Temple Beth OR Preschool

10A NCAC 09 .0304 · Violation

Name of Operation: TEMPLE BETH OR PRESCHOOL Facility ID: 9255206 Consultant: BRIDGGETTE CAMPBELL Operation Type: Center Case Number: Visit Date: 2/23/2026 Number Present: 72 Completed Date: 2/23/2026 Age: From 1 To 5 Total Minutes: 300 Time In: 11:00 AM Time Out: 04:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor compliance with child care requirements for an annual compliance assessment. This facility currently operates with a Five (5) Star License that was issued on 8-23-21. The last sanitation inspection was completed on 2-20-26 with an “Provisional” classification. The last approved fire inspection was conducted on 10-21-24. The NC Secretary of State website was reviewed today and this facility’s corporation’s name, Temple Beth Or Preschool was listed as “Current-Active.” Today’s visit was conducted with you, Sherri Lambeth, center director. I monitored the seven (7) classrooms in use for compliance with staff/child ratios, supervision, and staff interaction/discipline. The program was also monitored for health and safety requirements both indoors and outdoors using the annual compliance monitoring checklist. Children completed daily activities with adequate supervision and engagement from the caregivers. The children were observed outside on the playground, interacting in activity centers, in circle time where a caregiver was reading a book to the children, and the children were observed completing toileting and handwashing routines. This week the facility is celebrating Purim, a Jewish holiday and the children made and decorated paper crowns. The program requirements, along with equipment and furnishings were observed. Compliance with staff records will be documented by you. New staff records, along with children’s records were reviewed today. Medication observed on the premises was monitored. The following violations of child care requirements were cited during today’s visit and must be corrected immediately. Technical assistance on how to maintain compliance was provided. 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 completed on 10-21-24. 10A NCAC 09 .0304(a) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. One child care provider hired on 8-26-25 had a medical report on file that was completed on 10-4-25. 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. One child care provider hired on 8-18-25 had TB test results on file that were completed on 10-3-25. .0701(a) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. Two new staff files did not contain documentation that at least 16 hrs. of orientation was completed. .1101(a) The above violations must be corrected immediately and a corrective action letter must be sent to me no later than 3-9-26 stating how the violations have been corrected and a plan to maintain compliance with the requirements. My mailing address is: 2201 Mail Service Center, Raleigh, NC 27699-2200 or a corrective action letter can be emailed to: bridggette.campbell@dhhs.nc.gov. The following were discussed with you during today’s visit: • 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. • Technical Assistance was provided with the following suggestions that may be beneficial: Staff Medical Report & TB Test Results: Negative TB Test results and a medical report from the doctor are critical for ensuring the safety and health of children and staff in childcare facilities. These documents help to confirm that staff members are not contagious and can care for children without spreading diseases. Organization and completeness of records is important to ensure easy access to information in emergency situations. We discussed as an administrator, it is your responsibility to review all employment documentation and verify that required documents are received within the specified time frame, using the staff file checklist to ensure all paperwork is on file. The Criminal Background Check Qualifying Letter, TB Test Results and a Staff Medical Report are due PRIOR to employment. Staff should not be allowed to work without these three items on file. Administrative staff must allow time to review all necessary documentation prior to employment of staff to ensure accuracy. The same holds true for children’s files, use the children’s file checklist to ensure paperwork is in each child’s file as required. Remember using checklists to check and date receipt of documents will help you track staff and children’s file documents. Annual Fire Inspection: Fire inspections play a vital role and maintaining a safe environment for children in childcare facilities. These inspections help identify potential fire hazards, such as faulty wiring, blocked exits, or malfunctioning fire alarms. By addressing these issues proactively childcare facilities can significantly reduce the risk of fire related incidents, protecting the lives of children and staff members. It is strongly recommended that you maintain a shared digital calendar (e.g., Google Calendar or Outlook) to track annual fire inspection deadlines. Calendar reminders can be set for 90 days, 30 days, and one week prior to the inspection due date. The date of the most recent completed inspection will be recorded, and the next due date will be calculated and entered into the calendar immediately following each inspection to ensure continuous compliance. Fire inspections are requested via the City of Raleigh’s website form link: https://forms.office.com/Pages/ResponsePage.aspx?id=RuE68EXZJEmVwHtmHDDdu2RN12j4tVxIt0L2duWxfC1UMTFBVUk2N0lUSFZUTlJRN01MUERFVVhKNS4u • Please submit staff and training worksheets asap. • Finish linking ALL staff in the ABCMS Portal asap. • Complete Emergency Preparedness and Response Training asap. • It was recommended to post the updated November 2025 version of the Summary of the NC Law & Rules for Child Care Centers that was emailed to you today. • Parents shall fill out one permission slip per medication, two different medications can not be on one permission slip. • Today it was explained that with the new QRIS requirements, Pathway #3, Accreditation & Head Start gives an automatic five star license to programs accredited by the National Association for the Education of Young Children (NAEYC). Your facility is currently accredited by the NAEYC and you expressed intent to apply to renew your five stars. Paperwork will be submitted for the issuance of a new 5 star license. • NCRLAP is excited to introduce 3s in 3, a new series designed to share practical information about the Environment Rating Scales in short, easy-to-digest segments. View the episodes here, https://vimeo.com/968104919/fda9299e2f?share=copy4919?share=copy. • It is strongly recommended that staff complete the NC Foundations for Early Learning and Development training. The purpose of the North Carolina Foundations for Early Learning and Development is to establish a framework that supports the healthy development and school readiness of children from birth to age 5. This framework is designed to guide early childhood caregivers in creating an environment that fosters learning and development. This 5-hour course provides a clear set of expectations and goals that caregivers can use to plan and implement their teaching practices for supporting children in their learning and development. You can look for upcoming trainings on the NC Foundations for Early Learning and Development training and visit YouTube where there are short videos on Foundations for Early Learning and Development training. • Free Adult Mental Health First Aid Training is being offered by UNC School of Social Work and the NCDHHS Division of Child Development and Early Education. Be prepared to support those around you by getting certified in Mental Health First Aid. Mental Health First Aid teaches the skills needed to recognize and respond to signs and symptoms of mental health and substance use challenges, as well as how to provide someone with initial support until they are connected with appropriate professional help. In the free course, you learn risk factors and warning signs for mental health and addiction concerns, strategies to help someone in both crisis and non-crisis situations, and where to turn for help. Register here, https://ncmhfa.unc.edu/adult-mhfa-for-child-development-and-early-educators/. • The NC Institute for Child Development Professionals (NCICDP) began offering on-demand online trainings for Early Childhood professionals. Some sessions are developed originally as online trainings and others are live webinar events that were recorded and then adapted to an online on-demand format. Currently the NCICDP is offering these two trainings, Salary Scale Toolkit Level 1 Training and Professional Burnout in ECE: You Can’t Give to Others What You Don’t Have. Visit the online trainings at https://www.ncicdp.org/on-demand-trainings/. If there are any issues or questions about the Institute trainings, please reach out to Ashley Allen at ashleya@ncicdp.org and/or Erin Speer Smith at erins@ncicdp.org. • Another training opportunity is through Early Learning Instruction for Teachers (eLift). Choose from over 100 courses available on-demand, live/virtual, and in-person with flexible payment options, including individual memberships, group memberships, and single courses from $5! Early Learning Academies, Training for High School CTE programs, Pre-Apprenticeships, and Apprenticeship NC are also available. For more information, visit the Southwestern Child Development Commission Website or email darby.karen@swcdcinc.org or elift@swcdcinc.org. • For a limited time child care providers can receive FREE access to CDA coursework and additional high-quality professional development from the early childhood experts at Teaching Strategies sponsored by the Division of Child Development and Early Education Preschool Development Grant. This coursework is live and on-demand with over 400 hours of continuing education units (CEU) courses https://teachingstrategies.com/north-carolina-pdtm/. • FYI the Playground Safety Training is now titled “Outdoor Play & Learning.” You may receive training credit for both trainings. • Did you know that if you do not login on to any of the DCDEE platforms (e.g., Moodle, WORKS, CBC) for a period of 12 months, your account will be archived? An archived account cannot be reinstated. You will need to create a new one and then all platforms (e.g., Moodle, WORKS, CBC) to merge accounts. It is strongly suggested to set your calendar to remind you every 6 months to login and out at https://myncid.nc.gov to keep your account activated and it will NOT be archived. • Sign up to receive updates via email of the weekly publication of the Raise NC Newsletter, on the Division’s website, https://ncchildcare.ncdhhs.gov/ at the bottom of the home page. • Please continue to visit DCDEE’s website for child care updates at https://ncchildcare.ncdhhs.gov/. Thank you for your time and cooperation. If you have any further questions or concerns, please contact me. Bridggette Campbell 2201 Mail Service Center Raleigh, NC 27699-2200 bridggette.campbell@dhhs.nc.gov (919) 819-9357 If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0701 · Violation

