10A NCAC 09 .0601 · Violation

Name of Operation: JIREH EMPOWERMENT OUTREACH CENTER Facility ID: 94000122 Consultant: KESHIA HAYWARD Operation Type: Center Case Number: Visit Date: 12/19/2025 Number Present: 1 Completed Date: 12/19/2025 Age: From 3 To 3 Total Minutes: 135 Time In: 08:30 AM Time Out: 10:45 AM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for a routine unannounced visit. Upon arrival you were not present. B. Clagon, Teacher assisted with the visit. You, Y. Clagon, Administrator arrived shortly after the visit started and assisted me with the visit. Your program currently operates with a Notice of Compliance issued April 25, 2025. The center's compliance history was reviewed with the operator. The program’s compliance history was eighty-eight percent as of December 19, 2025. The NC Secretary of State website was reviewed on December 19, 2025, and Jireh Empowerment Outreach Center was listed as current- active. The permit was posted, and the restrictions were in compliance. FACILITY PROFILE INFORMATION: You verified the phone number, email address and mailing address listed on the facility profile are correct. If changes in your facility’s information occur in the future, contact me at 252-214-2709 or email keshia.hayward@dhhs.nc.gov to discuss the changes and ensure accurate information is updated in our system. A walk-through of the facility was completed today; all indoor and outdoor areas were monitored. I observed a child engaged in activities in the indoor learning environment and found supervision and staff/child ratios to be in compliance. The child was participating in free play in various activity areas, interacting with caregivers, and completing personal care routines. The caregivers were interacting and meeting the developmental needs for the child present. Files for staff were reviewed to verify completion of specialized training and criminal background check requirements. Copies of the current fire and sanitation inspections were given to me during the visit. Three violations were observed today. The violations are as follows: Violation Number Comment Rule 125 Daily records of arrival and departure times for children at the center were not maintained as children arrive and depart and/or were not made available for review. Departure times were not documented for fifteen (15) children between the dates of December 8, 2025, and December 18, 2025. 10A NCAC 09 .0302(d)(4) 807 A safe indoor and outdoor environment was not provided for the children. Screws connecting the cubbies to the wall were detached exposing sharp points. A child sized blue chair was cracked creating an opening for children’s fingers to become stuck. 10A NCAC 09 .0601(a) 824 Outdoor play area was not enclosed by fence with a minimum height of 4 feet. The top of the fence, less than six feet, was not free from protrusions. Three sections of the fence enclosing the outdoor play area at the far back did not meet the four feet requirements. GS 110-91(6); .0605((i) Comments Section - 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 January 2, 2025, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware that any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Mail or email the information to: Keshia Hayward, Child Care Consultant PO Box 13 Ahoskie, NC 27910 keshia.hayward@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address on file with DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 ADDITIONAL SPACE: During the visit, you shared an additional space was added to the child care facility. You asked what requirements must be met to include the space to the child care capacity and permit. I informed you building, fire and sanitation inspection must be completed and reports provided to me. I explained once the inspections are completed and approval granted; I will schedule a visit to measure the space and submit packet to add capacity to your license. I observed the space today. Based on my observation the space is a large open room separated by a door from the child care facility. You reported the space is not being used at this time for any purposes. TECHNICAL ASSISTANCE/GUIDANCE: SAFE OUTDOOR ENVIRONMENT: Three sections of the fence enclosing the outdoor play area used by children were observed to be bent, resulting in a reduced fence height below the required four feet. I informed you that the fence must be repaired to increase the height to meet compliance with the child care requirements. We discussed the importance of monitoring the fence when completing outdoor play inspections and documenting and repairing any issues identified. Please be reminded that the fence must always measure four feet in height to ensure safety of children. A blue child-sized located in the outdoor play area was observed to be cracked, creating an opening that poses a risk for children’s fingers to become trapped. I informed you that the chair was damaged, and you immediately removed it from the playground. I recommend routinely inspecting materials in both indoor and outdoor environments to ensure they do not pose potential hazards to children in care. ARRIVAL AND DEPRATURE REQUIREMENTS: Departure times were not documented for fifteen children between the dates of December 8, 2025, and December 18, 2025. During the visit we talked about the importance of recording arrival and departure times for each child in care daily. I explained if parents forget to record the time, staff could do so and add their initials to reflect they documented the information. I also advise you to encourage parents to sign children in/out to ensure records remain accurate and up to date. ADEQUATE SURFACING: Adequate surfacing was observed on the playground; however, it was not evenly distributed throughout all areas around the equipment and under the swings. I suggest you maintain the surfacing to ensure it is spread evenly at the exit points and under the swings to ensure safety of children and that adequate depth requirements are met. SEX OFFENDER REGISTRY: North Carolina General Statute 14-208 requires sex offenders to register with the North Carolina Department of Justice. The law states that a sex offender shall not knowingly reside within 1,000 feet of the property on which any public or nonpublic school or child care center is located. This does not apply to child care centers that are located on or within 1,000 feet of property of an institution of higher education where the registrant is a student or is employed. All licensed child care centers must register to receive e-mail notification when a registered sex offender moves within a one-mile radius of the center. (§14-208.19) To register for the e-mail notification, go to http://sexoffender.ncsbi.gov. If you have any questions, please contact your local sheriff's department. NCID CREDENTIALS: Please remember to use your NCID credential periodically to prevent your user ID and password from becoming inactive. If your NCID credentials are not used within a twelve (12) to fifteen (15) month period, access to your account may be restricted due to inactivity. To avoid disruption, it is strongly recommended that you schedule regular logins to ensure your credentials remain active and valid. RAISE NC NEWSLETTER: The Raise NC Newsletter, sent directly to providers via email, contains valuable and up-to-date information about important updates and changes within the child care sector in North Carolina. I encourage you to set aside time to read each issue upon receipt to ensure you remain informed and updated on the latest developments, resources and guidance impacting child care programs. Staying connected helps support quality child care and compliance across the state. NEW OFFICE LOCATION: The North Carolina Department of Health & Human Services, including the Division of Child Development and Early Education, has moved to a new location. The DCDEE mailing address will remain at 2201 Mail Service Center, Raleigh, NC 27699-2200. If you are visiting the new building, the paid parking deck for our headquarters is immediately beside the building at 1910 Human Services Lane. All guests will check in at the front desk and be escorted by a DHHS staff member to the appropriate floor for their meeting. Getting Here: For GPS and map apps, use 3905 Reedy Creek Rd, Raleigh NC 27607 to get directions. DCDEE RESOURCES: I recommended you periodically visit the DCDEE website at https://ncchildcare.ncdhhs.gov/ under the "What's New" tab to stay abreast of updated information provided. Be reminded you are responsible for maintaining compliance with all applicable child care requirements whether they have been discussed or reviewed with you in the past. Tyrrell-Washington Partnership for Children is available to provide technical assistance and training for your program. They can be reached at (252) 793-5437 or https://twpfc.org/. At the conclusion of this visit, visit summary report was completed, reviewed, and left with you. You had to step out prior to the end of the visit. You asked that B. Clagon, Legal Designee review and sign nthe visit summary report. CONTACT INFORMATION: If you have questions regarding today’s visit, my contact information is listed above. You may also contact Licensing Supervisor, Jennifer Linhardt at 252-373-4199 or email susan.fuller@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

10A NCAC 09 .0302 · Violation

Name of Operation: JIREH EMPOWERMENT OUTREACH CENTER Facility ID: 94000122 Consultant: KESHIA HAYWARD Operation Type: Center Case Number: Visit Date: 12/19/2025 Number Present: 1 Completed Date: 12/19/2025 Age: From 3 To 3 Total Minutes: 135 Time In: 08:30 AM Time Out: 10:45 AM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for a routine unannounced visit. Upon arrival you were not present. B. Clagon, Teacher assisted with the visit. You, Y. Clagon, Administrator arrived shortly after the visit started and assisted me with the visit. Your program currently operates with a Notice of Compliance issued April 25, 2025. The center's compliance history was reviewed with the operator. The program’s compliance history was eighty-eight percent as of December 19, 2025. The NC Secretary of State website was reviewed on December 19, 2025, and Jireh Empowerment Outreach Center was listed as current- active. The permit was posted, and the restrictions were in compliance. FACILITY PROFILE INFORMATION: You verified the phone number, email address and mailing address listed on the facility profile are correct. If changes in your facility’s information occur in the future, contact me at 252-214-2709 or email keshia.hayward@dhhs.nc.gov to discuss the changes and ensure accurate information is updated in our system. A walk-through of the facility was completed today; all indoor and outdoor areas were monitored. I observed a child engaged in activities in the indoor learning environment and found supervision and staff/child ratios to be in compliance. The child was participating in free play in various activity areas, interacting with caregivers, and completing personal care routines. The caregivers were interacting and meeting the developmental needs for the child present. Files for staff were reviewed to verify completion of specialized training and criminal background check requirements. Copies of the current fire and sanitation inspections were given to me during the visit. Three violations were observed today. The violations are as follows: Violation Number Comment Rule 125 Daily records of arrival and departure times for children at the center were not maintained as children arrive and depart and/or were not made available for review. Departure times were not documented for fifteen (15) children between the dates of December 8, 2025, and December 18, 2025. 10A NCAC 09 .0302(d)(4) 807 A safe indoor and outdoor environment was not provided for the children. Screws connecting the cubbies to the wall were detached exposing sharp points. A child sized blue chair was cracked creating an opening for children’s fingers to become stuck. 10A NCAC 09 .0601(a) 824 Outdoor play area was not enclosed by fence with a minimum height of 4 feet. The top of the fence, less than six feet, was not free from protrusions. Three sections of the fence enclosing the outdoor play area at the far back did not meet the four feet requirements. GS 110-91(6); .0605((i) Comments Section - 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 January 2, 2025, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware that any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Mail or email the information to: Keshia Hayward, Child Care Consultant PO Box 13 Ahoskie, NC 27910 keshia.hayward@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address on file with DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 ADDITIONAL SPACE: During the visit, you shared an additional space was added to the child care facility. You asked what requirements must be met to include the space to the child care capacity and permit. I informed you building, fire and sanitation inspection must be completed and reports provided to me. I explained once the inspections are completed and approval granted; I will schedule a visit to measure the space and submit packet to add capacity to your license. I observed the space today. Based on my observation the space is a large open room separated by a door from the child care facility. You reported the space is not being used at this time for any purposes. TECHNICAL ASSISTANCE/GUIDANCE: SAFE OUTDOOR ENVIRONMENT: Three sections of the fence enclosing the outdoor play area used by children were observed to be bent, resulting in a reduced fence height below the required four feet. I informed you that the fence must be repaired to increase the height to meet compliance with the child care requirements. We discussed the importance of monitoring the fence when completing outdoor play inspections and documenting and repairing any issues identified. Please be reminded that the fence must always measure four feet in height to ensure safety of children. A blue child-sized located in the outdoor play area was observed to be cracked, creating an opening that poses a risk for children’s fingers to become trapped. I informed you that the chair was damaged, and you immediately removed it from the playground. I recommend routinely inspecting materials in both indoor and outdoor environments to ensure they do not pose potential hazards to children in care. ARRIVAL AND DEPRATURE REQUIREMENTS: Departure times were not documented for fifteen children between the dates of December 8, 2025, and December 18, 2025. During the visit we talked about the importance of recording arrival and departure times for each child in care daily. I explained if parents forget to record the time, staff could do so and add their initials to reflect they documented the information. I also advise you to encourage parents to sign children in/out to ensure records remain accurate and up to date. ADEQUATE SURFACING: Adequate surfacing was observed on the playground; however, it was not evenly distributed throughout all areas around the equipment and under the swings. I suggest you maintain the surfacing to ensure it is spread evenly at the exit points and under the swings to ensure safety of children and that adequate depth requirements are met. SEX OFFENDER REGISTRY: North Carolina General Statute 14-208 requires sex offenders to register with the North Carolina Department of Justice. The law states that a sex offender shall not knowingly reside within 1,000 feet of the property on which any public or nonpublic school or child care center is located. This does not apply to child care centers that are located on or within 1,000 feet of property of an institution of higher education where the registrant is a student or is employed. All licensed child care centers must register to receive e-mail notification when a registered sex offender moves within a one-mile radius of the center. (§14-208.19) To register for the e-mail notification, go to http://sexoffender.ncsbi.gov. If you have any questions, please contact your local sheriff's department. NCID CREDENTIALS: Please remember to use your NCID credential periodically to prevent your user ID and password from becoming inactive. If your NCID credentials are not used within a twelve (12) to fifteen (15) month period, access to your account may be restricted due to inactivity. To avoid disruption, it is strongly recommended that you schedule regular logins to ensure your credentials remain active and valid. RAISE NC NEWSLETTER: The Raise NC Newsletter, sent directly to providers via email, contains valuable and up-to-date information about important updates and changes within the child care sector in North Carolina. I encourage you to set aside time to read each issue upon receipt to ensure you remain informed and updated on the latest developments, resources and guidance impacting child care programs. Staying connected helps support quality child care and compliance across the state. NEW OFFICE LOCATION: The North Carolina Department of Health & Human Services, including the Division of Child Development and Early Education, has moved to a new location. The DCDEE mailing address will remain at 2201 Mail Service Center, Raleigh, NC 27699-2200. If you are visiting the new building, the paid parking deck for our headquarters is immediately beside the building at 1910 Human Services Lane. All guests will check in at the front desk and be escorted by a DHHS staff member to the appropriate floor for their meeting. Getting Here: For GPS and map apps, use 3905 Reedy Creek Rd, Raleigh NC 27607 to get directions. DCDEE RESOURCES: I recommended you periodically visit the DCDEE website at https://ncchildcare.ncdhhs.gov/ under the "What's New" tab to stay abreast of updated information provided. Be reminded you are responsible for maintaining compliance with all applicable child care requirements whether they have been discussed or reviewed with you in the past. Tyrrell-Washington Partnership for Children is available to provide technical assistance and training for your program. They can be reached at (252) 793-5437 or https://twpfc.org/. At the conclusion of this visit, visit summary report was completed, reviewed, and left with you. You had to step out prior to the end of the visit. You asked that B. Clagon, Legal Designee review and sign nthe visit summary report. CONTACT INFORMATION: If you have questions regarding today’s visit, my contact information is listed above. You may also contact Licensing Supervisor, Jennifer Linhardt at 252-373-4199 or email susan.fuller@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

GS 110-91 · Violation

Name of Operation: JIREH EMPOWERMENT OUTREACH CENTER Facility ID: 94000122 Consultant: KESHIA HAYWARD Operation Type: Center Case Number: Visit Date: 12/19/2025 Number Present: 1 Completed Date: 12/19/2025 Age: From 3 To 3 Total Minutes: 135 Time In: 08:30 AM Time Out: 10:45 AM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for a routine unannounced visit. Upon arrival you were not present. B. Clagon, Teacher assisted with the visit. You, Y. Clagon, Administrator arrived shortly after the visit started and assisted me with the visit. Your program currently operates with a Notice of Compliance issued April 25, 2025. The center's compliance history was reviewed with the operator. The program’s compliance history was eighty-eight percent as of December 19, 2025. The NC Secretary of State website was reviewed on December 19, 2025, and Jireh Empowerment Outreach Center was listed as current- active. The permit was posted, and the restrictions were in compliance. FACILITY PROFILE INFORMATION: You verified the phone number, email address and mailing address listed on the facility profile are correct. If changes in your facility’s information occur in the future, contact me at 252-214-2709 or email keshia.hayward@dhhs.nc.gov to discuss the changes and ensure accurate information is updated in our system. A walk-through of the facility was completed today; all indoor and outdoor areas were monitored. I observed a child engaged in activities in the indoor learning environment and found supervision and staff/child ratios to be in compliance. The child was participating in free play in various activity areas, interacting with caregivers, and completing personal care routines. The caregivers were interacting and meeting the developmental needs for the child present. Files for staff were reviewed to verify completion of specialized training and criminal background check requirements. Copies of the current fire and sanitation inspections were given to me during the visit. Three violations were observed today. The violations are as follows: Violation Number Comment Rule 125 Daily records of arrival and departure times for children at the center were not maintained as children arrive and depart and/or were not made available for review. Departure times were not documented for fifteen (15) children between the dates of December 8, 2025, and December 18, 2025. 10A NCAC 09 .0302(d)(4) 807 A safe indoor and outdoor environment was not provided for the children. Screws connecting the cubbies to the wall were detached exposing sharp points. A child sized blue chair was cracked creating an opening for children’s fingers to become stuck. 10A NCAC 09 .0601(a) 824 Outdoor play area was not enclosed by fence with a minimum height of 4 feet. The top of the fence, less than six feet, was not free from protrusions. Three sections of the fence enclosing the outdoor play area at the far back did not meet the four feet requirements. GS 110-91(6); .0605((i) Comments Section - 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 January 2, 2025, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware that any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Mail or email the information to: Keshia Hayward, Child Care Consultant PO Box 13 Ahoskie, NC 27910 keshia.hayward@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address on file with DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 ADDITIONAL SPACE: During the visit, you shared an additional space was added to the child care facility. You asked what requirements must be met to include the space to the child care capacity and permit. I informed you building, fire and sanitation inspection must be completed and reports provided to me. I explained once the inspections are completed and approval granted; I will schedule a visit to measure the space and submit packet to add capacity to your license. I observed the space today. Based on my observation the space is a large open room separated by a door from the child care facility. You reported the space is not being used at this time for any purposes. TECHNICAL ASSISTANCE/GUIDANCE: SAFE OUTDOOR ENVIRONMENT: Three sections of the fence enclosing the outdoor play area used by children were observed to be bent, resulting in a reduced fence height below the required four feet. I informed you that the fence must be repaired to increase the height to meet compliance with the child care requirements. We discussed the importance of monitoring the fence when completing outdoor play inspections and documenting and repairing any issues identified. Please be reminded that the fence must always measure four feet in height to ensure safety of children. A blue child-sized located in the outdoor play area was observed to be cracked, creating an opening that poses a risk for children’s fingers to become trapped. I informed you that the chair was damaged, and you immediately removed it from the playground. I recommend routinely inspecting materials in both indoor and outdoor environments to ensure they do not pose potential hazards to children in care. ARRIVAL AND DEPRATURE REQUIREMENTS: Departure times were not documented for fifteen children between the dates of December 8, 2025, and December 18, 2025. During the visit we talked about the importance of recording arrival and departure times for each child in care daily. I explained if parents forget to record the time, staff could do so and add their initials to reflect they documented the information. I also advise you to encourage parents to sign children in/out to ensure records remain accurate and up to date. ADEQUATE SURFACING: Adequate surfacing was observed on the playground; however, it was not evenly distributed throughout all areas around the equipment and under the swings. I suggest you maintain the surfacing to ensure it is spread evenly at the exit points and under the swings to ensure safety of children and that adequate depth requirements are met. SEX OFFENDER REGISTRY: North Carolina General Statute 14-208 requires sex offenders to register with the North Carolina Department of Justice. The law states that a sex offender shall not knowingly reside within 1,000 feet of the property on which any public or nonpublic school or child care center is located. This does not apply to child care centers that are located on or within 1,000 feet of property of an institution of higher education where the registrant is a student or is employed. All licensed child care centers must register to receive e-mail notification when a registered sex offender moves within a one-mile radius of the center. (§14-208.19) To register for the e-mail notification, go to http://sexoffender.ncsbi.gov. If you have any questions, please contact your local sheriff's department. NCID CREDENTIALS: Please remember to use your NCID credential periodically to prevent your user ID and password from becoming inactive. If your NCID credentials are not used within a twelve (12) to fifteen (15) month period, access to your account may be restricted due to inactivity. To avoid disruption, it is strongly recommended that you schedule regular logins to ensure your credentials remain active and valid. RAISE NC NEWSLETTER: The Raise NC Newsletter, sent directly to providers via email, contains valuable and up-to-date information about important updates and changes within the child care sector in North Carolina. I encourage you to set aside time to read each issue upon receipt to ensure you remain informed and updated on the latest developments, resources and guidance impacting child care programs. Staying connected helps support quality child care and compliance across the state. NEW OFFICE LOCATION: The North Carolina Department of Health & Human Services, including the Division of Child Development and Early Education, has moved to a new location. The DCDEE mailing address will remain at 2201 Mail Service Center, Raleigh, NC 27699-2200. If you are visiting the new building, the paid parking deck for our headquarters is immediately beside the building at 1910 Human Services Lane. All guests will check in at the front desk and be escorted by a DHHS staff member to the appropriate floor for their meeting. Getting Here: For GPS and map apps, use 3905 Reedy Creek Rd, Raleigh NC 27607 to get directions. DCDEE RESOURCES: I recommended you periodically visit the DCDEE website at https://ncchildcare.ncdhhs.gov/ under the "What's New" tab to stay abreast of updated information provided. Be reminded you are responsible for maintaining compliance with all applicable child care requirements whether they have been discussed or reviewed with you in the past. Tyrrell-Washington Partnership for Children is available to provide technical assistance and training for your program. They can be reached at (252) 793-5437 or https://twpfc.org/. At the conclusion of this visit, visit summary report was completed, reviewed, and left with you. You had to step out prior to the end of the visit. You asked that B. Clagon, Legal Designee review and sign nthe visit summary report. CONTACT INFORMATION: If you have questions regarding today’s visit, my contact information is listed above. You may also contact Licensing Supervisor, Jennifer Linhardt at 252-373-4199 or email susan.fuller@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

