10A NCAC 09 .0601 · Violation

Name of Operation: NEW LIFE CHILD CARE CENTER Facility ID: 40000108 Consultant: KESHIA HAYWARD Operation Type: Center Case Number: Visit Date: 5/28/2025 Number Present: 61 Completed Date: 5/28/2025 Age: From 0 To 9 Total Minutes: 250 Time In: 08:50 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 today’s visit was to monitor this program for compliance with applicable child care requirements for during the annual compliance visit. Tonya Sherrod, Administrator, assisted with the visit. This center currently operates with a Notice of Compliance issued June 4, 2021. The last annual compliance visit was completed on June 11, 2024. The last sanitation inspection was completed on March 12, 2025, with a “Superior” classification. The last fire inspection was completed on February 7, 2025, and the center was approved for daytime care only. Sixty-one (61) children were in care today ranging from zero to nine years old. Children were engaged in free choice play with developmentally age-appropriate materials, completing toileting, diapering and hand washing routines, completing art activities, interacting with caregivers, and eating lunch. Lunch consisted of bologna with cheese sandwiches, corn, string beans, bread, and milk. The following violations were documented today. Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. A fire inspection report dated February 7, 2025, was submitted on March 3, 2025. 10A NCAC 09 .0304(a) 301 Minimum staff/child ratios and group sizes for the number and ages of children in care were not met. Minimum staff/child ratio requirements were not met when one caregiver was observed providing care to eight (8) children ranging from ages zero (0) to one (1) year old in Space #1 and one caregiver was observed caring for eight children ranging from ages one (1) to two (2) years old in Space #4. GS 110-91(7);.0713(a-d) 533 Human milk, formula and other bottled beverages including sippy cups, sent from child's home were not fully prepared, dated, and labeled for the appropriate child. Two bottles with breast milk were not labeled with the child’s name, and date. 15A NCAC 18A .2804(d) 807 A safe indoor and outdoor environment was not provided for the children. A nail was protruding from the wooden picnic table on the playground. A staff member’s purse was on a chair accessible to children in Space #6. 10A NCAC 09 .0601(a) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. A can of Wizard air freshener in an aerosol dispensed container was on top of the paper towel dispenser. .2820(b) 871 Center staff did not comply with the safe sleep policy. An infant was observed sleeping in a crib with a pacifier attached to clothing. 10A NCAC 09 .0606(a) 887 Caregivers did not document compliance with visually checking on sleeping infants aged 12 months or younger and/or the documents were not maintained for a minimum of one month. Safe sleep checks were reviewed revealed visually safe sleep check were not conducted or recorded every fifteen (15) minutes as required for two children on the dates of May 21, 2025, May 23, 2025, and May 27, 2025. .0606(g) 1043 All staff records, except financial records, were not made available for review. A staff record was not available for M. Rouse, caregiver working in Space #4. G.S. 110-91( 9) 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. GS 110-91(1);.0302(d)(2); .0304(g) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. A health assessment was not on file for one preschool child enrolled on March 26, 2025. GS110-91(1) 1323 Each child was not immunized as per Article 6 of Chapter 130A and an immunization record was not on file before or within 30 days after admission. Immunization reports were not on file for three children enrolled. 10A NCAC 09 .0302(d)(2) 1799 A child care provider or uncompensated provider found to be disqualified and not eligible for employment in child care was employed or living in the home. M. Rouse, a caregiver observed working with children in Space #4 during the visit had a disqualified criminal background check. G.S. 110-90.2 & .2703(i) The violations documented must be corrected immediately. Please send a compliance verification letter to me describing how the violations were corrected. You can submit the compliance verification letter by postal mail to Keshia Hayward, PO Box 1504 Greenville NC 27834, or email keshia.hayward@dhhs.nc.gov. The compliance verification letter must be received on or before June 12, 2025. The two-week time frame is established to allow you time for submitting your compliance verification letter. This timeframe is not intended to be used as a guide for correcting violations, as they should be corrected immediately. Please be aware that any written information submitted by you regarding correction of violations documented during the visit is legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility's Star Rated License could be issued. If sufficient information is not received by the due date, a follow-up visit will be conducted. COMPLIANCE HISTORY SCORE: The center’s compliance history score was reviewed with the operator. The program’s compliance history was 86% as of May 27, 2025. CORPORATION STATUS: New Life Outreach Center, Inc. is listed as the current owner of this center. According to information verified on the North Carolina Secretary of State’s website, New Life Outreach Center, Inc. remains current and active. I reminded you the corporation status for your program must always remain Current and Active. Failure to comply may affect your child care license. FACILITY PROFILE INFORMATION: You verified the phone number email address and mailing address listed on the facility profile are correct. If changes in your facility’s information occur in the future, contact me at 252-214-2709 or email keshia.hayward@dhhs.nc.gov to discuss the changes and ensure accurate information is updated in our system. STAFF RECORDS: The staff and training worksheet was not submitted prior to the visit; therefore, staff records were not reviewed during todays visit. I requested that you complete and submit the completed staff/training worksheet to me by close of business on May 29, 2025. Additionally, I shared that a follow-up visit would be conducted to monitor staff files and staff/child ratio requirements. STAFF/CHILD RATIO: During my visit, I observed one caregiver caring for eight (8) children ranging from ages one (1) to two (2) years old in classroom #4 and one caregiver providing care to eight (8) children, including infants ranging from 0-12 months and toddlers one year old. A second staff member entered both classrooms shortly after the visit started and assisted. You stated that you had been assisting in classroom# 4; however, at the time of my arrival, you met me at the door coming from the kitchen area, where I informed you that I was there to conduct your annual compliance visit. You explained that the center is currently short staffed, which led to the staff/child ratio issues today. You added there are sufficient staff to provide care for all children enrolled with you assisting in the after-school program. Maintaining appropriate staff to child ratios is essential for ensuring the safety, well-being and health development of all children. In addition, staff-to child ratios are established to help protect children from potential harm. Consistently meeting licensing standards regarding staff-to child ratios is a fundamental component to high quality child care and reflects a commitment to providing a safe environment to children. These ratios are critical to providing adequate supervision and creating opportunities for meaningful social interaction and learning. MEDICAL REQUIRMENTS FOR CHILDREN: You were reminded that health assessments and immunization records must be submitted to the program within 30 days from the date of enrollment. During my review, it was noted that a medical assessment was not on file for one preschool child within 30 days. Additionally, immunization records were missing for three children enrolled. It is essential to establish a plan of action to ensure that all required medical documentation is retrieved within the recommended timeframe. That plan could include timely follow-ups with families and clear communication about documentation deadlines. This will ensure your program maintains compliance with health and safety standards. SAFE SLEEP PRACTICES: During the visit, I observed that the center was not fully adhering to its safe sleep policy. Specifically, an infant was observed napping in a crib with a pacifier attached to their clothing which poses a potential safety hazard. Also, sleep check documentation reviewed showed that visual safe sleep checks were not consistently completed or documented every fifteen minutes as required. I reminded you that safe sleep checks must be conducted every fifteen minutes when infants are sleeping. Furthermore, infants should not sleep with any items attached to their clothing, including pacifiers, as this increases the risk of suffocation. To maintain compliance and ensure infant safety, it is critical that staff strictly always follow the center’s safe sleep policy. I encouraged you to have staff review the safe sleep policy again as a refresher. SAFE INDOOR/OUTDOOR ENVIRONMENT: I informed you items in aerosol dispense containers must always be kept in locked storage spaces to ensure child safety and compliance with child care requirements. In addition, I recommend that you conduct regular walk-throughs of the playground and classrooms areas throughout the day if it is feasible to ensure staff personal belongings are not left in spaces accessible to children and potential hazards are identified and removed. This proactive approach will help maintain a safe and secure environment where children can explore and learn without risks. LOCK DOOR POLICY: During the visit, we discussed the program practices regarding locked doors. You stated that a formal locked door policy was not submitted for your program. You also explained that the doors are kept locked due to individuals wandering in the neighborhood, to prevent unauthorized entry. I requested that you submit a written locked door policy for review and approval. During our discussion, we talked about specific requirements that must be met to implement and maintain a compliant locked door policy. SCHOOL-AGE GROUP SEPARATION: You inquired about appropriate separation methods for school-aged children because the program has more than twenty-five children enrolled and building #2 not currently being utilized for child care. Additionally, you were asking about the type of equipment to use for separating the group. I shared that separation could be achieved using cubbies, a partition or another physical divider. However, I reminded you that children in two separate groups must not be allowed to intermingle during care at any time. You shared your intention is to divide the sanctuary space in the middle to create two distinct groups. I also explained that a qualified teacher must be assigned to each group of children being cared for at the center. DCDEE RESOURCES: I recommended you periodically visit the DCDEE website at https://ncchildcare.ncdhhs.gov/ under the "What's New" tab to stay abreast of updated information provided. Be reminded you are responsible for maintaining compliance with all applicable child care requirements whether they have been discussed or reviewed with you in the past. CONTACT INFORMATION: If you have questions regarding today’s visit, my contact information is listed above. You may also contact Licensing Supervisor, Susan Fuller at 252-373-9809 or email susan.fuller@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: supervision. Open / not marked corrected.

10A NCAC 09 .0302 · Violation

Name of Operation: NEW LIFE CHILD CARE CENTER Facility ID: 40000108 Consultant: KESHIA HAYWARD Operation Type: Center Case Number: Visit Date: 5/28/2025 Number Present: 61 Completed Date: 5/28/2025 Age: From 0 To 9 Total Minutes: 250 Time In: 08:50 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 today’s visit was to monitor this program for compliance with applicable child care requirements for during the annual compliance visit. Tonya Sherrod, Administrator, assisted with the visit. This center currently operates with a Notice of Compliance issued June 4, 2021. The last annual compliance visit was completed on June 11, 2024. The last sanitation inspection was completed on March 12, 2025, with a “Superior” classification. The last fire inspection was completed on February 7, 2025, and the center was approved for daytime care only. Sixty-one (61) children were in care today ranging from zero to nine years old. Children were engaged in free choice play with developmentally age-appropriate materials, completing toileting, diapering and hand washing routines, completing art activities, interacting with caregivers, and eating lunch. Lunch consisted of bologna with cheese sandwiches, corn, string beans, bread, and milk. The following violations were documented today. Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. A fire inspection report dated February 7, 2025, was submitted on March 3, 2025. 10A NCAC 09 .0304(a) 301 Minimum staff/child ratios and group sizes for the number and ages of children in care were not met. Minimum staff/child ratio requirements were not met when one caregiver was observed providing care to eight (8) children ranging from ages zero (0) to one (1) year old in Space #1 and one caregiver was observed caring for eight children ranging from ages one (1) to two (2) years old in Space #4. GS 110-91(7);.0713(a-d) 533 Human milk, formula and other bottled beverages including sippy cups, sent from child's home were not fully prepared, dated, and labeled for the appropriate child. Two bottles with breast milk were not labeled with the child’s name, and date. 15A NCAC 18A .2804(d) 807 A safe indoor and outdoor environment was not provided for the children. A nail was protruding from the wooden picnic table on the playground. A staff member’s purse was on a chair accessible to children in Space #6. 10A NCAC 09 .0601(a) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. A can of Wizard air freshener in an aerosol dispensed container was on top of the paper towel dispenser. .2820(b) 871 Center staff did not comply with the safe sleep policy. An infant was observed sleeping in a crib with a pacifier attached to clothing. 10A NCAC 09 .0606(a) 887 Caregivers did not document compliance with visually checking on sleeping infants aged 12 months or younger and/or the documents were not maintained for a minimum of one month. Safe sleep checks were reviewed revealed visually safe sleep check were not conducted or recorded every fifteen (15) minutes as required for two children on the dates of May 21, 2025, May 23, 2025, and May 27, 2025. .0606(g) 1043 All staff records, except financial records, were not made available for review. A staff record was not available for M. Rouse, caregiver working in Space #4. G.S. 110-91( 9) 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. GS 110-91(1);.0302(d)(2); .0304(g) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. A health assessment was not on file for one preschool child enrolled on March 26, 2025. GS110-91(1) 1323 Each child was not immunized as per Article 6 of Chapter 130A and an immunization record was not on file before or within 30 days after admission. Immunization reports were not on file for three children enrolled. 10A NCAC 09 .0302(d)(2) 1799 A child care provider or uncompensated provider found to be disqualified and not eligible for employment in child care was employed or living in the home. M. Rouse, a caregiver observed working with children in Space #4 during the visit had a disqualified criminal background check. G.S. 110-90.2 & .2703(i) The violations documented must be corrected immediately. Please send a compliance verification letter to me describing how the violations were corrected. You can submit the compliance verification letter by postal mail to Keshia Hayward, PO Box 1504 Greenville NC 27834, or email keshia.hayward@dhhs.nc.gov. The compliance verification letter must be received on or before June 12, 2025. The two-week time frame is established to allow you time for submitting your compliance verification letter. This timeframe is not intended to be used as a guide for correcting violations, as they should be corrected immediately. Please be aware that any written information submitted by you regarding correction of violations documented during the visit is legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility's Star Rated License could be issued. If sufficient information is not received by the due date, a follow-up visit will be conducted. COMPLIANCE HISTORY SCORE: The center’s compliance history score was reviewed with the operator. The program’s compliance history was 86% as of May 27, 2025. CORPORATION STATUS: New Life Outreach Center, Inc. is listed as the current owner of this center. According to information verified on the North Carolina Secretary of State’s website, New Life Outreach Center, Inc. remains current and active. I reminded you the corporation status for your program must always remain Current and Active. Failure to comply may affect your child care license. FACILITY PROFILE INFORMATION: You verified the phone number email address and mailing address listed on the facility profile are correct. If changes in your facility’s information occur in the future, contact me at 252-214-2709 or email keshia.hayward@dhhs.nc.gov to discuss the changes and ensure accurate information is updated in our system. STAFF RECORDS: The staff and training worksheet was not submitted prior to the visit; therefore, staff records were not reviewed during todays visit. I requested that you complete and submit the completed staff/training worksheet to me by close of business on May 29, 2025. Additionally, I shared that a follow-up visit would be conducted to monitor staff files and staff/child ratio requirements. STAFF/CHILD RATIO: During my visit, I observed one caregiver caring for eight (8) children ranging from ages one (1) to two (2) years old in classroom #4 and one caregiver providing care to eight (8) children, including infants ranging from 0-12 months and toddlers one year old. A second staff member entered both classrooms shortly after the visit started and assisted. You stated that you had been assisting in classroom# 4; however, at the time of my arrival, you met me at the door coming from the kitchen area, where I informed you that I was there to conduct your annual compliance visit. You explained that the center is currently short staffed, which led to the staff/child ratio issues today. You added there are sufficient staff to provide care for all children enrolled with you assisting in the after-school program. Maintaining appropriate staff to child ratios is essential for ensuring the safety, well-being and health development of all children. In addition, staff-to child ratios are established to help protect children from potential harm. Consistently meeting licensing standards regarding staff-to child ratios is a fundamental component to high quality child care and reflects a commitment to providing a safe environment to children. These ratios are critical to providing adequate supervision and creating opportunities for meaningful social interaction and learning. MEDICAL REQUIRMENTS FOR CHILDREN: You were reminded that health assessments and immunization records must be submitted to the program within 30 days from the date of enrollment. During my review, it was noted that a medical assessment was not on file for one preschool child within 30 days. Additionally, immunization records were missing for three children enrolled. It is essential to establish a plan of action to ensure that all required medical documentation is retrieved within the recommended timeframe. That plan could include timely follow-ups with families and clear communication about documentation deadlines. This will ensure your program maintains compliance with health and safety standards. SAFE SLEEP PRACTICES: During the visit, I observed that the center was not fully adhering to its safe sleep policy. Specifically, an infant was observed napping in a crib with a pacifier attached to their clothing which poses a potential safety hazard. Also, sleep check documentation reviewed showed that visual safe sleep checks were not consistently completed or documented every fifteen minutes as required. I reminded you that safe sleep checks must be conducted every fifteen minutes when infants are sleeping. Furthermore, infants should not sleep with any items attached to their clothing, including pacifiers, as this increases the risk of suffocation. To maintain compliance and ensure infant safety, it is critical that staff strictly always follow the center’s safe sleep policy. I encouraged you to have staff review the safe sleep policy again as a refresher. SAFE INDOOR/OUTDOOR ENVIRONMENT: I informed you items in aerosol dispense containers must always be kept in locked storage spaces to ensure child safety and compliance with child care requirements. In addition, I recommend that you conduct regular walk-throughs of the playground and classrooms areas throughout the day if it is feasible to ensure staff personal belongings are not left in spaces accessible to children and potential hazards are identified and removed. This proactive approach will help maintain a safe and secure environment where children can explore and learn without risks. LOCK DOOR POLICY: During the visit, we discussed the program practices regarding locked doors. You stated that a formal locked door policy was not submitted for your program. You also explained that the doors are kept locked due to individuals wandering in the neighborhood, to prevent unauthorized entry. I requested that you submit a written locked door policy for review and approval. During our discussion, we talked about specific requirements that must be met to implement and maintain a compliant locked door policy. SCHOOL-AGE GROUP SEPARATION: You inquired about appropriate separation methods for school-aged children because the program has more than twenty-five children enrolled and building #2 not currently being utilized for child care. Additionally, you were asking about the type of equipment to use for separating the group. I shared that separation could be achieved using cubbies, a partition or another physical divider. However, I reminded you that children in two separate groups must not be allowed to intermingle during care at any time. You shared your intention is to divide the sanctuary space in the middle to create two distinct groups. I also explained that a qualified teacher must be assigned to each group of children being cared for at the center. DCDEE RESOURCES: I recommended you periodically visit the DCDEE website at https://ncchildcare.ncdhhs.gov/ under the "What's New" tab to stay abreast of updated information provided. Be reminded you are responsible for maintaining compliance with all applicable child care requirements whether they have been discussed or reviewed with you in the past. CONTACT INFORMATION: If you have questions regarding today’s visit, my contact information is listed above. You may also contact Licensing Supervisor, Susan Fuller at 252-373-9809 or email susan.fuller@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 .0304 · Violation

Name of Operation: NEW LIFE CHILD CARE CENTER Facility ID: 40000108 Consultant: KESHIA HAYWARD Operation Type: Center Case Number: Visit Date: 5/28/2025 Number Present: 61 Completed Date: 5/28/2025 Age: From 0 To 9 Total Minutes: 250 Time In: 08:50 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 today’s visit was to monitor this program for compliance with applicable child care requirements for during the annual compliance visit. Tonya Sherrod, Administrator, assisted with the visit. This center currently operates with a Notice of Compliance issued June 4, 2021. The last annual compliance visit was completed on June 11, 2024. The last sanitation inspection was completed on March 12, 2025, with a “Superior” classification. The last fire inspection was completed on February 7, 2025, and the center was approved for daytime care only. Sixty-one (61) children were in care today ranging from zero to nine years old. Children were engaged in free choice play with developmentally age-appropriate materials, completing toileting, diapering and hand washing routines, completing art activities, interacting with caregivers, and eating lunch. Lunch consisted of bologna with cheese sandwiches, corn, string beans, bread, and milk. The following violations were documented today. Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. A fire inspection report dated February 7, 2025, was submitted on March 3, 2025. 10A NCAC 09 .0304(a) 301 Minimum staff/child ratios and group sizes for the number and ages of children in care were not met. Minimum staff/child ratio requirements were not met when one caregiver was observed providing care to eight (8) children ranging from ages zero (0) to one (1) year old in Space #1 and one caregiver was observed caring for eight children ranging from ages one (1) to two (2) years old in Space #4. GS 110-91(7);.0713(a-d) 533 Human milk, formula and other bottled beverages including sippy cups, sent from child's home were not fully prepared, dated, and labeled for the appropriate child. Two bottles with breast milk were not labeled with the child’s name, and date. 15A NCAC 18A .2804(d) 807 A safe indoor and outdoor environment was not provided for the children. A nail was protruding from the wooden picnic table on the playground. A staff member’s purse was on a chair accessible to children in Space #6. 10A NCAC 09 .0601(a) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. A can of Wizard air freshener in an aerosol dispensed container was on top of the paper towel dispenser. .2820(b) 871 Center staff did not comply with the safe sleep policy. An infant was observed sleeping in a crib with a pacifier attached to clothing. 10A NCAC 09 .0606(a) 887 Caregivers did not document compliance with visually checking on sleeping infants aged 12 months or younger and/or the documents were not maintained for a minimum of one month. Safe sleep checks were reviewed revealed visually safe sleep check were not conducted or recorded every fifteen (15) minutes as required for two children on the dates of May 21, 2025, May 23, 2025, and May 27, 2025. .0606(g) 1043 All staff records, except financial records, were not made available for review. A staff record was not available for M. Rouse, caregiver working in Space #4. G.S. 110-91( 9) 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. GS 110-91(1);.0302(d)(2); .0304(g) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. A health assessment was not on file for one preschool child enrolled on March 26, 2025. GS110-91(1) 1323 Each child was not immunized as per Article 6 of Chapter 130A and an immunization record was not on file before or within 30 days after admission. Immunization reports were not on file for three children enrolled. 10A NCAC 09 .0302(d)(2) 1799 A child care provider or uncompensated provider found to be disqualified and not eligible for employment in child care was employed or living in the home. M. Rouse, a caregiver observed working with children in Space #4 during the visit had a disqualified criminal background check. G.S. 110-90.2 & .2703(i) The violations documented must be corrected immediately. Please send a compliance verification letter to me describing how the violations were corrected. You can submit the compliance verification letter by postal mail to Keshia Hayward, PO Box 1504 Greenville NC 27834, or email keshia.hayward@dhhs.nc.gov. The compliance verification letter must be received on or before June 12, 2025. The two-week time frame is established to allow you time for submitting your compliance verification letter. This timeframe is not intended to be used as a guide for correcting violations, as they should be corrected immediately. Please be aware that any written information submitted by you regarding correction of violations documented during the visit is legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility's Star Rated License could be issued. If sufficient information is not received by the due date, a follow-up visit will be conducted. COMPLIANCE HISTORY SCORE: The center’s compliance history score was reviewed with the operator. The program’s compliance history was 86% as of May 27, 2025. CORPORATION STATUS: New Life Outreach Center, Inc. is listed as the current owner of this center. According to information verified on the North Carolina Secretary of State’s website, New Life Outreach Center, Inc. remains current and active. I reminded you the corporation status for your program must always remain Current and Active. Failure to comply may affect your child care license. FACILITY PROFILE INFORMATION: You verified the phone number email address and mailing address listed on the facility profile are correct. If changes in your facility’s information occur in the future, contact me at 252-214-2709 or email keshia.hayward@dhhs.nc.gov to discuss the changes and ensure accurate information is updated in our system. STAFF RECORDS: The staff and training worksheet was not submitted prior to the visit; therefore, staff records were not reviewed during todays visit. I requested that you complete and submit the completed staff/training worksheet to me by close of business on May 29, 2025. Additionally, I shared that a follow-up visit would be conducted to monitor staff files and staff/child ratio requirements. STAFF/CHILD RATIO: During my visit, I observed one caregiver caring for eight (8) children ranging from ages one (1) to two (2) years old in classroom #4 and one caregiver providing care to eight (8) children, including infants ranging from 0-12 months and toddlers one year old. A second staff member entered both classrooms shortly after the visit started and assisted. You stated that you had been assisting in classroom# 4; however, at the time of my arrival, you met me at the door coming from the kitchen area, where I informed you that I was there to conduct your annual compliance visit. You explained that the center is currently short staffed, which led to the staff/child ratio issues today. You added there are sufficient staff to provide care for all children enrolled with you assisting in the after-school program. Maintaining appropriate staff to child ratios is essential for ensuring the safety, well-being and health development of all children. In addition, staff-to child ratios are established to help protect children from potential harm. Consistently meeting licensing standards regarding staff-to child ratios is a fundamental component to high quality child care and reflects a commitment to providing a safe environment to children. These ratios are critical to providing adequate supervision and creating opportunities for meaningful social interaction and learning. MEDICAL REQUIRMENTS FOR CHILDREN: You were reminded that health assessments and immunization records must be submitted to the program within 30 days from the date of enrollment. During my review, it was noted that a medical assessment was not on file for one preschool child within 30 days. Additionally, immunization records were missing for three children enrolled. It is essential to establish a plan of action to ensure that all required medical documentation is retrieved within the recommended timeframe. That plan could include timely follow-ups with families and clear communication about documentation deadlines. This will ensure your program maintains compliance with health and safety standards. SAFE SLEEP PRACTICES: During the visit, I observed that the center was not fully adhering to its safe sleep policy. Specifically, an infant was observed napping in a crib with a pacifier attached to their clothing which poses a potential safety hazard. Also, sleep check documentation reviewed showed that visual safe sleep checks were not consistently completed or documented every fifteen minutes as required. I reminded you that safe sleep checks must be conducted every fifteen minutes when infants are sleeping. Furthermore, infants should not sleep with any items attached to their clothing, including pacifiers, as this increases the risk of suffocation. To maintain compliance and ensure infant safety, it is critical that staff strictly always follow the center’s safe sleep policy. I encouraged you to have staff review the safe sleep policy again as a refresher. SAFE INDOOR/OUTDOOR ENVIRONMENT: I informed you items in aerosol dispense containers must always be kept in locked storage spaces to ensure child safety and compliance with child care requirements. In addition, I recommend that you conduct regular walk-throughs of the playground and classrooms areas throughout the day if it is feasible to ensure staff personal belongings are not left in spaces accessible to children and potential hazards are identified and removed. This proactive approach will help maintain a safe and secure environment where children can explore and learn without risks. LOCK DOOR POLICY: During the visit, we discussed the program practices regarding locked doors. You stated that a formal locked door policy was not submitted for your program. You also explained that the doors are kept locked due to individuals wandering in the neighborhood, to prevent unauthorized entry. I requested that you submit a written locked door policy for review and approval. During our discussion, we talked about specific requirements that must be met to implement and maintain a compliant locked door policy. SCHOOL-AGE GROUP SEPARATION: You inquired about appropriate separation methods for school-aged children because the program has more than twenty-five children enrolled and building #2 not currently being utilized for child care. Additionally, you were asking about the type of equipment to use for separating the group. I shared that separation could be achieved using cubbies, a partition or another physical divider. However, I reminded you that children in two separate groups must not be allowed to intermingle during care at any time. You shared your intention is to divide the sanctuary space in the middle to create two distinct groups. I also explained that a qualified teacher must be assigned to each group of children being cared for at the center. DCDEE RESOURCES: I recommended you periodically visit the DCDEE website at https://ncchildcare.ncdhhs.gov/ under the "What's New" tab to stay abreast of updated information provided. Be reminded you are responsible for maintaining compliance with all applicable child care requirements whether they have been discussed or reviewed with you in the past. CONTACT INFORMATION: If you have questions regarding today’s visit, my contact information is listed above. You may also contact Licensing Supervisor, Susan Fuller at 252-373-9809 or email susan.fuller@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 .0606 · Violation

Name of Operation: NEW LIFE CHILD CARE CENTER Facility ID: 40000108 Consultant: KESHIA HAYWARD Operation Type: Center Case Number: Visit Date: 5/28/2025 Number Present: 61 Completed Date: 5/28/2025 Age: From 0 To 9 Total Minutes: 250 Time In: 08:50 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 today’s visit was to monitor this program for compliance with applicable child care requirements for during the annual compliance visit. Tonya Sherrod, Administrator, assisted with the visit. This center currently operates with a Notice of Compliance issued June 4, 2021. The last annual compliance visit was completed on June 11, 2024. The last sanitation inspection was completed on March 12, 2025, with a “Superior” classification. The last fire inspection was completed on February 7, 2025, and the center was approved for daytime care only. Sixty-one (61) children were in care today ranging from zero to nine years old. Children were engaged in free choice play with developmentally age-appropriate materials, completing toileting, diapering and hand washing routines, completing art activities, interacting with caregivers, and eating lunch. Lunch consisted of bologna with cheese sandwiches, corn, string beans, bread, and milk. The following violations were documented today. Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. A fire inspection report dated February 7, 2025, was submitted on March 3, 2025. 10A NCAC 09 .0304(a) 301 Minimum staff/child ratios and group sizes for the number and ages of children in care were not met. Minimum staff/child ratio requirements were not met when one caregiver was observed providing care to eight (8) children ranging from ages zero (0) to one (1) year old in Space #1 and one caregiver was observed caring for eight children ranging from ages one (1) to two (2) years old in Space #4. GS 110-91(7);.0713(a-d) 533 Human milk, formula and other bottled beverages including sippy cups, sent from child's home were not fully prepared, dated, and labeled for the appropriate child. Two bottles with breast milk were not labeled with the child’s name, and date. 15A NCAC 18A .2804(d) 807 A safe indoor and outdoor environment was not provided for the children. A nail was protruding from the wooden picnic table on the playground. A staff member’s purse was on a chair accessible to children in Space #6. 10A NCAC 09 .0601(a) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. A can of Wizard air freshener in an aerosol dispensed container was on top of the paper towel dispenser. .2820(b) 871 Center staff did not comply with the safe sleep policy. An infant was observed sleeping in a crib with a pacifier attached to clothing. 10A NCAC 09 .0606(a) 887 Caregivers did not document compliance with visually checking on sleeping infants aged 12 months or younger and/or the documents were not maintained for a minimum of one month. Safe sleep checks were reviewed revealed visually safe sleep check were not conducted or recorded every fifteen (15) minutes as required for two children on the dates of May 21, 2025, May 23, 2025, and May 27, 2025. .0606(g) 1043 All staff records, except financial records, were not made available for review. A staff record was not available for M. Rouse, caregiver working in Space #4. G.S. 110-91( 9) 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. GS 110-91(1);.0302(d)(2); .0304(g) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. A health assessment was not on file for one preschool child enrolled on March 26, 2025. GS110-91(1) 1323 Each child was not immunized as per Article 6 of Chapter 130A and an immunization record was not on file before or within 30 days after admission. Immunization reports were not on file for three children enrolled. 10A NCAC 09 .0302(d)(2) 1799 A child care provider or uncompensated provider found to be disqualified and not eligible for employment in child care was employed or living in the home. M. Rouse, a caregiver observed working with children in Space #4 during the visit had a disqualified criminal background check. G.S. 110-90.2 & .2703(i) The violations documented must be corrected immediately. Please send a compliance verification letter to me describing how the violations were corrected. You can submit the compliance verification letter by postal mail to Keshia Hayward, PO Box 1504 Greenville NC 27834, or email keshia.hayward@dhhs.nc.gov. The compliance verification letter must be received on or before June 12, 2025. The two-week time frame is established to allow you time for submitting your compliance verification letter. This timeframe is not intended to be used as a guide for correcting violations, as they should be corrected immediately. Please be aware that any written information submitted by you regarding correction of violations documented during the visit is legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility's Star Rated License could be issued. If sufficient information is not received by the due date, a follow-up visit will be conducted. COMPLIANCE HISTORY SCORE: The center’s compliance history score was reviewed with the operator. The program’s compliance history was 86% as of May 27, 2025. CORPORATION STATUS: New Life Outreach Center, Inc. is listed as the current owner of this center. According to information verified on the North Carolina Secretary of State’s website, New Life Outreach Center, Inc. remains current and active. I reminded you the corporation status for your program must always remain Current and Active. Failure to comply may affect your child care license. FACILITY PROFILE INFORMATION: You verified the phone number email address and mailing address listed on the facility profile are correct. If changes in your facility’s information occur in the future, contact me at 252-214-2709 or email keshia.hayward@dhhs.nc.gov to discuss the changes and ensure accurate information is updated in our system. STAFF RECORDS: The staff and training worksheet was not submitted prior to the visit; therefore, staff records were not reviewed during todays visit. I requested that you complete and submit the completed staff/training worksheet to me by close of business on May 29, 2025. Additionally, I shared that a follow-up visit would be conducted to monitor staff files and staff/child ratio requirements. STAFF/CHILD RATIO: During my visit, I observed one caregiver caring for eight (8) children ranging from ages one (1) to two (2) years old in classroom #4 and one caregiver providing care to eight (8) children, including infants ranging from 0-12 months and toddlers one year old. A second staff member entered both classrooms shortly after the visit started and assisted. You stated that you had been assisting in classroom# 4; however, at the time of my arrival, you met me at the door coming from the kitchen area, where I informed you that I was there to conduct your annual compliance visit. You explained that the center is currently short staffed, which led to the staff/child ratio issues today. You added there are sufficient staff to provide care for all children enrolled with you assisting in the after-school program. Maintaining appropriate staff to child ratios is essential for ensuring the safety, well-being and health development of all children. In addition, staff-to child ratios are established to help protect children from potential harm. Consistently meeting licensing standards regarding staff-to child ratios is a fundamental component to high quality child care and reflects a commitment to providing a safe environment to children. These ratios are critical to providing adequate supervision and creating opportunities for meaningful social interaction and learning. MEDICAL REQUIRMENTS FOR CHILDREN: You were reminded that health assessments and immunization records must be submitted to the program within 30 days from the date of enrollment. During my review, it was noted that a medical assessment was not on file for one preschool child within 30 days. Additionally, immunization records were missing for three children enrolled. It is essential to establish a plan of action to ensure that all required medical documentation is retrieved within the recommended timeframe. That plan could include timely follow-ups with families and clear communication about documentation deadlines. This will ensure your program maintains compliance with health and safety standards. SAFE SLEEP PRACTICES: During the visit, I observed that the center was not fully adhering to its safe sleep policy. Specifically, an infant was observed napping in a crib with a pacifier attached to their clothing which poses a potential safety hazard. Also, sleep check documentation reviewed showed that visual safe sleep checks were not consistently completed or documented every fifteen minutes as required. I reminded you that safe sleep checks must be conducted every fifteen minutes when infants are sleeping. Furthermore, infants should not sleep with any items attached to their clothing, including pacifiers, as this increases the risk of suffocation. To maintain compliance and ensure infant safety, it is critical that staff strictly always follow the center’s safe sleep policy. I encouraged you to have staff review the safe sleep policy again as a refresher. SAFE INDOOR/OUTDOOR ENVIRONMENT: I informed you items in aerosol dispense containers must always be kept in locked storage spaces to ensure child safety and compliance with child care requirements. In addition, I recommend that you conduct regular walk-throughs of the playground and classrooms areas throughout the day if it is feasible to ensure staff personal belongings are not left in spaces accessible to children and potential hazards are identified and removed. This proactive approach will help maintain a safe and secure environment where children can explore and learn without risks. LOCK DOOR POLICY: During the visit, we discussed the program practices regarding locked doors. You stated that a formal locked door policy was not submitted for your program. You also explained that the doors are kept locked due to individuals wandering in the neighborhood, to prevent unauthorized entry. I requested that you submit a written locked door policy for review and approval. During our discussion, we talked about specific requirements that must be met to implement and maintain a compliant locked door policy. SCHOOL-AGE GROUP SEPARATION: You inquired about appropriate separation methods for school-aged children because the program has more than twenty-five children enrolled and building #2 not currently being utilized for child care. Additionally, you were asking about the type of equipment to use for separating the group. I shared that separation could be achieved using cubbies, a partition or another physical divider. However, I reminded you that children in two separate groups must not be allowed to intermingle during care at any time. You shared your intention is to divide the sanctuary space in the middle to create two distinct groups. I also explained that a qualified teacher must be assigned to each group of children being cared for at the center. DCDEE RESOURCES: I recommended you periodically visit the DCDEE website at https://ncchildcare.ncdhhs.gov/ under the "What's New" tab to stay abreast of updated information provided. Be reminded you are responsible for maintaining compliance with all applicable child care requirements whether they have been discussed or reviewed with you in the past. CONTACT INFORMATION: If you have questions regarding today’s visit, my contact information is listed above. You may also contact Licensing Supervisor, Susan Fuller at 252-373-9809 or email susan.fuller@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

