Cornerstone Child Development Center-City

10A NCAC 09 .1003 · Violation

Name of Operation: CORNERSTONE CHILD DEVELOPMENT CENTER-CITY Facility ID: 80000266 Consultant: ASHLYNN VAUGHAN Operation Type: Center Case Number: Visit Date: 2/17/2026 Number Present: 19 Completed Date: 2/17/2026 Age: From 0 To 5 Total Minutes: 207 Time In: 10:23 AM Time Out: 01:50 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today's visit was to monitor your program for compliance with applicable child care requirements. Your last Annual Compliance Visit was conducted on March 7, 2025. Your facility’s compliance history score prior to today’s visit was 89%. You, Faith Wilson, Administrator, assisted me with the visit. I reviewed with you today the information found in our system. You stated there have been no changes to your phone number, email address, mailing address, administrator, or owner. I reviewed the facilities permit with you today. This facility operates with a five-star license and is licensed for 70 children on first shift, ages 0-12 with an effective date of December 5, 2023. The following restrictions are listed: first shift, meets enhanced ratios, and children under two and half years old in rooms with direct exits only. Your facility, owned by Cornerstone Church of Salisbury, Inc. was current and active with the NC Secretary of State as viewed on the NC Secretary of State Website prior to today’s visit. I completed the “Annual Compliance Monitoring Visit Checklist for Child Care Centers” during today’s visit. I monitored the following required postings: License, NC Child Care Summary of the Law, menu, Emergency Medical Care Plan, Sanitation placard, daily schedules, activity plans, staff-child ratio worksheets, First Aid poster, tobacco free policy signage and evacuation plans. 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 free choice activities indoor, lunch, and rest time. There were a variety of materials available to children. Materials and furnishings were found to be developmentally appropriate. All medications and accompanying documentation were monitored. You stated that this program provides transportation. I monitored the vehicle and required documentation today. The written administrative and personnel policies in the Employee Handbook dated 2020 were reviewed during today’s visit. The written operational policies and parent participation plan in the Parent Handbook dated March 2024 were reviewed prior to today’s visit with all required components included as required. Program records were monitored, including emergency drills, fire drills, monthly outdoor inspections, and incident logs. A sanitation inspection was conducted on November 13, 2025, with two (2) demerits and a superior classification. A fire inspection was conducted on January 30, 2026. I verified that you completed the lead water testing required to be completed every three years. Today, I verified that those test results dated December 18, 2023, indicate that the facility’s water is within acceptable limits. I verified that the lead-based paint test results and the asbestos test results both dated July 23, 2025 indicated that this facility has no lead-based paint or asbestos hazards present. You stated and I verified that your facility uses Creative Curriculum as the approved curriculum for a 5-Star facility serving children who are four and five years of age. There have not been any new staff members hired since the last visit. I monitored a portion of existing staff files during today’s visit. I monitored health and safety requirements. There are 47 children enrolled. I monitored a portion of the children’s records. The following violation was observed during today’s visit. Violation Number Comment Rule 1311 Emergency medical care information was not on file in the center on the child's first day of attendance and/or was not updated as changes occurred or at least annually for each child. A child (DOE: 8/5/2024) last had their emergency medical care information updated on 7/30/2024. A child (DOE: 7/3/2023) last had their emergency medical care information updated on 3/19/2024. .0802(c) TECHNICAL ASSISTANCE: • We discussed the importance of maintaining updated emergency medical care information needed for safe medical treatment for children. This information must be on file on the child’s first day of attendance and be updated as changes occurred or at least annually for each child. You stated that you provided families with a copy of the updated form, but they have not been submitted back to you. I suggest that families complete this form in the classroom at drop off or pick up to ensure it is returned and filed in a timely manner. CONSULTATION: • During today’s visit, we discussed the three QRIS Pathways to the Stars effective July 1, 2025. We covered staff education (including ensuring all staff have WORKS accounts, understanding the 50% requirement for lead teachers and for other educators, and how work experience may count), enhanced ratios and space expectations, the Family and Community Engagement Foundational Practices, and Continuous Quality Improvement (CQI) Plans. You stated that you were interested in pursuing Pathway 2. Next steps for Pathway 2 are: • Complete the “Application For Assessment for a Rated License for Centers” electronically and submit to your child care consultant by July 1, 2026. • Confirm all staff have active WORKS accounts. • Complete the QRIS Staff Information and Education Worksheet electronically. • Identify CQI goals and begin planning for implementation. • Develop strategies for Family and Community Engagement. • Select and implement a curriculum. (4- and 5-star centers must use an approved curriculum and formative assessment tool for all ages.) • Arranging coaching or training options for administrators and lead teachers. • When and if you update your fire evacuation route, shelter-in-place, and/or lock-down drill plan, you need to have the fire department approve your plan first BEFORE you put it in your Emergency Preparedness Response (EPR) Plan as an update. • We encourage you to visit the QRIS Modernization page on the DCDEE website at this link: https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization to learn more. • 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 a violation today, we reviewed 10A NCAC 09 .1003(i) and discussed that written permission from a parent must be obtained and include when and where the child is to be transported, expected time of departure and arrival, and the transportation provider. Today I suggested that you use the Transportation Permission form found on the DCDEE website under “Provider Documents and Forms” to ensure that all required information is listed. COMPLIANCE PLAN: All violations cited during today’s visit must be corrected immediately. Please submit a written, signed, and dated statement to me at the email/address below detailing the steps taken to correct each violation. Your compliance letter must include the following: 1. The name of your center 2. The center’s ID number 3. The date you write the letter 4. Address each violation stating how you corrected the violation and are now in compliance. 