Enrich B-4

10A NCAC 09 .0803 · Violation

Name of Operation: ENRICH B-4 Facility ID: 25000131 Consultant: BRITTANY JONES Operation Type: Center Case Number: Visit Date: 2/5/2026 Number Present: 32 Completed Date: 2/5/2026 Age: From 0 To 3 Total Minutes: 335 Time In: 09:55 AM Time Out: 03:10 PM Time In: 03:40 PM Time Out: 04:00 PM 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. T. Krneta, Administrator, assisted me with the visit. Your program currently operates with a five-star license, issued 8/1/24, earning 6 points in the education component, 6 points in the program standards component and 1 quality point for having enhanced policies approved and staff benefits package. The last annual compliance visit was conducted 3/12/25. The sanitation inspection was completed 11/12/25 with a “Superior” classification. The last fire inspection was conducted on 9/9/25 and your facility was approved for daytime care only. The center's compliance history was reviewed with the operator. The program’s compliance history was eighty percent as of 1/27/26. The NC Secretary of State website was reviewed on 1/27/26 and Cornerstone Assembly of God, Inc. was listed as current- active. We reviewed your facility contact information listed on the Division of Child Development and Early Education (DCDEE) website and all information is current. Contact me if you need to make any changes to your contact information, e.g., phone numbers, mailing address. You visited each indoor and outdoor space with me. Children throughout the facility were participating in group time, free play in activity areas, and personal care routines. Infants were napping, being fed, and playing on the carpet. Children in space #3 were engaged in game of I Spy and were finding picture cards that were spread across the room. In space #4, children were creating friendship crafts. The outdoor space was observed to have a stationary climber, riding toys, balls, and hula hoops for the children to engage in gross motor activities. Lunch was observed and consisted of turkey and cheese wraps, garden salad with creamy Italian dressing, fresh apple slices, and milk. The following violations were documented. Violation Number Comment Rule 541 The written feeding plan did not include the child's name, parent signature, and/or was not dated when received by the center. One (1) out of the four (4) children's feeding plans on file was not signed by a parent. .0902(a) 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. In space #2, a container of Nystatin cream was stored in a container on a shelf with other over-the-counter prescription creams. 15A NCAC 18A .2820(d) 843 A drug or medicine was administered after its expiration date. In space #2, a bottle of CVS Health Children’s 70 Clear Spray was on file that expired 01/2024. In space #3, a container of A+D Prevent Original Ointment was on file that expired 11/2025. 10A NCAC 09 .0803(1)(d) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. In space #3, written permission for A+D Prevent Original Ointment expired on 12/4/2025. In space #2, a container of Nystatin Cream was on file for a child that was no longer enrolled. .0803(12) 887 Caregivers did not document compliance with visually checking on sleeping infants aged 12 months or younger and/or the documents were not maintained for a minimum of one month. Upon checking the safe sleep charts for the children in attendance at 10:55AM, I found that it was documented that an infant fell asleep at 10:22, but checks were not documented after the initial time. .0606(g) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before 2/19/26, I must receive a written, dated, and signed compliance letter that describes accurately and in detail how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Brittany Jones, Child Care Consultant PO Box 3272 New Bern, NC 28564 Brittany.j.jones@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Technical Assistance with Documented Violations: Medication: Administering medication requires skill, knowledge, and careful attention to detail. Parents/guardians must give written authorization to administer medication to the child. In space #3, written permission for A+D Prevent Original Ointment expired on 12/4/2025. In space #2, a container of Nystatin Cream was on file for a child that was no longer enrolled. Prescription medication must be kept in locked storage. In space #2, a container of Nystatin cream was stored in a container on a shelf with other over-the-counter prescription creams. Medication should not be used beyond the date of expiration. In space #2, a bottle of CVS Health Children’s 70 Clear Spray was on file that expired 01/2024. In space #3, a container of A+D Prevent Original Ointment was on file that expired 11/2025. During the visit you threw away the expired medication. You stated that you had recently reminded staff members to check their medication forms, but you had not had a chance to check behind them. You also stated that you are the person that accepts medication and have created an updated medication form to be used for all the medication in the facility. We discussed that it would be helpful to write the expiration date of the permission forms and the medications as a visual reminder on the outside of the containers that hold medication. Add expiration dates of medication written permission forms and medication to a digital calendar that sends reminders in advance of the forms and medication expiring. Infant Needs: Maintaining accurate documentation at the child care center is important in determining compliance with the child care rules and to ensure the health and safety of each child. Infant sleep charts allow teachers to document visually checking sleeping infants every 15 minutes. They note the infant’s sleep position, skin color, breathing, level of sleep, and body temperature. This needs to be documented every time a child is sleeping in your care. Upon checking the safe sleep charts for the children in attendance at 10:55AM, I found that it was documented that an infant fell asleep at 10:22, but checks were not documented after the initial time. The staff member was feeding a child in the rocking chair, and we discussed that it would be helpful to hang the clipboard beside the rocking chair so it can be easily accessed when feeding infants. Make daily observations to ensure that visual checks are documented every 15 minutes when children are sleeping. Growth and development during infancy require that nourishing, wholesome, and developmentally appropriate food be provided, using safe approaches to feeding. All children under 15 months of age must have a signed feeding schedule/plan on file. One (1) out of the four (4) children feeding plans on file was not signed by a parent. We discussed that when children enroll, it is important for the staff member to have a conversation with parents about the feeding schedule and review the plan together and to both sign the plan. You stated that you will be reviewing the required documentation with staff members and have a checklist that can be used. Check classrooms monthly to ensure that all required documentation is current and complete. Additional Comments: Approved Space: Space #7 is currently not being used and is being renovated. We discussed that once the space is completed, a building, fire, and a sanitation inspection must be completed and sent to me. Once I receive these documents, I can make a visit to the center to measure and approve the space. This space can not be used until it is approved for child care use. Clean Classrooms For Carolina Kids: We discussed that you need to log back in to the https://www.cleanwaterforuskids.org/en/carolina/ and complete the survey for Lead-Based Paint and Asbestos. QRIS (Quality Rating Improvement System) Technical Assistance: All information on the QRIS rated license assessments and documents will be posted at https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRISModernization and will also be provided through emails and Raise NC newsletters. During the visit we completed the QRIS Conversation Template with a focus on the selected pathway. Your QRIS assessment is due by 12/31/2026.. We reviewed all forms for pathway #1 and pathway #2 and accessed them at https://ncchildcare.ncdhhs.gov. North Carolina General Statute 14-208 requires sex offenders to register with the North Carolina Department of Justice. The law states that a sex offender shall not knowingly reside within 1,000 feet of the property on which any public or nonpublic school or child care center is located. This does not apply to child care centers that are located on or within 1,000 feet of property of an institution of higher education where the registrant is a student or is employed. All licensed child care centers must register to receive e-mail notification when a registered sex offender moves within a one-mile radius of the center. (§14-208.19) To register for the e-mail notification, go to http://sexoffender.ncsbi.gov. If you have any questions, please contact your local sheriff's department. NCID: Did you know that if you do not login on any DCDEE platforms (e.g., Moodle, WORKS, CBC) for a period of 12 months, your account will be archived? An archived account cannot be reinstated. You will need to create a new one and then email all platforms (e.g., Moodle, WORKS, CBC) to merge accounts. Pro Tip: Set your calendar to remind you every 6 months to login and out at https://myncid.nc.gov to keep your account activated and it will NOT be archived. Outdoor Learning Environments Work Plan: Bring nature to children by naturalizing childcare centers and family child care homes, schools, residential neighborhoods, parks and greenways, community centers, cultural facilities, botanical gardens, museums and other nonformal education institutions. Today, we discussed adding a science center with a thermometer and rain gauge. Craven Smart Start is also able to provide you with resources and information, training opportunities, and technical assistance on childcare issues. Their phone number is (252) 636- 3198 or check out their website at www.cravensmartstart.org. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me at Brittany Jones, Child Care Consultant, (252) 947-1036, Brittany.j.jones@dhhs.nc.gov or Jennifer Linhardt, Licensing Supervisor, (252) 373-4199, Jennifer.Linhardt@dhhs.nc.gov if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

NC GS 110-90 · Violation

Name of Operation: ENRICH B-4 Facility ID: 25000131 Consultant: BRITTANY JONES Operation Type: Center Case Number: Visit Date: 2/5/2026 Number Present: 32 Completed Date: 2/5/2026 Age: From 0 To 3 Total Minutes: 335 Time In: 09:55 AM Time Out: 03:10 PM Time In: 03:40 PM Time Out: 04:00 PM 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. T. Krneta, Administrator, assisted me with the visit. Your program currently operates with a five-star license, issued 8/1/24, earning 6 points in the education component, 6 points in the program standards component and 1 quality point for having enhanced policies approved and staff benefits package. The last annual compliance visit was conducted 3/12/25. The sanitation inspection was completed 11/12/25 with a “Superior” classification. The last fire inspection was conducted on 9/9/25 and your facility was approved for daytime care only. The center's compliance history was reviewed with the operator. The program’s compliance history was eighty percent as of 1/27/26. The NC Secretary of State website was reviewed on 1/27/26 and Cornerstone Assembly of God, Inc. was listed as current- active. We reviewed your facility contact information listed on the Division of Child Development and Early Education (DCDEE) website and all information is current. Contact me if you need to make any changes to your contact information, e.g., phone numbers, mailing address. You visited each indoor and outdoor space with me. Children throughout the facility were participating in group time, free play in activity areas, and personal care routines. Infants were napping, being fed, and playing on the carpet. Children in space #3 were engaged in game of I Spy and were finding picture cards that were spread across the room. In space #4, children were creating friendship crafts. The outdoor space was observed to have a stationary climber, riding toys, balls, and hula hoops for the children to engage in gross motor activities. Lunch was observed and consisted of turkey and cheese wraps, garden salad with creamy Italian dressing, fresh apple slices, and milk. The following violations were documented. Violation Number Comment Rule 541 The written feeding plan did not include the child's name, parent signature, and/or was not dated when received by the center. One (1) out of the four (4) children's feeding plans on file was not signed by a parent. .0902(a) 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. In space #2, a container of Nystatin cream was stored in a container on a shelf with other over-the-counter prescription creams. 15A NCAC 18A .2820(d) 843 A drug or medicine was administered after its expiration date. In space #2, a bottle of CVS Health Children’s 70 Clear Spray was on file that expired 01/2024. In space #3, a container of A+D Prevent Original Ointment was on file that expired 11/2025. 10A NCAC 09 .0803(1)(d) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. In space #3, written permission for A+D Prevent Original Ointment expired on 12/4/2025. In space #2, a container of Nystatin Cream was on file for a child that was no longer enrolled. .0803(12) 887 Caregivers did not document compliance with visually checking on sleeping infants aged 12 months or younger and/or the documents were not maintained for a minimum of one month. Upon checking the safe sleep charts for the children in attendance at 10:55AM, I found that it was documented that an infant fell asleep at 10:22, but checks were not documented after the initial time. .0606(g) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before 2/19/26, I must receive a written, dated, and signed compliance letter that describes accurately and in detail how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Brittany Jones, Child Care Consultant PO Box 3272 New Bern, NC 28564 Brittany.j.jones@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Technical Assistance with Documented Violations: Medication: Administering medication requires skill, knowledge, and careful attention to detail. Parents/guardians must give written authorization to administer medication to the child. In space #3, written permission for A+D Prevent Original Ointment expired on 12/4/2025. In space #2, a container of Nystatin Cream was on file for a child that was no longer enrolled. Prescription medication must be kept in locked storage. In space #2, a container of Nystatin cream was stored in a container on a shelf with other over-the-counter prescription creams. Medication should not be used beyond the date of expiration. In space #2, a bottle of CVS Health Children’s 70 Clear Spray was on file that expired 01/2024. In space #3, a container of A+D Prevent Original Ointment was on file that expired 11/2025. During the visit you threw away the expired medication. You stated that you had recently reminded staff members to check their medication forms, but you had not had a chance to check behind them. You also stated that you are the person that accepts medication and have created an updated medication form to be used for all the medication in the facility. We discussed that it would be helpful to write the expiration date of the permission forms and the medications as a visual reminder on the outside of the containers that hold medication. Add expiration dates of medication written permission forms and medication to a digital calendar that sends reminders in advance of the forms and medication expiring. Infant Needs: Maintaining accurate documentation at the child care center is important in determining compliance with the child care rules and to ensure the health and safety of each child. Infant sleep charts allow teachers to document visually checking sleeping infants every 15 minutes. They note the infant’s sleep position, skin color, breathing, level of sleep, and body temperature. This needs to be documented every time a child is sleeping in your care. Upon checking the safe sleep charts for the children in attendance at 10:55AM, I found that it was documented that an infant fell asleep at 10:22, but checks were not documented after the initial time. The staff member was feeding a child in the rocking chair, and we discussed that it would be helpful to hang the clipboard beside the rocking chair so it can be easily accessed when feeding infants. Make daily observations to ensure that visual checks are documented every 15 minutes when children are sleeping. Growth and development during infancy require that nourishing, wholesome, and developmentally appropriate food be provided, using safe approaches to feeding. All children under 15 months of age must have a signed feeding schedule/plan on file. One (1) out of the four (4) children feeding plans on file was not signed by a parent. We discussed that when children enroll, it is important for the staff member to have a conversation with parents about the feeding schedule and review the plan together and to both sign the plan. You stated that you will be reviewing the required documentation with staff members and have a checklist that can be used. Check classrooms monthly to ensure that all required documentation is current and complete. Additional Comments: Approved Space: Space #7 is currently not being used and is being renovated. We discussed that once the space is completed, a building, fire, and a sanitation inspection must be completed and sent to me. Once I receive these documents, I can make a visit to the center to measure and approve the space. This space can not be used until it is approved for child care use. Clean Classrooms For Carolina Kids: We discussed that you need to log back in to the https://www.cleanwaterforuskids.org/en/carolina/ and complete the survey for Lead-Based Paint and Asbestos. QRIS (Quality Rating Improvement System) Technical Assistance: All information on the QRIS rated license assessments and documents will be posted at https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRISModernization and will also be provided through emails and Raise NC newsletters. During the visit we completed the QRIS Conversation Template with a focus on the selected pathway. Your QRIS assessment is due by 12/31/2026.. We reviewed all forms for pathway #1 and pathway #2 and accessed them at https://ncchildcare.ncdhhs.gov. North Carolina General Statute 14-208 requires sex offenders to register with the North Carolina Department of Justice. The law states that a sex offender shall not knowingly reside within 1,000 feet of the property on which any public or nonpublic school or child care center is located. This does not apply to child care centers that are located on or within 1,000 feet of property of an institution of higher education where the registrant is a student or is employed. All licensed child care centers must register to receive e-mail notification when a registered sex offender moves within a one-mile radius of the center. (§14-208.19) To register for the e-mail notification, go to http://sexoffender.ncsbi.gov. If you have any questions, please contact your local sheriff's department. NCID: Did you know that if you do not login on any DCDEE platforms (e.g., Moodle, WORKS, CBC) for a period of 12 months, your account will be archived? An archived account cannot be reinstated. You will need to create a new one and then email all platforms (e.g., Moodle, WORKS, CBC) to merge accounts. Pro Tip: Set your calendar to remind you every 6 months to login and out at https://myncid.nc.gov to keep your account activated and it will NOT be archived. Outdoor Learning Environments Work Plan: Bring nature to children by naturalizing childcare centers and family child care homes, schools, residential neighborhoods, parks and greenways, community centers, cultural facilities, botanical gardens, museums and other nonformal education institutions. Today, we discussed adding a science center with a thermometer and rain gauge. Craven Smart Start is also able to provide you with resources and information, training opportunities, and technical assistance on childcare issues. Their phone number is (252) 636- 3198 or check out their website at www.cravensmartstart.org. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me at Brittany Jones, Child Care Consultant, (252) 947-1036, Brittany.j.jones@dhhs.nc.gov or Jennifer Linhardt, Licensing Supervisor, (252) 373-4199, Jennifer.Linhardt@dhhs.nc.gov if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0902 · Violation

Name of Operation: ENRICH B-4 Facility ID: 25000131 Consultant: BRITTANY JONES Operation Type: Center Case Number: 1025-426L Visit Date: 11/4/2025 Number Present: 41 Completed Date: 11/4/2025 Age: From 0 To 3 Total Minutes: 220 Time In: 01:05 PM Time Out: 04:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to obtain information regarding alleged violations of child care requirements. The allegations are as follows: 1. There is a concern that staff child ratios are not being followed. 2. There is a concern that outside food is being brought into the center. T. Kretna, Administrator, assisted me with today’s visit. Upon arrival, children throughout the center were resting on child sized cots covered with sheets. Infants were napping in cribs and being cared for according to individual needs. After nap, children completed personal care routines before sitting at the table to eat snack that consisted of animal crackers and 100% Apple Juice. Regarding the allegation that staff child ratios are not being followed, I interviewed staff members regarding their schedules and monitored each classroom space. Upon reviewing attendance records with children’s arrival and departure times and staff timesheet records documenting work times, I found that staff/child ratios were maintained. Staff/child ratios were maintained during my classroom observations. I observed classroom transition sheets to document when a child arrives and is moved to a different classroom space or outside space to ensure that ratios are maintained. It was reported to me that staff members stay later than their scheduled work hours if needed to maintain ratios and call for assistance before accepting a child that will put them over ratio. Based on the above information, the allegation is unconfirmed. Regarding the allegation that outside food is brought in to the center, I made classroom observations, reviewed the posted menu, opt forms on file, and interviewed administration and staff members. It was reported to me that parents complete a Nutrition Opt Out form in order to have the ability to bring in food that meets the Meal Patterns for Children in Child Care Programs. I reviewed a Nutrition Opt Out form on file and reviewed food that met the Meal Patterns. I made classroom and kitchen observations and found food items that corresponded with the posted menu. Based on the above information, the allegation is unconfirmed. The following violation was observed. Violation Number Comment Rule 540 An individual written feeding plan was not provided by child's parent or health care provider or was not followed and posted. (omit posting for centers located in a residence) One (1) out of the four (4) infants in space #5 did not have a feeding schedule on file. 10A NCAC 09 .0902(a) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before 11/18/25, 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 will be conducted. Mail or email the information to: Brittany Jones, Child Care Consultant PO Box 3272 New Bern, NC 28564 Brittany.j.jones@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Technical Assistance with Documented Violations: Feeding Schedules: Growth and development during infancy require that nourishing, wholesome, and developmentally appropriate food be provided, using safe approaches to feeding. All children under 15 months of age must have a signed feeding schedule/plan on file. The infant feeding plans should be developed with each infant’s parents/guardians and, when appropriate, in collaboration with the child’s primary care provider. One out of the four infants in space #5 did not have a feeding schedule on file. You stated that the parent had the form to update it to reflect that the child can eat table foods. We discussed that feeding schedules must be posted and kept up to date. Ensure that the teachers in the infant room review feeding schedules with parents at enrollment and sign them. Review infant schedules monthly to ensure that they are posted and current. Additional Comments: Today, we reviewed the operational and parent handbooks and discussed the importance of following policies. We also discussed the importance of being good role models for children and that food and beverages must meet the nutritional requirements as outlined in the Meal Pattern for Children in Child Care Programs. Supervision requirements were maintained during today’s visit. Craven Smart Start is also able to provide you with resources and information, training opportunities, and technical assistance on childcare issues. Their phone number is (252) 636- 3198 or check out their website at www.cravensmartstart.org. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me at Brittany Jones, Child Care Consultant, (252) 947-1036, Brittany.j.jones@dhhs.nc.gov or Jennifer Linhardt, Licensing Supervisor, (252) 373-4199, Jennifer.Linhardt@dhhs.nc.gov if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

NC GS 110-90 · Violation

Name of Operation: ENRICH B-4 Facility ID: 25000131 Consultant: BRITTANY JONES Operation Type: Center Case Number: 1025-426L Visit Date: 11/4/2025 Number Present: 41 Completed Date: 11/4/2025 Age: From 0 To 3 Total Minutes: 220 Time In: 01:05 PM Time Out: 04:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to obtain information regarding alleged violations of child care requirements. The allegations are as follows: 1. There is a concern that staff child ratios are not being followed. 2. There is a concern that outside food is being brought into the center. T. Kretna, Administrator, assisted me with today’s visit. Upon arrival, children throughout the center were resting on child sized cots covered with sheets. Infants were napping in cribs and being cared for according to individual needs. After nap, children completed personal care routines before sitting at the table to eat snack that consisted of animal crackers and 100% Apple Juice. Regarding the allegation that staff child ratios are not being followed, I interviewed staff members regarding their schedules and monitored each classroom space. Upon reviewing attendance records with children’s arrival and departure times and staff timesheet records documenting work times, I found that staff/child ratios were maintained. Staff/child ratios were maintained during my classroom observations. I observed classroom transition sheets to document when a child arrives and is moved to a different classroom space or outside space to ensure that ratios are maintained. It was reported to me that staff members stay later than their scheduled work hours if needed to maintain ratios and call for assistance before accepting a child that will put them over ratio. Based on the above information, the allegation is unconfirmed. Regarding the allegation that outside food is brought in to the center, I made classroom observations, reviewed the posted menu, opt forms on file, and interviewed administration and staff members. It was reported to me that parents complete a Nutrition Opt Out form in order to have the ability to bring in food that meets the Meal Patterns for Children in Child Care Programs. I reviewed a Nutrition Opt Out form on file and reviewed food that met the Meal Patterns. I made classroom and kitchen observations and found food items that corresponded with the posted menu. Based on the above information, the allegation is unconfirmed. The following violation was observed. Violation Number Comment Rule 540 An individual written feeding plan was not provided by child's parent or health care provider or was not followed and posted. (omit posting for centers located in a residence) One (1) out of the four (4) infants in space #5 did not have a feeding schedule on file. 10A NCAC 09 .0902(a) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before 11/18/25, 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 will be conducted. Mail or email the information to: Brittany Jones, Child Care Consultant PO Box 3272 New Bern, NC 28564 Brittany.j.jones@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Technical Assistance with Documented Violations: Feeding Schedules: Growth and development during infancy require that nourishing, wholesome, and developmentally appropriate food be provided, using safe approaches to feeding. All children under 15 months of age must have a signed feeding schedule/plan on file. The infant feeding plans should be developed with each infant’s parents/guardians and, when appropriate, in collaboration with the child’s primary care provider. One out of the four infants in space #5 did not have a feeding schedule on file. You stated that the parent had the form to update it to reflect that the child can eat table foods. We discussed that feeding schedules must be posted and kept up to date. Ensure that the teachers in the infant room review feeding schedules with parents at enrollment and sign them. Review infant schedules monthly to ensure that they are posted and current. Additional Comments: Today, we reviewed the operational and parent handbooks and discussed the importance of following policies. We also discussed the importance of being good role models for children and that food and beverages must meet the nutritional requirements as outlined in the Meal Pattern for Children in Child Care Programs. Supervision requirements were maintained during today’s visit. Craven Smart Start is also able to provide you with resources and information, training opportunities, and technical assistance on childcare issues. Their phone number is (252) 636- 3198 or check out their website at www.cravensmartstart.org. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me at Brittany Jones, Child Care Consultant, (252) 947-1036, Brittany.j.jones@dhhs.nc.gov or Jennifer Linhardt, Licensing Supervisor, (252) 373-4199, Jennifer.Linhardt@dhhs.nc.gov if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0806 · Violation

Name of Operation: ENRICH B-4 Facility ID: 25000131 Consultant: BRITTANY JONES Operation Type: Center Case Number: 0925-338L Visit Date: 9/30/2025 Number Present: 21 Completed Date: 9/30/2025 Age: From 0 To 3 Total Minutes: 70 Time In: 12:20 PM Time Out: 01:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Follow-Up Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to obtain information regarding alleged violations of child care requirements. The allegations are as follows: 1. There is a concern that children were not adequately supervised. 2. There is a concern that documentation was not provided when a child was injured in care. 3. There is a concern that children are not being changed when soiled. Enrollment: Space 1: Staff- C. Giordano Eight children, one year of age enrolled, three children, one years of age present Two children, two years of age enrolled, three children, two years of age present Space 2: Staff- B. Humphrey Six children, one year of age enrolled, six children, one year of age present Space 3: Staff- T. Unruh, S. Walton Nine children, two years of age enrolled, eight children, two years of age present Three children, three year of age enrolled, one child, three years of age present T. Krneta, Administrator, assisted me with today's visit. I observed space #1, space #2, and space #3. Children throughout the center were napping on cots covered by sheets. Nap music was playing softly in each classroom. Regarding the allegation that children were not adequately supervised, I observed classroom spaces and interviewed staff members and administrators on September 29, 2025. It was reported that a staff member was recently moved from working in classrooms because there were concerns about supervision. I reviewed camera footage for September 15, 2025, through September 23, 2025, with the administrator and found that there were lapses of supervision during diaper changes as the staff member was unaware of the children’s activities. Children were seen standing on classroom furniture, biting others, and hitting others. The staff member was unable to mitigate these activities while diapering a child. Based on the camera footage and staff interviews, the allegation was confirmed. Regarding the allegation that documentation was not provided when a child was injured in care, I reviewed incident reports and the incident log. I also interviewed staff members and the administrator on September 29, 2025. It was reported that an incident occurred on September 23, 2025, and an incident report was not provided for the parent to review and sign. Upon reviewing the incident log and incident reports, I found that the incident report created on September 9, 2025, did not include all required information, incident reports were missing, and several incident reports on file were not completed. Based on the reviewed incident reports, the allegation is confirmed. Regarding the allegation that diapers were not being changed when soiled, I reviewed the times that diapers were changed on September 23, 2025. I also interviewed staff members about the diapering procedure on September 29, 2025. Upon review of the times that children were changed on this date, I found that the children in space #3 had documented diaper changes that occurred at 9:45AM. There were no other documented times of diaper changes. Based on the above information, the allegation is confirmed. The following violations were documented. Violation Number Comment Rule 303 Children were not adequately supervised at all times. I reviewed camera footage for September 15, 2025, through September 23, 2025, and there were lapses of supervision during diaper changes as the staff member was unaware of the children’s activities. Children were seen standing on classroom furniture, biting others, and hitting others. .1801(a)(1-5) 401 Diapers were not changed whenever they were soiled or wet and/or were changed on a shift basis. Documented diaper changes were reviewed for children in space #3 for September 23, 2025, and it was found that the children had a documented diaper change that occurred at 9:45AM. There were no other documented times of diaper changes. 10A NCAC 09 .0806(a) 852 Incident reports were not completed each time a child was injured, it did not include all the information required in rule, it was not signed by the parent and/or it was not maintained in the child's file. An incident report was not completed for the child that was injured on September 23, 2025. Incident reports on file for September 2025 were missing the facility id number, the time the parent is notified of the incident and by whom, and steps taken to prevent reoccurrence. Several of the incident reports on file were not completed with children’s last names, times of incidents, and dates of incidents. .0802 (e) 904 A child was handled in a rough way, including shaking, pushing, shoving, pinching, slapping, biting, kicking, or spanking. On September 23, 2025, a staff member in space #3 was observed pulling a child by the upper arm to walk to their cot and then pushed the child to sit on the cot several times. .1803(a)(1) 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 10/14/2025, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Mail or email the information to: Brittany Jones, Child Care Consultant PO Box 3272 New Bern, NC 28564 Brittany.j.jones@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. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Technical Assistance with Documented Violations: Supervision: Adequate supervision of children is essential to keep children safe from accidents and injuries. Staff must remain with the children assigned to them at all times. Younger children need closer supervision to remain safe. Active supervision requires focused attention and intentional observation of children at all times. Caregivers/teachers position themselves so that they can observe all of the children: watching, counting, and listening at all times. Supervision is directly tied to safety and the prevention of injury and maintaining quality child care for infants, toddlers, preschoolers, and school-aged children. Parents/guardians depend on caregivers/teachers to supervise their children. I reviewed camera footage for September 15, 2025, through September 23, 2025, with the administrator and found that there were lapses of supervision during diaper changes as the staff member was unaware of the children’s activities. Children were seen standing on classroom furniture, biting others, and hitting others. On September 23, 2025, while a staff member was changing a diaper, a child pushed another child causing an injury. You stated that you were aware that the staff member was overstimulated in the classroom and had removed her from the classroom setting. We discussed that it is difficult for one staff member to perform diaper changes in the toddler room without another staff member to maintain supervision of the other children and while staff members are inputting information in the brightwheel app. You stated that you have created a Behavior Support Plan and will be reviewing it with staff members at the scheduled staff meeting on October 4, 2025. Today, you shared with me a memo that is going to be distributed to parents regarding the use of paper daily reports, and the digital report will be updated at nap time or if time allows. During this meeting, address active supervision and how to maintain supervision during diaper changes. Incident Reports: While writing the incident report, keep in mind that you are telling a story. You are providing a description of the details about an event involving an injury to a child. Some situations will be simple and straightforward; others will require greater detail. An example of a relatively simple and straightforward incident report may involve a minor scratch or scrape occurring on the playground due to a fall or scraping a knee on the concrete. An example of a situation requiring more detail could be a burn, a cut requiring stitches, a snake bite, a dislocation, or a fracture. Attend to the child’s medical needs before attempting to write an incident report. Write the report after the incident is over and the medical needs of the child have been addressed. You stated after the incident that occurred on September 23, 2025, the parent arrived immediately after the incident and I saw that to have occurred on camera footage. We discussed the importance of first attending to the child’s medical needs and then writing an incident report while asking the parent to wait through this process. An incident report was not completed for the child that was injured on September 23, 2025. We also discussed that the staff member that witnessed the incident must complete the incident report. You stated that you created an incident report for the facility on September 9, 2025, and went over the form individually with staff members. Upon review of the form that was created, it was missing the facility id number, the time the parent is notified of the incident and by whom, and steps taken to prevent reoccurrence. We reviewed the required information for incident reports together from Chapter 9 and you began revising the form during the visit. Today, you showed me that you have updated the form. You stated that you will review this updated form with staff members during the staff meeting scheduled for October 4, 2025. Several of the incident reports on file were not completed with children’s last names, times of incidents, and dates of incidents. Review incident reports when they are turned in to ensure that they are being filled out correctly, signed, and logged. Diapering: Diapers should be checked for wetness and feces at least hourly, visually inspected at least every two hours, and whenever the child indicates discomfort or exhibits behavior that suggests a soiled or wet diaper. Diapers should be changed when they are found to be wet or soiled. It can be helpful to document when diapers are changed, as a visual to see when diapers should be changed next. Upon review of the times that children were changed on September 23, 2025, I found that the children in space #3 had documented diaper changes that occurred at 9:45AM. There were no other documented times of diaper changes. You stated that diaper changes are documented in the digital daily report that is sent to parents at the end of each day, and it was reported that diaper changes occur every two hours or if a diaper is soiled. We discussed using a paper diaper change form or a dry erase board to notate diaper change times immediately and then can be uploaded into the tablet during nap time. Today, you showed me the updated paper daily forms that will document diaper change times, and the app will be updated at nap time. Make classroom observations to ensure teachers are completing diaper changes at least every two hours and that the times are documented. Discipline: Caregivers/teachers should guide children to develop self-control and appropriate behaviors in the context of relationships with peers and adults. Caregivers/teachers should care for children without ever resorting to physical punishment or abusive language. When a child needs assistance to resolve a conflict, manage a transition, engage in a challenging situation, or express feelings, needs, and wants, the adult should help the child learn strategies for dealing with the situation. On September 23, 2025, a staff member in space #3 was observed pulling a child by the upper arm to walk to their cot and then pushed the child to sit on the cot several times. We discussed that children should be guided by the hand and strategies to encourage children to remain on their cots during nap time including providing them with a book or quiet toy. You stated that you will discuss strategies for teachers in the classroom during the upcoming staff meeting. I shared with you the challenging behaviors helpline information that allows you to be able to speak to a Behavior Support Advisor for advice and resources specific to the challenging behaviors in your classroom. Review the discipline policy and how to carry children correctly during the upcoming staff meeting. Additional Comments: A violation was documented for failure to maintain compliance with supervision requirements. Violations of this nature directly impact the safety of the children while in your care. During the visit, we discussed that confirmed allegations may lead to an administrative action against your license. A follow-up visit will be conducted in the near future to monitor compliance with child care requirements. Southwestern Child Development Commission https://www.swcdcinc.org/ offers a variety of online courses and trainings, including BSAC. We discussed this site being a resource for completing on-going training hours, BSAC, and orientation. Craven Smart Start is also able to provide you with resources and information, training opportunities, and technical assistance on childcare issues. Their phone number is (252) 636- 3198 or check out their website at www.cravensmartstart.org. At the completion of the visit, this Visit Summary was printed, reviewed, and a copy was left with you. I left a full visit summary for you from the complaint investigation initiated on September 30, 2025. Contact me at Brittany Jones, Child Care Consultant, (252) 947-1036, Brittany.j.jones@dhhs.nc.gov or Jennifer Linhardt, Licensing Supervisor, (252) 373-4199, Jennifer.Linhardt@dhhs.nc.gov if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

