10A NCAC 09 .1003 · Violation

Name of Operation: LITTLE MARK CHILD CARE CENTER Facility ID: 33000437 Consultant: ANGELA NIEVES Operation Type: Center Case Number: Visit Date: 10/29/2025 Number Present: 17 Completed Date: 10/29/2025 Age: From 1 To 4 Total Minutes: 145 Time In: 09:25 AM Time Out: 11:50 AM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor this facility for compliance with applicable child care requirements during an annual compliance visit. When I arrived, Annie Pettaway, administrator, was present available to assist with today’s visit. Your program currently operates with a G.S. 110-106, Notice of Compliance, issued April 27, 2011. The last annual compliance visit was conducted on November 19, 2024. The sanitation inspection was completed on June 12, 2025, with a “Superior” classification “6” demerits. The fire inspection was completed on January 8, 2025, and the center was approved for daytime care only. The notice of compliance was posted. Seventeen (17) children, from one years old to four years old, were present during the visit. A walk-through of the facility was completed today; all indoor and outdoor areas were monitored. Children throughout the facility were participating in free play in activity areas, art activities, transitions, and personal care routines. Infant aged children were interacting and playing on the floor. The children were observed eating the following for lunch: Hamburger meat, rice, string beans, mixed fruit, and milk. The vehicle used for transporting children is a white van with license plate number EEB-7286. The vehicle had tires that met the 2/23 of inch tire tread, the van was clean and free of hazards, there was a first aid kit and fire extinguisher on the vehicle, there was documentation of valid insurance coverage from October 3, 2025-October 3, 2026, and the vehicle’s registration was valid through January 31, 2026. The seat belts were all in working order. The staff member responsible for driving the van is J. Rose and Mr. Rose had a valid NC driver’s license. Any violations of the child care requirements observed today were discussed with you and documented in the visit summary report and reviewed with you at the conclusion of the visit. The following violations of the child care requirements were documented today: Violation Number Comment Rule 1124 Emergency and identifying information, including the child's name, photograph, emergency contact information and/or a copy of the emergency medical care information form was not in the vehicle for each child being transported. Each child being transported did not have a picture attached to the child's application. 10A NCAC 09 .1003(d) 1125 Before children were transported, written permission from a parent was not obtained that included when and where the child was to be transported, expected time of departure and arrival, and the transportation provider. One child who began enrollment on September 3, 2024, had a permission to transport form on file; however, the form was dated September 3, 2024. The form should have been renewed and completed on or prior to September 3, 2025. .1003(i)(j) 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 November 12, 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: Angela Nieves, Child Care Consultant PO Box 8741 Rocky Mount, NC 27804 Angela.nieves@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 The two-week time frame is established to allow you time for submitting your compliance letter. This time frame is not intended to be used as a guide for correcting violations, as they should be corrected immediately. Please be aware that any written information submitted by you regarding correction of violations documented during today's visit is legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility's license could be issued. COMPLIANCE HISTORY: Prior to conducting today’s visit your center’s Compliance History score, over an 18-month period time frame, is 83%. The violations documented could impact the center’s overall Compliance History score. Your compliance score must be maintained at 75% or higher or an Administrative Action may be warranted. CORPORATION STATUS: St. Mark Deliverance Church, Inc. is a non-profit corporation and is listed as the current owner of this center. According to information verified on the North Carolina Secretary of State’s website, St. Mark Deliverance Church, Inc. remains current and active. Prior to making any changes to the corporation status, please contact me to discuss change of ownership procedures. The corporation status for your program must always remain current and active. Failure to comply may affect your license. FACILITY PROFILE INFORMATION: You verified the mailing address, email address, and phone number listed on the facility profile are correct. If changes in your facility’s information occurs, please contact me at 252-557-5597 or email me at angela.nieves@dhhs.nc.gov to discuss the changes and ensure the information is current in our system. TECHNICAL ASSISTANCE/CONSULTATION: STAFF AND CHILDREN RECORDS: Ten percent (10%) of the staff files were reviewed today and found to be well organized in folders and incompliance. Ten percent (10%) of the children and staff files were reviewed and found to be well organized; however, there was a transportation form that was out of date. Remember, transportation permission forms are to be renewed annually. TRANSPORTATION: One child who began enrollment on September 3, 2024, had a permission to transport form on file; however, the form was dated September 3, 2024. The form should have been renewed and completed on or prior to September 3, 2025. There was not a current form on file. Please remember permission to transport forms must be updated and resigned annually. Each child being transported did have an application in a file folder on the van; however, there was not a picture of each child attached to the application. Please remember all children being transported must have an application on file with a picture attached to it. This will help during transportation emergencies. RMINDERS: IMMUNIZATION REPORT: The 2025-2026 Annual Child Care Immunization Reporting Portal is now open, and reports must be submitted electronically by midnight, November 15, 2025. Instructions and worksheets are available for download and may be used to collect data needed before entering your individual school information online. For more information, download the 2025 Annual Childcare Immunization Report Memo. If you have questions about the Child Care Immunization Report, please email Immunization.Reports@dhhs.nc.gov or call 919-270-1533. CLEAN WATER FOR CAROLINA KIDS: According to the Clean Water for Us Kids, you last tested your water on May 11, 2024. Child Care Centers must test the drinking and cooking water every three (3) years. You have met all the lead paint and asbestos testing requirements. ABCM MOODLE TRAINING-CRIMINAL BACKGROUND CHECK: You have completed your ABCMS Moodle training and have completed your ABCMS Roster. Please remember when hiring new staff, you have five (5) days to link the staff’s criminal background check letter to your ABCMS portal. You will also want to delete anyone who no longer is employed in your child care facility. CONTACT INFORMATION: If you have any questions about today’s visit, you may contact me at 252-557-5597 or angela.nieves@dhhs.nc.gov. You may also contact Licensing Supervisor, Susan Fuller at 252-373-9809 or email at susan.fuller@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

G.S. 110-106 · Violation

Name of Operation: LITTLE MARK CHILD CARE CENTER Facility ID: 33000437 Consultant: ANGELA NIEVES Operation Type: Center Case Number: Visit Date: 10/29/2025 Number Present: 17 Completed Date: 10/29/2025 Age: From 1 To 4 Total Minutes: 145 Time In: 09:25 AM Time Out: 11:50 AM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor this facility for compliance with applicable child care requirements during an annual compliance visit. When I arrived, Annie Pettaway, administrator, was present available to assist with today’s visit. Your program currently operates with a G.S. 110-106, Notice of Compliance, issued April 27, 2011. The last annual compliance visit was conducted on November 19, 2024. The sanitation inspection was completed on June 12, 2025, with a “Superior” classification “6” demerits. The fire inspection was completed on January 8, 2025, and the center was approved for daytime care only. The notice of compliance was posted. Seventeen (17) children, from one years old to four years old, were present during the visit. A walk-through of the facility was completed today; all indoor and outdoor areas were monitored. Children throughout the facility were participating in free play in activity areas, art activities, transitions, and personal care routines. Infant aged children were interacting and playing on the floor. The children were observed eating the following for lunch: Hamburger meat, rice, string beans, mixed fruit, and milk. The vehicle used for transporting children is a white van with license plate number EEB-7286. The vehicle had tires that met the 2/23 of inch tire tread, the van was clean and free of hazards, there was a first aid kit and fire extinguisher on the vehicle, there was documentation of valid insurance coverage from October 3, 2025-October 3, 2026, and the vehicle’s registration was valid through January 31, 2026. The seat belts were all in working order. The staff member responsible for driving the van is J. Rose and Mr. Rose had a valid NC driver’s license. Any violations of the child care requirements observed today were discussed with you and documented in the visit summary report and reviewed with you at the conclusion of the visit. The following violations of the child care requirements were documented today: Violation Number Comment Rule 1124 Emergency and identifying information, including the child's name, photograph, emergency contact information and/or a copy of the emergency medical care information form was not in the vehicle for each child being transported. Each child being transported did not have a picture attached to the child's application. 10A NCAC 09 .1003(d) 1125 Before children were transported, written permission from a parent was not obtained that included when and where the child was to be transported, expected time of departure and arrival, and the transportation provider. One child who began enrollment on September 3, 2024, had a permission to transport form on file; however, the form was dated September 3, 2024. The form should have been renewed and completed on or prior to September 3, 2025. .1003(i)(j) 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 November 12, 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: Angela Nieves, Child Care Consultant PO Box 8741 Rocky Mount, NC 27804 Angela.nieves@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 The two-week time frame is established to allow you time for submitting your compliance letter. This time frame is not intended to be used as a guide for correcting violations, as they should be corrected immediately. Please be aware that any written information submitted by you regarding correction of violations documented during today's visit is legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility's license could be issued. COMPLIANCE HISTORY: Prior to conducting today’s visit your center’s Compliance History score, over an 18-month period time frame, is 83%. The violations documented could impact the center’s overall Compliance History score. Your compliance score must be maintained at 75% or higher or an Administrative Action may be warranted. CORPORATION STATUS: St. Mark Deliverance Church, Inc. is a non-profit corporation and is listed as the current owner of this center. According to information verified on the North Carolina Secretary of State’s website, St. Mark Deliverance Church, Inc. remains current and active. Prior to making any changes to the corporation status, please contact me to discuss change of ownership procedures. The corporation status for your program must always remain current and active. Failure to comply may affect your license. FACILITY PROFILE INFORMATION: You verified the mailing address, email address, and phone number listed on the facility profile are correct. If changes in your facility’s information occurs, please contact me at 252-557-5597 or email me at angela.nieves@dhhs.nc.gov to discuss the changes and ensure the information is current in our system. TECHNICAL ASSISTANCE/CONSULTATION: STAFF AND CHILDREN RECORDS: Ten percent (10%) of the staff files were reviewed today and found to be well organized in folders and incompliance. Ten percent (10%) of the children and staff files were reviewed and found to be well organized; however, there was a transportation form that was out of date. Remember, transportation permission forms are to be renewed annually. TRANSPORTATION: One child who began enrollment on September 3, 2024, had a permission to transport form on file; however, the form was dated September 3, 2024. The form should have been renewed and completed on or prior to September 3, 2025. There was not a current form on file. Please remember permission to transport forms must be updated and resigned annually. Each child being transported did have an application in a file folder on the van; however, there was not a picture of each child attached to the application. Please remember all children being transported must have an application on file with a picture attached to it. This will help during transportation emergencies. RMINDERS: IMMUNIZATION REPORT: The 2025-2026 Annual Child Care Immunization Reporting Portal is now open, and reports must be submitted electronically by midnight, November 15, 2025. Instructions and worksheets are available for download and may be used to collect data needed before entering your individual school information online. For more information, download the 2025 Annual Childcare Immunization Report Memo. If you have questions about the Child Care Immunization Report, please email Immunization.Reports@dhhs.nc.gov or call 919-270-1533. CLEAN WATER FOR CAROLINA KIDS: According to the Clean Water for Us Kids, you last tested your water on May 11, 2024. Child Care Centers must test the drinking and cooking water every three (3) years. You have met all the lead paint and asbestos testing requirements. ABCM MOODLE TRAINING-CRIMINAL BACKGROUND CHECK: You have completed your ABCMS Moodle training and have completed your ABCMS Roster. Please remember when hiring new staff, you have five (5) days to link the staff’s criminal background check letter to your ABCMS portal. You will also want to delete anyone who no longer is employed in your child care facility. CONTACT INFORMATION: If you have any questions about today’s visit, you may contact me at 252-557-5597 or angela.nieves@dhhs.nc.gov. You may also contact Licensing Supervisor, Susan Fuller at 252-373-9809 or email at susan.fuller@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

NC GS 110-90 · Violation

Name of Operation: LITTLE MARK CHILD CARE CENTER Facility ID: 33000437 Consultant: ANGELA NIEVES Operation Type: Center Case Number: Visit Date: 10/29/2025 Number Present: 17 Completed Date: 10/29/2025 Age: From 1 To 4 Total Minutes: 145 Time In: 09:25 AM Time Out: 11:50 AM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor this facility for compliance with applicable child care requirements during an annual compliance visit. When I arrived, Annie Pettaway, administrator, was present available to assist with today’s visit. Your program currently operates with a G.S. 110-106, Notice of Compliance, issued April 27, 2011. The last annual compliance visit was conducted on November 19, 2024. The sanitation inspection was completed on June 12, 2025, with a “Superior” classification “6” demerits. The fire inspection was completed on January 8, 2025, and the center was approved for daytime care only. The notice of compliance was posted. Seventeen (17) children, from one years old to four years old, were present during the visit. A walk-through of the facility was completed today; all indoor and outdoor areas were monitored. Children throughout the facility were participating in free play in activity areas, art activities, transitions, and personal care routines. Infant aged children were interacting and playing on the floor. The children were observed eating the following for lunch: Hamburger meat, rice, string beans, mixed fruit, and milk. The vehicle used for transporting children is a white van with license plate number EEB-7286. The vehicle had tires that met the 2/23 of inch tire tread, the van was clean and free of hazards, there was a first aid kit and fire extinguisher on the vehicle, there was documentation of valid insurance coverage from October 3, 2025-October 3, 2026, and the vehicle’s registration was valid through January 31, 2026. The seat belts were all in working order. The staff member responsible for driving the van is J. Rose and Mr. Rose had a valid NC driver’s license. Any violations of the child care requirements observed today were discussed with you and documented in the visit summary report and reviewed with you at the conclusion of the visit. The following violations of the child care requirements were documented today: Violation Number Comment Rule 1124 Emergency and identifying information, including the child's name, photograph, emergency contact information and/or a copy of the emergency medical care information form was not in the vehicle for each child being transported. Each child being transported did not have a picture attached to the child's application. 10A NCAC 09 .1003(d) 1125 Before children were transported, written permission from a parent was not obtained that included when and where the child was to be transported, expected time of departure and arrival, and the transportation provider. One child who began enrollment on September 3, 2024, had a permission to transport form on file; however, the form was dated September 3, 2024. The form should have been renewed and completed on or prior to September 3, 2025. .1003(i)(j) 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 November 12, 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: Angela Nieves, Child Care Consultant PO Box 8741 Rocky Mount, NC 27804 Angela.nieves@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 The two-week time frame is established to allow you time for submitting your compliance letter. This time frame is not intended to be used as a guide for correcting violations, as they should be corrected immediately. Please be aware that any written information submitted by you regarding correction of violations documented during today's visit is legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility's license could be issued. COMPLIANCE HISTORY: Prior to conducting today’s visit your center’s Compliance History score, over an 18-month period time frame, is 83%. The violations documented could impact the center’s overall Compliance History score. Your compliance score must be maintained at 75% or higher or an Administrative Action may be warranted. CORPORATION STATUS: St. Mark Deliverance Church, Inc. is a non-profit corporation and is listed as the current owner of this center. According to information verified on the North Carolina Secretary of State’s website, St. Mark Deliverance Church, Inc. remains current and active. Prior to making any changes to the corporation status, please contact me to discuss change of ownership procedures. The corporation status for your program must always remain current and active. Failure to comply may affect your license. FACILITY PROFILE INFORMATION: You verified the mailing address, email address, and phone number listed on the facility profile are correct. If changes in your facility’s information occurs, please contact me at 252-557-5597 or email me at angela.nieves@dhhs.nc.gov to discuss the changes and ensure the information is current in our system. TECHNICAL ASSISTANCE/CONSULTATION: STAFF AND CHILDREN RECORDS: Ten percent (10%) of the staff files were reviewed today and found to be well organized in folders and incompliance. Ten percent (10%) of the children and staff files were reviewed and found to be well organized; however, there was a transportation form that was out of date. Remember, transportation permission forms are to be renewed annually. TRANSPORTATION: One child who began enrollment on September 3, 2024, had a permission to transport form on file; however, the form was dated September 3, 2024. The form should have been renewed and completed on or prior to September 3, 2025. There was not a current form on file. Please remember permission to transport forms must be updated and resigned annually. Each child being transported did have an application in a file folder on the van; however, there was not a picture of each child attached to the application. Please remember all children being transported must have an application on file with a picture attached to it. This will help during transportation emergencies. RMINDERS: IMMUNIZATION REPORT: The 2025-2026 Annual Child Care Immunization Reporting Portal is now open, and reports must be submitted electronically by midnight, November 15, 2025. Instructions and worksheets are available for download and may be used to collect data needed before entering your individual school information online. For more information, download the 2025 Annual Childcare Immunization Report Memo. If you have questions about the Child Care Immunization Report, please email Immunization.Reports@dhhs.nc.gov or call 919-270-1533. CLEAN WATER FOR CAROLINA KIDS: According to the Clean Water for Us Kids, you last tested your water on May 11, 2024. Child Care Centers must test the drinking and cooking water every three (3) years. You have met all the lead paint and asbestos testing requirements. ABCM MOODLE TRAINING-CRIMINAL BACKGROUND CHECK: You have completed your ABCMS Moodle training and have completed your ABCMS Roster. Please remember when hiring new staff, you have five (5) days to link the staff’s criminal background check letter to your ABCMS portal. You will also want to delete anyone who no longer is employed in your child care facility. CONTACT INFORMATION: If you have any questions about today’s visit, you may contact me at 252-557-5597 or angela.nieves@dhhs.nc.gov. You may also contact Licensing Supervisor, Susan Fuller at 252-373-9809 or email at susan.fuller@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0604 · Violation

Name of Operation: LITTLE MARK CHILD CARE CENTER Facility ID: 33000437 Consultant: ANGELA NIEVES Operation Type: Center Case Number: Visit Date: 8/14/2025 Number Present: 24 Completed Date: 8/14/2025 Age: From 0 To 10 Total Minutes: 120 Time In: 09:30 AM Time Out: 11:30 AM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor this facility for compliance with applicable child care requirements during a routine unannounced visit. You, A. Pettaway, administrator, were present available to assist with today’s visit. Your program currently operates with a G.S. 110-106, Notice of Compliance, issued April 27, 2011. The last annual compliance visit was conducted on November 19, 2024. The sanitation inspection was completed on June 12, 2025, with a “Superior” classification “6” demerits. The fire inspection was completed on January 8, 2025, and the center was approved for daytime and night care. The notice of compliance was, and the restrictions were in compliance. Twenty-four (24) children from ages zero (0) to nine (9) were present during the visit. A walk-through of the facility was completed today all indoor and outdoor environments were monitored. Children throughout the facility were participating in free play, group time activities, and personal care routines. Infants were interacting and playing on the floor with the teacher. The children were observed eating the following for lunch: hot dogs, French fries, mandarin oranges, wheat crackers, and milk. The following were monitored: Supervision, Staff Child Ratio, First Aid, CPR, ITS SIDS, Special Training, CBC Qualification, Emergency Medical Care Plan, Storage of Hazardous Substances, Administration of Medication, Adequate/Approved Space, Permit Restrictions, and Program Records. Any violations of the child care requirements observed today were discussed with you and documented in the visit summary report and reviewed with you at the conclusion of the visit. The following violations were corrected during today's visit: Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. A fire inspection was completed on January 8, 2025; however, the inspection was not sent to the child care consultant within one week of the completion of the fire inspection. 10A NCAC 09 .0304(a) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. In room number two (2) there was an electrical outlet that did not have a protective cover on it. 10A NCAC 09 .0604(c) 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. COMPLIANCE HISTORY: Prior to conducting today’s visit, your center’s Compliance History score, over an 18-month period time frame, is 79%. The violations documented could impact the center’s overall Compliance History score. Your compliance score must be maintained at 75% or higher or an Administrative Action may be warranted. CORPORATION STATUS: St. Mark Deliverance Church, Inc. is a non-profit corporation and is listed as the current owner of this center. According to information verified on the North Carolina Secretary of State’s website, St. Mark Deliverance Church, Inc. remains current and active. Prior to making any changes to the corporation status, please contact me to discuss change of ownership procedures. The corporation status for your program must always remain current and active. Failure to comply may affect your license. FACILITY PROFILE INFORMATION: You verified the mailing address, email address, and phone number listed on the facility profile are correct. If changes in your facility’s information occurs, please contact me at 252-557-5597 or email me at angela.nieves@dhhs.nc.gov to discuss the changes and ensure the information is current in our system. TECHNICAL ASSISTANCE/CONSULTATION: ANNUAL INSPECTIONS (FIRE INSPECTION): A fire inspection was completed on January 8, 2025; however, the inspection was not sent to the child care consultant within seven days of the completion of the fire inspection. You provided me with a copy of the completed fire inspection. This was corrected during the visit. Please see the following: 10A NCAC 09 .0304 ON-GOING REQUIREMENTS FOR A LICENSE (a)Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division. ELECTICAL OUTLET: In room number two (2) there was an electrical outlet that did not have a protective cover on it. The teacher immediately covered the outlet with a protective cover. Please remember to check each room prior to children attending and periodically throughout the day to make sure all outlets are covered. This was corrected during the visit. REMINDERS: ITS SIDS: A. Pettaway, Director, did have documentation of completing the ITS SIDS training on January 25, 2023; however, the training expired on January 25, 2025. You stated you no longer provide care in the infant room. I reminded you, that if you decide to start providing care to the infants, then you will need to complete an ITS SIDS training prior to providing care. Please remember the training must be completed every three (3) years. You may want to contact Down East Partnership for children at 252-985-4300 to see if they have any upcoming ITS SIDS Classes you can also take the ITS SIDS training virtual through Early Years at https://www.earlyyearsnc.org/programs/ccrr/professional-development/ . STAFF AND TRAINING WORKSHEET: Please continue to update your staff and training worksheet as you hire new staff. Please remove any staff that are no longer employed. Please review your staff and training worksheet periodically to ensure you do not miss training dates that need to be renewed, such as CPR/FA, ITS SIDS, and other trainings. CLEAN WATER FOR CAROLINA KIDS: According to the Clean Water for Us Kids, you last tested your water on May 11, 2024. Child Care Centers must test the drinking and cooking water every three (3) years. The Clean Classrooms for Carolina Kids™ team determined that LITTLE MARK CHILD CARE CENTER was exempt from the lead-based paint assessment requirements. The facility provided the appropriate documentation to show all buildings were built after 1978 and no lead-based paint was used in order to meet the building age exemption criteria per 10A NCAC 41C.1004. No additional action is required by the facility. The Clean Classrooms for Carolina Kids™ team determined that LITTLE MARK CHILD CARE CENTER was exempt from asbestos inspection requirements. The facility provided the appropriate documentation to show all buildings were built after 1988 to meet the building age exemption criteria per 10A NCAC 41C .1003. No additional action is required by the facility. ABCM MOODLE TRAINING-CRIMINAL BACKGROUND CHECK: You have completed your ABCMS Moodle training and have completed your ABCMS Roster. Please remember when hiring new staff, you have five (5) days to link the staff’s criminal background check letter to your ABCMS portal. You will also want to delete anyone who no longer is employed in your child care facility. CONTACT INFORMATION: If you have any questions about today’s visit, you may contact me at 252-557-5597 or angela.nieves@dhhs.nc.gov. You may also contact Licensing Supervisor, Susan Fuller at 252-373-9809 or email at susan.fuller@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

10A NCAC 09 .0304 · Violation

Name of Operation: LITTLE MARK CHILD CARE CENTER Facility ID: 33000437 Consultant: ANGELA NIEVES Operation Type: Center Case Number: Visit Date: 8/14/2025 Number Present: 24 Completed Date: 8/14/2025 Age: From 0 To 10 Total Minutes: 120 Time In: 09:30 AM Time Out: 11:30 AM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor this facility for compliance with applicable child care requirements during a routine unannounced visit. You, A. Pettaway, administrator, were present available to assist with today’s visit. Your program currently operates with a G.S. 110-106, Notice of Compliance, issued April 27, 2011. The last annual compliance visit was conducted on November 19, 2024. The sanitation inspection was completed on June 12, 2025, with a “Superior” classification “6” demerits. The fire inspection was completed on January 8, 2025, and the center was approved for daytime and night care. The notice of compliance was, and the restrictions were in compliance. Twenty-four (24) children from ages zero (0) to nine (9) were present during the visit. A walk-through of the facility was completed today all indoor and outdoor environments were monitored. Children throughout the facility were participating in free play, group time activities, and personal care routines. Infants were interacting and playing on the floor with the teacher. The children were observed eating the following for lunch: hot dogs, French fries, mandarin oranges, wheat crackers, and milk. The following were monitored: Supervision, Staff Child Ratio, First Aid, CPR, ITS SIDS, Special Training, CBC Qualification, Emergency Medical Care Plan, Storage of Hazardous Substances, Administration of Medication, Adequate/Approved Space, Permit Restrictions, and Program Records. Any violations of the child care requirements observed today were discussed with you and documented in the visit summary report and reviewed with you at the conclusion of the visit. The following violations were corrected during today's visit: Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. A fire inspection was completed on January 8, 2025; however, the inspection was not sent to the child care consultant within one week of the completion of the fire inspection. 10A NCAC 09 .0304(a) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. In room number two (2) there was an electrical outlet that did not have a protective cover on it. 10A NCAC 09 .0604(c) 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. COMPLIANCE HISTORY: Prior to conducting today’s visit, your center’s Compliance History score, over an 18-month period time frame, is 79%. The violations documented could impact the center’s overall Compliance History score. Your compliance score must be maintained at 75% or higher or an Administrative Action may be warranted. CORPORATION STATUS: St. Mark Deliverance Church, Inc. is a non-profit corporation and is listed as the current owner of this center. According to information verified on the North Carolina Secretary of State’s website, St. Mark Deliverance Church, Inc. remains current and active. Prior to making any changes to the corporation status, please contact me to discuss change of ownership procedures. The corporation status for your program must always remain current and active. Failure to comply may affect your license. FACILITY PROFILE INFORMATION: You verified the mailing address, email address, and phone number listed on the facility profile are correct. If changes in your facility’s information occurs, please contact me at 252-557-5597 or email me at angela.nieves@dhhs.nc.gov to discuss the changes and ensure the information is current in our system. TECHNICAL ASSISTANCE/CONSULTATION: ANNUAL INSPECTIONS (FIRE INSPECTION): A fire inspection was completed on January 8, 2025; however, the inspection was not sent to the child care consultant within seven days of the completion of the fire inspection. You provided me with a copy of the completed fire inspection. This was corrected during the visit. Please see the following: 10A NCAC 09 .0304 ON-GOING REQUIREMENTS FOR A LICENSE (a)Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division. ELECTICAL OUTLET: In room number two (2) there was an electrical outlet that did not have a protective cover on it. The teacher immediately covered the outlet with a protective cover. Please remember to check each room prior to children attending and periodically throughout the day to make sure all outlets are covered. This was corrected during the visit. REMINDERS: ITS SIDS: A. Pettaway, Director, did have documentation of completing the ITS SIDS training on January 25, 2023; however, the training expired on January 25, 2025. You stated you no longer provide care in the infant room. I reminded you, that if you decide to start providing care to the infants, then you will need to complete an ITS SIDS training prior to providing care. Please remember the training must be completed every three (3) years. You may want to contact Down East Partnership for children at 252-985-4300 to see if they have any upcoming ITS SIDS Classes you can also take the ITS SIDS training virtual through Early Years at https://www.earlyyearsnc.org/programs/ccrr/professional-development/ . STAFF AND TRAINING WORKSHEET: Please continue to update your staff and training worksheet as you hire new staff. Please remove any staff that are no longer employed. Please review your staff and training worksheet periodically to ensure you do not miss training dates that need to be renewed, such as CPR/FA, ITS SIDS, and other trainings. CLEAN WATER FOR CAROLINA KIDS: According to the Clean Water for Us Kids, you last tested your water on May 11, 2024. Child Care Centers must test the drinking and cooking water every three (3) years. The Clean Classrooms for Carolina Kids™ team determined that LITTLE MARK CHILD CARE CENTER was exempt from the lead-based paint assessment requirements. The facility provided the appropriate documentation to show all buildings were built after 1978 and no lead-based paint was used in order to meet the building age exemption criteria per 10A NCAC 41C.1004. No additional action is required by the facility. The Clean Classrooms for Carolina Kids™ team determined that LITTLE MARK CHILD CARE CENTER was exempt from asbestos inspection requirements. The facility provided the appropriate documentation to show all buildings were built after 1988 to meet the building age exemption criteria per 10A NCAC 41C .1003. No additional action is required by the facility. ABCM MOODLE TRAINING-CRIMINAL BACKGROUND CHECK: You have completed your ABCMS Moodle training and have completed your ABCMS Roster. Please remember when hiring new staff, you have five (5) days to link the staff’s criminal background check letter to your ABCMS portal. You will also want to delete anyone who no longer is employed in your child care facility. CONTACT INFORMATION: If you have any questions about today’s visit, you may contact me at 252-557-5597 or angela.nieves@dhhs.nc.gov. You may also contact Licensing Supervisor, Susan Fuller at 252-373-9809 or email at susan.fuller@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

G.S. 110-106 · Violation

Name of Operation: LITTLE MARK CHILD CARE CENTER Facility ID: 33000437 Consultant: ANGELA NIEVES Operation Type: Center Case Number: Visit Date: 8/14/2025 Number Present: 24 Completed Date: 8/14/2025 Age: From 0 To 10 Total Minutes: 120 Time In: 09:30 AM Time Out: 11:30 AM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor this facility for compliance with applicable child care requirements during a routine unannounced visit. You, A. Pettaway, administrator, were present available to assist with today’s visit. Your program currently operates with a G.S. 110-106, Notice of Compliance, issued April 27, 2011. The last annual compliance visit was conducted on November 19, 2024. The sanitation inspection was completed on June 12, 2025, with a “Superior” classification “6” demerits. The fire inspection was completed on January 8, 2025, and the center was approved for daytime and night care. The notice of compliance was, and the restrictions were in compliance. Twenty-four (24) children from ages zero (0) to nine (9) were present during the visit. A walk-through of the facility was completed today all indoor and outdoor environments were monitored. Children throughout the facility were participating in free play, group time activities, and personal care routines. Infants were interacting and playing on the floor with the teacher. The children were observed eating the following for lunch: hot dogs, French fries, mandarin oranges, wheat crackers, and milk. The following were monitored: Supervision, Staff Child Ratio, First Aid, CPR, ITS SIDS, Special Training, CBC Qualification, Emergency Medical Care Plan, Storage of Hazardous Substances, Administration of Medication, Adequate/Approved Space, Permit Restrictions, and Program Records. Any violations of the child care requirements observed today were discussed with you and documented in the visit summary report and reviewed with you at the conclusion of the visit. The following violations were corrected during today's visit: Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. A fire inspection was completed on January 8, 2025; however, the inspection was not sent to the child care consultant within one week of the completion of the fire inspection. 10A NCAC 09 .0304(a) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. In room number two (2) there was an electrical outlet that did not have a protective cover on it. 10A NCAC 09 .0604(c) 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. COMPLIANCE HISTORY: Prior to conducting today’s visit, your center’s Compliance History score, over an 18-month period time frame, is 79%. The violations documented could impact the center’s overall Compliance History score. Your compliance score must be maintained at 75% or higher or an Administrative Action may be warranted. CORPORATION STATUS: St. Mark Deliverance Church, Inc. is a non-profit corporation and is listed as the current owner of this center. According to information verified on the North Carolina Secretary of State’s website, St. Mark Deliverance Church, Inc. remains current and active. Prior to making any changes to the corporation status, please contact me to discuss change of ownership procedures. The corporation status for your program must always remain current and active. Failure to comply may affect your license. FACILITY PROFILE INFORMATION: You verified the mailing address, email address, and phone number listed on the facility profile are correct. If changes in your facility’s information occurs, please contact me at 252-557-5597 or email me at angela.nieves@dhhs.nc.gov to discuss the changes and ensure the information is current in our system. TECHNICAL ASSISTANCE/CONSULTATION: ANNUAL INSPECTIONS (FIRE INSPECTION): A fire inspection was completed on January 8, 2025; however, the inspection was not sent to the child care consultant within seven days of the completion of the fire inspection. You provided me with a copy of the completed fire inspection. This was corrected during the visit. Please see the following: 10A NCAC 09 .0304 ON-GOING REQUIREMENTS FOR A LICENSE (a)Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division. ELECTICAL OUTLET: In room number two (2) there was an electrical outlet that did not have a protective cover on it. The teacher immediately covered the outlet with a protective cover. Please remember to check each room prior to children attending and periodically throughout the day to make sure all outlets are covered. This was corrected during the visit. REMINDERS: ITS SIDS: A. Pettaway, Director, did have documentation of completing the ITS SIDS training on January 25, 2023; however, the training expired on January 25, 2025. You stated you no longer provide care in the infant room. I reminded you, that if you decide to start providing care to the infants, then you will need to complete an ITS SIDS training prior to providing care. Please remember the training must be completed every three (3) years. You may want to contact Down East Partnership for children at 252-985-4300 to see if they have any upcoming ITS SIDS Classes you can also take the ITS SIDS training virtual through Early Years at https://www.earlyyearsnc.org/programs/ccrr/professional-development/ . STAFF AND TRAINING WORKSHEET: Please continue to update your staff and training worksheet as you hire new staff. Please remove any staff that are no longer employed. Please review your staff and training worksheet periodically to ensure you do not miss training dates that need to be renewed, such as CPR/FA, ITS SIDS, and other trainings. CLEAN WATER FOR CAROLINA KIDS: According to the Clean Water for Us Kids, you last tested your water on May 11, 2024. Child Care Centers must test the drinking and cooking water every three (3) years. The Clean Classrooms for Carolina Kids™ team determined that LITTLE MARK CHILD CARE CENTER was exempt from the lead-based paint assessment requirements. The facility provided the appropriate documentation to show all buildings were built after 1978 and no lead-based paint was used in order to meet the building age exemption criteria per 10A NCAC 41C.1004. No additional action is required by the facility. The Clean Classrooms for Carolina Kids™ team determined that LITTLE MARK CHILD CARE CENTER was exempt from asbestos inspection requirements. The facility provided the appropriate documentation to show all buildings were built after 1988 to meet the building age exemption criteria per 10A NCAC 41C .1003. No additional action is required by the facility. ABCM MOODLE TRAINING-CRIMINAL BACKGROUND CHECK: You have completed your ABCMS Moodle training and have completed your ABCMS Roster. Please remember when hiring new staff, you have five (5) days to link the staff’s criminal background check letter to your ABCMS portal. You will also want to delete anyone who no longer is employed in your child care facility. CONTACT INFORMATION: If you have any questions about today’s visit, you may contact me at 252-557-5597 or angela.nieves@dhhs.nc.gov. You may also contact Licensing Supervisor, Susan Fuller at 252-373-9809 or email at susan.fuller@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

