10A NCAC 09 .0803 · Violation

Name of Operation: SOUTHEASTERN CHRISTIAN ACADEMY Facility ID: 10000201 Consultant: AMY WANGLER Operation Type: Center Case Number: Visit Date: 10/5/2023 Number Present: 39 Completed Date: 10/5/2023 Age: From 3 To 5 Total Minutes: 240 Time In: 09:00 AM Time Out: 01:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of my visit was to monitor compliance with applicable child care requirements pertinent to this visit type. This facility currently operates with a GS 110-106 permit issued October 27, 2021; they are not contracted to receive subsidy funds. Restrictions on the permit include: a first shift capacity of 50 children 2-5 years of age. Restrictions were in compliance today. The last annual compliance visit was conducted October 25, 2022. Highest Praise Ministries, Inc, the non-profit corporation which owns the facility, was verified as current and active with the NC Secretary of State’s office on October 3, 2023. A Superior sanitation rating was earned May 9, 2023, and a fire inspection was conducted October 3, 2023; the facility was approved for day time care only. Prior to the visit, the facility had an eighteen-month compliance history score of 100%. Administrator, H. Hamilton, was present and available for consultation today. Three indoor spaces and one outdoor space are approved for child care use. Upon arrival, children from all three classrooms were observed transitioning from having their pictures taken back to the classrooms. After completing restroom and hand washing routines in the hallway restrooms, children were served a breakfast of cereal, milk and juice in their classrooms. After breakfast, children were observed reciting pledges and coloring worksheets. Next, children in Space #1 were observed on the fenced in playground, participating in activities including using the climber, rolling trucks down a hill, and building with blocks. In this program, breakfast and afternoon snack are provided by the facility and lunches are brought from home. Lunches are stored in a designated refrigerator in the kitchen and delivered to classrooms as needed. Nutrition opt out forms for lunch were observed on file as required. This program is exempt from Health and Safety training requirements per Child Care Rule 10A NCAC 09 .2101(f). Child Care programs are expected to always achieve and maintain compliance with child care rules, and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The following violations were observed today and must be corrected immediately: Violation Number Comment Rule 526 Menus for all meals and snacks were not current or posted where easily seen by parents and cook. Menus for breakfast and snack were not dated or posted where easily seen by parents. 10A NCAC 09 .0901(b) 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 miniature aerosol can of disinfectant was observed in an unlocked cabinet in Space #3. .2820(b) 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. An Epi-pen was observed in Space #3 without the original labeled container or instructions from physician. .0803(2)(a) 847 Parent's medication authorization did not include required information. An authorization form for a child's Epi-pen was missing required information including permission to administer and valid dates of permission. 10A NCAC 09 .0803(4)(6-9) 1322 A written statement from each child's parent giving standing permission which may be valid for up to twelve months for participation in off premise activities that occur on a regular basis was not available. Permission to be outside the fenced area for the purpose of walking to the playground was over twelve months old for one of the four children's files monitored today. .1005(b)(4) 1834 Application did not have a medical action plan attached for any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services. A medical action plan was not on file for a child with a documented allergy to tree nuts. .0801(b) A compliance letter including detailed information about how all violations have been corrected must be received by October 19, 2023. Include any supporting documentation with your response (if applicable). Your letter will be used as verification that violations have been corrected and compliance is maintained; your written response is considered a legal document so must be accurate and truthful. If you email the compliance letter, it must be sent using the email address registered with DCDEE and include your facility name and ID number. If sufficient information is not received by the due date, a follow-up visit will be conducted. Technical Assistance Regarding Violations Cited Technical assistance was provided today on requirements for menus. As discussed, menus for all meals and snacks provided by the facility must be planned at least a week in advance, dated, and posted where they can easily be seen by parents and staff members serving the food. Today I urged you to add breakfast items to your menus and make sure menus can be seen in each classroom. Technical assistance regarding children with chronic medical conditions was provided during the November 19, 2021 Annual Compliance visit and again today. As discussed, for any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services, a medical action plan shall be attached to the application. A sample action plan may be found on the DCDEE website under Provider Documents and Forms. You must also ensure emergency medications are stored at least five feet from the floor, but unlocked for easy access by staff. In addition, prescription medications may not be expired and