First Presbyterian Church Child Development Center

10A NCAC 09 .0803 · Violation

Name of Operation: FIRST PRESBYTERIAN CHURCH CHILD DEVELOPMENT CENTER Facility ID: 7951185 Consultant: SALLY ALLEN Operation Type: Center Case Number: Visit Date: 3/19/2025 Number Present: 23 Completed Date: 3/19/2025 Age: From 2 To 5 Total Minutes: 105 Time In: 09:35 AM Time Out: 11:20 AM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced A routine unannounced visit was conducted at this child care center to monitor compliance with applicable child care requirements. This visit was conducted by Sally Allen, Child Care Consultant and Tamela Dillard, Director. Currently this center operates with a Four (4) Star license. The restrictions include daytime care only and meets all enhanced requirements. The sanitation inspection was completed today, March 19, 2025. The facility received a superior rating with six (6) demerits. The fire inspection was completed August 8, 2024. I received a copy during the annual compliance visit. This facility is owned and operated by First Presbyterian Church of Reidsville. The Secretary of State website was checked prior to today’s visit and the corporation was listed as current and active. Twenty-three (23) children were present during today’s visit. The children were observed playing indoors and completing routine tasks. The emergency drill log was monitored during today's visit. The last fire drill recorded was completed on February 27, 2025, with two (2) minutes and fifteen (15) seconds to evacuate. The last emergency drill, a shelter in place drill, was completed on January 8, 2025. The emergency drills must be completed every three (3) months. The staff files were not reviewed today. There is one (1) new staff. All staff have a current qualifying letter. Ms. Dillard stated that children enrolled have emergency medication. They do not provide routine transportation. The following violation was cited today. Violation Number Comment Rule 848 Questionable medication instructions from parents were followed without signed written dosage instructions received from physician or authorized health professional. In space 2 there was a bottle of Benadryl for a three year old child that only had permission from the parent. On the bottle the dosage states that children between three and five years must have written permission from the doctor. 10A NCAC 09 .0803(5) Consultation Health and Safety training topics, except for Recognizing and Responding to Suspicions of Child Maltreatment and CPR and First Aid trainings, must be completed within the first year of employment. The Recognizing and Responding, CPR, and First Aid trainings must be completed within ninety (90) days of employment. Then these trainings must be completed every five (5) years after the initial completion, except CPR and First Aid, which must be completed every two (2) years. Make sure that any materials outside are free from rust. Rated License -The hold harmless has been extended. An email will be sent with information on when the rated license process will begin. Compliance: You must correct the violation found during today's visit immediately. Please send me a two (2) letters verifying compliance. The letters must be received by April 2, 2025. Please include in your letter each violation number and how you corrected each violation and what plan will be implemented to prevent these violations from occurring again. Please include in your letter the name of your center and ID number, date, and the title of the person who signs the letter. Please send the letter to: Sally Allen, PO Box 1305, Eden, NC 27289. If you state in your letter that corrections have been made when they have not, it will be considered falsification of information. If I have not received the compliance letter by the tenth day, I will contact you, the operator/person in charge to inquire about your progress in correcting the violations and remind you of the date the compliance letter is due. I will contact you by telephone and/or email. If I have not received the letter by the due date, a follow up visit will be made promptly to verify compliance. Thank you for your time and assistance during today's visit. You may e-mail me at sally.allen@dhhs.nc.gov or call me at 336-580-3782 if you have questions. If you have any further questions or need further assistance you may contact my supervisor, Pam Hauser, at pamela.hauser@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

