10A NCAC 09 .0701 · Violation

Name of Operation: GRACE ACADEMY Facility ID: 80000198 Consultant: ASHLYNN VAUGHAN Operation Type: Center Case Number: Visit Date: 12/16/2025 Number Present: 87 Completed Date: 12/16/2025 Age: From 1 To 5 Total Minutes: 335 Time In: 09:10 AM Time Out: 02:45 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 applicable child care requirements. Your last Annual Compliance Visit was conducted on January 8, 2025. Your compliance history score prior to today’s visit was 76%. You, Tammy Cale, Finance/Operations Manager, assisted me with today’s visit. Your facility, owned by Grace Bible Church of Rockwell was current and active with the NC Secretary of State as viewed on the NC Secretary of State website. This facility operates with a GS 110-106 Notice of Compliance. Effective July 15, 2025, this facility is licensed for one hundred and seventy-five children on first shift, ages 1-6 with the following restrictions: 1st shift, children under 2 ½ years old in rooms with direct exits only, and limited use of sanctuary. I observed the Safe Procedures for Arrival & Departure, current menu, Sanitation placard, Emergency Numbers, Emergency Medical Care Plan, staff-child ratio worksheets, First Aid poster, tobacco free policy signage, and evacuation plans posted as required. I completed the "Annual Compliance Monitoring Checklist for Centers" during today's visit. Today children were adequately supervised, staff-child ratios were maintained, adequate approved space was in use and permit restrictions were maintained during today’s visit. A walk-through of the indoor and outdoor spaces was completed. The children were observed during free choice activities indoors, teacher led activities, and transitions. Program records were monitored, including emergency drills, fire drills, monthly outdoor inspections, and incident logs. A sanitation inspection was conducted on November 10, 2025, with zero (0) demerits and a superior classification. A fire inspection was conducted on February 27, 2025. All medications and accompanying documentation were monitored. You stated that your program does not provide transportation. There have been thirteen new staff members hired since the last visit. I monitored the new staff files and a portion of the existing staff files. Health and Safety requirements were monitored. There are 119 children enrolled and I monitored a portion of the children’s records. The following violations were observed during today’s visit. Violation Number Comment Rule 533 Human milk, formula and other bottled beverages including sippy cups, sent from child's home were not fully prepared, dated, and labeled for the appropriate child. A bottle prepared and brought from home did not have a date on it. 15A NCAC 18A .2804(d) 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. In Space 5, an EpiPen did not have a pharmacy label. .0803(2)(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 employee (DOH: 5/22/2025) had a medical report dated 12/8/2023. One employee (DOH: 2/13/2025) did not have a medical report on file prior to employment that was signed by a health care professional. 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 employee (DOH: 5/22/2025) had a TB test dated 1/19/2024. One employee (DOH: 10/16/2025) did not provide results indicating they are free from active TB. .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. Two employees (DOH: 10/8/2025 and 11/10/2025) did not indicate a choice of healthcare professional on their Emergency Information Form. .0701(a) 1805 A child care operator did not notify the Division of any new child care providers, as defined in G.S. 110-90.2(a)(2), who were hired or moved into the child care facility within five business days. The Division was not notified within five business days of five new child care providers hired by the operator (DOH: 12/12/2024, 8/18/2025, 10/6/2025, 10/8/2025, and 11/10/2025). G.S. 110-90.2 & .2703(r) 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 employee (DOH: 9/8/2025) did not complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. .1102(g) Technical Assistance: • All human milk, formula, and other bottled beverages, including beverages in sippy cups, that are sent from home must be labeled with the date received at the child care center and the name of the child. You stated that all bottled beverages are brought into the classroom by the parent and the teacher calls for an assistant to take the bottle(s) to the refrigerator in the kitchen area. I suggested that the teacher check the bottles for the name and date prior to calling an assistant to take the bottle to the kitchen. Assistants and kitchen staff can complete a second check to ensure all bottles are labeled correctly. You corrected the violation today by putting today’s date on the child’s bottle. • Prescribed medications must be stored in the original containers in which they were dispensed and include the pharmacy label. I suggest that medications are checked for all information in the office by a member of the administration team prior to teachers accepting the medication in their classrooms. • Prior to employment, a statement signed by a health care professional that indicates that the person is emotionally and physically fit to care for children, must be on file. The medical statement cannot be older than 12 months. On or before the first day of work, the results indicating the individual is free of active tuberculosis must be obtained within the 12 months prior to the date of employment. When accepting paperwork during the hiring process, it is important that you review the information thoroughly prior to their first day of work. • The Emergency Information Form must include the name, address, and telephone number of the person to be contacted in case of an emergency, and the responsible party's choice of health care professional. I suggest that you make a list of health care professionals in the area available to staff members as they complete the Emergency Information Form and review the document for all required information prior to filing the form. • The Division must be notified within five business days when new employees have been hired by your facility. The process of notifying the Division changed in February 2024 and is now captured in ABCMS Provider Portal. To ensure the Division is notified within five business days, I suggest that staff members are added to the ABCMS Provider Portal as part of the new hire process. • All staff members must complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Recognizing and Responding to Suspicions of Child Maltreatment training is available at https://www.preventchildabusenc.org/resource-hub/recognizing-responding-to-child-maltreatment/. A certificate of each staff member's completion of this course shall be maintained in the staff member's file. To ensure that all staff members complete this training in a timely manner, I suggest that you put a visual reminder on the calendar of when the training is due. • DCDEE WEBSITE RESOURCES: -Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/. -Child Care Rules and Laws: https://ncchildcare.ncdhhs.gov/Services/Licensing/Getting-a-License -Training and Professional Development: https://ncchildcare.ncdhhs.gov/Provider/Training-and-Professional-Development -Required Health and Safety Training: https://ncchildcare.ncdhhs.gov/Provider/Training-and-Professional-Development/Health-and-Safety-Trainings -Care for Children Receiving Subsidy: https://ncchildcare.ncdhhs.gov/Provider/Providing-Child-Care/Subsidized-Child-Care/Care-for-Children-Receiving-Subsidy -DCDEE Updates, Current Projects, and information applicable to Child Care in NC: https://ncchildcare.ncdhhs.gov/Whats-New • Though not an issue today, we discussed that the child’s application must include the following information: the child's full name and the name the child is to be called; the child's date of birth; any allergies and the symptoms and type of response required for allergic reactions; any health care needs or concerns, symptoms of and the type of response required for these health care needs or concerns; fears or behavior characteristics that the child has; the names of individuals to whom the operator may release the child as authorized by the person who signs the application; the names and phone numbers of persons to be contacted in an emergency situation; the name and phone number of the child's physician; and authorization for the operator to seek emergency medical care in the parent's absence. • Though not an issues today, we discussed that the parent or health care provider of each child under 15 months of age shall provide the center an individual written feeding plan for the child. This plan shall be followed at the center. This plan shall include the child's name, be signed by the parent or health care provider, and be dated when received by the center. Each infant's plan shall be modified in consultation with the child's parent or health care provider to reflect changes in the child's needs as he or she develops. The feeding instructions for each infant shall include the type and amount of milk, formula and food, the frequency of feedings and be posted for reference by the caregivers Child care programs are required to maintain compliance with all applicable child care rules and regulations at all times. North Carolina General Statute 110-90(4)(d) requires all child care facilities to maintain a compliance history of at least seventy-five percent (75%) for the past eighteen (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 against the facility's license. Any violations cited during a visit may affect your score. COMPLIANCE PLAN: Violations must be corrected immediately. A signed and dated letter of compliance must be received by me no later than 12/30/2025. Your compliance documentation must include the following: • The name of your facility • The ID number of your facility • The date you write the letter • A corrective action statement for each violation stating how you corrected the violation and are now in compliance. • Your signature Please mail or email a signed copy of the letter to: Mailing Address: P.O. Box 1078 Faith, NC 28041 Email: ashlynn.vaughan@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. If a letter is not received by the required date an unannounced follow-up visit may be conducted to confirm the violations were corrected or an administrative action may be recommended. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development and Early Education may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Please Note: Please be aware that any information submitted by you is legal documentation. If you state in your compliance letter that corrections have been made when they have not, it will be considered falsification of information. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you today. We appreciate all you and your staff do to serve the children and families in your community. If you have any questions, feel free to contact me by phone at (704) 330-3722 or by email at ashlynn.vaughan@dhhs.nc.gov or my supervisor, Erin Pickard, at erin.pickard@dhhs.nc.gov. Thank you for your time today. 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.

G.S. 110-90 · Violation

Name of Operation: GRACE ACADEMY Facility ID: 80000198 Consultant: ASHLYNN VAUGHAN Operation Type: Center Case Number: Visit Date: 12/16/2025 Number Present: 87 Completed Date: 12/16/2025 Age: From 1 To 5 Total Minutes: 335 Time In: 09:10 AM Time Out: 02:45 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 applicable child care requirements. Your last Annual Compliance Visit was conducted on January 8, 2025. Your compliance history score prior to today’s visit was 76%. You, Tammy Cale, Finance/Operations Manager, assisted me with today’s visit. Your facility, owned by Grace Bible Church of Rockwell was current and active with the NC Secretary of State as viewed on the NC Secretary of State website. This facility operates with a GS 110-106 Notice of Compliance. Effective July 15, 2025, this facility is licensed for one hundred and seventy-five children on first shift, ages 1-6 with the following restrictions: 1st shift, children under 2 ½ years old in rooms with direct exits only, and limited use of sanctuary. I observed the Safe Procedures for Arrival & Departure, current menu, Sanitation placard, Emergency Numbers, Emergency Medical Care Plan, staff-child ratio worksheets, First Aid poster, tobacco free policy signage, and evacuation plans posted as required. I completed the "Annual Compliance Monitoring Checklist for Centers" during today's visit. Today children were adequately supervised, staff-child ratios were maintained, adequate approved space was in use and permit restrictions were maintained during today’s visit. A walk-through of the indoor and outdoor spaces was completed. The children were observed during free choice activities indoors, teacher led activities, and transitions. Program records were monitored, including emergency drills, fire drills, monthly outdoor inspections, and incident logs. A sanitation inspection was conducted on November 10, 2025, with zero (0) demerits and a superior classification. A fire inspection was conducted on February 27, 2025. All medications and accompanying documentation were monitored. You stated that your program does not provide transportation. There have been thirteen new staff members hired since the last visit. I monitored the new staff files and a portion of the existing staff files. Health and Safety requirements were monitored. There are 119 children enrolled and I monitored a portion of the children’s records. The following violations were observed during today’s visit. Violation Number Comment Rule 533 Human milk, formula and other bottled beverages including sippy cups, sent from child's home were not fully prepared, dated, and labeled for the appropriate child. A bottle prepared and brought from home did not have a date on it. 15A NCAC 18A .2804(d) 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. In Space 5, an EpiPen did not have a pharmacy label. .0803(2)(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 employee (DOH: 5/22/2025) had a medical report dated 12/8/2023. One employee (DOH: 2/13/2025) did not have a medical report on file prior to employment that was signed by a health care professional. 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 employee (DOH: 5/22/2025) had a TB test dated 1/19/2024. One employee (DOH: 10/16/2025) did not provide results indicating they are free from active TB. .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. Two employees (DOH: 10/8/2025 and 11/10/2025) did not indicate a choice of healthcare professional on their Emergency Information Form. .0701(a) 1805 A child care operator did not notify the Division of any new child care providers, as defined in G.S. 110-90.2(a)(2), who were hired or moved into the child care facility within five business days. The Division was not notified within five business days of five new child care providers hired by the operator (DOH: 12/12/2024, 8/18/2025, 10/6/2025, 10/8/2025, and 11/10/2025). G.S. 110-90.2 & .2703(r) 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 employee (DOH: 9/8/2025) did not complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. .1102(g) Technical Assistance: • All human milk, formula, and other bottled beverages, including beverages in sippy cups, that are sent from home must be labeled with the date received at the child care center and the name of the child. You stated that all bottled beverages are brought into the classroom by the parent and the teacher calls for an assistant to take the bottle(s) to the refrigerator in the kitchen area. I suggested that the teacher check the bottles for the name and date prior to calling an assistant to take the bottle to the kitchen. Assistants and kitchen staff can complete a second check to ensure all bottles are labeled correctly. You corrected the violation today by putting today’s date on the child’s bottle. • Prescribed medications must be stored in the original containers in which they were dispensed and include the pharmacy label. I suggest that medications are checked for all information in the office by a member of the administration team prior to teachers accepting the medication in their classrooms. • Prior to employment, a statement signed by a health care professional that indicates that the person is emotionally and physically fit to care for children, must be on file. The medical statement cannot be older than 12 months. On or before the first day of work, the results indicating the individual is free of active tuberculosis must be obtained within the 12 months prior to the date of employment. When accepting paperwork during the hiring process, it is important that you review the information thoroughly prior to their first day of work. • The Emergency Information Form must include the name, address, and telephone number of the person to be contacted in case of an emergency, and the responsible party's choice of health care professional. I suggest that you make a list of health care professionals in the area available to staff members as they complete the Emergency Information Form and review the document for all required information prior to filing the form. • The Division must be notified within five business days when new employees have been hired by your facility. The process of notifying the Division changed in February 2024 and is now captured in ABCMS Provider Portal. To ensure the Division is notified within five business days, I suggest that staff members are added to the ABCMS Provider Portal as part of the new hire process. • All staff members must complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Recognizing and Responding to Suspicions of Child Maltreatment training is available at https://www.preventchildabusenc.org/resource-hub/recognizing-responding-to-child-maltreatment/. A certificate of each staff member's completion of this course shall be maintained in the staff member's file. To ensure that all staff members complete this training in a timely manner, I suggest that you put a visual reminder on the calendar of when the training is due. • DCDEE WEBSITE RESOURCES: -Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/. -Child Care Rules and Laws: https://ncchildcare.ncdhhs.gov/Services/Licensing/Getting-a-License -Training and Professional Development: https://ncchildcare.ncdhhs.gov/Provider/Training-and-Professional-Development -Required Health and Safety Training: https://ncchildcare.ncdhhs.gov/Provider/Training-and-Professional-Development/Health-and-Safety-Trainings -Care for Children Receiving Subsidy: https://ncchildcare.ncdhhs.gov/Provider/Providing-Child-Care/Subsidized-Child-Care/Care-for-Children-Receiving-Subsidy -DCDEE Updates, Current Projects, and information applicable to Child Care in NC: https://ncchildcare.ncdhhs.gov/Whats-New • Though not an issue today, we discussed that the child’s application must include the following information: the child's full name and the name the child is to be called; the child's date of birth; any allergies and the symptoms and type of response required for allergic reactions; any health care needs or concerns, symptoms of and the type of response required for these health care needs or concerns; fears or behavior characteristics that the child has; the names of individuals to whom the operator may release the child as authorized by the person who signs the application; the names and phone numbers of persons to be contacted in an emergency situation; the name and phone number of the child's physician; and authorization for the operator to seek emergency medical care in the parent's absence. • Though not an issues today, we discussed that the parent or health care provider of each child under 15 months of age shall provide the center an individual written feeding plan for the child. This plan shall be followed at the center. This plan shall include the child's name, be signed by the parent or health care provider, and be dated when received by the center. Each infant's plan shall be modified in consultation with the child's parent or health care provider to reflect changes in the child's needs as he or she develops. The feeding instructions for each infant shall include the type and amount of milk, formula and food, the frequency of feedings and be posted for reference by the caregivers Child care programs are required to maintain compliance with all applicable child care rules and regulations at all times. North Carolina General Statute 110-90(4)(d) requires all child care facilities to maintain a compliance history of at least seventy-five percent (75%) for the past eighteen (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 against the facility's license. Any violations cited during a visit may affect your score. COMPLIANCE PLAN: Violations must be corrected immediately. A signed and dated letter of compliance must be received by me no later than 12/30/2025. Your compliance documentation must include the following: • The name of your facility • The ID number of your facility • The date you write the letter • A corrective action statement for each violation stating how you corrected the violation and are now in compliance. • Your signature Please mail or email a signed copy of the letter to: Mailing Address: P.O. Box 1078 Faith, NC 28041 Email: ashlynn.vaughan@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. If a letter is not received by the required date an unannounced follow-up visit may be conducted to confirm the violations were corrected or an administrative action may be recommended. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development and Early Education may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Please Note: Please be aware that any information submitted by you is legal documentation. If you state in your compliance letter that corrections have been made when they have not, it will be considered falsification of information. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you today. We appreciate all you and your staff do to serve the children and families in your community. If you have any questions, feel free to contact me by phone at (704) 330-3722 or by email at ashlynn.vaughan@dhhs.nc.gov or my supervisor, Erin Pickard, at erin.pickard@dhhs.nc.gov. Thank you for your time today. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