NC GS 110-90 · Violation

Name of Operation: ENRICH B-4 Facility ID: 25000131 Consultant: BRITTANY JONES Operation Type: Center Case Number: 0925-338L Visit Date: 9/30/2025 Number Present: 21 Completed Date: 9/30/2025 Age: From 0 To 3 Total Minutes: 70 Time In: 12:20 PM Time Out: 01:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Follow-Up Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to obtain information regarding alleged violations of child care requirements. The allegations are as follows: 1. There is a concern that children were not adequately supervised. 2. There is a concern that documentation was not provided when a child was injured in care. 3. There is a concern that children are not being changed when soiled. Enrollment: Space 1: Staff- C. Giordano Eight children, one year of age enrolled, three children, one years of age present Two children, two years of age enrolled, three children, two years of age present Space 2: Staff- B. Humphrey Six children, one year of age enrolled, six children, one year of age present Space 3: Staff- T. Unruh, S. Walton Nine children, two years of age enrolled, eight children, two years of age present Three children, three year of age enrolled, one child, three years of age present T. Krneta, Administrator, assisted me with today's visit. I observed space #1, space #2, and space #3. Children throughout the center were napping on cots covered by sheets. Nap music was playing softly in each classroom. Regarding the allegation that children were not adequately supervised, I observed classroom spaces and interviewed staff members and administrators on September 29, 2025. It was reported that a staff member was recently moved from working in classrooms because there were concerns about supervision. I reviewed camera footage for September 15, 2025, through September 23, 2025, with the administrator and found that there were lapses of supervision during diaper changes as the staff member was unaware of the children’s activities. Children were seen standing on classroom furniture, biting others, and hitting others. The staff member was unable to mitigate these activities while diapering a child. Based on the camera footage and staff interviews, the allegation was confirmed. Regarding the allegation that documentation was not provided when a child was injured in care, I reviewed incident reports and the incident log. I also interviewed staff members and the administrator on September 29, 2025. It was reported that an incident occurred on September 23, 2025, and an incident report was not provided for the parent to review and sign. Upon reviewing the incident log and incident reports, I found that the incident report created on September 9, 2025, did not include all required information, incident reports were missing, and several incident reports on file were not completed. Based on the reviewed incident reports, the allegation is confirmed. Regarding the allegation that diapers were not being changed when soiled, I reviewed the times that diapers were changed on September 23, 2025. I also interviewed staff members about the diapering procedure on September 29, 2025. Upon review of the times that children were changed on this date, I found that the children in space #3 had documented diaper changes that occurred at 9:45AM. There were no other documented times of diaper changes. Based on the above information, the allegation is confirmed. The following violations were documented. Violation Number Comment Rule 303 Children were not adequately supervised at all times. I reviewed camera footage for September 15, 2025, through September 23, 2025, and there were lapses of supervision during diaper changes as the staff member was unaware of the children’s activities. Children were seen standing on classroom furniture, biting others, and hitting others. .1801(a)(1-5) 401 Diapers were not changed whenever they were soiled or wet and/or were changed on a shift basis. Documented diaper changes were reviewed for children in space #3 for September 23, 2025, and it was found that the children had a documented diaper change that occurred at 9:45AM. There were no other documented times of diaper changes. 10A NCAC 09 .0806(a) 852 Incident reports were not completed each time a child was injured, it did not include all the information required in rule, it was not signed by the parent and/or it was not maintained in the child's file. An incident report was not completed for the child that was injured on September 23, 2025. Incident reports on file for September 2025 were missing the facility id number, the time the parent is notified of the incident and by whom, and steps taken to prevent reoccurrence. Several of the incident reports on file were not completed with children’s last names, times of incidents, and dates of incidents. .0802 (e) 904 A child was handled in a rough way, including shaking, pushing, shoving, pinching, slapping, biting, kicking, or spanking. On September 23, 2025, a staff member in space #3 was observed pulling a child by the upper arm to walk to their cot and then pushed the child to sit on the cot several times. .1803(a)(1) 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 10/14/2025, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Mail or email the information to: Brittany Jones, Child Care Consultant PO Box 3272 New Bern, NC 28564 Brittany.j.jones@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. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Technical Assistance with Documented Violations: Supervision: Adequate supervision of children is essential to keep children safe from accidents and injuries. Staff must remain with the children assigned to them at all times. Younger children need closer supervision to remain safe. Active supervision requires focused attention and intentional observation of children at all times. Caregivers/teachers position themselves so that they can observe all of the children: watching, counting, and listening at all times. Supervision is directly tied to safety and the prevention of injury and maintaining quality child care for infants, toddlers, preschoolers, and school-aged children. Parents/guardians depend on caregivers/teachers to supervise their children. I reviewed camera footage for September 15, 2025, through September 23, 2025, with the administrator and found that there were lapses of supervision during diaper changes as the staff member was unaware of the children’s activities. Children were seen standing on classroom furniture, biting others, and hitting others. On September 23, 2025, while a staff member was changing a diaper, a child pushed another child causing an injury. You stated that you were aware that the staff member was overstimulated in the classroom and had removed her from the classroom setting. We discussed that it is difficult for one staff member to perform diaper changes in the toddler room without another staff member to maintain supervision of the other children and while staff members are inputting information in the brightwheel app. You stated that you have created a Behavior Support Plan and will be reviewing it with staff members at the scheduled staff meeting on October 4, 2025. Today, you shared with me a memo that is going to be distributed to parents regarding the use of paper daily reports, and the digital report will be updated at nap time or if time allows. During this meeting, address active supervision and how to maintain supervision during diaper changes. Incident Reports: While writing the incident report, keep in mind that you are telling a story. You are providing a description of the details about an event involving an injury to a child. Some situations will be simple and straightforward; others will require greater detail. An example of a relatively simple and straightforward incident report may involve a minor scratch or scrape occurring on the playground due to a fall or scraping a knee on the concrete. An example of a situation requiring more detail could be a burn, a cut requiring stitches, a snake bite, a dislocation, or a fracture. Attend to the child’s medical needs before attempting to write an incident report. Write the report after the incident is over and the medical needs of the child have been addressed. You stated after the incident that occurred on September 23, 2025, the parent arrived immediately after the incident and I saw that to have occurred on camera footage. We discussed the importance of first attending to the child’s medical needs and then writing an incident report while asking the parent to wait through this process. An incident report was not completed for the child that was injured on September 23, 2025. We also discussed that the staff member that witnessed the incident must complete the incident report. You stated that you created an incident report for the facility on September 9, 2025, and went over the form individually with staff members. Upon review of the form that was created, it was missing the facility id number, the time the parent is notified of the incident and by whom, and steps taken to prevent reoccurrence. We reviewed the required information for incident reports together from Chapter 9 and you began revising the form during the visit. Today, you showed me that you have updated the form. You stated that you will review this updated form with staff members during the staff meeting scheduled for October 4, 2025. Several of the incident reports on file were not completed with children’s last names, times of incidents, and dates of incidents. Review incident reports when they are turned in to ensure that they are being filled out correctly, signed, and logged. Diapering: Diapers should be checked for wetness and feces at least hourly, visually inspected at least every two hours, and whenever the child indicates discomfort or exhibits behavior that suggests a soiled or wet diaper. Diapers should be changed when they are found to be wet or soiled. It can be helpful to document when diapers are changed, as a visual to see when diapers should be changed next. Upon review of the times that children were changed on September 23, 2025, I found that the children in space #3 had documented diaper changes that occurred at 9:45AM. There were no other documented times of diaper changes. You stated that diaper changes are documented in the digital daily report that is sent to parents at the end of each day, and it was reported that diaper changes occur every two hours or if a diaper is soiled. We discussed using a paper diaper change form or a dry erase board to notate diaper change times immediately and then can be uploaded into the tablet during nap time. Today, you showed me the updated paper daily forms that will document diaper change times, and the app will be updated at nap time. Make classroom observations to ensure teachers are completing diaper changes at least every two hours and that the times are documented. Discipline: Caregivers/teachers should guide children to develop self-control and appropriate behaviors in the context of relationships with peers and adults. Caregivers/teachers should care for children without ever resorting to physical punishment or abusive language. When a child needs assistance to resolve a conflict, manage a transition, engage in a challenging situation, or express feelings, needs, and wants, the adult should help the child learn strategies for dealing with the situation. On September 23, 2025, a staff member in space #3 was observed pulling a child by the upper arm to walk to their cot and then pushed the child to sit on the cot several times. We discussed that children should be guided by the hand and strategies to encourage children to remain on their cots during nap time including providing them with a book or quiet toy. You stated that you will discuss strategies for teachers in the classroom during the upcoming staff meeting. I shared with you the challenging behaviors helpline information that allows you to be able to speak to a Behavior Support Advisor for advice and resources specific to the challenging behaviors in your classroom. Review the discipline policy and how to carry children correctly during the upcoming staff meeting. Additional Comments: A violation was documented for failure to maintain compliance with supervision requirements. Violations of this nature directly impact the safety of the children while in your care. During the visit, we discussed that confirmed allegations may lead to an administrative action against your license. A follow-up visit will be conducted in the near future to monitor compliance with child care requirements. Southwestern Child Development Commission https://www.swcdcinc.org/ offers a variety of online courses and trainings, including BSAC. We discussed this site being a resource for completing on-going training hours, BSAC, and orientation. Craven Smart Start is also able to provide you with resources and information, training opportunities, and technical assistance on childcare issues. Their phone number is (252) 636- 3198 or check out their website at www.cravensmartstart.org. At the completion of the visit, this Visit Summary was printed, reviewed, and a copy was left with you. I left a full visit summary for you from the complaint investigation initiated on September 30, 2025. Contact me at Brittany Jones, Child Care Consultant, (252) 947-1036, Brittany.j.jones@dhhs.nc.gov or Jennifer Linhardt, Licensing Supervisor, (252) 373-4199, Jennifer.Linhardt@dhhs.nc.gov if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

NC GS 110-90 · Violation

Name of Operation: ENRICH B-4 Facility ID: 25000131 Consultant: BRITTANY JONES Operation Type: Center Case Number: 0725-388L Visit Date: 7/31/2025 Number Present: 5 Completed Date: 7/31/2025 Age: From 0 To 1 Total Minutes: 135 Time In: 09:45 AM Time Out: 12:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to obtain information regarding alleged violations of child care requirements. The allegations are as follows: There are concerns that children are not being provided with adequate supervision. T. Riggs, Business Manager, assisted me with today’s visit. I observed space #6. The infants were playing on the carpet and eating lunch. There were 5 children present ages 0-1 with 1 staff member, staff/child ratios were 1:5. Regarding the allegation that children were not adequately supervised, I interviewed administrators and staff members. The administrator was not on site during the visit, but I spoke to her on the telephone. It was reported to me that a parent witnessed a staff member sleeping while holding an infant. I made classroom observations and reviewed camera footage. Based on camera footage observed for the dates of 7/17/25, 7/25/25, and 7/28/25, a teacher in the infant classroom was sleeping while holding an infant. The staff member in question was interviewed and stated that she had nodded off in the classroom. Based on information received from staff interviewed and camera footage, the finding regarding the allegation of inadequate supervision was confirmed. The following violation was observed. Violation Number Comment Rule 303 Children were not adequately supervised at all times. Based on camera footage observed for the dates of 7/17/25, 7/25/25, and 7/28/25, a teacher in the infant classroom was sleeping while holding an infant. .1801(a)(1-5) 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 8/14/25, 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 will be conducted. Mail or email the information to: Brittany Jones, Child Care Consultant PO Box 3272 New Bern, NC 28564 Brittany.j.jones@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Technical Assistance with Documented Violations: Supervision: Adequate supervision of children is essential to keep children safe from accidents and injuries. Staff must remain with the children assigned to them at all times. Sleeping while in charge of a group of children alone is unacceptable. Younger children need closer supervision to remain safe. Active supervision requires focused attention and intentional observation of children at all times. Caregivers/teachers position themselves so that they can observe all the children: watching, counting, and listening at all times. Supervision is directly tied to safety and the prevention of injury and maintaining quality child care for infants, toddlers, preschoolers, and school-aged children. Parents/guardians depend on caregivers/teachers to supervise their children. Camera footage was reviewed, and it was found on the dates 7/17/25, 7/25/25, and 7/28/25, a staff member in the infant room was observed rocking an infant in the rocking chair with their head laid back against the chair, eyes closed, body relaxed, hand drop, and then body jolts awake. This action is seen occurring multiple times over spans of fifteen minutes. It was reported to me that the staff member had received counsel from administration. We discussed the importance of active supervision because you are not alert and able to see and hear the children when you are asleep and to stand up to wake up or ask to go home. You stated that you monitor the cameras to make observations. Make classroom observations and monitor the cameras to ensure that staff members are using active supervision. Use the camera footage as a tool to show staff members where to improve and then model your feedback. A violation was documented for failure to maintain compliance with supervision requirements. Violations of this nature directly impact the safety of the children while in your care. In addition, these types of violations have the greatest negative impact on your compliance history. During the visit, we discussed that repeated violations of this nature during consecutive visits may lead to an administrative action against your license. A follow up visit may be conducted in the near future to monitor compliance with child care requirements. Craven Smart Start is also able to provide you with resources and information, training opportunities, and technical assistance on childcare issues. Their phone number is (252) 636- 3198 or check out their website at www.cravensmartstart.org. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me at Brittany Jones, Child Care Consultant, (252) 947-1036, Brittany.j.jones@dhhs.nc.gov or Jennifer Linhardt, Licensing Supervisor, (252) 373-4199, Jennifer.Linhardt@dhhs.nc.gov if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

GS 110-91 · Violation

Name of Operation: ENRICH B-4 Facility ID: 25000131 Consultant: BRITTANY JONES Operation Type: Center Case Number: Visit Date: 3/12/2025 Number Present: 61 Completed Date: 3/12/2025 Age: From 0 To 4 Total Minutes: 330 Time In: 08:30 AM Time Out: 02:00 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 and for an administrative action follow-up visit, including the Corrective Action Plan included in the Written Warning issued by the DCDEE to this facility on January 10, 2025. E. Anderson, Administrator, assisted me with the visit. Your program currently operates with a five-star license, issued 11/19/2018, earning 6 points in the education component, 6 points in the program standards component and 1 quality point for having enhanced policies approved and staff benefits package. The last annual compliance visit was conducted 4/8/24. The sanitation inspection was completed 11/19/24 with a “Superior” classification. The last fire inspection was conducted 9/4/24 and your facility was approved for daytime care only. The center's compliance history was reviewed with the operator. The program’s compliance history was seventy eight percent as of 3/4/25. The NC Secretary of State website was reviewed on 3/4/25 and Cornerstone Assembly of God, Inc. was listed as current- active. We reviewed your facility contact information listed on the Division of Child Development and Early Education (DCDEE) website and all information is current. Contact me if you need to make any changes to your contact information, e.g., phone numbers, mailing address. You visited each indoor and outdoor space with me. 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 free play on the carpet. Preschoolers were playing in the sand table, water table, and with playdough. Toddlers were observed in the outdoor space pushing toys and climbing the stationary climber. The outdoor space was observed to have stationary climber, riding toys, balls, and hula hoops for the children to engage in gross motor activities. Lunch was observed and consisted of hot dogs, whole wheat bread, baked beans, pears, and milk. The following violations were documented. Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. A lesson plan was not posted in space #6. GS 110-91(12); .0508(a) 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 #3, diapers were in plastic bags and thank you bags were in children’s cubbies on a shelf below five feet and in a storage cabinet that was unlocked. .0604(q) 1914 The person identified as the person or alternate person responsible for carrying out the emergency medical care plan was not on the premises at all times and/or did not accompany children for off premise activities. The emergency medical care plan was not updated to reflect current staff members. .0802(b)(1-2) 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 3/26/25, I must receive a written, dated, and signed compliance letter that describes accurately and in detail how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Brittany Jones, Child Care Consultant PO Box 3272 New Bern, NC 28564 Brittany.j.jones@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Administrative Action: During today's visit, I monitored progress towards completion of the stipulations outlined in the Corrective Action Plan and items in .2201(j) monitored. Stipulation #1: Maintaining compliance with NC Child Care Requirements. Three (3) violations were documented and corrected today. Stipulation #2: Within one (1) week after this Notice is received, administrator, shall contact Brittany Jones, Child Care Consultant, to arrange for a technical assistance visit. The technical assistance visit was held on February 14, 2025. Stipulation #3: Within two (2) weeks after the technical assistance visit is completed, the administrator shall review and revise the facility’s staff/child ratios policy and procedures to incorporate strategies learned during the visit. The policy and procedures should describe, in detail, the steps the facility will take to ensure enhanced staff/child ratios are met throughout the day. I received a copy of the policy and procedures, and it was determined the information included meets the requirements of the stipulation on March 3, 2025. I observed a copy of the policies and procedures on file in the facility’s monitoring notebook and observed the transition sheet being used in each classroom. Stipulation #4: Within three (3) weeks after the technical assistance visit is completed, the administrator shall develop the facility’s written plan to describe, in detail, the steps the facility will take to ensure compliance with child care requirements related to program records and staff records. I received a copy of the written plan, and it was determined that the information included meets the requirements of the stipulation on March 4, 2025. I observed a copy of the written plan on file in the facility’s monitoring notebook. Stipulation #5: Within one (1) week after notification from the Division that the stipulation has been met for the policies and procedures related to staff/child ratios and the plan related to record keeping, the administrator shall conduct a staff meeting with all staff members to discuss the policies, procedures and plan. A staff meeting was held on March 8, 2025, and I received an attendance roster during the visit. Technical Assistance with Documented Violations: Emergency Medical Care Plan: Your program’s Emergency Medical Care plan was created to assist you with following a plan in the event of an emergency and who is responsible for each task list. You must update the plan whenever changes occur in your program. Your facility’s emergency medical care plan must be reviewed with staff annually or when changes occur. The emergency medical care plan was not updated to reflect current staff members. You stated that the staff member documented on the plan left recently. During the visit, you updated the Emergency Medical Care Plan posted it to correct the violation. We discussed that this plan needs to be reviewed frequently and updated immediately if a change needs to be made. Activity Plans: Activity plans help teachers to plan for and implement daily activities for children. They provide information to families on activities taking place during their children’s day. Planning for a week of activities helps teachers to obtain and prepare the materials and equipment needed to successfully carry out the activities on the plan. A lesson plan was not posted in space #6. You stated that the lesson plan was completed and needed to be printed and posted. During the visit, you printed the lesson plan and posted it. We discussed that lesson plans can be hung on Friday evenings before the teachers leave for the day so that they are posted for Monday morning. You stated that you will check classrooms on Friday evenings to ensure that they are posted for the following week. Plastic: All areas used by children should be kept free of items that are potentially hazardous to children. A daily checklist including checking the environment for hazardous items, such as plastic bags or toys that are small enough to be swallowed, could help ensure that the environment is safe and healthy. To make plastic bags inaccessible to children less than three years old, store them above five feet from the finished floor or place in locked storage. In space #3, diapers were in plastic bags and thank you bags were in children’s cubbies on a shelf below five feet and in a storage cabinet that was unlocked. When this was brought to your attention, the plastic was removed from the children’s cubbies and the storage cabinet was locked with a lock. We discussed that the classroom needs to be checked each morning before the children arrive to ensure that hazards are removed. Additional Comments: NCID Password Rule to Change: If you have a MYNCID or NCID account, you may have received an email this week announcing changes to the password rules. As part of ongoing efforts to protect state systems and data, the N.C. Department of Information Technology will be changing the minimum length of NCID passwords from eight to 14 characters. The change will affect state agency staff as well as external users like citizens, providers, and state and local county staff. When you change your current password after Feb. 23, however, you will be required to create a new one that must: • Be a minimum of 14 characters. • Consist of at least one numeric character, at least one uppercase letter, at least one lowercase letter, and at least one special character such as #, &, * etc. • Passwords shall not contain number or character substitutes to create dictionary words (e.g., d33psl33p for deepsleep). Strong, unique passwords – along with practicing mindful cybersecurity practices – are key components to protecting your devices and personal information at home and at work. Clean Classrooms for Carolina Kids: Due to the devastation caused by Hurricane Helene, the deadline for enrolling in the Clean Classrooms for Carolina Kids testing for lead in water, lead paint, and asbestos has been extended to May 31, 2025. If you have not completed the online enrollment, online training, and initial survey, complete this for your facility as soon as possible. Funding is available for licensed facilities that need lead paint or asbestos mitigation. Enroll today at thttps://www.cleanwaterforcarolinakids.org/enroll. If you have enrolled for only one or two of the program sections, log back in to complete surveys for the remaining section(s) to comply with the rule requirements. Natural Learning Initiative: https://naturalearning.org/resources/ Resources are created, often in collaboration with the Natural Learning Initiative’s interdisciplinary partners, to support technical assistance, professional development, and generally to promote the importance of the natural environment in the daily experience of all children. Please use and share. Craven Smart Start is also able to provide you with resources and information, training opportunities, and technical assistance on childcare issues. Their phone number is (252) 636- 3198 or check out their website at www.cravensmartstart.org. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me at Brittany Jones, Child Care Consultant, (252) 947-1036, Brittany.j.jones@dhhs.nc.gov or Jennifer Linhardt, Licensing Supervisor, (252) 373-4199, Jennifer.Linhardt@dhhs.nc.gov if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

NC GS 110-90 · Violation

Name of Operation: ENRICH B-4 Facility ID: 25000131 Consultant: BRITTANY JONES Operation Type: Center Case Number: Visit Date: 3/12/2025 Number Present: 61 Completed Date: 3/12/2025 Age: From 0 To 4 Total Minutes: 330 Time In: 08:30 AM Time Out: 02:00 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 and for an administrative action follow-up visit, including the Corrective Action Plan included in the Written Warning issued by the DCDEE to this facility on January 10, 2025. E. Anderson, Administrator, assisted me with the visit. Your program currently operates with a five-star license, issued 11/19/2018, earning 6 points in the education component, 6 points in the program standards component and 1 quality point for having enhanced policies approved and staff benefits package. The last annual compliance visit was conducted 4/8/24. The sanitation inspection was completed 11/19/24 with a “Superior” classification. The last fire inspection was conducted 9/4/24 and your facility was approved for daytime care only. The center's compliance history was reviewed with the operator. The program’s compliance history was seventy eight percent as of 3/4/25. The NC Secretary of State website was reviewed on 3/4/25 and Cornerstone Assembly of God, Inc. was listed as current- active. We reviewed your facility contact information listed on the Division of Child Development and Early Education (DCDEE) website and all information is current. Contact me if you need to make any changes to your contact information, e.g., phone numbers, mailing address. You visited each indoor and outdoor space with me. 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 free play on the carpet. Preschoolers were playing in the sand table, water table, and with playdough. Toddlers were observed in the outdoor space pushing toys and climbing the stationary climber. The outdoor space was observed to have stationary climber, riding toys, balls, and hula hoops for the children to engage in gross motor activities. Lunch was observed and consisted of hot dogs, whole wheat bread, baked beans, pears, and milk. The following violations were documented. Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. A lesson plan was not posted in space #6. GS 110-91(12); .0508(a) 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 #3, diapers were in plastic bags and thank you bags were in children’s cubbies on a shelf below five feet and in a storage cabinet that was unlocked. .0604(q) 1914 The person identified as the person or alternate person responsible for carrying out the emergency medical care plan was not on the premises at all times and/or did not accompany children for off premise activities. The emergency medical care plan was not updated to reflect current staff members. .0802(b)(1-2) 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 3/26/25, I must receive a written, dated, and signed compliance letter that describes accurately and in detail how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Brittany Jones, Child Care Consultant PO Box 3272 New Bern, NC 28564 Brittany.j.jones@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Administrative Action: During today's visit, I monitored progress towards completion of the stipulations outlined in the Corrective Action Plan and items in .2201(j) monitored. Stipulation #1: Maintaining compliance with NC Child Care Requirements. Three (3) violations were documented and corrected today. Stipulation #2: Within one (1) week after this Notice is received, administrator, shall contact Brittany Jones, Child Care Consultant, to arrange for a technical assistance visit. The technical assistance visit was held on February 14, 2025. Stipulation #3: Within two (2) weeks after the technical assistance visit is completed, the administrator shall review and revise the facility’s staff/child ratios policy and procedures to incorporate strategies learned during the visit. The policy and procedures should describe, in detail, the steps the facility will take to ensure enhanced staff/child ratios are met throughout the day. I received a copy of the policy and procedures, and it was determined the information included meets the requirements of the stipulation on March 3, 2025. I observed a copy of the policies and procedures on file in the facility’s monitoring notebook and observed the transition sheet being used in each classroom. Stipulation #4: Within three (3) weeks after the technical assistance visit is completed, the administrator shall develop the facility’s written plan to describe, in detail, the steps the facility will take to ensure compliance with child care requirements related to program records and staff records. I received a copy of the written plan, and it was determined that the information included meets the requirements of the stipulation on March 4, 2025. I observed a copy of the written plan on file in the facility’s monitoring notebook. Stipulation #5: Within one (1) week after notification from the Division that the stipulation has been met for the policies and procedures related to staff/child ratios and the plan related to record keeping, the administrator shall conduct a staff meeting with all staff members to discuss the policies, procedures and plan. A staff meeting was held on March 8, 2025, and I received an attendance roster during the visit. Technical Assistance with Documented Violations: Emergency Medical Care Plan: Your program’s Emergency Medical Care plan was created to assist you with following a plan in the event of an emergency and who is responsible for each task list. You must update the plan whenever changes occur in your program. Your facility’s emergency medical care plan must be reviewed with staff annually or when changes occur. The emergency medical care plan was not updated to reflect current staff members. You stated that the staff member documented on the plan left recently. During the visit, you updated the Emergency Medical Care Plan posted it to correct the violation. We discussed that this plan needs to be reviewed frequently and updated immediately if a change needs to be made. Activity Plans: Activity plans help teachers to plan for and implement daily activities for children. They provide information to families on activities taking place during their children’s day. Planning for a week of activities helps teachers to obtain and prepare the materials and equipment needed to successfully carry out the activities on the plan. A lesson plan was not posted in space #6. You stated that the lesson plan was completed and needed to be printed and posted. During the visit, you printed the lesson plan and posted it. We discussed that lesson plans can be hung on Friday evenings before the teachers leave for the day so that they are posted for Monday morning. You stated that you will check classrooms on Friday evenings to ensure that they are posted for the following week. Plastic: All areas used by children should be kept free of items that are potentially hazardous to children. A daily checklist including checking the environment for hazardous items, such as plastic bags or toys that are small enough to be swallowed, could help ensure that the environment is safe and healthy. To make plastic bags inaccessible to children less than three years old, store them above five feet from the finished floor or place in locked storage. In space #3, diapers were in plastic bags and thank you bags were in children’s cubbies on a shelf below five feet and in a storage cabinet that was unlocked. When this was brought to your attention, the plastic was removed from the children’s cubbies and the storage cabinet was locked with a lock. We discussed that the classroom needs to be checked each morning before the children arrive to ensure that hazards are removed. Additional Comments: NCID Password Rule to Change: If you have a MYNCID or NCID account, you may have received an email this week announcing changes to the password rules. As part of ongoing efforts to protect state systems and data, the N.C. Department of Information Technology will be changing the minimum length of NCID passwords from eight to 14 characters. The change will affect state agency staff as well as external users like citizens, providers, and state and local county staff. When you change your current password after Feb. 23, however, you will be required to create a new one that must: • Be a minimum of 14 characters. • Consist of at least one numeric character, at least one uppercase letter, at least one lowercase letter, and at least one special character such as #, &, * etc. • Passwords shall not contain number or character substitutes to create dictionary words (e.g., d33psl33p for deepsleep). Strong, unique passwords – along with practicing mindful cybersecurity practices – are key components to protecting your devices and personal information at home and at work. Clean Classrooms for Carolina Kids: Due to the devastation caused by Hurricane Helene, the deadline for enrolling in the Clean Classrooms for Carolina Kids testing for lead in water, lead paint, and asbestos has been extended to May 31, 2025. If you have not completed the online enrollment, online training, and initial survey, complete this for your facility as soon as possible. Funding is available for licensed facilities that need lead paint or asbestos mitigation. Enroll today at thttps://www.cleanwaterforcarolinakids.org/enroll. If you have enrolled for only one or two of the program sections, log back in to complete surveys for the remaining section(s) to comply with the rule requirements. Natural Learning Initiative: https://naturalearning.org/resources/ Resources are created, often in collaboration with the Natural Learning Initiative’s interdisciplinary partners, to support technical assistance, professional development, and generally to promote the importance of the natural environment in the daily experience of all children. Please use and share. Craven Smart Start is also able to provide you with resources and information, training opportunities, and technical assistance on childcare issues. Their phone number is (252) 636- 3198 or check out their website at www.cravensmartstart.org. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me at Brittany Jones, Child Care Consultant, (252) 947-1036, Brittany.j.jones@dhhs.nc.gov or Jennifer Linhardt, Licensing Supervisor, (252) 373-4199, Jennifer.Linhardt@dhhs.nc.gov if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0701 · Violation