G.S. 110-90 · Violation

Name of Operation: NEW LIFE CHILD CARE CENTER Facility ID: 40000108 Consultant: KESHIA HAYWARD Operation Type: Center Case Number: Visit Date: 5/28/2025 Number Present: 61 Completed Date: 5/28/2025 Age: From 0 To 9 Total Minutes: 250 Time In: 08:50 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 today’s visit was to monitor this program for compliance with applicable child care requirements for during the annual compliance visit. Tonya Sherrod, Administrator, assisted with the visit. This center currently operates with a Notice of Compliance issued June 4, 2021. The last annual compliance visit was completed on June 11, 2024. The last sanitation inspection was completed on March 12, 2025, with a “Superior” classification. The last fire inspection was completed on February 7, 2025, and the center was approved for daytime care only. Sixty-one (61) children were in care today ranging from zero to nine years old. Children were engaged in free choice play with developmentally age-appropriate materials, completing toileting, diapering and hand washing routines, completing art activities, interacting with caregivers, and eating lunch. Lunch consisted of bologna with cheese sandwiches, corn, string beans, bread, and milk. The following violations were documented today. Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. A fire inspection report dated February 7, 2025, was submitted on March 3, 2025. 10A NCAC 09 .0304(a) 301 Minimum staff/child ratios and group sizes for the number and ages of children in care were not met. Minimum staff/child ratio requirements were not met when one caregiver was observed providing care to eight (8) children ranging from ages zero (0) to one (1) year old in Space #1 and one caregiver was observed caring for eight children ranging from ages one (1) to two (2) years old in Space #4. GS 110-91(7);.0713(a-d) 533 Human milk, formula and other bottled beverages including sippy cups, sent from child's home were not fully prepared, dated, and labeled for the appropriate child. Two bottles with breast milk were not labeled with the child’s name, and date. 15A NCAC 18A .2804(d) 807 A safe indoor and outdoor environment was not provided for the children. A nail was protruding from the wooden picnic table on the playground. A staff member’s purse was on a chair accessible to children in Space #6. 10A NCAC 09 .0601(a) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. A can of Wizard air freshener in an aerosol dispensed container was on top of the paper towel dispenser. .2820(b) 871 Center staff did not comply with the safe sleep policy. An infant was observed sleeping in a crib with a pacifier attached to clothing. 10A NCAC 09 .0606(a) 887 Caregivers did not document compliance with visually checking on sleeping infants aged 12 months or younger and/or the documents were not maintained for a minimum of one month. Safe sleep checks were reviewed revealed visually safe sleep check were not conducted or recorded every fifteen (15) minutes as required for two children on the dates of May 21, 2025, May 23, 2025, and May 27, 2025. .0606(g) 1043 All staff records, except financial records, were not made available for review. A staff record was not available for M. Rouse, caregiver working in Space #4. G.S. 110-91( 9) 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. GS 110-91(1);.0302(d)(2); .0304(g) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. A health assessment was not on file for one preschool child enrolled on March 26, 2025. GS110-91(1) 1323 Each child was not immunized as per Article 6 of Chapter 130A and an immunization record was not on file before or within 30 days after admission. Immunization reports were not on file for three children enrolled. 10A NCAC 09 .0302(d)(2) 1799 A child care provider or uncompensated provider found to be disqualified and not eligible for employment in child care was employed or living in the home. M. Rouse, a caregiver observed working with children in Space #4 during the visit had a disqualified criminal background check. G.S. 110-90.2 & .2703(i) The violations documented must be corrected immediately. Please send a compliance verification letter to me describing how the violations were corrected. You can submit the compliance verification letter by postal mail to Keshia Hayward, PO Box 1504 Greenville NC 27834, or email keshia.hayward@dhhs.nc.gov. The compliance verification letter must be received on or before June 12, 2025. The two-week time frame is established to allow you time for submitting your compliance verification letter. This timeframe is not intended to be used as a guide for correcting violations, as they should be corrected immediately. Please be aware that any written information submitted by you regarding correction of violations documented during the visit is legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility's Star Rated License could be issued. If sufficient information is not received by the due date, a follow-up visit will be conducted. COMPLIANCE HISTORY SCORE: The center’s compliance history score was reviewed with the operator. The program’s compliance history was 86% as of May 27, 2025. CORPORATION STATUS: New Life Outreach Center, Inc. is listed as the current owner of this center. According to information verified on the North Carolina Secretary of State’s website, New Life Outreach Center, Inc. remains current and active. I reminded you the corporation status for your program must always remain Current and Active. Failure to comply may affect your child care license. FACILITY PROFILE INFORMATION: You verified the phone number email address and mailing address listed on the facility profile are correct. If changes in your facility’s information occur in the future, contact me at 252-214-2709 or email keshia.hayward@dhhs.nc.gov to discuss the changes and ensure accurate information is updated in our system. STAFF RECORDS: The staff and training worksheet was not submitted prior to the visit; therefore, staff records were not reviewed during todays visit. I requested that you complete and submit the completed staff/training worksheet to me by close of business on May 29, 2025. Additionally, I shared that a follow-up visit would be conducted to monitor staff files and staff/child ratio requirements. STAFF/CHILD RATIO: During my visit, I observed one caregiver caring for eight (8) children ranging from ages one (1) to two (2) years old in classroom #4 and one caregiver providing care to eight (8) children, including infants ranging from 0-12 months and toddlers one year old. A second staff member entered both classrooms shortly after the visit started and assisted. You stated that you had been assisting in classroom# 4; however, at the time of my arrival, you met me at the door coming from the kitchen area, where I informed you that I was there to conduct your annual compliance visit. You explained that the center is currently short staffed, which led to the staff/child ratio issues today. You added there are sufficient staff to provide care for all children enrolled with you assisting in the after-school program. Maintaining appropriate staff to child ratios is essential for ensuring the safety, well-being and health development of all children. In addition, staff-to child ratios are established to help protect children from potential harm. Consistently meeting licensing standards regarding staff-to child ratios is a fundamental component to high quality child care and reflects a commitment to providing a safe environment to children. These ratios are critical to providing adequate supervision and creating opportunities for meaningful social interaction and learning. MEDICAL REQUIRMENTS FOR CHILDREN: You were reminded that health assessments and immunization records must be submitted to the program within 30 days from the date of enrollment. During my review, it was noted that a medical assessment was not on file for one preschool child within 30 days. Additionally, immunization records were missing for three children enrolled. It is essential to establish a plan of action to ensure that all required medical documentation is retrieved within the recommended timeframe. That plan could include timely follow-ups with families and clear communication about documentation deadlines. This will ensure your program maintains compliance with health and safety standards. SAFE SLEEP PRACTICES: During the visit, I observed that the center was not fully adhering to its safe sleep policy. Specifically, an infant was observed napping in a crib with a pacifier attached to their clothing which poses a potential safety hazard. Also, sleep check documentation reviewed showed that visual safe sleep checks were not consistently completed or documented every fifteen minutes as required. I reminded you that safe sleep checks must be conducted every fifteen minutes when infants are sleeping. Furthermore, infants should not sleep with any items attached to their clothing, including pacifiers, as this increases the risk of suffocation. To maintain compliance and ensure infant safety, it is critical that staff strictly always follow the center’s safe sleep policy. I encouraged you to have staff review the safe sleep policy again as a refresher. SAFE INDOOR/OUTDOOR ENVIRONMENT: I informed you items in aerosol dispense containers must always be kept in locked storage spaces to ensure child safety and compliance with child care requirements. In addition, I recommend that you conduct regular walk-throughs of the playground and classrooms areas throughout the day if it is feasible to ensure staff personal belongings are not left in spaces accessible to children and potential hazards are identified and removed. This proactive approach will help maintain a safe and secure environment where children can explore and learn without risks. LOCK DOOR POLICY: During the visit, we discussed the program practices regarding locked doors. You stated that a formal locked door policy was not submitted for your program. You also explained that the doors are kept locked due to individuals wandering in the neighborhood, to prevent unauthorized entry. I requested that you submit a written locked door policy for review and approval. During our discussion, we talked about specific requirements that must be met to implement and maintain a compliant locked door policy. SCHOOL-AGE GROUP SEPARATION: You inquired about appropriate separation methods for school-aged children because the program has more than twenty-five children enrolled and building #2 not currently being utilized for child care. Additionally, you were asking about the type of equipment to use for separating the group. I shared that separation could be achieved using cubbies, a partition or another physical divider. However, I reminded you that children in two separate groups must not be allowed to intermingle during care at any time. You shared your intention is to divide the sanctuary space in the middle to create two distinct groups. I also explained that a qualified teacher must be assigned to each group of children being cared for at the center. DCDEE RESOURCES: I recommended you periodically visit the DCDEE website at https://ncchildcare.ncdhhs.gov/ under the "What's New" tab to stay abreast of updated information provided. Be reminded you are responsible for maintaining compliance with all applicable child care requirements whether they have been discussed or reviewed with you in the past. CONTACT INFORMATION: If you have questions regarding today’s visit, my contact information is listed above. You may also contact Licensing Supervisor, Susan Fuller at 252-373-9809 or email susan.fuller@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

G.S. 110-91 · Violation

Name of Operation: NEW LIFE CHILD CARE CENTER Facility ID: 40000108 Consultant: KESHIA HAYWARD Operation Type: Center Case Number: Visit Date: 5/28/2025 Number Present: 61 Completed Date: 5/28/2025 Age: From 0 To 9 Total Minutes: 250 Time In: 08:50 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 today’s visit was to monitor this program for compliance with applicable child care requirements for during the annual compliance visit. Tonya Sherrod, Administrator, assisted with the visit. This center currently operates with a Notice of Compliance issued June 4, 2021. The last annual compliance visit was completed on June 11, 2024. The last sanitation inspection was completed on March 12, 2025, with a “Superior” classification. The last fire inspection was completed on February 7, 2025, and the center was approved for daytime care only. Sixty-one (61) children were in care today ranging from zero to nine years old. Children were engaged in free choice play with developmentally age-appropriate materials, completing toileting, diapering and hand washing routines, completing art activities, interacting with caregivers, and eating lunch. Lunch consisted of bologna with cheese sandwiches, corn, string beans, bread, and milk. The following violations were documented today. Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. A fire inspection report dated February 7, 2025, was submitted on March 3, 2025. 10A NCAC 09 .0304(a) 301 Minimum staff/child ratios and group sizes for the number and ages of children in care were not met. Minimum staff/child ratio requirements were not met when one caregiver was observed providing care to eight (8) children ranging from ages zero (0) to one (1) year old in Space #1 and one caregiver was observed caring for eight children ranging from ages one (1) to two (2) years old in Space #4. GS 110-91(7);.0713(a-d) 533 Human milk, formula and other bottled beverages including sippy cups, sent from child's home were not fully prepared, dated, and labeled for the appropriate child. Two bottles with breast milk were not labeled with the child’s name, and date. 15A NCAC 18A .2804(d) 807 A safe indoor and outdoor environment was not provided for the children. A nail was protruding from the wooden picnic table on the playground. A staff member’s purse was on a chair accessible to children in Space #6. 10A NCAC 09 .0601(a) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. A can of Wizard air freshener in an aerosol dispensed container was on top of the paper towel dispenser. .2820(b) 871 Center staff did not comply with the safe sleep policy. An infant was observed sleeping in a crib with a pacifier attached to clothing. 10A NCAC 09 .0606(a) 887 Caregivers did not document compliance with visually checking on sleeping infants aged 12 months or younger and/or the documents were not maintained for a minimum of one month. Safe sleep checks were reviewed revealed visually safe sleep check were not conducted or recorded every fifteen (15) minutes as required for two children on the dates of May 21, 2025, May 23, 2025, and May 27, 2025. .0606(g) 1043 All staff records, except financial records, were not made available for review. A staff record was not available for M. Rouse, caregiver working in Space #4. G.S. 110-91( 9) 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. GS 110-91(1);.0302(d)(2); .0304(g) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. A health assessment was not on file for one preschool child enrolled on March 26, 2025. GS110-91(1) 1323 Each child was not immunized as per Article 6 of Chapter 130A and an immunization record was not on file before or within 30 days after admission. Immunization reports were not on file for three children enrolled. 10A NCAC 09 .0302(d)(2) 1799 A child care provider or uncompensated provider found to be disqualified and not eligible for employment in child care was employed or living in the home. M. Rouse, a caregiver observed working with children in Space #4 during the visit had a disqualified criminal background check. G.S. 110-90.2 & .2703(i) The violations documented must be corrected immediately. Please send a compliance verification letter to me describing how the violations were corrected. You can submit the compliance verification letter by postal mail to Keshia Hayward, PO Box 1504 Greenville NC 27834, or email keshia.hayward@dhhs.nc.gov. The compliance verification letter must be received on or before June 12, 2025. The two-week time frame is established to allow you time for submitting your compliance verification letter. This timeframe is not intended to be used as a guide for correcting violations, as they should be corrected immediately. Please be aware that any written information submitted by you regarding correction of violations documented during the visit is legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility's Star Rated License could be issued. If sufficient information is not received by the due date, a follow-up visit will be conducted. COMPLIANCE HISTORY SCORE: The center’s compliance history score was reviewed with the operator. The program’s compliance history was 86% as of May 27, 2025. CORPORATION STATUS: New Life Outreach Center, Inc. is listed as the current owner of this center. According to information verified on the North Carolina Secretary of State’s website, New Life Outreach Center, Inc. remains current and active. I reminded you the corporation status for your program must always remain Current and Active. Failure to comply may affect your child care license. FACILITY PROFILE INFORMATION: You verified the phone number email address and mailing address listed on the facility profile are correct. If changes in your facility’s information occur in the future, contact me at 252-214-2709 or email keshia.hayward@dhhs.nc.gov to discuss the changes and ensure accurate information is updated in our system. STAFF RECORDS: The staff and training worksheet was not submitted prior to the visit; therefore, staff records were not reviewed during todays visit. I requested that you complete and submit the completed staff/training worksheet to me by close of business on May 29, 2025. Additionally, I shared that a follow-up visit would be conducted to monitor staff files and staff/child ratio requirements. STAFF/CHILD RATIO: During my visit, I observed one caregiver caring for eight (8) children ranging from ages one (1) to two (2) years old in classroom #4 and one caregiver providing care to eight (8) children, including infants ranging from 0-12 months and toddlers one year old. A second staff member entered both classrooms shortly after the visit started and assisted. You stated that you had been assisting in classroom# 4; however, at the time of my arrival, you met me at the door coming from the kitchen area, where I informed you that I was there to conduct your annual compliance visit. You explained that the center is currently short staffed, which led to the staff/child ratio issues today. You added there are sufficient staff to provide care for all children enrolled with you assisting in the after-school program. Maintaining appropriate staff to child ratios is essential for ensuring the safety, well-being and health development of all children. In addition, staff-to child ratios are established to help protect children from potential harm. Consistently meeting licensing standards regarding staff-to child ratios is a fundamental component to high quality child care and reflects a commitment to providing a safe environment to children. These ratios are critical to providing adequate supervision and creating opportunities for meaningful social interaction and learning. MEDICAL REQUIRMENTS FOR CHILDREN: You were reminded that health assessments and immunization records must be submitted to the program within 30 days from the date of enrollment. During my review, it was noted that a medical assessment was not on file for one preschool child within 30 days. Additionally, immunization records were missing for three children enrolled. It is essential to establish a plan of action to ensure that all required medical documentation is retrieved within the recommended timeframe. That plan could include timely follow-ups with families and clear communication about documentation deadlines. This will ensure your program maintains compliance with health and safety standards. SAFE SLEEP PRACTICES: During the visit, I observed that the center was not fully adhering to its safe sleep policy. Specifically, an infant was observed napping in a crib with a pacifier attached to their clothing which poses a potential safety hazard. Also, sleep check documentation reviewed showed that visual safe sleep checks were not consistently completed or documented every fifteen minutes as required. I reminded you that safe sleep checks must be conducted every fifteen minutes when infants are sleeping. Furthermore, infants should not sleep with any items attached to their clothing, including pacifiers, as this increases the risk of suffocation. To maintain compliance and ensure infant safety, it is critical that staff strictly always follow the center’s safe sleep policy. I encouraged you to have staff review the safe sleep policy again as a refresher. SAFE INDOOR/OUTDOOR ENVIRONMENT: I informed you items in aerosol dispense containers must always be kept in locked storage spaces to ensure child safety and compliance with child care requirements. In addition, I recommend that you conduct regular walk-throughs of the playground and classrooms areas throughout the day if it is feasible to ensure staff personal belongings are not left in spaces accessible to children and potential hazards are identified and removed. This proactive approach will help maintain a safe and secure environment where children can explore and learn without risks. LOCK DOOR POLICY: During the visit, we discussed the program practices regarding locked doors. You stated that a formal locked door policy was not submitted for your program. You also explained that the doors are kept locked due to individuals wandering in the neighborhood, to prevent unauthorized entry. I requested that you submit a written locked door policy for review and approval. During our discussion, we talked about specific requirements that must be met to implement and maintain a compliant locked door policy. SCHOOL-AGE GROUP SEPARATION: You inquired about appropriate separation methods for school-aged children because the program has more than twenty-five children enrolled and building #2 not currently being utilized for child care. Additionally, you were asking about the type of equipment to use for separating the group. I shared that separation could be achieved using cubbies, a partition or another physical divider. However, I reminded you that children in two separate groups must not be allowed to intermingle during care at any time. You shared your intention is to divide the sanctuary space in the middle to create two distinct groups. I also explained that a qualified teacher must be assigned to each group of children being cared for at the center. DCDEE RESOURCES: I recommended you periodically visit the DCDEE website at https://ncchildcare.ncdhhs.gov/ under the "What's New" tab to stay abreast of updated information provided. Be reminded you are responsible for maintaining compliance with all applicable child care requirements whether they have been discussed or reviewed with you in the past. CONTACT INFORMATION: If you have questions regarding today’s visit, my contact information is listed above. You may also contact Licensing Supervisor, Susan Fuller at 252-373-9809 or email susan.fuller@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 110-91 · Violation

Name of Operation: NEW LIFE CHILD CARE CENTER Facility ID: 40000108 Consultant: KESHIA HAYWARD Operation Type: Center Case Number: Visit Date: 5/28/2025 Number Present: 61 Completed Date: 5/28/2025 Age: From 0 To 9 Total Minutes: 250 Time In: 08:50 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 today’s visit was to monitor this program for compliance with applicable child care requirements for during the annual compliance visit. Tonya Sherrod, Administrator, assisted with the visit. This center currently operates with a Notice of Compliance issued June 4, 2021. The last annual compliance visit was completed on June 11, 2024. The last sanitation inspection was completed on March 12, 2025, with a “Superior” classification. The last fire inspection was completed on February 7, 2025, and the center was approved for daytime care only. Sixty-one (61) children were in care today ranging from zero to nine years old. Children were engaged in free choice play with developmentally age-appropriate materials, completing toileting, diapering and hand washing routines, completing art activities, interacting with caregivers, and eating lunch. Lunch consisted of bologna with cheese sandwiches, corn, string beans, bread, and milk. The following violations were documented today. Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. A fire inspection report dated February 7, 2025, was submitted on March 3, 2025. 10A NCAC 09 .0304(a) 301 Minimum staff/child ratios and group sizes for the number and ages of children in care were not met. Minimum staff/child ratio requirements were not met when one caregiver was observed providing care to eight (8) children ranging from ages zero (0) to one (1) year old in Space #1 and one caregiver was observed caring for eight children ranging from ages one (1) to two (2) years old in Space #4. GS 110-91(7);.0713(a-d) 533 Human milk, formula and other bottled beverages including sippy cups, sent from child's home were not fully prepared, dated, and labeled for the appropriate child. Two bottles with breast milk were not labeled with the child’s name, and date. 15A NCAC 18A .2804(d) 807 A safe indoor and outdoor environment was not provided for the children. A nail was protruding from the wooden picnic table on the playground. A staff member’s purse was on a chair accessible to children in Space #6. 10A NCAC 09 .0601(a) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. A can of Wizard air freshener in an aerosol dispensed container was on top of the paper towel dispenser. .2820(b) 871 Center staff did not comply with the safe sleep policy. An infant was observed sleeping in a crib with a pacifier attached to clothing. 10A NCAC 09 .0606(a) 887 Caregivers did not document compliance with visually checking on sleeping infants aged 12 months or younger and/or the documents were not maintained for a minimum of one month. Safe sleep checks were reviewed revealed visually safe sleep check were not conducted or recorded every fifteen (15) minutes as required for two children on the dates of May 21, 2025, May 23, 2025, and May 27, 2025. .0606(g) 1043 All staff records, except financial records, were not made available for review. A staff record was not available for M. Rouse, caregiver working in Space #4. G.S. 110-91( 9) 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. GS 110-91(1);.0302(d)(2); .0304(g) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. A health assessment was not on file for one preschool child enrolled on March 26, 2025. GS110-91(1) 1323 Each child was not immunized as per Article 6 of Chapter 130A and an immunization record was not on file before or within 30 days after admission. Immunization reports were not on file for three children enrolled. 10A NCAC 09 .0302(d)(2) 1799 A child care provider or uncompensated provider found to be disqualified and not eligible for employment in child care was employed or living in the home. M. Rouse, a caregiver observed working with children in Space #4 during the visit had a disqualified criminal background check. G.S. 110-90.2 & .2703(i) The violations documented must be corrected immediately. Please send a compliance verification letter to me describing how the violations were corrected. You can submit the compliance verification letter by postal mail to Keshia Hayward, PO Box 1504 Greenville NC 27834, or email keshia.hayward@dhhs.nc.gov. The compliance verification letter must be received on or before June 12, 2025. The two-week time frame is established to allow you time for submitting your compliance verification letter. This timeframe is not intended to be used as a guide for correcting violations, as they should be corrected immediately. Please be aware that any written information submitted by you regarding correction of violations documented during the visit is legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility's Star Rated License could be issued. If sufficient information is not received by the due date, a follow-up visit will be conducted. COMPLIANCE HISTORY SCORE: The center’s compliance history score was reviewed with the operator. The program’s compliance history was 86% as of May 27, 2025. CORPORATION STATUS: New Life Outreach Center, Inc. is listed as the current owner of this center. According to information verified on the North Carolina Secretary of State’s website, New Life Outreach Center, Inc. remains current and active. I reminded you the corporation status for your program must always remain Current and Active. Failure to comply may affect your child care license. FACILITY PROFILE INFORMATION: You verified the phone number email address and mailing address listed on the facility profile are correct. If changes in your facility’s information occur in the future, contact me at 252-214-2709 or email keshia.hayward@dhhs.nc.gov to discuss the changes and ensure accurate information is updated in our system. STAFF RECORDS: The staff and training worksheet was not submitted prior to the visit; therefore, staff records were not reviewed during todays visit. I requested that you complete and submit the completed staff/training worksheet to me by close of business on May 29, 2025. Additionally, I shared that a follow-up visit would be conducted to monitor staff files and staff/child ratio requirements. STAFF/CHILD RATIO: During my visit, I observed one caregiver caring for eight (8) children ranging from ages one (1) to two (2) years old in classroom #4 and one caregiver providing care to eight (8) children, including infants ranging from 0-12 months and toddlers one year old. A second staff member entered both classrooms shortly after the visit started and assisted. You stated that you had been assisting in classroom# 4; however, at the time of my arrival, you met me at the door coming from the kitchen area, where I informed you that I was there to conduct your annual compliance visit. You explained that the center is currently short staffed, which led to the staff/child ratio issues today. You added there are sufficient staff to provide care for all children enrolled with you assisting in the after-school program. Maintaining appropriate staff to child ratios is essential for ensuring the safety, well-being and health development of all children. In addition, staff-to child ratios are established to help protect children from potential harm. Consistently meeting licensing standards regarding staff-to child ratios is a fundamental component to high quality child care and reflects a commitment to providing a safe environment to children. These ratios are critical to providing adequate supervision and creating opportunities for meaningful social interaction and learning. MEDICAL REQUIRMENTS FOR CHILDREN: You were reminded that health assessments and immunization records must be submitted to the program within 30 days from the date of enrollment. During my review, it was noted that a medical assessment was not on file for one preschool child within 30 days. Additionally, immunization records were missing for three children enrolled. It is essential to establish a plan of action to ensure that all required medical documentation is retrieved within the recommended timeframe. That plan could include timely follow-ups with families and clear communication about documentation deadlines. This will ensure your program maintains compliance with health and safety standards. SAFE SLEEP PRACTICES: During the visit, I observed that the center was not fully adhering to its safe sleep policy. Specifically, an infant was observed napping in a crib with a pacifier attached to their clothing which poses a potential safety hazard. Also, sleep check documentation reviewed showed that visual safe sleep checks were not consistently completed or documented every fifteen minutes as required. I reminded you that safe sleep checks must be conducted every fifteen minutes when infants are sleeping. Furthermore, infants should not sleep with any items attached to their clothing, including pacifiers, as this increases the risk of suffocation. To maintain compliance and ensure infant safety, it is critical that staff strictly always follow the center’s safe sleep policy. I encouraged you to have staff review the safe sleep policy again as a refresher. SAFE INDOOR/OUTDOOR ENVIRONMENT: I informed you items in aerosol dispense containers must always be kept in locked storage spaces to ensure child safety and compliance with child care requirements. In addition, I recommend that you conduct regular walk-throughs of the playground and classrooms areas throughout the day if it is feasible to ensure staff personal belongings are not left in spaces accessible to children and potential hazards are identified and removed. This proactive approach will help maintain a safe and secure environment where children can explore and learn without risks. LOCK DOOR POLICY: During the visit, we discussed the program practices regarding locked doors. You stated that a formal locked door policy was not submitted for your program. You also explained that the doors are kept locked due to individuals wandering in the neighborhood, to prevent unauthorized entry. I requested that you submit a written locked door policy for review and approval. During our discussion, we talked about specific requirements that must be met to implement and maintain a compliant locked door policy. SCHOOL-AGE GROUP SEPARATION: You inquired about appropriate separation methods for school-aged children because the program has more than twenty-five children enrolled and building #2 not currently being utilized for child care. Additionally, you were asking about the type of equipment to use for separating the group. I shared that separation could be achieved using cubbies, a partition or another physical divider. However, I reminded you that children in two separate groups must not be allowed to intermingle during care at any time. You shared your intention is to divide the sanctuary space in the middle to create two distinct groups. I also explained that a qualified teacher must be assigned to each group of children being cared for at the center. DCDEE RESOURCES: I recommended you periodically visit the DCDEE website at https://ncchildcare.ncdhhs.gov/ under the "What's New" tab to stay abreast of updated information provided. Be reminded you are responsible for maintaining compliance with all applicable child care requirements whether they have been discussed or reviewed with you in the past. CONTACT INFORMATION: If you have questions regarding today’s visit, my contact information is listed above. You may also contact Licensing Supervisor, Susan Fuller at 252-373-9809 or email susan.fuller@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

