First Presbyterian Church Child DEV CTR

10A NCAC 09 .0803 · Violation

Name of Operation: FIRST PRESBYTERIAN CHURCH CHILD DEV CTR Facility ID: 92001401 Consultant: ELIZABETH LESTER Operation Type: Center Case Number: Visit Date: 1/16/2025 Number Present: 70 Completed Date: 1/16/2025 Age: From 0 To 5 Total Minutes: 325 Time In: 10:05 AM Time Out: 03:30 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 review requirements with the new director Fain Barker, assistant director Valerie Vess and program director Peggy Taft. I completed a walk-through of the facility. At the time of the visit, there were 70 children present. The children were observed playing in center, enjoying free play activities, playing with housekeeping material, manipulating Play-Doh, decorating a mitten worksheet, playing pretend hokey and pretending to ice skate on white paper. The infants were observed crawling, playing with toys and enjoying tummy time. LICENSE STATUS Currently this center operates with a four (4) star license issued 9/1/2020. INSPECTIONS I reviewed all required inspections including fire drills, emergency drills, fire inspection, sanitation, and outdoor inspections. MONITORING During today’s visit, a partial assessment was conducted, monitoring all space occupied by the children. All spaces were monitored for materials, equipment and required postings. I reviewed seven new staff file and discussed required trainings. The following violations were documented; however they were corrected during today’s visit so the letter of compliance is not required. Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. Five classrooms did not have current lesson plan posted. GS 110-91(12); .0508(a) 847 Parent's medication authorization did not include required information. One child's EPI-pen was missing the permission form. 10A NCAC 09 .0803(4)(6-9) TECHNICAL ASSISTANCE/CONSULTATION: **We discussed at length your plans for your curriculum. You stated that you are in the process of switching to Creative Curriculum’s full version. This has been a struggle in the past and you are working with the staff to get them trained on the new curriculum. Five classrooms did not have the current lesson plan posted. Mrs. Taft was able to access, print, and the current lesson plans before the end of my visit. **One child did not have permission to administer an EPI-Pen. Mrs. Vess was able to contact the child’s parents and they sent over the signed permission form. >>Please fix the chipped paint in the ones-D105 classroom. RATED LICENSE Hold harmless has been extended until the new QRIS (STAR rating) rules are implemented (SB 425). Providers in Cohort 1 are not required to continue their with a rated license assessment unless you want to, and providers in Cohort 2 do not need to start their preparation year assessment unless you want to. Prep year scales and assessment year scales are optional and up to your discretion at this time. Please continue to work on preparing and ensuring staff education is current in WORKS. Message from NCRLAP https://ncrlap.org/ 2024: “NC continues to use the Revised editions of each scale for official assessments. The Revised editions have spiral bindings on the side and not the top, so make sure to have the correct version when thinking about your next assessment. Beginning on February 1, 2025 the Third editions of the ECERS, ITERS, and FCCERS will be used for official assessments; these scales all have a spiral binding on the top. More information about these versions will be posted. ABCMS PORTAL Provider Access to ABCMS is Live! North Carolina Child Care Providers can obtain access to the Provider Access to ABCMS after completing the Moodle training and completing the form afterward. Once providers are logged in, you can access codes to allow your staff and applicants to create a connecting application to link themselves to your facility. I gave Ms. Loftin a printout of instructions to complete the training and power form. CONTACT INFORMATION Should you have any questions, please contact me by phone at 919-805-6933 or email at Elizabeth.lester@dhhs.nc.gov. You can also contact my supervisor; Michele Remington, Licensing Supervisor at Office: 919-819-9355 or via email at michele.remington@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: FIRST PRESBYTERIAN CHURCH CHILD DEV CTR Facility ID: 92001401 Consultant: ELIZABETH LESTER Operation Type: Center Case Number: Visit Date: 1/16/2025 Number Present: 70 Completed Date: 1/16/2025 Age: From 0 To 5 Total Minutes: 325 Time In: 10:05 AM Time Out: 03:30 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 review requirements with the new director Fain Barker, assistant director Valerie Vess and program director Peggy Taft. I completed a walk-through of the facility. At the time of the visit, there were 70 children present. The children were observed playing in center, enjoying free play activities, playing with housekeeping