Name of Operation: TEMPLE BETH OR PRESCHOOL Facility ID: 9255206 Consultant: BRIDGGETTE CAMPBELL Operation Type: Center Case Number: Visit Date: 2/23/2026 Number Present: 72 Completed Date: 2/23/2026 Age: From 1 To 5 Total Minutes: 300 Time In: 11:00 AM Time Out: 04:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor compliance with child care requirements for an annual compliance assessment. This facility currently operates with a Five (5) Star License that was issued on 8-23-21. The last sanitation inspection was completed on 2-20-26 with an “Provisional” classification. The last approved fire inspection was conducted on 10-21-24. The NC Secretary of State website was reviewed today and this facility’s corporation’s name, Temple Beth Or Preschool was listed as “Current-Active.” Today’s visit was conducted with you, Sherri Lambeth, center director. I monitored the seven (7) classrooms in use for compliance with staff/child ratios, supervision, and staff interaction/discipline. The program was also monitored for health and safety requirements both indoors and outdoors using the annual compliance monitoring checklist. Children completed daily activities with adequate supervision and engagement from the caregivers. The children were observed outside on the playground, interacting in activity centers, in circle time where a caregiver was reading a book to the children, and the children were observed completing toileting and handwashing routines. This week the facility is celebrating Purim, a Jewish holiday and the children made and decorated paper crowns. The program requirements, along with equipment and furnishings were observed. Compliance with staff records will be documented by you. New staff records, along with children’s records were reviewed today. Medication observed on the premises was monitored. The following violations of child care requirements were cited during today’s visit and must be corrected immediately. Technical assistance on how to maintain compliance was provided. 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 completed on 10-21-24. 10A NCAC 09 .0304(a) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. One child care provider hired on 8-26-25 had a medical report on file that was completed on 10-4-25. 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. One child care provider hired on 8-18-25 had TB test results on file that were completed on 10-3-25. .0701(a) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. Two new staff files did not contain documentation that at least 16 hrs. of orientation was completed. .1101(a) The above violations must be corrected immediately and a corrective action letter must be sent to me no later than 3-9-26 stating how the violations have been corrected and a plan to maintain compliance with the requirements. My mailing address is: 2201 Mail Service Center, Raleigh, NC 27699-2200 or a corrective action letter can be emailed to: bridggette.campbell@dhhs.nc.gov. The following were discussed with you during today’s visit: • 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. • Technical Assistance was provided with the following suggestions that may be beneficial: Staff Medical Report & TB Test Results: Negative TB Test results and a medical report from the doctor are critical for ensuring the safety and health of children and staff in childcare facilities. These documents help to confirm that staff members are not contagious and can care for children without spreading diseases. Organization and completeness of records is important to ensure easy access to information in emergency situations. We discussed as an administrator, it is your responsibility to review all employment documentation and verify that required documents are received within the specified time frame, using the staff file checklist to ensure all paperwork is on file. The Criminal Background Check Qualifying Letter, TB Test Results and a Staff Medical Report are due PRIOR to employment. Staff should not be allowed to work without these three items on file. Administrative staff must allow time to review all necessary documentation prior to employment of staff to ensure accuracy. The same holds true for children’s files, use the children’s file checklist to ensure paperwork is in each child’s file as required. Remember using checklists to check and date receipt of documents will help you track staff and children’s file documents. Annual Fire Inspection: Fire inspections play a vital role and maintaining a safe environment for children in childcare facilities. These inspections help identify potential fire hazards, such as faulty wiring, blocked exits, or malfunctioning fire alarms. By addressing these issues proactively childcare facilities can significantly reduce the risk of fire related incidents, protecting the lives of children and staff members. It is strongly recommended that you maintain a shared digital calendar (e.g., Google Calendar or Outlook) to track annual fire inspection deadlines. Calendar reminders can be set for 90 days, 30 days, and one week prior to the inspection due date. The date of the most recent completed inspection will be recorded, and the next due date will be calculated and entered into the calendar immediately following each inspection to ensure continuous compliance. Fire inspections are requested via the City of Raleigh’s website form link: https://forms.office.com/Pages/ResponsePage.aspx?id=RuE68EXZJEmVwHtmHDDdu2RN12j4tVxIt0L2duWxfC1UMTFBVUk2N0lUSFZUTlJRN01MUERFVVhKNS4u • Please submit staff and training worksheets asap. • Finish linking ALL staff in the ABCMS Portal asap. • Complete Emergency Preparedness and Response Training asap. • It was recommended to post the updated November 2025 version of the Summary of the NC Law & Rules for Child Care Centers that was emailed to you today. • Parents shall fill out one permission slip per medication, two different medications can not be on one permission slip. • Today it was explained that with the new QRIS requirements, Pathway #3, Accreditation & Head Start gives an automatic five star license to programs accredited by the National Association for the Education of Young Children (NAEYC). Your facility is currently accredited by the NAEYC and you expressed intent to apply to renew your five stars. Paperwork will be submitted for the issuance of a new 5 star license. • NCRLAP is excited to introduce 3s in 3, a new series designed to share practical information about the Environment Rating Scales in short, easy-to-digest segments. View the episodes here, https://vimeo.com/968104919/fda9299e2f?share=copy4919?share=copy. • It is strongly recommended that staff complete the NC Foundations for Early Learning and Development training. The purpose of the North Carolina Foundations for Early Learning and Development is to establish a framework that supports the healthy development and school readiness of children from birth to age 5. This framework is designed to guide early childhood caregivers in creating an environment that fosters learning and development. This 5-hour course provides a clear set of expectations and goals that caregivers can use to plan and implement their teaching practices for supporting children in their learning and development. You can look for upcoming trainings on the NC Foundations for Early Learning and Development training and visit YouTube where there are short videos on Foundations for Early Learning and Development training. • Free Adult Mental Health First Aid Training is being offered by UNC School of Social Work and the NCDHHS Division of Child Development and Early Education. Be prepared to support those around you by getting certified in Mental Health First Aid. Mental Health First Aid teaches the skills needed to recognize and respond to signs and symptoms of mental health and substance use challenges, as well as how to provide someone with initial support until they are connected with appropriate professional help. In the free course, you learn risk factors and warning signs for mental health and addiction concerns, strategies to help someone in both crisis and non-crisis situations, and where to turn for help. Register here, https://ncmhfa.unc.edu/adult-mhfa-for-child-development-and-early-educators/. • The NC Institute for Child Development Professionals (NCICDP) began offering on-demand online trainings for Early Childhood professionals. Some sessions are developed originally as online trainings and others are live webinar events that were recorded and then adapted to an online on-demand format. Currently the NCICDP is offering these two trainings, Salary Scale Toolkit Level 1 Training and Professional Burnout in ECE: You Can’t Give to Others What You Don’t Have. Visit the online trainings at https://www.ncicdp.org/on-demand-trainings/. If there are any issues or questions about the Institute trainings, please reach out to Ashley Allen at ashleya@ncicdp.org and/or Erin Speer Smith at erins@ncicdp.org. • Another training opportunity is through Early Learning Instruction for Teachers (eLift). Choose from over 100 courses available on-demand, live/virtual, and in-person with flexible payment options, including individual memberships, group memberships, and single courses from $5! Early Learning Academies, Training for High School CTE programs, Pre-Apprenticeships, and Apprenticeship NC are also available. For more information, visit the Southwestern Child Development Commission Website or email darby.karen@swcdcinc.org or elift@swcdcinc.org. • For a limited time child care providers can receive FREE access to CDA coursework and additional high-quality professional development from the early childhood experts at Teaching Strategies sponsored by the Division of Child Development and Early Education Preschool Development Grant. This coursework is live and on-demand with over 400 hours of continuing education units (CEU) courses https://teachingstrategies.com/north-carolina-pdtm/. • FYI the Playground Safety Training is now titled “Outdoor Play & Learning.” You may receive training credit for both trainings. • Did you know that if you do not login on to any of the DCDEE platforms (e.g., Moodle, WORKS, CBC) for a period of 12 months, your account will be archived? An archived account cannot be reinstated. You will need to create a new one and then all platforms (e.g., Moodle, WORKS, CBC) to merge accounts. It is strongly