GS110-91 · Violation

Name of Operation: NEW LIFE CHILD CARE CENTER Facility ID: 40000108 Consultant: KESHIA HAYWARD Operation Type: Center Case Number: Visit Date: 5/28/2025 Number Present: 61 Completed Date: 5/28/2025 Age: From 0 To 9 Total Minutes: 250 Time In: 08:50 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 today’s visit was to monitor this program for compliance with applicable child care requirements for during the annual compliance visit. Tonya Sherrod, Administrator, assisted with the visit. This center currently operates with a Notice of Compliance issued June 4, 2021. The last annual compliance visit was completed on June 11, 2024. The last sanitation inspection was completed on March 12, 2025, with a “Superior” classification. The last fire inspection was completed on February 7, 2025, and the center was approved for daytime care only. Sixty-one (61) children were in care today ranging from zero to nine years old. Children were engaged in free choice play with developmentally age-appropriate materials, completing toileting, diapering and hand washing routines, completing art activities, interacting with caregivers, and eating lunch. Lunch consisted of bologna with cheese sandwiches, corn, string beans, bread, and milk. The following violations were documented today. Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. A fire inspection report dated February 7, 2025, was submitted on March 3, 2025. 10A NCAC 09 .0304(a) 301 Minimum staff/child ratios and group sizes for the number and ages of children in care were not met. Minimum staff/child ratio requirements were not met when one caregiver was observed providing care to eight (8) children ranging from ages zero (0) to one (1) year old in Space #1 and one caregiver was observed caring for eight children ranging from ages one (1) to two (2) years old in Space #4. GS 110-91(7);.0713(a-d) 533 Human milk, formula and other bottled beverages including sippy cups, sent from child's home were not fully prepared, dated, and labeled for the appropriate child. Two bottles with breast milk were not labeled with the child’s name, and date. 15A NCAC 18A .2804(d) 807 A safe indoor and outdoor environment was not provided for the children. A nail was protruding from the wooden picnic table on the playground. A staff member’s purse was on a chair accessible to children in Space #6. 10A NCAC 09 .0601(a) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. A can of Wizard air freshener in an aerosol dispensed container was on top of the paper towel dispenser. .2820(b) 871 Center staff did not comply with the safe sleep policy. An infant was observed sleeping in a crib with a pacifier attached to clothing. 10A NCAC 09 .0606(a) 887 Caregivers did not document compliance with visually checking on sleeping infants aged 12 months or younger and/or the documents were not maintained for a minimum of one month. Safe sleep checks were reviewed revealed visually safe sleep check were not conducted or recorded every fifteen (15) minutes as required for two children on the dates of May 21, 2025, May 23, 2025, and May 27, 2025. .0606(g) 1043 All staff records, except financial records, were not made available for review. A staff record was not available for M. Rouse, caregiver working in Space #4. G.S. 110-91( 9) 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. GS 110-91(1);.0302(d)(2); .0304(g) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. A health assessment was not on file for one preschool child enrolled on March 26, 2025. GS110-91(1) 1323 Each child was not immunized as per Article 6 of Chapter 130A and an immunization record was not on file before or within 30 days after admission. Immunization reports were not on file for three children enrolled. 10A NCAC 09 .0302(d)(2) 1799 A child care provider or uncompensated provider found to be disqualified and not eligible for employment in child care was employed or living in the home. M. Rouse, a caregiver observed working with children in Space #4 during the visit had a disqualified criminal background check. G.S. 110-90.2 & .2703(i) The violations documented must be corrected immediately. Please send a compliance verification letter to me describing how the violations were corrected. You can submit the compliance verification letter by postal mail to Keshia Hayward, PO Box 1504 Greenville NC 27834, or email keshia.hayward@dhhs.nc.gov. The compliance verification letter must be received on or before June 12, 2025. The two-week time frame is established to allow you time for submitting your compliance verification letter. This timeframe is not intended to be used as a guide for correcting violations, as they should be corrected immediately. Please be aware that any written information submitted by you regarding correction of violations documented during the visit is legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility's Star Rated License could be issued. If sufficient information is not received by the due date, a follow-up visit will be conducted. COMPLIANCE HISTORY SCORE: The center’s compliance history score was reviewed with the operator. The program’s compliance history was 86% as of May 27, 2025. CORPORATION STATUS: New Life Outreach Center, Inc. is listed as the current owner of this center. According to information verified on the North Carolina Secretary of State’s website, New Life Outreach Center, Inc. remains current and active. I reminded you the corporation status for your program must always remain Current and Active. Failure to comply may affect your child care license. FACILITY PROFILE INFORMATION: You verified the phone number email address and mailing address listed on the facility profile are correct. If changes in your facility’s information occur in the future, contact me at 252-214-2709 or email keshia.hayward@dhhs.nc.gov to discuss the changes and ensure accurate information is updated in our system. STAFF RECORDS: The staff and training worksheet was not submitted prior to the visit; therefore, staff records were not reviewed during todays visit. I requested that you complete and submit the completed staff/training worksheet to me by close of business on May 29, 2025. Additionally, I shared that a follow-up visit would be conducted to monitor staff files and staff/child ratio requirements. STAFF/CHILD RATIO: During my visit, I observed one caregiver caring for eight (8) children ranging from ages one (1) to two (2) years old in classroom #4 and one caregiver providing care to eight (8) children, including infants ranging from 0-12 months and toddlers one year old. A second staff member entered both classrooms shortly after the visit started and assisted. You stated that you had been assisting in classroom# 4; however, at the time of my arrival, you met me at the door coming from the kitchen area, where I informed you that I was there to conduct your annual compliance visit. You explained that the center is currently short staffed, which led to the staff/child ratio issues today. You added there are sufficient staff to provide care for all children enrolled with you assisting in the after-school program. Maintaining appropriate staff to child ratios is essential for ensuring the safety, well-being and health development of all children. In addition, staff-to child ratios are established to help protect children from potential harm. Consistently meeting licensing standards regarding staff-to child ratios is a fundamental component to high quality child care and reflects a commitment to providing a safe environment to children. These ratios are critical to providing adequate supervision and creating opportunities for meaningful social interaction and learning. MEDICAL REQUIRMENTS FOR CHILDREN: You were reminded that health assessments and immunization records must be submitted to the program within 30 days from the date of enrollment. During my review, it was noted that a medical assessment was not on file for one preschool child within 30 days. Additionally, immunization records were missing for three children enrolled. It is essential to establish a plan of action to ensure that all required medical documentation is retrieved within the recommended timeframe. That plan could include timely follow-ups with families and clear communication about documentation deadlines. This will ensure your program maintains compliance with health and safety standards. SAFE SLEEP PRACTICES: During the visit, I observed that the center was not fully adhering to its safe sleep policy. Specifically, an infant was observed napping in a crib with a pacifier attached to their clothing which poses a potential safety hazard. Also, sleep check documentation reviewed showed that visual safe sleep checks were not consistently completed or documented every fifteen minutes as required. I reminded you that safe sleep checks must be conducted every fifteen minutes when infants are sleeping. Furthermore, infants should not sleep with any items attached to their clothing, including pacifiers, as this increases the risk of suffocation. To maintain compliance and ensure infant safety, it is critical that staff strictly always follow the center’s safe sleep policy. I encouraged you to have staff review the safe sleep policy again as a refresher. SAFE INDOOR/OUTDOOR ENVIRONMENT: I informed you items in aerosol dispense containers must always be kept in locked storage spaces to ensure child safety and compliance with child care requirements. In addition, I recommend that you conduct regular walk-throughs of the playground and classrooms areas throughout the day if it is feasible to ensure staff personal belongings are not left in spaces accessible to children and potential hazards are identified and removed. This proactive approach will help maintain a safe and secure environment where children can explore and learn without risks. LOCK DOOR POLICY: During the visit, we discussed the program practices regarding locked doors. You stated that a formal locked door policy was not submitted for your program. You also explained that the doors are kept locked due to individuals wandering in the neighborhood, to prevent unauthorized entry. I requested that you submit a written locked door policy for review and approval. During our discussion, we talked about specific requirements that must be met to implement and maintain a compliant locked door policy. SCHOOL-AGE GROUP SEPARATION: You inquired about appropriate separation methods for school-aged children because the program has more than twenty-five children enrolled and building #2 not currently being utilized for child care. Additionally, you were asking about the type of equipment to use for separating the group. I shared that separation could be achieved using cubbies, a partition or another physical divider. However, I reminded you that children in two separate groups must not be allowed to intermingle during care at any time. You shared your intention is to divide the sanctuary space in the middle to create two distinct groups. I also explained that a qualified teacher must be assigned to each group of children being cared for at the center. DCDEE RESOURCES: I recommended you periodically visit the DCDEE website at https://ncchildcare.ncdhhs.gov/ under the "What's New" tab to stay abreast of updated information provided. Be reminded you are responsible for maintaining compliance with all applicable child care requirements whether they have been discussed or reviewed with you in the past. CONTACT INFORMATION: If you have questions regarding today’s visit, my contact information is listed above. You may also contact Licensing Supervisor, Susan Fuller at 252-373-9809 or email susan.fuller@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 .0601 · Violation

Name of Operation: NEW LIFE CHILD CARE CENTER Facility ID: 40000108 Consultant: KESHIA HAYWARD Operation Type: Center Case Number: Visit Date: 11/22/2024 Number Present: 39 Completed Date: 11/22/2024 Age: From 0 To 4 Total Minutes: 190 Time In: 08:25 AM Time Out: 11:35 AM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor your facility for compliance with applicable child care requirements during a routine unannounced visit. T. Sherrod, administrator assisted with the visit. Thirty-nine (39) children were present today ranging from two to four years old. Children were observed eating breakfast interacting with the caregivers, watching television and completing toileting, and hand washing routines. Currently this program operates with a Notice of Compliance, issued June 4, 2021. The last sanitation inspection was completed on October 14, 2024, earning a superior classification. The last fire inspection was completed on January 31, 2024, and the center was approved for daytime care. The last annual compliance visit was completed on June 11, 2024. The following violations were documented today. Violation Number Comment Rule 201 A room was occupied by more children than the space allowed at 25-sq. ft. of floor space per child. Fifteen children were cared for in Space #3 with a capacity of fourteen at 25sq. ft. per child. GS 110-91(6); .1401(f) 303 Children were not adequately supervised at all times. Adequate supervision was lapsed when the caregiver in Space #4 stepped outside the classroom and walked to the front corner of building to notify a parent the side door was being used for entrance. .1801(a)(1-5) 608 Children did not wash their hands upon arrival at the center, after each visit to the toilet, before eating, before and after water activity play, after outside play, and after handling animals or animal cages. One child’s hands were not washed upon arrival and prior to being served breakfast in Space #4. 15A NCAC 18A .2803(c) 807 A safe indoor and outdoor environment was not provided for the children. A container of hand sanitizer was sitting in the window seal below 5ft. from the floor and accessible to children in Space #5. 10A NCAC 09 .0601(a) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. An aerosol spray can and bottle of Palmers Coconut Hydrate lotion with warning signs were observed on a table below 5ft. from the finished floor and accessible to children in Space #4. Two aerosol spray cans were observed in an unlocked cabinet in Space#5. .2820(b) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. A plastic bag was on a feeding table less than 5ft. from the finished floor and accessible to children under the age of three in Space #2 .0604(q) The violations documented must be corrected immediately. Please send a compliance verification letter to me describing how the violations were corrected. You can submit the compliance verification letter by postal mail to Keshia Hayward, PO Box 1504 Greenville NC 27834, or email keshia.hayward@dhhs.nc.gov. The compliance verification letter must be received on or before December 6, 2024. The two-week time frame is established to allow you time for submitting your compliance verification letter. This timeframe is not intended to be used as a guide for correcting violations, as they should be corrected immediately. Please be aware that any written information submitted by you regarding correction of violations documented during the visit is legal documentation. CORPORATION STATUS: New Life World Church Center, Inc is listed as the current owner of this center. According to information verified on the North Carolina Secretary of State’s website, New Life World Church Center, Inc remains current and active. I reminded you the corporation status for your program must always remain Current and Active. Failure to comply may affect your child care license. FACILITY PROFILE INFORMATION: You verified the phone number, mailing address and email address listed on the facility profile are correct. If changes in your facility’s information occur in the future, contact me at 252-214-2709 or email keshia.hayward@dhhs.nc.gov to discuss the changes and ensure accurate information is updated in our system. COMPLIANCE HISTORY: The program's compliance history was reviewed with the operator. The program’s compliance history was 90% percent as of November 21, 2024. STAFF/CHILD INTERACTIONS: Upon arrival children in classroom were watching television while eating their breakfast. Staff were observed serving the food while completing cleaning tasks. Children interacted with their peers during breakfast time. One infant was observed in the crib napping and another infant was lying in the crib looking around. After breakfast children washed their hands and continued watching television during my observation. SUPERVISION: During my observation in Space #1, the caregiver propped the door open with her shoe, walked to the front corner of the building to ask a parent to come around the side of the building for entrance. You stated two of your employees were not working today; therefore, you had to work in the classroom. You added parents typically use the side doors when no one is available to answer the front door; however, parents were observed standing and knocking at the front door. As parents arrived, the caregiver in Space 1 notified you of their presence and you instructed her to call out the side door to ask them to come around the building for entrance. You were currently working in Space #3. I recommended posting a sign on the front door to notify parents and visitors of where to enter the building. I also shared propping the doors open could lead to children walking out of the classroom and possibly not being noticed. Upon arrival, you were sitting in the front foyer and opened the door for me. You asked me to go into the sanctuary area to set-up and then left out the space. As I walked to the hall area, I heard you asking staff how many children did they have in their classrooms and telling them state was present. I also observed you moving children around. When I entered Space #2, you were entering the space from outside with three children. You stated the children had just arrived and they being taken to Space #3. You added you were working in Space #3 with the caregiver and could no longer leave the classroom. Children continued to arrive and were brought around the building when instructed to Space #4 to be escorted to their classrooms. I talked to you about developing a staffing pattern to ensure enough staff are present and available to assist with arrival and transitioning of children. I shared although the program was complying today with staff/child ratio, the routine observed this morning could easily compromise staff/child ratio and cause a lapse supervision. I added the goal is always maintain compliance in both areas and ensure safety of children. FOLLOW-UP VISIT: An unannounced follow-up visit will be conducted to monitor supervision and applicable child care requirements. SPACE CAPACITY: Fifteen children were cared for in a space with a capacity of fourteen children at 25sq. ft. per children. I reminded you the space capacity could not be exceeded anytime. You stated it was because staff were late for work this morning. You added a conversation has already been conducted with staff regarding arriving to work on time. You stated the capacity is added to the staff/child ratio chart for reference. SAFE ENVIRONMENT: Aerosol cans, a container of sanitizer and a plastic grocery bag were observed in space accessible to children and below 5ft. from the finished floor. I informed you the item were potential hazards that could pose harm to children if accessed. WE talked about asking staff to read labels on item brought into the classroom and storing them appropriately. You stated the caregiver informed you the closet was unlock because she went in it to some item. During my observation the caregiver was pouring milk for children after serving them breakfast. I advised you to encourage staff to lock the storage areas back as when items are retrieved to ensure safety of children. I observed the storage of hazardous items in child care flyer posted on the wall. The flyer can be used as a guide when determining how to store specific items. Be reminded you and staff are responsible for always providing a safe environment for children in care. BUILDING #2: You stated building #2 is not being used at this time. You added when enrollment decreased the building was no longer used. HAND WASHING: A child hands were not washed upon arrival and prior to being served breakfast. Be reminded hand washing should always occur for children and staff upon arrival at the center, after each visit to the toilet, before eating, and before and after water play, after outside play, and/or after handling animals or animal cages. CRIMINAL BACKGROUND CH ECK REQUIREMENTS: 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. IMMUNIZATION REPORTS: The reporting period for child care immunizations is now open. Reporting for 2024-2025 has been extended due to Hurricane Helene. Children have a grace period from requirements until November 30, 2024, and reports will be accepted until January 15, 2025. Click here to submit your report. The Immunization Branch will host a webinar 11/13/24 at 1pm ET to provide instructions and answer questions on reporting. Register here in advance to attend. Send any questions regarding child care immunization reporting to immunization.reports@dhhs.nc.gov At the conclusion of today’s visit, the visit summary report was completed, reviewed, and left with you. DCDEE RESOURCES: I recommended you periodically visit the DCDEE website at https://ncchildcare.ncdhhs.gov/ under the "What's New" tab to stay abreast of updated information provided. Be reminded you are responsible for maintaining compliance with all applicable child care requirements whether they have been discussed or reviewed with you in the past. CONTACT INFORMATION: If you have questions regarding today’s visit, my contact information is listed above. You may also contact Licensing Supervisor, Susan Fuller at 252-373-9809 or email susan.fuller@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: supervision. Open / not marked corrected.

G.S. 110-90 · Violation

Name of Operation: NEW LIFE CHILD CARE CENTER Facility ID: 40000108 Consultant: KESHIA HAYWARD Operation Type: Center Case Number: Visit Date: 11/22/2024 Number Present: 39 Completed Date: 11/22/2024 Age: From 0 To 4 Total Minutes: 190 Time In: 08:25 AM Time Out: 11:35 AM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor your facility for compliance with applicable child care requirements during a routine unannounced visit. T. Sherrod, administrator assisted with the visit. Thirty-nine (39) children were present today ranging from two to four years old. Children were observed eating breakfast interacting with the caregivers, watching television and completing toileting, and hand washing routines. Currently this program operates with a Notice of Compliance, issued June 4, 2021. The last sanitation inspection was completed on October 14, 2024, earning a superior classification. The last fire inspection was completed on January 31, 2024, and the center was approved for daytime care. The last annual compliance visit was completed on June 11, 2024. The following violations were documented today. Violation Number Comment Rule 201 A room was occupied by more children than the space allowed at 25-sq. ft. of floor space per child. Fifteen children were cared for in Space #3 with a capacity of fourteen at 25sq. ft. per child. GS 110-91(6); .1401(f) 303 Children were not adequately supervised at all times. Adequate supervision was lapsed when the caregiver in Space #4 stepped outside the classroom and walked to the front corner of building to notify a parent the side door was being used for entrance. .1801(a)(1-5) 608 Children did not wash their hands upon arrival at the center, after each visit to the toilet, before eating, before and after water activity play, after outside play, and after handling animals or animal cages. One child’s hands were not washed upon arrival and prior to being served breakfast in Space #4. 15A NCAC 18A .2803(c) 807 A safe indoor and outdoor environment was not provided for the children. A container of hand sanitizer was sitting in the window seal below 5ft. from the floor and accessible to children in Space #5. 10A NCAC 09 .0601(a) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. An aerosol spray can and bottle of Palmers Coconut Hydrate lotion with warning signs were observed on a table below 5ft. from the finished floor and accessible to children in Space #4. Two aerosol spray cans were observed in an unlocked cabinet in Space#5. .2820(b) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. A plastic bag was on a feeding table less than 5ft. from the finished floor and accessible to children under the age of three in Space #2 .0604(q) The violations documented must be corrected immediately. Please send a compliance verification letter to me describing how the violations were corrected. You can submit the compliance verification letter by postal mail to Keshia Hayward, PO Box 1504 Greenville NC 27834, or email keshia.hayward@dhhs.nc.gov. The compliance verification letter must be received on or before December 6, 2024. The two-week time frame is established to allow you time for submitting your compliance verification letter. This timeframe is not intended to be used as a guide for correcting violations, as they should be corrected immediately. Please be aware that any written information submitted by you regarding correction of violations documented during the visit is legal documentation. CORPORATION STATUS: New Life World Church Center, Inc is listed as the current owner of this center. According to information verified on the North Carolina Secretary of State’s website, New Life World Church Center, Inc remains current and active. I reminded you the corporation status for your program must always remain Current and Active. Failure to comply may affect your child care license. FACILITY PROFILE INFORMATION: You verified the phone number, mailing address and email address listed on the facility profile are correct. If changes in your facility’s information occur in the future, contact me at 252-214-2709 or email keshia.hayward@dhhs.nc.gov to discuss the changes and ensure accurate information is updated in our system. COMPLIANCE HISTORY: The program's compliance history was reviewed with the operator. The program’s compliance history was 90% percent as of November 21, 2024. STAFF/CHILD INTERACTIONS: Upon arrival children in classroom were watching television while eating their breakfast. Staff were observed serving the food while completing cleaning tasks. Children interacted with their peers during breakfast time. One infant was observed in the crib napping and another infant was lying in the crib looking around. After breakfast children washed their hands and continued watching television during my observation. SUPERVISION: During my observation in Space #1, the caregiver propped the door open with her shoe, walked to the front corner of the building to ask a parent to come around the side of the building for entrance. You stated two of your employees were not working today; therefore, you had to work in the classroom. You added parents typically use the side doors when no one is available to answer the front door; however, parents were observed standing and knocking at the front door. As parents arrived, the caregiver in Space 1 notified you of their presence and you instructed her to call out the side door to ask them to come around the building for entrance. You were currently working in Space #3. I recommended posting a sign on the front door to notify parents and visitors of where to enter the building. I also shared propping the doors open could lead to children walking out of the classroom and possibly not being noticed. Upon arrival, you were sitting in the front foyer and opened the door for me. You asked me to go into the sanctuary area to set-up and then left out the space. As I walked to the hall area, I heard you asking staff how many children did they have in their classrooms and telling them state was present. I also observed you moving children around. When I entered Space #2, you were entering the space from outside with three children. You stated the children had just arrived and they being taken to Space #3. You added you were working in Space #3 with the caregiver and could no longer leave the classroom. Children continued to arrive and were brought around the building when instructed to Space #4 to be escorted to their classrooms. I talked to you about developing a staffing pattern to ensure enough staff are present and available to assist with arrival and transitioning of children. I shared although the program was complying today with staff/child ratio, the routine observed this morning could easily compromise staff/child ratio and cause a lapse supervision. I added the goal is always maintain compliance in both areas and ensure safety of children. FOLLOW-UP VISIT: An unannounced follow-up visit will be conducted to monitor supervision and applicable child care requirements. SPACE CAPACITY: Fifteen children were cared for in a space with a capacity of fourteen children at 25sq. ft. per children. I reminded you the space capacity could not be exceeded anytime. You stated it was because staff were late for work this morning. You added a conversation has already been conducted with staff regarding arriving to work on time. You stated the capacity is added to the staff/child ratio chart for reference. SAFE ENVIRONMENT: Aerosol cans, a container of sanitizer and a plastic grocery bag were observed in space accessible to children and below 5ft. from the finished floor. I informed you the item were potential hazards that could pose harm to children if accessed. WE talked about asking staff to read labels on item brought into the classroom and storing them appropriately. You stated the caregiver informed you the closet was unlock because she went in it to some item. During my observation the caregiver was pouring milk for children after serving them breakfast. I advised you to encourage staff to lock the storage areas back as when items are retrieved to ensure safety of children. I observed the storage of hazardous items in child care flyer posted on the wall. The flyer can be used as a guide when determining how to store specific items. Be reminded you and staff are responsible for always providing a safe environment for children in care. BUILDING #2: You stated building #2 is not being used at this time. You added when enrollment decreased the building was no longer used. HAND WASHING: A child hands were not washed upon arrival and prior to being served breakfast. Be reminded hand washing should always occur for children and staff upon arrival at the center, after each visit to the toilet, before eating, and before and after water play, after outside play, and/or after handling animals or animal cages. CRIMINAL BACKGROUND CH ECK REQUIREMENTS: 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. IMMUNIZATION REPORTS: The reporting period for child care immunizations is now open. Reporting for 2024-2025 has been extended due to Hurricane Helene. Children have a grace period from requirements until November 30, 2024, and reports will be accepted until January 15, 2025. Click here to submit your report. The Immunization Branch will host a webinar 11/13/24 at 1pm ET to provide instructions and answer questions on reporting. Register here in advance to attend. Send any questions regarding child care immunization reporting to immunization.reports@dhhs.nc.gov At the conclusion of today’s visit, the visit summary report was completed, reviewed, and left with you. DCDEE RESOURCES: I recommended you periodically visit the DCDEE website at https://ncchildcare.ncdhhs.gov/ under the "What's New" tab to stay abreast of updated information provided. Be reminded you are responsible for maintaining compliance with all applicable child care requirements whether they have been discussed or reviewed with you in the past. CONTACT INFORMATION: If you have questions regarding today’s visit, my contact information is listed above. You may also contact Licensing Supervisor, Susan Fuller at 252-373-9809 or email susan.fuller@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 110-91 · Violation

Name of Operation: NEW LIFE CHILD CARE CENTER Facility ID: 40000108 Consultant: KESHIA HAYWARD Operation Type: Center Case Number: Visit Date: 11/22/2024 Number Present: 39 Completed Date: 11/22/2024 Age: From 0 To 4 Total Minutes: 190 Time In: 08:25 AM Time Out: 11:35 AM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor your facility for compliance with applicable child care requirements during a routine unannounced visit. T. Sherrod, administrator assisted with the visit. Thirty-nine (39) children were present today ranging from two to four years old. Children were observed eating breakfast interacting with the caregivers, watching television and completing toileting, and hand washing routines. Currently this program operates with a Notice of Compliance, issued June 4, 2021. The last sanitation inspection was completed on October 14, 2024, earning a superior classification. The last fire inspection was completed on January 31, 2024, and the center was approved for daytime care. The last annual compliance visit was completed on June 11, 2024. The following violations were documented today. Violation Number Comment Rule 201 A room was occupied by more children than the space allowed at 25-sq. ft. of floor space per child. Fifteen children were cared for in Space #3 with a capacity of fourteen at 25sq. ft. per child. GS 110-91(6); .1401(f) 303 Children were not adequately supervised at all times. Adequate supervision was lapsed when the caregiver in Space #4 stepped outside the classroom and walked to the front corner of building to notify a parent the side door was being used for entrance. .1801(a)(1-5) 608 Children did not wash their hands upon arrival at the center, after each visit to the toilet, before eating, before and after water activity play, after outside play, and after handling animals or animal cages. One child’s hands were not washed upon arrival and prior to being served breakfast in Space #4. 15A NCAC 18A .2803(c) 807 A safe indoor and outdoor environment was not provided for the children. A container of hand sanitizer was sitting in the window seal below 5ft. from the floor and accessible to children in Space #5. 10A NCAC 09 .0601(a) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. An aerosol spray can and bottle of Palmers Coconut Hydrate lotion with warning signs were observed on a table below 5ft. from the finished floor and accessible to children in Space #4. Two aerosol spray cans were observed in an unlocked cabinet in Space#5. .2820(b) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. A plastic bag was on a feeding table less than 5ft. from the finished floor and accessible to children under the age of three in Space #2 .0604(q) The violations documented must be corrected immediately. Please send a compliance verification letter to me describing how the violations were corrected. You can submit the compliance verification letter by postal mail to Keshia Hayward, PO Box 1504 Greenville NC 27834, or email keshia.hayward@dhhs.nc.gov. The compliance verification letter must be received on or before December 6, 2024. The two-week time frame is established to allow you time for submitting your compliance verification letter. This timeframe is not intended to be used as a guide for correcting violations, as they should be corrected immediately. Please be aware that any written information submitted by you regarding correction of violations documented during the visit is legal documentation. CORPORATION STATUS: New Life World Church Center, Inc is listed as the current owner of this center. According to information verified on the North Carolina Secretary of State’s website, New Life World Church Center, Inc remains current and active. I reminded you the corporation status for your program must always remain Current and Active. Failure to comply may affect your child care license. FACILITY PROFILE INFORMATION: You verified the phone number, mailing address and email address listed on the facility profile are correct. If changes in your facility’s information occur in the future, contact me at 252-214-2709 or email keshia.hayward@dhhs.nc.gov to discuss the changes and ensure accurate information is updated in our system. COMPLIANCE HISTORY: The program's compliance history was reviewed with the operator. The program’s compliance history was 90% percent as of November 21, 2024. STAFF/CHILD INTERACTIONS: Upon arrival children in classroom were watching television while eating their breakfast. Staff were observed serving the food while completing cleaning tasks. Children interacted with their peers during breakfast time. One infant was observed in the crib napping and another infant was lying in the crib looking around. After breakfast children washed their hands and continued watching television during my observation. SUPERVISION: During my observation in Space #1, the caregiver propped the door open with her shoe, walked to the front corner of the building to ask a parent to come around the side of the building for entrance. You stated two of your employees were not working today; therefore, you had to work in the classroom. You added parents typically use the side doors when no one is available to answer the front door; however, parents were observed standing and knocking at the front door. As parents arrived, the caregiver in Space 1 notified you of their presence and you instructed her to call out the side door to ask them to come around the building for entrance. You were currently working in Space #3. I recommended posting a sign on the front door to notify parents and visitors of where to enter the building. I also shared propping the doors open could lead to children walking out of the classroom and possibly not being noticed. Upon arrival, you were sitting in the front foyer and opened the door for me. You asked me to go into the sanctuary area to set-up and then left out the space. As I walked to the hall area, I heard you asking staff how many children did they have in their classrooms and telling them state was present. I also observed you moving children around. When I entered Space #2, you were entering the space from outside with three children. You stated the children had just arrived and they being taken to Space #3. You added you were working in Space #3 with the caregiver and could no longer leave the classroom. Children continued to arrive and were brought around the building when instructed to Space #4 to be escorted to their classrooms. I talked to you about developing a staffing pattern to ensure enough staff are present and available to assist with arrival and transitioning of children. I shared although the program was complying today with staff/child ratio, the routine observed this morning could easily compromise staff/child ratio and cause a lapse supervision. I added the goal is always maintain compliance in both areas and ensure safety of children. FOLLOW-UP VISIT: An unannounced follow-up visit will be conducted to monitor supervision and applicable child care requirements. SPACE CAPACITY: Fifteen children were cared for in a space with a capacity of fourteen children at 25sq. ft. per children. I reminded you the space capacity could not be exceeded anytime. You stated it was because staff were late for work this morning. You added a conversation has already been conducted with staff regarding arriving to work on time. You stated the capacity is added to the staff/child ratio chart for reference. SAFE ENVIRONMENT: Aerosol cans, a container of sanitizer and a plastic grocery bag were observed in space accessible to children and below 5ft. from the finished floor. I informed you the item were potential hazards that could pose harm to children if accessed. WE talked about asking staff to read labels on item brought into the classroom and storing them appropriately. You stated the caregiver informed you the closet was unlock because she went in it to some item. During my observation the caregiver was pouring milk for children after serving them breakfast. I advised you to encourage staff to lock the storage areas back as when items are retrieved to ensure safety of children. I observed the storage of hazardous items in child care flyer posted on the wall. The flyer can be used as a guide when determining how to store specific items. Be reminded you and staff are responsible for always providing a safe environment for children in care. BUILDING #2: You stated building #2 is not being used at this time. You added when enrollment decreased the building was no longer used. HAND WASHING: A child hands were not washed upon arrival and prior to being served breakfast. Be reminded hand washing should always occur for children and staff upon arrival at the center, after each visit to the toilet, before eating, and before and after water play, after outside play, and/or after handling animals or animal cages. CRIMINAL BACKGROUND CH ECK REQUIREMENTS: 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. IMMUNIZATION REPORTS: The reporting period for child care immunizations is now open. Reporting for 2024-2025 has been extended due to Hurricane Helene. Children have a grace period from requirements until November 30, 2024, and reports will be accepted until January 15, 2025. Click here to submit your report. The Immunization Branch will host a webinar 11/13/24 at 1pm ET to provide instructions and answer questions on reporting. Register here in advance to attend. Send any questions regarding child care immunization reporting to immunization.reports@dhhs.nc.gov At the conclusion of today’s visit, the visit summary report was completed, reviewed, and left with you. DCDEE RESOURCES: I recommended you periodically visit the DCDEE website at https://ncchildcare.ncdhhs.gov/ under the "What's New" tab to stay abreast of updated information provided. Be reminded you are responsible for maintaining compliance with all applicable child care requirements whether they have been discussed or reviewed with you in the past. CONTACT INFORMATION: If you have questions regarding today’s visit, my contact information is listed above. You may also contact Licensing Supervisor, Susan Fuller at 252-373-9809 or email susan.fuller@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

