ST. John'S Child Development Center

10A NCAC 09 .0508 · Violation

Name of Operation: ST. JOHN'S CHILD DEVELOPMENT CENTER Facility ID: 80000130 Consultant: ASHLYNN VAUGHAN Operation Type: Center Case Number: Visit Date: 4/8/2026 Number Present: 92 Completed Date: 4/8/2026 Age: From 0 To 5 Total Minutes: 340 Time In: 09:20 AM Time Out: 03:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp w/Rated Lic Assess Announced/Unannounced: Unannounced The purpose of today's visit was to monitor your program for compliance with applicable child care requirements and discuss results from the ECERS-3 assessment conducted on March 19, 2026. Your last Annual Compliance visit was conducted on May 1, 2025. Your facility’s compliance history score prior to today’s visit was 87%. You, Lea Anne Thomas, 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, or administrator. On April 1, 2026, I received all required documents to change the owner’s information in Regulatory. I reviewed the facilities permit with you today. This facility operates with a five-star license and is licensed for 188 children on first shift, ages 0-12 with an effective date of October 23, 2020. The following restrictions are listed: first shift, meets enhanced ratios, meets enhanced space, meets 35 square feet per child inside. Your facility, owned by St. John`s Evangelical Lutheran Church, Salisbury, North Carolina, was current and active with the NC Secretary of State as viewed on the NC Secretary of State Website today. 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 indoors and outdoors, group time, and transitions. 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. This facility provides transportation for field trips. The documents and vehicle were monitored during today’s visit. Program records were monitored, including emergency drills, fire drills, monthly outdoor inspections, and incident logs. A sanitation inspection was conducted on March 17, 2026, with eight (8) demerits and a superior classification. A fire inspection was conducted on July 30, 2025. I verified that you completed the lead water testing required to be completed every three years. Today, I verified that those test results dated October 10, 2023, indicate that the facility’s water is within acceptable limits. I verified that the lead-based paint and asbestos test results dated February 26, 2025, indicated that there were no hazards identified. 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 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. I monitored health and safety requirements. There are 109 children enrolled. I monitored a portion of the children’s records. 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 stated that the ASQ3 are used for the developmental screening tool, Teaching Strategies Gold is the on-going assessment, and Creative Curriculum is the curriculum used. Family engagement is occurring as required. Environmental Rating Scales: The ECERS-3 assessment was conducted on March 19, 2026, to meet the NC PreK requirements outlined in 10A NCAC 09 .3002(b). The classroom received an overall score of 5.53. The Environment Rating Scale summary was reviewed and discussed with you during today’s visit. Specific attention was paid to the indicators that were scored three or below as identified below: Item 5, Indicator 3.2: A child's drawing was posted on the wall in the book area; however, a second example of children's work was not displayed as required by this indicator. During today’s visit, you stated that at the time of the assessment, the teachers were in between posting work in the classroom as they were changing units. Item 7, Indicator 3.3: To earn credit for this indicator, children must be able to use gross motor equipment that promotes at least seven skills. The children had balls, wooden tree stumps for balance, a parachute, and a bowling game, for a total of five skills. Gross motor equipment that promotes additional skills was not used. During today’s visit you stated that the facility is in the process of raising money to buy more materials for the outdoor learning environment and classroom. We reviewed the grievance process. You stated the facility would not file a grievance with NCRLAP. Rated License Discussion - 1. Rated License Application: I received the Application for Assessment for a Rated License for Centers during today’s visit. You have chosen Classroom & Instructional Quality Pathway (Pathway2). 2. Enhanced Staff/Child Ratios and Enhanced Space: On the Application for Assessment for a Rated License form you checked that you meet Reduced Enhanced Staff/Child Ratio and Enhanced Space. Today, I verified that Reduced Enhanced Staff/Child Ratio and Enhanced Space was in place and being maintained. 3. Staff Education Standards: You stated during that five teachers are in the process of mailing official transcripts to the workforce unit to be evaluated in their position. As a reminder, the staff’s education that has been evaluated by the Workforce Unit will be used to verify the individual’s education level, as well as the overall education level earned by the facility. 4. During today’s visit, I received the Family and Community Engagement Standards Child Care Centers / Centers Located in a Residence form. • I verified the five foundational practices were in place by reviewing the plans you have documented in the facility’s operational policies and reviewing parent communication documentation, and flyers. • I verified that the four (4) additional Family Community Engagement Standards chosen by reviewing the parent communication documentation, flyers, surveys, and events schedule. 5. I received the Facility Continuous Quality Improvement (CQI) Plan form during today’s visit and verified that the Facility CQI Plan was in place and progress was underway to carry out, complete, and maintain the documented Programmatic goal(s), Reason or Source for the goal(s), Expected timeframe, and Steps to Achieve the Goal(s). • I monitored the Individual CQI plans for the administrator and staff with caregiving responsibilities during today’s visit. I verified that the Individual CQI Plans were in place and progress was underway to carry out, complete, and maintain the documented Professional goal(s), Reason or Source for the goal(s), Expected timeframe, and Steps to Achieve the Goal(s). 6. You stated that the approved curriculum used by the facility for ages zero to five is Creative Curriculum. I verified use by monitoring the curricula books/materials being on-site and available for use as well as the activity plans showing the use of the curricula. I verified curriculum planning to include modifications and adaptations made for children with special health and developmental needs by observing the activity plans. You stated that you will be purchasing a curriculum for children five to twelve years of age. Please send me verification of the curriculum you will utilize once the decision is made. 7. You stated that the approved formative assessment used by the facility is Teaching Strategies Gold. I verified your plan for using an approved formative assessment by monitoring the Teaching Strategies Gold website documenting screening, notes, and video recordings. 8. You stated that you share formative assessments with families twice annually (by telephone, email, virtually, or in-person). Today, I verified your plan for reviewing formative assessments with families twice annually by monitoring the documentation with planned dates. 9. Today, I monitored the verification that the administrator and the lead teacher have received training related to the curriculum and formative assessment used by the facility. 10. You stated that you, the administrator, will complete five (5) hours of ongoing training in addition to the ongoing training required of Child Care Rule .1103. You stated that the lead teachers will complete five (5) hours of ongoing training in addition to the ongoing training required of Child Care Rule .1103. 11. Classrooms serving preschool children must have written activity schedules and plans as required in Rule .0509, all five activity areas listed in G.S. 110-91(12) must be available each day and activities listed in Rule .0510(c) must be offered at least once per week, and activities for infants and toddlers should be available as required in Rule .0511. Please submit the following outstanding required documentation needed for verification to me no later than May 1, 2026: 1. Verification of Approved School Age Curriculum 2. Staff Information and Education Worksheet Per child care rule 10A NCAC 09 .3224 (a & b) Recognition Of Quality Initiatives, a child care operator may choose to request one or more areas of recognition to accompany the issuance of a two through five-star rated license earned through compliance with any licensure pathway requirement of this Section. Quality initiatives will not be used to earn a star rating. Verification of requirements for each recognition shall be reassessed at least every three years, at the time of reassessment for a two through five-star rated license. Upon verification of the requirements, the Division will issue recognition of the following quality initiatives: • Education • Professional Development • Longevity and Experience • Staff Supports and Benefits • Health and Wellness Opportunities • Language Concentration • Culinary Emphasis • Ratio, Group Size, Enrollment Practices • Supplemental Environment • NC Breastfeeding – Friendly Child Care Designation Program • Military Child Care in Your Neighborhood – PLUS Recognition If you are interested in earning a Recognition Of Quality Initiatives send me verification of meeting them according to 10A NCAC 09 .3224 (a & b). The following violations were observed and cited during today’s visit. Violation Number Comment Rule 523 The activity plan did not include a daily gross motor activity which may occur indoors and outdoors. In Space 13, a daily gross motor activity was not listed on the activity plan. .0508(g)(3) 1768 The health assessment did not include a hearing screening. The health assessment for a children enrolled 8/7/2025 did not include a hearing screening. .3005 (a)(4) TECHNICAL ASSISTANCE: • Child Care Rule 10A NCAC 09 .3005(a)(4) requires NC Pre-K sites to have a health assessment, including a hearing screening, on file within 30 days after a child enters the NC PreK program. To ensure all health assessments are completed and on file in a timely manner, I suggest that the administrator put a reminder on the calendar and remind families through various methods of communication that this documentation must be on file within 30 days. • We reviewed 10A NCAC 09 .0508(g)(3) which requires that activity plans include a daily gross motor activity that may occur indoors or outdoors. I recommended that you send a reminder to all staff members to check that their activity plan includes a gross motor activity and do periodic reviews of activity plans moving forward. CONSULTATION: • Please be reminded that all plans put in place as part of the Classroom and Instructional Quality for Child Care Centers, QRIS Pathway 2 must be completed within one year from the date of the new Rated License issued to your facility. Rated License components required to earn your star rated license will be monitored annually. • 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 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 April 22, 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 .3002 · Violation

