10A NCAC 09 .0604 · Violation

Name of Operation: SOUTH CHARLOTTE BAPTIST CHURCH AND ACADEMY Facility ID: 60002520 Consultant: LISA EDDINS-SMITH Operation Type: Center Case Number: Visit Date: 10/17/2024 Number Present: 30 Completed Date: 10/17/2024 Age: From 3 To 5 Total Minutes: 275 Time In: 10:10 AM Time Out: 02:45 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 the facility for compliance with all applicable child care requirements during the Annual Compliance Visit. The April 2024 Item Number Listing and Annual Compliance Monitoring Checklist were used during today’s visit. The facility is a G.S. 110 Religious Sponsored Program; the current Notice of Compliance was issued December 1, 2008. The facility has a compliance history of 92% prior to today’s visit. The last Annual Compliance Visit was conducted November 1, 2023. Upon arrival, I was greeted by Stephanie Wells, Secretary. I explained the purpose of my visit. Ms. Wells explained to me that Nathan Rideout, Assistant Headmaster was teaching a class, and that she would help me with today’s visit. Ms. Wells escorted me I conducted a walk-through of the facility. The children from Space 1, ages 3-4, were outside playing. There eleven (11) children present and one (1) children arrived while I was observing the room. I observed the classroom, items required to be posted and general safety. One outlet was uncovered, and a hand sanitizer was observed stored in an open shelf in the teacher’s desk. Children were observed engaged in outdoor play. One child needed to come inside to use the bathroom. Ms. Wells supervised him while the teacher supervised the children outside playing. I returned to Space 1 later to observe a teacher directed activity. In Space 5, a classroom serving children ages 4-5 years of age, a teacher directed activity was being conducted, eighteen (18) children were present with two (2) staff. The children were using dry erase boards and engaged in a writing activity. I observed water bottles for each child, and several were not labeled. A hand sanitizer was observed accessible to children. Electrical cords were observed hanging down behind a desk however not accessible to children. I recommended pulling the cords tighter and closer to the device to prevent a potential safety hazard. We walked through Space 2 to access the outdoor play area. The room is empty except for a desk. I asked if the room was used for activities throughout the day. Ms. Wells shared with me that the space is used for rest time for the 4- and 5-year-old children. I referenced the floor plan and measurements for the area. The room is licensed for 16 children. There are eighteen (18) 4 and 5-year-old children enrolled. I shared the capacity of the room with Ms. Wells and reminded her to maintain compliance in the room during rest time. The outdoor environment was monitored today. There were several violations cited. Please refer to the violations section of the Visit Summary. I began reviewing program records. Mr. Nathan Rideout returned from teaching a class and introduced himself. I shared with him the purpose of today's visit. The monthly playground inspection, incident log, daily arrival and departure and emergency drill log were reviewed and found meeting compliance. The last sanitation inspection was conducted December 7, 2023 with a superior rating. The last annual fire inspection was conducted November 14, 2023, and are approved for daytime care. The EPR plan has not been updated since established and a ready to go file was not maintained. All information required to be posted was observed posted in the lobby and main office of the facility. Ms. Wells updated the Summary of Law to reflect the most current document. Four (4) children’s records were reviewed today. The medical report for children does not have a place for the physician to complete and did not have a date on the report. I was unable to verify compliance with the required timeframe for obtaining children’s medical reports. The parent policies do not have a written smoke and tobacco statement. Two (2) children had a signed Prevention of Shaken Baby and Head Trauma Policy signed after the date of enrollment. You provided the current staff and training worksheet, I reviewed staff’s information and found them to meet compliance. There is not a current qualifying letter on file for the pastor, Joseph Campbell. His letter expired in 2019. I observed lunch in the great room. The children all eat together. The menu is posted and the parents are given a copy each month. Pizza, applesauce, carrots and milk were served today. I monitored the refrigerator thermometer, and the temperature was 39 degrees. I observed a gallon of milk expired 10/13/24 and opened bag of carrots expired 9/5/24. While observing lunch I observed the teacher of the four- and five-year-olds speaking to a child in a harsh manner. I spoke with Ms. Wells and asked her to address this with the teacher. Currently you do not have any child required to have medication on site. Mr. Rideout and I discussed that you do not provide transportation. You do have a field trip planned next week. You are collecting parent permission slips. I explained that you will need to meet the transportation requirements if you choose to use the bus to transport the children. Please see the Technical Assistance section for the rule reference. The following violations were observed and documented: Violation Number Comment Rule 533 Human milk, formula and other bottled beverages including sippy cups, sent from child's home were not fully prepared, dated, and labeled for the appropriate child. In Space 1 and Space 5, several children's beverage containers were not labeled with the child's name and date. 15A NCAC 18A .2804(d) 705 Equipment and furnishings were not sturdy, stable and free of hazards. The platform and stairs of the stationary equipment was rusted and had exposed sharp edges. The stationary play car had peeling paint with rusted areas. Several toy trucks were rusted. .0601(c) 808 The child care center premises, including the outdoor learning environment, was not clean, drained to minimize standing water, free of litter and hazards, and/or maintained in a manner which does not create conditions that attract or harbor pests. Standing water was observed in the gutter drainage. A wasp nest was observed on the Step 2 play equipment. 15A NCAC 18A .2832(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. Space 1, the great room and the hallway had uncovered outlets. 10A NCAC 09 .0604(c) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. In Space 1 and Space 5 hand sanitizer was accessible stored in an open area of a desk. .2820(b) 902 Each child was not attended to in a nurturing and appropriate manner, or in keeping with the child's developmental needs. A child was addressed by his teacher in a harsh tone while eating lunch. G.S. 110-91(10) 1041 Prior to employment a Criminal Background Check was not completed. A qualifying letter was not on file for the Pastor, Joseph Campbell. G.S. 110-90.2(b) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. Four (4) children had a medical report on file without a date of examination. GS110-91(1) 1757 A valid qualification letter was not on file and available to review at the facility. A qualifying letter was not on file for the Pastor, Joseph Campbell. G.S. 110-90.2(b) & (d) & .2703(e) 1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. The EPR plan is not updated annually. .0607(e) 1867 The depth of the loose surfacing was not based on critical height of the equipment. The mulch depth was not adequate under the swings or around the stationary equipment. .0605(k)(1-4) 9995 A violation was found for which there is no item number. (a) In child care centers, food shall be kept free from spoilage, filth, or other contamination and shall be safe for human consumption. Potentially hazardous foods, including foods packaged in hermetically sealed containers, shall be obtained only from sources that are permitted or inspected by a local health department, the North Carolina Department of Agriculture and Consumer Services, or other government agency. The use of food packaged in hermetically sealed containers that was not prepared in a commercial food processing establishment is prohibited. Food prepared at home and sent to a child care center to be shared with other children shall be limited to baked goods that are not potentially hazardous foods. Expired food was found in the refrigerator. This is a violation of 15A NCAC 18A .2804 Compliance Statement: Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before October 31, 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: Lisa Eddins-Smith, Child Care Consultant 8801 Crosstimbers Drive Charlotte. NC 28215 Lisa.Eddins-Smith@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address on file with DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time-period. Technical Assistance: Reminders: Continue to review emails from the Division of Child Development and Early Education (DCDEE) and from your assigned child care consultant. DCDEE Website: I encourage you to utilize the DCDEE website, https://ncchildcare.ncdhhs.gov/, on a regular basis. All the laws, rules and regulations, item number listing, sanitation requirements, and provider documents can be found on the website. Additionally, there are many resources such as DCDEE Moodle where you can complete health and safety trainings free of charge. The What’s New tab provides current information that is sent out through blast emails. Emergency Preparedness and Response: As we discussed the EPR plan needs to be updated annually. You can visit our website to access the requirements. I suggest that Ms. Wells or another staff member be trained as well to aid in meeting the requirements to maintain compliance. ABCMS (Criminal Background System): North Carolina child care administrators can now view and edit their facility’s staff roster in ABCMS, the DCDEE’s criminal background check system. Provider Access to ABCMS allows administrators to: • See the real-time background check status of staff members. • Run a printable report of the staff roster to assist with compliance visits. • See new background check applicants and add to staff roster. To get started, complete the ABCMS Child Care Provider Portal Training in Moodle, https://www.dcdee.moodle.nc.gov/ —a video tutorial followed by a few questions. Transportation Requirements: We discussed transportation requirements if you decide to transport children. Please refer to SECTION .1000 - TRANSPORTATION STANDARDS in Chapter 9 in the NC Child Are Rules effective January 1, 2024. Staff Interactions: We discussed talking with staff regarding using caring and nurturing tones when talking with children. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Thank you for your time today. If you have questions or concerns regarding today’s visit, please contact me at Lisa.Eddins-Smith@dhhs.nc.gov or 980-748-6270. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