G.S. 110-106 · Violation

Name of Operation: NEW LIFE CHILD CARE CENTER Facility ID: 40000108 Consultant: ANGELA NIEVES Operation Type: Center Case Number: Visit Date: 6/11/2024 Number Present: 69 Completed Date: 6/11/2024 Age: From 0 To 12 Total Minutes: 190 Time In: 09:20 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 today’s unannounced visit was to monitor this facility for compliance with applicable child care requirements for an annual compliance visit. You, T. Sherrod, administrator, were present and available to assist with today’s visit. Your program currently operates with a G.S. 110-106, Notice of Compliance, issued June 4, 2021. The last annual compliance visit was conducted on July 10, 2023. The last sanitation inspection was completed on March 18, 2024, with a “Superior” classification with four (4) demerits. The last fire inspection was completed on January 31, 2024, and the center was approved for daytime care only. The center’s compliance history was reviewed with the operator. The program’s compliance history was 84% percent prior to today’s visit. The NC Secretary of State website was reviewed on June 10, 2024, and New Life World Outreach Center, Inc. was current and active. Sixty-nine (69) children ages zero (0) to School-age were present during the visit. Children were observed during free play, playing with developmentally appropriate materials, group time, engaging in music and movement activities, and completing personal care routines. Staff interacted with children in a positive and nurturing manner. Ms. Sherrod stated that the facility does not provide transportation. Any violations of the child care requirements observed today were discussed with you and documented in the visit summary report and reviewed with you at the conclusion of the visit. A hand-written visit summary was left with you today, due to connectivity issues. The following violations were documented: Violation Number Comment Rule 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. One (1) new staff member with a hire date of April 25, 2024, did not have the following available for review: documentation of completion orientation. One (1) existing staff member did not document completion of completion of orientation. .1101(a) 1831 At least one child care provider, who has completed ITS-SIDS training was not present in the infant room, while children were in care. There were two staff members in the room number (1) who did not have ITS SIDS certificates on file available for review. .01102 (f) 1867 The depth of the loose surfacing was not based on critical height of the equipment. The mulch in front of the stairs measured five (5) inches and the mulch in front and around the slides measured four (4) inches. .0605(k)(1-4) 1908 A child's file did not have a statement with parent signature acknowledging receipt and explanation of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy and/or the acknowledgement did not have all the required information. One file was missing receipt of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy. .0608(b)(1-6) Child Care programs are expected to achieve and maintain compliance at all times 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 violation(s) documented must be corrected immediately. On or before June 25, 2024. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Angela Nieves, Child Care Consultant PO Box 8741 Rocky Mount, NC 27804 Angela.nieves@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 The two-week time frame is established to allow you time for submitting your compliance letter. This time frame is not intended to be used as a guide for correcting violations, as they should be corrected immediately. FACILITY PROFILE INFORMATION: You verified the mailing address, email address, and phone number listed on the facility profile are correct. If changes in your facility’s information occurs, please contact me at 252-557-5597 or email me at angela.nieves@dhhs.nc.gov to discuss the changes and ensure the information is current in our system. TECHNICAL ASSISTANCE/CONSULTATION: CHILDREN AND STAFF RECORDS: Ten percent (10%) or more of children’s records were monitored. The following items were not incompliance in the files reviewed; One file was missing receipt of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy. Please use the Children File Check List to help review files and know when items are required upon enrollment. You can find the document on the Division of Child Development and Early Childhood Education website: https://ncchildcare.ncdhhs.gov/ under the provider tab, under provider documents and forms. Four (4) new staff files were reviewed and ten percent (10%) or more of existing staff files were monitored. The following items were missing from the files. One (1) new staff member with a hire date of April 25, 2024, did not have the following available for review: documentation of completion orientation. One (1) existing staff member did not document completion of completion of orientation. I reminded you that because you are a G.S. 110 (religious sponsored program) that provides care to children who receive subsidized funds that you must complete orientation with current and any new staff that you hire. Please review your staff and training worksheet and employee files and make sure all items that need to be updated annually are completed. The staff and training worksheet indicates when items need to be renewed. ITS SIDS: K. Parker and S. Pridgen were the teachers present in room number one (1); which has infant aged children. Ms. Parker began working in the infant room on June 1, 2024, and has till August 1, 2024, to complete her ITS SIDS training and have the certificate on file; as long as there was another teacher who had a current ITS SIDS certificate on file. Ms. Pridgen had completed the ITS SIDS training however; her certificate expired on May 11, 2023. When I brought this to Ms. Sherrod’s attention, she immediately moved Ms. Pridgen to another room and put L. Baptiste in room number one (1). Ms. Baptiste has a current ITS SIDS certificate on file with a date of February 28, 2023. I reminded Ms. Sherrod that ITS SIDS training needs to be completed every three (3) years and at least one person needs to have the ITS SIDS training certificate in room number one (#1) where infant children are cared for. OUTDOOR PLAYAREA: It the outdoor play area I measured the mulch around the large piece of climbing equipment. The mulch in front of the stairs measured five (5) inches and the mulch in front and around the slides measured four (4) inches. There were also several areas in the mulch area that large patches of grass coming through. I remind you that the mulch should measure at least six (6) inches and you want to make sure to keep the grass and weeds from growing through the mulch. When checking your playground make sure to rake/till the mulch to keep it from becoming packed down. REMINDERS: CLEAN WATER FOR CAROLINA KIDS: We discussed the Clean Water for Carolina Kids program and what that means for you as a child care center. I also informed you that I sent an email to you on March 5, 2024, with the following information included. I also attached to that email three (3) flyers that discuss the process for testing, for lead in the water, lead in paint, and asbestos. According to the Clean Water for US Kids website, you completed your original lead water testing on August 13, 2021. Your three (3) year retest of your facility’s water will need to be completed prior to August 13, 2024. You have completed the lead paint test process. The Clean Classrooms for Carolina Kids™ team determined that NEW LIFE CHILD CARE CENTER was exempt from the lead-based paint assessment requirements. The facility provided the appropriate documentation to show all buildings were built after 1978 and no lead-based paint was used in order to meet the building age exemption criteria per 10A NCAC 41C.1004. No additional action is required by the facility. You have completed the asbestos test process. The Clean Classrooms for Carolina Kids™ team determined that NEW LIFE CHILD CARE CENTER was exempt from asbestos inspection requirements. The facility provided the appropriate documentation to show all buildings were built after 1988 to meet the building age exemption criteria per 10A NCAC 41C .1003. No additional action is required by the facility. The Clean Water for Carolina Kids program is expanding to the Clean Classrooms for Carolina Kids program. This is a legislatively mandated effort to address lead and asbestos hazards in North Carolina public schools, licensed child care centers, and licensed family child care homes. Participation allows facilities to meet all rule requirements for identified lead and asbestos hazards, as required by law. Rule 15A NCAC 18A .2816 requires currently operating child care centers to test water initially and every three years. Most of you have completed your initial testing and now it is time for your three-year retest. Please log into https://www.cleanwaterforuskids.org/en/carolina/ to ensure you are meeting the requirements for Lead in Water / Paint/Asbestos testing. CHILD A CARE RULE CHANGES: The Child Care Commission adopted child care rule changes in January 2024. Changes relate to definitions; lead and asbestos for centers and family child care homes; building requirements for family child care homes; multi-unit child care centers; and criminal background checks. Consultants will assist as you begin to review and implement the changes, but please note, some of the rule changes may or may not impact your facility. An example is the rules in section .2600 for multi-unit child care center. These rules are specific to child care centers with multiple licensed centers within one building. Please ensure you are using the updated January 2024 rule book, and view information in the DCDEE Moodle (enroll if necessary). You will need to have an NCID - the same NCID that you use for the health & safety training, WORKS login, and/or the CBC Portal - to participate in Moodle training. If you do not have an NCID, use this link to get one: https://ncid.nc.gov. Rule training modules can be found in the same course as the October 2017 Child Care Rule Rollout. If you are unfamiliar with the Child Care Rule Rollout within Moodle and how to navigate, please visit: https://ncchildcare.ncdhhs.gov/Learning-Resources/How-to-Navigate-Moodle. To get help with Moodle, email DCDEE_Moodle_Support@dhhs.nc.gov or call (919) 814-9326. CONTACT INFORMATION: If you have any questions about today’s visit, you may contact me at 252-557-5597 or angela.nieves@dhhs.nc.gov. You may also contact Licensing Supervisor, Susan Fuller at 252-373-9809 or email at susan.fuller@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: supervision. Open / not marked corrected.

NC GS 110-90 · Violation

Name of Operation: NEW LIFE CHILD CARE CENTER Facility ID: 40000108 Consultant: ANGELA NIEVES Operation Type: Center Case Number: Visit Date: 6/11/2024 Number Present: 69 Completed Date: 6/11/2024 Age: From 0 To 12 Total Minutes: 190 Time In: 09:20 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 today’s unannounced visit was to monitor this facility for compliance with applicable child care requirements for an annual compliance visit. You, T. Sherrod, administrator, were present and available to assist with today’s visit. Your program currently operates with a G.S. 110-106, Notice of Compliance, issued June 4, 2021. The last annual compliance visit was conducted on July 10, 2023. The last sanitation inspection was completed on March 18, 2024, with a “Superior” classification with four (4) demerits. The last fire inspection was completed on January 31, 2024, and the center was approved for daytime care only. The center’s compliance history was reviewed with the operator. The program’s compliance history was 84% percent prior to today’s visit. The NC Secretary of State website was reviewed on June 10, 2024, and New Life World Outreach Center, Inc. was current and active. Sixty-nine (69) children ages zero (0) to School-age were present during the visit. Children were observed during free play, playing with developmentally appropriate materials, group time, engaging in music and movement activities, and completing personal care routines. Staff interacted with children in a positive and nurturing manner. Ms. Sherrod stated that the facility does not provide transportation. Any violations of the child care requirements observed today were discussed with you and documented in the visit summary report and reviewed with you at the conclusion of the visit. A hand-written visit summary was left with you today, due to connectivity issues. The following violations were documented: Violation Number Comment Rule 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. One (1) new staff member with a hire date of April 25, 2024, did not have the following available for review: documentation of completion orientation. One (1) existing staff member did not document completion of completion of orientation. .1101(a) 1831 At least one child care provider, who has completed ITS-SIDS training was not present in the infant room, while children were in care. There were two staff members in the room number (1) who did not have ITS SIDS certificates on file available for review. .01102 (f) 1867 The depth of the loose surfacing was not based on critical height of the equipment. The mulch in front of the stairs measured five (5) inches and the mulch in front and around the slides measured four (4) inches. .0605(k)(1-4) 1908 A child's file did not have a statement with parent signature acknowledging receipt and explanation of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy and/or the acknowledgement did not have all the required information. One file was missing receipt of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy. .0608(b)(1-6) Child Care programs are expected to achieve and maintain compliance at all times 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 violation(s) documented must be corrected immediately. On or before June 25, 2024. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Angela Nieves, Child Care Consultant PO Box 8741 Rocky Mount, NC 27804 Angela.nieves@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 The two-week time frame is established to allow you time for submitting your compliance letter. This time frame is not intended to be used as a guide for correcting violations, as they should be corrected immediately. FACILITY PROFILE INFORMATION: You verified the mailing address, email address, and phone number listed on the facility profile are correct. If changes in your facility’s information occurs, please contact me at 252-557-5597 or email me at angela.nieves@dhhs.nc.gov to discuss the changes and ensure the information is current in our system. TECHNICAL ASSISTANCE/CONSULTATION: CHILDREN AND STAFF RECORDS: Ten percent (10%) or more of children’s records were monitored. The following items were not incompliance in the files reviewed; One file was missing receipt of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy. Please use the Children File Check List to help review files and know when items are required upon enrollment. You can find the document on the Division of Child Development and Early Childhood Education website: https://ncchildcare.ncdhhs.gov/ under the provider tab, under provider documents and forms. Four (4) new staff files were reviewed and ten percent (10%) or more of existing staff files were monitored. The following items were missing from the files. One (1) new staff member with a hire date of April 25, 2024, did not have the following available for review: documentation of completion orientation. One (1) existing staff member did not document completion of completion of orientation. I reminded you that because you are a G.S. 110 (religious sponsored program) that provides care to children who receive subsidized funds that you must complete orientation with current and any new staff that you hire. Please review your staff and training worksheet and employee files and make sure all items that need to be updated annually are completed. The staff and training worksheet indicates when items need to be renewed. ITS SIDS: K. Parker and S. Pridgen were the teachers present in room number one (1); which has infant aged children. Ms. Parker began working in the infant room on June 1, 2024, and has till August 1, 2024, to complete her ITS SIDS training and have the certificate on file; as long as there was another teacher who had a current ITS SIDS certificate on file. Ms. Pridgen had completed the ITS SIDS training however; her certificate expired on May 11, 2023. When I brought this to Ms. Sherrod’s attention, she immediately moved Ms. Pridgen to another room and put L. Baptiste in room number one (1). Ms. Baptiste has a current ITS SIDS certificate on file with a date of February 28, 2023. I reminded Ms. Sherrod that ITS SIDS training needs to be completed every three (3) years and at least one person needs to have the ITS SIDS training certificate in room number one (#1) where infant children are cared for. OUTDOOR PLAYAREA: It the outdoor play area I measured the mulch around the large piece of climbing equipment. The mulch in front of the stairs measured five (5) inches and the mulch in front and around the slides measured four (4) inches. There were also several areas in the mulch area that large patches of grass coming through. I remind you that the mulch should measure at least six (6) inches and you want to make sure to keep the grass and weeds from growing through the mulch. When checking your playground make sure to rake/till the mulch to keep it from becoming packed down. REMINDERS: CLEAN WATER FOR CAROLINA KIDS: We discussed the Clean Water for Carolina Kids program and what that means for you as a child care center. I also informed you that I sent an email to you on March 5, 2024, with the following information included. I also attached to that email three (3) flyers that discuss the process for testing, for lead in the water, lead in paint, and asbestos. According to the Clean Water for US Kids website, you completed your original lead water testing on August 13, 2021. Your three (3) year retest of your facility’s water will need to be completed prior to August 13, 2024. You have completed the lead paint test process. The Clean Classrooms for Carolina Kids™ team determined that NEW LIFE CHILD CARE CENTER was exempt from the lead-based paint assessment requirements. The facility provided the appropriate documentation to show all buildings were built after 1978 and no lead-based paint was used in order to meet the building age exemption criteria per 10A NCAC 41C.1004. No additional action is required by the facility. You have completed the asbestos test process. The Clean Classrooms for Carolina Kids™ team determined that NEW LIFE CHILD CARE CENTER was exempt from asbestos inspection requirements. The facility provided the appropriate documentation to show all buildings were built after 1988 to meet the building age exemption criteria per 10A NCAC 41C .1003. No additional action is required by the facility. The Clean Water for Carolina Kids program is expanding to the Clean Classrooms for Carolina Kids program. This is a legislatively mandated effort to address lead and asbestos hazards in North Carolina public schools, licensed child care centers, and licensed family child care homes. Participation allows facilities to meet all rule requirements for identified lead and asbestos hazards, as required by law. Rule 15A NCAC 18A .2816 requires currently operating child care centers to test water initially and every three years. Most of you have completed your initial testing and now it is time for your three-year retest. Please log into https://www.cleanwaterforuskids.org/en/carolina/ to ensure you are meeting the requirements for Lead in Water / Paint/Asbestos testing. CHILD A CARE RULE CHANGES: The Child Care Commission adopted child care rule changes in January 2024. Changes relate to definitions; lead and asbestos for centers and family child care homes; building requirements for family child care homes; multi-unit child care centers; and criminal background checks. Consultants will assist as you begin to review and implement the changes, but please note, some of the rule changes may or may not impact your facility. An example is the rules in section .2600 for multi-unit child care center. These rules are specific to child care centers with multiple licensed centers within one building. Please ensure you are using the updated January 2024 rule book, and view information in the DCDEE Moodle (enroll if necessary). You will need to have an NCID - the same NCID that you use for the health & safety training, WORKS login, and/or the CBC Portal - to participate in Moodle training. If you do not have an NCID, use this link to get one: https://ncid.nc.gov. Rule training modules can be found in the same course as the October 2017 Child Care Rule Rollout. If you are unfamiliar with the Child Care Rule Rollout within Moodle and how to navigate, please visit: https://ncchildcare.ncdhhs.gov/Learning-Resources/How-to-Navigate-Moodle. To get help with Moodle, email DCDEE_Moodle_Support@dhhs.nc.gov or call (919) 814-9326. CONTACT INFORMATION: If you have any questions about today’s visit, you may contact me at 252-557-5597 or angela.nieves@dhhs.nc.gov. You may also contact Licensing Supervisor, Susan Fuller at 252-373-9809 or email at susan.fuller@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 .0304 · Violation

Name of Operation: NEW LIFE CHILD CARE CENTER Facility ID: 40000108 Consultant: ANGELA NIEVES Operation Type: Center Case Number: Visit Date: 3/13/2024 Number Present: 43 Completed Date: 3/13/2024 Age: From 0 To 4 Total Minutes: 275 Time In: 09:25 AM Time Out: 02:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor this facility for compliance with applicable child care requirements during a routine unannounced visit. You, T. Sherrod, administrator, were present and available to assist with today’s visit. Your program currently operates with a G.S. 110-106, Notice of Compliance, issued June 4, 2021. The last annual compliance visit was conducted on July 10, 2023. The last sanitation inspection was completed on September 29, 2023, with a “Superior” classification. The last fire inspection was completed on January 31, 2024, and the center was approved for daytime care only. The center’s compliance history was reviewed with the operator. The program’s compliance history was 84% percent prior to today’s visit. The NC Secretary of State website was reviewed on March 12, 2024, and New Life World Outreach Center, Inc. was current and active. Forty-three (43) children ages zero (0) to four (4) years of age were present during the visit. Children were observed during free play, playing with developmentally appropriate materials, engaging in music and movement activities, and completing personal care routines. Staff interacted with children in a positive and nurturing manner. The following were monitored: Supervision, Staff Child Ratio, First Aid, CPR, ITS SIDS, Special Training, CBC Qualification, Emergency Medical Care Plan, Storage of Hazardous Substances, Administration of Medication, Adequate/Approved Space, Permit Restrictions, and Program Records. One (1) new staff file was reviewed today. Any violations of the child care requirements observed today were discussed with. Due to connectivity issues a hand written visit summary was left with you at the conclusion of the visit. A computer-generated visit summary and child enrollment form will be emailed to you. The following violations were documented: Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. Your last fire inspection was conducted on January 31, 2024, however the completed inspections was not sent to the consultant within one week of the inspection being completed. 10A NCAC 09 .0304(a) 201 A room was occupied by more children than the space allowed at 25-sq. ft. of floor space per child. Space number four (#4) has a capacity of 10 children. There were eleven (11) children present; which consisted of ten (10) one-year-old children and one (1) two (2) year-old aged child. Space number three (#3) has a capacity of 14 children. There were nineteen (19) children present; which consisted of four-teen (14) three (3)-year-old children and five (5) four (4)-year-old children. GS 110-91(6); .1401(f) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. Z. Barfield began employment on February 19, 2024, and there was no documentation available for review within the first two weeks of employment, six clock hours of training. .1101(a)(b) 1233 Each employee's personnel file did not contain a signed and dated statement that they received a job description and that they have received personnel and operational policies. Z. Barfield began employment on February 19, 2024. There was no documentation available for review of personnel and operational policies. 10A NCAC 09 .0514(g) 1899 Health and safety training topics were not included as part of on-going training within five years of completing the previous health and safety training topics. L. Baptiste had a Recognizing and Responding to Suspicions of Child Maltreatment certificate on file dated March 22, 2017; however, the training needed to be completed on or prior to March 22, 2022. L. McGee had a Recognizing and Responding to Suspicions of Child Maltreatment on file dated October 3, 2018; however, the training needed to be completed on or prior to October 3, 2023. .1103(b) Child Care programs are expected to achieve and maintain compliance at all times 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 violation(s) documented must be corrected immediately. On or before March 27, 2024. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Angela Nieves, Child Care Consultant PO Box 8741 Rocky Mount, NC 27804 Angela.nieves@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 The two-week time frame is established to allow you time for submitting your compliance letter. This time frame is not intended to be used as a guide for correcting violations, as they should be corrected immediately. FACILITY PROFILE INFORMATION: You verified the mailing address, email address, and phone number listed on the facility profile are correct. If changes in your facility’s information occurs, please contact me at 252-557-5597 or email me at angela.nieves@dhhs.nc.gov to discuss the changes and ensure the information is current in our system. TECHNICAL ASSISTANCE/CONSULTATION: ADEQUATE AND APPROVED SPACE: Space number four (#4) has a capacity of 10 children at 25sqft. per child. There were eleven (11) children present; which consisted of ten (10) one-year-old children and one (1) two (2) year-old aged child. There were two caregivers present with the children. When we discussed the capacity of the room, you stated you originally had infants in space number four (#4); however your environmental health inspector told you, you needed another sink; one for food prep and one for diapering. You moved the toddler aged children into space number four (#4) and move the infant aged children to space number one (#1) to accommodate the request from the environmental health inspector, but you over looked the difference in room capacities. Space number three (#3) has a capacity of 14 children at 25sqft. per child. There were nineteen (19) children present; which consisted of four-teen (14) three (3)-year-old children and five (5) four (4)-year-old children. You stated you normally have these children in space number five (5) with a capacity of twenty-two (22) children; however, you moved your school-aged children into this space because of maintenance being completed in building number (#2). We discussed reviewing each room’s capacity and making the necessary changes to meet each room’s capacity. You were also going to take a look at the current enrollment and ages of each child to see if you can move some of the children to other classrooms. I have also made a copy of your building blueprint which has the space capacity for each room for you to review. Please make sure each room has the correct Classroom Staff to Child Ratio Chart posted with the correct maximum number of children written correctly on it. You can never go over the maximum number of children allowed for the space. A follow-up visit will be conducted to ensure compliance. STAFF RECORD KEEPING: Z. Barfield began employment on February 19, 2024. There was no documentation available for review of personnel and operational policies being reviewed with the new staff. Please remember new staff must review the facilities operational and personnel policies and the documentation must be kept in the staff member’s file. STAFF ORIENTATION: Z. Barfield began employment on February 19, 2024, and there was no documentation available for review within the first two weeks of employment, six clock hours of training. You stated you were not aware that orientation needed to be completed. It was your understanding because you were a G.S. 110-106 operating with a Notice of Compliance you did not have to complete orientation with new staff members. I asked you if you received subsidized funds for children and you said, “yes.” I informed you G.S. 110-106 operating with a Notice of Compliance who receive subsidy funding must complete staff orientation. We reviewed the staff orientation check list and you printed several copies. I also indicated on the staff and training worksheet which items you needed to complete due to your facility receiving subsidized funding. ON-GOING TRAINING (RECOGNIZING AND RESPONDING TO SUSPICIONS OF CHILD MALTREATMENT): L. Baptiste had a Recognizing and Responding to Suspicions of Child Maltreatment certificate on file dated March 22, 2017; however, the training needed to be completed on or prior to March 22, 2022. L. McGee had a Recognizing and Responding to Suspicions of Child Maltreatment on file dated October 3, 2018; however, the training needed to be completed on or prior to October 3, 2023. Please remember the Recognizing and Responding to Suspicions of Child Maltreatment training is a health and safety training and must completed every five years. Please go to the NC Prevent Child Abuse and Neglect website https://www.preventchildabusenc.org/ to complete the training. ON-GOING TRAINING (HEALTH AND SAFETY TRAININGS) N. Simmons began employment on February 15, 2022. Ms. Simmons did not have documentation of completion of the required health and safety trainings. The health and safety trainings must be completed within one year of employment. The trainings should have been completed on or prior to February 15, 2023. L. McGee had documentation of the completion of the health and safety trainings completed March 8, 2017; however, the documentation was no longer valid. The health and safety trainings need to be completed every five years. The trainings should have been completed on or prior to March 8, 2022. Your employees can go to the Division of Child Development and Early Education website at https://www.dcdee.moodle.nc.gov/ to complete the trainings. REMINDERS: ANNUAL INSPECTIONS (FIRE INSPECTION): Your last fire inspection was conducted on January 31, 2024. I received the fire inspection during today’s visit. Please remember to send your fire inspections to me within one week of the inspection being completed. This was corrected during the visit. 10A NCAC 09 .0304 ON-GOING REQUIREMENTS FOR A LICENSE (a)Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall 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. RESOURCES: CLEAN WATER FOR CAROLINA KIDS: We discussed the Clean Water for Carolina Kids program and what that means for you as a child care provider. Your program completed the water lead test on August 13, 2021, and will need to be completed again prior to August 13, 2024. I also informed you that I sent an email to you on March 5, 2024, with the following information included. I also attached to that email three (3) flyers that discuss the process for testing, for lead in the water, lead in paint, and asbestos. The Clean Water for Carolina Kids program is expanding to the Clean Classrooms for Carolina Kids program. This is a legislatively mandated effort to address lead and asbestos hazards in North Carolina public schools, licensed child care centers, and licensed family child care homes. Participation allows facilities to meet all rule requirements for identified lead and asbestos hazards, as required by law. Rules 10A NCAC 41C .1001 through .1007 require all programs to be free of lead and asbestos hazards. RTI is coordinating all the lead in water, paint and asbestos testing and remediation. There are webinars that child care providers can watch to get instructions. Go to https://www.cleanwaterforuskids.org/en/carolina/ for more information. Currently operating child care facilities are required to test for lead in paint and asbestos once unless the consultant notes a concern during a visit and refers the program to environmental health. All existing licensed programs must complete the application summary for their program regarding lead paint and asbestos by May 1, 2024. The application is on the https://www.cleanwaterforuskids.org/en/carolina/ website. Rule 15A NCAC 18A .2816 requires currently operating child care centers to test water initially and every three years. Most of you have completed your initial testing and now it is time for your three-year retest. Please log into https://www.cleanwaterforuskids.org/en/carolina/ to ensure you are meeting the requirements for Lead in Water / Paint/Asbestos testing. CHILD A CARE RULE CHANGES: The Child Care Commission adopted child care rule changes in January 2024. Changes relate to definitions; lead and asbestos for centers and family child care homes; building requirements for family child care homes; multi-unit child care centers; and criminal background checks. Consultants will assist as you begin to review and implement the changes, but please note, some of the rule changes may or may not impact your facility. An example is the rules in section .2600 for multi-unit child care center. These rules are specific to child care centers with multiple licensed centers within one building. Please ensure you are using the updated January 2024 rule book, and view information in the DCDEE Moodle (enroll if necessary). You will need to have an NCID - the same NCID that you use for the health & safety training, WORKS login, and/or the CBC Portal - to participate in Moodle training. If you do not have an NCID, use this link to get one: https://ncid.nc.gov. Rule training modules can be found in the same course as the October 2017 Child Care Rule Rollout. If you are unfamiliar with the Child Care Rule Rollout within Moodle and how to navigate, please visit: https://ncchildcare.ncdhhs.gov/Learning-Resources/How-to-Navigate-Moodle. To get help with Moodle, email DCDEE_Moodle_Support@dhhs.nc.gov or call (919) 814-9326. CONTACT INFORMATION: If you have any questions about today’s visit, you may contact me at 252-557-5597 or angela.nieves@dhhs.nc.gov. You may also contact Licensing Supervisor, Susan Fuller at 252-373-9809 or email at susan.fuller@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: supervision. Open / not marked corrected.

