Cornerstone Child Development Center

10A NCAC 09 .0304 · Violation

Name of Operation: CORNERSTONE CHILD DEVELOPMENT CENTER Facility ID: 80000154 Consultant: ASHLYNN VAUGHAN Operation Type: Center Case Number: Visit Date: 4/22/2025 Number Present: 39 Completed Date: 4/22/2025 Age: From 0 To 5 Total Minutes: 154 Time In: 12:56 PM Time Out: 03:30 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 October 22, 2024. Your facility’s compliance history score prior to today’s visit was 90%. You, Anita Pope, Director, assisted me with the visit. Michelle Macon, Executive Director, arrived while I was typing the visit summary. 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 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 November 25, 2024, with four (4) demerits and a superior classification. A fire inspection was conducted on June 21, 2024. There have been three new staff members hired since the last visit. I monitored their files. 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 847 Parent's medication authorization did not include required information. In Space 6, three Medication Administration Permission Forms were missing the amount of diaper cream to administer. 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. A staff member hired on 1/6/2025 completed certification in First Aid on 4/14/2025. .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 on 1/6/2025 completed CPR training on 4/14/2025. .1102(d) Technical Assistance: • To ensure all staff members complete CPR/First Aid training within 90 days of employment, I suggest that you implement a tracking system using a spreadsheet to monitor each employee’s due dates. You can also use the spreadsheet to keep track of CPR/First Aid expiration dates to ensure timely recertification. • To ensure Medication Administration Permission Forms are completed thoroughly and accurately with all required information, I suggest that you have a member of the administration check all forms prior to accepting medications in the classroom. Consultation: • NEW QRIS MODERNIZATION PLAN: The new QRIS Modernization Plan known as “Pathways to Success” is being added to law which includes moving to the use of the updated Environmental Rating Scale (ERS-3 versions) for ITERS, ECERS, and FCCERS, effective February 1, 2025. DCDEE and the NC Child Care Commission will continue the rulemaking process to add the rule language to child care requirements. This process with take several months. Hold Harmless provisions have been extended. Star rated license reassessments are postponed until the QRIS rulemaking process has been completed. Star rated license assessments are still required for new child care programs. A pathway for child care programs currently accredited through the approved accrediting bodies may now move to a 3- or 5-star license if they are not already at this star level. Providers need to submit a request to their licensing consultant and provide a copy of their accreditation award/certificate for processing: Accreditation Licensure Request Form. Please be reminded any ERS assessment completed on February 1, 2025 and after will be assessed using the ERS-3 versions. • 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 • ABCMS SYSTEM: The process of notifying the Division of any new child care providers working who are hired or moved into the child care facility within five business days 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 on an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement as stated in G.S. 110-90.2 & .2703(r) 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. • Due to the recent impacts of Hurricane Helene and other natural disasters, the Clean Classrooms for Carolina Kids enrollment deadline has been revised statewide. Child care facilities that have not yet enrolled should complete the online process by May 31, 2025. 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 5/6/2025. 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 .0803 · Violation

Name of Operation: CORNERSTONE CHILD DEVELOPMENT CENTER Facility ID: 80000154 Consultant: ASHLYNN VAUGHAN Operation Type: Center Case Number: Visit Date: 4/22/2025 Number Present: 39 Completed Date: 4/22/2025 Age: From 0 To 5 Total Minutes: 154 Time In: 12:56 PM Time Out: 03:30 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 October 22, 2024. Your facility’s compliance history score prior to today’s visit was 90%. You, Anita Pope, Director, assisted me with the visit. Michelle Macon, Executive Director, arrived while I was typing the visit summary. 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 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 November 25, 2024, with four (4) demerits and a superior classification. A fire inspection was conducted on June 21, 2024. There have been three new staff members hired since the last visit. I monitored their files. 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 847 Parent's medication authorization did not include required information. In Space 6, three Medication Administration Permission Forms were missing the amount of diaper cream to administer. 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. A staff member hired on 1/6/2025 completed certification in First Aid on 4/14/2025. .