MT Moriah Child Development Center, INC

NC GS 110-90 · Violation

Name of Operation: MT MORIAH CHILD DEVELOPMENT CENTER, INC Facility ID: 60003197 Consultant: LISA EDDINS-SMITH Operation Type: Center Case Number: Visit Date: 5/11/2026 Number Present: 28 Completed Date: 5/11/2025 Age: From 0 To 5 Total Minutes: 185 Time In: 11:35 AM Time Out: 02:40 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 with a five-star license, issued November 18, 2024, earning 7 points in the education component, 7 points in the program standards component meeting enhanced space and reduced enhanced ratios and 1 quality point. The facility’s 18-month compliance history before today’s visit was 90 %. The NC Secretary of State website was reviewed on May 11, 2026, and Mount Moriah Child Development Center, Inc. was listed as current- active. Upon arrival I was greeted by Kristy Spruill, Director. I stated the purpose of the visit . Ms. Spruill provided needed paperwork and assisted me with the visit. The last annual compliance visit was conducted June 10, 2025. A sanitation inspection was completed February 18, 2026, with a “Superior” classification. The last fire inspection was conducted July 29, 2025, and your facility was approved for daytime care only. The Staff and Training Worksheets were received today. There have been two (2) new staff hired since the last annual compliance visit was conducted. The new staff files were monitored and found in compliance. One veteran staff file was monitored. A violation was cited for Administration of Medication health and Safety Training. The facility has an ABCMS roster and will add two new employees to the roster. The (10) percent of children’s files were monitored today and found in compliance. I reviewed program records. A shelter un place/lockdown drill was conducted on April 23, 2026. The last fire drill was conducted on April 29, 2026. Playground Safety Checks and Incident Log were monitored and in compliance. The EPR was updated May, 2025 and is scheduled to be update on or before May 31, 2026. The ready-to-go file was monitored and found current. A walk-through of the facility was completed today; all indoor and outdoor areas were monitored. I monitored the outdoor area upon arrival and found in compliance. 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, rest, free play, snack and transitioning to afternoon activities. The caregivers were observed using nurturing and caring tones. In a room serving twos and threes, I observed a third party caregiver assigned to a child needing additional support and I observed a current CBC Qualifying Letter on file. Each room was monitored for storage of hazardous materials and general safety, and no violations were cited. In the rooms serving infants and toddlers, I monitored safe sleep policy and safe sleep checks and found in compliance. All bottles were labeled and dated. Diaper Creams were monitored and found in compliance. There are no children who are currently enrolled requiring Emergency Medications. The following violation was cited: Violation Number Comment Rule 1898 Staff did not complete the health and safety training within one year of employment. One (1) employee hired 3/23/2020 did not complete Administration of Medication training. .1102(a) 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 May 24, 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 that 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. 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. Technical Assistance Reminders Continue to review emails from the Division of Child Development and Early Education (DCDEE) and from your assigned child care consultant. 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. We discussed reviewing all forms annually to make sure you are using the most current forms. Plastic We discussed taking the plastic off of construction paper in rooms serving children under three years of age if the paper is stored lower than five (5) feet. Tobacco Statement You added the word tobacco to your current signs and to the information you will give to the parents to sign. Health Records You provided the TB Tests health records for two (2) new employees in the general files for my review. I suggest you move the TB tests to the health files after today’s visit. I recommend you check all veteran staff files for TB tests included in the general file. Accessing Administration of Medication Training I will email you detailed instructions for your employees to access this training. It is not included with the other Health and Safety Trainings in Moodle. Please have all staff complete this training Place the certificates with all other Health and Safety Trainings in their file and update the training log. 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 or Amy Italiano, Licensing Supervisor at amy.italiano@dhhs.nc.gov or 704-936-6065. 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: MT MORIAH CHILD DEVELOPMENT CENTER, INC Facility ID: 60003197 Consultant: LISA EDDINS-SMITH Operation Type: Center Case Number: Visit Date: 12/11/2025 Number Present: 25 Completed Date: 12/11/2025 Age: From 0 To 5 Total Minutes: 160 Time In: 10:00 AM Time Out: 12:40 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 compliance with all applicable childcare requirements during a Routine Unannounced visit. The facility currently operates with a five-star license, issued November 18, 2024, earning 7 points in the education component, 7 points in the program standards component meeting enhanced space and enhanced ratios and 1 quality point. The facility’s 18-month compliance history before today’s visit was 94 %. The last annual compliance visit was conducted June 10, 2025. Upon arrival I was greeted by Chris Whitley, Assistant Director. I stated the purpose for the visit. Ms. Kristy Spruill, Director, was off today for a medical procedure. Ms. Whitley assisted me with the visit. During a walkthrough of indoor areas today I observed children engaged in outdoor play, activity centers, transitions, circle time, tummy time, personal care routines, and teacher directed activities. I observed teachers encouraging play and interacting during teacher director activities. The teachers were nurturing and caring in their interactions with the children. There have been two (2) new staff hired since the annual compliance visit. I reviewed all the new staff files and found in compliance. I reviewed the Staff and Training Worksheets provided at the last Annual Compliance Visit and monitored staff files for veteran staff to verify items needed for today’s visit and found in compliance. The following items were monitored today: License Posted/Permit Restrictions: The license was posted, and all restrictions were in compliance. Supervision: Each group of children was adequately supervised during the visit. Staff/Child Ratio: The ratios were maintained during today’s visit. CPR: All staff are current with CPR/First Aid. First Aid: All staff are current with CPR/First Aid. CBC Qualification: Staff were current with Criminal Background Check (CBC) qualifications. The requirements for ABCMS have been met and the center is in compliance. ITS-SIDS: I reviewed the staff requiring ITS-SIDS training and found in compliance. Safe sleep policy and sleep charts: I reviewed the center safe sleep policy, observed it posted and monitored sleep charts. The safe sleep policy posted in the room serving infants is not customized on the most current form. A violation was cited. See Technical Assistance for updating the Center Sleep Policy. Emergency Medical Care Plan: The Emergency Care Plan was posted and current. Administration of Medication: I monitored topical creams and found in compliance. There are no children in the facility currently with emergency medications. Storage of Hazardous Substances and Medications: I monitored storage of hazardous materials and medications in each room and found in compliance. General Safety: I monitored each room for general safety and found classrooms in compliance. In the rooms serving children under three, I monitored small parts and plastic bags. A violation was cited. Please see violations section for details. Discipline: There were no discipline concerns; appropriate discipline was provided. Nurturing tones were heard when staff spoke with children. Adequate/Approved Space: Each group of children were observed in licensed approved space. Program Records: A sanitation inspection was completed August 27, 2025, with a Superior classification. The last fire inspection was conducted on July 29, 2025, and your facility was approved for daytime care only. The report was given to me today and not received within seven (7) days from the inspection. A violation was cited. Posted items required were observed and met compliance. Program records were reviewed and in compliance. The last fire drill was conducted on December 10, 2025. The last lock down drill was conducted on October 29, 2025. The playground inspections and the incident log were in compliance. The EPR is dated May 22, 2025, and the ready-to-go file was monitored and found in compliance. The following violations were cited today: Violation Number Comment Rule 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 2, thumb tacks, paper clips and eraser was in unlocked drawer net to the sink accessible to children and a backpack containing a baggie with cups and wipes was hanging with the both lower than five feet accessible to children. In Space 3, plastic baggies storing socks and clothing were in unlocked changing table cubbies accessible to children. .0604(q) 892 The center's safe sleep policy was not posted in a prominent place in the infant room where parents and caregivers were able to view daily. In Space 3, the safe sleep policy posted was not on the current form and not customized to the center policies. .0606(b) 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 December 29, 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 that 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. 