10A NCAC 09 .0514 · Violation

Name of Operation: NEW LIFE CHILD CARE CENTER Facility ID: 40000108 Consultant: ANGELA NIEVES Operation Type: Center Case Number: Visit Date: 3/13/2024 Number Present: 43 Completed Date: 3/13/2024 Age: From 0 To 4 Total Minutes: 275 Time In: 09:25 AM Time Out: 02:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor this facility for compliance with applicable child care requirements during a routine unannounced visit. You, T. Sherrod, administrator, were present and available to assist with today’s visit. Your program currently operates with a G.S. 110-106, Notice of Compliance, issued June 4, 2021. The last annual compliance visit was conducted on July 10, 2023. The last sanitation inspection was completed on September 29, 2023, with a “Superior” classification. The last fire inspection was completed on January 31, 2024, and the center was approved for daytime care only. The center’s compliance history was reviewed with the operator. The program’s compliance history was 84% percent prior to today’s visit. The NC Secretary of State website was reviewed on March 12, 2024, and New Life World Outreach Center, Inc. was current and active. Forty-three (43) children ages zero (0) to four (4) years of age were present during the visit. Children were observed during free play, playing with developmentally appropriate materials, engaging in music and movement activities, and completing personal care routines. Staff interacted with children in a positive and nurturing manner. The following were monitored: Supervision, Staff Child Ratio, First Aid, CPR, ITS SIDS, Special Training, CBC Qualification, Emergency Medical Care Plan, Storage of Hazardous Substances, Administration of Medication, Adequate/Approved Space, Permit Restrictions, and Program Records. One (1) new staff file was reviewed today. Any violations of the child care requirements observed today were discussed with. Due to connectivity issues a hand written visit summary was left with you at the conclusion of the visit. A computer-generated visit summary and child enrollment form will be emailed to you. The following violations were documented: Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. Your last fire inspection was conducted on January 31, 2024, however the completed inspections was not sent to the consultant within one week of the inspection being completed. 10A NCAC 09 .0304(a) 201 A room was occupied by more children than the space allowed at 25-sq. ft. of floor space per child. Space number four (#4) has a capacity of 10 children. There were eleven (11) children present; which consisted of ten (10) one-year-old children and one (1) two (2) year-old aged child. Space number three (#3) has a capacity of 14 children. There were nineteen (19) children present; which consisted of four-teen (14) three (3)-year-old children and five (5) four (4)-year-old children. GS 110-91(6); .1401(f) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. Z. Barfield began employment on February 19, 2024, and there was no documentation available for review within the first two weeks of employment, six clock hours of training. .1101(a)(b) 1233 Each employee's personnel file did not contain a signed and dated statement that they received a job description and that they have received personnel and operational policies. Z. Barfield began employment on February 19, 2024. There was no documentation available for review of personnel and operational policies. 10A NCAC 09 .0514(g) 1899 Health and safety training topics were not included as part of on-going training within five years of completing the previous health and safety training topics. L. Baptiste had a Recognizing and Responding to Suspicions of Child Maltreatment certificate on file dated March 22, 2017; however, the training needed to be completed on or prior to March 22, 2022. L. McGee had a Recognizing and Responding to Suspicions of Child Maltreatment on file dated October 3, 2018; however, the training needed to be completed on or prior to October 3, 2023. .1103(b) Child Care programs are expected to achieve and maintain compliance at all times 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 violation(s) documented must be corrected immediately. On or before March 27, 2024. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Angela Nieves, Child Care Consultant PO Box 8741 Rocky Mount, NC 27804 Angela.nieves@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 The two-week time frame is established to allow you time for submitting your compliance letter. This time frame is not intended to be used as a guide for correcting violations, as they should be corrected immediately. FACILITY PROFILE INFORMATION: You verified the mailing address, email address, and phone number listed on the facility profile are correct. If changes in your facility’s information occurs, please contact me at 252-557-5597 or email me at angela.nieves@dhhs.nc.gov to discuss the changes and ensure the information is current in our system. TECHNICAL ASSISTANCE/CONSULTATION: ADEQUATE AND APPROVED SPACE: Space number four (#4) has a capacity of 10 children at 25sqft. per child. There were eleven (11) children present; which consisted of ten (10) one-year-old children and one (1) two (2) year-old aged child. There were two caregivers present with the children. When we discussed the capacity of the room, you stated you originally had infants in space number four (#4); however your environmental health inspector told you, you needed another sink; one for food prep and one for diapering. You moved the toddler aged children into space number four (#4) and move the infant aged children to space number one (#1) to accommodate the request from the environmental health inspector, but you over looked the difference in room capacities. Space number three (#3) has a capacity of 14 children at 25sqft. per child. There were nineteen (19) children present; which consisted of four-teen (14) three (3)-year-old children and five (5) four (4)-year-old children. You stated you normally have these children in space number five (5) with a capacity of twenty-two (22) children; however, you moved your school-aged children into this space because of maintenance being completed in building number (#2). We discussed reviewing each room’s capacity and making the necessary changes to meet each room’s capacity. You were also going to take a look at the current enrollment and ages of each child to see if you can move some of the children to other classrooms. I have also made a copy of your building blueprint which has the space capacity for each room for you to review. Please make sure each room has the correct Classroom Staff to Child Ratio Chart posted with the correct maximum number of children written correctly on it. You can never go over the maximum number of children allowed for the space. A follow-up visit will be conducted to ensure compliance. STAFF RECORD KEEPING: Z. Barfield began employment on February 19, 2024. There was no documentation available for review of personnel and operational policies being reviewed with the new staff. Please remember new staff must review the facilities operational and personnel policies and the documentation must be kept in the staff member’s file. STAFF ORIENTATION: Z. Barfield began employment on February 19, 2024, and there was no documentation available for review within the first two weeks of employment, six clock hours of training. You stated you were not aware that orientation needed to be completed. It was your understanding because you were a G.S. 110-106 operating with a Notice of Compliance you did not have to complete orientation with new staff members. I asked you if you received subsidized funds for children and you said, “yes.” I informed you G.S. 110-106 operating with a Notice of Compliance who receive subsidy funding must complete staff orientation. We reviewed the staff orientation check list and you printed several copies. I also indicated on the staff and training worksheet which items you needed to complete due to your facility receiving subsidized funding. ON-GOING TRAINING (RECOGNIZING AND RESPONDING TO SUSPICIONS OF CHILD MALTREATMENT): L. Baptiste had a Recognizing and Responding to Suspicions of Child Maltreatment certificate on file dated March 22, 2017; however, the training needed to be completed on or prior to March 22, 2022. L. McGee had a Recognizing and Responding to Suspicions of Child Maltreatment on file dated October 3, 2018; however, the training needed to be completed on or prior to October 3, 2023. Please remember the Recognizing and Responding to Suspicions of Child Maltreatment training is a health and safety training and must completed every five years. Please go to the NC Prevent Child Abuse and Neglect website https://www.preventchildabusenc.org/ to complete the training. ON-GOING TRAINING (HEALTH AND SAFETY TRAININGS) N. Simmons began employment on February 15, 2022. Ms. Simmons did not have documentation of completion of the required health and safety trainings. The health and safety trainings must be completed within one year of employment. The trainings should have been completed on or prior to February 15, 2023. L. McGee had documentation of the completion of the health and safety trainings completed March 8, 2017; however, the documentation was no longer valid. The health and safety trainings need to be completed every five years. The trainings should have been completed on or prior to March 8, 2022. Your employees can go to the Division of Child Development and Early Education website at https://www.dcdee.moodle.nc.gov/ to complete the trainings. REMINDERS: ANNUAL INSPECTIONS (FIRE INSPECTION): Your last fire inspection was conducted on January 31, 2024. I received the fire inspection during today’s visit. Please remember to send your fire inspections to me within one week of the inspection being completed. This was corrected during the visit. 10A NCAC 09 .0304 ON-GOING REQUIREMENTS FOR A LICENSE (a)Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall 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. RESOURCES: CLEAN WATER FOR CAROLINA KIDS: We discussed the Clean Water for Carolina Kids program and what that means for you as a child care provider. Your program completed the water lead test on August 13, 2021, and will need to be completed again prior to August 13, 2024. I also informed you that I sent an email to you on March 5, 2024, with the following information included. I also attached to that email three (3) flyers that discuss the process for testing, for lead in the water, lead in paint, and asbestos. The Clean Water for Carolina Kids program is expanding to the Clean Classrooms for Carolina Kids program. This is a legislatively mandated effort to address lead and asbestos hazards in North Carolina public schools, licensed child care centers, and licensed family child care homes. Participation allows facilities to meet all rule requirements for identified lead and asbestos hazards, as required by law. Rules 10A NCAC 41C .1001 through .1007 require all programs to be free of lead and asbestos hazards. RTI is coordinating all the lead in water, paint and asbestos testing and remediation. There are webinars that child care providers can watch to get instructions. Go to https://www.cleanwaterforuskids.org/en/carolina/ for more information. Currently operating child care facilities are required to test for lead in paint and asbestos once unless the consultant notes a concern during a visit and refers the program to environmental health. All existing licensed programs must complete the application summary for their program regarding lead paint and asbestos by May 1, 2024. The application is on the https://www.cleanwaterforuskids.org/en/carolina/ website. Rule 15A NCAC 18A .2816 requires currently operating child care centers to test water initially and every three years. Most of you have completed your initial testing and now it is time for your three-year retest. Please log into https://www.cleanwaterforuskids.org/en/carolina/ to ensure you are meeting the requirements for Lead in Water / Paint/Asbestos testing. CHILD A CARE RULE CHANGES: The Child Care Commission adopted child care rule changes in January 2024. Changes relate to definitions; lead and asbestos for centers and family child care homes; building requirements for family child care homes; multi-unit child care centers; and criminal background checks. Consultants will assist as you begin to review and implement the changes, but please note, some of the rule changes may or may not impact your facility. An example is the rules in section .2600 for multi-unit child care center. These rules are specific to child care centers with multiple licensed centers within one building. Please ensure you are using the updated January 2024 rule book, and view information in the DCDEE Moodle (enroll if necessary). You will need to have an NCID - the same NCID that you use for the health & safety training, WORKS login, and/or the CBC Portal - to participate in Moodle training. If you do not have an NCID, use this link to get one: https://ncid.nc.gov. Rule training modules can be found in the same course as the October 2017 Child Care Rule Rollout. If you are unfamiliar with the Child Care Rule Rollout within Moodle and how to navigate, please visit: https://ncchildcare.ncdhhs.gov/Learning-Resources/How-to-Navigate-Moodle. To get help with Moodle, email DCDEE_Moodle_Support@dhhs.nc.gov or call (919) 814-9326. CONTACT INFORMATION: If you have any questions about today’s visit, you may contact me at 252-557-5597 or angela.nieves@dhhs.nc.gov. You may also contact Licensing Supervisor, Susan Fuller at 252-373-9809 or email at susan.fuller@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

G.S. 110-106 · Violation

Name of Operation: NEW LIFE CHILD CARE CENTER Facility ID: 40000108 Consultant: ANGELA NIEVES Operation Type: Center Case Number: Visit Date: 3/13/2024 Number Present: 43 Completed Date: 3/13/2024 Age: From 0 To 4 Total Minutes: 275 Time In: 09:25 AM Time Out: 02:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor this facility for compliance with applicable child care requirements during a routine unannounced visit. You, T. Sherrod, administrator, were present and available to assist with today’s visit. Your program currently operates with a G.S. 110-106, Notice of Compliance, issued June 4, 2021. The last annual compliance visit was conducted on July 10, 2023. The last sanitation inspection was completed on September 29, 2023, with a “Superior” classification. The last fire inspection was completed on January 31, 2024, and the center was approved for daytime care only. The center’s compliance history was reviewed with the operator. The program’s compliance history was 84% percent prior to today’s visit. The NC Secretary of State website was reviewed on March 12, 2024, and New Life World Outreach Center, Inc. was current and active. Forty-three (43) children ages zero (0) to four (4) years of age were present during the visit. Children were observed during free play, playing with developmentally appropriate materials, engaging in music and movement activities, and completing personal care routines. Staff interacted with children in a positive and nurturing manner. The following were monitored: Supervision, Staff Child Ratio, First Aid, CPR, ITS SIDS, Special Training, CBC Qualification, Emergency Medical Care Plan, Storage of Hazardous Substances, Administration of Medication, Adequate/Approved Space, Permit Restrictions, and Program Records. One (1) new staff file was reviewed today. Any violations of the child care requirements observed today were discussed with. Due to connectivity issues a hand written visit summary was left with you at the conclusion of the visit. A computer-generated visit summary and child enrollment form will be emailed to you. The following violations were documented: Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. Your last fire inspection was conducted on January 31, 2024, however the completed inspections was not sent to the consultant within one week of the inspection being completed. 10A NCAC 09 .0304(a) 201 A room was occupied by more children than the space allowed at 25-sq. ft. of floor space per child. Space number four (#4) has a capacity of 10 children. There were eleven (11) children present; which consisted of ten (10) one-year-old children and one (1) two (2) year-old aged child. Space number three (#3) has a capacity of 14 children. There were nineteen (19) children present; which consisted of four-teen (14) three (3)-year-old children and five (5) four (4)-year-old children. GS 110-91(6); .1401(f) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. Z. Barfield began employment on February 19, 2024, and there was no documentation available for review within the first two weeks of employment, six clock hours of training. .1101(a)(b) 1233 Each employee's personnel file did not contain a signed and dated statement that they received a job description and that they have received personnel and operational policies. Z. Barfield began employment on February 19, 2024. There was no documentation available for review of personnel and operational policies. 10A NCAC 09 .0514(g) 1899 Health and safety training topics were not included as part of on-going training within five years of completing the previous health and safety training topics. L. Baptiste had a Recognizing and Responding to Suspicions of Child Maltreatment certificate on file dated March 22, 2017; however, the training needed to be completed on or prior to March 22, 2022. L. McGee had a Recognizing and Responding to Suspicions of Child Maltreatment on file dated October 3, 2018; however, the training needed to be completed on or prior to October 3, 2023. .1103(b) Child Care programs are expected to achieve and maintain compliance at all times 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 violation(s) documented must be corrected immediately. On or before March 27, 2024. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Angela Nieves, Child Care Consultant PO Box 8741 Rocky Mount, NC 27804 Angela.nieves@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 The two-week time frame is established to allow you time for submitting your compliance letter. This time frame is not intended to be used as a guide for correcting violations, as they should be corrected immediately. FACILITY PROFILE INFORMATION: You verified the mailing address, email address, and phone number listed on the facility profile are correct. If changes in your facility’s information occurs, please contact me at 252-557-5597 or email me at angela.nieves@dhhs.nc.gov to discuss the changes and ensure the information is current in our system. TECHNICAL ASSISTANCE/CONSULTATION: ADEQUATE AND APPROVED SPACE: Space number four (#4) has a capacity of 10 children at 25sqft. per child. There were eleven (11) children present; which consisted of ten (10) one-year-old children and one (1) two (2) year-old aged child. There were two caregivers present with the children. When we discussed the capacity of the room, you stated you originally had infants in space number four (#4); however your environmental health inspector told you, you needed another sink; one for food prep and one for diapering. You moved the toddler aged children into space number four (#4) and move the infant aged children to space number one (#1) to accommodate the request from the environmental health inspector, but you over looked the difference in room capacities. Space number three (#3) has a capacity of 14 children at 25sqft. per child. There were nineteen (19) children present; which consisted of four-teen (14) three (3)-year-old children and five (5) four (4)-year-old children. You stated you normally have these children in space number five (5) with a capacity of twenty-two (22) children; however, you moved your school-aged children into this space because of maintenance being completed in building number (#2). We discussed reviewing each room’s capacity and making the necessary changes to meet each room’s capacity. You were also going to take a look at the current enrollment and ages of each child to see if you can move some of the children to other classrooms. I have also made a copy of your building blueprint which has the space capacity for each room for you to review. Please make sure each room has the correct Classroom Staff to Child Ratio Chart posted with the correct maximum number of children written correctly on it. You can never go over the maximum number of children allowed for the space. A follow-up visit will be conducted to ensure compliance. STAFF RECORD KEEPING: Z. Barfield began employment on February 19, 2024. There was no documentation available for review of personnel and operational policies being reviewed with the new staff. Please remember new staff must review the facilities operational and personnel policies and the documentation must be kept in the staff member’s file. STAFF ORIENTATION: Z. Barfield began employment on February 19, 2024, and there was no documentation available for review within the first two weeks of employment, six clock hours of training. You stated you were not aware that orientation needed to be completed. It was your understanding because you were a G.S. 110-106 operating with a Notice of Compliance you did not have to complete orientation with new staff members. I asked you if you received subsidized funds for children and you said, “yes.” I informed you G.S. 110-106 operating with a Notice of Compliance who receive subsidy funding must complete staff orientation. We reviewed the staff orientation check list and you printed several copies. I also indicated on the staff and training worksheet which items you needed to complete due to your facility receiving subsidized funding. ON-GOING TRAINING (RECOGNIZING AND RESPONDING TO SUSPICIONS OF CHILD MALTREATMENT): L. Baptiste had a Recognizing and Responding to Suspicions of Child Maltreatment certificate on file dated March 22, 2017; however, the training needed to be completed on or prior to March 22, 2022. L. McGee had a Recognizing and Responding to Suspicions of Child Maltreatment on file dated October 3, 2018; however, the training needed to be completed on or prior to October 3, 2023. Please remember the Recognizing and Responding to Suspicions of Child Maltreatment training is a health and safety training and must completed every five years. Please go to the NC Prevent Child Abuse and Neglect website https://www.preventchildabusenc.org/ to complete the training. ON-GOING TRAINING (HEALTH AND SAFETY TRAININGS) N. Simmons began employment on February 15, 2022. Ms. Simmons did not have documentation of completion of the required health and safety trainings. The health and safety trainings must be completed within one year of employment. The trainings should have been completed on or prior to February 15, 2023. L. McGee had documentation of the completion of the health and safety trainings completed March 8, 2017; however, the documentation was no longer valid. The health and safety trainings need to be completed every five years. The trainings should have been completed on or prior to March 8, 2022. Your employees can go to the Division of Child Development and Early Education website at https://www.dcdee.moodle.nc.gov/ to complete the trainings. REMINDERS: ANNUAL INSPECTIONS (FIRE INSPECTION): Your last fire inspection was conducted on January 31, 2024. I received the fire inspection during today’s visit. Please remember to send your fire inspections to me within one week of the inspection being completed. This was corrected during the visit. 10A NCAC 09 .0304 ON-GOING REQUIREMENTS FOR A LICENSE (a)Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall 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. RESOURCES: CLEAN WATER FOR CAROLINA KIDS: We discussed the Clean Water for Carolina Kids program and what that means for you as a child care provider. Your program completed the water lead test on August 13, 2021, and will need to be completed again prior to August 13, 2024. I also informed you that I sent an email to you on March 5, 2024, with the following information included. I also attached to that email three (3) flyers that discuss the process for testing, for lead in the water, lead in paint, and asbestos. The Clean Water for Carolina Kids program is expanding to the Clean Classrooms for Carolina Kids program. This is a legislatively mandated effort to address lead and asbestos hazards in North Carolina public schools, licensed child care centers, and licensed family child care homes. Participation allows facilities to meet all rule requirements for identified lead and asbestos hazards, as required by law. Rules 10A NCAC 41C .1001 through .1007 require all programs to be free of lead and asbestos hazards. RTI is coordinating all the lead in water, paint and asbestos testing and remediation. There are webinars that child care providers can watch to get instructions. Go to https://www.cleanwaterforuskids.org/en/carolina/ for more information. Currently operating child care facilities are required to test for lead in paint and asbestos once unless the consultant notes a concern during a visit and refers the program to environmental health. All existing licensed programs must complete the application summary for their program regarding lead paint and asbestos by May 1, 2024. The application is on the https://www.cleanwaterforuskids.org/en/carolina/ website. Rule 15A NCAC 18A .2816 requires currently operating child care centers to test water initially and every three years. Most of you have completed your initial testing and now it is time for your three-year retest. Please log into https://www.cleanwaterforuskids.org/en/carolina/ to ensure you are meeting the requirements for Lead in Water / Paint/Asbestos testing. CHILD A CARE RULE CHANGES: The Child Care Commission adopted child care rule changes in January 2024. Changes relate to definitions; lead and asbestos for centers and family child care homes; building requirements for family child care homes; multi-unit child care centers; and criminal background checks. Consultants will assist as you begin to review and implement the changes, but please note, some of the rule changes may or may not impact your facility. An example is the rules in section .2600 for multi-unit child care center. These rules are specific to child care centers with multiple licensed centers within one building. Please ensure you are using the updated January 2024 rule book, and view information in the DCDEE Moodle (enroll if necessary). You will need to have an NCID - the same NCID that you use for the health & safety training, WORKS login, and/or the CBC Portal - to participate in Moodle training. If you do not have an NCID, use this link to get one: https://ncid.nc.gov. Rule training modules can be found in the same course as the October 2017 Child Care Rule Rollout. If you are unfamiliar with the Child Care Rule Rollout within Moodle and how to navigate, please visit: https://ncchildcare.ncdhhs.gov/Learning-Resources/How-to-Navigate-Moodle. To get help with Moodle, email DCDEE_Moodle_Support@dhhs.nc.gov or call (919) 814-9326. CONTACT INFORMATION: If you have any questions about today’s visit, you may contact me at 252-557-5597 or angela.nieves@dhhs.nc.gov. You may also contact Licensing Supervisor, Susan Fuller at 252-373-9809 or email at susan.fuller@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 110-91 · Violation

Name of Operation: NEW LIFE CHILD CARE CENTER Facility ID: 40000108 Consultant: ANGELA NIEVES Operation Type: Center Case Number: Visit Date: 3/13/2024 Number Present: 43 Completed Date: 3/13/2024 Age: From 0 To 4 Total Minutes: 275 Time In: 09:25 AM Time Out: 02:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor this facility for compliance with applicable child care requirements during a routine unannounced visit. You, T. Sherrod, administrator, were present and available to assist with today’s visit. Your program currently operates with a G.S. 110-106, Notice of Compliance, issued June 4, 2021. The last annual compliance visit was conducted on July 10, 2023. The last sanitation inspection was completed on September 29, 2023, with a “Superior” classification. The last fire inspection was completed on January 31, 2024, and the center was approved for daytime care only. The center’s compliance history was reviewed with the operator. The program’s compliance history was 84% percent prior to today’s visit. The NC Secretary of State website was reviewed on March 12, 2024, and New Life World Outreach Center, Inc. was current and active. Forty-three (43) children ages zero (0) to four (4) years of age were present during the visit. Children were observed during free play, playing with developmentally appropriate materials, engaging in music and movement activities, and completing personal care routines. Staff interacted with children in a positive and nurturing manner. The following were monitored: Supervision, Staff Child Ratio, First Aid, CPR, ITS SIDS, Special Training, CBC Qualification, Emergency Medical Care Plan, Storage of Hazardous Substances, Administration of Medication, Adequate/Approved Space, Permit Restrictions, and Program Records. One (1) new staff file was reviewed today. Any violations of the child care requirements observed today were discussed with. Due to connectivity issues a hand written visit summary was left with you at the conclusion of the visit. A computer-generated visit summary and child enrollment form will be emailed to you. The following violations were documented: Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. Your last fire inspection was conducted on January 31, 2024, however the completed inspections was not sent to the consultant within one week of the inspection being completed. 10A NCAC 09 .0304(a) 201 A room was occupied by more children than the space allowed at 25-sq. ft. of floor space per child. Space number four (#4) has a capacity of 10 children. There were eleven (11) children present; which consisted of ten (10) one-year-old children and one (1) two (2) year-old aged child. Space number three (#3) has a capacity of 14 children. There were nineteen (19) children present; which consisted of four-teen (14) three (3)-year-old children and five (5) four (4)-year-old children. GS 110-91(6); .1401(f) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. Z. Barfield began employment on February 19, 2024, and there was no documentation available for review within the first two weeks of employment, six clock hours of training. .1101(a)(b) 1233 Each employee's personnel file did not contain a signed and dated statement that they received a job description and that they have received personnel and operational policies. Z. Barfield began employment on February 19, 2024. There was no documentation available for review of personnel and operational policies. 10A NCAC 09 .0514(g) 1899 Health and safety training topics were not included as part of on-going training within five years of completing the previous health and safety training topics. L. Baptiste had a Recognizing and Responding to Suspicions of Child Maltreatment certificate on file dated March 22, 2017; however, the training needed to be completed on or prior to March 22, 2022. L. McGee had a Recognizing and Responding to Suspicions of Child Maltreatment on file dated October 3, 2018; however, the training needed to be completed on or prior to October 3, 2023. .1103(b) Child Care programs are expected to achieve and maintain compliance at all times 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 violation(s) documented must be corrected immediately. On or before March 27, 2024. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Angela Nieves, Child Care Consultant PO Box 8741 Rocky Mount, NC 27804 Angela.nieves@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 The two-week time frame is established to allow you time for submitting your compliance letter. This time frame is not intended to be used as a guide for correcting violations, as they should be corrected immediately. FACILITY PROFILE INFORMATION: You verified the mailing address, email address, and phone number listed on the facility profile are correct. If changes in your facility’s information occurs, please contact me at 252-557-5597 or email me at angela.nieves@dhhs.nc.gov to discuss the changes and ensure the information is current in our system. TECHNICAL ASSISTANCE/CONSULTATION: ADEQUATE AND APPROVED SPACE: Space number four (#4) has a capacity of 10 children at 25sqft. per child. There were eleven (11) children present; which consisted of ten (10) one-year-old children and one (1) two (2) year-old aged child. There were two caregivers present with the children. When we discussed the capacity of the room, you stated you originally had infants in space number four (#4); however your environmental health inspector told you, you needed another sink; one for food prep and one for diapering. You moved the toddler aged children into space number four (#4) and move the infant aged children to space number one (#1) to accommodate the request from the environmental health inspector, but you over looked the difference in room capacities. Space number three (#3) has a capacity of 14 children at 25sqft. per child. There were nineteen (19) children present; which consisted of four-teen (14) three (3)-year-old children and five (5) four (4)-year-old children. You stated you normally have these children in space number five (5) with a capacity of twenty-two (22) children; however, you moved your school-aged children into this space because of maintenance being completed in building number (#2). We discussed reviewing each room’s capacity and making the necessary changes to meet each room’s capacity. You were also going to take a look at the current enrollment and ages of each child to see if you can move some of the children to other classrooms. I have also made a copy of your building blueprint which has the space capacity for each room for you to review. Please make sure each room has the correct Classroom Staff to Child Ratio Chart posted with the correct maximum number of children written correctly on it. You can never go over the maximum number of children allowed for the space. A follow-up visit will be conducted to ensure compliance. STAFF RECORD KEEPING: Z. Barfield began employment on February 19, 2024. There was no documentation available for review of personnel and operational policies being reviewed with the new staff. Please remember new staff must review the facilities operational and personnel policies and the documentation must be kept in the staff member’s file. STAFF ORIENTATION: Z. Barfield began employment on February 19, 2024, and there was no documentation available for review within the first two weeks of employment, six clock hours of training. You stated you were not aware that orientation needed to be completed. It was your understanding because you were a G.S. 110-106 operating with a Notice of Compliance you did not have to complete orientation with new staff members. I asked you if you received subsidized funds for children and you said, “yes.” I informed you G.S. 110-106 operating with a Notice of Compliance who receive subsidy funding must complete staff orientation. We reviewed the staff orientation check list and you printed several copies. I also indicated on the staff and training worksheet which items you needed to complete due to your facility receiving subsidized funding. ON-GOING TRAINING (RECOGNIZING AND RESPONDING TO SUSPICIONS OF CHILD MALTREATMENT): L. Baptiste had a Recognizing and Responding to Suspicions of Child Maltreatment certificate on file dated March 22, 2017; however, the training needed to be completed on or prior to March 22, 2022. L. McGee had a Recognizing and Responding to Suspicions of Child Maltreatment on file dated October 3, 2018; however, the training needed to be completed on or prior to October 3, 2023. Please remember the Recognizing and Responding to Suspicions of Child Maltreatment training is a health and safety training and must completed every five years. Please go to the NC Prevent Child Abuse and Neglect website https://www.preventchildabusenc.org/ to complete the training. ON-GOING TRAINING (HEALTH AND SAFETY TRAININGS) N. Simmons began employment on February 15, 2022. Ms. Simmons did not have documentation of completion of the required health and safety trainings. The health and safety trainings must be completed within one year of employment. The trainings should have been completed on or prior to February 15, 2023. L. McGee had documentation of the completion of the health and safety trainings completed March 8, 2017; however, the documentation was no longer valid. The health and safety trainings need to be completed every five years. The trainings should have been completed on or prior to March 8, 2022. Your employees can go to the Division of Child Development and Early Education website at https://www.dcdee.moodle.nc.gov/ to complete the trainings. REMINDERS: ANNUAL INSPECTIONS (FIRE INSPECTION): Your last fire inspection was conducted on January 31, 2024. I received the fire inspection during today’s visit. Please remember to send your fire inspections to me within one week of the inspection being completed. This was corrected during the visit. 10A NCAC 09 .0304 ON-GOING REQUIREMENTS FOR A LICENSE (a)Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall 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. RESOURCES: CLEAN WATER FOR CAROLINA KIDS: We discussed the Clean Water for Carolina Kids program and what that means for you as a child care provider. Your program completed the water lead test on August 13, 2021, and will need to be completed again prior to August 13, 2024. I also informed you that I sent an email to you on March 5, 2024, with the following information included. I also attached to that email three (3) flyers that discuss the process for testing, for lead in the water, lead in paint, and asbestos. The Clean Water for Carolina Kids program is expanding to the Clean Classrooms for Carolina Kids program. This is a legislatively mandated effort to address lead and asbestos hazards in North Carolina public schools, licensed child care centers, and licensed family child care homes. Participation allows facilities to meet all rule requirements for identified lead and asbestos hazards, as required by law. Rules 10A NCAC 41C .1001 through .1007 require all programs to be free of lead and asbestos hazards. RTI is coordinating all the lead in water, paint and asbestos testing and remediation. There are webinars that child care providers can watch to get instructions. Go to https://www.cleanwaterforuskids.org/en/carolina/ for more information. Currently operating child care facilities are required to test for lead in paint and asbestos once unless the consultant notes a concern during a visit and refers the program to environmental health. All existing licensed programs must complete the application summary for their program regarding lead paint and asbestos by May 1, 2024. The application is on the https://www.cleanwaterforuskids.org/en/carolina/ website. Rule 15A NCAC 18A .2816 requires currently operating child care centers to test water initially and every three years. Most of you have completed your initial testing and now it is time for your three-year retest. Please log into https://www.cleanwaterforuskids.org/en/carolina/ to ensure you are meeting the requirements for Lead in Water / Paint/Asbestos testing. CHILD A CARE RULE CHANGES: The Child Care Commission adopted child care rule changes in January 2024. Changes relate to definitions; lead and asbestos for centers and family child care homes; building requirements for family child care homes; multi-unit child care centers; and criminal background checks. Consultants will assist as you begin to review and implement the changes, but please note, some of the rule changes may or may not impact your facility. An example is the rules in section .2600 for multi-unit child care center. These rules are specific to child care centers with multiple licensed centers within one building. Please ensure you are using the updated January 2024 rule book, and view information in the DCDEE Moodle (enroll if necessary). You will need to have an NCID - the same NCID that you use for the health & safety training, WORKS login, and/or the CBC Portal - to participate in Moodle training. If you do not have an NCID, use this link to get one: https://ncid.nc.gov. Rule training modules can be found in the same course as the October 2017 Child Care Rule Rollout. If you are unfamiliar with the Child Care Rule Rollout within Moodle and how to navigate, please visit: https://ncchildcare.ncdhhs.gov/Learning-Resources/How-to-Navigate-Moodle. To get help with Moodle, email DCDEE_Moodle_Support@dhhs.nc.gov or call (919) 814-9326. CONTACT INFORMATION: If you have any questions about today’s visit, you may contact me at 252-557-5597 or angela.nieves@dhhs.nc.gov. You may also contact Licensing Supervisor, Susan Fuller at 252-373-9809 or email at susan.fuller@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: NEW LIFE CHILD CARE CENTER Facility ID: 40000108 Consultant: ANGELA NIEVES Operation Type: Center Case Number: Visit Date: 3/13/2024 Number Present: 43 Completed Date: 3/13/2024 Age: From 0 To 4 Total Minutes: 275 Time In: 09:25 AM Time Out: 02:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor this facility for compliance with applicable child care requirements during a routine unannounced visit. You, T. Sherrod, administrator, were present and available to assist with today’s visit. Your program currently operates with a G.S. 110-106, Notice of Compliance, issued June 4, 2021. The last annual compliance visit was conducted on July 10, 2023. The last sanitation inspection was completed on September 29, 2023, with a “Superior” classification. The last fire inspection was completed on January 31, 2024, and the center was approved for daytime care only. The center’s compliance history was reviewed with the operator. The program’s compliance history was 84% percent prior to today’s visit. The NC Secretary of State website was reviewed on March 12, 2024, and New Life World Outreach Center, Inc. was current and active. Forty-three (43) children ages zero (0) to four (4) years of age were present during the visit. Children were observed during free play, playing with developmentally appropriate materials, engaging in music and movement activities, and completing personal care routines. Staff interacted with children in a positive and nurturing manner. The following were monitored: Supervision, Staff Child Ratio, First Aid, CPR, ITS SIDS, Special Training, CBC Qualification, Emergency Medical Care Plan, Storage of Hazardous Substances, Administration of Medication, Adequate/Approved Space, Permit Restrictions, and Program Records. One (1) new staff file was reviewed today. Any violations of the child care requirements observed today were discussed with. Due to connectivity issues a hand written visit summary was left with you at the conclusion of the visit. A computer-generated visit summary and child enrollment form will be emailed to you. The following violations were documented: Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. Your last fire inspection was conducted on January 31, 2024, however the completed inspections was not sent to the consultant within one week of the inspection being completed. 10A NCAC 09 .0304(a) 201 A room was occupied by more children than the space allowed at 25-sq. ft. of floor space per child. Space number four (#4) has a capacity of 10 children. There were eleven (11) children present; which consisted of ten (10) one-year-old children and one (1) two (2) year-old aged child. Space number three (#3) has a capacity of 14 children. There were nineteen (19) children present; which consisted of four-teen (14) three (3)-year-old children and five (5) four (4)-year-old children. GS 110-91(6); .1401(f) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. Z. Barfield began employment on February 19, 2024, and there was no documentation available for review within the first two weeks of employment, six clock hours of training. .1101(a)(b) 1233 Each employee's personnel file did not contain a signed and dated statement that they received a job description and that they have received personnel and operational policies. Z. Barfield began employment on February 19, 2024. There was no documentation available for review of personnel and operational policies. 10A NCAC 09 .0514(g) 1899 Health and safety training topics were not included as part of on-going training within five years of completing the previous health and safety training topics. L. Baptiste had a Recognizing and Responding to Suspicions of Child Maltreatment certificate on file dated March 22, 2017; however, the training needed to be completed on or prior to March 22, 2022. L. McGee had a Recognizing and Responding to Suspicions of Child Maltreatment on file dated October 3, 2018; however, the training needed to be completed on or prior to October 3, 2023. .1103(b) Child Care programs are expected to achieve and maintain compliance at all times 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 violation(s) documented must be corrected immediately. On or before March 27, 2024. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Angela Nieves, Child Care Consultant PO Box 8741 Rocky Mount, NC 27804 Angela.nieves@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 The two-week time frame is established to allow you time for submitting your compliance letter. This time frame is not intended to be used as a guide for correcting violations, as they should be corrected immediately. FACILITY PROFILE INFORMATION: You verified the mailing address, email address, and phone number listed on the facility profile are correct. If changes in your facility’s information occurs, please contact me at 252-557-5597 or email me at angela.nieves@dhhs.nc.gov to discuss the changes and ensure the information is current in our system. TECHNICAL ASSISTANCE/CONSULTATION: ADEQUATE AND APPROVED SPACE: Space number four (#4) has a capacity of 10 children at 25sqft. per child. There were eleven (11) children present; which consisted of ten (10) one-year-old children and one (1) two (2) year-old aged child. There were two caregivers present with the children. When we discussed the capacity of the room, you stated you originally had infants in space number four (#4); however your environmental health inspector told you, you needed another sink; one for food prep and one for diapering. You moved the toddler aged children into space number four (#4) and move the infant aged children to space number one (#1) to accommodate the request from the environmental health inspector, but you over looked the difference in room capacities. Space number three (#3) has a capacity of 14 children at 25sqft. per child. There were nineteen (19) children present; which consisted of four-teen (14) three (3)-year-old children and five (5) four (4)-year-old children. You stated you normally have these children in space number five (5) with a capacity of twenty-two (22) children; however, you moved your school-aged children into this space because of maintenance being completed in building number (#2). We discussed reviewing each room’s capacity and making the necessary changes to meet each room’s capacity. You were also going to take a look at the current enrollment and ages of each child to see if you can move some of the children to other classrooms. I have also made a copy of your building blueprint which has the space capacity for each room for you to review. Please make sure each room has the correct Classroom Staff to Child Ratio Chart posted with the correct maximum number of children written correctly on it. You can never go over the maximum number of children allowed for the space. A follow-up visit will be conducted to ensure compliance. STAFF RECORD KEEPING: Z. Barfield began employment on February 19, 2024. There was no documentation available for review of personnel and operational policies being reviewed with the new staff. Please remember new staff must review the facilities operational and personnel policies and the documentation must be kept in the staff member’s file. STAFF ORIENTATION: Z. Barfield began employment on February 19, 2024, and there was no documentation available for review within the first two weeks of employment, six clock hours of training. You stated you were not aware that orientation needed to be completed. It was your understanding because you were a G.S. 110-106 operating with a Notice of Compliance you did not have to complete orientation with new staff members. I asked you if you received subsidized funds for children and you said, “yes.” I informed you G.S. 110-106 operating with a Notice of Compliance who receive subsidy funding must complete staff orientation. We reviewed the staff orientation check list and you printed several copies. I also indicated on the staff and training worksheet which items you needed to complete due to your facility receiving subsidized funding. ON-GOING TRAINING (RECOGNIZING AND RESPONDING TO SUSPICIONS OF CHILD MALTREATMENT): L. Baptiste had a Recognizing and Responding to Suspicions of Child Maltreatment certificate on file dated March 22, 2017; however, the training needed to be completed on or prior to March 22, 2022. L. McGee had a Recognizing and Responding to Suspicions of Child Maltreatment on file dated October 3, 2018; however, the training needed to be completed on or prior to October 3, 2023. Please remember the Recognizing and Responding to Suspicions of Child Maltreatment training is a health and safety training and must completed every five years. Please go to the NC Prevent Child Abuse and Neglect website https://www.preventchildabusenc.org/ to complete the training. ON-GOING TRAINING (HEALTH AND SAFETY TRAININGS) N. Simmons began employment on February 15, 2022. Ms. Simmons did not have documentation of completion of the required health and safety trainings. The health and safety trainings must be completed within one year of employment. The trainings should have been completed on or prior to February 15, 2023. L. McGee had documentation of the completion of the health and safety trainings completed March 8, 2017; however, the documentation was no longer valid. The health and safety trainings need to be completed every five years. The trainings should have been completed on or prior to March 8, 2022. Your employees can go to the Division of Child Development and Early Education website at https://www.dcdee.moodle.nc.gov/ to complete the trainings. REMINDERS: ANNUAL INSPECTIONS (FIRE INSPECTION): Your last fire inspection was conducted on January 31, 2024. I received the fire inspection during today’s visit. Please remember to send your fire inspections to me within one week of the inspection being completed. This was corrected during the visit. 10A NCAC 09 .0304 ON-GOING REQUIREMENTS FOR A LICENSE (a)Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall 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. RESOURCES: CLEAN WATER FOR CAROLINA KIDS: We discussed the Clean Water for Carolina Kids program and what that means for you as a child care provider. Your program completed the water lead test on August 13, 2021, and will need to be completed again prior to August 13, 2024. I also informed you that I sent an email to you on March 5, 2024, with the following information included. I also attached to that email three (3) flyers that discuss the process for testing, for lead in the water, lead in paint, and asbestos. The Clean Water for Carolina Kids program is expanding to the Clean Classrooms for Carolina Kids program. This is a legislatively mandated effort to address lead and asbestos hazards in North Carolina public schools, licensed child care centers, and licensed family child care homes. Participation allows facilities to meet all rule requirements for identified lead and asbestos hazards, as required by law. Rules 10A NCAC 41C .1001 through .1007 require all programs to be free of lead and asbestos hazards. RTI is coordinating all the lead in water, paint and asbestos testing and remediation. There are webinars that child care providers can watch to get instructions. Go to https://www.cleanwaterforuskids.org/en/carolina/ for more information. Currently operating child care facilities are required to test for lead in paint and asbestos once unless the consultant notes a concern during a visit and refers the program to environmental health. All existing licensed programs must complete the application summary for their program regarding lead paint and asbestos by May 1, 2024. The application is on the https://www.cleanwaterforuskids.org/en/carolina/ website. Rule 15A NCAC 18A .2816 requires currently operating child care centers to test water initially and every three years. Most of you have completed your initial testing and now it is time for your three-year retest. Please log into https://www.cleanwaterforuskids.org/en/carolina/ to ensure you are meeting the requirements for Lead in Water / Paint/Asbestos testing. CHILD A CARE RULE CHANGES: The Child Care Commission adopted child care rule changes in January 2024. Changes relate to definitions; lead and asbestos for centers and family child care homes; building requirements for family child care homes; multi-unit child care centers; and criminal background checks. Consultants will assist as you begin to review and implement the changes, but please note, some of the rule changes may or may not impact your facility. An example is the rules in section .2600 for multi-unit child care center. These rules are specific to child care centers with multiple licensed centers within one building. Please ensure you are using the updated January 2024 rule book, and view information in the DCDEE Moodle (enroll if necessary). You will need to have an NCID - the same NCID that you use for the health & safety training, WORKS login, and/or the CBC Portal - to participate in Moodle training. If you do not have an NCID, use this link to get one: https://ncid.nc.gov. Rule training modules can be found in the same course as the October 2017 Child Care Rule Rollout. If you are unfamiliar with the Child Care Rule Rollout within Moodle and how to navigate, please visit: https://ncchildcare.ncdhhs.gov/Learning-Resources/How-to-Navigate-Moodle. To get help with Moodle, email DCDEE_Moodle_Support@dhhs.nc.gov or call (919) 814-9326. CONTACT INFORMATION: If you have any questions about today’s visit, you may contact me at 252-557-5597 or angela.nieves@dhhs.nc.gov. You may also contact Licensing Supervisor, Susan Fuller at 252-373-9809 or email at susan.fuller@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 .0601 · Violation