Name of Operation: ST. JOHN'S CHILD DEVELOPMENT CENTER Facility ID: 80000130 Consultant: ASHLYNN VAUGHAN Operation Type: Center Case Number: Visit Date: 4/8/2026 Number Present: 92 Completed Date: 4/8/2026 Age: From 0 To 5 Total Minutes: 340 Time In: 09:20 AM Time Out: 03:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp w/Rated Lic Assess Announced/Unannounced: Unannounced The purpose of today's visit was to monitor your program for compliance with applicable child care requirements and discuss results from the ECERS-3 assessment conducted on March 19, 2026. Your last Annual Compliance visit was conducted on May 1, 2025. Your facility’s compliance history score prior to today’s visit was 87%. You, Lea Anne Thomas, 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, or administrator. On April 1, 2026, I received all required documents to change the owner’s information in Regulatory. I reviewed the facilities permit with you today. This facility operates with a five-star license and is licensed for 188 children on first shift, ages 0-12 with an effective date of October 23, 2020. The following restrictions are listed: first shift, meets enhanced ratios, meets enhanced space, meets 35 square feet per child inside. Your facility, owned by St. John`s Evangelical Lutheran Church, Salisbury, North Carolina, was current and active with the NC Secretary of State as viewed on the NC Secretary of State Website today. 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 indoors and outdoors, group time, and transitions. 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. This facility provides transportation for field trips. The documents and vehicle were monitored during today’s visit. Program records were monitored, including emergency drills, fire drills, monthly outdoor inspections, and incident logs. A sanitation inspection was conducted on March 17, 2026, with eight (8) demerits and a superior classification. A fire inspection was conducted on July 30, 2025. I verified that you completed the lead water testing required to be completed every three years. Today, I verified that those test results dated October 10, 2023, indicate that the facility’s water is within acceptable limits. I verified that the lead-based paint and asbestos test results dated February 26, 2025, indicated that there were no hazards identified. 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 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. I monitored health and safety requirements. There are 109 children enrolled. I monitored a portion of the children’s records. 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 stated that the ASQ3 are used for the developmental screening tool, Teaching Strategies Gold is the on-going assessment, and Creative Curriculum is the curriculum used. Family engagement is occurring as required. Environmental Rating Scales: The ECERS-3 assessment was conducted on March 19, 2026, to meet the NC PreK requirements outlined in 10A NCAC 09 .3002(b). The classroom received an overall score of 5.53. The Environment Rating Scale summary was reviewed and discussed with you during today’s visit. Specific attention was paid to the indicators that were scored three or below as identified below: Item 5, Indicator 3.2: A child's drawing was posted on the wall in the book area; however, a second example of children's work was not displayed as required by this indicator. During today’s visit, you stated that at the time of the assessment, the teachers were in between posting work in the classroom as they were changing units. Item 7, Indicator 3.3: To earn credit for this indicator, children must be able to use gross motor equipment that promotes at least seven skills. The children had balls, wooden tree stumps for balance, a parachute, and a bowling game, for a total of five skills. Gross motor equipment that promotes additional skills was not used. During today’s visit you stated that the facility is in the process of raising money to buy more materials for the outdoor learning environment and classroom. We reviewed the grievance process. You stated the facility would not file a grievance with NCRLAP. Rated License Discussion - 1. Rated License Application: I received the Application for Assessment for a Rated License for Centers during today’s visit. You have chosen Classroom & Instructional Quality Pathway (Pathway2). 2. Enhanced Staff/Child Ratios and Enhanced Space: On the Application for Assessment for a Rated License form you checked that you meet Reduced Enhanced Staff/Child Ratio and Enhanced Space. Today, I verified that Reduced Enhanced Staff/Child Ratio and Enhanced Space was in place and being maintained. 3. Staff Education Standards: You stated during that five teachers are in the process of mailing official transcripts to the workforce unit to be evaluated in their position. As a reminder, the staff’s education that has been evaluated by the Workforce Unit will be used to verify the individual’s education level, as well as the overall education level earned by the facility. 4. During today’s visit, I received the Family and Community Engagement Standards Child Care Centers / Centers Located in a Residence form. • I verified the five foundational practices were in place by reviewing the plans you have documented in the facility’s operational policies and reviewing parent communication documentation, and flyers. • I verified that the four (4) additional Family Community Engagement Standards chosen by reviewing the parent communication documentation, flyers, surveys, and events schedule. 5. I received the Facility Continuous Quality Improvement (CQI) Plan form during today’s visit and verified that the Facility CQI Plan was in place and progress was underway to carry out, complete, and maintain the documented Programmatic goal(s), Reason or Source for the goal(s), Expected timeframe, and Steps to Achieve the Goal(s). • I monitored the Individual CQI plans for the administrator and staff with caregiving responsibilities during today’s visit. I verified that the Individual CQI Plans were in place and progress was underway to carry out, complete, and maintain the documented Professional goal(s), Reason or Source for the goal(s), Expected timeframe, and Steps to Achieve the Goal(s). 6. You stated that the approved curriculum used by the facility for ages zero to five is Creative Curriculum. I verified use by monitoring the curricula books/materials being on-site and available for use as well as the activity plans showing the use of the curricula. I verified curriculum planning to include modifications and adaptations made for children with special health and developmental needs by observing the activity plans. You stated that you will be purchasing a curriculum for children five to twelve years of age. Please send me verification of the curriculum you will utilize once the decision is made. 7. You stated that the approved formative assessment used by the facility is Teaching Strategies Gold. I verified your plan for using an approved formative assessment by monitoring the Teaching Strategies Gold website documenting screening, notes, and video recordings. 8. You stated that you share formative assessments with families twice annually (by telephone, email, virtually, or in-person). Today, I verified your plan for reviewing formative assessments with families twice annually by monitoring the documentation with planned dates. 9. Today, I monitored the verification that the administrator and the lead teacher have received training related to the curriculum and formative assessment used by the facility. 10. You stated that you, the administrator, will complete five (5) hours of ongoing training in addition to the ongoing training required of Child Care Rule .1103. You stated that the lead teachers will complete five (5) hours of ongoing training in addition to the ongoing training required of Child Care Rule .1103. 11. Classrooms serving preschool children must have written activity schedules and plans as required in Rule .0509, all five activity areas listed in G.S. 110-91(12) must be available each day and activities listed in Rule .0510(c) must be offered at least once per week, and activities for infants and toddlers should be available as required in Rule .0511. Please submit the following outstanding required documentation needed for verification to me no later than May 1, 2026: 1. Verification of Approved School Age Curriculum 2. Staff Information and Education Worksheet Per child care rule 10A NCAC 09 .3224 (a & b) Recognition Of Quality Initiatives, a child care operator may choose to request one or more areas of recognition to accompany the issuance of a two through five-star rated license earned through compliance with any licensure pathway requirement of this Section. Quality initiatives will not be used to earn a star rating. Verification of requirements for each recognition shall be reassessed at least every three years, at the time of reassessment for a two through five-star rated license. Upon verification of the requirements, the Division will issue recognition of the following quality initiatives: • Education • Professional Development • Longevity and Experience • Staff Supports and Benefits • Health and Wellness Opportunities • Language Concentration • Culinary Emphasis • Ratio, Group Size, Enrollment Practices • Supplemental Environment • NC Breastfeeding – Friendly Child Care Designation Program • Military Child Care in Your Neighborhood – PLUS Recognition If you are interested in earning a Recognition Of Quality Initiatives send me verification of meeting them according to 10A NCAC 09 .3224 (a & b). The following violations were observed and cited during today’s visit. Violation Number Comment Rule 523 The activity plan did not include a daily gross motor activity which may occur indoors and outdoors. In Space 13, a daily gross motor activity was not listed on the activity plan. .0508(g)(3) 1768 The health assessment did not include a hearing screening. The health assessment for a children enrolled 8/7/2025 did not include a hearing screening. .3005 (a)(4) TECHNICAL ASSISTANCE: • Child Care Rule 10A NCAC 09 .3005(a)(4) requires NC Pre-K sites to have a health assessment, including a hearing screening, on file within 30 days after a child enters the NC PreK program. To ensure all health assessments are completed and on file in a timely manner, I suggest that the administrator put a reminder on the calendar and remind families through various methods of communication that this documentation must be on file within 30 days. • We reviewed 10A NCAC 09 .0508(g)(3) which requires that activity plans include a daily gross motor activity that may occur indoors or outdoors. I recommended that you send a reminder to all staff members to check that their activity plan includes a gross motor activity and do periodic reviews of activity plans moving forward. CONSULTATION: • Please be reminded that all plans put in place as part of the Classroom and Instructional Quality for Child Care Centers, QRIS Pathway 2 must be completed within one year from the date of the new Rated License issued to your facility. Rated License components required to earn your star rated license will be monitored annually. • 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 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 April 22, 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 .3005 · Violation