Name of Operation: ENRICH B-4 Facility ID: 25000131 Consultant: BRITTANY JONES Operation Type: Center Case Number: Visit Date: 1/16/2025 Number Present: 60 Completed Date: 1/16/2025 Age: From 0 To 4 Total Minutes: 300 Time In: 10:00 AM Time Out: 03:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Admin Action Follow-Up Lic Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance with applicable child care requirements for an administrative action follow-up visit, including the Corrective Action Plan included in the Written Warning issued by the DCDEE to this facility on January 10, 2025. E. Anderson, Administrator, assisted me with today’s visit. Upon arrival, children throughout the center were engaged in free play in activity centers and personal care routines. Infants were playing on the carpet and napping. Preschoolers were observed in the outdoor space engaged in gross motor activities. Lunch was observed at consisted of meatballs, rice, pears, mixed vegetables, and milk. The following violation(s) were documented. Violation Number Comment Rule 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. In space #2, a tube of prescription clotrimazole cream was stored on a shelf that was above 5 feet from the ground. 15A NCAC 18A .2820(d) 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. In space #2, a tube of prescription clotrimazole cream was not stored in a original labeled container. .0803(2)(a) 847 Parent's medication authorization did not include required information. In space #2, a tube of prescription clotrimazole cream had written permission documented on a form for over-the-counter topical cream. 10A NCAC 09 .0803(4)(6-9) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. A staff member hired on 1/3/25 had a medical report on file that was not signed by a medical professional. 10A NCAC 09 .0701(a) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. A staff member hired 3/6/24 did not have certification of First Aid until 8/15/24. A staff member hired 9/7/23 had certification of First Aid that expired 12/24 but got recertified on 1/9/25. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. A staff member hired 3/6/24 did not have certification of CPR until 8/15/24. A staff member hired 9/7/23 had certification of CPR that expired 12/24 but got recertified on 1/9/25. .1102(d) 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 1/30/25, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Brittany Jones, Child Care Consultant PO Box 3272 New Bern, NC 28564 Brittany.j.jones@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Administrative Action: During today's visit, I monitored progress towards completion of the stipulations outlined in the Corrective Action Plan and items in .2201(j) monitored. Stipulation #1: Maintaining compliance with NC Child Care Requirements. violations were documented today. Stipulation #2: Within one (1) week after this Notice is received, administrator, shall contact Brittany Jones, Child Care Consultant, to arrange for a technical assistance visit. Today, I provided you a copy of the administrative action during today’s visit and we discussed each stipulation. You posted the copy of the administrative action on the parent board located directly inside the building to the left. The technical assistance visit is scheduled for 2/7/25. Stipulation #3: Within two (2) weeks after the technical assistance visit is completed, administrator shall review and revise the facility’s staff/child ratios policy and procedures to incorporate strategies learned during the visit. The policy and procedures should describe, in detail, the steps the facility will take to ensure enhanced staff/child ratios are met throughout the day. The policy and procedures are due on 2/21/25. Stipulation #4: Within three (3) weeks after the technical assistance visit is completed, administrator shall develop the facility’s written plan to describe, in detail, the steps the facility will take to ensure compliance with child care requirements related to program records and staff records. The written plan is due 2/28/25. Stipulation #5: Within one (1) week after notification from the Division that the stipulation has been met for the policies and procedures related to staff/child ratios and the plan related to record keeping, administrator shall conduct a staff meeting with all staff members to discuss the policies, procedures and plan. The meeting is pending according to when the polices and procedures and plan are completed. Technical Assistance with Documented Violations: Staff Records: The health and safety of children requires that information regarding each staff working with the children be kept and available when needed. Staff records consist of various documentation such as employment application, medical report, TB test results, Annual Health Questionnaire, emergency contact information, receipt of policies, CRC qualification letter, and documentation of orientation, in-service hours, CPR and First Aid, and playground safety. A staff member hired 3/6/24 did not have certification of First Aid and CPR until 8/15/24. A staff member hired 9/7/23 had certification of CPR and First Aid that expired 12/24 but got recertified on 1/9/25. You stated that you were looking for a training for the staff members and were unable to find a training in the needed time. A staff member hired on 1/3/25 had a medical report on file that was not signed by a medical professional. You stated that you were unaware that the medical report needed to be signed by a doctor and will have the staff member get the form from the division completed by a doctor. We discussed that using the staff and training worksheet as a tool for when documents are required and then input the due dates into a digital calendar will alert as reminders. You showed me that you have begun using a digital calendar with some required due dates and that this can be incorporated into the written plan for the action. Complete your staff and training worksheet for all staff members to ensure that all documents are being received on time. Medication: Medicines can be crucial to the health and wellness of children. They can also be very dangerous if the wrong type or wrong amount is given to the wrong person or at the wrong time. All prescription medication must be stored behind lock and key. In space #2, tube of clotrimazole cream was present on a shelf located over five feet from the ground in a container. It did not have a prescription label and had written permission documented of a form for over-the-counter topical creams. You stated that you were unaware if the medication was prescription because it was not received in the original box. We discussed that the tube stated RX only which then requires for it to have a prescription labeled box, be stored in locked storage, and have written permission on the long form for prescription medication. We also discussed that it is important to understand if a medication is prescription by inspecting the original container of the medication. Review the medication flyer that you have on file from a previous visit to ensure that medications are stored properly, and written permission is on the correct form. Additional Comments: ABCMS Provider Portal: You completed the Provider Portal training but were unable to log in to the provider portal. You updated the power form and should be able to log in to the portal to connect staff members applications tomorrow afternoon. I sent you a copy of the connecting application instructions to complete the process. Ensure that you connect all staff members to your facility. www.NCRLAP.org: provides many resources including videos and worksheets. Today we discussed getting ready for the 3’s and we discussed exploring this website for resources. Craven Smart Start is also able to provide you with resources and information, training opportunities, technical assistance on childcare issues. Their phone number is (252) 636- 3198 or check out their website at www.cravensmartstart.org. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me at Brittany Jones, Child Care Consultant, (252) 947-1036, Brittany.j.jones@dhhs.nc.gov or Jennifer Linhardt, Licensing Supervisor, (252) 373-4199, Jennifer.Linhardt@dhhs.nc.gov if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0803 · Violation

Name of Operation: ENRICH B-4 Facility ID: 25000131 Consultant: BRITTANY JONES Operation Type: Center Case Number: Visit Date: 1/16/2025 Number Present: 60 Completed Date: 1/16/2025 Age: From 0 To 4 Total Minutes: 300 Time In: 10:00 AM Time Out: 03:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Admin Action Follow-Up Lic Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance with applicable child care requirements for an administrative action follow-up visit, including the Corrective Action Plan included in the Written Warning issued by the DCDEE to this facility on January 10, 2025. E. Anderson, Administrator, assisted me with today’s visit. Upon arrival, children throughout the center were engaged in free play in activity centers and personal care routines. Infants were playing on the carpet and napping. Preschoolers were observed in the outdoor space engaged in gross motor activities. Lunch was observed at consisted of meatballs, rice, pears, mixed vegetables, and milk. The following violation(s) were documented. Violation Number Comment Rule 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. In space #2, a tube of prescription clotrimazole cream was stored on a shelf that was above 5 feet from the ground. 15A NCAC 18A .2820(d) 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. In space #2, a tube of prescription clotrimazole cream was not stored in a original labeled container. .0803(2)(a) 847 Parent's medication authorization did not include required information. In space #2, a tube of prescription clotrimazole cream had written permission documented on a form for over-the-counter topical cream. 10A NCAC 09 .0803(4)(6-9) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. A staff member hired on 1/3/25 had a medical report on file that was not signed by a medical professional. 10A NCAC 09 .0701(a) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. A staff member hired 3/6/24 did not have certification of First Aid until 8/15/24. A staff member hired 9/7/23 had certification of First Aid that expired 12/24 but got recertified on 1/9/25. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. A staff member hired 3/6/24 did not have certification of CPR until 8/15/24. A staff member hired 9/7/23 had certification of CPR that expired 12/24 but got recertified on 1/9/25. .1102(d) 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 1/30/25, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Brittany Jones, Child Care Consultant PO Box 3272 New Bern, NC 28564 Brittany.j.jones@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Administrative Action: During today's visit, I monitored progress towards completion of the stipulations outlined in the Corrective Action Plan and items in .2201(j) monitored. Stipulation #1: Maintaining compliance with NC Child Care Requirements. violations were documented today. Stipulation #2: Within one (1) week after this Notice is received, administrator, shall contact Brittany Jones, Child Care Consultant, to arrange for a technical assistance visit. Today, I provided you a copy of the administrative action during today’s visit and we discussed each stipulation. You posted the copy of the administrative action on the parent board located directly inside the building to the left. The technical assistance visit is scheduled for 2/7/25. Stipulation #3: Within two (2) weeks after the technical assistance visit is completed, administrator shall review and revise the facility’s staff/child ratios policy and procedures to incorporate strategies learned during the visit. The policy and procedures should describe, in detail, the steps the facility will take to ensure enhanced staff/child ratios are met throughout the day. The policy and procedures are due on 2/21/25. Stipulation #4: Within three (3) weeks after the technical assistance visit is completed, administrator shall develop the facility’s written plan to describe, in detail, the steps the facility will take to ensure compliance with child care requirements related to program records and staff records. The written plan is due 2/28/25. Stipulation #5: Within one (1) week after notification from the Division that the stipulation has been met for the policies and procedures related to staff/child ratios and the plan related to record keeping, administrator shall conduct a staff meeting with all staff members to discuss the policies, procedures and plan. The meeting is pending according to when the polices and procedures and plan are completed. Technical Assistance with Documented Violations: Staff Records: The health and safety of children requires that information regarding each staff working with the children be kept and available when needed. Staff records consist of various documentation such as employment application, medical report, TB test results, Annual Health Questionnaire, emergency contact information, receipt of policies, CRC qualification letter, and documentation of orientation, in-service hours, CPR and First Aid, and playground safety. A staff member hired 3/6/24 did not have certification of First Aid and CPR until 8/15/24. A staff member hired 9/7/23 had certification of CPR and First Aid that expired 12/24 but got recertified on 1/9/25. You stated that you were looking for a training for the staff members and were unable to find a training in the needed time. A staff member hired on 1/3/25 had a medical report on file that was not signed by a medical professional. You stated that you were unaware that the medical report needed to be signed by a doctor and will have the staff member get the form from the division completed by a doctor. We discussed that using the staff and training worksheet as a tool for when documents are required and then input the due dates into a digital calendar will alert as reminders. You showed me that you have begun using a digital calendar with some required due dates and that this can be incorporated into the written plan for the action. Complete your staff and training worksheet for all staff members to ensure that all documents are being received on time. Medication: Medicines can be crucial to the health and wellness of children. They can also be very dangerous if the wrong type or wrong amount is given to the wrong person or at the wrong time. All prescription medication must be stored behind lock and key. In space #2, tube of clotrimazole cream was present on a shelf located over five feet from the ground in a container. It did not have a prescription label and had written permission documented of a form for over-the-counter topical creams. You stated that you were unaware if the medication was prescription because it was not received in the original box. We discussed that the tube stated RX only which then requires for it to have a prescription labeled box, be stored in locked storage, and have written permission on the long form for prescription medication. We also discussed that it is important to understand if a medication is prescription by inspecting the original container of the medication. Review the medication flyer that you have on file from a previous visit to ensure that medications are stored properly, and written permission is on the correct form. Additional Comments: ABCMS Provider Portal: You completed the Provider Portal training but were unable to log in to the provider portal. You updated the power form and should be able to log in to the portal to connect staff members applications tomorrow afternoon. I sent you a copy of the connecting application instructions to complete the process. Ensure that you connect all staff members to your facility. www.NCRLAP.org: provides many resources including videos and worksheets. Today we discussed getting ready for the 3’s and we discussed exploring this website for resources. Craven Smart Start is also able to provide you with resources and information, training opportunities, technical assistance on childcare issues. Their phone number is (252) 636- 3198 or check out their website at www.cravensmartstart.org. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me at Brittany Jones, Child Care Consultant, (252) 947-1036, Brittany.j.jones@dhhs.nc.gov or Jennifer Linhardt, Licensing Supervisor, (252) 373-4199, Jennifer.Linhardt@dhhs.nc.gov if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

NC GS 110-90 · Violation

Name of Operation: ENRICH B-4 Facility ID: 25000131 Consultant: BRITTANY JONES Operation Type: Center Case Number: Visit Date: 1/16/2025 Number Present: 60 Completed Date: 1/16/2025 Age: From 0 To 4 Total Minutes: 300 Time In: 10:00 AM Time Out: 03:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Admin Action Follow-Up Lic Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance with applicable child care requirements for an administrative action follow-up visit, including the Corrective Action Plan included in the Written Warning issued by the DCDEE to this facility on January 10, 2025. E. Anderson, Administrator, assisted me with today’s visit. Upon arrival, children throughout the center were engaged in free play in activity centers and personal care routines. Infants were playing on the carpet and napping. Preschoolers were observed in the outdoor space engaged in gross motor activities. Lunch was observed at consisted of meatballs, rice, pears, mixed vegetables, and milk. The following violation(s) were documented. Violation Number Comment Rule 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. In space #2, a tube of prescription clotrimazole cream was stored on a shelf that was above 5 feet from the ground. 15A NCAC 18A .2820(d) 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. In space #2, a tube of prescription clotrimazole cream was not stored in a original labeled container. .0803(2)(a) 847 Parent's medication authorization did not include required information. In space #2, a tube of prescription clotrimazole cream had written permission documented on a form for over-the-counter topical cream. 10A NCAC 09 .0803(4)(6-9) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. A staff member hired on 1/3/25 had a medical report on file that was not signed by a medical professional. 10A NCAC 09 .0701(a) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. A staff member hired 3/6/24 did not have certification of First Aid until 8/15/24. A staff member hired 9/7/23 had certification of First Aid that expired 12/24 but got recertified on 1/9/25. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. A staff member hired 3/6/24 did not have certification of CPR until 8/15/24. A staff member hired 9/7/23 had certification of CPR that expired 12/24 but got recertified on 1/9/25. .1102(d) 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 1/30/25, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Brittany Jones, Child Care Consultant PO Box 3272 New Bern, NC 28564 Brittany.j.jones@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Administrative Action: During today's visit, I monitored progress towards completion of the stipulations outlined in the Corrective Action Plan and items in .2201(j) monitored. Stipulation #1: Maintaining compliance with NC Child Care Requirements. violations were documented today. Stipulation #2: Within one (1) week after this Notice is received, administrator, shall contact Brittany Jones, Child Care Consultant, to arrange for a technical assistance visit. Today, I provided you a copy of the administrative action during today’s visit and we discussed each stipulation. You posted the copy of the administrative action on the parent board located directly inside the building to the left. The technical assistance visit is scheduled for 2/7/25. Stipulation #3: Within two (2) weeks after the technical assistance visit is completed, administrator shall review and revise the facility’s staff/child ratios policy and procedures to incorporate strategies learned during the visit. The policy and procedures should describe, in detail, the steps the facility will take to ensure enhanced staff/child ratios are met throughout the day. The policy and procedures are due on 2/21/25. Stipulation #4: Within three (3) weeks after the technical assistance visit is completed, administrator shall develop the facility’s written plan to describe, in detail, the steps the facility will take to ensure compliance with child care requirements related to program records and staff records. The written plan is due 2/28/25. Stipulation #5: Within one (1) week after notification from the Division that the stipulation has been met for the policies and procedures related to staff/child ratios and the plan related to record keeping, administrator shall conduct a staff meeting with all staff members to discuss the policies, procedures and plan. The meeting is pending according to when the polices and procedures and plan are completed. Technical Assistance with Documented Violations: Staff Records: The health and safety of children requires that information regarding each staff working with the children be kept and available when needed. Staff records consist of various documentation such as employment application, medical report, TB test results, Annual Health Questionnaire, emergency contact information, receipt of policies, CRC qualification letter, and documentation of orientation, in-service hours, CPR and First Aid, and playground safety. A staff member hired 3/6/24 did not have certification of First Aid and CPR until 8/15/24. A staff member hired 9/7/23 had certification of CPR and First Aid that expired 12/24 but got recertified on 1/9/25. You stated that you were looking for a training for the staff members and were unable to find a training in the needed time. A staff member hired on 1/3/25 had a medical report on file that was not signed by a medical professional. You stated that you were unaware that the medical report needed to be signed by a doctor and will have the staff member get the form from the division completed by a doctor. We discussed that using the staff and training worksheet as a tool for when documents are required and then input the due dates into a digital calendar will alert as reminders. You showed me that you have begun using a digital calendar with some required due dates and that this can be incorporated into the written plan for the action. Complete your staff and training worksheet for all staff members to ensure that all documents are being received on time. Medication: Medicines can be crucial to the health and wellness of children. They can also be very dangerous if the wrong type or wrong amount is given to the wrong person or at the wrong time. All prescription medication must be stored behind lock and key. In space #2, tube of clotrimazole cream was present on a shelf located over five feet from the ground in a container. It did not have a prescription label and had written permission documented of a form for over-the-counter topical creams. You stated that you were unaware if the medication was prescription because it was not received in the original box. We discussed that the tube stated RX only which then requires for it to have a prescription labeled box, be stored in locked storage, and have written permission on the long form for prescription medication. We also discussed that it is important to understand if a medication is prescription by inspecting the original container of the medication. Review the medication flyer that you have on file from a previous visit to ensure that medications are stored properly, and written permission is on the correct form. Additional Comments: ABCMS Provider Portal: You completed the Provider Portal training but were unable to log in to the provider portal. You updated the power form and should be able to log in to the portal to connect staff members applications tomorrow afternoon. I sent you a copy of the connecting application instructions to complete the process. Ensure that you connect all staff members to your facility. www.NCRLAP.org: provides many resources including videos and worksheets. Today we discussed getting ready for the 3’s and we discussed exploring this website for resources. Craven Smart Start is also able to provide you with resources and information, training opportunities, technical assistance on childcare issues. Their phone number is (252) 636- 3198 or check out their website at www.cravensmartstart.org. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me at Brittany Jones, Child Care Consultant, (252) 947-1036, Brittany.j.jones@dhhs.nc.gov or Jennifer Linhardt, Licensing Supervisor, (252) 373-4199, Jennifer.Linhardt@dhhs.nc.gov if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .2818 · Violation

Name of Operation: ENRICH B-4 Facility ID: 25000131 Consultant: BRITTANY JONES Operation Type: Center Case Number: Visit Date: 12/2/2024 Number Present: 45 Completed Date: 12/2/2024 Age: From 0 To 4 Total Minutes: 135 Time In: 02:15 PM Time Out: 04:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Unannounced Visit Follow-Up Announced/Unannounced: Unannounced The purpose of today’s visit was to verify correction of violations documented during my November 20, 2024, Routine Unannounced visit. E. Anderson, Administrator, assisted me with today’s visit. Toddlers were observed in the outdoor space running around and riding in push cars. Preschoolers were creating a snowman on a large piece of paper. Infants were engaged in free play on the carpet and being cared for according to individual needs. The following violations was not corrected and documented as a repeated violation from the 11/7/2024 and 11/20/24 visit: 1756- Enhanced staff/child ratios and group sizes were not met. This is a violation of a requirement in 10A NCAC 09 .2818. Today, in outdoor space #3, eleven (11) children, 3-4 years of age, were in care with one staff member. As stated in the 11/20/24 visit summary, all violations must be corrected immediately and a compliance letter verifying this must be received by the established due date. At the time of today’s visit, a compliance letter had not been received. Due to a violation regarding inadequate staff child ratio documented on three consecutive visits, an administrative action may be recommended, and you will be notified in writing of any action taken. In addition, a follow-up visit will be conducted. The following violation was documented. Violation Number Comment Rule 1756 Enhanced staff/child ratios and group sizes were not met. in outdoor space #3, eleven (11) children, 3-4 years of age, were in care with one staff member. 10A NCAC 09 .2818 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 12/16/24, 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 will be conducted. Mail or email the information to: Brittany Jones, Child Care Consultant PO Box 3272 New Bern, NC 28564 Brittany.j.jones@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Staff/Child Ratio: Required ratios and group sizes help staff provide better supervision and care and provide children with more opportunities to develop social skills by allowing them to consistently interact with a smaller group of children and staff. Today, one staff member assigned to space #4 took eleven (11) of the children in attendance to the outdoor space. The second staff member assigned to the space kept two (2) of children in the classroom space so that she could clean and sweep the room. When I asked each staff member, they both reported to me that they had thirteen in attendance, and they split the children so that one staff member had ten (10) children and the other had three (3) children. We discussed that if the staff member transitioning the group to the outdoor space would have counted each child as they went through the door, she would have realized that she had eleven (11) children rather than ten (10) children which she thought she had. The administrator immediately moved one child from the outdoor space to the indoor space when it was brought to her attention. Today, I observed laminated pieces of paper on the outside of each classroom space with the number of children in attendance. We discussed moving the paper or a dry erase board to the inside of the classroom and writing the staff/child ratio based on the age of the youngest child and the number of children in attendance beneath. We also discussed using a name to face attendance sheet in each classroom so that staff members are always aware of the children that are in their care. During the visit, you created a name to face sheet that staff members can complete each day and each time the children transition from the room, and you stated that you would be purchasing clipboards to place the attendance sheet on for each classroom space. You stated that the facility has a staff/child ratio policy, and we discussed the need to review and update this policy to incorporate the changes that are being made to ensure that ratios are maintained. We also discussed that when transitioning children to and from the outdoor space that an additional name to face check is needed. Craven Smart Start is also able to provide you with resources and information, training opportunities, technical assistance on childcare issues. Their phone number is (252) 636- 3198 or check out their website at www.cravensmartstart.org. At the completion of the visit, this Visit Summary was printed, reviewed, and a copy was left with you. Contact me at Brittany Jones, Child Care Consultant, (252) 947-1036, Brittany.j.jones@dhhs.nc.gov or Jennifer Linhardt, Licensing Supervisor, (252) 373-4199, Jennifer.Linhardt@dhhs.nc.gov if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

NC GS 110-90 · Violation

Name of Operation: ENRICH B-4 Facility ID: 25000131 Consultant: BRITTANY JONES Operation Type: Center Case Number: Visit Date: 12/2/2024 Number Present: 45 Completed Date: 12/2/2024 Age: From 0 To 4 Total Minutes: 135 Time In: 02:15 PM Time Out: 04:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Unannounced Visit Follow-Up Announced/Unannounced: Unannounced The purpose of today’s visit was to verify correction of violations documented during my November 20, 2024, Routine Unannounced visit. E. Anderson, Administrator, assisted me with today’s visit. Toddlers were observed in the outdoor space running around and riding in push cars. Preschoolers were creating a snowman on a large piece of paper. Infants were engaged in free play on the carpet and being cared for according to individual needs. The following violations was not corrected and documented as a repeated violation from the 11/7/2024 and 11/20/24 visit: 1756- Enhanced staff/child ratios and group sizes were not met. This is a violation of a requirement in 10A NCAC 09 .2818. Today, in outdoor space #3, eleven (11) children, 3-4 years of age, were in care with one staff member. As stated in the 11/20/24 visit summary, all violations must be corrected immediately and a compliance letter verifying this must be received by the established due date. At the time of today’s visit, a compliance letter had not been received. Due to a violation regarding inadequate staff child ratio documented on three consecutive visits, an administrative action may be recommended, and you will be notified in writing of any action taken. In addition, a follow-up visit will be conducted. The following violation was documented. Violation Number Comment Rule 1756 Enhanced staff/child ratios and group sizes were not met. in outdoor space #3, eleven (11) children, 3-4 years of age, were in care with one staff member. 10A NCAC 09 .2818 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 12/16/24, 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 will be conducted. Mail or email the information to: Brittany Jones, Child Care Consultant PO Box 3272 New Bern, NC 28564 Brittany.j.jones@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Staff/Child Ratio: Required ratios and group sizes help staff provide better supervision and care and provide children with more opportunities to develop social skills by allowing them to consistently interact with a smaller group of children and staff. Today, one staff member assigned to space #4 took eleven (11) of the children in attendance to the outdoor space. The second staff member assigned to the space kept two (2) of children in the classroom space so that she could clean and sweep the room. When I asked each staff member, they both reported to me that they had thirteen in attendance, and they split the children so that one staff member had ten (10) children and the other had three (3) children. We discussed that if the staff member transitioning the group to the outdoor space would have counted each child as they went through the door, she would have realized that she had eleven (11) children rather than ten (10) children which she thought she had. The administrator immediately moved one child from the outdoor space to the indoor space when it was brought to her attention. Today, I observed laminated pieces of paper on the outside of each classroom space with the number of children in attendance. We discussed moving the paper or a dry erase board to the inside of the classroom and writing the staff/child ratio based on the age of the youngest child and the number of children in attendance beneath. We also discussed using a name to face attendance sheet in each classroom so that staff members are always aware of the children that are in their care. During the visit, you created a name to face sheet that staff members can complete each day and each time the children transition from the room, and you stated that you would be purchasing clipboards to place the attendance sheet on for each classroom space. You stated that the facility has a staff/child ratio policy, and we discussed the need to review and update this policy to incorporate the changes that are being made to ensure that ratios are maintained. We also discussed that when transitioning children to and from the outdoor space that an additional name to face check is needed. Craven Smart Start is also able to provide you with resources and information, training opportunities, technical assistance on childcare issues. Their phone number is (252) 636- 3198 or check out their website at www.cravensmartstart.org. At the completion of the visit, this Visit Summary was printed, reviewed, and a copy was left with you. Contact me at Brittany Jones, Child Care Consultant, (252) 947-1036, Brittany.j.jones@dhhs.nc.gov or Jennifer Linhardt, Licensing Supervisor, (252) 373-4199, Jennifer.Linhardt@dhhs.nc.gov if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .2818 · Violation

Name of Operation: ENRICH B-4 Facility ID: 25000131 Consultant: BRITTANY JONES Operation Type: Center Case Number: Visit Date: 11/20/2024 Number Present: 51 Completed Date: 11/20/2024 Age: From 0 To 4 Total Minutes: 150 Time In: 02:20 PM Time Out: 04:50 PM Time In: Time Out: List to Use: Center Type Of Visit: Unannounced Visit Follow-Up Announced/Unannounced: Unannounced The purpose of today’s visit was to verify correction of violations documented during my November 7, 2024, Routine Unannounced visit. E. Anderson, Administrator, assisted me with today’s visit. Children throughout the center were finishing a snack of goldfish crackers and milk and completing personal care routines before transitioning to free play in activity centers. The following violations documented during the 11/7/24 visit were monitored for compliance during this visit and verified as corrected: 904- Child was handled roughly. This is a violation of a requirement in .1803(a)(1). Today, I monitored all spaces were observed and observed proper guidance of children during transitions and diaper changing. 1876- A child was yelled at, shamed, humiliated, frightened, threatened or bullied. This is a violation of a requirement in .1803(a)(9). Today, all spaces were monitored and the discipline policy was followed. Staff were observed using soft tones when redirecting children. The following violations was not corrected and documented as repeated violations from the 11/7/23 visit: 1756- Enhanced staff/child ratios and group sizes were not met. This is a violation of a requirement in 10A NCAC 09 .2818. Today, in space #1, ten (10) children, two years of age, were in care with one staff member. As stated in the 11/7/24 visit summary, all violations must be corrected immediately and a compliance letter verifying this must be received by the established due date. At the time of today’s visit, a compliance letter had been received. Today, I verified correction of two of three violations. Due to a violation regarding inadequate staff child ratio documented on two consecutive visits, an administrative action may be recommended, and you will be notified in writing of any action taken. In addition, a follow-up visit will be conducted. The following violation was documented. Violation Number Comment Rule 1756 Enhanced staff/child ratios and group sizes were not met. In space #1, ten (10) children, two years of age, were in care with one staff member. 10A NCAC 09 .2818 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 12/4/24, 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 will be conducted. Mail or email the information to: Brittany Jones, Child Care Consultant PO Box 3272 New Bern, NC 28564 Brittany.j.jones@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Staff/Child Ratio: The child to staff ratio indicates the maximum number of children permitted per caregiver/teacher. These ratios assume that caregivers/teachers do not have time-consuming bookkeeping and housekeeping duties, so they are free to provide direct care for children. Direct, warm social interaction between adults and children is more common and more likely with lower child: staff ratios. These standards are based on what children need for quality nurturing care. Those who question whether these ratios are affordable must consider that efforts to limit costs can result in overlooking the basic needs of children and creating a highly stressful work environment for caregivers/teachers. Today, a child was moved to space #1 during nap time so that teachers were able to break each other for lunch. We discussed that as soon as children are awake and off their cot, they must be moved back to their classroom to maintain ratios. I observed that the teacher was present and available but had forgot to move the child before snack time. You immediately spoke to the staff member about moving the child back to the classroom once the children were awake and moved the child to meet ratios. We discussed different methods of how to ensure that staff/child ratios are maintained at all times including using dry erase boards as a visual of how many children are enrolled and in attendance. The facility currently has walkie talkies that are available for the teachers to utilize and communicate with each other when they need assistance and ensure that staff/child ratios are maintained. Craven Smart Start is also able to provide you with resources and information, training opportunities, technical assistance on childcare issues. Their phone number is (252) 636- 3198 or check out their website at www.cravensmartstart.org. At the completion of the visit, this Visit Summary was printed, reviewed, and a copy was left with you. Contact me at Brittany Jones, Child Care Consultant, (252) 947-1036, Brittany.j.jones@dhhs.nc.gov or Jennifer Linhardt, Licensing Supervisor, (252) 373-4199, Jennifer.Linhardt@dhhs.nc.gov if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

NC GS 110-90 · Violation

Name of Operation: ENRICH B-4 Facility ID: 25000131 Consultant: BRITTANY JONES Operation Type: Center Case Number: Visit Date: 11/20/2024 Number Present: 51 Completed Date: 11/20/2024 Age: From 0 To 4 Total Minutes: 150 Time In: 02:20 PM Time Out: 04:50 PM Time In: Time Out: List to Use: Center Type Of Visit: Unannounced Visit Follow-Up Announced/Unannounced: Unannounced The purpose of today’s visit was to verify correction of violations documented during my November 7, 2024, Routine Unannounced visit. E. Anderson, Administrator, assisted me with today’s visit. Children throughout the center were finishing a snack of goldfish crackers and milk and completing personal care routines before transitioning to free play in activity centers. The following violations documented during the 11/7/24 visit were monitored for compliance during this visit and verified as corrected: 904- Child was handled roughly. This is a violation of a requirement in .1803(a)(1). Today, I monitored all spaces were observed and observed proper guidance of children during transitions and diaper changing. 1876- A child was yelled at, shamed, humiliated, frightened, threatened or bullied. This is a violation of a requirement in .1803(a)(9). Today, all spaces were monitored and the discipline policy was followed. Staff were observed using soft tones when redirecting children. The following violations was not corrected and documented as repeated violations from the 11/7/23 visit: 1756- Enhanced staff/child ratios and group sizes were not met. This is a violation of a requirement in 10A NCAC 09 .2818. Today, in space #1, ten (10) children, two years of age, were in care with one staff member. As stated in the 11/7/24 visit summary, all violations must be corrected immediately and a compliance letter verifying this must be received by the established due date. At the time of today’s visit, a compliance letter had been received. Today, I verified correction of two of three violations. Due to a violation regarding inadequate staff child ratio documented on two consecutive visits, an administrative action may be recommended, and you will be notified in writing of any action taken. In addition, a follow-up visit will be conducted. The following violation was documented. Violation Number Comment Rule 1756 Enhanced staff/child ratios and group sizes were not met. In space #1, ten (10) children, two years of age, were in care with one staff member. 10A NCAC 09 .2818 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 12/4/24, 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 will be conducted. Mail or email the information to: Brittany Jones, Child Care Consultant PO Box 3272 New Bern, NC 28564 Brittany.j.jones@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Staff/Child Ratio: The child to staff ratio indicates the maximum number of children permitted per caregiver/teacher. These ratios assume that caregivers/teachers do not have time-consuming bookkeeping and housekeeping duties, so they are free to provide direct care for children. Direct, warm social interaction between adults and children is more common and more likely with lower child: staff ratios. These standards are based on what children need for quality nurturing care. Those who question whether these ratios are affordable must consider that efforts to limit costs can result in overlooking the basic needs of children and creating a highly stressful work environment for caregivers/teachers. Today, a child was moved to space #1 during nap time so that teachers were able to break each other for lunch. We discussed that as soon as children are awake and off their cot, they must be moved back to their classroom to maintain ratios. I observed that the teacher was present and available but had forgot to move the child before snack time. You immediately spoke to the staff member about moving the child back to the classroom once the children were awake and moved the child to meet ratios. We discussed different methods of how to ensure that staff/child ratios are maintained at all times including using dry erase boards as a visual of how many children are enrolled and in attendance. The facility currently has walkie talkies that are available for the teachers to utilize and communicate with each other when they need assistance and ensure that staff/child ratios are maintained. Craven Smart Start is also able to provide you with resources and information, training opportunities, technical assistance on childcare issues. Their phone number is (252) 636- 3198 or check out their website at www.cravensmartstart.org. At the completion of the visit, this Visit Summary was printed, reviewed, and a copy was left with you. Contact me at Brittany Jones, Child Care Consultant, (252) 947-1036, Brittany.j.jones@dhhs.nc.gov or Jennifer Linhardt, Licensing Supervisor, (252) 373-4199, Jennifer.Linhardt@dhhs.nc.gov if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0803 · Violation