G.S. 110-90 · Violation

Name of Operation: SOUTH CHARLOTTE BAPTIST CHURCH AND ACADEMY Facility ID: 60002520 Consultant: LISA EDDINS-SMITH Operation Type: Center Case Number: Visit Date: 10/17/2024 Number Present: 30 Completed Date: 10/17/2024 Age: From 3 To 5 Total Minutes: 275 Time In: 10:10 AM Time Out: 02:45 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 the facility for compliance with all applicable child care requirements during the Annual Compliance Visit. The April 2024 Item Number Listing and Annual Compliance Monitoring Checklist were used during today’s visit. The facility is a G.S. 110 Religious Sponsored Program; the current Notice of Compliance was issued December 1, 2008. The facility has a compliance history of 92% prior to today’s visit. The last Annual Compliance Visit was conducted November 1, 2023. Upon arrival, I was greeted by Stephanie Wells, Secretary. I explained the purpose of my visit. Ms. Wells explained to me that Nathan Rideout, Assistant Headmaster was teaching a class, and that she would help me with today’s visit. Ms. Wells escorted me I conducted a walk-through of the facility. The children from Space 1, ages 3-4, were outside playing. There eleven (11) children present and one (1) children arrived while I was observing the room. I observed the classroom, items required to be posted and general safety. One outlet was uncovered, and a hand sanitizer was observed stored in an open shelf in the teacher’s desk. Children were observed engaged in outdoor play. One child needed to come inside to use the bathroom. Ms. Wells supervised him while the teacher supervised the children outside playing. I returned to Space 1 later to observe a teacher directed activity. In Space 5, a classroom serving children ages 4-5 years of age, a teacher directed activity was being conducted, eighteen (18) children were present with two (2) staff. The children were using dry erase boards and engaged in a writing activity. I observed water bottles for each child, and several were not labeled. A hand sanitizer was observed accessible to children. Electrical cords were observed hanging down behind a desk however not accessible to children. I recommended pulling the cords tighter and closer to the device to prevent a potential safety hazard. We walked through Space 2 to access the outdoor play area. The room is empty except for a desk. I asked if the room was used for activities throughout the day. Ms. Wells shared with me that the space is used for rest time for the 4- and 5-year-old children. I referenced the floor plan and measurements for the area. The room is licensed for 16 children. There are eighteen (18) 4 and 5-year-old children enrolled. I shared the capacity of the room with Ms. Wells and reminded her to maintain compliance in the room during rest time. The outdoor environment was monitored today. There were several violations cited. Please refer to the violations section of the Visit Summary. I began reviewing program records. Mr. Nathan Rideout returned from teaching a class and introduced himself. I shared with him the purpose of today's visit. The monthly playground inspection, incident log, daily arrival and departure and emergency drill log were reviewed and found meeting compliance. The last sanitation inspection was conducted December 7, 2023 with a superior rating. The last annual fire inspection was conducted November 14, 2023, and are approved for daytime care. The EPR plan has not been updated since established and a ready to go file was not maintained. All information required to be posted was observed posted in the lobby and main office of the facility. Ms. Wells updated the Summary of Law to reflect the most current document. Four (4) children’s records were reviewed today. The medical report for children does not have a place for the physician to complete and did not have a date on the report. I was unable to verify compliance with the required timeframe for obtaining children’s medical reports. The parent policies do not have a written smoke and tobacco statement. Two (2) children had a signed Prevention of Shaken Baby and Head Trauma Policy signed after the date of enrollment. You provided the current staff and training worksheet, I reviewed staff’s information and found them to meet compliance. There is not a current qualifying letter on file for the pastor, Joseph Campbell. His letter expired in 2019. I observed lunch in the great room. The children all eat together. The menu is posted and the parents are given a copy each month. Pizza, applesauce, carrots and milk were served today. I monitored the refrigerator thermometer, and the temperature was 39 degrees. I observed a gallon of milk expired 10/13/24 and opened bag of carrots expired 9/5/24. While observing lunch I observed the teacher of the four- and five-year-olds speaking to a child in a harsh manner. I spoke with Ms. Wells and asked her to address this with the teacher. Currently you do not have any child required to have medication on site. Mr. Rideout and I discussed that you do not provide transportation. You do have a field trip planned next week. You are collecting parent permission slips. I explained that you will need to meet the transportation requirements if you choose to use the bus to transport the children. Please see the Technical Assistance section for the rule reference. The following violations were observed and documented: Violation Number Comment Rule 533 Human milk, formula and other bottled beverages including sippy cups, sent from child's home were not fully prepared, dated, and labeled for the appropriate child. In Space 1 and Space 5, several children's beverage containers were not labeled with the child's name and date. 15A NCAC 18A .2804(d) 705 Equipment and furnishings were not sturdy, stable and free of hazards. The platform and stairs of the stationary equipment was rusted and had exposed sharp edges. The stationary play car had peeling paint with rusted areas. Several toy trucks were rusted. .0601(c) 808 The child care center premises, including the outdoor learning environment, was not clean, drained to minimize standing water, free of litter and hazards, and/or maintained in a manner which does not create conditions that attract or harbor pests. Standing water was observed in the gutter drainage. A wasp nest was observed on the Step 2 play equipment. 15A NCAC 18A .2832(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. Space 1, the great room and the hallway had uncovered outlets. 10A NCAC 09 .0604(c) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. In Space 1 and Space 5 hand sanitizer was accessible stored in an open area of a desk. .2820(b) 902 Each child was not attended to in a nurturing and appropriate manner, or in keeping with the child's developmental needs. A child was addressed by his teacher in a harsh tone while eating lunch. G.S. 110-91(10) 1041 Prior to employment a Criminal Background Check was not completed. A qualifying letter was not on file for the Pastor, Joseph Campbell. G.S. 110-90.2(b) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. Four (4) children had a medical report on file without a date of examination. GS110-91(1) 1757 A valid qualification letter was not on file and available to review at the facility. A qualifying letter was not on file for the Pastor, Joseph Campbell. G.S. 110-90.2(b) & (d) & .2703(e) 1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. The EPR plan is not updated annually. .0607(e) 1867 The depth of the loose surfacing was not based on critical height of the equipment. The mulch depth was not adequate under the swings or around the stationary equipment. .0605(k)(1-4) 9995 A violation was found for which there is no item number. (a) In child care centers, food shall be kept free from spoilage, filth, or other contamination and shall be safe for human consumption. Potentially hazardous foods, including foods packaged in hermetically sealed containers, shall be obtained only from sources that are permitted or inspected by a local health department, the North Carolina Department of Agriculture and Consumer Services, or other government agency. The use of food packaged in hermetically sealed containers that was not prepared in a commercial food processing establishment is prohibited. Food prepared at home and sent to a child care center to be shared with other children shall be limited to baked goods that are not potentially hazardous foods. Expired food was found in the refrigerator. This is a violation of 15A NCAC 18A .2804 Compliance Statement: Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before October 31, 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: Lisa Eddins-Smith, Child Care Consultant 8801 Crosstimbers Drive Charlotte. NC 28215 Lisa.Eddins-Smith@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address on file with DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time-period. Technical Assistance: Reminders: Continue to review emails from the Division of Child Development and Early Education (DCDEE) and from your assigned child care consultant. DCDEE Website: I encourage you to utilize the DCDEE website, https://ncchildcare.ncdhhs.gov/, on a regular basis. All the laws, rules and regulations, item number listing, sanitation requirements, and provider documents can be found on the website. Additionally, there are many resources such as DCDEE Moodle where you can complete health and safety trainings free of charge. The What’s New tab provides current information that is sent out through blast emails. Emergency Preparedness and Response: As we discussed the EPR plan needs to be updated annually. You can visit our website to access the requirements. I suggest that Ms. Wells or another staff member be trained as well to aid in meeting the requirements to maintain compliance. ABCMS (Criminal Background System): North Carolina child care administrators can now view and edit their facility’s staff roster in ABCMS, the DCDEE’s criminal background check system. Provider Access to ABCMS allows administrators to: • See the real-time background check status of staff members. • Run a printable report of the staff roster to assist with compliance visits. • See new background check applicants and add to staff roster. To get started, complete the ABCMS Child Care Provider Portal Training in Moodle, https://www.dcdee.moodle.nc.gov/ —a video tutorial followed by a few questions. Transportation Requirements: We discussed transportation requirements if you decide to transport children. Please refer to SECTION .1000 - TRANSPORTATION STANDARDS in Chapter 9 in the NC Child Are Rules effective January 1, 2024. Staff Interactions: We discussed talking with staff regarding using caring and nurturing tones when talking with children. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Thank you for your time today. If you have questions or concerns regarding today’s visit, please contact me at Lisa.Eddins-Smith@dhhs.nc.gov or 980-748-6270. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