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 on 1/6/2025 completed CPR training on 4/14/2025. .1102(d) Technical Assistance: • To ensure all staff members complete CPR/First Aid training within 90 days of employment, I suggest that you implement a tracking system using a spreadsheet to monitor each employee’s due dates. You can also use the spreadsheet to keep track of CPR/First Aid expiration dates to ensure timely recertification. • To ensure Medication Administration Permission Forms are completed thoroughly and accurately with all required information, I suggest that you have a member of the administration check all forms prior to accepting medications in the classroom. Consultation: • NEW QRIS MODERNIZATION PLAN: The new QRIS Modernization Plan known as “Pathways to Success” is being added to law which includes moving to the use of the updated Environmental Rating Scale (ERS-3 versions) for ITERS, ECERS, and FCCERS, effective February 1, 2025. DCDEE and the NC Child Care Commission will continue the rulemaking process to add the rule language to child care requirements. This process with take several months. Hold Harmless provisions have been extended. Star rated license reassessments are postponed until the QRIS rulemaking process has been completed. Star rated license assessments are still required for new child care programs. A pathway for child care programs currently accredited through the approved accrediting bodies may now move to a 3- or 5-star license if they are not already at this star level. Providers need to submit a request to their licensing consultant and provide a copy of their accreditation award/certificate for processing: Accreditation Licensure Request Form. Please be reminded any ERS assessment completed on February 1, 2025 and after will be assessed using the ERS-3 versions. • 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 • ABCMS SYSTEM: The process of notifying the Division of any new child care providers working who are hired or moved into the child care facility within five business days 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 on an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement as stated in G.S. 110-90.2 & .2703(r) 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. • Due to the recent impacts of Hurricane Helene and other natural disasters, the Clean Classrooms for Carolina Kids enrollment deadline has been revised statewide. Child care facilities that have not yet enrolled should complete the online process by May 31, 2025. 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 5/6/2025. 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 Facility ID: 80000154 Consultant: ASHLYNN VAUGHAN Operation Type: Center Case Number: Visit Date: 4/22/2025 Number Present: 39 Completed Date: 4/22/2025 Age: From 0 To 5 Total Minutes: 154 Time In: 12:56 PM Time Out: 03:30 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 October 22, 2024. Your facility’s compliance history score prior to today’s visit was 90%. You, Anita Pope, Director, assisted me with the visit. Michelle Macon, Executive Director, arrived while I was typing the visit summary. 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 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 November 25, 2024, with four (4) demerits and a superior classification. A fire inspection was conducted on June 21, 2024. There have been three new staff members hired since the last visit. I monitored their files. 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 847 Parent's medication authorization did not include required information. In Space 6, three Medication Administration Permission Forms were missing the amount of diaper cream to administer. 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. A staff member hired on 1/6/2025 completed certification in First Aid on 4/14/2025. .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 on 1/6/2025 completed CPR training on 4/14/2025. .1102(d) Technical Assistance: • To ensure all staff members complete CPR/First Aid training within 90 days of employment, I suggest that you implement a tracking system using a spreadsheet to monitor each employee’s due dates. You can also use the spreadsheet to keep track of CPR/First Aid expiration dates to ensure timely recertification. • To ensure Medication Administration Permission Forms are completed thoroughly and accurately with all required information, I suggest that you have a member of the administration check all forms prior to accepting medications in the classroom. Consultation: • NEW QRIS MODERNIZATION PLAN: The new QRIS Modernization Plan known as “Pathways to Success” is being added to law which includes moving to the use of the updated Environmental Rating Scale (ERS-3 versions) for ITERS, ECERS, and FCCERS, effective February 1, 2025. DCDEE and the NC Child Care Commission will continue the rulemaking process to add the rule language to child care requirements. This process with take several months. Hold Harmless provisions have been extended. Star rated license reassessments are postponed until the QRIS rulemaking process has been completed. Star rated license assessments are still required for new child care programs. A pathway for child care programs currently accredited through the approved accrediting bodies may now move to a 3- or 5-star license if they are not already at this star level. Providers need to submit a request to their licensing consultant and provide a copy of their accreditation award/certificate for processing: Accreditation Licensure Request Form. Please be reminded any ERS assessment completed on February 1, 2025 and after will be assessed using the ERS-3 versions. • 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 • ABCMS SYSTEM: The process of notifying the Division of any new child care providers working who are hired or moved into the child care facility within five business days 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 on an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement as stated in G.S. 110-90.2 & .2703(r) 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. • Due to the recent impacts of Hurricane Helene and other natural disasters, the Clean Classrooms for Carolina Kids enrollment deadline has been revised statewide. Child care facilities that have not yet enrolled should complete the online process by May 31, 2025. 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 5/6/2025. 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 .0304 · Violation