5. Your signature I must receive your compliance letter no later than March 3, 2026. 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. 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. 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 .0604 · Violation

Name of Operation: CORNERSTONE CHILD DEVELOPMENT CENTER-CITY Facility ID: 80000266 Consultant: ASHLYNN VAUGHAN Operation Type: Center Case Number: Visit Date: 8/19/2025 Number Present: 22 Completed Date: 8/19/2025 Age: From 0 To 4 Total Minutes: 230 Time In: 09:20 AM Time Out: 01:10 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. Your last Annual Compliance visit was conducted on March 7, 2025. Your facility’s compliance history score prior to today’s visit was 92%. You, Faith Wilson, Director, assisted me with the visit. Your facility, owned by Cornerstone Church of Salisbury, Inc. was current and active with the NC Secretary of State as viewed on the NC Secretary of State Website today. I observed your Five-Star License, NC Child Care Summary of the Law, menu, Emergency Medical Care Plan, Sanitation placard, staff-child ratio worksheets, 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 free choice activities indoors and outdoors, eating lunch, and during rest time. 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 June 25, 2025, with three (3) demerits and a superior classification. A fire inspection was conducted on January 29, 2025. There have been three new staff members hired since the last visit. Criminal Background Checks, CPR/First Aid, Recognizing and Responding to Suspicions of Child Maltreatment, ITS SIDS, and BSAC trainings were monitored in 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 541 The written feeding plan did not include the child's name, parent signature, and/or was not dated when received by the center. In Space 3, a written feeding plan did not contain the parent's signature. .0902(a) 620 All walls and ceilings including doors and windows were not kept clean, free of visible fungal growth, and in good repair. In Space 3, there is peeling paint on the walls. 15A NCAC 18A .2825(a) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. In Space 1, an electrical outlet was not covered with a safety plug. 10A NCAC 09 .0604(c) 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 1, a Nystatin cream was not discarded or returned to the parent within 72 hours of completion of treatment. In Space 2, a Desitin cream was not discarded or returned to the parent within 72 hours after authorization had expired. .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. A staff member hired on 4/14/2025 did not complete certification in First Aid within 90 days of hire. .1102(c) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. Two staff members (DOH: 4/14/2025 and 5/19/2025) had four clock hours of training in required topic areas. .1101(a)(b) 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 four new child care providers hired by the child care facility. G.S. 110-90.2 & .2703(r) Technical Assistance: • 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. Today we reviewed the ABCMS Provider Portal. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. • Encourage staff members to complete a daily walkthrough of their classrooms each morning to ensure the area is free of safety hazards, such as uncovered outlets. Today you corrected the violation by placing an outlet cover in an uncovered outlet. • Have staff members inspect all walls and materials regularly for signs of damage, including peeling paint, cracks, and holes. Instruct staff to notify you as soon as possible of any maintenance that needs to be completed so that repairs can be made in a timely manner. • Today we discussed that when administrators or staff receive the Infant Feeding Schedule, they need to monitor for accuracy with the parent/guardian to ensure that all the required information, including their signature, is included on the document. • Remind staff members to send home medications within 72 hours after authorization has expired. Have staff members put a visual reminder in their classrooms so they are aware of upcoming expiration dates. • New employees must complete six clock hours of on-site orientation within the first two weeks of employment. You stated that staff members completed a minimum of six hours, but the hours were not documented properly on the orientation form. • When accepting First Aid and CPR trainings completed before hire, utilize the "Be a Smart Consumer of First Aid and CPR Training" document found on the DCDEE website to ensure the training meets the NC child care requirements. New employees must have First Aid and CPR within 90 days of hire. You corrected the violation today by verifying the staff member had completed First Aid and CPR on 8/18/2025. Consultation: • 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 • I encouraged you to join the informational session about making the transition to the Pathways to the Stars, our state’s new Quality Rating and Improvement System, which is scheduled for August 20, 2025 @ 6:30 pm via Webex. You can find more information about the QRIS Modernization here: https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization 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 9/2/2025. 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 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

G.S. 110-90 · Violation