must be stored in the original, labeled container. Today I urged you to review medication requirements and ensure B. Hobbs’ parent/guardian brings in a new Epi-pen with container, completes an allergy action plan, and completes an authorization form fully. You may use the medication authorization form from the DCDEE website to ensure all requirements are met. Today I also urged you to conduct an audit of children’s files to ensure you have updated off-premise activity permission forms (less then twelve months old) for all children. As discussed, any activities occurring away from licensed and approved space are considered off-premise, and permission is needed. Blanket permission for up to twelve months can be obtained for regularly scheduled activities, such as walking outside the fence to the playground and visits to the sanctuary. Occasional activities, such as visiting the auditorium for an event, require a separate, one-time permission form. Please let me know if you have questions about off-premise activities. Technical Assistance Technical assistance regarding nutrition requirements was provided during the September 9, 2019 Annual Compliance visit and again today. As discussed, since parents have only opted out of nutrition requirements for lunch service, you must ensure all other meals and snacks served meet USDA Meal Pattern Requirements. Since you only serve breakfast and snack, pay close attention to requirements for low sugar cereals and grain-based desserts. You must also ensure you are serving unflavored 1% or skim milk with breakfast, and limiting the service of 100% juice to 6 oz per day. In 2019, I emailed you the meal patterns along with handouts regarding cereal and grain-based desserts; these items were emailed to you again today. Please review and let me know if you have further questions, Technical assistance was also provided today regarding substitute staff requirements. I shared a modified copy of the substitute staff file checklist with you indicating which items are not required based on your facility’s status as a GS 110-106 permitted facility not enrolled in the subsidy program. I reminded you to pay attention to deadlines on the righthand side of the checklist and include all substitutes on the Staff and Training Worksheet moving forward. Reminders Please ensure you continue to monitor the condition of the mulch in the fall zones of the playground for resiliency and six inches in depth. Regular tilling and/or adding of mulch may be required as it begins to break down and lose resiliency. Child Care Rules were revised July 1, 2023, and a new rule book was posted to the DCDEE website. As discussed, you should discard any old versions of the rules and ensure you are referring to the most current rule book when reviewing or researching requirements. Sanitation rules were also readopted July 1, 2023. You may view helpful resources on the rule changes and download the new rules at https://ehs.dph.ncdhhs.gov/hhccehb/cehu/index.htm. At the end of this visit, documentation was completed electronically, printed, and reviewed with you. Please remember it is your responsibility to comply with all child care rules and requirements at all times. If you have questions or need assistance please feel free to contact me at 910-338-7038 or amy.wangler@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

10A NCAC 09 .0901 · Violation

Name of Operation: SOUTHEASTERN CHRISTIAN ACADEMY Facility ID: 10000201 Consultant: AMY WANGLER Operation Type: Center Case Number: Visit Date: 10/5/2023 Number Present: 39 Completed Date: 10/5/2023 Age: From 3 To 5 Total Minutes: 240 Time In: 09:00 AM Time Out: 01:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of my visit was to monitor compliance with applicable child care requirements pertinent to this visit type. This facility currently operates with a GS 110-106 permit issued October 27, 2021; they are not contracted to receive subsidy funds. Restrictions on the permit include: a first shift capacity of 50 children 2-5 years of age. Restrictions were in compliance today. The last annual compliance visit was conducted October 25, 2022. Highest Praise Ministries, Inc, the non-profit corporation which owns the facility, was verified as current and active with the NC Secretary of State’s office on October 3, 2023. A Superior sanitation rating was earned May 9, 2023, and a fire inspection was conducted October 3, 2023; the facility was approved for day time care only. Prior to the visit, the facility had an eighteen-month compliance history score of 100%. Administrator, H. Hamilton, was present and available for consultation today. Three indoor spaces and one outdoor space are approved for child care use. Upon arrival, children from all three classrooms were observed transitioning from having their pictures taken back to the classrooms. After completing restroom and hand washing routines in the hallway restrooms, children were served a breakfast of cereal, milk and juice in their classrooms. After breakfast, children were observed reciting pledges and coloring worksheets. Next, children in Space #1 were observed on the fenced in playground, participating in activities including using the climber, rolling trucks down a hill, and building with blocks. In this program, breakfast and afternoon snack are provided by the facility and lunches are brought from home. Lunches are stored in a designated refrigerator in the kitchen and delivered to classrooms as needed. Nutrition opt out forms for lunch were observed on file as required. This program is exempt from Health and Safety training requirements per Child Care Rule 10A NCAC 09 .2101(f). Child Care programs are expected to always achieve and maintain compliance with child care rules, and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The following violations were observed today and must be corrected immediately: Violation Number Comment Rule 526 Menus for all meals and snacks were not current or posted where easily seen by parents and cook. Menus for breakfast and snack were not dated or posted where easily seen by parents. 