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. Technical Assistance DCDEE Website and Current Safe Sleep Policy 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 trainings free of charge. The What’s New tab provides current information that is sent out through blast emails. We discussed updating provider forms, so you are using the most current forms available. The center safe sleep policy must be customized to your center by checking the appropriate boxes on the updated form. This policy must be included in your parent handbook . I suggest revising this policy annually to remain in compliance with all Infant Safe Sleep requirements. QRIS/Pathway to the Stars The Division has a timeline for transitioning to current Pathway to the Stars by December 2026. Your license is currently in compliance and your next required assessment will be in 2027. I left a Pathways to the Stars survey with Ms. Whitley for your review. NC FELD Training The NC Foundations for Early Learning and Development resource book is available for you to share with your teachers. 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. NC Rated License Project Visit the NCRLAP’s website, https://www.ncrlap.org/ for more information about updated resources, credit hour trainings, and outreach assessment opportunities to help you become familiar with these tools. MOODLE Staff Orientation Moodle now offers orientation and child development training for your staff. Moodle can be accessed here: https://www.dcdee.moodle.nc.gov/ HEALTHY SOCIAL BEHAVIORS PROJECT Supporting teachers to develop pro-social early childhood learning environments that help to prevent suspension and expulsion, as related to challenging behaviors. We are specialists with early childhood education backgrounds who are passionate about empowering teachers to develop learning environments that promote pro-social skills in young children. Our statewide team includes behavior specialists, fidelity coaches, an education specialist, and a project manager covering all 100 counties in North Carolina. The Healthy Social Behaviors project is an initiative of the North Carolina Resource and Referral Council funded by the North Carolina Department of Child Development and Early Education (DCDEE). Contact Stephanie Dreyer, Child Care Resources Inc. 704-376-6697 x 120 | sdreyer@childcareresourcesinc.org for more information. Child Care Resources Technical Assistance Child Care Resources Inc. provides technical assistance to help you enhance the quality of care you provide for children and families. Our specialists work at your site — with individual classrooms or your entire program — to help you meet short- or long-term goals, maintain higher quality, address your professional development needs, and support program start-up or corrective action requirements. For more information visit: https://www.childcareresourcesinc.org/technical-assistance At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with Chris Whitley. Please call me if you have any questions or concerns. I am sorry I missed you today. 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: MT MORIAH CHILD DEVELOPMENT CENTER, INC Facility ID: 60003197 Consultant: LISA EDDINS-SMITH Operation Type: Center Case Number: Visit Date: 6/10/2025 Number Present: 25 Completed Date: 6/10/2025 Age: From 0 To 5 Total Minutes: 225 Time In: 09:15 AM Time Out: 01:00 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 with a five-star license, issued November 9, 2018, earning 5 points in the education component, 7 points in the program standards component meeting enhanced space and enhanced ratios and 1 quality point with the Administrator having completed the 30-hour business training and wage/hour training. The facility’s 18-month compliance history before today’s visit was 97 %. The NC Secretary of State website was reviewed on June 9, 2025, and Mount Moriah Child Development Center, Inc. was listed as current- active. Upon arrival I was greeted by Kristy Spruill, Director. I stated the purpose for the visit and assisted me with the visit. All items required to be posted were observed and in compliance. The last annual compliance visit was conducted June 24, 2024. A sanitation inspection was completed March 19, 2025, with a “Superior” classification. The last fire inspection was conducted July 31, 2024, and your facility was approved for daytime care only. A shelter I place / lockdown drill was conducted on April 30, 2025. The last fire drill was conducted on June 4, 2025. Playground safety checks were monitored found I compliance Incident log was monitored and found in compliance. The EPR was updated May , 2025. The system would not allow Ms. Spruill to print the plan. The ready-to-go file was monitored and found current. A walk-through of the facility was completed today; all indoor and outdoor areas were monitored. I observed children in both the indoor and outdoor learning environments and found supervision and staff/child ratios to be in compliance. Children throughout the facility were participating in personal care routines, free play of indoor and outdoor activity areas, and transitions. The caregivers were observed supervising activities and assisting with personal care routines. Nurturing tones were heard throughout the facility. The outdoor play area was monitored and in compliance. Diaper Creams were monitored and found in compliance. Two (2) children are currently enrolled requiring Emergency Medications. Please see the violations section for details. Each room was monitored for storage of hazardous materials and general safety and violations were cited Please see the violation section for details. The Staff and Training Worksheets were received today. There have been four (4) new staff hired since the last annual compliance visit was conducted. The new staff files were monitored and found in compliance. The (1) percent of veteran staff files were monitored and found in compliance. The facility has a current ABCMS roster. The (10) percent of children’s files were monitored today and found in compliance. The following violations were cited: Violation Number Comment Rule 815 Electrical cords were accessible to infants and toddlers. In Space 3, a cord for a speaker was hanging down accessible to children. A phone and fan charger plugged into a surge protector was located on top of a refrigerator lower than five (5) feet accessible to children. 10A NCAC 09 .0604(f) 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 White out was stored in a organizer on a counter less that five (5) feet accessible to children. .2820(b) 847 Parent's medication authorization did not include required information. Two (2) children requiring emergency medications did not have a Medical Action Plan on file signed by a physician. 10A NCAC 09 .0803(4)(6-9) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. In Space 1 plastic baggies were located i an unlocked drawer lower than five (5) feet. In Space 2, small pom poms, match box cars with small wheels, and cups in open plastic on a counter were accessible to children. In Space 3, torn plastic contact paper was on a cabinet accessible to children and small pen with small caps were stored on the changing table accessible to children. .0604(q) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. One (1) child requiring emergency medication has a permission to administer form on file which exceeds the required six (6) months. Permission to administer expired 4/11/2025. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) 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 June 24, 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 that 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. 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. Technical Assistance: Reminders: Continue to review emails from the Division of Child Development and Early Education (DCDEE) and from your assigned child care consultant. 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. A newer version of sleep charts and the Summary of Law is available on our website. Emergency Medications: We discussed the following requirements for emergency medications. SECTION .0800 - HEALTH STANDARDS FOR CHILDREN 10A NCAC 09 .0801 APPLICATION FOR ENROLLMENT (1) a list of the child's diagnosis or diagnoses including dietary, environmental, and activity considerations that are applicable; (2) contact information for the child's health care professional(s); (3) medications to be administered on a scheduled basis; and (4) medications to be administered on an emergency basis with symptoms, and instructions. For any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services, a medical action plan shall be attached to the application. The medical action plan shall be completed by the child's parent or a health care professional and may include the following: The medical action plan shall be updated on an annual basis and when changes to the plan are made by the child's parent or health care professional. Sample medical action plans may be found on the Division's website at http://ncchildcare.ncdhhs.gov/providers/pv_provideforms.asp; 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS (6) A parent may give a caregiver standing authorization for up to six months to administer prescription or over-the-counter medication to a child, when needed, for chronic medical conditions, such as asthma, and for allergic reactions. The authorization shall be in writing and shall contain: the child's name; the subject medical conditions or allergic reactions; the names of the authorized over-the-counter medications; the criteria for the administration of the medication; the amount and frequency of the dosages; the manner in which the medication shall be administered; the signature of the parent; the date the authorization was signed by the parent; and the length of time the authorization is valid, if less than six months. Small Parts and Plastic: We discussed marker caps, small parts and plastic accessible to children under three years of age. You can review the rules here: 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (q) Plastic bags, toys, toy parts small enough to be swallowed, and materials that can be torn apart, such as foam rubber and styrofoam, shall not be accessible to children under three years of age. However, styrofoam plates and larger pieces of foam rubber may be used for supervised art activities and styrofoam plates may be used for food service. Jump ropes and rubber bands shall not be accessible to children under five years of age without adult supervision. Balloons shall be prohibited for children of all ages. North Carolina Foundations for Early Learning and Development For each group of children in care, the activity plan shall include activities intended to stimulate the following developmental domains, in accordance with North Carolina Foundations for Early Learning and Development, available on the Division's website at https://ncchildcare.ncdhhs.gov/Foundations-for-Early-Learning-and-Development You can access the training calendar for NCFELD trainings here: https://www.childcareresourcesinc.org/training . You may be able to schedule training for your staff as well. Here is information to contract training: Contracted Training Let us bring our experts to you! Contracted training offers you the opportunity to meet the specific professional development needs of your staff, right at your own facility. For more information or to schedule contracted training, send us an email or click here! 