Name of Operation: ENRICH B-4 Facility ID: 25000131 Consultant: BRITTANY JONES Operation Type: Center Case Number: Visit Date: 11/7/2024 Number Present: 33 Completed Date: 11/7/2024 Age: From 1 To 4 Total Minutes: 425 Time In: 08:55 AM Time Out: 04:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for a routine unannounced visit. R. Wentworth, Assistant Administrator, assisted me with today’s visit. Your program currently operates with a five-star license, issued 11/19/2018, earning 6 points in the education component, 6 points in the program standards component and 1 quality point for having enhanced policies approved, and a staff benefits package. The last annual compliance visit was conducted 4/24/23. The sanitation inspection was completed on 6/3/24 with a “Superior” classification. The last fire inspection was conducted 9/4/24. The center's compliance history was reviewed with the operator. The program’s compliance history was eighty two percent as of 10/29/24. The NC Secretary of State website was reviewed on 10/29/24 and Cornerstone Assembly of God, Inc. was listed as current- active. You visited all indoor and outdoor spaces with me. Children throughout the facility were participating in free play in activity areas, transitions, and personal care routines. Toddlers were observed in the outdoor space throwing balls and riding on riding toys. Children enrolled in space #2 were observed in space #7 engaged in gross motor activities including crawling through a tunnel. Preschoolers were transitioning to the outdoor space. The outdoor spaces were observed to have a stationary climber, riding toys, and balls for the children to engage in gross motor activities. The following violation(s) were documented. Violation Number Comment Rule 705 Equipment and furnishings were not sturdy, stable and free of hazards. In outdoor space #1, there was an exposed concrete footer of the shade structure. .0601(c) 805 Fire drills were not practiced monthly and/or the drill record was incomplete. A fire drill was not documented for the months of September and October 2024. .0604(t); .0302(d)(5) 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. In space #3, a tube of A&D Treat Diaper Rash Cream and a tube of Aquaphor 3 in 1 Diaper Rash Cream on file without written permission from the parent. In space #6, a tube of Burt’s Bees Baby Diaper Ointment was on file without written permission from the parent. 10A NCAC 09 .0803(1)(a & b) 847 Parent's medication authorization did not include required information. In space #2, a written permission form for A&D Prevent original ointment and a form for Solimo Sunscreen SPF 50 were not signed by the parent. 10A NCAC 09 .0803(4)(6-9) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. In space #3, a written permission form for an EpiPen expired 5/28/24. .0803(12) 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. Playground inspections were not documented for the months of May, July, August, September, and October of 2024. .0605(q) 904 Child was handled roughly. While I was in space #3, I observed the staff member in charge pulling a child through the door of the classroom by the wrist and then proceeded to use her hand to push the child in the back of the head. The staff member proceeded to change the same child’s diaper on the changing table and held the child’s wrist to assist the child down from the changing table. .” In space #4, I observed children lining up to transition to the outdoor space. A staff member assigned to this space began singing a song with the children as they were lining up and proceeded to grasp one child by the arm and another child by the wrist and move them into line. .1803(a)(1) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. One staff member hired on 9/9/24 did not have a medical report of TB skin test on file until 9/19/24. .0701(a) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. A staff member hired on 9/9/24 did not have documentation of orientation. .1101(a) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. A staff member hired on 10/23/24 did not have documentation of orientation. .1101(a)(b) 1756 Enhanced staff/child ratios and group sizes were not met. Fifteen (15) children, two years of age were in care with one staff member in outdoor space #1. 10A NCAC 09 .2818 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The last documented emergency drill was conducted on 7/8/24. .0604(u);.0302(d)(8) 1876 A child was yelled at, shamed, humiliated, frightened, threatened or bullied. In space #3, the staff member made the following statements to a child, “Do I need to call Two Pop? Are you listening to me? I do not like it.” .1803(a)(9) 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 11/21/24, 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: Brittany Jones, Child Care Consultant PO Box 3272 New Bern, NC 28564 Brittany.j.jones@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. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Technical Assistance with Violations: Discipline: It is nearly impossible to prevent children from ever misbehaving; however, there are positive steps caregivers can take to limit misbehavior and guide children towards more acceptable behaviors or positive choices. Positive relationships are essential for the development of children’s social competence. In order for a caregiver to respond appropriately to a child’s behavior the caregiver must know what behaviors are appropriate for the child’s development. Secure relationships with caregivers provide the foundation for healthy social and emotional development. As children learn to respond appropriately to a variety of situations and people, their need to use challenging behaviors decreases. Providing positive guidance through nurturing and responsive relationships and supportive environments to promote children’s self-control, teach responsibility, and help children make thoughtful choices. The more effective caregivers are at encouraging appropriate behavior, the less time and effort caregivers have to spend correcting children’s behavior. Effective guidance and behavior management techniques focus on the child’s development. The purpose of behavior management requirements are to ensure children are attended to in a nurturing and appropriate manner, in keeping with their developmental needs and to ensure parents are aware of the discipline and behavior management policies and practices of the child care center. While I was in space #3, I observed the staff member assigned to the space pulling a child through the door of the classroom by the wrist and then proceeded to use her hand to push the child in the back of the head. The staff member proceeded to change the same child’s diaper on the changing table and held the child’s wrist to assist the child down from the changing table. Before transitioning to the outdoor space, the staff member made the following statements to a child, “Do I need to call Two Pop? Are you listening to me? I do not like it.” In space #4, I observed children lining up to transition to the outdoor space. A staff member assigned to this space began singing a song with the children as they were lining up and proceeded to grasp one child by the arm and another child by the wrist and move them into line. We discussed that we should only guide children by using positive language rather than using our hands to move them. We also discussed the importance of getting down on a child’s level to find out the cause of misbehavior rather than threatening them. You stated that you had a staff meeting on October 5, 2024 that covered proper guidance of children with the use of videos, handouts, and examples. We discussed reaching out to the local partnership for trainings in misbehavior and I provided you a copy of the challenging behaviors helpline flyer. Staff Child Ratio: A staff-to-child ratio is a measure of the number of children for whom each child care provider is responsible. Because younger children need more direct one-on-one interaction, response, and supervision, staff-to-child ratios are lower for younger children than for older ones. Ratio and group size are two factors that are critical to a child’s health, safety, and development. Ratios and group sizes help ensure that a child gets enough one-on-one attention from an adult who is available to take care of each child’s unique needs. This responsive caregiving is extremely important to a child’s social and emotional development, physical well-being, and overall learning. Classroom space #1 had nine (9) children, two years of age, in care with one staff member in outdoor space #1. When classroom space #3 was transitioning to outdoor space #1, six (6) children, two years of age, combined with the children enrolled in space #1 so that fifteen (15) children, two years of age were in care with one staff member. I observed the staff member assigned to space #3 wait with a child by the gate to outdoor space #3 for several minutes before entering outdoor space #1. We discussed that staff members must stay with their children in the outdoor spaces just as they do in the indoor spaces to maintain ratios. Request assistance when needed to transition to the outdoor space so that one staff member can guide the group while a second staff member ensures that the entire group stays together. Due to a violation regarding staff/child ratio being documented, a follow-up visit will be conducted. Medication Permission Forms: All medications for children present at the center must have a current, completed medication permission form even if there is a Medical Action Plan. The medication permission forms provide additional information that could be critical to the administration of the medication and the care of the child. Medication permission forms for OTC, prescription, and emergency medication have an administration log as part of the form. This must be completed any time the medication is given. Medication permission forms are valid for a defined length of time and must be updated, if needed. In space #3, a written permission form for an EpiPen expired 5/28/24. In space #3, a tube of A&D Treat Diaper Rash Cream and a tube of Aquaphor 3 in 1 Diaper Rash Cream on file without written permission from the parent. In space #6, a tube of Burt’s Bees Baby Diaper Ointment was on file without written permission from the parent. In space #2, a written permission form for A&D Prevent original ointment and a form for Solimo Sunscreen SPF 50 were not signed by the parent. We reviewed the permission form together and I pointed out where emergency medication permission forms are valid for six months. I shared a Medication Flyer with this information during the visit. Review this flyer when accepting medication to understand how long authorization can be valid for. We discussed that it would be helpful for one person to accept medication and ensure that the permission forms are complete before placing the medication in the classroom. Outdoor Inspections: The outdoor learning environment offers a sense of freedom for children. Children can play freely with peers, expand their imagination beyond restraints of indoor activities, release energy and explore their sense of touch, smell, taste and their sense of motion. Since children are exploring it is very important to provide a safe environment. A new shade structure had been added to the outdoor spaces. In outdoor space #1, there was an exposed concrete footer of the shade structure. We discussed that the planter could be added around the footer and add dirt to make the footer inaccessible. This could be used to plant flowers or other plants. Regular outdoor inspections are critical to prevent deterioration of equipment and accumulation of hazardous materials within the play site, and to ensure that appropriate repairs are made as soon as possible. Regularity of inspections can be assured by assigning a staff member to check all play equipment to make certain that it is safe for children. Observations should be made while the children are playing, too, to spot any maintenance problems and correct them as soon as possible. Playground inspections were not documented for the months of May, July, August, September, and October of 2024. We discussed adding this task to the monthly checklist and adding a reminder in the digital calendar to ensure that it is completed each month. Emergency Drills: Fire drills are required to be conducted at least monthly to ensure that the operator and children are aware of what actions to take in the event of a life-threatening emergency. It is important that you use the pull station that is installed in your facility as the source of notification. A fire drill was not documented for the months of September and October 2024. In addition, you must conduct either a shelter-in-place or a lockdown drill every three months. An emergency drill was not conducted for the fourth quarter of 2024. You stated that you are using a digital calendar and did have a fire drill in September when the fire alarm system was tested by the fire marshal. Set a reminder once a month to conduct your fire drills and set a reminder every three months for a shelter in place drill. We also discussed placing the fire drill log and playground inspections on a clipboard to hang in the office where it will be visible and can be completed on the same day each month. Staff Records: The health and safety of children requires that information regarding each staff working with the children should be kept and available when needed. Staff records consist of various documentation to include emergency contact information. A Staff Medical Report and TB Screening/Test is due for new employees by their first day of work to ensure they are physically, mentally, and emotionally well enough to care for children in a busy, rigorous environment. One staff member hired on 9/9/24 did not have a medical report of TB skin test on file until 9/19/24. Each staff person shall receive 16 hours of orientation within the first 6 weeks of employment. Six of the hours are required to be completed within the first two weeks of employment. A staff member hired on 9/9/24 and a staff member hired on 10/23/24 did not have documentation of orientation. Use the current Staff and Training Worksheet to help you verify that all required forms are on file. Placing each form in the same order as the worksheet makes it even quicker and easier to review files and update the worksheet. Additional Comments: Supervision: Adequate supervision of children is essential to keep children safe from accidents and injuries. Staff must remain with the children assigned to them at all times. Leaving a child or a group of children alone is unacceptable. Younger children need closer supervision to remain safe. Active supervision requires focused attention and intentional observation of children at all times. Caregivers/teachers position themselves so that they can observe all of the children: watching, counting, and listening at all times. Supervision is directly tied to safety and the prevention of injury and maintaining quality child care for infants, toddlers, preschoolers, and school-aged children. Today, while space #3 was transitioning for the bathroom down the hallway to the classroom, three (3) children, two years of age, ran ahead of the teacher and entered the classroom space unattended. The administrator was in the classroom space when the children entered so supervision was maintained. We discussed that a walking rope with shapes that the children can hold while walking down the hall could help keep the children together or a floater could assist during bathroom routines. CBC Provider Portal: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. Natural Learning Initiative: https://naturalearning.org/resources/ Resources are created, often in collaboration with the Natural Learning Initiative’s interdisciplinary partners, to support technical assistance, professional development, and generally to promote the importance of the natural environment in the daily experience of all children. Please use and share. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me at Brittany Jones, Child Care Consultant, (252) 947-1036, Brittany.j.jones@dhhs.nc.gov or Jennifer Linhardt, Licensing Supervisor, Jennifer.Linhardt@dhhs.nc.gov if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .2818 · Violation

Name of Operation: ENRICH B-4 Facility ID: 25000131 Consultant: BRITTANY JONES Operation Type: Center Case Number: Visit Date: 11/7/2024 Number Present: 33 Completed Date: 11/7/2024 Age: From 1 To 4 Total Minutes: 425 Time In: 08:55 AM Time Out: 04:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for a routine unannounced visit. R. Wentworth, Assistant Administrator, assisted me with today’s visit. Your program currently operates with a five-star license, issued 11/19/2018, earning 6 points in the education component, 6 points in the program standards component and 1 quality point for having enhanced policies approved, and a staff benefits package. The last annual compliance visit was conducted 4/24/23. The sanitation inspection was completed on 6/3/24 with a “Superior” classification. The last fire inspection was conducted 9/4/24. The center's compliance history was reviewed with the operator. The program’s compliance history was eighty two percent as of 10/29/24. The NC Secretary of State website was reviewed on 10/29/24 and Cornerstone Assembly of God, Inc. was listed as current- active. You visited all indoor and outdoor spaces with me. Children throughout the facility were participating in free play in activity areas, transitions, and personal care routines. Toddlers were observed in the outdoor space throwing balls and riding on riding toys. Children enrolled in space #2 were observed in space #7 engaged in gross motor activities including crawling through a tunnel. Preschoolers were transitioning to the outdoor space. The outdoor spaces were observed to have a stationary climber, riding toys, and balls for the children to engage in gross motor activities. The following violation(s) were documented. Violation Number Comment Rule 705 Equipment and furnishings were not sturdy, stable and free of hazards. In outdoor space #1, there was an exposed concrete footer of the shade structure. .0601(c) 805 Fire drills were not practiced monthly and/or the drill record was incomplete. A fire drill was not documented for the months of September and October 2024. .0604(t); .0302(d)(5) 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. In space #3, a tube of A&D Treat Diaper Rash Cream and a tube of Aquaphor 3 in 1 Diaper Rash Cream on file without written permission from the parent. In space #6, a tube of Burt’s Bees Baby Diaper Ointment was on file without written permission from the parent. 10A NCAC 09 .0803(1)(a & b) 847 Parent's medication authorization did not include required information. In space #2, a written permission form for A&D Prevent original ointment and a form for Solimo Sunscreen SPF 50 were not signed by the parent. 10A NCAC 09 .0803(4)(6-9) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. In space #3, a written permission form for an EpiPen expired 5/28/24. .0803(12) 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. Playground inspections were not documented for the months of May, July, August, September, and October of 2024. .0605(q) 904 Child was handled roughly. While I was in space #3, I observed the staff member in charge pulling a child through the door of the classroom by the wrist and then proceeded to use her hand to push the child in the back of the head. The staff member proceeded to change the same child’s diaper on the changing table and held the child’s wrist to assist the child down from the changing table. .” In space #4, I observed children lining up to transition to the outdoor space. A staff member assigned to this space began singing a song with the children as they were lining up and proceeded to grasp one child by the arm and another child by the wrist and move them into line. .1803(a)(1) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. One staff member hired on 9/9/24 did not have a medical report of TB skin test on file until 9/19/24. .0701(a) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. A staff member hired on 9/9/24 did not have documentation of orientation. .1101(a) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. A staff member hired on 10/23/24 did not have documentation of orientation. .1101(a)(b) 1756 Enhanced staff/child ratios and group sizes were not met. Fifteen (15) children, two years of age were in care with one staff member in outdoor space #1. 10A NCAC 09 .2818 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The last documented emergency drill was conducted on 7/8/24. .0604(u);.0302(d)(8) 1876 A child was yelled at, shamed, humiliated, frightened, threatened or bullied. In space #3, the staff member made the following statements to a child, “Do I need to call Two Pop? Are you listening to me? I do not like it.” .1803(a)(9) 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 11/21/24, 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: Brittany Jones, Child Care Consultant PO Box 3272 New Bern, NC 28564 Brittany.j.jones@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. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Technical Assistance with Violations: Discipline: It is nearly impossible to prevent children from ever misbehaving; however, there are positive steps caregivers can take to limit misbehavior and guide children towards more acceptable behaviors or positive choices. Positive relationships are essential for the development of children’s social competence. In order for a caregiver to respond appropriately to a child’s behavior the caregiver must know what behaviors are appropriate for the child’s development. Secure relationships with caregivers provide the foundation for healthy social and emotional development. As children learn to respond appropriately to a variety of situations and people, their need to use challenging behaviors decreases. Providing positive guidance through nurturing and responsive relationships and supportive environments to promote children’s self-control, teach responsibility, and help children make thoughtful choices. The more effective caregivers are at encouraging appropriate behavior, the less time and effort caregivers have to spend correcting children’s behavior. Effective guidance and behavior management techniques focus on the child’s development. The purpose of behavior management requirements are to ensure children are attended to in a nurturing and appropriate manner, in keeping with their developmental needs and to ensure parents are aware of the discipline and behavior management policies and practices of the child care center. While I was in space #3, I observed the staff member assigned to the space pulling a child through the door of the classroom by the wrist and then proceeded to use her hand to push the child in the back of the head. The staff member proceeded to change the same child’s diaper on the changing table and held the child’s wrist to assist the child down from the changing table. Before transitioning to the outdoor space, the staff member made the following statements to a child, “Do I need to call Two Pop? Are you listening to me? I do not like it.” In space #4, I observed children lining up to transition to the outdoor space. A staff member assigned to this space began singing a song with the children as they were lining up and proceeded to grasp one child by the arm and another child by the wrist and move them into line. We discussed that we should only guide children by using positive language rather than using our hands to move them. We also discussed the importance of getting down on a child’s level to find out the cause of misbehavior rather than threatening them. You stated that you had a staff meeting on October 5, 2024 that covered proper guidance of children with the use of videos, handouts, and examples. We discussed reaching out to the local partnership for trainings in misbehavior and I provided you a copy of the challenging behaviors helpline flyer. Staff Child Ratio: A staff-to-child ratio is a measure of the number of children for whom each child care provider is responsible. Because younger children need more direct one-on-one interaction, response, and supervision, staff-to-child ratios are lower for younger children than for older ones. Ratio and group size are two factors that are critical to a child’s health, safety, and development. Ratios and group sizes help ensure that a child gets enough one-on-one attention from an adult who is available to take care of each child’s unique needs. This responsive caregiving is extremely important to a child’s social and emotional development, physical well-being, and overall learning. Classroom space #1 had nine (9) children, two years of age, in care with one staff member in outdoor space #1. When classroom space #3 was transitioning to outdoor space #1, six (6) children, two years of age, combined with the children enrolled in space #1 so that fifteen (15) children, two years of age were in care with one staff member. I observed the staff member assigned to space #3 wait with a child by the gate to outdoor space #3 for several minutes before entering outdoor space #1. We discussed that staff members must stay with their children in the outdoor spaces just as they do in the indoor spaces to maintain ratios. Request assistance when needed to transition to the outdoor space so that one staff member can guide the group while a second staff member ensures that the entire group stays together. Due to a violation regarding staff/child ratio being documented, a follow-up visit will be conducted. Medication Permission Forms: All medications for children present at the center must have a current, completed medication permission form even if there is a Medical Action Plan. The medication permission forms provide additional information that could be critical to the administration of the medication and the care of the child. Medication permission forms for OTC, prescription, and emergency medication have an administration log as part of the form. This must be completed any time the medication is given. Medication permission forms are valid for a defined length of time and must be updated, if needed. In space #3, a written permission form for an EpiPen expired 5/28/24. In space #3, a tube of A&D Treat Diaper Rash Cream and a tube of Aquaphor 3 in 1 Diaper Rash Cream on file without written permission from the parent. In space #6, a tube of Burt’s Bees Baby Diaper Ointment was on file without written permission from the parent. In space #2, a written permission form for A&D Prevent original ointment and a form for Solimo Sunscreen SPF 50 were not signed by the parent. We reviewed the permission form together and I pointed out where emergency medication permission forms are valid for six months. I shared a Medication Flyer with this information during the visit. Review this flyer when accepting medication to understand how long authorization can be valid for. We discussed that it would be helpful for one person to accept medication and ensure that the permission forms are complete before placing the medication in the classroom. Outdoor Inspections: The outdoor learning environment offers a sense of freedom for children. Children can play freely with peers, expand their imagination beyond restraints of indoor activities, release energy and explore their sense of touch, smell, taste and their sense of motion. Since children are exploring it is very important to provide a safe environment. A new shade structure had been added to the outdoor spaces. In outdoor space #1, there was an exposed concrete footer of the shade structure. We discussed that the planter could be added around the footer and add dirt to make the footer inaccessible. This could be used to plant flowers or other plants. Regular outdoor inspections are critical to prevent deterioration of equipment and accumulation of hazardous materials within the play site, and to ensure that appropriate repairs are made as soon as possible. Regularity of inspections can be assured by assigning a staff member to check all play equipment to make certain that it is safe for children. Observations should be made while the children are playing, too, to spot any maintenance problems and correct them as soon as possible. Playground inspections were not documented for the months of May, July, August, September, and October of 2024. We discussed adding this task to the monthly checklist and adding a reminder in the digital calendar to ensure that it is completed each month. Emergency Drills: Fire drills are required to be conducted at least monthly to ensure that the operator and children are aware of what actions to take in the event of a life-threatening emergency. It is important that you use the pull station that is installed in your facility as the source of notification. A fire drill was not documented for the months of September and October 2024. In addition, you must conduct either a shelter-in-place or a lockdown drill every three months. An emergency drill was not conducted for the fourth quarter of 2024. You stated that you are using a digital calendar and did have a fire drill in September when the fire alarm system was tested by the fire marshal. Set a reminder once a month to conduct your fire drills and set a reminder every three months for a shelter in place drill. We also discussed placing the fire drill log and playground inspections on a clipboard to hang in the office where it will be visible and can be completed on the same day each month. Staff Records: The health and safety of children requires that information regarding each staff working with the children should be kept and available when needed. Staff records consist of various documentation to include emergency contact information. A Staff Medical Report and TB Screening/Test is due for new employees by their first day of work to ensure they are physically, mentally, and emotionally well enough to care for children in a busy, rigorous environment. One staff member hired on 9/9/24 did not have a medical report of TB skin test on file until 9/19/24. Each staff person shall receive 16 hours of orientation within the first 6 weeks of employment. Six of the hours are required to be completed within the first two weeks of employment. A staff member hired on 9/9/24 and a staff member hired on 10/23/24 did not have documentation of orientation. Use the current Staff and Training Worksheet to help you verify that all required forms are on file. Placing each form in the same order as the worksheet makes it even quicker and easier to review files and update the worksheet. Additional Comments: Supervision: Adequate supervision of children is essential to keep children safe from accidents and injuries. Staff must remain with the children assigned to them at all times. Leaving a child or a group of children alone is unacceptable. Younger children need closer supervision to remain safe. Active supervision requires focused attention and intentional observation of children at all times. Caregivers/teachers position themselves so that they can observe all of the children: watching, counting, and listening at all times. Supervision is directly tied to safety and the prevention of injury and maintaining quality child care for infants, toddlers, preschoolers, and school-aged children. Today, while space #3 was transitioning for the bathroom down the hallway to the classroom, three (3) children, two years of age, ran ahead of the teacher and entered the classroom space unattended. The administrator was in the classroom space when the children entered so supervision was maintained. We discussed that a walking rope with shapes that the children can hold while walking down the hall could help keep the children together or a floater could assist during bathroom routines. CBC Provider Portal: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. Natural Learning Initiative: https://naturalearning.org/resources/ Resources are created, often in collaboration with the Natural Learning Initiative’s interdisciplinary partners, to support technical assistance, professional development, and generally to promote the importance of the natural environment in the daily experience of all children. Please use and share. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me at Brittany Jones, Child Care Consultant, (252) 947-1036, Brittany.j.jones@dhhs.nc.gov or Jennifer Linhardt, Licensing Supervisor, Jennifer.Linhardt@dhhs.nc.gov if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

G.S. 110-90 · Violation

Name of Operation: ENRICH B-4 Facility ID: 25000131 Consultant: BRITTANY JONES Operation Type: Center Case Number: Visit Date: 11/7/2024 Number Present: 33 Completed Date: 11/7/2024 Age: From 1 To 4 Total Minutes: 425 Time In: 08:55 AM Time Out: 04:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for a routine unannounced visit. R. Wentworth, Assistant Administrator, assisted me with today’s visit. Your program currently operates with a five-star license, issued 11/19/2018, earning 6 points in the education component, 6 points in the program standards component and 1 quality point for having enhanced policies approved, and a staff benefits package. The last annual compliance visit was conducted 4/24/23. The sanitation inspection was completed on 6/3/24 with a “Superior” classification. The last fire inspection was conducted 9/4/24. The center's compliance history was reviewed with the operator. The program’s compliance history was eighty two percent as of 10/29/24. The NC Secretary of State website was reviewed on 10/29/24 and Cornerstone Assembly of God, Inc. was listed as current- active. You visited all indoor and outdoor spaces with me. Children throughout the facility were participating in free play in activity areas, transitions, and personal care routines. Toddlers were observed in the outdoor space throwing balls and riding on riding toys. Children enrolled in space #2 were observed in space #7 engaged in gross motor activities including crawling through a tunnel. Preschoolers were transitioning to the outdoor space. The outdoor spaces were observed to have a stationary climber, riding toys, and balls for the children to engage in gross motor activities. The following violation(s) were documented. Violation Number Comment Rule 705 Equipment and furnishings were not sturdy, stable and free of hazards. In outdoor space #1, there was an exposed concrete footer of the shade structure. .0601(c) 805 Fire drills were not practiced monthly and/or the drill record was incomplete. A fire drill was not documented for the months of September and October 2024. .0604(t); .0302(d)(5) 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. In space #3, a tube of A&D Treat Diaper Rash Cream and a tube of Aquaphor 3 in 1 Diaper Rash Cream on file without written permission from the parent. In space #6, a tube of Burt’s Bees Baby Diaper Ointment was on file without written permission from the parent. 10A NCAC 09 .0803(1)(a & b) 847 Parent's medication authorization did not include required information. In space #2, a written permission form for A&D Prevent original ointment and a form for Solimo Sunscreen SPF 50 were not signed by the parent. 10A NCAC 09 .0803(4)(6-9) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. In space #3, a written permission form for an EpiPen expired 5/28/24. .0803(12) 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. Playground inspections were not documented for the months of May, July, August, September, and October of 2024. .0605(q) 904 Child was handled roughly. While I was in space #3, I observed the staff member in charge pulling a child through the door of the classroom by the wrist and then proceeded to use her hand to push the child in the back of the head. The staff member proceeded to change the same child’s diaper on the changing table and held the child’s wrist to assist the child down from the changing table. .” In space #4, I observed children lining up to transition to the outdoor space. A staff member assigned to this space began singing a song with the children as they were lining up and proceeded to grasp one child by the arm and another child by the wrist and move them into line. .1803(a)(1) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. One staff member hired on 9/9/24 did not have a medical report of TB skin test on file until 9/19/24. .0701(a) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. A staff member hired on 9/9/24 did not have documentation of orientation. .1101(a) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. A staff member hired on 10/23/24 did not have documentation of orientation. .1101(a)(b) 1756 Enhanced staff/child ratios and group sizes were not met. Fifteen (15) children, two years of age were in care with one staff member in outdoor space #1. 10A NCAC 09 .2818 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The last documented emergency drill was conducted on 7/8/24. .0604(u);.0302(d)(8) 1876 A child was yelled at, shamed, humiliated, frightened, threatened or bullied. In space #3, the staff member made the following statements to a child, “Do I need to call Two Pop? Are you listening to me? I do not like it.” .1803(a)(9) 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 11/21/24, 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: Brittany Jones, Child Care Consultant PO Box 3272 New Bern, NC 28564 Brittany.j.jones@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. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Technical Assistance with Violations: Discipline: It is nearly impossible to prevent children from ever misbehaving; however, there are positive steps caregivers can take to limit misbehavior and guide children towards more acceptable behaviors or positive choices. Positive relationships are essential for the development of children’s social competence. In order for a caregiver to respond appropriately to a child’s behavior the caregiver must know what behaviors are appropriate for the child’s development. Secure relationships with caregivers provide the foundation for healthy social and emotional development. As children learn to respond appropriately to a variety of situations and people, their need to use challenging behaviors decreases. Providing positive guidance through nurturing and responsive relationships and supportive environments to promote children’s self-control, teach responsibility, and help children make thoughtful choices. The more effective caregivers are at encouraging appropriate behavior, the less time and effort caregivers have to spend correcting children’s behavior. Effective guidance and behavior management techniques focus on the child’s development. The purpose of behavior management requirements are to ensure children are attended to in a nurturing and appropriate manner, in keeping with their developmental needs and to ensure parents are aware of the discipline and behavior management policies and practices of the child care center. While I was in space #3, I observed the staff member assigned to the space pulling a child through the door of the classroom by the wrist and then proceeded to use her hand to push the child in the back of the head. The staff member proceeded to change the same child’s diaper on the changing table and held the child’s wrist to assist the child down from the changing table. Before transitioning to the outdoor space, the staff member made the following statements to a child, “Do I need to call Two Pop? Are you listening to me? I do not like it.” In space #4, I observed children lining up to transition to the outdoor space. A staff member assigned to this space began singing a song with the children as they were lining up and proceeded to grasp one child by the arm and another child by the wrist and move them into line. We discussed that we should only guide children by using positive language rather than using our hands to move them. We also discussed the importance of getting down on a child’s level to find out the cause of misbehavior rather than threatening them. You stated that you had a staff meeting on October 5, 2024 that covered proper guidance of children with the use of videos, handouts, and examples. We discussed reaching out to the local partnership for trainings in misbehavior and I provided you a copy of the challenging behaviors helpline flyer. Staff Child Ratio: A staff-to-child ratio is a measure of the number of children for whom each child care provider is responsible. Because younger children need more direct one-on-one interaction, response, and supervision, staff-to-child ratios are lower for younger children than for older ones. Ratio and group size are two factors that are critical to a child’s health, safety, and development. Ratios and group sizes help ensure that a child gets enough one-on-one attention from an adult who is available to take care of each child’s unique needs. This responsive caregiving is extremely important to a child’s social and emotional development, physical well-being, and overall learning. Classroom space #1 had nine (9) children, two years of age, in care with one staff member in outdoor space #1. When classroom space #3 was transitioning to outdoor space #1, six (6) children, two years of age, combined with the children enrolled in space #1 so that fifteen (15) children, two years of age were in care with one staff member. I observed the staff member assigned to space #3 wait with a child by the gate to outdoor space #3 for several minutes before entering outdoor space #1. We discussed that staff members must stay with their children in the outdoor spaces just as they do in the indoor spaces to maintain ratios. Request assistance when needed to transition to the outdoor space so that one staff member can guide the group while a second staff member ensures that the entire group stays together. Due to a violation regarding staff/child ratio being documented, a follow-up visit will be conducted. Medication Permission Forms: All medications for children present at the center must have a current, completed medication permission form even if there is a Medical Action Plan. The medication permission forms provide additional information that could be critical to the administration of the medication and the care of the child. Medication permission forms for OTC, prescription, and emergency medication have an administration log as part of the form. This must be completed any time the medication is given. Medication permission forms are valid for a defined length of time and must be updated, if needed. In space #3, a written permission form for an EpiPen expired 5/28/24. In space #3, a tube of A&D Treat Diaper Rash Cream and a tube of Aquaphor 3 in 1 Diaper Rash Cream on file without written permission from the parent. In space #6, a tube of Burt’s Bees Baby Diaper Ointment was on file without written permission from the parent. In space #2, a written permission form for A&D Prevent original ointment and a form for Solimo Sunscreen SPF 50 were not signed by the parent. We reviewed the permission form together and I pointed out where emergency medication permission forms are valid for six months. I shared a Medication Flyer with this information during the visit. Review this flyer when accepting medication to understand how long authorization can be valid for. We discussed that it would be helpful for one person to accept medication and ensure that the permission forms are complete before placing the medication in the classroom. Outdoor Inspections: The outdoor learning environment offers a sense of freedom for children. Children can play freely with peers, expand their imagination beyond restraints of indoor activities, release energy and explore their sense of touch, smell, taste and their sense of motion. Since children are exploring it is very important to provide a safe environment. A new shade structure had been added to the outdoor spaces. In outdoor space #1, there was an exposed concrete footer of the shade structure. We discussed that the planter could be added around the footer and add dirt to make the footer inaccessible. This could be used to plant flowers or other plants. Regular outdoor inspections are critical to prevent deterioration of equipment and accumulation of hazardous materials within the play site, and to ensure that appropriate repairs are made as soon as possible. Regularity of inspections can be assured by assigning a staff member to check all play equipment to make certain that it is safe for children. Observations should be made while the children are playing, too, to spot any maintenance problems and correct them as soon as possible. Playground inspections were not documented for the months of May, July, August, September, and October of 2024. We discussed adding this task to the monthly checklist and adding a reminder in the digital calendar to ensure that it is completed each month. Emergency Drills: Fire drills are required to be conducted at least monthly to ensure that the operator and children are aware of what actions to take in the event of a life-threatening emergency. It is important that you use the pull station that is installed in your facility as the source of notification. A fire drill was not documented for the months of September and October 2024. In addition, you must conduct either a shelter-in-place or a lockdown drill every three months. An emergency drill was not conducted for the fourth quarter of 2024. You stated that you are using a digital calendar and did have a fire drill in September when the fire alarm system was tested by the fire marshal. Set a reminder once a month to conduct your fire drills and set a reminder every three months for a shelter in place drill. We also discussed placing the fire drill log and playground inspections on a clipboard to hang in the office where it will be visible and can be completed on the same day each month. Staff Records: The health and safety of children requires that information regarding each staff working with the children should be kept and available when needed. Staff records consist of various documentation to include emergency contact information. A Staff Medical Report and TB Screening/Test is due for new employees by their first day of work to ensure they are physically, mentally, and emotionally well enough to care for children in a busy, rigorous environment. One staff member hired on 9/9/24 did not have a medical report of TB skin test on file until 9/19/24. Each staff person shall receive 16 hours of orientation within the first 6 weeks of employment. Six of the hours are required to be completed within the first two weeks of employment. A staff member hired on 9/9/24 and a staff member hired on 10/23/24 did not have documentation of orientation. Use the current Staff and Training Worksheet to help you verify that all required forms are on file. Placing each form in the same order as the worksheet makes it even quicker and easier to review files and update the worksheet. Additional Comments: Supervision: Adequate supervision of children is essential to keep children safe from accidents and injuries. Staff must remain with the children assigned to them at all times. Leaving a child or a group of children alone is unacceptable. Younger children need closer supervision to remain safe. Active supervision requires focused attention and intentional observation of children at all times. Caregivers/teachers position themselves so that they can observe all of the children: watching, counting, and listening at all times. Supervision is directly tied to safety and the prevention of injury and maintaining quality child care for infants, toddlers, preschoolers, and school-aged children. Today, while space #3 was transitioning for the bathroom down the hallway to the classroom, three (3) children, two years of age, ran ahead of the teacher and entered the classroom space unattended. The administrator was in the classroom space when the children entered so supervision was maintained. We discussed that a walking rope with shapes that the children can hold while walking down the hall could help keep the children together or a floater could assist during bathroom routines. CBC Provider Portal: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. Natural Learning Initiative: https://naturalearning.org/resources/ Resources are created, often in collaboration with the Natural Learning Initiative’s interdisciplinary partners, to support technical assistance, professional development, and generally to promote the importance of the natural environment in the daily experience of all children. Please use and share. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me at Brittany Jones, Child Care Consultant, (252) 947-1036, Brittany.j.jones@dhhs.nc.gov or Jennifer Linhardt, Licensing Supervisor, Jennifer.Linhardt@dhhs.nc.gov if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