10A NCAC 09 .0901(b) 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 miniature aerosol can of disinfectant was observed in an unlocked cabinet in Space #3. .2820(b) 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. An Epi-pen was observed in Space #3 without the original labeled container or instructions from physician. .0803(2)(a) 847 Parent's medication authorization did not include required information. An authorization form for a child's Epi-pen was missing required information including permission to administer and valid dates of permission. 10A NCAC 09 .0803(4)(6-9) 1322 A written statement from each child's parent giving standing permission which may be valid for up to twelve months for participation in off premise activities that occur on a regular basis was not available. Permission to be outside the fenced area for the purpose of walking to the playground was over twelve months old for one of the four children's files monitored today. .1005(b)(4) 1834 Application did not have a medical action plan attached for any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services. A medical action plan was not on file for a child with a documented allergy to tree nuts. .0801(b) A compliance letter including detailed information about how all violations have been corrected must be received by October 19, 2023. Include any supporting documentation with your response (if applicable). Your letter will be used as verification that violations have been corrected and compliance is maintained; your written response is considered a legal document so must be accurate and truthful. If you email the compliance letter, it must be sent using the email address registered with DCDEE and include your facility name and ID number. If sufficient information is not received by the due date, a follow-up visit will be conducted. Technical Assistance Regarding Violations Cited Technical assistance was provided today on requirements for menus. As discussed, menus for all meals and snacks provided by the facility must be planned at least a week in advance, dated, and posted where they can easily be seen by parents and staff members serving the food. Today I urged you to add breakfast items to your menus and make sure menus can be seen in each classroom. Technical assistance regarding children with chronic medical conditions was provided during the November 19, 2021 Annual Compliance visit and again today. As discussed, for any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services, a medical action plan shall be attached to the application. A sample action plan may be found on the DCDEE website under Provider Documents and Forms. You must also ensure emergency medications are stored at least five feet from the floor, but unlocked for easy access by staff. In addition, prescription medications may not be expired and must be stored in the original, labeled container. Today I urged you to review medication requirements and ensure B. Hobbs’ parent/guardian brings in a new Epi-pen with container, completes an allergy action plan, and completes an authorization form fully. You may use the medication authorization form from the DCDEE website to ensure all requirements are met. Today I also urged you to conduct an audit of children’s files to ensure you have updated off-premise activity permission forms (less then twelve months old) for all children. As discussed, any activities occurring away from licensed and approved space are considered off-premise, and permission is needed. Blanket permission for up to twelve months can be obtained for regularly scheduled activities, such as walking outside the fence to the playground and visits to the sanctuary. Occasional activities, such as visiting the auditorium for an event, require a separate, one-time permission form. Please let me know if you have questions about off-premise activities. Technical Assistance Technical assistance regarding nutrition requirements was provided during the September 9, 2019 Annual Compliance visit and again today. As discussed, since parents have only opted out of nutrition requirements for lunch service, you must ensure all other meals and snacks served meet USDA Meal Pattern Requirements. Since you only serve breakfast and snack, pay close attention to requirements for low sugar cereals and grain-based desserts. You must also ensure you are serving unflavored 1% or skim milk with breakfast, and limiting the service of 100% juice to 6 oz per day. In 2019, I emailed you the meal patterns along with handouts regarding cereal and grain-based desserts; these items were emailed to you again today. Please review and let me know if you have further questions, Technical assistance was also provided today regarding substitute staff requirements. I shared a modified copy of the substitute staff file checklist with you indicating which items are not required based on your facility’s status as a GS 110-106 permitted facility not enrolled in the subsidy program. I reminded you to pay attention to deadlines on the righthand side of the checklist and include all substitutes