Name of Operation: CORNERSTONE CHILD DEVELOPMENT CENTER Facility ID: 80000154 Consultant: ASHLYNN VAUGHAN Operation Type: Center Case Number: Visit Date: 10/22/2024 Number Present: 66 Completed Date: 10/22/2024 Age: From 0 To 5 Total Minutes: 295 Time In: 09:15 AM Time Out: 02:10 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today's visit was to monitor your program for compliance with applicable child care requirements during an Annual Compliance visit. Your last Annual Compliance visit was conducted on November 7, 2023. Your facility’s compliance history score prior to today’s visit was 87%. You, Michelle Macon, Executive Director, and Anita Pope, Director, assisted me with today’s 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 98 children on first shift, ages 0-12 with an effective date May 13, 2022. The following restrictions are listed: daytime care only, may care for children up to age 13, meets enhanced ratios, meets enhanced space, and children under 2 ½ 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 today. I used the “Annual Compliance Monitoring Visit Checklist for Child Care Centers” during today’s visit. I observed your Five-Star License, NC Child Care Summary of the Law, menu, Emergency Medical Care Plan, Sanitation placard, daily schedule, activity plan, 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 and the lunch routine. 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 your program does not provide transportation. 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 two (2) demerits and a superior classification. A fire inspection was conducted on June 21, 2024. There have been four new staff members hired since the last visit. I monitored their files and a portion of existing staff files during today’s visit. There are 103 children enrolled. I monitored a portion of the children’s records. The developmental screenings, health assessments, vision screenings, hearing screenings and dental screenings required for the NC Pre-K Program were monitored. Prior to today's visit, the Program Consultant Site Visit Information Report was reviewed in the NC Pre-K Plan system. Staff listed on the report are staff that were in the classroom. Ages and Stages Questionnaire is used for the developmental screening tool, Teaching Strategies Gold is the on-going assessment used and Creative Curriculum is the curriculum used. Parent involvement activities include home visits, parent/teacher conferences, and a parent engagement calendar for activities. You stated the NC Pre-K Program hours for the children are 7:30 to 2:15 and the staff hours are 6:30-2:30 and 7:15-3:15. The following violation was observed during today’s visit. Violation Number Comment Rule 847 Parent's medication authorization did not include required information. In Space 6, a Hello Baby Mosquito Repellent and bottle of Cetirizine did not have a Medication Administration Permission Form on file. In Space 5, a Medication Administration Permission Form for Gripe Water did not include the name of the medication or the amount and frequency of dosage. 10A NCAC 09 .0803(4)(6-9) Technical Assistance: • To ensure the health and safety of children, staff members should thoroughly review the Medication Administration Permission Form to confirm that all required information is complete and accurate. Today, we discussed implementing a procedure for a designated person to review all medication forms before they are sent to the classroom. We also discussed keeping a copy of each form in the office in case the medication form cannot be located in the classroom. 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. • 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 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. 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 11/5/2024. 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: CORNERSTONE CHILD DEVELOPMENT CENTER Facility ID: 80000154 Consultant: ASHLYNN VAUGHAN Operation Type: Center Case Number: Visit Date: 10/22/2024 Number Present: 66 Completed Date: 10/22/2024 Age: From 0 To 5 Total Minutes: 295 Time In: 09:15 AM Time Out: 02:10 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today's visit was to monitor your program for compliance with applicable child care requirements during an Annual Compliance visit. Your last Annual Compliance visit was conducted on November 7, 2023. Your facility’s compliance history score prior to today’s visit was 87%. You, Michelle Macon, Executive Director, and Anita Pope, Director, assisted me with today’s 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 98 children on first shift, ages 0-12 with an effective date May 13, 2022. The following restrictions are listed: daytime care only, may care for children up to age 13, meets enhanced ratios, meets enhanced space, and children under 2 ½ 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 today. I used the “Annual Compliance Monitoring Visit Checklist for Child Care Centers” during today’s visit. I observed your Five-Star License, NC Child Care Summary of the Law, menu, Emergency Medical Care Plan, Sanitation placard, daily schedule, activity plan, 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 and the lunch routine. 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 your program does not provide transportation. 