NC GS 110-90 · Violation

Name of Operation: ENRICH B-4 Facility ID: 25000131 Consultant: BRITTANY JONES Operation Type: Center Case Number: Visit Date: 11/7/2024 Number Present: 33 Completed Date: 11/7/2024 Age: From 1 To 4 Total Minutes: 425 Time In: 08:55 AM Time Out: 04:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for a routine unannounced visit. R. Wentworth, Assistant Administrator, assisted me with today’s visit. Your program currently operates with a five-star license, issued 11/19/2018, earning 6 points in the education component, 6 points in the program standards component and 1 quality point for having enhanced policies approved, and a staff benefits package. The last annual compliance visit was conducted 4/24/23. The sanitation inspection was completed on 6/3/24 with a “Superior” classification. The last fire inspection was conducted 9/4/24. The center's compliance history was reviewed with the operator. The program’s compliance history was eighty two percent as of 10/29/24. The NC Secretary of State website was reviewed on 10/29/24 and Cornerstone Assembly of God, Inc. was listed as current- active. You visited all indoor and outdoor spaces with me. Children throughout the facility were participating in free play in activity areas, transitions, and personal care routines. Toddlers were observed in the outdoor space throwing balls and riding on riding toys. Children enrolled in space #2 were observed in space #7 engaged in gross motor activities including crawling through a tunnel. Preschoolers were transitioning to the outdoor space. The outdoor spaces were observed to have a stationary climber, riding toys, and balls for the children to engage in gross motor activities. The following violation(s) were documented. Violation Number Comment Rule 705 Equipment and furnishings were not sturdy, stable and free of hazards. In outdoor space #1, there was an exposed concrete footer of the shade structure. .0601(c) 805 Fire drills were not practiced monthly and/or the drill record was incomplete. A fire drill was not documented for the months of September and October 2024. .0604(t); .0302(d)(5) 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. In space #3, a tube of A&D Treat Diaper Rash Cream and a tube of Aquaphor 3 in 1 Diaper Rash Cream on file without written permission from the parent. In space #6, a tube of Burt’s Bees Baby Diaper Ointment was on file without written permission from the parent. 10A NCAC 09 .0803(1)(a & b) 847 Parent's medication authorization did not include required information. In space #2, a written permission form for A&D Prevent original ointment and a form for Solimo Sunscreen SPF 50 were not signed by the parent. 10A NCAC 09 .0803(4)(6-9) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. In space #3, a written permission form for an EpiPen expired 5/28/24. .0803(12) 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. Playground inspections were not documented for the months of May, July, August, September, and October of 2024. .0605(q) 904 Child was handled roughly. While I was in space #3, I observed the staff member in charge pulling a child through the door of the classroom by the wrist and then proceeded to use her hand to push the child in the back of the head. The staff member proceeded to change the same child’s diaper on the changing table and held the child’s wrist to assist the child down from the changing table. .” In space #4, I observed children lining up to transition to the outdoor space. A staff member assigned to this space began singing a song with the children as they were lining up and proceeded to grasp one child by the arm and another child by the wrist and move them into line. .1803(a)(1) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. One staff member hired on 9/9/24 did not have a medical report of TB skin test on file until 9/19/24. .0701(a) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. A staff member hired on 9/9/24 did not have documentation of orientation. .1101(a) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. A staff member hired on 10/23/24 did not have documentation of orientation. .1101(a)(b) 1756 Enhanced staff/child ratios and group sizes were not met. Fifteen (15) children, two years of age were in care with one staff member in outdoor space #1. 10A NCAC 09 .2818 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The last documented emergency drill was conducted on 7/8/24. .0604(u);.0302(d)(8) 1876 A child was yelled at, shamed, humiliated, frightened, threatened or bullied. In space #3, the staff member made the following statements to a child, “Do I need to call Two Pop? Are you listening to me? I do not like it.” .1803(a)(9) 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 11/21/24, 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: Brittany Jones, Child Care Consultant PO Box 3272 New Bern, NC 28564 Brittany.j.jones@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. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Technical Assistance with Violations: Discipline: It is nearly impossible to prevent children from ever misbehaving; however, there are positive steps caregivers can take to limit misbehavior and guide children towards more acceptable behaviors or positive choices. Positive relationships are essential for the development of children’s social competence. In order for a caregiver to respond appropriately to a child’s behavior the caregiver must know what behaviors are appropriate for the child’s development. Secure relationships with caregivers provide the foundation for healthy social and emotional development. As children learn to respond appropriately to a variety of situations and people, their need to use challenging behaviors decreases. Providing positive guidance through nurturing and responsive relationships and supportive environments to promote children’s self-control, teach responsibility, and help children make thoughtful choices. The more effective caregivers are at encouraging appropriate behavior, the less time and effort caregivers have to spend correcting children’s behavior. Effective guidance and behavior management techniques focus on the child’s development. The purpose of behavior management requirements are to ensure children are attended to in a nurturing and appropriate manner, in keeping with their developmental needs and to ensure parents are aware of the discipline and behavior management policies and practices of the child care center. While I was in space #3, I observed the staff member assigned to the space pulling a child through the door of the classroom by the wrist and then proceeded to use her hand to push the child in the back of the head. The staff member proceeded to change the same child’s diaper on the changing table and held the child’s wrist to assist the child down from the changing table. Before transitioning to the outdoor space, the staff member made the following statements to a child, “Do I need to call Two Pop? Are you listening to me? I do not like it.” In space #4, I observed children lining up to transition to the outdoor space. A staff member assigned to this space began singing a song with the children as they were lining up and proceeded to grasp one child by the arm and another child by the wrist and move them into line. We discussed that we should only guide children by using positive language rather than using our hands to move them. We also discussed the importance of getting down on a child’s level to find out the cause of misbehavior rather than threatening them. You stated that you had a staff meeting on October 5, 2024 that covered proper guidance of children with the use of videos, handouts, and examples. We discussed reaching out to the local partnership for trainings in misbehavior and I provided you a copy of the challenging behaviors helpline flyer. Staff Child Ratio: A staff-to-child ratio is a measure of the number of children for whom each child care provider is responsible. Because younger children need more direct one-on-one interaction, response, and supervision, staff-to-child ratios are lower for younger children than for older ones. Ratio and group size are two factors that are critical to a child’s health, safety, and development. Ratios and group sizes help ensure that a child gets enough one-on-one attention from an adult who is available to take care of each child’s unique needs. This responsive caregiving is extremely important to a child’s social and emotional development, physical well-being, and overall learning. Classroom space #1 had nine (9) children, two years of age, in care with one staff member in outdoor space #1. When classroom space #3 was transitioning to outdoor space #1, six (6) children, two years of age, combined with the children enrolled in space #1 so that fifteen (15) children, two years of age were in care with one staff member. I observed the staff member assigned to space #3 wait with a child by the gate to outdoor space #3 for several minutes before entering outdoor space #1. We discussed that staff members must stay with their children in the outdoor spaces just as they do in the indoor spaces to maintain ratios. Request assistance when needed to transition to the outdoor space so that one staff member can guide the group while a second staff member ensures that the entire group stays together. Due to a violation regarding staff/child ratio being documented, a follow-up visit will be conducted. Medication Permission Forms: All medications for children present at the center must have a current, completed medication permission form even if there is a Medical Action Plan. The medication permission forms provide additional information that could be critical to the administration of the medication and the care of the child. Medication permission forms for OTC, prescription, and emergency medication have an administration log as part of the form. This must be completed any time the medication is given. Medication permission forms are valid for a defined length of time and must be updated, if needed. In space #3, a written permission form for an EpiPen expired 5/28/24. In space #3, a tube of A&D Treat Diaper Rash Cream and a tube of Aquaphor 3 in 1 Diaper Rash Cream on file without written permission from the parent. In space #6, a tube of Burt’s Bees Baby Diaper Ointment was on file without written permission from the parent. In space #2, a written permission form for A&D Prevent original ointment and a form for Solimo Sunscreen SPF 50 were not signed by the parent. We reviewed the permission form together and I pointed out where emergency medication permission forms are valid for six months. I shared a Medication Flyer with this information during the visit. Review this flyer when accepting medication to understand how long authorization can be valid for. We discussed that it would be helpful for one person to accept medication and ensure that the permission forms are complete before placing the medication in the classroom. Outdoor Inspections: The outdoor learning environment offers a sense of freedom for children. Children can play freely with peers, expand their imagination beyond restraints of indoor activities, release energy and explore their sense of touch, smell, taste and their sense of motion. Since children are exploring it is very important to provide a safe environment. A new shade structure had been added to the outdoor spaces. In outdoor space #1, there was an exposed concrete footer of the shade structure. We discussed that the planter could be added around the footer and add dirt to make the footer inaccessible. This could be used to plant flowers or other plants. Regular outdoor inspections are critical to prevent deterioration of equipment and accumulation of hazardous materials within the play site, and to ensure that appropriate repairs are made as soon as possible. Regularity of inspections can be assured by assigning a staff member to check all play equipment to make certain that it is safe for children. Observations should be made while the children are playing, too, to spot any maintenance problems and correct them as soon as possible. Playground inspections were not documented for the months of May, July, August, September, and October of 2024. We discussed adding this task to the monthly checklist and adding a reminder in the digital calendar to ensure that it is completed each month. Emergency Drills: Fire drills are required to be conducted at least monthly to ensure that the operator and children are aware of what actions to take in the event of a life-threatening emergency. It is important that you use the pull station that is installed in your facility as the source of notification. A fire drill was not documented for the months of September and October 2024. In addition, you must conduct either a shelter-in-place or a lockdown drill every three months. An emergency drill was not conducted for the fourth quarter of 2024. You stated that you are using a digital calendar and did have a fire drill in September when the fire alarm system was tested by the fire marshal. Set a reminder once a month to conduct your fire drills and set a reminder every three months for a shelter in place drill. We also discussed placing the fire drill log and playground inspections on a clipboard to hang in the office where it will be visible and can be completed on the same day each month. Staff Records: The health and safety of children requires that information regarding each staff working with the children should be kept and available when needed. Staff records consist of various documentation to include emergency contact information. A Staff Medical Report and TB Screening/Test is due for new employees by their first day of work to ensure they are physically, mentally, and emotionally well enough to care for children in a busy, rigorous environment. One staff member hired on 9/9/24 did not have a medical report of TB skin test on file until 9/19/24. Each staff person shall receive 16 hours of orientation within the first 6 weeks of employment. Six of the hours are required to be completed within the first two weeks of employment. A staff member hired on 9/9/24 and a staff member hired on 10/23/24 did not have documentation of orientation. Use the current Staff and Training Worksheet to help you verify that all required forms are on file. Placing each form in the same order as the worksheet makes it even quicker and easier to review files and update the worksheet. Additional Comments: Supervision: Adequate supervision of children is essential to keep children safe from accidents and injuries. Staff must remain with the children assigned to them at all times. Leaving a child or a group of children alone is unacceptable. Younger children need closer supervision to remain safe. Active supervision requires focused attention and intentional observation of children at all times. Caregivers/teachers position themselves so that they can observe all of the children: watching, counting, and listening at all times. Supervision is directly tied to safety and the prevention of injury and maintaining quality child care for infants, toddlers, preschoolers, and school-aged children. Today, while space #3 was transitioning for the bathroom down the hallway to the classroom, three (3) children, two years of age, ran ahead of the teacher and entered the classroom space unattended. The administrator was in the classroom space when the children entered so supervision was maintained. We discussed that a walking rope with shapes that the children can hold while walking down the hall could help keep the children together or a floater could assist during bathroom routines. CBC Provider Portal: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. Natural Learning Initiative: https://naturalearning.org/resources/ Resources are created, often in collaboration with the Natural Learning Initiative’s interdisciplinary partners, to support technical assistance, professional development, and generally to promote the importance of the natural environment in the daily experience of all children. Please use and share. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me at Brittany Jones, Child Care Consultant, (252) 947-1036, Brittany.j.jones@dhhs.nc.gov or Jennifer Linhardt, Licensing Supervisor, Jennifer.Linhardt@dhhs.nc.gov if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0601 · Violation

Name of Operation: ENRICH B-4 Facility ID: 25000131 Consultant: BRITTANY JONES Operation Type: Center Case Number: Visit Date: 4/8/2024 Number Present: 43 Completed Date: 4/8/2024 Age: From 0 To 4 Total Minutes: 400 Time In: 08:50 AM Time Out: 03:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for an annual compliance visit. S. Green, Administrator, and E. Anderson, Assistant Administrator, assisted me with the visit. Your program currently operates with a five-star license, issued 11/19/2018, earning 6 points in the education component, 6 points in the program standards component and 1 quality point for having enhanced policies approved and staff benefits package. The last annual compliance visit was conducted 4/24/23. The sanitation inspection was completed 10/9/23 with a “Superior” classification. The last fire inspection was conducted 9/18/23 and your facility was approved for daytime care only. The center's compliance history was reviewed with the operator. The program’s compliance history was eighty seven percent as of 3/26/24. The NC Secretary of State website was reviewed on 3/26/24 and Cornerstone Assembly of God, Inc was listed as current- active. We reviewed your facility contact information listed on the Division of Child Development and Early Education (DCDEE) website and all information is current. Contact me if you need to make any changes to your contact information, e.g., phone numbers, mailing address. You visited each indoor and outdoor space with me. 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 free play on the carpet. Preschoolers were sitting at the table with manipulatives. Toddlers were observed in the outdoor space pushing toys and digging in the sand. The outdoor space was observed to have stationary climber, riding toys, balls, and hula hoops for the children to engage in gross motor activities. Lunch was observed and consisted of sloppy joes on buns, green beans, tater tots, peaches, and milk. The following violation(s) were documented. Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. An activity plan was not posted in space #6. GS 110-91(12); .0508(a) 504 Perishable foods were not stored to protect against spoilage. In space #6, the refrigerator used to store infant bottles did not have a thermometer. 15A NCAC 18A .2806 533 Human milk, formula and other bottled beverages including sippy cups, sent from child's home were not fully prepared, dated, and labeled for the appropriate child. In space #5, one out of five (5) infants in attendance had bottles in the refrigerator that were not labeled with a date. In space #6, one out of three (3) infants in attendance, had bottles in the refrigerator that were not labeled with a date. 15A NCAC 18A .2804(d) 541 The written feeding plan did not include the child's name, parent signature, and/or was not dated when received by the center. In space #6, two (2) out of the three (3) infants enrolled had a feeding schedule on file that was not signed by the parent. .0902(a) 807 A safe indoor and outdoor environment was not provided for the children. In outdoor space #3, there was paint peeling under the windows. 10A NCAC 09 .0601(a) 843 A drug or medicine was administered after its expiration date. In space #2, a bottle of Neutrogena Sheer Zone sunscreen was on file that expired 10/2020. In space # 4, a tube of Boudreaux’s Butt Paste was on file that expired 3/2024. 10A NCAC 09 .0803(1)(d) 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, a plastic bag was hanging on a hook below five feet. In space #6, clothing and diapers were stored in plastic bags below five feet. .0604(q) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. A child enrolled on 1/22/24 did not have a medical report on file until 4/2/24. GS110-91(1) 1323 Each child was not immunized as per Article 6 of Chapter 130A and an immunization record was not on file before or within 30 days after admission. A child enrolled on 1/22/24 did not have an immunization record on file until 4/2/24. 10A NCAC 09 .0302(d)(2) 1756 Enhanced staff/child ratios and group sizes were not met. In space #7, thirteen (13) children, 3-4 years of age, were in care with one staff member. 10A NCAC 09 .2818 1792 Staff did not model appropriate eating behaviors by consuming food or beverages that meet the nutritional requirements specified in the Meal Patterns for Children in Child Care Programs in the presence of children in care. In space #7, two cans of monster energy drinks were sitting on a shelf below five feet. In space #2, a bottle of mountain dew was sitting on a shelf beside the children’s cubbies. .0901(i) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. A staff member hired on 6/29/23 did not complete Recognizing and Responding to Suspicions of Child Maltreatment until 3/21/24. .1102(g) 1898 Staff did not complete the health and safety training within one year of employment. Two staff members did not complete health and safety training within the first year of employment. .1102(a) 1899 Health and safety training topics were not included as part of on-going training within five years of completing the previous health and safety training topics. Three staff members did not complete health and safety training every five years. .1103(b) 1912 The written feeding plan did not include the type of milk, formula or food and/or the frequency of the feedings. In space #6, one out of the three (3) infants enrolled had a feeding schedule on file that did reflect type of milk and the frequency of feedings. .0902(a) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before 4/22/24, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Brittany Jones, Child Care Consultant PO Box 3272 New Bern, NC 28564 Brittany.j.jones@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Technical Assistance with Documented Violations: Staff Child Ratio: A staff-to-child ratio is a measure of the number of children for whom each child care provider is responsible. Because younger children need more direct one-on-one interaction, response, and supervision, staff-to-child ratios are lower for younger children than for older ones. Ratio and group size are two factors that are critical to a child’s health, safety, and development. Ratios and group sizes help ensure that a child gets enough one-on-one attention from an adult who is available to take care of each child’s unique needs. This responsive caregiving is extremely important to a child ’s social and emotional development, physical well-being, and overall learning. Upon arrival, a staff member opened the front door. In space #7, thirteen (13) children, 3-4 years of age, were in care with one staff member. It was reported that the teacher that opened the front door for me was supposed to be in space #7 but had been out of the space to go to the bathroom. We discussed that the staff child ratio for three-year-old children is 1:10 and is documented on the staff child ratio sheet that is located on the wall in the classroom space for reference. Staff members need to call for assistance before walking out of the classroom space and going to the bathroom. Ensure that caregivers have a walkie talkie to alert administration when assistance is needed and that they understand that they can not leave the classroom until someone replaces them to maintain ratio. Outdoor Environment: The outdoor learning environment offers a sense of freedom for children. Children are able to play freely with peers, expand their imagination beyond restraints of indoor activities, release energy and explore their sense of touch, smell, taste and their sense of motion. It is important that the outdoor area is checked daily and proper upkeep is conducted to ensure the environment is safe for use. In outdoor space #3, there was paint peeling under the windows. You stated that you have painted the spaces under the windows several times, but the paint does not stay on the sheet metal. We discussed that on the other side of the spaces under the windows, in the classroom space, you created a chalkboard and dry erase board in the space where the sheet metal is present and could be also created on the outdoor side. We also discussed that this is a hazard because children can easily peel paint off the wall and eat it. Cover the space under the windows so that paint is not available to become a peeling hazard. Medication Disposal: Medication should not be used beyond the date of expiration. Unused medications should be returned to the parent/guardian for disposal. Proper disposal of medications is important to help ensure a healthy environment for children in our communities. In space #2, a bottle of Neutrogena Sheer Zone sunscreen was on file that expired 10/2020. In space # 4, a tube of Boudreaux’s Butt Paste was on file that expired 3/2024. You stated that the sunscreen had just been purchased and brought in by a parent and the expiration date was overlooked. We discussed that one person should be in charge of accepting medication to ensure that that the medication is in date and the form is completed correctly. You stated that the medication will be turned into the office before going into the classrooms. The teachers should check over the forms once they are placed in the classroom and be aware of the expiration dates of the medication and written permission. Check medications monthly to ensure that they are in date and the written permission is in date. Infant Needs: Growth and development during infancy require that nourishing, wholesome, and developmentally appropriate food be provided along with safe approaches to feeding. Because individual needs must be accommodated and improper practices can have dire consequences for the child’s health and safety, written feeding schedule must be on file for each child under 15 months of age and/or must be updated regularly to reflect changes in the child's needs. In space #6, two (2) out of the three (3) infants enrolled had a feeding schedule on file that was not signed by the parent. In space #6, one out of the three (3) infants enrolled had a feeding schedule on file that did reflect type of milk and the frequency of feedings. You stated that the classroom had recently been opened for infants. We discussed that any time a child is enrolled, the parent needs to complete the feeding plan and discuss it with the caregiver. Any time a parent wants to update the feeding plan, ask them to pull it off the wall and document the change while discussing with the caregiver. Check in with parents regularly to ensure that feeding schedules are up to date. In space #6, the refrigerator used to store infant bottles did not have a thermometer. We discussed that it is important to have a thermometer to ensure that the milk is being stored at 45 degrees Fahrenheit or below. You stated that you recently opened the classroom and will order a thermometer for the refrigerator. In space #5, one out of five (5) infants in attendance had bottles in the refrigerator that were not labeled with a date. In space #6, one out of three (3) infants in attendance, had bottles in the refrigerator that were not labeled with a date. When this was brought to the teacher’s attention, the bottles were labeled with the date and corrected the violation. Check bottles that they are labeled with name and date before placing in the refrigerator and use masking tape to label if needed. Activity plans: Activity plans help teachers to plan for and implement daily activities for children. They provide information to families on activities taking place during their children’s day. Planning for a week of activities helps teachers to obtain and prepare the materials and equipment needed to successfully carry out the activities on the plan. An activity plan was not posted in space #6. We discussed that since the room is now being used, a lesson plan must be posted each week. You stated that a weekly checklist would be beneficial for the teachers to use to ensure that lesson plans are posted, sleep charts are filed and made for the next week, etc. Create a weekly checklist for teachers and check that the tasks are being completed. Nutrition: To be good role models for children food and beverages must meet the nutritional requirements as outlined in the Meal Pattern for Children in Child Care Programs when they are in the presence of children. In space #7, two cans of monster energy drinks were sitting on a shelf below five feet. In space #2, a bottle of mountain dew was sitting on a shelf beside the children’s cubbies. We discussed that we are role models for children and can only have beverages in the classroom that the children can drink. You stated that the teachers were given cups for teacher appreciation and will be told again to use them in the classrooms. Health & Safety Training: Health & Safety (H&S) Training includes training in 9 topic areas plus Recognizing and Responding to Suspicions of Child Maltreatment and CPR/First Aid. New staff are required to complete H&S Training within one year of hire (CPR/First Aid and Recognizing and Responding to Suspicions of Child Maltreatment within 3 months of hire) and then complete training in all topic areas every five years. Free H&S Training developed specifically for North Carolina is available in Moodle on the DCDEE website. Other options may be used if they are approved by DCDEE. Complete Recognizing and Responding to Suspicions of Child Maltreatment at www.preventchildabusenc.org. Use the Health & Safety Training Log to document and track all H&S Training and attach certificate for each training topic area to log. These trainings can also be used to meet annual on-going training requirements. Two staff members did not complete health and safety training within the first year of employment. Three staff members did not complete health and safety training every five years. We discussed that using a digital calendar that can be shared with administrators can send reminders before trainings are due to ensure that they are completed. You stated that you were in the process of creating a shared digital calendar to track employee file due dates. A staff member hired on 6/29/23 did not complete Recognizing and Responding to Suspicions of Child Maltreatment until 3/21/24. Add reminders to ensure new staff complete this training within the first months of hire. Children's Records: Children are required to have a medical exam by a doctor and a copy of their immunization record no later than 30 days from their first day of attendance. Immunization records are required for all children; however, a medical exam is required for all children from birth to five, that have not started Kindergarten. A medical exam can be accepted if completed within the last 12 months prior to enrollment. A child enrolled on 1/22/24 did not have an immunization record and medical report on file until 4/2/24. You stated that the parents had a difficult time getting the records from the doctor’s office. Use the children’s file checklist to ensure that documents are received on time. Plastic: All areas used by children should be kept free of items that are potentially hazardous to children. A daily checklist including checking the environment for hazardous items, such as plastic bags or toys that are small enough to be swallowed, could help ensure that the environment is safe and healthy. To make plastic bags inaccessible to children less than three years old, store them above five feet from the finished floor or place in locked storage. In space #1, a plastic bag was hanging on a hook below five feet. In space #6, clothing and diapers were stored in plastic bags below five feet. When this was brought to your attention, the plastic was moved to a shelf above five feet. Check the learning environment throughout the day to ensure that plastic is out of reach of children. Additional Comments: Rated License: Currently this center operates with a 5 Star License, issued November 19, 2018. Your facility is in Cohort One with your preparation year currently underway and your reassessment year will begin July 1, 2024. We discussed that the reassessment year begins soon and it is important to prepare for the assessment now. Per our discussion, you are going to reach out to Craven Smart Start to come to the facility to go through the materials in the classrooms. Continue to submit staff education to WORKS to be evaluated. I emailed you an application for reassessment and assessment request form. Reach out to me when you are ready to schedule an assessment and send me the completed forms. Funding Opportunity to Address Asbestos and Lead-Based Paint in Licensed Child Care Facilities The NCDHHS, Health Hazards Control Unit (HHCU) is providing a presentation regarding the American Rescue Plan Act (ARPA) Reimbursement Program for NC Licensed Child Care Centers and Family Child Care Homes. Under the ARPA Reimbursement Program licensed facilities can be reimbursed up to 100% for eligible expenses related to asbestos or lead based paint abatement or remediation activities. Funding for reimbursement will be available until December 31, 2026, or until it is depleted, whichever comes first. https://www.cleanwaterforuskids.org/en/carolina/ Rule Changes Effective January 2024 Training Modules Available in DCDEE Moodle The Child Care Commission adopted child care rule changes in January 2024. Changes relate to definitions; lead and asbestos for centers and family child care homes; building requirements for family child care homes; multi-unit child care centers; and criminal background checks. Consultants will assist as you begin to review and implement the changes, but please note, some of the rule changes may or may not impact your facility. An example is the rules in section .2600 for multi-unit child care center. These rules are specific to child care centers with multiple licensed centers within one building. Please ensure you are using the updated January 2024 rule book, and view information in the DCDEE Moodle (enroll if necessary). You will need to have an NCID - the same NCID that you use for the health & safety training, WORKS login, and/or the CBC Portal - to participate in Moodle training. If you do not have an NCID, use this link to get one: https://ncid.nc.gov. Rule training modules can be found in the same course as the October 2017 Child Care Rule Rollout. If you are unfamiliar with the Child Care Rule Rollout within Moodle and how to navigate, please visit: https://ncchildcare.ncdhhs.gov/Learning-Resources/How-to-Navigate-Moodle. To get help with Moodle, email DCDEE_Moodle_Support@dhhs.nc.gov or call (919) 814-9326. Natural Learning Initiative: Time outdoors is a critical tool for supporting mental and physical health in young children. Adoption of best practices for outdoor play and learning spaces is critical to increase daily time spent outside. The four components of this project include: 1. Relaunch a supportive network for outdoor play and learning environments in North Carolina; 2. Research nature-based programs and spaces and develop a plan to embed these in licensed childcare in North Carolina; 3. Motivate and train early educators and specialists to promote best practices and increase time in outdoor play and learning in NC childcare facilities; 4. Increase time outdoors playing and learning in NC family child care homes through professional development and technical assistance. Today, we discussed ways to create a natural learning environment in the outdoor spaces. Some of the ideas included a music wall made from kitchen accessories, a garden that the children can help plant, and a science center. I encourage you to check out naturallearning.org to find resources and professional development options for ways to enhance your outdoor learning environments. Craven Smart Start is also able to provide you with resources and information, training opportunities, technical assistance on childcare issues. Their phone number is (252) 636- 3198 or check out their website at www.cravensmartstart.org. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me at Brittany Jones, Child Care Consultant, (252) 947-1036, Brittany.j.jones@dhhs.nc.gov or Jennifer Linhardt, Licensing Supervisor, (252) 373-4199, Jennifer.Linhardt@dhhs.nc.gov if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0803 · Violation

