GS 110-91 · Violation

Name of Operation: TEMPLE BAPTIST CHURCH TEMPLE CHRISTIAN Facility ID: 77000019 Consultant: MICHELL KOCAN Operation Type: Center Case Number: Visit Date: 2/24/2025 Number Present: 10 Completed Date: 2/24/2025 Age: From 3 To 5 Total Minutes: 55 Time In: 08:50 AM Time Out: 09:45 AM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of this unannounced annual compliance visit was to monitor compliance with applicable child care requirements. The facility operates with a GS 110 Notice of Compliance. The facility had a 95% compliance history prior to today's visit. The last annual compliance visit was conducted on 2/23/24. The facility was closed on 2/19, 2/20, and 2/21 due to the inclement weather and staff illness. There are thirteen (13) children enrolled, and ten (10) children were present today. The children were observed during large group time. The facility does not provide any meals or snacks. Meals are brought from home. All applicable requirements were monitored today. The staff and training worksheet was received via email prior to today’s visit. No new staff have been hired since the last monitoring visit. One (1) staff file was monitored today to meet the 10% of staff files monitored requirement. I monitored two (2) children’s records for 10% of children’s files. An opt out form was present for all of the children whose files were monitored today. I monitored the children's indoor and outdoor areas. A superior sanitation inspection was conducted on 11/13/24 with 4 demerits. The last fire drill was conducted on 1/14/25. A shelter-in-place drill was conducted on 11/21/25. All staff have current CPR and First Aid training. Monthly playground inspections have been completed as required. The last fire inspection was completed on 9/24/24. The following items were posted for easy reference: Notice of Compliance, NC Summary of Child Care Law, safe arrival and departure procedures, emergency medical care plan, emergency telephone numbers, daily classroom schedule, First Aid poster, applicable staff/child ratio chart, cot list, tobacco free signage, and evacuation routes. The following violations of child care requirements were observed today. Violation Number Comment Rule 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. One of two children's files monitored did not contain a health assessment. GS 110-91(1);.0302(d)(2); .0304(g) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. A child enrolled on 9/3/2024 does not have a health assessment on file. GS110-91(1) The violations documented during the visit must be corrected immediately. To verify correction of the violations you shall submit a signed letter to me explaining in detail how you have corrected the violations described above. The letter should include the facility name and facility ID number. List each item using the item number located to the left of the violation description. When submitting an email for corrections, that email must be sent from the email address of the person designated to submit corrections (example: director) and must include this person’s name and title at the end of the email. I must receive the letter by email or at the address below on or before 3/10/25. You are required to maintain compliance with all applicable childcare rules and regulations at all times. NC GS 110-90(4)(d) requires all child care facilities to maintain a compliance history score of at least 75% for the past 18 months or during the length of time the facility has operated, whichever is less. Failure to do so may result in the issuance of a provisional license or other administrative action. Your compliance history was 92% prior to this visit. Violations cited during the visit may negatively affect this score. Failure to maintain compliance with our requirements may result in administrative action against your license, which could include civil penalties. Repeated violations may significantly affect your compliance history. You may contact me if you have questions or need assistance. I can be reached at 910-610-7525 or email michell.kocan@dhhs.nc.gov. Thank you for your assistance during the visit. Michell Kocan Child Care Consultant Regulatory Services Section/DHHS Division of Child Development and Early Education PO Box 2694 Rockingham, NC 28380 Stay up to date with the Division of Child Development and Early Education by visiting www.ncchildcare.ncdhhs.gov. This website enables you to view the entire law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the "What's New" tab for important updates impacting child care in North Carolina. Please check regularly for important recalls from the Consumer Product Safety Commission. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

GS110-91 · Violation

Name of Operation: TEMPLE BAPTIST CHURCH TEMPLE CHRISTIAN Facility ID: 77000019 Consultant: MICHELL KOCAN Operation Type: Center Case Number: Visit Date: 2/24/2025 Number Present: 10 Completed Date: 2/24/2025 Age: From 3 To 5 Total Minutes: 55 Time In: 08:50 AM Time Out: 09:45 AM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of this unannounced annual compliance visit was to monitor compliance with applicable child care requirements. The facility operates with a GS 110 Notice of Compliance. The facility had a 95% compliance history prior to today's visit. The last annual compliance visit was conducted on 2/23/24. The facility was closed on 2/19, 2/20, and 2/21 due to the inclement weather and staff illness. There are thirteen (13) children enrolled, and ten (10) children were present today. The children were observed during large group time. The facility does not provide any meals or snacks. Meals are brought from home. All applicable requirements were monitored today. The staff and training worksheet