NC GS 110-90 · Violation

Name of Operation: LITTLE MARK CHILD CARE CENTER Facility ID: 33000437 Consultant: ANGELA NIEVES Operation Type: Center Case Number: Visit Date: 8/14/2025 Number Present: 24 Completed Date: 8/14/2025 Age: From 0 To 10 Total Minutes: 120 Time In: 09:30 AM Time Out: 11:30 AM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor this facility for compliance with applicable child care requirements during a routine unannounced visit. You, A. Pettaway, administrator, were present available to assist with today’s visit. Your program currently operates with a G.S. 110-106, Notice of Compliance, issued April 27, 2011. The last annual compliance visit was conducted on November 19, 2024. The sanitation inspection was completed on June 12, 2025, with a “Superior” classification “6” demerits. The fire inspection was completed on January 8, 2025, and the center was approved for daytime and night care. The notice of compliance was, and the restrictions were in compliance. Twenty-four (24) children from ages zero (0) to nine (9) were present during the visit. A walk-through of the facility was completed today all indoor and outdoor environments were monitored. Children throughout the facility were participating in free play, group time activities, and personal care routines. Infants were interacting and playing on the floor with the teacher. The children were observed eating the following for lunch: hot dogs, French fries, mandarin oranges, wheat crackers, and milk. The following were monitored: Supervision, Staff Child Ratio, First Aid, CPR, ITS SIDS, Special Training, CBC Qualification, Emergency Medical Care Plan, Storage of Hazardous Substances, Administration of Medication, Adequate/Approved Space, Permit Restrictions, and Program Records. Any violations of the child care requirements observed today were discussed with you and documented in the visit summary report and reviewed with you at the conclusion of the visit. The following violations were corrected during today's visit: Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. A fire inspection was completed on January 8, 2025; however, the inspection was not sent to the child care consultant within one week of the completion of the fire inspection. 10A NCAC 09 .0304(a) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. In room number two (2) there was an electrical outlet that did not have a protective cover on it. 10A NCAC 09 .0604(c) 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. COMPLIANCE HISTORY: Prior to conducting today’s visit, your center’s Compliance History score, over an 18-month period time frame, is 79%. The violations documented could impact the center’s overall Compliance History score. Your compliance score must be maintained at 75% or higher or an Administrative Action may be warranted. CORPORATION STATUS: St. Mark Deliverance Church, Inc. is a non-profit corporation and is listed as the current owner of this center. According to information verified on the North Carolina Secretary of State’s website, St. Mark Deliverance Church, Inc. remains current and active. Prior to making any changes to the corporation status, please contact me to discuss change of ownership procedures. The corporation status for your program must always remain current and active. Failure to comply may affect your license. FACILITY PROFILE INFORMATION: You verified the mailing address, email address, and phone number listed on the facility profile are correct. If changes in your facility’s information occurs, please contact me at 252-557-5597 or email me at angela.nieves@dhhs.nc.gov to discuss the changes and ensure the information is current in our system. TECHNICAL ASSISTANCE/CONSULTATION: ANNUAL INSPECTIONS (FIRE INSPECTION): A fire inspection was completed on January 8, 2025; however, the inspection was not sent to the child care consultant within seven days of the completion of the fire inspection. You provided me with a copy of the completed fire inspection. This was corrected during the visit. Please see the following: 10A NCAC 09 .0304 ON-GOING REQUIREMENTS FOR A LICENSE (a)Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division. ELECTICAL OUTLET: In room number two (2) there was an electrical outlet that did not have a protective cover on it. The teacher immediately covered the outlet with a protective cover. Please remember to check each room prior to children attending and periodically throughout the day to make sure all outlets are covered. This was corrected during the visit. REMINDERS: ITS SIDS: A. Pettaway, Director, did have documentation of completing the ITS SIDS training on January 25, 2023; however, the training expired on January 25, 2025. You stated you no longer provide care in the infant room. I reminded you, that if you decide to start providing care to the infants, then you will need to complete an ITS SIDS training prior to providing care. Please remember the training must be completed every three (3) years. You may want to contact Down East Partnership for children at 252-985-4300 to see if they have any upcoming ITS SIDS Classes you can also take the ITS SIDS training virtual through Early Years at https://www.earlyyearsnc.org/programs/ccrr/professional-development/ . STAFF AND TRAINING WORKSHEET: Please continue to update your staff and training worksheet as you hire new staff. Please remove any staff that are no longer employed. Please review your staff and training worksheet periodically to ensure you do not miss training dates that need to be renewed, such as CPR/FA, ITS SIDS, and other trainings. CLEAN WATER FOR CAROLINA KIDS: According to the Clean Water for Us Kids, you last tested your water on May 11, 2024. Child Care Centers must test the drinking and cooking water every three (3) years. The Clean Classrooms for Carolina Kids™ team determined that LITTLE MARK CHILD CARE CENTER was exempt from the lead-based paint assessment requirements. The facility provided the appropriate documentation to show all buildings were built after 1978 and no lead-based paint was used in order to meet the building age exemption criteria per 10A NCAC 41C.1004. No additional action is required by the facility. The Clean Classrooms for Carolina Kids™ team determined that LITTLE MARK CHILD CARE CENTER was exempt from asbestos inspection requirements. The facility provided the appropriate documentation to show all buildings were built after 1988 to meet the building age exemption criteria per 10A NCAC 41C .1003. No additional action is required by the facility. ABCM MOODLE TRAINING-CRIMINAL BACKGROUND CHECK: You have completed your ABCMS Moodle training and have completed your ABCMS Roster. Please remember when hiring new staff, you have five (5) days to link the staff’s criminal background check letter to your ABCMS portal. You will also want to delete anyone who no longer is employed in your child care facility. CONTACT INFORMATION: If you have any questions about today’s visit, you may contact me at 252-557-5597 or angela.nieves@dhhs.nc.gov. You may also contact Licensing Supervisor, Susan Fuller at 252-373-9809 or email at susan.fuller@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0304 · Violation

Name of Operation: LITTLE MARK CHILD CARE CENTER Facility ID: 33000437 Consultant: ANGELA NIEVES Operation Type: Center Case Number: Visit Date: 11/19/2024 Number Present: 20 Completed Date: 11/19/2024 Age: From 0 To 4 Total Minutes: 278 Time In: 09:12 AM Time Out: 01:50 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor this facility for compliance with applicable child care requirements during an annual compliance visit. When I arrived, Desarae Ellis called you to make you aware of my visit. You, Annie Pettaway, administrator, arrived shortly after the visit and were present available to assist with today’s visit. Your program currently operates with a G.S. 110-106, Notice of Compliance, issued April 27, 2011. The last annual compliance visit was conducted on December 6, 2023. The sanitation inspection was completed on October29, 2024, with a “Superior” classification “8” demerits. The fire inspection was completed on January 11, 2024, and the center was approved for daytime care only. The notice of compliance was posted. Thirty-tree (33) children from ages zero (0) to four (4) were present during the visit. A walk-through of the facility was completed today, all indoor and outdoor areas were monitored. The following were not incompliance, space capacity, staff-child ratio, grouping of children, and supervision. I observed children in the indoor learning environments. Children throughout the facility were participating in free play in activity areas, transitions, and personal care routines. Infants were interacting and playing on the floor, while the teacher was feeding a child. The children were observed eating the following for lunch: hotdogs, rolls, baked beans, mandarin oranges, and milk. Any violations of the child care requirements observed today were discussed with you and documented in the visit summary report and reviewed with you at the conclusion of the visit. The following violations of the child care requirements were documented today: Violation Number Comment Rule 201 A room was occupied by more children than the space allowed at 25-sq. ft. of floor space per child. There was a total of sixteen (16) children in space number two (2). The room's capacity is fourteen (14). GS 110-91(6); .1401(f) 303 Children were not adequately supervised at all times. In space number three (#3) the teacher left the children unattended to go into the kitchen to get some food for one of the children. There were four (4) children from ages six (6) months to 15 months in the classroom. .1801(a)(1-5) 315 When combining age groups, the staff/child ratios for the youngest child in the group was not maintained for the entire group. There was one (1) teacher and a total of sixteen (16) children in space number two (2); which consisted of the following: two (2) one-year-olds, five (5) two-year-olds, seven (7) three-year-olds, and two (2) four-year-olds. .0713(a)(1) 318 Children between 12 and 24 months of age were grouped with children 3 years of age or older. There was a total of sixteen (16) children in space number two (2);which consisted of the following: two (2) one-year-olds, five (5) two-year-olds, eight (7) three-year-olds, and two (2) four-year-olds. 10A NCAC 09 .0713(a)(6) 718 Swings did not have surfacing that extends two times the length of the pivot point to the surface below beyond the external limits of the equipment. In the outdoor learning environment, there was a piece of equipment that had swings and a slide. There was some sand surrounding part of the equipment, but much of the equipment did not have an adequate fall-zone. .0605(m)(2) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. In space number two (2) and is space #3 there was a bottle of hand sanitizer with extra warnings on the label. .2820(b) 1103 The driver did not have a valid driver's license of the type required for the vehicle being driven. J. Rose is one of the drivers at the child care facility. He had a NC license, however; the license expired on October 9, 2024. Mr. Rose stated he has renewed his license but has not received the permanent one in the mail. He says he has a paper copy of the updated license, but did not have it available for review. 10A NCAC 09 .1003(e)(2) 1812 The center did not complete an EPR Plan within four months of completing the EPR in Child Care training and/or the Plan was not completed on a template provided by the Division. There was not a completed EPR plan available for review on the template provided by the division. .0607(c) 1865 The operator did not maintain the manufacturer's instructions on file electronically or in paper format for any outdoor play structures purchased or installed on or after September 1, 2017. In the outdoor learning environment, there was a piece of equipment that had swings and a slide. The piece of equipment was not anchored into the ground. I was able to lift three of the legs off the ground. I asked you if you had the manufacturer installation instructions for me to review, but you did not have them available. .0605(b) Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before December 3, 2024, I must receive a written, dated, and signed compliance letter that describes accurately and in detail how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Mail or email the information to: Angela Nieves, Child Care Consultant PO Box 8741 Rocky Mount, NC 27804 Angela.nieves@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 The two-week time frame is established to allow you time for submitting your compliance letter. This time frame is not intended to be used as a guide for correcting violations, as they should be corrected immediately. Please be aware that any written information submitted by you regarding correction of violations documented during today's visit is legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility's license could be issued. COMPLIANCE HISTORY: Prior to conducting today’s visit your center’s Compliance History score, over an 18-month period time frame, is 87%. The violations documented could impact the center’s overall Compliance History score. Your compliance score must be maintained at 75% or higher or an Administrative Action may be warranted. CORPORATION STATUS: St. Mark Deliverance Church, Inc. is a non-profit corporation and is listed as the current owner of this center. According to information verified on the North Carolina Secretary of State’s website, St. Mark Deliverance Church, Inc. remains current and active. Prior to making any changes to the corporation status, please contact me to discuss change of ownership procedures. The corporation status for your program must always remain current and active. Failure to comply may affect your license. FACILITY PROFILE INFORMATION: You verified the mailing address, email address, and phone number listed on the facility profile are correct. If changes in your facility’s information occurs, please contact me at 252-557-5597 or email me at angela.nieves@dhhs.nc.gov to discuss the changes and ensure the information is current in our system. TECHNICAL ASSISTANCE/CONSULTATION: STAFF AND CHILDREN RECORDS: Ten percent (10%) of the staff files were reviewed today and found to be incompliance. Ten percent (10%) of the children and staff files were reviewed and found to be incompliance. STAFF/CHILD RATIOS and GROUPING: Upon arrival at the facility, there were two (2) teachers in the kitchen. L. Brock (teacher in space number three #3) and D. Ellis (teacher in space number #4). Ms. Ellis had just arrived and was getting ready for the day. Both teachers left the kitchen. I began my observation of the facility. There were no extra staff in the building and once I got to space number three (3) and number four (4) it was clear that supervision, staff-child ratio, space capacity, and grouping had been out of compliance. Per the teaching staff, Ms. Ellis’ six (6) children that are enrolled in space number three (3) were combined with the children in space number two (2). There was a total of sixteen (16) children in space number two (2) (the rooms’ capacity is fourteen (14)); which consisted of the following: two (2) one-year-olds, five (5) two-year-olds, eight (7) three-year-olds, and two (2) four-year-olds with one teacher; J. Rose. Children between the ages of 12 and 24 months cannot be grouped with children three years and older. When children are grouped together, you must maintain the staff child ratio of the youngest child present. The youngest child present was one years old. The minimum staff child ratio for a one-year-old is one teacher to six children. I have printed off the staff child ratio chart for you to review with your staff. You will also want to discuss with your staff the importance of maintaining staff/child ratios. You may never be out of staff/child ratio. You will also want to review or create policies for when the room needs to be combined and how you are going to maintain staff/child ratios. ADEQUATE AND APPROVED SPACE: In space number two (2) there were sixteen children present. The room’s capacity is no more than fourteen (14) children. Please review with your staff the room capacity for each room. SUPERVISION: Upon arrival at the facility, there were two (2) teachers in the kitchen. L. Brock (teacher in space number three #3) and D. Ellis (teacher in space number #4). Ms. Ellis had just arrived and was getting ready for the day. Both teachers left the kitchen. When I asked Ms. Brock who was in her classroom taking care of the children while she was in the kitchen, she responded with “Nobody”. When I asked her why she left the children unattended, she stated she needed to get food for one of the children and there was nobody available to help her. There were four (4) children present from ages six (6) months to 15 months. I reminded Ms. Brock children can never be left unattended. I spoke with Ms. Pettaway about making sure there are enough staff in the building to help when teachers need it and to make sure supervision is never compromised. We also talked about possibly moving the baby food needed for the children in the infant room to the infant room, so the teacher had the food available to her at all times; provided she was staying in compliance with all food sanitation guidelines. SAFETY AND HEALTH: In space number two (2) and is space #3 there was a bottle of hand sanitizer with extra warnings on the label. We reviewed that if hand sanitizer has more than “keep out of reach of children”, the sanitizer needs to be kept locked up. For example: if the bottle of hand-sanitizer states call for medical help if ingested or keep out of eyes, these would be considered extra warning, and the bottle would need to be locked up when not in use. The hand sanitizer was removed from each of the classrooms and placed in the office. This was corrected during the visit. SAFETY AND HEALTH-OUTDOOR PLAY EQUIPMENT: In the outdoor learning environment, there was a piece of equipment that had swings and a slide. The piece of equipment was not anchored into the ground. I was able to lift three of the legs off the ground. I asked you if you had the manufacturer installation instructions for me to review, but you did not have them available. We talked about making sure all play equipment is installed according to the manufacturer’s guidelines and keeping the manufacturer’s instructions on file for review. There was some sand surrounding part of the equipment, but much of the equipment did not have an adequate fall-zone. Please remember pieces of equipment that children climb that are 18 inches or higher must have a fall zone and swings did not have surfacing that extends two times the length of the pivot point to the surface below beyond the external limits of the equipment. You stated you were going to remove the piece of equipment. EMERGENCY PREPAREDNESS AND RESPONSE PLAN (EPR): You did not have a completed EPR plan available for review. The EPR plan you had was not on the templated provided by the division. The EPR plan must be reviewed annually in the NC Risk Management Portal whether you make changes or not. Please go to the following website to complete the EPR plan: https://rmp.nc.gov/portal/ . You will log in into the portal using your NCID password. Once you have completed your update, print the plan and retain it in your files. You will also want to review the updated plan with your staff. TRANSPORTATION: J. Rose is one of the drivers at the child care facility. He had a NC license, however; the license expired on October 9, 2024. Mr. Rose stated he has renewed his license but has not received the permanent one in the mail. He says he has a paper copy of the updated license, but did not have it available for review. Please remember all staff who drive the child care vehicle must have a valid license available for review. RMINDERS: LICENSING FEES: Keep an eye on your inbox for the 2024 annual license fee invoice. Invoices will be emailed to the facility addresses on file by November 30, 2024. Online payments will be due by December 31, 2024. In accordance with North Carolina General Statute § 110-90(1a), licensed child care facilities are an annual license fee. The amount of your annual license fee is based on the licensed capacity printed on your license as of October 1, 2024, not the number of children enrolled at your facility. Please note that annual license fees do not apply to state or public school-operated child care facilities, or to religious-sponsored facilities operating under a Notice of Compliance. The Division of Child Development and Early Education remains available to assist you. For questions regarding license fees, visit the Frequently Asked Questions (FAQs) on our website. For further assistance regarding your annual license fee, please email DCDEE_LF@dhhs.nc.gov. CLEAN WATER FOR US KIDS: We discussed the Clean Water for Carolina Kids program. According to the Clean Water for Us Kids website you tested your water on May 11, 2024. RTI is reviewing your lead paint and asbestos survey. Please keep an eye on your email for further information from Clean Water for Carolina Kids. CRIMINAL BACKGROUND CHECK-ABCMS 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 on 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 1-800-859-0829 and someone will assist you. FIRE INSPECTIONS: Your fire inspection is due on or before January 11, 2024. As a reminder the following child care rule is a requirement, and a violation will be written when a fire inspection is not submitted to your child care consultant within the time period stated below: 10A NCAC 09 .0304 ON-GOING REQUIREMENTS FOR A LICENSE (a)Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division. CONTACT INFORMATION: If you have any questions about today’s visit, my contact information is listed above. You may also contact Licensing Supervisor, Susan Fuller at 252-373-9809 or email at susan.fuller@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

10A NCAC 09 .0713 · Violation

Name of Operation: LITTLE MARK CHILD CARE CENTER Facility ID: 33000437 Consultant: ANGELA NIEVES Operation Type: Center Case Number: Visit Date: 11/19/2024 Number Present: 20 Completed Date: 11/19/2024 Age: From 0 To 4 Total Minutes: 278 Time In: 09:12 AM Time Out: 01:50 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor this facility for compliance with applicable child care requirements during an annual compliance visit. When I arrived, Desarae Ellis called you to make you aware of my visit. You, Annie Pettaway, administrator, arrived shortly after the visit and were present available to assist with today’s visit. Your program currently operates with a G.S. 110-106, Notice of Compliance, issued April 27, 2011. The last annual compliance visit was conducted on December 6, 2023. The sanitation inspection was completed on October29, 2024, with a “Superior” classification “8” demerits. The fire inspection was completed on January 11, 2024, and the center was approved for daytime care only. The notice of compliance was posted. Thirty-tree (33) children from ages zero (0) to four (4) were present during the visit. A walk-through of the facility was completed today, all indoor and outdoor areas were monitored. The following were not incompliance, space capacity, staff-child ratio, grouping of children, and supervision. I observed children in the indoor learning environments. Children throughout the facility were participating in free play in activity areas, transitions, and personal care routines. Infants were interacting and playing on the floor, while the teacher was feeding a child. The children were observed eating the following for lunch: hotdogs, rolls, baked beans, mandarin oranges, and milk. Any violations of the child care requirements observed today were discussed with you and documented in the visit summary report and reviewed with you at the conclusion of the visit. The following violations of the child care requirements were documented today: Violation Number Comment Rule 201 A room was occupied by more children than the space allowed at 25-sq. ft. of floor space per child. There was a total of sixteen (16) children in space number two (2). The room's capacity is fourteen (14). GS 110-91(6); .1401(f) 303 Children were not adequately supervised at all times. In space number three (#3) the teacher left the children unattended to go into the kitchen to get some food for one of the children. There were four (4) children from ages six (6) months to 15 months in the classroom. .1801(a)(1-5) 315 When combining age groups, the staff/child ratios for the youngest child in the group was not maintained for the entire group. There was one (1) teacher and a total of sixteen (16) children in space number two (2); which consisted of the following: two (2) one-year-olds, five (5) two-year-olds, seven (7) three-year-olds, and two (2) four-year-olds. .0713(a)(1) 318 Children between 12 and 24 months of age were grouped with children 3 years of age or older. There was a total of sixteen (16) children in space number two (2);which consisted of the following: two (2) one-year-olds, five (5) two-year-olds, eight (7) three-year-olds, and two (2) four-year-olds. 10A NCAC 09 .0713(a)(6) 718 Swings did not have surfacing that extends two times the length of the pivot point to the surface below beyond the external limits of the equipment. In the outdoor learning environment, there was a piece of equipment that had swings and a slide. There was some sand surrounding part of the equipment, but much of the equipment did not have an adequate fall-zone. .0605(m)(2) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. In space number two (2) and is space #3 there was a bottle of hand sanitizer with extra warnings on the label. .2820(b) 1103 The driver did not have a valid driver's license of the type required for the vehicle being driven. J. Rose is one of the drivers at the child care facility. He had a NC license, however; the license expired on October 9, 2024. Mr. Rose stated he has renewed his license but has not received the permanent one in the mail. He says he has a paper copy of the updated license, but did not have it available for review. 10A NCAC 09 .1003(e)(2) 1812 The center did not complete an EPR Plan within four months of completing the EPR in Child Care training and/or the Plan was not completed on a template provided by the Division. There was not a completed EPR plan available for review on the template provided by the division. .0607(c) 1865 The operator did not maintain the manufacturer's instructions on file electronically or in paper format for any outdoor play structures purchased or installed on or after September 1, 2017. In the outdoor learning environment, there was a piece of equipment that had swings and a slide. The piece of equipment was not anchored into the ground. I was able to lift three of the legs off the ground. I asked you if you had the manufacturer installation instructions for me to review, but you did not have them available. .0605(b) Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before December 3, 2024, I must receive a written, dated, and signed compliance letter that describes accurately and in detail how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Mail or email the information to: Angela Nieves, Child Care Consultant PO Box 8741 Rocky Mount, NC 27804 Angela.nieves@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 The two-week time frame is established to allow you time for submitting your compliance letter. This time frame is not intended to be used as a guide for correcting violations, as they should be corrected immediately. Please be aware that any written information submitted by you regarding correction of violations documented during today's visit is legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility's license could be issued. COMPLIANCE HISTORY: Prior to conducting today’s visit your center’s Compliance History score, over an 18-month period time frame, is 87%. The violations documented could impact the center’s overall Compliance History score. Your compliance score must be maintained at 75% or higher or an Administrative Action may be warranted. CORPORATION STATUS: St. Mark Deliverance Church, Inc. is a non-profit corporation and is listed as the current owner of this center. According to information verified on the North Carolina Secretary of State’s website, St. Mark Deliverance Church, Inc. remains current and active. Prior to making any changes to the corporation status, please contact me to discuss change of ownership procedures. The corporation status for your program must always remain current and active. Failure to comply may affect your license. FACILITY PROFILE INFORMATION: You verified the mailing address, email address, and phone number listed on the facility profile are correct. If changes in your facility’s information occurs, please contact me at 252-557-5597 or email me at angela.nieves@dhhs.nc.gov to discuss the changes and ensure the information is current in our system. TECHNICAL ASSISTANCE/CONSULTATION: STAFF AND CHILDREN RECORDS: Ten percent (10%) of the staff files were reviewed today and found to be incompliance. Ten percent (10%) of the children and staff files were reviewed and found to be incompliance. STAFF/CHILD RATIOS and GROUPING: Upon arrival at the facility, there were two (2) teachers in the kitchen. L. Brock (teacher in space number three #3) and D. Ellis (teacher in space number #4). Ms. Ellis had just arrived and was getting ready for the day. Both teachers left the kitchen. I began my observation of the facility. There were no extra staff in the building and once I got to space number three (3) and number four (4) it was clear that supervision, staff-child ratio, space capacity, and grouping had been out of compliance. Per the teaching staff, Ms. Ellis’ six (6) children that are enrolled in space number three (3) were combined with the children in space number two (2). There was a total of sixteen (16) children in space number two (2) (the rooms’ capacity is fourteen (14)); which consisted of the following: two (2) one-year-olds, five (5) two-year-olds, eight (7) three-year-olds, and two (2) four-year-olds with one teacher; J. Rose. Children between the ages of 12 and 24 months cannot be grouped with children three years and older. When children are grouped together, you must maintain the staff child ratio of the youngest child present. The youngest child present was one years old. The minimum staff child ratio for a one-year-old is one teacher to six children. I have printed off the staff child ratio chart for you to review with your staff. You will also want to discuss with your staff the importance of maintaining staff/child ratios. You may never be out of staff/child ratio. You will also want to review or create policies for when the room needs to be combined and how you are going to maintain staff/child ratios. ADEQUATE AND APPROVED SPACE: In space number two (2) there were sixteen children present. The room’s capacity is no more than fourteen (14) children. Please review with your staff the room capacity for each room. SUPERVISION: Upon arrival at the facility, there were two (2) teachers in the kitchen. L. Brock (teacher in space number three #3) and D. Ellis (teacher in space number #4). Ms. Ellis had just arrived and was getting ready for the day. Both teachers left the kitchen. When I asked Ms. Brock who was in her classroom taking care of the children while she was in the kitchen, she responded with “Nobody”. When I asked her why she left the children unattended, she stated she needed to get food for one of the children and there was nobody available to help her. There were four (4) children present from ages six (6) months to 15 months. I reminded Ms. Brock children can never be left unattended. I spoke with Ms. Pettaway about making sure there are enough staff in the building to help when teachers need it and to make sure supervision is never compromised. We also talked about possibly moving the baby food needed for the children in the infant room to the infant room, so the teacher had the food available to her at all times; provided she was staying in compliance with all food sanitation guidelines. SAFETY AND HEALTH: In space number two (2) and is space #3 there was a bottle of hand sanitizer with extra warnings on the label. We reviewed that if hand sanitizer has more than “keep out of reach of children”, the sanitizer needs to be kept locked up. For example: if the bottle of hand-sanitizer states call for medical help if ingested or keep out of eyes, these would be considered extra warning, and the bottle would need to be locked up when not in use. The hand sanitizer was removed from each of the classrooms and placed in the office. This was corrected during the visit. SAFETY AND HEALTH-OUTDOOR PLAY EQUIPMENT: In the outdoor learning environment, there was a piece of equipment that had swings and a slide. The piece of equipment was not anchored into the ground. I was able to lift three of the legs off the ground. I asked you if you had the manufacturer installation instructions for me to review, but you did not have them available. We talked about making sure all play equipment is installed according to the manufacturer’s guidelines and keeping the manufacturer’s instructions on file for review. There was some sand surrounding part of the equipment, but much of the equipment did not have an adequate fall-zone. Please remember pieces of equipment that children climb that are 18 inches or higher must have a fall zone and swings did not have surfacing that extends two times the length of the pivot point to the surface below beyond the external limits of the equipment. You stated you were going to remove the piece of equipment. EMERGENCY PREPAREDNESS AND RESPONSE PLAN (EPR): You did not have a completed EPR plan available for review. The EPR plan you had was not on the templated provided by the division. The EPR plan must be reviewed annually in the NC Risk Management Portal whether you make changes or not. Please go to the following website to complete the EPR plan: https://rmp.nc.gov/portal/ . You will log in into the portal using your NCID password. Once you have completed your update, print the plan and retain it in your files. You will also want to review the updated plan with your staff. TRANSPORTATION: J. Rose is one of the drivers at the child care facility. He had a NC license, however; the license expired on October 9, 2024. Mr. Rose stated he has renewed his license but has not received the permanent one in the mail. He says he has a paper copy of the updated license, but did not have it available for review. Please remember all staff who drive the child care vehicle must have a valid license available for review. RMINDERS: LICENSING FEES: Keep an eye on your inbox for the 2024 annual license fee invoice. Invoices will be emailed to the facility addresses on file by November 30, 2024. Online payments will be due by December 31, 2024. In accordance with North Carolina General Statute § 110-90(1a), licensed child care facilities are an annual license fee. The amount of your annual license fee is based on the licensed capacity printed on your license as of October 1, 2024, not the number of children enrolled at your facility. Please note that annual license fees do not apply to state or public school-operated child care facilities, or to religious-sponsored facilities operating under a Notice of Compliance. The Division of Child Development and Early Education remains available to assist you. For questions regarding license fees, visit the Frequently Asked Questions (FAQs) on our website. For further assistance regarding your annual license fee, please email DCDEE_LF@dhhs.nc.gov. CLEAN WATER FOR US KIDS: We discussed the Clean Water for Carolina Kids program. According to the Clean Water for Us Kids website you tested your water on May 11, 2024. RTI is reviewing your lead paint and asbestos survey. Please keep an eye on your email for further information from Clean Water for Carolina Kids. CRIMINAL BACKGROUND CHECK-ABCMS 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 on 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 1-800-859-0829 and someone will assist you. FIRE INSPECTIONS: Your fire inspection is due on or before January 11, 2024. As a reminder the following child care rule is a requirement, and a violation will be written when a fire inspection is not submitted to your child care consultant within the time period stated below: 10A NCAC 09 .0304 ON-GOING REQUIREMENTS FOR A LICENSE (a)Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division. CONTACT INFORMATION: If you have any questions about today’s visit, my contact information is listed above. You may also contact Licensing Supervisor, Susan Fuller at 252-373-9809 or email at susan.fuller@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1003 · Violation

Name of Operation: LITTLE MARK CHILD CARE CENTER Facility ID: 33000437 Consultant: ANGELA NIEVES Operation Type: Center Case Number: Visit Date: 11/19/2024 Number Present: 20 Completed Date: 11/19/2024 Age: From 0 To 4 Total Minutes: 278 Time In: 09:12 AM Time Out: 01:50 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor this facility for compliance with applicable child care requirements during an annual compliance visit. When I arrived, Desarae Ellis called you to make you aware of my visit. You, Annie Pettaway, administrator, arrived shortly after the visit and were present available to assist with today’s visit. Your program currently operates with a G.S. 110-106, Notice of Compliance, issued April 27, 2011. The last annual compliance visit was conducted on December 6, 2023. The sanitation inspection was completed on October29, 2024, with a “Superior” classification “8” demerits. The fire inspection was completed on January 11, 2024, and the center was approved for daytime care only. The notice of compliance was posted. Thirty-tree (33) children from ages zero (0) to four (4) were present during the visit. A walk-through of the facility was completed today, all indoor and outdoor areas were monitored. The following were not incompliance, space capacity, staff-child ratio, grouping of children, and supervision. I observed children in the indoor learning environments. Children throughout the facility were participating in free play in activity areas, transitions, and personal care routines. Infants were interacting and playing on the floor, while the teacher was feeding a child. The children were observed eating the following for lunch: hotdogs, rolls, baked beans, mandarin oranges, and milk. Any violations of the child care requirements observed today were discussed with you and documented in the visit summary report and reviewed with you at the conclusion of the visit. The following violations of the child care requirements were documented today: Violation Number Comment Rule 201 A room was occupied by more children than the space allowed at 25-sq. ft. of floor space per child. There was a total of sixteen (16) children in space number two (2). The room's capacity is fourteen (14). GS 110-91(6); .1401(f) 303 Children were not adequately supervised at all times. In space number three (#3) the teacher left the children unattended to go into the kitchen to get some food for one of the children. There were four (4) children from ages six (6) months to 15 months in the classroom. .1801(a)(1-5) 315 When combining age groups, the staff/child ratios for the youngest child in the group was not maintained for the entire group. There was one (1) teacher and a total of sixteen (16) children in space number two (2); which consisted of the following: two (2) one-year-olds, five (5) two-year-olds, seven (7) three-year-olds, and two (2) four-year-olds. .0713(a)(1) 318 Children between 12 and 24 months of age were grouped with children 3 years of age or older. There was a total of sixteen (16) children in space number two (2);which consisted of the following: two (2) one-year-olds, five (5) two-year-olds, eight (7) three-year-olds, and two (2) four-year-olds. 10A NCAC 09 .0713(a)(6) 718 Swings did not have surfacing that extends two times the length of the pivot point to the surface below beyond the external limits of the equipment. In the outdoor learning environment, there was a piece of equipment that had swings and a slide. There was some sand surrounding part of the equipment, but much of the equipment did not have an adequate fall-zone. .0605(m)(2) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. In space number two (2) and is space #3 there was a bottle of hand sanitizer with extra warnings on the label. .2820(b) 1103 The driver did not have a valid driver's license of the type required for the vehicle being driven. J. Rose is one of the drivers at the child care facility. He had a NC license, however; the license expired on October 9, 2024. Mr. Rose stated he has renewed his license but has not received the permanent one in the mail. He says he has a paper copy of the updated license, but did not have it available for review. 10A NCAC 09 .1003(e)(2) 1812 The center did not complete an EPR Plan within four months of completing the EPR in Child Care training and/or the Plan was not completed on a template provided by the Division. There was not a completed EPR plan available for review on the template provided by the division. .0607(c) 1865 The operator did not maintain the manufacturer's instructions on file electronically or in paper format for any outdoor play structures purchased or installed on or after September 1, 2017. In the outdoor learning environment, there was a piece of equipment that had swings and a slide. The piece of equipment was not anchored into the ground. I was able to lift three of the legs off the ground. I asked you if you had the manufacturer installation instructions for me to review, but you did not have them available. .0605(b) Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before December 3, 2024, I must receive a written, dated, and signed compliance letter that describes accurately and in detail how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Mail or email the information to: Angela Nieves, Child Care Consultant PO Box 8741 Rocky Mount, NC 27804 Angela.nieves@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 The two-week time frame is established to allow you time for submitting your compliance letter. This time frame is not intended to be used as a guide for correcting violations, as they should be corrected immediately. Please be aware that any written information submitted by you regarding correction of violations documented during today's visit is legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility's license could be issued. COMPLIANCE HISTORY: Prior to conducting today’s visit your center’s Compliance History score, over an 18-month period time frame, is 87%. The violations documented could impact the center’s overall Compliance History score. Your compliance score must be maintained at 75% or higher or an Administrative Action may be warranted. CORPORATION STATUS: St. Mark Deliverance Church, Inc. is a non-profit corporation and is listed as the current owner of this center. According to information verified on the North Carolina Secretary of State’s website, St. Mark Deliverance Church, Inc. remains current and active. Prior to making any changes to the corporation status, please contact me to discuss change of ownership procedures. The corporation status for your program must always remain current and active. Failure to comply may affect your license. FACILITY PROFILE INFORMATION: You verified the mailing address, email address, and phone number listed on the facility profile are correct. If changes in your facility’s information occurs, please contact me at 252-557-5597 or email me at angela.nieves@dhhs.nc.gov to discuss the changes and ensure the information is current in our system. TECHNICAL ASSISTANCE/CONSULTATION: STAFF AND CHILDREN RECORDS: Ten percent (10%) of the staff files were reviewed today and found to be incompliance. Ten percent (10%) of the children and staff files were reviewed and found to be incompliance. STAFF/CHILD RATIOS and GROUPING: Upon arrival at the facility, there were two (2) teachers in the kitchen. L. Brock (teacher in space number three #3) and D. Ellis (teacher in space number #4). Ms. Ellis had just arrived and was getting ready for the day. Both teachers left the kitchen. I began my observation of the facility. There were no extra staff in the building and once I got to space number three (3) and number four (4) it was clear that supervision, staff-child ratio, space capacity, and grouping had been out of compliance. Per the teaching staff, Ms. Ellis’ six (6) children that are enrolled in space number three (3) were combined with the children in space number two (2). There was a total of sixteen (16) children in space number two (2) (the rooms’ capacity is fourteen (14)); which consisted of the following: two (2) one-year-olds, five (5) two-year-olds, eight (7) three-year-olds, and two (2) four-year-olds with one teacher; J. Rose. Children between the ages of 12 and 24 months cannot be grouped with children three years and older. When children are grouped together, you must maintain the staff child ratio of the youngest child present. The youngest child present was one years old. The minimum staff child ratio for a one-year-old is one teacher to six children. I have printed off the staff child ratio chart for you to review with your staff. You will also want to discuss with your staff the importance of maintaining staff/child ratios. You may never be out of staff/child ratio. You will also want to review or create policies for when the room needs to be combined and how you are going to maintain staff/child ratios. ADEQUATE AND APPROVED SPACE: In space number two (2) there were sixteen children present. The room’s capacity is no more than fourteen (14) children. Please review with your staff the room capacity for each room. SUPERVISION: Upon arrival at the facility, there were two (2) teachers in the kitchen. L. Brock (teacher in space number three #3) and D. Ellis (teacher in space number #4). Ms. Ellis had just arrived and was getting ready for the day. Both teachers left the kitchen. When I asked Ms. Brock who was in her classroom taking care of the children while she was in the kitchen, she responded with “Nobody”. When I asked her why she left the children unattended, she stated she needed to get food for one of the children and there was nobody available to help her. There were four (4) children present from ages six (6) months to 15 months. I reminded Ms. Brock children can never be left unattended. I spoke with Ms. Pettaway about making sure there are enough staff in the building to help when teachers need it and to make sure supervision is never compromised. We also talked about possibly moving the baby food needed for the children in the infant room to the infant room, so the teacher had the food available to her at all times; provided she was staying in compliance with all food sanitation guidelines. SAFETY AND HEALTH: In space number two (2) and is space #3 there was a bottle of hand sanitizer with extra warnings on the label. We reviewed that if hand sanitizer has more than “keep out of reach of children”, the sanitizer needs to be kept locked up. For example: if the bottle of hand-sanitizer states call for medical help if ingested or keep out of eyes, these would be considered extra warning, and the bottle would need to be locked up when not in use. The hand sanitizer was removed from each of the classrooms and placed in the office. This was corrected during the visit. SAFETY AND HEALTH-OUTDOOR PLAY EQUIPMENT: In the outdoor learning environment, there was a piece of equipment that had swings and a slide. The piece of equipment was not anchored into the ground. I was able to lift three of the legs off the ground. I asked you if you had the manufacturer installation instructions for me to review, but you did not have them available. We talked about making sure all play equipment is installed according to the manufacturer’s guidelines and keeping the manufacturer’s instructions on file for review. There was some sand surrounding part of the equipment, but much of the equipment did not have an adequate fall-zone. Please remember pieces of equipment that children climb that are 18 inches or higher must have a fall zone and swings did not have surfacing that extends two times the length of the pivot point to the surface below beyond the external limits of the equipment. You stated you were going to remove the piece of equipment. EMERGENCY PREPAREDNESS AND RESPONSE PLAN (EPR): You did not have a completed EPR plan available for review. The EPR plan you had was not on the templated provided by the division. The EPR plan must be reviewed annually in the NC Risk Management Portal whether you make changes or not. Please go to the following website to complete the EPR plan: https://rmp.nc.gov/portal/ . You will log in into the portal using your NCID password. Once you have completed your update, print the plan and retain it in your files. You will also want to review the updated plan with your staff. TRANSPORTATION: J. Rose is one of the drivers at the child care facility. He had a NC license, however; the license expired on October 9, 2024. Mr. Rose stated he has renewed his license but has not received the permanent one in the mail. He says he has a paper copy of the updated license, but did not have it available for review. Please remember all staff who drive the child care vehicle must have a valid license available for review. RMINDERS: LICENSING FEES: Keep an eye on your inbox for the 2024 annual license fee invoice. Invoices will be emailed to the facility addresses on file by November 30, 2024. Online payments will be due by December 31, 2024. In accordance with North Carolina General Statute § 110-90(1a), licensed child care facilities are an annual license fee. The amount of your annual license fee is based on the licensed capacity printed on your license as of October 1, 2024, not the number of children enrolled at your facility. Please note that annual license fees do not apply to state or public school-operated child care facilities, or to religious-sponsored facilities operating under a Notice of Compliance. The Division of Child Development and Early Education remains available to assist you. For questions regarding license fees, visit the Frequently Asked Questions (FAQs) on our website. For further assistance regarding your annual license fee, please email DCDEE_LF@dhhs.nc.gov. CLEAN WATER FOR US KIDS: We discussed the Clean Water for Carolina Kids program. According to the Clean Water for Us Kids website you tested your water on May 11, 2024. RTI is reviewing your lead paint and asbestos survey. Please keep an eye on your email for further information from Clean Water for Carolina Kids. CRIMINAL BACKGROUND CHECK-ABCMS 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 on 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 1-800-859-0829 and someone will assist you. FIRE INSPECTIONS: Your fire inspection is due on or before January 11, 2024. As a reminder the following child care rule is a requirement, and a violation will be written when a fire inspection is not submitted to your child care consultant within the time period stated below: 10A NCAC 09 .0304 ON-GOING REQUIREMENTS FOR A LICENSE (a)Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division. CONTACT INFORMATION: If you have any questions about today’s visit, my contact information is listed above. You may also contact Licensing Supervisor, Susan Fuller at 252-373-9809 or email at susan.fuller@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