on the Staff and Training Worksheet moving forward. Reminders Please ensure you continue to monitor the condition of the mulch in the fall zones of the playground for resiliency and six inches in depth. Regular tilling and/or adding of mulch may be required as it begins to break down and lose resiliency. Child Care Rules were revised July 1, 2023, and a new rule book was posted to the DCDEE website. As discussed, you should discard any old versions of the rules and ensure you are referring to the most current rule book when reviewing or researching requirements. Sanitation rules were also readopted July 1, 2023. You may view helpful resources on the rule changes and download the new rules at https://ehs.dph.ncdhhs.gov/hhccehb/cehu/index.htm. At the end of this visit, documentation was completed electronically, printed, and reviewed with you. Please remember it is your responsibility to comply with all child care rules and requirements at all times. If you have questions or need assistance please feel free to contact me at 910-338-7038 or amy.wangler@dhhs.nc.gov. 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 .2101 · Violation

Name of Operation: SOUTHEASTERN CHRISTIAN ACADEMY Facility ID: 10000201 Consultant: AMY WANGLER Operation Type: Center Case Number: Visit Date: 10/5/2023 Number Present: 39 Completed Date: 10/5/2023 Age: From 3 To 5 Total Minutes: 240 Time In: 09:00 AM Time Out: 01:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of my visit was to monitor compliance with applicable child care requirements pertinent to this visit type. This facility currently operates with a GS 110-106 permit issued October 27, 2021; they are not contracted to receive subsidy funds. Restrictions on the permit include: a first shift capacity of 50 children 2-5 years of age. Restrictions were in compliance today. The last annual compliance visit was conducted October 25, 2022. Highest Praise Ministries, Inc, the non-profit corporation which owns the facility, was verified as current and active with the NC Secretary of State’s office on October 3, 2023. A Superior sanitation rating was earned May 9, 2023, and a fire inspection was conducted October 3, 2023; the facility was approved for day time care only. Prior to the visit, the facility had an eighteen-month compliance history score of 100%. Administrator, H. Hamilton, was present and available for consultation today. Three indoor spaces and one outdoor space are approved for child care use. Upon arrival, children from all three classrooms were observed transitioning from having their pictures taken back to the classrooms. After completing restroom and hand washing routines in the hallway restrooms, children were served a breakfast of cereal, milk and juice in their classrooms. After breakfast, children were observed reciting pledges and coloring worksheets. Next, children in Space #1 were observed on the fenced in playground, participating in activities including using the climber, rolling trucks down a hill, and building with blocks. In this program, breakfast and afternoon snack are provided by the facility and lunches are brought from home. Lunches are stored in a designated refrigerator in the kitchen and delivered to classrooms as needed. Nutrition opt out forms for lunch were observed on file as required. This program is exempt from Health and Safety training requirements per Child Care Rule 10A NCAC 09 .2101(f). Child Care programs are expected to always achieve and maintain compliance with child care rules, and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The following violations were observed today and must be corrected immediately: Violation Number Comment Rule 526 Menus for all meals and snacks were not current or posted where easily seen by parents and cook. Menus for breakfast and snack were not dated or posted where easily seen by parents. 10A NCAC 09 .0901(b) 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 miniature aerosol can of disinfectant was observed in an unlocked cabinet in Space #3. .2820(b) 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. An Epi-pen was observed in Space #3 without the original labeled container or instructions from physician. .0803(2)(a) 847 Parent's medication authorization did not include required information. An authorization form for a child's Epi-pen was missing required information including permission to administer and valid dates of permission. 10A NCAC 09 .0803(4)(6-9) 1322 A written statement from each child's parent giving standing permission which may be valid for up to twelve months for participation in off premise activities that occur on a regular basis was not available. Permission to be outside the fenced area for the purpose of walking to the playground was over twelve months old for one of the four children's files monitored today. .1005(b)(4) 1834 Application did not have a medical action plan attached for any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services. A medical action plan was not on file for a child with a documented allergy to tree nuts. .0801(b) A compliance letter including detailed information about how all violations have been corrected must be received by October 19, 2023. Include any supporting documentation with your response (if applicable). Your letter will be used as verification that violations have been corrected and compliance is maintained; your written response is considered a legal document so must be accurate and truthful. If you email the compliance letter, it must be sent using the email address registered with DCDEE and include your facility