GS 110-106 · Violation

Name of Operation: GRACE ACADEMY Facility ID: 80000198 Consultant: ASHLYNN VAUGHAN Operation Type: Center Case Number: Visit Date: 12/16/2025 Number Present: 87 Completed Date: 12/16/2025 Age: From 1 To 5 Total Minutes: 335 Time In: 09:10 AM Time Out: 02:45 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 applicable child care requirements. Your last Annual Compliance Visit was conducted on January 8, 2025. Your compliance history score prior to today’s visit was 76%. You, Tammy Cale, Finance/Operations Manager, assisted me with today’s visit. Your facility, owned by Grace Bible Church of Rockwell was current and active with the NC Secretary of State as viewed on the NC Secretary of State website. This facility operates with a GS 110-106 Notice of Compliance. Effective July 15, 2025, this facility is licensed for one hundred and seventy-five children on first shift, ages 1-6 with the following restrictions: 1st shift, children under 2 ½ years old in rooms with direct exits only, and limited use of sanctuary. I observed the Safe Procedures for Arrival & Departure, current menu, Sanitation placard, Emergency Numbers, Emergency Medical Care Plan, staff-child ratio worksheets, First Aid poster, tobacco free policy signage, and evacuation plans posted as required. I completed the "Annual Compliance Monitoring Checklist for Centers" during today's visit. Today children were adequately supervised, staff-child ratios were maintained, adequate approved space was in use and permit restrictions were maintained during today’s visit. A walk-through of the indoor and outdoor spaces was completed. The children were observed during free choice activities indoors, teacher led activities, and transitions. Program records were monitored, including emergency drills, fire drills, monthly outdoor inspections, and incident logs. A sanitation inspection was conducted on November 10, 2025, with zero (0) demerits and a superior classification. A fire inspection was conducted on February 27, 2025. All medications and accompanying documentation were monitored. You stated that your program does not provide transportation. There have been thirteen new staff members hired since the last visit. I monitored the new staff files and a portion of the existing staff files. Health and Safety requirements were monitored. There are 119 children enrolled and I monitored a portion of the children’s records. The following violations were observed during today’s visit. Violation Number Comment Rule 533 Human milk, formula and other bottled beverages including sippy cups, sent from child's home were not fully prepared, dated, and labeled for the appropriate child. A bottle prepared and brought from home did not have a date on it. 15A NCAC 18A .2804(d) 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. In Space 5, an EpiPen did not have a pharmacy label. .0803(2)(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 employee (DOH: 5/22/2025) had a medical report dated 12/8/2023. One employee (DOH: 2/13/2025) did not have a medical report on file prior to employment that was signed by a health care professional. 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 employee (DOH: 5/22/2025) had a TB test dated 1/19/2024. One employee (DOH: 10/16/2025) did not provide results indicating they are free from active TB. .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. Two employees (DOH: 10/8/2025 and 11/10/2025) did not indicate a choice of healthcare professional on their Emergency Information Form. .0701(a) 1805 A child care operator did not notify the Division of any new child care providers, as defined in G.S. 110-90.2(a)(2), who were hired or moved into the child care facility within five business days. The Division was not notified within five business days of five new child care providers hired by the operator (DOH: 12/12/2024, 8/18/2025, 10/6/2025, 10/8/2025, and 11/10/2025). G.S. 110-90.2 & .2703(r) 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 employee (DOH: 9/8/2025) did not complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. .1102(g) Technical Assistance: • All human milk, formula, and other bottled beverages, including beverages in sippy cups, that are sent from home must be labeled with the date received at the child care center and the name of the child. You stated that all bottled beverages are brought into the classroom by the parent and the teacher calls for an assistant to take the bottle(s) to the refrigerator in the kitchen area. I suggested that the teacher check the bottles for the name and date prior to calling an assistant to take the bottle to the kitchen. Assistants and kitchen staff can complete a second check to ensure all bottles are labeled correctly. You corrected the violation today by putting today’s date on the child’s bottle. • Prescribed medications must be stored in the original containers in which they were dispensed and include the pharmacy label. I suggest that medications are checked for all information in the office by a member of the administration team prior to teachers accepting the medication in their classrooms. • Prior to employment, a statement signed by a health care professional that indicates that the person is emotionally and physically fit to care for children, must be on file. The medical statement cannot be older than 12 months. On or before the first day of work, the results indicating the individual is free of active tuberculosis must be obtained within the 12 months prior to the date of employment. When accepting paperwork during the hiring process, it is important that you review the information thoroughly prior to their first day of work. • The Emergency Information Form must include the name, address, and telephone number of the person to be contacted in case of an emergency, and the responsible party's choice of health care professional. I suggest that you make a list of health care professionals in the area available to staff members as they complete the Emergency Information Form and review the document for all required information prior to filing the form. • The Division must be notified within five business days when new employees have been hired by your facility. The process of notifying the Division changed in February 2024 and is now captured in ABCMS Provider Portal. To ensure the Division is notified within five business days, I suggest that staff members are added to the ABCMS Provider Portal as part of the new hire process. • All staff members must complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Recognizing and Responding to Suspicions of Child Maltreatment training is available at https://www.preventchildabusenc.org/resource-hub/recognizing-responding-to-child-maltreatment/. A certificate of each staff member's completion of this course shall be maintained in the staff member's file. To ensure that all staff members complete this training in a timely manner, I suggest that you put a visual reminder on the calendar of when the training is due. • DCDEE WEBSITE RESOURCES: -Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/. -Child Care Rules and Laws: https://ncchildcare.ncdhhs.gov/Services/Licensing/Getting-a-License -Training and Professional Development: https://ncchildcare.ncdhhs.gov/Provider/Training-and-Professional-Development -Required Health and Safety Training: https://ncchildcare.ncdhhs.gov/Provider/Training-and-Professional-Development/Health-and-Safety-Trainings -Care for Children Receiving Subsidy: https://ncchildcare.ncdhhs.gov/Provider/Providing-Child-Care/Subsidized-Child-Care/Care-for-Children-Receiving-Subsidy -DCDEE Updates, Current Projects, and information applicable to Child Care in NC: https://ncchildcare.ncdhhs.gov/Whats-New • Though not an issue today, we discussed that the child’s application must include the following information: the child's full name and the name the child is to be called; the child's date of birth; any allergies and the symptoms and type of response required for allergic reactions; any health care needs or concerns, symptoms of and the type of response required for these health care needs or concerns; fears or behavior characteristics that the child has; the names of individuals to whom the operator may release the child as authorized by the person who signs the application; the names and phone numbers of persons to be contacted in an emergency situation; the name and phone number of the child's physician; and authorization for the operator to seek emergency medical care in the parent's absence. • Though not an issues today, we discussed that the parent or health care provider of each child under 15 months of age shall provide the center an individual written feeding plan for the child. This plan shall be followed at the center. This plan shall include the child's name, be signed by the parent or health care provider, and be dated when received by the center. Each infant's plan shall be modified in consultation with the child's parent or health care provider to reflect changes in the child's needs as he or she develops. The feeding instructions for each infant shall include the type and amount of milk, formula and food, the frequency of feedings and be posted for reference by the caregivers Child care programs are required to maintain compliance with all applicable child care rules and regulations at all times. North Carolina General Statute 110-90(4)(d) requires all child care facilities to maintain a compliance history of at least seventy-five percent (75%) for the past eighteen (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 against the facility's license. Any violations cited during a visit may affect your score. COMPLIANCE PLAN: Violations must be corrected immediately. A signed and dated letter of compliance must be received by me no later than 12/30/2025. Your compliance documentation must include the following: • The name of your facility • The ID number of your facility • The date you write the letter • A corrective action statement for each violation stating how you corrected the violation and are now in compliance. • Your signature Please mail or email a signed copy of the letter to: Mailing Address: P.O. Box 1078 Faith, NC 28041 Email: ashlynn.vaughan@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. If a letter is not received by the required date an unannounced follow-up visit may be conducted to confirm the violations were corrected or an administrative action may be recommended. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development and Early Education may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Please Note: Please be aware that any information submitted by you is legal documentation. If you state in your compliance letter that corrections have been made when they have not, it will be considered falsification of information. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you today. We appreciate all you and your staff do to serve the children and families in your community. If you have any questions, feel free to contact me by phone at (704) 330-3722 or by email at ashlynn.vaughan@dhhs.nc.gov or my supervisor, Erin Pickard, at erin.pickard@dhhs.nc.gov. Thank you for your time today. 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: GRACE ACADEMY Facility ID: 80000198 Consultant: ASHLYNN VAUGHAN Operation Type: Center Case Number: Visit Date: 1/8/2025 Number Present: 97 Completed Date: 1/8/2025 Age: From 2 To 5 Total Minutes: 392 Time In: 09:28 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 applicable child care requirements during an annual compliance visit. Your last Annual Compliance Visit was conducted on February 8, 2024. Your compliance history score prior to today’s visit was 81%. You, Tammy Cale, Finance/Operations Manager, assisted me with today’s visit. Your facility, owned by Grace Bible Church of Rockwell was current and active with the NC Secretary of State as viewed on the NC Secretary of State website. This facility operates with a GS 110-106 Notice of Compliance. This facility is licensed for one hundred and seventy-five children on first shift, ages 2-12. I observed the Safe Procedures for Arrival & Departure, current menu, Sanitation placard, Emergency Numbers, Emergency Medical Care Plan, staff-child ratio worksheets, First Aid poster, tobacco free policy signage, and evacuation plans posted as required. I completed the "Annual Compliance Monitoring Checklist for Centers" during today's visit. Today children were adequately supervised, staff-child ratios were maintained, adequate approved space was in use and permit restrictions were maintained during today’s visit. A walk-through of the indoor and outdoor spaces was completed. The children were observed during free choice activities indoors, teacher led activities, transitions, and preparing for rest time. Program records were monitored, including emergency drills, fire drills, monthly outdoor inspections, and incident logs. A sanitation inspection was conducted on November 25, 2024, with five (5) demerits and a superior classification. A fire inspection was conducted on February 13, 2024. We discussed contacting the fire inspector to schedule your annual inspection. Please submit a copy to me when completed. All medications and accompanying documentation were monitored. You stated that your program provides transportation for periodic field trips. I monitored the vehicle and documents today. There have been nine new staff members hired since the last visit. I monitored the new staff files and a portion of the existing staff files. Health and Safety requirements were monitored. There are 103 children enrolled and I monitored a portion of the children’s records. The following violations were observed during today’s visit. Violation Number Comment Rule 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. In Space 3, an EpiPen was not in an original pharmacy labeled container. .0803(2)(a) 847 Parent's medication authorization did not include required information. In Space 3, an EpiPen did not have a Medication Administration Permission Form. 10A NCAC 09 .0803(4)(6-9) 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 3, a Desitin cream was not returned to the parent after the authorization had expired on 11/2/2024. .0803(12) 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. Two staff members have not reviewed the Emergency Medical Care Plan annually. 10A NCAC 09 .0802(a) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. Three staff members do not have an annual health questionnaire on file. .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. Four staff members do not have an updated annual Emergency Information Form on file. .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. A staff member hired 8/5/2024 did not have verification of First Aid training from an approved training organization. .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. A staff member hired 8/5/2024 did not have verification of CPR training from an approved training organization. .1102(d) 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. A staff member hired on 10/21/2024 signed the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy on 12/18/2024. .0608(d)(1-4) 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. Two staff members have not completed Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. .1102(g) Technical Assistance: • Prior to accepting medications, staff members should thoroughly review the Medication Administration Permission Form to verify that all required information is included. Staff should also ensure that both prescribed and over-the-counter medications are in their original containers and clearly labeled with the child’s name. All medications must be sent home or discarded within 72 hours of treatment or withdrawal of authorization. Today, we discussed having administration conduct a monthly check of medications in each classroom to ensure compliance. • When accepting First Aid and CPR certificates from new staff members, utilize the "Be a Smart Consumer of First Aid and CPR Training" document found on the DCDEE website to identify trainings that meet the NC child care requirements. I demonstrated how to find this on the Division’s website today. • When hiring new staff, I recommend utilizing the Staff Checklist found on the DCDEE website to ensure that all required documents and trainings are obtained by their due date. We discussed using the Staff and Training worksheet as a reminder to update annual documentation for existing staff, such as the Emergency Information Form, Health Questionnaire, Emergency Preparedness Response Plan, and Emergency Medical Care Plan. You can review these annually at staff meetings held at the beginning of the year to ensure that all staff members have reviewed and updated the necessary information. Consultation: • As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. • Child care rule 10A NCAC 09 .0304 which requires a child care center operator to: schedule and obtain a fire inspection within 12 months of the center's previous fire inspection, to notify the local fire inspector when it is time for the center's annual fire inspection, and to submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division. • Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/. Here are some important links on the DCEEE website that may be helpful: -Child Care Rules and Laws: https://ncchildcare.ncdhhs.gov/Services/Licensing/Getting-a-License -Training and Professional Development: https://ncchildcare.ncdhhs.gov/Provider/Training-and-Professional-Development -Required Health and Safety Training: https://ncchildcare.ncdhhs.gov/Provider/Training-and-Professional-Development/Health-and-Safety-Trainings -Care for Children Receiving Subsidy: https://ncchildcare.ncdhhs.gov/Provider/Providing-Child-Care/Subsidized-Child-Care/Care-for-Children-Receiving-Subsidy -DCDEE Updates, Current Projects, and information applicable to Child Care in NC: https://ncchildcare.ncdhhs.gov/Whats-New Child care programs are required to maintain compliance with all applicable child care rules and regulations at all times. North Carolina General Statute 110-90(4)(d) requires all child care facilities to maintain a compliance history of at least seventy-five percent (75%) for the past eighteen (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 against the facility's license. Any violations cited during a visit may affect your score. COMPLIANCE PLAN: Violations must be corrected immediately. A signed and dated letter of compliance must be received by me no later than 1/22/2025. Your compliance documentation must include the following: • The name of your facility • The ID number of your facility • The date you write the letter • A corrective action statement for each violation stating how you corrected the violation and are now in compliance. • A compliance plan statement for each violation stating how you plan to ensure that you will not have that violation again. • Your signature Please mail or email a signed copy of the letter to: Mailing Address: P.O. Box 1078 Faith, NC 28041 Email: ashlynn.vaughan@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. If a letter is not received by the required date an unannounced follow-up visit may be conducted to confirm the violations were corrected or an administrative action may be recommended. Based on Child Care Rule 10A https://www.msn.com/enus/feedNCAC 09 Section .2200, the Division of Child Development and Early Education may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Please Note: Please be aware that any information submitted by you is legal documentation. If you state in your compliance letter that corrections have been made when they have not, it will be considered falsification of information. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you today. We appreciate all you and your staff do to serve the children and families in your community. If you have any questions, feel free to contact me by phone at (704) 330-3722 or by email at ashlynn.vaughan@dhhs.nc.gov or my supervisor, Erin Pickard, at erin.pickard@dhhs.nc.gov. Thank you for your time today. 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 .0802 · Violation