G.S. 110-106 · Violation

Name of Operation: LITTLE MARK CHILD CARE CENTER Facility ID: 33000437 Consultant: ANGELA NIEVES Operation Type: Center Case Number: Visit Date: 11/19/2024 Number Present: 20 Completed Date: 11/19/2024 Age: From 0 To 4 Total Minutes: 278 Time In: 09:12 AM Time Out: 01:50 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor this facility for compliance with applicable child care requirements during an annual compliance visit. When I arrived, Desarae Ellis called you to make you aware of my visit. You, Annie Pettaway, administrator, arrived shortly after the visit and were present available to assist with today’s visit. Your program currently operates with a G.S. 110-106, Notice of Compliance, issued April 27, 2011. The last annual compliance visit was conducted on December 6, 2023. The sanitation inspection was completed on October29, 2024, with a “Superior” classification “8” demerits. The fire inspection was completed on January 11, 2024, and the center was approved for daytime care only. The notice of compliance was posted. Thirty-tree (33) children from ages zero (0) to four (4) were present during the visit. A walk-through of the facility was completed today, all indoor and outdoor areas were monitored. The following were not incompliance, space capacity, staff-child ratio, grouping of children, and supervision. I observed children in the indoor learning environments. Children throughout the facility were participating in free play in activity areas, transitions, and personal care routines. Infants were interacting and playing on the floor, while the teacher was feeding a child. The children were observed eating the following for lunch: hotdogs, rolls, baked beans, mandarin oranges, and milk. Any violations of the child care requirements observed today were discussed with you and documented in the visit summary report and reviewed with you at the conclusion of the visit. The following violations of the child care requirements were documented today: Violation Number Comment Rule 201 A room was occupied by more children than the space allowed at 25-sq. ft. of floor space per child. There was a total of sixteen (16) children in space number two (2). The room's capacity is fourteen (14). GS 110-91(6); .1401(f) 303 Children were not adequately supervised at all times. In space number three (#3) the teacher left the children unattended to go into the kitchen to get some food for one of the children. There were four (4) children from ages six (6) months to 15 months in the classroom. .1801(a)(1-5) 315 When combining age groups, the staff/child ratios for the youngest child in the group was not maintained for the entire group. There was one (1) teacher and a total of sixteen (16) children in space number two (2); which consisted of the following: two (2) one-year-olds, five (5) two-year-olds, seven (7) three-year-olds, and two (2) four-year-olds. .0713(a)(1) 318 Children between 12 and 24 months of age were grouped with children 3 years of age or older. There was a total of sixteen (16) children in space number two (2);which consisted of the following: two (2) one-year-olds, five (5) two-year-olds, eight (7) three-year-olds, and two (2) four-year-olds. 10A NCAC 09 .0713(a)(6) 718 Swings did not have surfacing that extends two times the length of the pivot point to the surface below beyond the external limits of the equipment. In the outdoor learning environment, there was a piece of equipment that had swings and a slide. There was some sand surrounding part of the equipment, but much of the equipment did not have an adequate fall-zone. .0605(m)(2) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. In space number two (2) and is space #3 there was a bottle of hand sanitizer with extra warnings on the label. .2820(b) 1103 The driver did not have a valid driver's license of the type required for the vehicle being driven. J. Rose is one of the drivers at the child care facility. He had a NC license, however; the license expired on October 9, 2024. Mr. Rose stated he has renewed his license but has not received the permanent one in the mail. He says he has a paper copy of the updated license, but did not have it available for review. 10A NCAC 09 .1003(e)(2) 1812 The center did not complete an EPR Plan within four months of completing the EPR in Child Care training and/or the Plan was not completed on a template provided by the Division. There was not a completed EPR plan available for review on the template provided by the division. .0607(c) 1865 The operator did not maintain the manufacturer's instructions on file electronically or in paper format for any outdoor play structures purchased or installed on or after September 1, 2017. In the outdoor learning environment, there was a piece of equipment that had swings and a slide. The piece of equipment was not anchored into the ground. I was able to lift three of the legs off the ground. I asked you if you had the manufacturer installation instructions for me to review, but you did not have them available. .0605(b) Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before December 3, 2024, I must receive a written, dated, and signed compliance letter that describes accurately and in detail how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Mail or email the information to: Angela Nieves, Child Care Consultant PO Box 8741 Rocky Mount, NC 27804 Angela.nieves@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 The two-week time frame is established to allow you time for submitting your compliance letter. This time frame is not intended to be used as a guide for correcting violations, as they should be corrected immediately. Please be aware that any written information submitted by you regarding correction of violations documented during today's visit is legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility's license could be issued. COMPLIANCE HISTORY: Prior to conducting today’s visit your center’s Compliance History score, over an 18-month period time frame, is 87%. The violations documented could impact the center’s overall Compliance History score. Your compliance score must be maintained at 75% or higher or an Administrative Action may be warranted. CORPORATION STATUS: St. Mark Deliverance Church, Inc. is a non-profit corporation and is listed as the current owner of this center. According to information verified on the North Carolina Secretary of State’s website, St. Mark Deliverance Church, Inc. remains current and active. Prior to making any changes to the corporation status, please contact me to discuss change of ownership procedures. The corporation status for your program must always remain current and active. Failure to comply may affect your license. FACILITY PROFILE INFORMATION: You verified the mailing address, email address, and phone number listed on the facility profile are correct. If changes in your facility’s information occurs, please contact me at 252-557-5597 or email me at angela.nieves@dhhs.nc.gov to discuss the changes and ensure the information is current in our system. TECHNICAL ASSISTANCE/CONSULTATION: STAFF AND CHILDREN RECORDS: Ten percent (10%) of the staff files were reviewed today and found to be incompliance. Ten percent (10%) of the children and staff files were reviewed and found to be incompliance. STAFF/CHILD RATIOS and GROUPING: Upon arrival at the facility, there were two (2) teachers in the kitchen. L. Brock (teacher in space number three #3) and D. Ellis (teacher in space number #4). Ms. Ellis had just arrived and was getting ready for the day. Both teachers left the kitchen. I began my observation of the facility. There were no extra staff in the building and once I got to space number three (3) and number four (4) it was clear that supervision, staff-child ratio, space capacity, and grouping had been out of compliance. Per the teaching staff, Ms. Ellis’ six (6) children that are enrolled in space number three (3) were combined with the children in space number two (2). There was a total of sixteen (16) children in space number two (2) (the rooms’ capacity is fourteen (14)); which consisted of the following: two (2) one-year-olds, five (5) two-year-olds, eight (7) three-year-olds, and two (2) four-year-olds with one teacher; J. Rose. Children between the ages of 12 and 24 months cannot be grouped with children three years and older. When children are grouped together, you must maintain the staff child ratio of the youngest child present. The youngest child present was one years old. The minimum staff child ratio for a one-year-old is one teacher to six children. I have printed off the staff child ratio chart for you to review with your staff. You will also want to discuss with your staff the importance of maintaining staff/child ratios. You may never be out of staff/child ratio. You will also want to review or create policies for when the room needs to be combined and how you are going to maintain staff/child ratios. ADEQUATE AND APPROVED SPACE: In space number two (2) there were sixteen children present. The room’s capacity is no more than fourteen (14) children. Please review with your staff the room capacity for each room. SUPERVISION: Upon arrival at the facility, there were two (2) teachers in the kitchen. L. Brock (teacher in space number three #3) and D. Ellis (teacher in space number #4). Ms. Ellis had just arrived and was getting ready for the day. Both teachers left the kitchen. When I asked Ms. Brock who was in her classroom taking care of the children while she was in the kitchen, she responded with “Nobody”. When I asked her why she left the children unattended, she stated she needed to get food for one of the children and there was nobody available to help her. There were four (4) children present from ages six (6) months to 15 months. I reminded Ms. Brock children can never be left unattended. I spoke with Ms. Pettaway about making sure there are enough staff in the building to help when teachers need it and to make sure supervision is never compromised. We also talked about possibly moving the baby food needed for the children in the infant room to the infant room, so the teacher had the food available to her at all times; provided she was staying in compliance with all food sanitation guidelines. SAFETY AND HEALTH: In space number two (2) and is space #3 there was a bottle of hand sanitizer with extra warnings on the label. We reviewed that if hand sanitizer has more than “keep out of reach of children”, the sanitizer needs to be kept locked up. For example: if the bottle of hand-sanitizer states call for medical help if ingested or keep out of eyes, these would be considered extra warning, and the bottle would need to be locked up when not in use. The hand sanitizer was removed from each of the classrooms and placed in the office. This was corrected during the visit. SAFETY AND HEALTH-OUTDOOR PLAY EQUIPMENT: In the outdoor learning environment, there was a piece of equipment that had swings and a slide. The piece of equipment was not anchored into the ground. I was able to lift three of the legs off the ground. I asked you if you had the manufacturer installation instructions for me to review, but you did not have them available. We talked about making sure all play equipment is installed according to the manufacturer’s guidelines and keeping the manufacturer’s instructions on file for review. There was some sand surrounding part of the equipment, but much of the equipment did not have an adequate fall-zone. Please remember pieces of equipment that children climb that are 18 inches or higher must have a fall zone and swings did not have surfacing that extends two times the length of the pivot point to the surface below beyond the external limits of the equipment. You stated you were going to remove the piece of equipment. EMERGENCY PREPAREDNESS AND RESPONSE PLAN (EPR): You did not have a completed EPR plan available for review. The EPR plan you had was not on the templated provided by the division. The EPR plan must be reviewed annually in the NC Risk Management Portal whether you make changes or not. Please go to the following website to complete the EPR plan: https://rmp.nc.gov/portal/ . You will log in into the portal using your NCID password. Once you have completed your update, print the plan and retain it in your files. You will also want to review the updated plan with your staff. TRANSPORTATION: J. Rose is one of the drivers at the child care facility. He had a NC license, however; the license expired on October 9, 2024. Mr. Rose stated he has renewed his license but has not received the permanent one in the mail. He says he has a paper copy of the updated license, but did not have it available for review. Please remember all staff who drive the child care vehicle must have a valid license available for review. RMINDERS: LICENSING FEES: Keep an eye on your inbox for the 2024 annual license fee invoice. Invoices will be emailed to the facility addresses on file by November 30, 2024. Online payments will be due by December 31, 2024. In accordance with North Carolina General Statute § 110-90(1a), licensed child care facilities are an annual license fee. The amount of your annual license fee is based on the licensed capacity printed on your license as of October 1, 2024, not the number of children enrolled at your facility. Please note that annual license fees do not apply to state or public school-operated child care facilities, or to religious-sponsored facilities operating under a Notice of Compliance. The Division of Child Development and Early Education remains available to assist you. For questions regarding license fees, visit the Frequently Asked Questions (FAQs) on our website. For further assistance regarding your annual license fee, please email DCDEE_LF@dhhs.nc.gov. CLEAN WATER FOR US KIDS: We discussed the Clean Water for Carolina Kids program. According to the Clean Water for Us Kids website you tested your water on May 11, 2024. RTI is reviewing your lead paint and asbestos survey. Please keep an eye on your email for further information from Clean Water for Carolina Kids. CRIMINAL BACKGROUND CHECK-ABCMS 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 on 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 1-800-859-0829 and someone will assist you. FIRE INSPECTIONS: Your fire inspection is due on or before January 11, 2024. As a reminder the following child care rule is a requirement, and a violation will be written when a fire inspection is not submitted to your child care consultant within the time period stated below: 10A NCAC 09 .0304 ON-GOING REQUIREMENTS FOR A LICENSE (a)Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division. CONTACT INFORMATION: If you have any questions about today’s visit, my contact information is listed above. You may also contact Licensing Supervisor, Susan Fuller at 252-373-9809 or email at susan.fuller@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

G.S. 110-90 · Violation

Name of Operation: LITTLE MARK CHILD CARE CENTER Facility ID: 33000437 Consultant: ANGELA NIEVES Operation Type: Center Case Number: Visit Date: 11/19/2024 Number Present: 20 Completed Date: 11/19/2024 Age: From 0 To 4 Total Minutes: 278 Time In: 09:12 AM Time Out: 01:50 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor this facility for compliance with applicable child care requirements during an annual compliance visit. When I arrived, Desarae Ellis called you to make you aware of my visit. You, Annie Pettaway, administrator, arrived shortly after the visit and were present available to assist with today’s visit. Your program currently operates with a G.S. 110-106, Notice of Compliance, issued April 27, 2011. The last annual compliance visit was conducted on December 6, 2023. The sanitation inspection was completed on October29, 2024, with a “Superior” classification “8” demerits. The fire inspection was completed on January 11, 2024, and the center was approved for daytime care only. The notice of compliance was posted. Thirty-tree (33) children from ages zero (0) to four (4) were present during the visit. A walk-through of the facility was completed today, all indoor and outdoor areas were monitored. The following were not incompliance, space capacity, staff-child ratio, grouping of children, and supervision. I observed children in the indoor learning environments. Children throughout the facility were participating in free play in activity areas, transitions, and personal care routines. Infants were interacting and playing on the floor, while the teacher was feeding a child. The children were observed eating the following for lunch: hotdogs, rolls, baked beans, mandarin oranges, and milk. Any violations of the child care requirements observed today were discussed with you and documented in the visit summary report and reviewed with you at the conclusion of the visit. The following violations of the child care requirements were documented today: Violation Number Comment Rule 201 A room was occupied by more children than the space allowed at 25-sq. ft. of floor space per child. There was a total of sixteen (16) children in space number two (2). The room's capacity is fourteen (14). GS 110-91(6); .1401(f) 303 Children were not adequately supervised at all times. In space number three (#3) the teacher left the children unattended to go into the kitchen to get some food for one of the children. There were four (4) children from ages six (6) months to 15 months in the classroom. .1801(a)(1-5) 315 When combining age groups, the staff/child ratios for the youngest child in the group was not maintained for the entire group. There was one (1) teacher and a total of sixteen (16) children in space number two (2); which consisted of the following: two (2) one-year-olds, five (5) two-year-olds, seven (7) three-year-olds, and two (2) four-year-olds. .0713(a)(1) 318 Children between 12 and 24 months of age were grouped with children 3 years of age or older. There was a total of sixteen (16) children in space number two (2);which consisted of the following: two (2) one-year-olds, five (5) two-year-olds, eight (7) three-year-olds, and two (2) four-year-olds. 10A NCAC 09 .0713(a)(6) 718 Swings did not have surfacing that extends two times the length of the pivot point to the surface below beyond the external limits of the equipment. In the outdoor learning environment, there was a piece of equipment that had swings and a slide. There was some sand surrounding part of the equipment, but much of the equipment did not have an adequate fall-zone. .0605(m)(2) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. In space number two (2) and is space #3 there was a bottle of hand sanitizer with extra warnings on the label. .2820(b) 1103 The driver did not have a valid driver's license of the type required for the vehicle being driven. J. Rose is one of the drivers at the child care facility. He had a NC license, however; the license expired on October 9, 2024. Mr. Rose stated he has renewed his license but has not received the permanent one in the mail. He says he has a paper copy of the updated license, but did not have it available for review. 10A NCAC 09 .1003(e)(2) 1812 The center did not complete an EPR Plan within four months of completing the EPR in Child Care training and/or the Plan was not completed on a template provided by the Division. There was not a completed EPR plan available for review on the template provided by the division. .0607(c) 1865 The operator did not maintain the manufacturer's instructions on file electronically or in paper format for any outdoor play structures purchased or installed on or after September 1, 2017. In the outdoor learning environment, there was a piece of equipment that had swings and a slide. The piece of equipment was not anchored into the ground. I was able to lift three of the legs off the ground. I asked you if you had the manufacturer installation instructions for me to review, but you did not have them available. .0605(b) Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before December 3, 2024, I must receive a written, dated, and signed compliance letter that describes accurately and in detail how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Mail or email the information to: Angela Nieves, Child Care Consultant PO Box 8741 Rocky Mount, NC 27804 Angela.nieves@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 The two-week time frame is established to allow you time for submitting your compliance letter. This time frame is not intended to be used as a guide for correcting violations, as they should be corrected immediately. Please be aware that any written information submitted by you regarding correction of violations documented during today's visit is legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility's license could be issued. COMPLIANCE HISTORY: Prior to conducting today’s visit your center’s Compliance History score, over an 18-month period time frame, is 87%. The violations documented could impact the center’s overall Compliance History score. Your compliance score must be maintained at 75% or higher or an Administrative Action may be warranted. CORPORATION STATUS: St. Mark Deliverance Church, Inc. is a non-profit corporation and is listed as the current owner of this center. According to information verified on the North Carolina Secretary of State’s website, St. Mark Deliverance Church, Inc. remains current and active. Prior to making any changes to the corporation status, please contact me to discuss change of ownership procedures. The corporation status for your program must always remain current and active. Failure to comply may affect your license. FACILITY PROFILE INFORMATION: You verified the mailing address, email address, and phone number listed on the facility profile are correct. If changes in your facility’s information occurs, please contact me at 252-557-5597 or email me at angela.nieves@dhhs.nc.gov to discuss the changes and ensure the information is current in our system. TECHNICAL ASSISTANCE/CONSULTATION: STAFF AND CHILDREN RECORDS: Ten percent (10%) of the staff files were reviewed today and found to be incompliance. Ten percent (10%) of the children and staff files were reviewed and found to be incompliance. STAFF/CHILD RATIOS and GROUPING: Upon arrival at the facility, there were two (2) teachers in the kitchen. L. Brock (teacher in space number three #3) and D. Ellis (teacher in space number #4). Ms. Ellis had just arrived and was getting ready for the day. Both teachers left the kitchen. I began my observation of the facility. There were no extra staff in the building and once I got to space number three (3) and number four (4) it was clear that supervision, staff-child ratio, space capacity, and grouping had been out of compliance. Per the teaching staff, Ms. Ellis’ six (6) children that are enrolled in space number three (3) were combined with the children in space number two (2). There was a total of sixteen (16) children in space number two (2) (the rooms’ capacity is fourteen (14)); which consisted of the following: two (2) one-year-olds, five (5) two-year-olds, eight (7) three-year-olds, and two (2) four-year-olds with one teacher; J. Rose. Children between the ages of 12 and 24 months cannot be grouped with children three years and older. When children are grouped together, you must maintain the staff child ratio of the youngest child present. The youngest child present was one years old. The minimum staff child ratio for a one-year-old is one teacher to six children. I have printed off the staff child ratio chart for you to review with your staff. You will also want to discuss with your staff the importance of maintaining staff/child ratios. You may never be out of staff/child ratio. You will also want to review or create policies for when the room needs to be combined and how you are going to maintain staff/child ratios. ADEQUATE AND APPROVED SPACE: In space number two (2) there were sixteen children present. The room’s capacity is no more than fourteen (14) children. Please review with your staff the room capacity for each room. SUPERVISION: Upon arrival at the facility, there were two (2) teachers in the kitchen. L. Brock (teacher in space number three #3) and D. Ellis (teacher in space number #4). Ms. Ellis had just arrived and was getting ready for the day. Both teachers left the kitchen. When I asked Ms. Brock who was in her classroom taking care of the children while she was in the kitchen, she responded with “Nobody”. When I asked her why she left the children unattended, she stated she needed to get food for one of the children and there was nobody available to help her. There were four (4) children present from ages six (6) months to 15 months. I reminded Ms. Brock children can never be left unattended. I spoke with Ms. Pettaway about making sure there are enough staff in the building to help when teachers need it and to make sure supervision is never compromised. We also talked about possibly moving the baby food needed for the children in the infant room to the infant room, so the teacher had the food available to her at all times; provided she was staying in compliance with all food sanitation guidelines. SAFETY AND HEALTH: In space number two (2) and is space #3 there was a bottle of hand sanitizer with extra warnings on the label. We reviewed that if hand sanitizer has more than “keep out of reach of children”, the sanitizer needs to be kept locked up. For example: if the bottle of hand-sanitizer states call for medical help if ingested or keep out of eyes, these would be considered extra warning, and the bottle would need to be locked up when not in use. The hand sanitizer was removed from each of the classrooms and placed in the office. This was corrected during the visit. SAFETY AND HEALTH-OUTDOOR PLAY EQUIPMENT: In the outdoor learning environment, there was a piece of equipment that had swings and a slide. The piece of equipment was not anchored into the ground. I was able to lift three of the legs off the ground. I asked you if you had the manufacturer installation instructions for me to review, but you did not have them available. We talked about making sure all play equipment is installed according to the manufacturer’s guidelines and keeping the manufacturer’s instructions on file for review. There was some sand surrounding part of the equipment, but much of the equipment did not have an adequate fall-zone. Please remember pieces of equipment that children climb that are 18 inches or higher must have a fall zone and swings did not have surfacing that extends two times the length of the pivot point to the surface below beyond the external limits of the equipment. You stated you were going to remove the piece of equipment. EMERGENCY PREPAREDNESS AND RESPONSE PLAN (EPR): You did not have a completed EPR plan available for review. The EPR plan you had was not on the templated provided by the division. The EPR plan must be reviewed annually in the NC Risk Management Portal whether you make changes or not. Please go to the following website to complete the EPR plan: https://rmp.nc.gov/portal/ . You will log in into the portal using your NCID password. Once you have completed your update, print the plan and retain it in your files. You will also want to review the updated plan with your staff. TRANSPORTATION: J. Rose is one of the drivers at the child care facility. He had a NC license, however; the license expired on October 9, 2024. Mr. Rose stated he has renewed his license but has not received the permanent one in the mail. He says he has a paper copy of the updated license, but did not have it available for review. Please remember all staff who drive the child care vehicle must have a valid license available for review. RMINDERS: LICENSING FEES: Keep an eye on your inbox for the 2024 annual license fee invoice. Invoices will be emailed to the facility addresses on file by November 30, 2024. Online payments will be due by December 31, 2024. In accordance with North Carolina General Statute § 110-90(1a), licensed child care facilities are an annual license fee. The amount of your annual license fee is based on the licensed capacity printed on your license as of October 1, 2024, not the number of children enrolled at your facility. Please note that annual license fees do not apply to state or public school-operated child care facilities, or to religious-sponsored facilities operating under a Notice of Compliance. The Division of Child Development and Early Education remains available to assist you. For questions regarding license fees, visit the Frequently Asked Questions (FAQs) on our website. For further assistance regarding your annual license fee, please email DCDEE_LF@dhhs.nc.gov. CLEAN WATER FOR US KIDS: We discussed the Clean Water for Carolina Kids program. According to the Clean Water for Us Kids website you tested your water on May 11, 2024. RTI is reviewing your lead paint and asbestos survey. Please keep an eye on your email for further information from Clean Water for Carolina Kids. CRIMINAL BACKGROUND CHECK-ABCMS 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 on 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 1-800-859-0829 and someone will assist you. FIRE INSPECTIONS: Your fire inspection is due on or before January 11, 2024. As a reminder the following child care rule is a requirement, and a violation will be written when a fire inspection is not submitted to your child care consultant within the time period stated below: 10A NCAC 09 .0304 ON-GOING REQUIREMENTS FOR A LICENSE (a)Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division. CONTACT INFORMATION: If you have any questions about today’s visit, my contact information is listed above. You may also contact Licensing Supervisor, Susan Fuller at 252-373-9809 or email at susan.fuller@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

GS 110-91 · Violation

Name of Operation: LITTLE MARK CHILD CARE CENTER Facility ID: 33000437 Consultant: ANGELA NIEVES Operation Type: Center Case Number: Visit Date: 11/19/2024 Number Present: 20 Completed Date: 11/19/2024 Age: From 0 To 4 Total Minutes: 278 Time In: 09:12 AM Time Out: 01:50 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor this facility for compliance with applicable child care requirements during an annual compliance visit. When I arrived, Desarae Ellis called you to make you aware of my visit. You, Annie Pettaway, administrator, arrived shortly after the visit and were present available to assist with today’s visit. Your program currently operates with a G.S. 110-106, Notice of Compliance, issued April 27, 2011. The last annual compliance visit was conducted on December 6, 2023. The sanitation inspection was completed on October29, 2024, with a “Superior” classification “8” demerits. The fire inspection was completed on January 11, 2024, and the center was approved for daytime care only. The notice of compliance was posted. Thirty-tree (33) children from ages zero (0) to four (4) were present during the visit. A walk-through of the facility was completed today, all indoor and outdoor areas were monitored. The following were not incompliance, space capacity, staff-child ratio, grouping of children, and supervision. I observed children in the indoor learning environments. Children throughout the facility were participating in free play in activity areas, transitions, and personal care routines. Infants were interacting and playing on the floor, while the teacher was feeding a child. The children were observed eating the following for lunch: hotdogs, rolls, baked beans, mandarin oranges, and milk. Any violations of the child care requirements observed today were discussed with you and documented in the visit summary report and reviewed with you at the conclusion of the visit. The following violations of the child care requirements were documented today: Violation Number Comment Rule 201 A room was occupied by more children than the space allowed at 25-sq. ft. of floor space per child. There was a total of sixteen (16) children in space number two (2). The room's capacity is fourteen (14). GS 110-91(6); .1401(f) 303 Children were not adequately supervised at all times. In space number three (#3) the teacher left the children unattended to go into the kitchen to get some food for one of the children. There were four (4) children from ages six (6) months to 15 months in the classroom. .1801(a)(1-5) 315 When combining age groups, the staff/child ratios for the youngest child in the group was not maintained for the entire group. There was one (1) teacher and a total of sixteen (16) children in space number two (2); which consisted of the following: two (2) one-year-olds, five (5) two-year-olds, seven (7) three-year-olds, and two (2) four-year-olds. .0713(a)(1) 318 Children between 12 and 24 months of age were grouped with children 3 years of age or older. There was a total of sixteen (16) children in space number two (2);which consisted of the following: two (2) one-year-olds, five (5) two-year-olds, eight (7) three-year-olds, and two (2) four-year-olds. 10A NCAC 09 .0713(a)(6) 718 Swings did not have surfacing that extends two times the length of the pivot point to the surface below beyond the external limits of the equipment. In the outdoor learning environment, there was a piece of equipment that had swings and a slide. There was some sand surrounding part of the equipment, but much of the equipment did not have an adequate fall-zone. .0605(m)(2) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. In space number two (2) and is space #3 there was a bottle of hand sanitizer with extra warnings on the label. .2820(b) 1103 The driver did not have a valid driver's license of the type required for the vehicle being driven. J. Rose is one of the drivers at the child care facility. He had a NC license, however; the license expired on October 9, 2024. Mr. Rose stated he has renewed his license but has not received the permanent one in the mail. He says he has a paper copy of the updated license, but did not have it available for review. 10A NCAC 09 .1003(e)(2) 1812 The center did not complete an EPR Plan within four months of completing the EPR in Child Care training and/or the Plan was not completed on a template provided by the Division. There was not a completed EPR plan available for review on the template provided by the division. .0607(c) 1865 The operator did not maintain the manufacturer's instructions on file electronically or in paper format for any outdoor play structures purchased or installed on or after September 1, 2017. In the outdoor learning environment, there was a piece of equipment that had swings and a slide. The piece of equipment was not anchored into the ground. I was able to lift three of the legs off the ground. I asked you if you had the manufacturer installation instructions for me to review, but you did not have them available. .0605(b) Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before December 3, 2024, I must receive a written, dated, and signed compliance letter that describes accurately and in detail how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Mail or email the information to: Angela Nieves, Child Care Consultant PO Box 8741 Rocky Mount, NC 27804 Angela.nieves@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 The two-week time frame is established to allow you time for submitting your compliance letter. This time frame is not intended to be used as a guide for correcting violations, as they should be corrected immediately. Please be aware that any written information submitted by you regarding correction of violations documented during today's visit is legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility's license could be issued. COMPLIANCE HISTORY: Prior to conducting today’s visit your center’s Compliance History score, over an 18-month period time frame, is 87%. The violations documented could impact the center’s overall Compliance History score. Your compliance score must be maintained at 75% or higher or an Administrative Action may be warranted. CORPORATION STATUS: St. Mark Deliverance Church, Inc. is a non-profit corporation and is listed as the current owner of this center. According to information verified on the North Carolina Secretary of State’s website, St. Mark Deliverance Church, Inc. remains current and active. Prior to making any changes to the corporation status, please contact me to discuss change of ownership procedures. The corporation status for your program must always remain current and active. Failure to comply may affect your license. FACILITY PROFILE INFORMATION: You verified the mailing address, email address, and phone number listed on the facility profile are correct. If changes in your facility’s information occurs, please contact me at 252-557-5597 or email me at angela.nieves@dhhs.nc.gov to discuss the changes and ensure the information is current in our system. TECHNICAL ASSISTANCE/CONSULTATION: STAFF AND CHILDREN RECORDS: Ten percent (10%) of the staff files were reviewed today and found to be incompliance. Ten percent (10%) of the children and staff files were reviewed and found to be incompliance. STAFF/CHILD RATIOS and GROUPING: Upon arrival at the facility, there were two (2) teachers in the kitchen. L. Brock (teacher in space number three #3) and D. Ellis (teacher in space number #4). Ms. Ellis had just arrived and was getting ready for the day. Both teachers left the kitchen. I began my observation of the facility. There were no extra staff in the building and once I got to space number three (3) and number four (4) it was clear that supervision, staff-child ratio, space capacity, and grouping had been out of compliance. Per the teaching staff, Ms. Ellis’ six (6) children that are enrolled in space number three (3) were combined with the children in space number two (2). There was a total of sixteen (16) children in space number two (2) (the rooms’ capacity is fourteen (14)); which consisted of the following: two (2) one-year-olds, five (5) two-year-olds, eight (7) three-year-olds, and two (2) four-year-olds with one teacher; J. Rose. Children between the ages of 12 and 24 months cannot be grouped with children three years and older. When children are grouped together, you must maintain the staff child ratio of the youngest child present. The youngest child present was one years old. The minimum staff child ratio for a one-year-old is one teacher to six children. I have printed off the staff child ratio chart for you to review with your staff. You will also want to discuss with your staff the importance of maintaining staff/child ratios. You may never be out of staff/child ratio. You will also want to review or create policies for when the room needs to be combined and how you are going to maintain staff/child ratios. ADEQUATE AND APPROVED SPACE: In space number two (2) there were sixteen children present. The room’s capacity is no more than fourteen (14) children. Please review with your staff the room capacity for each room. SUPERVISION: Upon arrival at the facility, there were two (2) teachers in the kitchen. L. Brock (teacher in space number three #3) and D. Ellis (teacher in space number #4). Ms. Ellis had just arrived and was getting ready for the day. Both teachers left the kitchen. When I asked Ms. Brock who was in her classroom taking care of the children while she was in the kitchen, she responded with “Nobody”. When I asked her why she left the children unattended, she stated she needed to get food for one of the children and there was nobody available to help her. There were four (4) children present from ages six (6) months to 15 months. I reminded Ms. Brock children can never be left unattended. I spoke with Ms. Pettaway about making sure there are enough staff in the building to help when teachers need it and to make sure supervision is never compromised. We also talked about possibly moving the baby food needed for the children in the infant room to the infant room, so the teacher had the food available to her at all times; provided she was staying in compliance with all food sanitation guidelines. SAFETY AND HEALTH: In space number two (2) and is space #3 there was a bottle of hand sanitizer with extra warnings on the label. We reviewed that if hand sanitizer has more than “keep out of reach of children”, the sanitizer needs to be kept locked up. For example: if the bottle of hand-sanitizer states call for medical help if ingested or keep out of eyes, these would be considered extra warning, and the bottle would need to be locked up when not in use. The hand sanitizer was removed from each of the classrooms and placed in the office. This was corrected during the visit. SAFETY AND HEALTH-OUTDOOR PLAY EQUIPMENT: In the outdoor learning environment, there was a piece of equipment that had swings and a slide. The piece of equipment was not anchored into the ground. I was able to lift three of the legs off the ground. I asked you if you had the manufacturer installation instructions for me to review, but you did not have them available. We talked about making sure all play equipment is installed according to the manufacturer’s guidelines and keeping the manufacturer’s instructions on file for review. There was some sand surrounding part of the equipment, but much of the equipment did not have an adequate fall-zone. Please remember pieces of equipment that children climb that are 18 inches or higher must have a fall zone and swings did not have surfacing that extends two times the length of the pivot point to the surface below beyond the external limits of the equipment. You stated you were going to remove the piece of equipment. EMERGENCY PREPAREDNESS AND RESPONSE PLAN (EPR): You did not have a completed EPR plan available for review. The EPR plan you had was not on the templated provided by the division. The EPR plan must be reviewed annually in the NC Risk Management Portal whether you make changes or not. Please go to the following website to complete the EPR plan: https://rmp.nc.gov/portal/ . You will log in into the portal using your NCID password. Once you have completed your update, print the plan and retain it in your files. You will also want to review the updated plan with your staff. TRANSPORTATION: J. Rose is one of the drivers at the child care facility. He had a NC license, however; the license expired on October 9, 2024. Mr. Rose stated he has renewed his license but has not received the permanent one in the mail. He says he has a paper copy of the updated license, but did not have it available for review. Please remember all staff who drive the child care vehicle must have a valid license available for review. RMINDERS: LICENSING FEES: Keep an eye on your inbox for the 2024 annual license fee invoice. Invoices will be emailed to the facility addresses on file by November 30, 2024. Online payments will be due by December 31, 2024. In accordance with North Carolina General Statute § 110-90(1a), licensed child care facilities are an annual license fee. The amount of your annual license fee is based on the licensed capacity printed on your license as of October 1, 2024, not the number of children enrolled at your facility. Please note that annual license fees do not apply to state or public school-operated child care facilities, or to religious-sponsored facilities operating under a Notice of Compliance. The Division of Child Development and Early Education remains available to assist you. For questions regarding license fees, visit the Frequently Asked Questions (FAQs) on our website. For further assistance regarding your annual license fee, please email DCDEE_LF@dhhs.nc.gov. CLEAN WATER FOR US KIDS: We discussed the Clean Water for Carolina Kids program. According to the Clean Water for Us Kids website you tested your water on May 11, 2024. RTI is reviewing your lead paint and asbestos survey. Please keep an eye on your email for further information from Clean Water for Carolina Kids. CRIMINAL BACKGROUND CHECK-ABCMS 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 on 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 1-800-859-0829 and someone will assist you. FIRE INSPECTIONS: Your fire inspection is due on or before January 11, 2024. As a reminder the following child care rule is a requirement, and a violation will be written when a fire inspection is not submitted to your child care consultant within the time period stated below: 10A NCAC 09 .0304 ON-GOING REQUIREMENTS FOR A LICENSE (a)Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division. CONTACT INFORMATION: If you have any questions about today’s visit, my contact information is listed above. You may also contact Licensing Supervisor, Susan Fuller at 252-373-9809 or email at susan.fuller@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