GS 110-91 · Violation

Name of Operation: FIRST PRESBYTERIAN CHURCH CHILD DEVELOPMENT CENTER Facility ID: 7951185 Consultant: SALLY ALLEN Operation Type: Center Case Number: Visit Date: 10/16/2024 Number Present: 23 Completed Date: 10/16/2024 Age: From 1 To 5 Total Minutes: 125 Time In: 09:25 AM Time Out: 11:30 AM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced An unannounced annual compliance visit was conducted at this child care center to monitor compliance with applicable child care requirements. This visit was conducted by Sally Allen, Child Care Consultant, with Tamela Dillard, Director. Currently this center operates with a Four (4) star license. The restrictions include daytime care only and meets all enhanced requirements. The sanitation inspection was completed on April 5, 2024, with a “superior” classification with six (6) demerits. The fire inspection was completed on August 8, 2024. A copy of the fire inspection was received today. The facility is owned and operated by First Presbyterian Church of Reidsville. The Secretary of State website was checked prior to today’s visit and the corporation was listed as current and active. Twenty-three (23) children were present. The children were observed playing indoors and completing routine tasks. All indoor and outdoor areas were monitored. Fire drill reports and playground inspections were monitored during today's visit. The last fire drill was conducted on October 4, 2024. It took the children one (1) minutes and forty-five (45) seconds to evacuate. The last emergency drill, a shelter in place drill, was conducted on July 9, 2024. The emergency drills must be conducted every three (3) months. The staff and children’s files were monitored in accordance with the Division of Child Development and Early Education policies and procedures. Ms. Dillard stated that a child enrolled has emergency medications. The facility does not provide transportation. The following violations were observed during today's visit. Violation Number Comment Rule 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. In space 4, the authorization for an inhaler expired August 2024. .0803(12) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. In space 2, there was a bin full of small matchbox cars. There is a two-year-old child enrolled in this classroom. .0604(q) 1320 Children's records that include an application for enrollment, medical and immunization records, and permission to seek emergency medical care was not on file for each child. A child's file did not have a medical exam. GS 110-91(1);.0302(d)(2); .0304(g) Technical Assistance: It is important that the permission to administer medication is current. The permission to administer an inhaler expired in August 2024. You can develop a system to keep up with the dates of expiration. We discussed all the different expiration dates that you must keep up with in reference to medications. Consultation: 1-The health and safety trainings are required to be completed within the first year of employment, with the exception of Recognizing and Responding to Suspicions of Child Maltreatment, CPR and First Aid training. These three (3) trainings must be completed within ninety (90) days of employment. Following the initial completion of the health and safety trainings they must be completed within the next five years of employment or prior to expiration (CPR and First Aid). There is a training log available on the Division’s website to document the completion of the trainings. All topics must be covered. You may access health and safety trainings for free on the Division’s website under moodle. 2-Child Care administrators can now view and edit their facility’s staff roster in ABCMS, the DCDEE’s criminal background check system. Provider Access to ABCMS allows administrators to: •See the real-time background check status of staff members •Run a printable report of the staff roster to assist with compliance visits •See new background check applicants and add to staff roster To get started, complete the ABCMS Child Care Provider Portal Training in Moodle. Rated License Information: The hold harmless has been extended. You will receive an email regarding the rated license process and when it will resume. Compliance letter: You must correct the violations found during today's visit immediately. Please send me two (2) letters verifying compliance. The letters must be received by October 30, 2024. Please include in your letter each violation number and how you corrected each violation and what plan will be implemented to prevent these violations from occurring again. Please include the name of your center and ID number, date, and the title of the person who signs the letter. Please send the letter to: Sally Allen, PO Box 1305, Eden, NC 27289. If you state in your letter that corrections have been made when they have not, it will be considered falsification of information. Failure to correct these violations in a timely manner may result in an administrative action. Thank you for your time and assistance during today's visit. You may e-mail me at sally.allen@dhhs.nc.gov or call me at 336-580-3782 if you have questions or concerns or you may contact my supervisor, Pam Hauser, at (336) 317-5003. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