NC GS 110-90 · Violation

Name of Operation: JIREH EMPOWERMENT OUTREACH CENTER Facility ID: 94000122 Consultant: KESHIA HAYWARD Operation Type: Center Case Number: Visit Date: 12/19/2025 Number Present: 1 Completed Date: 12/19/2025 Age: From 3 To 3 Total Minutes: 135 Time In: 08:30 AM Time Out: 10:45 AM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for a routine unannounced visit. Upon arrival you were not present. B. Clagon, Teacher assisted with the visit. You, Y. Clagon, Administrator arrived shortly after the visit started and assisted me with the visit. Your program currently operates with a Notice of Compliance issued April 25, 2025. The center's compliance history was reviewed with the operator. The program’s compliance history was eighty-eight percent as of December 19, 2025. The NC Secretary of State website was reviewed on December 19, 2025, and Jireh Empowerment Outreach Center was listed as current- active. The permit was posted, and the restrictions were in compliance. FACILITY PROFILE INFORMATION: You verified the phone number, email address and mailing address listed on the facility profile are correct. If changes in your facility’s information occur in the future, contact me at 252-214-2709 or email keshia.hayward@dhhs.nc.gov to discuss the changes and ensure accurate information is updated in our system. A walk-through of the facility was completed today; all indoor and outdoor areas were monitored. I observed a child engaged in activities in the indoor learning environment and found supervision and staff/child ratios to be in compliance. The child was participating in free play in various activity areas, interacting with caregivers, and completing personal care routines. The caregivers were interacting and meeting the developmental needs for the child present. Files for staff were reviewed to verify completion of specialized training and criminal background check requirements. Copies of the current fire and sanitation inspections were given to me during the visit. Three violations were observed today. The violations are as follows: Violation Number Comment Rule 125 Daily records of arrival and departure times for children at the center were not maintained as children arrive and depart and/or were not made available for review. Departure times were not documented for fifteen (15) children between the dates of December 8, 2025, and December 18, 2025. 10A NCAC 09 .0302(d)(4) 807 A safe indoor and outdoor environment was not provided for the children. Screws connecting the cubbies to the wall were detached exposing sharp points. A child sized blue chair was cracked creating an opening for children’s fingers to become stuck. 10A NCAC 09 .0601(a) 824 Outdoor play area was not enclosed by fence with a minimum height of 4 feet. The top of the fence, less than six feet, was not free from protrusions. Three sections of the fence enclosing the outdoor play area at the far back did not meet the four feet requirements. GS 110-91(6); .0605((i) Comments Section - 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 January 2, 2025, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware that any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Mail or email the information to: Keshia Hayward, Child Care Consultant PO Box 13 Ahoskie, NC 27910 keshia.hayward@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address on file with DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 ADDITIONAL SPACE: During the visit, you shared an additional space was added to the child care facility. You asked what requirements must be met to include the space to the child care capacity and permit. I informed you building, fire and sanitation inspection must be completed and reports provided to me. I explained once the inspections are completed and approval granted; I will schedule a visit to measure the space and submit packet to add capacity to your license. I observed the space today. Based on my observation the space is a large open room separated by a door from the child care facility. You reported the space is not being used at this time for any purposes. TECHNICAL ASSISTANCE/GUIDANCE: SAFE OUTDOOR ENVIRONMENT: Three sections of the fence enclosing the outdoor play area used by children were observed to be bent, resulting in a reduced fence height below the required four feet. I informed you that the fence must be repaired to increase the height to meet compliance with the child care requirements. We discussed the importance of monitoring the fence when completing outdoor play inspections and documenting and repairing any issues identified. Please be reminded that the fence must always measure four feet in height to ensure safety of children. A blue child-sized located in the outdoor play area was observed to be cracked, creating an opening that poses a risk for children’s fingers to become trapped. I informed you that the chair was damaged, and you immediately removed it from the playground. I recommend routinely inspecting materials in both indoor and outdoor environments to ensure they do not pose potential hazards to children in care. ARRIVAL AND DEPRATURE REQUIREMENTS: Departure times were not documented for fifteen children between the dates of December 8, 2025, and December 18, 2025. During the visit we talked about the importance of recording arrival and departure times for each child in care daily. I explained if parents forget to record the time, staff could do so and add their initials to reflect they documented the information. I also advise you to encourage parents to sign children in/out to ensure records remain accurate and up to date. ADEQUATE SURFACING: Adequate surfacing was observed on the playground; however, it was not evenly distributed throughout all areas around the equipment and under the swings. I suggest you maintain the surfacing to ensure it is spread evenly at the exit points and under the swings to ensure safety of children and that adequate depth requirements are met. SEX OFFENDER REGISTRY: North Carolina General Statute 14-208 requires sex offenders to register with the North Carolina Department of Justice. The law states that a sex offender shall not knowingly reside within 1,000 feet of the property on which any public or nonpublic school or child care center is located. This does not apply to child care centers that are located on or within 1,000 feet of property of an institution of higher education where the registrant is a student or is employed. All licensed child care centers must register to receive e-mail notification when a registered sex offender moves within a one-mile radius of the center. (§14-208.19) To register for the e-mail notification, go to http://sexoffender.ncsbi.gov. If you have any questions, please contact your local sheriff's department. NCID CREDENTIALS: Please remember to use your NCID credential periodically to prevent your user ID and password from becoming inactive. If your NCID credentials are not used within a twelve (12) to fifteen (15) month period, access to your account may be restricted due to inactivity. To avoid disruption, it is strongly recommended that you schedule regular logins to ensure your credentials remain active and valid. RAISE NC NEWSLETTER: The Raise NC Newsletter, sent directly to providers via email, contains valuable and up-to-date information about important updates and changes within the child care sector in North Carolina. I encourage you to set aside time to read each issue upon receipt to ensure you remain informed and updated on the latest developments, resources and guidance impacting child care programs. Staying connected helps support quality child care and compliance across the state. NEW OFFICE LOCATION: The North Carolina Department of Health & Human Services, including the Division of Child Development and Early Education, has moved to a new location. The DCDEE mailing address will remain at 2201 Mail Service Center, Raleigh, NC 27699-2200. If you are visiting the new building, the paid parking deck for our headquarters is immediately beside the building at 1910 Human Services Lane. All guests will check in at the front desk and be escorted by a DHHS staff member to the appropriate floor for their meeting. Getting Here: For GPS and map apps, use 3905 Reedy Creek Rd, Raleigh NC 27607 to get directions. DCDEE RESOURCES: I recommended you periodically visit the DCDEE website at https://ncchildcare.ncdhhs.gov/ under the "What's New" tab to stay abreast of updated information provided. Be reminded you are responsible for maintaining compliance with all applicable child care requirements whether they have been discussed or reviewed with you in the past. Tyrrell-Washington Partnership for Children is available to provide technical assistance and training for your program. They can be reached at (252) 793-5437 or https://twpfc.org/. At the conclusion of this visit, visit summary report was completed, reviewed, and left with you. You had to step out prior to the end of the visit. You asked that B. Clagon, Legal Designee review and sign nthe visit summary report. CONTACT INFORMATION: If you have questions regarding today’s visit, my contact information is listed above. You may also contact Licensing Supervisor, Jennifer Linhardt at 252-373-4199 or email susan.fuller@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0601 · Violation

Name of Operation: JIREH EMPOWERMENT OUTREACH CENTER Facility ID: 94000122 Consultant: BRITTANY JONES Operation Type: Center Case Number: Visit Date: 4/14/2025 Number Present: 7 Completed Date: 4/14/2025 Age: From 0 To 4 Total Minutes: 345 Time In: 09:15 AM Time Out: 03:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for an annual compliance visit. Y. Clagon, Administrator, assisted me with the visit. Your program currently operates with a Notice of Compliance dated 3/21/23. The last annual compliance visit was conducted 4/29/24. The sanitation inspection was completed 1/16/25 with a “Superior” classification. The last fire inspection was conducted 8/26/24 and your facility was approved for daytime care only. The center's compliance history was reviewed with the operator. The program’s compliance history was ninety four percent as of 4/11/25. The NC Secretary of State website was reviewed on 4/11/25 and Jireh Empowerment Outreach Center was listed as current- active. We reviewed your facility contact information listed on the Division of Child Development and Early Education (DCDEE) website and all information is current. Contact me if you need to make any changes to your contact information, e.g., phone numbers, mailing address. All indoor and outdoor spaces were monitored. Children enrolled in space #1 were looking at books at the table while a staff member read to them. Children under twelve months old received care according to individual needs including diapering and bottle feeding. All children transitioned to the outdoor space and were observed swinging and climbing on stationary climbers. The outdoor space was observed to have monkey bars, a climbing dome, portables houses, and balls for the children to engage in gross motor activities. Lunch was observed and consisted of turkey with gravy, rice, peas, mixed fruit, whole wheat bread, and milk. The following violations were observed. Violation Number Comment Rule 107 The center did not comply with the permit restrictions. In space #1, one child enrolled was fourteen (14) years of age. The permit license is for ages birth – 12. GS 110-91; GS 110-106 301 Minimum staff/child ratios and group sizes for the number and ages of children in care were not met. Upon arrival at the center, the staff member assigned to space #2 came to the door with three (3) children to unlock it and let me in. Two (2) children were left in classroom space #2 unattended. GS 110-91(7);.0713(a-d) 316 Children under one year of age were not kept separate from children two years and older. In space #2, six (6) children 1-4 years of age were in care with one staff member. Seven (7) children, 0-4 years of age were grouped in the outdoor space. 10A NCAC 09 .0713(a)(5) 807 A safe indoor and outdoor environment was not provided for the children. The landscape fabric beneath the mulch under the portable swing set for toddlers was exposed causing a tripping hazard. The monkey bars had large areas of peeling paint with exposed rust on the top bars. 10A NCAC 09 .0601(a) 843 A drug or medicine was administered after its expiration date. In space #1, two (2) tubes of hydrocortisone ointment 2.5% were on file that expired 6/24. A child enrolled in space #1, had an Epi Pen on file that expired 5/23. In space #1, a Proair HFA inhaler was on file that expired 1/23. 10A NCAC 09 .0803(1)(d) 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. In space #1, two (2) tubes of hydrocortisone ointment 2.5% were on file in boxes without the prescription labels. .0803(2)(a) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. In space #1, two (2) tubes of hydrocortisone ointment 2.5% were on file with written permission that expired 6/3/23. A child enrolled in space #1, had an Epi Pen on file without written permission on file. In space #1, a Proair HFA inhaler was on file with written permission that expired 12/3/22. .0803(12) 1044 Prior to the expiration date of the qualification letter, the child care provider did not complete and submit required forms to complete a criminal background check (a qualification letter is valid for a maximum of five years for the date of issuance). A. Hinton, qualification letter expired on March 24, 2025. Submission of the required forms to complete a criminal background check has not occurred to date. G.S. 110-90.2(b) & .2703(n)&(o) 1757 A valid qualification letter was not on file and available to review at the facility. A. Hinton did not have a valid qualification letter on file. G.S. 110-90.2(b) & (d) & .2703(e) 1805 A child care operator did not notify the Division of any new child care providers, as defined in G.S. 110-90.2(a)(2), who were hired or moved into the child care facility within five business days. The administrator did not complete the ABCMS provider training. G.S. 110-90.2 & .2703(r) 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 last recorded update of the EPR Plan was 10/26/2021. .0607(e) 1834 Application did not have a medical action plan attached for any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services. In space #1, a child enrolled had a medical action plan on file that was dated 8/3/22. .0801(b) 1867 The depth of the loose surfacing was not based on critical height of the equipment. The mulch beneath the stationary climbers and swings throughout the outdoor space was three (3) inches in depth rather than the required six (6) inches. .0605(k)(1-4) 9995 A violation was found for which there is no item number. Children were observed sleeping on cots that were not covered by bed linens. This is a violation of a requirement of 15A NCAC 18A .2821 (f). Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before 4/28/25, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Brittany Jones, Child Care Consultant PO Box 3272 New Bern, NC 28564 Brittany.j.jones@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Technical Assistance with Documented Violations: Permit Compliance: Monitoring with a focus on teaching, encouraging, upgrading and safeguarding, can be very successful in assisting programs and providers to achieve and maintain compliance with licensing requirements. In space #1, one child enrolled was fourteen (14) years of age. The permit license is for ages birth – 12. You stated you were told by a case worker that this was allowable. We discussed that if there was a need for the child to remain in care, you would need to submit a written request to me to see if a special restriction can be added for the child to attend. You are to immediately notify the parents that you are not able to care for children over the age of twelve (12) years old and to find alternative care. Staff Child Ratio: A staff-to-child ratio is a measure of the number of children for whom each child care provider is responsible. Because younger children need more direct one-on-one interaction, response, and supervision, staff-to-child ratios are lower for younger children than for older ones. Ratio and group size are two factors that are critical to a child’s health, safety, and development. Ratios and group sizes help ensure that a child gets enough one-on-one attention from an adult who is available to take care of each child’s unique needs. This responsive caregiving is extremely important to a child ’s social and emotional development, physical well-being, and overall learning. Upon arrival at the center, the staff member assigned to space #2 came to the door with three (3) children to unlock it and let me in. Two (2) children were left in classroom space #2 unattended. We discussed that it is important to communicate with the staff member in space #3 to see if she can assist or to bring all the children with her to the door so that ratios and supervision is maintained at all times. You stated that you usually arrive to the center by 9AM and are available to open the door. In space #2, six (6) children 1-4 years of age were in care with one staff member. I discussed with the staff members that children that are under the age of two cannot be grouped with children three years of age or older. The one-year-old child was moved to space #3 to be grouped with the infant in attendance when it was brought to the staff member’s attention. Seven (7) children, 0-4 years of age were grouped in the outdoor space. We discussed that the younger children in space #3 could come to the outdoor space before or after the older children so that they can play on the smaller equipment that is developmentally appropriate. Ensure that staff members have a way of communicating with you and each other when assistance is needed and that they understand how to maintain ratios when a staff member is not available for assistance. Criminal Background Checks: Criminal background checks (CBC) are completed to protect children from abuse and reduce liability risks. Background screenings are needed to provide a safe program environment, support children’s health and safety, and are important for preventing child maltreatment in early care and education programs. A CBC must be completed prior to employee hire and every five years thereafter. An expiration date is now listed on each Qualification Letter. Submissions can also be made six months before the expiration date listed on the current Qualification Letter. A. Hinton, qualification letter expired on March 24, 2025. Submission of the required forms to complete a criminal background check has not occurred to date. This violation must be corrected within fifteen (15) days, by April 29, 2025, and a copy of the qualification letter must be sent with the required compliance letter. If the qualification letter is not on file within the 15 days, the employee cannot be at the facility any longer until they receive their qualification letter. You stated that you thought that the staff member’s letter did not expire until next year. We discussed using you staff and training worksheet as a tool and adding expiration dates in a digital calendar that will send reminders. I sent you instructions for how to use the CBC portal and connecting applications in the provider portal during the visit. Regularly reviewing your files will help keep you informed about upcoming expiring dates. As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. The administrator did not complete the ABCMS provider training. You stated that you will complete the training and send me your certificate with the compliance letter. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. Medication: Medicines can be crucial to the health and wellness of children. They can also be very dangerous if the wrong type or wrong amount is given to the wrong person or at the wrong time. A medical action plan is required for children that need emergency medication, the form needs to be completed by the parent or a health care professional. In space #1, a child enrolled had a medical action plan on file that was dated 8/3/22. We discussed the importance of understanding the symptoms the child shows and the instructions to administer the medication needed for the child. You stated that you were unaware that the medical action plans had to be updated annually and that you have not had to use any medication for the child. In space #1, two (2) tubes of hydrocortisone ointment 2.5% were on file in boxes without the prescription labels that expired 6/24. The written authorization for the ointment expired 6/3/23. You stated that you were unaware if the medication was prescription. We discussed that the tube stated RX only which then requires it to have a prescription labeled box, be stored in locked storage, and have written permission on the long form for prescription medication. We also discussed that it is important to understand if a medication is prescription by inspecting the original container of the medication. A child enrolled in space #1, had an Epi Pen on file that expired 5/23 and did not have written permission on file. In space #1, a Proair HFA inhaler was on file that expired 1/23 and had written permission that expired 12/3/22. We discussed that it is important to review medications frequently even though they have not been used. You stated that you will check medications monthly when completing other monthly tasks. Request a new medical action plan for the child and ensure that you have all required medications with permissions on file to be reviewed monthly. Outdoor Environment: The outdoor learning environment offers a sense of freedom for children. Children are able to play freely with peers, expand their imagination beyond restraints of indoor activities, release energy and explore their sense of touch, smell, taste and their sense of motion. It is important that the outdoor area is checked daily and proper upkeep is conducted to ensure the environment is safe for use. The mulch beneath the stationary climbers and swings throughout the outdoor space was three (3) inches in depth rather than the required six (6) inches. You stated that you had noticed that the mulch was not the required depth during the last playground inspection. The landscape fabric beneath the mulch under the portable swing set for toddlers was exposed causing a tripping hazard. The monkey bars had large areas of peeling paint with exposed rust on the top bars. We discussed that the paint and rust could harm the children’s hands when they grip the bar to go across the bars. You stated that you will contact someone to help with the mulch and painting of the monkey bars. Check the outdoor spaces daily before the children arrive to ensure that hazards are removed and inspect equipment thoroughly each month during the playground inspections for hazards. EPR Plan: Your program’s Emergency Preparedness and Response plan was created to assist you with following a plan in the event of an emergency. You must update your plan yearly or update the plan whenever changes occur in your program. Your last recorded update was 10/26/2021. Your facilities emergency response plan must be reviewed with staff annually or when changes occur. We discussed updating your plan during today’s visit. Send a copy of the updated plan as part of your correction. Sleep and Rest Areas: Early care and education programs should have proper sleeping equipment for children who need to nap while in care, and programs should use the equipment correctly to help reduce injury or death. Programs should have a separate crib, cot, sleeping bag, bed, mat, or pad available for each child. Children should not share cribs, beds, or bedding. Bed linens should not be used as rest equipment instead of cots, beds, pads, or similar approved equipment. Bed linens used under children on cots, cribs, futons, and playpens should fit tightly. Bed linens should be cleaned once a week or more often if soiled. Bedding brought by parents/guardians should be washed at home weekly or more often if soiled. Children were observed sleeping on cots that were not covered by bed linens. You stated that the blanket or towel that the children bring in from home are laid on the cot to sleep on top of but they choose to cover up with the blanket rather than laying on top of it. We discussed that linens are needed that will cover the mat's sleeping surface for the children to rest on. You stated that you ordered the cots from Kaplan and can see if they also have sheets available for purchase. Ensure that cots are covered with linen for the children to rest on each day. Additional Comments: We discussed Clean Classrooms for Carolina Kids and you have completed Lead in Water testing. Log into Clean Classrooms for Carolina Kids to complete Asbestos testing and Lead-Based Paint testing. During today’s visit, you inquired about being approved for transportation. You do not have a vehicle to monitor at this time. Contact me to monitor the vehicle and approve the facility to transport. Review SECTION .1000 Transportation Standards and contact me with questions. The facility is currently working on renovating a room. We discussed that you need to send me a building, fire, and sanitation inspections when the space is completed so that I can monitor and measure the space to be approved as child care space. North Carolina Rated License Assessment Project: NCRLAP’s mission is to promote the quality of child care by consistently and reliably assessing environments for the North Carolina Star Rated License. They collaborate with professionals in the early childhood education field to foster the development and learning of young children. Their website, ncrlap.org, offers resources, trainings, videos, worksheets, and help to get ready for the new ITERS-3 and ECERS-3 assessment tools that will be used in the new QRIS system. We discussed ECERS-3, online trainings, and more resources available about ECERS-3 if you would like to complete the assessment process. They can be found at NCRLAP.org. Natural Learning Initiative: https://naturalearning.org/resources/ Resources are created, often in collaboration with the Natural Learning Initiative’s interdisciplinary partners, to support technical assistance, professional development, and generally to promote the importance of the natural environment in the daily experience of all children. The Tyrrell-Washington Partnership for Children / Child Care Resource and Referral is also able to provide you with resources and information, training opportunities, and technical assistance on child care issues. Their phone number is (252) 793-5437 or check out their website at www.twpfc.org. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me at Brittany Jones, Child Care Consultant, (252) 947-1036, Brittany.j.jones@dhhs.nc.gov or Jennifer Linhardt, Licensing Supervisor, (252) 373-4199, Jennifer.Linhardt@dhhs.nc.gov if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