suggested to set your calendar to remind you every 6 months to login and out at https://myncid.nc.gov to keep your account activated and it will NOT be archived. • Sign up to receive updates via email of the weekly publication of the Raise NC Newsletter, on the Division’s website, https://ncchildcare.ncdhhs.gov/ at the bottom of the home page. • Please continue to visit DCDEE’s website for child care updates at https://ncchildcare.ncdhhs.gov/. Thank you for your time and cooperation. If you have any further questions or concerns, please contact me. Bridggette Campbell 2201 Mail Service Center Raleigh, NC 27699-2200 bridggette.campbell@dhhs.nc.gov (919) 819-9357 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: TEMPLE BETH OR PRESCHOOL Facility ID: 9255206 Consultant: BRIDGGETTE CAMPBELL Operation Type: Center Case Number: Visit Date: 2/23/2026 Number Present: 72 Completed Date: 2/23/2026 Age: From 1 To 5 Total Minutes: 300 Time In: 11:00 AM Time Out: 04:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor compliance with child care requirements for an annual compliance assessment. This facility currently operates with a Five (5) Star License that was issued on 8-23-21. The last sanitation inspection was completed on 2-20-26 with an “Provisional” classification. The last approved fire inspection was conducted on 10-21-24. The NC Secretary of State website was reviewed today and this facility’s corporation’s name, Temple Beth Or Preschool was listed as “Current-Active.” Today’s visit was conducted with you, Sherri Lambeth, center director. I monitored the seven (7) classrooms in use for compliance with staff/child ratios, supervision, and staff interaction/discipline. The program was also monitored for health and safety requirements both indoors and outdoors using the annual compliance monitoring checklist. Children completed daily activities with adequate supervision and engagement from the caregivers. The children were observed outside on the playground, interacting in activity centers, in circle time where a caregiver was reading a book to the children, and the children were observed completing toileting and handwashing routines. This week the facility is celebrating Purim, a Jewish holiday and the children made and decorated paper crowns. The program requirements, along with equipment and furnishings were observed. Compliance with staff records will be documented by you. New staff records, along with children’s records were reviewed today. Medication observed on the premises was monitored. The following violations of child care requirements were cited during today’s visit and must be corrected immediately. Technical assistance on how to maintain compliance was provided. 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 completed on 10-21-24. 10A NCAC 09 .0304(a) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. One child care provider hired on 8-26-25 had a medical report on file that was completed on 10-4-25. 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. One child care provider hired on 8-18-25 had TB test results on file that were completed on 10-3-25. .0701(a) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. Two new staff files did not contain documentation that at least 16 hrs. of orientation was completed. .1101(a) The above violations must be corrected immediately and a corrective action letter must be sent to me no later than 3-9-26 stating how the violations have been corrected and a plan to maintain compliance with the requirements. My mailing address is: 2201 Mail Service Center, Raleigh, NC 27699-2200 or a corrective action letter can be emailed to: bridggette.campbell@dhhs.nc.gov. The following were discussed with you during today’s visit: • 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. • Technical Assistance was provided with the following suggestions that may be beneficial: Staff Medical Report & TB Test Results: Negative TB Test results and a medical report from the doctor are critical for ensuring the safety and health of children and staff in childcare facilities. These documents help to confirm that staff members are not contagious and can care for children without spreading diseases. Organization and completeness of records is important to ensure easy access to information in emergency situations. We discussed as an administrator, it is your responsibility to review all employment documentation and verify that required documents are received within the specified time frame, using the staff file checklist to ensure all paperwork is on file. The Criminal Background Check Qualifying Letter, TB Test Results and a Staff Medical Report are due PRIOR to employment. Staff should not be allowed to work without these three items on file. Administrative staff must allow time to review all necessary documentation prior to employment of staff to ensure accuracy. The same holds true for children’s files, use the children’s file checklist to ensure paperwork is in each child’s file as required. Remember using checklists to check and date receipt of documents will help you track staff and children’s file documents. Annual Fire Inspection: Fire inspections play a vital role and maintaining a safe environment for children in childcare facilities. These inspections help identify potential fire hazards, such as faulty wiring, blocked exits, or malfunctioning fire alarms. By addressing these issues proactively childcare facilities can significantly reduce the risk of fire related incidents, protecting the lives of children and staff members. It is strongly recommended that you maintain a shared digital calendar (e.g., Google Calendar or Outlook) to track annual fire inspection deadlines. Calendar reminders can be set for 90 days, 30 days, and one week prior to the inspection due date. The date of the most recent completed inspection will be recorded, and the next due date will be calculated and entered into the calendar immediately following each inspection to ensure continuous compliance. Fire inspections are requested via the City of Raleigh’s website form link: https://forms.office.com/Pages/ResponsePage.aspx?id=RuE68EXZJEmVwHtmHDDdu2RN12j4tVxIt0L2duWxfC1UMTFBVUk2N0lUSFZUTlJRN01MUERFVVhKNS4u • Please submit staff and training worksheets asap. • Finish linking ALL staff in the ABCMS Portal asap. • Complete Emergency Preparedness and Response Training asap. • It was recommended to post the updated November 2025 version of the Summary of the NC Law & Rules for Child Care Centers that was emailed to you today. • Parents shall fill out one permission slip per medication, two different medications can not be on one permission slip. • Today it was explained that with the new QRIS requirements, Pathway #3, Accreditation & Head Start gives an automatic five star license to programs accredited by the National Association for the Education of Young Children (NAEYC). Your facility is currently accredited by the NAEYC and you expressed intent to apply to renew your five stars. Paperwork will be submitted for the issuance of a new 5 star license. • NCRLAP is excited to introduce 3s in 3, a new series designed to share practical information about the Environment Rating Scales in short, easy-to-digest segments. View the episodes here, https://vimeo.com/968104919/fda9299e2f?share=copy4919?share=copy. • It is strongly recommended that staff complete the NC Foundations for Early Learning and Development training. The purpose of the North Carolina Foundations for Early Learning and Development is to establish a framework that supports the healthy development and school readiness of children from birth to age 5. This framework is designed to guide early childhood caregivers in creating an environment that fosters learning and development. This 5-hour course provides a clear set of expectations and goals that caregivers can use to plan and implement their teaching practices for supporting children in their learning and development. You can look for upcoming trainings on the NC Foundations for Early Learning and Development training and visit YouTube where there are short videos on Foundations for Early Learning and Development training. • Free Adult Mental Health First Aid Training is being offered by UNC School of Social Work and the NCDHHS Division of Child Development and Early Education. Be prepared to support those around you by getting certified in Mental Health First Aid. Mental Health First Aid teaches the skills needed to recognize and respond to signs and symptoms of mental health and substance use challenges, as well as how to provide someone with initial support until they are connected with appropriate professional help. In the free course, you learn risk factors and warning signs for mental health and addiction concerns, strategies to help someone in both crisis and non-crisis situations, and where to turn for help. Register here, https://ncmhfa.unc.edu/adult-mhfa-for-child-development-and-early-educators/. • The NC Institute for Child Development Professionals (NCICDP) began offering on-demand online trainings for Early Childhood professionals. Some sessions are developed originally as online trainings and others are live webinar events that were recorded and then adapted to an online on-demand format. Currently the NCICDP is offering these two trainings, Salary Scale Toolkit Level 1 Training and Professional Burnout in ECE: You Can’t Give to Others What You Don’t Have. Visit the online trainings at https://www.ncicdp.org/on-demand-trainings/. If there are any issues or questions about the Institute trainings, please reach out to Ashley Allen at ashleya@ncicdp.org and/or Erin Speer Smith at erins@ncicdp.org. • Another training opportunity is through Early Learning Instruction for Teachers (eLift). Choose from over 100 courses available on-demand, live/virtual, and in-person with flexible payment options, including individual memberships, group memberships, and single courses from $5! Early Learning Academies, Training for High School CTE programs, Pre-Apprenticeships, and Apprenticeship NC are also available. For more information, visit the Southwestern Child Development Commission Website or email darby.karen@swcdcinc.org or elift@swcdcinc.org. • For a limited time child care providers can receive FREE access to CDA coursework and additional high-quality professional development from the early childhood experts at Teaching Strategies sponsored by the Division of Child Development and Early Education Preschool Development Grant. This coursework is live and on-demand with over 400 hours of continuing education units (CEU) courses https://teachingstrategies.com/north-carolina-pdtm/. • FYI the Playground Safety Training is now titled “Outdoor Play & Learning.” You may receive training credit for both trainings. • Did you know that if you do not login on to any of the DCDEE platforms (e.g., Moodle, WORKS, CBC) for a period of 12 months, your account will be archived? An archived account cannot be reinstated. You will need to create a new one and then all platforms (e.g., Moodle, WORKS, CBC) to merge accounts. It is strongly suggested to set your calendar to remind you every 6 months to login and out at https://myncid.nc.gov to keep your account activated and it will NOT be archived. • Sign up to receive updates via email of the weekly publication of the Raise NC Newsletter, on the Division’s website, https://ncchildcare.ncdhhs.gov/ at the bottom of the home page. • Please continue to visit DCDEE’s website for child care updates at https://ncchildcare.ncdhhs.gov/. Thank you for your time and cooperation. If you have any further questions or concerns, please contact me. Bridggette Campbell 2201 Mail Service Center Raleigh, NC 27699-2200 bridggette.campbell@dhhs.nc.gov (919) 819-9357 If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0803 · Violation