Name of Operation: ST. JOHN'S CHILD DEVELOPMENT CENTER Facility ID: 80000130 Consultant: ASHLYNN VAUGHAN Operation Type: Center Case Number: Visit Date: 4/8/2026 Number Present: 92 Completed Date: 4/8/2026 Age: From 0 To 5 Total Minutes: 340 Time In: 09:20 AM Time Out: 03:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp w/Rated Lic Assess Announced/Unannounced: Unannounced The purpose of today's visit was to monitor your program for compliance with applicable child care requirements and discuss results from the ECERS-3 assessment conducted on March 19, 2026. Your last Annual Compliance visit was conducted on May 1, 2025. Your facility’s compliance history score prior to today’s visit was 87%. You, Lea Anne Thomas, 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, or administrator. On April 1, 2026, I received all required documents to change the owner’s information in Regulatory. I reviewed the facilities permit with you today. This facility operates with a five-star license and is licensed for 188 children on first shift, ages 0-12 with an effective date of October 23, 2020. The following restrictions are listed: first shift, meets enhanced ratios, meets enhanced space, meets 35 square feet per child inside. Your facility, owned by St. John`s Evangelical Lutheran Church, Salisbury, North Carolina, was current and active with the NC Secretary of State as viewed on the NC Secretary of State Website today. 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 indoors and outdoors, group time, and transitions. 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. This facility provides transportation for field trips. The documents and vehicle were monitored during today’s visit. Program records were monitored, including emergency drills, fire drills, monthly outdoor inspections, and incident logs. A sanitation inspection was conducted on March 17, 2026, with eight (8) demerits and a superior classification. A fire inspection was conducted on July 30, 2025. I verified that you completed the lead water testing required to be completed every three years. Today, I verified that those test results dated October 10, 2023, indicate that the facility’s water is within acceptable limits. I verified that the lead-based paint and asbestos test results dated February 26, 2025, indicated that there were no hazards identified. 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 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. I monitored health and safety requirements. There are 109 children enrolled. I monitored a portion of the children’s records. 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 stated that the ASQ3 are used for the developmental screening tool, Teaching Strategies Gold is the on-going assessment, and Creative Curriculum is the curriculum used. Family engagement is occurring as required. Environmental Rating Scales: The ECERS-3 assessment was conducted on March 19, 2026, to meet the NC PreK requirements outlined in 10A NCAC 09 .3002(b). The classroom received an overall score of 5.53. The Environment Rating Scale summary was reviewed and discussed with you during today’s visit. Specific attention was paid to the indicators that were scored three or below as identified below: Item 5, Indicator 3.2: A child's drawing was posted on the wall in the book area; however, a second example of children's work was not displayed as required by this indicator. During today’s visit, you stated that at the time of the assessment, the teachers were in between posting work in the classroom as they were changing units. Item 7, Indicator 3.3: To earn credit for this indicator, children must be able to use gross motor equipment that promotes at least seven skills. The children had balls, wooden tree stumps for balance, a parachute, and a bowling game, for a total of five skills. Gross motor equipment that promotes additional skills was not used. During today’s visit you stated that the facility is in the process of raising money to buy more materials for the outdoor learning environment and classroom. We reviewed the grievance process. You stated the facility would not file a grievance with NCRLAP. Rated License Discussion - 1. Rated License Application: I received the Application for Assessment for a Rated License for Centers during today’s visit. You have chosen Classroom & Instructional Quality Pathway (Pathway2). 2. Enhanced Staff/Child Ratios and Enhanced Space: On the Application for Assessment for a Rated License form you checked that you meet Reduced Enhanced Staff/Child Ratio and Enhanced Space. Today, I verified that Reduced Enhanced Staff/Child Ratio and Enhanced Space was in place and being maintained. 3. Staff Education Standards: You stated during that five teachers are in the process of mailing official transcripts to the workforce unit to be evaluated in their position. As a reminder, the staff’s education that has been evaluated by the Workforce Unit will be used to verify the individual’s education level, as well as the overall education level earned by the facility. 4. During today’s visit, I received the Family and Community Engagement Standards Child Care Centers / Centers Located in a Residence form. • I verified the five foundational practices were in place by reviewing the plans you have documented in the facility’s operational policies and reviewing parent communication documentation, and flyers. • I verified that the four (4) additional Family Community Engagement Standards chosen by reviewing the parent communication documentation, flyers, surveys, and events schedule. 5. I received the Facility Continuous Quality Improvement (CQI) Plan form during today’s visit and verified that the Facility CQI Plan was in place and progress was underway to carry out, complete, and maintain the documented Programmatic goal(s), Reason or Source for the goal(s), Expected timeframe, and Steps to Achieve the Goal(s). • I monitored the Individual CQI plans for the administrator and staff with caregiving responsibilities during today’s visit. I verified that the Individual CQI Plans were in place and progress was underway to carry out, complete, and maintain the documented Professional goal(s), Reason or Source for the goal(s), Expected timeframe, and Steps to Achieve the Goal(s). 6. You stated that the approved curriculum used by the facility for ages zero to five is Creative Curriculum. I verified use by monitoring the curricula books/materials being on-site and available for use as well as the activity plans showing the use of the curricula. I verified curriculum planning to include modifications and adaptations made for children with special health and developmental needs by observing the activity plans. You stated that you will be purchasing a curriculum for children five to twelve years of age. Please send me verification of the curriculum you will utilize once the decision is made. 7. You stated that the approved formative assessment used by the facility is Teaching Strategies Gold. I verified your plan for using an approved formative assessment by monitoring the Teaching Strategies Gold website documenting screening, notes, and video recordings. 8. You stated that you share formative assessments with families twice annually (by telephone, email, virtually, or in-person). Today, I verified your plan for reviewing formative assessments with families twice annually by monitoring the documentation with planned dates. 9. Today, I monitored the verification that the administrator and the lead teacher have received training related to the curriculum and formative assessment used by the facility. 10. You stated that you, the administrator, will complete five (5) hours of ongoing training in addition to the ongoing training required of Child Care Rule .1103. You stated that the lead teachers will complete five (5) hours of ongoing training in addition to the ongoing training required of Child Care Rule .1103. 11. Classrooms serving preschool children must have written activity schedules and plans as required in Rule .0509, all five activity areas listed in G.S. 110-91(12) must be available each day and activities listed in Rule .0510(c) must be offered at least once per week, and activities for infants and toddlers should be available as required in Rule .0511. Please submit the following outstanding required documentation needed for verification to me no later than May 1, 2026: 1. Verification of Approved School Age Curriculum 2. Staff Information and Education Worksheet Per child care rule 10A NCAC 09 .3224 (a & b) Recognition Of Quality Initiatives, a child care operator may choose to request one or more areas of recognition to accompany the issuance of a two through five-star rated license earned through compliance with any licensure pathway requirement of this Section. Quality initiatives will not be used to earn a star rating. Verification of requirements for each recognition shall be reassessed at least every three years, at the time of reassessment for a two through five-star rated license. Upon verification of the requirements, the Division will issue recognition of the following quality initiatives: • Education • Professional Development • Longevity and Experience • Staff Supports and Benefits • Health and Wellness Opportunities • Language Concentration • Culinary Emphasis • Ratio, Group Size, Enrollment Practices • Supplemental Environment • NC Breastfeeding – Friendly Child Care Designation Program • Military Child Care in Your Neighborhood – PLUS Recognition If you are interested in earning a Recognition Of Quality Initiatives send me verification of meeting them according to 10A NCAC 09 .3224 (a & b). The following violations were observed and cited during today’s visit. Violation Number Comment Rule 523 The activity plan did not include a daily gross motor activity which may occur indoors and outdoors. In Space 13, a daily gross motor activity was not listed on the activity plan. .0508(g)(3) 1768 The health assessment did not include a hearing screening. The health assessment for a children enrolled 8/7/2025 did not include a hearing screening. .3005 (a)(4) TECHNICAL ASSISTANCE: • Child Care Rule 10A NCAC 09 .3005(a)(4) requires NC Pre-K sites to have a health assessment, including a hearing screening, on file within 30 days after a child enters the NC PreK program. To ensure all health assessments are completed and on file in a timely manner, I suggest that the administrator put a reminder on the calendar and remind families through various methods of communication that this documentation must be on file within 30 days. • We reviewed 10A NCAC 09 .0508(g)(3) which requires that activity plans include a daily gross motor activity that may occur indoors or outdoors. I recommended that you send a reminder to all staff members to check that their activity plan includes a gross motor activity and do periodic reviews of activity plans moving forward. CONSULTATION: • Please be reminded that all plans put in place as part of the Classroom and Instructional Quality for Child Care Centers, QRIS Pathway 2 must be completed within one year from the date of the new Rated License issued to your facility. Rated License components required to earn your star rated license will be monitored annually. • 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 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 April 22, 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 .3224 · Violation