10A NCAC 09 .0803 · Violation

Name of Operation: JIREH EMPOWERMENT OUTREACH CENTER Facility ID: 94000122 Consultant: BRITTANY JONES Operation Type: Center Case Number: Visit Date: 4/14/2025 Number Present: 7 Completed Date: 4/14/2025 Age: From 0 To 4 Total Minutes: 345 Time In: 09:15 AM Time Out: 03:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for an annual compliance visit. Y. Clagon, Administrator, assisted me with the visit. Your program currently operates with a Notice of Compliance dated 3/21/23. The last annual compliance visit was conducted 4/29/24. The sanitation inspection was completed 1/16/25 with a “Superior” classification. The last fire inspection was conducted 8/26/24 and your facility was approved for daytime care only. The center's compliance history was reviewed with the operator. The program’s compliance history was ninety four percent as of 4/11/25. The NC Secretary of State website was reviewed on 4/11/25 and Jireh Empowerment Outreach Center was listed as current- active. We reviewed your facility contact information listed on the Division of Child Development and Early Education (DCDEE) website and all information is current. Contact me if you need to make any changes to your contact information, e.g., phone numbers, mailing address. All indoor and outdoor spaces were monitored. Children enrolled in space #1 were looking at books at the table while a staff member read to them. Children under twelve months old received care according to individual needs including diapering and bottle feeding. All children transitioned to the outdoor space and were observed swinging and climbing on stationary climbers. The outdoor space was observed to have monkey bars, a climbing dome, portables houses, and balls for the children to engage in gross motor activities. Lunch was observed and consisted of turkey with gravy, rice, peas, mixed fruit, whole wheat bread, and milk. The following violations were observed. Violation Number Comment Rule 107 The center did not comply with the permit restrictions. In space #1, one child enrolled was fourteen (14) years of age. The permit license is for ages birth – 12. GS 110-91; GS 110-106 301 Minimum staff/child ratios and group sizes for the number and ages of children in care were not met. Upon arrival at the center, the staff member assigned to space #2 came to the door with three (3) children to unlock it and let me in. Two (2) children were left in classroom space #2 unattended. GS 110-91(7);.0713(a-d) 316 Children under one year of age were not kept separate from children two years and older. In space #2, six (6) children 1-4 years of age were in care with one staff member. Seven (7) children, 0-4 years of age were grouped in the outdoor space. 10A NCAC 09 .0713(a)(5) 807 A safe indoor and outdoor environment was not provided for the children. The landscape fabric beneath the mulch under the portable swing set for toddlers was exposed causing a tripping hazard. The monkey bars had large areas of peeling paint with exposed rust on the top bars. 10A NCAC 09 .0601(a) 843 A drug or medicine was administered after its expiration date. In space #1, two (2) tubes of hydrocortisone ointment 2.5% were on file that expired 6/24. A child enrolled in space #1, had an Epi Pen on file that expired 5/23. In space #1, a Proair HFA inhaler was on file that expired 1/23. 10A NCAC 09 .0803(1)(d) 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. In space #1, two (2) tubes of hydrocortisone ointment 2.5% were on file in boxes without the prescription labels. .0803(2)(a) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. In space #1, two (2) tubes of hydrocortisone ointment 2.5% were on file with written permission that expired 6/3/23. A child enrolled in space #1, had an Epi Pen on file without written permission on file. In space #1, a Proair HFA inhaler was on file with written permission that expired 12/3/22. .0803(12) 1044 Prior to the expiration date of the qualification letter, the child care provider did not complete and submit required forms to complete a criminal background check (a qualification letter is valid for a maximum of five years for the date of issuance). A. Hinton, qualification letter expired on March 24, 2025. Submission of the required forms to complete a criminal background check has not occurred to date. G.S. 110-90.2(b) & .2703(n)&(o) 1757 A valid qualification letter was not on file and available to review at the facility. A. Hinton did not have a valid qualification letter on file. G.S. 110-90.2(b) & (d) & .2703(e) 1805 A child care operator did not notify the Division of any new child care providers, as defined in G.S. 110-90.2(a)(2), who were hired or moved into the child care facility within five business days. The administrator did not complete the ABCMS provider training. G.S. 110-90.2 & .2703(r) 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 last recorded update of the EPR Plan was 10/26/2021. .0607(e) 1834 Application did not have a medical action plan attached for any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services. In space #1, a child enrolled had a medical action plan on file that was dated 8/3/22. .0801(b) 1867 The depth of the loose surfacing was not based on critical height of the equipment. The mulch beneath the stationary climbers and swings throughout the outdoor space was three (3) inches in depth rather than the required six (6) inches. .0605(k)(1-4) 9995 A violation was found for which there is no item number. Children were observed sleeping on cots that were not covered by bed linens. This is a violation of a requirement of 15A NCAC 18A .2821 (f). Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before 4/28/25, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Brittany Jones, Child Care Consultant PO Box 3272 New Bern, NC 28564 Brittany.j.jones@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Technical Assistance with Documented Violations: Permit Compliance: Monitoring with a focus on teaching, encouraging, upgrading and safeguarding, can be very successful in assisting programs and providers to achieve and maintain compliance with licensing requirements. In space #1, one child enrolled was fourteen (14) years of age. The permit license is for ages birth – 12. You stated you were told by a case worker that this was allowable. We discussed that if there was a need for the child to remain in care, you would need to submit a written request to me to see if a special restriction can be added for the child to attend. You are to immediately notify the parents that you are not able to care for children over the age of twelve (12) years old and to find alternative care. Staff Child Ratio: A staff-to-child ratio is a measure of the number of children for whom each child care provider is responsible. Because younger children need more direct one-on-one interaction, response, and supervision, staff-to-child ratios are lower for younger children than for older ones. Ratio and group size are two factors that are critical to a child’s health, safety, and development. Ratios and group sizes help ensure that a child gets enough one-on-one attention from an adult who is available to take care of each child’s unique needs. This responsive caregiving is extremely important to a child ’s social and emotional development, physical well-being, and overall learning. Upon arrival at the center, the staff member assigned to space #2 came to the door with three (3) children to unlock it and let me in. Two (2) children were left in classroom space #2 unattended. We discussed that it is important to communicate with the staff member in space #3 to see if she can assist or to bring all the children with her to the door so that ratios and supervision is maintained at all times. You stated that you usually arrive to the center by 9AM and are available to open the door. In space #2, six (6) children 1-4 years of age were in care with one staff member. I discussed with the staff members that children that are under the age of two cannot be grouped with children three years of age or older. The one-year-old child was moved to space #3 to be grouped with the infant in attendance when it was brought to the staff member’s attention. Seven (7) children, 0-4 years of age were grouped in the outdoor space. We discussed that the younger children in space #3 could come to the outdoor space before or after the older children so that they can play on the smaller equipment that is developmentally appropriate. Ensure that staff members have a way of communicating with you and each other when assistance is needed and that they understand how to maintain ratios when a staff member is not available for assistance. Criminal Background Checks: Criminal background checks (CBC) are completed to protect children from abuse and reduce liability risks. Background screenings are needed to provide a safe program environment, support children’s health and safety, and are important for preventing child maltreatment in early care and education programs. A CBC must be completed prior to employee hire and every five years thereafter. An expiration date is now listed on each Qualification Letter. Submissions can also be made six months before the expiration date listed on the current Qualification Letter. A. Hinton, qualification letter expired on March 24, 2025. Submission of the required forms to complete a criminal background check has not occurred to date. This violation must be corrected within fifteen (15) days, by April 29, 2025, and a copy of the qualification letter must be sent with the required compliance letter. If the qualification letter is not on file within the 15 days, the employee cannot be at the facility any longer until they receive their qualification letter. You stated that you thought that the staff member’s letter did not expire until next year. We discussed using you staff and training worksheet as a tool and adding expiration dates in a digital calendar that will send reminders. I sent you instructions for how to use the CBC portal and connecting applications in the provider portal during the visit. Regularly reviewing your files will help keep you informed about upcoming expiring dates. As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. The administrator did not complete the ABCMS provider training. You stated that you will complete the training and send me your certificate with the compliance letter. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. Medication: Medicines can be crucial to the health and wellness of children. They can also be very dangerous if the wrong type or wrong amount is given to the wrong person or at the wrong time. A medical action plan is required for children that need emergency medication, the form needs to be completed by the parent or a health care professional. In space #1, a child enrolled had a medical action plan on file that was dated 8/3/22. We discussed the importance of understanding the symptoms the child shows and the instructions to administer the medication needed for the child. You stated that you were unaware that the medical action plans had to be updated annually and that you have not had to use any medication for the child. In space #1, two (2) tubes of hydrocortisone ointment 2.5% were on file in boxes without the prescription labels that expired 6/24. The written authorization for the ointment expired 6/3/23. You stated that you were unaware if the medication was prescription. We discussed that the tube stated RX only which then requires it to have a prescription labeled box, be stored in locked storage, and have written permission on the long form for prescription medication. We also discussed that it is important to understand if a medication is prescription by inspecting the original container of the medication. A child enrolled in space #1, had an Epi Pen on file that expired 5/23 and did not have written permission on file. In space #1, a Proair HFA inhaler was on file that expired 1/23 and had written permission that expired 12/3/22. We discussed that it is important to review medications frequently even though they have not been used. You stated that you will check medications monthly when completing other monthly tasks. Request a new medical action plan for the child and ensure that you have all required medications with permissions on file to be reviewed monthly. Outdoor Environment: The outdoor learning environment offers a sense of freedom for children. Children are able to play freely with peers, expand their imagination beyond restraints of indoor activities, release energy and explore their sense of touch, smell, taste and their sense of motion. It is important that the outdoor area is checked daily and proper upkeep is conducted to ensure the environment is safe for use. The mulch beneath the stationary climbers and swings throughout the outdoor space was three (3) inches in depth rather than the required six (6) inches. You stated that you had noticed that the mulch was not the required depth during the last playground inspection. The landscape fabric beneath the mulch under the portable swing set for toddlers was exposed causing a tripping hazard. The monkey bars had large areas of peeling paint with exposed rust on the top bars. We discussed that the paint and rust could harm the children’s hands when they grip the bar to go across the bars. You stated that you will contact someone to help with the mulch and painting of the monkey bars. Check the outdoor spaces daily before the children arrive to ensure that hazards are removed and inspect equipment thoroughly each month during the playground inspections for hazards. EPR Plan: Your program’s Emergency Preparedness and Response plan was created to assist you with following a plan in the event of an emergency. You must update your plan yearly or update the plan whenever changes occur in your program. Your last recorded update was 10/26/2021. Your facilities emergency response plan must be reviewed with staff annually or when changes occur. We discussed updating your plan during today’s visit. Send a copy of the updated plan as part of your correction. Sleep and Rest Areas: Early care and education programs should have proper sleeping equipment for children who need to nap while in care, and programs should use the equipment correctly to help reduce injury or death. Programs should have a separate crib, cot, sleeping bag, bed, mat, or pad available for each child. Children should not share cribs, beds, or bedding. Bed linens should not be used as rest equipment instead of cots, beds, pads, or similar approved equipment. Bed linens used under children on cots, cribs, futons, and playpens should fit tightly. Bed linens should be cleaned once a week or more often if soiled. Bedding brought by parents/guardians should be washed at home weekly or more often if soiled. Children were observed sleeping on cots that were not covered by bed linens. You stated that the blanket or towel that the children bring in from home are laid on the cot to sleep on top of but they choose to cover up with the blanket rather than laying on top of it. We discussed that linens are needed that will cover the mat's sleeping surface for the children to rest on. You stated that you ordered the cots from Kaplan and can see if they also have sheets available for purchase. Ensure that cots are covered with linen for the children to rest on each day. Additional Comments: We discussed Clean Classrooms for Carolina Kids and you have completed Lead in Water testing. Log into Clean Classrooms for Carolina Kids to complete Asbestos testing and Lead-Based Paint testing. During today’s visit, you inquired about being approved for transportation. You do not have a vehicle to monitor at this time. Contact me to monitor the vehicle and approve the facility to transport. Review SECTION .1000 Transportation Standards and contact me with questions. The facility is currently working on renovating a room. We discussed that you need to send me a building, fire, and sanitation inspections when the space is completed so that I can monitor and measure the space to be approved as child care space. North Carolina Rated License Assessment Project: NCRLAP’s mission is to promote the quality of child care by consistently and reliably assessing environments for the North Carolina Star Rated License. They collaborate with professionals in the early childhood education field to foster the development and learning of young children. Their website, ncrlap.org, offers resources, trainings, videos, worksheets, and help to get ready for the new ITERS-3 and ECERS-3 assessment tools that will be used in the new QRIS system. We discussed ECERS-3, online trainings, and more resources available about ECERS-3 if you would like to complete the assessment process. They can be found at NCRLAP.org. Natural Learning Initiative: https://naturalearning.org/resources/ Resources are created, often in collaboration with the Natural Learning Initiative’s interdisciplinary partners, to support technical assistance, professional development, and generally to promote the importance of the natural environment in the daily experience of all children. The Tyrrell-Washington Partnership for Children / Child Care Resource and Referral is also able to provide you with resources and information, training opportunities, and technical assistance on child care issues. Their phone number is (252) 793-5437 or check out their website at www.twpfc.org. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me at Brittany Jones, Child Care Consultant, (252) 947-1036, Brittany.j.jones@dhhs.nc.gov or Jennifer Linhardt, Licensing Supervisor, (252) 373-4199, Jennifer.Linhardt@dhhs.nc.gov if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0713 · Violation

Name of Operation: JIREH EMPOWERMENT OUTREACH CENTER Facility ID: 94000122 Consultant: BRITTANY JONES Operation Type: Center Case Number: Visit Date: 4/14/2025 Number Present: 7 Completed Date: 4/14/2025 Age: From 0 To 4 Total Minutes: 345 Time In: 09:15 AM Time Out: 03:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for an annual compliance visit. Y. Clagon, Administrator, assisted me with the visit. Your program currently operates with a Notice of Compliance dated 3/21/23. The last annual compliance visit was conducted 4/29/24. The sanitation inspection was completed 1/16/25 with a “Superior” classification. The last fire inspection was conducted 8/26/24 and your facility was approved for daytime care only. The center's compliance history was reviewed with the operator. The program’s compliance history was ninety four percent as of 4/11/25. The NC Secretary of State website was reviewed on 4/11/25 and Jireh Empowerment Outreach Center was listed as current- active. We reviewed your facility contact information listed on the Division of Child Development and Early Education (DCDEE) website and all information is current. Contact me if you need to make any changes to your contact information, e.g., phone numbers, mailing address. All indoor and outdoor spaces were monitored. Children enrolled in space #1 were looking at books at the table while a staff member read to them. Children under twelve months old received care according to individual needs including diapering and bottle feeding. All children transitioned to the outdoor space and were observed swinging and climbing on stationary climbers. The outdoor space was observed to have monkey bars, a climbing dome, portables houses, and balls for the children to engage in gross motor activities. Lunch was observed and consisted of turkey with gravy, rice, peas, mixed fruit, whole wheat bread, and milk. The following violations were observed. Violation Number Comment Rule 107 The center did not comply with the permit restrictions. In space #1, one child enrolled was fourteen (14) years of age. The permit license is for ages birth – 12. GS 110-91; GS 110-106 301 Minimum staff/child ratios and group sizes for the number and ages of children in care were not met. Upon arrival at the center, the staff member assigned to space #2 came to the door with three (3) children to unlock it and let me in. Two (2) children were left in classroom space #2 unattended. GS 110-91(7);.0713(a-d) 316 Children under one year of age were not kept separate from children two years and older. In space #2, six (6) children 1-4 years of age were in care with one staff member. Seven (7) children, 0-4 years of age were grouped in the outdoor space. 10A NCAC 09 .0713(a)(5) 807 A safe indoor and outdoor environment was not provided for the children. The landscape fabric beneath the mulch under the portable swing set for toddlers was exposed causing a tripping hazard. The monkey bars had large areas of peeling paint with exposed rust on the top bars. 10A NCAC 09 .0601(a) 843 A drug or medicine was administered after its expiration date. In space #1, two (2) tubes of hydrocortisone ointment 2.5% were on file that expired 6/24. A child enrolled in space #1, had an Epi Pen on file that expired 5/23. In space #1, a Proair HFA inhaler was on file that expired 1/23. 10A NCAC 09 .0803(1)(d) 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. In space #1, two (2) tubes of hydrocortisone ointment 2.5% were on file in boxes without the prescription labels. .0803(2)(a) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. In space #1, two (2) tubes of hydrocortisone ointment 2.5% were on file with written permission that expired 6/3/23. A child enrolled in space #1, had an Epi Pen on file without written permission on file. In space #1, a Proair HFA inhaler was on file with written permission that expired 12/3/22. .0803(12) 1044 Prior to the expiration date of the qualification letter, the child care provider did not complete and submit required forms to complete a criminal background check (a qualification letter is valid for a maximum of five years for the date of issuance). A. Hinton, qualification letter expired on March 24, 2025. Submission of the required forms to complete a criminal background check has not occurred to date. G.S. 110-90.2(b) & .2703(n)&(o) 1757 A valid qualification letter was not on file and available to review at the facility. A. Hinton did not have a valid qualification letter on file. G.S. 110-90.2(b) & (d) & .2703(e) 1805 A child care operator did not notify the Division of any new child care providers, as defined in G.S. 110-90.2(a)(2), who were hired or moved into the child care facility within five business days. The administrator did not complete the ABCMS provider training. G.S. 110-90.2 & .2703(r) 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 last recorded update of the EPR Plan was 10/26/2021. .0607(e) 1834 Application did not have a medical action plan attached for any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services. In space #1, a child enrolled had a medical action plan on file that was dated 8/3/22. .0801(b) 1867 The depth of the loose surfacing was not based on critical height of the equipment. The mulch beneath the stationary climbers and swings throughout the outdoor space was three (3) inches in depth rather than the required six (6) inches. .0605(k)(1-4) 9995 A violation was found for which there is no item number. Children were observed sleeping on cots that were not covered by bed linens. This is a violation of a requirement of 15A NCAC 18A .2821 (f). Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before 4/28/25, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Brittany Jones, Child Care Consultant PO Box 3272 New Bern, NC 28564 Brittany.j.jones@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Technical Assistance with Documented Violations: Permit Compliance: Monitoring with a focus on teaching, encouraging, upgrading and safeguarding, can be very successful in assisting programs and providers to achieve and maintain compliance with licensing requirements. In space #1, one child enrolled was fourteen (14) years of age. The permit license is for ages birth – 12. You stated you were told by a case worker that this was allowable. We discussed that if there was a need for the child to remain in care, you would need to submit a written request to me to see if a special restriction can be added for the child to attend. You are to immediately notify the parents that you are not able to care for children over the age of twelve (12) years old and to find alternative care. Staff Child Ratio: A staff-to-child ratio is a measure of the number of children for whom each child care provider is responsible. Because younger children need more direct one-on-one interaction, response, and supervision, staff-to-child ratios are lower for younger children than for older ones. Ratio and group size are two factors that are critical to a child’s health, safety, and development. Ratios and group sizes help ensure that a child gets enough one-on-one attention from an adult who is available to take care of each child’s unique needs. This responsive caregiving is extremely important to a child ’s social and emotional development, physical well-being, and overall learning. Upon arrival at the center, the staff member assigned to space #2 came to the door with three (3) children to unlock it and let me in. Two (2) children were left in classroom space #2 unattended. We discussed that it is important to communicate with the staff member in space #3 to see if she can assist or to bring all the children with her to the door so that ratios and supervision is maintained at all times. You stated that you usually arrive to the center by 9AM and are available to open the door. In space #2, six (6) children 1-4 years of age were in care with one staff member. I discussed with the staff members that children that are under the age of two cannot be grouped with children three years of age or older. The one-year-old child was moved to space #3 to be grouped with the infant in attendance when it was brought to the staff member’s attention. Seven (7) children, 0-4 years of age were grouped in the outdoor space. We discussed that the younger children in space #3 could come to the outdoor space before or after the older children so that they can play on the smaller equipment that is developmentally appropriate. Ensure that staff members have a way of communicating with you and each other when assistance is needed and that they understand how to maintain ratios when a staff member is not available for assistance. Criminal Background Checks: Criminal background checks (CBC) are completed to protect children from abuse and reduce liability risks. Background screenings are needed to provide a safe program environment, support children’s health and safety, and are important for preventing child maltreatment in early care and education programs. A CBC must be completed prior to employee hire and every five years thereafter. An expiration date is now listed on each Qualification Letter. Submissions can also be made six months before the expiration date listed on the current Qualification Letter. A. Hinton, qualification letter expired on March 24, 2025. Submission of the required forms to complete a criminal background check has not occurred to date. This violation must be corrected within fifteen (15) days, by April 29, 2025, and a copy of the qualification letter must be sent with the required compliance letter. If the qualification letter is not on file within the 15 days, the employee cannot be at the facility any longer until they receive their qualification letter. You stated that you thought that the staff member’s letter did not expire until next year. We discussed using you staff and training worksheet as a tool and adding expiration dates in a digital calendar that will send reminders. I sent you instructions for how to use the CBC portal and connecting applications in the provider portal during the visit. Regularly reviewing your files will help keep you informed about upcoming expiring dates. As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. The administrator did not complete the ABCMS provider training. You stated that you will complete the training and send me your certificate with the compliance letter. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. Medication: Medicines can be crucial to the health and wellness of children. They can also be very dangerous if the wrong type or wrong amount is given to the wrong person or at the wrong time. A medical action plan is required for children that need emergency medication, the form needs to be completed by the parent or a health care professional. In space #1, a child enrolled had a medical action plan on file that was dated 8/3/22. We discussed the importance of understanding the symptoms the child shows and the instructions to administer the medication needed for the child. You stated that you were unaware that the medical action plans had to be updated annually and that you have not had to use any medication for the child. In space #1, two (2) tubes of hydrocortisone ointment 2.5% were on file in boxes without the prescription labels that expired 6/24. The written authorization for the ointment expired 6/3/23. You stated that you were unaware if the medication was prescription. We discussed that the tube stated RX only which then requires it to have a prescription labeled box, be stored in locked storage, and have written permission on the long form for prescription medication. We also discussed that it is important to understand if a medication is prescription by inspecting the original container of the medication. A child enrolled in space #1, had an Epi Pen on file that expired 5/23 and did not have written permission on file. In space #1, a Proair HFA inhaler was on file that expired 1/23 and had written permission that expired 12/3/22. We discussed that it is important to review medications frequently even though they have not been used. You stated that you will check medications monthly when completing other monthly tasks. Request a new medical action plan for the child and ensure that you have all required medications with permissions on file to be reviewed monthly. Outdoor Environment: The outdoor learning environment offers a sense of freedom for children. Children are able to play freely with peers, expand their imagination beyond restraints of indoor activities, release energy and explore their sense of touch, smell, taste and their sense of motion. It is important that the outdoor area is checked daily and proper upkeep is conducted to ensure the environment is safe for use. The mulch beneath the stationary climbers and swings throughout the outdoor space was three (3) inches in depth rather than the required six (6) inches. You stated that you had noticed that the mulch was not the required depth during the last playground inspection. The landscape fabric beneath the mulch under the portable swing set for toddlers was exposed causing a tripping hazard. The monkey bars had large areas of peeling paint with exposed rust on the top bars. We discussed that the paint and rust could harm the children’s hands when they grip the bar to go across the bars. You stated that you will contact someone to help with the mulch and painting of the monkey bars. Check the outdoor spaces daily before the children arrive to ensure that hazards are removed and inspect equipment thoroughly each month during the playground inspections for hazards. EPR Plan: Your program’s Emergency Preparedness and Response plan was created to assist you with following a plan in the event of an emergency. You must update your plan yearly or update the plan whenever changes occur in your program. Your last recorded update was 10/26/2021. Your facilities emergency response plan must be reviewed with staff annually or when changes occur. We discussed updating your plan during today’s visit. Send a copy of the updated plan as part of your correction. Sleep and Rest Areas: Early care and education programs should have proper sleeping equipment for children who need to nap while in care, and programs should use the equipment correctly to help reduce injury or death. Programs should have a separate crib, cot, sleeping bag, bed, mat, or pad available for each child. Children should not share cribs, beds, or bedding. Bed linens should not be used as rest equipment instead of cots, beds, pads, or similar approved equipment. Bed linens used under children on cots, cribs, futons, and playpens should fit tightly. Bed linens should be cleaned once a week or more often if soiled. Bedding brought by parents/guardians should be washed at home weekly or more often if soiled. Children were observed sleeping on cots that were not covered by bed linens. You stated that the blanket or towel that the children bring in from home are laid on the cot to sleep on top of but they choose to cover up with the blanket rather than laying on top of it. We discussed that linens are needed that will cover the mat's sleeping surface for the children to rest on. You stated that you ordered the cots from Kaplan and can see if they also have sheets available for purchase. Ensure that cots are covered with linen for the children to rest on each day. Additional Comments: We discussed Clean Classrooms for Carolina Kids and you have completed Lead in Water testing. Log into Clean Classrooms for Carolina Kids to complete Asbestos testing and Lead-Based Paint testing. During today’s visit, you inquired about being approved for transportation. You do not have a vehicle to monitor at this time. Contact me to monitor the vehicle and approve the facility to transport. Review SECTION .1000 Transportation Standards and contact me with questions. The facility is currently working on renovating a room. We discussed that you need to send me a building, fire, and sanitation inspections when the space is completed so that I can monitor and measure the space to be approved as child care space. North Carolina Rated License Assessment Project: NCRLAP’s mission is to promote the quality of child care by consistently and reliably assessing environments for the North Carolina Star Rated License. They collaborate with professionals in the early childhood education field to foster the development and learning of young children. Their website, ncrlap.org, offers resources, trainings, videos, worksheets, and help to get ready for the new ITERS-3 and ECERS-3 assessment tools that will be used in the new QRIS system. We discussed ECERS-3, online trainings, and more resources available about ECERS-3 if you would like to complete the assessment process. They can be found at NCRLAP.org. Natural Learning Initiative: https://naturalearning.org/resources/ Resources are created, often in collaboration with the Natural Learning Initiative’s interdisciplinary partners, to support technical assistance, professional development, and generally to promote the importance of the natural environment in the daily experience of all children. The Tyrrell-Washington Partnership for Children / Child Care Resource and Referral is also able to provide you with resources and information, training opportunities, and technical assistance on child care issues. Their phone number is (252) 793-5437 or check out their website at www.twpfc.org. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me at Brittany Jones, Child Care Consultant, (252) 947-1036, Brittany.j.jones@dhhs.nc.gov or Jennifer Linhardt, Licensing Supervisor, (252) 373-4199, Jennifer.Linhardt@dhhs.nc.gov if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