was received via email prior to today’s visit. No new staff have been hired since the last monitoring visit. One (1) staff file was monitored today to meet the 10% of staff files monitored requirement. I monitored two (2) children’s records for 10% of children’s files. An opt out form was present for all of the children whose files were monitored today. I monitored the children's indoor and outdoor areas. A superior sanitation inspection was conducted on 11/13/24 with 4 demerits. The last fire drill was conducted on 1/14/25. A shelter-in-place drill was conducted on 11/21/25. All staff have current CPR and First Aid training. Monthly playground inspections have been completed as required. The last fire inspection was completed on 9/24/24. The following items were posted for easy reference: Notice of Compliance, NC Summary of Child Care Law, safe arrival and departure procedures, emergency medical care plan, emergency telephone numbers, daily classroom schedule, First Aid poster, applicable staff/child ratio chart, cot list, tobacco free signage, and evacuation routes. The following violations of child care requirements were observed today. Violation Number Comment Rule 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. One of two children's files monitored did not contain a health assessment. GS 110-91(1);.0302(d)(2); .0304(g) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. A child enrolled on 9/3/2024 does not have a health assessment on file. GS110-91(1) The violations documented during the visit must be corrected immediately. To verify correction of the violations you shall submit a signed letter to me explaining in detail how you have corrected the violations described above. The letter should include the facility name and facility ID number. List each item using the item number located to the left of the violation description. When submitting an email for corrections, that email must be sent from the email address of the person designated to submit corrections (example: director) and must include this person’s name and title at the end of the email. I must receive the letter by email or at the address below on or before 3/10/25. You are required to maintain compliance with all applicable childcare rules and regulations at all times. NC GS 110-90(4)(d) requires all child care facilities to maintain a compliance history score of at least 75% for the past 18 months or during the length of time the facility has operated, whichever is less. Failure to do so may result in the issuance of a provisional license or other administrative action. Your compliance history was 92% prior to this visit. Violations cited during the visit may negatively affect this score. Failure to maintain compliance with our requirements may result in administrative action against your license, which could include civil penalties. Repeated violations may significantly affect your compliance history. You may contact me if you have questions or need assistance. I can be reached at 910-610-7525 or email michell.kocan@dhhs.nc.gov. Thank you for your assistance during the visit. Michell Kocan Child Care Consultant Regulatory Services Section/DHHS Division of Child Development and Early Education PO Box 2694 Rockingham, NC 28380 Stay up to date with the Division of Child Development and Early Education by visiting www.ncchildcare.ncdhhs.gov. This website enables you to view the entire law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the "What's New" tab for important updates impacting child care in North Carolina. Please check regularly for important recalls from the Consumer Product Safety Commission. 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 BAPTIST CHURCH TEMPLE CHRISTIAN Facility ID: 77000019 Consultant: MICHELL KOCAN Operation Type: Center Case Number: Visit Date: 2/24/2025 Number Present: 10 Completed Date: 2/24/2025 Age: From 3 To 5 Total Minutes: 55 Time In: 08:50 AM Time Out: 09:45 AM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of this unannounced annual compliance visit was to monitor compliance with applicable child care requirements. The facility operates with a GS 110 Notice of Compliance. The facility had a 95% compliance history prior to today's visit. The last annual compliance visit was conducted on 2/23/24. The facility was closed on 2/19, 2/20, and 2/21 due to the inclement weather and staff illness. There are thirteen (13) children enrolled, and ten (10) children were present today. The children were observed during large group time. The facility does not provide any meals or snacks. Meals are brought from home. All applicable requirements were monitored today. The staff and training worksheet was received via email prior to today’s visit. No new staff have been hired since the last monitoring visit. One (1) staff file was monitored today to meet the 10% of staff files monitored requirement. I monitored two (2) children’s records for 10% of children’s files. An opt out form was present for all of the children whose files were monitored today. I monitored the children's indoor and outdoor areas. A superior sanitation inspection was conducted on 11/13/24 with 4 demerits. The last fire drill was conducted on 1/14/25. A shelter-in-place drill was conducted on 11/21/25. All staff have current CPR and First Aid training. Monthly playground inspections have been completed as required. The last fire inspection was completed on 9/24/24. The following items were posted for easy reference: Notice of Compliance, NC Summary of Child Care Law, safe arrival and departure procedures, emergency medical care plan, emergency telephone numbers, daily classroom schedule, First Aid poster, applicable staff/child ratio chart, cot list, tobacco free signage, and evacuation routes. The