Name of Operation: CORNERSTONE CHILD DEVELOPMENT CENTER-CITY Facility ID: 80000266 Consultant: ASHLYNN VAUGHAN Operation Type: Center Case Number: Visit Date: 8/19/2025 Number Present: 22 Completed Date: 8/19/2025 Age: From 0 To 4 Total Minutes: 230 Time In: 09:20 AM Time Out: 01:10 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. Your last Annual Compliance visit was conducted on March 7, 2025. Your facility’s compliance history score prior to today’s visit was 92%. You, Faith Wilson, Director, assisted me with the visit. Your facility, owned by Cornerstone Church of Salisbury, Inc. was current and active with the NC Secretary of State as viewed on the NC Secretary of State Website today. I observed your Five-Star License, NC Child Care Summary of the Law, menu, Emergency Medical Care Plan, Sanitation placard, staff-child ratio worksheets, 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 free choice activities indoors and outdoors, eating lunch, and during rest time. 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 June 25, 2025, with three (3) demerits and a superior classification. A fire inspection was conducted on January 29, 2025. There have been three new staff members hired since the last visit. Criminal Background Checks, CPR/First Aid, Recognizing and Responding to Suspicions of Child Maltreatment, ITS SIDS, and BSAC trainings were monitored in 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 541 The written feeding plan did not include the child's name, parent signature, and/or was not dated when received by the center. In Space 3, a written feeding plan did not contain the parent's signature. .0902(a) 620 All walls and ceilings including doors and windows were not kept clean, free of visible fungal growth, and in good repair. In Space 3, there is peeling paint on the walls. 15A NCAC 18A .2825(a) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. In Space 1, an electrical outlet was not covered with a safety plug. 10A NCAC 09 .0604(c) 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 1, a Nystatin cream was not discarded or returned to the parent within 72 hours of completion of treatment. In Space 2, a Desitin cream was not discarded or returned to the parent within 72 hours after authorization had expired. .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. A staff member hired on 4/14/2025 did not complete certification in First Aid within 90 days of hire. .1102(c) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. Two staff members (DOH: 4/14/2025 and 5/19/2025) had four clock hours of training in required topic areas. .1101(a)(b) 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 four new child care providers hired by the child care facility. G.S. 110-90.2 & .2703(r) Technical Assistance: • 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. Today we reviewed the ABCMS Provider Portal. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. • Encourage staff members to complete a daily walkthrough of their classrooms each morning to ensure the area is free of safety hazards, such as uncovered outlets. Today you corrected the violation by placing an outlet cover in an uncovered outlet. • Have staff members inspect all walls and materials regularly for signs of damage, including peeling paint, cracks, and holes. Instruct staff to notify you as soon as possible of any maintenance that needs to be completed so that repairs can be made in a timely manner. • Today we discussed that when administrators or staff receive the Infant Feeding Schedule, they need to monitor for accuracy with the parent/guardian to ensure that all the required information, including their signature, is included on the document. • Remind staff members to send home medications within 72 hours after authorization has expired. Have staff members put a visual reminder in their classrooms so they are aware of upcoming expiration dates. • New employees must complete six clock hours of on-site orientation within the first two weeks of employment. You stated that staff members completed a minimum of six hours, but the hours were not documented properly on the orientation form. • When accepting First Aid and CPR trainings completed before hire, utilize the "Be a Smart Consumer of First Aid and CPR Training" document found on the DCDEE website to ensure the training meets the NC child care requirements. New employees must have First Aid and CPR within 90 days of hire. You corrected the violation today by verifying the staff member had completed First Aid and CPR on 8/18/2025. Consultation: • 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 • I encouraged you to join the informational session about making the transition to the Pathways to the Stars, our state’s new Quality Rating and Improvement System, which is scheduled for August 20, 2025 @ 6:30 pm via Webex. You can find more information about the QRIS Modernization here: https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization 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 9/2/2025. 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 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 .0604 · Violation

Name of Operation: CORNERSTONE CHILD DEVELOPMENT CENTER-CITY Facility ID: 80000266 Consultant: ASHLYNN VAUGHAN Operation Type: Center Case Number: Visit Date: 9/19/2024 Number Present: 23 Completed Date: 9/19/2024 Age: From 0 To 4 Total Minutes: 225 Time In: 09:40 AM Time Out: 01:10 PM Time In: 02:00 PM Time Out: 02:15 PM 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 April 22, 2024. Your facility’s compliance history score prior to today’s visit was 85%. You, Artrice Feamster, Director, assisted me with today's visit. Your facility, owned by Cornerstone Church of Salisbury, Inc. was current and active with the NC Secretary of State as viewed on the NC Secretary of State Website today. I observed your Five-Star License, NC Child Care Summary of the Law, menu, Emergency Medical Care Plan, Sanitation placard, staff-child ratio worksheets, 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 free choice activities indoors and outdoors, group time, the lunch routine, and rest time. 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 June 28, 2024, with four (4) demerits and a superior classification. A fire inspection was conducted on January 10, 2024. There have been no new staff members hired since the last visit. Criminal Background Checks, CPR/First Aid, Recognizing and Responding to Suspicions of Child Maltreatment, ITS SIDS, and BSAC trainings were all monitored in 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 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. An electrical outlet in Space 2 did not have a safety plug. 10A NCAC 09 .0604(c) 847 Parent's medication authorization did not include required information. In Space 1, the Medication Administration Permission Form for a Coppertone Sunscreen did not include the amount to be administered. 