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 two (2) demerits and a superior classification. A fire inspection was conducted on June 21, 2024. There have been four new staff members hired since the last visit. I monitored their files and a portion of existing staff files during today’s visit. There are 103 children enrolled. I monitored a portion of the children’s records. The developmental screenings, health assessments, vision screenings, hearing screenings and dental screenings required for the NC Pre-K Program were monitored. Prior to today's visit, the Program Consultant Site Visit Information Report was reviewed in the NC Pre-K Plan system. Staff listed on the report are staff that were in the classroom. Ages and Stages Questionnaire is used for the developmental screening tool, Teaching Strategies Gold is the on-going assessment used and Creative Curriculum is the curriculum used. Parent involvement activities include home visits, parent/teacher conferences, and a parent engagement calendar for activities. You stated the NC Pre-K Program hours for the children are 7:30 to 2:15 and the staff hours are 6:30-2:30 and 7:15-3:15. The following violation was observed during today’s visit. Violation Number Comment Rule 847 Parent's medication authorization did not include required information. In Space 6, a Hello Baby Mosquito Repellent and bottle of Cetirizine did not have a Medication Administration Permission Form on file. In Space 5, a Medication Administration Permission Form for Gripe Water did not include the name of the medication or the amount and frequency of dosage. 10A NCAC 09 .0803(4)(6-9) Technical Assistance: • To ensure the health and safety of children, staff members should thoroughly review the Medication Administration Permission Form to confirm that all required information is complete and accurate. Today, we discussed implementing a procedure for a designated person to review all medication forms before they are sent to the classroom. We also discussed keeping a copy of each form in the office in case the medication form cannot be located in the classroom. 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. • 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 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. 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 11/5/2024. 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 .0901 · Violation

Name of Operation: CORNERSTONE CHILD DEVELOPMENT CENTER Facility ID: 80000154 Consultant: CAROLYN CONLEY Operation Type: Center Case Number: 0324-050L Visit Date: 3/8/2024 Number Present: 36 Completed Date: 3/8/2024 Age: From 1 To 6 Total Minutes: 105 Time In: 07:30 AM Time Out: 09:15 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 follow-up on a violation cited on February 23, 2024, and to investigate a report received in the Raleigh office. There are concerns that: Drinking water is not freely available as required. Some children are not given sufficient time to complete their meal. Food is taken away. Upon arrival, I was greeted by staff, and they stated that you, Loren Noonan, Director, normally arrive around 8:00. The staff member that was serving morning snack contacted you by phone so that I could speak to you, and I stated the reason for my visit. In the meantime, I conducted a walk-through of the facility, and I observed arrival procedures, hand washing routines, sitting at tables waiting for breakfast, eating breakfast and free choice activities indoors. Michelle Macon, Executive Director, arrived as I was completing the walkthrough and you arrived shortly after her. I observed positive interactions between the staff and children and a nurturing environment. I monitored training certificates for a training that staff completed on language and interactions. I observed supervision, ratios, space, and permit restrictions. You stated that there are 36 children present between one year of age through six years of age and there are 93 children enrolled. I shared the concerns with you and Ms. Macon. FINDINGS: -One staff member stated that morning snack is normally at 7:30 but there was a substitute today. I observed morning snack served to the children at 7:45. -I observed the children eating their morning snack at the tables. As they finished, they were able to engage in the activity areas. I observed that children were able to continue to sit at the table and eat their snack as others were playing in the activity areas. -I observed one child arrive at 8:00 as all her other classmates have already eaten morning snack. The staff had her wash her hands and offered her the morning snack and the child sat down to eat. -You and Ms. Macon stated that morning snack is served 7:30-8:30 and this is also listed in the parent handbook that is reviewed with families and they sign acknowledging that they are aware and agree with the policies and procedures. -You stated that you hold pre-enrollment meetings with families and the daily schedule is reviewed with the families and they receive a copy. -I interviewed staff and they stated that water is offered when coming in from outside and during snack time. It is also offered to children when they say that they are thirsty or would like some water. -I observed that each classroom received a pitcher of water as breakfast was served. Based on observations and discussions with you and staff the allegations could not be confirmed and therefore the allegations were unsubstantiated. The following violations were observed and corrected during today’s visit. Violation Number Comment Rule 526 Menus for all meals and snacks were not current or posted where easily seen by parents and cook. The menu posted in the kitchen and posted on the door where families can see it was from the week of 2/26/24. 