Name of Operation: NEW LIFE CHILD CARE CENTER Facility ID: 40000108 Consultant: VACANT TEAM 13 Operation Type: Center Case Number: Visit Date: 7/10/2023 Number Present: 64 Completed Date: 7/10/2023 Age: From 0 To 11 Total Minutes: 430 Time In: 09:20 AM Time Out: 04:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor this facility for compliance with applicable child care requirements for an annual compliance visit. You, T. Sherrod, administrator, was present and available to assist with today’s visit. Your program currently operates with a G.S. 110-106, Notice of Compliance, issued June 4, 2021. The last annual compliance visit was conducted on July 13, 2022. The last sanitation inspection was completed on November 9, 2022, with a “Superior” classification. The last fire inspection was completed on January 23, 2023, and the center was approved for daytime care only. The center’s compliance history was reviewed with the operator. The program’s compliance history was 88% percent prior to today’s visit. The NC Secretary of State website was reviewed on July 10, 2023, and New Life World Outreach Center, Inc. was current and active. Seventy (70) children ages zero (0) to eleven (11) present during the visit. Children were observed during free play, playing with developmentally appropriate materials, group time, engaging in music and movement activities, and completing personal care routines. The children in the infant classroom were observed sleeping and following all safe sleep practices. Staff interacted with children in a positive and nurturing manner. Ms. Sherrod stated that the facility does not provide transportation. Any violations of the child care requirements observed today were discussed with you and documented in the visit summary report and reviewed with you at the conclusion of the visit. The following violations were documented: Violation Number Comment Rule 114 A summary of the NC Child Care Law was not given to a parent of every child enrolled in the center. Six (6) files did not have documentation of review of the Summary of NC Child Care Law. GS 110-102 807 A safe indoor and outdoor environment was not provided for the children. In room three (3) a bottle of hand sanitizer with a 'keep out of reach of children' on the label was stored on top of a cubbie that was not at least five (5) feet off the ground. The teacher removed the sanitizer and placed in a cabinet that was five (5) feet off the ground. 10A NCAC 09 .0601(a) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. In room six (6) in building two (2) there were three (3) electrical outlets not covered with safety plug covers. The teacher covered the outlets immediately. In the hallway by the entrance of the main door there was an outlet not covered. The administrator covered the out let immediately. 10A NCAC 09 .0604(c) 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. In room three (3) there was an albuterol inhaler that did not have a permission to administer medication form on file. 10A NCAC 09 .0803(1)(a & 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. In room three (3) there was an albuterol inhaler that was not in its original packaging. .0803(2)(a) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. Two new staff members did not have a medical report on file prior to employment available for review. 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. Two new staff members did not have a TB test on file available for review. .0701(a) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. Two new staff members did not have a health questionnaire of file for review. One staff member did not have an updated health questionnaire on file available for review. .0701(a) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. Two (2) new staff members did not have the emergency information form on file on or before the first day of work. One (1) staff remember did not have an updated emergency information of file. .0701(a) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. One (1) child's file did not have a medical exam on file available for review. GS110-91(1) 1323 Each child was not immunized as per Article 6 of Chapter 130A and an immunization record was not on file before or within 30 days after admission. One child's file did not an immunization record available for review. 10A NCAC 09 .0302(d)(2) 1851 The operator did not notify the parent of each child enrolled in writing of the smoking and tobacco restriction. One (1) child's file did not have a receipt of smoking and tobacco restriction available for review. .0604(j) 1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. Two new staff members did not have receipts of the Shaken Baby Syndrome and Abusive Head Trauma policy available for review. .0608(d)(1-4) 1908 A child's file did not have a statement with parent signature acknowledging receipt and explanation of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy and/or the acknowledgement did not have all the required information. Three (3) children's files did not have receipt of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy. .0608(b)(1-6) Child Care programs are expected to achieve and maintain compliance at all times 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 violation(s) documented must be corrected immediately. On or before July 24, 2023. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Angela Nieves, Child Care Consultant PO Box 8741 Rocky Mount, NC 27804 Angela.nieves@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 The two-week time frame is established to allow you time for submitting your compliance letter. This time frame is not intended to be used as a guide for correcting violations, as they should be corrected immediately. FACILITY PROFILE INFORMATION: You verified the mailing address, email address, and phone number listed on the facility profile are correct. If changes in your facility’s information occurs, please contact me at 252-557-5597 or email me at angela.nieves@dhhs.nc.gov to discuss the changes and ensure the information is current in our system. TECHNICAL ASSISTANCE/CONSULTATION: CHILDREN AND STAFF RECORDS: Ten percent (10%) or more of children’s records were monitored. The following items were not incompliance in the files reviewed: in six (6) of the files reviewed the receipt of the Summary of Law was missing, one (1) file was missing a signed medical exam prior to or within 30 days of enrollment. One file was missing an immunization record on or within 3o days of enrollment. One (1) file was missing a receipt of notification of smoking and tobacco restrictions. Three (3) files were missing receipt of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy. Please use the Children File Check List to help review files and know when items are required upon enrollment. You can find the document on the Division of Child Development and Early Childhood Education website: https://ncchildcare.ncdhhs.gov/ under the provider tab, under provider documents and forms. Two new staff files were reviewed and ten percent (10%) or more of existing staff files were monitored. The following items were missing from the files. One new staff member with a hire ate of July 5, 2023, did not have the following available for review: a medical statement on file prior to employment and did not have a TB test of file prior to employment. The employee also did not have a health questionnaire or emergency information form on file on or before the first day of employment. The administrator had the employee fill out a health questionnaire and an emergency information form and put it the file. The items were corrected during the visit. The employee also did not have a Shaken Baby Head Trauma Policy available for review. The administrator reviewed the policy with the employee and the employee signed and the receipt of the policy was placed in the employee’s file. This item was corrected during the visit. One new staff member with a hire ate of June 12, 2023, did not have the following available for review: a medical statement on file prior to employment and did not have a TB test of file prior to employment. The employee also did not have a health questionnaire or emergency information form on file on or before the first day of employment. The administrator had the employee fill out a health questionnaire and an emergency information form and put it the file. The items were corrected during the visit. The employee also did not have a Shaken Baby Head Trauma Policy available for review. The administrator reviewed the policy with the employee and the employee signed and the receipt of the policy was placed in the employee’s file. This item was corrected during the visit. One employee did not have an updated health questionnaire or emergency information form available for review. The administrator had the employee fill out the forms and the forms were placed in the employee’s file. This was corrected during the visit. Please review your staff and training worksheet and employee files and make sure all items that need to be updated annually are completed. The staff and training worksheet indicate when items need to be renewed. Your two new employees need have 90 from their hire date to complete the Recognizing and Responding to Suspicions of Child Maltreatment. Your new employee with the hire date of June 12, 2023, has 90 days from the hire date to complete the Basic School Age Care (BSAC) training. SAFETY AND HEALTH: In room three (3) there was a bottle of hand sanitizer that had a keep out of reach of children warning on the label stored on a cubby that was not at least five feet off the ground. The teacher removed the bottle of sanitizer and placed in a cabinet more than five feet off the ground. In room six (6) located in building two, there were three electrical outlets not covered with safety outlet covers. The teacher immediately covered the outlets with safety covers. In the hallway directly to right of the doors where children enter and exit the main building there was an electrical outlet not covered. The administrator immediately covered the outlet. Please remember to have your staff check the outlets in their classrooms every morning and throughout the day to ensure the outlets are covered. MEDICATION: In room three (3) there was an albuterol inhaler that did not have a permission to administer medication form and was not in its original container with a pharmacy label. You stated the medication has not been administered while the child has been at the facility. We discussed sending home the albuterol inhaler and having the parent bring the inhaler back in its original packing. I also printed out the permission to administer medication form and log. Medication may not be given a to a child without have a permission to administer medication form filled out and signed. We reviewed the form, and you didn’t have any questions. REMINDERS: 10A NCAC 09 .0304 ON-GOING REQUIREMENTS FOR A LICENSE (a)Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall 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. RESOURCES: GETTING HELP WITH CHALLENGING BEHAVIORS: The Healthy Social Behaviors in Child Care Centers Project (HSB) provides ideas to create a learning environment that can assist in preventing challenging behaviors. They provide free technical assistance, professional development, and they offer a variety of additional resources. For additional information on the Healthy Social Behaviors Project or to view a current listing of scheduled trainings, browse the NC Child Care Resource & Referral Council website. For information about Pyramid Model CEU-level trainings, contact the HSB Education Specialist, Liz Tuttle at etuttle@childcareresourcesinc.org. To obtain a Request for TA Services, contact your local Behavior Specialist or email the Statewide Project Manager, Smokie Brawley, at sbrawley@childcareresourcesinc.org. MATERIALS PROVIDED DURING THE VISIT: • Challenging Behaviors Flyer CONTACT INFORMATION: If you have any questions about today’s visit, my contact information is listed above. You may also contact Licensing Supervisor, Susan Fuller at 252-373-9809 or email at susan.fuller@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: supervision. Open / not marked corrected.

10A NCAC 09 .0604 · Violation

Name of Operation: NEW LIFE CHILD CARE CENTER Facility ID: 40000108 Consultant: VACANT TEAM 13 Operation Type: Center Case Number: Visit Date: 7/10/2023 Number Present: 64 Completed Date: 7/10/2023 Age: From 0 To 11 Total Minutes: 430 Time In: 09:20 AM Time Out: 04:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor this facility for compliance with applicable child care requirements for an annual compliance visit. You, T. Sherrod, administrator, was present and available to assist with today’s visit. Your program currently operates with a G.S. 110-106, Notice of Compliance, issued June 4, 2021. The last annual compliance visit was conducted on July 13, 2022. The last sanitation inspection was completed on November 9, 2022, with a “Superior” classification. The last fire inspection was completed on January 23, 2023, and the center was approved for daytime care only. The center’s compliance history was reviewed with the operator. The program’s compliance history was 88% percent prior to today’s visit. The NC Secretary of State website was reviewed on July 10, 2023, and New Life World Outreach Center, Inc. was current and active. Seventy (70) children ages zero (0) to eleven (11) present during the visit. Children were observed during free play, playing with developmentally appropriate materials, group time, engaging in music and movement activities, and completing personal care routines. The children in the infant classroom were observed sleeping and following all safe sleep practices. Staff interacted with children in a positive and nurturing manner. Ms. Sherrod stated that the facility does not provide transportation. Any violations of the child care requirements observed today were discussed with you and documented in the visit summary report and reviewed with you at the conclusion of the visit. The following violations were documented: Violation Number Comment Rule 114 A summary of the NC Child Care Law was not given to a parent of every child enrolled in the center. Six (6) files did not have documentation of review of the Summary of NC Child Care Law. GS 110-102 807 A safe indoor and outdoor environment was not provided for the children. In room three (3) a bottle of hand sanitizer with a 'keep out of reach of children' on the label was stored on top of a cubbie that was not at least five (5) feet off the ground. The teacher removed the sanitizer and placed in a cabinet that was five (5) feet off the ground. 10A NCAC 09 .0601(a) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. In room six (6) in building two (2) there were three (3) electrical outlets not covered with safety plug covers. The teacher covered the outlets immediately. In the hallway by the entrance of the main door there was an outlet not covered. The administrator covered the out let immediately. 10A NCAC 09 .0604(c) 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. In room three (3) there was an albuterol inhaler that did not have a permission to administer medication form on file. 10A NCAC 09 .0803(1)(a & 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. In room three (3) there was an albuterol inhaler that was not in its original packaging. .0803(2)(a) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. Two new staff members did not have a medical report on file prior to employment available for review. 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. Two new staff members did not have a TB test on file available for review. .0701(a) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. Two new staff members did not have a health questionnaire of file for review. One staff member did not have an updated health questionnaire on file available for review. .0701(a) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. Two (2) new staff members did not have the emergency information form on file on or before the first day of work. One (1) staff remember did not have an updated emergency information of file. .0701(a) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. One (1) child's file did not have a medical exam on file available for review. GS110-91(1) 1323 Each child was not immunized as per Article 6 of Chapter 130A and an immunization record was not on file before or within 30 days after admission. One child's file did not an immunization record available for review. 10A NCAC 09 .0302(d)(2) 1851 The operator did not notify the parent of each child enrolled in writing of the smoking and tobacco restriction. One (1) child's file did not have a receipt of smoking and tobacco restriction available for review. .0604(j) 1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. Two new staff members did not have receipts of the Shaken Baby Syndrome and Abusive Head Trauma policy available for review. .0608(d)(1-4) 1908 A child's file did not have a statement with parent signature acknowledging receipt and explanation of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy and/or the acknowledgement did not have all the required information. Three (3) children's files did not have receipt of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy. .0608(b)(1-6) Child Care programs are expected to achieve and maintain compliance at all times 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 violation(s) documented must be corrected immediately. On or before July 24, 2023. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Angela Nieves, Child Care Consultant PO Box 8741 Rocky Mount, NC 27804 Angela.nieves@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 The two-week time frame is established to allow you time for submitting your compliance letter. This time frame is not intended to be used as a guide for correcting violations, as they should be corrected immediately. FACILITY PROFILE INFORMATION: You verified the mailing address, email address, and phone number listed on the facility profile are correct. If changes in your facility’s information occurs, please contact me at 252-557-5597 or email me at angela.nieves@dhhs.nc.gov to discuss the changes and ensure the information is current in our system. TECHNICAL ASSISTANCE/CONSULTATION: CHILDREN AND STAFF RECORDS: Ten percent (10%) or more of children’s records were monitored. The following items were not incompliance in the files reviewed: in six (6) of the files reviewed the receipt of the Summary of Law was missing, one (1) file was missing a signed medical exam prior to or within 30 days of enrollment. One file was missing an immunization record on or within 3o days of enrollment. One (1) file was missing a receipt of notification of smoking and tobacco restrictions. Three (3) files were missing receipt of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy. Please use the Children File Check List to help review files and know when items are required upon enrollment. You can find the document on the Division of Child Development and Early Childhood Education website: https://ncchildcare.ncdhhs.gov/ under the provider tab, under provider documents and forms. Two new staff files were reviewed and ten percent (10%) or more of existing staff files were monitored. The following items were missing from the files. One new staff member with a hire ate of July 5, 2023, did not have the following available for review: a medical statement on file prior to employment and did not have a TB test of file prior to employment. The employee also did not have a health questionnaire or emergency information form on file on or before the first day of employment. The administrator had the employee fill out a health questionnaire and an emergency information form and put it the file. The items were corrected during the visit. The employee also did not have a Shaken Baby Head Trauma Policy available for review. The administrator reviewed the policy with the employee and the employee signed and the receipt of the policy was placed in the employee’s file. This item was corrected during the visit. One new staff member with a hire ate of June 12, 2023, did not have the following available for review: a medical statement on file prior to employment and did not have a TB test of file prior to employment. The employee also did not have a health questionnaire or emergency information form on file on or before the first day of employment. The administrator had the employee fill out a health questionnaire and an emergency information form and put it the file. The items were corrected during the visit. The employee also did not have a Shaken Baby Head Trauma Policy available for review. The administrator reviewed the policy with the employee and the employee signed and the receipt of the policy was placed in the employee’s file. This item was corrected during the visit. One employee did not have an updated health questionnaire or emergency information form available for review. The administrator had the employee fill out the forms and the forms were placed in the employee’s file. This was corrected during the visit. Please review your staff and training worksheet and employee files and make sure all items that need to be updated annually are completed. The staff and training worksheet indicate when items need to be renewed. Your two new employees need have 90 from their hire date to complete the Recognizing and Responding to Suspicions of Child Maltreatment. Your new employee with the hire date of June 12, 2023, has 90 days from the hire date to complete the Basic School Age Care (BSAC) training. SAFETY AND HEALTH: In room three (3) there was a bottle of hand sanitizer that had a keep out of reach of children warning on the label stored on a cubby that was not at least five feet off the ground. The teacher removed the bottle of sanitizer and placed in a cabinet more than five feet off the ground. In room six (6) located in building two, there were three electrical outlets not covered with safety outlet covers. The teacher immediately covered the outlets with safety covers. In the hallway directly to right of the doors where children enter and exit the main building there was an electrical outlet not covered. The administrator immediately covered the outlet. Please remember to have your staff check the outlets in their classrooms every morning and throughout the day to ensure the outlets are covered. MEDICATION: In room three (3) there was an albuterol inhaler that did not have a permission to administer medication form and was not in its original container with a pharmacy label. You stated the medication has not been administered while the child has been at the facility. We discussed sending home the albuterol inhaler and having the parent bring the inhaler back in its original packing. I also printed out the permission to administer medication form and log. Medication may not be given a to a child without have a permission to administer medication form filled out and signed. We reviewed the form, and you didn’t have any questions. REMINDERS: 10A NCAC 09 .0304 ON-GOING REQUIREMENTS FOR A LICENSE (a)Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall 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. RESOURCES: GETTING HELP WITH CHALLENGING BEHAVIORS: The Healthy Social Behaviors in Child Care Centers Project (HSB) provides ideas to create a learning environment that can assist in preventing challenging behaviors. They provide free technical assistance, professional development, and they offer a variety of additional resources. For additional information on the Healthy Social Behaviors Project or to view a current listing of scheduled trainings, browse the NC Child Care Resource & Referral Council website. For information about Pyramid Model CEU-level trainings, contact the HSB Education Specialist, Liz Tuttle at etuttle@childcareresourcesinc.org. To obtain a Request for TA Services, contact your local Behavior Specialist or email the Statewide Project Manager, Smokie Brawley, at sbrawley@childcareresourcesinc.org. MATERIALS PROVIDED DURING THE VISIT: • Challenging Behaviors Flyer CONTACT INFORMATION: If you have any questions about today’s visit, my contact information is listed above. You may also contact Licensing Supervisor, Susan Fuller at 252-373-9809 or email at susan.fuller@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 .0302 · Violation

Name of Operation: NEW LIFE CHILD CARE CENTER Facility ID: 40000108 Consultant: VACANT TEAM 13 Operation Type: Center Case Number: Visit Date: 7/10/2023 Number Present: 64 Completed Date: 7/10/2023 Age: From 0 To 11 Total Minutes: 430 Time In: 09:20 AM Time Out: 04:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor this facility for compliance with applicable child care requirements for an annual compliance visit. You, T. Sherrod, administrator, was present and available to assist with today’s visit. Your program currently operates with a G.S. 110-106, Notice of Compliance, issued June 4, 2021. The last annual compliance visit was conducted on July 13, 2022. The last sanitation inspection was completed on November 9, 2022, with a “Superior” classification. The last fire inspection was completed on January 23, 2023, and the center was approved for daytime care only. The center’s compliance history was reviewed with the operator. The program’s compliance history was 88% percent prior to today’s visit. The NC Secretary of State website was reviewed on July 10, 2023, and New Life World Outreach Center, Inc. was current and active. Seventy (70) children ages zero (0) to eleven (11) present during the visit. Children were observed during free play, playing with developmentally appropriate materials, group time, engaging in music and movement activities, and completing personal care routines. The children in the infant classroom were observed sleeping and following all safe sleep practices. Staff interacted with children in a positive and nurturing manner. Ms. Sherrod stated that the facility does not provide transportation. Any violations of the child care requirements observed today were discussed with you and documented in the visit summary report and reviewed with you at the conclusion of the visit. The following violations were documented: Violation Number Comment Rule 114 A summary of the NC Child Care Law was not given to a parent of every child enrolled in the center. Six (6) files did not have documentation of review of the Summary of NC Child Care Law. GS 110-102 807 A safe indoor and outdoor environment was not provided for the children. In room three (3) a bottle of hand sanitizer with a 'keep out of reach of children' on the label was stored on top of a cubbie that was not at least five (5) feet off the ground. The teacher removed the sanitizer and placed in a cabinet that was five (5) feet off the ground. 10A NCAC 09 .0601(a) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. In room six (6) in building two (2) there were three (3) electrical outlets not covered with safety plug covers. The teacher covered the outlets immediately. In the hallway by the entrance of the main door there was an outlet not covered. The administrator covered the out let immediately. 10A NCAC 09 .0604(c) 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. In room three (3) there was an albuterol inhaler that did not have a permission to administer medication form on file. 10A NCAC 09 .0803(1)(a & 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. In room three (3) there was an albuterol inhaler that was not in its original packaging. .0803(2)(a) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. Two new staff members did not have a medical report on file prior to employment available for review. 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. Two new staff members did not have a TB test on file available for review. .0701(a) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. Two new staff members did not have a health questionnaire of file for review. One staff member did not have an updated health questionnaire on file available for review. .0701(a) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. Two (2) new staff members did not have the emergency information form on file on or before the first day of work. One (1) staff remember did not have an updated emergency information of file. .0701(a) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. One (1) child's file did not have a medical exam on file available for review. GS110-91(1) 1323 Each child was not immunized as per Article 6 of Chapter 130A and an immunization record was not on file before or within 30 days after admission. One child's file did not an immunization record available for review. 10A NCAC 09 .0302(d)(2) 1851 The operator did not notify the parent of each child enrolled in writing of the smoking and tobacco restriction. One (1) child's file did not have a receipt of smoking and tobacco restriction available for review. .0604(j) 1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. Two new staff members did not have receipts of the Shaken Baby Syndrome and Abusive Head Trauma policy available for review. .0608(d)(1-4) 1908 A child's file did not have a statement with parent signature acknowledging receipt and explanation of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy and/or the acknowledgement did not have all the required information. Three (3) children's files did not have receipt of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy. .0608(b)(1-6) Child Care programs are expected to achieve and maintain compliance at all times 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 violation(s) documented must be corrected immediately. On or before July 24, 2023. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Angela Nieves, Child Care Consultant PO Box 8741 Rocky Mount, NC 27804 Angela.nieves@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 The two-week time frame is established to allow you time for submitting your compliance letter. This time frame is not intended to be used as a guide for correcting violations, as they should be corrected immediately. FACILITY PROFILE INFORMATION: You verified the mailing address, email address, and phone number listed on the facility profile are correct. If changes in your facility’s information occurs, please contact me at 252-557-5597 or email me at angela.nieves@dhhs.nc.gov to discuss the changes and ensure the information is current in our system. TECHNICAL ASSISTANCE/CONSULTATION: CHILDREN AND STAFF RECORDS: Ten percent (10%) or more of children’s records were monitored. The following items were not incompliance in the files reviewed: in six (6) of the files reviewed the receipt of the Summary of Law was missing, one (1) file was missing a signed medical exam prior to or within 30 days of enrollment. One file was missing an immunization record on or within 3o days of enrollment. One (1) file was missing a receipt of notification of smoking and tobacco restrictions. Three (3) files were missing receipt of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy. Please use the Children File Check List to help review files and know when items are required upon enrollment. You can find the document on the Division of Child Development and Early Childhood Education website: https://ncchildcare.ncdhhs.gov/ under the provider tab, under provider documents and forms. Two new staff files were reviewed and ten percent (10%) or more of existing staff files were monitored. The following items were missing from the files. One new staff member with a hire ate of July 5, 2023, did not have the following available for review: a medical statement on file prior to employment and did not have a TB test of file prior to employment. The employee also did not have a health questionnaire or emergency information form on file on or before the first day of employment. The administrator had the employee fill out a health questionnaire and an emergency information form and put it the file. The items were corrected during the visit. The employee also did not have a Shaken Baby Head Trauma Policy available for review. The administrator reviewed the policy with the employee and the employee signed and the receipt of the policy was placed in the employee’s file. This item was corrected during the visit. One new staff member with a hire ate of June 12, 2023, did not have the following available for review: a medical statement on file prior to employment and did not have a TB test of file prior to employment. The employee also did not have a health questionnaire or emergency information form on file on or before the first day of employment. The administrator had the employee fill out a health questionnaire and an emergency information form and put it the file. The items were corrected during the visit. The employee also did not have a Shaken Baby Head Trauma Policy available for review. The administrator reviewed the policy with the employee and the employee signed and the receipt of the policy was placed in the employee’s file. This item was corrected during the visit. One employee did not have an updated health questionnaire or emergency information form available for review. The administrator had the employee fill out the forms and the forms were placed in the employee’s file. This was corrected during the visit. Please review your staff and training worksheet and employee files and make sure all items that need to be updated annually are completed. The staff and training worksheet indicate when items need to be renewed. Your two new employees need have 90 from their hire date to complete the Recognizing and Responding to Suspicions of Child Maltreatment. Your new employee with the hire date of June 12, 2023, has 90 days from the hire date to complete the Basic School Age Care (BSAC) training. SAFETY AND HEALTH: In room three (3) there was a bottle of hand sanitizer that had a keep out of reach of children warning on the label stored on a cubby that was not at least five feet off the ground. The teacher removed the bottle of sanitizer and placed in a cabinet more than five feet off the ground. In room six (6) located in building two, there were three electrical outlets not covered with safety outlet covers. The teacher immediately covered the outlets with safety covers. In the hallway directly to right of the doors where children enter and exit the main building there was an electrical outlet not covered. The administrator immediately covered the outlet. Please remember to have your staff check the outlets in their classrooms every morning and throughout the day to ensure the outlets are covered. MEDICATION: In room three (3) there was an albuterol inhaler that did not have a permission to administer medication form and was not in its original container with a pharmacy label. You stated the medication has not been administered while the child has been at the facility. We discussed sending home the albuterol inhaler and having the parent bring the inhaler back in its original packing. I also printed out the permission to administer medication form and log. Medication may not be given a to a child without have a permission to administer medication form filled out and signed. We reviewed the form, and you didn’t have any questions. REMINDERS: 10A NCAC 09 .0304 ON-GOING REQUIREMENTS FOR A LICENSE (a)Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall 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. RESOURCES: GETTING HELP WITH CHALLENGING BEHAVIORS: The Healthy Social Behaviors in Child Care Centers Project (HSB) provides ideas to create a learning environment that can assist in preventing challenging behaviors. They provide free technical assistance, professional development, and they offer a variety of additional resources. For additional information on the Healthy Social Behaviors Project or to view a current listing of scheduled trainings, browse the NC Child Care Resource & Referral Council website. For information about Pyramid Model CEU-level trainings, contact the HSB Education Specialist, Liz Tuttle at etuttle@childcareresourcesinc.org. To obtain a Request for TA Services, contact your local Behavior Specialist or email the Statewide Project Manager, Smokie Brawley, at sbrawley@childcareresourcesinc.org. MATERIALS PROVIDED DURING THE VISIT: • Challenging Behaviors Flyer CONTACT INFORMATION: If you have any questions about today’s visit, my contact information is listed above. You may also contact Licensing Supervisor, Susan Fuller at 252-373-9809 or email at susan.fuller@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 .0304 · Violation