G.S. 110-91 · Violation

Name of Operation: SOUTH CHARLOTTE BAPTIST CHURCH AND ACADEMY Facility ID: 60002520 Consultant: LISA EDDINS-SMITH Operation Type: Center Case Number: Visit Date: 10/17/2024 Number Present: 30 Completed Date: 10/17/2024 Age: From 3 To 5 Total Minutes: 275 Time In: 10:10 AM Time Out: 02:45 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 the facility for compliance with all applicable child care requirements during the Annual Compliance Visit. The April 2024 Item Number Listing and Annual Compliance Monitoring Checklist were used during today’s visit. The facility is a G.S. 110 Religious Sponsored Program; the current Notice of Compliance was issued December 1, 2008. The facility has a compliance history of 92% prior to today’s visit. The last Annual Compliance Visit was conducted November 1, 2023. Upon arrival, I was greeted by Stephanie Wells, Secretary. I explained the purpose of my visit. Ms. Wells explained to me that Nathan Rideout, Assistant Headmaster was teaching a class, and that she would help me with today’s visit. Ms. Wells escorted me I conducted a walk-through of the facility. The children from Space 1, ages 3-4, were outside playing. There eleven (11) children present and one (1) children arrived while I was observing the room. I observed the classroom, items required to be posted and general safety. One outlet was uncovered, and a hand sanitizer was observed stored in an open shelf in the teacher’s desk. Children were observed engaged in outdoor play. One child needed to come inside to use the bathroom. Ms. Wells supervised him while the teacher supervised the children outside playing. I returned to Space 1 later to observe a teacher directed activity. In Space 5, a classroom serving children ages 4-5 years of age, a teacher directed activity was being conducted, eighteen (18) children were present with two (2) staff. The children were using dry erase boards and engaged in a writing activity. I observed water bottles for each child, and several were not labeled. A hand sanitizer was observed accessible to children. Electrical cords were observed hanging down behind a desk however not accessible to children. I recommended pulling the cords tighter and closer to the device to prevent a potential safety hazard. We walked through Space 2 to access the outdoor play area. The room is empty except for a desk. I asked if the room was used for activities throughout the day. Ms. Wells shared with me that the space is used for rest time for the 4- and 5-year-old children. I referenced the floor plan and measurements for the area. The room is licensed for 16 children. There are eighteen (18) 4 and 5-year-old children enrolled. I shared the capacity of the room with Ms. Wells and reminded her to maintain compliance in the room during rest time. The outdoor environment was monitored today. There were several violations cited. Please refer to the violations section of the Visit Summary. I began reviewing program records. Mr. Nathan Rideout returned from teaching a class and introduced himself. I shared with him the purpose of today's visit. The monthly playground inspection, incident log, daily arrival and departure and emergency drill log were reviewed and found meeting compliance. The last sanitation inspection was conducted December 7, 2023 with a superior rating. The last annual fire inspection was conducted November 14, 2023, and are approved for daytime care. The EPR plan has not been updated since established and a ready to go file was not maintained. All information required to be posted was observed posted in the lobby and main office of the facility. Ms. Wells updated the Summary of Law to reflect the most current document. Four (4) children’s records were reviewed today. The medical report for children does not have a place for the physician to complete and did not have a date on the report. I was unable to verify compliance with the required timeframe for obtaining children’s medical reports. The parent policies do not have a written smoke and tobacco statement. Two (2) children had a signed Prevention of Shaken Baby and Head Trauma Policy signed after the date of enrollment. You provided the current staff and training worksheet, I reviewed staff’s information and found them to meet compliance. There is not a current qualifying letter on file for the pastor, Joseph Campbell. His letter expired in 2019. I observed lunch in the great room. The children all eat together. The menu is posted and the parents are given a copy each month. Pizza, applesauce, carrots and milk were served today. I monitored the refrigerator thermometer, and the temperature was 39 degrees. I observed a gallon of milk expired 10/13/24 and opened bag of carrots expired 9/5/24. While observing lunch I observed the teacher of the four- and five-year-olds speaking to a child in a harsh manner. I spoke with Ms. Wells and asked her to address this with the teacher. Currently you do not have any child required to have medication on site. Mr. Rideout and I discussed that you do not provide transportation. You do have a field trip planned next week. You are collecting parent permission slips. I explained that you will need to meet the transportation requirements if you choose to use the bus to transport the children. Please see the Technical Assistance section for the rule reference. The following violations were observed and documented: Violation Number Comment Rule 533 Human milk, formula and other bottled beverages including sippy cups, sent from child's home were not fully prepared, dated, and labeled for the appropriate child. In Space 1 and Space 5, several children's beverage containers were not labeled with the child's name and date. 15A NCAC 18A .2804(d) 705 Equipment and furnishings were not sturdy, stable and free of hazards. The platform and stairs of the stationary equipment was rusted and had exposed sharp edges. The stationary play car had peeling paint with rusted areas. Several toy trucks were rusted. .0601(c) 808 The child care center premises, including the outdoor learning environment, was not clean, drained to minimize standing water, free of litter and hazards, and/or maintained in a manner which does not create conditions that attract or harbor pests. Standing water was observed in the gutter drainage. A wasp nest was observed on the Step 2 play equipment. 15A NCAC 18A .2832(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. Space 1, the great room and the hallway had uncovered outlets. 10A NCAC 09 .0604(c) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. In Space 1 and Space 5 hand sanitizer was accessible stored in an open area of a desk. .2820(b) 902 Each child was not attended to in a nurturing and appropriate manner, or in keeping with the child's developmental needs. A child was addressed by his teacher in a harsh tone while eating lunch. G.S. 110-91(10) 1041 Prior to employment a Criminal Background Check was not completed. A qualifying letter was not on file for the Pastor, Joseph Campbell. G.S. 110-90.2(b) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. Four (4) children had a medical report on file without a date of examination. GS110-91(1) 1757 A valid qualification letter was not on file and available to review at the facility. A qualifying letter was not on file for the Pastor, Joseph Campbell. G.S. 110-90.2(b) & (d) & .2703(e) 1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. The EPR plan is not updated annually. .0607(e) 1867 The depth of the loose surfacing was not based on critical height of the equipment. The mulch depth was not adequate under the swings or around the stationary equipment. .0605(k)(1-4) 9995 A violation was found for which there is no item number. (a) In child care centers, food shall be kept free from spoilage, filth, or other contamination and shall be safe for human consumption. Potentially hazardous foods, including foods packaged in hermetically sealed containers, shall be obtained only from sources that are permitted or inspected by a local health department, the North Carolina Department of Agriculture and Consumer Services, or other government agency. The use of food packaged in hermetically sealed containers that was not prepared in a commercial food processing establishment is prohibited. Food prepared at home and sent to a child care center to be shared with other children shall be limited to baked goods that are not potentially hazardous foods. Expired food was found in the refrigerator. This is a violation of 15A NCAC 18A .2804 Compliance Statement: Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before October 31, 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: Lisa Eddins-Smith, Child Care Consultant 8801 Crosstimbers Drive Charlotte. NC 28215 Lisa.Eddins-Smith@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address on file with DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time-period. Technical Assistance: Reminders: Continue to review emails from the Division of Child Development and Early Education (DCDEE) and from your assigned child care consultant. DCDEE Website: I encourage you to utilize the DCDEE website, https://ncchildcare.ncdhhs.gov/, on a regular basis. All the laws, rules and regulations, item number listing, sanitation requirements, and provider documents can be found on the website. Additionally, there are many resources such as DCDEE Moodle where you can complete health and safety trainings free of charge. The What’s New tab provides current information that is sent out through blast emails. Emergency Preparedness and Response: As we discussed the EPR plan needs to be updated annually. You can visit our website to access the requirements. I suggest that Ms. Wells or another staff member be trained as well to aid in meeting the requirements to maintain compliance. ABCMS (Criminal Background System): North Carolina child care administrators can now view and edit their facility’s staff roster in ABCMS, the DCDEE’s criminal background check system. Provider Access to ABCMS allows administrators to: • See the real-time background check status of staff members. • Run a printable report of the staff roster to assist with compliance visits. • See new background check applicants and add to staff roster. To get started, complete the ABCMS Child Care Provider Portal Training in Moodle, https://www.dcdee.moodle.nc.gov/ —a video tutorial followed by a few questions. Transportation Requirements: We discussed transportation requirements if you decide to transport children. Please refer to SECTION .1000 - TRANSPORTATION STANDARDS in Chapter 9 in the NC Child Are Rules effective January 1, 2024. Staff Interactions: We discussed talking with staff regarding using caring and nurturing tones when talking with children. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Thank you for your time today. If you have questions or concerns regarding today’s visit, please contact me at Lisa.Eddins-Smith@dhhs.nc.gov or 980-748-6270. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