G.S. 110-90 · Violation

Name of Operation: JIREH EMPOWERMENT OUTREACH CENTER Facility ID: 94000122 Consultant: BRITTANY JONES Operation Type: Center Case Number: Visit Date: 4/14/2025 Number Present: 7 Completed Date: 4/14/2025 Age: From 0 To 4 Total Minutes: 345 Time In: 09:15 AM Time Out: 03:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for an annual compliance visit. Y. Clagon, Administrator, assisted me with the visit. Your program currently operates with a Notice of Compliance dated 3/21/23. The last annual compliance visit was conducted 4/29/24. The sanitation inspection was completed 1/16/25 with a “Superior” classification. The last fire inspection was conducted 8/26/24 and your facility was approved for daytime care only. The center's compliance history was reviewed with the operator. The program’s compliance history was ninety four percent as of 4/11/25. The NC Secretary of State website was reviewed on 4/11/25 and Jireh Empowerment Outreach Center was listed as current- active. We reviewed your facility contact information listed on the Division of Child Development and Early Education (DCDEE) website and all information is current. Contact me if you need to make any changes to your contact information, e.g., phone numbers, mailing address. All indoor and outdoor spaces were monitored. Children enrolled in space #1 were looking at books at the table while a staff member read to them. Children under twelve months old received care according to individual needs including diapering and bottle feeding. All children transitioned to the outdoor space and were observed swinging and climbing on stationary climbers. The outdoor space was observed to have monkey bars, a climbing dome, portables houses, and balls for the children to engage in gross motor activities. Lunch was observed and consisted of turkey with gravy, rice, peas, mixed fruit, whole wheat bread, and milk. The following violations were observed. Violation Number Comment Rule 107 The center did not comply with the permit restrictions. In space #1, one child enrolled was fourteen (14) years of age. The permit license is for ages birth – 12. GS 110-91; GS 110-106 301 Minimum staff/child ratios and group sizes for the number and ages of children in care were not met. Upon arrival at the center, the staff member assigned to space #2 came to the door with three (3) children to unlock it and let me in. Two (2) children were left in classroom space #2 unattended. GS 110-91(7);.0713(a-d) 316 Children under one year of age were not kept separate from children two years and older. In space #2, six (6) children 1-4 years of age were in care with one staff member. Seven (7) children, 0-4 years of age were grouped in the outdoor space. 10A NCAC 09 .0713(a)(5) 807 A safe indoor and outdoor environment was not provided for the children. The landscape fabric beneath the mulch under the portable swing set for toddlers was exposed causing a tripping hazard. The monkey bars had large areas of peeling paint with exposed rust on the top bars. 10A NCAC 09 .0601(a) 843 A drug or medicine was administered after its expiration date. In space #1, two (2) tubes of hydrocortisone ointment 2.5% were on file that expired 6/24. A child enrolled in space #1, had an Epi Pen on file that expired 5/23. In space #1, a Proair HFA inhaler was on file that expired 1/23. 10A NCAC 09 .0803(1)(d) 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. In space #1, two (2) tubes of hydrocortisone ointment 2.5% were on file in boxes without the prescription labels. .0803(2)(a) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. In space #1, two (2) tubes of hydrocortisone ointment 2.5% were on file with written permission that expired 6/3/23. A child enrolled in space #1, had an Epi Pen on file without written permission on file. In space #1, a Proair HFA inhaler was on file with written permission that expired 12/3/22. .0803(12) 1044 Prior to the expiration date of the qualification letter, the child care provider did not complete and submit required forms to complete a criminal background check (a qualification letter is valid for a maximum of five years for the date of issuance). A. Hinton, qualification letter expired on March 24, 2025. Submission of the required forms to complete a criminal background check has not occurred to date. G.S. 110-90.2(b) & .2703(n)&(o) 1757 A valid qualification letter was not on file and available to review at the facility. A. Hinton did not have a valid qualification letter on file. G.S. 110-90.2(b) & (d) & .2703(e) 1805 A child care operator did not notify the Division of any new child care providers, as defined in G.S. 110-90.2(a)(2), who were hired or moved into the child care facility within five business days. The administrator did not complete the ABCMS provider training. G.S. 110-90.2 & .2703(r) 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 last recorded update of the EPR Plan was 10/26/2021. .0607(e) 1834 Application did not have a medical action plan attached for any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services. In space #1, a child enrolled had a medical action plan on file that was dated 8/3/22. .0801(b) 1867 The depth of the loose surfacing was not based on critical height of the equipment. The mulch beneath the stationary climbers and swings throughout the outdoor space was three (3) inches in depth rather than the required six (6) inches. .0605(k)(1-4) 9995 A violation was found for which there is no item number. Children were observed sleeping on cots that were not covered by bed linens. This is a violation of a requirement of 15A NCAC 18A .2821 (f). Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before 4/28/25, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Brittany Jones, Child Care Consultant PO Box 3272 New Bern, NC 28564 Brittany.j.jones@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Technical Assistance with Documented Violations: Permit Compliance: Monitoring with a focus on teaching, encouraging, upgrading and safeguarding, can be very successful in assisting programs and providers to achieve and maintain compliance with licensing requirements. In space #1, one child enrolled was fourteen (14) years of age. The permit license is for ages birth – 12. You stated you were told by a case worker that this was allowable. We discussed that if there was a need for the child to remain in care, you would need to submit a written request to me to see if a special restriction can be added for the child to attend. You are to immediately notify the parents that you are not able to care for children over the age of twelve (12) years old and to find alternative care. Staff Child Ratio: A staff-to-child ratio is a measure of the number of children for whom each child care provider is responsible. Because younger children need more direct one-on-one interaction, response, and supervision, staff-to-child ratios are lower for younger children than for older ones. Ratio and group size are two factors that are critical to a child’s health, safety, and development. Ratios and group sizes help ensure that a child gets enough one-on-one attention from an adult who is available to take care of each child’s unique needs. This responsive caregiving is extremely important to a child ’s social and emotional development, physical well-being, and overall learning. Upon arrival at the center, the staff member assigned to space #2 came to the door with three (3) children to unlock it and let me in. Two (2) children were left in classroom space #2 unattended. We discussed that it is important to communicate with the staff member in space #3 to see if she can assist or to bring all the children with her to the door so that ratios and supervision is maintained at all times. You stated that you usually arrive to the center by 9AM and are available to open the door. In space #2, six (6) children 1-4 years of age were in care with one staff member. I discussed with the staff members that children that are under the age of two cannot be grouped with children three years of age or older. The one-year-old child was moved to space #3 to be grouped with the infant in attendance when it was brought to the staff member’s attention. Seven (7) children, 0-4 years of age were grouped in the outdoor space. We discussed that the younger children in space #3 could come to the outdoor space before or after the older children so that they can play on the smaller equipment that is developmentally appropriate. Ensure that staff members have a way of communicating with you and each other when assistance is needed and that they understand how to maintain ratios when a staff member is not available for assistance. Criminal Background Checks: Criminal background checks (CBC) are completed to protect children from abuse and reduce liability risks. Background screenings are needed to provide a safe program environment, support children’s health and safety, and are important for preventing child maltreatment in early care and education programs. A CBC must be completed prior to employee hire and every five years thereafter. An expiration date is now listed on each Qualification Letter. Submissions can also be made six months before the expiration date listed on the current Qualification Letter. A. Hinton, qualification letter expired on March 24, 2025. Submission of the required forms to complete a criminal background check has not occurred to date. This violation must be corrected within fifteen (15) days, by April 29, 2025, and a copy of the qualification letter must be sent with the required compliance letter. If the qualification letter is not on file within the 15 days, the employee cannot be at the facility any longer until they receive their qualification letter. You stated that you thought that the staff member’s letter did not expire until next year. We discussed using you staff and training worksheet as a tool and adding expiration dates in a digital calendar that will send reminders. I sent you instructions for how to use the CBC portal and connecting applications in the provider portal during the visit. Regularly reviewing your files will help keep you informed about upcoming expiring dates. As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. The administrator did not complete the ABCMS provider training. You stated that you will complete the training and send me your certificate with the compliance letter. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. Medication: Medicines can be crucial to the health and wellness of children. They can also be very dangerous if the wrong type or wrong amount is given to the wrong person or at the wrong time. A medical action plan is required for children that need emergency medication, the form needs to be completed by the parent or a health care professional. In space #1, a child enrolled had a medical action plan on file that was dated 8/3/22. We discussed the importance of understanding the symptoms the child shows and the instructions to administer the medication needed for the child. You stated that you were unaware that the medical action plans had to be updated annually and that you have not had to use any medication for the child. In space #1, two (2) tubes of hydrocortisone ointment 2.5% were on file in boxes without the prescription labels that expired 6/24. The written authorization for the ointment expired 6/3/23. You stated that you were unaware if the medication was prescription. We discussed that the tube stated RX only which then requires it to have a prescription labeled box, be stored in locked storage, and have written permission on the long form for prescription medication. We also discussed that it is important to understand if a medication is prescription by inspecting the original container of the medication. A child enrolled in space #1, had an Epi Pen on file that expired 5/23 and did not have written permission on file. In space #1, a Proair HFA inhaler was on file that expired 1/23 and had written permission that expired 12/3/22. We discussed that it is important to review medications frequently even though they have not been used. You stated that you will check medications monthly when completing other monthly tasks. Request a new medical action plan for the child and ensure that you have all required medications with permissions on file to be reviewed monthly. Outdoor Environment: The outdoor learning environment offers a sense of freedom for children. Children are able to play freely with peers, expand their imagination beyond restraints of indoor activities, release energy and explore their sense of touch, smell, taste and their sense of motion. It is important that the outdoor area is checked daily and proper upkeep is conducted to ensure the environment is safe for use. The mulch beneath the stationary climbers and swings throughout the outdoor space was three (3) inches in depth rather than the required six (6) inches. You stated that you had noticed that the mulch was not the required depth during the last playground inspection. The landscape fabric beneath the mulch under the portable swing set for toddlers was exposed causing a tripping hazard. The monkey bars had large areas of peeling paint with exposed rust on the top bars. We discussed that the paint and rust could harm the children’s hands when they grip the bar to go across the bars. You stated that you will contact someone to help with the mulch and painting of the monkey bars. Check the outdoor spaces daily before the children arrive to ensure that hazards are removed and inspect equipment thoroughly each month during the playground inspections for hazards. EPR Plan: Your program’s Emergency Preparedness and Response plan was created to assist you with following a plan in the event of an emergency. You must update your plan yearly or update the plan whenever changes occur in your program. Your last recorded update was 10/26/2021. Your facilities emergency response plan must be reviewed with staff annually or when changes occur. We discussed updating your plan during today’s visit. Send a copy of the updated plan as part of your correction. Sleep and Rest Areas: Early care and education programs should have proper sleeping equipment for children who need to nap while in care, and programs should use the equipment correctly to help reduce injury or death. Programs should have a separate crib, cot, sleeping bag, bed, mat, or pad available for each child. Children should not share cribs, beds, or bedding. Bed linens should not be used as rest equipment instead of cots, beds, pads, or similar approved equipment. Bed linens used under children on cots, cribs, futons, and playpens should fit tightly. Bed linens should be cleaned once a week or more often if soiled. Bedding brought by parents/guardians should be washed at home weekly or more often if soiled. Children were observed sleeping on cots that were not covered by bed linens. You stated that the blanket or towel that the children bring in from home are laid on the cot to sleep on top of but they choose to cover up with the blanket rather than laying on top of it. We discussed that linens are needed that will cover the mat's sleeping surface for the children to rest on. You stated that you ordered the cots from Kaplan and can see if they also have sheets available for purchase. Ensure that cots are covered with linen for the children to rest on each day. Additional Comments: We discussed Clean Classrooms for Carolina Kids and you have completed Lead in Water testing. Log into Clean Classrooms for Carolina Kids to complete Asbestos testing and Lead-Based Paint testing. During today’s visit, you inquired about being approved for transportation. You do not have a vehicle to monitor at this time. Contact me to monitor the vehicle and approve the facility to transport. Review SECTION .1000 Transportation Standards and contact me with questions. The facility is currently working on renovating a room. We discussed that you need to send me a building, fire, and sanitation inspections when the space is completed so that I can monitor and measure the space to be approved as child care space. North Carolina Rated License Assessment Project: NCRLAP’s mission is to promote the quality of child care by consistently and reliably assessing environments for the North Carolina Star Rated License. They collaborate with professionals in the early childhood education field to foster the development and learning of young children. Their website, ncrlap.org, offers resources, trainings, videos, worksheets, and help to get ready for the new ITERS-3 and ECERS-3 assessment tools that will be used in the new QRIS system. We discussed ECERS-3, online trainings, and more resources available about ECERS-3 if you would like to complete the assessment process. They can be found at NCRLAP.org. Natural Learning Initiative: https://naturalearning.org/resources/ Resources are created, often in collaboration with the Natural Learning Initiative’s interdisciplinary partners, to support technical assistance, professional development, and generally to promote the importance of the natural environment in the daily experience of all children. The Tyrrell-Washington Partnership for Children / Child Care Resource and Referral is also able to provide you with resources and information, training opportunities, and technical assistance on child care issues. Their phone number is (252) 793-5437 or check out their website at www.twpfc.org. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me at Brittany Jones, Child Care Consultant, (252) 947-1036, Brittany.j.jones@dhhs.nc.gov or Jennifer Linhardt, Licensing Supervisor, (252) 373-4199, Jennifer.Linhardt@dhhs.nc.gov if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