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 shelter-in-place drill was completed on 5/21/2024. .0604(u);.0302(d)(8) Technical Assistance: • To ensure the health and safety of children, staff members should thoroughly review the Medication Administration Permission Form to verify all required information is included prior to accepting medication. • Today we discussed having staff members complete a daily walkthrough of their classrooms each morning to ensure the area is free of safety hazards, such as uncovered outlets. This routine check helps maintain a safe environment for students. • Shelter-in-place or lockdown drills should be practiced every three months and recorded on the drill log. To maintain compliance with this child care requirement, I suggest you set a reminder on your phone to conduct a shelter-in-place or lockdown drill every three months. Consultation: • 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. Her email address is kimberly.cruz@rowancountync.gov and her phone number is 704-216-8806. • North Carolina child care administrators can now view and edit their facility’s staff roster in ABCMS, the DCDEE’s criminal background check system. Provider Access to ABCMS allows administrators to: see the real-time background check status of staff members, run a printable report of the staff roster to assist with compliance visits, see new background check applicants and add to staff roster. To get started, complete the ABCMS Child Care Provider Portal Training in Moodle. 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 10/3/2024, stating how each violation was corrected and how compliance will be maintained in the future. 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 me 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: CORNERSTONE CHILD DEVELOPMENT CENTER-CITY Facility ID: 80000266 Consultant: ASHLYNN VAUGHAN Operation Type: Center Case Number: Visit Date: 9/19/2024 Number Present: 23 Completed Date: 9/19/2024 Age: From 0 To 4 Total Minutes: 225 Time In: 09:40 AM Time Out: 01:10 PM Time In: 02:00 PM Time Out: 02:15 PM 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 April 22, 2024. Your facility’s compliance history score prior to today’s visit was 85%. You, Artrice Feamster, Director, assisted me with today's visit. Your facility, owned by Cornerstone Church of Salisbury, Inc. was current and active with the NC Secretary of State as viewed on the NC Secretary of State Website today. I observed your Five-Star License, NC Child Care Summary of the Law, menu, Emergency Medical Care Plan, Sanitation placard, staff-child ratio worksheets, 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 free choice activities indoors and outdoors, group time, the lunch routine, and rest time. 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 June 28, 2024, with four (4) demerits and a superior classification. A fire inspection was conducted on January 10, 2024. There have been no new staff members hired since the last visit. Criminal Background Checks, CPR/First Aid, Recognizing and Responding to Suspicions of Child Maltreatment, ITS SIDS, and BSAC trainings were all monitored in 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 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. An electrical outlet in Space 2 did not have a safety plug. 10A NCAC 09 .0604(c) 847 Parent's medication authorization did not include required information. In Space 1, the Medication Administration Permission Form for a Coppertone Sunscreen did not include the amount to be administered. 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 shelter-in-place drill was completed on 5/21/2024. .0604(u);.0302(d)(8) Technical Assistance: • To ensure the health and safety of children, staff members should thoroughly review the Medication Administration Permission Form to verify all required information is included prior to accepting medication. • Today we discussed having staff members complete a daily walkthrough of their classrooms each morning to ensure the area is free of safety hazards, such as uncovered outlets. This routine check helps maintain a safe environment for students. • Shelter-in-place or lockdown drills should be practiced every three months and recorded on the drill log. To maintain compliance with this child care requirement, I suggest you set a reminder on your phone to conduct a shelter-in-place or lockdown drill every three months. Consultation: • 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. Her email address is kimberly.cruz@rowancountync.gov and her phone number is 704-216-8806. • North Carolina child care administrators can now view and edit their facility’s staff roster in ABCMS, the DCDEE’s criminal background check system. Provider Access to ABCMS allows administrators to: see the real-time background check status of staff members, run a printable report of the staff roster to assist with compliance visits, see new background check applicants and add to staff roster. To get started, complete the ABCMS Child Care Provider Portal Training in Moodle. 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 10/3/2024, stating how each violation was corrected and how compliance will be maintained in the future. 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 me 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 .0901 · Violation