Name of Operation: ST. JOHN'S CHILD DEVELOPMENT CENTER Facility ID: 80000130 Consultant: ASHLYNN VAUGHAN Operation Type: Center Case Number: Visit Date: 4/8/2026 Number Present: 92 Completed Date: 4/8/2026 Age: From 0 To 5 Total Minutes: 340 Time In: 09:20 AM Time Out: 03:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp w/Rated Lic Assess Announced/Unannounced: Unannounced The purpose of today's visit was to monitor your program for compliance with applicable child care requirements and discuss results from the ECERS-3 assessment conducted on March 19, 2026. Your last Annual Compliance visit was conducted on May 1, 2025. Your facility’s compliance history score prior to today’s visit was 87%. You, Lea Anne Thomas, 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, or administrator. On April 1, 2026, I received all required documents to change the owner’s information in Regulatory. I reviewed the facilities permit with you today. This facility operates with a five-star license and is licensed for 188 children on first shift, ages 0-12 with an effective date of October 23, 2020. The following restrictions are listed: first shift, meets enhanced ratios, meets enhanced space, meets 35 square feet per child inside. Your facility, owned by St. John`s Evangelical Lutheran Church, Salisbury, North Carolina, was current and active with the NC Secretary of State as viewed on the NC Secretary of State Website today. 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 indoors and outdoors, group time, and transitions. 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. This facility provides transportation for field trips. The documents and vehicle were monitored during today’s visit. Program records were monitored, including emergency drills, fire drills, monthly outdoor inspections, and incident logs. A sanitation inspection was conducted on March 17, 2026, with eight (8) demerits and a superior classification. A fire inspection was conducted on July 30, 2025. I verified that you completed the lead water testing required to be completed every three years. Today, I verified that those test results dated October 10, 2023, indicate that the facility’s water is within acceptable limits. I verified that the lead-based paint and asbestos test results dated February 26, 2025, indicated that there were no hazards identified. 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 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. I monitored health and safety requirements. There are 109 children enrolled. I monitored a portion of the children’s records. 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 stated that the ASQ3 are used for the developmental screening tool, Teaching Strategies Gold is the on-going assessment, and Creative Curriculum is the curriculum used. Family engagement is occurring as required. Environmental Rating Scales: The ECERS-3 assessment was conducted on March 19, 2026, to meet the NC PreK requirements outlined in 10A NCAC 09 .3002(b). The classroom received an overall score of 5.53. The Environment Rating Scale summary was reviewed and discussed with you during today’s visit. Specific attention was paid to the indicators that were scored three or below as identified below: Item 5, Indicator 3.2: A child's drawing was posted on the wall in the book area; however, a second example of children's work was not displayed as required by this indicator. During today’s visit, you stated that at the time of the assessment, the teachers were in between posting work in the classroom as they were changing units. Item 7, Indicator 3.3: To earn credit for this indicator, children must be able to use gross motor equipment that promotes at least seven skills. The children had balls, wooden tree stumps for balance, a parachute, and a bowling game, for a total of five skills. Gross motor equipment that promotes additional skills was not used. During today’s visit you stated that the facility is in the process of raising money to buy more materials for the outdoor learning environment and classroom. We reviewed the grievance process. You stated the facility would not file a grievance with NCRLAP. Rated License Discussion - 1. Rated License Application: I received the Application for Assessment for a Rated License for Centers during today’s visit. You have chosen Classroom & Instructional Quality Pathway (Pathway2). 2. Enhanced Staff/Child Ratios and Enhanced Space: On the Application for Assessment for a Rated License form you checked that you meet Reduced Enhanced Staff/Child Ratio and Enhanced Space. Today, I verified that Reduced Enhanced Staff/Child Ratio and Enhanced Space was in place and being maintained. 3. Staff Education Standards: You stated during that five teachers are in the process of mailing official transcripts to the workforce unit to be evaluated in their position. As a reminder, the staff’s education that has been evaluated by the Workforce Unit will be used to verify the individual’s education level, as well as the overall education level earned by the facility. 4. During today’s visit, I received the Family and Community Engagement Standards Child Care Centers / Centers Located in a Residence form. • I verified the five foundational practices were in place by reviewing the plans you have documented in the facility’s operational policies and reviewing parent communication documentation, and flyers. • I verified that the four (4) additional Family Community Engagement Standards chosen by reviewing the parent communication documentation, flyers, surveys, and events schedule. 5. I received the Facility Continuous Quality Improvement (CQI) Plan form during today’s visit and verified that the Facility CQI Plan was in place and progress was underway to carry out, complete, and maintain the documented Programmatic goal(s), Reason or Source for the goal(s), Expected timeframe, and Steps to Achieve the Goal(s). • I monitored the Individual CQI plans for the administrator and staff with caregiving responsibilities during today’s visit. I verified that the Individual CQI Plans were in place and progress was underway to carry out, complete, and maintain the documented Professional goal(s), Reason or Source for the goal(s), Expected timeframe, and Steps to Achieve the Goal(s). 6. You stated that the approved curriculum used by the facility for ages zero to five is Creative Curriculum. I verified use by monitoring the curricula books/materials being on-site and available for use as well as the activity plans showing the use of the curricula. I verified curriculum planning to include modifications and adaptations made for children with special health and developmental needs by observing the activity plans. You stated that you will be purchasing a curriculum for children five to twelve years of age. Please send me verification of the curriculum you will utilize once the decision is made. 7. You stated that the approved formative assessment used by the facility is Teaching Strategies Gold. I verified your plan for using an approved formative assessment by monitoring the Teaching Strategies Gold website documenting screening, notes, and video recordings. 8. You stated that you share formative assessments with families twice annually (by telephone, email, virtually, or in-person). Today, I verified your plan for reviewing formative assessments with families twice annually by monitoring the documentation with planned dates. 9. Today, I monitored the verification that the administrator and the lead teacher have received training related to the curriculum and formative assessment used by the facility. 10. You stated that you, the administrator, will complete five (5) hours of ongoing training in addition to the ongoing training required of Child Care Rule .1103. You stated that the lead teachers will complete five (5) hours of ongoing training in addition to the ongoing training required of Child Care Rule .1103. 11. Classrooms serving preschool children must have written activity schedules and plans as required in Rule .0509, all five activity areas listed in G.S. 110-91(12) must be available each day and activities listed in Rule .0510(c) must be offered at least once per week, and activities for infants and toddlers should be available as required in Rule .0511. Please submit the following outstanding required documentation needed for verification to me no later than May 1, 2026: 1. Verification of Approved School Age Curriculum 2. Staff Information and Education Worksheet Per child care rule 10A NCAC 09 .3224 (a & b) Recognition Of Quality Initiatives, a child care operator may choose to request one or more areas of recognition to accompany the issuance of a two through five-star rated license earned through compliance with any licensure pathway requirement of this Section. Quality initiatives will not be used to earn a star rating. Verification of requirements for each recognition shall be reassessed at least every three years, at the time of reassessment for a two through five-star rated license. Upon verification of the requirements, the Division will issue recognition of the following quality initiatives: • Education • Professional Development • Longevity and Experience • Staff Supports and Benefits • Health and Wellness Opportunities • Language Concentration • Culinary Emphasis • Ratio, Group Size, Enrollment Practices • Supplemental Environment • NC Breastfeeding – Friendly Child Care Designation Program • Military Child Care in Your Neighborhood – PLUS Recognition If you are interested in earning a Recognition Of Quality Initiatives send me verification of meeting them according to 10A NCAC 09 .3224 (a & b). The following violations were observed and cited during today’s visit. Violation Number Comment Rule 523 The activity plan did not include a daily gross motor activity which may occur indoors and outdoors. In Space 13, a daily gross motor activity was not listed on the activity plan. .0508(g)(3) 1768 The health assessment did not include a hearing screening. The health assessment for a children enrolled 8/7/2025 did not include a hearing screening. .3005 (a)(4) TECHNICAL ASSISTANCE: • Child Care Rule 10A NCAC 09 .3005(a)(4) requires NC Pre-K sites to have a health assessment, including a hearing screening, on file within 30 days after a child enters the NC PreK program. To ensure all health assessments are completed and on file in a timely manner, I suggest that the administrator put a reminder on the calendar and remind families through various methods of communication that this documentation must be on file within 30 days. • We reviewed 10A NCAC 09 .0508(g)(3) which requires that activity plans include a daily gross motor activity that may occur indoors or outdoors. I recommended that you send a reminder to all staff members to check that their activity plan includes a gross motor activity and do periodic reviews of activity plans moving forward. CONSULTATION: • Please be reminded that all plans put in place as part of the Classroom and Instructional Quality for Child Care Centers, QRIS Pathway 2 must be completed within one year from the date of the new Rated License issued to your facility. Rated License components required to earn your star rated license will be monitored annually. • 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 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 April 22, 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