following violations of child care requirements were observed today. Violation Number Comment Rule 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. One of two children's files monitored did not contain a health assessment. GS 110-91(1);.0302(d)(2); .0304(g) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. A child enrolled on 9/3/2024 does not have a health assessment on file. GS110-91(1) The violations documented during the visit must be corrected immediately. To verify correction of the violations you shall submit a signed letter to me explaining in detail how you have corrected the violations described above. The letter should include the facility name and facility ID number. List each item using the item number located to the left of the violation description. When submitting an email for corrections, that email must be sent from the email address of the person designated to submit corrections (example: director) and must include this person’s name and title at the end of the email. I must receive the letter by email or at the address below on or before 3/10/25. You are required to maintain compliance with all applicable childcare rules and regulations at all times. NC GS 110-90(4)(d) requires all child care facilities to maintain a compliance history score of at least 75% for the past 18 months or during the length of time the facility has operated, whichever is less. Failure to do so may result in the issuance of a provisional license or other administrative action. Your compliance history was 92% prior to this visit. Violations cited during the visit may negatively affect this score. Failure to maintain compliance with our requirements may result in administrative action against your license, which could include civil penalties. Repeated violations may significantly affect your compliance history. You may contact me if you have questions or need assistance. I can be reached at 910-610-7525 or email michell.kocan@dhhs.nc.gov. Thank you for your assistance during the visit. Michell Kocan Child Care Consultant Regulatory Services Section/DHHS Division of Child Development and Early Education PO Box 2694 Rockingham, NC 28380 Stay up to date with the Division of Child Development and Early Education by visiting www.ncchildcare.ncdhhs.gov. This website enables you to view the entire law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the "What's New" tab for important updates impacting child care in North Carolina. Please check regularly for important recalls from the Consumer Product Safety Commission. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0304 · Violation

Name of Operation: TEMPLE BAPTIST CHURCH TEMPLE CHRISTIAN Facility ID: 77000019 Consultant: MICHELL KOCAN Operation Type: Center Case Number: Visit Date: 9/11/2024 Number Present: 10 Completed Date: 9/11/2024 Age: From 3 To 4 Total Minutes: 60 Time In: 10:10 AM Time Out: 11:10 AM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of this routine unannounced visit was to monitor for compliance with childcare requirements. The facility operates with a GS 110 Notice of Compliance. The compliance history prior to this visit was 95%. The last sanitation inspection was completed on 3/19/24, the facility received a superior rating. The last fire inspection was completed on 3/10/23. The facility was found to be satisfactory and approved for day time care only. All fire drills and emergency drills were documented as required. The following items were posted for easy reference: GS 110 Notice of Compliance, NC Summary of Child Care Law, safe arrival and departure procedures, daily schedules, First Aid poster, applicable staff-child ratio charts, emergency medical care plan, and emergency telephone numbers. The following items were monitored during the visit: supervision, staff/child ratios, storage of hazardous products and medications, adequate/approved space, program files, posted license and license restrictions. The staff and training worksheet from the last annual compliance visit was used to ensure that criminal background qualifying letters, CPR/First Aid certification along with all other specialized training are current for all existing staff. In space #1 I observed the children engaged in fine motor activities, working in small groups with the teacher, bathroom/handwashing routines, and preparing for lunch. All interactions observed were positive. The following violation were observed today. 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 3/10/23. 10A NCAC 09 .0304(a) The violations documented during the visit must be corrected immediately. To verify correction of the violations you shall submit a signed letter to me explaining in detail how you have corrected the violations described above. The letter should include the facility name and facility ID number. List each item using the item number located to the left of the violation description. When submitting an email for corrections, that email must be sent from the email address of the person designated to submit corrections (example: director) and must include this person’s name and title at the end of the email. I must receive the letter by email or at the address below on or before 9/25/24. You are required to maintain compliance with all applicable childcare rules and regulations at all times. NC GS 110-90(4)(d) requires all child care facilities to maintain a compliance history score of at least 75% for the past 18 months or during the length of time the facility has operated, whichever is less. Failure to do so may result in the issuance of a provisional license or other administrative action. Your compliance history was 95% prior to this visit. Violations cited during the visit may negatively affect this score. Failure to maintain compliance