10A NCAC 09 .0901(b) 544 Screen time was offered to children under three years of age. I observed the children between one year of age and two years of age watching a Micky Mouse program on a table while sitting at the tables waiting for breakfast. .0510(f) 9995 A violation was found for which there is no item number. A violation was found for which there is no item number. WATER SUPPLY 15A NCAC 18A .2815 WATER SUPPLY (e) Hot water used for cleaning and sanitizing food utensils and laundry shall be provided at a minimum temperature of 120 degrees at the point of use. Water in areas accessible to children shall be tempered between 80 degrees and 110 degrees. For hand wash lavatories used exclusively by school-age children, the 80 degrees minimum temperature requirement shall not apply. Hot water in an area accessible to any child, which is in excess of 120 degrees), shall be considered a burn hazard. The kitchen door was not locked while not in use. TECHNICAL ASSSITANCE: -Post a sign on the kitchen door to remind staff to lock the kitchen door when there is no one in there. -Remind staff that screen time is prohibited for children under three years of age. Staff could sing songs or read stories as the children were sitting at the table waiting for the morning snack that was not on time. -You or the kitchen staff should monitor the menu at the end of each day to ensure that it is current and accurate. I read the visit summary to you and Ms. Macon and you stated that you had no questions. We signed the typed 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 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 Facility ID: 80000154 Consultant: CAROLYN CONLEY Operation Type: Center Case Number: 0224-232L Visit Date: 2/23/2024 Number Present: 72 Completed Date: 2/23/2024 Age: From 0 To 5 Total Minutes: 205 Time In: 11:50 AM Time Out: 03:15 PM 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. A child was not treated in a nurturing manner. The discipline policy is not followed. Example: Redirection to correct a behavior Upon arrival, I observed you, Loren Noonan, Director, in the room with the infants relieving a staff member for a lunch break. I observed you looking at your cell phone. You stated that you were looking at the timer used for checking the sleeping infants every 15 minutes. We discussed cell phone usage and you and Michelle Macon, Executive Director, stated that staff may use their cell phones or tablets during naptime for lesson planning, anecdotal note taking, responding to families and educational videos that are 10-15 minutes. ProCare Engagement is the application that is used. You and Ms. Macon stated that screen time for staff is monitored, and staff are monitored to ensure that they are walking around and supervising the sleeping children in the rooms. You stated that staff do take their cell phones outside but are not to use them unless there is an emergency. If there is an emergency they would us the GroupMe application. I observed the children during nap time, waking up from nap, hand washing routines and snack. I observed supervision, ratios, space, and permit restrictions. You stated that there are 61 children present between four years of age through five years of age and there are 84 children enrolled. I shared the concerns with you and Ms. Macon FINDINGS: -You stated that you have not observed any supervision concerns. During my observations I observed supervision to be in compliance. I interviewed a staff member that cares for the children four years and five years of age. She stated that she and the teacher that works with her are always supervising the children and that supervision has not been an issue. -I observed two instances today in which two staff members used an inappropriate tone during nap time in a classroom with children two years of age to four years of age. I observed the first incident upon arrival when a staff member used a loud voice, “Why am I hearing talking! It is nap time!” The second incident occurred when Ms. Noonan, Ms. Macon and I were meeting in Ms. Noonan's office. We heard another staff member yell, "It is nap time! Good night!" Ms. Macon and I went to the classroom when we heard the inappropriate tone. Ms. Macon stayed in the classroom and helped the staff get the children up from nap, washing of hands and ready for snack. Ms. Macon role modeled, discussed appropriate tones, when appropriate to change the naptime schedule and to ask for help when needed. -We discussed the discipline policy, and I monitored the policy during today’s visit. You stated that you have had no concerns about staff not following the discipline policy. You stated that redirection is the first and mostly used when there are behavior challenges. You stated that recently a child had to be terminated due to harmful behaviors that included hitting and kicking staff and other children. You stated that prior to the termination various strategies were tried: redirection, quiet box during nap time, modifying the day to a shorter day, meetings with the family and sharing information on ProCare. You also stated that there are times when you will bring the child to your office to give the child an opportunity to deescalate. You stated that you would provide the child with books, coloring activities and manipulatives. The family had contacted a behavior specialist to conduct observations, but the specialist had cancelled two times as of today’s date. -I interviewed the Lead Teacher that works with children four years and five years of age. She stated that redirection is the key behavior strategy she uses. An example she gave was if the child would throw blocks at children in the block center. She and the child would discuss why that is not a good choice and redirect the child to play in the Legos and she would provide some 1:1 time. If possible, she and the child would go outside, and she would encourage him to take deep breaths. He would like to run while outside, that sometimes helped. She stated that she and the teacher that works with her always provide a positive and nurturing environment for all the children they care for. Based on observations and discussions with you and staff the allegations concerning supervision and following the discipline policy could not be confirmed and therefore the allegations unsubstantiated. Based on observations there were two incidents in which children were not treated in a nurturing manner. The allegation concerning children were not attended to in a nurturing and appropriate manner