Name of Operation: TEMPLE BETH OR PRESCHOOL Facility ID: 9255206 Consultant: BRIDGGETTE CAMPBELL Operation Type: Center Case Number: Visit Date: 6/25/2025 Number Present: 52 Completed Date: 6/25/2025 Age: From 1 To 6 Total Minutes: 300 Time In: 11:00 AM Time Out: 04:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor compliance with child care requirements for a routine unannounced assessment. This facility currently operates with a Five (5) Star License that was issued on 8-3-21. Today’s visit was conducted with you, Sherri Lambeth, new center director. Upon arrival to the facility, I was greeted by you. You accompanied me as we did a walk-through of the six (6) classrooms in use, occupied by children. Compliance with capacity, supervision, discipline, attendance, program requirements, storage of hazardous substances, CPR & First Aid, permit restrictions, the required postings, and staff record documentation was monitored as a partial assessment of applicable child care requirements. Medications and permission to administer medications were observed and monitored. This week’s theme was “STEM” and during the visit the children were observed interacting in activity centers, doing a counting activity, experimenting with baking soda, vinegar, and food coloring, playing with kinetic sand, having free art coloring at the table, and cleaning up to prepare for lunch time. A partial assessment of child care requirements was monitored during today’s visit. The following violations were cited and must be corrected immediately. Technical assistance on how to maintain compliance was provided. Violation Number Comment Rule 415 A current schedule was not posted for each group of children for reference. A schedule was not posted in classrooms F and C. GS 110-91(12);.0508(a) 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. Located in space #E there was no permission to administer two (2) Auvi-Q auto-injectors and Benadryl. 10A NCAC 09 .0803(1)(a & b) 1823 The EPR Plan did not include the location of the Ready to Go File and or the required information. The Ready to Go File did not contain staff emergency information, permission to administer medications and did not contain action plans for medications located on the premises. .0607(d)(10) The above violations must be corrected immediately and a letter must be sent to me no later than 7-9-25 stating how the items were corrected and a plan to maintain compliance with the requirements. My mailing address is: 2201 Mail Service Center, Raleigh, NC 27699-2200 or a correction letter can be emailed to: bridggette.campbell@dhhs.nc.gov. The following were discussed with you during today’s visit: • 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. • Technical Assistance was provided with the following suggestions that may be beneficial: Medication Authorization: Any medication on the premises must be labeled with the child’s name, be accompanied by a current permission slip, filled out completely with the parent/guardian’s signature and date. Set a reminder to review/update medications in each classroom. You must remember the “five rights” of medication use: the right child, the right medication, the right time, the right dose, and the right route—all of which are generally regarded as a standard for safe medication practices. You and the caregivers must know what medication the parent/guardian authorized to be administered and how the parent/guardian wants medication given. If documentation is required after the medication is administered, then documentation with the required information must be completed and kept on file for six months. Having clear, detailed procedures for obtaining administered medication protects children from mistakes that can affect their health. It was suggested to reiterate in your monthly newsletter to parents that medication must accompany a permission slip, and it was suggested all staff complete training on administering medications. Contact your Child Care Health Consultant, Maria Nelson (919) 291-2499 maria.nelson@wake.gov to schedule training on medications. Daily Schedules: A daily schedule is important in a child care center because it promotes a nurturing, stable, and productive environment1. It supports children's emotional well-being, fosters healthy habits, and encourages optimal growth and development. A daily schedule is crucial for children’s development, as it helps them navigate their day with confidence and foster social skills through structured group interactions. Daily schedules should be designed to promote learning, foster growth, and create memorable childhood experiences. It was recommended to check classrooms weekly, maybe Friday evenings to ensure that the four required items (Ratios, Lesson Plans, Allergy List and Daily Schedules) are posted in each classroom. • You have completed all the health and safety trainings except for “Medications in Child Care.” Today we walked through how to access the “Medications in Child Care“ training on the DCDEE Moodle website. Please complete this course asap. • An Epi Pen was stored on a shelf in the bathroom, however it was not clearly visible. It was suggested to place a label “Emergency Medications Here” sign, possibly on neon colored paper to clearly show where the medications are stored. • Today it was explained that with the new QRIS requirements, one pathway gives an automatic five star license to programs accredited by the National Association for the Education of Young Children (NAEYC). Your facility is currently accredited by the NAEYC and you expressed intent to apply to renew your five stars. Paperwork will be submitted for the issuance of a new 5 star license. • The NC Institute for Child Development Professionals (NCICDP) began offering on-demand online trainings for Early Childhood professionals. Some sessions are developed originally as online trainings and others are live webinar events that were recorded and then adapted to an online on-demand format. Currently the NCICDP is offering these two trainings, Salary Scale Toolkit Level 1 Training and Professional Burnout in ECE: You Can’t Give to Others What You Don’t Have. Visit the online trainings at https://www.ncicdp.org/on-demand-trainings/. If there are any issues or questions about the Institute trainings, please reach out to Ashley Allen at ashleya@ncicdp.org and/or Erin Speer Smith at erins@ncicdp.org. • Did you know that if you do not login on to any of the DCDEE platforms (e.g., Moodle, WORKS, CBC) for a period of 12 months, your account will be archived? An archived account cannot be reinstated. You will need to create a new one and then email all platforms (e.g., Moodle, WORKS, CBC) to merge accounts. It is strongly suggested to set your calendar to remind you every 6 months to login and out at https://myncid.nc.gov to keep your account activated and it will NOT be archived. • The NC Child Care Health and Safety Resource Center is a valuable resource where you can find skills-based training and technical assistance from your Child Care Health Consultant on specific medications or health conditions, as well as the new poster on Stand-Up Changing Procedures. Sign up for their quarterly newsletter and find updated resources at www.healthychildcare.unc.edu or 800-367-2229, choose option 1, then 2. • Please continue to visit DCDEE’s website for child care updates at https://ncchildcare.ncdhhs.gov/. Thank you for your time and cooperation. If you have any further questions or concerns, please contact me. Bridggette Campbell 2201 Mail Service Center Raleigh, NC 27699-2200 bridggette.campbell@dhhs.nc.gov (919) 819-9357 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: TEMPLE BETH OR PRESCHOOL Facility ID: 9255206 Consultant: BRIDGGETTE CAMPBELL Operation Type: Center Case Number: Visit Date: 6/25/2025 Number Present: 52 Completed Date: 6/25/2025 Age: From 1 To 6 Total Minutes: 300 Time In: 11:00 AM Time Out: 04:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor compliance with child care requirements for a routine unannounced assessment. This facility currently operates with a Five (5) Star License that was issued on 8-3-21. Today’s visit was conducted with you, Sherri Lambeth, new center director. Upon arrival to the facility, I was greeted by you. You accompanied me as we did a walk-through of the six (6) classrooms in use, occupied by children. Compliance with capacity, supervision, discipline, attendance, program requirements, storage of hazardous substances, CPR & First Aid, permit restrictions, the required postings, and staff record documentation was monitored as a partial assessment of applicable child care requirements. Medications and permission to administer medications were observed and monitored. This week’s theme was “STEM” and during the visit the children were observed interacting in activity centers, doing a counting activity, experimenting with baking soda, vinegar, and food coloring, playing with kinetic sand, having free art coloring at the table, and cleaning up to prepare for lunch time. A partial assessment of child care requirements was monitored during today’s visit. The following violations were cited and must be corrected immediately. Technical assistance on how to maintain compliance was provided. Violation Number Comment Rule 415 A current schedule was not posted for each group of children for reference. A schedule was not posted in classrooms F and C. GS 110-91(12);.0508(a) 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. Located in space #E there was no permission to administer two (2) Auvi-Q auto-injectors and Benadryl. 