10A NCAC 09 .1802 · Violation

Name of Operation: FIRST BAPTIST DAY CARE CENTER Facility ID: 3650311 Consultant: CHRISTINE ROSINSKI Operation Type: Center Case Number: 0925-114L Visit Date: 9/17/2025 Number Present: 86 Completed Date: 9/17/2025 Age: From 0 To 5 Total Minutes: 148 Time In: 12:02 PM Time Out: 02:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today's unannounced visit was to investigate a report received on September 10, 2025, alleging violations of child care requirements. The allegations were regarding developmentally appropriate activities and safe environment. You, Crystal Ballard, Administrator, assisted me with the visit. Your program currently operates with a notice of compliance issued August 19, 2021. The permit restrictions were in compliance including First Shift (daytime care). The Secretary of State website was checked on September 17, 2025, and your business, First Baptist Church of Stanley, N.C., was active and in good standing If any changes to the corporation need to be made or you decide to sell your business, then you must notify me at least thirty days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location, or inherited. The allegations were discussed with you and three (3) additional staff members during today’s visit. You and additional staff members interviewed had an opportunity to ask questions, state perceptions of the situation and provide pertinent information in response to the allegation. You and staff interviewed stated that on August 29, 2025, the children enrolled in the school age program had just arrived at the facility after school. You and staff interviewed stated that the group leader assigned to Space #15 observed two (2) children playing in the Barbie center. You and staff interviewed stated that four (4) additional children approached the two (2) children in the Barbie center to play with them. You and staff interviewed stated the two (2) children who were originally playing in the Barbie center told the other four (4) children that they “could not play with them”. You and staff interviewed stated that the group leader assigned to Space #15 told the group of four (4) children to “come over here away from the brats”, referring to the two (2) children playing in the Barbie center. You stated you met with the parents of one (1) child involved in the incident. You stated you also met with the group leader assigned to Space #15 who was involved in the incident and discussed requirements regarding appropriate staff/child interactions. Based on staff interviews, the allegation regarding developmentally appropriate activities was substantiated. You and staff interviewed stated that in August 2025 (the exact date is unknown), a child enrolled in the school age program, arrived at the facility and pulled a children’s version of a key shaped utility knife set out of their pocket. You and staff interviewed stated the teacher observed the child pull the key out of their pocket, immediately confiscated the key from the child and gave the key to an Administrator. You stated the key did have a version of a “knife” included however, it was so dull that you were unable to scratch your skin when you attempted to do so. You stated it seemed to be a children’s version of a knife and was not a “real” knife. You and staff interviewed stated the key was removed from the child within minutes of the child arriving at the facility and that no other child touched the key, was threatened with the key, or injured by the key. Based on staff interviews, the allegation regarding safe environment was unsubstantiated. The following violation was documented during today’s visit: Violation Number Comment Rule 325 Staff did not interact with children in positive ways by helping them feel welcome and comfortable, treating them with respect, listening to what they say, responding to them with acceptance and appreciation, and/or participating in activities with the children. On August 29, 2025, one (1) group leader assigned to Space #15 told a group of children to, “come over here away from the brats” when referring to two (2) children enrolled in Space #15. .1802 The violation documented must be corrected immediately. On or before October 1, 2025, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violation was corrected, and how compliance will be maintained in the future. Include the violation item number, statement of compliance, date of the visit, and license ID number in the letter. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, it may be considered falsification of information. If sufficient information is not received by the due date, an unannounced follow-up visit may be conducted. The Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Please send your letter to christine.rosinski@dhhs.nc.gov. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Prior to today's visit, your program maintained a compliance history of 85%. Please note any violations cited during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Technical assistance was provided on the following: 1. We reviewed Child Care Rule 10A NCAC 09 .1802 STAFF/CHILD INTERACTIONS: Staff shall interact with children in positive ways by helping them feel welcome and comfortable, treating them with respect, listening to what they say, responding to them with acceptance and appreciation, and participating in activities with the children. For example, staff shall: (1) make eye contact when speaking to a child; (2) engage children in conversation to share experiences, ideas, and opinions; (3) help children develop problem-solving skills; and (4) facilitate learning by providing positive reinforcement, encouraging efforts, and recognizing accomplishments. Positive language must be used when speaking to children and children should not be spoken to in harsh tones. I suggested you review rule .1802 with all staff members during the hiring process and annually thereafter to ensure children are spoken to in an