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: MT MORIAH CHILD DEVELOPMENT CENTER, INC Facility ID: 60003197 Consultant: LISA EDDINS-SMITH Operation Type: Center Case Number: Visit Date: 6/10/2025 Number Present: 25 Completed Date: 6/10/2025 Age: From 0 To 5 Total Minutes: 225 Time In: 09:15 AM Time Out: 01:00 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 with a five-star license, issued November 9, 2018, earning 5 points in the education component, 7 points in the program standards component meeting enhanced space and enhanced ratios and 1 quality point with the Administrator having completed the 30-hour business training and wage/hour training. The facility’s 18-month compliance history before today’s visit was 97 %. The NC Secretary of State website was reviewed on June 9, 2025, and Mount Moriah Child Development Center, Inc. was listed as current- active. Upon arrival I was greeted by Kristy Spruill, Director. I stated the purpose for the visit and assisted me with the visit. All items required to be posted were observed and in compliance. The last annual compliance visit was conducted June 24, 2024. A sanitation inspection was completed March 19, 2025, with a “Superior” classification. The last fire inspection was conducted July 31, 2024, and your facility was approved for daytime care only. A shelter I place / lockdown drill was conducted on April 30, 2025. The last fire drill was conducted on June 4, 2025. Playground safety checks were monitored found I compliance Incident log was monitored and found in compliance. The EPR was updated May , 2025. The system would not allow Ms. Spruill to print the plan. The ready-to-go file was monitored and found current. A walk-through of the facility was completed today; all indoor and outdoor areas were monitored. I observed children in both the indoor and outdoor learning environments and found supervision and staff/child ratios to be in compliance. Children throughout the facility were participating in personal care routines, free play of indoor and outdoor activity areas, and transitions. The caregivers were observed supervising activities and assisting with personal care routines. Nurturing tones were heard throughout the facility. The outdoor play area was monitored and in compliance. Diaper Creams were monitored and found in compliance. Two (2) children are currently enrolled requiring Emergency Medications. Please see the violations section for details. Each room was monitored for storage of hazardous materials and general safety and violations were cited Please see the violation section for details. The Staff and Training Worksheets were received today. There have been four (4) new staff hired since the last annual compliance visit was conducted. The new staff files were monitored and found in compliance. The (1) percent of veteran staff files were monitored and found in compliance. The facility has a current ABCMS roster. The (10) percent of children’s files were monitored today and found in compliance. The following violations were cited: Violation Number Comment Rule 815 Electrical cords were accessible to infants and toddlers. In Space 3, a cord for a speaker was hanging down accessible to children. A phone and fan charger plugged into a surge protector was located on top of a refrigerator lower than five (5) feet accessible to children. 10A NCAC 09 .0604(f) 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 White out was stored in a organizer on a counter less that five (5) feet accessible to children. .2820(b) 847 Parent's medication authorization did not include required information. Two (2) children requiring emergency medications did not have a Medical Action Plan on file signed by a physician. 10A NCAC 09 .0803(4)(6-9) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. In Space 1 plastic baggies were located i an unlocked drawer lower than five (5) feet. In Space 2, small pom poms, match box cars with small wheels, and cups in open plastic on a counter were accessible to children. In Space 3, torn plastic contact paper was on a cabinet accessible to children and small pen with small caps were stored on the changing table accessible to children. .0604(q) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. One (1) child requiring emergency medication has a permission to administer form on file which exceeds the required six (6) months. Permission to administer expired 4/11/2025. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) 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 June 24, 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 that 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. 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. Technical Assistance: Reminders: Continue to review emails from the Division of Child Development and Early Education (DCDEE) and from your assigned child care consultant. 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. A newer version of sleep charts and the Summary of Law is available on our website. Emergency Medications: We discussed the following requirements for emergency medications. SECTION .0800 - HEALTH STANDARDS FOR CHILDREN 10A NCAC 09 .0801 APPLICATION FOR ENROLLMENT (1) a list of the child's diagnosis or diagnoses including dietary, environmental, and activity considerations that are applicable; (2) contact information for the child's health care professional(s); (3) medications to be administered on a scheduled basis; and (4) medications to be administered on an emergency basis with symptoms, and instructions. For any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services, a medical action plan shall be attached to the application. The medical action plan shall be completed by the child's parent or a health care professional and may include the following: The medical action plan shall be updated on an annual basis and when changes to the plan are made by the child's parent or health care professional. Sample medical action plans may be found on the Division's website at http://ncchildcare.ncdhhs.gov/providers/pv_provideforms.asp; 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS (6) A parent may give a caregiver standing authorization for up to six months to administer prescription or over-the-counter medication to a child, when needed, for chronic medical conditions, such as asthma, and for allergic reactions. The authorization shall be in writing and shall contain: the child's name; the subject medical conditions or allergic reactions; the names of the authorized over-the-counter medications; the criteria for the administration of the medication; the amount and frequency of the dosages; the manner in which the medication shall be administered; the signature of the parent; the date the authorization was signed by the parent; and the length of time the authorization is valid, if less than six months. Small Parts and Plastic: We discussed marker caps, small parts and plastic accessible to children under three years of age. You can review the rules here: 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (q) Plastic bags, toys, toy parts small enough to be swallowed, and materials that can be torn apart, such as foam rubber and styrofoam, shall not be accessible to children under three years of age. However, styrofoam plates and larger pieces of foam rubber may be used for supervised art activities and styrofoam plates may be used for food service. Jump ropes and rubber bands shall not be accessible to children under five years of age without adult supervision. Balloons shall be prohibited for children of all ages. North Carolina Foundations for Early Learning and Development For each group of children in care, the activity plan shall include activities intended to stimulate the following developmental domains, in accordance with North Carolina Foundations for Early Learning and Development, available on the Division's website at https://ncchildcare.ncdhhs.gov/Foundations-for-Early-Learning-and-Development You can access the training calendar for NCFELD trainings here: https://www.childcareresourcesinc.org/training . You may be able to schedule training for your staff as well. Here is information to contract training: Contracted Training Let us bring our experts to you! Contracted training offers you the opportunity to meet the specific professional development needs of your staff, right at your own facility. For more information or to schedule contracted training, send us an email or click here! 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 .0801 · Violation