10A NCAC 09 .0803(1)(a & b) 1823 The EPR Plan did not include the location of the Ready to Go File and or the required information. The Ready to Go File did not contain staff emergency information, permission to administer medications and did not contain action plans for medications located on the premises. .0607(d)(10) The above violations must be corrected immediately and a letter must be sent to me no later than 7-9-25 stating how the items were corrected and a plan to maintain compliance with the requirements. My mailing address is: 2201 Mail Service Center, Raleigh, NC 27699-2200 or a correction letter can be emailed to: bridggette.campbell@dhhs.nc.gov. The following were discussed with you during today’s visit: • 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. • Technical Assistance was provided with the following suggestions that may be beneficial: Medication Authorization: Any medication on the premises must be labeled with the child’s name, be accompanied by a current permission slip, filled out completely with the parent/guardian’s signature and date. Set a reminder to review/update medications in each classroom. You must remember the “five rights” of medication use: the right child, the right medication, the right time, the right dose, and the right route—all of which are generally regarded as a standard for safe medication practices. You and the caregivers must know what medication the parent/guardian authorized to be administered and how the parent/guardian wants medication given. If documentation is required after the medication is administered, then documentation with the required information must be completed and kept on file for six months. Having clear, detailed procedures for obtaining administered medication protects children from mistakes that can affect their health. It was suggested to reiterate in your monthly newsletter to parents that medication must accompany a permission slip, and it was suggested all staff complete training on administering medications. Contact your Child Care Health Consultant, Maria Nelson (919) 291-2499 maria.nelson@wake.gov to schedule training on medications. Daily Schedules: A daily schedule is important in a child care center because it promotes a nurturing, stable, and productive environment1. It supports children's emotional well-being, fosters healthy habits, and encourages optimal growth and development. A daily schedule is crucial for children’s development, as it helps them navigate their day with confidence and foster social skills through structured group interactions. Daily schedules should be designed to promote learning, foster growth, and create memorable childhood experiences. It was recommended to check classrooms weekly, maybe Friday evenings to ensure that the four required items (Ratios, Lesson Plans, Allergy List and Daily Schedules) are posted in each classroom. • You have completed all the health and safety trainings except for “Medications in Child Care.” Today we walked through how to access the “Medications in Child Care“ training on the DCDEE Moodle website. Please complete this course asap. • An Epi Pen was stored on a shelf in the bathroom, however it was not clearly visible. It was suggested to place a label “Emergency Medications Here” sign, possibly on neon colored paper to clearly show where the medications are stored. • Today it was explained that with the new QRIS requirements, one pathway gives an automatic five star license to programs accredited by the National Association for the Education of Young Children (NAEYC). Your facility is currently accredited by the NAEYC and you expressed intent to apply to renew your five stars. Paperwork will be submitted for the issuance of a new 5 star license. • The NC Institute for Child Development Professionals (NCICDP) began offering on-demand online trainings for Early Childhood professionals. Some sessions are developed originally as online trainings and others are live webinar events that were recorded and then adapted to an online on-demand format. Currently the NCICDP is offering these two trainings, Salary Scale Toolkit Level 1 Training and Professional Burnout in ECE: You Can’t Give to Others What You Don’t Have. Visit the online trainings at https://www.ncicdp.org/on-demand-trainings/. If there are any issues or questions about the Institute trainings, please reach out to Ashley Allen at ashleya@ncicdp.org and/or Erin Speer Smith at erins@ncicdp.org. • Did you know that if you do not login on to any of the DCDEE platforms (e.g., Moodle, WORKS, CBC) for a period of 12 months, your account will be archived? An archived account cannot be reinstated. You will need to create a new one and then email all platforms (e.g., Moodle, WORKS, CBC) to merge accounts. It is strongly suggested to set your calendar to remind you every 6 months to login and out at https://myncid.nc.gov to keep your account activated and it will NOT be archived. • The NC Child Care Health and Safety Resource Center is a valuable resource where you can find skills-based training and technical assistance from your Child Care Health Consultant on specific medications or health conditions, as well as the new poster on Stand-Up Changing Procedures. Sign up for their quarterly newsletter and find updated resources at www.healthychildcare.unc.edu or 800-367-2229, choose option 1, then 2. • Please continue to visit DCDEE’s website for child care updates at https://ncchildcare.ncdhhs.gov/. Thank you for your time and cooperation. If you have any further questions or concerns, please contact me. Bridggette Campbell 2201 Mail Service Center Raleigh, NC 27699-2200 bridggette.campbell@dhhs.nc.gov (919) 819-9357 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: TEMPLE BETH OR PRESCHOOL Facility ID: 9255206 Consultant: BRIDGGETTE CAMPBELL Operation Type: Center Case Number: Visit Date: 6/25/2025 Number Present: 52 Completed Date: 6/25/2025 Age: From 1 To 6 Total Minutes: 300 Time In: 11:00 AM Time Out: 04:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor compliance with child care requirements for a routine unannounced assessment. This facility currently operates with a Five (5) Star License that was issued on 8-3-21. Today’s visit was conducted with you, Sherri Lambeth, new center director. Upon arrival to the facility, I was greeted by you. You accompanied me as we did a walk-through of the six (6) classrooms in use, occupied by children. Compliance with capacity, supervision, discipline, attendance, program requirements, storage of hazardous substances, CPR & First Aid, permit restrictions, the required postings, and staff record documentation was monitored as a partial assessment of applicable child care requirements. Medications and permission to administer medications were observed and monitored. This week’s theme was “STEM” and during the visit the children were observed interacting in activity centers, doing a counting activity, experimenting with baking soda, vinegar, and food coloring, playing with kinetic sand, having free art coloring at the table, and cleaning up to prepare for lunch time. A partial assessment of child care requirements was monitored during today’s visit. The following violations were cited and must be corrected immediately. Technical assistance on how to maintain compliance was provided. Violation Number Comment Rule 415 A current schedule was not posted for each group of children for reference. A schedule was not posted in classrooms F and C. GS 110-91(12);.0508(a) 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. Located in space #E there was no permission to administer two (2) Auvi-Q auto-injectors and Benadryl. 10A NCAC 09 .0803(1)(a & b) 1823 The EPR Plan did not include the location of the Ready to Go File and or the required information. The Ready to Go File did not contain staff emergency information, permission to administer medications and did not contain action plans for medications located on the premises. .0607(d)(10) The above violations must be corrected immediately and a letter must be sent to me no later than 7-9-25 stating how the items were corrected and a plan to maintain compliance with the requirements. My mailing address is: 2201 Mail Service Center, Raleigh, NC 27699-2200 or a correction letter can be emailed to: bridggette.campbell@dhhs.nc.gov. The following were discussed with you during today’s visit: • 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. • Technical Assistance was provided with the following suggestions that may be beneficial: Medication Authorization: Any medication on the premises must be labeled with the child’s name, be accompanied by a current permission slip, filled out completely with the parent/guardian’s signature and date. Set a reminder to review/update medications in each classroom. You must remember the “five rights” of medication use: the right child, the right medication, the right time, the right dose, and the right route—all of which are generally regarded as a standard for safe medication practices. You and the caregivers must know what medication the parent/guardian authorized to be administered and how the parent/guardian wants medication given. If documentation is required after the medication is administered, then documentation with the required information must be completed and kept on file for six months. Having clear, detailed procedures for obtaining administered medication protects children from mistakes that can affect their health. It was suggested to reiterate in your monthly newsletter to parents that medication must accompany a permission slip, and it was suggested all staff complete training on administering medications. Contact your Child Care Health Consultant, Maria Nelson (919) 291-2499 maria.nelson@wake.gov to schedule training on medications. Daily Schedules: A daily schedule is important in a child care center because it promotes a nurturing, stable, and productive environment1. It supports children's emotional well-being, fosters healthy habits, and encourages optimal growth and development. A daily schedule is crucial for children’s development, as it helps them navigate their day with confidence and foster social skills through structured group interactions. Daily schedules should be designed to promote learning, foster growth, and create memorable childhood experiences. It was recommended to check classrooms weekly, maybe Friday evenings to ensure that the four required items (Ratios, Lesson Plans, Allergy List and Daily Schedules) are posted in each classroom. • You have completed all the health and safety trainings except for “Medications in Child Care.” Today we walked through how to access the “Medications in Child Care“ training on the DCDEE Moodle website. Please complete this course asap. • An Epi Pen was stored on a shelf in the bathroom, however it was not clearly visible. It was suggested to place a label “Emergency Medications Here” sign, possibly on neon colored paper to clearly show