Name of Operation: NEW LIFE CHILD CARE CENTER Facility ID: 40000108 Consultant: VACANT TEAM 13 Operation Type: Center Case Number: Visit Date: 7/10/2023 Number Present: 64 Completed Date: 7/10/2023 Age: From 0 To 11 Total Minutes: 430 Time In: 09:20 AM Time Out: 04:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor this facility for compliance with applicable child care requirements for an annual compliance visit. You, T. Sherrod, administrator, was present and available to assist with today’s visit. Your program currently operates with a G.S. 110-106, Notice of Compliance, issued June 4, 2021. The last annual compliance visit was conducted on July 13, 2022. The last sanitation inspection was completed on November 9, 2022, with a “Superior” classification. The last fire inspection was completed on January 23, 2023, and the center was approved for daytime care only. The center’s compliance history was reviewed with the operator. The program’s compliance history was 88% percent prior to today’s visit. The NC Secretary of State website was reviewed on July 10, 2023, and New Life World Outreach Center, Inc. was current and active. Seventy (70) children ages zero (0) to eleven (11) present during the visit. Children were observed during free play, playing with developmentally appropriate materials, group time, engaging in music and movement activities, and completing personal care routines. The children in the infant classroom were observed sleeping and following all safe sleep practices. Staff interacted with children in a positive and nurturing manner. Ms. Sherrod stated that the facility does not provide transportation. Any violations of the child care requirements observed today were discussed with you and documented in the visit summary report and reviewed with you at the conclusion of the visit. The following violations were documented: Violation Number Comment Rule 114 A summary of the NC Child Care Law was not given to a parent of every child enrolled in the center. Six (6) files did not have documentation of review of the Summary of NC Child Care Law. GS 110-102 807 A safe indoor and outdoor environment was not provided for the children. In room three (3) a bottle of hand sanitizer with a 'keep out of reach of children' on the label was stored on top of a cubbie that was not at least five (5) feet off the ground. The teacher removed the sanitizer and placed in a cabinet that was five (5) feet off the ground. 10A NCAC 09 .0601(a) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. In room six (6) in building two (2) there were three (3) electrical outlets not covered with safety plug covers. The teacher covered the outlets immediately. In the hallway by the entrance of the main door there was an outlet not covered. The administrator covered the out let immediately. 10A NCAC 09 .0604(c) 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. In room three (3) there was an albuterol inhaler that did not have a permission to administer medication form on file. 10A NCAC 09 .0803(1)(a & 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. In room three (3) there was an albuterol inhaler that was not in its original packaging. .0803(2)(a) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. Two new staff members did not have a medical report on file prior to employment available for review. 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. Two new staff members did not have a TB test on file available for review. .0701(a) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. Two new staff members did not have a health questionnaire of file for review. One staff member did not have an updated health questionnaire on file available for review. .0701(a) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. Two (2) new staff members did not have the emergency information form on file on or before the first day of work. One (1) staff remember did not have an updated emergency information of file. .0701(a) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. One (1) child's file did not have a medical exam on file available for review. GS110-91(1) 1323 Each child was not immunized as per Article 6 of Chapter 130A and an immunization record was not on file before or within 30 days after admission. One child's file did not an immunization record available for review. 10A NCAC 09 .0302(d)(2) 1851 The operator did not notify the parent of each child enrolled in writing of the smoking and tobacco restriction. One (1) child's file did not have a receipt of smoking and tobacco restriction available for review. .0604(j) 1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. Two new staff members did not have receipts of the Shaken Baby Syndrome and Abusive Head Trauma policy available for review. .0608(d)(1-4) 1908 A child's file did not have a statement with parent signature acknowledging receipt and explanation of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy and/or the acknowledgement did not have all the required information. Three (3) children's files did not have receipt of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy. .0608(b)(1-6) Child Care programs are expected to achieve and maintain compliance at all times 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 violation(s) documented must be corrected immediately. On or before July 24, 2023. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Angela Nieves, Child Care Consultant PO Box 8741 Rocky Mount, NC 27804 Angela.nieves@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 The two-week time frame is established to allow you time for submitting your compliance letter. This time frame is not intended to be used as a guide for correcting violations, as they should be corrected immediately. FACILITY PROFILE INFORMATION: You verified the mailing address, email address, and phone number listed on the facility profile are correct. If changes in your facility’s information occurs, please contact me at 252-557-5597 or email me at angela.nieves@dhhs.nc.gov to discuss the changes and ensure the information is current in our system. TECHNICAL ASSISTANCE/CONSULTATION: CHILDREN AND STAFF RECORDS: Ten percent (10%) or more of children’s records were monitored. The following items were not incompliance in the files reviewed: in six (6) of the files reviewed the receipt of the Summary of Law was missing, one (1) file was missing a signed medical exam prior to or within 30 days of enrollment. One file was missing an immunization record on or within 3o days of enrollment. One (1) file was missing a receipt of notification of smoking and tobacco restrictions. Three (3) files were missing receipt of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy. Please use the Children File Check List to help review files and know when items are required upon enrollment. You can find the document on the Division of Child Development and Early Childhood Education website: https://ncchildcare.ncdhhs.gov/ under the provider tab, under provider documents and forms. Two new staff files were reviewed and ten percent (10%) or more of existing staff files were monitored. The following items were missing from the files. One new staff member with a hire ate of July 5, 2023, did not have the following available for review: a medical statement on file prior to employment and did not have a TB test of file prior to employment. The employee also did not have a health questionnaire or emergency information form on file on or before the first day of employment. The administrator had the employee fill out a health questionnaire and an emergency information form and put it the file. The items were corrected during the visit. The employee also did not have a Shaken Baby Head Trauma Policy available for review. The administrator reviewed the policy with the employee and the employee signed and the receipt of the policy was placed in the employee’s file. This item was corrected during the visit. One new staff member with a hire ate of June 12, 2023, did not have the following available for review: a medical statement on file prior to employment and did not have a TB test of file prior to employment. The employee also did not have a health questionnaire or emergency information form on file on or before the first day of employment. The administrator had the employee fill out a health questionnaire and an emergency information form and put it the file. The items were corrected during the visit. The employee also did not have a Shaken Baby Head Trauma Policy available for review. The administrator reviewed the policy with the employee and the employee signed and the receipt of the policy was placed in the employee’s file. This item was corrected during the visit. One employee did not have an updated health questionnaire or emergency information form available for review. The administrator had the employee fill out the forms and the forms were placed in the employee’s file. This was corrected during the visit. Please review your staff and training worksheet and employee files and make sure all items that need to be updated annually are completed. The staff and training worksheet indicate when items need to be renewed. Your two new employees need have 90 from their hire date to complete the Recognizing and Responding to Suspicions of Child Maltreatment. Your new employee with the hire date of June 12, 2023, has 90 days from the hire date to complete the Basic School Age Care (BSAC) training. SAFETY AND HEALTH: In room three (3) there was a bottle of hand sanitizer that had a keep out of reach of children warning on the label stored on a cubby that was not at least five feet off the ground. The teacher removed the bottle of sanitizer and placed in a cabinet more than five feet off the ground. In room six (6) located in building two, there were three electrical outlets not covered with safety outlet covers. The teacher immediately covered the outlets with safety covers. In the hallway directly to right of the doors where children enter and exit the main building there was an electrical outlet not covered. The administrator immediately covered the outlet. Please remember to have your staff check the outlets in their classrooms every morning and throughout the day to ensure the outlets are covered. MEDICATION: In room three (3) there was an albuterol inhaler that did not have a permission to administer medication form and was not in its original container with a pharmacy label. You stated the medication has not been administered while the child has been at the facility. We discussed sending home the albuterol inhaler and having the parent bring the inhaler back in its original packing. I also printed out the permission to administer medication form and log. Medication may not be given a to a child without have a permission to administer medication form filled out and signed. We reviewed the form, and you didn’t have any questions. REMINDERS: 10A NCAC 09 .0304 ON-GOING REQUIREMENTS FOR A LICENSE (a)Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall 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. RESOURCES: GETTING HELP WITH CHALLENGING BEHAVIORS: The Healthy Social Behaviors in Child Care Centers Project (HSB) provides ideas to create a learning environment that can assist in preventing challenging behaviors. They provide free technical assistance, professional development, and they offer a variety of additional resources. For additional information on the Healthy Social Behaviors Project or to view a current listing of scheduled trainings, browse the NC Child Care Resource & Referral Council website. For information about Pyramid Model CEU-level trainings, contact the HSB Education Specialist, Liz Tuttle at etuttle@childcareresourcesinc.org. To obtain a Request for TA Services, contact your local Behavior Specialist or email the Statewide Project Manager, Smokie Brawley, at sbrawley@childcareresourcesinc.org. MATERIALS PROVIDED DURING THE VISIT: • Challenging Behaviors Flyer CONTACT INFORMATION: If you have any questions about today’s visit, my contact information is listed above. You may also contact Licensing Supervisor, Susan Fuller at 252-373-9809 or email at susan.fuller@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 .0701 · Violation

Name of Operation: NEW LIFE CHILD CARE CENTER Facility ID: 40000108 Consultant: VACANT TEAM 13 Operation Type: Center Case Number: Visit Date: 7/10/2023 Number Present: 64 Completed Date: 7/10/2023 Age: From 0 To 11 Total Minutes: 430 Time In: 09:20 AM Time Out: 04:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor this facility for compliance with applicable child care requirements for an annual compliance visit. You, T. Sherrod, administrator, was present and available to assist with today’s visit. Your program currently operates with a G.S. 110-106, Notice of Compliance, issued June 4, 2021. The last annual compliance visit was conducted on July 13, 2022. The last sanitation inspection was completed on November 9, 2022, with a “Superior” classification. The last fire inspection was completed on January 23, 2023, and the center was approved for daytime care only. The center’s compliance history was reviewed with the operator. The program’s compliance history was 88% percent prior to today’s visit. The NC Secretary of State website was reviewed on July 10, 2023, and New Life World Outreach Center, Inc. was current and active. Seventy (70) children ages zero (0) to eleven (11) present during the visit. Children were observed during free play, playing with developmentally appropriate materials, group time, engaging in music and movement activities, and completing personal care routines. The children in the infant classroom were observed sleeping and following all safe sleep practices. Staff interacted with children in a positive and nurturing manner. Ms. Sherrod stated that the facility does not provide transportation. Any violations of the child care requirements observed today were discussed with you and documented in the visit summary report and reviewed with you at the conclusion of the visit. The following violations were documented: Violation Number Comment Rule 114 A summary of the NC Child Care Law was not given to a parent of every child enrolled in the center. Six (6) files did not have documentation of review of the Summary of NC Child Care Law. GS 110-102 807 A safe indoor and outdoor environment was not provided for the children. In room three (3) a bottle of hand sanitizer with a 'keep out of reach of children' on the label was stored on top of a cubbie that was not at least five (5) feet off the ground. The teacher removed the sanitizer and placed in a cabinet that was five (5) feet off the ground. 10A NCAC 09 .0601(a) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. In room six (6) in building two (2) there were three (3) electrical outlets not covered with safety plug covers. The teacher covered the outlets immediately. In the hallway by the entrance of the main door there was an outlet not covered. The administrator covered the out let immediately. 10A NCAC 09 .0604(c) 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. In room three (3) there was an albuterol inhaler that did not have a permission to administer medication form on file. 10A NCAC 09 .0803(1)(a & 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. In room three (3) there was an albuterol inhaler that was not in its original packaging. .0803(2)(a) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. Two new staff members did not have a medical report on file prior to employment available for review. 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. Two new staff members did not have a TB test on file available for review. .0701(a) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. Two new staff members did not have a health questionnaire of file for review. One staff member did not have an updated health questionnaire on file available for review. .0701(a) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. Two (2) new staff members did not have the emergency information form on file on or before the first day of work. One (1) staff remember did not have an updated emergency information of file. .0701(a) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. One (1) child's file did not have a medical exam on file available for review. GS110-91(1) 1323 Each child was not immunized as per Article 6 of Chapter 130A and an immunization record was not on file before or within 30 days after admission. One child's file did not an immunization record available for review. 10A NCAC 09 .0302(d)(2) 1851 The operator did not notify the parent of each child enrolled in writing of the smoking and tobacco restriction. One (1) child's file did not have a receipt of smoking and tobacco restriction available for review. .0604(j) 1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. Two new staff members did not have receipts of the Shaken Baby Syndrome and Abusive Head Trauma policy available for review. .0608(d)(1-4) 1908 A child's file did not have a statement with parent signature acknowledging receipt and explanation of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy and/or the acknowledgement did not have all the required information. Three (3) children's files did not have receipt of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy. .0608(b)(1-6) Child Care programs are expected to achieve and maintain compliance at all times 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 violation(s) documented must be corrected immediately. On or before July 24, 2023. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Angela Nieves, Child Care Consultant PO Box 8741 Rocky Mount, NC 27804 Angela.nieves@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 The two-week time frame is established to allow you time for submitting your compliance letter. This time frame is not intended to be used as a guide for correcting violations, as they should be corrected immediately. FACILITY PROFILE INFORMATION: You verified the mailing address, email address, and phone number listed on the facility profile are correct. If changes in your facility’s information occurs, please contact me at 252-557-5597 or email me at angela.nieves@dhhs.nc.gov to discuss the changes and ensure the information is current in our system. TECHNICAL ASSISTANCE/CONSULTATION: CHILDREN AND STAFF RECORDS: Ten percent (10%) or more of children’s records were monitored. The following items were not incompliance in the files reviewed: in six (6) of the files reviewed the receipt of the Summary of Law was missing, one (1) file was missing a signed medical exam prior to or within 30 days of enrollment. One file was missing an immunization record on or within 3o days of enrollment. One (1) file was missing a receipt of notification of smoking and tobacco restrictions. Three (3) files were missing receipt of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy. Please use the Children File Check List to help review files and know when items are required upon enrollment. You can find the document on the Division of Child Development and Early Childhood Education website: https://ncchildcare.ncdhhs.gov/ under the provider tab, under provider documents and forms. Two new staff files were reviewed and ten percent (10%) or more of existing staff files were monitored. The following items were missing from the files. One new staff member with a hire ate of July 5, 2023, did not have the following available for review: a medical statement on file prior to employment and did not have a TB test of file prior to employment. The employee also did not have a health questionnaire or emergency information form on file on or before the first day of employment. The administrator had the employee fill out a health questionnaire and an emergency information form and put it the file. The items were corrected during the visit. The employee also did not have a Shaken Baby Head Trauma Policy available for review. The administrator reviewed the policy with the employee and the employee signed and the receipt of the policy was placed in the employee’s file. This item was corrected during the visit. One new staff member with a hire ate of June 12, 2023, did not have the following available for review: a medical statement on file prior to employment and did not have a TB test of file prior to employment. The employee also did not have a health questionnaire or emergency information form on file on or before the first day of employment. The administrator had the employee fill out a health questionnaire and an emergency information form and put it the file. The items were corrected during the visit. The employee also did not have a Shaken Baby Head Trauma Policy available for review. The administrator reviewed the policy with the employee and the employee signed and the receipt of the policy was placed in the employee’s file. This item was corrected during the visit. One employee did not have an updated health questionnaire or emergency information form available for review. The administrator had the employee fill out the forms and the forms were placed in the employee’s file. This was corrected during the visit. Please review your staff and training worksheet and employee files and make sure all items that need to be updated annually are completed. The staff and training worksheet indicate when items need to be renewed. Your two new employees need have 90 from their hire date to complete the Recognizing and Responding to Suspicions of Child Maltreatment. Your new employee with the hire date of June 12, 2023, has 90 days from the hire date to complete the Basic School Age Care (BSAC) training. SAFETY AND HEALTH: In room three (3) there was a bottle of hand sanitizer that had a keep out of reach of children warning on the label stored on a cubby that was not at least five feet off the ground. The teacher removed the bottle of sanitizer and placed in a cabinet more than five feet off the ground. In room six (6) located in building two, there were three electrical outlets not covered with safety outlet covers. The teacher immediately covered the outlets with safety covers. In the hallway directly to right of the doors where children enter and exit the main building there was an electrical outlet not covered. The administrator immediately covered the outlet. Please remember to have your staff check the outlets in their classrooms every morning and throughout the day to ensure the outlets are covered. MEDICATION: In room three (3) there was an albuterol inhaler that did not have a permission to administer medication form and was not in its original container with a pharmacy label. You stated the medication has not been administered while the child has been at the facility. We discussed sending home the albuterol inhaler and having the parent bring the inhaler back in its original packing. I also printed out the permission to administer medication form and log. Medication may not be given a to a child without have a permission to administer medication form filled out and signed. We reviewed the form, and you didn’t have any questions. REMINDERS: 10A NCAC 09 .0304 ON-GOING REQUIREMENTS FOR A LICENSE (a)Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall 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. RESOURCES: GETTING HELP WITH CHALLENGING BEHAVIORS: The Healthy Social Behaviors in Child Care Centers Project (HSB) provides ideas to create a learning environment that can assist in preventing challenging behaviors. They provide free technical assistance, professional development, and they offer a variety of additional resources. For additional information on the Healthy Social Behaviors Project or to view a current listing of scheduled trainings, browse the NC Child Care Resource & Referral Council website. For information about Pyramid Model CEU-level trainings, contact the HSB Education Specialist, Liz Tuttle at etuttle@childcareresourcesinc.org. To obtain a Request for TA Services, contact your local Behavior Specialist or email the Statewide Project Manager, Smokie Brawley, at sbrawley@childcareresourcesinc.org. MATERIALS PROVIDED DURING THE VISIT: • Challenging Behaviors Flyer CONTACT INFORMATION: If you have any questions about today’s visit, my contact information is listed above. You may also contact Licensing Supervisor, Susan Fuller at 252-373-9809 or email at susan.fuller@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 .0803 · Violation

Name of Operation: NEW LIFE CHILD CARE CENTER Facility ID: 40000108 Consultant: VACANT TEAM 13 Operation Type: Center Case Number: Visit Date: 7/10/2023 Number Present: 64 Completed Date: 7/10/2023 Age: From 0 To 11 Total Minutes: 430 Time In: 09:20 AM Time Out: 04:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor this facility for compliance with applicable child care requirements for an annual compliance visit. You, T. Sherrod, administrator, was present and available to assist with today’s visit. Your program currently operates with a G.S. 110-106, Notice of Compliance, issued June 4, 2021. The last annual compliance visit was conducted on July 13, 2022. The last sanitation inspection was completed on November 9, 2022, with a “Superior” classification. The last fire inspection was completed on January 23, 2023, and the center was approved for daytime care only. The center’s compliance history was reviewed with the operator. The program’s compliance history was 88% percent prior to today’s visit. The NC Secretary of State website was reviewed on July 10, 2023, and New Life World Outreach Center, Inc. was current and active. Seventy (70) children ages zero (0) to eleven (11) present during the visit. Children were observed during free play, playing with developmentally appropriate materials, group time, engaging in music and movement activities, and completing personal care routines. The children in the infant classroom were observed sleeping and following all safe sleep practices. Staff interacted with children in a positive and nurturing manner. Ms. Sherrod stated that the facility does not provide transportation. Any violations of the child care requirements observed today were discussed with you and documented in the visit summary report and reviewed with you at the conclusion of the visit. The following violations were documented: Violation Number Comment Rule 114 A summary of the NC Child Care Law was not given to a parent of every child enrolled in the center. Six (6) files did not have documentation of review of the Summary of NC Child Care Law. GS 110-102 807 A safe indoor and outdoor environment was not provided for the children. In room three (3) a bottle of hand sanitizer with a 'keep out of reach of children' on the label was stored on top of a cubbie that was not at least five (5) feet off the ground. The teacher removed the sanitizer and placed in a cabinet that was five (5) feet off the ground. 10A NCAC 09 .0601(a) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. In room six (6) in building two (2) there were three (3) electrical outlets not covered with safety plug covers. The teacher covered the outlets immediately. In the hallway by the entrance of the main door there was an outlet not covered. The administrator covered the out let immediately. 10A NCAC 09 .0604(c) 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. In room three (3) there was an albuterol inhaler that did not have a permission to administer medication form on file. 10A NCAC 09 .0803(1)(a & 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. In room three (3) there was an albuterol inhaler that was not in its original packaging. .0803(2)(a) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. Two new staff members did not have a medical report on file prior to employment available for review. 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. Two new staff members did not have a TB test on file available for review. .0701(a) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. Two new staff members did not have a health questionnaire of file for review. One staff member did not have an updated health questionnaire on file available for review. .0701(a) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. Two (2) new staff members did not have the emergency information form on file on or before the first day of work. One (1) staff remember did not have an updated emergency information of file. .0701(a) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. One (1) child's file did not have a medical exam on file available for review. GS110-91(1) 1323 Each child was not immunized as per Article 6 of Chapter 130A and an immunization record was not on file before or within 30 days after admission. One child's file did not an immunization record available for review. 10A NCAC 09 .0302(d)(2) 1851 The operator did not notify the parent of each child enrolled in writing of the smoking and tobacco restriction. One (1) child's file did not have a receipt of smoking and tobacco restriction available for review. .0604(j) 1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. Two new staff members did not have receipts of the Shaken Baby Syndrome and Abusive Head Trauma policy available for review. .0608(d)(1-4) 1908 A child's file did not have a statement with parent signature acknowledging receipt and explanation of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy and/or the acknowledgement did not have all the required information. Three (3) children's files did not have receipt of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy. .0608(b)(1-6) Child Care programs are expected to achieve and maintain compliance at all times 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 violation(s) documented must be corrected immediately. On or before July 24, 2023. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Angela Nieves, Child Care Consultant PO Box 8741 Rocky Mount, NC 27804 Angela.nieves@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 The two-week time frame is established to allow you time for submitting your compliance letter. This time frame is not intended to be used as a guide for correcting violations, as they should be corrected immediately. FACILITY PROFILE INFORMATION: You verified the mailing address, email address, and phone number listed on the facility profile are correct. If changes in your facility’s information occurs, please contact me at 252-557-5597 or email me at angela.nieves@dhhs.nc.gov to discuss the changes and ensure the information is current in our system. TECHNICAL ASSISTANCE/CONSULTATION: CHILDREN AND STAFF RECORDS: Ten percent (10%) or more of children’s records were monitored. The following items were not incompliance in the files reviewed: in six (6) of the files reviewed the receipt of the Summary of Law was missing, one (1) file was missing a signed medical exam prior to or within 30 days of enrollment. One file was missing an immunization record on or within 3o days of enrollment. One (1) file was missing a receipt of notification of smoking and tobacco restrictions. Three (3) files were missing receipt of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy. Please use the Children File Check List to help review files and know when items are required upon enrollment. You can find the document on the Division of Child Development and Early Childhood Education website: https://ncchildcare.ncdhhs.gov/ under the provider tab, under provider documents and forms. Two new staff files were reviewed and ten percent (10%) or more of existing staff files were monitored. The following items were missing from the files. One new staff member with a hire ate of July 5, 2023, did not have the following available for review: a medical statement on file prior to employment and did not have a TB test of file prior to employment. The employee also did not have a health questionnaire or emergency information form on file on or before the first day of employment. The administrator had the employee fill out a health questionnaire and an emergency information form and put it the file. The items were corrected during the visit. The employee also did not have a Shaken Baby Head Trauma Policy available for review. The administrator reviewed the policy with the employee and the employee signed and the receipt of the policy was placed in the employee’s file. This item was corrected during the visit. One new staff member with a hire ate of June 12, 2023, did not have the following available for review: a medical statement on file prior to employment and did not have a TB test of file prior to employment. The employee also did not have a health questionnaire or emergency information form on file on or before the first day of employment. The administrator had the employee fill out a health questionnaire and an emergency information form and put it the file. The items were corrected during the visit. The employee also did not have a Shaken Baby Head Trauma Policy available for review. The administrator reviewed the policy with the employee and the employee signed and the receipt of the policy was placed in the employee’s file. This item was corrected during the visit. One employee did not have an updated health questionnaire or emergency information form available for review. The administrator had the employee fill out the forms and the forms were placed in the employee’s file. This was corrected during the visit. Please review your staff and training worksheet and employee files and make sure all items that need to be updated annually are completed. The staff and training worksheet indicate when items need to be renewed. Your two new employees need have 90 from their hire date to complete the Recognizing and Responding to Suspicions of Child Maltreatment. Your new employee with the hire date of June 12, 2023, has 90 days from the hire date to complete the Basic School Age Care (BSAC) training. SAFETY AND HEALTH: In room three (3) there was a bottle of hand sanitizer that had a keep out of reach of children warning on the label stored on a cubby that was not at least five feet off the ground. The teacher removed the bottle of sanitizer and placed in a cabinet more than five feet off the ground. In room six (6) located in building two, there were three electrical outlets not covered with safety outlet covers. The teacher immediately covered the outlets with safety covers. In the hallway directly to right of the doors where children enter and exit the main building there was an electrical outlet not covered. The administrator immediately covered the outlet. Please remember to have your staff check the outlets in their classrooms every morning and throughout the day to ensure the outlets are covered. MEDICATION: In room three (3) there was an albuterol inhaler that did not have a permission to administer medication form and was not in its original container with a pharmacy label. You stated the medication has not been administered while the child has been at the facility. We discussed sending home the albuterol inhaler and having the parent bring the inhaler back in its original packing. I also printed out the permission to administer medication form and log. Medication may not be given a to a child without have a permission to administer medication form filled out and signed. We reviewed the form, and you didn’t have any questions. REMINDERS: 10A NCAC 09 .0304 ON-GOING REQUIREMENTS FOR A LICENSE (a)Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall 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. RESOURCES: GETTING HELP WITH CHALLENGING BEHAVIORS: The Healthy Social Behaviors in Child Care Centers Project (HSB) provides ideas to create a learning environment that can assist in preventing challenging behaviors. They provide free technical assistance, professional development, and they offer a variety of additional resources. For additional information on the Healthy Social Behaviors Project or to view a current listing of scheduled trainings, browse the NC Child Care Resource & Referral Council website. For information about Pyramid Model CEU-level trainings, contact the HSB Education Specialist, Liz Tuttle at etuttle@childcareresourcesinc.org. To obtain a Request for TA Services, contact your local Behavior Specialist or email the Statewide Project Manager, Smokie Brawley, at sbrawley@childcareresourcesinc.org. MATERIALS PROVIDED DURING THE VISIT: • Challenging Behaviors Flyer CONTACT INFORMATION: If you have any questions about today’s visit, my contact information is listed above. You may also contact Licensing Supervisor, Susan Fuller at 252-373-9809 or email at susan.fuller@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