G.S. 110-91 · Violation

Name of Operation: FIRST PRESBYTERIAN CHURCH CHILD DEVELOPMENT CENTER Facility ID: 7951185 Consultant: SALLY ALLEN Operation Type: Center Case Number: Visit Date: 10/25/2023 Number Present: 33 Completed Date: 10/25/2023 Age: From 1 To 5 Total Minutes: 115 Time In: 09:20 AM Time Out: 11:15 AM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced An unannounced annual compliance visit was conducted at this child care center to monitor compliance with applicable child care requirements. This visit was conducted by Sally Allen, Child Care Consultant, with Tamela Dillard, Director. Currently this center operates with a Four (4) Star license issued January 2, 2018, earned with four (4) points in staff education, six (6) points in program standards and one (1) quality point. Restrictions include daytime care only and meets all enhanced requirements. The last annual compliance visit was conducted on November 9, 2022. The sanitation inspection was completed on June 29, 2023, with a “superior” classification with four (4) demerits. The fire inspection was completed on August 2, 2022. I received a copy today. The facility is owned and operated by First Presbyterian Church of Reidsville. The Secretary of State website was checked and the corporation is listed as current and active. Thirty-three (33) children were present. The children were observed playing in activity areas, completing routine tasks and playing outdoors. Fire drill reports and playground inspections were monitored during today's visit. The last fire drill was conducted on October 6, 2023. It took the children three (3) minutes and fifty (50) seconds to evacuate. The last emergency drill, a lockdown drill, was conducted on August 10, 2023. The emergency drills must be conducted every three (3) months. Ms. Dillard stated that there are children enrolled that have emergency medication. The facility does not provide transportation. The following violation was observed during today's visit. Violation Number Comment Rule 721 All equipment and furnishings were not in good repair. The wood borders are cracking and splintering. G.S. 110-91(6); .0601(b) Technical assistance and other topics discussed during today's visit: 1- The health and safety trainings are required to be completed within the first year of employment, with the exception of Recognizing and Responding to Suspicions of Child Maltreatment, CPR and First Aid training. These three (3) trainings must be completed within ninety (90) days of employment. Following the initial completion of the health and safety trainings they must be completed within the next five years of employment or prior to expiration (CPR and First Aid). There is a training log available on the Division’s website to document the completion of the trainings. All topics must be covered. Rated License Please be reminded your facility is in cohort one. Throughout the next few months, I recommend you consider completing the following tasks and activities that will help prepare you for your reassessment year, which will be sometime between July 1, 2024 and June 30, 2025. If possible, the Division will align the reassessment with your annual compliance visit timeframe. •Have all staff update WORKS accounts to reflect all currently completed coursework (DCDEE-WORKS) •Determine whether you wish to have Environment Rating Scale (ERS) Assessments [ITERS-R, ECERS-R] conducted •Request technical assistance with your child care consultant and local partners •Participate in local CCR&R and NCPC quality related training/workshops (CCRR Information) •Review NCRLAP website ERS resources (www.NCRLAP.org). To help review ERS requirements and think carefully about the current characteristics and practices in your program and classrooms, check out the Thinking More worksheets. A worksheet is available for each subscale of each rating scale. •Consider requesting an ERS assessment (free of charge) during the preparation year. Remember the scores can be used in a variety of ways o ERS assessments can be requested during the preparation year and scores can be used as guidance to enhance program quality o If desired, assessment scores can be used during the preparation year if the operator wants to move forward with a rated license reassessment o Assessment scores can be saved to use during the reassessment year o Facilities can request another ERS assessment (free of charge) in your reassessment year for any ERS assessment scoring less than a 5.0 Compliance letter: You must correct the violation found during today's visit immediately. Please send me two (2) letters verifying compliance. The letters must be received by November 8, 2023. Please include in your letter each violation number and how you corrected each violation and what plan will be implemented to prevent these violations from occurring again. Please include the name of your center and ID number, date, and the title of the person who signs the letter. Please send the letter to: Sally Allen, PO Box 1305, Eden, NC 27289. If you state in your letter that corrections have been made when they have not, it will be considered falsification of information. Failure to correct these violations in a timely manner may result in an administrative action. Thank you for your time and assistance during today's visit. You may e-mail me at sally.allen@dhhs.nc.gov or call me at 336-580-3782 if you have questions or concerns or you may contact my supervisor, Pam Hauser, at (336) 317-5003. 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