NC GS 110-90 · Violation

Name of Operation: LITTLE MARK CHILD CARE CENTER Facility ID: 33000437 Consultant: ANGELA NIEVES Operation Type: Center Case Number: Visit Date: 11/19/2024 Number Present: 20 Completed Date: 11/19/2024 Age: From 0 To 4 Total Minutes: 278 Time In: 09:12 AM Time Out: 01:50 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor this facility for compliance with applicable child care requirements during an annual compliance visit. When I arrived, Desarae Ellis called you to make you aware of my visit. You, Annie Pettaway, administrator, arrived shortly after the visit and were present available to assist with today’s visit. Your program currently operates with a G.S. 110-106, Notice of Compliance, issued April 27, 2011. The last annual compliance visit was conducted on December 6, 2023. The sanitation inspection was completed on October29, 2024, with a “Superior” classification “8” demerits. The fire inspection was completed on January 11, 2024, and the center was approved for daytime care only. The notice of compliance was posted. Thirty-tree (33) children from ages zero (0) to four (4) were present during the visit. A walk-through of the facility was completed today, all indoor and outdoor areas were monitored. The following were not incompliance, space capacity, staff-child ratio, grouping of children, and supervision. I observed children in the indoor learning environments. Children throughout the facility were participating in free play in activity areas, transitions, and personal care routines. Infants were interacting and playing on the floor, while the teacher was feeding a child. The children were observed eating the following for lunch: hotdogs, rolls, baked beans, mandarin oranges, and milk. Any violations of the child care requirements observed today were discussed with you and documented in the visit summary report and reviewed with you at the conclusion of the visit. The following violations of the child care requirements were documented today: Violation Number Comment Rule 201 A room was occupied by more children than the space allowed at 25-sq. ft. of floor space per child. There was a total of sixteen (16) children in space number two (2). The room's capacity is fourteen (14). GS 110-91(6); .1401(f) 303 Children were not adequately supervised at all times. In space number three (#3) the teacher left the children unattended to go into the kitchen to get some food for one of the children. There were four (4) children from ages six (6) months to 15 months in the classroom. .1801(a)(1-5) 315 When combining age groups, the staff/child ratios for the youngest child in the group was not maintained for the entire group. There was one (1) teacher and a total of sixteen (16) children in space number two (2); which consisted of the following: two (2) one-year-olds, five (5) two-year-olds, seven (7) three-year-olds, and two (2) four-year-olds. .0713(a)(1) 318 Children between 12 and 24 months of age were grouped with children 3 years of age or older. There was a total of sixteen (16) children in space number two (2);which consisted of the following: two (2) one-year-olds, five (5) two-year-olds, eight (7) three-year-olds, and two (2) four-year-olds. 10A NCAC 09 .0713(a)(6) 718 Swings did not have surfacing that extends two times the length of the pivot point to the surface below beyond the external limits of the equipment. In the outdoor learning environment, there was a piece of equipment that had swings and a slide. There was some sand surrounding part of the equipment, but much of the equipment did not have an adequate fall-zone. .0605(m)(2) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. In space number two (2) and is space #3 there was a bottle of hand sanitizer with extra warnings on the label. .2820(b) 1103 The driver did not have a valid driver's license of the type required for the vehicle being driven. J. Rose is one of the drivers at the child care facility. He had a NC license, however; the license expired on October 9, 2024. Mr. Rose stated he has renewed his license but has not received the permanent one in the mail. He says he has a paper copy of the updated license, but did not have it available for review. 10A NCAC 09 .1003(e)(2) 1812 The center did not complete an EPR Plan within four months of completing the EPR in Child Care training and/or the Plan was not completed on a template provided by the Division. There was not a completed EPR plan available for review on the template provided by the division. .0607(c) 1865 The operator did not maintain the manufacturer's instructions on file electronically or in paper format for any outdoor play structures purchased or installed on or after September 1, 2017. In the outdoor learning environment, there was a piece of equipment that had swings and a slide. The piece of equipment was not anchored into the ground. I was able to lift three of the legs off the ground. I asked you if you had the manufacturer installation instructions for me to review, but you did not have them available. .0605(b) Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before December 3, 2024, I must receive a written, dated, and signed compliance letter that describes accurately and in detail how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Mail or email the information to: Angela Nieves, Child Care Consultant PO Box 8741 Rocky Mount, NC 27804 Angela.nieves@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 The two-week time frame is established to allow you time for submitting your compliance letter. This time frame is not intended to be used as a guide for correcting violations, as they should be corrected immediately. Please be aware that any written information submitted by you regarding correction of violations documented during today's visit is legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility's license could be issued. COMPLIANCE HISTORY: Prior to conducting today’s visit your center’s Compliance History score, over an 18-month period time frame, is 87%. The violations documented could impact the center’s overall Compliance History score. Your compliance score must be maintained at 75% or higher or an Administrative Action may be warranted. CORPORATION STATUS: St. Mark Deliverance Church, Inc. is a non-profit corporation and is listed as the current owner of this center. According to information verified on the North Carolina Secretary of State’s website, St. Mark Deliverance Church, Inc. remains current and active. Prior to making any changes to the corporation status, please contact me to discuss change of ownership procedures. The corporation status for your program must always remain current and active. Failure to comply may affect your license. FACILITY PROFILE INFORMATION: You verified the mailing address, email address, and phone number listed on the facility profile are correct. If changes in your facility’s information occurs, please contact me at 252-557-5597 or email me at angela.nieves@dhhs.nc.gov to discuss the changes and ensure the information is current in our system. TECHNICAL ASSISTANCE/CONSULTATION: STAFF AND CHILDREN RECORDS: Ten percent (10%) of the staff files were reviewed today and found to be incompliance. Ten percent (10%) of the children and staff files were reviewed and found to be incompliance. STAFF/CHILD RATIOS and GROUPING: Upon arrival at the facility, there were two (2) teachers in the kitchen. L. Brock (teacher in space number three #3) and D. Ellis (teacher in space number #4). Ms. Ellis had just arrived and was getting ready for the day. Both teachers left the kitchen. I began my observation of the facility. There were no extra staff in the building and once I got to space number three (3) and number four (4) it was clear that supervision, staff-child ratio, space capacity, and grouping had been out of compliance. Per the teaching staff, Ms. Ellis’ six (6) children that are enrolled in space number three (3) were combined with the children in space number two (2). There was a total of sixteen (16) children in space number two (2) (the rooms’ capacity is fourteen (14)); which consisted of the following: two (2) one-year-olds, five (5) two-year-olds, eight (7) three-year-olds, and two (2) four-year-olds with one teacher; J. Rose. Children between the ages of 12 and 24 months cannot be grouped with children three years and older. When children are grouped together, you must maintain the staff child ratio of the youngest child present. The youngest child present was one years old. The minimum staff child ratio for a one-year-old is one teacher to six children. I have printed off the staff child ratio chart for you to review with your staff. You will also want to discuss with your staff the importance of maintaining staff/child ratios. You may never be out of staff/child ratio. You will also want to review or create policies for when the room needs to be combined and how you are going to maintain staff/child ratios. ADEQUATE AND APPROVED SPACE: In space number two (2) there were sixteen children present. The room’s capacity is no more than fourteen (14) children. Please review with your staff the room capacity for each room. SUPERVISION: Upon arrival at the facility, there were two (2) teachers in the kitchen. L. Brock (teacher in space number three #3) and D. Ellis (teacher in space number #4). Ms. Ellis had just arrived and was getting ready for the day. Both teachers left the kitchen. When I asked Ms. Brock who was in her classroom taking care of the children while she was in the kitchen, she responded with “Nobody”. When I asked her why she left the children unattended, she stated she needed to get food for one of the children and there was nobody available to help her. There were four (4) children present from ages six (6) months to 15 months. I reminded Ms. Brock children can never be left unattended. I spoke with Ms. Pettaway about making sure there are enough staff in the building to help when teachers need it and to make sure supervision is never compromised. We also talked about possibly moving the baby food needed for the children in the infant room to the infant room, so the teacher had the food available to her at all times; provided she was staying in compliance with all food sanitation guidelines. SAFETY AND HEALTH: In space number two (2) and is space #3 there was a bottle of hand sanitizer with extra warnings on the label. We reviewed that if hand sanitizer has more than “keep out of reach of children”, the sanitizer needs to be kept locked up. For example: if the bottle of hand-sanitizer states call for medical help if ingested or keep out of eyes, these would be considered extra warning, and the bottle would need to be locked up when not in use. The hand sanitizer was removed from each of the classrooms and placed in the office. This was corrected during the visit. SAFETY AND HEALTH-OUTDOOR PLAY EQUIPMENT: In the outdoor learning environment, there was a piece of equipment that had swings and a slide. The piece of equipment was not anchored into the ground. I was able to lift three of the legs off the ground. I asked you if you had the manufacturer installation instructions for me to review, but you did not have them available. We talked about making sure all play equipment is installed according to the manufacturer’s guidelines and keeping the manufacturer’s instructions on file for review. There was some sand surrounding part of the equipment, but much of the equipment did not have an adequate fall-zone. Please remember pieces of equipment that children climb that are 18 inches or higher must have a fall zone and swings did not have surfacing that extends two times the length of the pivot point to the surface below beyond the external limits of the equipment. You stated you were going to remove the piece of equipment. EMERGENCY PREPAREDNESS AND RESPONSE PLAN (EPR): You did not have a completed EPR plan available for review. The EPR plan you had was not on the templated provided by the division. The EPR plan must be reviewed annually in the NC Risk Management Portal whether you make changes or not. Please go to the following website to complete the EPR plan: https://rmp.nc.gov/portal/ . You will log in into the portal using your NCID password. Once you have completed your update, print the plan and retain it in your files. You will also want to review the updated plan with your staff. TRANSPORTATION: J. Rose is one of the drivers at the child care facility. He had a NC license, however; the license expired on October 9, 2024. Mr. Rose stated he has renewed his license but has not received the permanent one in the mail. He says he has a paper copy of the updated license, but did not have it available for review. Please remember all staff who drive the child care vehicle must have a valid license available for review. RMINDERS: LICENSING FEES: Keep an eye on your inbox for the 2024 annual license fee invoice. Invoices will be emailed to the facility addresses on file by November 30, 2024. Online payments will be due by December 31, 2024. In accordance with North Carolina General Statute § 110-90(1a), licensed child care facilities are an annual license fee. The amount of your annual license fee is based on the licensed capacity printed on your license as of October 1, 2024, not the number of children enrolled at your facility. Please note that annual license fees do not apply to state or public school-operated child care facilities, or to religious-sponsored facilities operating under a Notice of Compliance. The Division of Child Development and Early Education remains available to assist you. For questions regarding license fees, visit the Frequently Asked Questions (FAQs) on our website. For further assistance regarding your annual license fee, please email DCDEE_LF@dhhs.nc.gov. CLEAN WATER FOR US KIDS: We discussed the Clean Water for Carolina Kids program. According to the Clean Water for Us Kids website you tested your water on May 11, 2024. RTI is reviewing your lead paint and asbestos survey. Please keep an eye on your email for further information from Clean Water for Carolina Kids. CRIMINAL BACKGROUND CHECK-ABCMS 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 on 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 1-800-859-0829 and someone will assist you. FIRE INSPECTIONS: Your fire inspection is due on or before January 11, 2024. As a reminder the following child care rule is a requirement, and a violation will be written when a fire inspection is not submitted to your child care consultant within the time period stated below: 10A NCAC 09 .0304 ON-GOING REQUIREMENTS FOR A LICENSE (a)Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division. CONTACT INFORMATION: If you have any questions about today’s visit, my contact information is listed above. You may also contact Licensing Supervisor, Susan Fuller at 252-373-9809 or email at susan.fuller@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0304 · Violation

Name of Operation: LITTLE MARK CHILD CARE CENTER Facility ID: 33000437 Consultant: ANGELA NIEVES Operation Type: Center Case Number: Visit Date: 7/25/2024 Number Present: 25 Completed Date: 7/25/2024 Age: From 0 To 9 Total Minutes: 130 Time In: 09:20 AM Time Out: 11:30 AM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor this facility for compliance with applicable child care requirements during a routine unannounced visit. You, A. Pettaway, administrator, were present available to assist with today’s visit. Your program currently operates with a G.S. 110-106, Notice of Compliance, issued April 27, 2011. The last annual compliance visit was conducted on December 6, 2023. The sanitation inspection was completed on November 6, 2023, with a “Superior” classification “7” demerits. The fire inspection was completed on January 11, 2024, and the center was approved for daytime care only. The notice of compliance was available for review and the restrictions were in compliance. Twenty-five (25) children from ages zero (0) to nine (9) were present during the visit. A walk-through of the facility was completed today. Due to inclement weather the outdoor learning environment was not observed today. Children throughout the facility were participating in free play, group time activities, and personal care routines. Infants were interacting and playing on the floor with the teacher. The children were observed eating the following for lunch: chicken, rice, green beans, mixed fruit, and milk. The following were monitored: Supervision, Staff Child Ratio, First Aid, CPR, ITS SIDS, Special Training, CBC Qualification, Emergency Medical Care Plan, Storage of Hazardous Substances, Administration of Medication, Adequate/Approved Space, Permit Restrictions, and Program Records. One (1) new staff record was reviewed today, and one (1) volunteer record was reviewed. Any violations of the child care requirements observed today were discussed with you and documented in the visit summary report and reviewed with you at the conclusion of the visit. The following violations of the child care requirements were documented today: Violation Number Comment Rule 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. In space number two (#2) there was a child who had an albuterol inhaler, but there was no signed permission form to administer the medication. 10A NCAC 09 .0803(1)(a & b) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. The first day of employment for L. Brock was May 13, 2024, there was no documentation of orientation available for review. .1101(a) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. In space Number two (#2) there was one child who had a permission to administer medication for an albuterol inhaler; however the permission slip was dated November 13, 2023. The permission to administer medication form should have been updated and signed on or prior to May 13, 2024. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-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 August 8, 2024, I must receive a written, dated, and signed compliance letter that describes accurately and in detail how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Mail or email the information to: Angela Nieves, Child Care Consultant PO Box 8741 Rocky Mount, NC 27804 Angela.nieves@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 The two-week time frame is established to allow you time for submitting your compliance letter. This time frame is not intended to be used as a guide for correcting violations, as they should be corrected immediately. Please be aware that any written information submitted by you regarding correction of violations documented during today's visit is legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility's license could be issued. COMPLIANCE HISTORY: Prior to conducting today’s visit your center’s Compliance History score, over an 18-month period time frame, is 85%. The violations documented could impact the center’s overall Compliance History score. Your compliance score must be maintained at 75% or higher or an Administrative Action may be warranted. CORPORATION STATUS: St. Mark Deliverance Church, Inc. is a non-profit corporation and is listed as the current owner of this center. According to information verified on the North Carolina Secretary of State’s website, St. Mark Deliverance Church, Inc. remains current and active. Prior to making any changes to the corporation status, please contact me to discuss change of ownership procedures. The corporation status for your program must always remain current and active. Failure to comply may affect your license. FACILITY PROFILE INFORMATION: You verified the mailing address, email address, and phone number listed on the facility profile are correct. If changes in your facility’s information occurs, please contact me at 252-557-5597 or email me at angela.nieves@dhhs.nc.gov to discuss the changes and ensure the information is current in our system. TECHNICAL ASSISTANCE/CONSULTATION: NEW STAFF FILE: One new staff file was reviewed today. The first day of employment for L. Brock was May 13, 2024. The following items were missing from the staff file: Documentation of orientation. You operate as a G.S. 110-106, Notice of Compliance and you stated you provide care to children who receive subsidized child care funds, because of this you must complete orientation for all new staff. You had the Documentation of Staff Orientation for Child Care Centers form in the file; however, it was not completed. There are topics that must be covered in the first two weeks of orientation and topics that must be covered in the first six (6) weeks of orientation. Please use the Documentation of Staff Orientation for Child Care Centers form to complete orientation. Please remember Ms. Brock must Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment, which will be on or prior to August 13, 2024. Ms. Brock can visit the Prevent Child Abuse and Neglect NC at https://www.preventchildabusenc.org/recognizing-responding-online-course/ to take the training. Once the training is completed place the certificate in your employee’s file. Ms. Brock has until May 13, 2025, to complete the health and safety trainings located on the Division of Child Development and Early Education (DCDEE) website at https://www.dcdee.moodle.nc.gov/ . Your employee will need to use her NCID information to access the trainings. VOLUNTEER: S. Ellis is your volunteer. Ms. Ellis is helping in the kitchen to prepare and serve meals. Ms. Ellis has the following on file: verification of age, provided by driver’s license, a negative TB test, an emergency information form, health questionnaire, and documentation of the EPR plan and its location. MEDICATION: In space number two (#2) there were two (2) children who had albuterol inhalers. The first child’s inhaler had a signed permission slip dated November 13, 2023. I reminded you that all rescue medications such as inhalers must have permission to administer updated every six (6) months. The parent should have updated to permission to administer on or prior to May 13, 2024. The second child’s albuterol inhaler did not have a permission to administer form on file. I have provided you with a copy of the permission to administer medication form for the parents to fill out and/or update. RMINDERS: FIRE INSPECTIONS: As a reminder the following child care rule is a requirement, and a violation will be written when a fire inspection is not submitted to your child care consultant within the time period stated below: 10A NCAC 09 .0304 ON-GOING REQUIREMENTS FOR A LICENSE (a)Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division. RESOURCES: STAFF AND TRAINING WORKSHEET: Please continue to update your staff and training worksheet as you hire new staff. Please remove any staff that are no longer employed. Please review your staff and training worksheet periodically to ensure you do not miss training dates that need to be renewed, such as CPR/FA, ITS SIDS, and other trainings. START RATED LICENSE/QUALITY IMPROVEMENT RATING SYSTEM (QRIS) UPDATE: The Governor signed 12 bills on July 8, 2024. Including the Adjustments to the Appropriations Act (SB 357) which includes the $67.5 million for reduced compensation payments for first two quarters of FY 24-25 and the DHHS Agency Bill (Senate Bill 425) which includes the QRIS provisions: • QRIS modernization (3 new pathways to stars) is now approved (SB 425). • Hold harmless has been extended until the new QRIS is implemented (SB 425). Providers in Cohort 1 are not required to go any further with a rated license assessment unless they want to, and providers in Cohort 2 do not need to start their preparation year unless they want to. • SB 425 does mean that programs currently accredited through the approved accrediting bodies can move to a 3 or 5 star license if they are not already at this star level. Providers will need to submit a request to their consultant and provide a copy of their accreditation certificate for processing. • SB 425 also requires that we move to the ERS-3 versions for ECCERS. ITERS and FCCERS, effective February 1, 2025. Self-paced online training modules regarding the new assessments will be available in September 2024. • SB 357 provides $67.5 million dollars to continue a reduced level of funding for the compensation portion only of the Child Care Stabilization Grant. Funding is designated for the first two quarters of FY 2024-25 and provides only about 75% of funding needed to maintain compensation payment amounts provided through ARPA funding which ended June 30, 2024. DCDEE will continue to utilize the NC FAST Stabilization Grant portal to distribute funds. CLEAN WATER FOR CAROLINA KIDS: We discussed the Clean Water for Carolina Kids program and what that means for you as a child care center. According to the Clean Water for US Kids website, you last tested your water on May 11, 2024. A child care center needs to complete lead testing in the facilities drinking water every three (3) years. You have completed the enrollment for lead paint and asbestos and your survey is currently being reviewed by RTI. The Clean Water for Carolina Kids program is expanding to the Clean Classrooms for Carolina Kids program. This is a legislatively mandated effort to address lead and asbestos hazards in North Carolina public schools, licensed child care centers, and licensed family child care homes. Participation allows facilities to meet all rule requirements for identified lead and asbestos hazards, as required by law. Rules 10A NCAC 41C .1001 through .1007 require all programs to be free of lead and asbestos hazards. RTI is coordinating all the lead in water, paint and asbestos testing and remediation. There are webinars that child care providers can watch to get instructions. Go to https://www.cleanwaterforuskids.org/en/carolina/ for more information. Currently operating child care facilities are required to test for lead in paint and asbestos once unless the consultant notes a concern during a visit and refers the program to environmental health. All existing licensed programs must complete the application summary for their program regarding lead paint and asbestos by May 1, 2024. The application is on the https://www.cleanwaterforuskids.org/en/carolina/ website. Rule 15A NCAC 18A .2816 requires currently operating child care centers to test water initially and every three years. Most of you have completed your initial testing and now it is time for your three-year retest. Please log into https://www.cleanwaterforuskids.org/en/carolina/ to ensure you are meeting the requirements for Lead in Water / Paint/Asbestos testing. CONTACT INFORMATION: If you have any questions about today’s visit, you may contact me at 252-557-5597 or angela.nieves@dhhs.nc.gov. You may also contact Licensing Supervisor, Susan Fuller at 252-373-9809 or email at susan.fuller@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

10A NCAC 09 .0803 · Violation

Name of Operation: LITTLE MARK CHILD CARE CENTER Facility ID: 33000437 Consultant: ANGELA NIEVES Operation Type: Center Case Number: Visit Date: 7/25/2024 Number Present: 25 Completed Date: 7/25/2024 Age: From 0 To 9 Total Minutes: 130 Time In: 09:20 AM Time Out: 11:30 AM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor this facility for compliance with applicable child care requirements during a routine unannounced visit. You, A. Pettaway, administrator, were present available to assist with today’s visit. Your program currently operates with a G.S. 110-106, Notice of Compliance, issued April 27, 2011. The last annual compliance visit was conducted on December 6, 2023. The sanitation inspection was completed on November 6, 2023, with a “Superior” classification “7” demerits. The fire inspection was completed on January 11, 2024, and the center was approved for daytime care only. The notice of compliance was available for review and the restrictions were in compliance. Twenty-five (25) children from ages zero (0) to nine (9) were present during the visit. A walk-through of the facility was completed today. Due to inclement weather the outdoor learning environment was not observed today. Children throughout the facility were participating in free play, group time activities, and personal care routines. Infants were interacting and playing on the floor with the teacher. The children were observed eating the following for lunch: chicken, rice, green beans, mixed fruit, and milk. The following were monitored: Supervision, Staff Child Ratio, First Aid, CPR, ITS SIDS, Special Training, CBC Qualification, Emergency Medical Care Plan, Storage of Hazardous Substances, Administration of Medication, Adequate/Approved Space, Permit Restrictions, and Program Records. One (1) new staff record was reviewed today, and one (1) volunteer record was reviewed. Any violations of the child care requirements observed today were discussed with you and documented in the visit summary report and reviewed with you at the conclusion of the visit. The following violations of the child care requirements were documented today: Violation Number Comment Rule 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. In space number two (#2) there was a child who had an albuterol inhaler, but there was no signed permission form to administer the medication. 10A NCAC 09 .0803(1)(a & b) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. The first day of employment for L. Brock was May 13, 2024, there was no documentation of orientation available for review. .1101(a) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. In space Number two (#2) there was one child who had a permission to administer medication for an albuterol inhaler; however the permission slip was dated November 13, 2023. The permission to administer medication form should have been updated and signed on or prior to May 13, 2024. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-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 August 8, 2024, I must receive a written, dated, and signed compliance letter that describes accurately and in detail how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Mail or email the information to: Angela Nieves, Child Care Consultant PO Box 8741 Rocky Mount, NC 27804 Angela.nieves@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 The two-week time frame is established to allow you time for submitting your compliance letter. This time frame is not intended to be used as a guide for correcting violations, as they should be corrected immediately. Please be aware that any written information submitted by you regarding correction of violations documented during today's visit is legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility's license could be issued. COMPLIANCE HISTORY: Prior to conducting today’s visit your center’s Compliance History score, over an 18-month period time frame, is 85%. The violations documented could impact the center’s overall Compliance History score. Your compliance score must be maintained at 75% or higher or an Administrative Action may be warranted. CORPORATION STATUS: St. Mark Deliverance Church, Inc. is a non-profit corporation and is listed as the current owner of this center. According to information verified on the North Carolina Secretary of State’s website, St. Mark Deliverance Church, Inc. remains current and active. Prior to making any changes to the corporation status, please contact me to discuss change of ownership procedures. The corporation status for your program must always remain current and active. Failure to comply may affect your license. FACILITY PROFILE INFORMATION: You verified the mailing address, email address, and phone number listed on the facility profile are correct. If changes in your facility’s information occurs, please contact me at 252-557-5597 or email me at angela.nieves@dhhs.nc.gov to discuss the changes and ensure the information is current in our system. TECHNICAL ASSISTANCE/CONSULTATION: NEW STAFF FILE: One new staff file was reviewed today. The first day of employment for L. Brock was May 13, 2024. The following items were missing from the staff file: Documentation of orientation. You operate as a G.S. 110-106, Notice of Compliance and you stated you provide care to children who receive subsidized child care funds, because of this you must complete orientation for all new staff. You had the Documentation of Staff Orientation for Child Care Centers form in the file; however, it was not completed. There are topics that must be covered in the first two weeks of orientation and topics that must be covered in the first six (6) weeks of orientation. Please use the Documentation of Staff Orientation for Child Care Centers form to complete orientation. Please remember Ms. Brock must Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment, which will be on or prior to August 13, 2024. Ms. Brock can visit the Prevent Child Abuse and Neglect NC at https://www.preventchildabusenc.org/recognizing-responding-online-course/ to take the training. Once the training is completed place the certificate in your employee’s file. Ms. Brock has until May 13, 2025, to complete the health and safety trainings located on the Division of Child Development and Early Education (DCDEE) website at https://www.dcdee.moodle.nc.gov/ . Your employee will need to use her NCID information to access the trainings. VOLUNTEER: S. Ellis is your volunteer. Ms. Ellis is helping in the kitchen to prepare and serve meals. Ms. Ellis has the following on file: verification of age, provided by driver’s license, a negative TB test, an emergency information form, health questionnaire, and documentation of the EPR plan and its location. MEDICATION: In space number two (#2) there were two (2) children who had albuterol inhalers. The first child’s inhaler had a signed permission slip dated November 13, 2023. I reminded you that all rescue medications such as inhalers must have permission to administer updated every six (6) months. The parent should have updated to permission to administer on or prior to May 13, 2024. The second child’s albuterol inhaler did not have a permission to administer form on file. I have provided you with a copy of the permission to administer medication form for the parents to fill out and/or update. RMINDERS: FIRE INSPECTIONS: As a reminder the following child care rule is a requirement, and a violation will be written when a fire inspection is not submitted to your child care consultant within the time period stated below: 10A NCAC 09 .0304 ON-GOING REQUIREMENTS FOR A LICENSE (a)Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division. RESOURCES: STAFF AND TRAINING WORKSHEET: Please continue to update your staff and training worksheet as you hire new staff. Please remove any staff that are no longer employed. Please review your staff and training worksheet periodically to ensure you do not miss training dates that need to be renewed, such as CPR/FA, ITS SIDS, and other trainings. START RATED LICENSE/QUALITY IMPROVEMENT RATING SYSTEM (QRIS) UPDATE: The Governor signed 12 bills on July 8, 2024. Including the Adjustments to the Appropriations Act (SB 357) which includes the $67.5 million for reduced compensation payments for first two quarters of FY 24-25 and the DHHS Agency Bill (Senate Bill 425) which includes the QRIS provisions: • QRIS modernization (3 new pathways to stars) is now approved (SB 425). • Hold harmless has been extended until the new QRIS is implemented (SB 425). Providers in Cohort 1 are not required to go any further with a rated license assessment unless they want to, and providers in Cohort 2 do not need to start their preparation year unless they want to. • SB 425 does mean that programs currently accredited through the approved accrediting bodies can move to a 3 or 5 star license if they are not already at this star level. Providers will need to submit a request to their consultant and provide a copy of their accreditation certificate for processing. • SB 425 also requires that we move to the ERS-3 versions for ECCERS. ITERS and FCCERS, effective February 1, 2025. Self-paced online training modules regarding the new assessments will be available in September 2024. • SB 357 provides $67.5 million dollars to continue a reduced level of funding for the compensation portion only of the Child Care Stabilization Grant. Funding is designated for the first two quarters of FY 2024-25 and provides only about 75% of funding needed to maintain compensation payment amounts provided through ARPA funding which ended June 30, 2024. DCDEE will continue to utilize the NC FAST Stabilization Grant portal to distribute funds. CLEAN WATER FOR CAROLINA KIDS: We discussed the Clean Water for Carolina Kids program and what that means for you as a child care center. According to the Clean Water for US Kids website, you last tested your water on May 11, 2024. A child care center needs to complete lead testing in the facilities drinking water every three (3) years. You have completed the enrollment for lead paint and asbestos and your survey is currently being reviewed by RTI. The Clean Water for Carolina Kids program is expanding to the Clean Classrooms for Carolina Kids program. This is a legislatively mandated effort to address lead and asbestos hazards in North Carolina public schools, licensed child care centers, and licensed family child care homes. Participation allows facilities to meet all rule requirements for identified lead and asbestos hazards, as required by law. Rules 10A NCAC 41C .1001 through .1007 require all programs to be free of lead and asbestos hazards. RTI is coordinating all the lead in water, paint and asbestos testing and remediation. There are webinars that child care providers can watch to get instructions. Go to https://www.cleanwaterforuskids.org/en/carolina/ for more information. Currently operating child care facilities are required to test for lead in paint and asbestos once unless the consultant notes a concern during a visit and refers the program to environmental health. All existing licensed programs must complete the application summary for their program regarding lead paint and asbestos by May 1, 2024. The application is on the https://www.cleanwaterforuskids.org/en/carolina/ website. Rule 15A NCAC 18A .2816 requires currently operating child care centers to test water initially and every three years. Most of you have completed your initial testing and now it is time for your three-year retest. Please log into https://www.cleanwaterforuskids.org/en/carolina/ to ensure you are meeting the requirements for Lead in Water / Paint/Asbestos testing. CONTACT INFORMATION: If you have any questions about today’s visit, you may contact me at 252-557-5597 or angela.nieves@dhhs.nc.gov. You may also contact Licensing Supervisor, Susan Fuller at 252-373-9809 or email at susan.fuller@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