GS 110-106 · Violation

Name of Operation: JIREH EMPOWERMENT OUTREACH CENTER Facility ID: 94000122 Consultant: BRITTANY JONES Operation Type: Center Case Number: Visit Date: 4/14/2025 Number Present: 7 Completed Date: 4/14/2025 Age: From 0 To 4 Total Minutes: 345 Time In: 09:15 AM Time Out: 03:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for an annual compliance visit. Y. Clagon, Administrator, assisted me with the visit. Your program currently operates with a Notice of Compliance dated 3/21/23. The last annual compliance visit was conducted 4/29/24. The sanitation inspection was completed 1/16/25 with a “Superior” classification. The last fire inspection was conducted 8/26/24 and your facility was approved for daytime care only. The center's compliance history was reviewed with the operator. The program’s compliance history was ninety four percent as of 4/11/25. The NC Secretary of State website was reviewed on 4/11/25 and Jireh Empowerment Outreach Center was listed as current- active. We reviewed your facility contact information listed on the Division of Child Development and Early Education (DCDEE) website and all information is current. Contact me if you need to make any changes to your contact information, e.g., phone numbers, mailing address. All indoor and outdoor spaces were monitored. Children enrolled in space #1 were looking at books at the table while a staff member read to them. Children under twelve months old received care according to individual needs including diapering and bottle feeding. All children transitioned to the outdoor space and were observed swinging and climbing on stationary climbers. The outdoor space was observed to have monkey bars, a climbing dome, portables houses, and balls for the children to engage in gross motor activities. Lunch was observed and consisted of turkey with gravy, rice, peas, mixed fruit, whole wheat bread, and milk. The following violations were observed. Violation Number Comment Rule 107 The center did not comply with the permit restrictions. In space #1, one child enrolled was fourteen (14) years of age. The permit license is for ages birth – 12. GS 110-91; GS 110-106 301 Minimum staff/child ratios and group sizes for the number and ages of children in care were not met. Upon arrival at the center, the staff member assigned to space #2 came to the door with three (3) children to unlock it and let me in. Two (2) children were left in classroom space #2 unattended. GS 110-91(7);.0713(a-d) 316 Children under one year of age were not kept separate from children two years and older. In space #2, six (6) children 1-4 years of age were in care with one staff member. Seven (7) children, 0-4 years of age were grouped in the outdoor space. 10A NCAC 09 .0713(a)(5) 807 A safe indoor and outdoor environment was not provided for the children. The landscape fabric beneath the mulch under the portable swing set for toddlers was exposed causing a tripping hazard. The monkey bars had large areas of peeling paint with exposed rust on the top bars. 10A NCAC 09 .0601(a) 843 A drug or medicine was administered after its expiration date. In space #1, two (2) tubes of hydrocortisone ointment 2.5% were on file that expired 6/24. A child enrolled in space #1, had an Epi Pen on file that expired 5/23. In space #1, a Proair HFA inhaler was on file that expired 1/23. 10A NCAC 09 .0803(1)(d) 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. In space #1, two (2) tubes of hydrocortisone ointment 2.5% were on file in boxes without the prescription labels. .0803(2)(a) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. In space #1, two (2) tubes of hydrocortisone ointment 2.5% were on file with written permission that expired 6/3/23. A child enrolled in space #1, had an Epi Pen on file without written permission on file. In space #1, a Proair HFA inhaler was on file with written permission that expired 12/3/22. .0803(12) 1044 Prior to the expiration date of the qualification letter, the child care provider did not complete and submit required forms to complete a criminal background check (a qualification letter is valid for a maximum of five years for the date of issuance). A. Hinton, qualification letter expired on March 24, 2025. Submission of the required forms to complete a criminal background check has not occurred to date. G.S. 110-90.2(b) & .2703(n)&(o) 1757 A valid qualification letter was not on file and available to review at the facility. A. Hinton did not have a valid qualification letter on file. G.S. 110-90.2(b) & (d) & .2703(e) 1805 A child care operator did not notify the Division of any new child care providers, as defined in G.S. 110-90.2(a)(2), who were hired or moved into the child care facility within five business days. The administrator did not complete the ABCMS provider training. G.S. 110-90.2 & .2703(r) 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 last recorded update of the EPR Plan was 10/26/2021. .0607(e) 1834 Application did not have a medical action plan attached for any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services. In space #1, a child enrolled had a medical action plan on file that was dated 8/3/22. .0801(b) 1867 The depth of the loose surfacing was not based on critical height of the equipment. The mulch beneath the stationary climbers and swings throughout the outdoor space was three (3) inches in depth rather than the required six (6) inches. .0605(k)(1-4) 9995 A violation was found for which there is no item number. Children were observed sleeping on cots that were not covered by bed linens. This is a violation of a requirement of 15A NCAC 18A .2821 (f). Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before 4/28/25, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Brittany Jones, Child Care Consultant PO Box 3272 New Bern, NC 28564 Brittany.j.jones@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Technical Assistance with Documented Violations: Permit Compliance: Monitoring with a focus on teaching, encouraging, upgrading and safeguarding, can be very successful in assisting programs and providers to achieve and maintain compliance with licensing requirements. In space #1, one child enrolled was fourteen (14) years of age. The permit license is for ages birth – 12. You stated you were told by a case worker that this was allowable. We discussed that if there was a need for the child to remain in care, you would need to submit a written request to me to see if a special restriction can be added for the child to attend. You are to immediately notify the parents that you are not able to care for children over the age of twelve (12) years old and to find alternative care. Staff Child Ratio: A staff-to-child ratio is a measure of the number of children for whom each child care provider is responsible. Because younger children need more direct one-on-one interaction, response, and supervision, staff-to-child ratios are lower for younger children than for older ones. Ratio and group size are two factors that are critical to a child’s health, safety, and development. Ratios and group sizes help ensure that a child gets enough one-on-one attention from an adult who is available to take care of each child’s unique needs. This responsive caregiving is extremely important to a child ’s social and emotional development, physical well-being, and overall learning. Upon arrival at the center, the staff member assigned to space #2 came to the door with three (3) children to unlock it and let me in. Two (2) children were left in classroom space #2 unattended. We discussed that it is important to communicate with the staff member in space #3 to see if she can assist or to bring all the children with her to the door so that ratios and supervision is maintained at all times. You stated that you usually arrive to the center by 9AM and are available to open the door. In space #2, six (6) children 1-4 years of age were in care with one staff member. I discussed with the staff members that children that are under the age of two cannot be grouped with children three years of age or older. The one-year-old child was moved to space #3 to be grouped with the infant in attendance when it was brought to the staff member’s attention. Seven (7) children, 0-4 years of age were grouped in the outdoor space. We discussed that the younger children in space #3 could come to the outdoor space before or after the older children so that they can play on the smaller equipment that is developmentally appropriate. Ensure that staff members have a way of communicating with you and each other when assistance is needed and that they understand how to maintain ratios when a staff member is not available for assistance. Criminal Background Checks: Criminal background checks (CBC) are completed to protect children from abuse and reduce liability risks. Background screenings are needed to provide a safe program environment, support children’s health and safety, and are important for preventing child maltreatment in early care and education programs. A CBC must be completed prior to employee hire and every five years thereafter. An expiration date is now listed on each Qualification Letter. Submissions can also be made six months before the expiration date listed on the current Qualification Letter. A. Hinton, qualification letter expired on March 24, 2025. Submission of the required forms to complete a criminal background check has not occurred to date. This violation must be corrected within fifteen (15) days, by April 29, 2025, and a copy of the qualification letter must be sent with the required compliance letter. If the qualification letter is not on file within the 15 days, the employee cannot be at the facility any longer until they receive their qualification letter. You stated that you thought that the staff member’s letter did not expire until next year. We discussed using you staff and training worksheet as a tool and adding expiration dates in a digital calendar that will send reminders. I sent you instructions for how to use the CBC portal and connecting applications in the provider portal during the visit. Regularly reviewing your files will help keep you informed about upcoming expiring dates. As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. The administrator did not complete the ABCMS provider training. You stated that you will complete the training and send me your certificate with the compliance letter. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. Medication: Medicines can be crucial to the health and wellness of children. They can also be very dangerous if the wrong type or wrong amount is given to the wrong person or at the wrong time. A medical action plan is required for children that need emergency medication, the form needs to be completed by the parent or a health care professional. In space #1, a child enrolled had a medical action plan on file that was dated 8/3/22. We discussed the importance of understanding the symptoms the child shows and the instructions to administer the medication needed for the child. You stated that you were unaware that the medical action plans had to be updated annually and that you have not had to use any medication for the child. In space #1, two (2) tubes of hydrocortisone ointment 2.5% were on file in boxes without the prescription labels that expired 6/24. The written authorization for the ointment expired 6/3/23. You stated that you were unaware if the medication was prescription. We discussed that the tube stated RX only which then requires it to have a prescription labeled box, be stored in locked storage, and have written permission on the long form for prescription medication. We also discussed that it is important to understand if a medication is prescription by inspecting the original container of the medication. A child enrolled in space #1, had an Epi Pen on file that expired 5/23 and did not have written permission on file. In space #1, a Proair HFA inhaler was on file that expired 1/23 and had written permission that expired 12/3/22. We discussed that it is important to review medications frequently even though they have not been used. You stated that you will check medications monthly when completing other monthly tasks. Request a new medical action plan for the child and ensure that you have all required medications with permissions on file to be reviewed monthly. Outdoor Environment: The outdoor learning environment offers a sense of freedom for children. Children are able to play freely with peers, expand their imagination beyond restraints of indoor activities, release energy and explore their sense of touch, smell, taste and their sense of motion. It is important that the outdoor area is checked daily and proper upkeep is conducted to ensure the environment is safe for use. The mulch beneath the stationary climbers and swings throughout the outdoor space was three (3) inches in depth rather than the required six (6) inches. You stated that you had noticed that the mulch was not the required depth during the last playground inspection. The landscape fabric beneath the mulch under the portable swing set for toddlers was exposed causing a tripping hazard. The monkey bars had large areas of peeling paint with exposed rust on the top bars. We discussed that the paint and rust could harm the children’s hands when they grip the bar to go across the bars. You stated that you will contact someone to help with the mulch and painting of the monkey bars. Check the outdoor spaces daily before the children arrive to ensure that hazards are removed and inspect equipment thoroughly each month during the playground inspections for hazards. EPR Plan: Your program’s Emergency Preparedness and Response plan was created to assist you with following a plan in the event of an emergency. You must update your plan yearly or update the plan whenever changes occur in your program. Your last recorded update was 10/26/2021. Your facilities emergency response plan must be reviewed with staff annually or when changes occur. We discussed updating your plan during today’s visit. Send a copy of the updated plan as part of your correction. Sleep and Rest Areas: Early care and education programs should have proper sleeping equipment for children who need to nap while in care, and programs should use the equipment correctly to help reduce injury or death. Programs should have a separate crib, cot, sleeping bag, bed, mat, or pad available for each child. Children should not share cribs, beds, or bedding. Bed linens should not be used as rest equipment instead of cots, beds, pads, or similar approved equipment. Bed linens used under children on cots, cribs, futons, and playpens should fit tightly. Bed linens should be cleaned once a week or more often if soiled. Bedding brought by parents/guardians should be washed at home weekly or more often if soiled. Children were observed sleeping on cots that were not covered by bed linens. You stated that the blanket or towel that the children bring in from home are laid on the cot to sleep on top of but they choose to cover up with the blanket rather than laying on top of it. We discussed that linens are needed that will cover the mat's sleeping surface for the children to rest on. You stated that you ordered the cots from Kaplan and can see if they also have sheets available for purchase. Ensure that cots are covered with linen for the children to rest on each day. Additional Comments: We discussed Clean Classrooms for Carolina Kids and you have completed Lead in Water testing. Log into Clean Classrooms for Carolina Kids to complete Asbestos testing and Lead-Based Paint testing. During today’s visit, you inquired about being approved for transportation. You do not have a vehicle to monitor at this time. Contact me to monitor the vehicle and approve the facility to transport. Review SECTION .1000 Transportation Standards and contact me with questions. The facility is currently working on renovating a room. We discussed that you need to send me a building, fire, and sanitation inspections when the space is completed so that I can monitor and measure the space to be approved as child care space. North Carolina Rated License Assessment Project: NCRLAP’s mission is to promote the quality of child care by consistently and reliably assessing environments for the North Carolina Star Rated License. They collaborate with professionals in the early childhood education field to foster the development and learning of young children. Their website, ncrlap.org, offers resources, trainings, videos, worksheets, and help to get ready for the new ITERS-3 and ECERS-3 assessment tools that will be used in the new QRIS system. We discussed ECERS-3, online trainings, and more resources available about ECERS-3 if you would like to complete the assessment process. They can be found at NCRLAP.org. Natural Learning Initiative: https://naturalearning.org/resources/ Resources are created, often in collaboration with the Natural Learning Initiative’s interdisciplinary partners, to support technical assistance, professional development, and generally to promote the importance of the natural environment in the daily experience of all children. The Tyrrell-Washington Partnership for Children / Child Care Resource and Referral is also able to provide you with resources and information, training opportunities, and technical assistance on child care issues. Their phone number is (252) 793-5437 or check out their website at www.twpfc.org. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me at Brittany Jones, Child Care Consultant, (252) 947-1036, Brittany.j.jones@dhhs.nc.gov or Jennifer Linhardt, Licensing Supervisor, (252) 373-4199, Jennifer.Linhardt@dhhs.nc.gov if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

GS 110-91 · Violation

Name of Operation: JIREH EMPOWERMENT OUTREACH CENTER Facility ID: 94000122 Consultant: BRITTANY JONES Operation Type: Center Case Number: Visit Date: 4/14/2025 Number Present: 7 Completed Date: 4/14/2025 Age: From 0 To 4 Total Minutes: 345 Time In: 09:15 AM Time Out: 03:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for an annual compliance visit. Y. Clagon, Administrator, assisted me with the visit. Your program currently operates with a Notice of Compliance dated 3/21/23. The last annual compliance visit was conducted 4/29/24. The sanitation inspection was completed 1/16/25 with a “Superior” classification. The last fire inspection was conducted 8/26/24 and your facility was approved for daytime care only. The center's compliance history was reviewed with the operator. The program’s compliance history was ninety four percent as of 4/11/25. The NC Secretary of State website was reviewed on 4/11/25 and Jireh Empowerment Outreach Center was listed as current- active. We reviewed your facility contact information listed on the Division of Child Development and Early Education (DCDEE) website and all information is current. Contact me if you need to make any changes to your contact information, e.g., phone numbers, mailing address. All indoor and outdoor spaces were monitored. Children enrolled in space #1 were looking at books at the table while a staff member read to them. Children under twelve months old received care according to individual needs including diapering and bottle feeding. All children transitioned to the outdoor space and were observed swinging and climbing on stationary climbers. The outdoor space was observed to have monkey bars, a climbing dome, portables houses, and balls for the children to engage in gross motor activities. Lunch was observed and consisted of turkey with gravy, rice, peas, mixed fruit, whole wheat bread, and milk. The following violations were observed. Violation Number Comment Rule 107 The center did not comply with the permit restrictions. In space #1, one child enrolled was fourteen (14) years of age. The permit license is for ages birth – 12. GS 110-91; GS 110-106 301 Minimum staff/child ratios and group sizes for the number and ages of children in care were not met. Upon arrival at the center, the staff member assigned to space #2 came to the door with three (3) children to unlock it and let me in. Two (2) children were left in classroom space #2 unattended. GS 110-91(7);.0713(a-d) 316 Children under one year of age were not kept separate from children two years and older. In space #2, six (6) children 1-4 years of age were in care with one staff member. Seven (7) children, 0-4 years of age were grouped in the outdoor space. 10A NCAC 09 .0713(a)(5) 807 A safe indoor and outdoor environment was not provided for the children. The landscape fabric beneath the mulch under the portable swing set for toddlers was exposed causing a tripping hazard. The monkey bars had large areas of peeling paint with exposed rust on the top bars. 10A NCAC 09 .0601(a) 843 A drug or medicine was administered after its expiration date. In space #1, two (2) tubes of hydrocortisone ointment 2.5% were on file that expired 6/24. A child enrolled in space #1, had an Epi Pen on file that expired 5/23. In space #1, a Proair HFA inhaler was on file that expired 1/23. 10A NCAC 09 .0803(1)(d) 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. In space #1, two (2) tubes of hydrocortisone ointment 2.5% were on file in boxes without the prescription labels. .0803(2)(a) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. In space #1, two (2) tubes of hydrocortisone ointment 2.5% were on file with written permission that expired 6/3/23. A child enrolled in space #1, had an Epi Pen on file without written permission on file. In space #1, a Proair HFA inhaler was on file with written permission that expired 12/3/22. .0803(12) 1044 Prior to the expiration date of the qualification letter, the child care provider did not complete and submit required forms to complete a criminal background check (a qualification letter is valid for a maximum of five years for the date of issuance). A. Hinton, qualification letter expired on March 24, 2025. Submission of the required forms to complete a criminal background check has not occurred to date. G.S. 110-90.2(b) & .2703(n)&(o) 1757 A valid qualification letter was not on file and available to review at the facility. A. Hinton did not have a valid qualification letter on file. G.S. 110-90.2(b) & (d) & .2703(e) 1805 A child care operator did not notify the Division of any new child care providers, as defined in G.S. 110-90.2(a)(2), who were hired or moved into the child care facility within five business days. The administrator did not complete the ABCMS provider training. G.S. 110-90.2 & .2703(r) 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 last recorded update of the EPR Plan was 10/26/2021. .0607(e) 1834 Application did not have a medical action plan attached for any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services. In space #1, a child enrolled had a medical action plan on file that was dated 8/3/22. .0801(b) 1867 The depth of the loose surfacing was not based on critical height of the equipment. The mulch beneath the stationary climbers and swings throughout the outdoor space was three (3) inches in depth rather than the required six (6) inches. .0605(k)(1-4) 9995 A violation was found for which there is no item number. Children were observed sleeping on cots that were not covered by bed linens. This is a violation of a requirement of 15A NCAC 18A .2821 (f). Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before 4/28/25, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Brittany Jones, Child Care Consultant PO Box 3272 New Bern, NC 28564 Brittany.j.jones@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Technical Assistance with Documented Violations: Permit Compliance: Monitoring with a focus on teaching, encouraging, upgrading and safeguarding, can be very successful in assisting programs and providers to achieve and maintain compliance with licensing requirements. In space #1, one child enrolled was fourteen (14) years of age. The permit license is for ages birth – 12. You stated you were told by a case worker that this was allowable. We discussed that if there was a need for the child to remain in care, you would need to submit a written request to me to see if a special restriction can be added for the child to attend. You are to immediately notify the parents that you are not able to care for children over the age of twelve (12) years old and to find alternative care. Staff Child Ratio: A staff-to-child ratio is a measure of the number of children for whom each child care provider is responsible. Because younger children need more direct one-on-one interaction, response, and supervision, staff-to-child ratios are lower for younger children than for older ones. Ratio and group size are two factors that are critical to a child’s health, safety, and development. Ratios and group sizes help ensure that a child gets enough one-on-one attention from an adult who is available to take care of each child’s unique needs. This responsive caregiving is extremely important to a child ’s social and emotional development, physical well-being, and overall learning. Upon arrival at the center, the staff member assigned to space #2 came to the door with three (3) children to unlock it and let me in. Two (2) children were left in classroom space #2 unattended. We discussed that it is important to communicate with the staff member in space #3 to see if she can assist or to bring all the children with her to the door so that ratios and supervision is maintained at all times. You stated that you usually arrive to the center by 9AM and are available to open the door. In space #2, six (6) children 1-4 years of age were in care with one staff member. I discussed with the staff members that children that are under the age of two cannot be grouped with children three years of age or older. The one-year-old child was moved to space #3 to be grouped with the infant in attendance when it was brought to the staff member’s attention. Seven (7) children, 0-4 years of age were grouped in the outdoor space. We discussed that the younger children in space #3 could come to the outdoor space before or after the older children so that they can play on the smaller equipment that is developmentally appropriate. Ensure that staff members have a way of communicating with you and each other when assistance is needed and that they understand how to maintain ratios when a staff member is not available for assistance. Criminal Background Checks: Criminal background checks (CBC) are completed to protect children from abuse and reduce liability risks. Background screenings are needed to provide a safe program environment, support children’s health and safety, and are important for preventing child maltreatment in early care and education programs. A CBC must be completed prior to employee hire and every five years thereafter. An expiration date is now listed on each Qualification Letter. Submissions can also be made six months before the expiration date listed on the current Qualification Letter. A. Hinton, qualification letter expired on March 24, 2025. Submission of the required forms to complete a criminal background check has not occurred to date. This violation must be corrected within fifteen (15) days, by April 29, 2025, and a copy of the qualification letter must be sent with the required compliance letter. If the qualification letter is not on file within the 15 days, the employee cannot be at the facility any longer until they receive their qualification letter. You stated that you thought that the staff member’s letter did not expire until next year. We discussed using you staff and training worksheet as a tool and adding expiration dates in a digital calendar that will send reminders. I sent you instructions for how to use the CBC portal and connecting applications in the provider portal during the visit. Regularly reviewing your files will help keep you informed about upcoming expiring dates. As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. The administrator did not complete the ABCMS provider training. You stated that you will complete the training and send me your certificate with the compliance letter. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. Medication: Medicines can be crucial to the health and wellness of children. They can also be very dangerous if the wrong type or wrong amount is given to the wrong person or at the wrong time. A medical action plan is required for children that need emergency medication, the form needs to be completed by the parent or a health care professional. In space #1, a child enrolled had a medical action plan on file that was dated 8/3/22. We discussed the importance of understanding the symptoms the child shows and the instructions to administer the medication needed for the child. You stated that you were unaware that the medical action plans had to be updated annually and that you have not had to use any medication for the child. In space #1, two (2) tubes of hydrocortisone ointment 2.5% were on file in boxes without the prescription labels that expired 6/24. The written authorization for the ointment expired 6/3/23. You stated that you were unaware if the medication was prescription. We discussed that the tube stated RX only which then requires it to have a prescription labeled box, be stored in locked storage, and have written permission on the long form for prescription medication. We also discussed that it is important to understand if a medication is prescription by inspecting the original container of the medication. A child enrolled in space #1, had an Epi Pen on file that expired 5/23 and did not have written permission on file. In space #1, a Proair HFA inhaler was on file that expired 1/23 and had written permission that expired 12/3/22. We discussed that it is important to review medications frequently even though they have not been used. You stated that you will check medications monthly when completing other monthly tasks. Request a new medical action plan for the child and ensure that you have all required medications with permissions on file to be reviewed monthly. Outdoor Environment: The outdoor learning environment offers a sense of freedom for children. Children are able to play freely with peers, expand their imagination beyond restraints of indoor activities, release energy and explore their sense of touch, smell, taste and their sense of motion. It is important that the outdoor area is checked daily and proper upkeep is conducted to ensure the environment is safe for use. The mulch beneath the stationary climbers and swings throughout the outdoor space was three (3) inches in depth rather than the required six (6) inches. You stated that you had noticed that the mulch was not the required depth during the last playground inspection. The landscape fabric beneath the mulch under the portable swing set for toddlers was exposed causing a tripping hazard. The monkey bars had large areas of peeling paint with exposed rust on the top bars. We discussed that the paint and rust could harm the children’s hands when they grip the bar to go across the bars. You stated that you will contact someone to help with the mulch and painting of the monkey bars. Check the outdoor spaces daily before the children arrive to ensure that hazards are removed and inspect equipment thoroughly each month during the playground inspections for hazards. EPR Plan: Your program’s Emergency Preparedness and Response plan was created to assist you with following a plan in the event of an emergency. You must update your plan yearly or update the plan whenever changes occur in your program. Your last recorded update was 10/26/2021. Your facilities emergency response plan must be reviewed with staff annually or when changes occur. We discussed updating your plan during today’s visit. Send a copy of the updated plan as part of your correction. Sleep and Rest Areas: Early care and education programs should have proper sleeping equipment for children who need to nap while in care, and programs should use the equipment correctly to help reduce injury or death. Programs should have a separate crib, cot, sleeping bag, bed, mat, or pad available for each child. Children should not share cribs, beds, or bedding. Bed linens should not be used as rest equipment instead of cots, beds, pads, or similar approved equipment. Bed linens used under children on cots, cribs, futons, and playpens should fit tightly. Bed linens should be cleaned once a week or more often if soiled. Bedding brought by parents/guardians should be washed at home weekly or more often if soiled. Children were observed sleeping on cots that were not covered by bed linens. You stated that the blanket or towel that the children bring in from home are laid on the cot to sleep on top of but they choose to cover up with the blanket rather than laying on top of it. We discussed that linens are needed that will cover the mat's sleeping surface for the children to rest on. You stated that you ordered the cots from Kaplan and can see if they also have sheets available for purchase. Ensure that cots are covered with linen for the children to rest on each day. Additional Comments: We discussed Clean Classrooms for Carolina Kids and you have completed Lead in Water testing. Log into Clean Classrooms for Carolina Kids to complete Asbestos testing and Lead-Based Paint testing. During today’s visit, you inquired about being approved for transportation. You do not have a vehicle to monitor at this time. Contact me to monitor the vehicle and approve the facility to transport. Review SECTION .1000 Transportation Standards and contact me with questions. The facility is currently working on renovating a room. We discussed that you need to send me a building, fire, and sanitation inspections when the space is completed so that I can monitor and measure the space to be approved as child care space. North Carolina Rated License Assessment Project: NCRLAP’s mission is to promote the quality of child care by consistently and reliably assessing environments for the North Carolina Star Rated License. They collaborate with professionals in the early childhood education field to foster the development and learning of young children. Their website, ncrlap.org, offers resources, trainings, videos, worksheets, and help to get ready for the new ITERS-3 and ECERS-3 assessment tools that will be used in the new QRIS system. We discussed ECERS-3, online trainings, and more resources available about ECERS-3 if you would like to complete the assessment process. They can be found at NCRLAP.org. Natural Learning Initiative: https://naturalearning.org/resources/ Resources are created, often in collaboration with the Natural Learning Initiative’s interdisciplinary partners, to support technical assistance, professional development, and generally to promote the importance of the natural environment in the daily experience of all children. The Tyrrell-Washington Partnership for Children / Child Care Resource and Referral is also able to provide you with resources and information, training opportunities, and technical assistance on child care issues. Their phone number is (252) 793-5437 or check out their website at www.twpfc.org. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me at Brittany Jones, Child Care Consultant, (252) 947-1036, Brittany.j.jones@dhhs.nc.gov or Jennifer Linhardt, Licensing Supervisor, (252) 373-4199, Jennifer.Linhardt@dhhs.nc.gov if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