Name of Operation: CORNERSTONE CHILD DEVELOPMENT CENTER-CITY Facility ID: 80000266 Consultant: CAROLYN CONLEY Operation Type: Center Case Number: 0424-223L Visit Date: 4/24/2024 Number Present: 23 Completed Date: 4/24/2024 Age: From 0 To 5 Total Minutes: 175 Time In: 08:20 AM Time Out: 11:15 AM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to investigate a report received in the Raleigh office. There are concerns that: -Children are not adequately supervised. -Incident reports are not prepared as required. -Equipment/material in a classroom is creating an unsafe environment. -The posted menu is not accurate. Breakfast lacks variety and often has little or no nutritional value. The center's license was prominently posted. Permit restrictions, staff/child ratio, supervision, capacity, group size and space were monitored. The children were observed during arrival procedures, hand-washing routines, diaper changing routines, free choice activities, morning snack and group time. You stated that there are 23 children present between infant aged through five years of age and there are 48 children enrolled. FINDINGS: -The staff were observed during diaper changing routines while other staff were observed interacting and supervising the children. Staff and children were observed eating and having conversations during morning snack. Throughout today’s visit the staff were observed caring for the children in a nurturing manner and all children were supervised. -An annual compliance visit was conducted on April 22, 2024, and the Incident Log was monitored, and incidents were documented. A portion of children files were also monitored, and incident reports were observed in the children files. The Incident Log was monitored again today. The administrator and staff interviewed stated that if there is an incident in which a report needs to be completed staff notify administration and the child is monitored and administration assists in providing first aid, for example, providing an ice pack. Families are contacted by phone if the incident involves the child’s face, or the incident may need medical attention. There are also families that request that they be contacted every time an incident occurs. Staff complete the incident report, and this is shared with the family when they arrive to pick up their child and signed by them. They are given a copy if they want one, the report is documented on the Incident Log and the report is placed in the child’s file. -During the walkthrough of the facility I did not observe equipment or materials that created an unsafe environment. Administration stated four months ago a rocker was removed from a classroom due to a parent’s concern that it may have been leaving a mark on a child’s thigh. Administration stated that the rocker was not broken, nor did staff see the mark on the child’s leg. Recently, the parent had a concern about a similar mark on the child’s thigh. Administration stated that observations were made in the classroom, and it was observed that some children straddle the chairs used during mealtimes. Staff have not seen marks nor have had children been observed to be upset or in discomfort. Staff continue to redirect the children and provide positive feed back when the children sit appropriately in the chairs. -As I arrived the children were observed eating morning snack, which consisted of a biscuit, grape jelly, peaches, and milk. The menu posted had a biscuit, sausage, pears and milk listed for the morning snack during today’s visit. I brought this to the staffs’ attention and the menu was revised. Based on observations and monitoring of the menu the posted menu was not accurate. This allegation was confirmed and therefore substantiated. Based on observations, monitoring of Incident Logs and discussions with administration and staff the allegations concerning supervision, incident reports and an unsafe environment could not be confirmed and therefore the allegations were unsubstantiated. The following violation was observed and corrected during today’s visit. Violation Number Comment Rule 528 Food substitution was not of comparable food value or recorded on the menu prior to the meal or snack being served. The menu posted had biscuit, sausage, pears and milk listed for the morning snack during today’s visit. The children were served a biscuit, grape jelly, peaches, and milk. 10A NCAC 09 .0901(b) TECHNICAL ASSISTANCEE: -We discussed that the menu is required to be revised prior to the food being served to the children. Best practice would be to review the menu daily for the next day to ensure that all items listed are available for the meals and if not revise the day before. CONSULTATION: -Remove toddler feeding chairs used for feeding the younger children as soon as they are done eating so that they are not accessible to the other children. Please continue to visit DCDEE’s website to get the latest information for child care at https://ncchildcare.ncdhhs.gov/. 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 Lead 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 .0601 · Violation

Name of Operation: CORNERSTONE CHILD DEVELOPMENT CENTER-CITY Facility ID: 80000266 Consultant: CAROLYN CONLEY Operation Type: Center Case Number: Visit Date: 4/22/2024 Number Present: 25 Completed Date: 4/22/2024 Age: From 0 To 5 Total Minutes: 285 Time In: 09:00 AM Time Out: 01:45 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. The last Annual Compliance visit was conducted on April 25, 2023. This facility operates with a Five Star Rated License. The following restrictions are listed: daytime care only, meets enhanced ratios and children under two and a half years old in rooms with direct exits only. The Environmental Rating Scales (ERS) assessments were conducted in February 2018. This facility is in Cohort one and will be going through the rated licenses process between July 1, 2024 to June 30, 2025. The 18-month compliance history is at 85%. The legal owner is CORNERSTONE CHURCH OF SALISBURY, INC. and the status with the Secretary of State is current and active. Upon arrival, I was greeted by, Janet McDade, director of the facility, and Michelle Macon, Executive Director. I completed the "Annual Compliance Monitoring Checklist for Centers" during today's visit. The children were observed during story time, free choice activities indoors and outdoors, hand washing routines, lunch and nap. Staff/child ratios, group size and supervision were monitored. The outdoor play area, outdoor play inspections and emergency drills were monitored. The fire inspection was conducted on January 10, 2024. A sanitation inspection was conducted on December 4, 2023, with no demerits. You stated that you provide transportation. The vehicle and documents were monitored during today's visit. There have been one new staff member hired since the last visit. I monitored her and a portion of the existing staff files. Health and Safety requirements were monitored. There are 48 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 716 All stationary equipment, more than 18 inches high, was not installed over