Name of Operation: GRACE ACADEMY Facility ID: 80000198 Consultant: ASHLYNN VAUGHAN Operation Type: Center Case Number: Visit Date: 1/8/2025 Number Present: 97 Completed Date: 1/8/2025 Age: From 2 To 5 Total Minutes: 392 Time In: 09:28 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 applicable child care requirements during an annual compliance visit. Your last Annual Compliance Visit was conducted on February 8, 2024. Your compliance history score prior to today’s visit was 81%. You, Tammy Cale, Finance/Operations Manager, assisted me with today’s visit. Your facility, owned by Grace Bible Church of Rockwell was current and active with the NC Secretary of State as viewed on the NC Secretary of State website. This facility operates with a GS 110-106 Notice of Compliance. This facility is licensed for one hundred and seventy-five children on first shift, ages 2-12. I observed the Safe Procedures for Arrival & Departure, current menu, Sanitation placard, Emergency Numbers, Emergency Medical Care Plan, staff-child ratio worksheets, First Aid poster, tobacco free policy signage, and evacuation plans posted as required. I completed the "Annual Compliance Monitoring Checklist for Centers" during today's visit. Today children were adequately supervised, staff-child ratios were maintained, adequate approved space was in use and permit restrictions were maintained during today’s visit. A walk-through of the indoor and outdoor spaces was completed. The children were observed during free choice activities indoors, teacher led activities, transitions, and preparing for rest time. Program records were monitored, including emergency drills, fire drills, monthly outdoor inspections, and incident logs. A sanitation inspection was conducted on November 25, 2024, with five (5) demerits and a superior classification. A fire inspection was conducted on February 13, 2024. We discussed contacting the fire inspector to schedule your annual inspection. Please submit a copy to me when completed. All medications and accompanying documentation were monitored. You stated that your program provides transportation for periodic field trips. I monitored the vehicle and documents today. There have been nine new staff members hired since the last visit. I monitored the new staff files and a portion of the existing staff files. Health and Safety requirements were monitored. There are 103 children enrolled and I monitored a portion of the children’s records. The following violations were observed during today’s visit. Violation Number Comment Rule 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. In Space 3, an EpiPen was not in an original pharmacy labeled container. .0803(2)(a) 847 Parent's medication authorization did not include required information. In Space 3, an EpiPen did not have a Medication Administration Permission Form. 10A NCAC 09 .0803(4)(6-9) 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 3, a Desitin cream was not returned to the parent after the authorization had expired on 11/2/2024. .0803(12) 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. Two staff members have not reviewed the Emergency Medical Care Plan annually. 10A NCAC 09 .0802(a) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. Three staff members do not have an annual health questionnaire on file. .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. Four staff members do not have an updated annual Emergency Information Form on file. .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. A staff member hired 8/5/2024 did not have verification of First Aid training from an approved training organization. .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. A staff member hired 8/5/2024 did not have verification of CPR training from an approved training organization. .1102(d) 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. A staff member hired on 10/21/2024 signed the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy on 12/18/2024. .0608(d)(1-4) 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. Two staff members have not completed Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. .1102(g) Technical Assistance: • Prior to accepting medications, staff members should thoroughly review the Medication Administration Permission Form to verify that all required information is included. Staff should also ensure that both prescribed and over-the-counter medications are in their original containers and clearly labeled with the child’s name. All medications must be sent home or discarded within 72 hours of treatment or withdrawal of authorization. Today, we discussed having administration conduct a monthly check of medications in each classroom to ensure compliance. • When accepting First Aid and CPR certificates from new staff members, utilize the "Be a Smart Consumer of First Aid and CPR Training" document found on the DCDEE website to identify trainings that meet the NC child care requirements. I demonstrated how to find this on the Division’s website today. • When hiring new staff, I recommend utilizing the Staff Checklist found on the DCDEE website to ensure that all required documents and trainings are obtained by their due date. We discussed using the Staff and Training worksheet as a reminder to update annual documentation for existing staff, such as the Emergency Information Form, Health Questionnaire, Emergency Preparedness Response Plan, and Emergency Medical Care Plan. You can review these annually at staff meetings held at the beginning of the year to ensure that all staff members have reviewed and updated the necessary information. Consultation: • As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. • Child care rule 10A NCAC 09 .0304 which requires a child care center operator to: schedule and obtain a fire inspection within 12 months of the center's previous fire inspection, to notify the local fire inspector when it is time for the center's annual fire inspection, and to submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division. • Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/. Here are some important links on the DCEEE website that may be helpful: -Child Care Rules and Laws: https://ncchildcare.ncdhhs.gov/Services/Licensing/Getting-a-License -Training and Professional Development: https://ncchildcare.ncdhhs.gov/Provider/Training-and-Professional-Development -Required Health and Safety Training: https://ncchildcare.ncdhhs.gov/Provider/Training-and-Professional-Development/Health-and-Safety-Trainings -Care for Children Receiving Subsidy: https://ncchildcare.ncdhhs.gov/Provider/Providing-Child-Care/Subsidized-Child-Care/Care-for-Children-Receiving-Subsidy -DCDEE Updates, Current Projects, and information applicable to Child Care in NC: https://ncchildcare.ncdhhs.gov/Whats-New Child care programs are required to maintain compliance with all applicable child care rules and regulations at all times. North Carolina General Statute 110-90(4)(d) requires all child care facilities to maintain a compliance history of at least seventy-five percent (75%) for the past eighteen (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 against the facility's license. Any violations cited during a visit may affect your score. COMPLIANCE PLAN: Violations must be corrected immediately. A signed and dated letter of compliance must be received by me no later than 1/22/2025. Your compliance documentation must include the following: • The name of your facility • The ID number of your facility • The date you write the letter • A corrective action statement for each violation stating how you corrected the violation and are now in compliance. • A compliance plan statement for each violation stating how you plan to ensure that you will not have that violation again. • Your signature Please mail or email a signed copy of the letter to: Mailing Address: P.O. Box 1078 Faith, NC 28041 Email: ashlynn.vaughan@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. If a letter is not received by the required date an unannounced follow-up visit may be conducted to confirm the violations were corrected or an administrative action may be recommended. Based on Child Care Rule 10A https://www.msn.com/enus/feedNCAC 09 Section .2200, the Division of Child Development and Early Education may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Please Note: Please be aware that any information submitted by you is legal documentation. If you state in your compliance letter that corrections have been made when they have not, it will be considered falsification of information. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you today. We appreciate all you and your staff do to serve the children and families in your community. If you have any questions, feel free to contact me by phone at (704) 330-3722 or by email at ashlynn.vaughan@dhhs.nc.gov or my supervisor, Erin Pickard, at erin.pickard@dhhs.nc.gov. Thank you for your time today. 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: GRACE ACADEMY Facility ID: 80000198 Consultant: ASHLYNN VAUGHAN Operation Type: Center Case Number: Visit Date: 1/8/2025 Number Present: 97 Completed Date: 1/8/2025 Age: From 2 To 5 Total Minutes: 392 Time In: 09:28 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 applicable child care requirements during an annual compliance visit. Your last Annual Compliance Visit was conducted on February 8, 2024. Your compliance history score prior to today’s visit was 81%. You, Tammy Cale, Finance/Operations Manager, assisted me with today’s visit. Your facility, owned by Grace Bible Church of Rockwell was current and active with the NC Secretary of State as viewed on the NC Secretary of State website. This facility operates with a GS 110-106 Notice of Compliance. This facility is licensed for one hundred and seventy-five children on first shift, ages 2-12. I observed the Safe Procedures for Arrival & Departure, current menu, Sanitation placard, Emergency Numbers, Emergency Medical Care Plan, staff-child ratio worksheets, First Aid poster, tobacco free policy signage, and evacuation plans posted as required. I completed the "Annual Compliance Monitoring Checklist for Centers" during today's visit. Today children were adequately supervised, staff-child ratios were maintained, adequate approved space was in use and permit restrictions were maintained during today’s visit. A walk-through of the indoor and outdoor spaces was completed. The children were observed during free choice activities indoors, teacher led activities, transitions, and preparing for rest time. Program records were monitored, including emergency drills, fire drills, monthly outdoor inspections, and incident logs. A sanitation inspection was conducted on November 25, 2024, with five (5) demerits and a superior classification. A fire inspection was conducted on February 13, 2024. We discussed contacting the fire inspector to schedule your annual inspection. Please submit a copy to me when completed. All medications and accompanying documentation were monitored. You stated that your program provides transportation for periodic field trips. I monitored the vehicle and documents today. There have been nine new staff members hired since the last visit. I monitored the new staff files and a portion of the existing staff files. Health and Safety requirements were monitored. There are 103 children enrolled and I monitored a portion of the children’s records. The following violations were observed during today’s visit. Violation Number Comment Rule 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. In Space 3, an EpiPen was not in an original pharmacy labeled container. .0803(2)(a) 847 Parent's medication authorization did not include required information. In Space 3, an EpiPen did not have a Medication Administration Permission Form. 10A NCAC 09 .0803(4)(6-9) 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 3, a Desitin cream was not returned to the parent after the authorization had expired on 11/2/2024. .0803(12) 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. Two staff members have not reviewed the Emergency Medical Care Plan annually. 10A NCAC 09 .0802(a) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. Three staff members do not have an annual health questionnaire on file. .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. Four staff members do not have an updated annual Emergency Information Form on file. .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. A staff member hired 8/5/2024 did not have verification of First Aid training from an approved training organization. .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. A staff member hired 8/5/2024 did not have verification of CPR training from an approved training organization. .1102(d) 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. A staff member hired on 10/21/2024 signed the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy on 12/18/2024. .0608(d)(1-4) 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. Two staff members have not completed Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. .1102(g) Technical Assistance: • Prior to accepting medications, staff members should thoroughly review the Medication Administration Permission Form to verify that all required information is included. Staff should also ensure that both prescribed and over-the-counter medications are in their original containers and clearly labeled with the child’s name. All medications must be sent home or discarded within 72 hours of treatment or withdrawal of authorization. Today, we discussed having administration conduct a monthly check of medications in each classroom to ensure compliance. • When accepting First Aid and CPR certificates from new staff members, utilize the "Be a Smart Consumer of First Aid and CPR Training" document found on the DCDEE website to identify trainings that meet the NC child care requirements. I demonstrated how to find this on the Division’s website today. • When hiring new staff, I recommend utilizing the Staff Checklist found on the DCDEE website to ensure that all required documents and trainings are obtained by their due date. We discussed using the Staff and Training worksheet as a reminder to update annual documentation for existing staff, such as the Emergency Information Form, Health Questionnaire, Emergency Preparedness Response Plan, and Emergency Medical Care Plan. You can review these annually at staff meetings held at the beginning of the year to ensure that all staff members have reviewed and updated the necessary information. Consultation: • As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. • Child care rule 10A NCAC 09 .0304 which requires a child care center operator to: schedule and obtain a fire inspection within 12 months of the center's previous fire inspection, to notify the local fire inspector when it is time for the center's annual fire inspection, and to submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division. • Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/. Here are some important links on the DCEEE website that may be helpful: -Child Care Rules and Laws: https://ncchildcare.ncdhhs.gov/Services/Licensing/Getting-a-License -Training and Professional Development: https://ncchildcare.ncdhhs.gov/Provider/Training-and-Professional-Development -Required Health and Safety Training: https://ncchildcare.ncdhhs.gov/Provider/Training-and-Professional-Development/Health-and-Safety-Trainings -Care for Children Receiving Subsidy: https://ncchildcare.ncdhhs.gov/Provider/Providing-Child-Care/Subsidized-Child-Care/Care-for-Children-Receiving-Subsidy -DCDEE Updates, Current Projects, and information applicable to Child Care in NC: https://ncchildcare.ncdhhs.gov/Whats-New Child care programs are required to maintain compliance with all applicable child care rules and regulations at all times. North Carolina General Statute 110-90(4)(d) requires all child care facilities to maintain a compliance history of at least seventy-five percent (75%) for the past eighteen (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 against the facility's license. Any violations cited during a visit may affect your score. COMPLIANCE PLAN: Violations must be corrected immediately. A signed and dated letter of compliance must be received by me no later than 1/22/2025. Your compliance documentation must include the following: • The name of your facility • The ID number of your facility • The date you write the letter • A corrective action statement for each violation stating how you corrected the violation and are now in compliance. • A compliance plan statement for each violation stating how you plan to ensure that you will not have that violation again. • Your signature Please mail or email a signed copy of the letter to: Mailing Address: P.O. Box 1078 Faith, NC 28041 Email: ashlynn.vaughan@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. If a letter is not received by the required date an unannounced follow-up visit may be conducted to confirm the violations were corrected or an administrative action may be recommended. Based on Child Care Rule 10A https://www.msn.com/enus/feedNCAC 09 Section .2200, the Division of Child Development and Early Education may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Please Note: Please be aware that any information submitted by you is legal documentation. If you state in your compliance letter that corrections have been made when they have not, it will be considered falsification of information. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you today. We appreciate all you and your staff do to serve the children and families in your community. If you have any questions, feel free to contact me by phone at (704) 330-3722 or by email at ashlynn.vaughan@dhhs.nc.gov or my supervisor, Erin Pickard, at erin.pickard@dhhs.nc.gov. Thank you for your time today. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