G.S. 110-106 · Violation

Name of Operation: LITTLE MARK CHILD CARE CENTER Facility ID: 33000437 Consultant: ANGELA NIEVES Operation Type: Center Case Number: Visit Date: 7/25/2024 Number Present: 25 Completed Date: 7/25/2024 Age: From 0 To 9 Total Minutes: 130 Time In: 09:20 AM Time Out: 11:30 AM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor this facility for compliance with applicable child care requirements during a routine unannounced visit. You, A. Pettaway, administrator, were present available to assist with today’s visit. Your program currently operates with a G.S. 110-106, Notice of Compliance, issued April 27, 2011. The last annual compliance visit was conducted on December 6, 2023. The sanitation inspection was completed on November 6, 2023, with a “Superior” classification “7” demerits. The fire inspection was completed on January 11, 2024, and the center was approved for daytime care only. The notice of compliance was available for review and the restrictions were in compliance. Twenty-five (25) children from ages zero (0) to nine (9) were present during the visit. A walk-through of the facility was completed today. Due to inclement weather the outdoor learning environment was not observed today. Children throughout the facility were participating in free play, group time activities, and personal care routines. Infants were interacting and playing on the floor with the teacher. The children were observed eating the following for lunch: chicken, rice, green beans, mixed fruit, and milk. The following were monitored: Supervision, Staff Child Ratio, First Aid, CPR, ITS SIDS, Special Training, CBC Qualification, Emergency Medical Care Plan, Storage of Hazardous Substances, Administration of Medication, Adequate/Approved Space, Permit Restrictions, and Program Records. One (1) new staff record was reviewed today, and one (1) volunteer record was reviewed. Any violations of the child care requirements observed today were discussed with you and documented in the visit summary report and reviewed with you at the conclusion of the visit. The following violations of the child care requirements were documented today: Violation Number Comment Rule 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. In space number two (#2) there was a child who had an albuterol inhaler, but there was no signed permission form to administer the medication. 10A NCAC 09 .0803(1)(a & b) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. The first day of employment for L. Brock was May 13, 2024, there was no documentation of orientation available for review. .1101(a) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. In space Number two (#2) there was one child who had a permission to administer medication for an albuterol inhaler; however the permission slip was dated November 13, 2023. The permission to administer medication form should have been updated and signed on or prior to May 13, 2024. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-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 August 8, 2024, I must receive a written, dated, and signed compliance letter that describes accurately and in detail how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Mail or email the information to: Angela Nieves, Child Care Consultant PO Box 8741 Rocky Mount, NC 27804 Angela.nieves@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 The two-week time frame is established to allow you time for submitting your compliance letter. This time frame is not intended to be used as a guide for correcting violations, as they should be corrected immediately. Please be aware that any written information submitted by you regarding correction of violations documented during today's visit is legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility's license could be issued. COMPLIANCE HISTORY: Prior to conducting today’s visit your center’s Compliance History score, over an 18-month period time frame, is 85%. The violations documented could impact the center’s overall Compliance History score. Your compliance score must be maintained at 75% or higher or an Administrative Action may be warranted. CORPORATION STATUS: St. Mark Deliverance Church, Inc. is a non-profit corporation and is listed as the current owner of this center. According to information verified on the North Carolina Secretary of State’s website, St. Mark Deliverance Church, Inc. remains current and active. Prior to making any changes to the corporation status, please contact me to discuss change of ownership procedures. The corporation status for your program must always remain current and active. Failure to comply may affect your license. FACILITY PROFILE INFORMATION: You verified the mailing address, email address, and phone number listed on the facility profile are correct. If changes in your facility’s information occurs, please contact me at 252-557-5597 or email me at angela.nieves@dhhs.nc.gov to discuss the changes and ensure the information is current in our system. TECHNICAL ASSISTANCE/CONSULTATION: NEW STAFF FILE: One new staff file was reviewed today. The first day of employment for L. Brock was May 13, 2024. The following items were missing from the staff file: Documentation of orientation. You operate as a G.S. 110-106, Notice of Compliance and you stated you provide care to children who receive subsidized child care funds, because of this you must complete orientation for all new staff. You had the Documentation of Staff Orientation for Child Care Centers form in the file; however, it was not completed. There are topics that must be covered in the first two weeks of orientation and topics that must be covered in the first six (6) weeks of orientation. Please use the Documentation of Staff Orientation for Child Care Centers form to complete orientation. Please remember Ms. Brock must Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment, which will be on or prior to August 13, 2024. Ms. Brock can visit the Prevent Child Abuse and Neglect NC at https://www.preventchildabusenc.org/recognizing-responding-online-course/ to take the training. Once the training is completed place the certificate in your employee’s file. Ms. Brock has until May 13, 2025, to complete the health and safety trainings located on the Division of Child Development and Early Education (DCDEE) website at https://www.dcdee.moodle.nc.gov/ . Your employee will need to use her NCID information to access the trainings. VOLUNTEER: S. Ellis is your volunteer. Ms. Ellis is helping in the kitchen to prepare and serve meals. Ms. Ellis has the following on file: verification of age, provided by driver’s license, a negative TB test, an emergency information form, health questionnaire, and documentation of the EPR plan and its location. MEDICATION: In space number two (#2) there were two (2) children who had albuterol inhalers. The first child’s inhaler had a signed permission slip dated November 13, 2023. I reminded you that all rescue medications such as inhalers must have permission to administer updated every six (6) months. The parent should have updated to permission to administer on or prior to May 13, 2024. The second child’s albuterol inhaler did not have a permission to administer form on file. I have provided you with a copy of the permission to administer medication form for the parents to fill out and/or update. RMINDERS: FIRE INSPECTIONS: As a reminder the following child care rule is a requirement, and a violation will be written when a fire inspection is not submitted to your child care consultant within the time period stated below: 10A NCAC 09 .0304 ON-GOING REQUIREMENTS FOR A LICENSE (a)Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division. RESOURCES: STAFF AND TRAINING WORKSHEET: Please continue to update your staff and training worksheet as you hire new staff. Please remove any staff that are no longer employed. Please review your staff and training worksheet periodically to ensure you do not miss training dates that need to be renewed, such as CPR/FA, ITS SIDS, and other trainings. START RATED LICENSE/QUALITY IMPROVEMENT RATING SYSTEM (QRIS) UPDATE: The Governor signed 12 bills on July 8, 2024. Including the Adjustments to the Appropriations Act (SB 357) which includes the $67.5 million for reduced compensation payments for first two quarters of FY 24-25 and the DHHS Agency Bill (Senate Bill 425) which includes the QRIS provisions: • QRIS modernization (3 new pathways to stars) is now approved (SB 425). • Hold harmless has been extended until the new QRIS is implemented (SB 425). Providers in Cohort 1 are not required to go any further with a rated license assessment unless they want to, and providers in Cohort 2 do not need to start their preparation year unless they want to. • SB 425 does mean that programs currently accredited through the approved accrediting bodies can move to a 3 or 5 star license if they are not already at this star level. Providers will need to submit a request to their consultant and provide a copy of their accreditation certificate for processing. • SB 425 also requires that we move to the ERS-3 versions for ECCERS. ITERS and FCCERS, effective February 1, 2025. Self-paced online training modules regarding the new assessments will be available in September 2024. • SB 357 provides $67.5 million dollars to continue a reduced level of funding for the compensation portion only of the Child Care Stabilization Grant. Funding is designated for the first two quarters of FY 2024-25 and provides only about 75% of funding needed to maintain compensation payment amounts provided through ARPA funding which ended June 30, 2024. DCDEE will continue to utilize the NC FAST Stabilization Grant portal to distribute funds. CLEAN WATER FOR CAROLINA KIDS: We discussed the Clean Water for Carolina Kids program and what that means for you as a child care center. According to the Clean Water for US Kids website, you last tested your water on May 11, 2024. A child care center needs to complete lead testing in the facilities drinking water every three (3) years. You have completed the enrollment for lead paint and asbestos and your survey is currently being reviewed by RTI. The Clean Water for Carolina Kids program is expanding to the Clean Classrooms for Carolina Kids program. This is a legislatively mandated effort to address lead and asbestos hazards in North Carolina public schools, licensed child care centers, and licensed family child care homes. Participation allows facilities to meet all rule requirements for identified lead and asbestos hazards, as required by law. Rules 10A NCAC 41C .1001 through .1007 require all programs to be free of lead and asbestos hazards. RTI is coordinating all the lead in water, paint and asbestos testing and remediation. There are webinars that child care providers can watch to get instructions. Go to https://www.cleanwaterforuskids.org/en/carolina/ for more information. Currently operating child care facilities are required to test for lead in paint and asbestos once unless the consultant notes a concern during a visit and refers the program to environmental health. All existing licensed programs must complete the application summary for their program regarding lead paint and asbestos by May 1, 2024. The application is on the https://www.cleanwaterforuskids.org/en/carolina/ website. Rule 15A NCAC 18A .2816 requires currently operating child care centers to test water initially and every three years. Most of you have completed your initial testing and now it is time for your three-year retest. Please log into https://www.cleanwaterforuskids.org/en/carolina/ to ensure you are meeting the requirements for Lead in Water / Paint/Asbestos testing. CONTACT INFORMATION: If you have any questions about today’s visit, you may contact me at 252-557-5597 or angela.nieves@dhhs.nc.gov. You may also contact Licensing Supervisor, Susan Fuller at 252-373-9809 or email at susan.fuller@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

NC GS 110-90 · Violation

Name of Operation: LITTLE MARK CHILD CARE CENTER Facility ID: 33000437 Consultant: ANGELA NIEVES Operation Type: Center Case Number: Visit Date: 7/25/2024 Number Present: 25 Completed Date: 7/25/2024 Age: From 0 To 9 Total Minutes: 130 Time In: 09:20 AM Time Out: 11:30 AM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor this facility for compliance with applicable child care requirements during a routine unannounced visit. You, A. Pettaway, administrator, were present available to assist with today’s visit. Your program currently operates with a G.S. 110-106, Notice of Compliance, issued April 27, 2011. The last annual compliance visit was conducted on December 6, 2023. The sanitation inspection was completed on November 6, 2023, with a “Superior” classification “7” demerits. The fire inspection was completed on January 11, 2024, and the center was approved for daytime care only. The notice of compliance was available for review and the restrictions were in compliance. Twenty-five (25) children from ages zero (0) to nine (9) were present during the visit. A walk-through of the facility was completed today. Due to inclement weather the outdoor learning environment was not observed today. Children throughout the facility were participating in free play, group time activities, and personal care routines. Infants were interacting and playing on the floor with the teacher. The children were observed eating the following for lunch: chicken, rice, green beans, mixed fruit, and milk. The following were monitored: Supervision, Staff Child Ratio, First Aid, CPR, ITS SIDS, Special Training, CBC Qualification, Emergency Medical Care Plan, Storage of Hazardous Substances, Administration of Medication, Adequate/Approved Space, Permit Restrictions, and Program Records. One (1) new staff record was reviewed today, and one (1) volunteer record was reviewed. Any violations of the child care requirements observed today were discussed with you and documented in the visit summary report and reviewed with you at the conclusion of the visit. The following violations of the child care requirements were documented today: Violation Number Comment Rule 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. In space number two (#2) there was a child who had an albuterol inhaler, but there was no signed permission form to administer the medication. 10A NCAC 09 .0803(1)(a & b) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. The first day of employment for L. Brock was May 13, 2024, there was no documentation of orientation available for review. .1101(a) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. In space Number two (#2) there was one child who had a permission to administer medication for an albuterol inhaler; however the permission slip was dated November 13, 2023. The permission to administer medication form should have been updated and signed on or prior to May 13, 2024. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-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 August 8, 2024, I must receive a written, dated, and signed compliance letter that describes accurately and in detail how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Mail or email the information to: Angela Nieves, Child Care Consultant PO Box 8741 Rocky Mount, NC 27804 Angela.nieves@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 The two-week time frame is established to allow you time for submitting your compliance letter. This time frame is not intended to be used as a guide for correcting violations, as they should be corrected immediately. Please be aware that any written information submitted by you regarding correction of violations documented during today's visit is legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility's license could be issued. COMPLIANCE HISTORY: Prior to conducting today’s visit your center’s Compliance History score, over an 18-month period time frame, is 85%. The violations documented could impact the center’s overall Compliance History score. Your compliance score must be maintained at 75% or higher or an Administrative Action may be warranted. CORPORATION STATUS: St. Mark Deliverance Church, Inc. is a non-profit corporation and is listed as the current owner of this center. According to information verified on the North Carolina Secretary of State’s website, St. Mark Deliverance Church, Inc. remains current and active. Prior to making any changes to the corporation status, please contact me to discuss change of ownership procedures. The corporation status for your program must always remain current and active. Failure to comply may affect your license. FACILITY PROFILE INFORMATION: You verified the mailing address, email address, and phone number listed on the facility profile are correct. If changes in your facility’s information occurs, please contact me at 252-557-5597 or email me at angela.nieves@dhhs.nc.gov to discuss the changes and ensure the information is current in our system. TECHNICAL ASSISTANCE/CONSULTATION: NEW STAFF FILE: One new staff file was reviewed today. The first day of employment for L. Brock was May 13, 2024. The following items were missing from the staff file: Documentation of orientation. You operate as a G.S. 110-106, Notice of Compliance and you stated you provide care to children who receive subsidized child care funds, because of this you must complete orientation for all new staff. You had the Documentation of Staff Orientation for Child Care Centers form in the file; however, it was not completed. There are topics that must be covered in the first two weeks of orientation and topics that must be covered in the first six (6) weeks of orientation. Please use the Documentation of Staff Orientation for Child Care Centers form to complete orientation. Please remember Ms. Brock must Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment, which will be on or prior to August 13, 2024. Ms. Brock can visit the Prevent Child Abuse and Neglect NC at https://www.preventchildabusenc.org/recognizing-responding-online-course/ to take the training. Once the training is completed place the certificate in your employee’s file. Ms. Brock has until May 13, 2025, to complete the health and safety trainings located on the Division of Child Development and Early Education (DCDEE) website at https://www.dcdee.moodle.nc.gov/ . Your employee will need to use her NCID information to access the trainings. VOLUNTEER: S. Ellis is your volunteer. Ms. Ellis is helping in the kitchen to prepare and serve meals. Ms. Ellis has the following on file: verification of age, provided by driver’s license, a negative TB test, an emergency information form, health questionnaire, and documentation of the EPR plan and its location. MEDICATION: In space number two (#2) there were two (2) children who had albuterol inhalers. The first child’s inhaler had a signed permission slip dated November 13, 2023. I reminded you that all rescue medications such as inhalers must have permission to administer updated every six (6) months. The parent should have updated to permission to administer on or prior to May 13, 2024. The second child’s albuterol inhaler did not have a permission to administer form on file. I have provided you with a copy of the permission to administer medication form for the parents to fill out and/or update. RMINDERS: FIRE INSPECTIONS: As a reminder the following child care rule is a requirement, and a violation will be written when a fire inspection is not submitted to your child care consultant within the time period stated below: 10A NCAC 09 .0304 ON-GOING REQUIREMENTS FOR A LICENSE (a)Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division. RESOURCES: STAFF AND TRAINING WORKSHEET: Please continue to update your staff and training worksheet as you hire new staff. Please remove any staff that are no longer employed. Please review your staff and training worksheet periodically to ensure you do not miss training dates that need to be renewed, such as CPR/FA, ITS SIDS, and other trainings. START RATED LICENSE/QUALITY IMPROVEMENT RATING SYSTEM (QRIS) UPDATE: The Governor signed 12 bills on July 8, 2024. Including the Adjustments to the Appropriations Act (SB 357) which includes the $67.5 million for reduced compensation payments for first two quarters of FY 24-25 and the DHHS Agency Bill (Senate Bill 425) which includes the QRIS provisions: • QRIS modernization (3 new pathways to stars) is now approved (SB 425). • Hold harmless has been extended until the new QRIS is implemented (SB 425). Providers in Cohort 1 are not required to go any further with a rated license assessment unless they want to, and providers in Cohort 2 do not need to start their preparation year unless they want to. • SB 425 does mean that programs currently accredited through the approved accrediting bodies can move to a 3 or 5 star license if they are not already at this star level. Providers will need to submit a request to their consultant and provide a copy of their accreditation certificate for processing. • SB 425 also requires that we move to the ERS-3 versions for ECCERS. ITERS and FCCERS, effective February 1, 2025. Self-paced online training modules regarding the new assessments will be available in September 2024. • SB 357 provides $67.5 million dollars to continue a reduced level of funding for the compensation portion only of the Child Care Stabilization Grant. Funding is designated for the first two quarters of FY 2024-25 and provides only about 75% of funding needed to maintain compensation payment amounts provided through ARPA funding which ended June 30, 2024. DCDEE will continue to utilize the NC FAST Stabilization Grant portal to distribute funds. CLEAN WATER FOR CAROLINA KIDS: We discussed the Clean Water for Carolina Kids program and what that means for you as a child care center. According to the Clean Water for US Kids website, you last tested your water on May 11, 2024. A child care center needs to complete lead testing in the facilities drinking water every three (3) years. You have completed the enrollment for lead paint and asbestos and your survey is currently being reviewed by RTI. The Clean Water for Carolina Kids program is expanding to the Clean Classrooms for Carolina Kids program. This is a legislatively mandated effort to address lead and asbestos hazards in North Carolina public schools, licensed child care centers, and licensed family child care homes. Participation allows facilities to meet all rule requirements for identified lead and asbestos hazards, as required by law. Rules 10A NCAC 41C .1001 through .1007 require all programs to be free of lead and asbestos hazards. RTI is coordinating all the lead in water, paint and asbestos testing and remediation. There are webinars that child care providers can watch to get instructions. Go to https://www.cleanwaterforuskids.org/en/carolina/ for more information. Currently operating child care facilities are required to test for lead in paint and asbestos once unless the consultant notes a concern during a visit and refers the program to environmental health. All existing licensed programs must complete the application summary for their program regarding lead paint and asbestos by May 1, 2024. The application is on the https://www.cleanwaterforuskids.org/en/carolina/ website. Rule 15A NCAC 18A .2816 requires currently operating child care centers to test water initially and every three years. Most of you have completed your initial testing and now it is time for your three-year retest. Please log into https://www.cleanwaterforuskids.org/en/carolina/ to ensure you are meeting the requirements for Lead in Water / Paint/Asbestos testing. CONTACT INFORMATION: If you have any questions about today’s visit, you may contact me at 252-557-5597 or angela.nieves@dhhs.nc.gov. You may also contact Licensing Supervisor, Susan Fuller at 252-373-9809 or email at susan.fuller@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0601 · Violation

Name of Operation: LITTLE MARK CHILD CARE CENTER Facility ID: 33000437 Consultant: ANGELA NIEVES Operation Type: Center Case Number: Visit Date: 12/6/2023 Number Present: 14 Completed Date: 12/6/2023 Age: From 0 To 4 Total Minutes: 210 Time In: 09:15 AM Time Out: 12:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor this facility for compliance with applicable child care requirements during an annual compliance visit. When I arrived, Desarae Ellis called you to make you aware of my visit. You, Annie Pettaway, administrator, arrived shortly after the visit and were present available to assist with today’s visit. Your program currently operates with a G.S. 110-106, Notice of Compliance, issued April 27, 2011. The last annual compliance visit was conducted on January 23, 2023. The sanitation inspection was completed on November 6, 2023, with a “Superior” classification “7” demerits. The fire inspection was completed on January 4, 2023, and the center was approved for daytime care only. The notice of compliance was posted, and the restrictions were in compliance. Fourteen (14) children from ages zero (0) to four (4) were present during the visit. A walk-through of the facility was completed today, all indoor and outdoor areas were monitored. I observed children in the indoor learning environments. Children throughout the facility were participating in free play in activity areas, transitions, and personal care routines. Infants were interacting and playing on the floor with the teacher. The children were observed eating the following for lunch: chicken, rice, strawberries, and milk. You stated you do not provide transportation. Any violations of the child care requirements observed today were discussed with you and documented in the visit summary report and reviewed with you at the conclusion of the visit. The following violations of the child care requirements were documented today: Violation Number Comment Rule 807 A safe indoor and outdoor environment was not provided for the children. In the outdoor learning environment, the large climbing equipment in the middle of the playground had a leg that was bent causing the climbing equipment to lean to the left. 10A NCAC 09 .0601(a) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. In space number four (#4) there was an electrical outlet not covered. The teacher immediately cover the electrical outlet with a safety cover. 10A NCAC 09 .0604(c) 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. There was no documentation of sleep checks for an eight month old child completed on December 4, 2023. .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 December 20, 2023, I must receive a written, dated, and signed compliance letter that describes accurately and in detail how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Mail or email the information to: Angela Nieves, Child Care Consultant PO Box 8741 Rocky Mount, NC 27804 Angela.nieves@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 The two-week time frame is established to allow you time for submitting your compliance letter. This time frame is not intended to be used as a guide for correcting violations, as they should be corrected immediately. Please be aware that any written information submitted by you regarding correction of violations documented during today's visit is legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility's license could be issued. COMPLIANCE HISTORY: Prior to conducting today’s visit your center’s Compliance History score, over an 18-month period time frame, is 89%. The violations documented could impact the center’s overall Compliance History score. Your compliance score must be maintained at 75% or higher or an Administrative Action may be warranted. CORPORATION STATUS: St. Mark Deliverance Church, Inc. is a non-profit corporation and is listed as the current owner of this center. According to information verified on the North Carolina Secretary of State’s website, St. Mark Deliverance Church, Inc. remains current and active. Prior to making any changes to the corporation status, please contact me to discuss change of ownership procedures. The corporation status for your program must always remain current and active. Failure to comply may affect your license. FACILITY PROFILE INFORMATION: You verified the mailing address, email address, and phone number listed on the facility profile are correct. If changes in your facility’s information occurs, please contact me at 252-557-5597 or email me at angela.nieves@dhhs.nc.gov to discuss the changes and ensure the information is current in our system. TECHNICAL ASSISTANCE/CONSULTATION: STAFF AND CHILDREN RECORDS: Ten percent (10%) of the children and staff files were reviewed and found to be incompliance. CPR AND FIRST AID: The following staff member are due to renew their First Aid and CPR on or before December 11, 2023: Annie Pettaway, Shykethia White, Desarae Ellis, and Jamal Rose. Please make sure when completing First Aid and CPR that you are taking the Adult and Pediatric First Aid and CPR. I have printed a list of approved First Aid and CPR organizations from you to choose from. SAFE SLEEP POLICIES AND PRACTICES: In space number three (#3) there was an eight-month-old child in attendance and after checking the safe sleep checks, there was no documentation available for review for sleep checks that were completed on December 4, 2023. Ms. White stated that she did not work on December 4, 2023. Please make sure all staff are aware of your safe sleep policies and that any child twelve (12) months and younger must be visual checked upon every 15 minutes and the visual checks must be documented. SAFETY AND HEALTH: In space number four (#4) there was an electrical outlet not covered by a safety outlet cover. The teacher immediately covered the outlet with an electrical outlet safety cover. This was corrected during the visit. SAFETY AND HEALTH-OUTDOOR PLAY EQUIPMENT: On the large climbing equipment in the middle of the outdoor play area, the climbing equipment had a leg that was bent, which was causing the climbing equipment to lean to the left. This causes a potential safety hazard as the climbing equipment is not level. Please fix the bent leg or remove the equipment. RMINDERS: FIRE INSPECTIONS: Your fire inspection is due on or before January 4, 2024. As a reminder the following child care rule is a requirement, and a violation will be written when a fire inspection is not submitted to your child care consultant within the time period stated below: 10A NCAC 09 .0304 ON-GOING REQUIREMENTS FOR A LICENSE (a)Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division. RESOURCES: MEDICAID: More people can now get health coverage through Medicaid. Medicaid covers people ages 19 through 64 years with higher incomes. North Carolinians may be able to get health care insurance through Medicaid even if they haven’t qualified before. Medicaid pays for doctor visits, yearly check-ups, emergency care, mental health services and more – at little or no cost to beneficiaries. Most people can get health care coverage through Medicaid if they meet the criteria below. • Live in North Carolina • Age 19 through 64 • Are a citizen. Some non-U.S. citizens can get health care coverage through Medicaid. To learn more, go to Medicaid.nc.gov • Have a household income that is below 138% of the federal poverty level. That’s about $20,000 for a single adult or about $34,000 for a family of three. If you were eligible for Medicaid prior to Dec 1, 2023, you still are. To learn more, go to Medicaid.nc.gov. 2023 ANNUAL LICENSE FEES ARE DUE: Annual license fees are due. There are a few other changes to the Annual License Fee process: • All invoices will be emailed, and no paper copies will be sent through the U.S. Postal Service. • All invoices will be emailed by December 1, 2023 and will include the invoice number and total amount due. • All payments are due no later than December 31, 2023. Payments must be submitted online only through the Division’s website using a Mastercard or Visa debit or credit card, or by e-check. Providers will need their Facility ID number and their 2023 Invoice number to complete the payment process. Annual license fees do not apply to state or public-school operated child care facilities, or to religious sponsored facilities operated pursuant to a Notice of Compliance. Failure to pay the license fee is a violation of NCGS § 110-90(1a) and can result in a revocation of your child care license. In addition, unpaid license fees will be assessed a 10% late fee and accrued interest as established by NCGS § 147-86.23. If you have any questions, check the short Frequently Asked Questions on our website for answers or email DCDEE_LF@dhhs.nc.gov. CONTACT INFORMATION: If you have any questions about today’s visit, my contact information is listed above. You may also contact Licensing Supervisor, Susan Fuller at 252-373-9809 or email at susan.fuller@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

10A NCAC 09 .0604 · Violation

Name of Operation: LITTLE MARK CHILD CARE CENTER Facility ID: 33000437 Consultant: ANGELA NIEVES Operation Type: Center Case Number: Visit Date: 12/6/2023 Number Present: 14 Completed Date: 12/6/2023 Age: From 0 To 4 Total Minutes: 210 Time In: 09:15 AM Time Out: 12:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor this facility for compliance with applicable child care requirements during an annual compliance visit. When I arrived, Desarae Ellis called you to make you aware of my visit. You, Annie Pettaway, administrator, arrived shortly after the visit and were present available to assist with today’s visit. Your program currently operates with a G.S. 110-106, Notice of Compliance, issued April 27, 2011. The last annual compliance visit was conducted on January 23, 2023. The sanitation inspection was completed on November 6, 2023, with a “Superior” classification “7” demerits. The fire inspection was completed on January 4, 2023, and the center was approved for daytime care only. The notice of compliance was posted, and the restrictions were in compliance. Fourteen (14) children from ages zero (0) to four (4) were present during the visit. A walk-through of the facility was completed today, all indoor and outdoor areas were monitored. I observed children in the indoor learning environments. Children throughout the facility were participating in free play in activity areas, transitions, and personal care routines. Infants were interacting and playing on the floor with the teacher. The children were observed eating the following for lunch: chicken, rice, strawberries, and milk. You stated you do not provide transportation. Any violations of the child care requirements observed today were discussed with you and documented in the visit summary report and reviewed with you at the conclusion of the visit. The following violations of the child care requirements were documented today: Violation Number Comment Rule 807 A safe indoor and outdoor environment was not provided for the children. In the outdoor learning environment, the large climbing equipment in the middle of the playground had a leg that was bent causing the climbing equipment to lean to the left. 10A NCAC 09 .0601(a) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. In space number four (#4) there was an electrical outlet not covered. The teacher immediately cover the electrical outlet with a safety cover. 10A NCAC 09 .0604(c) 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. There was no documentation of sleep checks for an eight month old child completed on December 4, 2023. .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 December 20, 2023, I must receive a written, dated, and signed compliance letter that describes accurately and in detail how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Mail or email the information to: Angela Nieves, Child Care Consultant PO Box 8741 Rocky Mount, NC 27804 Angela.nieves@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 The two-week time frame is established to allow you time for submitting your compliance letter. This time frame is not intended to be used as a guide for correcting violations, as they should be corrected immediately. Please be aware that any written information submitted by you regarding correction of violations documented during today's visit is legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility's license could be issued. COMPLIANCE HISTORY: Prior to conducting today’s visit your center’s Compliance History score, over an 18-month period time frame, is 89%. The violations documented could impact the center’s overall Compliance History score. Your compliance score must be maintained at 75% or higher or an Administrative Action may be warranted. CORPORATION STATUS: St. Mark Deliverance Church, Inc. is a non-profit corporation and is listed as the current owner of this center. According to information verified on the North Carolina Secretary of State’s website, St. Mark Deliverance Church, Inc. remains current and active. Prior to making any changes to the corporation status, please contact me to discuss change of ownership procedures. The corporation status for your program must always remain current and active. Failure to comply may affect your license. FACILITY PROFILE INFORMATION: You verified the mailing address, email address, and phone number listed on the facility profile are correct. If changes in your facility’s information occurs, please contact me at 252-557-5597 or email me at angela.nieves@dhhs.nc.gov to discuss the changes and ensure the information is current in our system. TECHNICAL ASSISTANCE/CONSULTATION: STAFF AND CHILDREN RECORDS: Ten percent (10%) of the children and staff files were reviewed and found to be incompliance. CPR AND FIRST AID: The following staff member are due to renew their First Aid and CPR on or before December 11, 2023: Annie Pettaway, Shykethia White, Desarae Ellis, and Jamal Rose. Please make sure when completing First Aid and CPR that you are taking the Adult and Pediatric First Aid and CPR. I have printed a list of approved First Aid and CPR organizations from you to choose from. SAFE SLEEP POLICIES AND PRACTICES: In space number three (#3) there was an eight-month-old child in attendance and after checking the safe sleep checks, there was no documentation available for review for sleep checks that were completed on December 4, 2023. Ms. White stated that she did not work on December 4, 2023. Please make sure all staff are aware of your safe sleep policies and that any child twelve (12) months and younger must be visual checked upon every 15 minutes and the visual checks must be documented. SAFETY AND HEALTH: In space number four (#4) there was an electrical outlet not covered by a safety outlet cover. The teacher immediately covered the outlet with an electrical outlet safety cover. This was corrected during the visit. SAFETY AND HEALTH-OUTDOOR PLAY EQUIPMENT: On the large climbing equipment in the middle of the outdoor play area, the climbing equipment had a leg that was bent, which was causing the climbing equipment to lean to the left. This causes a potential safety hazard as the climbing equipment is not level. Please fix the bent leg or remove the equipment. RMINDERS: FIRE INSPECTIONS: Your fire inspection is due on or before January 4, 2024. As a reminder the following child care rule is a requirement, and a violation will be written when a fire inspection is not submitted to your child care consultant within the time period stated below: 10A NCAC 09 .0304 ON-GOING REQUIREMENTS FOR A LICENSE (a)Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division. RESOURCES: MEDICAID: More people can now get health coverage through Medicaid. Medicaid covers people ages 19 through 64 years with higher incomes. North Carolinians may be able to get health care insurance through Medicaid even if they haven’t qualified before. Medicaid pays for doctor visits, yearly check-ups, emergency care, mental health services and more – at little or no cost to beneficiaries. Most people can get health care coverage through Medicaid if they meet the criteria below. • Live in North Carolina • Age 19 through 64 • Are a citizen. Some non-U.S. citizens can get health care coverage through Medicaid. To learn more, go to Medicaid.nc.gov • Have a household income that is below 138% of the federal poverty level. That’s about $20,000 for a single adult or about $34,000 for a family of three. If you were eligible for Medicaid prior to Dec 1, 2023, you still are. To learn more, go to Medicaid.nc.gov. 2023 ANNUAL LICENSE FEES ARE DUE: Annual license fees are due. There are a few other changes to the Annual License Fee process: • All invoices will be emailed, and no paper copies will be sent through the U.S. Postal Service. • All invoices will be emailed by December 1, 2023 and will include the invoice number and total amount due. • All payments are due no later than December 31, 2023. Payments must be submitted online only through the Division’s website using a Mastercard or Visa debit or credit card, or by e-check. Providers will need their Facility ID number and their 2023 Invoice number to complete the payment process. Annual license fees do not apply to state or public-school operated child care facilities, or to religious sponsored facilities operated pursuant to a Notice of Compliance. Failure to pay the license fee is a violation of NCGS § 110-90(1a) and can result in a revocation of your child care license. In addition, unpaid license fees will be assessed a 10% late fee and accrued interest as established by NCGS § 147-86.23. If you have any questions, check the short Frequently Asked Questions on our website for answers or email DCDEE_LF@dhhs.nc.gov. CONTACT INFORMATION: If you have any questions about today’s visit, my contact information is listed above. You may also contact Licensing Supervisor, Susan Fuller at 252-373-9809 or email at susan.fuller@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0304 · Violation