material, manipulating Play-Doh, decorating a mitten worksheet, playing pretend hokey and pretending to ice skate on white paper. The infants were observed crawling, playing with toys and enjoying tummy time. LICENSE STATUS Currently this center operates with a four (4) star license issued 9/1/2020. INSPECTIONS I reviewed all required inspections including fire drills, emergency drills, fire inspection, sanitation, and outdoor inspections. MONITORING During today’s visit, a partial assessment was conducted, monitoring all space occupied by the children. All spaces were monitored for materials, equipment and required postings. I reviewed seven new staff file and discussed required trainings. The following violations were documented; however they were corrected during today’s visit so the letter of compliance is not required. Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. Five classrooms did not have current lesson plan posted. GS 110-91(12); .0508(a) 847 Parent's medication authorization did not include required information. One child's EPI-pen was missing the permission form. 10A NCAC 09 .0803(4)(6-9) TECHNICAL ASSISTANCE/CONSULTATION: **We discussed at length your plans for your curriculum. You stated that you are in the process of switching to Creative Curriculum’s full version. This has been a struggle in the past and you are working with the staff to get them trained on the new curriculum. Five classrooms did not have the current lesson plan posted. Mrs. Taft was able to access, print, and the current lesson plans before the end of my visit. **One child did not have permission to administer an EPI-Pen. Mrs. Vess was able to contact the child’s parents and they sent over the signed permission form. >>Please fix the chipped paint in the ones-D105 classroom. RATED LICENSE Hold harmless has been extended until the new QRIS (STAR rating) rules are implemented (SB 425). Providers in Cohort 1 are not required to continue their with a rated license assessment unless you want to, and providers in Cohort 2 do not need to start their preparation year assessment unless you want to. Prep year scales and assessment year scales are optional and up to your discretion at this time. Please continue to work on preparing and ensuring staff education is current in WORKS. Message from NCRLAP https://ncrlap.org/ 2024: “NC continues to use the Revised editions of each scale for official assessments. The Revised editions have spiral bindings on the side and not the top, so make sure to have the correct version when thinking about your next assessment. Beginning on February 1, 2025 the Third editions of the ECERS, ITERS, and FCCERS will be used for official assessments; these scales all have a spiral binding on the top. More information about these versions will be posted. ABCMS PORTAL Provider Access to ABCMS is Live! North Carolina Child Care Providers can obtain access to the Provider Access to ABCMS after completing the Moodle training and completing the form afterward. Once providers are logged in, you can access codes to allow your staff and applicants to create a connecting application to link themselves to your facility. I gave Ms. Loftin a printout of instructions to complete the training and power form. CONTACT INFORMATION Should you have any questions, please contact me by phone at 919-805-6933 or email at Elizabeth.lester@dhhs.nc.gov. You can also contact my supervisor; Michele Remington, Licensing Supervisor at Office: 919-819-9355 or via email at michele.remington@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1102 · Violation

Name of Operation: FIRST PRESBYTERIAN CHURCH CHILD DEV CTR Facility ID: 92001401 Consultant: ANTIONETTE WILLIAMS Operation Type: Center Case Number: Visit Date: 7/10/2024 Number Present: 70 Completed Date: 7/10/2024 Age: From 0 To 5 Total Minutes: 180 Time In: 10:30 AM Time Out: 01:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Announced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for an annual compliance visit. A full assessment of child care requirements was conducted. Your program currently operates with a Four-star license. The facility was monitored for approved curriculum. Today’s visit was conducted with you both, Valerie Vess and Peggy Taft, Co-Directors. You visited each child care area with me. I monitored classrooms in use for compliance with staff/child ratios, supervision, capacity, group size and staff interaction/discipline. Children throughout the facility were playing in activity areas, completing group art activities, listening to a book being read, transitioning outside and toileting, and eating lunch. Staff assisted children with routines, transitions, conflict resolution, and meeting children’s needs. Younger children were resting, having floor play time, and eating. Staff held children, assisted them with eating, and play. The facility was monitored for health and safety requirements both indoors and outdoors. Program requirements, along with equipment and furnishings were monitored. All inspections and drills were current. A sampling of children’s and staff’s records including all new staff information, was monitored and information documented on the children’s records form and staff and training worksheet. A checklist was also used to monitor compliance. The last annual compliance visit was conducted 7/12/2023. The owner/operator is listed as current/active with the NC Secretary of State. Violation Number Comment Rule 1893 Distance learning was used to complete First Aid, CPR and/or playground safety training. One staff member completed CPR and First Aid training online. 