GS110-91 · Violation

Name of Operation: SOUTH CHARLOTTE BAPTIST CHURCH AND ACADEMY Facility ID: 60002520 Consultant: LISA EDDINS-SMITH Operation Type: Center Case Number: Visit Date: 10/17/2024 Number Present: 30 Completed Date: 10/17/2024 Age: From 3 To 5 Total Minutes: 275 Time In: 10:10 AM Time Out: 02:45 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 the facility for compliance with all applicable child care requirements during the Annual Compliance Visit. The April 2024 Item Number Listing and Annual Compliance Monitoring Checklist were used during today’s visit. The facility is a G.S. 110 Religious Sponsored Program; the current Notice of Compliance was issued December 1, 2008. The facility has a compliance history of 92% prior to today’s visit. The last Annual Compliance Visit was conducted November 1, 2023. Upon arrival, I was greeted by Stephanie Wells, Secretary. I explained the purpose of my visit. Ms. Wells explained to me that Nathan Rideout, Assistant Headmaster was teaching a class, and that she would help me with today’s visit. Ms. Wells escorted me I conducted a walk-through of the facility. The children from Space 1, ages 3-4, were outside playing. There eleven (11) children present and one (1) children arrived while I was observing the room. I observed the classroom, items required to be posted and general safety. One outlet was uncovered, and a hand sanitizer was observed stored in an open shelf in the teacher’s desk. Children were observed engaged in outdoor play. One child needed to come inside to use the bathroom. Ms. Wells supervised him while the teacher supervised the children outside playing. I returned to Space 1 later to observe a teacher directed activity. In Space 5, a classroom serving children ages 4-5 years of age, a teacher directed activity was being conducted, eighteen (18) children were present with two (2) staff. The children were using dry erase boards and engaged in a writing activity. I observed water bottles for each child, and several were not labeled. A hand sanitizer was observed accessible to children. Electrical cords were observed hanging down behind a desk however not accessible to children. I recommended pulling the cords tighter and closer to the device to prevent a potential safety hazard. We walked through Space 2 to access the outdoor play area. The room is empty except for a desk. I asked if the room was used for activities throughout the day. Ms. Wells shared with me that the space is used for rest time for the 4- and 5-year-old children. I referenced the floor plan and measurements for the area. The room is licensed for 16 children. There are eighteen (18) 4 and 5-year-old children enrolled. I shared the capacity of the room with Ms. Wells and reminded her to maintain compliance in the room during rest time. The outdoor environment was monitored today. There were several violations cited. Please refer to the violations section of the Visit Summary. I began reviewing program records. Mr. Nathan Rideout returned from teaching a class and introduced himself. I shared with him the purpose of today's visit. The monthly playground inspection, incident log, daily arrival and departure and emergency drill log were reviewed and found meeting compliance. The last sanitation inspection was conducted December 7, 2023 with a superior rating. The last annual fire inspection was conducted November 14, 2023, and are approved for daytime care. The EPR plan has not been updated since established and a ready to go file was not maintained. All information required to be posted was observed posted in the lobby and main office of the facility. Ms. Wells updated the Summary of Law to reflect the most current document. Four (4) children’s records were reviewed today. The medical report for children does not have a place for the physician to complete and did not have a date on the report. I was unable to verify compliance with the required timeframe for obtaining children’s medical reports. The parent policies do not have a written smoke and tobacco statement. Two (2) children had a signed Prevention of Shaken Baby and Head Trauma Policy signed after the date of enrollment. You provided the current staff and training worksheet, I reviewed staff’s information and found them to meet compliance. There is not a current qualifying letter on file for the pastor, Joseph Campbell. His letter expired in 2019. I observed lunch in the great room. The children all eat together. The menu is posted and the parents are given a copy each month. Pizza, applesauce, carrots and milk were served today. I monitored the refrigerator thermometer, and the temperature was 39 degrees. I observed a gallon of milk expired 10/13/24 and opened bag of carrots expired 9/5/24. While observing lunch I observed the teacher of the four- and five-year-olds speaking to a child in a harsh manner. I spoke with Ms. Wells and asked her to address this with the teacher. Currently you do not have any child required to have medication on site. Mr. Rideout and I discussed that you do not provide transportation. You do have a field trip planned next week. You are collecting parent permission slips. I explained that you will need to meet the transportation requirements if you choose to use the bus to transport the children. Please see the Technical Assistance section for the rule reference. The following violations were observed and documented: Violation Number Comment Rule 533 Human milk, formula and other bottled beverages including sippy cups, sent from child's home were not fully prepared, dated, and labeled for the appropriate child. In Space 1 and Space 5, several children's beverage containers were not labeled with the child's name and date. 15A NCAC 18A .2804(d) 705 Equipment and furnishings were not sturdy, stable and free of hazards. The platform and stairs of the stationary equipment was rusted and had exposed sharp edges. The stationary play car had peeling paint with rusted areas. Several toy trucks were rusted. .0601(c) 808 The child care center premises, including the outdoor learning environment, was not clean, drained to minimize standing water, free of litter and hazards, and/or maintained in a manner which does not create conditions that attract or harbor pests. Standing water was observed in the gutter drainage. A wasp nest was observed on the Step 2 play equipment. 15A NCAC 18A .2832(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. Space 1, the great room and the hallway had uncovered outlets. 10A NCAC 09 .0604(c) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. In Space 1 and Space 5 hand sanitizer was accessible stored in an open area of a desk. .2820(b) 902 Each child was not attended to in a nurturing and appropriate manner, or in keeping with the child's developmental needs. A child was addressed by his teacher in a harsh tone while eating lunch. G.S. 110-91(10) 1041 Prior to employment a Criminal Background Check was not completed. A qualifying letter was not on file for the Pastor, Joseph Campbell. G.S. 110-90.2(b) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. Four (4) children had a medical report on file without a date of examination. GS110-91(1) 1757 A valid qualification letter was not on file and available to review at the facility. A qualifying letter was not on file for the Pastor, Joseph Campbell. G.S. 110-90.2(b) & (d) & .2703(e) 1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. The EPR plan is not updated annually. .0607(e) 1867 The depth of the loose surfacing was not based on critical height of the equipment. The mulch depth was not adequate under the swings or around the stationary equipment. .0605(k)(1-4) 9995 A violation was found for which there is no item number. (a) In child care centers, food shall be kept free from spoilage, filth, or other contamination and shall be safe for human consumption. Potentially hazardous foods, including foods packaged in hermetically sealed containers, shall be obtained only from sources that are permitted or inspected by a local health department, the North Carolina Department of Agriculture and Consumer Services, or other government agency. The use of food packaged in hermetically sealed containers that was not prepared in a commercial food processing establishment is prohibited. Food prepared at home and sent to a child care center to be shared with other children shall be limited to baked goods that are not potentially hazardous foods. Expired food was found in the refrigerator. This is a violation of 15A NCAC 18A .2804 Compliance Statement: Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before October 31, 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: Lisa Eddins-Smith, Child Care Consultant 8801 Crosstimbers Drive Charlotte. NC 28215 Lisa.Eddins-Smith@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address on file with DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time-period. Technical Assistance: Reminders: Continue to review emails from the Division of Child Development and Early Education (DCDEE) and from your assigned child care consultant. DCDEE Website: I encourage you to utilize the DCDEE website, https://ncchildcare.ncdhhs.gov/, on a regular basis. All the laws, rules and regulations, item number listing, sanitation requirements, and provider documents can be found on the website. Additionally, there are many resources such as DCDEE Moodle where you can complete health and safety trainings free of charge. The What’s New tab provides current information that is sent out through blast emails. Emergency Preparedness and Response: As we discussed the EPR plan needs to be updated annually. You can visit our website to access the requirements. I suggest that Ms. Wells or another staff member be trained as well to aid in meeting the requirements to maintain compliance. ABCMS (Criminal Background System): North Carolina child care administrators can now view and edit their facility’s staff roster in ABCMS, the DCDEE’s criminal background check system. Provider Access to ABCMS allows administrators to: • See the real-time background check status of staff members. • Run a printable report of the staff roster to assist with compliance visits. • See new background check applicants and add to staff roster. To get started, complete the ABCMS Child Care Provider Portal Training in Moodle, https://www.dcdee.moodle.nc.gov/ —a video tutorial followed by a few questions. Transportation Requirements: We discussed transportation requirements if you decide to transport children. Please refer to SECTION .1000 - TRANSPORTATION STANDARDS in Chapter 9 in the NC Child Are Rules effective January 1, 2024. Staff Interactions: We discussed talking with staff regarding using caring and nurturing tones when talking with children. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Thank you for your time today. If you have questions or concerns regarding today’s visit, please contact me at Lisa.Eddins-Smith@dhhs.nc.gov or 980-748-6270. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