name and ID number. If sufficient information is not received by the due date, a follow-up visit will be conducted. Technical Assistance Regarding Violations Cited Technical assistance was provided today on requirements for menus. As discussed, menus for all meals and snacks provided by the facility must be planned at least a week in advance, dated, and posted where they can easily be seen by parents and staff members serving the food. Today I urged you to add breakfast items to your menus and make sure menus can be seen in each classroom. Technical assistance regarding children with chronic medical conditions was provided during the November 19, 2021 Annual Compliance visit and again today. As discussed, for any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services, a medical action plan shall be attached to the application. A sample action plan may be found on the DCDEE website under Provider Documents and Forms. You must also ensure emergency medications are stored at least five feet from the floor, but unlocked for easy access by staff. In addition, prescription medications may not be expired and must be stored in the original, labeled container. Today I urged you to review medication requirements and ensure B. Hobbs’ parent/guardian brings in a new Epi-pen with container, completes an allergy action plan, and completes an authorization form fully. You may use the medication authorization form from the DCDEE website to ensure all requirements are met. Today I also urged you to conduct an audit of children’s files to ensure you have updated off-premise activity permission forms (less then twelve months old) for all children. As discussed, any activities occurring away from licensed and approved space are considered off-premise, and permission is needed. Blanket permission for up to twelve months can be obtained for regularly scheduled activities, such as walking outside the fence to the playground and visits to the sanctuary. Occasional activities, such as visiting the auditorium for an event, require a separate, one-time permission form. Please let me know if you have questions about off-premise activities. Technical Assistance Technical assistance regarding nutrition requirements was provided during the September 9, 2019 Annual Compliance visit and again today. As discussed, since parents have only opted out of nutrition requirements for lunch service, you must ensure all other meals and snacks served meet USDA Meal Pattern Requirements. Since you only serve breakfast and snack, pay close attention to requirements for low sugar cereals and grain-based desserts. You must also ensure you are serving unflavored 1% or skim milk with breakfast, and limiting the service of 100% juice to 6 oz per day. In 2019, I emailed you the meal patterns along with handouts regarding cereal and grain-based desserts; these items were emailed to you again today. Please review and let me know if you have further questions, Technical assistance was also provided today regarding substitute staff requirements. I shared a modified copy of the substitute staff file checklist with you indicating which items are not required based on your facility’s status as a GS 110-106 permitted facility not enrolled in the subsidy program. I reminded you to pay attention to deadlines on the righthand side of the checklist and include all substitutes on the Staff and Training Worksheet moving forward. Reminders Please ensure you continue to monitor the condition of the mulch in the fall zones of the playground for resiliency and six inches in depth. Regular tilling and/or adding of mulch may be required as it begins to break down and lose resiliency. Child Care Rules were revised July 1, 2023, and a new rule book was posted to the DCDEE website. As discussed, you should discard any old versions of the rules and ensure you are referring to the most current rule book when reviewing or researching requirements. Sanitation rules were also readopted July 1, 2023. You may view helpful resources on the rule changes and download the new rules at https://ehs.dph.ncdhhs.gov/hhccehb/cehu/index.htm. At the end of this visit, documentation was completed electronically, printed, and reviewed with you. Please remember it is your responsibility to comply with all child care rules and requirements at all times. If you have questions or need assistance please feel free to contact me at 910-338-7038 or amy.wangler@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

GS 110-106 · Violation

Name of Operation: SOUTHEASTERN CHRISTIAN ACADEMY Facility ID: 10000201 Consultant: AMY WANGLER Operation Type: Center Case Number: Visit Date: 10/5/2023 Number Present: 39 Completed Date: 10/5/2023 Age: From 3 To 5 Total Minutes: 240 Time In: 09:00 AM Time Out: 01:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of my visit was to monitor compliance with applicable child care requirements pertinent to this visit type. This facility currently operates with a GS 110-106 permit issued October 27, 2021; they are not contracted to receive subsidy funds. Restrictions on the permit include: a first shift capacity of 50 children 2-5 years of age. Restrictions were in compliance today. The last annual compliance visit was conducted October 25, 2022. Highest Praise Ministries, Inc, the non-profit corporation which owns the facility, was verified as current and active with the NC Secretary of State’s office on October 3, 2023. A Superior sanitation rating was earned May 9, 2023, and a fire inspection was conducted October 3, 2023; the facility was approved for day time care only. Prior to