10A NCAC 09 .1102(c-e); 10A NCAC 09 .1105(3) 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 7/24/24, I must receive a written, dated, and signed compliance letter that describes accurately and in detail how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Antionette Williams PO Box 312 Garner, NC 27529 Antionette.williams@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 Today I reviewed with you new information regarding the Hold Harmless. This visit was supposed to include a rated license component. After discussion, it was decided that you want to wait and not move forward with a rated license assessment. This visit was announced but was conducted as an annual compliance visit only. TECHNICAL ASSISTANCE: Maintaining compliance with CPR and First Aid certifications ensures staff are able to respond to children using the most up to date information in case of an emergency. Compliance also serves to refresh staff’s knowledge of CPR and First Aid as injuries to children while in child care are common. Being able to respond responsibly is crucial and can be the difference between life and death. The staff member came with CPR and FA training. Today you stated you did not realize the staff member could not complete CPR and First Aid online. You contacted the CPR and FA trainer to schedule a training. You also talked about getting additional staff enrolled in the training since they may be due within the next six months. The EPR plan has been updated but is in Draft form. You will need to republish the plan to make it active. Lead Free Classrooms - It appears you have started the registration for the lead in paint and asbestos check. Be sure to follow the steps on the cleanwaterforuskids.org site to complete the process within the required timeframe. OUTDOOR SPACE: Today I measured a new outdoor space for infants. The space calculations, and diagram will be sent to you. UPDATES/RESOURCES: New Child Care Requirements - Be sure to visit DCDEE website and access the What’s New section for the newest child care rules that were effective January 1, 2024. You may visit MOODLE and complete training for the new child care requirements effective January 1, 2024. ABCMS - Provider Portal for ABCMS will allow providers to see applicants that associate themselves with their facility and allow them to “hire” the applicant to their roster;, see the real-time background check status of staff members, and run a printable report of the staff roster to assist with compliance visits. To gain access to the Provider Portal complete the ABCMS Child Care Provider Portal Training on DCDEE's Moodle. The training consists of watching a short video then taking a test about the video. A certificate will be issued upon successful completion of the test. Email the certificate along with your full name, position and Facility ID to DCDEE_ABCMS_Provider@dhhs.nc.gov to get access to the portal. Access will be granted within a specified timeframe after that. The visit summary was not left with you today due to regulatory issues. It was emailed after the visit. Contact me at 919-819-9383 or antionette.williams@dhhs.nc.gov if you have any questions about today’s visit. As discussed, your new Consultant’s information is listed below: Elizabeth Lester elizabeth.lester@dhhs.nc.gov 919-805-6933 PO Box 40685 Raleigh NC 27629 You may begin reaching out to her after you submit all violation corrections to me. 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 .1105 · Violation

Name of Operation: FIRST PRESBYTERIAN CHURCH CHILD DEV CTR Facility ID: 92001401 Consultant: ANTIONETTE WILLIAMS Operation Type: Center Case Number: Visit Date: 7/10/2024 Number Present: 70 Completed Date: 7/10/2024 Age: From 0 To 5 Total Minutes: 180 Time In: 10:30 AM Time Out: 01:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Announced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for an annual compliance visit. A full assessment of child care requirements was conducted. Your program currently operates with a Four-star license. The facility was monitored for approved curriculum. Today’s visit was conducted with you both, Valerie Vess and Peggy Taft, Co-Directors. You visited each child care area with me. I monitored classrooms