NC GS 110-90 · Violation

Name of Operation: JIREH EMPOWERMENT OUTREACH CENTER Facility ID: 94000122 Consultant: BRITTANY JONES Operation Type: Center Case Number: Visit Date: 4/14/2025 Number Present: 7 Completed Date: 4/14/2025 Age: From 0 To 4 Total Minutes: 345 Time In: 09:15 AM Time Out: 03:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for an annual compliance visit. Y. Clagon, Administrator, assisted me with the visit. Your program currently operates with a Notice of Compliance dated 3/21/23. The last annual compliance visit was conducted 4/29/24. The sanitation inspection was completed 1/16/25 with a “Superior” classification. The last fire inspection was conducted 8/26/24 and your facility was approved for daytime care only. The center's compliance history was reviewed with the operator. The program’s compliance history was ninety four percent as of 4/11/25. The NC Secretary of State website was reviewed on 4/11/25 and Jireh Empowerment Outreach Center was listed as current- active. We reviewed your facility contact information listed on the Division of Child Development and Early Education (DCDEE) website and all information is current. Contact me if you need to make any changes to your contact information, e.g., phone numbers, mailing address. All indoor and outdoor spaces were monitored. Children enrolled in space #1 were looking at books at the table while a staff member read to them. Children under twelve months old received care according to individual needs including diapering and bottle feeding. All children transitioned to the outdoor space and were observed swinging and climbing on stationary climbers. The outdoor space was observed to have monkey bars, a climbing dome, portables houses, and balls for the children to engage in gross motor activities. Lunch was observed and consisted of turkey with gravy, rice, peas, mixed fruit, whole wheat bread, and milk. The following violations were observed. Violation Number Comment Rule 107 The center did not comply with the permit restrictions. In space #1, one child enrolled was fourteen (14) years of age. The permit license is for ages birth – 12. GS 110-91; GS 110-106 301 Minimum staff/child ratios and group sizes for the number and ages of children in care were not met. Upon arrival at the center, the staff member assigned to space #2 came to the door with three (3) children to unlock it and let me in. Two (2) children were left in classroom space #2 unattended. GS 110-91(7);.0713(a-d) 316 Children under one year of age were not kept separate from children two years and older. In space #2, six (6) children 1-4 years of age were in care with one staff member. Seven (7) children, 0-4 years of age were grouped in the outdoor space. 10A NCAC 09 .0713(a)(5) 807 A safe indoor and outdoor environment was not provided for the children. The landscape fabric beneath the mulch under the portable swing set for toddlers was exposed causing a tripping hazard. The monkey bars had large areas of peeling paint with exposed rust on the top bars. 10A NCAC 09 .0601(a) 843 A drug or medicine was administered after its expiration date. In space #1, two (2) tubes of hydrocortisone ointment 2.5% were on file that expired 6/24. A child enrolled in space #1, had an Epi Pen on file that expired 5/23. In space #1, a Proair HFA inhaler was on file that expired 1/23. 10A NCAC 09 .0803(1)(d) 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. In space #1, two (2) tubes of hydrocortisone ointment 2.5% were on file in boxes without the prescription labels. .0803(2)(a) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. In space #1, two (2) tubes of hydrocortisone ointment 2.5% were on file with written permission that expired 6/3/23. A child enrolled in space #1, had an Epi Pen on file without written permission on file. In space #1, a Proair HFA inhaler was on file with written permission that expired 12/3/22. .0803(12) 1044 Prior to the expiration date of the qualification letter, the child care provider did not complete and submit required forms to complete a criminal background check (a qualification letter is valid for a maximum of five years for the date of issuance). A. Hinton, qualification letter expired on March 24, 2025. Submission of the required forms to complete a criminal background check has not occurred to date. G.S. 110-90.2(b) & .2703(n)&(o) 1757 A valid qualification letter was not on file and available to review at the facility. A. Hinton did not have a valid qualification letter on file. G.S. 110-90.2(b) & (d) & .2703(e) 1805 A child care operator did not notify the Division of any new child care providers, as defined in G.S. 110-90.2(a)(2), who were hired or moved into the child care facility within five business days. The administrator did not complete the ABCMS provider training. G.S. 110-90.2 & .2703(r) 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 last recorded update of the EPR Plan was 10/26/2021. .0607(e) 1834 Application did not have a medical action plan attached for any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services. In space #1, a child enrolled had a medical action plan on file that was dated 8/3/22. .0801(b) 1867 The depth of the loose surfacing was not based on critical height of the equipment. The mulch beneath the stationary climbers and swings throughout the outdoor space was three (3) inches in depth rather than the required six (6) inches. .0605(k)(1-4) 9995 A violation was found for which there is no item number. Children were observed sleeping on cots that were not covered by bed linens. This is a violation of a requirement of 15A NCAC 18A .2821 (f). Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before 4/28/25, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Brittany Jones, Child Care Consultant PO Box 3272 New Bern, NC 28564 Brittany.j.jones@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Technical Assistance with Documented Violations: Permit Compliance: Monitoring with a focus on teaching, encouraging, upgrading and safeguarding, can be very successful in assisting programs and providers to achieve and maintain compliance with licensing requirements. In space #1, one child enrolled was fourteen (14) years of age. The permit license is for ages birth – 12. You stated you were told by a case worker that this was allowable. We discussed that if there was a need for the child to remain in care, you would need to submit a written request to me to see if a special restriction can be added for the child to attend. You are to immediately notify the parents that you are not able to care for children over the age of twelve (12) years old and to find alternative care. Staff Child Ratio: A staff-to-child ratio is a measure of the number of children for whom each child care provider is responsible. Because younger children need more direct one-on-one interaction, response, and supervision, staff-to-child ratios are lower for younger children than for older ones. Ratio and group size are two factors that are critical to a child’s health, safety, and development. Ratios and group sizes help ensure that a child gets enough one-on-one attention from an adult who is available to take care of each child’s unique needs. This responsive caregiving is extremely important to a child ’s social and emotional development, physical well-being, and overall learning. Upon arrival at the center, the staff member assigned to space #2 came to the door with three (3) children to unlock it and let me in. Two (2) children were left in classroom space #2 unattended. We discussed that it is important to communicate with the staff member in space #3 to see if she can assist or to bring all the children with her to the door so that ratios and supervision is maintained at all times. You stated that you usually arrive to the center by 9AM and are available to open the door. In space #2, six (6) children 1-4 years of age were in care with one staff member. I discussed with the staff members that children that are under the age of two cannot be grouped with children three years of age or older. The one-year-old child was moved to space #3 to be grouped with the infant in attendance when it was brought to the staff member’s attention. Seven (7) children, 0-4 years of age were grouped in the outdoor space. We discussed that the younger children in space #3 could come to the outdoor space before or after the older children so that they can play on the smaller equipment that is developmentally appropriate. Ensure that staff members have a way of communicating with you and each other when assistance is needed and that they understand how to maintain ratios when a staff member is not available for assistance. Criminal Background Checks: Criminal background checks (CBC) are completed to protect children from abuse and reduce liability risks. Background screenings are needed to provide a safe program environment, support children’s health and safety, and are important for preventing child maltreatment in early care and education programs. A CBC must be completed prior to employee hire and every five years thereafter. An expiration date is now listed on each Qualification Letter. Submissions can also be made six months before the expiration date listed on the current Qualification Letter. A. Hinton, qualification letter expired on March 24, 2025. Submission of the required forms to complete a criminal background check has not occurred to date. This violation must be corrected within fifteen (15) days, by April 29, 2025, and a copy of the qualification letter must be sent with the required compliance letter. If the qualification letter is not on file within the 15 days, the employee cannot be at the facility any longer until they receive their qualification letter. You stated that you thought that the staff member’s letter did not expire until next year. We discussed using you staff and training worksheet as a tool and adding expiration dates in a digital calendar that will send reminders. I sent you instructions for how to use the CBC portal and connecting applications in the provider portal during the visit. Regularly reviewing your files will help keep you informed about upcoming expiring dates. As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. The administrator did not complete the ABCMS provider training. You stated that you will complete the training and send me your certificate with the compliance letter. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. Medication: Medicines can be crucial to the health and wellness of children. They can also be very dangerous if the wrong type or wrong amount is given to the wrong person or at the wrong time. A medical action plan is required for children that need emergency medication, the form needs to be completed by the parent or a health care professional. In space #1, a child enrolled had a medical action plan on file that was dated 8/3/22. We discussed the importance of understanding the symptoms the child shows and the instructions to administer the medication needed for the child. You stated that you were unaware that the medical action plans had to be updated annually and that you have not had to use any medication for the child. In space #1, two (2) tubes of hydrocortisone ointment 2.5% were on file in boxes without the prescription labels that expired 6/24. The written authorization for the ointment expired 6/3/23. You stated that you were unaware if the medication was prescription. We discussed that the tube stated RX only which then requires it to have a prescription labeled box, be stored in locked storage, and have written permission on the long form for prescription medication. We also discussed that it is important to understand if a medication is prescription by inspecting the original container of the medication. A child enrolled in space #1, had an Epi Pen on file that expired 5/23 and did not have written permission on file. In space #1, a Proair HFA inhaler was on file that expired 1/23 and had written permission that expired 12/3/22. We discussed that it is important to review medications frequently even though they have not been used. You stated that you will check medications monthly when completing other monthly tasks. Request a new medical action plan for the child and ensure that you have all required medications with permissions on file to be reviewed monthly. Outdoor Environment: The outdoor learning environment offers a sense of freedom for children. Children are able to play freely with peers, expand their imagination beyond restraints of indoor activities, release energy and explore their sense of touch, smell, taste and their sense of motion. It is important that the outdoor area is checked daily and proper upkeep is conducted to ensure the environment is safe for use. The mulch beneath the stationary climbers and swings throughout the outdoor space was three (3) inches in depth rather than the required six (6) inches. You stated that you had noticed that the mulch was not the required depth during the last playground inspection. The landscape fabric beneath the mulch under the portable swing set for toddlers was exposed causing a tripping hazard. The monkey bars had large areas of peeling paint with exposed rust on the top bars. We discussed that the paint and rust could harm the children’s hands when they grip the bar to go across the bars. You stated that you will contact someone to help with the mulch and painting of the monkey bars. Check the outdoor spaces daily before the children arrive to ensure that hazards are removed and inspect equipment thoroughly each month during the playground inspections for hazards. EPR Plan: Your program’s Emergency Preparedness and Response plan was created to assist you with following a plan in the event of an emergency. You must update your plan yearly or update the plan whenever changes occur in your program. Your last recorded update was 10/26/2021. Your facilities emergency response plan must be reviewed with staff annually or when changes occur. We discussed updating your plan during today’s visit. Send a copy of the updated plan as part of your correction. Sleep and Rest Areas: Early care and education programs should have proper sleeping equipment for children who need to nap while in care, and programs should use the equipment correctly to help reduce injury or death. Programs should have a separate crib, cot, sleeping bag, bed, mat, or pad available for each child. Children should not share cribs, beds, or bedding. Bed linens should not be used as rest equipment instead of cots, beds, pads, or similar approved equipment. Bed linens used under children on cots, cribs, futons, and playpens should fit tightly. Bed linens should be cleaned once a week or more often if soiled. Bedding brought by parents/guardians should be washed at home weekly or more often if soiled. Children were observed sleeping on cots that were not covered by bed linens. You stated that the blanket or towel that the children bring in from home are laid on the cot to sleep on top of but they choose to cover up with the blanket rather than laying on top of it. We discussed that linens are needed that will cover the mat's sleeping surface for the children to rest on. You stated that you ordered the cots from Kaplan and can see if they also have sheets available for purchase. Ensure that cots are covered with linen for the children to rest on each day. Additional Comments: We discussed Clean Classrooms for Carolina Kids and you have completed Lead in Water testing. Log into Clean Classrooms for Carolina Kids to complete Asbestos testing and Lead-Based Paint testing. During today’s visit, you inquired about being approved for transportation. You do not have a vehicle to monitor at this time. Contact me to monitor the vehicle and approve the facility to transport. Review SECTION .1000 Transportation Standards and contact me with questions. The facility is currently working on renovating a room. We discussed that you need to send me a building, fire, and sanitation inspections when the space is completed so that I can monitor and measure the space to be approved as child care space. North Carolina Rated License Assessment Project: NCRLAP’s mission is to promote the quality of child care by consistently and reliably assessing environments for the North Carolina Star Rated License. They collaborate with professionals in the early childhood education field to foster the development and learning of young children. Their website, ncrlap.org, offers resources, trainings, videos, worksheets, and help to get ready for the new ITERS-3 and ECERS-3 assessment tools that will be used in the new QRIS system. We discussed ECERS-3, online trainings, and more resources available about ECERS-3 if you would like to complete the assessment process. They can be found at NCRLAP.org. Natural Learning Initiative: https://naturalearning.org/resources/ Resources are created, often in collaboration with the Natural Learning Initiative’s interdisciplinary partners, to support technical assistance, professional development, and generally to promote the importance of the natural environment in the daily experience of all children. The Tyrrell-Washington Partnership for Children / Child Care Resource and Referral is also able to provide you with resources and information, training opportunities, and technical assistance on child care issues. Their phone number is (252) 793-5437 or check out their website at www.twpfc.org. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me at Brittany Jones, Child Care Consultant, (252) 947-1036, Brittany.j.jones@dhhs.nc.gov or Jennifer Linhardt, Licensing Supervisor, (252) 373-4199, Jennifer.Linhardt@dhhs.nc.gov if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0304 · Violation

Name of Operation: JIREH EMPOWERMENT OUTREACH CENTER Facility ID: 94000122 Consultant: TAMARIA WILLIAMS Operation Type: Center Case Number: Visit Date: 8/22/2024 Number Present: 11 Completed Date: 8/22/2024 Age: From 2 To 7 Total Minutes: 135 Time In: 10:45 AM Time Out: 01:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for a routine unannounced visit. Y. Clagon, administrator arrived later and assisted when needed. Your program currently operates with a Notice of Compliance, issued 4/18/23. The initial notice of compliance was issued 7/15/21. The sanitation inspection was completed on 6/13/24 with a “Superior” classification. The last fire inspection was conducted 5/8/2023 and your facility was approved for daytime care. The last annual compliance visit was conducted 4/29/2024. The program’s compliance history was ninety percent as of 8/16/2024. We reviewed the center notice of compliance and facility contact information and it was accurate. Please contact me if you need to make any changes to the information on your notice of compliance or your contact information such as the center telephone number, email, or mailing address. This facility is currently owned by Jireh Empowerment Outreach Center, According to the NC Secretary of State's website, this corporation is current-active as of 8/16/2024. Please contact me prior to any information changing regarding the owner of this facility. Upon arrival a group of children were engaged in the outdoor play area. The fenced in outdoor play area located behind the building consisted of a large piece of stationary equipment, mobile toys, a picnic table, basketball goal, and an area for shade. After outdoor freeplay children transitioned to personal care routines and indoor freeplay. Lunch was served. After lunch the children rested on linen covered cots. Lunch consisted of hamburger steak with gravy, peaches, sweet peas, macaroni and cheese, whole wheat bread, and milk. The following violation was documented. Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The last fire inspection was on 5/8/2023. 10A NCAC 09 .0304(a) Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before 9/5/2024 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. Email the information to: Tamaria.Williams@dhhs.nc.gov When you email the compliance letter, it must be sent from the email address on file with DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Technical assistance: Fire Inspection - Each operator must schedule a fire inspection within 12 months of the center's previous fire inspection. The last fire inspection was completed at the center on May 8, 2023. You stated that the fire inspector has been on a leave of absence since May 2024 with no replacement and should be returning to work on Monday, August 26, 2024. Although we can not predict emergencies, setting a reminder on your calendar at least one month in advance of the due date will allow time for the inspection to be completed without becoming delinquent. Additional Information: The Tyrell-Washington Partnership for Children / Child Care Resource and Referral is also able to provide you with resources and information, training opportunities, technical assistance on childcare issues. Their phone number is (252) 793-5347 or check out their website at www.twpfc.org. The Healthy Social Behaviors (HSB) Project supports teachers to promote healthy social-emotional development and reduce the expulsion rate among young children in licensed child care centers across North Carolina. The team is made up of specialists with early childhood education backgrounds who are passionate about empowering teachers to develop learning environments and teaching practices that promote prosocial skills in young children. To speak to a Behavior Support Advisor contact 1-888-600-1685 option 1. For the latest information on child care rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me at Tamaria Williams, Child Care Consultant, 252-508-5621, Tamaria.Williams@dhhs.nc.gov or Jennifer Linhardt, Licensing Supervisor, 252-373-4199, Jennifer.Linhardt@dhhs.nc.gov if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