the visit, the facility had an eighteen-month compliance history score of 100%. Administrator, H. Hamilton, was present and available for consultation today. Three indoor spaces and one outdoor space are approved for child care use. Upon arrival, children from all three classrooms were observed transitioning from having their pictures taken back to the classrooms. After completing restroom and hand washing routines in the hallway restrooms, children were served a breakfast of cereal, milk and juice in their classrooms. After breakfast, children were observed reciting pledges and coloring worksheets. Next, children in Space #1 were observed on the fenced in playground, participating in activities including using the climber, rolling trucks down a hill, and building with blocks. In this program, breakfast and afternoon snack are provided by the facility and lunches are brought from home. Lunches are stored in a designated refrigerator in the kitchen and delivered to classrooms as needed. Nutrition opt out forms for lunch were observed on file as required. This program is exempt from Health and Safety training requirements per Child Care Rule 10A NCAC 09 .2101(f). Child Care programs are expected to always achieve and maintain compliance with child care rules, and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The following violations were observed today and must be corrected immediately: Violation Number Comment Rule 526 Menus for all meals and snacks were not current or posted where easily seen by parents and cook. Menus for breakfast and snack were not dated or posted where easily seen by parents. 10A NCAC 09 .0901(b) 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 miniature aerosol can of disinfectant was observed in an unlocked cabinet in Space #3. .2820(b) 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. An Epi-pen was observed in Space #3 without the original labeled container or instructions from physician. .0803(2)(a) 847 Parent's medication authorization did not include required information. An authorization form for a child's Epi-pen was missing required information including permission to administer and valid dates of permission. 10A NCAC 09 .0803(4)(6-9) 1322 A written statement from each child's parent giving standing permission which may be valid for up to twelve months for participation in off premise activities that occur on a regular basis was not available. Permission to be outside the fenced area for the purpose of walking to the playground was over twelve months old for one of the four children's files monitored today. .1005(b)(4) 1834 Application did not have a medical action plan attached for any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services. A medical action plan was not on file for a child with a documented allergy to tree nuts. .0801(b) A compliance letter including detailed information about how all violations have been corrected must be received by October 19, 2023. Include any supporting documentation with your response (if applicable). Your letter will be used as verification that violations have been corrected and compliance is maintained; your written response is considered a legal document so must be accurate and truthful. If you email the compliance letter, it must be sent using the email address registered with DCDEE and include your facility name and ID number. If sufficient information is not received by the due date, a follow-up visit will be conducted. Technical Assistance Regarding Violations Cited Technical assistance was provided today on requirements for menus. As discussed, menus for all meals and snacks provided by the facility must be planned at least a week in advance, dated, and posted where they can easily be seen by parents and staff members serving the food. Today I urged you to add breakfast items to your menus and make sure menus can be seen in each classroom. Technical assistance regarding children with chronic medical conditions was provided during the November 19, 2021 Annual Compliance visit and again today. As discussed, for any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services, a medical action plan shall be attached to the application. A sample action plan may be found on the DCDEE website under Provider Documents and Forms. You must also ensure emergency medications are stored at least five feet from the floor, but unlocked for easy access by staff. In addition, prescription medications may not be expired and must be stored in the original, labeled container. Today I urged you to review medication requirements and ensure B. Hobbs’ parent/guardian brings in a new Epi-pen with container, completes an allergy action plan, and completes an authorization form fully. You may use the medication authorization form from the DCDEE website to ensure all requirements are met. Today I also urged you to conduct an audit of children’s files to ensure you have updated off-premise activity permission forms (less then twelve months old) for all children. As discussed, any activities occurring away from licensed and approved space are considered off-premise, and permission is needed. Blanket permission for up to twelve months can be obtained for regularly scheduled activities, such as walking outside the fence to the playground and visits to the sanctuary. Occasional activities, such as visiting the auditorium for an event, require a separate, one-time permission form. Please let me know if you have questions about off-premise activities. Technical Assistance Technical assistance regarding nutrition requirements was provided during the