G.S. 110-91 · Violation

Name of Operation: ST. JOHN'S CHILD DEVELOPMENT CENTER Facility ID: 80000130 Consultant: ASHLYNN VAUGHAN Operation Type: Center Case Number: Visit Date: 4/8/2026 Number Present: 92 Completed Date: 4/8/2026 Age: From 0 To 5 Total Minutes: 340 Time In: 09:20 AM Time Out: 03:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp w/Rated Lic Assess Announced/Unannounced: Unannounced The purpose of today's visit was to monitor your program for compliance with applicable child care requirements and discuss results from the ECERS-3 assessment conducted on March 19, 2026. Your last Annual Compliance visit was conducted on May 1, 2025. Your facility’s compliance history score prior to today’s visit was 87%. You, Lea Anne Thomas, 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, or administrator. On April 1, 2026, I received all required documents to change the owner’s information in Regulatory. I reviewed the facilities permit with you today. This facility operates with a five-star license and is licensed for 188 children on first shift, ages 0-12 with an effective date of October 23, 2020. The following restrictions are listed: first shift, meets enhanced ratios, meets enhanced space, meets 35 square feet per child inside. Your facility, owned by St. John`s Evangelical Lutheran Church, Salisbury, North Carolina, was current and active with the NC Secretary of State as viewed on the NC Secretary of State Website today. 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 indoors and outdoors, group time, and transitions. 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. This facility provides transportation for field trips. The documents and vehicle were monitored during today’s visit. Program records were monitored, including emergency drills, fire drills, monthly outdoor inspections, and incident logs. A sanitation inspection was conducted on March 17, 2026, with eight (8) demerits and a superior classification. A fire inspection was conducted on July 30, 2025. I verified that you completed the lead water testing required to be completed every three years. Today, I verified that those test results dated October 10, 2023, indicate that the facility’s water is within acceptable limits. I verified that the lead-based paint and asbestos test results dated February 26, 2025, indicated that there were no hazards identified. 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 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. I monitored health and safety requirements. There are 109 children enrolled. I monitored a portion of the children’s records. 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 stated that the ASQ3 are used for the developmental screening tool, Teaching Strategies Gold is the on-going assessment, and Creative Curriculum is the curriculum used. Family engagement is occurring as required. Environmental Rating Scales: The ECERS-3 assessment was conducted on March 19, 2026, to meet the NC PreK requirements outlined in 10A NCAC 09 .3002(b). The classroom received an overall score of 5.53. The Environment Rating Scale summary was reviewed and discussed with you during today’s visit. Specific attention was paid to the indicators that were scored three or below as identified below: Item 5, Indicator 3.2: A child's drawing was posted on the wall in the book area; however, a second example of children's work was not displayed as required by this indicator. During today’s visit, you stated that at the time of the assessment, the teachers were in between posting work in the classroom as they were changing units. Item 7, Indicator 3.3: To earn credit for this indicator, children must be able to use gross motor equipment that promotes at least seven skills. The children had balls, wooden tree stumps for balance, a parachute, and a bowling game, for a total of five skills. Gross motor equipment that promotes additional skills was not used. During today’s visit you stated that the facility is in the process of raising money to buy more materials for the outdoor learning environment and classroom. We reviewed the grievance process. You stated the facility would not file a grievance with NCRLAP. Rated License Discussion - 1. Rated License Application: I received the Application for Assessment for a Rated License for Centers during today’s visit. You have chosen Classroom & Instructional Quality Pathway (Pathway2). 2. Enhanced Staff/Child Ratios and Enhanced Space: On the Application for Assessment for a Rated License form you checked that you meet Reduced Enhanced Staff/Child Ratio and Enhanced Space. Today, I verified that Reduced Enhanced Staff/Child Ratio and Enhanced Space was in place and being maintained. 3. Staff Education Standards: You stated during that five teachers are in the process of mailing official transcripts to the workforce unit to be evaluated in their position. As a reminder, the staff’s education that has been evaluated by the Workforce Unit will be used to verify the individual’s education level, as well as the overall education level earned by the facility. 4. During today’s visit, I received the Family and Community Engagement Standards Child Care Centers / Centers Located in a Residence form. • I verified the five foundational practices were in place by reviewing the plans you have documented in the facility’s operational policies and reviewing parent communication documentation, and flyers. • I verified that the four (4) additional Family Community Engagement Standards chosen by reviewing the parent communication documentation, flyers, surveys, and events schedule. 5. I received the Facility Continuous Quality Improvement (CQI) Plan form during today’s visit and verified that the Facility CQI Plan was in place and progress was underway to carry out, complete, and maintain the documented Programmatic goal(s), Reason or Source for the goal(s), Expected timeframe, and Steps to Achieve the Goal(s). • I monitored the Individual CQI plans for the administrator and staff with caregiving responsibilities during today’s visit. I verified that the Individual CQI Plans were in place and progress was underway to carry out, complete, and maintain the documented Professional goal(s), Reason or Source for the goal(s), Expected timeframe, and Steps to Achieve the Goal(s). 6. You stated that the approved curriculum used by the facility for ages zero to five is Creative Curriculum. I verified use by monitoring the curricula books/materials being on-site and available for use as well as the activity plans showing the use of the curricula. I verified curriculum planning to include modifications and adaptations made for children with special health and developmental needs by observing the activity plans. You stated that you will be purchasing a curriculum for children five to twelve years of age. Please send me verification of the curriculum you will utilize once the decision is made. 7. You stated that the approved formative assessment used by the facility is Teaching Strategies Gold. I verified your plan for using an approved formative assessment by monitoring the Teaching Strategies Gold website documenting screening, notes, and video recordings. 8. You stated that you share formative assessments with families twice annually (by telephone, email, virtually, or in-person). Today, I verified your plan for reviewing formative assessments with families twice annually by monitoring the documentation with planned dates. 9. Today, I monitored the verification that the administrator and the lead teacher have received training related to the curriculum and formative assessment used by the facility. 10. You stated that you, the administrator, will complete five (5) hours of ongoing training in addition to the ongoing training required of Child Care Rule .1103. You stated that the lead teachers will complete five (5) hours of ongoing training in addition to the ongoing training required of Child Care Rule .1103. 11. Classrooms serving preschool children must have written activity schedules and plans as required in Rule .0509, all five activity areas listed in G.S. 110-91(12) must be available each day and activities listed in Rule .0510(c) must be offered at least once per week, and activities for infants and toddlers should be available as required in Rule .0511. Please submit the following outstanding required documentation needed for verification to me no later than May 1, 2026: 1. Verification of Approved School Age Curriculum 2. Staff Information and Education Worksheet Per child care rule 10A NCAC 09 .3224 (a & b) Recognition Of Quality Initiatives, a child care operator may choose to request one or more areas of recognition to accompany the issuance of a two through five-star rated license earned through compliance with any licensure pathway requirement of this Section. Quality initiatives will not be used to earn a star rating. Verification of requirements for each recognition shall be reassessed at least every three years, at the time of reassessment for a two through five-star rated license. Upon verification of the requirements, the Division will issue recognition of the following quality initiatives: • Education • Professional Development • Longevity and Experience • Staff Supports and Benefits • Health and Wellness Opportunities • Language Concentration • Culinary Emphasis • Ratio, Group Size, Enrollment Practices • Supplemental Environment • NC Breastfeeding – Friendly Child Care Designation Program • Military Child Care in Your Neighborhood – PLUS Recognition If you are interested in earning a Recognition Of Quality Initiatives send me verification of meeting them according to 10A NCAC 09 .3224 (a & b). The following violations were observed and cited during today’s visit. Violation Number Comment Rule 523 The activity plan did not include a daily gross motor activity which may occur indoors and outdoors. In Space 13, a daily gross motor activity was not listed on the activity plan. .0508(g)(3) 1768 The health assessment did not include a hearing screening. The health assessment for a children enrolled 8/7/2025 did not include a hearing screening. .3005 (a)(4) TECHNICAL ASSISTANCE: • Child Care Rule 10A NCAC 09 .3005(a)(4) requires NC Pre-K sites to have a health assessment, including a hearing screening, on file within 30 days after a child enters the NC PreK program. To ensure all health assessments are completed and on file in a timely manner, I suggest that the administrator put a reminder on the calendar and remind families through various methods of communication that this documentation must be on file within 30 days. • We reviewed 10A NCAC 09 .0508(g)(3) which requires that activity plans include a daily gross motor activity that may occur indoors or outdoors. I recommended that you send a reminder to all staff members to check that their activity plan includes a gross motor activity and do periodic reviews of activity plans moving forward. CONSULTATION: • Please be reminded that all plans put in place as part of the Classroom and Instructional Quality for Child Care Centers, QRIS Pathway 2 must be completed within one year from the date of the new Rated License issued to your facility. Rated License components required to earn your star rated license will be monitored annually. • 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 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 April 22, 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