G.S. 110-90 · Violation

Name of Operation: GRACE ACADEMY Facility ID: 80000198 Consultant: ASHLYNN VAUGHAN Operation Type: Center Case Number: Visit Date: 1/8/2025 Number Present: 97 Completed Date: 1/8/2025 Age: From 2 To 5 Total Minutes: 392 Time In: 09:28 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 applicable child care requirements during an annual compliance visit. Your last Annual Compliance Visit was conducted on February 8, 2024. Your compliance history score prior to today’s visit was 81%. You, Tammy Cale, Finance/Operations Manager, assisted me with today’s visit. Your facility, owned by Grace Bible Church of Rockwell was current and active with the NC Secretary of State as viewed on the NC Secretary of State website. This facility operates with a GS 110-106 Notice of Compliance. This facility is licensed for one hundred and seventy-five children on first shift, ages 2-12. I observed the Safe Procedures for Arrival & Departure, current menu, Sanitation placard, Emergency Numbers, Emergency Medical Care Plan, staff-child ratio worksheets, First Aid poster, tobacco free policy signage, and evacuation plans posted as required. I completed the "Annual Compliance Monitoring Checklist for Centers" during today's visit. Today children were adequately supervised, staff-child ratios were maintained, adequate approved space was in use and permit restrictions were maintained during today’s visit. A walk-through of the indoor and outdoor spaces was completed. The children were observed during free choice activities indoors, teacher led activities, transitions, and preparing for rest time. Program records were monitored, including emergency drills, fire drills, monthly outdoor inspections, and incident logs. A sanitation inspection was conducted on November 25, 2024, with five (5) demerits and a superior classification. A fire inspection was conducted on February 13, 2024. We discussed contacting the fire inspector to schedule your annual inspection. Please submit a copy to me when completed. All medications and accompanying documentation were monitored. You stated that your program provides transportation for periodic field trips. I monitored the vehicle and documents today. There have been nine new staff members hired since the last visit. I monitored the new staff files and a portion of the existing staff files. Health and Safety requirements were monitored. There are 103 children enrolled and I monitored a portion of the children’s records. The following violations were observed during today’s visit. Violation Number Comment Rule 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. In Space 3, an EpiPen was not in an original pharmacy labeled container. .0803(2)(a) 847 Parent's medication authorization did not include required information. In Space 3, an EpiPen did not have a Medication Administration Permission Form. 10A NCAC 09 .0803(4)(6-9) 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 3, a Desitin cream was not returned to the parent after the authorization had expired on 11/2/2024. .0803(12) 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. Two staff members have not reviewed the Emergency Medical Care Plan annually. 10A NCAC 09 .0802(a) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. Three staff members do not have an annual health questionnaire on file. .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. Four staff members do not have an updated annual Emergency Information Form on file. .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. A staff member hired 8/5/2024 did not have verification of First Aid training from an approved training organization. .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. A staff member hired 8/5/2024 did not have verification of CPR training from an approved training organization. .1102(d) 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. A staff member hired on 10/21/2024 signed the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy on 12/18/2024. .0608(d)(1-4) 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. Two staff members have not completed Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. .1102(g) Technical Assistance: • Prior to accepting medications, staff members should thoroughly review the Medication Administration Permission Form to verify that all required information is included. Staff should also ensure that both prescribed and over-the-counter medications are in their original containers and clearly labeled with the child’s name. All medications must be sent home or discarded within 72 hours of treatment or withdrawal of authorization. Today, we discussed having administration conduct a monthly check of medications in each classroom to ensure compliance. • When accepting First Aid and CPR certificates from new staff members, utilize the "Be a Smart Consumer of First Aid and CPR Training" document found on the DCDEE website to identify trainings that meet the NC child care requirements. I demonstrated how to find this on the Division’s website today. • When hiring new staff, I recommend utilizing the Staff Checklist found on the DCDEE website to ensure that all required documents and trainings are obtained by their due date. We discussed using the Staff and Training worksheet as a reminder to update annual documentation for existing staff, such as the Emergency Information Form, Health Questionnaire, Emergency Preparedness Response Plan, and Emergency Medical Care Plan. You can review these annually at staff meetings held at the beginning of the year to ensure that all staff members have reviewed and updated the necessary information. Consultation: • As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. • Child care rule 10A NCAC 09 .0304 which requires a child care center operator to: schedule and obtain a fire inspection within 12 months of the center's previous fire inspection, to notify the local fire inspector when it is time for the center's annual fire inspection, and to submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division. • Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/. Here are some important links on the DCEEE website that may be helpful: -Child Care Rules and Laws: https://ncchildcare.ncdhhs.gov/Services/Licensing/Getting-a-License -Training and Professional Development: https://ncchildcare.ncdhhs.gov/Provider/Training-and-Professional-Development -Required Health and Safety Training: https://ncchildcare.ncdhhs.gov/Provider/Training-and-Professional-Development/Health-and-Safety-Trainings -Care for Children Receiving Subsidy: https://ncchildcare.ncdhhs.gov/Provider/Providing-Child-Care/Subsidized-Child-Care/Care-for-Children-Receiving-Subsidy -DCDEE Updates, Current Projects, and information applicable to Child Care in NC: https://ncchildcare.ncdhhs.gov/Whats-New Child care programs are required to maintain compliance with all applicable child care rules and regulations at all times. North Carolina General Statute 110-90(4)(d) requires all child care facilities to maintain a compliance history of at least seventy-five percent (75%) for the past eighteen (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 against the facility's license. Any violations cited during a visit may affect your score. COMPLIANCE PLAN: Violations must be corrected immediately. A signed and dated letter of compliance must be received by me no later than 1/22/2025. Your compliance documentation must include the following: • The name of your facility • The ID number of your facility • The date you write the letter • A corrective action statement for each violation stating how you corrected the violation and are now in compliance. • A compliance plan statement for each violation stating how you plan to ensure that you will not have that violation again. • Your signature Please mail or email a signed copy of the letter to: Mailing Address: P.O. Box 1078 Faith, NC 28041 Email: ashlynn.vaughan@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. If a letter is not received by the required date an unannounced follow-up visit may be conducted to confirm the violations were corrected or an administrative action may be recommended. Based on Child Care Rule 10A https://www.msn.com/enus/feedNCAC 09 Section .2200, the Division of Child Development and Early Education may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Please Note: Please be aware that any information submitted by you is legal documentation. If you state in your compliance letter that corrections have been made when they have not, it will be considered falsification of information. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you today. We appreciate all you and your staff do to serve the children and families in your community. If you have any questions, feel free to contact me by phone at (704) 330-3722 or by email at ashlynn.vaughan@dhhs.nc.gov or my supervisor, Erin Pickard, at erin.pickard@dhhs.nc.gov. Thank you for your time today. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