appropriate manner and feel welcome and comfortable at all times while at the facility. I also suggested you conduct observations in classrooms when needed to ensure appropriate staff/child interactions. Consultation: Stay up to date with the Division of Child Development and Early Education by visiting www.ncchildcare.ncdhhs.gov. This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the "What's New" tab for important updates impacting child care in North Carolina. Thank you for your time today. If you have any questions about today’s visit, please contact me or my supervisor, Tammy McGalliard, tammy.mcgalliard@dhhs.nc.gov. If I can be of further assistance, you may contact me at 704-579-4463. Christine Rosinski PO Box 927 Cornelius, NC 28031 Christine.rosinski@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: FIRST BAPTIST DAY CARE CENTER Facility ID: 3650311 Consultant: CHRISTINE ROSINSKI Operation Type: Center Case Number: 0925-114L Visit Date: 9/17/2025 Number Present: 86 Completed Date: 9/17/2025 Age: From 0 To 5 Total Minutes: 148 Time In: 12:02 PM Time Out: 02:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today's unannounced visit was to investigate a report received on September 10, 2025, alleging violations of child care requirements. The allegations were regarding developmentally appropriate activities and safe environment. You, Crystal Ballard, Administrator, assisted me with the visit. Your program currently operates with a notice of compliance issued August 19, 2021. The permit restrictions were in compliance including First Shift (daytime care). The Secretary of State website was checked on September 17, 2025, and your business, First Baptist Church of Stanley, N.C., was active and in good standing If any changes to the corporation need to be made or you decide to sell your business, then you must notify me at least thirty days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location, or inherited. The allegations were discussed with you and three (3) additional staff members during today’s visit. You and additional staff members interviewed had an opportunity to ask questions, state perceptions of the situation and provide pertinent information in response to the allegation. You and staff interviewed stated that on August 29, 2025, the children enrolled in the school age program had just arrived at the facility after school. You and staff interviewed stated that the group leader assigned to Space #15 observed two (2) children playing in the Barbie center. You and staff interviewed stated that four (4) additional children approached the two (2) children in the Barbie center to play with them. You and staff interviewed stated the two (2) children who were originally playing in the Barbie center told the other four (4) children that they “could not play with them”. You and staff interviewed stated that the group leader assigned to Space #15 told the group of four (4) children to “come over here away from the brats”, referring to the two (2) children playing in the Barbie center. You stated you met with the parents of one (1) child involved in the incident. You stated you also met with the group leader assigned to Space #15 who was involved in the incident and discussed requirements regarding appropriate staff/child interactions. Based on staff interviews, the allegation regarding developmentally appropriate activities was substantiated. You and staff interviewed stated that in August 2025 (the exact date is unknown), a child enrolled in the school age program, arrived at the facility and pulled a children’s version of a key shaped utility knife set out of their pocket. You and staff interviewed stated the teacher observed the child pull the key out of their pocket, immediately confiscated the key from the child and gave the key to an Administrator. You stated the key did have a version of a “knife” included however, it was so dull that you were unable to scratch your skin when you attempted to do so. You stated it seemed to be a children’s version of a knife and was not a “real” knife. You and staff interviewed stated the key was removed from the child within minutes of the child arriving at the facility and that no other child touched the key, was threatened with the key, or injured by the key. Based on staff interviews, the allegation regarding safe environment was unsubstantiated. The following violation was documented during today’s visit: Violation Number Comment Rule 325 Staff did not interact with children in positive ways by helping them feel welcome and comfortable, treating them with respect, listening to what they say, responding to them with acceptance and appreciation, and/or participating in activities with the children. On August 29, 2025, one (1) group leader assigned to Space #15 told a group of children to, “come over here away from the brats” when referring to two (2) children enrolled in Space #15. .1802 The violation documented must be corrected immediately. On or before October 1, 2025, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violation was corrected, and how compliance will be maintained in the future. Include the violation item number, statement of compliance, date of the visit, and license ID number in the letter. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, it may be considered falsification of information. If sufficient information is not received by the due date, an unannounced follow-up visit may be conducted. The Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Please send your letter to christine.rosinski@dhhs.nc.gov. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Prior to today's visit, your program maintained a compliance history of 85%. Please note any violations cited during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Technical assistance was provided on the following: 1. We reviewed Child Care Rule 10A NCAC 09 .1802 STAFF/CHILD INTERACTIONS: Staff shall interact with children in positive ways by helping them feel welcome and comfortable, treating them with respect, listening to what they say, responding to them with acceptance and appreciation, and participating in activities with the children. For example, staff shall: (1) make eye contact when speaking to a child; (2) engage children in conversation to share experiences, ideas, and opinions; (3) help children develop problem-solving skills; and (4) facilitate learning by providing positive reinforcement, encouraging efforts, and recognizing accomplishments. Positive language must be used when speaking to children and children should not be spoken to in harsh tones. I suggested you review rule .1802 with all staff members during the hiring process and annually thereafter to ensure children are spoken to in an appropriate manner and feel welcome and comfortable at all times while at the facility. I also suggested you conduct observations in classrooms when needed to ensure appropriate staff/child interactions. Consultation: Stay up to date with the Division of Child Development and Early Education by visiting www.ncchildcare.ncdhhs.gov. This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the "What's New" tab for important updates impacting child care in North Carolina. Thank you for your time today. If you have any questions about today’s visit, please contact me or my supervisor, Tammy McGalliard, tammy.mcgalliard@dhhs.nc.gov. If I can be of further assistance, you may contact me at 704-579-4463. Christine Rosinski PO Box 927 Cornelius, NC 28031 Christine.rosinski@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: FIRST BAPTIST DAY CARE CENTER Facility ID: 3650311 Consultant: CHRISTINE ROSINSKI Operation Type: Center Case Number: 0825-174L Visit Date: 8/26/2025 Number Present: 76 Completed Date: 8/26/2025 Age: From 0 To 4 Total Minutes: 113 Time In: 07:42 AM Time Out: 09:35 AM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today's unannounced visit was to investigate a report received on August 14, 2025, alleging violations of child care requirements. The allegations were regarding nurture/care/treatment of children, and children’s records. You, Anna Hartgrove, Director of Christian Education and Finance, assisted with the visit. The Secretary of State website was checked on August 26, 2025, and your business, First Baptist Church of Stanley, N.C., was active and in good standing. If any changes to the corporation need to be made or you decide to sell your business, then you must notify your consultant at least thirty days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location, or inherited. I verified compliance with staff/child ratios, supervision, adequate/approved space, license posted, and permit restrictions during the visit. I observed children participating in routines, group time, free play, and breakfast during the visit. The allegations were discussed with you and one (1) additional staff member during today’s visit. You and the additional staff member interviewed had an opportunity to ask questions, state perceptions of the situation and provide pertinent information in response to the allegation. You stated a parent brought concerns to your attention on August 7, 2025, regarding nurture/care/treatment of their child by the lead teacher assigned to Space #11 on August 6, 2025. You stated that at that time, you reviewed camera footage in Space #11 for the week of August 4 through August 8, 2025. You stated you did not observe any incidents where a child was injured or not cared for in a nurturing way by any staff members in Space #11. You and staff interviewed stated that the lead teacher assigned to Space #11 cared for children in a nurturing and appropriate manner. You stated that two (2) detectives from the Stanley Police Department came to the facility on August 20, 2025. You stated that the detectives spoke with you and Crystal Ballard, Administrator, and reviewed the camera footage in Space #11 on August 6, 2025. You stated the detectives returned to the facility on August 21, 2025, and spoke with the staff member named in the allegation (the lead teacher assigned to Space #11), as well as the co-teacher assigned to Space #11. You stated you received no follow-up from the detectives regarding their investigation. I contacted the Stanley Police Department by phone during the visit. I spoke with Detective Judy Billings who stated that both she and Captain Tracey Sanders investigated the report regarding the facility. Detective Billings stated the case has been closed and that there were no findings regarding the allegations received. I conducted observation in Space #11 during the visit and observed the lead teacher caring for children in a nurturing and appropriate manner. Based on staff interviews, observations, and discussions with the Stanley Police Department, the allegation regarding nurture/care/treatment of children was unsubstantiated. I reviewed incident reports for children enrolled in Space #11. One (1) incident report did not contain the facility ID#, the date and time of the incident, the witness to the incident, the time the parent was notified of the incident and by whom, the piece of equipment involved, the cause of injury, the First Aid received; steps taken to prevent reoccurrence, and was not signed by the parent. You and staff interviewed stated the staff member present at the time the incident occurred sent a text message to the parent of the child informing them of the injury; however, the staff member did not complete an incident report form at that time. You and staff interviewed stated the staff member completed the incident report form at a later time, but did not review the incident report form with the parent, and did not give a copy of the incident report form to the parent. You and staff interviewed stated you are not sure of the exact date the incident occurred. You and staff interviewed stated the staff member no longer has record of the text communication with the parent