G.S. 110-106 · Violation

Name of Operation: NEW LIFE CHILD CARE CENTER Facility ID: 40000108 Consultant: VACANT TEAM 13 Operation Type: Center Case Number: Visit Date: 7/10/2023 Number Present: 64 Completed Date: 7/10/2023 Age: From 0 To 11 Total Minutes: 430 Time In: 09:20 AM Time Out: 04:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor this facility for compliance with applicable child care requirements for an annual compliance visit. You, T. Sherrod, administrator, was present and available to assist with today’s visit. Your program currently operates with a G.S. 110-106, Notice of Compliance, issued June 4, 2021. The last annual compliance visit was conducted on July 13, 2022. The last sanitation inspection was completed on November 9, 2022, with a “Superior” classification. The last fire inspection was completed on January 23, 2023, and the center was approved for daytime care only. The center’s compliance history was reviewed with the operator. The program’s compliance history was 88% percent prior to today’s visit. The NC Secretary of State website was reviewed on July 10, 2023, and New Life World Outreach Center, Inc. was current and active. Seventy (70) children ages zero (0) to eleven (11) present during the visit. Children were observed during free play, playing with developmentally appropriate materials, group time, engaging in music and movement activities, and completing personal care routines. The children in the infant classroom were observed sleeping and following all safe sleep practices. Staff interacted with children in a positive and nurturing manner. Ms. Sherrod stated that the facility does not provide transportation. Any violations of the child care requirements observed today were discussed with you and documented in the visit summary report and reviewed with you at the conclusion of the visit. The following violations were documented: Violation Number Comment Rule 114 A summary of the NC Child Care Law was not given to a parent of every child enrolled in the center. Six (6) files did not have documentation of review of the Summary of NC Child Care Law. GS 110-102 807 A safe indoor and outdoor environment was not provided for the children. In room three (3) a bottle of hand sanitizer with a 'keep out of reach of children' on the label was stored on top of a cubbie that was not at least five (5) feet off the ground. The teacher removed the sanitizer and placed in a cabinet that was five (5) feet off the ground. 10A NCAC 09 .0601(a) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. In room six (6) in building two (2) there were three (3) electrical outlets not covered with safety plug covers. The teacher covered the outlets immediately. In the hallway by the entrance of the main door there was an outlet not covered. The administrator covered the out let immediately. 10A NCAC 09 .0604(c) 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. In room three (3) there was an albuterol inhaler that did not have a permission to administer medication form on file. 10A NCAC 09 .0803(1)(a & 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. In room three (3) there was an albuterol inhaler that was not in its original packaging. .0803(2)(a) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. Two new staff members did not have a medical report on file prior to employment available for review. 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. Two new staff members did not have a TB test on file available for review. .0701(a) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. Two new staff members did not have a health questionnaire of file for review. One staff member did not have an updated health questionnaire on file available for review. .0701(a) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. Two (2) new staff members did not have the emergency information form on file on or before the first day of work. One (1) staff remember did not have an updated emergency information of file. .0701(a) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. One (1) child's file did not have a medical exam on file available for review. GS110-91(1) 1323 Each child was not immunized as per Article 6 of Chapter 130A and an immunization record was not on file before or within 30 days after admission. One child's file did not an immunization record available for review. 10A NCAC 09 .0302(d)(2) 1851 The operator did not notify the parent of each child enrolled in writing of the smoking and tobacco restriction. One (1) child's file did not have a receipt of smoking and tobacco restriction available for review. .0604(j) 1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. Two new staff members did not have receipts of the Shaken Baby Syndrome and Abusive Head Trauma policy available for review. .0608(d)(1-4) 1908 A child's file did not have a statement with parent signature acknowledging receipt and explanation of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy and/or the acknowledgement did not have all the required information. Three (3) children's files did not have receipt of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy. .0608(b)(1-6) Child Care programs are expected to achieve and maintain compliance at all times 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 violation(s) documented must be corrected immediately. On or before July 24, 2023. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Angela Nieves, Child Care Consultant PO Box 8741 Rocky Mount, NC 27804 Angela.nieves@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 The two-week time frame is established to allow you time for submitting your compliance letter. This time frame is not intended to be used as a guide for correcting violations, as they should be corrected immediately. FACILITY PROFILE INFORMATION: You verified the mailing address, email address, and phone number listed on the facility profile are correct. If changes in your facility’s information occurs, please contact me at 252-557-5597 or email me at angela.nieves@dhhs.nc.gov to discuss the changes and ensure the information is current in our system. TECHNICAL ASSISTANCE/CONSULTATION: CHILDREN AND STAFF RECORDS: Ten percent (10%) or more of children’s records were monitored. The following items were not incompliance in the files reviewed: in six (6) of the files reviewed the receipt of the Summary of Law was missing, one (1) file was missing a signed medical exam prior to or within 30 days of enrollment. One file was missing an immunization record on or within 3o days of enrollment. One (1) file was missing a receipt of notification of smoking and tobacco restrictions. Three (3) files were missing receipt of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy. Please use the Children File Check List to help review files and know when items are required upon enrollment. You can find the document on the Division of Child Development and Early Childhood Education website: https://ncchildcare.ncdhhs.gov/ under the provider tab, under provider documents and forms. Two new staff files were reviewed and ten percent (10%) or more of existing staff files were monitored. The following items were missing from the files. One new staff member with a hire ate of July 5, 2023, did not have the following available for review: a medical statement on file prior to employment and did not have a TB test of file prior to employment. The employee also did not have a health questionnaire or emergency information form on file on or before the first day of employment. The administrator had the employee fill out a health questionnaire and an emergency information form and put it the file. The items were corrected during the visit. The employee also did not have a Shaken Baby Head Trauma Policy available for review. The administrator reviewed the policy with the employee and the employee signed and the receipt of the policy was placed in the employee’s file. This item was corrected during the visit. One new staff member with a hire ate of June 12, 2023, did not have the following available for review: a medical statement on file prior to employment and did not have a TB test of file prior to employment. The employee also did not have a health questionnaire or emergency information form on file on or before the first day of employment. The administrator had the employee fill out a health questionnaire and an emergency information form and put it the file. The items were corrected during the visit. The employee also did not have a Shaken Baby Head Trauma Policy available for review. The administrator reviewed the policy with the employee and the employee signed and the receipt of the policy was placed in the employee’s file. This item was corrected during the visit. One employee did not have an updated health questionnaire or emergency information form available for review. The administrator had the employee fill out the forms and the forms were placed in the employee’s file. This was corrected during the visit. Please review your staff and training worksheet and employee files and make sure all items that need to be updated annually are completed. The staff and training worksheet indicate when items need to be renewed. Your two new employees need have 90 from their hire date to complete the Recognizing and Responding to Suspicions of Child Maltreatment. Your new employee with the hire date of June 12, 2023, has 90 days from the hire date to complete the Basic School Age Care (BSAC) training. SAFETY AND HEALTH: In room three (3) there was a bottle of hand sanitizer that had a keep out of reach of children warning on the label stored on a cubby that was not at least five feet off the ground. The teacher removed the bottle of sanitizer and placed in a cabinet more than five feet off the ground. In room six (6) located in building two, there were three electrical outlets not covered with safety outlet covers. The teacher immediately covered the outlets with safety covers. In the hallway directly to right of the doors where children enter and exit the main building there was an electrical outlet not covered. The administrator immediately covered the outlet. Please remember to have your staff check the outlets in their classrooms every morning and throughout the day to ensure the outlets are covered. MEDICATION: In room three (3) there was an albuterol inhaler that did not have a permission to administer medication form and was not in its original container with a pharmacy label. You stated the medication has not been administered while the child has been at the facility. We discussed sending home the albuterol inhaler and having the parent bring the inhaler back in its original packing. I also printed out the permission to administer medication form and log. Medication may not be given a to a child without have a permission to administer medication form filled out and signed. We reviewed the form, and you didn’t have any questions. REMINDERS: 10A NCAC 09 .0304 ON-GOING REQUIREMENTS FOR A LICENSE (a)Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall 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. RESOURCES: GETTING HELP WITH CHALLENGING BEHAVIORS: The Healthy Social Behaviors in Child Care Centers Project (HSB) provides ideas to create a learning environment that can assist in preventing challenging behaviors. They provide free technical assistance, professional development, and they offer a variety of additional resources. For additional information on the Healthy Social Behaviors Project or to view a current listing of scheduled trainings, browse the NC Child Care Resource & Referral Council website. For information about Pyramid Model CEU-level trainings, contact the HSB Education Specialist, Liz Tuttle at etuttle@childcareresourcesinc.org. To obtain a Request for TA Services, contact your local Behavior Specialist or email the Statewide Project Manager, Smokie Brawley, at sbrawley@childcareresourcesinc.org. MATERIALS PROVIDED DURING THE VISIT: • Challenging Behaviors Flyer CONTACT INFORMATION: If you have any questions about today’s visit, my contact information is listed above. You may also contact Licensing Supervisor, Susan Fuller at 252-373-9809 or email at susan.fuller@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 110-102 · Violation

Name of Operation: NEW LIFE CHILD CARE CENTER Facility ID: 40000108 Consultant: VACANT TEAM 13 Operation Type: Center Case Number: Visit Date: 7/10/2023 Number Present: 64 Completed Date: 7/10/2023 Age: From 0 To 11 Total Minutes: 430 Time In: 09:20 AM Time Out: 04:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor this facility for compliance with applicable child care requirements for an annual compliance visit. You, T. Sherrod, administrator, was present and available to assist with today’s visit. Your program currently operates with a G.S. 110-106, Notice of Compliance, issued June 4, 2021. The last annual compliance visit was conducted on July 13, 2022. The last sanitation inspection was completed on November 9, 2022, with a “Superior” classification. The last fire inspection was completed on January 23, 2023, and the center was approved for daytime care only. The center’s compliance history was reviewed with the operator. The program’s compliance history was 88% percent prior to today’s visit. The NC Secretary of State website was reviewed on July 10, 2023, and New Life World Outreach Center, Inc. was current and active. Seventy (70) children ages zero (0) to eleven (11) present during the visit. Children were observed during free play, playing with developmentally appropriate materials, group time, engaging in music and movement activities, and completing personal care routines. The children in the infant classroom were observed sleeping and following all safe sleep practices. Staff interacted with children in a positive and nurturing manner. Ms. Sherrod stated that the facility does not provide transportation. Any violations of the child care requirements observed today were discussed with you and documented in the visit summary report and reviewed with you at the conclusion of the visit. The following violations were documented: Violation Number Comment Rule 114 A summary of the NC Child Care Law was not given to a parent of every child enrolled in the center. Six (6) files did not have documentation of review of the Summary of NC Child Care Law. GS 110-102 807 A safe indoor and outdoor environment was not provided for the children. In room three (3) a bottle of hand sanitizer with a 'keep out of reach of children' on the label was stored on top of a cubbie that was not at least five (5) feet off the ground. The teacher removed the sanitizer and placed in a cabinet that was five (5) feet off the ground. 10A NCAC 09 .0601(a) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. In room six (6) in building two (2) there were three (3) electrical outlets not covered with safety plug covers. The teacher covered the outlets immediately. In the hallway by the entrance of the main door there was an outlet not covered. The administrator covered the out let immediately. 10A NCAC 09 .0604(c) 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. In room three (3) there was an albuterol inhaler that did not have a permission to administer medication form on file. 10A NCAC 09 .0803(1)(a & 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. In room three (3) there was an albuterol inhaler that was not in its original packaging. .0803(2)(a) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. Two new staff members did not have a medical report on file prior to employment available for review. 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. Two new staff members did not have a TB test on file available for review. .0701(a) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. Two new staff members did not have a health questionnaire of file for review. One staff member did not have an updated health questionnaire on file available for review. .0701(a) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. Two (2) new staff members did not have the emergency information form on file on or before the first day of work. One (1) staff remember did not have an updated emergency information of file. .0701(a) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. One (1) child's file did not have a medical exam on file available for review. GS110-91(1) 1323 Each child was not immunized as per Article 6 of Chapter 130A and an immunization record was not on file before or within 30 days after admission. One child's file did not an immunization record available for review. 10A NCAC 09 .0302(d)(2) 1851 The operator did not notify the parent of each child enrolled in writing of the smoking and tobacco restriction. One (1) child's file did not have a receipt of smoking and tobacco restriction available for review. .0604(j) 1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. Two new staff members did not have receipts of the Shaken Baby Syndrome and Abusive Head Trauma policy available for review. .0608(d)(1-4) 1908 A child's file did not have a statement with parent signature acknowledging receipt and explanation of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy and/or the acknowledgement did not have all the required information. Three (3) children's files did not have receipt of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy. .0608(b)(1-6) Child Care programs are expected to achieve and maintain compliance at all times 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 violation(s) documented must be corrected immediately. On or before July 24, 2023. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Angela Nieves, Child Care Consultant PO Box 8741 Rocky Mount, NC 27804 Angela.nieves@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 The two-week time frame is established to allow you time for submitting your compliance letter. This time frame is not intended to be used as a guide for correcting violations, as they should be corrected immediately. FACILITY PROFILE INFORMATION: You verified the mailing address, email address, and phone number listed on the facility profile are correct. If changes in your facility’s information occurs, please contact me at 252-557-5597 or email me at angela.nieves@dhhs.nc.gov to discuss the changes and ensure the information is current in our system. TECHNICAL ASSISTANCE/CONSULTATION: CHILDREN AND STAFF RECORDS: Ten percent (10%) or more of children’s records were monitored. The following items were not incompliance in the files reviewed: in six (6) of the files reviewed the receipt of the Summary of Law was missing, one (1) file was missing a signed medical exam prior to or within 30 days of enrollment. One file was missing an immunization record on or within 3o days of enrollment. One (1) file was missing a receipt of notification of smoking and tobacco restrictions. Three (3) files were missing receipt of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy. Please use the Children File Check List to help review files and know when items are required upon enrollment. You can find the document on the Division of Child Development and Early Childhood Education website: https://ncchildcare.ncdhhs.gov/ under the provider tab, under provider documents and forms. Two new staff files were reviewed and ten percent (10%) or more of existing staff files were monitored. The following items were missing from the files. One new staff member with a hire ate of July 5, 2023, did not have the following available for review: a medical statement on file prior to employment and did not have a TB test of file prior to employment. The employee also did not have a health questionnaire or emergency information form on file on or before the first day of employment. The administrator had the employee fill out a health questionnaire and an emergency information form and put it the file. The items were corrected during the visit. The employee also did not have a Shaken Baby Head Trauma Policy available for review. The administrator reviewed the policy with the employee and the employee signed and the receipt of the policy was placed in the employee’s file. This item was corrected during the visit. One new staff member with a hire ate of June 12, 2023, did not have the following available for review: a medical statement on file prior to employment and did not have a TB test of file prior to employment. The employee also did not have a health questionnaire or emergency information form on file on or before the first day of employment. The administrator had the employee fill out a health questionnaire and an emergency information form and put it the file. The items were corrected during the visit. The employee also did not have a Shaken Baby Head Trauma Policy available for review. The administrator reviewed the policy with the employee and the employee signed and the receipt of the policy was placed in the employee’s file. This item was corrected during the visit. One employee did not have an updated health questionnaire or emergency information form available for review. The administrator had the employee fill out the forms and the forms were placed in the employee’s file. This was corrected during the visit. Please review your staff and training worksheet and employee files and make sure all items that need to be updated annually are completed. The staff and training worksheet indicate when items need to be renewed. Your two new employees need have 90 from their hire date to complete the Recognizing and Responding to Suspicions of Child Maltreatment. Your new employee with the hire date of June 12, 2023, has 90 days from the hire date to complete the Basic School Age Care (BSAC) training. SAFETY AND HEALTH: In room three (3) there was a bottle of hand sanitizer that had a keep out of reach of children warning on the label stored on a cubby that was not at least five feet off the ground. The teacher removed the bottle of sanitizer and placed in a cabinet more than five feet off the ground. In room six (6) located in building two, there were three electrical outlets not covered with safety outlet covers. The teacher immediately covered the outlets with safety covers. In the hallway directly to right of the doors where children enter and exit the main building there was an electrical outlet not covered. The administrator immediately covered the outlet. Please remember to have your staff check the outlets in their classrooms every morning and throughout the day to ensure the outlets are covered. MEDICATION: In room three (3) there was an albuterol inhaler that did not have a permission to administer medication form and was not in its original container with a pharmacy label. You stated the medication has not been administered while the child has been at the facility. We discussed sending home the albuterol inhaler and having the parent bring the inhaler back in its original packing. I also printed out the permission to administer medication form and log. Medication may not be given a to a child without have a permission to administer medication form filled out and signed. We reviewed the form, and you didn’t have any questions. REMINDERS: 10A NCAC 09 .0304 ON-GOING REQUIREMENTS FOR A LICENSE (a)Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall 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. RESOURCES: GETTING HELP WITH CHALLENGING BEHAVIORS: The Healthy Social Behaviors in Child Care Centers Project (HSB) provides ideas to create a learning environment that can assist in preventing challenging behaviors. They provide free technical assistance, professional development, and they offer a variety of additional resources. For additional information on the Healthy Social Behaviors Project or to view a current listing of scheduled trainings, browse the NC Child Care Resource & Referral Council website. For information about Pyramid Model CEU-level trainings, contact the HSB Education Specialist, Liz Tuttle at etuttle@childcareresourcesinc.org. To obtain a Request for TA Services, contact your local Behavior Specialist or email the Statewide Project Manager, Smokie Brawley, at sbrawley@childcareresourcesinc.org. MATERIALS PROVIDED DURING THE VISIT: • Challenging Behaviors Flyer CONTACT INFORMATION: If you have any questions about today’s visit, my contact information is listed above. You may also contact Licensing Supervisor, Susan Fuller at 252-373-9809 or email at susan.fuller@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

GS110-91 · Violation

Name of Operation: NEW LIFE CHILD CARE CENTER Facility ID: 40000108 Consultant: VACANT TEAM 13 Operation Type: Center Case Number: Visit Date: 7/10/2023 Number Present: 64 Completed Date: 7/10/2023 Age: From 0 To 11 Total Minutes: 430 Time In: 09:20 AM Time Out: 04:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor this facility for compliance with applicable child care requirements for an annual compliance visit. You, T. Sherrod, administrator, was present and available to assist with today’s visit. Your program currently operates with a G.S. 110-106, Notice of Compliance, issued June 4, 2021. The last annual compliance visit was conducted on July 13, 2022. The last sanitation inspection was completed on November 9, 2022, with a “Superior” classification. The last fire inspection was completed on January 23, 2023, and the center was approved for daytime care only. The center’s compliance history was reviewed with the operator. The program’s compliance history was 88% percent prior to today’s visit. The NC Secretary of State website was reviewed on July 10, 2023, and New Life World Outreach Center, Inc. was current and active. Seventy (70) children ages zero (0) to eleven (11) present during the visit. Children were observed during free play, playing with developmentally appropriate materials, group time, engaging in music and movement activities, and completing personal care routines. The children in the infant classroom were observed sleeping and following all safe sleep practices. Staff interacted with children in a positive and nurturing manner. Ms. Sherrod stated that the facility does not provide transportation. Any violations of the child care requirements observed today were discussed with you and documented in the visit summary report and reviewed with you at the conclusion of the visit. The following violations were documented: Violation Number Comment Rule 114 A summary of the NC Child Care Law was not given to a parent of every child enrolled in the center. Six (6) files did not have documentation of review of the Summary of NC Child Care Law. GS 110-102 807 A safe indoor and outdoor environment was not provided for the children. In room three (3) a bottle of hand sanitizer with a 'keep out of reach of children' on the label was stored on top of a cubbie that was not at least five (5) feet off the ground. The teacher removed the sanitizer and placed in a cabinet that was five (5) feet off the ground. 10A NCAC 09 .0601(a) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. In room six (6) in building two (2) there were three (3) electrical outlets not covered with safety plug covers. The teacher covered the outlets immediately. In the hallway by the entrance of the main door there was an outlet not covered. The administrator covered the out let immediately. 10A NCAC 09 .0604(c) 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. In room three (3) there was an albuterol inhaler that did not have a permission to administer medication form on file. 10A NCAC 09 .0803(1)(a & 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. In room three (3) there was an albuterol inhaler that was not in its original packaging. .0803(2)(a) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. Two new staff members did not have a medical report on file prior to employment available for review. 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. Two new staff members did not have a TB test on file available for review. .0701(a) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. Two new staff members did not have a health questionnaire of file for review. One staff member did not have an updated health questionnaire on file available for review. .0701(a) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. Two (2) new staff members did not have the emergency information form on file on or before the first day of work. One (1) staff remember did not have an updated emergency information of file. .0701(a) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. One (1) child's file did not have a medical exam on file available for review. GS110-91(1) 1323 Each child was not immunized as per Article 6 of Chapter 130A and an immunization record was not on file before or within 30 days after admission. One child's file did not an immunization record available for review. 10A NCAC 09 .0302(d)(2) 1851 The operator did not notify the parent of each child enrolled in writing of the smoking and tobacco restriction. One (1) child's file did not have a receipt of smoking and tobacco restriction available for review. .0604(j) 1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. Two new staff members did not have receipts of the Shaken Baby Syndrome and Abusive Head Trauma policy available for review. .0608(d)(1-4) 1908 A child's file did not have a statement with parent signature acknowledging receipt and explanation of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy and/or the acknowledgement did not have all the required information. Three (3) children's files did not have receipt of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy. .0608(b)(1-6) Child Care programs are expected to achieve and maintain compliance at all times 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 violation(s) documented must be corrected immediately. On or before July 24, 2023. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Angela Nieves, Child Care Consultant PO Box 8741 Rocky Mount, NC 27804 Angela.nieves@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 The two-week time frame is established to allow you time for submitting your compliance letter. This time frame is not intended to be used as a guide for correcting violations, as they should be corrected immediately. FACILITY PROFILE INFORMATION: You verified the mailing address, email address, and phone number listed on the facility profile are correct. If changes in your facility’s information occurs, please contact me at 252-557-5597 or email me at angela.nieves@dhhs.nc.gov to discuss the changes and ensure the information is current in our system. TECHNICAL ASSISTANCE/CONSULTATION: CHILDREN AND STAFF RECORDS: Ten percent (10%) or more of children’s records were monitored. The following items were not incompliance in the files reviewed: in six (6) of the files reviewed the receipt of the Summary of Law was missing, one (1) file was missing a signed medical exam prior to or within 30 days of enrollment. One file was missing an immunization record on or within 3o days of enrollment. One (1) file was missing a receipt of notification of smoking and tobacco restrictions. Three (3) files were missing receipt of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy. Please use the Children File Check List to help review files and know when items are required upon enrollment. You can find the document on the Division of Child Development and Early Childhood Education website: https://ncchildcare.ncdhhs.gov/ under the provider tab, under provider documents and forms. Two new staff files were reviewed and ten percent (10%) or more of existing staff files were monitored. The following items were missing from the files. One new staff member with a hire ate of July 5, 2023, did not have the following available for review: a medical statement on file prior to employment and did not have a TB test of file prior to employment. The employee also did not have a health questionnaire or emergency information form on file on or before the first day of employment. The administrator had the employee fill out a health questionnaire and an emergency information form and put it the file. The items were corrected during the visit. The employee also did not have a Shaken Baby Head Trauma Policy available for review. The administrator reviewed the policy with the employee and the employee signed and the receipt of the policy was placed in the employee’s file. This item was corrected during the visit. One new staff member with a hire ate of June 12, 2023, did not have the following available for review: a medical statement on file prior to employment and did not have a TB test of file prior to employment. The employee also did not have a health questionnaire or emergency information form on file on or before the first day of employment. The administrator had the employee fill out a health questionnaire and an emergency information form and put it the file. The items were corrected during the visit. The employee also did not have a Shaken Baby Head Trauma Policy available for review. The administrator reviewed the policy with the employee and the employee signed and the receipt of the policy was placed in the employee’s file. This item was corrected during the visit. One employee did not have an updated health questionnaire or emergency information form available for review. The administrator had the employee fill out the forms and the forms were placed in the employee’s file. This was corrected during the visit. Please review your staff and training worksheet and employee files and make sure all items that need to be updated annually are completed. The staff and training worksheet indicate when items need to be renewed. Your two new employees need have 90 from their hire date to complete the Recognizing and Responding to Suspicions of Child Maltreatment. Your new employee with the hire date of June 12, 2023, has 90 days from the hire date to complete the Basic School Age Care (BSAC) training. SAFETY AND HEALTH: In room three (3) there was a bottle of hand sanitizer that had a keep out of reach of children warning on the label stored on a cubby that was not at least five feet off the ground. The teacher removed the bottle of sanitizer and placed in a cabinet more than five feet off the ground. In room six (6) located in building two, there were three electrical outlets not covered with safety outlet covers. The teacher immediately covered the outlets with safety covers. In the hallway directly to right of the doors where children enter and exit the main building there was an electrical outlet not covered. The administrator immediately covered the outlet. Please remember to have your staff check the outlets in their classrooms every morning and throughout the day to ensure the outlets are covered. MEDICATION: In room three (3) there was an albuterol inhaler that did not have a permission to administer medication form and was not in its original container with a pharmacy label. You stated the medication has not been administered while the child has been at the facility. We discussed sending home the albuterol inhaler and having the parent bring the inhaler back in its original packing. I also printed out the permission to administer medication form and log. Medication may not be given a to a child without have a permission to administer medication form filled out and signed. We reviewed the form, and you didn’t have any questions. REMINDERS: 10A NCAC 09 .0304 ON-GOING REQUIREMENTS FOR A LICENSE (a)Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall 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. RESOURCES: GETTING HELP WITH CHALLENGING BEHAVIORS: The Healthy Social Behaviors in Child Care Centers Project (HSB) provides ideas to create a learning environment that can assist in preventing challenging behaviors. They provide free technical assistance, professional development, and they offer a variety of additional resources. For additional information on the Healthy Social Behaviors Project or to view a current listing of scheduled trainings, browse the NC Child Care Resource & Referral Council website. For information about Pyramid Model CEU-level trainings, contact the HSB Education Specialist, Liz Tuttle at etuttle@childcareresourcesinc.org. To obtain a Request for TA Services, contact your local Behavior Specialist or email the Statewide Project Manager, Smokie Brawley, at sbrawley@childcareresourcesinc.org. MATERIALS PROVIDED DURING THE VISIT: • Challenging Behaviors Flyer CONTACT INFORMATION: If you have any questions about today’s visit, my contact information is listed above. You may also contact Licensing Supervisor, Susan Fuller at 252-373-9809 or email at susan.fuller@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: NEW LIFE CHILD CARE CENTER Facility ID: 40000108 Consultant: VACANT TEAM 13 Operation Type: Center Case Number: Visit Date: 7/10/2023 Number Present: 64 Completed Date: 7/10/2023 Age: From 0 To 11 Total Minutes: 430 Time In: 09:20 AM Time Out: 04:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor this facility for compliance with applicable child care requirements for an annual compliance visit. You, T. Sherrod, administrator, was present and available to assist with today’s visit. Your program currently operates with a G.S. 110-106, Notice of Compliance, issued June 4, 2021. The last annual compliance visit was conducted on July 13, 2022. The last sanitation inspection was completed on November 9, 2022, with a “Superior” classification. The last fire inspection was completed on January 23, 2023, and the center was approved for daytime care only. The center’s compliance history was reviewed with the operator. The program’s compliance history was 88% percent prior to today’s visit. The NC Secretary of State website was reviewed on July 10, 2023, and New Life World Outreach Center, Inc. was current and active. Seventy (70) children ages zero (0) to eleven (11) present during the visit. Children were observed during free play, playing with developmentally appropriate materials, group time, engaging in music and movement activities, and completing personal care routines. The children in the infant classroom were observed sleeping and following all safe sleep practices. Staff interacted with children in a positive and nurturing manner. Ms. Sherrod stated that the facility does not provide transportation. Any violations of the child care requirements observed today were discussed with you and documented in the visit summary report and reviewed with you at the conclusion of the visit. The following violations were documented: Violation Number Comment Rule 114 A summary of the NC Child Care Law was not given to a parent of every child enrolled in the center. Six (6) files did not have documentation of review of the Summary of NC Child Care Law. GS 110-102 807 A safe indoor and outdoor environment was not provided for the children. In room three (3) a bottle of hand sanitizer with a 'keep out of reach of children' on the label was stored on top of a cubbie that was not at least five (5) feet off the ground. The teacher removed the sanitizer and placed in a cabinet that was five (5) feet off the ground. 10A NCAC 09 .0601(a) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. In room six (6) in building two (2) there were three (3) electrical outlets not covered with safety plug covers. The teacher covered the outlets immediately. In the hallway by the entrance of the main door there was an outlet not covered. The administrator covered the out let immediately. 10A NCAC 09 .0604(c) 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. In room three (3) there was an albuterol inhaler that did not have a permission to administer medication form on file. 10A NCAC 09 .0803(1)(a & 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. In room three (3) there was an albuterol inhaler that was not in its original packaging. .0803(2)(a) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. Two new staff members did not have a medical report on file prior to employment available for review. 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. Two new staff members did not have a TB test on file available for review. .0701(a) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. Two new staff members did not have a health questionnaire of file for review. One staff member did not have an updated health questionnaire on file available for review. .0701(a) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. Two (2) new staff members did not have the emergency information form on file on or before the first day of work. One (1) staff remember did not have an updated emergency information of file. .0701(a) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. One (1) child's file did not have a medical exam on file available for review. GS110-91(1) 1323 Each child was not immunized as per Article 6 of Chapter 130A and an immunization record was not on file before or within 30 days after admission. One child's file did not an immunization record available for review. 10A NCAC 09 .0302(d)(2) 1851 The operator did not notify the parent of each child enrolled in writing of the smoking and tobacco restriction. One (1) child's file did not have a receipt of smoking and tobacco restriction available for review. .0604(j) 1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. Two new staff members did not have receipts of the Shaken Baby Syndrome and Abusive Head Trauma policy available for review. .0608(d)(1-4) 1908 A child's file did not have a statement with parent signature acknowledging receipt and explanation of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy and/or the acknowledgement did not have all the required information. Three (3) children's files did not have receipt of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy. .0608(b)(1-6) Child Care programs are expected to achieve and maintain compliance at all times 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 violation(s) documented must be corrected immediately. On or before July 24, 2023. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Angela Nieves, Child Care Consultant PO Box 8741 Rocky Mount, NC 27804 Angela.nieves@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 The two-week time frame is established to allow you time for submitting your compliance letter. This time frame is not intended to be used as a guide for correcting violations, as they should be corrected immediately. FACILITY PROFILE INFORMATION: You verified the mailing address, email address, and phone number listed on the facility profile are correct. If changes in your facility’s information occurs, please contact me at 252-557-5597 or email me at angela.nieves@dhhs.nc.gov to discuss the changes and ensure the information is current in our system. TECHNICAL ASSISTANCE/CONSULTATION: CHILDREN AND STAFF RECORDS: Ten percent (10%) or more of children’s records were monitored. The following items were not incompliance in the files reviewed: in six (6) of the files reviewed the receipt of the Summary of Law was missing, one (1) file was missing a signed medical exam prior to or within 30 days of enrollment. One file was missing an immunization record on or within 3o days of enrollment. One (1) file was missing a receipt of notification of smoking and tobacco restrictions. Three (3) files were missing receipt of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy. Please use the Children File Check List to help review files and know when items are required upon enrollment. You can find the document on the Division of Child Development and Early Childhood Education website: https://ncchildcare.ncdhhs.gov/ under the provider tab, under provider documents and forms. Two new staff files were reviewed and ten percent (10%) or more of existing staff files were monitored. The following items were missing from the files. One new staff member with a hire ate of July 5, 2023, did not have the following available for review: a medical statement on file prior to employment and did not have a TB test of file prior to employment. The employee also did not have a health questionnaire or emergency information form on file on or before the first day of employment. The administrator had the employee fill out a health questionnaire and an emergency information form and put it the file. The items were corrected during the visit. The employee also did not have a Shaken Baby Head Trauma Policy available for review. The administrator reviewed the policy with the employee and the employee signed and the receipt of the policy was placed in the employee’s file. This item was corrected during the visit. One new staff member with a hire ate of June 12, 2023, did not have the following available for review: a medical statement on file prior to employment and did not have a TB test of file prior to employment. The employee also did not have a health questionnaire or emergency information form on file on or before the first day of employment. The administrator had the employee fill out a health questionnaire and an emergency information form and put it the file. The items were corrected during the visit. The employee also did not have a Shaken Baby Head Trauma Policy available for review. The administrator reviewed the policy with the employee and the employee signed and the receipt of the policy was placed in the employee’s file. This item was corrected during the visit. One employee did not have an updated health questionnaire or emergency information form available for review. The administrator had the employee fill out the forms and the forms were placed in the employee’s file. This was corrected during the visit. Please review your staff and training worksheet and employee files and make sure all items that need to be updated annually are completed. The staff and training worksheet indicate when items need to be renewed. Your two new employees need have 90 from their hire date to complete the Recognizing and Responding to Suspicions of Child Maltreatment. Your new employee with the hire date of June 12, 2023, has 90 days from the hire date to complete the Basic School Age Care (BSAC) training. SAFETY AND HEALTH: In room three (3) there was a bottle of hand sanitizer that had a keep out of reach of children warning on the label stored on a cubby that was not at least five feet off the ground. The teacher removed the bottle of sanitizer and placed in a cabinet more than five feet off the ground. In room six (6) located in building two, there were three electrical outlets not covered with safety outlet covers. The teacher immediately covered the outlets with safety covers. In the hallway directly to right of the doors where children enter and exit the main building there was an electrical outlet not covered. The administrator immediately covered the outlet. Please remember to have your staff check the outlets in their classrooms every morning and throughout the day to ensure the outlets are covered. MEDICATION: In room three (3) there was an albuterol inhaler that did not have a permission to administer medication form and was not in its original container with a pharmacy label. You stated the medication has not been administered while the child has been at the facility. We discussed sending home the albuterol inhaler and having the parent bring the inhaler back in its original packing. I also printed out the permission to administer medication form and log. Medication may not be given a to a child without have a permission to administer medication form filled out and signed. We reviewed the form, and you didn’t have any questions. REMINDERS: 10A NCAC 09 .0304 ON-GOING REQUIREMENTS FOR A LICENSE (a)Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall 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. RESOURCES: GETTING HELP WITH CHALLENGING BEHAVIORS: The Healthy Social Behaviors in Child Care Centers Project (HSB) provides ideas to create a learning environment that can assist in preventing challenging behaviors. They provide free technical assistance, professional development, and they offer a variety of additional resources. For additional information on the Healthy Social Behaviors Project or to view a current listing of scheduled trainings, browse the NC Child Care Resource & Referral Council website. For information about Pyramid Model CEU-level trainings, contact the HSB Education Specialist, Liz Tuttle at etuttle@childcareresourcesinc.org. To obtain a Request for TA Services, contact your local Behavior Specialist or email the Statewide Project Manager, Smokie Brawley, at sbrawley@childcareresourcesinc.org. MATERIALS PROVIDED DURING THE VISIT: • Challenging Behaviors Flyer CONTACT INFORMATION: If you have any questions about today’s visit, my contact information is listed above. You may also contact Licensing Supervisor, Susan Fuller at 252-373-9809 or email at susan.fuller@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