GS 110-106 · Violation

Name of Operation: GRACE ACADEMY Facility ID: 80000198 Consultant: ASHLYNN VAUGHAN Operation Type: Center Case Number: Visit Date: 1/8/2025 Number Present: 97 Completed Date: 1/8/2025 Age: From 2 To 5 Total Minutes: 392 Time In: 09:28 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 applicable child care requirements during an annual compliance visit. Your last Annual Compliance Visit was conducted on February 8, 2024. Your compliance history score prior to today’s visit was 81%. You, Tammy Cale, Finance/Operations Manager, assisted me with today’s visit. Your facility, owned by Grace Bible Church of Rockwell was current and active with the NC Secretary of State as viewed on the NC Secretary of State website. This facility operates with a GS 110-106 Notice of Compliance. This facility is licensed for one hundred and seventy-five children on first shift, ages 2-12. I observed the Safe Procedures for Arrival & Departure, current menu, Sanitation placard, Emergency Numbers, Emergency Medical Care Plan, staff-child ratio worksheets, First Aid poster, tobacco free policy signage, and evacuation plans posted as required. I completed the "Annual Compliance Monitoring Checklist for Centers" during today's visit. Today children were adequately supervised, staff-child ratios were maintained, adequate approved space was in use and permit restrictions were maintained during today’s visit. A walk-through of the indoor and outdoor spaces was completed. The children were observed during free choice activities indoors, teacher led activities, transitions, and preparing for rest time. Program records were monitored, including emergency drills, fire drills, monthly outdoor inspections, and incident logs. A sanitation inspection was conducted on November 25, 2024, with five (5) demerits and a superior classification. A fire inspection was conducted on February 13, 2024. We discussed contacting the fire inspector to schedule your annual inspection. Please submit a copy to me when completed. All medications and accompanying documentation were monitored. You stated that your program provides transportation for periodic field trips. I monitored the vehicle and documents today. There have been nine new staff members hired since the last visit. I monitored the new staff files and a portion of the existing staff files. Health and Safety requirements were monitored. There are 103 children enrolled and I monitored a portion of the children’s records. The following violations were observed during today’s visit. Violation Number Comment Rule 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. In Space 3, an EpiPen was not in an original pharmacy labeled container. .0803(2)(a) 847 Parent's medication authorization did not include required information. In Space 3, an EpiPen did not have a Medication Administration Permission Form. 10A NCAC 09 .0803(4)(6-9) 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 3, a Desitin cream was not returned to the parent after the authorization had expired on 11/2/2024. .0803(12) 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. Two staff members have not reviewed the Emergency Medical Care Plan annually. 10A NCAC 09 .0802(a) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. Three staff members do not have an annual health questionnaire on file. .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. Four staff members do not have an updated annual Emergency Information Form on file. .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. A staff member hired 8/5/2024 did not have verification of First Aid training from an approved training organization. .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. A staff member hired 8/5/2024 did not have verification of CPR training from an approved training organization. .1102(d) 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. A staff member hired on 10/21/2024 signed the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy on 12/18/2024. .0608(d)(1-4) 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. Two staff members have not completed Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. .1102(g) Technical Assistance: • Prior to accepting medications, staff members should thoroughly review the Medication Administration Permission Form to verify that all required information is included. Staff should also ensure that both prescribed and over-the-counter medications are in their original containers and clearly labeled with the child’s name. All medications must be sent home or discarded within 72 hours of treatment or withdrawal of authorization. Today, we discussed having administration conduct a monthly check of medications in each classroom to ensure compliance. • When accepting First Aid and CPR certificates from new staff members, utilize the "Be a Smart Consumer of First Aid and CPR Training" document found on the DCDEE website to identify trainings that meet the NC child care requirements. I demonstrated how to find this on the Division’s website today. • When hiring new staff, I recommend utilizing the Staff Checklist found on the DCDEE website to ensure that all required documents and trainings are obtained by their due date. We discussed using the Staff and Training worksheet as a reminder to update annual documentation for existing staff, such as the Emergency Information Form, Health Questionnaire, Emergency Preparedness Response Plan, and Emergency Medical Care Plan. You can review these annually at staff meetings held at the beginning of the year to ensure that all staff members have reviewed and updated the necessary information. Consultation: • As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. • Child care rule 10A NCAC 09 .0304 which requires a child care center operator to: schedule and obtain a fire inspection within 12 months of the center's previous fire inspection, to notify the local fire inspector when it is time for the center's annual fire inspection, and to submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division. • Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/. Here are some important links on the DCEEE website that may be helpful: -Child Care Rules and Laws: https://ncchildcare.ncdhhs.gov/Services/Licensing/Getting-a-License -Training and Professional Development: https://ncchildcare.ncdhhs.gov/Provider/Training-and-Professional-Development -Required Health and Safety Training: https://ncchildcare.ncdhhs.gov/Provider/Training-and-Professional-Development/Health-and-Safety-Trainings -Care for Children Receiving Subsidy: https://ncchildcare.ncdhhs.gov/Provider/Providing-Child-Care/Subsidized-Child-Care/Care-for-Children-Receiving-Subsidy -DCDEE Updates, Current Projects, and information applicable to Child Care in NC: https://ncchildcare.ncdhhs.gov/Whats-New Child care programs are required to maintain compliance with all applicable child care rules and regulations at all times. North Carolina General Statute 110-90(4)(d) requires all child care facilities to maintain a compliance history of at least seventy-five percent (75%) for the past eighteen (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 against the facility's license. Any violations cited during a visit may affect your score. COMPLIANCE PLAN: Violations must be corrected immediately. A signed and dated letter of compliance must be received by me no later than 1/22/2025. Your compliance documentation must include the following: • The name of your facility • The ID number of your facility • The date you write the letter • A corrective action statement for each violation stating how you corrected the violation and are now in compliance. • A compliance plan statement for each violation stating how you plan to ensure that you will not have that violation again. • Your signature Please mail or email a signed copy of the letter to: Mailing Address: P.O. Box 1078 Faith, NC 28041 Email: ashlynn.vaughan@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. If a letter is not received by the required date an unannounced follow-up visit may be conducted to confirm the violations were corrected or an administrative action may be recommended. Based on Child Care Rule 10A https://www.msn.com/enus/feedNCAC 09 Section .2200, the Division of Child Development and Early Education may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Please Note: Please be aware that any information submitted by you is legal documentation. If you state in your compliance letter that corrections have been made when they have not, it will be considered falsification of information. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you today. We appreciate all you and your staff do to serve the children and families in your community. If you have any questions, feel free to contact me by phone at (704) 330-3722 or by email at ashlynn.vaughan@dhhs.nc.gov or my supervisor, Erin Pickard, at erin.pickard@dhhs.nc.gov. Thank you for your time today. 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: GRACE ACADEMY Facility ID: 80000198 Consultant: ASHLYNN VAUGHAN Operation Type: Center Case Number: Visit Date: 7/23/2024 Number Present: 44 Completed Date: 7/23/2024 Age: From 2 To 5 Total Minutes: 265 Time In: 09:30 AM Time Out: 01:55 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today's visit was to monitor your program for compliance with applicable child care requirements during a Routine Unannounced visit. Your last Annual Compliance visit was conducted on February 8, 2024. You, Tammy Cale, Finance/Operations Manager, assisted me with the visit. Your facility, owned by Grace Bible Church of Rockwell was current and active with the NC Secretary of State as viewed on the NC Secretary of State Website today. Your facility’s compliance history score prior to today’s visit was 86%. This facility operates with a GS 110-106 Notice of Compliance. This facility is licensed for one hundred and seventy-five children on first shift, ages 2-12. I observed the Child Care Summary of the Law, menu, Emergency Medical Care Plan, Sanitation placard, staff-child ratio worksheet, First Aid poster, tobacco free policy signage and evacuation plans posted as required. Child to staff ratios, group size, supervision, permit restrictions, and adequate and approved space were monitored. A walk-through of the indoor and outdoor spaces was completed. I observed the children participating in whole group activities, transitioning outdoors, and eating lunch. All medications and accompanying documentation were monitored. Program records were monitored, including emergency drills, fire drills, monthly outdoor inspections, and incident logs. A sanitation inspection was conducted on May 20, 2024 with six (6) demerits and a superior classification. A fire inspection was conducted on February 14, 2024. There have been six new staff members hired since the last visit and I monitored their files. Criminal Background Checks, CPR/First Aid, and Recognizing and Responding to Suspicions of Child Maltreatment trainings were monitored in all staff files. Your signature on all forms served and will serve as verification that the information provided was accurate and complete. The following violations were observed during today’s visit. Violation Number Comment Rule 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. In Space 8, a prescribed medication did not include a pharmacy label with the child's name or dosage. .0803(2)(a) 846 Over-the-counter medicines were not in their original containers or administered as authorized in writing by parent, physician or authorized health professional. In Space 10, an over-the-counter topical ointment was not in a labeled container. 10A NCAC 09 .0803(4) 847 Parent's medication authorization did not include required information. In Space 4, the Medication Administration Permission Form did not include the end date of treatment. In Space 2, the Medication Administration Permission Form did not list an amount of topical medication to use. 10A NCAC 09 .0803(4)(6-9) 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. One staff member hired 2/15/2024 has not completed First Aid training. One staff member's First Aid certification expired 2/2024. .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. One staff member hired 2/15/2024 has not completed the CPR certification. One staff member's CPR certification expired 2/2024. .1102(d) 1835 The medical action plan was not updated on an annual basis or when changes to the plan were made by the child's parent or health care professional. In Space 8, the Medical Action Plan was last updated on 12/5/2022. .0801(b) 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 staff member hired 9/8/2023 has not completed the training. One staff member hired 2/21/2024 has not completed the training. .1102(g) Technical Assistance: • To ensure all staff members complete the Recognizing and Responding to Suspicions of Child Maltreatment and CPR/First Aid training within 90 days of employment, implement a tracking system using a spreadsheet to monitor each employee’s due dates. Use the spreadsheet to also keep track of CPR/First Aid expiration dates to ensure timely recertification. • Staff members should thoroughly review the Medication Administration Permission Form to verify all required information is included. Staff should also check that all prescribed and over-the-counter medications are in their original containers and clearly labeled with the child’s name. • To ensure Medical Action Plans are updated annually, set a reminder on your calendar as a reminder to have parents or health care providers update all information to include current and accurate information. Consultation: • We discussed that all staff members must review and sign the Shaken Baby Head Trauma Policy prior to caring for children ages 0 to 5. I recommended that this policy be the very first task completed by staff on their first day to ensure they are fully informed before caring for children. • We discussed that all health and safety training must be completed within the first year of hire and then every five years thereafter. • Visit NC Child Care Health and Safety Resource Center at http://healthychildcare.unc.edu to find the following resources: technical assistance, coaching support, resources, handwashing and diapering posters, monthly newsletters, and a list of approved in-service trainings including, but not limited to, ITS-SIDS training and Emergency Preparedness and Response in Child Care training. • Kimberly Cruz, Child Care Health Consultant, is available to provide trainings and technical assistance for your teachers and children. Here email address is kimberly.cruz@rowancountync.gov and her phone number is 704-216-8806. • The Change of Information form for CBC is listed in law. When a new staff member starts working at a facility and gives the administrator a CBC qualification letter that was previously completed while working at another facility, but is still current, the administrator must send a Change of Information form for that new staff member to the CBC unit. The Change of Information form can be found on DCDEE’s website under Provider Documents and Forms. Child care programs are required to maintain compliance with all applicable child care rules and regulations at all times. North Carolina General Statute 110-90(4)(d) requires all child care facilities to maintain a compliance history of at least seventy-five percent (75%) for the past eighteen (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 against the facility's license. Any violations cited during a visit may affect your score. COMPLIANCE PLAN: Violations must be corrected immediately. A signed and dated letter of compliance must be received by me no later than 8/6/2024, stating how each violation was corrected and how compliance will be maintained in the future. Please mail or email a signed copy of the letter to: Mailing Address: P.O. Box 1078 Faith, NC 28041 Email: ashlynn.vaughan@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. If a letter is not received by the required date an unannounced follow-up visit may be conducted to confirm the violations were corrected or an administrative action may be recommended. Based on Child Care Rule 10A https://www.msn.com/enus/feedNCAC 09 Section .2200, the Division of Child Development and Early Education may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Please Note: Please be aware that any information submitted by you is legal documentation. If you state in your compliance letter that corrections have been made when they have not, it will be considered falsification of information. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you today. We appreciate all you and your staff do to serve the children and families in your community. If you have any questions, feel free to contact me by phone at (704) 330-3722 or by email at ashlynn.vaughan@dhhs.nc.gov or my supervisor, Erin Pickard, at erin.pickard@dhhs.nc.gov. Thank you for your time today. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