Name of Operation: MT MORIAH CHILD DEVELOPMENT CENTER, INC Facility ID: 60003197 Consultant: LISA EDDINS-SMITH Operation Type: Center Case Number: Visit Date: 6/10/2025 Number Present: 25 Completed Date: 6/10/2025 Age: From 0 To 5 Total Minutes: 225 Time In: 09:15 AM Time Out: 01:00 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 with a five-star license, issued November 9, 2018, earning 5 points in the education component, 7 points in the program standards component meeting enhanced space and enhanced ratios and 1 quality point with the Administrator having completed the 30-hour business training and wage/hour training. The facility’s 18-month compliance history before today’s visit was 97 %. The NC Secretary of State website was reviewed on June 9, 2025, and Mount Moriah Child Development Center, Inc. was listed as current- active. Upon arrival I was greeted by Kristy Spruill, Director. I stated the purpose for the visit and assisted me with the visit. All items required to be posted were observed and in compliance. The last annual compliance visit was conducted June 24, 2024. A sanitation inspection was completed March 19, 2025, with a “Superior” classification. The last fire inspection was conducted July 31, 2024, and your facility was approved for daytime care only. A shelter I place / lockdown drill was conducted on April 30, 2025. The last fire drill was conducted on June 4, 2025. Playground safety checks were monitored found I compliance Incident log was monitored and found in compliance. The EPR was updated May , 2025. The system would not allow Ms. Spruill to print the plan. The ready-to-go file was monitored and found current. A walk-through of the facility was completed today; all indoor and outdoor areas were monitored. I observed children in both the indoor and outdoor learning environments and found supervision and staff/child ratios to be in compliance. Children throughout the facility were participating in personal care routines, free play of indoor and outdoor activity areas, and transitions. The caregivers were observed supervising activities and assisting with personal care routines. Nurturing tones were heard throughout the facility. The outdoor play area was monitored and in compliance. Diaper Creams were monitored and found in compliance. Two (2) children are currently enrolled requiring Emergency Medications. Please see the violations section for details. Each room was monitored for storage of hazardous materials and general safety and violations were cited Please see the violation section for details. The Staff and Training Worksheets were received today. There have been four (4) new staff hired since the last annual compliance visit was conducted. The new staff files were monitored and found in compliance. The (1) percent of veteran staff files were monitored and found in compliance. The facility has a current ABCMS roster. The (10) percent of children’s files were monitored today and found in compliance. The following violations were cited: Violation Number Comment Rule 815 Electrical cords were accessible to infants and toddlers. In Space 3, a cord for a speaker was hanging down accessible to children. A phone and fan charger plugged into a surge protector was located on top of a refrigerator lower than five (5) feet accessible to children. 10A NCAC 09 .0604(f) 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 White out was stored in a organizer on a counter less that five (5) feet accessible to children. .2820(b) 847 Parent's medication authorization did not include required information. Two (2) children requiring emergency medications did not have a Medical Action Plan on file signed by a physician. 10A NCAC 09 .0803(4)(6-9) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. In Space 1 plastic baggies were located i an unlocked drawer lower than five (5) feet. In Space 2, small pom poms, match box cars with small wheels, and cups in open plastic on a counter were accessible to children. In Space 3, torn plastic contact paper was on a cabinet accessible to children and small pen with small caps were stored on the changing table accessible to children. .0604(q) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. One (1) child requiring emergency medication has a permission to administer form on file which exceeds the required six (6) months. Permission to administer expired 4/11/2025. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) 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 June 24, 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 that 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. 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. Technical Assistance: Reminders: Continue to review emails from the Division of Child Development and Early Education (DCDEE) and from your assigned child care consultant. 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. A newer version of sleep charts and the Summary of Law is available on our website. Emergency Medications: We discussed the following requirements for emergency medications. SECTION .0800 - HEALTH STANDARDS FOR CHILDREN 10A NCAC 09 .0801 APPLICATION FOR ENROLLMENT (1) a list of the child's diagnosis or diagnoses including dietary, environmental, and activity considerations that are applicable; (2) contact information for the child's health care professional(s); (3) medications to be administered on a scheduled basis; and (4) medications to be administered on an emergency basis with symptoms, and instructions. For any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services, a medical action plan shall be attached to the application. The medical action plan shall be completed by the child's parent or a health care professional and may include the following: The medical action plan shall be updated on an annual basis and when changes to the plan are made by the child's parent or health care professional. Sample medical action plans may be found on the Division's website at http://ncchildcare.ncdhhs.gov/providers/pv_provideforms.asp; 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS (6) A parent may give a caregiver standing authorization for up to six months to administer prescription or over-the-counter medication to a child, when needed, for chronic medical conditions, such as asthma, and for allergic reactions. The authorization shall be in writing and shall contain: the child's name; the subject medical conditions or allergic reactions; the names of the authorized over-the-counter medications; the criteria for the administration of the medication; the amount and frequency of the dosages; the manner in which the medication shall be administered; the signature of the parent; the date the authorization was signed by the parent; and the length of time the authorization is valid, if less than six months. Small Parts and Plastic: We discussed marker caps, small parts and plastic accessible to children under three years of age. You can review the rules here: 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (q) Plastic bags, toys, toy parts small enough to be swallowed, and materials that can be torn apart, such as foam rubber and styrofoam, shall not be accessible to children under three years of age. However, styrofoam plates and larger pieces of foam rubber may be used for supervised art activities and styrofoam plates may be used for food service. Jump ropes and rubber bands shall not be accessible to children under five years of age without adult supervision. Balloons shall be prohibited for children of all ages. North Carolina Foundations for Early Learning and Development For each group of children in care, the activity plan shall include activities intended to stimulate the following developmental domains, in accordance with North Carolina Foundations for Early Learning and Development, available on the Division's website at https://ncchildcare.ncdhhs.gov/Foundations-for-Early-Learning-and-Development You can access the training calendar for NCFELD trainings here: https://www.childcareresourcesinc.org/training . You may be able to schedule training for your staff as well. Here is information to contract training: Contracted Training Let us bring our experts to you! Contracted training offers you the opportunity to meet the specific professional development needs of your staff, right at your own facility. For more information or to schedule contracted training, send us an email or click here! 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 .0803 · Violation

Name of Operation: MT MORIAH CHILD DEVELOPMENT CENTER, INC Facility ID: 60003197 Consultant: LISA EDDINS-SMITH Operation Type: Center Case Number: Visit Date: 6/10/2025 Number Present: 25 Completed Date: 6/10/2025 Age: From 0 To 5 Total Minutes: 225 Time In: 09:15 AM Time Out: 01:00 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 with a five-star license, issued November 9, 2018, earning 5 points in the education component, 7 points in the program standards component meeting enhanced space and enhanced ratios and 1 quality point with the Administrator having completed the 30-hour business training and wage/hour training. The facility’s 18-month compliance history before today’s visit was 97 %. The NC Secretary of State website was reviewed on June 9, 2025, and Mount Moriah Child Development Center, Inc. was listed as current- active. Upon arrival I was greeted by Kristy Spruill, Director. I stated the purpose for the visit and assisted me with the visit. All items required to be posted were observed and in compliance. The last annual compliance visit was conducted June 24, 2024. A sanitation inspection was completed March 19, 2025, with a “Superior” classification. The last fire inspection was conducted July 31, 2024, and your facility was approved for daytime care only. A shelter I place / lockdown drill was conducted on April 30, 2025. The last fire drill was conducted on June 4, 2025. Playground safety checks were monitored found I compliance Incident log was monitored and found in compliance. The EPR was updated May , 2025. The system would not allow Ms. Spruill to print the plan. The ready-to-go file was monitored and found current. A walk-through of the facility was completed today; all indoor and outdoor areas were monitored. I observed children in both the indoor and outdoor learning environments and found supervision and staff/child ratios to be in compliance. Children throughout the facility were participating in personal care routines, free play of indoor and outdoor activity areas, and transitions. The caregivers were observed supervising activities and assisting with personal care routines. Nurturing tones were heard throughout the facility. The outdoor play area was monitored and in compliance. Diaper Creams were monitored and found in compliance. Two (2) children are currently enrolled requiring Emergency Medications. Please see the violations section for details. Each room was monitored for storage of hazardous materials and general safety and violations were cited Please see the violation section for details. The Staff and Training Worksheets were received today. There have been four (4) new staff hired since the last annual compliance visit was conducted. The new staff files were monitored and found in compliance. The (1) percent of veteran staff files were monitored and found in compliance. The facility has a current ABCMS roster. The (10) percent of children’s files were monitored today and found in compliance. The following violations were cited: Violation Number Comment Rule 815 Electrical cords were accessible to infants and toddlers. In Space 3, a cord for a speaker was hanging down accessible to children. A phone and fan charger plugged into a surge protector was located on top of a refrigerator lower than five (5) feet accessible to children. 