Name of Operation: ENRICH B-4 Facility ID: 25000131 Consultant: BRITTANY JONES Operation Type: Center Case Number: Visit Date: 4/8/2024 Number Present: 43 Completed Date: 4/8/2024 Age: From 0 To 4 Total Minutes: 400 Time In: 08:50 AM Time Out: 03:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for an annual compliance visit. S. Green, Administrator, and E. Anderson, Assistant Administrator, assisted me with the visit. Your program currently operates with a five-star license, issued 11/19/2018, earning 6 points in the education component, 6 points in the program standards component and 1 quality point for having enhanced policies approved and staff benefits package. The last annual compliance visit was conducted 4/24/23. The sanitation inspection was completed 10/9/23 with a “Superior” classification. The last fire inspection was conducted 9/18/23 and your facility was approved for daytime care only. The center's compliance history was reviewed with the operator. The program’s compliance history was eighty seven percent as of 3/26/24. The NC Secretary of State website was reviewed on 3/26/24 and Cornerstone Assembly of God, Inc was listed as current- active. We reviewed your facility contact information listed on the Division of Child Development and Early Education (DCDEE) website and all information is current. Contact me if you need to make any changes to your contact information, e.g., phone numbers, mailing address. You visited each indoor and outdoor space with me. 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 free play on the carpet. Preschoolers were sitting at the table with manipulatives. Toddlers were observed in the outdoor space pushing toys and digging in the sand. The outdoor space was observed to have stationary climber, riding toys, balls, and hula hoops for the children to engage in gross motor activities. Lunch was observed and consisted of sloppy joes on buns, green beans, tater tots, peaches, and milk. The following violation(s) were documented. Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. An activity plan was not posted in space #6. GS 110-91(12); .0508(a) 504 Perishable foods were not stored to protect against spoilage. In space #6, the refrigerator used to store infant bottles did not have a thermometer. 15A NCAC 18A .2806 533 Human milk, formula and other bottled beverages including sippy cups, sent from child's home were not fully prepared, dated, and labeled for the appropriate child. In space #5, one out of five (5) infants in attendance had bottles in the refrigerator that were not labeled with a date. In space #6, one out of three (3) infants in attendance, had bottles in the refrigerator that were not labeled with a date. 15A NCAC 18A .2804(d) 541 The written feeding plan did not include the child's name, parent signature, and/or was not dated when received by the center. In space #6, two (2) out of the three (3) infants enrolled had a feeding schedule on file that was not signed by the parent. .0902(a) 807 A safe indoor and outdoor environment was not provided for the children. In outdoor space #3, there was paint peeling under the windows. 10A NCAC 09 .0601(a) 843 A drug or medicine was administered after its expiration date. In space #2, a bottle of Neutrogena Sheer Zone sunscreen was on file that expired 10/2020. In space # 4, a tube of Boudreaux’s Butt Paste was on file that expired 3/2024. 10A NCAC 09 .0803(1)(d) 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, a plastic bag was hanging on a hook below five feet. In space #6, clothing and diapers were stored in plastic bags below five feet. .0604(q) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. A child enrolled on 1/22/24 did not have a medical report on file until 4/2/24. GS110-91(1) 1323 Each child was not immunized as per Article 6 of Chapter 130A and an immunization record was not on file before or within 30 days after admission. A child enrolled on 1/22/24 did not have an immunization record on file until 4/2/24. 10A NCAC 09 .0302(d)(2) 1756 Enhanced staff/child ratios and group sizes were not met. In space #7, thirteen (13) children, 3-4 years of age, were in care with one staff member. 10A NCAC 09 .2818 1792 Staff did not model appropriate eating behaviors by consuming food or beverages that meet the nutritional requirements specified in the Meal Patterns for Children in Child Care Programs in the presence of children in care. In space #7, two cans of monster energy drinks were sitting on a shelf below five feet. In space #2, a bottle of mountain dew was sitting on a shelf beside the children’s cubbies. .0901(i) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. A staff member hired on 6/29/23 did not complete Recognizing and Responding to Suspicions of Child Maltreatment until 3/21/24. .1102(g) 1898 Staff did not complete the health and safety training within one year of employment. Two staff members did not complete health and safety training within the first year of employment. .1102(a) 1899 Health and safety training topics were not included as part of on-going training within five years of completing the previous health and safety training topics. Three staff members did not complete health and safety training every five years. .1103(b) 1912 The written feeding plan did not include the type of milk, formula or food and/or the frequency of the feedings. In space #6, one out of the three (3) infants enrolled had a feeding schedule on file that did reflect type of milk and the frequency of feedings. .0902(a) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before 4/22/24, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Brittany Jones, Child Care Consultant PO Box 3272 New Bern, NC 28564 Brittany.j.jones@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Technical Assistance with Documented Violations: Staff Child Ratio: A staff-to-child ratio is a measure of the number of children for whom each child care provider is responsible. Because younger children need more direct one-on-one interaction, response, and supervision, staff-to-child ratios are lower for younger children than for older ones. Ratio and group size are two factors that are critical to a child’s health, safety, and development. Ratios and group sizes help ensure that a child gets enough one-on-one attention from an adult who is available to take care of each child’s unique needs. This responsive caregiving is extremely important to a child ’s social and emotional development, physical well-being, and overall learning. Upon arrival, a staff member opened the front door. In space #7, thirteen (13) children, 3-4 years of age, were in care with one staff member. It was reported that the teacher that opened the front door for me was supposed to be in space #7 but had been out of the space to go to the bathroom. We discussed that the staff child ratio for three-year-old children is 1:10 and is documented on the staff child ratio sheet that is located on the wall in the classroom space for reference. Staff members need to call for assistance before walking out of the classroom space and going to the bathroom. Ensure that caregivers have a walkie talkie to alert administration when assistance is needed and that they understand that they can not leave the classroom until someone replaces them to maintain ratio. Outdoor Environment: The outdoor learning environment offers a sense of freedom for children. Children are able to play freely with peers, expand their imagination beyond restraints of indoor activities, release energy and explore their sense of touch, smell, taste and their sense of motion. It is important that the outdoor area is checked daily and proper upkeep is conducted to ensure the environment is safe for use. In outdoor space #3, there was paint peeling under the windows. You stated that you have painted the spaces under the windows several times, but the paint does not stay on the sheet metal. We discussed that on the other side of the spaces under the windows, in the classroom space, you created a chalkboard and dry erase board in the space where the sheet metal is present and could be also created on the outdoor side. We also discussed that this is a hazard because children can easily peel paint off the wall and eat it. Cover the space under the windows so that paint is not available to become a peeling hazard. Medication Disposal: Medication should not be used beyond the date of expiration. Unused medications should be returned to the parent/guardian for disposal. Proper disposal of medications is important to help ensure a healthy environment for children in our communities. In space #2, a bottle of Neutrogena Sheer Zone sunscreen was on file that expired 10/2020. In space # 4, a tube of Boudreaux’s Butt Paste was on file that expired 3/2024. You stated that the sunscreen had just been purchased and brought in by a parent and the expiration date was overlooked. We discussed that one person should be in charge of accepting medication to ensure that that the medication is in date and the form is completed correctly. You stated that the medication will be turned into the office before going into the classrooms. The teachers should check over the forms once they are placed in the classroom and be aware of the expiration dates of the medication and written permission. Check medications monthly to ensure that they are in date and the written permission is in date. Infant Needs: Growth and development during infancy require that nourishing, wholesome, and developmentally appropriate food be provided along with safe approaches to feeding. Because individual needs must be accommodated and improper practices can have dire consequences for the child’s health and safety, written feeding schedule must be on file for each child under 15 months of age and/or must be updated regularly to reflect changes in the child's needs. In space #6, two (2) out of the three (3) infants enrolled had a feeding schedule on file that was not signed by the parent. In space #6, one out of the three (3) infants enrolled had a feeding schedule on file that did reflect type of milk and the frequency of feedings. You stated that the classroom had recently been opened for infants. We discussed that any time a child is enrolled, the parent needs to complete the feeding plan and discuss it with the caregiver. Any time a parent wants to update the feeding plan, ask them to pull it off the wall and document the change while discussing with the caregiver. Check in with parents regularly to ensure that feeding schedules are up to date. In space #6, the refrigerator used to store infant bottles did not have a thermometer. We discussed that it is important to have a thermometer to ensure that the milk is being stored at 45 degrees Fahrenheit or below. You stated that you recently opened the classroom and will order a thermometer for the refrigerator. In space #5, one out of five (5) infants in attendance had bottles in the refrigerator that were not labeled with a date. In space #6, one out of three (3) infants in attendance, had bottles in the refrigerator that were not labeled with a date. When this was brought to the teacher’s attention, the bottles were labeled with the date and corrected the violation. Check bottles that they are labeled with name and date before placing in the refrigerator and use masking tape to label if needed. Activity plans: Activity plans help teachers to plan for and implement daily activities for children. They provide information to families on activities taking place during their children’s day. Planning for a week of activities helps teachers to obtain and prepare the materials and equipment needed to successfully carry out the activities on the plan. An activity plan was not posted in space #6. We discussed that since the room is now being used, a lesson plan must be posted each week. You stated that a weekly checklist would be beneficial for the teachers to use to ensure that lesson plans are posted, sleep charts are filed and made for the next week, etc. Create a weekly checklist for teachers and check that the tasks are being completed. Nutrition: To be good role models for children food and beverages must meet the nutritional requirements as outlined in the Meal Pattern for Children in Child Care Programs when they are in the presence of children. In space #7, two cans of monster energy drinks were sitting on a shelf below five feet. In space #2, a bottle of mountain dew was sitting on a shelf beside the children’s cubbies. We discussed that we are role models for children and can only have beverages in the classroom that the children can drink. You stated that the teachers were given cups for teacher appreciation and will be told again to use them in the classrooms. Health & Safety Training: Health & Safety (H&S) Training includes training in 9 topic areas plus Recognizing and Responding to Suspicions of Child Maltreatment and CPR/First Aid. New staff are required to complete H&S Training within one year of hire (CPR/First Aid and Recognizing and Responding to Suspicions of Child Maltreatment within 3 months of hire) and then complete training in all topic areas every five years. Free H&S Training developed specifically for North Carolina is available in Moodle on the DCDEE website. Other options may be used if they are approved by DCDEE. Complete Recognizing and Responding to Suspicions of Child Maltreatment at www.preventchildabusenc.org. Use the Health & Safety Training Log to document and track all H&S Training and attach certificate for each training topic area to log. These trainings can also be used to meet annual on-going training requirements. Two staff members did not complete health and safety training within the first year of employment. Three staff members did not complete health and safety training every five years. We discussed that using a digital calendar that can be shared with administrators can send reminders before trainings are due to ensure that they are completed. You stated that you were in the process of creating a shared digital calendar to track employee file due dates. A staff member hired on 6/29/23 did not complete Recognizing and Responding to Suspicions of Child Maltreatment until 3/21/24. Add reminders to ensure new staff complete this training within the first months of hire. Children's Records: Children are required to have a medical exam by a doctor and a copy of their immunization record no later than 30 days from their first day of attendance. Immunization records are required for all children; however, a medical exam is required for all children from birth to five, that have not started Kindergarten. A medical exam can be accepted if completed within the last 12 months prior to enrollment. A child enrolled on 1/22/24 did not have an immunization record and medical report on file until 4/2/24. You stated that the parents had a difficult time getting the records from the doctor’s office. Use the children’s file checklist to ensure that documents are received on time. Plastic: All areas used by children should be kept free of items that are potentially hazardous to children. A daily checklist including checking the environment for hazardous items, such as plastic bags or toys that are small enough to be swallowed, could help ensure that the environment is safe and healthy. To make plastic bags inaccessible to children less than three years old, store them above five feet from the finished floor or place in locked storage. In space #1, a plastic bag was hanging on a hook below five feet. In space #6, clothing and diapers were stored in plastic bags below five feet. When this was brought to your attention, the plastic was moved to a shelf above five feet. Check the learning environment throughout the day to ensure that plastic is out of reach of children. Additional Comments: Rated License: Currently this center operates with a 5 Star License, issued November 19, 2018. Your facility is in Cohort One with your preparation year currently underway and your reassessment year will begin July 1, 2024. We discussed that the reassessment year begins soon and it is important to prepare for the assessment now. Per our discussion, you are going to reach out to Craven Smart Start to come to the facility to go through the materials in the classrooms. Continue to submit staff education to WORKS to be evaluated. I emailed you an application for reassessment and assessment request form. Reach out to me when you are ready to schedule an assessment and send me the completed forms. Funding Opportunity to Address Asbestos and Lead-Based Paint in Licensed Child Care Facilities The NCDHHS, Health Hazards Control Unit (HHCU) is providing a presentation regarding the American Rescue Plan Act (ARPA) Reimbursement Program for NC Licensed Child Care Centers and Family Child Care Homes. Under the ARPA Reimbursement Program licensed facilities can be reimbursed up to 100% for eligible expenses related to asbestos or lead based paint abatement or remediation activities. Funding for reimbursement will be available until December 31, 2026, or until it is depleted, whichever comes first. https://www.cleanwaterforuskids.org/en/carolina/ Rule Changes Effective January 2024 Training Modules Available in DCDEE Moodle The Child Care Commission adopted child care rule changes in January 2024. Changes relate to definitions; lead and asbestos for centers and family child care homes; building requirements for family child care homes; multi-unit child care centers; and criminal background checks. Consultants will assist as you begin to review and implement the changes, but please note, some of the rule changes may or may not impact your facility. An example is the rules in section .2600 for multi-unit child care center. These rules are specific to child care centers with multiple licensed centers within one building. Please ensure you are using the updated January 2024 rule book, and view information in the DCDEE Moodle (enroll if necessary). You will need to have an NCID - the same NCID that you use for the health & safety training, WORKS login, and/or the CBC Portal - to participate in Moodle training. If you do not have an NCID, use this link to get one: https://ncid.nc.gov. Rule training modules can be found in the same course as the October 2017 Child Care Rule Rollout. If you are unfamiliar with the Child Care Rule Rollout within Moodle and how to navigate, please visit: https://ncchildcare.ncdhhs.gov/Learning-Resources/How-to-Navigate-Moodle. To get help with Moodle, email DCDEE_Moodle_Support@dhhs.nc.gov or call (919) 814-9326. Natural Learning Initiative: Time outdoors is a critical tool for supporting mental and physical health in young children. Adoption of best practices for outdoor play and learning spaces is critical to increase daily time spent outside. The four components of this project include: 1. Relaunch a supportive network for outdoor play and learning environments in North Carolina; 2. Research nature-based programs and spaces and develop a plan to embed these in licensed childcare in North Carolina; 3. Motivate and train early educators and specialists to promote best practices and increase time in outdoor play and learning in NC childcare facilities; 4. Increase time outdoors playing and learning in NC family child care homes through professional development and technical assistance. Today, we discussed ways to create a natural learning environment in the outdoor spaces. Some of the ideas included a music wall made from kitchen accessories, a garden that the children can help plant, and a science center. I encourage you to check out naturallearning.org to find resources and professional development options for ways to enhance your outdoor learning environments. Craven Smart Start is also able to provide you with resources and information, training opportunities, technical assistance on childcare issues. Their phone number is (252) 636- 3198 or check out their website at www.cravensmartstart.org. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me at Brittany Jones, Child Care Consultant, (252) 947-1036, Brittany.j.jones@dhhs.nc.gov or Jennifer Linhardt, Licensing Supervisor, (252) 373-4199, Jennifer.Linhardt@dhhs.nc.gov if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0302 · Violation

Name of Operation: ENRICH B-4 Facility ID: 25000131 Consultant: BRITTANY JONES Operation Type: Center Case Number: Visit Date: 4/8/2024 Number Present: 43 Completed Date: 4/8/2024 Age: From 0 To 4 Total Minutes: 400 Time In: 08:50 AM Time Out: 03:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for an annual compliance visit. S. Green, Administrator, and E. Anderson, Assistant Administrator, assisted me with the visit. Your program currently operates with a five-star license, issued 11/19/2018, earning 6 points in the education component, 6 points in the program standards component and 1 quality point for having enhanced policies approved and staff benefits package. The last annual compliance visit was conducted 4/24/23. The sanitation inspection was completed 10/9/23 with a “Superior” classification. The last fire inspection was conducted 9/18/23 and your facility was approved for daytime care only. The center's compliance history was reviewed with the operator. The program’s compliance history was eighty seven percent as of 3/26/24. The NC Secretary of State website was reviewed on 3/26/24 and Cornerstone Assembly of God, Inc was listed as current- active. We reviewed your facility contact information listed on the Division of Child Development and Early Education (DCDEE) website and all information is current. Contact me if you need to make any changes to your contact information, e.g., phone numbers, mailing address. You visited each indoor and outdoor space with me. 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 free play on the carpet. Preschoolers were sitting at the table with manipulatives. Toddlers were observed in the outdoor space pushing toys and digging in the sand. The outdoor space was observed to have stationary climber, riding toys, balls, and hula hoops for the children to engage in gross motor activities. Lunch was observed and consisted of sloppy joes on buns, green beans, tater tots, peaches, and milk. The following violation(s) were documented. Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. An activity plan was not posted in space #6. GS 110-91(12); .0508(a) 504 Perishable foods were not stored to protect against spoilage. In space #6, the refrigerator used to store infant bottles did not have a thermometer. 15A NCAC 18A .2806 533 Human milk, formula and other bottled beverages including sippy cups, sent from child's home were not fully prepared, dated, and labeled for the appropriate child. In space #5, one out of five (5) infants in attendance had bottles in the refrigerator that were not labeled with a date. In space #6, one out of three (3) infants in attendance, had bottles in the refrigerator that were not labeled with a date. 15A NCAC 18A .2804(d) 541 The written feeding plan did not include the child's name, parent signature, and/or was not dated when received by the center. In space #6, two (2) out of the three (3) infants enrolled had a feeding schedule on file that was not signed by the parent. .0902(a) 807 A safe indoor and outdoor environment was not provided for the children. In outdoor space #3, there was paint peeling under the windows. 10A NCAC 09 .0601(a) 843 A drug or medicine was administered after its expiration date. In space #2, a bottle of Neutrogena Sheer Zone sunscreen was on file that expired 10/2020. In space # 4, a tube of Boudreaux’s Butt Paste was on file that expired 3/2024. 10A NCAC 09 .0803(1)(d) 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, a plastic bag was hanging on a hook below five feet. In space #6, clothing and diapers were stored in plastic bags below five feet. .0604(q) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. A child enrolled on 1/22/24 did not have a medical report on file until 4/2/24. GS110-91(1) 1323 Each child was not immunized as per Article 6 of Chapter 130A and an immunization record was not on file before or within 30 days after admission. A child enrolled on 1/22/24 did not have an immunization record on file until 4/2/24. 10A NCAC 09 .0302(d)(2) 1756 Enhanced staff/child ratios and group sizes were not met. In space #7, thirteen (13) children, 3-4 years of age, were in care with one staff member. 10A NCAC 09 .2818 1792 Staff did not model appropriate eating behaviors by consuming food or beverages that meet the nutritional requirements specified in the Meal Patterns for Children in Child Care Programs in the presence of children in care. In space #7, two cans of monster energy drinks were sitting on a shelf below five feet. In space #2, a bottle of mountain dew was sitting on a shelf beside the children’s cubbies. .0901(i) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. A staff member hired on 6/29/23 did not complete Recognizing and Responding to Suspicions of Child Maltreatment until 3/21/24. .1102(g) 1898 Staff did not complete the health and safety training within one year of employment. Two staff members did not complete health and safety training within the first year of employment. .1102(a) 1899 Health and safety training topics were not included as part of on-going training within five years of completing the previous health and safety training topics. Three staff members did not complete health and safety training every five years. .1103(b) 1912 The written feeding plan did not include the type of milk, formula or food and/or the frequency of the feedings. In space #6, one out of the three (3) infants enrolled had a feeding schedule on file that did reflect type of milk and the frequency of feedings. .0902(a) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before 4/22/24, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Brittany Jones, Child Care Consultant PO Box 3272 New Bern, NC 28564 Brittany.j.jones@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Technical Assistance with Documented Violations: Staff Child Ratio: A staff-to-child ratio is a measure of the number of children for whom each child care provider is responsible. Because younger children need more direct one-on-one interaction, response, and supervision, staff-to-child ratios are lower for younger children than for older ones. Ratio and group size are two factors that are critical to a child’s health, safety, and development. Ratios and group sizes help ensure that a child gets enough one-on-one attention from an adult who is available to take care of each child’s unique needs. This responsive caregiving is extremely important to a child ’s social and emotional development, physical well-being, and overall learning. Upon arrival, a staff member opened the front door. In space #7, thirteen (13) children, 3-4 years of age, were in care with one staff member. It was reported that the teacher that opened the front door for me was supposed to be in space #7 but had been out of the space to go to the bathroom. We discussed that the staff child ratio for three-year-old children is 1:10 and is documented on the staff child ratio sheet that is located on the wall in the classroom space for reference. Staff members need to call for assistance before walking out of the classroom space and going to the bathroom. Ensure that caregivers have a walkie talkie to alert administration when assistance is needed and that they understand that they can not leave the classroom until someone replaces them to maintain ratio. Outdoor Environment: The outdoor learning environment offers a sense of freedom for children. Children are able to play freely with peers, expand their imagination beyond restraints of indoor activities, release energy and explore their sense of touch, smell, taste and their sense of motion. It is important that the outdoor area is checked daily and proper upkeep is conducted to ensure the environment is safe for use. In outdoor space #3, there was paint peeling under the windows. You stated that you have painted the spaces under the windows several times, but the paint does not stay on the sheet metal. We discussed that on the other side of the spaces under the windows, in the classroom space, you created a chalkboard and dry erase board in the space where the sheet metal is present and could be also created on the outdoor side. We also discussed that this is a hazard because children can easily peel paint off the wall and eat it. Cover the space under the windows so that paint is not available to become a peeling hazard. Medication Disposal: Medication should not be used beyond the date of expiration. Unused medications should be returned to the parent/guardian for disposal. Proper disposal of medications is important to help ensure a healthy environment for children in our communities. In space #2, a bottle of Neutrogena Sheer Zone sunscreen was on file that expired 10/2020. In space # 4, a tube of Boudreaux’s Butt Paste was on file that expired 3/2024. You stated that the sunscreen had just been purchased and brought in by a parent and the expiration date was overlooked. We discussed that one person should be in charge of accepting medication to ensure that that the medication is in date and the form is completed correctly. You stated that the medication will be turned into the office before going into the classrooms. The teachers should check over the forms once they are placed in the classroom and be aware of the expiration dates of the medication and written permission. Check medications monthly to ensure that they are in date and the written permission is in date. Infant Needs: Growth and development during infancy require that nourishing, wholesome, and developmentally appropriate food be provided along with safe approaches to feeding. Because individual needs must be accommodated and improper practices can have dire consequences for the child’s health and safety, written feeding schedule must be on file for each child under 15 months of age and/or must be updated regularly to reflect changes in the child's needs. In space #6, two (2) out of the three (3) infants enrolled had a feeding schedule on file that was not signed by the parent. In space #6, one out of the three (3) infants enrolled had a feeding schedule on file that did reflect type of milk and the frequency of feedings. You stated that the classroom had recently been opened for infants. We discussed that any time a child is enrolled, the parent needs to complete the feeding plan and discuss it with the caregiver. Any time a parent wants to update the feeding plan, ask them to pull it off the wall and document the change while discussing with the caregiver. Check in with parents regularly to ensure that feeding schedules are up to date. In space #6, the refrigerator used to store infant bottles did not have a thermometer. We discussed that it is important to have a thermometer to ensure that the milk is being stored at 45 degrees Fahrenheit or below. You stated that you recently opened the classroom and will order a thermometer for the refrigerator. In space #5, one out of five (5) infants in attendance had bottles in the refrigerator that were not labeled with a date. In space #6, one out of three (3) infants in attendance, had bottles in the refrigerator that were not labeled with a date. When this was brought to the teacher’s attention, the bottles were labeled with the date and corrected the violation. Check bottles that they are labeled with name and date before placing in the refrigerator and use masking tape to label if needed. Activity plans: Activity plans help teachers to plan for and implement daily activities for children. They provide information to families on activities taking place during their children’s day. Planning for a week of activities helps teachers to obtain and prepare the materials and equipment needed to successfully carry out the activities on the plan. An activity plan was not posted in space #6. We discussed that since the room is now being used, a lesson plan must be posted each week. You stated that a weekly checklist would be beneficial for the teachers to use to ensure that lesson plans are posted, sleep charts are filed and made for the next week, etc. Create a weekly checklist for teachers and check that the tasks are being completed. Nutrition: To be good role models for children food and beverages must meet the nutritional requirements as outlined in the Meal Pattern for Children in Child Care Programs when they are in the presence of children. In space #7, two cans of monster energy drinks were sitting on a shelf below five feet. In space #2, a bottle of mountain dew was sitting on a shelf beside the children’s cubbies. We discussed that we are role models for children and can only have beverages in the classroom that the children can drink. You stated that the teachers were given cups for teacher appreciation and will be told again to use them in the classrooms. Health & Safety Training: Health & Safety (H&S) Training includes training in 9 topic areas plus Recognizing and Responding to Suspicions of Child Maltreatment and CPR/First Aid. New staff are required to complete H&S Training within one year of hire (CPR/First Aid and Recognizing and Responding to Suspicions of Child Maltreatment within 3 months of hire) and then complete training in all topic areas every five years. Free H&S Training developed specifically for North Carolina is available in Moodle on the DCDEE website. Other options may be used if they are approved by DCDEE. Complete Recognizing and Responding to Suspicions of Child Maltreatment at www.preventchildabusenc.org. Use the Health & Safety Training Log to document and track all H&S Training and attach certificate for each training topic area to log. These trainings can also be used to meet annual on-going training requirements. Two staff members did not complete health and safety training within the first year of employment. Three staff members did not complete health and safety training every five years. We discussed that using a digital calendar that can be shared with administrators can send reminders before trainings are due to ensure that they are completed. You stated that you were in the process of creating a shared digital calendar to track employee file due dates. A staff member hired on 6/29/23 did not complete Recognizing and Responding to Suspicions of Child Maltreatment until 3/21/24. Add reminders to ensure new staff complete this training within the first months of hire. Children's Records: Children are required to have a medical exam by a doctor and a copy of their immunization record no later than 30 days from their first day of attendance. Immunization records are required for all children; however, a medical exam is required for all children from birth to five, that have not started Kindergarten. A medical exam can be accepted if completed within the last 12 months prior to enrollment. A child enrolled on 1/22/24 did not have an immunization record and medical report on file until 4/2/24. You stated that the parents had a difficult time getting the records from the doctor’s office. Use the children’s file checklist to ensure that documents are received on time. Plastic: All areas used by children should be kept free of items that are potentially hazardous to children. A daily checklist including checking the environment for hazardous items, such as plastic bags or toys that are small enough to be swallowed, could help ensure that the environment is safe and healthy. To make plastic bags inaccessible to children less than three years old, store them above five feet from the finished floor or place in locked storage. In space #1, a plastic bag was hanging on a hook below five feet. In space #6, clothing and diapers were stored in plastic bags below five feet. When this was brought to your attention, the plastic was moved to a shelf above five feet. Check the learning environment throughout the day to ensure that plastic is out of reach of children. Additional Comments: Rated License: Currently this center operates with a 5 Star License, issued November 19, 2018. Your facility is in Cohort One with your preparation year currently underway and your reassessment year will begin July 1, 2024. We discussed that the reassessment year begins soon and it is important to prepare for the assessment now. Per our discussion, you are going to reach out to Craven Smart Start to come to the facility to go through the materials in the classrooms. Continue to submit staff education to WORKS to be evaluated. I emailed you an application for reassessment and assessment request form. Reach out to me when you are ready to schedule an assessment and send me the completed forms. Funding Opportunity to Address Asbestos and Lead-Based Paint in Licensed Child Care Facilities The NCDHHS, Health Hazards Control Unit (HHCU) is providing a presentation regarding the American Rescue Plan Act (ARPA) Reimbursement Program for NC Licensed Child Care Centers and Family Child Care Homes. Under the ARPA Reimbursement Program licensed facilities can be reimbursed up to 100% for eligible expenses related to asbestos or lead based paint abatement or remediation activities. Funding for reimbursement will be available until December 31, 2026, or until it is depleted, whichever comes first. https://www.cleanwaterforuskids.org/en/carolina/ Rule Changes Effective January 2024 Training Modules Available in DCDEE Moodle The Child Care Commission adopted child care rule changes in January 2024. Changes relate to definitions; lead and asbestos for centers and family child care homes; building requirements for family child care homes; multi-unit child care centers; and criminal background checks. Consultants will assist as you begin to review and implement the changes, but please note, some of the rule changes may or may not impact your facility. An example is the rules in section .2600 for multi-unit child care center. These rules are specific to child care centers with multiple licensed centers within one building. Please ensure you are using the updated January 2024 rule book, and view information in the DCDEE Moodle (enroll if necessary). You will need to have an NCID - the same NCID that you use for the health & safety training, WORKS login, and/or the CBC Portal - to participate in Moodle training. If you do not have an NCID, use this link to get one: https://ncid.nc.gov. Rule training modules can be found in the same course as the October 2017 Child Care Rule Rollout. If you are unfamiliar with the Child Care Rule Rollout within Moodle and how to navigate, please visit: https://ncchildcare.ncdhhs.gov/Learning-Resources/How-to-Navigate-Moodle. To get help with Moodle, email DCDEE_Moodle_Support@dhhs.nc.gov or call (919) 814-9326. Natural Learning Initiative: Time outdoors is a critical tool for supporting mental and physical health in young children. Adoption of best practices for outdoor play and learning spaces is critical to increase daily time spent outside. The four components of this project include: 1. Relaunch a supportive network for outdoor play and learning environments in North Carolina; 2. Research nature-based programs and spaces and develop a plan to embed these in licensed childcare in North Carolina; 3. Motivate and train early educators and specialists to promote best practices and increase time in outdoor play and learning in NC childcare facilities; 4. Increase time outdoors playing and learning in NC family child care homes through professional development and technical assistance. Today, we discussed ways to create a natural learning environment in the outdoor spaces. Some of the ideas included a music wall made from kitchen accessories, a garden that the children can help plant, and a science center. I encourage you to check out naturallearning.org to find resources and professional development options for ways to enhance your outdoor learning environments. Craven Smart Start is also able to provide you with resources and information, training opportunities, technical assistance on childcare issues. Their phone number is (252) 636- 3198 or check out their website at www.cravensmartstart.org. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me at Brittany Jones, Child Care Consultant, (252) 947-1036, Brittany.j.jones@dhhs.nc.gov or Jennifer Linhardt, Licensing Supervisor, (252) 373-4199, Jennifer.Linhardt@dhhs.nc.gov if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .2818 · Violation