10A NCAC 09 .0803 · Violation

Name of Operation: GRACE ACADEMY Facility ID: 80000198 Consultant: ASHLYNN VAUGHAN Operation Type: Center Case Number: Visit Date: 7/23/2024 Number Present: 44 Completed Date: 7/23/2024 Age: From 2 To 5 Total Minutes: 265 Time In: 09:30 AM Time Out: 01:55 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today's visit was to monitor your program for compliance with applicable child care requirements during a Routine Unannounced visit. Your last Annual Compliance visit was conducted on February 8, 2024. You, Tammy Cale, Finance/Operations Manager, assisted me with the visit. Your facility, owned by Grace Bible Church of Rockwell was current and active with the NC Secretary of State as viewed on the NC Secretary of State Website today. Your facility’s compliance history score prior to today’s visit was 86%. This facility operates with a GS 110-106 Notice of Compliance. This facility is licensed for one hundred and seventy-five children on first shift, ages 2-12. I observed the Child Care Summary of the Law, menu, Emergency Medical Care Plan, Sanitation placard, staff-child ratio worksheet, First Aid poster, tobacco free policy signage and evacuation plans posted as required. Child to staff ratios, group size, supervision, permit restrictions, and adequate and approved space were monitored. A walk-through of the indoor and outdoor spaces was completed. I observed the children participating in whole group activities, transitioning outdoors, and eating lunch. All medications and accompanying documentation were monitored. Program records were monitored, including emergency drills, fire drills, monthly outdoor inspections, and incident logs. A sanitation inspection was conducted on May 20, 2024 with six (6) demerits and a superior classification. A fire inspection was conducted on February 14, 2024. There have been six new staff members hired since the last visit and I monitored their files. Criminal Background Checks, CPR/First Aid, and Recognizing and Responding to Suspicions of Child Maltreatment trainings were monitored in all staff files. Your signature on all forms served and will serve as verification that the information provided was accurate and complete. The following violations were observed during today’s visit. Violation Number Comment Rule 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. In Space 8, a prescribed medication did not include a pharmacy label with the child's name or dosage. .0803(2)(a) 846 Over-the-counter medicines were not in their original containers or administered as authorized in writing by parent, physician or authorized health professional. In Space 10, an over-the-counter topical ointment was not in a labeled container. 10A NCAC 09 .0803(4) 847 Parent's medication authorization did not include required information. In Space 4, the Medication Administration Permission Form did not include the end date of treatment. In Space 2, the Medication Administration Permission Form did not list an amount of topical medication to use. 10A NCAC 09 .0803(4)(6-9) 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. One staff member hired 2/15/2024 has not completed First Aid training. One staff member's First Aid certification expired 2/2024. .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. One staff member hired 2/15/2024 has not completed the CPR certification. One staff member's CPR certification expired 2/2024. .1102(d) 1835 The medical action plan was not updated on an annual basis or when changes to the plan were made by the child's parent or health care professional. In Space 8, the Medical Action Plan was last updated on 12/5/2022. .0801(b) 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 staff member hired 9/8/2023 has not completed the training. One staff member hired 2/21/2024 has not completed the training. .1102(g) Technical Assistance: • To ensure all staff members complete the Recognizing and Responding to Suspicions of Child Maltreatment and CPR/First Aid training within 90 days of employment, implement a tracking system using a spreadsheet to monitor each employee’s due dates. Use the spreadsheet to also keep track of CPR/First Aid expiration dates to ensure timely recertification. • Staff members should thoroughly review the Medication Administration Permission Form to verify all required information is included. Staff should also check that all prescribed and over-the-counter medications are in their original containers and clearly labeled with the child’s name. • To ensure Medical Action Plans are updated annually, set a reminder on your calendar as a reminder to have parents or health care providers update all information to include current and accurate information. Consultation: • We discussed that all staff members must review and sign the Shaken Baby Head Trauma Policy prior to caring for children ages 0 to 5. I recommended that this policy be the very first task completed by staff on their first day to ensure they are fully informed before caring for children. • We discussed that all health and safety training must be completed within the first year of hire and then every five years thereafter. • Visit NC Child Care Health and Safety Resource Center at http://healthychildcare.unc.edu to find the following resources: technical assistance, coaching support, resources, handwashing and diapering posters, monthly newsletters, and a list of approved in-service trainings including, but not limited to, ITS-SIDS training and Emergency Preparedness and Response in Child Care training. • Kimberly Cruz, Child Care Health Consultant, is available to provide trainings and technical assistance for your teachers and children. Here email address is kimberly.cruz@rowancountync.gov and her phone number is 704-216-8806. • The Change of Information form for CBC is listed in law. When a new staff member starts working at a facility and gives the administrator a CBC qualification letter that was previously completed while working at another facility, but is still current, the administrator must send a Change of Information form for that new staff member to the CBC unit. The Change of Information form can be found on DCDEE’s website under Provider Documents and Forms. Child care programs are required to maintain compliance with all applicable child care rules and regulations at all times. North Carolina General Statute 110-90(4)(d) requires all child care facilities to maintain a compliance history of at least seventy-five percent (75%) for the past eighteen (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 against the facility's license. Any violations cited during a visit may affect your score. COMPLIANCE PLAN: Violations must be corrected immediately. A signed and dated letter of compliance must be received by me no later than 8/6/2024, stating how each violation was corrected and how compliance will be maintained in the future. Please mail or email a signed copy of the letter to: Mailing Address: P.O. Box 1078 Faith, NC 28041 Email: ashlynn.vaughan@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. If a letter is not received by the required date an unannounced follow-up visit may be conducted to confirm the violations were corrected or an administrative action may be recommended. Based on Child Care Rule 10A https://www.msn.com/enus/feedNCAC 09 Section .2200, the Division of Child Development and Early Education may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Please Note: Please be aware that any information submitted by you is legal documentation. If you state in your compliance letter that corrections have been made when they have not, it will be considered falsification of information. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you today. We appreciate all you and your staff do to serve the children and families in your community. If you have any questions, feel free to contact me by phone at (704) 330-3722 or by email at ashlynn.vaughan@dhhs.nc.gov or my supervisor, Erin Pickard, at erin.pickard@dhhs.nc.gov. Thank you for your time today. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