NC GS 110-90 · Violation

Name of Operation: JIREH EMPOWERMENT OUTREACH CENTER Facility ID: 94000122 Consultant: TAMARIA WILLIAMS Operation Type: Center Case Number: Visit Date: 8/22/2024 Number Present: 11 Completed Date: 8/22/2024 Age: From 2 To 7 Total Minutes: 135 Time In: 10:45 AM Time Out: 01:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for a routine unannounced visit. Y. Clagon, administrator arrived later and assisted when needed. Your program currently operates with a Notice of Compliance, issued 4/18/23. The initial notice of compliance was issued 7/15/21. The sanitation inspection was completed on 6/13/24 with a “Superior” classification. The last fire inspection was conducted 5/8/2023 and your facility was approved for daytime care. The last annual compliance visit was conducted 4/29/2024. The program’s compliance history was ninety percent as of 8/16/2024. We reviewed the center notice of compliance and facility contact information and it was accurate. Please contact me if you need to make any changes to the information on your notice of compliance or your contact information such as the center telephone number, email, or mailing address. This facility is currently owned by Jireh Empowerment Outreach Center, According to the NC Secretary of State's website, this corporation is current-active as of 8/16/2024. Please contact me prior to any information changing regarding the owner of this facility. Upon arrival a group of children were engaged in the outdoor play area. The fenced in outdoor play area located behind the building consisted of a large piece of stationary equipment, mobile toys, a picnic table, basketball goal, and an area for shade. After outdoor freeplay children transitioned to personal care routines and indoor freeplay. Lunch was served. After lunch the children rested on linen covered cots. Lunch consisted of hamburger steak with gravy, peaches, sweet peas, macaroni and cheese, whole wheat bread, and milk. The following violation was documented. Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The last fire inspection was on 5/8/2023. 10A NCAC 09 .0304(a) Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before 9/5/2024 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. Email the information to: Tamaria.Williams@dhhs.nc.gov When you email the compliance letter, it must be sent from the email address on file with DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Technical assistance: Fire Inspection - Each operator must schedule a fire inspection within 12 months of the center's previous fire inspection. The last fire inspection was completed at the center on May 8, 2023. You stated that the fire inspector has been on a leave of absence since May 2024 with no replacement and should be returning to work on Monday, August 26, 2024. Although we can not predict emergencies, setting a reminder on your calendar at least one month in advance of the due date will allow time for the inspection to be completed without becoming delinquent. Additional Information: The Tyrell-Washington Partnership for Children / Child Care Resource and Referral is also able to provide you with resources and information, training opportunities, technical assistance on childcare issues. Their phone number is (252) 793-5347 or check out their website at www.twpfc.org. The Healthy Social Behaviors (HSB) Project supports teachers to promote healthy social-emotional development and reduce the expulsion rate among young children in licensed child care centers across North Carolina. The team is made up of specialists with early childhood education backgrounds who are passionate about empowering teachers to develop learning environments and teaching practices that promote prosocial skills in young children. To speak to a Behavior Support Advisor contact 1-888-600-1685 option 1. For the latest information on child care rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me at Tamaria Williams, Child Care Consultant, 252-508-5621, Tamaria.Williams@dhhs.nc.gov or Jennifer Linhardt, Licensing Supervisor, 252-373-4199, Jennifer.Linhardt@dhhs.nc.gov if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0601 · Violation

Name of Operation: JIREH EMPOWERMENT OUTREACH CENTER Facility ID: 94000122 Consultant: TAMARIA WILLIAMS Operation Type: Center Case Number: Visit Date: 4/29/2024 Number Present: 6 Completed Date: 4/9/2024 Age: From 1 To 4 Total Minutes: 195 Time In: 09:15 AM Time Out: 12:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for an Annual Compliance visit. Michelle O’Kelley, Child Care Consultant accompanied me on this visit. A. Waddle checked my temperature, Y. Clagon, administrator arrived later and assisted when needed. Your program currently operates with a Notice of Compliance, issued 4/18/23. The initial notice of compliance was issued 7/15/21. The sanitation inspection was completed on 12/21/2023 with a “Superior” classification. The last fire inspection was conducted 5/8/2023 and your facility was approved for daytime care. The last annual compliance visit was conducted 5/4/2023. The program’s compliance history was eighty-nine percent as of 4/26/2024. We reviewed the center notice of compliance and facility contact information and it was accurate. Please contact me if you need to make any changes to the information on your notice of compliance or your contact information such as the center telephone number, email, or mailing address. This facility is currently owned by Jireh Empowerment Outreach Center, According to the NC Secretary of State's website, this corporation is current-active as of 4/26/2024. Please contact me prior to any information changing regarding the owner of this facility. A walk-through of the facility was completed today, all areas were monitored. I observed children in space two (2) engaged in free play and transitioning to personal care routines and group time. In space three (3) children throughout the classroom were participating in free play, and personal care routines. The fenced in outdoor play area located behind the building consisted of a large piece of stationary equipment, mobile toys, a picnic table, basketball goal, and an area for shade. After lunch the children rested on linen covered cots. Lunch was served and consisted of turkey with gravy, rice peaches, sweet peas, collard greens, whole wheat bread, and milk. The following violations were documented Violation Number Comment Rule 807 A safe indoor and outdoor environment was not provided for the children. Broken play equipment was located on the playground. Overgrown grass was located on the playground. 10A NCAC 09 .0601(a) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. In space two (2) the outlet located near the community helper vehicles did not have a safety plug. In space four (4) an outlet by the refrigerator did not have a safety plug. 10A NCAC 09 .0604(c) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. Diapers were stored in plastic bags in three (3) out of the five (5) cubbies in space three (3). .0604(q) 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 5/13/24 I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Email the information to: Tamaria.Williams@dhhs.nc.gov When you email the compliance letter, it must be sent from the email address on file with DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Technical assistance: Outdoor Environment: The outdoor learning environment offers a sense of freedom for children. Children are able to play freely with peers, expand their imagination beyond restraints of indoor activities, release energy and explore their sense of touch, smell, taste and their sense of motion. It is important that the outdoor area is checked daily and proper upkeep is conducted to ensure the environment is safe for use. Proper maintenance is a key factor when trying to ensure a safe play environment for children. Outdoor areas should be kept free of excessive high grass. During today’s inspection of the outdoor learning environment, grass is overgrown and broken toys were located on the playground. You removed the broken toys immediately. Plastic Bags - Plastic bags have been recognized for many years as a suffocation hazard. According to Caring for Our Children, 3rd edition, the U.S. Consumer Product Safety Commission (CPSC) has received average annual reports of twenty-five deaths per year to children due to suffocation from plastic bags. In child care facilities, plastic bags should be made inaccessible to children less than three years of age. In space three (3) diapers stored in plastic bags were located in three (3) out of the five (5) cubbies. To make plastic bags inaccessible to children less than three years old, store them above five feet from the finished floor. This was corrected during the visit. Electrical Outlets - Approximately 2,400 children are injured annually by inserting objects into the slots of electrical outlets. An electrical outlets located on the wall near the community helper vehicles did not have a safety plug. In space four (4) an outlet by the refrigerator did not have a safety plug. All electrical outlets not in use that are in areas accessible to children must be protected with an outlet cover. This includes unused outlets on power strips. This violation was corrected during the visit. Additional Information: The Tyrell-Washington Partnership for Children / Child Care Resource and Referral is also able to provide you with resources and information, training opportunities, technical assistance on childcare issues. Their phone number is (252) 793-5347 or check out their website at www.twpfc.org. Be knowledgeable of the child care laws and rules and environmental health rules; review them with your staff and assist them with understanding and implementing them to maintain compliance and keep children safe and healthy. The most recent versions of child care laws and rules (updated 1/1/24) and environmental health rules (updated 7/1/23) in North Carolina, the Items Number Listing (can be used as a detailed checklist of required items) and What’s New information are available on the DCDEE website, www.ncchildcare.ncdhhs.gov. Check the designated facility email at least weekly to stay current with communication and email blasts from DCDEE. If your email is not the facility email, sign up for email blasts on the What’s New page for general information and communication from DCDEE. Required Water, Lead Paint, and Asbestos Testing - New child care rules require child care facilities to test for lead in drinking water, lead paint, and asbestos. Testing is required by 1/1/2025, but enrollment is required by 5/1/2024. Check out the FAQ in the updated Clean Classrooms for Carolina Kids. Currently there is funding to pay for the testing and to mitigate lead paint or asbestos hazards. Depending on the age of your home or building and the information you provide in the enrollment process, testing for lead paint and asbestos may not be required. (Lead paint was not used in homes built after 1978. Asbestos was not used in homes after 1988.) Water testing will be required every three years. For more information go to https://www.cleanwaterforuskids.org/en/carolina/ or contact your Environmental Health Specialist. The Healthy Social Behaviors (HSB) Project supports teachers to promote healthy social-emotional development and reduce the expulsion rate among young children in licensed child care centers across North Carolina. The team is made up of specialists with early childhood education backgrounds who are passionate about empowering teachers to develop learning environments and teaching practices that promote prosocial skills in young children. To speak to a Behavior Support Advisor contact 1-888-600-1685 option 1. For the latest information on child care rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me at Tamaria Williams, Child Care Consultant, 252-508-5621, Tamaria.Williams@dhhs.nc.gov or Jennifer Linhardt, Licensing Supervisor, 252-373-4199, Jennifer.Linhardt@dhhs.nc.gov if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

10A NCAC 09 .0604 · Violation

Name of Operation: JIREH EMPOWERMENT OUTREACH CENTER Facility ID: 94000122 Consultant: TAMARIA WILLIAMS Operation Type: Center Case Number: Visit Date: 4/29/2024 Number Present: 6 Completed Date: 4/9/2024 Age: From 1 To 4 Total Minutes: 195 Time In: 09:15 AM Time Out: 12:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for an Annual Compliance visit. Michelle O’Kelley, Child Care Consultant accompanied me on this visit. A. Waddle checked my temperature, Y. Clagon, administrator arrived later and assisted when needed. Your program currently operates with a Notice of Compliance, issued 4/18/23. The initial notice of compliance was issued 7/15/21. The sanitation inspection was completed on 12/21/2023 with a “Superior” classification. The last fire inspection was conducted 5/8/2023 and your facility was approved for daytime care. The last annual compliance visit was conducted 5/4/2023. The program’s compliance history was eighty-nine percent as of 4/26/2024. We reviewed the center notice of compliance and facility contact information and it was accurate. Please contact me if you need to make any changes to the information on your notice of compliance or your contact information such as the center telephone number, email, or mailing address. This facility is currently owned by Jireh Empowerment Outreach Center, According to the NC Secretary of State's website, this corporation is current-active as of 4/26/2024. Please contact me prior to any information changing regarding the owner of this facility. A walk-through of the facility was completed today, all areas were monitored. I observed children in space two (2) engaged in free play and transitioning to personal care routines and group time. In space three (3) children throughout the classroom were participating in free play, and personal care routines. The fenced in outdoor play area located behind the building consisted of a large piece of stationary equipment, mobile toys, a picnic table, basketball goal, and an area for shade. After lunch the children rested on linen covered cots. Lunch was served and consisted of turkey with gravy, rice peaches, sweet peas, collard greens, whole wheat bread, and milk. The following violations were documented Violation Number Comment Rule 807 A safe indoor and outdoor environment was not provided for the children. Broken play equipment was located on the playground. Overgrown grass was located on the playground. 10A NCAC 09 .0601(a) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. In space two (2) the outlet located near the community helper vehicles did not have a safety plug. In space four (4) an outlet by the refrigerator did not have a safety plug. 10A NCAC 09 .0604(c) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. Diapers were stored in plastic bags in three (3) out of the five (5) cubbies in space three (3). .0604(q) 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 5/13/24 I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Email the information to: Tamaria.Williams@dhhs.nc.gov When you email the compliance letter, it must be sent from the email address on file with DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Technical assistance: Outdoor Environment: The outdoor learning environment offers a sense of freedom for children. Children are able to play freely with peers, expand their imagination beyond restraints of indoor activities, release energy and explore their sense of touch, smell, taste and their sense of motion. It is important that the outdoor area is checked daily and proper upkeep is conducted to ensure the environment is safe for use. Proper maintenance is a key factor when trying to ensure a safe play environment for children. Outdoor areas should be kept free of excessive high grass. During today’s inspection of the outdoor learning environment, grass is overgrown and broken toys were located on the playground. You removed the broken toys immediately. Plastic Bags - Plastic bags have been recognized for many years as a suffocation hazard. According to Caring for Our Children, 3rd edition, the U.S. Consumer Product Safety Commission (CPSC) has received average annual reports of twenty-five deaths per year to children due to suffocation from plastic bags. In child care facilities, plastic bags should be made inaccessible to children less than three years of age. In space three (3) diapers stored in plastic bags were located in three (3) out of the five (5) cubbies. To make plastic bags inaccessible to children less than three years old, store them above five feet from the finished floor. This was corrected during the visit. Electrical Outlets - Approximately 2,400 children are injured annually by inserting objects into the slots of electrical outlets. An electrical outlets located on the wall near the community helper vehicles did not have a safety plug. In space four (4) an outlet by the refrigerator did not have a safety plug. All electrical outlets not in use that are in areas accessible to children must be protected with an outlet cover. This includes unused outlets on power strips. This violation was corrected during the visit. Additional Information: The Tyrell-Washington Partnership for Children / Child Care Resource and Referral is also able to provide you with resources and information, training opportunities, technical assistance on childcare issues. Their phone number is (252) 793-5347 or check out their website at www.twpfc.org. Be knowledgeable of the child care laws and rules and environmental health rules; review them with your staff and assist them with understanding and implementing them to maintain compliance and keep children safe and healthy. The most recent versions of child care laws and rules (updated 1/1/24) and environmental health rules (updated 7/1/23) in North Carolina, the Items Number Listing (can be used as a detailed checklist of required items) and What’s New information are available on the DCDEE website, www.ncchildcare.ncdhhs.gov. Check the designated facility email at least weekly to stay current with communication and email blasts from DCDEE. If your email is not the facility email, sign up for email blasts on the What’s New page for general information and communication from DCDEE. Required Water, Lead Paint, and Asbestos Testing - New child care rules require child care facilities to test for lead in drinking water, lead paint, and asbestos. Testing is required by 1/1/2025, but enrollment is required by 5/1/2024. Check out the FAQ in the updated Clean Classrooms for Carolina Kids. Currently there is funding to pay for the testing and to mitigate lead paint or asbestos hazards. Depending on the age of your home or building and the information you provide in the enrollment process, testing for lead paint and asbestos may not be required. (Lead paint was not used in homes built after 1978. Asbestos was not used in homes after 1988.) Water testing will be required every three years. For more information go to https://www.cleanwaterforuskids.org/en/carolina/ or contact your Environmental Health Specialist. The Healthy Social Behaviors (HSB) Project supports teachers to promote healthy social-emotional development and reduce the expulsion rate among young children in licensed child care centers across North Carolina. The team is made up of specialists with early childhood education backgrounds who are passionate about empowering teachers to develop learning environments and teaching practices that promote prosocial skills in young children. To speak to a Behavior Support Advisor contact 1-888-600-1685 option 1. For the latest information on child care rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me at Tamaria Williams, Child Care Consultant, 252-508-5621, Tamaria.Williams@dhhs.nc.gov or Jennifer Linhardt, Licensing Supervisor, 252-373-4199, Jennifer.Linhardt@dhhs.nc.gov if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

NC GS 110-90 · Violation

Name of Operation: JIREH EMPOWERMENT OUTREACH CENTER Facility ID: 94000122 Consultant: TAMARIA WILLIAMS Operation Type: Center Case Number: Visit Date: 4/29/2024 Number Present: 6 Completed Date: 4/9/2024 Age: From 1 To 4 Total Minutes: 195 Time In: 09:15 AM Time Out: 12:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for an Annual Compliance visit. Michelle O’Kelley, Child Care Consultant accompanied me on this visit. A. Waddle checked my temperature, Y. Clagon, administrator arrived later and assisted when needed. Your program currently operates with a Notice of Compliance, issued 4/18/23. The initial notice of compliance was issued 7/15/21. The sanitation inspection was completed on 12/21/2023 with a “Superior” classification. The last fire inspection was conducted 5/8/2023 and your facility was approved for daytime care. The last annual compliance visit was conducted 5/4/2023. The program’s compliance history was eighty-nine percent as of 4/26/2024. We reviewed the center notice of compliance and facility contact information and it was accurate. Please contact me if you need to make any changes to the information on your notice of compliance or your contact information such as the center telephone number, email, or mailing address. This facility is currently owned by Jireh Empowerment Outreach Center, According to the NC Secretary of State's website, this corporation is current-active as of 4/26/2024. Please contact me prior to any information changing regarding the owner of this facility. A walk-through of the facility was completed today, all areas were monitored. I observed children in space two (2) engaged in free play and transitioning to personal care routines and group time. In space three (3) children throughout the classroom were participating in free play, and personal care routines. The fenced in outdoor play area located behind the building consisted of a large piece of stationary equipment, mobile toys, a picnic table, basketball goal, and an area for shade. After lunch the children rested on linen covered cots. Lunch was served and consisted of turkey with gravy, rice peaches, sweet peas, collard greens, whole wheat bread, and milk. The following violations were documented Violation Number Comment Rule 807 A safe indoor and outdoor environment was not provided for the children. Broken play equipment was located on the playground. Overgrown grass was located on the playground. 10A NCAC 09 .0601(a) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. In space two (2) the outlet located near the community helper vehicles did not have a safety plug. In space four (4) an outlet by the refrigerator did not have a safety plug. 10A NCAC 09 .0604(c) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. Diapers were stored in plastic bags in three (3) out of the five (5) cubbies in space three (3). .0604(q) 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 5/13/24 I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Email the information to: Tamaria.Williams@dhhs.nc.gov When you email the compliance letter, it must be sent from the email address on file with DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Technical assistance: Outdoor Environment: The outdoor learning environment offers a sense of freedom for children. Children are able to play freely with peers, expand their imagination beyond restraints of indoor activities, release energy and explore their sense of touch, smell, taste and their sense of motion. It is important that the outdoor area is checked daily and proper upkeep is conducted to ensure the environment is safe for use. Proper maintenance is a key factor when trying to ensure a safe play environment for children. Outdoor areas should be kept free of excessive high grass. During today’s inspection of the outdoor learning environment, grass is overgrown and broken toys were located on the playground. You removed the broken toys immediately. Plastic Bags - Plastic bags have been recognized for many years as a suffocation hazard. According to Caring for Our Children, 3rd edition, the U.S. Consumer Product Safety Commission (CPSC) has received average annual reports of twenty-five deaths per year to children due to suffocation from plastic bags. In child care facilities, plastic bags should be made inaccessible to children less than three years of age. In space three (3) diapers stored in plastic bags were located in three (3) out of the five (5) cubbies. To make plastic bags inaccessible to children less than three years old, store them above five feet from the finished floor. This was corrected during the visit. Electrical Outlets - Approximately 2,400 children are injured annually by inserting objects into the slots of electrical outlets. An electrical outlets located on the wall near the community helper vehicles did not have a safety plug. In space four (4) an outlet by the refrigerator did not have a safety plug. All electrical outlets not in use that are in areas accessible to children must be protected with an outlet cover. This includes unused outlets on power strips. This violation was corrected during the visit. Additional Information: The Tyrell-Washington Partnership for Children / Child Care Resource and Referral is also able to provide you with resources and information, training opportunities, technical assistance on childcare issues. Their phone number is (252) 793-5347 or check out their website at www.twpfc.org. Be knowledgeable of the child care laws and rules and environmental health rules; review them with your staff and assist them with understanding and implementing them to maintain compliance and keep children safe and healthy. The most recent versions of child care laws and rules (updated 1/1/24) and environmental health rules (updated 7/1/23) in North Carolina, the Items Number Listing (can be used as a detailed checklist of required items) and What’s New information are available on the DCDEE website, www.ncchildcare.ncdhhs.gov. Check the designated facility email at least weekly to stay current with communication and email blasts from DCDEE. If your email is not the facility email, sign up for email blasts on the What’s New page for general information and communication from DCDEE. Required Water, Lead Paint, and Asbestos Testing - New child care rules require child care facilities to test for lead in drinking water, lead paint, and asbestos. Testing is required by 1/1/2025, but enrollment is required by 5/1/2024. Check out the FAQ in the updated Clean Classrooms for Carolina Kids. Currently there is funding to pay for the testing and to mitigate lead paint or asbestos hazards. Depending on the age of your home or building and the information you provide in the enrollment process, testing for lead paint and asbestos may not be required. (Lead paint was not used in homes built after 1978. Asbestos was not used in homes after 1988.) Water testing will be required every three years. For more information go to https://www.cleanwaterforuskids.org/en/carolina/ or contact your Environmental Health Specialist. The Healthy Social Behaviors (HSB) Project supports teachers to promote healthy social-emotional development and reduce the expulsion rate among young children in licensed child care centers across North Carolina. The team is made up of specialists with early childhood education backgrounds who are passionate about empowering teachers to develop learning environments and teaching practices that promote prosocial skills in young children. To speak to a Behavior Support Advisor contact 1-888-600-1685 option 1. For the latest information on child care rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me at Tamaria Williams, Child Care Consultant, 252-508-5621, Tamaria.Williams@dhhs.nc.gov or Jennifer Linhardt, Licensing Supervisor, 252-373-4199, Jennifer.Linhardt@dhhs.nc.gov if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0601 · Violation