where the medications are stored. • Today it was explained that with the new QRIS requirements, one pathway gives an automatic five star license to programs accredited by the National Association for the Education of Young Children (NAEYC). Your facility is currently accredited by the NAEYC and you expressed intent to apply to renew your five stars. Paperwork will be submitted for the issuance of a new 5 star license. • The NC Institute for Child Development Professionals (NCICDP) began offering on-demand online trainings for Early Childhood professionals. Some sessions are developed originally as online trainings and others are live webinar events that were recorded and then adapted to an online on-demand format. Currently the NCICDP is offering these two trainings, Salary Scale Toolkit Level 1 Training and Professional Burnout in ECE: You Can’t Give to Others What You Don’t Have. Visit the online trainings at https://www.ncicdp.org/on-demand-trainings/. If there are any issues or questions about the Institute trainings, please reach out to Ashley Allen at ashleya@ncicdp.org and/or Erin Speer Smith at erins@ncicdp.org. • Did you know that if you do not login on to any of the DCDEE platforms (e.g., Moodle, WORKS, CBC) for a period of 12 months, your account will be archived? An archived account cannot be reinstated. You will need to create a new one and then email all platforms (e.g., Moodle, WORKS, CBC) to merge accounts. It is strongly suggested to set your calendar to remind you every 6 months to login and out at https://myncid.nc.gov to keep your account activated and it will NOT be archived. • The NC Child Care Health and Safety Resource Center is a valuable resource where you can find skills-based training and technical assistance from your Child Care Health Consultant on specific medications or health conditions, as well as the new poster on Stand-Up Changing Procedures. Sign up for their quarterly newsletter and find updated resources at www.healthychildcare.unc.edu or 800-367-2229, choose option 1, then 2. • Please continue to visit DCDEE’s website for child care updates at https://ncchildcare.ncdhhs.gov/. Thank you for your time and cooperation. If you have any further questions or concerns, please contact me. Bridggette Campbell 2201 Mail Service Center Raleigh, NC 27699-2200 bridggette.campbell@dhhs.nc.gov (919) 819-9357 If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0803 · Violation

Name of Operation: TEMPLE BETH OR PRESCHOOL Facility ID: 9255206 Consultant: BRIDGGETTE CAMPBELL Operation Type: Center Case Number: Visit Date: 2/24/2025 Number Present: 74 Completed Date: 2/24/2025 Age: From 1 To 5 Total Minutes: 370 Time In: 10:00 AM Time Out: 04:10 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor compliance with child care requirements for an annual compliance assessment. This facility currently operates with a Five (5) Star License that was issued on 8-23-21. The last sanitation inspection was completed on 4-5-24 with an “Superior” classification. The last approved fire inspection was conducted on 10-21-24. The NC Secretary of State website was reviewed today and this facility’s corporation’s name, Temple Beth Or Preschool was listed as “Current-Active.” Today’s visit was conducted with you, Kelly College, center director. I monitored the seven (7) classrooms in use for compliance with staff/child ratios, supervision, and staff interaction/discipline. The program was also monitored for health and safety requirements both indoors and outdoors using the annual compliance monitoring checklist. Children completed daily activities with adequate supervision and engagement from the caregivers. The children were observed outside on the playgrounds, interacting in activity centers, in circle time where a caregiver was reading a book to the children, the children were observed completing toileting and handwashing routines, engaged with manipulatives at the table, at the table making paper roll puppets, and eating lunch brought from home at the tables. The program requirements, along with equipment and furnishings were observed. Compliance with staff records will be documented by you. New staff records, along with children’s records were reviewed today. Medication observed on the premises was monitored. The following violations of child care requirements were cited during today’s visit and must be corrected immediately. Technical assistance on how to maintain compliance was provided. Violation Number Comment Rule 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. Permission to administer two Epinephrine Injectors and an Auvi-Q were expired. 10A NCAC 09 .0803(1)(a & b) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. One child's file did not contain a medical report. GS110-91(1) 1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. The EPR Plan has not been updated since August 2022. .0607(e) The above violations must be corrected immediately and a letter must be sent to me no later than 3-10-25 stating how the items were corrected and a plan to maintain compliance with the requirements. My mailing address is: PO Box 865, Knightdale, NC 27545-0865 or a correction letter can be emailed to: bridggette.campbell@dhhs.nc.gov. The following were discussed with you during today’s visit: • 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. • Technical Assistance was provided with the following suggestions that may be beneficial: Medication Authorization: Any medication on the premises must be labeled with the child’s name, be accompanied by a current permission slip, filled out completely with the parent/guardian’s signature and date. Set a reminder to review/update medications in each classroom. You must remember the “five rights” of medication use: the right child, the right medication, the right time, the right dose, and the right route—all of which are generally regarded as a standard for safe medication practices. You and the caregivers must know what medication the parent/guardian authorized to be administered and how the parent/guardian wants medication given. If documentation is required after the medication is administered, then documentation with the required information must be completed and kept on file for six months. Having clear, detailed procedures for obtaining administered medication protects children from mistakes that can affect their health. It was suggested to reiterate in your monthly newsletter to parents that medication must accompany a permission slip, and it was suggested all staff complete training on administering medications. Contact your Child Care Health Consultant, Maria Nelson (919) 291-2499 maria.nelson@wake.gov to schedule training on medications. Children’s Medical Report: Physical exams or checkups are important before starting day care because they help identify and address any health issues early on. These exams focus on the child's growth, development, and overall health, including height, weight, blood pressure, oxygen levels, hearing, vision, flexibility, strength, posture, and balance. By addressing these issues promptly, doctors can reduce disruptions in family life and absences from the child care facility. It is required that physical exams are completed and provided for the child care facility for each child before being admitted or within 30 days following admission to a child care facility. It is strongly recommended to not enroll children until their physical exam is on file. It will be difficult to monitor once the child is enrolled and remember the 30th day of enrollment. • Submit your staff/training worksheets asap. • A suggestion was made to save the most recent child care requirements in Chapter 9 effective November 1, 2024, to your desktop computer for easy access. As well as, bookmark the Division of Child Development and Early Education on your computer for access to valuable resources like, the criminal background check link, forms and documents, what’s new, etc. • Please connect/link you and your staff in the criminal record check portal asap. Center directors can now access the Automated Background Check Management System (ABCMS), the DCDEE’s criminal background check system. A handout titled Creating Connecting Applications in the Automated Background Check Management System (ABCMS) was provided today that provides instructions for connecting/linking you and your staff. ABCMS requires the successful completion of a Moodle course consisting of a short video followed by a test. The course is titled ABCMS Child Care Provider Portal Training - under the Early Childhood Professional Development Tab, then under the Criminal Background (CBC) tab. If you need assistance with your NCID, please reach out to the NCID Help Desk at 919-754-6000 or 800-722-3946, or visit https://it.nc.gov/support/ncid/reset-password-unlock-account. If you need assistance please contact the Child Care Criminal Background Check Unit at (919) 814-6401 or email at DCDEE_ABCMS_Provider@dhhs.nc.gov . • It was recommended to post a sign indicating “Emergency Medications” on neon paper to easily identify where the medications are stored. • The EPR Help form was supplied for you so you can request the EPR Plan to be changed from the previous director’s access. • Your Ready to Go File contained old applications of children no longer enrolled. Please review your paperwork in the Ready to Go File and remove any children and staff emergency information if they are no longer enrolled or employed. • We discussed to continue to maintain the sand on the playground, consider installing tuff timbers within the fall zone, six (6) feet beyond the outer limits of the stationary playground structure. Containing the sand will prevent it from moving to areas where sand is not required. • There were repeated signatures in the children’s records. Today we examined each form to determine if there was duplication to prevent waste of ink and paper. • Add the “Extend a Day” schedule on your daily schedules since there are children that stay beyond 1:00pm. • 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. Specialists are available 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. A flyer with the challenging behaviors hotline information was provided today. • The NC Child Care Health and Safety Resource Center is a valuable resource where you can find skills-based training and technical assistance from your Child Care Health Consultant on specific medications or health conditions, as well as the new poster on Stand-Up Changing Procedures. Sign up for their quarterly newsletter and find updated resources at www.healthychildcare.unc.edu or 800-367-2229, choose option 1, then 2. • Please continue to visit DCDEE’s website for child care updates at https://ncchildcare.ncdhhs.gov/. Thank you for your time and cooperation. If you have any further questions or concerns, please contact me. Bridggette Campbell PO BOX 865, Knightdale, NC 27545-0865 bridggette.campbell@dhhs.nc.gov (919) 819-9357 If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