GS 110-106 · Violation

Name of Operation: GRACE ACADEMY Facility ID: 80000198 Consultant: ASHLYNN VAUGHAN Operation Type: Center Case Number: Visit Date: 7/23/2024 Number Present: 44 Completed Date: 7/23/2024 Age: From 2 To 5 Total Minutes: 265 Time In: 09:30 AM Time Out: 01:55 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today's visit was to monitor your program for compliance with applicable child care requirements during a Routine Unannounced visit. Your last Annual Compliance visit was conducted on February 8, 2024. You, Tammy Cale, Finance/Operations Manager, assisted me with the visit. Your facility, owned by Grace Bible Church of Rockwell was current and active with the NC Secretary of State as viewed on the NC Secretary of State Website today. Your facility’s compliance history score prior to today’s visit was 86%. This facility operates with a GS 110-106 Notice of Compliance. This facility is licensed for one hundred and seventy-five children on first shift, ages 2-12. I observed the Child Care Summary of the Law, menu, Emergency Medical Care Plan, Sanitation placard, staff-child ratio worksheet, First Aid poster, tobacco free policy signage and evacuation plans posted as required. Child to staff ratios, group size, supervision, permit restrictions, and adequate and approved space were monitored. A walk-through of the indoor and outdoor spaces was completed. I observed the children participating in whole group activities, transitioning outdoors, and eating lunch. All medications and accompanying documentation were monitored. Program records were monitored, including emergency drills, fire drills, monthly outdoor inspections, and incident logs. A sanitation inspection was conducted on May 20, 2024 with six (6) demerits and a superior classification. A fire inspection was conducted on February 14, 2024. There have been six new staff members hired since the last visit and I monitored their files. Criminal Background Checks, CPR/First Aid, and Recognizing and Responding to Suspicions of Child Maltreatment trainings were monitored in all staff files. Your signature on all forms served and will serve as verification that the information provided was accurate and complete. The following violations were observed during today’s visit. Violation Number Comment Rule 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. In Space 8, a prescribed medication did not include a pharmacy label with the child's name or dosage. .0803(2)(a) 846 Over-the-counter medicines were not in their original containers or administered as authorized in writing by parent, physician or authorized health professional. In Space 10, an over-the-counter topical ointment was not in a labeled container. 10A NCAC 09 .0803(4) 847 Parent's medication authorization did not include required information. In Space 4, the Medication Administration Permission Form did not include the end date of treatment. In Space 2, the Medication Administration Permission Form did not list an amount of topical medication to use. 10A NCAC 09 .0803(4)(6-9) 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. One staff member hired 2/15/2024 has not completed First Aid training. One staff member's First Aid certification expired 2/2024. .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. One staff member hired 2/15/2024 has not completed the CPR certification. One staff member's CPR certification expired 2/2024. .1102(d) 1835 The medical action plan was not updated on an annual basis or when changes to the plan were made by the child's parent or health care professional. In Space 8, the Medical Action Plan was last updated on 12/5/2022. .0801(b) 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 staff member hired 9/8/2023 has not completed the training. One staff member hired 2/21/2024 has not completed the training. .1102(g) Technical Assistance: • To ensure all staff members complete the Recognizing and Responding to Suspicions of Child Maltreatment and CPR/First Aid training within 90 days of employment, implement a tracking system using a spreadsheet to monitor each employee’s due dates. Use the spreadsheet to also keep track of CPR/First Aid expiration dates to ensure timely recertification. • Staff members should thoroughly review the Medication Administration Permission Form to verify all required information is included. Staff should also check that all prescribed and over-the-counter medications are in their original containers and clearly labeled with the child’s name. • To ensure Medical Action Plans are updated annually, set a reminder on your calendar as a reminder to have parents or health care providers update all information to include current and accurate information. Consultation: • We discussed that all staff members must review and sign the Shaken Baby Head Trauma Policy prior to caring for children ages 0 to 5. I recommended that this policy be the very first task completed by staff on their first day to ensure they are fully informed before caring for children. • We discussed that all health and safety training must be completed within the first year of hire and then every five years thereafter. • Visit NC Child Care Health and Safety Resource Center at http://healthychildcare.unc.edu to find the following resources: technical assistance, coaching support, resources, handwashing and diapering posters, monthly newsletters, and a list of approved in-service trainings including, but not limited to, ITS-SIDS training and Emergency Preparedness and Response in Child Care training. • Kimberly Cruz, Child Care Health Consultant, is available to provide trainings and technical assistance for your teachers and children. Here email address is kimberly.cruz@rowancountync.gov and her phone number is 704-216-8806. • The Change of Information form for CBC is listed in law. When a new staff member starts working at a facility and gives the administrator a CBC qualification letter that was previously completed while working at another facility, but is still current, the administrator must send a Change of Information form for that new staff member to the CBC unit. The Change of Information form can be found on DCDEE’s website under Provider Documents and Forms. Child care programs are required to maintain compliance with all applicable child care rules and regulations at all times. North Carolina General Statute 110-90(4)(d) requires all child care facilities to maintain a compliance history of at least seventy-five percent (75%) for the past eighteen (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 against the facility's license. Any violations cited during a visit may affect your score. COMPLIANCE PLAN: Violations must be corrected immediately. A signed and dated letter of compliance must be received by me no later than 8/6/2024, stating how each violation was corrected and how compliance will be maintained in the future. Please mail or email a signed copy of the letter to: Mailing Address: P.O. Box 1078 Faith, NC 28041 Email: ashlynn.vaughan@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. If a letter is not received by the required date an unannounced follow-up visit may be conducted to confirm the violations were corrected or an administrative action may be recommended. Based on Child Care Rule 10A https://www.msn.com/enus/feedNCAC 09 Section .2200, the Division of Child Development and Early Education may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Please Note: Please be aware that any information submitted by you is legal documentation. If you state in your compliance letter that corrections have been made when they have not, it will be considered falsification of information. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you today. We appreciate all you and your staff do to serve the children and families in your community. If you have any questions, feel free to contact me by phone at (704) 330-3722 or by email at ashlynn.vaughan@dhhs.nc.gov or my supervisor, Erin Pickard, at erin.pickard@dhhs.nc.gov. Thank you for your time today. 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: GRACE ACADEMY Facility ID: 80000198 Consultant: CAROLYN CONLEY Operation Type: Center Case Number: Visit Date: 2/8/2024 Number Present: 70 Completed Date: 2/8/2024 Age: From 2 To 5 Total Minutes: 340 Time In: 09:05 AM Time Out: 02:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of this visit is to monitor compliance with applicable child care requirements. Brittany Adams, Child Care Consultant, accompanied me The last annual compliance visit was conducted on March 8, 2023. The compliance history is at 88%. This facility operates with a GS 110-106 Notice of Compliance. This facility is licensed for one hundred and seventy-five children on first shift, ages 2-12. The legal owner is GRACE BIBLE CHURCH and the status with the Secretary of the State is current and active. Upon arrival, we were greeted by you, Amanda Swinson, Program Director, and Tammy Cale, Finance Manager of the facility. We stated the reason for my visit. I completed the "Annual Compliance Monitoring Checklist for Centers" during today's visit. We observed the children during group time activities, hand-washing routines, free choice activities indoors, lunch and nap time. We observed positive interactions between staff and the children. We monitored staff/child ratios, group size and supervision. We monitored the outdoor play area and outdoor play inspections. We reviewed the emergency drills, and they are occurring as required. The fire inspection was conducted on February 9, 2023. We discussed contacting the fire inspector to remind them of your annual inspection. Please submit a copy to me when completed. A sanitation inspection was conducted on December 7, 2023 with four demerits. Ms. Cale states that this program provides transportation for periodic field trips. We monitored the insurance information but were unable to monitor the other documents or the vehicle because it was not on campus. There have been five new staff members hired since the last visit. We monitored a portion of the existing staff files. Health and Safety requirements were monitored. We monitored a portion of the children’s records. The following violations were observed during today’s visit. Violation Number Comment Rule 716 All stationary equipment, more than 18 inches high, was not installed over protective surfacing. There were areas under the tire swings and slide landings on the second playground that the mulch was not measuring at least 6 inches in depth. .0605(j) 847 Parent's medication authorization did not include required information. There was an medication administration form for A & D ointment in space four that did not have the name of the product or the specific amount to be used. 10A NCAC 09 .0803(4)(6-9) 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. There was an authorization form for Chapstick that the validation date expired on 5/6/23. .0803(12) 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. One file monitored was a staff member that was hired 10/23/23 and has not completed First Aid Training. .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. One file monitored was a staff member that was hired 10/23/23 and has not completed CPR Training. .1102(d) 1890 Each staff member did not have the required medical report, proof of tuberculosis test or screening and/or completed health questionnaire in a medical file, maintained separately from the staff member's individual personnel file. One staff file monitored had medical doctor notes in her personnel file and not in a separate file with other health and medical information. .0701(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 file monitored was a staff member that was hired 10/23/23 and has not completed this training. One file monitored was a staff member that was hired on 9/8/23 and has not completed this training. .1102(g) TECHNICAL ASSISTANCE: -New staff are required to complete the Recognizing and Responding to Suspicions of Child Maltreatment training within their first 90 days of hire. Add this as a task to be completed within the first six weeks of hire to ensure it is completed in a timely manner. Make it part of the new staff orientation items. -Make sure that staff are monitoring all medication administration forms before accepting the medication to ensure all the information is accurate. Remind them if there is a blank then there needs to be something there. Families are required to be specific about the amount to be used and the specific name of the product. -It is important to rake, fluff or replace mulch around and under swings and slide landing sites frequently to ensure that it is measuring at least six inches in depth at all times. -Health Questionnaires and any doctor notes are required to be in a separate file away from the Personnel file. This is considered confidential information. CONSULTATION: -You will need to complete the Change of Information form when you have new staff that bring you a CBC qualification letter that has not been completed recently. This form needs to be completed within five days of hire and submitted to the CBC Unit. The form can be found under “Provider Documents” on the DCDEE website. -Health and safety trainings that are not completed withing 12 months of the hire date cannot be counted and the staff will need to retake the trainings. -The plastic boarder by the fence in the back outdoor play area has stakes coming up that will need to be pounded into the ground. -The gate to the younger outdoor play area has some loose chain links that will need to be reattached. -Make sure to register staff to attend CPR and First Aid classes prior to their certifications expiring. -As a GS 110-106 facility staff are not required to complete annual staff development plans but are required to receive annual evaluations. -Make sure that staff are signing their applications. -Administrators need to sign and date the Health Questionnaires. When GS 110-106 facilities are participating in the Subsidized Child Care Assistance Program the following items are required to be completed: New Staff Orientation, Health and Safety training and on-going training requirements. (10A NCAC 10 .0602) REQUIRED RESPONSE: Violations must be corrected immediately. You shall submit a written/typed, signed and dated statement to me at the address noted below or email me detailing how the violations were corrected with exact dates and details including how you plan to prevent reoccurrence of such violations which must be received by February 22, 2024. Failure to correct the violation(s) and send the written statement by the established deadline listed above may result in an unannounced follow-up visit or an administrative action may be recommended based on Child Care Rule 10A NCAC 09 .2200. The documentation was completed electronically and reviewed with you during the visit. I emailed you a copy of today’s visit summary. Please continue to visit DCDEE’s website to get the latest information for child care at https://ncchildcare.ncdhhs.gov/. We appreciate all you are doing to serve the children and families of NC. If you have any questions, please contact me at: 704-594-0149 or carolyn.conley@dhhs.nc.gov. or my supervisor Erin Pickard at erin.pickard@dhhs.nc.gov. Carolyn Conley Child Care Consultant Regulatory Services Section/DHHS Division of Child Development and Early Education Post Office Box 835 Kannapolis, NC 28082-0835 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 .2200 · Violation

Name of Operation: GRACE ACADEMY Facility ID: 80000198 Consultant: CAROLYN CONLEY Operation Type: Center Case Number: Visit Date: 2/8/2024 Number Present: 70 Completed Date: 2/8/2024 Age: From 2 To 5 Total Minutes: 340 Time In: 09:05 AM Time Out: 02:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of this visit is to monitor compliance with applicable child care requirements. Brittany Adams, Child Care Consultant, accompanied me The last annual compliance visit was conducted on March 8, 2023. The compliance history is at 88%. This facility operates with a GS 110-106 Notice of Compliance. This facility is licensed for one hundred and seventy-five children on first shift, ages 2-12. The legal owner is GRACE BIBLE CHURCH and the status with the Secretary of the State is current and active. Upon arrival, we were greeted by you, Amanda Swinson, Program Director, and Tammy Cale, Finance Manager of the facility. We stated the reason for my visit. I completed the "Annual Compliance Monitoring Checklist for Centers" during today's visit. We observed the children during group time activities, hand-washing routines, free choice activities indoors, lunch and nap time. We observed positive interactions between staff and the children. We monitored staff/child ratios, group size and supervision. We monitored the outdoor play area and outdoor play inspections. We reviewed the emergency drills, and they are occurring as required. The fire inspection was conducted on February 9, 2023. We discussed contacting the fire inspector to remind them of your annual inspection. Please submit a copy to me when completed. A sanitation inspection was conducted on December 7, 2023 with four demerits. Ms. Cale states that this program provides transportation for periodic field trips. We monitored the insurance information but were unable to monitor the other documents or the vehicle because it was not on campus. There have been five new staff members hired since the last visit. We monitored a portion of the existing staff files. Health and Safety requirements were monitored. We monitored a portion of the children’s records. The following violations were observed during today’s visit. Violation Number Comment Rule 716 All stationary equipment, more than 18 inches high, was not installed over protective surfacing. There were areas under the tire swings and slide landings on the second playground that the mulch was not measuring at least 6 inches in depth. .0605(j) 847 Parent's medication authorization did not include required information. There was an medication administration form for A & D ointment in space four that did not have the name of the product or the specific amount to be used. 10A NCAC 09 .0803(4)(6-9) 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. There was an authorization form for Chapstick that the validation date expired on 5/6/23. .0803(12) 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. One file monitored was a staff member that was hired 10/23/23 and has not completed First Aid Training. .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. One file monitored was a staff member that was hired 10/23/23 and has not completed CPR Training. .1102(d) 1890 Each staff member did not have the required medical report, proof of tuberculosis test or screening and/or completed health questionnaire in a medical file, maintained separately from the staff member's individual personnel file. One staff file monitored had medical doctor notes in her personnel file and not in a separate file with other health and medical information. .0701(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 file monitored was a staff member that was hired 10/23/23 and has not completed this training. One file monitored was a staff member that was hired on 9/8/23 and has not completed this training. .1102(g) TECHNICAL ASSISTANCE: -New staff are required to complete the Recognizing and Responding to Suspicions of Child Maltreatment training within their first 90 days of hire. Add this as a task to be completed within the first six weeks of hire to ensure it is completed in a timely manner. Make it part of the new staff orientation items. -Make sure that staff are monitoring all medication administration forms before accepting the medication to ensure all the information is accurate. Remind them if there is a blank then there needs to be something there. Families are required to be specific about the amount to be used and the specific name of the product. -It is important to rake, fluff or replace mulch around and under swings and slide landing sites frequently to ensure that it is measuring at least six inches in depth at all times. -Health Questionnaires and any doctor notes are required to be in a separate file away from the Personnel file. This is considered confidential information. CONSULTATION: -You will need to complete the Change of Information form when you have new staff that bring you a CBC qualification letter that has not been completed recently. This form needs to be completed within five days of hire and submitted to the CBC Unit. The form can be found under “Provider Documents” on the DCDEE website. -Health and safety trainings that are not completed withing 12 months of the hire date cannot be counted and the staff will need to retake the trainings. -The plastic boarder by the fence in the back outdoor play area has stakes coming up that will need to be pounded into the ground. -The gate to the younger outdoor play area has some loose chain links that will need to be reattached. -Make sure to register staff to attend CPR and First Aid classes prior to their certifications expiring. -As a GS 110-106 facility staff are not required to complete annual staff development plans but are required to receive annual evaluations. -Make sure that staff are signing their applications. -Administrators need to sign and date the Health Questionnaires. When GS 110-106 facilities are participating in the Subsidized Child Care Assistance Program the following items are required to be completed: New Staff Orientation, Health and Safety training and on-going training requirements. (10A NCAC 10 .0602) REQUIRED RESPONSE: Violations must be corrected immediately. You shall submit a written/typed, signed and dated statement to me at the address noted below or email me detailing how the violations were corrected with exact dates and details including how you plan to prevent reoccurrence of such violations which must be received by February 22, 2024. Failure to correct the violation(s) and send the written statement by the established deadline listed above may result in an unannounced follow-up visit or an administrative action may be recommended based on Child Care Rule 10A NCAC 09 .2200. The documentation was completed electronically and reviewed with you during the visit. I emailed you a copy of today’s visit summary. Please continue to visit DCDEE’s website to get the latest information for child care at https://ncchildcare.ncdhhs.gov/. We appreciate all you are doing to serve the children and families of NC. If you have any questions, please contact me at: 704-594-0149 or carolyn.conley@dhhs.nc.gov. or my supervisor Erin Pickard at erin.pickard@dhhs.nc.gov. Carolyn Conley Child Care Consultant Regulatory Services Section/DHHS Division of Child Development and Early Education Post Office Box 835 Kannapolis, NC 28082-0835 If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