GS 110-91 · Violation

Name of Operation: ST. JOHN'S CHILD DEVELOPMENT CENTER Facility ID: 80000130 Consultant: ASHLYNN VAUGHAN Operation Type: Center Case Number: Visit Date: 5/1/2025 Number Present: 98 Completed Date: 5/1/2025 Age: From 0 To 5 Total Minutes: 295 Time In: 09:20 AM Time Out: 02:15 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 June 19, 2024. Your facility’s compliance history score prior to today’s visit was 92%. You, Lea Anne Thomas, Director, 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 188 children on first shift, ages 0-12 with an effective date of October 23, 2020. The following restrictions are listed: first shift, meets enhanced ratios, meets enhanced space, meets 35 square feet per child inside. Your facility, owned by St. John`s Evangelical Lutheran Church, Salisbury, North Carolina 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 schedules, 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 during teacher-directed activities. Positive interactions were observed between staff and children. 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. This facility provides transportation for field trips. The documents were monitored during today’s visit. The vehicle keys were not on premises during today's visit. I will monitor the vehicle during the next visit. Program records were monitored, including emergency drills, fire drills, monthly outdoor inspections, and incident logs. A sanitation inspection was conducted on April 15, 2025, with eight (8) demerits and a superior classification. A fire inspection was conducted on August 16, 2024. There have been three 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 118 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 present and monitored. Prior to today's visit, the Program Consultant Site Visit Information Report was reviewed in the NC Pre-K Plan system. Staff stated that the ASQ3 are used for the developmental screening tool, Teaching Strategies Gold is the on-going assessment and Creative Curriculum is the curriculum used. Family engagement is occurring as required. You stated the NC Pre-K Program hours for the children are 8:00 to 2:45 and the staff hours are 7:45-3:45. The following violations were observed during today’s visit. Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. In Space 3, the activity plan was dated February 24-28, 2025. In Space 7, the activity plan was dated April 21-25, 2025. GS 110-91(12); .0508(a) 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, two written feeding plans did not include a parent signature. In Space 6, four written feeding plans did not include a parent signature. .0902(a) 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. In Space 3, an Albuterol inhaler was not in a pharmacy labeled container. .0803(2)(a) 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 10, authorization for an EpiPen expired on 2/19/2025. In space 8, authorization for an EpiPen expired on 4/7/2025. .0803(12) 1835 The medical action plan was not updated on an annual basis or when changes to the plan were made by the child's parent or health care professional. In Space 9, the medical action plan for an EpiPen was last updated on 1/11/2024. .0801(b) Technical Assistance: • When enrolling infant children that require a written feeding plan, thoroughly review paperwork during the enrollment process to ensure that all required information is included on the plan, including the parent signature. • To ensure that a current activity plan is completed and posted in each classroom, I suggest having teachers post their lesson plans on Friday for the following week. We discussed that an administrator or assigned staff member can do a walkthrough on Monday mornings to ensure that lesson plans are current. • To ensure Medication Administration Permission Forms and Medical Action Plans are updated as required, I suggest that teachers place a visual reminder with expiration dates in their classroom. We discussed that an administrator or assigned staff member can do a monthly medication check to ensure that required paperwork is updated as needed. Remind teachers that when accepting prescription medications, they must be in the original pharmaceutical container with the original pharmaceutical label attached. 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 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 5/15/2025. 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: ST. JOHN'S CHILD DEVELOPMENT CENTER Facility ID: 80000130 Consultant: ASHLYNN VAUGHAN Operation Type: Center Case Number: Visit Date: 12/19/2024 Number Present: 91 Completed Date: 12/19/2024 Age: From 0 To 5 Total Minutes: 190 Time In: 09:10 AM Time Out: 12:20 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 June 19, 2024. Your facility’s compliance history score prior to today’s visit was 92%. You, Lea Anne Thomas, Director, assisted me with the visit. Your facility, owned by St. John`s Evangelical Lutheran Church, Salisbury, North Carolina 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, and during teacher directed activities. 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 15, 2024, with eight (8) demerits and a superior classification. A fire inspection was conducted on August 16, 2024. There have been two new staff 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 125 Daily records of arrival and departure times for children enrolled at the center were not maintained as children arrive and depart and/or were not made available for review. The arrival time for one child was not documented in Space 3. 10A NCAC 09 .0302(d)(4) 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. One outlet was not covered with a safety plug in Space 13. 10A NCAC 09 .0604(c) 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. Diaper creams were stored below five feet in Space 3. 15A NCAC 18A .2820(d) Technical Assistance: • To ensure the safety of all children, it is essential that arrival and departure times are documented. Today, we discussed posting a reminder on the door to each classroom to remind families to sign their children in upon arrival. I suggest reminding staff to verify this after each entry to ensure accurate daily documentation of arrival times. • Per sanitation rule 15A NCAC 18A .2820(d), diaper creams must be stored out of the reach of children and kept in an area that is inaccessible, at a height of five feet or higher. Today, I recommended moving the children’s individual bins from the counter to a location that is at least five feet high, or alternatively, removing the diaper creams from the bins and storing them in a separate container at a height of five feet or higher. I provided you with the Hazardous Items Storage for Child Care form found on the DCDEE website. • To ensure classrooms are free of safety hazards, such as uncovered outlets, I recommend that staff members complete a daily walkthrough of their classrooms each morning prior to children arriving. You stated that the cleaning crew may occasionally forget to replace outlet covers after vacuuming at night. Implementing this routine check will help maintain a safe environment for children. Consultation: • As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. • Child care rule 10A NCAC 09 .0304 which requires a child care center operator to: schedule and obtain a fire inspection within 12 months of the center's previous fire inspection, to notify the local fire inspector when it is time for the center's annual fire inspection, and to submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division. • Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/. Here are some important links on the DCEEE website that may be helpful: -Child Care Rules and Laws: https://ncchildcare.ncdhhs.gov/Services/Licensing/Getting-a-License -Training and Professional Development: https://ncchildcare.ncdhhs.gov/Provider/Training-and-Professional-Development -Required Health and Safety Training: https://ncchildcare.ncdhhs.gov/Provider/Training-and-Professional-Development/Health-and-Safety-Trainings -Care for Children Receiving Subsidy: https://ncchildcare.ncdhhs.gov/Provider/Providing-Child-Care/Subsidized-Child-Care/Care-for-Children-Receiving-Subsidy -DCDEE Updates, Current Projects, and information applicable to Child Care in NC: https://ncchildcare.ncdhhs.gov/Whats-New Child care programs are required to maintain compliance with all applicable child care rules and regulations at all times. North Carolina General Statute 110-90(4)(d) requires all child care facilities to maintain a compliance history of at least seventy-five percent (75%) for the past eighteen (18) months or during the length of time the facility has operated, whichever is less. Failure to do so may result in the issuance of a provisional license or other administrative action against the facility's license. Any violations cited during a visit may affect your score. COMPLIANCE PLAN: Violations must be corrected immediately. A signed and dated letter of compliance must be received by me no later than 1/2/24. 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 .0302 · Violation

Name of Operation: ST. JOHN'S CHILD DEVELOPMENT CENTER Facility ID: 80000130 Consultant: ASHLYNN VAUGHAN Operation Type: Center Case Number: Visit Date: 12/19/2024 Number Present: 91 Completed Date: 12/19/2024 Age: From 0 To 5 Total Minutes: 190 Time In: 09:10 AM Time Out: 12:20 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 June 19, 2024. Your facility’s compliance history score prior to today’s visit was 92%. You, Lea Anne Thomas, Director, assisted me with the visit. Your facility, owned by St. John`s Evangelical Lutheran Church, Salisbury, North Carolina 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, and during teacher directed activities. 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 15, 2024, with eight (8) demerits and a superior classification. A fire inspection was conducted on August 16, 2024. There have been two new staff 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 125 Daily records of arrival and departure times for children enrolled at the center were not maintained as children arrive and depart and/or were not made available for review. The arrival time for one child was not documented in Space 3. 10A NCAC 09 .0302(d)(4) 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. One outlet was not covered with a safety plug in Space 13. 10A NCAC 09 .0604(c) 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. Diaper creams were stored below five feet in Space 3. 15A NCAC 18A .2820(d) Technical Assistance: • To ensure the safety of all children, it is essential that arrival and departure times are documented. Today, we discussed posting a reminder on the door to each classroom to remind families to sign their children in upon arrival. I suggest reminding staff to verify this after each entry to ensure accurate daily documentation of arrival times. • Per sanitation rule 15A NCAC 18A .2820(d), diaper creams must be stored out of the reach of children and kept in an area that is inaccessible, at a height of five feet or higher. Today, I recommended moving the children’s individual bins from the counter to a location that is at least five feet high, or alternatively, removing the diaper creams from the bins and storing them in a separate container at a height of five feet or higher. I provided you with the Hazardous Items Storage for Child Care form found on the DCDEE website. • To ensure classrooms are free of safety hazards, such as uncovered outlets, I recommend that staff members complete a daily walkthrough of their classrooms each morning prior to children arriving. You stated that the cleaning crew may occasionally forget to replace outlet covers after vacuuming at night. Implementing this routine check will help maintain a safe environment for children. Consultation: • As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. • Child care rule 10A NCAC 09 .0304 which requires a child care center operator to: schedule and obtain a fire inspection within 12 months of the center's previous fire inspection, to notify the local fire inspector when it is time for the center's annual fire inspection, and to submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division. • Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/. Here are some important links on the DCEEE website that may be helpful: -Child Care Rules and Laws: https://ncchildcare.ncdhhs.gov/Services/Licensing/Getting-a-License -Training and Professional Development: https://ncchildcare.ncdhhs.gov/Provider/Training-and-Professional-Development -Required Health and Safety Training: https://ncchildcare.ncdhhs.gov/Provider/Training-and-Professional-Development/Health-and-Safety-Trainings -Care for Children Receiving Subsidy: https://ncchildcare.ncdhhs.gov/Provider/Providing-Child-Care/Subsidized-Child-Care/Care-for-Children-Receiving-Subsidy -DCDEE Updates, Current Projects, and information applicable to Child Care in NC: https://ncchildcare.ncdhhs.gov/Whats-New Child care programs are required to maintain compliance with all applicable child care rules and regulations at all times. North Carolina General Statute 110-90(4)(d) requires all child care facilities to maintain a compliance history of at least seventy-five percent (75%) for the past eighteen (18) months or during the length of time the facility has operated, whichever is less. Failure to do so may result in the issuance of a provisional license or other administrative action against the facility's license. Any violations cited during a visit may affect your score. COMPLIANCE PLAN: Violations must be corrected immediately. A signed and dated letter of compliance must be received by me no later than 1/2/24. 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 .0304 · Violation