with our requirements may result in administrative action against your license, which could include civil penalties. Repeated violations may significantly affect your compliance history. Resources: *The North Carolina Child Care Health and Safety Resource Center is a great resource for information and free childcare publications/posters. The website is healthychildcare.unc.edu. The DCDEE website has changed and has a lot of useful information and resources to help you succeed in providing a safe and healthy environment for the children in your care. You are encouraged to utilize the website on a regular basis. https://ncchildcare.ncdhhs.gov You may contact me if you have questions or need assistance. I can be reached at 910-610-7525 or via email at michell.kocan@dhhs.nc.gov. Thank you for your assistance during the visit. Michell Kocan Child Care Consultant Regulatory Services Section/DHHS Division of Child Development and Early Education PO Box 2694 Rockingham, NC 28380 If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

NC GS 110-90 · Violation

Name of Operation: TEMPLE BAPTIST CHURCH TEMPLE CHRISTIAN Facility ID: 77000019 Consultant: MICHELL KOCAN Operation Type: Center Case Number: Visit Date: 9/11/2024 Number Present: 10 Completed Date: 9/11/2024 Age: From 3 To 4 Total Minutes: 60 Time In: 10:10 AM Time Out: 11:10 AM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of this routine unannounced visit was to monitor for compliance with childcare requirements. The facility operates with a GS 110 Notice of Compliance. The compliance history prior to this visit was 95%. The last sanitation inspection was completed on 3/19/24, the facility received a superior rating. The last fire inspection was completed on 3/10/23. The facility was found to be satisfactory and approved for day time care only. All fire drills and emergency drills were documented as required. The following items were posted for easy reference: GS 110 Notice of Compliance, NC Summary of Child Care Law, safe arrival and departure procedures, daily schedules, First Aid poster, applicable staff-child ratio charts, emergency medical care plan, and emergency telephone numbers. The following items were monitored during the visit: supervision, staff/child ratios, storage of hazardous products and medications, adequate/approved space, program files, posted license and license restrictions. The staff and training worksheet from the last annual compliance visit was used to ensure that criminal background qualifying letters, CPR/First Aid certification along with all other specialized training are current for all existing staff. In space #1 I observed the children engaged in fine motor activities, working in small groups with the teacher, bathroom/handwashing routines, and preparing for lunch. All interactions observed were positive. The following violation were observed today. 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 3/10/23. 10A NCAC 09 .0304(a) The violations documented during the visit must be corrected immediately. To verify correction of the violations you shall submit a signed letter to me explaining in detail how you have corrected the violations described above. The letter should include the facility name and facility ID number. List each item using the item number located to the left of the violation description. When submitting an email for corrections, that email must be sent from the email address of the person designated to submit corrections (example: director) and must include this person’s name and title at the end of the email. I must receive the letter by email or at the address below on or before 9/25/24. You are required to maintain compliance with all applicable childcare rules and regulations at all times. NC GS 110-90(4)(d) requires all child care facilities to maintain a compliance history score of at least 75% for the past 18 months or during the length of time the facility has operated, whichever is less. Failure to do so may result in the issuance of a provisional license or other administrative action. Your compliance history was 95% prior to this visit. Violations cited during the visit may negatively affect this score. Failure to maintain compliance with our requirements may result in administrative action against your license, which could include civil penalties. Repeated violations may significantly affect your compliance history. Resources: *The North Carolina Child Care Health and Safety Resource Center is a great resource for information and free childcare publications/posters. The website is healthychildcare.unc.edu. The DCDEE website has changed and has a lot of useful information and resources to help you succeed in providing a safe and healthy environment for the children in your care. You are encouraged to utilize the website on a regular basis. https://ncchildcare.ncdhhs.gov You may contact me if you have questions or need assistance. I can be reached at 910-610-7525 or via email at michell.kocan@dhhs.nc.gov. Thank you for your assistance during the visit. Michell Kocan Child Care Consultant Regulatory Services Section/DHHS Division of Child Development and Early Education PO Box 2694 Rockingham, NC 28380 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 BAPTIST CHURCH TEMPLE CHRISTIAN Facility ID: 77000019 Consultant: MICHELL KOCAN Operation Type: Center Case Number: Visit Date: 2/23/2024 Number Present: 10 Completed Date: 2/23/2024 Age: From 3 To 5 Total Minutes: 100 Time In: 09:00 AM Time Out: 10:40 AM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of this unannounced annual compliance visit was to monitor for compliance with applicable child care requirements. The facility operates with a GS 110 Notice of Compliance. The facility had a 93% compliance history