Name of Operation: LITTLE MARK CHILD CARE CENTER Facility ID: 33000437 Consultant: ANGELA NIEVES Operation Type: Center Case Number: Visit Date: 12/6/2023 Number Present: 14 Completed Date: 12/6/2023 Age: From 0 To 4 Total Minutes: 210 Time In: 09:15 AM Time Out: 12:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor this facility for compliance with applicable child care requirements during an annual compliance visit. When I arrived, Desarae Ellis called you to make you aware of my visit. You, Annie Pettaway, administrator, arrived shortly after the visit and were present available to assist with today’s visit. Your program currently operates with a G.S. 110-106, Notice of Compliance, issued April 27, 2011. The last annual compliance visit was conducted on January 23, 2023. The sanitation inspection was completed on November 6, 2023, with a “Superior” classification “7” demerits. The fire inspection was completed on January 4, 2023, and the center was approved for daytime care only. The notice of compliance was posted, and the restrictions were in compliance. Fourteen (14) children from ages zero (0) to four (4) were present during the visit. A walk-through of the facility was completed today, all indoor and outdoor areas were monitored. I observed children in the indoor learning environments. Children throughout the facility were participating in free play in activity areas, transitions, and personal care routines. Infants were interacting and playing on the floor with the teacher. The children were observed eating the following for lunch: chicken, rice, strawberries, and milk. You stated you do not provide transportation. Any violations of the child care requirements observed today were discussed with you and documented in the visit summary report and reviewed with you at the conclusion of the visit. The following violations of the child care requirements were documented today: Violation Number Comment Rule 807 A safe indoor and outdoor environment was not provided for the children. In the outdoor learning environment, the large climbing equipment in the middle of the playground had a leg that was bent causing the climbing equipment to lean to the left. 10A NCAC 09 .0601(a) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. In space number four (#4) there was an electrical outlet not covered. The teacher immediately cover the electrical outlet with a safety cover. 10A NCAC 09 .0604(c) 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. There was no documentation of sleep checks for an eight month old child completed on December 4, 2023. .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 December 20, 2023, I must receive a written, dated, and signed compliance letter that describes accurately and in detail how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Mail or email the information to: Angela Nieves, Child Care Consultant PO Box 8741 Rocky Mount, NC 27804 Angela.nieves@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 The two-week time frame is established to allow you time for submitting your compliance letter. This time frame is not intended to be used as a guide for correcting violations, as they should be corrected immediately. Please be aware that any written information submitted by you regarding correction of violations documented during today's visit is legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility's license could be issued. COMPLIANCE HISTORY: Prior to conducting today’s visit your center’s Compliance History score, over an 18-month period time frame, is 89%. The violations documented could impact the center’s overall Compliance History score. Your compliance score must be maintained at 75% or higher or an Administrative Action may be warranted. CORPORATION STATUS: St. Mark Deliverance Church, Inc. is a non-profit corporation and is listed as the current owner of this center. According to information verified on the North Carolina Secretary of State’s website, St. Mark Deliverance Church, Inc. remains current and active. Prior to making any changes to the corporation status, please contact me to discuss change of ownership procedures. The corporation status for your program must always remain current and active. Failure to comply may affect your license. FACILITY PROFILE INFORMATION: You verified the mailing address, email address, and phone number listed on the facility profile are correct. If changes in your facility’s information occurs, please contact me at 252-557-5597 or email me at angela.nieves@dhhs.nc.gov to discuss the changes and ensure the information is current in our system. TECHNICAL ASSISTANCE/CONSULTATION: STAFF AND CHILDREN RECORDS: Ten percent (10%) of the children and staff files were reviewed and found to be incompliance. CPR AND FIRST AID: The following staff member are due to renew their First Aid and CPR on or before December 11, 2023: Annie Pettaway, Shykethia White, Desarae Ellis, and Jamal Rose. Please make sure when completing First Aid and CPR that you are taking the Adult and Pediatric First Aid and CPR. I have printed a list of approved First Aid and CPR organizations from you to choose from. SAFE SLEEP POLICIES AND PRACTICES: In space number three (#3) there was an eight-month-old child in attendance and after checking the safe sleep checks, there was no documentation available for review for sleep checks that were completed on December 4, 2023. Ms. White stated that she did not work on December 4, 2023. Please make sure all staff are aware of your safe sleep policies and that any child twelve (12) months and younger must be visual checked upon every 15 minutes and the visual checks must be documented. SAFETY AND HEALTH: In space number four (#4) there was an electrical outlet not covered by a safety outlet cover. The teacher immediately covered the outlet with an electrical outlet safety cover. This was corrected during the visit. SAFETY AND HEALTH-OUTDOOR PLAY EQUIPMENT: On the large climbing equipment in the middle of the outdoor play area, the climbing equipment had a leg that was bent, which was causing the climbing equipment to lean to the left. This causes a potential safety hazard as the climbing equipment is not level. Please fix the bent leg or remove the equipment. RMINDERS: FIRE INSPECTIONS: Your fire inspection is due on or before January 4, 2024. As a reminder the following child care rule is a requirement, and a violation will be written when a fire inspection is not submitted to your child care consultant within the time period stated below: 10A NCAC 09 .0304 ON-GOING REQUIREMENTS FOR A LICENSE (a)Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division. RESOURCES: MEDICAID: More people can now get health coverage through Medicaid. Medicaid covers people ages 19 through 64 years with higher incomes. North Carolinians may be able to get health care insurance through Medicaid even if they haven’t qualified before. Medicaid pays for doctor visits, yearly check-ups, emergency care, mental health services and more – at little or no cost to beneficiaries. Most people can get health care coverage through Medicaid if they meet the criteria below. • Live in North Carolina • Age 19 through 64 • Are a citizen. Some non-U.S. citizens can get health care coverage through Medicaid. To learn more, go to Medicaid.nc.gov • Have a household income that is below 138% of the federal poverty level. That’s about $20,000 for a single adult or about $34,000 for a family of three. If you were eligible for Medicaid prior to Dec 1, 2023, you still are. To learn more, go to Medicaid.nc.gov. 2023 ANNUAL LICENSE FEES ARE DUE: Annual license fees are due. There are a few other changes to the Annual License Fee process: • All invoices will be emailed, and no paper copies will be sent through the U.S. Postal Service. • All invoices will be emailed by December 1, 2023 and will include the invoice number and total amount due. • All payments are due no later than December 31, 2023. Payments must be submitted online only through the Division’s website using a Mastercard or Visa debit or credit card, or by e-check. Providers will need their Facility ID number and their 2023 Invoice number to complete the payment process. Annual license fees do not apply to state or public-school operated child care facilities, or to religious sponsored facilities operated pursuant to a Notice of Compliance. Failure to pay the license fee is a violation of NCGS § 110-90(1a) and can result in a revocation of your child care license. In addition, unpaid license fees will be assessed a 10% late fee and accrued interest as established by NCGS § 147-86.23. If you have any questions, check the short Frequently Asked Questions on our website for answers or email DCDEE_LF@dhhs.nc.gov. CONTACT INFORMATION: If you have any questions about today’s visit, my contact information is listed above. You may also contact Licensing Supervisor, Susan Fuller at 252-373-9809 or email at susan.fuller@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

G.S. 110-106 · Violation

Name of Operation: LITTLE MARK CHILD CARE CENTER Facility ID: 33000437 Consultant: ANGELA NIEVES Operation Type: Center Case Number: Visit Date: 12/6/2023 Number Present: 14 Completed Date: 12/6/2023 Age: From 0 To 4 Total Minutes: 210 Time In: 09:15 AM Time Out: 12:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor this facility for compliance with applicable child care requirements during an annual compliance visit. When I arrived, Desarae Ellis called you to make you aware of my visit. You, Annie Pettaway, administrator, arrived shortly after the visit and were present available to assist with today’s visit. Your program currently operates with a G.S. 110-106, Notice of Compliance, issued April 27, 2011. The last annual compliance visit was conducted on January 23, 2023. The sanitation inspection was completed on November 6, 2023, with a “Superior” classification “7” demerits. The fire inspection was completed on January 4, 2023, and the center was approved for daytime care only. The notice of compliance was posted, and the restrictions were in compliance. Fourteen (14) children from ages zero (0) to four (4) were present during the visit. A walk-through of the facility was completed today, all indoor and outdoor areas were monitored. I observed children in the indoor learning environments. Children throughout the facility were participating in free play in activity areas, transitions, and personal care routines. Infants were interacting and playing on the floor with the teacher. The children were observed eating the following for lunch: chicken, rice, strawberries, and milk. You stated you do not provide transportation. Any violations of the child care requirements observed today were discussed with you and documented in the visit summary report and reviewed with you at the conclusion of the visit. The following violations of the child care requirements were documented today: Violation Number Comment Rule 807 A safe indoor and outdoor environment was not provided for the children. In the outdoor learning environment, the large climbing equipment in the middle of the playground had a leg that was bent causing the climbing equipment to lean to the left. 10A NCAC 09 .0601(a) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. In space number four (#4) there was an electrical outlet not covered. The teacher immediately cover the electrical outlet with a safety cover. 10A NCAC 09 .0604(c) 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. There was no documentation of sleep checks for an eight month old child completed on December 4, 2023. .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 December 20, 2023, I must receive a written, dated, and signed compliance letter that describes accurately and in detail how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Mail or email the information to: Angela Nieves, Child Care Consultant PO Box 8741 Rocky Mount, NC 27804 Angela.nieves@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 The two-week time frame is established to allow you time for submitting your compliance letter. This time frame is not intended to be used as a guide for correcting violations, as they should be corrected immediately. Please be aware that any written information submitted by you regarding correction of violations documented during today's visit is legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility's license could be issued. COMPLIANCE HISTORY: Prior to conducting today’s visit your center’s Compliance History score, over an 18-month period time frame, is 89%. The violations documented could impact the center’s overall Compliance History score. Your compliance score must be maintained at 75% or higher or an Administrative Action may be warranted. CORPORATION STATUS: St. Mark Deliverance Church, Inc. is a non-profit corporation and is listed as the current owner of this center. According to information verified on the North Carolina Secretary of State’s website, St. Mark Deliverance Church, Inc. remains current and active. Prior to making any changes to the corporation status, please contact me to discuss change of ownership procedures. The corporation status for your program must always remain current and active. Failure to comply may affect your license. FACILITY PROFILE INFORMATION: You verified the mailing address, email address, and phone number listed on the facility profile are correct. If changes in your facility’s information occurs, please contact me at 252-557-5597 or email me at angela.nieves@dhhs.nc.gov to discuss the changes and ensure the information is current in our system. TECHNICAL ASSISTANCE/CONSULTATION: STAFF AND CHILDREN RECORDS: Ten percent (10%) of the children and staff files were reviewed and found to be incompliance. CPR AND FIRST AID: The following staff member are due to renew their First Aid and CPR on or before December 11, 2023: Annie Pettaway, Shykethia White, Desarae Ellis, and Jamal Rose. Please make sure when completing First Aid and CPR that you are taking the Adult and Pediatric First Aid and CPR. I have printed a list of approved First Aid and CPR organizations from you to choose from. SAFE SLEEP POLICIES AND PRACTICES: In space number three (#3) there was an eight-month-old child in attendance and after checking the safe sleep checks, there was no documentation available for review for sleep checks that were completed on December 4, 2023. Ms. White stated that she did not work on December 4, 2023. Please make sure all staff are aware of your safe sleep policies and that any child twelve (12) months and younger must be visual checked upon every 15 minutes and the visual checks must be documented. SAFETY AND HEALTH: In space number four (#4) there was an electrical outlet not covered by a safety outlet cover. The teacher immediately covered the outlet with an electrical outlet safety cover. This was corrected during the visit. SAFETY AND HEALTH-OUTDOOR PLAY EQUIPMENT: On the large climbing equipment in the middle of the outdoor play area, the climbing equipment had a leg that was bent, which was causing the climbing equipment to lean to the left. This causes a potential safety hazard as the climbing equipment is not level. Please fix the bent leg or remove the equipment. RMINDERS: FIRE INSPECTIONS: Your fire inspection is due on or before January 4, 2024. As a reminder the following child care rule is a requirement, and a violation will be written when a fire inspection is not submitted to your child care consultant within the time period stated below: 10A NCAC 09 .0304 ON-GOING REQUIREMENTS FOR A LICENSE (a)Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division. RESOURCES: MEDICAID: More people can now get health coverage through Medicaid. Medicaid covers people ages 19 through 64 years with higher incomes. North Carolinians may be able to get health care insurance through Medicaid even if they haven’t qualified before. Medicaid pays for doctor visits, yearly check-ups, emergency care, mental health services and more – at little or no cost to beneficiaries. Most people can get health care coverage through Medicaid if they meet the criteria below. • Live in North Carolina • Age 19 through 64 • Are a citizen. Some non-U.S. citizens can get health care coverage through Medicaid. To learn more, go to Medicaid.nc.gov • Have a household income that is below 138% of the federal poverty level. That’s about $20,000 for a single adult or about $34,000 for a family of three. If you were eligible for Medicaid prior to Dec 1, 2023, you still are. To learn more, go to Medicaid.nc.gov. 2023 ANNUAL LICENSE FEES ARE DUE: Annual license fees are due. There are a few other changes to the Annual License Fee process: • All invoices will be emailed, and no paper copies will be sent through the U.S. Postal Service. • All invoices will be emailed by December 1, 2023 and will include the invoice number and total amount due. • All payments are due no later than December 31, 2023. Payments must be submitted online only through the Division’s website using a Mastercard or Visa debit or credit card, or by e-check. Providers will need their Facility ID number and their 2023 Invoice number to complete the payment process. Annual license fees do not apply to state or public-school operated child care facilities, or to religious sponsored facilities operated pursuant to a Notice of Compliance. Failure to pay the license fee is a violation of NCGS § 110-90(1a) and can result in a revocation of your child care license. In addition, unpaid license fees will be assessed a 10% late fee and accrued interest as established by NCGS § 147-86.23. If you have any questions, check the short Frequently Asked Questions on our website for answers or email DCDEE_LF@dhhs.nc.gov. CONTACT INFORMATION: If you have any questions about today’s visit, my contact information is listed above. You may also contact Licensing Supervisor, Susan Fuller at 252-373-9809 or email at susan.fuller@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

NC GS 110-90 · Violation

Name of Operation: LITTLE MARK CHILD CARE CENTER Facility ID: 33000437 Consultant: ANGELA NIEVES Operation Type: Center Case Number: Visit Date: 12/6/2023 Number Present: 14 Completed Date: 12/6/2023 Age: From 0 To 4 Total Minutes: 210 Time In: 09:15 AM Time Out: 12:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor this facility for compliance with applicable child care requirements during an annual compliance visit. When I arrived, Desarae Ellis called you to make you aware of my visit. You, Annie Pettaway, administrator, arrived shortly after the visit and were present available to assist with today’s visit. Your program currently operates with a G.S. 110-106, Notice of Compliance, issued April 27, 2011. The last annual compliance visit was conducted on January 23, 2023. The sanitation inspection was completed on November 6, 2023, with a “Superior” classification “7” demerits. The fire inspection was completed on January 4, 2023, and the center was approved for daytime care only. The notice of compliance was posted, and the restrictions were in compliance. Fourteen (14) children from ages zero (0) to four (4) were present during the visit. A walk-through of the facility was completed today, all indoor and outdoor areas were monitored. I observed children in the indoor learning environments. Children throughout the facility were participating in free play in activity areas, transitions, and personal care routines. Infants were interacting and playing on the floor with the teacher. The children were observed eating the following for lunch: chicken, rice, strawberries, and milk. You stated you do not provide transportation. Any violations of the child care requirements observed today were discussed with you and documented in the visit summary report and reviewed with you at the conclusion of the visit. The following violations of the child care requirements were documented today: Violation Number Comment Rule 807 A safe indoor and outdoor environment was not provided for the children. In the outdoor learning environment, the large climbing equipment in the middle of the playground had a leg that was bent causing the climbing equipment to lean to the left. 10A NCAC 09 .0601(a) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. In space number four (#4) there was an electrical outlet not covered. The teacher immediately cover the electrical outlet with a safety cover. 10A NCAC 09 .0604(c) 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. There was no documentation of sleep checks for an eight month old child completed on December 4, 2023. .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 December 20, 2023, I must receive a written, dated, and signed compliance letter that describes accurately and in detail how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Mail or email the information to: Angela Nieves, Child Care Consultant PO Box 8741 Rocky Mount, NC 27804 Angela.nieves@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 The two-week time frame is established to allow you time for submitting your compliance letter. This time frame is not intended to be used as a guide for correcting violations, as they should be corrected immediately. Please be aware that any written information submitted by you regarding correction of violations documented during today's visit is legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility's license could be issued. COMPLIANCE HISTORY: Prior to conducting today’s visit your center’s Compliance History score, over an 18-month period time frame, is 89%. The violations documented could impact the center’s overall Compliance History score. Your compliance score must be maintained at 75% or higher or an Administrative Action may be warranted. CORPORATION STATUS: St. Mark Deliverance Church, Inc. is a non-profit corporation and is listed as the current owner of this center. According to information verified on the North Carolina Secretary of State’s website, St. Mark Deliverance Church, Inc. remains current and active. Prior to making any changes to the corporation status, please contact me to discuss change of ownership procedures. The corporation status for your program must always remain current and active. Failure to comply may affect your license. FACILITY PROFILE INFORMATION: You verified the mailing address, email address, and phone number listed on the facility profile are correct. If changes in your facility’s information occurs, please contact me at 252-557-5597 or email me at angela.nieves@dhhs.nc.gov to discuss the changes and ensure the information is current in our system. TECHNICAL ASSISTANCE/CONSULTATION: STAFF AND CHILDREN RECORDS: Ten percent (10%) of the children and staff files were reviewed and found to be incompliance. CPR AND FIRST AID: The following staff member are due to renew their First Aid and CPR on or before December 11, 2023: Annie Pettaway, Shykethia White, Desarae Ellis, and Jamal Rose. Please make sure when completing First Aid and CPR that you are taking the Adult and Pediatric First Aid and CPR. I have printed a list of approved First Aid and CPR organizations from you to choose from. SAFE SLEEP POLICIES AND PRACTICES: In space number three (#3) there was an eight-month-old child in attendance and after checking the safe sleep checks, there was no documentation available for review for sleep checks that were completed on December 4, 2023. Ms. White stated that she did not work on December 4, 2023. Please make sure all staff are aware of your safe sleep policies and that any child twelve (12) months and younger must be visual checked upon every 15 minutes and the visual checks must be documented. SAFETY AND HEALTH: In space number four (#4) there was an electrical outlet not covered by a safety outlet cover. The teacher immediately covered the outlet with an electrical outlet safety cover. This was corrected during the visit. SAFETY AND HEALTH-OUTDOOR PLAY EQUIPMENT: On the large climbing equipment in the middle of the outdoor play area, the climbing equipment had a leg that was bent, which was causing the climbing equipment to lean to the left. This causes a potential safety hazard as the climbing equipment is not level. Please fix the bent leg or remove the equipment. RMINDERS: FIRE INSPECTIONS: Your fire inspection is due on or before January 4, 2024. As a reminder the following child care rule is a requirement, and a violation will be written when a fire inspection is not submitted to your child care consultant within the time period stated below: 10A NCAC 09 .0304 ON-GOING REQUIREMENTS FOR A LICENSE (a)Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division. RESOURCES: MEDICAID: More people can now get health coverage through Medicaid. Medicaid covers people ages 19 through 64 years with higher incomes. North Carolinians may be able to get health care insurance through Medicaid even if they haven’t qualified before. Medicaid pays for doctor visits, yearly check-ups, emergency care, mental health services and more – at little or no cost to beneficiaries. Most people can get health care coverage through Medicaid if they meet the criteria below. • Live in North Carolina • Age 19 through 64 • Are a citizen. Some non-U.S. citizens can get health care coverage through Medicaid. To learn more, go to Medicaid.nc.gov • Have a household income that is below 138% of the federal poverty level. That’s about $20,000 for a single adult or about $34,000 for a family of three. If you were eligible for Medicaid prior to Dec 1, 2023, you still are. To learn more, go to Medicaid.nc.gov. 2023 ANNUAL LICENSE FEES ARE DUE: Annual license fees are due. There are a few other changes to the Annual License Fee process: • All invoices will be emailed, and no paper copies will be sent through the U.S. Postal Service. • All invoices will be emailed by December 1, 2023 and will include the invoice number and total amount due. • All payments are due no later than December 31, 2023. Payments must be submitted online only through the Division’s website using a Mastercard or Visa debit or credit card, or by e-check. Providers will need their Facility ID number and their 2023 Invoice number to complete the payment process. Annual license fees do not apply to state or public-school operated child care facilities, or to religious sponsored facilities operated pursuant to a Notice of Compliance. Failure to pay the license fee is a violation of NCGS § 110-90(1a) and can result in a revocation of your child care license. In addition, unpaid license fees will be assessed a 10% late fee and accrued interest as established by NCGS § 147-86.23. If you have any questions, check the short Frequently Asked Questions on our website for answers or email DCDEE_LF@dhhs.nc.gov. CONTACT INFORMATION: If you have any questions about today’s visit, my contact information is listed above. You may also contact Licensing Supervisor, Susan Fuller at 252-373-9809 or email at susan.fuller@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0601 · Violation

Name of Operation: LITTLE MARK CHILD CARE CENTER Facility ID: 33000437 Consultant: ANGELA NIEVES Operation Type: Center Case Number: Visit Date: 7/20/2023 Number Present: 24 Completed Date: 7/20/2023 Age: From 0 To 11 Total Minutes: 275 Time In: 09:20 AM Time Out: 01:55 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor this facility for compliance with applicable child care requirements during a routine unannounced visit. You, A. Pettaway, administrator, were present available to assist with today’s visit. Your program currently operates with a G.S. 110-106, Notice of Compliance, issued April 27, 2011. The last annual compliance visit was conducted on January 23, 2023. The sanitation inspection was completed on November 8, 2022, with a “Superior” classification “2” demerits. The fire inspection was completed on January 4, 2023, and the center was approved for daytime care only. The notice of compliance was, and the restrictions were in compliance. Twenty-four (24) children from ages zero (0) to eleven (11) were present during the visit. A walk-through of the facility was completed today, all indoor and outdoor areas were monitored. I observed children in both the indoor and outdoor learning environments. Children throughout the facility were participating in free play in activity areas, transitions, and personal care routines. Infants were interacting and playing on the floor with the teacher. The children were observed eating the following for lunch: hot dogs, french fries, peaches, and bread, and milk. The following were monitored: Supervision, Staff Child Ratio, First Aid, CPR, ITS SIDS, Special Training, CBC Qualification, Emergency Medical Care Plan, Storage of Hazardous Substances, Administration of Medication, Adequate/Approved Space, Permit Restrictions, and Program Records. One (1) new staff record was reviewed today. Any violations of the child care requirements observed today were discussed with you and documented in the visit summary report and reviewed with you at the conclusion of the visit. The following violations of the child care requirements were documented today: Violation Number Comment Rule 807 A safe indoor and outdoor environment was not provided for the children. The following items need to be fixed or removed from the playground immediately: a large climbing structure with a slide was cracked in several places, the large play structure in the middle of the playground had a cracked tunnel, there was a cracked mini coop car, a plastic kitchen with a cracked door, a plastic kitchen that had mildew and spider webs on it, and the wooden boards surrounding the large play structure had a cracked board with a rusted nail sticking out from the board. 10A NCAC 09 .0601(a) 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 there was a tube of Triple Paste Diaper Cream that did not have a permission to administer topical ointment form for review. 10A NCAC 09 .0803(1)(a & b) 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. The EMC plan plan was last reviewed with staff on February 15, 2022. 10A NCAC 09 .0802(a) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. A new employee with the hire date of March 3, 2023, did not have a medical report on file available for review. 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. One new staff member with the hire date of March 3, 2023, did not have a negative TB test results available for review. .0701(a) 1041 Prior to employment a Criminal Background Check was not completed. An employee with a start date of March 3, 2023, did not complete and have on file a criminal background check prior to employment. G.S. 110-90.2(b) 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. One new employee with the hire date of March 3, 2023, did not have verification of completion of First Aid on file for review. .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. One new staff member with the hire date of March 3, 2023, did not have verification of completion of CPR available for review. .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 August 3, 2023, I must receive a written, dated, and signed compliance letter that describes accurately and in detail how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Mail or email the information to: Angela Nieves, Child Care Consultant PO Box 8741 Rocky Mount, NC 27804 Angela.nieves@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 The two-week time frame is established to allow you time for submitting your compliance letter. This time frame is not intended to be used as a guide for correcting violations, as they should be corrected immediately. Please be aware that any written information submitted by you regarding correction of violations documented during today's visit is legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility's license could be issued. COMPLIANCE HISTORY: Prior to conducting today’s visit your center’s Compliance History score, over an 18-month period time frame, is 97%. The violations documented could impact the center’s overall Compliance History score. Your compliance score must be maintained at 75% or higher or an Administrative Action may be warranted. CORPORATION STATUS: St. Mark Deliverance Church, Inc. is a non-profit corporation and is listed as the current owner of this center. According to information verified on the North Carolina Secretary of State’s website, St. Mark Deliverance Church, Inc. remains current and active. Prior to making any changes to the corporation status, please contact me to discuss change of ownership procedures. The corporation status for your program must always remain current and active. Failure to comply may affect your license. FACILITY PROFILE INFORMATION: You verified the mailing address, email address, and phone number listed on the facility profile are correct. If changes in your facility’s information occurs, please contact me at 252-557-5597 or email me at angela.nieves@dhhs.nc.gov to discuss the changes and ensure the information is current in our system. TECHNICAL ASSISTANCE/CONSULTATION: NEW STAFF FILE: One new staff was reviewed today. The first day of employment was March 3, 2023. The following items were missing from the staff file: a medical statement was not on file prior to employment and a negative TB test was not on file prior to the first day of work. The file was also missing a Recognizing and Responding to Suspicions of Child Maltreatment certificate, this training must be taken within 90 days of hire. Your employee can visit the Prevent Child Abuse and Neglect NC at https://www.preventchildabusenc.org/recognizing-responding-online-course/ to take the training. Once the training is completed have your employee print of the certificate and put in the employee file. VOLUNTEER/UNCOMPENSATED PROVIDER: You had an individual that you listed as a volunteer; however, we reviewed the definition of Uncompensated Provider, and you determined that this individual qualifies as an Uncompensated Provider. We discussed that if this provider was going to be counted in staff/child ratio and is left alone with children, they would need to complete the Health and Safety Trainings, CPR/FA training, and the SIDS training. Your uncompensated provider has completed CPR/FA, please complete the health and safety trainings and SIDS training. CRMINAL BACKGROUND CHECK: Upon review of the new employee file, Kamiya Dupree, did not complete and obtain a criminal background check prior to the start date of March 3, 2023. You stated that you had submitted the finger prints, but received noticed that the finger prints were not on file with the Division of Child Development and Early Education (DCDEE). Upon review of the ABCMS portal, it stated that a new application was needed for Ms. Dupree. We reviewed how to submit the application and for Ms. Dupree to contact DCDEE, criminal records unit, for any questions she may have. We also discussed that Ms. Dupree could not return to the center until she had qualifying criminal records letter to put in her file. CPR AND FIRST AID: One (1) staff member with a first day of employment date of March 3, 2023, did not have proof of CPR and First Aid training. All new employees must have proof of CPR and First Aid training with 90 days of hire. You may contact Down East Partnership for children via there website at www.depc.org to see if they have any CPR and First Aid trainings on their training calendar. I am also leaving you a list of the approved CPR and First Aid organizations. EMERGENCY MEDICAL CARE PLAN (EMC): You had an Emergency Medical Care Plan posted with the date of February 15, 2022. When asked if you had updated the form and reviewed with your staff you replied, “No.” I informed you the EMC plan needed to be reviewed and updated (if needed) annually. You told me you were not aware the EMC plan needed to be reviewed annually. OUTDOOR PLAY AREA AND EQUIPMENT: The following broken items were on the playground: There was a large piece of climbing equipment/slide in the right-hand corner of the playground, it was cracked in several areas of the structure, including where the children stand on it; this piece of equipment was also covered in spider webs. In the middle of the playground in the sand fall zone, there was large play structure that a had tunnel that was cracked on top of the tunnel. The tunnel was full of wet sand and had spider webs covering it. There was also a mini coop car with a cracked seat. When you first enter the playground to the left, there were two plastic play kitchens next to the fence. Once had cracked pieces on it and on had mildew on it. The wooden boarders surrounding the fall zone had a cracked wooden board with a rusted nail protruding out from it. The nail can cause a child to get cut on it. Please remove the nail and replace with a non-rusted nail and make sure it is not protruding out from the wood. The items mentioned above must be removed immediately. Please remember when outdoor items become broken on the playground, they need to be removed from the outdoor play area immediately, so children do not get hurt. There were several riding toys in the fall zone with the large piece of playground equipment. Please remember to remove all play items from the fall zone, so children do not trip and get hurt on them. MEDICATION: In space 3, there was a tube of Triple Paste Diaper cream that did not have a permission to administer topical ointment form. You stated that the diaper cream should not have been in the classroom, because you do not allow medications or diaper creams to be used. We discussed if you decide to allow topical ointments to be used; the parent will need to complete and sign a permission to administer topical ointments form. RMINDERS: FIRE INSPECTIONS: As a reminder the following child care rule is a requirement, and a violation will be written when a fire inspection is not submitted to your child care consultant within the time period stated below: 10A NCAC 09 .0304 ON-GOING REQUIREMENTS FOR A LICENSE (a)Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division. RESOURCES: PREVENT CHILD ABUSE AND NEGLECT NC: (for the Recognizing and Responding to Suspicions of Child Maltreatment training) https://www.preventchildabusenc.org/recognizing-responding-online-course/ EARLY CHILDHOOD EQUIVALENCY EXAM NOW ON DCDEE MOODLE: The North Carolina Early Childhood Equivalency Exam is a new pathway option comparable to a NC Early Childhood Credential. Applicants who achieve a score of 80% or higher on the NC Early Childhood Equivalency Exam earn the new North Carolina Early Childhood Equivalency Certificate. This certificate is equivalent to a North Carolina Early Childhood Credential and will qualify the individual to be a lead teacher in an early childhood classroom. To take the exam, go to DCDEE Moodle and select Early Childhood Professional Development/Child Care and Development Fund (CCDF)/North Carolina Early Childhood Equivalency Exam: https://www.dcdee.moodle.nc.gov/login/index.php GETTING HELP WITH CHALLENGING BEHAVIORS: The Healthy Social Behaviors in Child Care Centers Project (HSB) provides ideas to create a learning environment that can assist in preventing challenging behaviors. They provide free technical assistance, professional development, and they offer a variety of additional resources. For additional information on the Healthy Social Behaviors Project or to view a current listing of scheduled trainings, browse the NC Child Care Resource & Referral Council website. For information about Pyramid Model CEU-level trainings, contact the HSB Education Specialist, Liz Tuttle at etuttle@childcareresourcesinc.org. To obtain a Request for TA Services, contact your local Behavior Specialist or email the Statewide Project Manager, Smokie Brawley, at sbrawley@childcareresourcesinc.org. STABILIZATION GRANT: If you have any questions or concerns about the stabilization grant, please contact me at 252-567-5597 or angela.nieves@dhhs.nc.gov MATERIALS PROVIDED DURING THE VISIT: • Challenging Behaviors Flyer • CPF and First Aid Approved Organizations CONTACT INFORMATION: If you have any questions about today’s visit, my contact information is listed above. You may also contact Licensing Supervisor, Susan Fuller at 252-373-9809 or email at susan.fuller@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