in use for compliance with staff/child ratios, supervision, capacity, group size and staff interaction/discipline. Children throughout the facility were playing in activity areas, completing group art activities, listening to a book being read, transitioning outside and toileting, and eating lunch. Staff assisted children with routines, transitions, conflict resolution, and meeting children’s needs. Younger children were resting, having floor play time, and eating. Staff held children, assisted them with eating, and play. The facility was monitored for health and safety requirements both indoors and outdoors. Program requirements, along with equipment and furnishings were monitored. All inspections and drills were current. A sampling of children’s and staff’s records including all new staff information, was monitored and information documented on the children’s records form and staff and training worksheet. A checklist was also used to monitor compliance. The last annual compliance visit was conducted 7/12/2023. The owner/operator is listed as current/active with the NC Secretary of State. Violation Number Comment Rule 1893 Distance learning was used to complete First Aid, CPR and/or playground safety training. One staff member completed CPR and First Aid training online. 10A NCAC 09 .1102(c-e); 10A NCAC 09 .1105(3) 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 7/24/24, I must receive a written, dated, and signed compliance letter that describes accurately and in detail how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Antionette Williams PO Box 312 Garner, NC 27529 Antionette.williams@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 Today I reviewed with you new information regarding the Hold Harmless. This visit was supposed to include a rated license component. After discussion, it was decided that you want to wait and not move forward with a rated license assessment. This visit was announced but was conducted as an annual compliance visit only. TECHNICAL ASSISTANCE: Maintaining compliance with CPR and First Aid certifications ensures staff are able to respond to children using the most up to date information in case of an emergency. Compliance also serves to refresh staff’s knowledge of CPR and First Aid as injuries to children while in child care are common. Being able to respond responsibly is crucial and can be the difference between life and death. The staff member came with CPR and FA training. Today you stated you did not realize the staff member could not complete CPR and First Aid online. You contacted the CPR and FA trainer to schedule a training. You also talked about getting additional staff enrolled in the training since they may be due within the next six months. The EPR plan has been updated but is in Draft form. You will need to republish the plan to make it active. Lead Free Classrooms - It appears you have started the registration for the lead in paint and asbestos check. Be sure to follow the steps on the cleanwaterforuskids.org site to complete the process within the required timeframe. OUTDOOR SPACE: Today I measured a new outdoor space for infants. The space calculations, and diagram will be sent to you. UPDATES/RESOURCES: New Child Care Requirements - Be sure to visit DCDEE website and access the What’s New section for the newest child care rules that were effective January 1, 2024. You may visit MOODLE and complete training for the new child care requirements effective January 1, 2024. ABCMS - Provider Portal for ABCMS will allow providers to see applicants that associate themselves with their facility and allow them to “hire” the applicant to their roster;, see the real-time background check status of staff members, and run a printable report of the staff roster to assist with compliance visits. To gain access to the Provider Portal complete the ABCMS Child Care Provider Portal Training on DCDEE's Moodle. The training consists of watching a short video then taking a test about the video. A certificate will be issued upon successful completion of the test. Email the certificate along with your full name, position and Facility ID to DCDEE_ABCMS_Provider@dhhs.nc.gov to get access to the portal. Access will be granted within a specified timeframe after that. The visit summary was not left with you today due to regulatory issues. It was emailed after the visit. Contact me at 919-819-9383 or antionette.williams@dhhs.nc.gov if you have any questions about today’s visit. As discussed, your new Consultant’s information is listed below: Elizabeth Lester elizabeth.lester@dhhs.nc.gov 919-805-6933 PO Box 40685 Raleigh NC 27629 You may begin reaching out to her after you submit all violation corrections to me. 