prior to today's visit. The last annual compliance visit was conducted on 2/27/23. There are ten (10) children enrolled and ten (10) children were present today. The children were observed during large group time. The facility does not provide any meals or snacks. Meals are brought from home. All applicable requirements were monitored today. The staff and training worksheet was received via email prior to today’s visit. No new staff have been hired since the last visit to the facility. Two (2) staff files were monitored today to meet the 10% of staff files monitored requirement. Two (2) children’s records were monitored for 10% of children’s files. An opt out form was present for all of the children whose files were monitored today. I monitored the children's indoor. The outdoor areas were not monitored due to inclement weather. A superior sanitation inspection was conducted on 10/16/23 with 2 demerits. The last fire drill was conducted on 1/29/24. A shelter-in-place drill was conducted on 11/30/23. All staff have current CPR and First Aid training. Monthly playground inspections have been completed and documented as required. The last documented day care fire inspection was completed on 3/10/23. The following items were posted for easy reference: Notice of Compliance; NC Summary of Child Care Law; safe arrival and departure procedures; emergency medical care plan; emergency telephone numbers; daily classroom schedule; First Aid poster; applicable staff/child ratio chart; cot list; tobacco free signage and evacuation routes. The following violations of child care requirements were observed today. Violation Number Comment Rule 1792 Staff did not model appropriate eating behaviors by consuming food or beverages that meet the nutritional requirements specified in the Meal Patterns for Children in Child Care Programs in the presence of children in care. During the visit I observed a Monster drink can on a desk in space #1 where children are cared for. .0901(i) You are required to maintain compliance with all applicable childcare rules and regulations at all times. NC GS 110-90(4)(d) requires all child care facilities to maintain a compliance history score of at least 75% for the past 18 months or during the length of time the facility has operated, whichever is less. Failure to do so may result in the issuance of a provisional license or other administrative action. Your compliance history was 93% prior to this visit. Violations cited during the visit may negatively affect this score. Failure to maintain compliance with our requirements may result in administrative action against your license, which could include civil penalties. Repeated violations may significantly affect your compliance history. Technical Assistance: Today I discussed with classroom teachers L. Rogers and M. Paxton, the different permission to administer medication forms. We discussed that at any time medication will be administered the correct form must be completed and no lines or questions on the forms should be left blank. We discussed that "as needed" is not accepted on the forms. During today's visit we discussed which documents should be located in a separate file for staff, these documents include a TB test result or screening, health questionnaire, and medical report. Facility staff stated that additional classrooms may be in operation during the 2024-2025 school year, so we reviewed which spaces are approved on the current license. If the facility decides they want to utilize additional spaces that are not yet approved I must be contacted to come measure the spaces to have them added to the license as approved spaces. Resources: *The North Carolina Child Care Health and Safety Resource Center is a great resource for information and free childcare publications/posters. The website is healthychildcare.unc.edu. The DCDEE website has changed and has a lot of useful information and resources to help you succeed in providing a safe and healthy environment for the children in your care. You are encouraged to utilize the website on a regular basis. https://ncchildcare.ncdhhs.gov You may contact me if you have questions or need assistance. I can be reached at 910-610-7525 or via email at michell.kocan@dhhs.nc.gov. Thank you for your assistance during the visit. Michell Kocan Child Care Consultant Regulatory Services Section/DHHS Division of Child Development and Early Education If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

10A NCAC 09 .0514 · Violation

Name of Operation: TEMPLE BAPTIST CHURCH TEMPLE CHRISTIAN Facility ID: 77000019 Consultant: MICHELL KOCAN Operation Type: Center Case Number: Visit Date: 10/23/2023 Number Present: 7 Completed Date: 10/23/2023 Age: From 3 To 4 Total Minutes: 160 Time In: 11:35 AM Time Out: 02:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of this routine unannounced visit was to monitor for compliance with childcare requirements. The facility operates with a GS 110 Notice of Compliance. The compliance history prior to this visit was 93%. The last annual compliance visit was conducted on 2/27/23. The last sanitation inspection was completed on 10/16/23, the facility received a superior rating with 2 demerits. The last fire inspection was completed on 3/10/23. The facility was found to be satisfactory and approved for day time care only. A fire drill was last conducted on 9/26/23. A shelter-in-place drill was conducted on 8/25/23. The monthly playground inspections have been completed as required. The following items were posted for easy reference: GS 110 Notice of Compliance, NC Summary of Child Care Law, safe arrival and departure procedures, daily schedules, First Aid poster, applicable staff-child ratio charts, emergency medical care plan, and emergency telephone