GS110-91 · Violation

Name of Operation: TEMPLE BETH OR PRESCHOOL Facility ID: 9255206 Consultant: BRIDGGETTE CAMPBELL Operation Type: Center Case Number: Visit Date: 2/24/2025 Number Present: 74 Completed Date: 2/24/2025 Age: From 1 To 5 Total Minutes: 370 Time In: 10:00 AM Time Out: 04:10 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor compliance with child care requirements for an annual compliance assessment. This facility currently operates with a Five (5) Star License that was issued on 8-23-21. The last sanitation inspection was completed on 4-5-24 with an “Superior” classification. The last approved fire inspection was conducted on 10-21-24. The NC Secretary of State website was reviewed today and this facility’s corporation’s name, Temple Beth Or Preschool was listed as “Current-Active.” Today’s visit was conducted with you, Kelly College, center director. I monitored the seven (7) classrooms in use for compliance with staff/child ratios, supervision, and staff interaction/discipline. The program was also monitored for health and safety requirements both indoors and outdoors using the annual compliance monitoring checklist. Children completed daily activities with adequate supervision and engagement from the caregivers. The children were observed outside on the playgrounds, interacting in activity centers, in circle time where a caregiver was reading a book to the children, the children were observed completing toileting and handwashing routines, engaged with manipulatives at the table, at the table making paper roll puppets, and eating lunch brought from home at the tables. The program requirements, along with equipment and furnishings were observed. Compliance with staff records will be documented by you. New staff records, along with children’s records were reviewed today. Medication observed on the premises was monitored. The following violations of child care requirements were cited during today’s visit and must be corrected immediately. Technical assistance on how to maintain compliance was provided. Violation Number Comment Rule 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. Permission to administer two Epinephrine Injectors and an Auvi-Q were expired. 10A NCAC 09 .0803(1)(a & b) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. One child's file did not contain a medical report. GS110-91(1) 1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. The EPR Plan has not been updated since August 2022. .0607(e) The above violations must be corrected immediately and a letter must be sent to me no later than 3-10-25 stating how the items were corrected and a plan to maintain compliance with the requirements. My mailing address is: PO Box 865, Knightdale, NC 27545-0865 or a correction letter can be emailed to: bridggette.campbell@dhhs.nc.gov. The following were discussed with you during today’s visit: • 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. • Technical Assistance was provided with the following suggestions that may be beneficial: Medication Authorization: Any medication on the premises must be labeled with the child’s name, be accompanied by a current permission slip, filled out completely with the parent/guardian’s signature and date. Set a reminder to review/update medications in each classroom. You must remember the “five rights” of medication use: the right child, the right medication, the right time, the right dose, and the right route—all of which are generally regarded as a standard for safe medication practices. You and the caregivers must know what medication the parent/guardian authorized to be administered and how the parent/guardian wants medication given. If documentation is required after the medication is administered, then documentation with the required information must be completed and kept on file for six months. Having clear, detailed procedures for obtaining administered medication protects children from mistakes that can affect their health. It was suggested to reiterate in your monthly newsletter to parents that medication must accompany a permission slip, and it was suggested all staff complete training on administering medications. Contact your Child Care Health Consultant, Maria Nelson (919) 291-2499 maria.nelson@wake.gov to schedule training on medications. Children’s Medical Report: Physical exams or checkups are important before starting day care because they help identify and address any health issues early on. These exams focus on the child's growth, development, and overall health, including height, weight, blood pressure, oxygen levels, hearing, vision, flexibility, strength, posture, and balance. By addressing these issues promptly, doctors can reduce disruptions in family life and absences from the child care facility. It is required that physical exams are completed and provided for the child care facility for each child before being admitted or within 30 days following admission to a child care facility. It is strongly recommended to not enroll children until their physical exam is on file. It will be difficult to monitor once the child is enrolled and remember the 30th day of enrollment. • Submit your staff/training worksheets asap. • A suggestion was made to save the most recent child care requirements in Chapter 9 effective November 1, 2024, to your desktop computer for easy access. As well as, bookmark the Division of Child Development and Early Education on your computer for access to valuable resources like, the criminal background check link, forms and documents, what’s new, etc. • Please connect/link you and your staff in the criminal record check portal asap. Center directors can now access the Automated Background Check Management System (ABCMS), the DCDEE’s criminal background check system. A handout titled Creating Connecting Applications in the Automated Background Check Management System (ABCMS) was provided today that provides instructions for connecting/linking you and your staff. ABCMS requires the successful completion of a Moodle course consisting of a short video followed by a test. The course is titled ABCMS Child Care Provider Portal Training - under the Early Childhood Professional Development Tab, then under the Criminal Background (CBC) tab. If you need assistance with your NCID, please reach out to the NCID Help Desk at 919-754-6000 or 800-722-3946, or visit https://it.nc.gov/support/ncid/reset-password-unlock-account. If you need assistance please contact the Child Care Criminal Background Check Unit at (919) 814-6401 or email at DCDEE_ABCMS_Provider@dhhs.nc.gov . • It was recommended to post a sign indicating “Emergency Medications” on neon paper to easily identify where the medications are stored. • The EPR Help form was supplied for you so you can request the EPR Plan to be changed from the previous director’s access. • Your Ready to Go File contained old applications of children no longer enrolled. Please review your paperwork in the Ready to Go File and remove any children and staff emergency information if they are no longer enrolled or employed. • We discussed to continue to maintain the sand on the playground, consider installing tuff timbers within the fall zone, six (6) feet beyond the outer limits of the stationary playground structure. Containing the sand will prevent it from moving to areas where sand is not required. • There were repeated signatures in the children’s records. Today we examined each form to determine if there was duplication to prevent waste of ink and paper. • Add the “Extend a Day” schedule on your daily schedules since there are children that stay beyond 1:00pm. • 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. Specialists are available 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. A flyer with the challenging behaviors hotline information was provided today. • The NC Child Care Health and Safety Resource Center is a valuable resource where you can find skills-based training and technical assistance from your Child Care Health Consultant on specific medications or health conditions, as well as the new poster on Stand-Up Changing Procedures. Sign up for their quarterly newsletter and find updated resources at www.healthychildcare.unc.edu or 800-367-2229, choose option 1, then 2. • Please continue to visit DCDEE’s website for child care updates at https://ncchildcare.ncdhhs.gov/. Thank you for your time and cooperation. If you have any further questions or concerns, please contact me. Bridggette Campbell PO BOX 865, Knightdale, NC 27545-0865 bridggette.campbell@dhhs.nc.gov (919) 819-9357 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: TEMPLE BETH OR PRESCHOOL Facility ID: 9255206 Consultant: BRIDGGETTE CAMPBELL Operation Type: Center Case Number: Visit Date: 2/24/2025 Number Present: 74 Completed Date: 2/24/2025 Age: From 1 To 5 Total Minutes: 370 Time In: 10:00 AM Time Out: 04:10 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor compliance with child care requirements for an annual compliance assessment. This facility currently operates with a Five (5) Star License that was issued on 8-23-21. The last sanitation inspection was completed on 4-5-24 with an “Superior” classification. The last approved fire inspection was conducted on 10-21-24. The NC Secretary of State website was reviewed today and this facility’s corporation’s name, Temple Beth Or Preschool was listed as “Current-Active.” Today’s visit was conducted with you, Kelly College, center director. I monitored the seven (7) classrooms in use for compliance with staff/child ratios, supervision, and staff interaction/discipline. The program was also monitored for health and safety requirements both indoors and outdoors using the annual compliance monitoring checklist. Children completed daily activities with adequate supervision and engagement from the caregivers. The children were observed outside on the playgrounds, interacting in activity centers, in circle time where a caregiver was reading a book to the children, the children were observed completing toileting and handwashing routines, engaged with manipulatives at the table, at the table making paper roll puppets, and eating lunch brought from home at the tables. The program requirements, along with equipment and furnishings were observed. Compliance with staff records will be documented by you. New staff records, along with children’s records were reviewed today. Medication observed on the premises was monitored. The following violations of child care requirements were cited during today’s visit and must be corrected immediately. Technical assistance on how to maintain compliance was provided. Violation Number Comment Rule 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. Permission to administer two Epinephrine Injectors and an Auvi-Q were expired. 