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: FIRST PRESBYTERIAN CHURCH CHILD DEV CTR Facility ID: 92001401 Consultant: ANTIONETTE WILLIAMS Operation Type: Center Case Number: Visit Date: 7/10/2024 Number Present: 70 Completed Date: 7/10/2024 Age: From 0 To 5 Total Minutes: 180 Time In: 10:30 AM Time Out: 01:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Announced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for an annual compliance visit. A full assessment of child care requirements was conducted. Your program currently operates with a Four-star license. The facility was monitored for approved curriculum. Today’s visit was conducted with you both, Valerie Vess and Peggy Taft, Co-Directors. You visited each child care area with me. I monitored classrooms in use for compliance with staff/child ratios, supervision, capacity, group size and staff interaction/discipline. Children throughout the facility were playing in activity areas, completing group art activities, listening to a book being read, transitioning outside and toileting, and eating lunch. Staff assisted children with routines, transitions, conflict resolution, and meeting children’s needs. Younger children were resting, having floor play time, and eating. Staff held children, assisted them with eating, and play. The facility was monitored for health and safety requirements both indoors and outdoors. Program requirements, along with equipment and furnishings were monitored. All inspections and drills were current. A sampling of children’s and staff’s records including all new staff information, was monitored and information documented on the children’s records form and staff and training worksheet. A checklist was also used to monitor compliance. The last annual compliance visit was conducted 7/12/2023. The owner/operator is listed as current/active with the NC Secretary of State. Violation Number Comment Rule 1893 Distance learning was used to complete First Aid, CPR and/or playground safety training. One staff member completed CPR and First Aid training online. 10A NCAC 09 .1102(c-e); 10A NCAC 09 .1105(3) 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 7/24/24, I must receive a written, dated, and signed compliance letter that describes accurately and in detail how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Antionette Williams PO Box 312 Garner, NC 27529 Antionette.williams@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 Today I reviewed with you new information regarding the Hold Harmless. This visit was supposed to include a rated license component. After discussion, it was decided that you want to wait and not move forward with a rated license assessment. This visit was announced but was conducted as an annual compliance visit only. TECHNICAL ASSISTANCE: Maintaining compliance with CPR and First Aid certifications ensures staff are able to respond to children using the most up to date information in case of an emergency. Compliance also serves to refresh staff’s knowledge of CPR and First Aid as injuries to children while in child care are common. Being able to respond responsibly is crucial and can be the difference between life and death. The staff member came with CPR and FA training. Today you stated you did not realize the staff member could not complete CPR and First Aid online. You contacted the CPR and FA trainer to schedule a training. You also talked about getting additional staff enrolled in the training since they may be due within the next six months. The EPR plan has been updated but is in Draft form. You will need to republish the plan to make it active. Lead Free Classrooms - It appears you have started the registration for the lead in paint and asbestos check. Be sure to follow the steps on the cleanwaterforuskids.org site to complete the process within the required timeframe. OUTDOOR SPACE: Today I measured a new outdoor space for infants. The space calculations, and diagram will be sent to you. UPDATES/RESOURCES: New Child Care Requirements - Be sure to visit DCDEE website and access the What’s New section for the newest child care rules that were effective January 1, 2024. You may visit MOODLE and complete training for the new child care requirements effective January 1, 2024. ABCMS - Provider Portal for ABCMS will allow providers to see applicants that associate themselves with their facility and allow them to “hire” the applicant to their roster;, see the real-time background check status of staff members, and run a printable report of the staff roster to assist with compliance visits. To gain access to the Provider Portal complete the ABCMS Child Care Provider Portal Training on DCDEE's Moodle. The training consists of watching a short video then taking a test about the video. A certificate will be issued upon successful completion of the test. Email the certificate along with your full name, position and Facility ID to DCDEE_ABCMS_Provider@dhhs.nc.gov to get access to the portal. Access will be granted within a specified timeframe after that. The visit summary was not left with you today due to regulatory issues. It was emailed after the visit. Contact me at 919-819-9383 or antionette.williams@dhhs.nc.gov if you have any questions about today’s visit. As discussed, your new Consultant’s information is listed below: Elizabeth Lester elizabeth.lester@dhhs.nc.gov 919-805-6933 PO Box 40685 Raleigh NC 27629 You may begin reaching out to her after you submit all violation corrections to me. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