numbers. The following items were monitored during the visit: supervision, staff/child ratios, storage of hazardous products and medications, adequate/approved space, program files, posted license and license restrictions. The staff and training worksheet from the last annual compliance visit was used to ensure that criminal background qualifying letters, CPR/First Aid certification along with all other specialized training are current for all existing staff. One (1) new staff has been hired since the last monitoring visit, this staff member was added to the staff and training worksheet during this visit. In space #1 I observed the children transitioning from the outdoor learning environment and preparing for rest time. The provider interacted with the children in a positive manner and assisted with routines as needed. The following violations were observed today. Violation Number Comment Rule 1030 Application for employment and date of birth was not on file for all staff. M. Paxton hired 10/9/23 did not have an application on file. An application for employment was completed during this visit. .0302(d)(1)(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. M. Paxton hired 10/9/23 did not have a medical report on file during this visit. 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. M. Paxton hired 10/9/23 has a TB test on file dated 10/20/23. .0701(a) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. M. Paxton hired 10/9/23 completed an Emergency Information form during this visit. .0701(a) 1233 Each employee's personnel file did not contain a signed and dated statement that they received a job description and that they have received personnel and operational policies. M. Paxton hired 10/9/23 did not receive a job description, personnel or operational policies. 10A NCAC 09 .0514(g) 1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. M. Paxton hired 10/9/23 did not review this policy prior to caring for children. .0608(d)(1-4) The violations documented during the visit must be corrected immediately. To verify correction of the violations you shall submit a signed letter to me explaining in detail how you have corrected the violations described above. The letter should include the facility name and facility ID number. List each item using the item number located to the left of the violation description. When submitting an email for corrections, that email must be sent from the email address of the person designated to submit corrections (example: director) and must include this person’s name and title at the end of the email. I must receive the letter by email or at the address below on or before 11/6/23. You are required to maintain compliance with all applicable childcare rules and regulations at all times. NC GS 110-90(4)(d) requires all child care facilities to maintain a compliance history score of at least 75% for the past 18 months or during the length of time the facility has operated, whichever is less. Failure to do so may result in the issuance of a provisional license or other administrative action. Your compliance history was 93% prior to this visit. Violations cited during the visit may negatively affect this score. Failure to maintain compliance with our requirements may result in administrative action against your license, which could include civil penalties. Repeated violations may significantly affect your compliance history. Technical Assistance: Today I discussed with you, J. Dowler and Mr. Watson, that the Shaken Baby Abusive Head Trauma policy must be reviewed with all staff prior to them providing care to children. We discussed that a TB test and medical report must be on file for each staff prior to employment. Emergency Information forms must be completed on or before the first day of work and then annually. All staff must have a completed application of employment on file. I assisted J. Dowler with accessing the DCDEE website on her office computer during today's visit and we discussed the many forms and documents available for use. We reviewed several of the forms, Moodle, and health and safety trainings. Resources: *The North Carolina Child Care Health and Safety Resource Center is a great resource for information and free childcare publications/posters. The website is healthychildcare.unc.edu. The DCDEE website has changed and has a lot of useful information and resources to help you succeed in providing a safe and healthy environment for the children in your care. You are encouraged to utilize the website on a regular basis. https://ncchildcare.ncdhhs.gov You may contact me if you have questions or need assistance. I can be reached at 910-610-7525 or via email at michell.kocan@dhhs.nc.gov. Thank you for your assistance during the visit. Michell Kocan Child Care Consultant Regulatory Services Section/DHHS Division of Child Development and Early Education If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

10A NCAC 09 .0701 · Violation