10A NCAC 09 .0604(f) 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 White out was stored in a organizer on a counter less that five (5) feet accessible to children. .2820(b) 847 Parent's medication authorization did not include required information. Two (2) children requiring emergency medications did not have a Medical Action Plan on file signed by a physician. 10A NCAC 09 .0803(4)(6-9) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. In Space 1 plastic baggies were located i an unlocked drawer lower than five (5) feet. In Space 2, small pom poms, match box cars with small wheels, and cups in open plastic on a counter were accessible to children. In Space 3, torn plastic contact paper was on a cabinet accessible to children and small pen with small caps were stored on the changing table accessible to children. .0604(q) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. One (1) child requiring emergency medication has a permission to administer form on file which exceeds the required six (6) months. Permission to administer expired 4/11/2025. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) 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 June 24, 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 that 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. 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. Technical Assistance: Reminders: Continue to review emails from the Division of Child Development and Early Education (DCDEE) and from your assigned child care consultant. 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. A newer version of sleep charts and the Summary of Law is available on our website. Emergency Medications: We discussed the following requirements for emergency medications. SECTION .0800 - HEALTH STANDARDS FOR CHILDREN 10A NCAC 09 .0801 APPLICATION FOR ENROLLMENT (1) a list of the child's diagnosis or diagnoses including dietary, environmental, and activity considerations that are applicable; (2) contact information for the child's health care professional(s); (3) medications to be administered on a scheduled basis; and (4) medications to be administered on an emergency basis with symptoms, and instructions. For any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services, a medical action plan shall be attached to the application. The medical action plan shall be completed by the child's parent or a health care professional and may include the following: The medical action plan shall be updated on an annual basis and when changes to the plan are made by the child's parent or health care professional. Sample medical action plans may be found on the Division's website at http://ncchildcare.ncdhhs.gov/providers/pv_provideforms.asp; 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS (6) A parent may give a caregiver standing authorization for up to six months to administer prescription or over-the-counter medication to a child, when needed, for chronic medical conditions, such as asthma, and for allergic reactions. The authorization shall be in writing and shall contain: the child's name; the subject medical conditions or allergic reactions; the names of the authorized over-the-counter medications; the criteria for the administration of the medication; the amount and frequency of the dosages; the manner in which the medication shall be administered; the signature of the parent; the date the authorization was signed by the parent; and the length of time the authorization is valid, if less than six months. Small Parts and Plastic: We discussed marker caps, small parts and plastic accessible to children under three years of age. You can review the rules here: 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (q) Plastic bags, toys, toy parts small enough to be swallowed, and materials that can be torn apart, such as foam rubber and styrofoam, shall not be accessible to children under three years of age. However, styrofoam plates and larger pieces of foam rubber may be used for supervised art activities and styrofoam plates may be used for food service. Jump ropes and rubber bands shall not be accessible to children under five years of age without adult supervision. Balloons shall be prohibited for children of all ages. North Carolina Foundations for Early Learning and Development For each group of children in care, the activity plan shall include activities intended to stimulate the following developmental domains, in accordance with North Carolina Foundations for Early Learning and Development, available on the Division's website at https://ncchildcare.ncdhhs.gov/Foundations-for-Early-Learning-and-Development You can access the training calendar for NCFELD trainings here: https://www.childcareresourcesinc.org/training . You may be able to schedule training for your staff as well. Here is information to contract training: Contracted Training Let us bring our experts to you! Contracted training offers you the opportunity to meet the specific professional development needs of your staff, right at your own facility. For more information or to schedule contracted training, send us an email or click here! 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: MT MORIAH CHILD DEVELOPMENT CENTER, INC Facility ID: 60003197 Consultant: LISA EDDINS-SMITH Operation Type: Center Case Number: Visit Date: 6/10/2025 Number Present: 25 Completed Date: 6/10/2025 Age: From 0 To 5 Total Minutes: 225 Time In: 09:15 AM Time Out: 01:00 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 with a five-star license, issued November 9, 2018, earning 5 points in the education component, 7 points in the program standards component meeting enhanced space and enhanced ratios and 1 quality point with the Administrator having completed the 30-hour business training and wage/hour training. The facility’s 18-month compliance history before today’s visit was 97 %. The NC Secretary of State website was reviewed on June 9, 2025, and Mount Moriah Child Development Center, Inc. was listed as current- active. Upon arrival I was greeted by Kristy Spruill, Director. I stated the purpose for the visit and assisted me with the visit. All items required to be posted were observed and in compliance. The last annual compliance visit was conducted June 24, 2024. A sanitation inspection was completed March 19, 2025, with a “Superior” classification. The last fire inspection was conducted July 31, 2024, and your facility was approved for daytime care only. A shelter I place / lockdown drill was conducted on April 30, 2025. The last fire drill was conducted on June 4, 2025. Playground safety checks were monitored found I compliance Incident log was monitored and found in compliance. The EPR was updated May , 2025. The system would not allow Ms. Spruill to print the plan. The ready-to-go file was monitored and found current. A walk-through of the facility was completed today; all indoor and outdoor areas were monitored. I observed children in both the indoor and outdoor learning environments and found supervision and staff/child ratios to be in compliance. Children throughout the facility were participating in personal care routines, free play of indoor and outdoor activity areas, and transitions. The caregivers were observed supervising activities and assisting with personal care routines. Nurturing tones were heard throughout the facility. The outdoor play area was monitored and in compliance. Diaper Creams were monitored and found in compliance. Two (2) children are currently enrolled requiring Emergency Medications. Please see the violations section for details. Each room was monitored for storage of hazardous materials and general safety and violations were cited Please see the violation section for details. The Staff and Training Worksheets were received today. There have been four (4) new staff hired since the last annual compliance visit was conducted. The new staff files were monitored and found in compliance. The (1) percent of veteran staff files were monitored and found in compliance. The facility has a current ABCMS roster. The (10) percent of children’s files were monitored today and found in compliance. The following violations were cited: Violation Number Comment Rule 815 Electrical cords were accessible to infants and toddlers. In Space 3, a cord for a speaker was hanging down accessible to children. A phone and fan charger plugged into a surge protector was located on top of a refrigerator lower than five (5) feet accessible to children. 10A NCAC 09 .0604(f) 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 White out was stored in a organizer on a counter less that five (5) feet accessible to children. .2820(b) 847 Parent's medication authorization did not include required information. Two (2) children requiring emergency medications did not have a Medical Action Plan on file signed by a physician. 10A NCAC 09 .0803(4)(6-9) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. In Space 1 plastic baggies were located i an unlocked drawer lower than five (5) feet. In Space 2, small pom poms, match box cars with small wheels, and cups in open plastic on a counter were accessible to children. In Space 3, torn plastic contact paper was on a cabinet accessible to children and small pen with small caps were stored on the changing table accessible to children. .0604(q) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. One (1) child requiring emergency medication has a permission to administer form on file which exceeds the required six (6) months. Permission to administer expired 4/11/2025. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) 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 June 24, 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 that 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. 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. Technical Assistance: Reminders: Continue to review emails from the Division of Child Development and Early Education (DCDEE) and from your assigned child care consultant. 