-place drill on September 13, 2023. Outdoor safety inspections were also monitored and occurring monthly as required. There were five violations cited and corrected today. The violations were reviewed with the Director at the conclusion of the visit. Violation Number Comment Rule 837 The EMC plan did not name the person responsible, and at least one alternate, for choosing and carrying out the plan of action to obtain appropriate medical care. Although the facility had a EMC plan, it had not been updated to include the new Director. .0802(a)(1)(A-B); 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. One new staff member's hire date was prior to the date on their medical report. 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. One new staff member's hire date was prior to their TB test date. .0701(a) 1041 Prior to employment a Criminal Background Check was not completed. Three staff members were hired prior to completed a criminal background check. G.S. 110-90.2(b) 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 member did not have verification on file that the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was reviewed prior to caring for children. .0608(d)(1-4) A conversation was held with the Director regarding the violations cited. Below is the rule reference for each violation. § 110-90.2. Mandatory child care providers' criminal history checks. (b) Effective January 1, 1996, the Department shall ensure that, prior to employment and every three years thereafter, the criminal history of all child care providers is checked and a determination is made of the child care provider's fitness to have responsibility for the safety and well-being of children based on the criminal history. The Department shall ensure that all child care providers are checked for county, State, and federal criminal histories. 10A NCAC 09 .0608 PREVENTION OF SHAKEN BABY SYNDROME AND ABUSIVE HEAD TRAUMA (d) Within 30 days of adopting the policy, the child care center shall review the policy with existing staff members who provide care for children up to five years of age. Each child care center shall review the policy with new staff members prior to the individual providing care to children. The acknowledgement of this review shall contain: (1) the individual’s name; (2) the date the center’s policy was given and explained to the individual; (3) the individual’s signature; and (4) the date the individual signed the acknowledgment. The child care center shall retain the acknowledgement in the staff member’s file. 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS (a) Health and emergency information shall be obtained for staff members as specified in the Child care providers and uncompensated providers who are not substitute providers or volunteers as defined in 10A NCAC 09 .0102, including the director must have a medical report signed by a health care professional that indicates that the person is emotionally and physically fit to care for children. The medical report must be completed prior to employment and shall not be older than 12 months. All staff, including the director and individuals who volunteer more than once per week must have a Tuberculin (TB) Test or Screening. The results indicating the individual is free of active tuberculosis shall be obtained within the 12 months prior to the date of employment and must be on file on or before first day of work. 10A NCAC 09 .0802 EMERGENCY MEDICAL CARE (a) Each child care center shall have a written plan that sets forth the steps to follow in the event of a child medical emergency. The plan shall be reviewed with all staff annually and whenever the plan is revised. This plan shall give the procedures to be followed to ensure that any child who becomes ill or is injured and requires medical attention while in care at the center receives appropriate medical attention. The following information shall be included in the center's emergency medical care plan: (1) The name of the person and at least one alternate, responsible for carrying out that plan of action, ensuring that appropriate medical care is given, and determining which of the following is needed: (A) first aid given at the center for an injury or illness needing only minimal attention; and (B) calling 911 in accordance with CPR or First Aid training recommendations. (2) The name of the person and one alternate, at the center responsible for: (A) ensuring that the signed authorization described in Paragraph (d) of this Rule is taken with the ill or injured child to the medical facility; (B) accompanying the ill or injured child to the medical facility; (C) notifying a child's parents or emergency contact person about the illness or injury and where the child has been taken for treatment; (D) obtaining substitute staff, if needed, to maintain required staff/child ratio and adequate supervision of children who remain in the center; and (3) A statement giving the location of the telephone located on the premises available for use in case of emergency. A telephone located in an office in the center that is sometimes locked during the time the children are present shall not be designated for use in an emergency. (b) One person identified as the person or alternate responsible for carrying out the emergency medical care plan and ensuring that appropriate medical care is given shall: (1) be on the premises at all times; and (2) accompany children for off-premises activities. Thank you for your time today. If you have questions or concerns, please contact me at 704-594-0152 or by email at kaye.dunlap@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