10A NCAC 09 .0304 · Violation

Name of Operation: LITTLE MARK CHILD CARE CENTER Facility ID: 33000437 Consultant: ANGELA NIEVES Operation Type: Center Case Number: Visit Date: 7/20/2023 Number Present: 24 Completed Date: 7/20/2023 Age: From 0 To 11 Total Minutes: 275 Time In: 09:20 AM Time Out: 01:55 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor this facility for compliance with applicable child care requirements during a routine unannounced visit. You, A. Pettaway, administrator, were present available to assist with today’s visit. Your program currently operates with a G.S. 110-106, Notice of Compliance, issued April 27, 2011. The last annual compliance visit was conducted on January 23, 2023. The sanitation inspection was completed on November 8, 2022, with a “Superior” classification “2” demerits. The fire inspection was completed on January 4, 2023, and the center was approved for daytime care only. The notice of compliance was, and the restrictions were in compliance. Twenty-four (24) children from ages zero (0) to eleven (11) were present during the visit. A walk-through of the facility was completed today, all indoor and outdoor areas were monitored. I observed children in both the indoor and outdoor learning environments. Children throughout the facility were participating in free play in activity areas, transitions, and personal care routines. Infants were interacting and playing on the floor with the teacher. The children were observed eating the following for lunch: hot dogs, french fries, peaches, and bread, and milk. The following were monitored: Supervision, Staff Child Ratio, First Aid, CPR, ITS SIDS, Special Training, CBC Qualification, Emergency Medical Care Plan, Storage of Hazardous Substances, Administration of Medication, Adequate/Approved Space, Permit Restrictions, and Program Records. One (1) new staff record was reviewed today. Any violations of the child care requirements observed today were discussed with you and documented in the visit summary report and reviewed with you at the conclusion of the visit. The following violations of the child care requirements were documented today: Violation Number Comment Rule 807 A safe indoor and outdoor environment was not provided for the children. The following items need to be fixed or removed from the playground immediately: a large climbing structure with a slide was cracked in several places, the large play structure in the middle of the playground had a cracked tunnel, there was a cracked mini coop car, a plastic kitchen with a cracked door, a plastic kitchen that had mildew and spider webs on it, and the wooden boards surrounding the large play structure had a cracked board with a rusted nail sticking out from the board. 10A NCAC 09 .0601(a) 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 there was a tube of Triple Paste Diaper Cream that did not have a permission to administer topical ointment form for review. 10A NCAC 09 .0803(1)(a & b) 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. The EMC plan plan was last reviewed with staff on February 15, 2022. 10A NCAC 09 .0802(a) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. A new employee with the hire date of March 3, 2023, did not have a medical report on file available for review. 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. One new staff member with the hire date of March 3, 2023, did not have a negative TB test results available for review. .0701(a) 1041 Prior to employment a Criminal Background Check was not completed. An employee with a start date of March 3, 2023, did not complete and have on file a criminal background check prior to employment. G.S. 110-90.2(b) 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. One new employee with the hire date of March 3, 2023, did not have verification of completion of First Aid on file for review. .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. One new staff member with the hire date of March 3, 2023, did not have verification of completion of CPR available for review. .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 August 3, 2023, I must receive a written, dated, and signed compliance letter that describes accurately and in detail how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Mail or email the information to: Angela Nieves, Child Care Consultant PO Box 8741 Rocky Mount, NC 27804 Angela.nieves@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 The two-week time frame is established to allow you time for submitting your compliance letter. This time frame is not intended to be used as a guide for correcting violations, as they should be corrected immediately. Please be aware that any written information submitted by you regarding correction of violations documented during today's visit is legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility's license could be issued. COMPLIANCE HISTORY: Prior to conducting today’s visit your center’s Compliance History score, over an 18-month period time frame, is 97%. The violations documented could impact the center’s overall Compliance History score. Your compliance score must be maintained at 75% or higher or an Administrative Action may be warranted. CORPORATION STATUS: St. Mark Deliverance Church, Inc. is a non-profit corporation and is listed as the current owner of this center. According to information verified on the North Carolina Secretary of State’s website, St. Mark Deliverance Church, Inc. remains current and active. Prior to making any changes to the corporation status, please contact me to discuss change of ownership procedures. The corporation status for your program must always remain current and active. Failure to comply may affect your license. FACILITY PROFILE INFORMATION: You verified the mailing address, email address, and phone number listed on the facility profile are correct. If changes in your facility’s information occurs, please contact me at 252-557-5597 or email me at angela.nieves@dhhs.nc.gov to discuss the changes and ensure the information is current in our system. TECHNICAL ASSISTANCE/CONSULTATION: NEW STAFF FILE: One new staff was reviewed today. The first day of employment was March 3, 2023. The following items were missing from the staff file: a medical statement was not on file prior to employment and a negative TB test was not on file prior to the first day of work. The file was also missing a Recognizing and Responding to Suspicions of Child Maltreatment certificate, this training must be taken within 90 days of hire. Your employee can visit the Prevent Child Abuse and Neglect NC at https://www.preventchildabusenc.org/recognizing-responding-online-course/ to take the training. Once the training is completed have your employee print of the certificate and put in the employee file. VOLUNTEER/UNCOMPENSATED PROVIDER: You had an individual that you listed as a volunteer; however, we reviewed the definition of Uncompensated Provider, and you determined that this individual qualifies as an Uncompensated Provider. We discussed that if this provider was going to be counted in staff/child ratio and is left alone with children, they would need to complete the Health and Safety Trainings, CPR/FA training, and the SIDS training. Your uncompensated provider has completed CPR/FA, please complete the health and safety trainings and SIDS training. CRMINAL BACKGROUND CHECK: Upon review of the new employee file, Kamiya Dupree, did not complete and obtain a criminal background check prior to the start date of March 3, 2023. You stated that you had submitted the finger prints, but received noticed that the finger prints were not on file with the Division of Child Development and Early Education (DCDEE). Upon review of the ABCMS portal, it stated that a new application was needed for Ms. Dupree. We reviewed how to submit the application and for Ms. Dupree to contact DCDEE, criminal records unit, for any questions she may have. We also discussed that Ms. Dupree could not return to the center until she had qualifying criminal records letter to put in her file. CPR AND FIRST AID: One (1) staff member with a first day of employment date of March 3, 2023, did not have proof of CPR and First Aid training. All new employees must have proof of CPR and First Aid training with 90 days of hire. You may contact Down East Partnership for children via there website at www.depc.org to see if they have any CPR and First Aid trainings on their training calendar. I am also leaving you a list of the approved CPR and First Aid organizations. EMERGENCY MEDICAL CARE PLAN (EMC): You had an Emergency Medical Care Plan posted with the date of February 15, 2022. When asked if you had updated the form and reviewed with your staff you replied, “No.” I informed you the EMC plan needed to be reviewed and updated (if needed) annually. You told me you were not aware the EMC plan needed to be reviewed annually. OUTDOOR PLAY AREA AND EQUIPMENT: The following broken items were on the playground: There was a large piece of climbing equipment/slide in the right-hand corner of the playground, it was cracked in several areas of the structure, including where the children stand on it; this piece of equipment was also covered in spider webs. In the middle of the playground in the sand fall zone, there was large play structure that a had tunnel that was cracked on top of the tunnel. The tunnel was full of wet sand and had spider webs covering it. There was also a mini coop car with a cracked seat. When you first enter the playground to the left, there were two plastic play kitchens next to the fence. Once had cracked pieces on it and on had mildew on it. The wooden boarders surrounding the fall zone had a cracked wooden board with a rusted nail protruding out from it. The nail can cause a child to get cut on it. Please remove the nail and replace with a non-rusted nail and make sure it is not protruding out from the wood. The items mentioned above must be removed immediately. Please remember when outdoor items become broken on the playground, they need to be removed from the outdoor play area immediately, so children do not get hurt. There were several riding toys in the fall zone with the large piece of playground equipment. Please remember to remove all play items from the fall zone, so children do not trip and get hurt on them. MEDICATION: In space 3, there was a tube of Triple Paste Diaper cream that did not have a permission to administer topical ointment form. You stated that the diaper cream should not have been in the classroom, because you do not allow medications or diaper creams to be used. We discussed if you decide to allow topical ointments to be used; the parent will need to complete and sign a permission to administer topical ointments form. RMINDERS: FIRE INSPECTIONS: As a reminder the following child care rule is a requirement, and a violation will be written when a fire inspection is not submitted to your child care consultant within the time period stated below: 10A NCAC 09 .0304 ON-GOING REQUIREMENTS FOR A LICENSE (a)Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division. RESOURCES: PREVENT CHILD ABUSE AND NEGLECT NC: (for the Recognizing and Responding to Suspicions of Child Maltreatment training) https://www.preventchildabusenc.org/recognizing-responding-online-course/ EARLY CHILDHOOD EQUIVALENCY EXAM NOW ON DCDEE MOODLE: The North Carolina Early Childhood Equivalency Exam is a new pathway option comparable to a NC Early Childhood Credential. Applicants who achieve a score of 80% or higher on the NC Early Childhood Equivalency Exam earn the new North Carolina Early Childhood Equivalency Certificate. This certificate is equivalent to a North Carolina Early Childhood Credential and will qualify the individual to be a lead teacher in an early childhood classroom. To take the exam, go to DCDEE Moodle and select Early Childhood Professional Development/Child Care and Development Fund (CCDF)/North Carolina Early Childhood Equivalency Exam: https://www.dcdee.moodle.nc.gov/login/index.php GETTING HELP WITH CHALLENGING BEHAVIORS: The Healthy Social Behaviors in Child Care Centers Project (HSB) provides ideas to create a learning environment that can assist in preventing challenging behaviors. They provide free technical assistance, professional development, and they offer a variety of additional resources. For additional information on the Healthy Social Behaviors Project or to view a current listing of scheduled trainings, browse the NC Child Care Resource & Referral Council website. For information about Pyramid Model CEU-level trainings, contact the HSB Education Specialist, Liz Tuttle at etuttle@childcareresourcesinc.org. To obtain a Request for TA Services, contact your local Behavior Specialist or email the Statewide Project Manager, Smokie Brawley, at sbrawley@childcareresourcesinc.org. STABILIZATION GRANT: If you have any questions or concerns about the stabilization grant, please contact me at 252-567-5597 or angela.nieves@dhhs.nc.gov MATERIALS PROVIDED DURING THE VISIT: • Challenging Behaviors Flyer • CPF and First Aid Approved Organizations CONTACT INFORMATION: If you have any questions about today’s visit, my contact information is listed above. You may also contact Licensing Supervisor, Susan Fuller at 252-373-9809 or email at susan.fuller@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0701 · Violation

Name of Operation: LITTLE MARK CHILD CARE CENTER Facility ID: 33000437 Consultant: ANGELA NIEVES Operation Type: Center Case Number: Visit Date: 7/20/2023 Number Present: 24 Completed Date: 7/20/2023 Age: From 0 To 11 Total Minutes: 275 Time In: 09:20 AM Time Out: 01:55 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor this facility for compliance with applicable child care requirements during a routine unannounced visit. You, A. Pettaway, administrator, were present available to assist with today’s visit. Your program currently operates with a G.S. 110-106, Notice of Compliance, issued April 27, 2011. The last annual compliance visit was conducted on January 23, 2023. The sanitation inspection was completed on November 8, 2022, with a “Superior” classification “2” demerits. The fire inspection was completed on January 4, 2023, and the center was approved for daytime care only. The notice of compliance was, and the restrictions were in compliance. Twenty-four (24) children from ages zero (0) to eleven (11) were present during the visit. A walk-through of the facility was completed today, all indoor and outdoor areas were monitored. I observed children in both the indoor and outdoor learning environments. Children throughout the facility were participating in free play in activity areas, transitions, and personal care routines. Infants were interacting and playing on the floor with the teacher. The children were observed eating the following for lunch: hot dogs, french fries, peaches, and bread, and milk. The following were monitored: Supervision, Staff Child Ratio, First Aid, CPR, ITS SIDS, Special Training, CBC Qualification, Emergency Medical Care Plan, Storage of Hazardous Substances, Administration of Medication, Adequate/Approved Space, Permit Restrictions, and Program Records. One (1) new staff record was reviewed today. Any violations of the child care requirements observed today were discussed with you and documented in the visit summary report and reviewed with you at the conclusion of the visit. The following violations of the child care requirements were documented today: Violation Number Comment Rule 807 A safe indoor and outdoor environment was not provided for the children. The following items need to be fixed or removed from the playground immediately: a large climbing structure with a slide was cracked in several places, the large play structure in the middle of the playground had a cracked tunnel, there was a cracked mini coop car, a plastic kitchen with a cracked door, a plastic kitchen that had mildew and spider webs on it, and the wooden boards surrounding the large play structure had a cracked board with a rusted nail sticking out from the board. 10A NCAC 09 .0601(a) 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 there was a tube of Triple Paste Diaper Cream that did not have a permission to administer topical ointment form for review. 10A NCAC 09 .0803(1)(a & b) 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. The EMC plan plan was last reviewed with staff on February 15, 2022. 10A NCAC 09 .0802(a) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. A new employee with the hire date of March 3, 2023, did not have a medical report on file available for review. 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. One new staff member with the hire date of March 3, 2023, did not have a negative TB test results available for review. .0701(a) 1041 Prior to employment a Criminal Background Check was not completed. An employee with a start date of March 3, 2023, did not complete and have on file a criminal background check prior to employment. G.S. 110-90.2(b) 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. One new employee with the hire date of March 3, 2023, did not have verification of completion of First Aid on file for review. .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. One new staff member with the hire date of March 3, 2023, did not have verification of completion of CPR available for review. .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 August 3, 2023, I must receive a written, dated, and signed compliance letter that describes accurately and in detail how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Mail or email the information to: Angela Nieves, Child Care Consultant PO Box 8741 Rocky Mount, NC 27804 Angela.nieves@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 The two-week time frame is established to allow you time for submitting your compliance letter. This time frame is not intended to be used as a guide for correcting violations, as they should be corrected immediately. Please be aware that any written information submitted by you regarding correction of violations documented during today's visit is legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility's license could be issued. COMPLIANCE HISTORY: Prior to conducting today’s visit your center’s Compliance History score, over an 18-month period time frame, is 97%. The violations documented could impact the center’s overall Compliance History score. Your compliance score must be maintained at 75% or higher or an Administrative Action may be warranted. CORPORATION STATUS: St. Mark Deliverance Church, Inc. is a non-profit corporation and is listed as the current owner of this center. According to information verified on the North Carolina Secretary of State’s website, St. Mark Deliverance Church, Inc. remains current and active. Prior to making any changes to the corporation status, please contact me to discuss change of ownership procedures. The corporation status for your program must always remain current and active. Failure to comply may affect your license. FACILITY PROFILE INFORMATION: You verified the mailing address, email address, and phone number listed on the facility profile are correct. If changes in your facility’s information occurs, please contact me at 252-557-5597 or email me at angela.nieves@dhhs.nc.gov to discuss the changes and ensure the information is current in our system. TECHNICAL ASSISTANCE/CONSULTATION: NEW STAFF FILE: One new staff was reviewed today. The first day of employment was March 3, 2023. The following items were missing from the staff file: a medical statement was not on file prior to employment and a negative TB test was not on file prior to the first day of work. The file was also missing a Recognizing and Responding to Suspicions of Child Maltreatment certificate, this training must be taken within 90 days of hire. Your employee can visit the Prevent Child Abuse and Neglect NC at https://www.preventchildabusenc.org/recognizing-responding-online-course/ to take the training. Once the training is completed have your employee print of the certificate and put in the employee file. VOLUNTEER/UNCOMPENSATED PROVIDER: You had an individual that you listed as a volunteer; however, we reviewed the definition of Uncompensated Provider, and you determined that this individual qualifies as an Uncompensated Provider. We discussed that if this provider was going to be counted in staff/child ratio and is left alone with children, they would need to complete the Health and Safety Trainings, CPR/FA training, and the SIDS training. Your uncompensated provider has completed CPR/FA, please complete the health and safety trainings and SIDS training. CRMINAL BACKGROUND CHECK: Upon review of the new employee file, Kamiya Dupree, did not complete and obtain a criminal background check prior to the start date of March 3, 2023. You stated that you had submitted the finger prints, but received noticed that the finger prints were not on file with the Division of Child Development and Early Education (DCDEE). Upon review of the ABCMS portal, it stated that a new application was needed for Ms. Dupree. We reviewed how to submit the application and for Ms. Dupree to contact DCDEE, criminal records unit, for any questions she may have. We also discussed that Ms. Dupree could not return to the center until she had qualifying criminal records letter to put in her file. CPR AND FIRST AID: One (1) staff member with a first day of employment date of March 3, 2023, did not have proof of CPR and First Aid training. All new employees must have proof of CPR and First Aid training with 90 days of hire. You may contact Down East Partnership for children via there website at www.depc.org to see if they have any CPR and First Aid trainings on their training calendar. I am also leaving you a list of the approved CPR and First Aid organizations. EMERGENCY MEDICAL CARE PLAN (EMC): You had an Emergency Medical Care Plan posted with the date of February 15, 2022. When asked if you had updated the form and reviewed with your staff you replied, “No.” I informed you the EMC plan needed to be reviewed and updated (if needed) annually. You told me you were not aware the EMC plan needed to be reviewed annually. OUTDOOR PLAY AREA AND EQUIPMENT: The following broken items were on the playground: There was a large piece of climbing equipment/slide in the right-hand corner of the playground, it was cracked in several areas of the structure, including where the children stand on it; this piece of equipment was also covered in spider webs. In the middle of the playground in the sand fall zone, there was large play structure that a had tunnel that was cracked on top of the tunnel. The tunnel was full of wet sand and had spider webs covering it. There was also a mini coop car with a cracked seat. When you first enter the playground to the left, there were two plastic play kitchens next to the fence. Once had cracked pieces on it and on had mildew on it. The wooden boarders surrounding the fall zone had a cracked wooden board with a rusted nail protruding out from it. The nail can cause a child to get cut on it. Please remove the nail and replace with a non-rusted nail and make sure it is not protruding out from the wood. The items mentioned above must be removed immediately. Please remember when outdoor items become broken on the playground, they need to be removed from the outdoor play area immediately, so children do not get hurt. There were several riding toys in the fall zone with the large piece of playground equipment. Please remember to remove all play items from the fall zone, so children do not trip and get hurt on them. MEDICATION: In space 3, there was a tube of Triple Paste Diaper cream that did not have a permission to administer topical ointment form. You stated that the diaper cream should not have been in the classroom, because you do not allow medications or diaper creams to be used. We discussed if you decide to allow topical ointments to be used; the parent will need to complete and sign a permission to administer topical ointments form. RMINDERS: FIRE INSPECTIONS: As a reminder the following child care rule is a requirement, and a violation will be written when a fire inspection is not submitted to your child care consultant within the time period stated below: 10A NCAC 09 .0304 ON-GOING REQUIREMENTS FOR A LICENSE (a)Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division. RESOURCES: PREVENT CHILD ABUSE AND NEGLECT NC: (for the Recognizing and Responding to Suspicions of Child Maltreatment training) https://www.preventchildabusenc.org/recognizing-responding-online-course/ EARLY CHILDHOOD EQUIVALENCY EXAM NOW ON DCDEE MOODLE: The North Carolina Early Childhood Equivalency Exam is a new pathway option comparable to a NC Early Childhood Credential. Applicants who achieve a score of 80% or higher on the NC Early Childhood Equivalency Exam earn the new North Carolina Early Childhood Equivalency Certificate. This certificate is equivalent to a North Carolina Early Childhood Credential and will qualify the individual to be a lead teacher in an early childhood classroom. To take the exam, go to DCDEE Moodle and select Early Childhood Professional Development/Child Care and Development Fund (CCDF)/North Carolina Early Childhood Equivalency Exam: https://www.dcdee.moodle.nc.gov/login/index.php GETTING HELP WITH CHALLENGING BEHAVIORS: The Healthy Social Behaviors in Child Care Centers Project (HSB) provides ideas to create a learning environment that can assist in preventing challenging behaviors. They provide free technical assistance, professional development, and they offer a variety of additional resources. For additional information on the Healthy Social Behaviors Project or to view a current listing of scheduled trainings, browse the NC Child Care Resource & Referral Council website. For information about Pyramid Model CEU-level trainings, contact the HSB Education Specialist, Liz Tuttle at etuttle@childcareresourcesinc.org. To obtain a Request for TA Services, contact your local Behavior Specialist or email the Statewide Project Manager, Smokie Brawley, at sbrawley@childcareresourcesinc.org. STABILIZATION GRANT: If you have any questions or concerns about the stabilization grant, please contact me at 252-567-5597 or angela.nieves@dhhs.nc.gov MATERIALS PROVIDED DURING THE VISIT: • Challenging Behaviors Flyer • CPF and First Aid Approved Organizations CONTACT INFORMATION: If you have any questions about today’s visit, my contact information is listed above. You may also contact Licensing Supervisor, Susan Fuller at 252-373-9809 or email at susan.fuller@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0802 · Violation

Name of Operation: LITTLE MARK CHILD CARE CENTER Facility ID: 33000437 Consultant: ANGELA NIEVES Operation Type: Center Case Number: Visit Date: 7/20/2023 Number Present: 24 Completed Date: 7/20/2023 Age: From 0 To 11 Total Minutes: 275 Time In: 09:20 AM Time Out: 01:55 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor this facility for compliance with applicable child care requirements during a routine unannounced visit. You, A. Pettaway, administrator, were present available to assist with today’s visit. Your program currently operates with a G.S. 110-106, Notice of Compliance, issued April 27, 2011. The last annual compliance visit was conducted on January 23, 2023. The sanitation inspection was completed on November 8, 2022, with a “Superior” classification “2” demerits. The fire inspection was completed on January 4, 2023, and the center was approved for daytime care only. The notice of compliance was, and the restrictions were in compliance. Twenty-four (24) children from ages zero (0) to eleven (11) were present during the visit. A walk-through of the facility was completed today, all indoor and outdoor areas were monitored. I observed children in both the indoor and outdoor learning environments. Children throughout the facility were participating in free play in activity areas, transitions, and personal care routines. Infants were interacting and playing on the floor with the teacher. The children were observed eating the following for lunch: hot dogs, french fries, peaches, and bread, and milk. The following were monitored: Supervision, Staff Child Ratio, First Aid, CPR, ITS SIDS, Special Training, CBC Qualification, Emergency Medical Care Plan, Storage of Hazardous Substances, Administration of Medication, Adequate/Approved Space, Permit Restrictions, and Program Records. One (1) new staff record was reviewed today. Any violations of the child care requirements observed today were discussed with you and documented in the visit summary report and reviewed with you at the conclusion of the visit. The following violations of the child care requirements were documented today: Violation Number Comment Rule 807 A safe indoor and outdoor environment was not provided for the children. The following items need to be fixed or removed from the playground immediately: a large climbing structure with a slide was cracked in several places, the large play structure in the middle of the playground had a cracked tunnel, there was a cracked mini coop car, a plastic kitchen with a cracked door, a plastic kitchen that had mildew and spider webs on it, and the wooden boards surrounding the large play structure had a cracked board with a rusted nail sticking out from the board. 10A NCAC 09 .0601(a) 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 there was a tube of Triple Paste Diaper Cream that did not have a permission to administer topical ointment form for review. 10A NCAC 09 .0803(1)(a & b) 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. The EMC plan plan was last reviewed with staff on February 15, 2022. 10A NCAC 09 .0802(a) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. A new employee with the hire date of March 3, 2023, did not have a medical report on file available for review. 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. One new staff member with the hire date of March 3, 2023, did not have a negative TB test results available for review. .0701(a) 1041 Prior to employment a Criminal Background Check was not completed. An employee with a start date of March 3, 2023, did not complete and have on file a criminal background check prior to employment. G.S. 110-90.2(b) 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. One new employee with the hire date of March 3, 2023, did not have verification of completion of First Aid on file for review. .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. One new staff member with the hire date of March 3, 2023, did not have verification of completion of CPR available for review. .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 August 3, 2023, I must receive a written, dated, and signed compliance letter that describes accurately and in detail how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Mail or email the information to: Angela Nieves, Child Care Consultant PO Box 8741 Rocky Mount, NC 27804 Angela.nieves@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 The two-week time frame is established to allow you time for submitting your compliance letter. This time frame is not intended to be used as a guide for correcting violations, as they should be corrected immediately. Please be aware that any written information submitted by you regarding correction of violations documented during today's visit is legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility's license could be issued. COMPLIANCE HISTORY: Prior to conducting today’s visit your center’s Compliance History score, over an 18-month period time frame, is 97%. The violations documented could impact the center’s overall Compliance History score. Your compliance score must be maintained at 75% or higher or an Administrative Action may be warranted. CORPORATION STATUS: St. Mark Deliverance Church, Inc. is a non-profit corporation and is listed as the current owner of this center. According to information verified on the North Carolina Secretary of State’s website, St. Mark Deliverance Church, Inc. remains current and active. Prior to making any changes to the corporation status, please contact me to discuss change of ownership procedures. The corporation status for your program must always remain current and active. Failure to comply may affect your license. FACILITY PROFILE INFORMATION: You verified the mailing address, email address, and phone number listed on the facility profile are correct. If changes in your facility’s information occurs, please contact me at 252-557-5597 or email me at angela.nieves@dhhs.nc.gov to discuss the changes and ensure the information is current in our system. TECHNICAL ASSISTANCE/CONSULTATION: NEW STAFF FILE: One new staff was reviewed today. The first day of employment was March 3, 2023. The following items were missing from the staff file: a medical statement was not on file prior to employment and a negative TB test was not on file prior to the first day of work. The file was also missing a Recognizing and Responding to Suspicions of Child Maltreatment certificate, this training must be taken within 90 days of hire. Your employee can visit the Prevent Child Abuse and Neglect NC at https://www.preventchildabusenc.org/recognizing-responding-online-course/ to take the training. Once the training is completed have your employee print of the certificate and put in the employee file. VOLUNTEER/UNCOMPENSATED PROVIDER: You had an individual that you listed as a volunteer; however, we reviewed the definition of Uncompensated Provider, and you determined that this individual qualifies as an Uncompensated Provider. We discussed that if this provider was going to be counted in staff/child ratio and is left alone with children, they would need to complete the Health and Safety Trainings, CPR/FA training, and the SIDS training. Your uncompensated provider has completed CPR/FA, please complete the health and safety trainings and SIDS training. CRMINAL BACKGROUND CHECK: Upon review of the new employee file, Kamiya Dupree, did not complete and obtain a criminal background check prior to the start date of March 3, 2023. You stated that you had submitted the finger prints, but received noticed that the finger prints were not on file with the Division of Child Development and Early Education (DCDEE). Upon review of the ABCMS portal, it stated that a new application was needed for Ms. Dupree. We reviewed how to submit the application and for Ms. Dupree to contact DCDEE, criminal records unit, for any questions she may have. We also discussed that Ms. Dupree could not return to the center until she had qualifying criminal records letter to put in her file. CPR AND FIRST AID: One (1) staff member with a first day of employment date of March 3, 2023, did not have proof of CPR and First Aid training. All new employees must have proof of CPR and First Aid training with 90 days of hire. You may contact Down East Partnership for children via there website at www.depc.org to see if they have any CPR and First Aid trainings on their training calendar. I am also leaving you a list of the approved CPR and First Aid organizations. EMERGENCY MEDICAL CARE PLAN (EMC): You had an Emergency Medical Care Plan posted with the date of February 15, 2022. When asked if you had updated the form and reviewed with your staff you replied, “No.” I informed you the EMC plan needed to be reviewed and updated (if needed) annually. You told me you were not aware the EMC plan needed to be reviewed annually. OUTDOOR PLAY AREA AND EQUIPMENT: The following broken items were on the playground: There was a large piece of climbing equipment/slide in the right-hand corner of the playground, it was cracked in several areas of the structure, including where the children stand on it; this piece of equipment was also covered in spider webs. In the middle of the playground in the sand fall zone, there was large play structure that a had tunnel that was cracked on top of the tunnel. The tunnel was full of wet sand and had spider webs covering it. There was also a mini coop car with a cracked seat. When you first enter the playground to the left, there were two plastic play kitchens next to the fence. Once had cracked pieces on it and on had mildew on it. The wooden boarders surrounding the fall zone had a cracked wooden board with a rusted nail protruding out from it. The nail can cause a child to get cut on it. Please remove the nail and replace with a non-rusted nail and make sure it is not protruding out from the wood. The items mentioned above must be removed immediately. Please remember when outdoor items become broken on the playground, they need to be removed from the outdoor play area immediately, so children do not get hurt. There were several riding toys in the fall zone with the large piece of playground equipment. Please remember to remove all play items from the fall zone, so children do not trip and get hurt on them. MEDICATION: In space 3, there was a tube of Triple Paste Diaper cream that did not have a permission to administer topical ointment form. You stated that the diaper cream should not have been in the classroom, because you do not allow medications or diaper creams to be used. We discussed if you decide to allow topical ointments to be used; the parent will need to complete and sign a permission to administer topical ointments form. RMINDERS: FIRE INSPECTIONS: As a reminder the following child care rule is a requirement, and a violation will be written when a fire inspection is not submitted to your child care consultant within the time period stated below: 10A NCAC 09 .0304 ON-GOING REQUIREMENTS FOR A LICENSE (a)Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division. RESOURCES: PREVENT CHILD ABUSE AND NEGLECT NC: (for the Recognizing and Responding to Suspicions of Child Maltreatment training) https://www.preventchildabusenc.org/recognizing-responding-online-course/ EARLY CHILDHOOD EQUIVALENCY EXAM NOW ON DCDEE MOODLE: The North Carolina Early Childhood Equivalency Exam is a new pathway option comparable to a NC Early Childhood Credential. Applicants who achieve a score of 80% or higher on the NC Early Childhood Equivalency Exam earn the new North Carolina Early Childhood Equivalency Certificate. This certificate is equivalent to a North Carolina Early Childhood Credential and will qualify the individual to be a lead teacher in an early childhood classroom. To take the exam, go to DCDEE Moodle and select Early Childhood Professional Development/Child Care and Development Fund (CCDF)/North Carolina Early Childhood Equivalency Exam: https://www.dcdee.moodle.nc.gov/login/index.php GETTING HELP WITH CHALLENGING BEHAVIORS: The Healthy Social Behaviors in Child Care Centers Project (HSB) provides ideas to create a learning environment that can assist in preventing challenging behaviors. They provide free technical assistance, professional development, and they offer a variety of additional resources. For additional information on the Healthy Social Behaviors Project or to view a current listing of scheduled trainings, browse the NC Child Care Resource & Referral Council website. For information about Pyramid Model CEU-level trainings, contact the HSB Education Specialist, Liz Tuttle at etuttle@childcareresourcesinc.org. To obtain a Request for TA Services, contact your local Behavior Specialist or email the Statewide Project Manager, Smokie Brawley, at sbrawley@childcareresourcesinc.org. STABILIZATION GRANT: If you have any questions or concerns about the stabilization grant, please contact me at 252-567-5597 or angela.nieves@dhhs.nc.gov MATERIALS PROVIDED DURING THE VISIT: • Challenging Behaviors Flyer • CPF and First Aid Approved Organizations CONTACT INFORMATION: If you have any questions about today’s visit, my contact information is listed above. You may also contact Licensing Supervisor, Susan Fuller at 252-373-9809 or email at susan.fuller@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0803 · Violation

Name of Operation: LITTLE MARK CHILD CARE CENTER Facility ID: 33000437 Consultant: ANGELA NIEVES Operation Type: Center Case Number: Visit Date: 7/20/2023 Number Present: 24 Completed Date: 7/20/2023 Age: From 0 To 11 Total Minutes: 275 Time In: 09:20 AM Time Out: 01:55 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor this facility for compliance with applicable child care requirements during a routine unannounced visit. You, A. Pettaway, administrator, were present available to assist with today’s visit. Your program currently operates with a G.S. 110-106, Notice of Compliance, issued April 27, 2011. The last annual compliance visit was conducted on January 23, 2023. The sanitation inspection was completed on November 8, 2022, with a “Superior” classification “2” demerits. The fire inspection was completed on January 4, 2023, and the center was approved for daytime care only. The notice of compliance was, and the restrictions were in compliance. Twenty-four (24) children from ages zero (0) to eleven (11) were present during the visit. A walk-through of the facility was completed today, all indoor and outdoor areas were monitored. I observed children in both the indoor and outdoor learning environments. Children throughout the facility were participating in free play in activity areas, transitions, and personal care routines. Infants were interacting and playing on the floor with the teacher. The children were observed eating the following for lunch: hot dogs, french fries, peaches, and bread, and milk. The following were monitored: Supervision, Staff Child Ratio, First Aid, CPR, ITS SIDS, Special Training, CBC Qualification, Emergency Medical Care Plan, Storage of Hazardous Substances, Administration of Medication, Adequate/Approved Space, Permit Restrictions, and Program Records. One (1) new staff record was reviewed today. Any violations of the child care requirements observed today were discussed with you and documented in the visit summary report and reviewed with you at the conclusion of the visit. The following violations of the child care requirements were documented today: Violation Number Comment Rule 807 A safe indoor and outdoor environment was not provided for the children. The following items need to be fixed or removed from the playground immediately: a large climbing structure with a slide was cracked in several places, the large play structure in the middle of the playground had a cracked tunnel, there was a cracked mini coop car, a plastic kitchen with a cracked door, a plastic kitchen that had mildew and spider webs on it, and the wooden boards surrounding the large play structure had a cracked board with a rusted nail sticking out from the board. 10A NCAC 09 .0601(a) 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 there was a tube of Triple Paste Diaper Cream that did not have a permission to administer topical ointment form for review. 10A NCAC 09 .0803(1)(a & b) 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. The EMC plan plan was last reviewed with staff on February 15, 2022. 10A NCAC 09 .0802(a) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. A new employee with the hire date of March 3, 2023, did not have a medical report on file available for review. 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. One new staff member with the hire date of March 3, 2023, did not have a negative TB test results available for review. .0701(a) 1041 Prior to employment a Criminal Background Check was not completed. An employee with a start date of March 3, 2023, did not complete and have on file a criminal background check prior to employment. G.S. 110-90.2(b) 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. One new employee with the hire date of March 3, 2023, did not have verification of completion of First Aid on file for review. .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. One new staff member with the hire date of March 3, 2023, did not have verification of completion of CPR available for review. .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 August 3, 2023, I must receive a written, dated, and signed compliance letter that describes accurately and in detail how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Mail or email the information to: Angela Nieves, Child Care Consultant PO Box 8741 Rocky Mount, NC 27804 Angela.nieves@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 The two-week time frame is established to allow you time for submitting your compliance letter. This time frame is not intended to be used as a guide for correcting violations, as they should be corrected immediately. Please be aware that any written information submitted by you regarding correction of violations documented during today's visit is legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility's license could be issued. COMPLIANCE HISTORY: Prior to conducting today’s visit your center’s Compliance History score, over an 18-month period time frame, is 97%. The violations documented could impact the center’s overall Compliance History score. Your compliance score must be maintained at 75% or higher or an Administrative Action may be warranted. CORPORATION STATUS: St. Mark Deliverance Church, Inc. is a non-profit corporation and is listed as the current owner of this center. According to information verified on the North Carolina Secretary of State’s website, St. Mark Deliverance Church, Inc. remains current and active. Prior to making any changes to the corporation status, please contact me to discuss change of ownership procedures. The corporation status for your program must always remain current and active. Failure to comply may affect your license. FACILITY PROFILE INFORMATION: You verified the mailing address, email address, and phone number listed on the facility profile are correct. If changes in your facility’s information occurs, please contact me at 252-557-5597 or email me at angela.nieves@dhhs.nc.gov to discuss the changes and ensure the information is current in our system. TECHNICAL ASSISTANCE/CONSULTATION: NEW STAFF FILE: One new staff was reviewed today. The first day of employment was March 3, 2023. The following items were missing from the staff file: a medical statement was not on file prior to employment and a negative TB test was not on file prior to the first day of work. The file was also missing a Recognizing and Responding to Suspicions of Child Maltreatment certificate, this training must be taken within 90 days of hire. Your employee can visit the Prevent Child Abuse and Neglect NC at https://www.preventchildabusenc.org/recognizing-responding-online-course/ to take the training. Once the training is completed have your employee print of the certificate and put in the employee file. VOLUNTEER/UNCOMPENSATED PROVIDER: You had an individual that you listed as a volunteer; however, we reviewed the definition of Uncompensated Provider, and you determined that this individual qualifies as an Uncompensated Provider. We discussed that if this provider was going to be counted in staff/child ratio and is left alone with children, they would need to complete the Health and Safety Trainings, CPR/FA training, and the SIDS training. Your uncompensated provider has completed CPR/FA, please complete the health and safety trainings and SIDS training. CRMINAL BACKGROUND CHECK: Upon review of the new employee file, Kamiya Dupree, did not complete and obtain a criminal background check prior to the start date of March 3, 2023. You stated that you had submitted the finger prints, but received noticed that the finger prints were not on file with the Division of Child Development and Early Education (DCDEE). Upon review of the ABCMS portal, it stated that a new application was needed for Ms. Dupree. We reviewed how to submit the application and for Ms. Dupree to contact DCDEE, criminal records unit, for any questions she may have. We also discussed that Ms. Dupree could not return to the center until she had qualifying criminal records letter to put in her file. CPR AND FIRST AID: One (1) staff member with a first day of employment date of March 3, 2023, did not have proof of CPR and First Aid training. All new employees must have proof of CPR and First Aid training with 90 days of hire. You may contact Down East Partnership for children via there website at www.depc.org to see if they have any CPR and First Aid trainings on their training calendar. I am also leaving you a list of the approved CPR and First Aid organizations. EMERGENCY MEDICAL CARE PLAN (EMC): You had an Emergency Medical Care Plan posted with the date of February 15, 2022. When asked if you had updated the form and reviewed with your staff you replied, “No.” I informed you the EMC plan needed to be reviewed and updated (if needed) annually. You told me you were not aware the EMC plan needed to be reviewed annually. OUTDOOR PLAY AREA AND EQUIPMENT: The following broken items were on the playground: There was a large piece of climbing equipment/slide in the right-hand corner of the playground, it was cracked in several areas of the structure, including where the children stand on it; this piece of equipment was also covered in spider webs. In the middle of the playground in the sand fall zone, there was large play structure that a had tunnel that was cracked on top of the tunnel. The tunnel was full of wet sand and had spider webs covering it. There was also a mini coop car with a cracked seat. When you first enter the playground to the left, there were two plastic play kitchens next to the fence. Once had cracked pieces on it and on had mildew on it. The wooden boarders surrounding the fall zone had a cracked wooden board with a rusted nail protruding out from it. The nail can cause a child to get cut on it. Please remove the nail and replace with a non-rusted nail and make sure it is not protruding out from the wood. The items mentioned above must be removed immediately. Please remember when outdoor items become broken on the playground, they need to be removed from the outdoor play area immediately, so children do not get hurt. There were several riding toys in the fall zone with the large piece of playground equipment. Please remember to remove all play items from the fall zone, so children do not trip and get hurt on them. MEDICATION: In space 3, there was a tube of Triple Paste Diaper cream that did not have a permission to administer topical ointment form. You stated that the diaper cream should not have been in the classroom, because you do not allow medications or diaper creams to be used. We discussed if you decide to allow topical ointments to be used; the parent will need to complete and sign a permission to administer topical ointments form. RMINDERS: FIRE INSPECTIONS: As a reminder the following child care rule is a requirement, and a violation will be written when a fire inspection is not submitted to your child care consultant within the time period stated below: 10A NCAC 09 .0304 ON-GOING REQUIREMENTS FOR A LICENSE (a)Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division. RESOURCES: PREVENT CHILD ABUSE AND NEGLECT NC: (for the Recognizing and Responding to Suspicions of Child Maltreatment training) https://www.preventchildabusenc.org/recognizing-responding-online-course/ EARLY CHILDHOOD EQUIVALENCY EXAM NOW ON DCDEE MOODLE: The North Carolina Early Childhood Equivalency Exam is a new pathway option comparable to a NC Early Childhood Credential. Applicants who achieve a score of 80% or higher on the NC Early Childhood Equivalency Exam earn the new North Carolina Early Childhood Equivalency Certificate. This certificate is equivalent to a North Carolina Early Childhood Credential and will qualify the individual to be a lead teacher in an early childhood classroom. To take the exam, go to DCDEE Moodle and select Early Childhood Professional Development/Child Care and Development Fund (CCDF)/North Carolina Early Childhood Equivalency Exam: https://www.dcdee.moodle.nc.gov/login/index.php GETTING HELP WITH CHALLENGING BEHAVIORS: The Healthy Social Behaviors in Child Care Centers Project (HSB) provides ideas to create a learning environment that can assist in preventing challenging behaviors. They provide free technical assistance, professional development, and they offer a variety of additional resources. For additional information on the Healthy Social Behaviors Project or to view a current listing of scheduled trainings, browse the NC Child Care Resource & Referral Council website. For information about Pyramid Model CEU-level trainings, contact the HSB Education Specialist, Liz Tuttle at etuttle@childcareresourcesinc.org. To obtain a Request for TA Services, contact your local Behavior Specialist or email the Statewide Project Manager, Smokie Brawley, at sbrawley@childcareresourcesinc.org. STABILIZATION GRANT: If you have any questions or concerns about the stabilization grant, please contact me at 252-567-5597 or angela.nieves@dhhs.nc.gov MATERIALS PROVIDED DURING THE VISIT: • Challenging Behaviors Flyer • CPF and First Aid Approved Organizations CONTACT INFORMATION: If you have any questions about today’s visit, my contact information is listed above. You may also contact Licensing Supervisor, Susan Fuller at 252-373-9809 or email at susan.fuller@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