has been substantiated. The following violations were observed during today’s visit. Violation Number Comment Rule 611 All beds, cots, or mats with individual linen were not provided for each child. I observed and a child laying on her cot without a cot sheet in classroom that cares for children two years to four years of age. 15A NCAC 18A .2821(c) 614 Bed, cribs, playpens, cots or mats were not placed at least 18" apart or separated by partitions when in use. I observed six cots that were not at least 18 inches apart in the classroom that cares for children two years to four years of age. 15A NCAC 18A .2821(e) 902 Each child was not attended to in a nurturing and appropriate manner, or in keeping with the child's developmental needs. I observed and heard a staff member in the classroom that cares for children two years to four years of age use a loud voice, "Why am I hearing talking! It is nap time!" While in Ms. Noonan's office with Ms. Noonan, Ms. Macon and I heard another staff member yell, "It is nap time! Good night!" in the same classroom. G.S. 110-91(10) TECHNICAL ASSSITANCE: -We discussed the inappropriate tones that were used in the classroom that serves children two years to four years of age. You stated that both teachers in this classroom were out today. The first incident was a new staff member that has been working for about a month. We discussed providing this staff member with more guidance, mentorship and training in positive interactions and guidance when working with young children. The second incident that occurred later during nap time was with a staff member that has been with this program for five years. We discussed providing additional training for staff on positive interactions and positive redirections. -We also discussed that the staff caring for children in the classroom that serves children two years to four years of age could give the children quiet activities to do at their cots. Staff cannot expect children to sleep, especially when both their teachers are out, and they are out of routine. If the children are still active towards the end of nap time get them up earlier than usual. -Visit the North Carolina Rated License Assessment Project’s website: ncrlap.org. There are training and resources available for positive interactions and environments that may be helpful for staff. -Please remind staff that minimal requirements require that cots be at least 18 inches apart. Solid barriers need to be at least the length of the cots. It would be best practice to make it longer in case children shift the cot or barrier. -Remind staff all children need linen to lay on when on their cots. Keep extra sheets in the classrooms. I read the visit summary to you and Ms. Macon and you stated that you had no questions. Ms. Macon and I signed the typed visit summary. 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 March 8, 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 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

G.S. 110-91 · Violation

Name of Operation: CORNERSTONE CHILD DEVELOPMENT CENTER Facility ID: 80000154 Consultant: CAROLYN CONLEY Operation Type: Center Case Number: 0224-232L Visit Date: 2/23/2024 Number Present: 72 Completed Date: 2/23/2024 Age: From 0 To 5 Total Minutes: 205 Time In: 11:50 AM Time Out: 03:15 PM 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. A child was not treated in a nurturing manner. The discipline policy is not followed. Example: Redirection to correct a behavior Upon arrival, I observed you, Loren Noonan, Director, in the room with the infants relieving a staff member for a lunch break. I observed you looking at your cell phone. You stated that you were looking at the timer used for checking the sleeping infants every 15 minutes. We discussed cell phone usage and you and Michelle Macon, Executive Director, stated that staff may use their cell phones or tablets during naptime for lesson planning, anecdotal note taking, responding to families and educational videos that are 10-15 minutes. ProCare Engagement is the application that is used. You and Ms. Macon stated that screen time for staff is monitored, and staff are monitored to ensure that they are walking around and supervising the sleeping children in the rooms. You stated that staff do take their cell phones outside but are not to use them unless there is an emergency. If there is an emergency they would us the GroupMe application. I observed the children during nap time, waking up from nap, hand washing routines and snack. I observed supervision, ratios, space, and permit restrictions. You stated that there are 61 children present between four years of age through five years of age and there are 84 children enrolled. I shared the concerns with you and Ms. Macon FINDINGS: -You stated that you have not observed any supervision concerns. During my observations I observed supervision to be in compliance. I interviewed a staff member that cares for the children four years and five years of age. She stated that she and the teacher that works with her are always supervising the children and that supervision has not been an issue. -I observed two instances today in which two staff members used an inappropriate tone during nap time in a classroom with children two years of age to four years of age. I observed the first incident upon arrival when a staff member used a loud voice, “Why am I hearing talking! It is nap time!” The second incident occurred when Ms. Noonan, Ms. Macon and I were meeting in Ms. Noonan's office. We heard another staff member yell, "It is nap time! Good night!" Ms. Macon and I went to the classroom when we heard the inappropriate tone. Ms. Macon stayed in the classroom and helped the staff get the children up from nap, washing of hands and ready for snack. Ms. Macon role modeled, discussed appropriate tones, when appropriate to change the naptime schedule and to