NC GS 110-90 · Violation

Name of Operation: SOUTH CHARLOTTE BAPTIST CHURCH AND ACADEMY Facility ID: 60002520 Consultant: LISA EDDINS-SMITH Operation Type: Center Case Number: Visit Date: 10/17/2024 Number Present: 30 Completed Date: 10/17/2024 Age: From 3 To 5 Total Minutes: 275 Time In: 10:10 AM Time Out: 02:45 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 the facility for compliance with all applicable child care requirements during the Annual Compliance Visit. The April 2024 Item Number Listing and Annual Compliance Monitoring Checklist were used during today’s visit. The facility is a G.S. 110 Religious Sponsored Program; the current Notice of Compliance was issued December 1, 2008. The facility has a compliance history of 92% prior to today’s visit. The last Annual Compliance Visit was conducted November 1, 2023. Upon arrival, I was greeted by Stephanie Wells, Secretary. I explained the purpose of my visit. Ms. Wells explained to me that Nathan Rideout, Assistant Headmaster was teaching a class, and that she would help me with today’s visit. Ms. Wells escorted me I conducted a walk-through of the facility. The children from Space 1, ages 3-4, were outside playing. There eleven (11) children present and one (1) children arrived while I was observing the room. I observed the classroom, items required to be posted and general safety. One outlet was uncovered, and a hand sanitizer was observed stored in an open shelf in the teacher’s desk. Children were observed engaged in outdoor play. One child needed to come inside to use the bathroom. Ms. Wells supervised him while the teacher supervised the children outside playing. I returned to Space 1 later to observe a teacher directed activity. In Space 5, a classroom serving children ages 4-5 years of age, a teacher directed activity was being conducted, eighteen (18) children were present with two (2) staff. The children were using dry erase boards and engaged in a writing activity. I observed water bottles for each child, and several were not labeled. A hand sanitizer was observed accessible to children. Electrical cords were observed hanging down behind a desk however not accessible to children. I recommended pulling the cords tighter and closer to the device to prevent a potential safety hazard. We walked through Space 2 to access the outdoor play area. The room is empty except for a desk. I asked if the room was used for activities throughout the day. Ms. Wells shared with me that the space is used for rest time for the 4- and 5-year-old children. I referenced the floor plan and measurements for the area. The room is licensed for 16 children. There are eighteen (18) 4 and 5-year-old children enrolled. I shared the capacity of the room with Ms. Wells and reminded her to maintain compliance in the room during rest time. The outdoor environment was monitored today. There were several violations cited. Please refer to the violations section of the Visit Summary. I began reviewing program records. Mr. Nathan Rideout returned from teaching a class and introduced himself. I shared with him the purpose of today's visit. The monthly playground inspection, incident log, daily arrival and departure and emergency drill log were reviewed and found meeting compliance. The last sanitation inspection was conducted December 7, 2023 with a superior rating. The last annual fire inspection was conducted November 14, 2023, and are approved for daytime care. The EPR plan has not been updated since established and a ready to go file was not maintained. All information required to be posted was observed posted in the lobby and main office of the facility. Ms. Wells updated the Summary of Law to reflect the most current document. Four (4) children’s records were reviewed today. The medical report for children does not have a place for the physician to complete and did not have a date on the report. I was unable to verify compliance with the required timeframe for obtaining children’s medical reports. The parent policies do not have a written smoke and tobacco statement. Two (2) children had a signed Prevention of Shaken Baby and Head Trauma Policy signed after the date of enrollment. You provided the current staff and training worksheet, I reviewed staff’s information and found them to meet compliance. There is not a current qualifying letter on file for the pastor, Joseph Campbell. His letter expired in 2019. I observed lunch in the great room. The children all eat together. The menu is posted and the parents are given a copy each month. Pizza, applesauce, carrots and milk were served today. I monitored the refrigerator thermometer, and the temperature was 39 degrees. I observed a gallon of milk expired 10/13/24 and opened bag of carrots expired 9/5/24. While observing lunch I observed the teacher of the four- and five-year-olds speaking to a child in a harsh manner. I spoke with Ms. Wells and asked her to address this with the teacher. Currently you do not have any child required to have medication on site. Mr. Rideout and I discussed that you do not provide transportation. You do have a field trip planned next week. You are collecting parent permission slips. I explained that you will need to meet the transportation requirements if you choose to use the bus to transport the children. Please see the Technical Assistance section for the rule reference. The following violations were observed and documented: Violation Number Comment Rule 533 Human milk, formula and other bottled beverages including sippy cups, sent from child's home were not fully prepared, dated, and labeled for the appropriate child. In Space 1 and Space 5, several children's beverage containers were not labeled with the child's name and date. 15A NCAC 18A .2804(d) 705 Equipment and furnishings were not sturdy, stable and free of hazards. The platform and stairs of the stationary equipment was rusted and had exposed sharp edges. The stationary play car had peeling paint with rusted areas. Several toy trucks were rusted. .0601(c) 808 The child care center premises, including the outdoor learning environment, was not clean, drained to minimize standing water, free of litter and hazards, and/or maintained in a manner which does not create conditions that attract or harbor pests. Standing water was observed in the gutter drainage. A wasp nest was observed on the Step 2 play equipment. 15A NCAC 18A .2832(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. Space 1, the great room and the hallway had uncovered outlets. 10A NCAC 09 .0604(c) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. In Space 1 and Space 5 hand sanitizer was accessible stored in an open area of a desk. .2820(b) 902 Each child was not attended to in a nurturing and appropriate manner, or in keeping with the child's developmental needs. A child was addressed by his teacher in a harsh tone while eating lunch. G.S. 110-91(10) 1041 Prior to employment a Criminal Background Check was not completed. A qualifying letter was not on file for the Pastor, Joseph Campbell. G.S. 110-90.2(b) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. Four (4) children had a medical report on file without a date of examination. GS110-91(1) 1757 A valid qualification letter was not on file and available to review at the facility. A qualifying letter was not on file for the Pastor, Joseph Campbell. G.S. 110-90.2(b) & (d) & .2703(e) 1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. The EPR plan is not updated annually. .0607(e) 1867 The depth of the loose surfacing was not based on critical height of the equipment. The mulch depth was not adequate under the swings or around the stationary equipment. .0605(k)(1-4) 9995 A violation was found for which there is no item number. (a) In child care centers, food shall be kept free from spoilage, filth, or other contamination and shall be safe for human consumption. Potentially hazardous foods, including foods packaged in hermetically sealed containers, shall be obtained only from sources that are permitted or inspected by a local health department, the North Carolina Department of Agriculture and Consumer Services, or other government agency. The use of food packaged in hermetically sealed containers that was not prepared in a commercial food processing establishment is prohibited. Food prepared at home and sent to a child care center to be shared with other children shall be limited to baked goods that are not potentially hazardous foods. Expired food was found in the refrigerator. This is a violation of 15A NCAC 18A .2804 Compliance Statement: Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before October 31, 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: Lisa Eddins-Smith, Child Care Consultant 8801 Crosstimbers Drive Charlotte. NC 28215 Lisa.Eddins-Smith@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address on file with DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time-period. Technical Assistance: Reminders: Continue to review emails from the Division of Child Development and Early Education (DCDEE) and from your assigned child care consultant. DCDEE Website: I encourage you to utilize the DCDEE website, https://ncchildcare.ncdhhs.gov/, on a regular basis. All the laws, rules and regulations, item number listing, sanitation requirements, and provider documents can be found on the website. Additionally, there are many resources such as DCDEE Moodle where you can complete health and safety trainings free of charge. The What’s New tab provides current information that is sent out through blast emails. Emergency Preparedness and Response: As we discussed the EPR plan needs to be updated annually. You can visit our website to access the requirements. I suggest that Ms. Wells or another staff member be trained as well to aid in meeting the requirements to maintain compliance. ABCMS (Criminal Background System): North Carolina child care administrators can now view and edit their facility’s staff roster in ABCMS, the DCDEE’s criminal background check system. Provider Access to ABCMS allows administrators to: • See the real-time background check status of staff members. • Run a printable report of the staff roster to assist with compliance visits. • See new background check applicants and add to staff roster. To get started, complete the ABCMS Child Care Provider Portal Training in Moodle, https://www.dcdee.moodle.nc.gov/ —a video tutorial followed by a few questions. Transportation Requirements: We discussed transportation requirements if you decide to transport children. Please refer to SECTION .1000 - TRANSPORTATION STANDARDS in Chapter 9 in the NC Child Are Rules effective January 1, 2024. Staff Interactions: We discussed talking with staff regarding using caring and nurturing tones when talking with children. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Thank you for your time today. If you have questions or concerns regarding today’s visit, please contact me at Lisa.Eddins-Smith@dhhs.nc.gov or 980-748-6270. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