September 9, 2019 Annual Compliance visit and again today. As discussed, since parents have only opted out of nutrition requirements for lunch service, you must ensure all other meals and snacks served meet USDA Meal Pattern Requirements. Since you only serve breakfast and snack, pay close attention to requirements for low sugar cereals and grain-based desserts. You must also ensure you are serving unflavored 1% or skim milk with breakfast, and limiting the service of 100% juice to 6 oz per day. In 2019, I emailed you the meal patterns along with handouts regarding cereal and grain-based desserts; these items were emailed to you again today. Please review and let me know if you have further questions, Technical assistance was also provided today regarding substitute staff requirements. I shared a modified copy of the substitute staff file checklist with you indicating which items are not required based on your facility’s status as a GS 110-106 permitted facility not enrolled in the subsidy program. I reminded you to pay attention to deadlines on the righthand side of the checklist and include all substitutes on the Staff and Training Worksheet moving forward. Reminders Please ensure you continue to monitor the condition of the mulch in the fall zones of the playground for resiliency and six inches in depth. Regular tilling and/or adding of mulch may be required as it begins to break down and lose resiliency. Child Care Rules were revised July 1, 2023, and a new rule book was posted to the DCDEE website. As discussed, you should discard any old versions of the rules and ensure you are referring to the most current rule book when reviewing or researching requirements. Sanitation rules were also readopted July 1, 2023. You may view helpful resources on the rule changes and download the new rules at https://ehs.dph.ncdhhs.gov/hhccehb/cehu/index.htm. At the end of this visit, documentation was completed electronically, printed, and reviewed with you. Please remember it is your responsibility to comply with all child care rules and requirements at all times. If you have questions or need assistance please feel free to contact me at 910-338-7038 or amy.wangler@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

NC GS 110-90 · Violation

Name of Operation: SOUTHEASTERN CHRISTIAN ACADEMY Facility ID: 10000201 Consultant: AMY WANGLER Operation Type: Center Case Number: Visit Date: 10/5/2023 Number Present: 39 Completed Date: 10/5/2023 Age: From 3 To 5 Total Minutes: 240 Time In: 09:00 AM Time Out: 01:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of my visit was to monitor compliance with applicable child care requirements pertinent to this visit type. This facility currently operates with a GS 110-106 permit issued October 27, 2021; they are not contracted to receive subsidy funds. Restrictions on the permit include: a first shift capacity of 50 children 2-5 years of age. Restrictions were in compliance today. The last annual compliance visit was conducted October 25, 2022. Highest Praise Ministries, Inc, the non-profit corporation which owns the facility, was verified as current and active with the NC Secretary of State’s office on October 3, 2023. A Superior sanitation rating was earned May 9, 2023, and a fire inspection was conducted October 3, 2023; the facility was approved for day time care only. Prior to the visit, the facility had an eighteen-month compliance history score of 100%. Administrator, H. Hamilton, was present and available for consultation today. Three indoor spaces and one outdoor space are approved for child care use. Upon arrival, children from all three classrooms were observed transitioning from having their pictures taken back to the classrooms. After completing restroom and hand washing routines in the hallway restrooms, children were served a breakfast of cereal, milk and juice in their classrooms. After breakfast, children were observed reciting pledges and coloring worksheets. Next, children in Space #1 were observed on the fenced in playground, participating in activities including using the climber, rolling trucks down a hill, and building with blocks. In this program, breakfast and afternoon snack are provided by the facility and lunches are brought from home. Lunches are stored in a designated refrigerator in the kitchen and delivered to classrooms as needed. Nutrition opt out forms for lunch were observed on file as required. This program is exempt from Health and Safety training requirements per Child Care Rule 10A NCAC 09 .2101(f). Child Care programs are expected to always achieve and maintain compliance with child care rules, and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The following violations were observed today and must be corrected immediately: Violation Number Comment Rule 526 Menus for all meals and snacks were not current or posted where easily seen by parents and cook. Menus for breakfast and snack were not dated or posted where easily seen by parents. 10A NCAC 09 .0901(b) 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 miniature aerosol can of disinfectant was observed in an unlocked cabinet in Space #3. .2820(b) 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. An Epi-pen was observed in Space #3 without the original labeled container or instructions from physician. .0803(2)(a) 847 Parent's medication authorization did not include required information. An authorization form for a child's Epi-pen was missing required information including permission to administer and valid dates of permission. 