G.S. 110-106 · Violation

Name of Operation: LITTLE MARK CHILD CARE CENTER Facility ID: 33000437 Consultant: ANGELA NIEVES Operation Type: Center Case Number: Visit Date: 7/20/2023 Number Present: 24 Completed Date: 7/20/2023 Age: From 0 To 11 Total Minutes: 275 Time In: 09:20 AM Time Out: 01:55 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor this facility for compliance with applicable child care requirements during a routine unannounced visit. You, A. Pettaway, administrator, were present available to assist with today’s visit. Your program currently operates with a G.S. 110-106, Notice of Compliance, issued April 27, 2011. The last annual compliance visit was conducted on January 23, 2023. The sanitation inspection was completed on November 8, 2022, with a “Superior” classification “2” demerits. The fire inspection was completed on January 4, 2023, and the center was approved for daytime care only. The notice of compliance was, and the restrictions were in compliance. Twenty-four (24) children from ages zero (0) to eleven (11) were present during the visit. A walk-through of the facility was completed today, all indoor and outdoor areas were monitored. I observed children in both the indoor and outdoor learning environments. Children throughout the facility were participating in free play in activity areas, transitions, and personal care routines. Infants were interacting and playing on the floor with the teacher. The children were observed eating the following for lunch: hot dogs, french fries, peaches, and bread, and milk. The following were monitored: Supervision, Staff Child Ratio, First Aid, CPR, ITS SIDS, Special Training, CBC Qualification, Emergency Medical Care Plan, Storage of Hazardous Substances, Administration of Medication, Adequate/Approved Space, Permit Restrictions, and Program Records. One (1) new staff record was reviewed today. Any violations of the child care requirements observed today were discussed with you and documented in the visit summary report and reviewed with you at the conclusion of the visit. The following violations of the child care requirements were documented today: Violation Number Comment Rule 807 A safe indoor and outdoor environment was not provided for the children. The following items need to be fixed or removed from the playground immediately: a large climbing structure with a slide was cracked in several places, the large play structure in the middle of the playground had a cracked tunnel, there was a cracked mini coop car, a plastic kitchen with a cracked door, a plastic kitchen that had mildew and spider webs on it, and the wooden boards surrounding the large play structure had a cracked board with a rusted nail sticking out from the board. 10A NCAC 09 .0601(a) 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 there was a tube of Triple Paste Diaper Cream that did not have a permission to administer topical ointment form for review. 10A NCAC 09 .0803(1)(a & b) 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. The EMC plan plan was last reviewed with staff on February 15, 2022. 10A NCAC 09 .0802(a) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. A new employee with the hire date of March 3, 2023, did not have a medical report on file available for review. 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. One new staff member with the hire date of March 3, 2023, did not have a negative TB test results available for review. .0701(a) 1041 Prior to employment a Criminal Background Check was not completed. An employee with a start date of March 3, 2023, did not complete and have on file a criminal background check prior to employment. G.S. 110-90.2(b) 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. One new employee with the hire date of March 3, 2023, did not have verification of completion of First Aid on file for review. .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. One new staff member with the hire date of March 3, 2023, did not have verification of completion of CPR available for review. .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 August 3, 2023, I must receive a written, dated, and signed compliance letter that describes accurately and in detail how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Mail or email the information to: Angela Nieves, Child Care Consultant PO Box 8741 Rocky Mount, NC 27804 Angela.nieves@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 The two-week time frame is established to allow you time for submitting your compliance letter. This time frame is not intended to be used as a guide for correcting violations, as they should be corrected immediately. Please be aware that any written information submitted by you regarding correction of violations documented during today's visit is legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility's license could be issued. COMPLIANCE HISTORY: Prior to conducting today’s visit your center’s Compliance History score, over an 18-month period time frame, is 97%. The violations documented could impact the center’s overall Compliance History score. Your compliance score must be maintained at 75% or higher or an Administrative Action may be warranted. CORPORATION STATUS: St. Mark Deliverance Church, Inc. is a non-profit corporation and is listed as the current owner of this center. According to information verified on the North Carolina Secretary of State’s website, St. Mark Deliverance Church, Inc. remains current and active. Prior to making any changes to the corporation status, please contact me to discuss change of ownership procedures. The corporation status for your program must always remain current and active. Failure to comply may affect your license. FACILITY PROFILE INFORMATION: You verified the mailing address, email address, and phone number listed on the facility profile are correct. If changes in your facility’s information occurs, please contact me at 252-557-5597 or email me at angela.nieves@dhhs.nc.gov to discuss the changes and ensure the information is current in our system. TECHNICAL ASSISTANCE/CONSULTATION: NEW STAFF FILE: One new staff was reviewed today. The first day of employment was March 3, 2023. The following items were missing from the staff file: a medical statement was not on file prior to employment and a negative TB test was not on file prior to the first day of work. The file was also missing a Recognizing and Responding to Suspicions of Child Maltreatment certificate, this training must be taken within 90 days of hire. Your employee can visit the Prevent Child Abuse and Neglect NC at https://www.preventchildabusenc.org/recognizing-responding-online-course/ to take the training. Once the training is completed have your employee print of the certificate and put in the employee file. VOLUNTEER/UNCOMPENSATED PROVIDER: You had an individual that you listed as a volunteer; however, we reviewed the definition of Uncompensated Provider, and you determined that this individual qualifies as an Uncompensated Provider. We discussed that if this provider was going to be counted in staff/child ratio and is left alone with children, they would need to complete the Health and Safety Trainings, CPR/FA training, and the SIDS training. Your uncompensated provider has completed CPR/FA, please complete the health and safety trainings and SIDS training. CRMINAL BACKGROUND CHECK: Upon review of the new employee file, Kamiya Dupree, did not complete and obtain a criminal background check prior to the start date of March 3, 2023. You stated that you had submitted the finger prints, but received noticed that the finger prints were not on file with the Division of Child Development and Early Education (DCDEE). Upon review of the ABCMS portal, it stated that a new application was needed for Ms. Dupree. We reviewed how to submit the application and for Ms. Dupree to contact DCDEE, criminal records unit, for any questions she may have. We also discussed that Ms. Dupree could not return to the center until she had qualifying criminal records letter to put in her file. CPR AND FIRST AID: One (1) staff member with a first day of employment date of March 3, 2023, did not have proof of CPR and First Aid training. All new employees must have proof of CPR and First Aid training with 90 days of hire. You may contact Down East Partnership for children via there website at www.depc.org to see if they have any CPR and First Aid trainings on their training calendar. I am also leaving you a list of the approved CPR and First Aid organizations. EMERGENCY MEDICAL CARE PLAN (EMC): You had an Emergency Medical Care Plan posted with the date of February 15, 2022. When asked if you had updated the form and reviewed with your staff you replied, “No.” I informed you the EMC plan needed to be reviewed and updated (if needed) annually. You told me you were not aware the EMC plan needed to be reviewed annually. OUTDOOR PLAY AREA AND EQUIPMENT: The following broken items were on the playground: There was a large piece of climbing equipment/slide in the right-hand corner of the playground, it was cracked in several areas of the structure, including where the children stand on it; this piece of equipment was also covered in spider webs. In the middle of the playground in the sand fall zone, there was large play structure that a had tunnel that was cracked on top of the tunnel. The tunnel was full of wet sand and had spider webs covering it. There was also a mini coop car with a cracked seat. When you first enter the playground to the left, there were two plastic play kitchens next to the fence. Once had cracked pieces on it and on had mildew on it. The wooden boarders surrounding the fall zone had a cracked wooden board with a rusted nail protruding out from it. The nail can cause a child to get cut on it. Please remove the nail and replace with a non-rusted nail and make sure it is not protruding out from the wood. The items mentioned above must be removed immediately. Please remember when outdoor items become broken on the playground, they need to be removed from the outdoor play area immediately, so children do not get hurt. There were several riding toys in the fall zone with the large piece of playground equipment. Please remember to remove all play items from the fall zone, so children do not trip and get hurt on them. MEDICATION: In space 3, there was a tube of Triple Paste Diaper cream that did not have a permission to administer topical ointment form. You stated that the diaper cream should not have been in the classroom, because you do not allow medications or diaper creams to be used. We discussed if you decide to allow topical ointments to be used; the parent will need to complete and sign a permission to administer topical ointments form. RMINDERS: FIRE INSPECTIONS: As a reminder the following child care rule is a requirement, and a violation will be written when a fire inspection is not submitted to your child care consultant within the time period stated below: 10A NCAC 09 .0304 ON-GOING REQUIREMENTS FOR A LICENSE (a)Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division. RESOURCES: PREVENT CHILD ABUSE AND NEGLECT NC: (for the Recognizing and Responding to Suspicions of Child Maltreatment training) https://www.preventchildabusenc.org/recognizing-responding-online-course/ EARLY CHILDHOOD EQUIVALENCY EXAM NOW ON DCDEE MOODLE: The North Carolina Early Childhood Equivalency Exam is a new pathway option comparable to a NC Early Childhood Credential. Applicants who achieve a score of 80% or higher on the NC Early Childhood Equivalency Exam earn the new North Carolina Early Childhood Equivalency Certificate. This certificate is equivalent to a North Carolina Early Childhood Credential and will qualify the individual to be a lead teacher in an early childhood classroom. To take the exam, go to DCDEE Moodle and select Early Childhood Professional Development/Child Care and Development Fund (CCDF)/North Carolina Early Childhood Equivalency Exam: https://www.dcdee.moodle.nc.gov/login/index.php GETTING HELP WITH CHALLENGING BEHAVIORS: The Healthy Social Behaviors in Child Care Centers Project (HSB) provides ideas to create a learning environment that can assist in preventing challenging behaviors. They provide free technical assistance, professional development, and they offer a variety of additional resources. For additional information on the Healthy Social Behaviors Project or to view a current listing of scheduled trainings, browse the NC Child Care Resource & Referral Council website. For information about Pyramid Model CEU-level trainings, contact the HSB Education Specialist, Liz Tuttle at etuttle@childcareresourcesinc.org. To obtain a Request for TA Services, contact your local Behavior Specialist or email the Statewide Project Manager, Smokie Brawley, at sbrawley@childcareresourcesinc.org. STABILIZATION GRANT: If you have any questions or concerns about the stabilization grant, please contact me at 252-567-5597 or angela.nieves@dhhs.nc.gov MATERIALS PROVIDED DURING THE VISIT: • Challenging Behaviors Flyer • CPF and First Aid Approved Organizations CONTACT INFORMATION: If you have any questions about today’s visit, my contact information is listed above. You may also contact Licensing Supervisor, Susan Fuller at 252-373-9809 or email at susan.fuller@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

G.S. 110-90 · Violation

Name of Operation: LITTLE MARK CHILD CARE CENTER Facility ID: 33000437 Consultant: ANGELA NIEVES Operation Type: Center Case Number: Visit Date: 7/20/2023 Number Present: 24 Completed Date: 7/20/2023 Age: From 0 To 11 Total Minutes: 275 Time In: 09:20 AM Time Out: 01:55 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor this facility for compliance with applicable child care requirements during a routine unannounced visit. You, A. Pettaway, administrator, were present available to assist with today’s visit. Your program currently operates with a G.S. 110-106, Notice of Compliance, issued April 27, 2011. The last annual compliance visit was conducted on January 23, 2023. The sanitation inspection was completed on November 8, 2022, with a “Superior” classification “2” demerits. The fire inspection was completed on January 4, 2023, and the center was approved for daytime care only. The notice of compliance was, and the restrictions were in compliance. Twenty-four (24) children from ages zero (0) to eleven (11) were present during the visit. A walk-through of the facility was completed today, all indoor and outdoor areas were monitored. I observed children in both the indoor and outdoor learning environments. Children throughout the facility were participating in free play in activity areas, transitions, and personal care routines. Infants were interacting and playing on the floor with the teacher. The children were observed eating the following for lunch: hot dogs, french fries, peaches, and bread, and milk. The following were monitored: Supervision, Staff Child Ratio, First Aid, CPR, ITS SIDS, Special Training, CBC Qualification, Emergency Medical Care Plan, Storage of Hazardous Substances, Administration of Medication, Adequate/Approved Space, Permit Restrictions, and Program Records. One (1) new staff record was reviewed today. Any violations of the child care requirements observed today were discussed with you and documented in the visit summary report and reviewed with you at the conclusion of the visit. The following violations of the child care requirements were documented today: Violation Number Comment Rule 807 A safe indoor and outdoor environment was not provided for the children. The following items need to be fixed or removed from the playground immediately: a large climbing structure with a slide was cracked in several places, the large play structure in the middle of the playground had a cracked tunnel, there was a cracked mini coop car, a plastic kitchen with a cracked door, a plastic kitchen that had mildew and spider webs on it, and the wooden boards surrounding the large play structure had a cracked board with a rusted nail sticking out from the board. 10A NCAC 09 .0601(a) 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 there was a tube of Triple Paste Diaper Cream that did not have a permission to administer topical ointment form for review. 10A NCAC 09 .0803(1)(a & b) 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. The EMC plan plan was last reviewed with staff on February 15, 2022. 10A NCAC 09 .0802(a) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. A new employee with the hire date of March 3, 2023, did not have a medical report on file available for review. 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. One new staff member with the hire date of March 3, 2023, did not have a negative TB test results available for review. .0701(a) 1041 Prior to employment a Criminal Background Check was not completed. An employee with a start date of March 3, 2023, did not complete and have on file a criminal background check prior to employment. G.S. 110-90.2(b) 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. One new employee with the hire date of March 3, 2023, did not have verification of completion of First Aid on file for review. .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. One new staff member with the hire date of March 3, 2023, did not have verification of completion of CPR available for review. .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 August 3, 2023, I must receive a written, dated, and signed compliance letter that describes accurately and in detail how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Mail or email the information to: Angela Nieves, Child Care Consultant PO Box 8741 Rocky Mount, NC 27804 Angela.nieves@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 The two-week time frame is established to allow you time for submitting your compliance letter. This time frame is not intended to be used as a guide for correcting violations, as they should be corrected immediately. Please be aware that any written information submitted by you regarding correction of violations documented during today's visit is legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility's license could be issued. COMPLIANCE HISTORY: Prior to conducting today’s visit your center’s Compliance History score, over an 18-month period time frame, is 97%. The violations documented could impact the center’s overall Compliance History score. Your compliance score must be maintained at 75% or higher or an Administrative Action may be warranted. CORPORATION STATUS: St. Mark Deliverance Church, Inc. is a non-profit corporation and is listed as the current owner of this center. According to information verified on the North Carolina Secretary of State’s website, St. Mark Deliverance Church, Inc. remains current and active. Prior to making any changes to the corporation status, please contact me to discuss change of ownership procedures. The corporation status for your program must always remain current and active. Failure to comply may affect your license. FACILITY PROFILE INFORMATION: You verified the mailing address, email address, and phone number listed on the facility profile are correct. If changes in your facility’s information occurs, please contact me at 252-557-5597 or email me at angela.nieves@dhhs.nc.gov to discuss the changes and ensure the information is current in our system. TECHNICAL ASSISTANCE/CONSULTATION: NEW STAFF FILE: One new staff was reviewed today. The first day of employment was March 3, 2023. The following items were missing from the staff file: a medical statement was not on file prior to employment and a negative TB test was not on file prior to the first day of work. The file was also missing a Recognizing and Responding to Suspicions of Child Maltreatment certificate, this training must be taken within 90 days of hire. Your employee can visit the Prevent Child Abuse and Neglect NC at https://www.preventchildabusenc.org/recognizing-responding-online-course/ to take the training. Once the training is completed have your employee print of the certificate and put in the employee file. VOLUNTEER/UNCOMPENSATED PROVIDER: You had an individual that you listed as a volunteer; however, we reviewed the definition of Uncompensated Provider, and you determined that this individual qualifies as an Uncompensated Provider. We discussed that if this provider was going to be counted in staff/child ratio and is left alone with children, they would need to complete the Health and Safety Trainings, CPR/FA training, and the SIDS training. Your uncompensated provider has completed CPR/FA, please complete the health and safety trainings and SIDS training. CRMINAL BACKGROUND CHECK: Upon review of the new employee file, Kamiya Dupree, did not complete and obtain a criminal background check prior to the start date of March 3, 2023. You stated that you had submitted the finger prints, but received noticed that the finger prints were not on file with the Division of Child Development and Early Education (DCDEE). Upon review of the ABCMS portal, it stated that a new application was needed for Ms. Dupree. We reviewed how to submit the application and for Ms. Dupree to contact DCDEE, criminal records unit, for any questions she may have. We also discussed that Ms. Dupree could not return to the center until she had qualifying criminal records letter to put in her file. CPR AND FIRST AID: One (1) staff member with a first day of employment date of March 3, 2023, did not have proof of CPR and First Aid training. All new employees must have proof of CPR and First Aid training with 90 days of hire. You may contact Down East Partnership for children via there website at www.depc.org to see if they have any CPR and First Aid trainings on their training calendar. I am also leaving you a list of the approved CPR and First Aid organizations. EMERGENCY MEDICAL CARE PLAN (EMC): You had an Emergency Medical Care Plan posted with the date of February 15, 2022. When asked if you had updated the form and reviewed with your staff you replied, “No.” I informed you the EMC plan needed to be reviewed and updated (if needed) annually. You told me you were not aware the EMC plan needed to be reviewed annually. OUTDOOR PLAY AREA AND EQUIPMENT: The following broken items were on the playground: There was a large piece of climbing equipment/slide in the right-hand corner of the playground, it was cracked in several areas of the structure, including where the children stand on it; this piece of equipment was also covered in spider webs. In the middle of the playground in the sand fall zone, there was large play structure that a had tunnel that was cracked on top of the tunnel. The tunnel was full of wet sand and had spider webs covering it. There was also a mini coop car with a cracked seat. When you first enter the playground to the left, there were two plastic play kitchens next to the fence. Once had cracked pieces on it and on had mildew on it. The wooden boarders surrounding the fall zone had a cracked wooden board with a rusted nail protruding out from it. The nail can cause a child to get cut on it. Please remove the nail and replace with a non-rusted nail and make sure it is not protruding out from the wood. The items mentioned above must be removed immediately. Please remember when outdoor items become broken on the playground, they need to be removed from the outdoor play area immediately, so children do not get hurt. There were several riding toys in the fall zone with the large piece of playground equipment. Please remember to remove all play items from the fall zone, so children do not trip and get hurt on them. MEDICATION: In space 3, there was a tube of Triple Paste Diaper cream that did not have a permission to administer topical ointment form. You stated that the diaper cream should not have been in the classroom, because you do not allow medications or diaper creams to be used. We discussed if you decide to allow topical ointments to be used; the parent will need to complete and sign a permission to administer topical ointments form. RMINDERS: FIRE INSPECTIONS: As a reminder the following child care rule is a requirement, and a violation will be written when a fire inspection is not submitted to your child care consultant within the time period stated below: 10A NCAC 09 .0304 ON-GOING REQUIREMENTS FOR A LICENSE (a)Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division. RESOURCES: PREVENT CHILD ABUSE AND NEGLECT NC: (for the Recognizing and Responding to Suspicions of Child Maltreatment training) https://www.preventchildabusenc.org/recognizing-responding-online-course/ EARLY CHILDHOOD EQUIVALENCY EXAM NOW ON DCDEE MOODLE: The North Carolina Early Childhood Equivalency Exam is a new pathway option comparable to a NC Early Childhood Credential. Applicants who achieve a score of 80% or higher on the NC Early Childhood Equivalency Exam earn the new North Carolina Early Childhood Equivalency Certificate. This certificate is equivalent to a North Carolina Early Childhood Credential and will qualify the individual to be a lead teacher in an early childhood classroom. To take the exam, go to DCDEE Moodle and select Early Childhood Professional Development/Child Care and Development Fund (CCDF)/North Carolina Early Childhood Equivalency Exam: https://www.dcdee.moodle.nc.gov/login/index.php GETTING HELP WITH CHALLENGING BEHAVIORS: The Healthy Social Behaviors in Child Care Centers Project (HSB) provides ideas to create a learning environment that can assist in preventing challenging behaviors. They provide free technical assistance, professional development, and they offer a variety of additional resources. For additional information on the Healthy Social Behaviors Project or to view a current listing of scheduled trainings, browse the NC Child Care Resource & Referral Council website. For information about Pyramid Model CEU-level trainings, contact the HSB Education Specialist, Liz Tuttle at etuttle@childcareresourcesinc.org. To obtain a Request for TA Services, contact your local Behavior Specialist or email the Statewide Project Manager, Smokie Brawley, at sbrawley@childcareresourcesinc.org. STABILIZATION GRANT: If you have any questions or concerns about the stabilization grant, please contact me at 252-567-5597 or angela.nieves@dhhs.nc.gov MATERIALS PROVIDED DURING THE VISIT: • Challenging Behaviors Flyer • CPF and First Aid Approved Organizations CONTACT INFORMATION: If you have any questions about today’s visit, my contact information is listed above. You may also contact Licensing Supervisor, Susan Fuller at 252-373-9809 or email at susan.fuller@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

NC GS 110-90 · Violation

Name of Operation: LITTLE MARK CHILD CARE CENTER Facility ID: 33000437 Consultant: ANGELA NIEVES Operation Type: Center Case Number: Visit Date: 7/20/2023 Number Present: 24 Completed Date: 7/20/2023 Age: From 0 To 11 Total Minutes: 275 Time In: 09:20 AM Time Out: 01:55 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor this facility for compliance with applicable child care requirements during a routine unannounced visit. You, A. Pettaway, administrator, were present available to assist with today’s visit. Your program currently operates with a G.S. 110-106, Notice of Compliance, issued April 27, 2011. The last annual compliance visit was conducted on January 23, 2023. The sanitation inspection was completed on November 8, 2022, with a “Superior” classification “2” demerits. The fire inspection was completed on January 4, 2023, and the center was approved for daytime care only. The notice of compliance was, and the restrictions were in compliance. Twenty-four (24) children from ages zero (0) to eleven (11) were present during the visit. A walk-through of the facility was completed today, all indoor and outdoor areas were monitored. I observed children in both the indoor and outdoor learning environments. Children throughout the facility were participating in free play in activity areas, transitions, and personal care routines. Infants were interacting and playing on the floor with the teacher. The children were observed eating the following for lunch: hot dogs, french fries, peaches, and bread, and milk. The following were monitored: Supervision, Staff Child Ratio, First Aid, CPR, ITS SIDS, Special Training, CBC Qualification, Emergency Medical Care Plan, Storage of Hazardous Substances, Administration of Medication, Adequate/Approved Space, Permit Restrictions, and Program Records. One (1) new staff record was reviewed today. Any violations of the child care requirements observed today were discussed with you and documented in the visit summary report and reviewed with you at the conclusion of the visit. The following violations of the child care requirements were documented today: Violation Number Comment Rule 807 A safe indoor and outdoor environment was not provided for the children. The following items need to be fixed or removed from the playground immediately: a large climbing structure with a slide was cracked in several places, the large play structure in the middle of the playground had a cracked tunnel, there was a cracked mini coop car, a plastic kitchen with a cracked door, a plastic kitchen that had mildew and spider webs on it, and the wooden boards surrounding the large play structure had a cracked board with a rusted nail sticking out from the board. 10A NCAC 09 .0601(a) 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 there was a tube of Triple Paste Diaper Cream that did not have a permission to administer topical ointment form for review. 10A NCAC 09 .0803(1)(a & b) 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. The EMC plan plan was last reviewed with staff on February 15, 2022. 10A NCAC 09 .0802(a) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. A new employee with the hire date of March 3, 2023, did not have a medical report on file available for review. 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. One new staff member with the hire date of March 3, 2023, did not have a negative TB test results available for review. .0701(a) 1041 Prior to employment a Criminal Background Check was not completed. An employee with a start date of March 3, 2023, did not complete and have on file a criminal background check prior to employment. G.S. 110-90.2(b) 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. One new employee with the hire date of March 3, 2023, did not have verification of completion of First Aid on file for review. .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. One new staff member with the hire date of March 3, 2023, did not have verification of completion of CPR available for review. .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 August 3, 2023, I must receive a written, dated, and signed compliance letter that describes accurately and in detail how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Mail or email the information to: Angela Nieves, Child Care Consultant PO Box 8741 Rocky Mount, NC 27804 Angela.nieves@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 The two-week time frame is established to allow you time for submitting your compliance letter. This time frame is not intended to be used as a guide for correcting violations, as they should be corrected immediately. Please be aware that any written information submitted by you regarding correction of violations documented during today's visit is legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility's license could be issued. COMPLIANCE HISTORY: Prior to conducting today’s visit your center’s Compliance History score, over an 18-month period time frame, is 97%. The violations documented could impact the center’s overall Compliance History score. Your compliance score must be maintained at 75% or higher or an Administrative Action may be warranted. CORPORATION STATUS: St. Mark Deliverance Church, Inc. is a non-profit corporation and is listed as the current owner of this center. According to information verified on the North Carolina Secretary of State’s website, St. Mark Deliverance Church, Inc. remains current and active. Prior to making any changes to the corporation status, please contact me to discuss change of ownership procedures. The corporation status for your program must always remain current and active. Failure to comply may affect your license. FACILITY PROFILE INFORMATION: You verified the mailing address, email address, and phone number listed on the facility profile are correct. If changes in your facility’s information occurs, please contact me at 252-557-5597 or email me at angela.nieves@dhhs.nc.gov to discuss the changes and ensure the information is current in our system. TECHNICAL ASSISTANCE/CONSULTATION: NEW STAFF FILE: One new staff was reviewed today. The first day of employment was March 3, 2023. The following items were missing from the staff file: a medical statement was not on file prior to employment and a negative TB test was not on file prior to the first day of work. The file was also missing a Recognizing and Responding to Suspicions of Child Maltreatment certificate, this training must be taken within 90 days of hire. Your employee can visit the Prevent Child Abuse and Neglect NC at https://www.preventchildabusenc.org/recognizing-responding-online-course/ to take the training. Once the training is completed have your employee print of the certificate and put in the employee file. VOLUNTEER/UNCOMPENSATED PROVIDER: You had an individual that you listed as a volunteer; however, we reviewed the definition of Uncompensated Provider, and you determined that this individual qualifies as an Uncompensated Provider. We discussed that if this provider was going to be counted in staff/child ratio and is left alone with children, they would need to complete the Health and Safety Trainings, CPR/FA training, and the SIDS training. Your uncompensated provider has completed CPR/FA, please complete the health and safety trainings and SIDS training. CRMINAL BACKGROUND CHECK: Upon review of the new employee file, Kamiya Dupree, did not complete and obtain a criminal background check prior to the start date of March 3, 2023. You stated that you had submitted the finger prints, but received noticed that the finger prints were not on file with the Division of Child Development and Early Education (DCDEE). Upon review of the ABCMS portal, it stated that a new application was needed for Ms. Dupree. We reviewed how to submit the application and for Ms. Dupree to contact DCDEE, criminal records unit, for any questions she may have. We also discussed that Ms. Dupree could not return to the center until she had qualifying criminal records letter to put in her file. CPR AND FIRST AID: One (1) staff member with a first day of employment date of March 3, 2023, did not have proof of CPR and First Aid training. All new employees must have proof of CPR and First Aid training with 90 days of hire. You may contact Down East Partnership for children via there website at www.depc.org to see if they have any CPR and First Aid trainings on their training calendar. I am also leaving you a list of the approved CPR and First Aid organizations. EMERGENCY MEDICAL CARE PLAN (EMC): You had an Emergency Medical Care Plan posted with the date of February 15, 2022. When asked if you had updated the form and reviewed with your staff you replied, “No.” I informed you the EMC plan needed to be reviewed and updated (if needed) annually. You told me you were not aware the EMC plan needed to be reviewed annually. OUTDOOR PLAY AREA AND EQUIPMENT: The following broken items were on the playground: There was a large piece of climbing equipment/slide in the right-hand corner of the playground, it was cracked in several areas of the structure, including where the children stand on it; this piece of equipment was also covered in spider webs. In the middle of the playground in the sand fall zone, there was large play structure that a had tunnel that was cracked on top of the tunnel. The tunnel was full of wet sand and had spider webs covering it. There was also a mini coop car with a cracked seat. When you first enter the playground to the left, there were two plastic play kitchens next to the fence. Once had cracked pieces on it and on had mildew on it. The wooden boarders surrounding the fall zone had a cracked wooden board with a rusted nail protruding out from it. The nail can cause a child to get cut on it. Please remove the nail and replace with a non-rusted nail and make sure it is not protruding out from the wood. The items mentioned above must be removed immediately. Please remember when outdoor items become broken on the playground, they need to be removed from the outdoor play area immediately, so children do not get hurt. There were several riding toys in the fall zone with the large piece of playground equipment. Please remember to remove all play items from the fall zone, so children do not trip and get hurt on them. MEDICATION: In space 3, there was a tube of Triple Paste Diaper cream that did not have a permission to administer topical ointment form. You stated that the diaper cream should not have been in the classroom, because you do not allow medications or diaper creams to be used. We discussed if you decide to allow topical ointments to be used; the parent will need to complete and sign a permission to administer topical ointments form. RMINDERS: FIRE INSPECTIONS: As a reminder the following child care rule is a requirement, and a violation will be written when a fire inspection is not submitted to your child care consultant within the time period stated below: 10A NCAC 09 .0304 ON-GOING REQUIREMENTS FOR A LICENSE (a)Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division. RESOURCES: PREVENT CHILD ABUSE AND NEGLECT NC: (for the Recognizing and Responding to Suspicions of Child Maltreatment training) https://www.preventchildabusenc.org/recognizing-responding-online-course/ EARLY CHILDHOOD EQUIVALENCY EXAM NOW ON DCDEE MOODLE: The North Carolina Early Childhood Equivalency Exam is a new pathway option comparable to a NC Early Childhood Credential. Applicants who achieve a score of 80% or higher on the NC Early Childhood Equivalency Exam earn the new North Carolina Early Childhood Equivalency Certificate. This certificate is equivalent to a North Carolina Early Childhood Credential and will qualify the individual to be a lead teacher in an early childhood classroom. To take the exam, go to DCDEE Moodle and select Early Childhood Professional Development/Child Care and Development Fund (CCDF)/North Carolina Early Childhood Equivalency Exam: https://www.dcdee.moodle.nc.gov/login/index.php GETTING HELP WITH CHALLENGING BEHAVIORS: The Healthy Social Behaviors in Child Care Centers Project (HSB) provides ideas to create a learning environment that can assist in preventing challenging behaviors. They provide free technical assistance, professional development, and they offer a variety of additional resources. For additional information on the Healthy Social Behaviors Project or to view a current listing of scheduled trainings, browse the NC Child Care Resource & Referral Council website. For information about Pyramid Model CEU-level trainings, contact the HSB Education Specialist, Liz Tuttle at etuttle@childcareresourcesinc.org. To obtain a Request for TA Services, contact your local Behavior Specialist or email the Statewide Project Manager, Smokie Brawley, at sbrawley@childcareresourcesinc.org. STABILIZATION GRANT: If you have any questions or concerns about the stabilization grant, please contact me at 252-567-5597 or angela.nieves@dhhs.nc.gov MATERIALS PROVIDED DURING THE VISIT: • Challenging Behaviors Flyer • CPF and First Aid Approved Organizations CONTACT INFORMATION: If you have any questions about today’s visit, my contact information is listed above. You may also contact Licensing Supervisor, Susan Fuller at 252-373-9809 or email at susan.fuller@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times