ask for help when needed. -We discussed the discipline policy, and I monitored the policy during today’s visit. You stated that you have had no concerns about staff not following the discipline policy. You stated that redirection is the first and mostly used when there are behavior challenges. You stated that recently a child had to be terminated due to harmful behaviors that included hitting and kicking staff and other children. You stated that prior to the termination various strategies were tried: redirection, quiet box during nap time, modifying the day to a shorter day, meetings with the family and sharing information on ProCare. You also stated that there are times when you will bring the child to your office to give the child an opportunity to deescalate. You stated that you would provide the child with books, coloring activities and manipulatives. The family had contacted a behavior specialist to conduct observations, but the specialist had cancelled two times as of today’s date. -I interviewed the Lead Teacher that works with children four years and five years of age. She stated that redirection is the key behavior strategy she uses. An example she gave was if the child would throw blocks at children in the block center. She and the child would discuss why that is not a good choice and redirect the child to play in the Legos and she would provide some 1:1 time. If possible, she and the child would go outside, and she would encourage him to take deep breaths. He would like to run while outside, that sometimes helped. She stated that she and the teacher that works with her always provide a positive and nurturing environment for all the children they care for. Based on observations and discussions with you and staff the allegations concerning supervision and following the discipline policy could not be confirmed and therefore the allegations unsubstantiated. Based on observations there were two incidents in which children were not treated in a nurturing manner. The allegation concerning children were not attended to in a nurturing and appropriate manner has been substantiated. The following violations were observed during today’s visit. Violation Number Comment Rule 611 All beds, cots, or mats with individual linen were not provided for each child. I observed and a child laying on her cot without a cot sheet in classroom that cares for children two years to four years of age. 15A NCAC 18A .2821(c) 614 Bed, cribs, playpens, cots or mats were not placed at least 18" apart or separated by partitions when in use. I observed six cots that were not at least 18 inches apart in the classroom that cares for children two years to four years of age. 15A NCAC 18A .2821(e) 902 Each child was not attended to in a nurturing and appropriate manner, or in keeping with the child's developmental needs. I observed and heard a staff member in the classroom that cares for children two years to four years of age use a loud voice, "Why am I hearing talking! It is nap time!" While in Ms. Noonan's office with Ms. Noonan, Ms. Macon and I heard another staff member yell, "It is nap time! Good night!" in the same classroom. G.S. 110-91(10) TECHNICAL ASSSITANCE: -We discussed the inappropriate tones that were used in the classroom that serves children two years to four years of age. You stated that both teachers in this classroom were out today. The first incident was a new staff member that has been working for about a month. We discussed providing this staff member with more guidance, mentorship and training in positive interactions and guidance when working with young children. The second incident that occurred later during nap time was with a staff member that has been with this program for five years. We discussed providing additional training for staff on positive interactions and positive redirections. -We also discussed that the staff caring for children in the classroom that serves children two years to four years of age could give the children quiet activities to do at their cots. Staff cannot expect children to sleep, especially when both their teachers are out, and they are out of routine. If the children are still active towards the end of nap time get them up earlier than usual. -Visit the North Carolina Rated License Assessment Project’s website: ncrlap.org. There are training and resources available for positive interactions and environments that may be helpful for staff. -Please remind staff that minimal requirements require that cots be at least 18 inches apart. Solid barriers need to be at least the length of the cots. It would be best practice to make it longer in case children shift the cot or barrier. -Remind staff all children need linen to lay on when on their cots. Keep extra sheets in the classrooms. I read the visit summary to you and Ms. Macon and you stated that you had no questions. Ms. Macon and I signed the typed visit summary. 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 March 8, 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 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 .1106 · Violation