10A NCAC 09 .0803(4)(6-9) 1322 A written statement from each child's parent giving standing permission which may be valid for up to twelve months for participation in off premise activities that occur on a regular basis was not available. Permission to be outside the fenced area for the purpose of walking to the playground was over twelve months old for one of the four children's files monitored today. .1005(b)(4) 1834 Application did not have a medical action plan attached for any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services. A medical action plan was not on file for a child with a documented allergy to tree nuts. .0801(b) A compliance letter including detailed information about how all violations have been corrected must be received by October 19, 2023. Include any supporting documentation with your response (if applicable). Your letter will be used as verification that violations have been corrected and compliance is maintained; your written response is considered a legal document so must be accurate and truthful. If you email the compliance letter, it must be sent using the email address registered with DCDEE and include your facility name and ID number. If sufficient information is not received by the due date, a follow-up visit will be conducted. Technical Assistance Regarding Violations Cited Technical assistance was provided today on requirements for menus. As discussed, menus for all meals and snacks provided by the facility must be planned at least a week in advance, dated, and posted where they can easily be seen by parents and staff members serving the food. Today I urged you to add breakfast items to your menus and make sure menus can be seen in each classroom. Technical assistance regarding children with chronic medical conditions was provided during the November 19, 2021 Annual Compliance visit and again today. As discussed, for any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services, a medical action plan shall be attached to the application. A sample action plan may be found on the DCDEE website under Provider Documents and Forms. You must also ensure emergency medications are stored at least five feet from the floor, but unlocked for easy access by staff. In addition, prescription medications may not be expired and must be stored in the original, labeled container. Today I urged you to review medication requirements and ensure B. Hobbs’ parent/guardian brings in a new Epi-pen with container, completes an allergy action plan, and completes an authorization form fully. You may use the medication authorization form from the DCDEE website to ensure all requirements are met. Today I also urged you to conduct an audit of children’s files to ensure you have updated off-premise activity permission forms (less then twelve months old) for all children. As discussed, any activities occurring away from licensed and approved space are considered off-premise, and permission is needed. Blanket permission for up to twelve months can be obtained for regularly scheduled activities, such as walking outside the fence to the playground and visits to the sanctuary. Occasional activities, such as visiting the auditorium for an event, require a separate, one-time permission form. Please let me know if you have questions about off-premise activities. Technical Assistance Technical assistance regarding nutrition requirements was provided during the September 9, 2019 Annual Compliance visit and again today. As discussed, since parents have only opted out of nutrition requirements for lunch service, you must ensure all other meals and snacks served meet USDA Meal Pattern Requirements. Since you only serve breakfast and snack, pay close attention to requirements for low sugar cereals and grain-based desserts. You must also ensure you are serving unflavored 1% or skim milk with breakfast, and limiting the service of 100% juice to 6 oz per day. In 2019, I emailed you the meal patterns along with handouts regarding cereal and grain-based desserts; these items were emailed to you again today. Please review and let me know if you have further questions, Technical assistance was also provided today regarding substitute staff requirements. I shared a modified copy of the substitute staff file checklist with you indicating which items are not required based on your facility’s status as a GS 110-106 permitted facility not enrolled in the subsidy program. I reminded you to pay attention to deadlines on the righthand side of the checklist and include all substitutes on the Staff and Training Worksheet moving forward. Reminders Please ensure you continue to monitor the condition of the mulch in the fall zones of the playground for resiliency and six inches in depth. Regular tilling and/or adding of mulch may be required as it begins to break down and lose resiliency. Child Care Rules were revised July 1, 2023, and a new rule book was posted to the DCDEE website. As discussed, you should discard any old versions of the rules and ensure you are referring to the most current rule book when reviewing or researching requirements. Sanitation rules were also readopted July 1, 2023. You may view helpful resources on the rule changes and download the new rules at https://ehs.dph.ncdhhs.gov/hhccehb/cehu/index.htm. At the end of this visit, documentation was completed electronically, printed, and reviewed with you. Please remember it is your responsibility to comply with all child care rules and requirements at all times. If you have questions or need assistance please feel free to contact me at 910-338-7038 or amy.wangler@dhhs.nc.gov. 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