10A NCAC 09 .0803(1)(a & b) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. One child's file did not contain a medical report. GS110-91(1) 1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. The EPR Plan has not been updated since August 2022. .0607(e) The above violations must be corrected immediately and a letter must be sent to me no later than 3-10-25 stating how the items were corrected and a plan to maintain compliance with the requirements. My mailing address is: PO Box 865, Knightdale, NC 27545-0865 or a correction letter can be emailed to: bridggette.campbell@dhhs.nc.gov. The following were discussed with you during today’s visit: • 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. • Technical Assistance was provided with the following suggestions that may be beneficial: Medication Authorization: Any medication on the premises must be labeled with the child’s name, be accompanied by a current permission slip, filled out completely with the parent/guardian’s signature and date. Set a reminder to review/update medications in each classroom. You must remember the “five rights” of medication use: the right child, the right medication, the right time, the right dose, and the right route—all of which are generally regarded as a standard for safe medication practices. You and the caregivers must know what medication the parent/guardian authorized to be administered and how the parent/guardian wants medication given. If documentation is required after the medication is administered, then documentation with the required information must be completed and kept on file for six months. Having clear, detailed procedures for obtaining administered medication protects children from mistakes that can affect their health. It was suggested to reiterate in your monthly newsletter to parents that medication must accompany a permission slip, and it was suggested all staff complete training on administering medications. Contact your Child Care Health Consultant, Maria Nelson (919) 291-2499 maria.nelson@wake.gov to schedule training on medications. Children’s Medical Report: Physical exams or checkups are important before starting day care because they help identify and address any health issues early on. These exams focus on the child's growth, development, and overall health, including height, weight, blood pressure, oxygen levels, hearing, vision, flexibility, strength, posture, and balance. By addressing these issues promptly, doctors can reduce disruptions in family life and absences from the child care facility. It is required that physical exams are completed and provided for the child care facility for each child before being admitted or within 30 days following admission to a child care facility. It is strongly recommended to not enroll children until their physical exam is on file. It will be difficult to monitor once the child is enrolled and remember the 30th day of enrollment. • Submit your staff/training worksheets asap. • A suggestion was made to save the most recent child care requirements in Chapter 9 effective November 1, 2024, to your desktop computer for easy access. As well as, bookmark the Division of Child Development and Early Education on your computer for access to valuable resources like, the criminal background check link, forms and documents, what’s new, etc. • Please connect/link you and your staff in the criminal record check portal asap. Center directors can now access the Automated Background Check Management System (ABCMS), the DCDEE’s criminal background check system. A handout titled Creating Connecting Applications in the Automated Background Check Management System (ABCMS) was provided today that provides instructions for connecting/linking you and your staff. ABCMS requires the successful completion of a Moodle course consisting of a short video followed by a test. The course is titled ABCMS Child Care Provider Portal Training - under the Early Childhood Professional Development Tab, then under the Criminal Background (CBC) tab. If you need assistance with your NCID, please reach out to the NCID Help Desk at 919-754-6000 or 800-722-3946, or visit https://it.nc.gov/support/ncid/reset-password-unlock-account. If you need assistance please contact the Child Care Criminal Background Check Unit at (919) 814-6401 or email at DCDEE_ABCMS_Provider@dhhs.nc.gov . • It was recommended to post a sign indicating “Emergency Medications” on neon paper to easily identify where the medications are stored. • The EPR Help form was supplied for you so you can request the EPR Plan to be changed from the previous director’s access. • Your Ready to Go File contained old applications of children no longer enrolled. Please review your paperwork in the Ready to Go File and remove any children and staff emergency information if they are no longer enrolled or employed. • We discussed to continue to maintain the sand on the playground, consider installing tuff timbers within the fall zone, six (6) feet beyond the outer limits of the stationary playground structure. Containing the sand will prevent it from moving to areas where sand is not required. • There were repeated signatures in the children’s records. Today we examined each form to determine if there was duplication to prevent waste of ink and paper. • Add the “Extend a Day” schedule on your daily schedules since there are children that stay beyond 1:00pm. • 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. Specialists are available 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. A flyer with the challenging behaviors hotline information was provided today. • The NC Child Care Health and Safety Resource Center is a valuable resource where you can find skills-based training and technical assistance from your Child Care Health Consultant on specific medications or health conditions, as well as the new poster on Stand-Up Changing Procedures. Sign up for their quarterly newsletter and find updated resources at www.healthychildcare.unc.edu or 800-367-2229, choose option 1, then 2. • Please continue to visit DCDEE’s website for child care updates at https://ncchildcare.ncdhhs.gov/. Thank you for your time and cooperation. If you have any further questions or concerns, please contact me. Bridggette Campbell PO BOX 865, Knightdale, NC 27545-0865 bridggette.campbell@dhhs.nc.gov (919) 819-9357 If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0701 · Violation

Name of Operation: TEMPLE BETH OR PRESCHOOL Facility ID: 9255206 Consultant: ELIZABETH LESTER Operation Type: Center Case Number: Visit Date: 2/29/2024 Number Present: 64 Completed Date: 2/29/2024 Age: From 1 To 5 Total Minutes: 150 Time In: 09:40 AM Time Out: 12:10 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 compliance during an annual compliance visit. The assistant director, Shannon Ford and the director Megan Hans, greeted me upon my arrival. I completed a walk-through with Mrs. Hans. At the time of visit, there were a total of 64 children present. The children were observed participating in circle, playing outside, washing hands and playing with materials in centers. LICENSE STATUS Currently this center operates with a five star license issued 3/14/2019. This center is in cohort 2 (two). The preparation year started July 1, 2024 and the assessment year will start July 1, 2025. I reviewed the NC Secretary of State's website and observed that the owner is listed as current/active. INSPECTIONS I reviewed all required inspections including fire drills, emergency drills, sanitation, fire and outdoor inspections. Inspections were found to be in compliance. MONITORING During today’s visit, a full assessment was conducted, monitoring all space occupied by the children, including the outdoor play environment. I reviewed a selection of staff and children files. All spaces were monitored for supervision, staff/child ratios, materials, equipment and required postings. A checklist was used to note the requirements I monitored today. I left a copy of the checklist at the end of the visit. ANNUAL IN-SERVICE TRAININGS This provider’s annual in-service calendar dates are September 1st-August 31st. The following violations were observed and documented: Violation Number Comment Rule 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. Two (2) new staff members (A.R. & C.T) did not have on file prior to hire. 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. Two (2) new staff members (A.R. & C.T) did not have on file prior to the first day of work. .0701(a) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. Two (2) new staff members (A.R. & C.T) did not complete first aid within 90 days of hire. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. Two (2) new staff members (A.R. & C.T) did not complete CPR within 90 days of hire. .1102(d) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. One new staff member did not complete within 90 days of hire. .1102(g) Please mail or email your letter of compliance by March 14, 2024. The letter must address each violations and describe how the violations were corrected. Please send this with the following and use the addresses below: -Facility name -Facility ID number -Each item number Elizabeth Lester PO BOX 40685 Raleigh, NC 27629 Elizabeth.lester@dhhs.nc.gov COMPLIANCE HISTORY According to NC General Statute all Child Care programs must maintain a compliance history of at least seventy-five percent (75%) for the past 18 months or during the length of time the facility has operated, whichever is less. Any violations documented during visits to your program may have an impact on the total compliance history score and cause your score to drop below the mandated level. **Prior to today’s visit, the compliance history score for the center was 98%. Any violations cited during today's visit may affect this percentage. TECHNICAL ASSISTANCE **CPR/FA must be completed within 90 days of hire. Two (2) new staff members (A.R. & C.T) did not complete within 90 days of hire. **TB screenings and medical assessments must be on file prior to employment and the first day of work. Two (2) new staff members (A.R. & C.T) did not complete. **Recognizing and responding to suspicions of child maltreatment training must be completed within 90 days of employment. One staff member did not complete within 90 days of hire. We discussed the above and you were aware that these were missing and you are working with the staff to get these completed. REMINDERS Please check your lead water testing date. Per sanitation this must be completed every three (3) years. 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