G.S. 110-90 · Violation

Name of Operation: SOUTH CHARLOTTE BAPTIST CHURCH AND ACADEMY Facility ID: 60002520 Consultant: ANDREA ANDERSON Operation Type: Center Case Number: Visit Date: 4/24/2024 Number Present: 24 Completed Date: 4/24/2024 Age: From 3 To 5 Total Minutes: 165 Time In: 10:00 AM Time Out: 12:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today's unannounced visit was to monitor compliance of applicable child care requirements during the routine unannounced visit. Upon my arrival I was greeted by Stephanie Wells, Administrative Assistant. She explained Pastor Rideout was not present today. I explained the purpose of today's visit and discussed items I would be monitoring during the visit. You were able to complete the walkthrough with me. I monitored both preschool classrooms. Space 1 had a substitute today. I observed a Mt. Dew soda sitting on the teacher's desk in the classroom. You placed the soda in a locked cabinet. I explained all staff need to model appropriate eating and drinking in front of the children at all times. Cleaning supplies were observed stored properly. Supervision was maintained. While in the classroom the sub was conducting a large group activity. While in Space 5 I observed the teacher conducted a large group activity. Cleaning supplies were observed stored properly. Outlets were observed covered. I did not observe any hazards in the classroom. Supervision was observed being maintained. As I was typing up the visit summary I observed you exiting the building with a child, walking her to her car in the parking lot. Upon entrance I explained there wasn't anyone on site other than Space 2 teacher that has a DCDEE qualifying letter so she would not be able to handle pick up today, she could not leave Space 1 children today. She stated that Space 1 children were in the cafeteria with Space 2 staff, meaning twenty-three children, ranging in age of 3-5 years, were with one qualified staff. The staff/child ratio for three year olds is 1:15. After observing in the classrooms we came into the front office lobby area where I requested to review program and staff records. The last fire inspection was conducted on 11/14/23. The emergency drill log was reviewed, you did not practice fire drills in the month of January and February 2024. You have been practicing and documenting the shelter-in-place and lockdown drills every three months. The last sanitation inspection was conducted on 12/7/23. I reviewed the monthly playground inspections and incident log and found them meeting compliance. I reviewed the posted Emergency Care Plan and found it to be current and meeting compliance. I observed all information required to be posted. I reviewed the staff and training worksheet from my last visit, conducted on 11/1/2023. The four staff listed are still employed, there DCDEE qualifying letters were current. I reminded you the one staff's qualifying letter expires in May, so you want to make sure that staff completes the criminal record process and receive a new qualifying letter by the expiration date, which is May 15, 2024. The sub in Space 1 does not have a file on site and based on reviewing the DCDEE criminal record portal, she has not been qualified by the Division to work in the Preschool. You stated that currently you do not have any medications to administer. The following violations were cited today: Violation Number Comment Rule 301 Minimum staff/child ratios and group sizes for the number and ages of children in care were not met. I observed the administrative assistant, who was subbing in Space 1 walk a child out to the parking lot to the child's parent. She left 23 preschool children, ages 3-5, with Space 2 teacher in the cafeteria. GS 110-91(7);.0713(a-d) 805 Fire drills were not practiced monthly and/or the drill record was incomplete. The facility did not practice a fire drill in January and February 2024. .0604(t); .0302(d)(5) 1041 Prior to employment a Criminal Background Check was not completed. The substitute in Space 1 has not completed a DCDEE criminal record background check. G.S. 110-90.2(b) 1757 A valid qualification letter was not on file and available to review at the facility. The substitute working in Space 1 does not have a valid qualifying letter on file. G.S. 110-90.2(b) & (d) & .2703(e) 1792 Staff did not model appropriate eating behaviors by consuming food or beverages that meet the nutritional requirements specified in the Meal Patterns for Children in Child Care Programs in the presence of children in care. While in Space 1, I observed a Mt. Dew soda on the teacher's desk. .0901(i) Compliance Statement: Childcare providers are expected to maintain compliance with all applicable child care requirements at all times. All violations cited today shall be corrected immediately. Nate Rideout, administrator, will email a compliance letter explaining how each violation cited today has been corrected. The compliance letter must be received by the consultant, andrea.anderson@dhhs.nc.gov, on or before May 8,2024. I will be returning in the near future to ensure correction to the violations cited today. Failure to correct the violations and/or submit the compliance letter to me by the date listed above may result in an unannounced follow-up visit being conducted to ensure corrections were made. Marie Peterson was instructed to leave the preschool premise because she has not been qualified by the Division of Child Development and Early Education. You, the administrative assistant, relieved the sub of her duties and you will remain with the children in Space 1 for the remainder of the day. Ms. Peterson cannot return to work in the licensed space until a DCDEE qualifying letter has been obtained. During today's visit she left the facility. Technical Assistance was provided on the following: DCDEE Criminal Record Qualification: The church pastor came into the lobby to talk with my about the process of completing a background check. He stated it would make since to have all the staff obtain a qualifying letter. I encourage you to have other people in the church or day school, not affiliated with the licensed preschool, to obtain a DCDEE qualifying letter so when you need a substitute to work in the licensed preschool you have other staff in the church that can step in. You stated that all church academy day school and preschool staff obtain CPR/First Aid certification. I shared the DCDEE website, ncchildcare.ncdhhs.gov, hover over Provider and click on Background Checks. There you will find all the information regarding obtaining Moodle training and obtain the ABCMS access code, getting an NCID Username and Password and the portal to apply for qualification. Fire Drills: You stated the reason drills weren't done in the January and February was because of things coming up that didn't allow the Pastor and you to conduct them. You stated that he has to go up to the Church to pull the system while you remain in the building to ensure everyone evacuates. I encourage you to come up with a backup plan to ensure drills can be conducted monthly. This may mean that a church member in the main office learn how to pull the alarm system and notify the fire department of the drill so you can remain in the licensed space to ensure every evacuates. Staff/Child Ratio: Only staff that meet licensing requirements can work with licensed preschool children. The ratio when 3 year old children are present is 1:15. Today you left Space 1 and 2 children in the cafeteria with Space 2 teacher while you brought one child to parking lot to her parent's vehicle for pick up. I explained she she and Space 2 were the only staff that were able to work with the preschool children she could not leave her group today. Staff/Child ratio must be maintained. So someone else will need to assist with pick up. Model appropriate eating and drinking: Staff must model appropriate eating and drinking in front of the children at all times of the operating day. I encourage you to remind all staff and the substitutes, prior to working in a classroom, of this rule to ensure compliance is maintained. If you have any questions please contact me: Andrea Anderson 12233 Royal Castle Ct Charlotte, NC 28277 andrea.anderson@dhhs.nc.gov (704)594-0039 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.