Name of Operation: ENRICH B-4 Facility ID: 25000131 Consultant: BRITTANY JONES Operation Type: Center Case Number: Visit Date: 4/8/2024 Number Present: 43 Completed Date: 4/8/2024 Age: From 0 To 4 Total Minutes: 400 Time In: 08:50 AM Time Out: 03:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for an annual compliance visit. S. Green, Administrator, and E. Anderson, Assistant Administrator, assisted me with the visit. Your program currently operates with a five-star license, issued 11/19/2018, earning 6 points in the education component, 6 points in the program standards component and 1 quality point for having enhanced policies approved and staff benefits package. The last annual compliance visit was conducted 4/24/23. The sanitation inspection was completed 10/9/23 with a “Superior” classification. The last fire inspection was conducted 9/18/23 and your facility was approved for daytime care only. The center's compliance history was reviewed with the operator. The program’s compliance history was eighty seven percent as of 3/26/24. The NC Secretary of State website was reviewed on 3/26/24 and Cornerstone Assembly of God, Inc was listed as current- active. We reviewed your facility contact information listed on the Division of Child Development and Early Education (DCDEE) website and all information is current. Contact me if you need to make any changes to your contact information, e.g., phone numbers, mailing address. You visited each indoor and outdoor space with me. 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 free play on the carpet. Preschoolers were sitting at the table with manipulatives. Toddlers were observed in the outdoor space pushing toys and digging in the sand. The outdoor space was observed to have stationary climber, riding toys, balls, and hula hoops for the children to engage in gross motor activities. Lunch was observed and consisted of sloppy joes on buns, green beans, tater tots, peaches, and milk. The following violation(s) were documented. Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. An activity plan was not posted in space #6. GS 110-91(12); .0508(a) 504 Perishable foods were not stored to protect against spoilage. In space #6, the refrigerator used to store infant bottles did not have a thermometer. 15A NCAC 18A .2806 533 Human milk, formula and other bottled beverages including sippy cups, sent from child's home were not fully prepared, dated, and labeled for the appropriate child. In space #5, one out of five (5) infants in attendance had bottles in the refrigerator that were not labeled with a date. In space #6, one out of three (3) infants in attendance, had bottles in the refrigerator that were not labeled with a date. 15A NCAC 18A .2804(d) 541 The written feeding plan did not include the child's name, parent signature, and/or was not dated when received by the center. In space #6, two (2) out of the three (3) infants enrolled had a feeding schedule on file that was not signed by the parent. .0902(a) 807 A safe indoor and outdoor environment was not provided for the children. In outdoor space #3, there was paint peeling under the windows. 10A NCAC 09 .0601(a) 843 A drug or medicine was administered after its expiration date. In space #2, a bottle of Neutrogena Sheer Zone sunscreen was on file that expired 10/2020. In space # 4, a tube of Boudreaux’s Butt Paste was on file that expired 3/2024. 10A NCAC 09 .0803(1)(d) 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, a plastic bag was hanging on a hook below five feet. In space #6, clothing and diapers were stored in plastic bags below five feet. .0604(q) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. A child enrolled on 1/22/24 did not have a medical report on file until 4/2/24. GS110-91(1) 1323 Each child was not immunized as per Article 6 of Chapter 130A and an immunization record was not on file before or within 30 days after admission. A child enrolled on 1/22/24 did not have an immunization record on file until 4/2/24. 10A NCAC 09 .0302(d)(2) 1756 Enhanced staff/child ratios and group sizes were not met. In space #7, thirteen (13) children, 3-4 years of age, were in care with one staff member. 10A NCAC 09 .2818 1792 Staff did not model appropriate eating behaviors by consuming food or beverages that meet the nutritional requirements specified in the Meal Patterns for Children in Child Care Programs in the presence of children in care. In space #7, two cans of monster energy drinks were sitting on a shelf below five feet. In space #2, a bottle of mountain dew was sitting on a shelf beside the children’s cubbies. .0901(i) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. A staff member hired on 6/29/23 did not complete Recognizing and Responding to Suspicions of Child Maltreatment until 3/21/24. .1102(g) 1898 Staff did not complete the health and safety training within one year of employment. Two staff members did not complete health and safety training within the first year of employment. .1102(a) 1899 Health and safety training topics were not included as part of on-going training within five years of completing the previous health and safety training topics. Three staff members did not complete health and safety training every five years. .1103(b) 1912 The written feeding plan did not include the type of milk, formula or food and/or the frequency of the feedings. In space #6, one out of the three (3) infants enrolled had a feeding schedule on file that did reflect type of milk and the frequency of feedings. .0902(a) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before 4/22/24, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Brittany Jones, Child Care Consultant PO Box 3272 New Bern, NC 28564 Brittany.j.jones@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Technical Assistance with Documented Violations: Staff Child Ratio: A staff-to-child ratio is a measure of the number of children for whom each child care provider is responsible. Because younger children need more direct one-on-one interaction, response, and supervision, staff-to-child ratios are lower for younger children than for older ones. Ratio and group size are two factors that are critical to a child’s health, safety, and development. Ratios and group sizes help ensure that a child gets enough one-on-one attention from an adult who is available to take care of each child’s unique needs. This responsive caregiving is extremely important to a child ’s social and emotional development, physical well-being, and overall learning. Upon arrival, a staff member opened the front door. In space #7, thirteen (13) children, 3-4 years of age, were in care with one staff member. It was reported that the teacher that opened the front door for me was supposed to be in space #7 but had been out of the space to go to the bathroom. We discussed that the staff child ratio for three-year-old children is 1:10 and is documented on the staff child ratio sheet that is located on the wall in the classroom space for reference. Staff members need to call for assistance before walking out of the classroom space and going to the bathroom. Ensure that caregivers have a walkie talkie to alert administration when assistance is needed and that they understand that they can not leave the classroom until someone replaces them to maintain ratio. Outdoor Environment: The outdoor learning environment offers a sense of freedom for children. Children are able to play freely with peers, expand their imagination beyond restraints of indoor activities, release energy and explore their sense of touch, smell, taste and their sense of motion. It is important that the outdoor area is checked daily and proper upkeep is conducted to ensure the environment is safe for use. In outdoor space #3, there was paint peeling under the windows. You stated that you have painted the spaces under the windows several times, but the paint does not stay on the sheet metal. We discussed that on the other side of the spaces under the windows, in the classroom space, you created a chalkboard and dry erase board in the space where the sheet metal is present and could be also created on the outdoor side. We also discussed that this is a hazard because children can easily peel paint off the wall and eat it. Cover the space under the windows so that paint is not available to become a peeling hazard. Medication Disposal: Medication should not be used beyond the date of expiration. Unused medications should be returned to the parent/guardian for disposal. Proper disposal of medications is important to help ensure a healthy environment for children in our communities. In space #2, a bottle of Neutrogena Sheer Zone sunscreen was on file that expired 10/2020. In space # 4, a tube of Boudreaux’s Butt Paste was on file that expired 3/2024. You stated that the sunscreen had just been purchased and brought in by a parent and the expiration date was overlooked. We discussed that one person should be in charge of accepting medication to ensure that that the medication is in date and the form is completed correctly. You stated that the medication will be turned into the office before going into the classrooms. The teachers should check over the forms once they are placed in the classroom and be aware of the expiration dates of the medication and written permission. Check medications monthly to ensure that they are in date and the written permission is in date. Infant Needs: Growth and development during infancy require that nourishing, wholesome, and developmentally appropriate food be provided along with safe approaches to feeding. Because individual needs must be accommodated and improper practices can have dire consequences for the child’s health and safety, written feeding schedule must be on file for each child under 15 months of age and/or must be updated regularly to reflect changes in the child's needs. In space #6, two (2) out of the three (3) infants enrolled had a feeding schedule on file that was not signed by the parent. In space #6, one out of the three (3) infants enrolled had a feeding schedule on file that did reflect type of milk and the frequency of feedings. You stated that the classroom had recently been opened for infants. We discussed that any time a child is enrolled, the parent needs to complete the feeding plan and discuss it with the caregiver. Any time a parent wants to update the feeding plan, ask them to pull it off the wall and document the change while discussing with the caregiver. Check in with parents regularly to ensure that feeding schedules are up to date. In space #6, the refrigerator used to store infant bottles did not have a thermometer. We discussed that it is important to have a thermometer to ensure that the milk is being stored at 45 degrees Fahrenheit or below. You stated that you recently opened the classroom and will order a thermometer for the refrigerator. In space #5, one out of five (5) infants in attendance had bottles in the refrigerator that were not labeled with a date. In space #6, one out of three (3) infants in attendance, had bottles in the refrigerator that were not labeled with a date. When this was brought to the teacher’s attention, the bottles were labeled with the date and corrected the violation. Check bottles that they are labeled with name and date before placing in the refrigerator and use masking tape to label if needed. Activity plans: Activity plans help teachers to plan for and implement daily activities for children. They provide information to families on activities taking place during their children’s day. Planning for a week of activities helps teachers to obtain and prepare the materials and equipment needed to successfully carry out the activities on the plan. An activity plan was not posted in space #6. We discussed that since the room is now being used, a lesson plan must be posted each week. You stated that a weekly checklist would be beneficial for the teachers to use to ensure that lesson plans are posted, sleep charts are filed and made for the next week, etc. Create a weekly checklist for teachers and check that the tasks are being completed. Nutrition: To be good role models for children food and beverages must meet the nutritional requirements as outlined in the Meal Pattern for Children in Child Care Programs when they are in the presence of children. In space #7, two cans of monster energy drinks were sitting on a shelf below five feet. In space #2, a bottle of mountain dew was sitting on a shelf beside the children’s cubbies. We discussed that we are role models for children and can only have beverages in the classroom that the children can drink. You stated that the teachers were given cups for teacher appreciation and will be told again to use them in the classrooms. Health & Safety Training: Health & Safety (H&S) Training includes training in 9 topic areas plus Recognizing and Responding to Suspicions of Child Maltreatment and CPR/First Aid. New staff are required to complete H&S Training within one year of hire (CPR/First Aid and Recognizing and Responding to Suspicions of Child Maltreatment within 3 months of hire) and then complete training in all topic areas every five years. Free H&S Training developed specifically for North Carolina is available in Moodle on the DCDEE website. Other options may be used if they are approved by DCDEE. Complete Recognizing and Responding to Suspicions of Child Maltreatment at www.preventchildabusenc.org. Use the Health & Safety Training Log to document and track all H&S Training and attach certificate for each training topic area to log. These trainings can also be used to meet annual on-going training requirements. Two staff members did not complete health and safety training within the first year of employment. Three staff members did not complete health and safety training every five years. We discussed that using a digital calendar that can be shared with administrators can send reminders before trainings are due to ensure that they are completed. You stated that you were in the process of creating a shared digital calendar to track employee file due dates. A staff member hired on 6/29/23 did not complete Recognizing and Responding to Suspicions of Child Maltreatment until 3/21/24. Add reminders to ensure new staff complete this training within the first months of hire. Children's Records: Children are required to have a medical exam by a doctor and a copy of their immunization record no later than 30 days from their first day of attendance. Immunization records are required for all children; however, a medical exam is required for all children from birth to five, that have not started Kindergarten. A medical exam can be accepted if completed within the last 12 months prior to enrollment. A child enrolled on 1/22/24 did not have an immunization record and medical report on file until 4/2/24. You stated that the parents had a difficult time getting the records from the doctor’s office. Use the children’s file checklist to ensure that documents are received on time. Plastic: All areas used by children should be kept free of items that are potentially hazardous to children. A daily checklist including checking the environment for hazardous items, such as plastic bags or toys that are small enough to be swallowed, could help ensure that the environment is safe and healthy. To make plastic bags inaccessible to children less than three years old, store them above five feet from the finished floor or place in locked storage. In space #1, a plastic bag was hanging on a hook below five feet. In space #6, clothing and diapers were stored in plastic bags below five feet. When this was brought to your attention, the plastic was moved to a shelf above five feet. Check the learning environment throughout the day to ensure that plastic is out of reach of children. Additional Comments: Rated License: Currently this center operates with a 5 Star License, issued November 19, 2018. Your facility is in Cohort One with your preparation year currently underway and your reassessment year will begin July 1, 2024. We discussed that the reassessment year begins soon and it is important to prepare for the assessment now. Per our discussion, you are going to reach out to Craven Smart Start to come to the facility to go through the materials in the classrooms. Continue to submit staff education to WORKS to be evaluated. I emailed you an application for reassessment and assessment request form. Reach out to me when you are ready to schedule an assessment and send me the completed forms. Funding Opportunity to Address Asbestos and Lead-Based Paint in Licensed Child Care Facilities The NCDHHS, Health Hazards Control Unit (HHCU) is providing a presentation regarding the American Rescue Plan Act (ARPA) Reimbursement Program for NC Licensed Child Care Centers and Family Child Care Homes. Under the ARPA Reimbursement Program licensed facilities can be reimbursed up to 100% for eligible expenses related to asbestos or lead based paint abatement or remediation activities. Funding for reimbursement will be available until December 31, 2026, or until it is depleted, whichever comes first. https://www.cleanwaterforuskids.org/en/carolina/ Rule Changes Effective January 2024 Training Modules Available in DCDEE Moodle The Child Care Commission adopted child care rule changes in January 2024. Changes relate to definitions; lead and asbestos for centers and family child care homes; building requirements for family child care homes; multi-unit child care centers; and criminal background checks. Consultants will assist as you begin to review and implement the changes, but please note, some of the rule changes may or may not impact your facility. An example is the rules in section .2600 for multi-unit child care center. These rules are specific to child care centers with multiple licensed centers within one building. Please ensure you are using the updated January 2024 rule book, and view information in the DCDEE Moodle (enroll if necessary). You will need to have an NCID - the same NCID that you use for the health & safety training, WORKS login, and/or the CBC Portal - to participate in Moodle training. If you do not have an NCID, use this link to get one: https://ncid.nc.gov. Rule training modules can be found in the same course as the October 2017 Child Care Rule Rollout. If you are unfamiliar with the Child Care Rule Rollout within Moodle and how to navigate, please visit: https://ncchildcare.ncdhhs.gov/Learning-Resources/How-to-Navigate-Moodle. To get help with Moodle, email DCDEE_Moodle_Support@dhhs.nc.gov or call (919) 814-9326. Natural Learning Initiative: Time outdoors is a critical tool for supporting mental and physical health in young children. Adoption of best practices for outdoor play and learning spaces is critical to increase daily time spent outside. The four components of this project include: 1. Relaunch a supportive network for outdoor play and learning environments in North Carolina; 2. Research nature-based programs and spaces and develop a plan to embed these in licensed childcare in North Carolina; 3. Motivate and train early educators and specialists to promote best practices and increase time in outdoor play and learning in NC childcare facilities; 4. Increase time outdoors playing and learning in NC family child care homes through professional development and technical assistance. Today, we discussed ways to create a natural learning environment in the outdoor spaces. Some of the ideas included a music wall made from kitchen accessories, a garden that the children can help plant, and a science center. I encourage you to check out naturallearning.org to find resources and professional development options for ways to enhance your outdoor learning environments. Craven Smart Start is also able to provide you with resources and information, training opportunities, technical assistance on childcare issues. Their phone number is (252) 636- 3198 or check out their website at www.cravensmartstart.org. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me at Brittany Jones, Child Care Consultant, (252) 947-1036, Brittany.j.jones@dhhs.nc.gov or Jennifer Linhardt, Licensing Supervisor, (252) 373-4199, Jennifer.Linhardt@dhhs.nc.gov if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

GS 110-91 · Violation

Name of Operation: ENRICH B-4 Facility ID: 25000131 Consultant: BRITTANY JONES Operation Type: Center Case Number: Visit Date: 4/8/2024 Number Present: 43 Completed Date: 4/8/2024 Age: From 0 To 4 Total Minutes: 400 Time In: 08:50 AM Time Out: 03:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for an annual compliance visit. S. Green, Administrator, and E. Anderson, Assistant Administrator, assisted me with the visit. Your program currently operates with a five-star license, issued 11/19/2018, earning 6 points in the education component, 6 points in the program standards component and 1 quality point for having enhanced policies approved and staff benefits package. The last annual compliance visit was conducted 4/24/23. The sanitation inspection was completed 10/9/23 with a “Superior” classification. The last fire inspection was conducted 9/18/23 and your facility was approved for daytime care only. The center's compliance history was reviewed with the operator. The program’s compliance history was eighty seven percent as of 3/26/24. The NC Secretary of State website was reviewed on 3/26/24 and Cornerstone Assembly of God, Inc was listed as current- active. We reviewed your facility contact information listed on the Division of Child Development and Early Education (DCDEE) website and all information is current. Contact me if you need to make any changes to your contact information, e.g., phone numbers, mailing address. You visited each indoor and outdoor space with me. 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 free play on the carpet. Preschoolers were sitting at the table with manipulatives. Toddlers were observed in the outdoor space pushing toys and digging in the sand. The outdoor space was observed to have stationary climber, riding toys, balls, and hula hoops for the children to engage in gross motor activities. Lunch was observed and consisted of sloppy joes on buns, green beans, tater tots, peaches, and milk. The following violation(s) were documented. Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. An activity plan was not posted in space #6. GS 110-91(12); .0508(a) 504 Perishable foods were not stored to protect against spoilage. In space #6, the refrigerator used to store infant bottles did not have a thermometer. 15A NCAC 18A .2806 533 Human milk, formula and other bottled beverages including sippy cups, sent from child's home were not fully prepared, dated, and labeled for the appropriate child. In space #5, one out of five (5) infants in attendance had bottles in the refrigerator that were not labeled with a date. In space #6, one out of three (3) infants in attendance, had bottles in the refrigerator that were not labeled with a date. 15A NCAC 18A .2804(d) 541 The written feeding plan did not include the child's name, parent signature, and/or was not dated when received by the center. In space #6, two (2) out of the three (3) infants enrolled had a feeding schedule on file that was not signed by the parent. .0902(a) 807 A safe indoor and outdoor environment was not provided for the children. In outdoor space #3, there was paint peeling under the windows. 10A NCAC 09 .0601(a) 843 A drug or medicine was administered after its expiration date. In space #2, a bottle of Neutrogena Sheer Zone sunscreen was on file that expired 10/2020. In space # 4, a tube of Boudreaux’s Butt Paste was on file that expired 3/2024. 10A NCAC 09 .0803(1)(d) 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, a plastic bag was hanging on a hook below five feet. In space #6, clothing and diapers were stored in plastic bags below five feet. .0604(q) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. A child enrolled on 1/22/24 did not have a medical report on file until 4/2/24. GS110-91(1) 1323 Each child was not immunized as per Article 6 of Chapter 130A and an immunization record was not on file before or within 30 days after admission. A child enrolled on 1/22/24 did not have an immunization record on file until 4/2/24. 10A NCAC 09 .0302(d)(2) 1756 Enhanced staff/child ratios and group sizes were not met. In space #7, thirteen (13) children, 3-4 years of age, were in care with one staff member. 10A NCAC 09 .2818 1792 Staff did not model appropriate eating behaviors by consuming food or beverages that meet the nutritional requirements specified in the Meal Patterns for Children in Child Care Programs in the presence of children in care. In space #7, two cans of monster energy drinks were sitting on a shelf below five feet. In space #2, a bottle of mountain dew was sitting on a shelf beside the children’s cubbies. .0901(i) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. A staff member hired on 6/29/23 did not complete Recognizing and Responding to Suspicions of Child Maltreatment until 3/21/24. .1102(g) 1898 Staff did not complete the health and safety training within one year of employment. Two staff members did not complete health and safety training within the first year of employment. .1102(a) 1899 Health and safety training topics were not included as part of on-going training within five years of completing the previous health and safety training topics. Three staff members did not complete health and safety training every five years. .1103(b) 1912 The written feeding plan did not include the type of milk, formula or food and/or the frequency of the feedings. In space #6, one out of the three (3) infants enrolled had a feeding schedule on file that did reflect type of milk and the frequency of feedings. .0902(a) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before 4/22/24, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Brittany Jones, Child Care Consultant PO Box 3272 New Bern, NC 28564 Brittany.j.jones@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Technical Assistance with Documented Violations: Staff Child Ratio: A staff-to-child ratio is a measure of the number of children for whom each child care provider is responsible. Because younger children need more direct one-on-one interaction, response, and supervision, staff-to-child ratios are lower for younger children than for older ones. Ratio and group size are two factors that are critical to a child’s health, safety, and development. Ratios and group sizes help ensure that a child gets enough one-on-one attention from an adult who is available to take care of each child’s unique needs. This responsive caregiving is extremely important to a child ’s social and emotional development, physical well-being, and overall learning. Upon arrival, a staff member opened the front door. In space #7, thirteen (13) children, 3-4 years of age, were in care with one staff member. It was reported that the teacher that opened the front door for me was supposed to be in space #7 but had been out of the space to go to the bathroom. We discussed that the staff child ratio for three-year-old children is 1:10 and is documented on the staff child ratio sheet that is located on the wall in the classroom space for reference. Staff members need to call for assistance before walking out of the classroom space and going to the bathroom. Ensure that caregivers have a walkie talkie to alert administration when assistance is needed and that they understand that they can not leave the classroom until someone replaces them to maintain ratio. Outdoor Environment: The outdoor learning environment offers a sense of freedom for children. Children are able to play freely with peers, expand their imagination beyond restraints of indoor activities, release energy and explore their sense of touch, smell, taste and their sense of motion. It is important that the outdoor area is checked daily and proper upkeep is conducted to ensure the environment is safe for use. In outdoor space #3, there was paint peeling under the windows. You stated that you have painted the spaces under the windows several times, but the paint does not stay on the sheet metal. We discussed that on the other side of the spaces under the windows, in the classroom space, you created a chalkboard and dry erase board in the space where the sheet metal is present and could be also created on the outdoor side. We also discussed that this is a hazard because children can easily peel paint off the wall and eat it. Cover the space under the windows so that paint is not available to become a peeling hazard. Medication Disposal: Medication should not be used beyond the date of expiration. Unused medications should be returned to the parent/guardian for disposal. Proper disposal of medications is important to help ensure a healthy environment for children in our communities. In space #2, a bottle of Neutrogena Sheer Zone sunscreen was on file that expired 10/2020. In space # 4, a tube of Boudreaux’s Butt Paste was on file that expired 3/2024. You stated that the sunscreen had just been purchased and brought in by a parent and the expiration date was overlooked. We discussed that one person should be in charge of accepting medication to ensure that that the medication is in date and the form is completed correctly. You stated that the medication will be turned into the office before going into the classrooms. The teachers should check over the forms once they are placed in the classroom and be aware of the expiration dates of the medication and written permission. Check medications monthly to ensure that they are in date and the written permission is in date. Infant Needs: Growth and development during infancy require that nourishing, wholesome, and developmentally appropriate food be provided along with safe approaches to feeding. Because individual needs must be accommodated and improper practices can have dire consequences for the child’s health and safety, written feeding schedule must be on file for each child under 15 months of age and/or must be updated regularly to reflect changes in the child's needs. In space #6, two (2) out of the three (3) infants enrolled had a feeding schedule on file that was not signed by the parent. In space #6, one out of the three (3) infants enrolled had a feeding schedule on file that did reflect type of milk and the frequency of feedings. You stated that the classroom had recently been opened for infants. We discussed that any time a child is enrolled, the parent needs to complete the feeding plan and discuss it with the caregiver. Any time a parent wants to update the feeding plan, ask them to pull it off the wall and document the change while discussing with the caregiver. Check in with parents regularly to ensure that feeding schedules are up to date. In space #6, the refrigerator used to store infant bottles did not have a thermometer. We discussed that it is important to have a thermometer to ensure that the milk is being stored at 45 degrees Fahrenheit or below. You stated that you recently opened the classroom and will order a thermometer for the refrigerator. In space #5, one out of five (5) infants in attendance had bottles in the refrigerator that were not labeled with a date. In space #6, one out of three (3) infants in attendance, had bottles in the refrigerator that were not labeled with a date. When this was brought to the teacher’s attention, the bottles were labeled with the date and corrected the violation. Check bottles that they are labeled with name and date before placing in the refrigerator and use masking tape to label if needed. Activity plans: Activity plans help teachers to plan for and implement daily activities for children. They provide information to families on activities taking place during their children’s day. Planning for a week of activities helps teachers to obtain and prepare the materials and equipment needed to successfully carry out the activities on the plan. An activity plan was not posted in space #6. We discussed that since the room is now being used, a lesson plan must be posted each week. You stated that a weekly checklist would be beneficial for the teachers to use to ensure that lesson plans are posted, sleep charts are filed and made for the next week, etc. Create a weekly checklist for teachers and check that the tasks are being completed. Nutrition: To be good role models for children food and beverages must meet the nutritional requirements as outlined in the Meal Pattern for Children in Child Care Programs when they are in the presence of children. In space #7, two cans of monster energy drinks were sitting on a shelf below five feet. In space #2, a bottle of mountain dew was sitting on a shelf beside the children’s cubbies. We discussed that we are role models for children and can only have beverages in the classroom that the children can drink. You stated that the teachers were given cups for teacher appreciation and will be told again to use them in the classrooms. Health & Safety Training: Health & Safety (H&S) Training includes training in 9 topic areas plus Recognizing and Responding to Suspicions of Child Maltreatment and CPR/First Aid. New staff are required to complete H&S Training within one year of hire (CPR/First Aid and Recognizing and Responding to Suspicions of Child Maltreatment within 3 months of hire) and then complete training in all topic areas every five years. Free H&S Training developed specifically for North Carolina is available in Moodle on the DCDEE website. Other options may be used if they are approved by DCDEE. Complete Recognizing and Responding to Suspicions of Child Maltreatment at www.preventchildabusenc.org. Use the Health & Safety Training Log to document and track all H&S Training and attach certificate for each training topic area to log. These trainings can also be used to meet annual on-going training requirements. Two staff members did not complete health and safety training within the first year of employment. Three staff members did not complete health and safety training every five years. We discussed that using a digital calendar that can be shared with administrators can send reminders before trainings are due to ensure that they are completed. You stated that you were in the process of creating a shared digital calendar to track employee file due dates. A staff member hired on 6/29/23 did not complete Recognizing and Responding to Suspicions of Child Maltreatment until 3/21/24. Add reminders to ensure new staff complete this training within the first months of hire. Children's Records: Children are required to have a medical exam by a doctor and a copy of their immunization record no later than 30 days from their first day of attendance. Immunization records are required for all children; however, a medical exam is required for all children from birth to five, that have not started Kindergarten. A medical exam can be accepted if completed within the last 12 months prior to enrollment. A child enrolled on 1/22/24 did not have an immunization record and medical report on file until 4/2/24. You stated that the parents had a difficult time getting the records from the doctor’s office. Use the children’s file checklist to ensure that documents are received on time. Plastic: All areas used by children should be kept free of items that are potentially hazardous to children. A daily checklist including checking the environment for hazardous items, such as plastic bags or toys that are small enough to be swallowed, could help ensure that the environment is safe and healthy. To make plastic bags inaccessible to children less than three years old, store them above five feet from the finished floor or place in locked storage. In space #1, a plastic bag was hanging on a hook below five feet. In space #6, clothing and diapers were stored in plastic bags below five feet. When this was brought to your attention, the plastic was moved to a shelf above five feet. Check the learning environment throughout the day to ensure that plastic is out of reach of children. Additional Comments: Rated License: Currently this center operates with a 5 Star License, issued November 19, 2018. Your facility is in Cohort One with your preparation year currently underway and your reassessment year will begin July 1, 2024. We discussed that the reassessment year begins soon and it is important to prepare for the assessment now. Per our discussion, you are going to reach out to Craven Smart Start to come to the facility to go through the materials in the classrooms. Continue to submit staff education to WORKS to be evaluated. I emailed you an application for reassessment and assessment request form. Reach out to me when you are ready to schedule an assessment and send me the completed forms. Funding Opportunity to Address Asbestos and Lead-Based Paint in Licensed Child Care Facilities The NCDHHS, Health Hazards Control Unit (HHCU) is providing a presentation regarding the American Rescue Plan Act (ARPA) Reimbursement Program for NC Licensed Child Care Centers and Family Child Care Homes. Under the ARPA Reimbursement Program licensed facilities can be reimbursed up to 100% for eligible expenses related to asbestos or lead based paint abatement or remediation activities. Funding for reimbursement will be available until December 31, 2026, or until it is depleted, whichever comes first. https://www.cleanwaterforuskids.org/en/carolina/ Rule Changes Effective January 2024 Training Modules Available in DCDEE Moodle The Child Care Commission adopted child care rule changes in January 2024. Changes relate to definitions; lead and asbestos for centers and family child care homes; building requirements for family child care homes; multi-unit child care centers; and criminal background checks. Consultants will assist as you begin to review and implement the changes, but please note, some of the rule changes may or may not impact your facility. An example is the rules in section .2600 for multi-unit child care center. These rules are specific to child care centers with multiple licensed centers within one building. Please ensure you are using the updated January 2024 rule book, and view information in the DCDEE Moodle (enroll if necessary). You will need to have an NCID - the same NCID that you use for the health & safety training, WORKS login, and/or the CBC Portal - to participate in Moodle training. If you do not have an NCID, use this link to get one: https://ncid.nc.gov. Rule training modules can be found in the same course as the October 2017 Child Care Rule Rollout. If you are unfamiliar with the Child Care Rule Rollout within Moodle and how to navigate, please visit: https://ncchildcare.ncdhhs.gov/Learning-Resources/How-to-Navigate-Moodle. To get help with Moodle, email DCDEE_Moodle_Support@dhhs.nc.gov or call (919) 814-9326. Natural Learning Initiative: Time outdoors is a critical tool for supporting mental and physical health in young children. Adoption of best practices for outdoor play and learning spaces is critical to increase daily time spent outside. The four components of this project include: 1. Relaunch a supportive network for outdoor play and learning environments in North Carolina; 2. Research nature-based programs and spaces and develop a plan to embed these in licensed childcare in North Carolina; 3. Motivate and train early educators and specialists to promote best practices and increase time in outdoor play and learning in NC childcare facilities; 4. Increase time outdoors playing and learning in NC family child care homes through professional development and technical assistance. Today, we discussed ways to create a natural learning environment in the outdoor spaces. Some of the ideas included a music wall made from kitchen accessories, a garden that the children can help plant, and a science center. I encourage you to check out naturallearning.org to find resources and professional development options for ways to enhance your outdoor learning environments. Craven Smart Start is also able to provide you with resources and information, training opportunities, technical assistance on childcare issues. Their phone number is (252) 636- 3198 or check out their website at www.cravensmartstart.org. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me at Brittany Jones, Child Care Consultant, (252) 947-1036, Brittany.j.jones@dhhs.nc.gov or Jennifer Linhardt, Licensing Supervisor, (252) 373-4199, Jennifer.Linhardt@dhhs.nc.gov if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