protective surfacing. The mulch surrounding and under the structure on the school aged outdoor play area had areas that there was not mulch and the ground was exposed. There were also areas in which the mulch was measuring four inches instead of at least six inches in depth. .0605(j) 807 A safe indoor and outdoor environment was not provided for the children. The ramps that lead to the outside play area for the toddler aged and infected children have paint that is peeling and chipping on the railings in various spots. The concrete landing at the bottom of the ramp used for the infant aged children has an area in which the dirt has eroded away and is exposing a jagged section of concrete that may be hazardous to the children that are beginning to walk. 10A NCAC 09 .0601(a) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. The first aid kit located in the bus used for transportation had hand sanitizer, antiseptic wipes and ice packs that are hazardous to children. .2820(b) 1834 Application did not have a medical action plan attached for any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services. A child in space 3 has a chronic condition and did not have a medical action plan. .0801(b) 1898 Staff did not complete the health and safety training within one year of employment. A staff member that was transferred to this facility was hired on 9/27/22 and has not completed her health and safety training. .1102(a) TECHNICAL ASSISTANCE: -Use the Staff File Checklist prior to having staff transfer to your facility to ensure that they have all the required documents and trainings before they begin working. -Delegate a staff member to monitor the outdoor play area daily and notify administration when hazards are observed so that they can be removed or repaired immediately. This includes measuring the mulch as well; especially after rainy weather. Staff could use a screwdriver that is at least six inches long. -Monitor the children’s applications when families give them to you to ensure that all the information required is on the application. This includes the Medical Action Plan for children that have health needs. -The first aid kits cannot have items that say “keep out of reach of children”. No medication should be in the kits. They can have band aids, gloves, gauze and baby wipes to clean a wound. CONSULTATION: -Make sure that all materials are accessible to the children in the language area and that felt pieces are placed in containers for easy access. -Have the staff members that work with the children infant aged to one year of age review the ITERS-R book and the materials that are needed. Ms. Macon stated that the staff received a materials checklist on Friday and it is due to her by the end of this week. -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. -Contact the Early Education Program Lead at Smart Start Rowan, at (704) 603-3351 for technical assistance as you prepare for the rated license process. You stated that Ms. Trujillo has been out to visit once. -Visit the North Carolina Rated License Assessment Project’s website: ncrlap.org. There are trainings and resources available for the Environmental Rating Scale (ERS) assessments. You stated that staff have been using this resource. 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 May 6, 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. 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 Lead 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 .2200 · Violation

Name of Operation: CORNERSTONE CHILD DEVELOPMENT CENTER-CITY Facility ID: 80000266 Consultant: CAROLYN CONLEY Operation Type: Center Case Number: Visit Date: 4/22/2024 Number Present: 25 Completed Date: 4/22/2024 Age: From 0 To 5 Total Minutes: 285 Time In: 09:00 AM Time Out: 01:45 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. The last Annual Compliance visit was conducted on April 25, 2023. This facility operates with a Five Star Rated License. The following restrictions are listed: daytime care only, meets enhanced ratios and children under two and a half years old in rooms with direct exits only. The Environmental Rating Scales (ERS) assessments were conducted in February 2018. This facility is in Cohort one and will be going through the rated licenses process between July 1, 2024 to June 30, 2025. The 18-month compliance history is at 85%. The legal owner is CORNERSTONE CHURCH OF SALISBURY, INC. and the status with the Secretary of State is current and active. Upon arrival, I was greeted by, Janet McDade, director of the facility, and Michelle Macon, Executive Director. I completed the "Annual Compliance Monitoring Checklist for Centers" during today's visit. The children were observed during story time, free choice activities indoors and outdoors, hand washing routines, lunch and nap. Staff/child ratios, group size and supervision were monitored. The outdoor play area, outdoor play inspections and emergency drills were monitored. The fire inspection was conducted on January 10, 2024. A sanitation inspection was conducted on December 4, 2023, with no demerits. You stated that you provide transportation. The vehicle and documents were monitored during today's visit. There have been one new staff member hired since the last visit. I monitored her and a portion of the existing staff files. Health and Safety requirements were monitored. There are 48 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 716 All stationary equipment, more than 18 inches high, was not installed over protective surfacing. The mulch surrounding and under the structure on the school aged outdoor play area had areas that there was not mulch and the ground was exposed. There were also areas in which the mulch was measuring four inches instead of at least six inches in depth. .0605(j) 807 A safe indoor and outdoor environment was not provided for the children. The ramps that lead to the outside play area for the toddler aged and infected children have paint that is peeling and chipping on the railings in various spots. The concrete landing at the bottom of the ramp used for the infant aged children has an area in which the dirt has eroded away and is exposing a jagged section of concrete that may be hazardous to the children that are beginning to walk. 10A NCAC 09 .0601(a) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. The first aid kit located in the bus used for transportation had hand