GS 110-91 · Violation

Name of Operation: SOUTH CHARLOTTE BAPTIST CHURCH AND ACADEMY Facility ID: 60002520 Consultant: ANDREA ANDERSON Operation Type: Center Case Number: Visit Date: 4/24/2024 Number Present: 24 Completed Date: 4/24/2024 Age: From 3 To 5 Total Minutes: 165 Time In: 10:00 AM Time Out: 12:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today's unannounced visit was to monitor compliance of applicable child care requirements during the routine unannounced visit. Upon my arrival I was greeted by Stephanie Wells, Administrative Assistant. She explained Pastor Rideout was not present today. I explained the purpose of today's visit and discussed items I would be monitoring during the visit. You were able to complete the walkthrough with me. I monitored both preschool classrooms. Space 1 had a substitute today. I observed a Mt. Dew soda sitting on the teacher's desk in the classroom. You placed the soda in a locked cabinet. I explained all staff need to model appropriate eating and drinking in front of the children at all times. Cleaning supplies were observed stored properly. Supervision was maintained. While in the classroom the sub was conducting a large group activity. While in Space 5 I observed the teacher conducted a large group activity. Cleaning supplies were observed stored properly. Outlets were observed covered. I did not observe any hazards in the classroom. Supervision was observed being maintained. As I was typing up the visit summary I observed you exiting the building with a child, walking her to her car in the parking lot. Upon entrance I explained there wasn't anyone on site other than Space 2 teacher that has a DCDEE qualifying letter so she would not be able to handle pick up today, she could not leave Space 1 children today. She stated that Space 1 children were in the cafeteria with Space 2 staff, meaning twenty-three children, ranging in age of 3-5 years, were with one qualified staff. The staff/child ratio for three year olds is 1:15. After observing in the classrooms we came into the front office lobby area where I requested to review program and staff records. The last fire inspection was conducted on 11/14/23. The emergency drill log was reviewed, you did not practice fire drills in the month of January and February 2024. You have been practicing and documenting the shelter-in-place and lockdown drills every three months. The last sanitation inspection was conducted on 12/7/23. I reviewed the monthly playground inspections and incident log and found them meeting compliance. I reviewed the posted Emergency Care Plan and found it to be current and meeting compliance. I observed all information required to be posted. I reviewed the staff and training worksheet from my last visit, conducted on 11/1/2023. The four staff listed are still employed, there DCDEE qualifying letters were current. I reminded you the one staff's qualifying letter expires in May, so you want to make sure that staff completes the criminal record process and receive a new qualifying letter by the expiration date, which is May 15, 2024. The sub in Space 1 does not have a file on site and based on reviewing the DCDEE criminal record portal, she has not been qualified by the Division to work in the Preschool. You stated that currently you do not have any medications to administer. The following violations were cited today: Violation Number Comment Rule 301 Minimum staff/child ratios and group sizes for the number and ages of children in care were not met. I observed the administrative assistant, who was subbing in Space 1 walk a child out to the parking lot to the child's parent. She left 23 preschool children, ages 3-5, with Space 2 teacher in the cafeteria. GS 110-91(7);.0713(a-d) 805 Fire drills were not practiced monthly and/or the drill record was incomplete. The facility did not practice a fire drill in January and February 2024. .0604(t); .0302(d)(5) 1041 Prior to employment a Criminal Background Check was not completed. The substitute in Space 1 has not completed a DCDEE criminal record background check. G.S. 110-90.2(b) 1757 A valid qualification letter was not on file and available to review at the facility. The substitute working in Space 1 does not have a valid qualifying letter on file. G.S. 110-90.2(b) & (d) & .2703(e) 1792 Staff did not model appropriate eating behaviors by consuming food or beverages that meet the nutritional requirements specified in the Meal Patterns for Children in Child Care Programs in the presence of children in care. While in Space 1, I observed a Mt. Dew soda on the teacher's desk. .0901(i) Compliance Statement: Childcare providers are expected to maintain compliance with all applicable child care requirements at all times. All violations cited today shall be corrected immediately. Nate Rideout, administrator, will email a compliance letter explaining how each violation cited today has been corrected. The compliance letter must be received by the consultant, andrea.anderson@dhhs.nc.gov, on or before May 8,2024. I will be returning in the near future to ensure correction to the violations cited today. Failure to correct the violations and/or submit the compliance letter to me by the date listed above may result in an unannounced follow-up visit being conducted to ensure corrections were made. Marie Peterson was instructed to leave the preschool premise because she has not been qualified by the Division of Child Development and Early Education. You, the administrative assistant, relieved the sub of her duties and you will remain with the children in Space 1 for the remainder of the day. Ms. Peterson cannot return to work in the licensed space until a DCDEE qualifying letter has been obtained. During today's visit she left the facility. Technical Assistance was provided on the following: DCDEE Criminal Record Qualification: The church pastor came into the lobby to talk with my about the process of completing a background check. He stated it would make since to have all the staff obtain a qualifying letter. I encourage you to have other people in the church or day school, not affiliated with the licensed preschool, to obtain a DCDEE qualifying letter so when you need a substitute to work in the licensed preschool you have other staff in the church that can step in. You stated that all church academy day school and preschool staff obtain CPR/First Aid certification. I shared the DCDEE website, ncchildcare.ncdhhs.gov, hover over Provider and click on Background Checks. There you will find all the information regarding obtaining Moodle training and obtain the ABCMS access code, getting an NCID Username and Password and the portal to apply for qualification. Fire Drills: You stated the reason drills weren't done in the January and February was because of things coming up that didn't allow the Pastor and you to conduct them. You stated that he has to go up to the Church to pull the system while you remain in the building to ensure everyone evacuates. I encourage you to come up with a backup plan to ensure drills can be conducted monthly. This may mean that a church member in the main office learn how to pull the alarm system and notify the fire department of the drill so you can remain in the licensed space to ensure every evacuates. Staff/Child Ratio: Only staff that meet licensing requirements can work with licensed preschool children. The ratio when 3 year old children are present is 1:15. Today you left Space 1 and 2 children in the cafeteria with Space 2 teacher while you brought one child to parking lot to her parent's vehicle for pick up. I explained she she and Space 2 were the only staff that were able to work with the preschool children she could not leave her group today. Staff/Child ratio must be maintained. So someone else will need to assist with pick up. Model appropriate eating and drinking: Staff must model appropriate eating and drinking in front of the children at all times of the operating day. I encourage you to remind all staff and the substitutes, prior to working in a classroom, of this rule to ensure compliance is maintained. If you have any questions please contact me: Andrea Anderson 12233 Royal Castle Ct Charlotte, NC 28277 andrea.anderson@dhhs.nc.gov (704)594-0039 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: SOUTH CHARLOTTE BAPTIST CHURCH AND ACADEMY Facility ID: 60002520 Consultant: ANDREA ANDERSON Operation Type: Center Case Number: Visit Date: 11/1/2023 Number Present: 29 Completed Date: 11/1/2023 Age: From 3 To 6 Total Minutes: 120 Time In: 10:00 AM Time Out: 12:00 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 the facility for compliance with all applicable child care requirements during the Annual Compliance Visit. The facility is a G.S. 110 Religious Sponsored Program; the current Notice of Compliance was issued December 1, 2008. The facility has a compliance history of 93% prior to today’s visit. The last Annual Compliance Visit was conducted December 5, 2022. A checklist and the Child Care Requirements, effective July 1, 2023 were used to monitor the facility. Upon arrival, I was greeted by Stephanie Wells, Secretary and Nathan Rideout, Headmaster. I explained the purpose of my visit. Ms. Rideout and I conducted a walk-through of the facility. In space #1 nine (9) children ages 3- and 4-years old children were walking into their classroom from outdoor play. After taking their coats off each child washed their hands. After handwashing a teacher directed activity was conducted. As I drove up to the facility I observed this group on the preschool playground, they were observed using stationary equipment, swings and using pretend construction trucks. In Space 5, a classroom serving children ages 4-6 years of age, a teacher directed activity was being conducted, nineteen (19) children were present with two (2) staff. Both groups were within staff/child ratio requirements. All hazardous products were stored locked. The outdoor environment was monitored today. You showed me the work you have done on the stationary equipment to remedy the rust issue. The stationary equipment has been fully repaired. Although you have adequate depth of resilient surfacing, more than 6 inches, and it’s cushiony, I observed weeds growing through the mulch. You explained that you had tilled the entire area, treated for weeds and they have come back. I reviewed program records. The monthly playground inspection, incident log, daily arrival and departure and emergency drill log were reviewed and found meeting compliance. The last sanitation inspection was conducted on 2-3-23 with a superior rating. The last annual fire inspection was conducted on 12-14-22, and are approved for daytime care. You contacted you fire inspector and scheduled this years annual inspection as I typed today’s documentation. All information required to be posted was observed posted in the lobby and main office of the facility. A Sample of children’s records were reviewed today. You have not been providing and reviewing your Shaken Baby Syndrome Abusive Head Trauma Policy with parents when enrolling children. You have adopted a policy and staff review and sign and you believe you use to provide to families at enrollment but don’t recall doing in for newly enrolled families. You located your policy and will go through all of the current children’s files and ensure each family of a child under 5 has received and reviewed the policy and will place the signature page in their file. You provided the current staff and training worksheet, I reviewed two of the four staff’s information and found them to meet compliance. Currently you do not have any child required to have medication on site. You do not provide transportation. The following violations were observed and documented: Violation Number Comment Rule 807 A safe indoor and outdoor environment was not provided for the children. Outdoors weeds are growing through the resilient surfacing all around the play area. The weeds pose as a tripping hazard. 10A NCAC 09 .0601(a) 1871 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with parents of currently enrolled children 0-5 within 30 days of adopting the policy. Two children's files did not have signed statement regarding the parent receiving and reviewing the policy. .0608(b) Compliance Letter 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 15, 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 legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to me, Andrea Anderson andrea.anderson@dhhs.nc.gov or PO Box 49335, Charlotte, NC, 28277. Technical Assistance was provided on the following: Outdoor area: The mulch must be free of weeds, leaves and tree twigs. Today we observed weeds throughout the play area. We discussed maybe the next time you add mulch to the area, you may want to see if after treating the area for weeds, use landscaping material on the ground then add the required depth of mulch over the material, that may help eliminate weeds from growing through the mulch. Until then you stated you would continue to treat and pull weeds when observed. Shaken Baby Syndrome Policy - Each family of children under 5 years old must receive and review your adopted Shaken Baby Syndrome and Abusive Head Trauma Policy. Today I verified you had your adopted policy, you will go through all your current files of children 3 and 4 years old and ensure the parents have received and reviewed the policy and the parent signature page is on file. Other: You received a donation for the playground and asked if it could be used on your preschool playground. I took a picture of the item and need to research it a little more and discuss with my supervisor. I will get back to you by the end of the week. The piece of equipment is a round tube with handles and three children can hold on and jump up an down on the device. I need to see if it would be considered equipment like a trampoline before allowing it to be used on the playground. If you have any questions please contact me: Andrea Anderson PO Box 49335 Charlotte, NC, 28277 andrea.anderson@dhhs.nc.gov (704)594-0039 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.