Name of Operation: CORNERSTONE CHILD DEVELOPMENT CENTER Facility ID: 80000154 Consultant: CAROLYN CONLEY Operation Type: Center Case Number: Visit Date: 11/7/2023 Number Present: 68 Completed Date: 11/7/2023 Age: From 0 To 6 Total Minutes: 285 Time In: 10:15 AM Time Out: 03:00 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 November 29, 2022. The last Environmental Rating Scale (ERS) assessments were conducted in April 2022. The 18-month compliance history is at 92%. The Secretary of State’s website was monitored and CORNERSTONE CHURCH OF SALISBURY, INC. is active and current. The license was posted and the following restrictions were listed: daytime care only; may care for children up to age 13; meets enhanced ratios and space; and children under 2 ½ years old in rooms with direct exits only. Upon arrival, I was greeted by you, Michelle Macon, Executive Director and Loren Noonan, Director. I completed the "Annual Compliance Monitoring Checklist for Centers" during today's visit. I observed the children during free choice activities indoors group activity outdoors, hand washing routines, lunch, diapering routines and nap/rest time and departure procedures. I observed positive interactions between staff and the children. I observed that staff/child ratios, group size and supervision were in compliance. I monitored the outdoor play area and outdoor play inspections. I reviewed the emergency drills and they are occurring as required. The fire inspection was conducted on June 22, 2023. The sanitation inspection was conducted on February 27, 2023, with six demerits and a superior rating. This facility does not provide transportation. There were three new staff members hired since my last visit. I monitored their files and a portion of the existing staff files. I monitored a portion of the children’s records. The following violations were observed and corrected during today’s visit. Violation Number Comment Rule 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's certification expired on 1/25/23 and two staff members' 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. One staff member's certification expired on 1/25/23 and two staff members' certification expired on 9/27/23. .1102(d) 1054 Documentation of staff's on-going training was not on file and/or was not current. A staff member that needs 20 in-service contact hours has no documentation that she has completed any for this year. 10A NCAC 09 .1106(a) 1898 Staff did not complete the health and safety training within one year of employment. A staff member began employment on 9/26/22 and has not completed the Recognizing and Responding to Child Maltreatment training within 12 months prior to hire nor 12 months after hire date. .1102(a) TECHNICAL ASSITANCE/RESOURCES: -Have staff list trainings that they will complete for the upcoming year and include on the staff development plan. Place reminders about trainings in common staff areas. Remind staff during staff meetings. -Keep a running list of CPR/FA expiration dates and post it. Begin looking/registering for CPR/FA classes 60 days prior to expiration date. -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. 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 November 21, 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 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 .2200 · Violation

Name of Operation: CORNERSTONE CHILD DEVELOPMENT CENTER Facility ID: 80000154 Consultant: CAROLYN CONLEY Operation Type: Center Case Number: Visit Date: 11/7/2023 Number Present: 68 Completed Date: 11/7/2023 Age: From 0 To 6 Total Minutes: 285 Time In: 10:15 AM Time Out: 03:00 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 November 29, 2022. The last Environmental Rating Scale (ERS) assessments were conducted in April 2022. The 18-month compliance history is at 92%. The Secretary of State’s website was monitored and CORNERSTONE CHURCH OF SALISBURY, INC. is active and current. The license was posted and the following restrictions were listed: daytime care only; may care for children up to age 13; meets enhanced ratios and space; and children under 2 ½ years old in rooms with direct exits only. Upon arrival, I was greeted by you, Michelle Macon, Executive Director and Loren Noonan, Director. I completed the "Annual Compliance Monitoring Checklist for Centers" during today's visit. I observed the children during free choice activities indoors group activity outdoors, hand washing routines, lunch, diapering routines and nap/rest time and departure procedures. I observed positive interactions between staff and the children. I observed that staff/child ratios, group size and supervision were in compliance. I monitored the outdoor play area and outdoor play inspections. I reviewed the emergency drills and they are occurring as required. The fire inspection was conducted on June 22, 2023. The sanitation inspection was conducted on February 27, 2023, with six demerits and a superior rating. This facility does not provide transportation. There were three new staff members hired since my last visit. I monitored their files and a portion of the existing staff files. I monitored a portion of the children’s records. The following violations were observed and corrected during today’s visit. Violation Number Comment Rule 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's certification expired on 1/25/23 and two staff members' 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. One staff member's certification expired on 1/25/23 and two staff members' certification expired on 9/27/23. .1102(d) 1054 Documentation of staff's on-going training was not on file and/or was not current. A staff member that needs 20 in-service contact hours has no documentation that she has completed any for this year. 10A NCAC 09 .1106(a) 1898 Staff did not complete the health and safety training within one year of employment. A staff member began employment on 9/26/22 and has not completed the Recognizing and Responding to Child Maltreatment training within 12 months prior to hire nor 12 months after hire date. .1102(a) TECHNICAL ASSITANCE/RESOURCES: -Have staff list trainings that they will complete for the upcoming year and include on the staff development plan. Place reminders about trainings in common staff areas. Remind staff during staff meetings. -Keep a running list of CPR/FA expiration dates and post it. Begin looking/registering for CPR/FA classes 60 days prior to expiration date. -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. 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 November 21, 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 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