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. A newer version of sleep charts and the Summary of Law is available on our website. Emergency Medications: We discussed the following requirements for emergency medications. SECTION .0800 - HEALTH STANDARDS FOR CHILDREN 10A NCAC 09 .0801 APPLICATION FOR ENROLLMENT (1) a list of the child's diagnosis or diagnoses including dietary, environmental, and activity considerations that are applicable; (2) contact information for the child's health care professional(s); (3) medications to be administered on a scheduled basis; and (4) medications to be administered on an emergency basis with symptoms, and instructions. For any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services, a medical action plan shall be attached to the application. The medical action plan shall be completed by the child's parent or a health care professional and may include the following: The medical action plan shall be updated on an annual basis and when changes to the plan are made by the child's parent or health care professional. Sample medical action plans may be found on the Division's website at http://ncchildcare.ncdhhs.gov/providers/pv_provideforms.asp; 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS (6) A parent may give a caregiver standing authorization for up to six months to administer prescription or over-the-counter medication to a child, when needed, for chronic medical conditions, such as asthma, and for allergic reactions. The authorization shall be in writing and shall contain: the child's name; the subject medical conditions or allergic reactions; the names of the authorized over-the-counter medications; the criteria for the administration of the medication; the amount and frequency of the dosages; the manner in which the medication shall be administered; the signature of the parent; the date the authorization was signed by the parent; and the length of time the authorization is valid, if less than six months. Small Parts and Plastic: We discussed marker caps, small parts and plastic accessible to children under three years of age. You can review the rules here: 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (q) Plastic bags, toys, toy parts small enough to be swallowed, and materials that can be torn apart, such as foam rubber and styrofoam, shall not be accessible to children under three years of age. However, styrofoam plates and larger pieces of foam rubber may be used for supervised art activities and styrofoam plates may be used for food service. Jump ropes and rubber bands shall not be accessible to children under five years of age without adult supervision. Balloons shall be prohibited for children of all ages. North Carolina Foundations for Early Learning and Development For each group of children in care, the activity plan shall include activities intended to stimulate the following developmental domains, in accordance with North Carolina Foundations for Early Learning and Development, available on the Division's website at https://ncchildcare.ncdhhs.gov/Foundations-for-Early-Learning-and-Development You can access the training calendar for NCFELD trainings here: https://www.childcareresourcesinc.org/training . You may be able to schedule training for your staff as well. Here is information to contract training: Contracted Training Let us bring our experts to you! Contracted training offers you the opportunity to meet the specific professional development needs of your staff, right at your own facility. For more information or to schedule contracted training, send us an email or click here! 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 .0806 · Violation

Name of Operation: MT MORIAH CHILD DEVELOPMENT CENTER, INC Facility ID: 60003197 Consultant: KAYE DUNLAP Operation Type: Center Case Number: 1024-239L Visit Date: 10/23/2024 Number Present: 18 Completed Date: 10/23/2024 Age: From 0 To 5 Total Minutes: 130 Time In: 12:45 PM Time Out: 02:55 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today’s visit was to investigate allegations regarding child care requirements. Allegations: There is a concern that: Children are not adequately supervised. Incident reports are not prepared as required. Inappropriate discipline is used. Soiled diapers are not changed as required. A former employee is being identified as a current teacher in the center’s records. Director K. Spruill assisted me with today’s visit. Each allegation was discussed with four additional staff members. One violation regarding diapers not changed as needed was cited. Due to computer and internet issues, a written summary was provided. A computer-generated visit summary will be completed with additional information regarding the visit and findings included. The information below was added to the visit summary. Allegation #1 regarding adequate supervision. Discussions were held with the Director and staff members individually. All reported they were not aware of or had observed supervision issues. A walk through of the facility was conducted. Children were observed participating in rest time, transitions, personal care routines, snack and free choice of indoor activities. The facility was found in compliance with supervision, staff/child ratio, group size and approved space. Allegation #2 regarding incident reports are not prepared as required. Discussions were held with staff regarding when incident reports are completed. Staff reported incident reports are completed when injuries occur as well as bug bites from outside. Incident Reports and the Incident Log was reviewed during the visit. Allegation #3 regarding inappropriate discipline is used. Staff reported not being aware of or observing inappropriate discipline throughout the facility. During the visit, staff were observed interacting with the children in a nurturing and caring manner. Allegation #4 regarding soiled diapers are not changed as required. The Director reported that a parent which was also a staff member informed a teacher in the one-year-old classroom that her child’s diaper was soiled and needed to be changed. This occurred prior to rest time. The Teacher did not change the child’s diaper and reported to the Director that she didn’t change the diaper because the child was asleep. A staff member reported changing the child’s diaper upon return from lunch break towards the end of rest time. The staff member was terminated. Allegation #5 regarding a former employee is being identified as a current teacher in the center’s records. The Director wasn’t sure what the allegation was referring to. Additional information received indicated a specific teacher’s name as being a Lead Teacher and the person is no longer employed at the facility. The facility is currently going through the rated license assessment. I previously conducted a rated license visit on September 17, 2024 to begin the process. The staff education was discussed and reviewed with the Director during that visit. The former staff member is not listed on the education worksheets as part of the education component for the rated license. Based on discussions with the Director and staff, observations and review of the incident report and incident log, the allegations regarding supervision, incident reports, inappropriate discipline and former employee is being identified as a current teacher in the center’s records are deemed unsubstantiated. Based on discussions with the Director and a staff member, the allegation regarding soiled diapers are not changed as required, is deemed substantiated. The following violation was cited and considered corrected based on the Director’s response. Violation Number Comment Rule 401 Diapers were not changed whenever they were soiled or wet and/or were changed on a shift basis. A Teacher was made aware a child's diaper was soiled however, did not change the child's diaper. 10A NCAC 09 .0806(a) The following technical assistance was provided: Diapers must be changed when they are soiled or wet. Staff reported that they change/check diapers every hour and a half or as needed. I reviewed the diaper chart in the classroom occupied by children one year of age. The chart reflected diapers were changed at least every hour to an hour and a half. 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. 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: MT MORIAH CHILD DEVELOPMENT CENTER, INC Facility ID: 60003197 Consultant: KAYE DUNLAP Operation Type: Center Case Number: 1024-239L Visit Date: 10/23/2024 Number Present: 18 Completed Date: 10/23/2024 Age: From 0 To 5 Total Minutes: 130 Time In: 12:45 PM Time Out: 02:55 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today’s visit was to investigate allegations regarding child care requirements. Allegations: There is a concern that: Children are not adequately supervised. Incident reports are not prepared as required. Inappropriate discipline is used. Soiled diapers are not changed as required. A former employee is being identified as a current teacher in the center’s records. Director K. Spruill assisted me with today’s visit. Each allegation was discussed with four additional staff members. One violation regarding diapers not changed as needed was cited. Due to computer and internet issues, a written summary was provided. A computer-generated visit summary will be completed with additional information regarding the visit and findings included. The information below was added to the visit summary. Allegation #1 regarding adequate supervision. Discussions were held with the Director and staff members individually. All reported they were not aware of or had observed supervision issues. A walk through of the facility was conducted. Children were observed participating in rest time, transitions, personal care routines, snack and free choice of indoor activities. The facility was found in compliance with supervision, staff/child ratio, group size and approved space. Allegation #2 regarding incident reports are not prepared as required. Discussions were held with staff regarding when incident reports are completed. Staff reported incident reports are completed when injuries occur as well as bug bites from outside. Incident Reports and the Incident Log was reviewed during the visit. Allegation #3 regarding inappropriate discipline is used. Staff reported not being aware of or observing inappropriate discipline throughout the facility. During the visit, staff were observed interacting with the children in a nurturing and caring manner. Allegation #4 regarding soiled diapers are not changed as required. The Director reported that a parent which was also a staff member informed a teacher in the one-year-old classroom that her child’s diaper was soiled and needed to be changed. This occurred prior to rest time. The Teacher did not change the child’s diaper and reported to the Director that she didn’t change the diaper because the child was asleep. A staff member reported changing the child’s diaper upon return from lunch break towards the end of rest time. The staff member was terminated. Allegation #5 regarding a former employee is being identified as a current teacher in the center’s records. The Director wasn’t sure what the allegation was referring to. Additional information received indicated a specific teacher’s name as being a Lead Teacher and the person is no longer employed at the facility. The facility is currently going through the rated license assessment. I previously conducted a rated license visit on September 17, 2024 to begin the process. The staff education was discussed and reviewed with the Director during that visit. The former staff member is not listed on the education worksheets as part of the education component for the rated license. Based on discussions with the Director and staff, observations and review of the incident report and incident log, the allegations regarding supervision, incident reports, inappropriate discipline and former employee is being identified as a current teacher in the center’s records are deemed unsubstantiated. Based on discussions with the Director and a staff member, the allegation regarding soiled diapers are not changed as required, is deemed substantiated. The following violation was cited and considered corrected based on the Director’s response. Violation Number Comment Rule 401 Diapers were not changed whenever they were soiled or wet and/or were changed on a shift basis. A Teacher was made aware a child's diaper was soiled however, did not change the child's diaper. 