NC GS 110-90 · Violation

Name of Operation: SOUTH CHARLOTTE BAPTIST CHURCH AND ACADEMY Facility ID: 60002520 Consultant: ANDREA ANDERSON Operation Type: Center Case Number: Visit Date: 11/1/2023 Number Present: 29 Completed Date: 11/1/2023 Age: From 3 To 6 Total Minutes: 120 Time In: 10:00 AM Time Out: 12:00 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 the facility for compliance with all applicable child care requirements during the Annual Compliance Visit. The facility is a G.S. 110 Religious Sponsored Program; the current Notice of Compliance was issued December 1, 2008. The facility has a compliance history of 93% prior to today’s visit. The last Annual Compliance Visit was conducted December 5, 2022. A checklist and the Child Care Requirements, effective July 1, 2023 were used to monitor the facility. Upon arrival, I was greeted by Stephanie Wells, Secretary and Nathan Rideout, Headmaster. I explained the purpose of my visit. Ms. Rideout and I conducted a walk-through of the facility. In space #1 nine (9) children ages 3- and 4-years old children were walking into their classroom from outdoor play. After taking their coats off each child washed their hands. After handwashing a teacher directed activity was conducted. As I drove up to the facility I observed this group on the preschool playground, they were observed using stationary equipment, swings and using pretend construction trucks. In Space 5, a classroom serving children ages 4-6 years of age, a teacher directed activity was being conducted, nineteen (19) children were present with two (2) staff. Both groups were within staff/child ratio requirements. All hazardous products were stored locked. The outdoor environment was monitored today. You showed me the work you have done on the stationary equipment to remedy the rust issue. The stationary equipment has been fully repaired. Although you have adequate depth of resilient surfacing, more than 6 inches, and it’s cushiony, I observed weeds growing through the mulch. You explained that you had tilled the entire area, treated for weeds and they have come back. I reviewed program records. The monthly playground inspection, incident log, daily arrival and departure and emergency drill log were reviewed and found meeting compliance. The last sanitation inspection was conducted on 2-3-23 with a superior rating. The last annual fire inspection was conducted on 12-14-22, and are approved for daytime care. You contacted you fire inspector and scheduled this years annual inspection as I typed today’s documentation. All information required to be posted was observed posted in the lobby and main office of the facility. A Sample of children’s records were reviewed today. You have not been providing and reviewing your Shaken Baby Syndrome Abusive Head Trauma Policy with parents when enrolling children. You have adopted a policy and staff review and sign and you believe you use to provide to families at enrollment but don’t recall doing in for newly enrolled families. You located your policy and will go through all of the current children’s files and ensure each family of a child under 5 has received and reviewed the policy and will place the signature page in their file. You provided the current staff and training worksheet, I reviewed two of the four staff’s information and found them to meet compliance. Currently you do not have any child required to have medication on site. You do not provide transportation. The following violations were observed and documented: Violation Number Comment Rule 807 A safe indoor and outdoor environment was not provided for the children. Outdoors weeds are growing through the resilient surfacing all around the play area. The weeds pose as a tripping hazard. 10A NCAC 09 .0601(a) 1871 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with parents of currently enrolled children 0-5 within 30 days of adopting the policy. Two children's files did not have signed statement regarding the parent receiving and reviewing the policy. .0608(b) Compliance Letter 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 15, 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 legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to me, Andrea Anderson andrea.anderson@dhhs.nc.gov or PO Box 49335, Charlotte, NC, 28277. Technical Assistance was provided on the following: Outdoor area: The mulch must be free of weeds, leaves and tree twigs. Today we observed weeds throughout the play area. We discussed maybe the next time you add mulch to the area, you may want to see if after treating the area for weeds, use landscaping material on the ground then add the required depth of mulch over the material, that may help eliminate weeds from growing through the mulch. Until then you stated you would continue to treat and pull weeds when observed. Shaken Baby Syndrome Policy - Each family of children under 5 years old must receive and review your adopted Shaken Baby Syndrome and Abusive Head Trauma Policy. Today I verified you had your adopted policy, you will go through all your current files of children 3 and 4 years old and ensure the parents have received and reviewed the policy and the parent signature page is on file. Other: You received a donation for the playground and asked if it could be used on your preschool playground. I took a picture of the item and need to research it a little more and discuss with my supervisor. I will get back to you by the end of the week. The piece of equipment is a round tube with handles and three children can hold on and jump up an down on the device. I need to see if it would be considered equipment like a trampoline before allowing it to be used on the playground. If you have any questions please contact me: Andrea Anderson PO Box 49335 Charlotte, NC, 28277 andrea.anderson@dhhs.nc.gov (704)594-0039 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