Name of Operation: TEMPLE BAPTIST CHURCH TEMPLE CHRISTIAN Facility ID: 77000019 Consultant: MICHELL KOCAN Operation Type: Center Case Number: Visit Date: 10/23/2023 Number Present: 7 Completed Date: 10/23/2023 Age: From 3 To 4 Total Minutes: 160 Time In: 11:35 AM Time Out: 02:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of this routine unannounced visit was to monitor for compliance with childcare requirements. The facility operates with a GS 110 Notice of Compliance. The compliance history prior to this visit was 93%. The last annual compliance visit was conducted on 2/27/23. The last sanitation inspection was completed on 10/16/23, the facility received a superior rating with 2 demerits. The last fire inspection was completed on 3/10/23. The facility was found to be satisfactory and approved for day time care only. A fire drill was last conducted on 9/26/23. A shelter-in-place drill was conducted on 8/25/23. The monthly playground inspections have been completed as required. The following items were posted for easy reference: GS 110 Notice of Compliance, NC Summary of Child Care Law, safe arrival and departure procedures, daily schedules, First Aid poster, applicable staff-child ratio charts, emergency medical care plan, and emergency telephone numbers. The following items were monitored during the visit: supervision, staff/child ratios, storage of hazardous products and medications, adequate/approved space, program files, posted license and license restrictions. The staff and training worksheet from the last annual compliance visit was used to ensure that criminal background qualifying letters, CPR/First Aid certification along with all other specialized training are current for all existing staff. One (1) new staff has been hired since the last monitoring visit, this staff member was added to the staff and training worksheet during this visit. In space #1 I observed the children transitioning from the outdoor learning environment and preparing for rest time. The provider interacted with the children in a positive manner and assisted with routines as needed. The following violations were observed today. Violation Number Comment Rule 1030 Application for employment and date of birth was not on file for all staff. M. Paxton hired 10/9/23 did not have an application on file. An application for employment was completed during this visit. .0302(d)(1)(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. M. Paxton hired 10/9/23 did not have a medical report on file during this visit. 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. M. Paxton hired 10/9/23 has a TB test on file dated 10/20/23. .0701(a) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. M. Paxton hired 10/9/23 completed an Emergency Information form during this visit. .0701(a) 1233 Each employee's personnel file did not contain a signed and dated statement that they received a job description and that they have received personnel and operational policies. M. Paxton hired 10/9/23 did not receive a job description, personnel or operational policies. 10A NCAC 09 .0514(g) 1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. M. Paxton hired 10/9/23 did not review this policy prior to caring for children. .0608(d)(1-4) The violations documented during the visit must be corrected immediately. To verify correction of the violations you shall submit a signed letter to me explaining in detail how you have corrected the violations described above. The letter should include the facility name and facility ID number. List each item using the item number located to the left of the violation description. When submitting an email for corrections, that email must be sent from the email address of the person designated to submit corrections (example: director) and must include this person’s name and title at the end of the email. I must receive the letter by email or at the address below on or before 11/6/23. You are required to maintain compliance with all applicable childcare rules and regulations at all times. NC GS 110-90(4)(d) requires all child care facilities to maintain a compliance history score of at least 75% for the past 18 months or during the length of time the facility has operated, whichever is less. Failure to do so may result in the issuance of a provisional license or other administrative action. Your compliance history was 93% prior to this visit. Violations cited during the visit may negatively affect this score. Failure to maintain compliance with our requirements may result in administrative action against your license, which could include civil penalties. Repeated violations may significantly affect your compliance history. Technical Assistance: Today I discussed with you, J. Dowler and Mr. Watson, that the Shaken Baby Abusive Head Trauma policy must be reviewed with all staff prior to them providing care to children. We discussed that a TB test and medical report must be on file for each staff prior to employment. Emergency Information forms must be completed on or before the first day of work and then annually. All staff must have a completed application of employment on file. I assisted J. Dowler with accessing the DCDEE website on her office computer during today's visit and we discussed the many forms and documents available for use. We reviewed several of the forms, Moodle, and health and safety trainings. Resources: *The North Carolina Child Care Health and Safety Resource Center is a great resource for information and free childcare publications/posters. The website is healthychildcare.unc.edu. The DCDEE website has changed and has a lot of useful information and resources to help you succeed in providing a safe and healthy environment for the children in your care. You are encouraged to utilize the website on a regular basis. https://ncchildcare.ncdhhs.gov You may contact me if you have questions or need assistance. I can be reached at 910-610-7525 or via email at michell.kocan@dhhs.nc.gov. Thank you for your assistance during the visit. Michell Kocan Child Care Consultant Regulatory Services Section/DHHS Division of Child Development and Early Education 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 BAPTIST CHURCH TEMPLE CHRISTIAN Facility ID: 77000019 Consultant: MICHELL KOCAN Operation Type: Center Case Number: Visit Date: 10/23/2023 Number Present: 7 Completed Date: 10/23/2023 Age: From 3 To 4 Total Minutes: 160 Time In: 11:35 AM Time Out: 02:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of this routine unannounced visit was to monitor for compliance with childcare requirements. The