Name of Operation: JIREH EMPOWERMENT OUTREACH CENTER Facility ID: 94000122 Consultant: TAMARIA WILLIAMS Operation Type: Center Case Number: Visit Date: 10/26/2023 Number Present: 8 Completed Date: 10/26/2023 Age: From 1 To 3 Total Minutes: 256 Time In: 08:44 AM Time Out: 01:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for a routine unannounced visit. Y. Clagon, administrator arrived later and assisted when needed. Your program o currently operates with a Notice of Compliance, issued 4/18/23. The initial notice of compliance was issued 7/15/21. The sanitation inspection was completed on 12/12/22 with a “Superior” classification. The last fire inspection was conducted 5/8/2023 and your facility was approved for daytime care. The last annual compliance visit was conducted 5/10/2023. The program’s compliance history was ninety percent as of 10/19/23. We reviewed the center notice of compliance and facility contact information and it was accurate. Please contact me if you need to make any changes to the information on your notice of compliance or your contact information such as the center telephone number, email, or mailing address. This facility is currently owned by Jireh Empowerment Outreach Center, According to the NC Secretary of State's website, this corporation is current-active as of 10/19/23. Please contact me prior to any information changing regarding the owner of this facility. A walk-through of the facility was completed today, limited areas were monitored. I observed children in space one(1) watching television. After the teacher for space two(2) arrived the children transitioned to their classrooms. The children engaged in personal care routines and ate breakfast. Breakfast consisted of French toast sticks, applesauce, and milk. After breakfast the children engaged in indoor freeplay. The fenced in outdoor play area located behind the building consisted of a large piece of stationary equipment, mobile toys, a picnic table, basketball goal, and an area for shade. Lunch consisted of hamburger steak, peaches, carrots, bread, and milk. The following violations were documented. Violation Number Comment Rule 303 Children were not adequately supervised at all times. In space two(2), five(5) children were left in the room while the provider went to unlock the front door. .1801(a)(1-5) 807 A safe indoor and outdoor environment was not provided for the children. The kitchen door was unlocked. 10A NCAC 09 .0601(a) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. In space one(1) an electrical outlet under the air conditioner unit did not have an outlet cover. 10A NCAC 09 .0604(c) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. In space four(4), plastic bags were used to store extra diapers. Plastic bags were accessible to the children because they were stored in the lower unlocked cabinet. .0604(q) Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before 11/9/23 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: Tamaria Williams PO Box 1002 Williamston, NC 27892 Tamaria.Williams@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address on file with DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Technical assistance: Supervision- When I arrived at the facility a staff member answered the door, leaving five children alone in space one(1). There were two(2) one(1) year old children and , three(3) children that were three(3) years old watching Cocomelon on the television. Supervision is basic to safety and the prevention of injury and maintaining quality child care. Parents and guardians have a contract with childcare staff to supervise their children. To be available for supervision or rescue in an emergency, an adult must be able to hear and see the children. A child’s risk-taking behavior must be noticed and managed. Primary caregiving systems, small group sizes, and low child: staff ratios support staff in properly supervising all children in care. These practices encourage responsive interactions and understanding each child’s strengths and challenges. When staff connect deeply with the children in their care, they are more in tune to children’s needs and whereabouts. Ultimately, carefully planned environments; staffing that supports nurturing, individualized, and engaged caregiving; and well-planned, responsive care routines support active supervision in infant and toddler environments. A follow-up visit will be made. Safe Environment – Spaces in the center that could be dangerous to children need to be locked to avoid accidents. The kitchen was unoccupied, and the door was unlocked. Lock the kitchen when not in use. Even if cleaning supplies are locked within the kitchen, children cannot have access to the stove or the hot water that is maintained at a higher temperature. This was corrected during the visit. Electrical Outlets - Approximately 2,400 children are injured annually by inserting objects into the slots of electrical outlets. Most of these injuries involve children under the age of six. An outlet under the air conditioner unit in space one(1) was not protected with a safety cover. All electrical outlets not in use that are in areas accessible to children must be protected with an outlet cover. This includes unused outlets on power strips and outlets over counters in the kitchen. This was corrected during the visit. Plastic Bags - Plastic bags have been recognized for many years as a suffocation hazard. According to Caring for Our Children, 3rd edition, the U.S. Consumer Product Safety Commission (CPSC) has received average annual reports of twenty-five deaths per year to children due to suffocation from plastic bags. In child care facilities, plastic bags should be made inaccessible to children less than three years of age. In space four(4), plastic bags were used to store extra diapers. Plastic bags were accessible to the children because they were stored in the lower unlocked cabinet. To make plastic bags inaccessible to children less than three years old, store them above five feet from the finished floor. There are shelves up high where you can store your plastic bags. Post a reminder in the classrooms where children less than three years old are enrolled to remind teachers of this child care requirement. This was corrected during the visit. Additional Information: The Tyrell-Washington Partnership for Children / Child Care Resource and Referral is also able to provide you with resources and information, training opportunities, technical assistance on childcare issues. Their phone number is (252) 793-5347 or check out their website at www.twpfc.org. Public Health Toolkit Updates - The ChildCareStrongNC Public Health Toolkit for Child Care (updated 7/2022) available on the DHHS website, and sent to your facility contact email, provides guidance on requirements and recommendations to reduce the spread of COVID-19 in child care facilities. If you have questions about COVID-19, an exposure, or exclusion policies, contact the Child Care Health Consultant assigned to your county and/or your local health department. Child Care Immunization Report – This year’s Child Care Immunization Reports are due by midnight on Wednesday November 1, 2023, and will not be accepted after that date. Failure to submit an annual child care immunization report per G.S. 130A-155 will be reported to the Local Health Director for your county. Go to https://survey.alchemer.com/s3/7488181/Child-Care-Immunization-Report-2023-2024 to find instruction, a helpful worksheet, and a guide to submitting your report through the online portal. If you have any questions about the Child Care Immunization Report, please email Immunization.Reports@dhhs.nc.gov or call 919-707-5595. New Sanitation Rules - DCDEE and the Department of Public Health have received feedback from child care programs that additional guidance would be helpful in implementing the child care sanitation rules that the Public Health Commission readopted effective July 1, 2023. Please know that no demerits will be taken for new requirements of these rules until January 2024. Until then, DPH and DCDEE will work together to make sure NC child care centers have the necessary training, technical assistance, and operational support needed to meet the new requirements. The NC Early Childhood Credential Equivalency Exam is another pathway option comparable to a NC Early Childhood Credential. This equivalency exam assesses the foundations of culturally responsive, equitable and inclusive early childhood education, planning intentional developmentally appropriate experiences, learning activities, and teaching strategies for indoor and outdoor environments for all young children, guidance techniques, and professionalism. Moodle Support – The Division offers early childhood professionals a wide range of professional development opportunities through our online learning platform Moodle. As we continue expanding our training offerings, DCDEE has established a new email address and phone number for Moodle Support. To get help with Moodle, email DCDEE_Moodle_Support@dhhs.nc.gov or call (919) 814-6326. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me at Tamaria Williams, Child Care Consultant, 252-508-5621, Tamaria.Williams@dhhs.nc.gov or Jennifer Linhardt, Licensing Supervisor, 252-373-4199, Jennifer.Linhardt@dhhs.nc.gov if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

10A NCAC 09 .0604 · Violation

Name of Operation: JIREH EMPOWERMENT OUTREACH CENTER Facility ID: 94000122 Consultant: TAMARIA WILLIAMS Operation Type: Center Case Number: Visit Date: 10/26/2023 Number Present: 8 Completed Date: 10/26/2023 Age: From 1 To 3 Total Minutes: 256 Time In: 08:44 AM Time Out: 01:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for a routine unannounced visit. Y. Clagon, administrator arrived later and assisted when needed. Your program o currently operates with a Notice of Compliance, issued 4/18/23. The initial notice of compliance was issued 7/15/21. The sanitation inspection was completed on 12/12/22 with a “Superior” classification. The last fire inspection was conducted 5/8/2023 and your facility was approved for daytime care. The last annual compliance visit was conducted 5/10/2023. The program’s compliance history was ninety percent as of 10/19/23. We reviewed the center notice of compliance and facility contact information and it was accurate. Please contact me if you need to make any changes to the information on your notice of compliance or your contact information such as the center telephone number, email, or mailing address. This facility is currently owned by Jireh Empowerment Outreach Center, According to the NC Secretary of State's website, this corporation is current-active as of 10/19/23. Please contact me prior to any information changing regarding the owner of this facility. A walk-through of the facility was completed today, limited areas were monitored. I observed children in space one(1) watching television. After the teacher for space two(2) arrived the children transitioned to their classrooms. The children engaged in personal care routines and ate breakfast. Breakfast consisted of French toast sticks, applesauce, and milk. After breakfast the children engaged in indoor freeplay. The fenced in outdoor play area located behind the building consisted of a large piece of stationary equipment, mobile toys, a picnic table, basketball goal, and an area for shade. Lunch consisted of hamburger steak, peaches, carrots, bread, and milk. The following violations were documented. Violation Number Comment Rule 303 Children were not adequately supervised at all times. In space two(2), five(5) children were left in the room while the provider went to unlock the front door. .1801(a)(1-5) 807 A safe indoor and outdoor environment was not provided for the children. The kitchen door was unlocked. 10A NCAC 09 .0601(a) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. In space one(1) an electrical outlet under the air conditioner unit did not have an outlet cover. 10A NCAC 09 .0604(c) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. In space four(4), plastic bags were used to store extra diapers. Plastic bags were accessible to the children because they were stored in the lower unlocked cabinet. .0604(q) Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before 11/9/23 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: Tamaria Williams PO Box 1002 Williamston, NC 27892 Tamaria.Williams@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address on file with DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Technical assistance: Supervision- When I arrived at the facility a staff member answered the door, leaving five children alone in space one(1). There were two(2) one(1) year old children and , three(3) children that were three(3) years old watching Cocomelon on the television. Supervision is basic to safety and the prevention of injury and maintaining quality child care. Parents and guardians have a contract with childcare staff to supervise their children. To be available for supervision or rescue in an emergency, an adult must be able to hear and see the children. A child’s risk-taking behavior must be noticed and managed. Primary caregiving systems, small group sizes, and low child: staff ratios support staff in properly supervising all children in care. These practices encourage responsive interactions and understanding each child’s strengths and challenges. When staff connect deeply with the children in their care, they are more in tune to children’s needs and whereabouts. Ultimately, carefully planned environments; staffing that supports nurturing, individualized, and engaged caregiving; and well-planned, responsive care routines support active supervision in infant and toddler environments. A follow-up visit will be made. Safe Environment – Spaces in the center that could be dangerous to children need to be locked to avoid accidents. The kitchen was unoccupied, and the door was unlocked. Lock the kitchen when not in use. Even if cleaning supplies are locked within the kitchen, children cannot have access to the stove or the hot water that is maintained at a higher temperature. This was corrected during the visit. Electrical Outlets - Approximately 2,400 children are injured annually by inserting objects into the slots of electrical outlets. Most of these injuries involve children under the age of six. An outlet under the air conditioner unit in space one(1) was not protected with a safety cover. All electrical outlets not in use that are in areas accessible to children must be protected with an outlet cover. This includes unused outlets on power strips and outlets over counters in the kitchen. This was corrected during the visit. Plastic Bags - Plastic bags have been recognized for many years as a suffocation hazard. According to Caring for Our Children, 3rd edition, the U.S. Consumer Product Safety Commission (CPSC) has received average annual reports of twenty-five deaths per year to children due to suffocation from plastic bags. In child care facilities, plastic bags should be made inaccessible to children less than three years of age. In space four(4), plastic bags were used to store extra diapers. Plastic bags were accessible to the children because they were stored in the lower unlocked cabinet. To make plastic bags inaccessible to children less than three years old, store them above five feet from the finished floor. There are shelves up high where you can store your plastic bags. Post a reminder in the classrooms where children less than three years old are enrolled to remind teachers of this child care requirement. This was corrected during the visit. Additional Information: The Tyrell-Washington Partnership for Children / Child Care Resource and Referral is also able to provide you with resources and information, training opportunities, technical assistance on childcare issues. Their phone number is (252) 793-5347 or check out their website at www.twpfc.org. Public Health Toolkit Updates - The ChildCareStrongNC Public Health Toolkit for Child Care (updated 7/2022) available on the DHHS website, and sent to your facility contact email, provides guidance on requirements and recommendations to reduce the spread of COVID-19 in child care facilities. If you have questions about COVID-19, an exposure, or exclusion policies, contact the Child Care Health Consultant assigned to your county and/or your local health department. Child Care Immunization Report – This year’s Child Care Immunization Reports are due by midnight on Wednesday November 1, 2023, and will not be accepted after that date. Failure to submit an annual child care immunization report per G.S. 130A-155 will be reported to the Local Health Director for your county. Go to https://survey.alchemer.com/s3/7488181/Child-Care-Immunization-Report-2023-2024 to find instruction, a helpful worksheet, and a guide to submitting your report through the online portal. If you have any questions about the Child Care Immunization Report, please email Immunization.Reports@dhhs.nc.gov or call 919-707-5595. New Sanitation Rules - DCDEE and the Department of Public Health have received feedback from child care programs that additional guidance would be helpful in implementing the child care sanitation rules that the Public Health Commission readopted effective July 1, 2023. Please know that no demerits will be taken for new requirements of these rules until January 2024. Until then, DPH and DCDEE will work together to make sure NC child care centers have the necessary training, technical assistance, and operational support needed to meet the new requirements. The NC Early Childhood Credential Equivalency Exam is another pathway option comparable to a NC Early Childhood Credential. This equivalency exam assesses the foundations of culturally responsive, equitable and inclusive early childhood education, planning intentional developmentally appropriate experiences, learning activities, and teaching strategies for indoor and outdoor environments for all young children, guidance techniques, and professionalism. Moodle Support – The Division offers early childhood professionals a wide range of professional development opportunities through our online learning platform Moodle. As we continue expanding our training offerings, DCDEE has established a new email address and phone number for Moodle Support. To get help with Moodle, email DCDEE_Moodle_Support@dhhs.nc.gov or call (919) 814-6326. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me at Tamaria Williams, Child Care Consultant, 252-508-5621, Tamaria.Williams@dhhs.nc.gov or Jennifer Linhardt, Licensing Supervisor, 252-373-4199, Jennifer.Linhardt@dhhs.nc.gov if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

NC GS 110-90 · Violation

Name of Operation: JIREH EMPOWERMENT OUTREACH CENTER Facility ID: 94000122 Consultant: TAMARIA WILLIAMS Operation Type: Center Case Number: Visit Date: 10/26/2023 Number Present: 8 Completed Date: 10/26/2023 Age: From 1 To 3 Total Minutes: 256 Time In: 08:44 AM Time Out: 01:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for a routine unannounced visit. Y. Clagon, administrator arrived later and assisted when needed. Your program o currently operates with a Notice of Compliance, issued 4/18/23. The initial notice of compliance was issued 7/15/21. The sanitation inspection was completed on 12/12/22 with a “Superior” classification. The last fire inspection was conducted 5/8/2023 and your facility was approved for daytime care. The last annual compliance visit was conducted 5/10/2023. The program’s compliance history was ninety percent as of 10/19/23. We reviewed the center notice of compliance and facility contact information and it was accurate. Please contact me if you need to make any changes to the information on your notice of compliance or your contact information such as the center telephone number, email, or mailing address. This facility is currently owned by Jireh Empowerment Outreach Center, According to the NC Secretary of State's website, this corporation is current-active as of 10/19/23. Please contact me prior to any information changing regarding the owner of this facility. A walk-through of the facility was completed today, limited areas were monitored. I observed children in space one(1) watching television. After the teacher for space two(2) arrived the children transitioned to their classrooms. The children engaged in personal care routines and ate breakfast. Breakfast consisted of French toast sticks, applesauce, and milk. After breakfast the children engaged in indoor freeplay. The fenced in outdoor play area located behind the building consisted of a large piece of stationary equipment, mobile toys, a picnic table, basketball goal, and an area for shade. Lunch consisted of hamburger steak, peaches, carrots, bread, and milk. The following violations were documented. Violation Number Comment Rule 303 Children were not adequately supervised at all times. In space two(2), five(5) children were left in the room while the provider went to unlock the front door. .1801(a)(1-5) 807 A safe indoor and outdoor environment was not provided for the children. The kitchen door was unlocked. 10A NCAC 09 .0601(a) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. In space one(1) an electrical outlet under the air conditioner unit did not have an outlet cover. 10A NCAC 09 .0604(c) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. In space four(4), plastic bags were used to store extra diapers. Plastic bags were accessible to the children because they were stored in the lower unlocked cabinet. .0604(q) Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before 11/9/23 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: Tamaria Williams PO Box 1002 Williamston, NC 27892 Tamaria.Williams@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address on file with DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Technical assistance: Supervision- When I arrived at the facility a staff member answered the door, leaving five children alone in space one(1). There were two(2) one(1) year old children and , three(3) children that were three(3) years old watching Cocomelon on the television. Supervision is basic to safety and the prevention of injury and maintaining quality child care. Parents and guardians have a contract with childcare staff to supervise their children. To be available for supervision or rescue in an emergency, an adult must be able to hear and see the children. A child’s risk-taking behavior must be noticed and managed. Primary caregiving systems, small group sizes, and low child: staff ratios support staff in properly supervising all children in care. These practices encourage responsive interactions and understanding each child’s strengths and challenges. When staff connect deeply with the children in their care, they are more in tune to children’s needs and whereabouts. Ultimately, carefully planned environments; staffing that supports nurturing, individualized, and engaged caregiving; and well-planned, responsive care routines support active supervision in infant and toddler environments. A follow-up visit will be made. Safe Environment – Spaces in the center that could be dangerous to children need to be locked to avoid accidents. The kitchen was unoccupied, and the door was unlocked. Lock the kitchen when not in use. Even if cleaning supplies are locked within the kitchen, children cannot have access to the stove or the hot water that is maintained at a higher temperature. This was corrected during the visit. Electrical Outlets - Approximately 2,400 children are injured annually by inserting objects into the slots of electrical outlets. Most of these injuries involve children under the age of six. An outlet under the air conditioner unit in space one(1) was not protected with a safety cover. All electrical outlets not in use that are in areas accessible to children must be protected with an outlet cover. This includes unused outlets on power strips and outlets over counters in the kitchen. This was corrected during the visit. Plastic Bags - Plastic bags have been recognized for many years as a suffocation hazard. According to Caring for Our Children, 3rd edition, the U.S. Consumer Product Safety Commission (CPSC) has received average annual reports of twenty-five deaths per year to children due to suffocation from plastic bags. In child care facilities, plastic bags should be made inaccessible to children less than three years of age. In space four(4), plastic bags were used to store extra diapers. Plastic bags were accessible to the children because they were stored in the lower unlocked cabinet. To make plastic bags inaccessible to children less than three years old, store them above five feet from the finished floor. There are shelves up high where you can store your plastic bags. Post a reminder in the classrooms where children less than three years old are enrolled to remind teachers of this child care requirement. This was corrected during the visit. Additional Information: The Tyrell-Washington Partnership for Children / Child Care Resource and Referral is also able to provide you with resources and information, training opportunities, technical assistance on childcare issues. Their phone number is (252) 793-5347 or check out their website at www.twpfc.org. Public Health Toolkit Updates - The ChildCareStrongNC Public Health Toolkit for Child Care (updated 7/2022) available on the DHHS website, and sent to your facility contact email, provides guidance on requirements and recommendations to reduce the spread of COVID-19 in child care facilities. If you have questions about COVID-19, an exposure, or exclusion policies, contact the Child Care Health Consultant assigned to your county and/or your local health department. Child Care Immunization Report – This year’s Child Care Immunization Reports are due by midnight on Wednesday November 1, 2023, and will not be accepted after that date. Failure to submit an annual child care immunization report per G.S. 130A-155 will be reported to the Local Health Director for your county. Go to https://survey.alchemer.com/s3/7488181/Child-Care-Immunization-Report-2023-2024 to find instruction, a helpful worksheet, and a guide to submitting your report through the online portal. If you have any questions about the Child Care Immunization Report, please email Immunization.Reports@dhhs.nc.gov or call 919-707-5595. New Sanitation Rules - DCDEE and the Department of Public Health have received feedback from child care programs that additional guidance would be helpful in implementing the child care sanitation rules that the Public Health Commission readopted effective July 1, 2023. Please know that no demerits will be taken for new requirements of these rules until January 2024. Until then, DPH and DCDEE will work together to make sure NC child care centers have the necessary training, technical assistance, and operational support needed to meet the new requirements. The NC Early Childhood Credential Equivalency Exam is another pathway option comparable to a NC Early Childhood Credential. This equivalency exam assesses the foundations of culturally responsive, equitable and inclusive early childhood education, planning intentional developmentally appropriate experiences, learning activities, and teaching strategies for indoor and outdoor environments for all young children, guidance techniques, and professionalism. Moodle Support – The Division offers early childhood professionals a wide range of professional development opportunities through our online learning platform Moodle. As we continue expanding our training offerings, DCDEE has established a new email address and phone number for Moodle Support. To get help with Moodle, email DCDEE_Moodle_Support@dhhs.nc.gov or call (919) 814-6326. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me at Tamaria Williams, Child Care Consultant, 252-508-5621, Tamaria.Williams@dhhs.nc.gov or Jennifer Linhardt, Licensing Supervisor, 252-373-4199, Jennifer.Linhardt@dhhs.nc.gov if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times