10A NCAC 09 .0806(a) The following technical assistance was provided: Diapers must be changed when they are soiled or wet. Staff reported that they change/check diapers every hour and a half or as needed. I reviewed the diaper chart in the classroom occupied by children one year of age. The chart reflected diapers were changed at least every hour to an hour and a half. 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. 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 .1102 · Violation

Name of Operation: MT MORIAH CHILD DEVELOPMENT CENTER, INC Facility ID: 60003197 Consultant: KAYE DUNLAP Operation Type: Center Case Number: Visit Date: 6/24/2024 Number Present: 30 Completed Date: 6/24/2024 Age: From 0 To 5 Total Minutes: 180 Time In: 09:35 AM Time Out: 12:35 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. K. Spruill, the Director, assisted me with the visit. The facility currently operates with a five-star license, issued November 9, 2018, earning 5 points in the education component, 7 points in the program standards component meeting enhanced space and enhanced ratios and 1 quality point with the Administrator having completed the 30-hour business training and wage/hour training. The facility’s 18-month compliance history before today’s visit was ninety-eight percent. The NC Secretary of State website was reviewed on June 19, 2024, and Mount Moriah Child Development Center, Inc. was listed as current- active. The last annual compliance visit was conducted June 28, 2023. A sanitation inspection was completed March 14, 2024, with a “Superior” classification. The last fire inspection was conducted July 7, 2023, and your facility was approved for daytime care only. A lockdown drill was conducted on April 10, 2024. The last fire drill was conducted on June 13, 2024. Playground safety checks were also monitored and occurring monthly as required. A walk-through of the facility was completed today, all indoor and outdoor areas were monitored. I observed children in both the indoor and outdoor learning environments and found supervision and staff/child ratios to be in compliance. Children throughout the facility were participating in personal care routines, free play of indoor and outdoor activity areas, and transitions. The caregivers were observed supervising activities and assisting with personal care routines. Ten percent of children’s records were monitored. The Staff and Training Worksheets were received today. There has been one new staff hired since a routine unannounced visit was conducted on December 14, 2023. The new staff member’s file was monitored also monitored as well as ten percent of existing staff files. The following violation was documented. Violation Number Comment Rule 1065 Child care providers scheduled to work in the infant room, did not complete ITS-SIDS training within two months of employment or did not complete the training every three years. Child care administrators did not complete the ITS-SIDS training within 90 days of employment and every three years thereafter. One staff member working in the infant room ITS-SIDS training expired June 13, 2024. .1102(f) 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 July 8, 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: -I reminded the Director that teachers working in the infant room must renew ITS-SIDS training prior to the expiration date of their current certificate. 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (f) In centers that are licensed to care for infants, the child care administrator and any child care provider scheduled to work in the infant room shall complete ITS-SIDS training. ITS-SIDS training shall be completed within two months of an individual assuming responsibilities in the infant room and every three years thereafter. Child care administrators, as defined in G.S. 110-86(2a), shall complete ITS-SIDS training within 90 days of employment and every three years thereafter. Completion of ITS-SIDS training shall be included once every three years in the number of hours needed to meet on-going training requirements in this Section. At all times, one child care provider who has completed ITS-SIDS training shall be present in the infant room while children are in care. A certificate of each staff member's completion of this course shall be maintained in the staff member's file in the center. 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. 110-86 · Violation

Name of Operation: MT MORIAH CHILD DEVELOPMENT CENTER, INC Facility ID: 60003197 Consultant: KAYE DUNLAP Operation Type: Center Case Number: Visit Date: 6/24/2024 Number Present: 30 Completed Date: 6/24/2024 Age: From 0 To 5 Total Minutes: 180 Time In: 09:35 AM Time Out: 12:35 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. K. Spruill, the Director, assisted me with the visit. The facility currently operates with a five-star license, issued November 9, 2018, earning 5 points in the education component, 7 points in the program standards component meeting enhanced space and enhanced ratios and 1 quality point with the Administrator having completed the 30-hour business training and wage/hour training. The facility’s 18-month compliance history before today’s visit was ninety-eight percent. The NC Secretary of State website was reviewed on June 19, 2024, and Mount Moriah Child Development Center, Inc. was listed as current- active. The last annual compliance visit was conducted June 28, 2023. A sanitation inspection was completed March 14, 2024, with a “Superior” classification. The last fire inspection was conducted July 7, 2023, and your facility was approved for daytime care only. A lockdown drill was conducted on April 10, 2024. The last fire drill was conducted on June 13, 2024. Playground safety checks were also monitored and occurring monthly as required. A walk-through of the facility was completed today, all indoor and outdoor areas were monitored. I observed children in both the indoor and outdoor learning environments and found supervision and staff/child ratios to be in compliance. Children throughout the facility were participating in personal care routines, free play of indoor and outdoor activity areas, and transitions. The caregivers were observed supervising activities and assisting with personal care routines. Ten percent of children’s records were monitored. The Staff and Training Worksheets were received today. There has been one new staff hired since a routine unannounced visit was conducted on December 14, 2023. The new staff member’s file was monitored also monitored as well as ten percent of existing staff files. The following violation was documented. Violation Number Comment Rule 1065 Child care providers scheduled to work in the infant room, did not complete ITS-SIDS training within two months of employment or did not complete the training every three years. Child care administrators did not complete the ITS-SIDS training within 90 days of employment and every three years thereafter. One staff member working in the infant room ITS-SIDS training expired June 13, 2024. .1102(f) 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 July 8, 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: -I reminded the Director that teachers working in the infant room must renew ITS-SIDS training prior to the expiration date of their current certificate. 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (f) In centers that are licensed to care for infants, the child care administrator and any child care provider scheduled to work in the infant room shall complete ITS-SIDS training. ITS-SIDS training shall be completed within two months of an individual assuming responsibilities in the infant room and every three years thereafter. Child care administrators, as defined in G.S. 110-86(2a), shall complete ITS-SIDS training within 90 days of employment and every three years thereafter. Completion of ITS-SIDS training shall be included once every three years in the number of hours needed to meet on-going training requirements in this Section. At all times, one child care provider who has completed ITS-SIDS training shall be present in the infant room while children are in care. A certificate of each staff member's completion of this course shall be maintained in the staff member's file in the center. 