facility operates with a GS 110 Notice of Compliance. The compliance history prior to this visit was 93%. The last annual compliance visit was conducted on 2/27/23. The last sanitation inspection was completed on 10/16/23, the facility received a superior rating with 2 demerits. The last fire inspection was completed on 3/10/23. The facility was found to be satisfactory and approved for day time care only. A fire drill was last conducted on 9/26/23. A shelter-in-place drill was conducted on 8/25/23. The monthly playground inspections have been completed as required. The following items were posted for easy reference: GS 110 Notice of Compliance, NC Summary of Child Care Law, safe arrival and departure procedures, daily schedules, First Aid poster, applicable staff-child ratio charts, emergency medical care plan, and emergency telephone numbers. The following items were monitored during the visit: supervision, staff/child ratios, storage of hazardous products and medications, adequate/approved space, program files, posted license and license restrictions. The staff and training worksheet from the last annual compliance visit was used to ensure that criminal background qualifying letters, CPR/First Aid certification along with all other specialized training are current for all existing staff. One (1) new staff has been hired since the last monitoring visit, this staff member was added to the staff and training worksheet during this visit. In space #1 I observed the children transitioning from the outdoor learning environment and preparing for rest time. The provider interacted with the children in a positive manner and assisted with routines as needed. The following violations were observed today. Violation Number Comment Rule 1030 Application for employment and date of birth was not on file for all staff. M. Paxton hired 10/9/23 did not have an application on file. An application for employment was completed during this visit. .0302(d)(1)(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. M. Paxton hired 10/9/23 did not have a medical report on file during this visit. 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. M. Paxton hired 10/9/23 has a TB test on file dated 10/20/23. .0701(a) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. M. Paxton hired 10/9/23 completed an Emergency Information form during this visit. .0701(a) 1233 Each employee's personnel file did not contain a signed and dated statement that they received a job description and that they have received personnel and operational policies. M. Paxton hired 10/9/23 did not receive a job description, personnel or operational policies. 10A NCAC 09 .0514(g) 1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. M. Paxton hired 10/9/23 did not review this policy prior to caring for children. .0608(d)(1-4) The violations documented during the visit must be corrected immediately. To verify correction of the violations you shall submit a signed letter to me explaining in detail how you have corrected the violations described above. The letter should include the facility name and facility ID number. List each item using the item number located to the left of the violation description. When submitting an email for corrections, that email must be sent from the email address of the person designated to submit corrections (example: director) and must include this person’s name and title at the end of the email. I must receive the letter by email or at the address below on or before 11/6/23. You are required to maintain compliance with all applicable childcare rules and regulations at all times. NC GS 110-90(4)(d) requires all child care facilities to maintain a compliance history score of at least 75% for the past 18 months or during the length of time the facility has operated, whichever is less. Failure to do so may result in the issuance of a provisional license or other administrative action. Your compliance history was 93% prior to this visit. Violations cited during the visit may negatively affect this score. Failure to maintain compliance with our requirements may result in administrative action against your license, which could include civil penalties. Repeated violations may significantly affect your compliance history. Technical Assistance: Today I discussed with you, J. Dowler and Mr. Watson, that the Shaken Baby Abusive Head Trauma policy must be reviewed with all staff prior to them providing care to children. We discussed that a TB test and medical report must be on file for each staff prior to employment. Emergency Information forms must be completed on or before the first day of work and then annually. All staff must have a completed application of employment on file. I assisted J. Dowler with accessing the DCDEE website on her office computer during today's visit and we discussed the many forms and documents available for use. We reviewed several of the forms, Moodle, and health and safety trainings. Resources: *The North Carolina Child Care Health and Safety Resource Center is a great resource for information and free childcare publications/posters. The website is healthychildcare.unc.edu. The DCDEE website has changed and has a lot of useful information and resources to help you succeed in providing a safe and healthy environment for the children in your care. You are encouraged to utilize the website on a regular basis. https://ncchildcare.ncdhhs.gov You may contact me if you have questions or need assistance. I can be reached at 910-610-7525 or via email at michell.kocan@dhhs.nc.gov. Thank you for your assistance during the visit. Michell Kocan Child Care Consultant Regulatory Services Section/DHHS Division of Child Development and Early Education 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