GS 110-106 · Violation

Name of Operation: GRACE ACADEMY Facility ID: 80000198 Consultant: CAROLYN CONLEY Operation Type: Center Case Number: Visit Date: 2/8/2024 Number Present: 70 Completed Date: 2/8/2024 Age: From 2 To 5 Total Minutes: 340 Time In: 09:05 AM Time Out: 02:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of this visit is to monitor compliance with applicable child care requirements. Brittany Adams, Child Care Consultant, accompanied me The last annual compliance visit was conducted on March 8, 2023. The compliance history is at 88%. This facility operates with a GS 110-106 Notice of Compliance. This facility is licensed for one hundred and seventy-five children on first shift, ages 2-12. The legal owner is GRACE BIBLE CHURCH and the status with the Secretary of the State is current and active. Upon arrival, we were greeted by you, Amanda Swinson, Program Director, and Tammy Cale, Finance Manager of the facility. We stated the reason for my visit. I completed the "Annual Compliance Monitoring Checklist for Centers" during today's visit. We observed the children during group time activities, hand-washing routines, free choice activities indoors, lunch and nap time. We observed positive interactions between staff and the children. We monitored staff/child ratios, group size and supervision. We monitored the outdoor play area and outdoor play inspections. We reviewed the emergency drills, and they are occurring as required. The fire inspection was conducted on February 9, 2023. We discussed contacting the fire inspector to remind them of your annual inspection. Please submit a copy to me when completed. A sanitation inspection was conducted on December 7, 2023 with four demerits. Ms. Cale states that this program provides transportation for periodic field trips. We monitored the insurance information but were unable to monitor the other documents or the vehicle because it was not on campus. There have been five new staff members hired since the last visit. We monitored a portion of the existing staff files. Health and Safety requirements were monitored. We monitored a portion of the children’s records. The following violations were observed during today’s visit. Violation Number Comment Rule 716 All stationary equipment, more than 18 inches high, was not installed over protective surfacing. There were areas under the tire swings and slide landings on the second playground that the mulch was not measuring at least 6 inches in depth. .0605(j) 847 Parent's medication authorization did not include required information. There was an medication administration form for A & D ointment in space four that did not have the name of the product or the specific amount to be used. 10A NCAC 09 .0803(4)(6-9) 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. There was an authorization form for Chapstick that the validation date expired on 5/6/23. .0803(12) 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. One file monitored was a staff member that was hired 10/23/23 and has not completed First Aid Training. .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. One file monitored was a staff member that was hired 10/23/23 and has not completed CPR Training. .1102(d) 1890 Each staff member did not have the required medical report, proof of tuberculosis test or screening and/or completed health questionnaire in a medical file, maintained separately from the staff member's individual personnel file. One staff file monitored had medical doctor notes in her personnel file and not in a separate file with other health and medical information. .0701(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 file monitored was a staff member that was hired 10/23/23 and has not completed this training. One file monitored was a staff member that was hired on 9/8/23 and has not completed this training. .1102(g) TECHNICAL ASSISTANCE: -New staff are required to complete the Recognizing and Responding to Suspicions of Child Maltreatment training within their first 90 days of hire. Add this as a task to be completed within the first six weeks of hire to ensure it is completed in a timely manner. Make it part of the new staff orientation items. -Make sure that staff are monitoring all medication administration forms before accepting the medication to ensure all the information is accurate. Remind them if there is a blank then there needs to be something there. Families are required to be specific about the amount to be used and the specific name of the product. -It is important to rake, fluff or replace mulch around and under swings and slide landing sites frequently to ensure that it is measuring at least six inches in depth at all times. -Health Questionnaires and any doctor notes are required to be in a separate file away from the Personnel file. This is considered confidential information. CONSULTATION: -You will need to complete the Change of Information form when you have new staff that bring you a CBC qualification letter that has not been completed recently. This form needs to be completed within five days of hire and submitted to the CBC Unit. The form can be found under “Provider Documents” on the DCDEE website. -Health and safety trainings that are not completed withing 12 months of the hire date cannot be counted and the staff will need to retake the trainings. -The plastic boarder by the fence in the back outdoor play area has stakes coming up that will need to be pounded into the ground. -The gate to the younger outdoor play area has some loose chain links that will need to be reattached. -Make sure to register staff to attend CPR and First Aid classes prior to their certifications expiring. -As a GS 110-106 facility staff are not required to complete annual staff development plans but are required to receive annual evaluations. -Make sure that staff are signing their applications. -Administrators need to sign and date the Health Questionnaires. When GS 110-106 facilities are participating in the Subsidized Child Care Assistance Program the following items are required to be completed: New Staff Orientation, Health and Safety training and on-going training requirements. (10A NCAC 10 .0602) REQUIRED RESPONSE: Violations must be corrected immediately. You shall submit a written/typed, signed and dated statement to me at the address noted below or email me detailing how the violations were corrected with exact dates and details including how you plan to prevent reoccurrence of such violations which must be received by February 22, 2024. Failure to correct the violation(s) and send the written statement by the established deadline listed above may result in an unannounced follow-up visit or an administrative action may be recommended based on Child Care Rule 10A NCAC 09 .2200. The documentation was completed electronically and reviewed with you during the visit. I emailed you a copy of today’s visit summary. Please continue to visit DCDEE’s website to get the latest information for child care at https://ncchildcare.ncdhhs.gov/. We appreciate all you are doing to serve the children and families of NC. If you have any questions, please contact me at: 704-594-0149 or carolyn.conley@dhhs.nc.gov. or my supervisor Erin Pickard at erin.pickard@dhhs.nc.gov. Carolyn Conley Child Care Consultant Regulatory Services Section/DHHS Division of Child Development and Early Education Post Office Box 835 Kannapolis, NC 28082-0835 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: GRACE ACADEMY Facility ID: 80000198 Consultant: CAROLYN CONLEY Operation Type: Center Case Number: Visit Date: 9/8/2023 Number Present: 80 Completed Date: 9/8/2023 Age: From 2 To 5 Total Minutes: 150 Time In: 09:30 AM Time Out: 12:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor applicable child care requirements. The last annual compliance visit was conducted on January 25, 2023. The current 18-month compliance history is 93%. Upon arrival, I was greeted by Scott Ginder, Elder of the church and Administrator. He stated that you, Ms. Cale, Director of the facility, normally doesn’t work on Fridays. He contacted you and you arrived as we began our walkthrough of the facility. I observed children during group time, puzzle activities, coloring activities and transitioning to outdoors and restrooms. I monitored the following items: supervision, staff/child ratios, CPR and First Aid, special training, criminal background checks completed, general safety, discipline, Emergency Medical Care Plan, administering of medication, storage of hazardous products and medications, adequate/approved space, program records, posted license and restrictions met. Emergency drills, fire drills and outdoor inspections were monitored. Mr. Ginder and I discussed that a lock down or shelter in place drill will need to be conducted immediately. The last one was conducted in March of 2023. Emergency drills are required to be conducted every three months. A fire inspection was conducted on February 9, 2023. A sanitation inspection was completed on May 9, 2023 with no demerits and a superior rating. There were 80 children present today. There were eleven new staff hired since my last visit and there files were monitored. The following violations were observed during today’s visit. Violation Number Comment Rule 847 Parent's medication authorization did not include required information. There were two Aquaphor healing balms located in one of the rooms that has children between the ages of four years and five years. The medication administration forms did not specify the amount to use. 10A NCAC 09 .0803(4)(6-9) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The last emergency drill was conducted in March of 2023. .0604(u);.0302(d)(8) TECHNICAL ASSISTANCE/RESOURCES/REMINNDERS: -I discussed with staff that mosquito bracelets cannot be worn by the children because of the “Keep Out of Reach of Children” warning. Families can fill out a medication administration for mosquitoes sprays or lotions if they are concerned about mosquito bites. -I discussed with staff the families need to write in the specific amount to be use of any medications/creams/balms/sprays. This cannot be left blank or say “as needed”. Families can write “two pumps”, quarter size, palm size, etc. -We discussed writing emergency drills on your calendar or add to your calendar on your phone as reminder to assure they are completed every three months. You also want to make sure they are conducted on a different day from the fire drill. -Kimberly Cruz, Child Care Health Consultant, is available for assistance with health education for staff and children. You can reach her at kimberly.cruz@rowancountync.gov or704-216-8806. -The North Carolina child Care Resource and Referral Council (CCR&R) now has a challenging behavior helpline that staff can call and speak to a Behavior Support Advisor for advice and resources specific to the challenging behaviors in their classrooms: 1-888-600-1685 option 1. REQUIRED RESPONSE: Violations must be corrected immediately. You shall submit a written/typed, signed and dated statement to me at the address noted below or email me detailing how the violations were corrected with exact dates and details including how you plan to prevent reoccurrence of such violations which must be received by September 22, 2023. Failure to correct the violation(s) and send the written statement by the established deadline listed above may result in an unannounced follow-up visit or an administrative action may be recommended based on Child Care Rule 10A NCAC 09 .2200. The documentation was completed electronically and reviewed with you during the visit. I emailed today’s visit summary to you for your records. Please continue to visit DCDEE’s website to get the latest information for child care at https://ncchildcare.ncdhhs.gov/. We appreciate all you are doing to serve the children and families of NC. If you have any questions, please contact me at: 704-594-0149 or carolyn.conley@dhhs.nc.gov. Carolyn Conley Child Care Consultant Regulatory Services Section/DHHS Division of Child Development and Early Education Post Office Box 835 Kannapolis, NC 28082-0835 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 .2200 · Violation

Name of Operation: GRACE ACADEMY Facility ID: 80000198 Consultant: CAROLYN CONLEY Operation Type: Center Case Number: Visit Date: 9/8/2023 Number Present: 80 Completed Date: 9/8/2023 Age: From 2 To 5 Total Minutes: 150 Time In: 09:30 AM Time Out: 12:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor applicable child care requirements. The last annual compliance visit was conducted on January 25, 2023. The current 18-month compliance history is 93%. Upon arrival, I was greeted by Scott Ginder, Elder of the church and Administrator. He stated that you, Ms. Cale, Director of the facility, normally doesn’t work on Fridays. He contacted you and you arrived as we began our walkthrough of the facility. I observed children during group time, puzzle activities, coloring activities and transitioning to outdoors and restrooms. I monitored the following items: supervision, staff/child ratios, CPR and First Aid, special training, criminal background checks completed, general safety, discipline, Emergency Medical Care Plan, administering of medication, storage of hazardous products and medications, adequate/approved space, program records, posted license and restrictions met. Emergency drills, fire drills and outdoor inspections were monitored. Mr. Ginder and I discussed that a lock down or shelter in place drill will need to be conducted immediately. The last one was conducted in March of 2023. Emergency drills are required to be conducted every three months. A fire inspection was conducted on February 9, 2023. A sanitation inspection was completed on May 9, 2023 with no demerits and a superior rating. There were 80 children present today. There were eleven new staff hired since my last visit and there files were monitored. The following violations were observed during today’s visit. Violation Number Comment Rule 847 Parent's medication authorization did not include required information. There were two Aquaphor healing balms located in one of the rooms that has children between the ages of four years and five years. The medication administration forms did not specify the amount to use. 10A NCAC 09 .0803(4)(6-9) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The last emergency drill was conducted in March of 2023. .0604(u);.0302(d)(8) TECHNICAL ASSISTANCE/RESOURCES/REMINNDERS: -I discussed with staff that mosquito bracelets cannot be worn by the children because of the “Keep Out of Reach of Children” warning. Families can fill out a medication administration for mosquitoes sprays or lotions if they are concerned about mosquito bites. -I discussed with staff the families need to write in the specific amount to be use of any medications/creams/balms/sprays. This cannot be left blank or say “as needed”. Families can write “two pumps”, quarter size, palm size, etc. -We discussed writing emergency drills on your calendar or add to your calendar on your phone as reminder to assure they are completed every three months. You also want to make sure they are conducted on a different day from the fire drill. -Kimberly Cruz, Child Care Health Consultant, is available for assistance with health education for staff and children. You can reach her at kimberly.cruz@rowancountync.gov or704-216-8806. -The North Carolina child Care Resource and Referral Council (CCR&R) now has a challenging behavior helpline that staff can call and speak to a Behavior Support Advisor for advice and resources specific to the challenging behaviors in their classrooms: 1-888-600-1685 option 1. REQUIRED RESPONSE: Violations must be corrected immediately. You shall submit a written/typed, signed and dated statement to me at the address noted below or email me detailing how the violations were corrected with exact dates and details including how you plan to prevent reoccurrence of such violations which must be received by September 22, 2023. Failure to correct the violation(s) and send the written statement by the established deadline listed above may result in an unannounced follow-up visit or an administrative action may be recommended based on Child Care Rule 10A NCAC 09 .2200. The documentation was completed electronically and reviewed with you during the visit. I emailed today’s visit summary to you for your records. Please continue to visit DCDEE’s website to get the latest information for child care at https://ncchildcare.ncdhhs.gov/. We appreciate all you are doing to serve the children and families of NC. If you have any questions, please contact me at: 704-594-0149 or carolyn.conley@dhhs.nc.gov. Carolyn Conley Child Care Consultant Regulatory Services Section/DHHS Division of Child Development and Early Education Post Office Box 835 Kannapolis, NC 28082-0835 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