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: MT MORIAH CHILD DEVELOPMENT CENTER, INC Facility ID: 60003197 Consultant: KAYE DUNLAP Operation Type: Center Case Number: Visit Date: 6/24/2024 Number Present: 30 Completed Date: 6/24/2024 Age: From 0 To 5 Total Minutes: 180 Time In: 09:35 AM Time Out: 12:35 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. K. Spruill, the Director, assisted me with the visit. The facility currently operates with a five-star license, issued November 9, 2018, earning 5 points in the education component, 7 points in the program standards component meeting enhanced space and enhanced ratios and 1 quality point with the Administrator having completed the 30-hour business training and wage/hour training. The facility’s 18-month compliance history before today’s visit was ninety-eight percent. The NC Secretary of State website was reviewed on June 19, 2024, and Mount Moriah Child Development Center, Inc. was listed as current- active. The last annual compliance visit was conducted June 28, 2023. A sanitation inspection was completed March 14, 2024, with a “Superior” classification. The last fire inspection was conducted July 7, 2023, and your facility was approved for daytime care only. A lockdown drill was conducted on April 10, 2024. The last fire drill was conducted on June 13, 2024. Playground safety checks were also monitored and occurring monthly as required. A walk-through of the facility was completed today, all indoor and outdoor areas were monitored. I observed children in both the indoor and outdoor learning environments and found supervision and staff/child ratios to be in compliance. Children throughout the facility were participating in personal care routines, free play of indoor and outdoor activity areas, and transitions. The caregivers were observed supervising activities and assisting with personal care routines. Ten percent of children’s records were monitored. The Staff and Training Worksheets were received today. There has been one new staff hired since a routine unannounced visit was conducted on December 14, 2023. The new staff member’s file was monitored also monitored as well as ten percent of existing staff files. The following violation was documented. Violation Number Comment Rule 1065 Child care providers scheduled to work in the infant room, did not complete ITS-SIDS training within two months of employment or did not complete the training every three years. Child care administrators did not complete the ITS-SIDS training within 90 days of employment and every three years thereafter. One staff member working in the infant room ITS-SIDS training expired June 13, 2024. .1102(f) 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 July 8, 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: -I reminded the Director that teachers working in the infant room must renew ITS-SIDS training prior to the expiration date of their current certificate. 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (f) In centers that are licensed to care for infants, the child care administrator and any child care provider scheduled to work in the infant room shall complete ITS-SIDS training. ITS-SIDS training shall be completed within two months of an individual assuming responsibilities in the infant room and every three years thereafter. Child care administrators, as defined in G.S. 110-86(2a), shall complete ITS-SIDS training within 90 days of employment and every three years thereafter. Completion of ITS-SIDS training shall be included once every three years in the number of hours needed to meet on-going training requirements in this Section. At all times, one child care provider who has completed ITS-SIDS training shall be present in the infant room while children are in care. A certificate of each staff member's completion of this course shall be maintained in the staff member's file in the center. 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: MT MORIAH CHILD DEVELOPMENT CENTER, INC Facility ID: 60003197 Consultant: KAYE DUNLAP Operation Type: Center Case Number: Visit Date: 12/14/2023 Number Present: 19 Completed Date: 12/14/2023 Age: From 0 To 5 Total Minutes: 160 Time In: 09:55 AM Time Out: 12:35 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. K. Spruill, Director assisted me with today’s visit. Your program currently operates with a five-star license, issued November 9, 2018 earning five points in the education component, 7 points in the program standards component (meeting enhanced space and enhanced reduced ratios) and 1 quality point for the administrator completed the 30 hours business training and wage/hour training course. Your program uses Creative Curriculum as the approved curriculum which is required for all four and five star licensed facilities where four-year-old children are enrolled. The center's compliance history score before today’s visit was ninety-eight percent. The NC Secretary of State website was reviewed on December 14, 2023 and Mount Mariah Child Development Center, Inc. was listed as current- active. The license was posted, and the restrictions were in compliance. A walk-through of the facility was completed today, all indoor areas were monitored. I observed children in both the indoor learning environments and found supervision and staff/child ratios to be in compliance. Children throughout the facility were participating in group time, free play in activity areas, transitions and personal care routines. Infants were engaged in tummy time, and diapering routines. The caregivers were interacting and meeting the developmental needs for each of the children. Files for new staff were reviewed. The Staff and Training Worksheets were used to confirm staff are current with First Aid, CPR, ITS-SIDS, and criminal background checks. Two violations were observed today. Violation Number Comment Rule 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 did not have a medical report on file. 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. One new staff member did not have a TB test or screening on file. .0701(a) Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violations documented may impact the compliance history score. The violations documented must be corrected immediately. On or before December 28, 2023, 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 3109 Wyntree Court Matthews, NC 28104 Kaye.Dunlap@dhhs.nc.gov The following technical assistance was provided: -All new staff are required to have a medical report and negative TB test prior to employment. The medical report and TB test shall not be older than twelve months. -Annual licensing fees are due December 31, 2023. Invoices will be emailed by December 1, 2023. Payments must be submitted online only through DCDEE’s website using a Mastercard or Visa debit or credit card or by e-check. Providers will need their facility ID number and their 2023 invoice number to complete the process. The hold harmless legislation was extended and signed into law on Monday June 12th, 2023. This legislation allows facilities to remain at their current star level without a reassessment until June 30, 2024, and when reassessed it reduces the education evaluation requirements for lead teachers from 75% to 50% until June of 2026. To prepare for the reassessment process, DCDEE has developed a cohort system. There are three cohorts, and each includes a preparation year and a reassessment year. The facility is in cohort #1 which means their preparation year began July 1, 2023, to June 30, 2024, with a reassessment year of July 1, 2024 to June 30, 2025. 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: MT MORIAH CHILD DEVELOPMENT CENTER, INC Facility ID: 60003197 Consultant: KAYE DUNLAP Operation Type: Center Case Number: Visit Date: 12/14/2023 Number Present: 19 Completed Date: 12/14/2023 Age: From 0 To 5 Total Minutes: 160 Time In: 09:55 AM Time Out: 12:35 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. K. Spruill, Director assisted me with today’s visit. Your program currently operates with a five-star license, issued November 9, 2018 earning five points in the education component, 7 points in the program standards component (meeting enhanced space and enhanced reduced ratios) and 1 quality point for the administrator completed the 30 hours business training and wage/hour training course. Your program uses Creative Curriculum as the approved curriculum which is required for all four and five star licensed facilities where four-year-old children are enrolled. The center's compliance history score before today’s visit was ninety-eight percent. The NC Secretary of State website was reviewed on December 14, 2023 and Mount Mariah Child Development Center, Inc. was listed as current- active. The license was posted, and the restrictions were in compliance. A walk-through of the facility was completed today, all indoor areas were monitored. I observed children in both the indoor learning environments and found supervision and staff/child ratios to be in compliance. Children throughout the facility were participating in group time, free play in activity areas, transitions and personal care routines. Infants were engaged in tummy time, and diapering routines. The caregivers were interacting and meeting the developmental needs for each of the children. Files for new staff were reviewed. The Staff and Training Worksheets were used to confirm staff are current with First Aid, CPR, ITS-SIDS, and criminal background checks. Two violations were observed today. Violation Number Comment Rule 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 did not have a medical report on file. 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. One new staff member did not have a TB test or screening on file. .0701(a) Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violations documented may impact the compliance history score. The violations documented must be corrected immediately. On or before December 28, 2023, 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 3109 Wyntree Court Matthews, NC 28104 Kaye.Dunlap@dhhs.nc.gov The following technical assistance was provided: -All new staff are required to have a medical report and negative TB test prior to employment. The medical report and TB test shall not be older than twelve months. -Annual licensing fees are due December 31, 2023. Invoices will be emailed by December 1, 2023. Payments must be submitted online only through DCDEE’s website using a Mastercard or Visa debit or credit card or by e-check. Providers will need their facility ID number and their 2023 invoice number to complete the process. The hold harmless legislation was extended and signed into law on Monday June 12th, 2023. This legislation allows facilities to remain at their current star level without a reassessment until June 30, 2024, and when reassessed it reduces the education evaluation requirements for lead teachers from 75% to 50% until June of 2026. To prepare for the reassessment process, DCDEE has developed a cohort system. There are three cohorts, and each includes a preparation year and a reassessment year. The facility is in cohort #1 which means their preparation year began July 1, 2023, to June 30, 2024, with a reassessment year of July 1, 2024 to June 30, 2025. 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