Name of Operation: ST. JOHN'S CHILD DEVELOPMENT CENTER Facility ID: 80000130 Consultant: ASHLYNN VAUGHAN Operation Type: Center Case Number: Visit Date: 12/19/2024 Number Present: 91 Completed Date: 12/19/2024 Age: From 0 To 5 Total Minutes: 190 Time In: 09:10 AM Time Out: 12:20 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 June 19, 2024. Your facility’s compliance history score prior to today’s visit was 92%. You, Lea Anne Thomas, Director, assisted me with the visit. Your facility, owned by St. John`s Evangelical Lutheran Church, Salisbury, North Carolina 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, and during teacher directed activities. 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 15, 2024, with eight (8) demerits and a superior classification. A fire inspection was conducted on August 16, 2024. There have been two new staff 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 125 Daily records of arrival and departure times for children enrolled at the center were not maintained as children arrive and depart and/or were not made available for review. The arrival time for one child was not documented in Space 3. 10A NCAC 09 .0302(d)(4) 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. One outlet was not covered with a safety plug in Space 13. 10A NCAC 09 .0604(c) 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. Diaper creams were stored below five feet in Space 3. 15A NCAC 18A .2820(d) Technical Assistance: • To ensure the safety of all children, it is essential that arrival and departure times are documented. Today, we discussed posting a reminder on the door to each classroom to remind families to sign their children in upon arrival. I suggest reminding staff to verify this after each entry to ensure accurate daily documentation of arrival times. • Per sanitation rule 15A NCAC 18A .2820(d), diaper creams must be stored out of the reach of children and kept in an area that is inaccessible, at a height of five feet or higher. Today, I recommended moving the children’s individual bins from the counter to a location that is at least five feet high, or alternatively, removing the diaper creams from the bins and storing them in a separate container at a height of five feet or higher. I provided you with the Hazardous Items Storage for Child Care form found on the DCDEE website. • To ensure classrooms are free of safety hazards, such as uncovered outlets, I recommend that staff members complete a daily walkthrough of their classrooms each morning prior to children arriving. You stated that the cleaning crew may occasionally forget to replace outlet covers after vacuuming at night. Implementing this routine check will help maintain a safe environment for children. Consultation: • As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. • Child care rule 10A NCAC 09 .0304 which requires a child care center operator to: schedule and obtain a fire inspection within 12 months of the center's previous fire inspection, to notify the local fire inspector when it is time for the center's annual fire inspection, and to submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division. • Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/. Here are some important links on the DCEEE website that may be helpful: -Child Care Rules and Laws: https://ncchildcare.ncdhhs.gov/Services/Licensing/Getting-a-License -Training and Professional Development: https://ncchildcare.ncdhhs.gov/Provider/Training-and-Professional-Development -Required Health and Safety Training: https://ncchildcare.ncdhhs.gov/Provider/Training-and-Professional-Development/Health-and-Safety-Trainings -Care for Children Receiving Subsidy: https://ncchildcare.ncdhhs.gov/Provider/Providing-Child-Care/Subsidized-Child-Care/Care-for-Children-Receiving-Subsidy -DCDEE Updates, Current Projects, and information applicable to Child Care in NC: https://ncchildcare.ncdhhs.gov/Whats-New Child care programs are required to maintain compliance with all applicable child care rules and regulations at all times. North Carolina General Statute 110-90(4)(d) requires all child care facilities to maintain a compliance history of at least seventy-five percent (75%) for the past eighteen (18) months or during the length of time the facility has operated, whichever is less. Failure to do so may result in the issuance of a provisional license or other administrative action against the facility's license. Any violations cited during a visit may affect your score. COMPLIANCE PLAN: Violations must be corrected immediately. A signed and dated letter of compliance must be received by me no later than 1/2/24. Your compliance documentation must include the following: • The name of your facility • The ID number of your facility • The date you write the letter • A corrective action statement for each violation stating how you corrected the violation and are now in compliance. • A compliance plan statement for each violation stating how you plan to ensure that you will not have that violation again. • Your signature Please mail or email a signed copy of the letter to: Mailing Address: P.O. Box 1078 Faith, NC 28041 Email: ashlynn.vaughan@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. If a letter is not received by the required date an unannounced follow-up visit may be conducted to confirm the violations were corrected or an administrative action may be recommended. Based on Child Care Rule 10A https://www.msn.com/enus/feedNCAC 09 Section .2200, the Division of Child Development and Early Education may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Please Note: Please be aware that any information submitted by you is legal documentation. If you state in your compliance letter that corrections have been made when they have not, it will be considered falsification of information. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you today. We appreciate all you and your staff do to serve the children and families in your community. If you have any questions, feel free to contact me by phone at (704) 330-3722 or by email at ashlynn.vaughan@dhhs.nc.gov or my supervisor, Erin Pickard, at erin.pickard@dhhs.nc.gov. Thank you for your time today. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

G.S. 110-90 · Violation

Name of Operation: ST. JOHN'S CHILD DEVELOPMENT CENTER Facility ID: 80000130 Consultant: ASHLYNN VAUGHAN Operation Type: Center Case Number: Visit Date: 12/19/2024 Number Present: 91 Completed Date: 12/19/2024 Age: From 0 To 5 Total Minutes: 190 Time In: 09:10 AM Time Out: 12:20 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 June 19, 2024. Your facility’s compliance history score prior to today’s visit was 92%. You, Lea Anne Thomas, Director, assisted me with the visit. Your facility, owned by St. John`s Evangelical Lutheran Church, Salisbury, North Carolina 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, and during teacher directed activities. 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 15, 2024, with eight (8) demerits and a superior classification. A fire inspection was conducted on August 16, 2024. There have been two new staff 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 125 Daily records of arrival and departure times for children enrolled at the center were not maintained as children arrive and depart and/or were not made available for review. The arrival time for one child was not documented in Space 3. 10A NCAC 09 .0302(d)(4) 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. One outlet was not covered with a safety plug in Space 13. 10A NCAC 09 .0604(c) 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. Diaper creams were stored below five feet in Space 3. 15A NCAC 18A .2820(d) Technical Assistance: • To ensure the safety of all children, it is essential that arrival and departure times are documented. Today, we discussed posting a reminder on the door to each classroom to remind families to sign their children in upon arrival. I suggest reminding staff to verify this after each entry to ensure accurate daily documentation of arrival times. • Per sanitation rule 15A NCAC 18A .2820(d), diaper creams must be stored out of the reach of children and kept in an area that is inaccessible, at a height of five feet or higher. Today, I recommended moving the children’s individual bins from the counter to a location that is at least five feet high, or alternatively, removing the diaper creams from the bins and storing them in a separate container at a height of five feet or higher. I provided you with the Hazardous Items Storage for Child Care form found on the DCDEE website. • To ensure classrooms are free of safety hazards, such as uncovered outlets, I recommend that staff members complete a daily walkthrough of their classrooms each morning prior to children arriving. You stated that the cleaning crew may occasionally forget to replace outlet covers after vacuuming at night. Implementing this routine check will help maintain a safe environment for children. Consultation: • As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. • Child care rule 10A NCAC 09 .0304 which requires a child care center operator to: schedule and obtain a fire inspection within 12 months of the center's previous fire inspection, to notify the local fire inspector when it is time for the center's annual fire inspection, and to submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division. • Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/. Here are some important links on the DCEEE website that may be helpful: -Child Care Rules and Laws: https://ncchildcare.ncdhhs.gov/Services/Licensing/Getting-a-License -Training and Professional Development: https://ncchildcare.ncdhhs.gov/Provider/Training-and-Professional-Development -Required Health and Safety Training: https://ncchildcare.ncdhhs.gov/Provider/Training-and-Professional-Development/Health-and-Safety-Trainings -Care for Children Receiving Subsidy: https://ncchildcare.ncdhhs.gov/Provider/Providing-Child-Care/Subsidized-Child-Care/Care-for-Children-Receiving-Subsidy -DCDEE Updates, Current Projects, and information applicable to Child Care in NC: https://ncchildcare.ncdhhs.gov/Whats-New Child care programs are required to maintain compliance with all applicable child care rules and regulations at all times. North Carolina General Statute 110-90(4)(d) requires all child care facilities to maintain a compliance history of at least seventy-five percent (75%) for the past eighteen (18) months or during the length of time the facility has operated, whichever is less. Failure to do so may result in the issuance of a provisional license or other administrative action against the facility's license. Any violations cited during a visit may affect your score. COMPLIANCE PLAN: Violations must be corrected immediately. A signed and dated letter of compliance must be received by me no later than 1/2/24. 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 .0604 · Violation