GS110-91 · Violation

Name of Operation: ENRICH B-4 Facility ID: 25000131 Consultant: BRITTANY JONES Operation Type: Center Case Number: Visit Date: 4/8/2024 Number Present: 43 Completed Date: 4/8/2024 Age: From 0 To 4 Total Minutes: 400 Time In: 08:50 AM Time Out: 03:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for an annual compliance visit. S. Green, Administrator, and E. Anderson, Assistant Administrator, assisted me with the visit. Your program currently operates with a five-star license, issued 11/19/2018, earning 6 points in the education component, 6 points in the program standards component and 1 quality point for having enhanced policies approved and staff benefits package. The last annual compliance visit was conducted 4/24/23. The sanitation inspection was completed 10/9/23 with a “Superior” classification. The last fire inspection was conducted 9/18/23 and your facility was approved for daytime care only. The center's compliance history was reviewed with the operator. The program’s compliance history was eighty seven percent as of 3/26/24. The NC Secretary of State website was reviewed on 3/26/24 and Cornerstone Assembly of God, Inc was listed as current- active. We reviewed your facility contact information listed on the Division of Child Development and Early Education (DCDEE) website and all information is current. Contact me if you need to make any changes to your contact information, e.g., phone numbers, mailing address. You visited each indoor and outdoor space with me. 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 free play on the carpet. Preschoolers were sitting at the table with manipulatives. Toddlers were observed in the outdoor space pushing toys and digging in the sand. The outdoor space was observed to have stationary climber, riding toys, balls, and hula hoops for the children to engage in gross motor activities. Lunch was observed and consisted of sloppy joes on buns, green beans, tater tots, peaches, and milk. The following violation(s) were documented. Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. An activity plan was not posted in space #6. GS 110-91(12); .0508(a) 504 Perishable foods were not stored to protect against spoilage. In space #6, the refrigerator used to store infant bottles did not have a thermometer. 15A NCAC 18A .2806 533 Human milk, formula and other bottled beverages including sippy cups, sent from child's home were not fully prepared, dated, and labeled for the appropriate child. In space #5, one out of five (5) infants in attendance had bottles in the refrigerator that were not labeled with a date. In space #6, one out of three (3) infants in attendance, had bottles in the refrigerator that were not labeled with a date. 15A NCAC 18A .2804(d) 541 The written feeding plan did not include the child's name, parent signature, and/or was not dated when received by the center. In space #6, two (2) out of the three (3) infants enrolled had a feeding schedule on file that was not signed by the parent. .0902(a) 807 A safe indoor and outdoor environment was not provided for the children. In outdoor space #3, there was paint peeling under the windows. 10A NCAC 09 .0601(a) 843 A drug or medicine was administered after its expiration date. In space #2, a bottle of Neutrogena Sheer Zone sunscreen was on file that expired 10/2020. In space # 4, a tube of Boudreaux’s Butt Paste was on file that expired 3/2024. 10A NCAC 09 .0803(1)(d) 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, a plastic bag was hanging on a hook below five feet. In space #6, clothing and diapers were stored in plastic bags below five feet. .0604(q) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. A child enrolled on 1/22/24 did not have a medical report on file until 4/2/24. GS110-91(1) 1323 Each child was not immunized as per Article 6 of Chapter 130A and an immunization record was not on file before or within 30 days after admission. A child enrolled on 1/22/24 did not have an immunization record on file until 4/2/24. 10A NCAC 09 .0302(d)(2) 1756 Enhanced staff/child ratios and group sizes were not met. In space #7, thirteen (13) children, 3-4 years of age, were in care with one staff member. 10A NCAC 09 .2818 1792 Staff did not model appropriate eating behaviors by consuming food or beverages that meet the nutritional requirements specified in the Meal Patterns for Children in Child Care Programs in the presence of children in care. In space #7, two cans of monster energy drinks were sitting on a shelf below five feet. In space #2, a bottle of mountain dew was sitting on a shelf beside the children’s cubbies. .0901(i) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. A staff member hired on 6/29/23 did not complete Recognizing and Responding to Suspicions of Child Maltreatment until 3/21/24. .1102(g) 1898 Staff did not complete the health and safety training within one year of employment. Two staff members did not complete health and safety training within the first year of employment. .1102(a) 1899 Health and safety training topics were not included as part of on-going training within five years of completing the previous health and safety training topics. Three staff members did not complete health and safety training every five years. .1103(b) 1912 The written feeding plan did not include the type of milk, formula or food and/or the frequency of the feedings. In space #6, one out of the three (3) infants enrolled had a feeding schedule on file that did reflect type of milk and the frequency of feedings. .0902(a) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before 4/22/24, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Brittany Jones, Child Care Consultant PO Box 3272 New Bern, NC 28564 Brittany.j.jones@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Technical Assistance with Documented Violations: Staff Child Ratio: A staff-to-child ratio is a measure of the number of children for whom each child care provider is responsible. Because younger children need more direct one-on-one interaction, response, and supervision, staff-to-child ratios are lower for younger children than for older ones. Ratio and group size are two factors that are critical to a child’s health, safety, and development. Ratios and group sizes help ensure that a child gets enough one-on-one attention from an adult who is available to take care of each child’s unique needs. This responsive caregiving is extremely important to a child ’s social and emotional development, physical well-being, and overall learning. Upon arrival, a staff member opened the front door. In space #7, thirteen (13) children, 3-4 years of age, were in care with one staff member. It was reported that the teacher that opened the front door for me was supposed to be in space #7 but had been out of the space to go to the bathroom. We discussed that the staff child ratio for three-year-old children is 1:10 and is documented on the staff child ratio sheet that is located on the wall in the classroom space for reference. Staff members need to call for assistance before walking out of the classroom space and going to the bathroom. Ensure that caregivers have a walkie talkie to alert administration when assistance is needed and that they understand that they can not leave the classroom until someone replaces them to maintain ratio. Outdoor Environment: The outdoor learning environment offers a sense of freedom for children. Children are able to play freely with peers, expand their imagination beyond restraints of indoor activities, release energy and explore their sense of touch, smell, taste and their sense of motion. It is important that the outdoor area is checked daily and proper upkeep is conducted to ensure the environment is safe for use. In outdoor space #3, there was paint peeling under the windows. You stated that you have painted the spaces under the windows several times, but the paint does not stay on the sheet metal. We discussed that on the other side of the spaces under the windows, in the classroom space, you created a chalkboard and dry erase board in the space where the sheet metal is present and could be also created on the outdoor side. We also discussed that this is a hazard because children can easily peel paint off the wall and eat it. Cover the space under the windows so that paint is not available to become a peeling hazard. Medication Disposal: Medication should not be used beyond the date of expiration. Unused medications should be returned to the parent/guardian for disposal. Proper disposal of medications is important to help ensure a healthy environment for children in our communities. In space #2, a bottle of Neutrogena Sheer Zone sunscreen was on file that expired 10/2020. In space # 4, a tube of Boudreaux’s Butt Paste was on file that expired 3/2024. You stated that the sunscreen had just been purchased and brought in by a parent and the expiration date was overlooked. We discussed that one person should be in charge of accepting medication to ensure that that the medication is in date and the form is completed correctly. You stated that the medication will be turned into the office before going into the classrooms. The teachers should check over the forms once they are placed in the classroom and be aware of the expiration dates of the medication and written permission. Check medications monthly to ensure that they are in date and the written permission is in date. Infant Needs: Growth and development during infancy require that nourishing, wholesome, and developmentally appropriate food be provided along with safe approaches to feeding. Because individual needs must be accommodated and improper practices can have dire consequences for the child’s health and safety, written feeding schedule must be on file for each child under 15 months of age and/or must be updated regularly to reflect changes in the child's needs. In space #6, two (2) out of the three (3) infants enrolled had a feeding schedule on file that was not signed by the parent. In space #6, one out of the three (3) infants enrolled had a feeding schedule on file that did reflect type of milk and the frequency of feedings. You stated that the classroom had recently been opened for infants. We discussed that any time a child is enrolled, the parent needs to complete the feeding plan and discuss it with the caregiver. Any time a parent wants to update the feeding plan, ask them to pull it off the wall and document the change while discussing with the caregiver. Check in with parents regularly to ensure that feeding schedules are up to date. In space #6, the refrigerator used to store infant bottles did not have a thermometer. We discussed that it is important to have a thermometer to ensure that the milk is being stored at 45 degrees Fahrenheit or below. You stated that you recently opened the classroom and will order a thermometer for the refrigerator. In space #5, one out of five (5) infants in attendance had bottles in the refrigerator that were not labeled with a date. In space #6, one out of three (3) infants in attendance, had bottles in the refrigerator that were not labeled with a date. When this was brought to the teacher’s attention, the bottles were labeled with the date and corrected the violation. Check bottles that they are labeled with name and date before placing in the refrigerator and use masking tape to label if needed. Activity plans: Activity plans help teachers to plan for and implement daily activities for children. They provide information to families on activities taking place during their children’s day. Planning for a week of activities helps teachers to obtain and prepare the materials and equipment needed to successfully carry out the activities on the plan. An activity plan was not posted in space #6. We discussed that since the room is now being used, a lesson plan must be posted each week. You stated that a weekly checklist would be beneficial for the teachers to use to ensure that lesson plans are posted, sleep charts are filed and made for the next week, etc. Create a weekly checklist for teachers and check that the tasks are being completed. Nutrition: To be good role models for children food and beverages must meet the nutritional requirements as outlined in the Meal Pattern for Children in Child Care Programs when they are in the presence of children. In space #7, two cans of monster energy drinks were sitting on a shelf below five feet. In space #2, a bottle of mountain dew was sitting on a shelf beside the children’s cubbies. We discussed that we are role models for children and can only have beverages in the classroom that the children can drink. You stated that the teachers were given cups for teacher appreciation and will be told again to use them in the classrooms. Health & Safety Training: Health & Safety (H&S) Training includes training in 9 topic areas plus Recognizing and Responding to Suspicions of Child Maltreatment and CPR/First Aid. New staff are required to complete H&S Training within one year of hire (CPR/First Aid and Recognizing and Responding to Suspicions of Child Maltreatment within 3 months of hire) and then complete training in all topic areas every five years. Free H&S Training developed specifically for North Carolina is available in Moodle on the DCDEE website. Other options may be used if they are approved by DCDEE. Complete Recognizing and Responding to Suspicions of Child Maltreatment at www.preventchildabusenc.org. Use the Health & Safety Training Log to document and track all H&S Training and attach certificate for each training topic area to log. These trainings can also be used to meet annual on-going training requirements. Two staff members did not complete health and safety training within the first year of employment. Three staff members did not complete health and safety training every five years. We discussed that using a digital calendar that can be shared with administrators can send reminders before trainings are due to ensure that they are completed. You stated that you were in the process of creating a shared digital calendar to track employee file due dates. A staff member hired on 6/29/23 did not complete Recognizing and Responding to Suspicions of Child Maltreatment until 3/21/24. Add reminders to ensure new staff complete this training within the first months of hire. Children's Records: Children are required to have a medical exam by a doctor and a copy of their immunization record no later than 30 days from their first day of attendance. Immunization records are required for all children; however, a medical exam is required for all children from birth to five, that have not started Kindergarten. A medical exam can be accepted if completed within the last 12 months prior to enrollment. A child enrolled on 1/22/24 did not have an immunization record and medical report on file until 4/2/24. You stated that the parents had a difficult time getting the records from the doctor’s office. Use the children’s file checklist to ensure that documents are received on time. Plastic: All areas used by children should be kept free of items that are potentially hazardous to children. A daily checklist including checking the environment for hazardous items, such as plastic bags or toys that are small enough to be swallowed, could help ensure that the environment is safe and healthy. To make plastic bags inaccessible to children less than three years old, store them above five feet from the finished floor or place in locked storage. In space #1, a plastic bag was hanging on a hook below five feet. In space #6, clothing and diapers were stored in plastic bags below five feet. When this was brought to your attention, the plastic was moved to a shelf above five feet. Check the learning environment throughout the day to ensure that plastic is out of reach of children. Additional Comments: Rated License: Currently this center operates with a 5 Star License, issued November 19, 2018. Your facility is in Cohort One with your preparation year currently underway and your reassessment year will begin July 1, 2024. We discussed that the reassessment year begins soon and it is important to prepare for the assessment now. Per our discussion, you are going to reach out to Craven Smart Start to come to the facility to go through the materials in the classrooms. Continue to submit staff education to WORKS to be evaluated. I emailed you an application for reassessment and assessment request form. Reach out to me when you are ready to schedule an assessment and send me the completed forms. Funding Opportunity to Address Asbestos and Lead-Based Paint in Licensed Child Care Facilities The NCDHHS, Health Hazards Control Unit (HHCU) is providing a presentation regarding the American Rescue Plan Act (ARPA) Reimbursement Program for NC Licensed Child Care Centers and Family Child Care Homes. Under the ARPA Reimbursement Program licensed facilities can be reimbursed up to 100% for eligible expenses related to asbestos or lead based paint abatement or remediation activities. Funding for reimbursement will be available until December 31, 2026, or until it is depleted, whichever comes first. https://www.cleanwaterforuskids.org/en/carolina/ Rule Changes Effective January 2024 Training Modules Available in DCDEE Moodle The Child Care Commission adopted child care rule changes in January 2024. Changes relate to definitions; lead and asbestos for centers and family child care homes; building requirements for family child care homes; multi-unit child care centers; and criminal background checks. Consultants will assist as you begin to review and implement the changes, but please note, some of the rule changes may or may not impact your facility. An example is the rules in section .2600 for multi-unit child care center. These rules are specific to child care centers with multiple licensed centers within one building. Please ensure you are using the updated January 2024 rule book, and view information in the DCDEE Moodle (enroll if necessary). You will need to have an NCID - the same NCID that you use for the health & safety training, WORKS login, and/or the CBC Portal - to participate in Moodle training. If you do not have an NCID, use this link to get one: https://ncid.nc.gov. Rule training modules can be found in the same course as the October 2017 Child Care Rule Rollout. If you are unfamiliar with the Child Care Rule Rollout within Moodle and how to navigate, please visit: https://ncchildcare.ncdhhs.gov/Learning-Resources/How-to-Navigate-Moodle. To get help with Moodle, email DCDEE_Moodle_Support@dhhs.nc.gov or call (919) 814-9326. Natural Learning Initiative: Time outdoors is a critical tool for supporting mental and physical health in young children. Adoption of best practices for outdoor play and learning spaces is critical to increase daily time spent outside. The four components of this project include: 1. Relaunch a supportive network for outdoor play and learning environments in North Carolina; 2. Research nature-based programs and spaces and develop a plan to embed these in licensed childcare in North Carolina; 3. Motivate and train early educators and specialists to promote best practices and increase time in outdoor play and learning in NC childcare facilities; 4. Increase time outdoors playing and learning in NC family child care homes through professional development and technical assistance. Today, we discussed ways to create a natural learning environment in the outdoor spaces. Some of the ideas included a music wall made from kitchen accessories, a garden that the children can help plant, and a science center. I encourage you to check out naturallearning.org to find resources and professional development options for ways to enhance your outdoor learning environments. Craven Smart Start is also able to provide you with resources and information, training opportunities, technical assistance on childcare issues. Their phone number is (252) 636- 3198 or check out their website at www.cravensmartstart.org. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me at Brittany Jones, Child Care Consultant, (252) 947-1036, Brittany.j.jones@dhhs.nc.gov or Jennifer Linhardt, Licensing Supervisor, (252) 373-4199, Jennifer.Linhardt@dhhs.nc.gov if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

NC GS 110-90 · Violation

Name of Operation: ENRICH B-4 Facility ID: 25000131 Consultant: BRITTANY JONES Operation Type: Center Case Number: Visit Date: 4/8/2024 Number Present: 43 Completed Date: 4/8/2024 Age: From 0 To 4 Total Minutes: 400 Time In: 08:50 AM Time Out: 03:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for an annual compliance visit. S. Green, Administrator, and E. Anderson, Assistant Administrator, assisted me with the visit. Your program currently operates with a five-star license, issued 11/19/2018, earning 6 points in the education component, 6 points in the program standards component and 1 quality point for having enhanced policies approved and staff benefits package. The last annual compliance visit was conducted 4/24/23. The sanitation inspection was completed 10/9/23 with a “Superior” classification. The last fire inspection was conducted 9/18/23 and your facility was approved for daytime care only. The center's compliance history was reviewed with the operator. The program’s compliance history was eighty seven percent as of 3/26/24. The NC Secretary of State website was reviewed on 3/26/24 and Cornerstone Assembly of God, Inc was listed as current- active. We reviewed your facility contact information listed on the Division of Child Development and Early Education (DCDEE) website and all information is current. Contact me if you need to make any changes to your contact information, e.g., phone numbers, mailing address. You visited each indoor and outdoor space with me. 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 free play on the carpet. Preschoolers were sitting at the table with manipulatives. Toddlers were observed in the outdoor space pushing toys and digging in the sand. The outdoor space was observed to have stationary climber, riding toys, balls, and hula hoops for the children to engage in gross motor activities. Lunch was observed and consisted of sloppy joes on buns, green beans, tater tots, peaches, and milk. The following violation(s) were documented. Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. An activity plan was not posted in space #6. GS 110-91(12); .0508(a) 504 Perishable foods were not stored to protect against spoilage. In space #6, the refrigerator used to store infant bottles did not have a thermometer. 15A NCAC 18A .2806 533 Human milk, formula and other bottled beverages including sippy cups, sent from child's home were not fully prepared, dated, and labeled for the appropriate child. In space #5, one out of five (5) infants in attendance had bottles in the refrigerator that were not labeled with a date. In space #6, one out of three (3) infants in attendance, had bottles in the refrigerator that were not labeled with a date. 15A NCAC 18A .2804(d) 541 The written feeding plan did not include the child's name, parent signature, and/or was not dated when received by the center. In space #6, two (2) out of the three (3) infants enrolled had a feeding schedule on file that was not signed by the parent. .0902(a) 807 A safe indoor and outdoor environment was not provided for the children. In outdoor space #3, there was paint peeling under the windows. 10A NCAC 09 .0601(a) 843 A drug or medicine was administered after its expiration date. In space #2, a bottle of Neutrogena Sheer Zone sunscreen was on file that expired 10/2020. In space # 4, a tube of Boudreaux’s Butt Paste was on file that expired 3/2024. 10A NCAC 09 .0803(1)(d) 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, a plastic bag was hanging on a hook below five feet. In space #6, clothing and diapers were stored in plastic bags below five feet. .0604(q) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. A child enrolled on 1/22/24 did not have a medical report on file until 4/2/24. GS110-91(1) 1323 Each child was not immunized as per Article 6 of Chapter 130A and an immunization record was not on file before or within 30 days after admission. A child enrolled on 1/22/24 did not have an immunization record on file until 4/2/24. 10A NCAC 09 .0302(d)(2) 1756 Enhanced staff/child ratios and group sizes were not met. In space #7, thirteen (13) children, 3-4 years of age, were in care with one staff member. 10A NCAC 09 .2818 1792 Staff did not model appropriate eating behaviors by consuming food or beverages that meet the nutritional requirements specified in the Meal Patterns for Children in Child Care Programs in the presence of children in care. In space #7, two cans of monster energy drinks were sitting on a shelf below five feet. In space #2, a bottle of mountain dew was sitting on a shelf beside the children’s cubbies. .0901(i) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. A staff member hired on 6/29/23 did not complete Recognizing and Responding to Suspicions of Child Maltreatment until 3/21/24. .1102(g) 1898 Staff did not complete the health and safety training within one year of employment. Two staff members did not complete health and safety training within the first year of employment. .1102(a) 1899 Health and safety training topics were not included as part of on-going training within five years of completing the previous health and safety training topics. Three staff members did not complete health and safety training every five years. .1103(b) 1912 The written feeding plan did not include the type of milk, formula or food and/or the frequency of the feedings. In space #6, one out of the three (3) infants enrolled had a feeding schedule on file that did reflect type of milk and the frequency of feedings. .0902(a) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before 4/22/24, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Brittany Jones, Child Care Consultant PO Box 3272 New Bern, NC 28564 Brittany.j.jones@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Technical Assistance with Documented Violations: Staff Child Ratio: A staff-to-child ratio is a measure of the number of children for whom each child care provider is responsible. Because younger children need more direct one-on-one interaction, response, and supervision, staff-to-child ratios are lower for younger children than for older ones. Ratio and group size are two factors that are critical to a child’s health, safety, and development. Ratios and group sizes help ensure that a child gets enough one-on-one attention from an adult who is available to take care of each child’s unique needs. This responsive caregiving is extremely important to a child ’s social and emotional development, physical well-being, and overall learning. Upon arrival, a staff member opened the front door. In space #7, thirteen (13) children, 3-4 years of age, were in care with one staff member. It was reported that the teacher that opened the front door for me was supposed to be in space #7 but had been out of the space to go to the bathroom. We discussed that the staff child ratio for three-year-old children is 1:10 and is documented on the staff child ratio sheet that is located on the wall in the classroom space for reference. Staff members need to call for assistance before walking out of the classroom space and going to the bathroom. Ensure that caregivers have a walkie talkie to alert administration when assistance is needed and that they understand that they can not leave the classroom until someone replaces them to maintain ratio. Outdoor Environment: The outdoor learning environment offers a sense of freedom for children. Children are able to play freely with peers, expand their imagination beyond restraints of indoor activities, release energy and explore their sense of touch, smell, taste and their sense of motion. It is important that the outdoor area is checked daily and proper upkeep is conducted to ensure the environment is safe for use. In outdoor space #3, there was paint peeling under the windows. You stated that you have painted the spaces under the windows several times, but the paint does not stay on the sheet metal. We discussed that on the other side of the spaces under the windows, in the classroom space, you created a chalkboard and dry erase board in the space where the sheet metal is present and could be also created on the outdoor side. We also discussed that this is a hazard because children can easily peel paint off the wall and eat it. Cover the space under the windows so that paint is not available to become a peeling hazard. Medication Disposal: Medication should not be used beyond the date of expiration. Unused medications should be returned to the parent/guardian for disposal. Proper disposal of medications is important to help ensure a healthy environment for children in our communities. In space #2, a bottle of Neutrogena Sheer Zone sunscreen was on file that expired 10/2020. In space # 4, a tube of Boudreaux’s Butt Paste was on file that expired 3/2024. You stated that the sunscreen had just been purchased and brought in by a parent and the expiration date was overlooked. We discussed that one person should be in charge of accepting medication to ensure that that the medication is in date and the form is completed correctly. You stated that the medication will be turned into the office before going into the classrooms. The teachers should check over the forms once they are placed in the classroom and be aware of the expiration dates of the medication and written permission. Check medications monthly to ensure that they are in date and the written permission is in date. Infant Needs: Growth and development during infancy require that nourishing, wholesome, and developmentally appropriate food be provided along with safe approaches to feeding. Because individual needs must be accommodated and improper practices can have dire consequences for the child’s health and safety, written feeding schedule must be on file for each child under 15 months of age and/or must be updated regularly to reflect changes in the child's needs. In space #6, two (2) out of the three (3) infants enrolled had a feeding schedule on file that was not signed by the parent. In space #6, one out of the three (3) infants enrolled had a feeding schedule on file that did reflect type of milk and the frequency of feedings. You stated that the classroom had recently been opened for infants. We discussed that any time a child is enrolled, the parent needs to complete the feeding plan and discuss it with the caregiver. Any time a parent wants to update the feeding plan, ask them to pull it off the wall and document the change while discussing with the caregiver. Check in with parents regularly to ensure that feeding schedules are up to date. In space #6, the refrigerator used to store infant bottles did not have a thermometer. We discussed that it is important to have a thermometer to ensure that the milk is being stored at 45 degrees Fahrenheit or below. You stated that you recently opened the classroom and will order a thermometer for the refrigerator. In space #5, one out of five (5) infants in attendance had bottles in the refrigerator that were not labeled with a date. In space #6, one out of three (3) infants in attendance, had bottles in the refrigerator that were not labeled with a date. When this was brought to the teacher’s attention, the bottles were labeled with the date and corrected the violation. Check bottles that they are labeled with name and date before placing in the refrigerator and use masking tape to label if needed. Activity plans: Activity plans help teachers to plan for and implement daily activities for children. They provide information to families on activities taking place during their children’s day. Planning for a week of activities helps teachers to obtain and prepare the materials and equipment needed to successfully carry out the activities on the plan. An activity plan was not posted in space #6. We discussed that since the room is now being used, a lesson plan must be posted each week. You stated that a weekly checklist would be beneficial for the teachers to use to ensure that lesson plans are posted, sleep charts are filed and made for the next week, etc. Create a weekly checklist for teachers and check that the tasks are being completed. Nutrition: To be good role models for children food and beverages must meet the nutritional requirements as outlined in the Meal Pattern for Children in Child Care Programs when they are in the presence of children. In space #7, two cans of monster energy drinks were sitting on a shelf below five feet. In space #2, a bottle of mountain dew was sitting on a shelf beside the children’s cubbies. We discussed that we are role models for children and can only have beverages in the classroom that the children can drink. You stated that the teachers were given cups for teacher appreciation and will be told again to use them in the classrooms. Health & Safety Training: Health & Safety (H&S) Training includes training in 9 topic areas plus Recognizing and Responding to Suspicions of Child Maltreatment and CPR/First Aid. New staff are required to complete H&S Training within one year of hire (CPR/First Aid and Recognizing and Responding to Suspicions of Child Maltreatment within 3 months of hire) and then complete training in all topic areas every five years. Free H&S Training developed specifically for North Carolina is available in Moodle on the DCDEE website. Other options may be used if they are approved by DCDEE. Complete Recognizing and Responding to Suspicions of Child Maltreatment at www.preventchildabusenc.org. Use the Health & Safety Training Log to document and track all H&S Training and attach certificate for each training topic area to log. These trainings can also be used to meet annual on-going training requirements. Two staff members did not complete health and safety training within the first year of employment. Three staff members did not complete health and safety training every five years. We discussed that using a digital calendar that can be shared with administrators can send reminders before trainings are due to ensure that they are completed. You stated that you were in the process of creating a shared digital calendar to track employee file due dates. A staff member hired on 6/29/23 did not complete Recognizing and Responding to Suspicions of Child Maltreatment until 3/21/24. Add reminders to ensure new staff complete this training within the first months of hire. Children's Records: Children are required to have a medical exam by a doctor and a copy of their immunization record no later than 30 days from their first day of attendance. Immunization records are required for all children; however, a medical exam is required for all children from birth to five, that have not started Kindergarten. A medical exam can be accepted if completed within the last 12 months prior to enrollment. A child enrolled on 1/22/24 did not have an immunization record and medical report on file until 4/2/24. You stated that the parents had a difficult time getting the records from the doctor’s office. Use the children’s file checklist to ensure that documents are received on time. Plastic: All areas used by children should be kept free of items that are potentially hazardous to children. A daily checklist including checking the environment for hazardous items, such as plastic bags or toys that are small enough to be swallowed, could help ensure that the environment is safe and healthy. To make plastic bags inaccessible to children less than three years old, store them above five feet from the finished floor or place in locked storage. In space #1, a plastic bag was hanging on a hook below five feet. In space #6, clothing and diapers were stored in plastic bags below five feet. When this was brought to your attention, the plastic was moved to a shelf above five feet. Check the learning environment throughout the day to ensure that plastic is out of reach of children. Additional Comments: Rated License: Currently this center operates with a 5 Star License, issued November 19, 2018. Your facility is in Cohort One with your preparation year currently underway and your reassessment year will begin July 1, 2024. We discussed that the reassessment year begins soon and it is important to prepare for the assessment now. Per our discussion, you are going to reach out to Craven Smart Start to come to the facility to go through the materials in the classrooms. Continue to submit staff education to WORKS to be evaluated. I emailed you an application for reassessment and assessment request form. Reach out to me when you are ready to schedule an assessment and send me the completed forms. Funding Opportunity to Address Asbestos and Lead-Based Paint in Licensed Child Care Facilities The NCDHHS, Health Hazards Control Unit (HHCU) is providing a presentation regarding the American Rescue Plan Act (ARPA) Reimbursement Program for NC Licensed Child Care Centers and Family Child Care Homes. Under the ARPA Reimbursement Program licensed facilities can be reimbursed up to 100% for eligible expenses related to asbestos or lead based paint abatement or remediation activities. Funding for reimbursement will be available until December 31, 2026, or until it is depleted, whichever comes first. https://www.cleanwaterforuskids.org/en/carolina/ Rule Changes Effective January 2024 Training Modules Available in DCDEE Moodle The Child Care Commission adopted child care rule changes in January 2024. Changes relate to definitions; lead and asbestos for centers and family child care homes; building requirements for family child care homes; multi-unit child care centers; and criminal background checks. Consultants will assist as you begin to review and implement the changes, but please note, some of the rule changes may or may not impact your facility. An example is the rules in section .2600 for multi-unit child care center. These rules are specific to child care centers with multiple licensed centers within one building. Please ensure you are using the updated January 2024 rule book, and view information in the DCDEE Moodle (enroll if necessary). You will need to have an NCID - the same NCID that you use for the health & safety training, WORKS login, and/or the CBC Portal - to participate in Moodle training. If you do not have an NCID, use this link to get one: https://ncid.nc.gov. Rule training modules can be found in the same course as the October 2017 Child Care Rule Rollout. If you are unfamiliar with the Child Care Rule Rollout within Moodle and how to navigate, please visit: https://ncchildcare.ncdhhs.gov/Learning-Resources/How-to-Navigate-Moodle. To get help with Moodle, email DCDEE_Moodle_Support@dhhs.nc.gov or call (919) 814-9326. Natural Learning Initiative: Time outdoors is a critical tool for supporting mental and physical health in young children. Adoption of best practices for outdoor play and learning spaces is critical to increase daily time spent outside. The four components of this project include: 1. Relaunch a supportive network for outdoor play and learning environments in North Carolina; 2. Research nature-based programs and spaces and develop a plan to embed these in licensed childcare in North Carolina; 3. Motivate and train early educators and specialists to promote best practices and increase time in outdoor play and learning in NC childcare facilities; 4. Increase time outdoors playing and learning in NC family child care homes through professional development and technical assistance. Today, we discussed ways to create a natural learning environment in the outdoor spaces. Some of the ideas included a music wall made from kitchen accessories, a garden that the children can help plant, and a science center. I encourage you to check out naturallearning.org to find resources and professional development options for ways to enhance your outdoor learning environments. Craven Smart Start is also able to provide you with resources and information, training opportunities, technical assistance on childcare issues. Their phone number is (252) 636- 3198 or check out their website at www.cravensmartstart.org. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me at Brittany Jones, Child Care Consultant, (252) 947-1036, Brittany.j.jones@dhhs.nc.gov or Jennifer Linhardt, Licensing Supervisor, (252) 373-4199, Jennifer.Linhardt@dhhs.nc.gov if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times