sanitizer, antiseptic wipes and ice packs that are hazardous to children. .2820(b) 1834 Application did not have a medical action plan attached for any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services. A child in space 3 has a chronic condition and did not have a medical action plan. .0801(b) 1898 Staff did not complete the health and safety training within one year of employment. A staff member that was transferred to this facility was hired on 9/27/22 and has not completed her health and safety training. .1102(a) TECHNICAL ASSISTANCE: -Use the Staff File Checklist prior to having staff transfer to your facility to ensure that they have all the required documents and trainings before they begin working. -Delegate a staff member to monitor the outdoor play area daily and notify administration when hazards are observed so that they can be removed or repaired immediately. This includes measuring the mulch as well; especially after rainy weather. Staff could use a screwdriver that is at least six inches long. -Monitor the children’s applications when families give them to you to ensure that all the information required is on the application. This includes the Medical Action Plan for children that have health needs. -The first aid kits cannot have items that say “keep out of reach of children”. No medication should be in the kits. They can have band aids, gloves, gauze and baby wipes to clean a wound. CONSULTATION: -Make sure that all materials are accessible to the children in the language area and that felt pieces are placed in containers for easy access. -Have the staff members that work with the children infant aged to one year of age review the ITERS-R book and the materials that are needed. Ms. Macon stated that the staff received a materials checklist on Friday and it is due to her by the end of this week. -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. -Contact the Early Education Program Lead at Smart Start Rowan, at (704) 603-3351 for technical assistance as you prepare for the rated license process. You stated that Ms. Trujillo has been out to visit once. -Visit the North Carolina Rated License Assessment Project’s website: ncrlap.org. There are trainings and resources available for the Environmental Rating Scale (ERS) assessments. You stated that staff have been using this resource. 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 May 6, 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. 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 Lead 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 .0701 · Violation

Name of Operation: CORNERSTONE CHILD DEVELOPMENT CENTER-CITY Facility ID: 80000266 Consultant: CAROLYN CONLEY Operation Type: Center Case Number: Visit Date: 10/17/2023 Number Present: 24 Completed Date: 10/17/2023 Age: From 0 To 5 Total Minutes: 100 Time In: 10:20 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 April 25, 2023. This facility operates with a Five Star Rated License. The following restrictions are listed: daytime care only, meets enhance space and ratios and children under two and a half years old in rooms with direct exits only. The Environmental Rating Scales (ERS) assessments were conducted in February 2018. This facility is in Cohort one and will be going through the rated licenses process between July 1, 2024 to June 30, 2025. The 18 month compliance history is at 89%. Upon arrival, I was greeted by Caroline Kassouf, Program Director. She contacted you, Michelle Macon, Executive Director and you arrived as I was conducting a walkthrough of the facility. The children were observed transitioning outdoors, hand washing routines, group time and lunch. I monitored the following items: supervision, staff/child ratios, CPR and First Aid, special training, ITS-SIDS 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. A fire inspection was conducted on January 10, 2023, 2023. A sanitation inspection was completed on March 13, 2023 with three demerits and a superior rating. There was one new staff member since my last visit. There were no violations observed during today's visit. Violation Number Comment Rule 107 The center did not comply with the permit restrictions. This facility has a restriction of meeting enhanced ratios. I observed that space 3 had 10 children present and the maximum capacity for this space at 30 SF is 8 children. GS 110-91; GS 110-106 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. A staff member was hired on 9/18/23 and did not have a medical report on file. 10A NCAC 09 .0701(a) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. Two staff member's certification expired on 9/27/23. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. Two staff member's certification expired on 9/27/23. .1102(d) TECHNICAL ASSISTANCE/RESOURCES: -Place reminders on calendar when FA/CPR is due. Plan the training in advance. -Do not write the date on staff file checklist until the document is placed in the staff's file. 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 October 31, 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. 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 .2200 · Violation

Name of Operation: CORNERSTONE CHILD DEVELOPMENT CENTER-CITY Facility ID: 80000266 Consultant: CAROLYN CONLEY Operation Type: Center Case Number: Visit Date: 10/17/2023 Number Present: 24 Completed Date: 10/17/2023 Age: From 0 To 5 Total Minutes: 100 Time In: 10:20 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 April 25, 2023. This facility operates with a Five Star Rated License. The following restrictions are listed: daytime care only, meets enhance space and ratios and children under two and a half years old in rooms with direct exits only. The Environmental Rating Scales (ERS) assessments were conducted in February 2018. This facility is in Cohort one and will be going through the rated licenses process between July 1, 2024 to June 30, 2025. The 18 month compliance history is at 89%. Upon arrival, I was greeted by Caroline Kassouf, Program Director. She contacted you, Michelle Macon, Executive Director and you arrived as I was conducting a walkthrough of the facility. The children were observed transitioning outdoors, hand washing routines, group time and lunch. I monitored the following items: supervision, staff/child ratios, CPR and First Aid, special training, ITS-SIDS 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. A fire inspection was conducted on January 10, 2023, 2023. A sanitation inspection was completed on March 13, 2023 with three demerits and a superior rating. There was one new staff member since my last visit. There were no violations observed during today's visit. Violation Number Comment Rule 107 The center did not comply with the permit restrictions. This facility has a restriction of meeting enhanced ratios. I observed that space 3 had 10 children present and the maximum capacity for this space at 30 SF is 8 children. GS 110-91; GS 110-106 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. A staff member was hired on 9/18/23 and did not have a medical report on file. 10A NCAC 09 .0701(a) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. Two staff member's certification expired on 9/27/23. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. Two staff member's certification expired on 9/27/23. .1102(d) TECHNICAL ASSISTANCE/RESOURCES: -Place reminders on calendar when FA/CPR is due. Plan the training in advance. -Do not write the date on staff file checklist until the document is placed in the staff's file. 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 October 31, 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. 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: CORNERSTONE CHILD DEVELOPMENT CENTER-CITY Facility ID: 80000266 Consultant: CAROLYN CONLEY Operation Type: Center Case Number: Visit Date: 10/17/2023 Number Present: 24 Completed Date: 10/17/2023 Age: From 0 To 5 Total Minutes: 100 Time In: 10:20 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 April 25, 2023. This facility operates with a Five Star Rated License. The following restrictions are listed: daytime care only, meets enhance space and ratios and children under two and a half years old in rooms with direct exits only. The Environmental Rating Scales (ERS) assessments were conducted in February 2018. This facility is in Cohort one and will be going through the rated licenses process between July 1, 2024 to June 30, 2025. The 18 month compliance history is at 89%. Upon arrival, I was greeted by Caroline Kassouf, Program Director. She contacted you, Michelle Macon, Executive Director and you arrived as I was conducting a walkthrough of the facility. The children were observed transitioning outdoors, hand washing routines, group time and lunch. I monitored the following items: supervision, staff/child ratios, CPR and First Aid, special training, ITS-SIDS 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. A fire inspection was conducted on January 10, 2023, 2023. A sanitation inspection was completed on March 13, 2023 with three demerits and a superior rating. There was one new staff member since my last visit. There were no violations observed during today's visit. Violation Number Comment Rule 107 The center did not comply with the permit restrictions. This facility has a restriction of meeting enhanced ratios. I observed that space 3 had 10 children present and the maximum capacity for this space at 30 SF is 8 children. GS 110-91; GS 110-106 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. A staff member was hired on 9/18/23 and did not have a medical report on file. 10A NCAC 09 .0701(a) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. Two staff member's certification expired on 9/27/23. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. Two staff member's certification expired on 9/27/23. .1102(d) TECHNICAL ASSISTANCE/RESOURCES: -Place reminders on calendar when FA/CPR is due. Plan the training in advance. -Do not write the date on staff file checklist until the document is placed in the staff's file. 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 October 31, 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. 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 110-91 · Violation

Name of Operation: CORNERSTONE CHILD DEVELOPMENT CENTER-CITY Facility ID: 80000266 Consultant: CAROLYN CONLEY Operation Type: Center Case Number: Visit Date: 10/17/2023 Number Present: 24 Completed Date: 10/17/2023 Age: From 0 To 5 Total Minutes: 100 Time In: 10:20 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 April 25, 2023. This facility operates with a Five Star Rated License. The following restrictions are listed: daytime care only, meets enhance space and ratios and children under two and a half years old in rooms with direct exits only. The Environmental Rating Scales (ERS) assessments were conducted in February 2018. This facility is in Cohort one and will be going through the rated licenses process between July 1, 2024 to June 30, 2025. The 18 month compliance history is at 89%. Upon arrival, I was greeted by Caroline Kassouf, Program Director. She contacted you, Michelle Macon, Executive Director and you arrived as I was conducting a walkthrough of the facility. The children were observed transitioning outdoors, hand washing routines, group time and lunch. I monitored the following items: supervision, staff/child ratios, CPR and First Aid, special training, ITS-SIDS 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. A fire inspection was conducted on January 10, 2023, 2023. A sanitation inspection was completed on March 13, 2023 with three demerits and a superior rating. There was one new staff member since my last visit. There were no violations observed during today's visit. Violation Number Comment Rule 107 The center did not comply with the permit restrictions. This facility has a restriction of meeting enhanced ratios. I observed that space 3 had 10 children present and the maximum capacity for this space at 30 SF is 8 children. GS 110-91; GS 110-106 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. A staff member was hired on 9/18/23 and did not have a medical report on file. 10A NCAC 09 .0701(a) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. Two staff member's certification expired on 9/27/23. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. Two staff member's certification expired on 9/27/23. .1102(d) TECHNICAL ASSISTANCE/RESOURCES: -Place reminders on calendar when FA/CPR is due. Plan the training in advance. -Do not write the date on staff file checklist until the document is placed in the staff's file. 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 October 31, 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. 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