G.S. 110-91 · Violation

Name of Operation: FIRST PRESBYTERIAN CHURCH CHILD DEV CTR Facility ID: 92001401 Consultant: ANTIONETTE WILLIAMS Operation Type: Center Case Number: Visit Date: 7/12/2023 Number Present: 61 Completed Date: 7/12/2023 Age: From 0 To 5 Total Minutes: 270 Time In: 09:00 AM Time Out: 01:30 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. A full assessment of child care requirements was monitored. Your program currently operates with a Four-star license. Your compliance history is 93 percent. Today’s visit was conducted with you, Valerie Vess, Center Co-Director. You visited each child care area with me. I monitored all classrooms in use for compliance with staff/child ratios, supervision, capacity, group size and staff interaction/discipline. Children were participating in water day, group activities, free play, resting, eating lunch, transitioning, and playing outside. Staff assisted children with materials and other needs. The last annual compliance visit was conducted 7/13/22. Information regarding compliance was documented on a checklist. The facility was monitored for health and safety requirements both indoors and outdoors. The program requirements, along with equipment and furnishings were also observed. A sampling of children and staff’s records and all new staff files were monitored. Information was documented on the staff training worksheet and children’s records form. The Owner is listed as active/current with the NC Secretary of State as of 7/12/2023. Violation Number Comment Rule 902 Each child was not attended to in a nurturing and appropriate manner, or in keeping with the child's developmental needs. A staff member wrapped a child in their blanket, placed the child on their stomach while placing her hand on the child's head and rubbing their back in an effort to get the child to go to sleep. The child was crying loudly because of the staff member's actions. G.S. 110-91(10) All violations must be corrected immediately. A corrective action letter explaining how each violation was corrected, must be sent to me no later than July 26, 2023. You may email the letter or send via mail to: Antionette Williams PO Box 312 Raleigh, NC 27529 antionette.williams@dhhs.nc.gov During today’s visit, we discussed information received regarding a specific staff member’s caregiving practice. Documentation observed today and information received, documented a named staff member wrapped a child snuggly in their blanket, placed the child on their stomach with the staff member’s hand on the child’s head while rubbing the child’s back as a method to get the child to go to sleep. It was documented in your records and reported that the child was crying loudly and wanted to get up from the position. You documented another concerned staff member reported the incident. You and your Co-Director held a meeting with both staff members to discuss the incident and other concerns. You explained the named staff member acknowledged another specified concern that was also discussed with future consequences. You and your Co-Director have observed in the classroom, discussed with the named staff member how to handle frustrations, and ask for support in the classroom. You also explained, the named staff member will be required to complete a specific requirement within the coming days and to report back to you. You also stated you will identify specific trainings the named staff member will be required to complete regarding, classroom management, discipline, and staff/child interactions. You stated you will develop a plan to monitor the staff member’s progress. Today you stated you have observed the staff member has used the suggestions you have given and you have seen a positive change. Today I observed the staff member call for support while in the classroom. TECHNICAL ASSISTANCE: Nurture/Care – G.S. 110-91(10) requires that children be attended to in a nurturing and appropriate manner and with keeping with their developmental needs. You may contact Child Care Services Association or Wake County Smart Start to see what programs they have available that may assist the staff member. They may also have training opportunities for the staff member to participate in such as thee NCB3 Birth to Three Quality Initiative, Infant Toddler Teacher Orientation that offers 14 credit hours through CCSA. This visit summary was not completed on-site but was sent to you via email. Feel free to contact me with questions at 919-819-9383. 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