Name of Operation: ST. JOHN'S CHILD DEVELOPMENT CENTER Facility ID: 80000130 Consultant: CAROLYN CONLEY Operation Type: Center Case Number: Visit Date: 6/19/2024 Number Present: 79 Completed Date: 6/19/2024 Age: From 0 To 8 Total Minutes: 210 Time In: 09:00 AM Time Out: 12:30 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 July 7, 2023. Ashlynn Vaughan, Child Care Consultant, accompanied me on today’s visit. The current 18-month compliance history is 93%. The Secretary of State’s website was monitored and ST. JOHN`S EVANGELICAL LUTHERAN CHURCH, SALISBURY is current and active. You currently operate with a Five-Star license effective October 23, 2020. This facility is licensed for 188 children between the ages of zero to twelve years on first shift. The following restrictions are listed: daytime care only; meets thirty five square feet per child inside; meets enhanced ratios and space. We 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 worksheet, First Aid poster, tobacco free policy signage and evacuation plans posted as required. You, Lea Anne Thomas, Director, assisted us with the visit today. We used the “Annual Compliance Monitoring Checklist for Centers” during today's visit. 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 finishing breakfast, engaged in group time, and participating in free choice activities indoors and outdoors. There were a variety of materials available to children. Materials and furnishings were found to be developmentally appropriate. Program records were monitored, including emergency drills, fire drills and monthly outdoor inspections. A sanitation inspection was conducted on December 19, 2023, with four (4) demerits and a superior classification. A fire inspection was conducted on September 7, 2023. This facility provides transportation for fieldtrips for the summer campers. The vehicle and documents were monitored during today’s visit. There were nine new staff members hired since my last visit and I monitored their files. A portion of existing staff files were monitored. I monitored a portion of the children’s records. 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 outlet in Space 1 was not covered with a safety plug. 10A NCAC 09 .0604(c) 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. A pack of batteries was stored in an unlocked drawer in Space 12. .2820(b) 1320 Children's records that include an application for enrollment, medical and immunization records, and permission to seek emergency medical care was not on file for each child. One child's file did not have a medical exam on file. GS 110-91(1);.0302(d)(2); .0304(g) Technical Assistance: 1. Have staff members do a walk through of their classrooms each morning prior to children arriving to ensure all hazardous materials are locked up and outlets are covered. 2. I recommend that you complete a routine check of children’s files after 30 days of enrollment to ensure that all medical exams or health assessments have been received and placed in the folder. Consultation: 1. Please continue to visit DCDEE’s website at https://ncchildcare.ncdhhs.gov/ to get the latest information for child care settings and child care updates including the most up to date documents and forms. 2. The Change of Information form for CBC is listed in law. When a new staff member starts working at a facility and gives the administrator a CBC qualification letter that was previously completed while working at another facility, but is still current, the administrator must send a Change of Information form for that new staff member to the CBC unit. The Change of Information form can be found on DCDEE’s website under Provider Documents and Forms. 3. 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. 4. To prepare for the reassessment process, DCDEE has developed a cohort system. There are three cohorts, and each includes a preparation year and a reassessment year. You are in Cohort 2. Throughout the next few months, I recommend you consider completing the following tasks and activities that will help prepare you for your reassessment year that will fall between July 1, 2026-June 30, 2027: • Have all staff update WORKS accounts to reflect all currently completed coursework (DCDEE-WORKS) • Request technical assistance with your child care consultant and local partners • Participate in local CCR&R and NCPC quality related training/workshops (CCRR Information) • Reach out to your local Community College to discuss educational opportunities • Review NCRLAP website ERS resources (www.NCRLAP.org). To help review ERS requirements and think carefully about the current characteristics and practices in your program and classrooms, check out the Thinking More worksheets. A worksheet is available for each subscale of each rating scale. • ERS assessments can be requested during the preparation year and scores can be used as guidance to enhance program quality o If desired, assessment scores can be used during the preparation year if the operator wants to move forward with a rated license reassessment • Assessment scores can be saved to use during the reassessment year o Facilities can request another ERS assessment (free of charge) in your reassessment year for any ERS assessment scoring less than a 5.0 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. The documentation was completed electronically and reviewed with you during the visit. I provided you with a printed copy of today’s visit summary. 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

GS 110-91 · Violation

Name of Operation: ST. JOHN'S CHILD DEVELOPMENT CENTER Facility ID: 80000130 Consultant: CAROLYN CONLEY Operation Type: Center Case Number: Visit Date: 6/19/2024 Number Present: 79 Completed Date: 6/19/2024 Age: From 0 To 8 Total Minutes: 210 Time In: 09:00 AM Time Out: 12:30 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 July 7, 2023. Ashlynn Vaughan, Child Care Consultant, accompanied me on today’s visit. The current 18-month compliance history is 93%. The Secretary of State’s website was monitored and ST. JOHN`S EVANGELICAL LUTHERAN CHURCH, SALISBURY is current and active. You currently operate with a Five-Star license effective October 23, 2020. This facility is licensed for 188 children between the ages of zero to twelve years on first shift. The following restrictions are listed: daytime care only; meets thirty five square feet per child inside; meets enhanced ratios and space. We 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 worksheet, First Aid poster, tobacco free policy signage and evacuation plans posted as required. You, Lea Anne Thomas, Director, assisted us with the visit today. We used the “Annual Compliance Monitoring Checklist for Centers” during today's visit. 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 finishing breakfast, engaged in group time, and participating in free choice activities indoors and outdoors. There were a variety of materials available to children. Materials and furnishings were found to be developmentally appropriate. Program records were monitored, including emergency drills, fire drills and monthly outdoor inspections. A sanitation inspection was conducted on December 19, 2023, with four (4) demerits and a superior classification. A fire inspection was conducted on September 7, 2023. This facility provides transportation for fieldtrips for the summer campers. The vehicle and documents were monitored during today’s visit. There were nine new staff members hired since my last visit and I monitored their files. A portion of existing staff files were monitored. I monitored a portion of the children’s records. 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 outlet in Space 1 was not covered with a safety plug. 10A NCAC 09 .0604(c) 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. A pack of batteries was stored in an unlocked drawer in Space 12. .2820(b) 1320 Children's records that include an application for enrollment, medical and immunization records, and permission to seek emergency medical care was not on file for each child. One child's file did not have a medical exam on file. GS 110-91(1);.0302(d)(2); .0304(g) Technical Assistance: 1. Have staff members do a walk through of their classrooms each morning prior to children arriving to ensure all hazardous materials are locked up and outlets are covered. 2. I recommend that you complete a routine check of children’s files after 30 days of enrollment to ensure that all medical exams or health assessments have been received and placed in the folder. Consultation: 1. Please continue to visit DCDEE’s website at https://ncchildcare.ncdhhs.gov/ to get the latest information for child care settings and child care updates including the most up to date documents and forms. 2. The Change of Information form for CBC is listed in law. When a new staff member starts working at a facility and gives the administrator a CBC qualification letter that was previously completed while working at another facility, but is still current, the administrator must send a Change of Information form for that new staff member to the CBC unit. The Change of Information form can be found on DCDEE’s website under Provider Documents and Forms. 3. 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. 4. To prepare for the reassessment process, DCDEE has developed a cohort system. There are three cohorts, and each includes a preparation year and a reassessment year. You are in Cohort 2. Throughout the next few months, I recommend you consider completing the following tasks and activities that will help prepare you for your reassessment year that will fall between July 1, 2026-June 30, 2027: • Have all staff update WORKS accounts to reflect all currently completed coursework (DCDEE-WORKS) • Request technical assistance with your child care consultant and local partners • Participate in local CCR&R and NCPC quality related training/workshops (CCRR Information) • Reach out to your local Community College to discuss educational opportunities • Review NCRLAP website ERS resources (www.NCRLAP.org). To help review ERS requirements and think carefully about the current characteristics and practices in your program and classrooms, check out the Thinking More worksheets. A worksheet is available for each subscale of each rating scale. • ERS assessments can be requested during the preparation year and scores can be used as guidance to enhance program quality o If desired, assessment scores can be used during the preparation year if the operator wants to move forward with a rated license reassessment • Assessment scores can be saved to use during the reassessment year o Facilities can request another ERS assessment (free of charge) in your reassessment year for any ERS assessment scoring less than a 5.0 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. The documentation was completed electronically and reviewed with you during the visit. I provided you with a printed copy of today’s visit summary. 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