regarding the incident. You and staff interviewed stated the child did not receive medical treatment as a result of the incident. Based on record review and staff interviews, the allegation regarding children’s records was substantiated. The following violations were documented during today’s visit: Violation Number Comment Rule 852 Incident reports were not completed each time a child was injured, it did not include all the information required in rule, it was not signed by the parent and/or it was not maintained in the child's file. One (1) incident report form for an incident that occurred in Space #11 on an unknown date did not contain the facility ID#, the date and time of the incident, the witness to the incident, the time the parent was notified of the incident and by whom, the piece of equipment involved, the cause of injury, the First Aid received; steps taken to prevent reoccurrence, and was not signed by the parent. .0802 (e) 1952 A copy of the incident report was not given to the parent. A copy of an incident report form for an incident that occurred in Space #11 on an unknown date was not given to the parent. .0802(e) The violations documented must be corrected immediately. On or before September 9, 2025, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected, and how compliance will be maintained in the future. Include the violation item number, statement of compliance, date of the visit, and license ID number in the letter. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, it may be considered falsification of information. If sufficient information is not received by the due date, an unannounced follow-up visit may be conducted. The Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Please send your letter to christine.rosinski@dhhs.nc.gov. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Prior to today's visit, your program maintained a compliance history of 85%. Please note any violations cited during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Technical assistance was provided on the following: 1. The child care provider shall complete an incident report each time a child is injured as a result of an incident occurring while the child is in care. This incident report shall include: facility identifying information; the child's name; date and time of the incident; witness to the incident; time the parent is notified of the incident and by whom; piece of equipment involved, if applicable; cause of injury, if applicable; type of injury, if applicable; body part injured, if applicable; where the child received medical treatment, if applicable; description of how and where the incident occurred, and the First Aid received; and steps taken to prevent reoccurrence. This report shall be signed by the person completing it and by the parent, a copy given to the parent or the parent declining a copy and the report maintained in the child's file. A copy of the form may be found on the Division's website at http://ncchildcare.ncdhhs.gov/pdf_forms/DCDEE-0058.pdf. When medical treatment is required by a health care professional, community clinic, or local health department as a result of an incident occurring while the child is in care, a copy of the incident report shall be mailed to a representative of the Division within seven calendar days after the incident. I suggested that you remind staff members to complete an incident report form at the time an incident occurs to ensure all required information is documented. I also suggested you remind staff to review incident report forms with parents when they pick their children up at the end of each day. You stated you have a staff meeting scheduled for September 4, 2025, and you will review this information with all staff members at that time. Stay up to date with the Division of Child Development and Early Education by visiting www.ncchildcare.ncdhhs.gov. This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the "What's New" tab for important updates impacting child care in North Carolina. Thank you for your time today. If you have any questions about today’s visit, please contact me or my supervisor, Tammy McGalliard, tammy.mcgalliard@dhhs.nc.gov. If I can be of further assistance, you may contact me at 704-579-4463. Christine Rosinski PO Box 927 Cornelius, NC 28031 Christine.rosinski@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 .0304 · Violation

Name of Operation: FIRST BAPTIST DAY CARE CENTER Facility ID: 3650311 Consultant: CHRISTINE ROSINSKI Operation Type: Center Case Number: Visit Date: 8/5/2025 Number Present: 104 Completed Date: 8/5/2025 Age: From 0 To 10 Total Minutes: 177 Time In: 09:28 AM Time Out: 12:25 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for a routine unannounced visit. You, Crystal Ballard assisted me with today’s visit. Your program currently operates with a notice of compliance issued August 19, 2021. The permit restrictions were in compliance including First Shift (daytime care). The Secretary of State website was checked on August 5, 2025, and your business, First Baptist Church of Stanley, N.C., was active and in good standing. If any changes to the corporation need to be made or you decide to sell your business, then you must notify me at least thirty days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location, or inherited. The last sanitation inspection was conducted on July 21, 2025. A “superior” classification was issued with eight (8) demerits noted on the grade card. The last fire inspection was conducted on August 15, 2025. You stated you have contacted the fire inspector who is scheduled to conduct an inspection within the next week. The most recent fire drill was conducted on July 30, 2025, the most recent emergency drill was conducted on May 30, 2025, and the most recent playground inspection was conducted on July 30, 2025. You received the results of your most recent lead water testing showing no levels of lead above the allowed amount, on July 28, 2024. You submitted the lead risk assessment report for lead-based paint testing on January 30, 2025. Per the facility data on the Clean Classrooms for Carolina Kids website, no lead-based paint hazards were identified. You submitted the asbestos inspection report on February 14, 2025. Per the facility data on the Clean Classrooms for Carolina Kids website, no asbestos hazards were identified. A walk-through of the facility was completed today, all indoor and outdoor areas were monitored. I observed children in the indoor learning environment. Children throughout the facility were participating in routines, lunch, group time, free play, and nap during the visit. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Playground Safety, ITS-SIDS, Special Training, and Criminal Background Checks. Six (6) new staff members were hired since the last visit. The following violations were observed/documented during the visit: Violation Number Comment Rule 104 Center has not passed required sanitation inspection and received an approved or superior rating. The facility did not have an annual sanitation inspection. A sanitation inspection was conducted on July 16, 2024, and not again until July 21, 2025. 10A NCAC 09 .0304(b) 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. In Space #1, one (1) bag of Equate Menthol Cough Drops were on a shelf in an unlocked closet to the right of the restroom. In Space #12, one (1) tube of Aquaphor Baby Healing Ointment was in an unlocked drawer in the teacher’s desk, two (2) feet from the ground. 15A NCAC 18A .2820(d) 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. One (1) staff member, employed on July 17, 2025, one (1) staff member, employed on July 14, 2025, and one (1) staff member, employed on August 4, 2025, did not review and sign an acknowledgement of receipt of the facility’s Prevention of Shaken Baby and Abusive Head Trauma Policy prior to caring for children under five (5) years of age. .0608(d)(1-4) The violations documented must be corrected immediately. On or before August 19, 2025, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected, and how compliance will be maintained in the future. Include the violation item number, statement of compliance, date of the visit, and license ID number in the letter. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, it may be considered falsification of information. If sufficient information is not received by the due date, an unannounced follow-up visit may be conducted. The Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Please send your letter to christine.rosinski@dhhs.nc.gov. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Prior to today's visit, your program maintained a compliance history of 82%. Please note any violations cited during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Technical assistance was provided on the following: 1. Each center must be inspected annually by an Environmental Health Specialist and receive an approved or superior rating in accordance with applicable sanitation requirements. I suggested you contact your environmental health specialist at least one (1) month prior to the date the current years’ inspection is due to request an inspection. 2. Medications including prescription and non-prescription items must be stored in a locked cabinet or other locked container and may not be stored above food. Designated emergency medications may be stored out of reach of children (at least five feet from the ground), but are not required to be in locked storage. Non-prescription diaper creams and sunscreen may be kept out of reach of children when not in use (at least five feet from the ground), but are not required to be in locked storage. Teachers must keep any personal medications they bring into the facility in locked storage as well. I suggested you provide staff with locked storage areas to keep all personal items, including purses that may contain medications. Additionally, I suggested you have staff use the lock box for children’s medication located in each classroom to store their own personal medications. The cough drops were placed in locked storage with children’s medication and the ointment was placed on a shelf which was more than five (5) feet from the ground during the visit. 3. All staff members who care for children up to five (5) years of age must review the facility’s Prevention of Shaken Baby and Abusive Head Trauma Policy prior to the staff member caring for children. An acknowledgment of receipt and review must be on file. The acknowledgement of this review shall contain: (1) the individual’s name; (2) the date the center’s policy was given and explained to the individual; (3) the individual’s signature; and (4) the date the individual signed the acknowledgment. I suggested you create a new employee packet to ensure all required documentation is reviewed and on file for all staff members. I also suggested you continue to use the staff file checklist found on the DCDEE website under the “Provider” tab to ensure all required documentation is on file. You reviewed the Prevention of Shaken Baby and Abusive Head trauma Policy with three (3) staff members and obtained a signed statement from three (3) staff members for receipt of the policy during the visit. Consultation As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. You stated you completed the Moodle training and are having issues entering staff into the provider portal. I provided you with a copy of the ABCMS Provider Portal Access Guide via email during the visit. I provided you with a copy of the North Carolina Foundations for Early Learning and Development Book during the visit. For the latest information on child care rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ . This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the "What's New" tab for important updates impacting child care in North Carolina. Thank you for your time today. If you have any questions about today’s visit, please contact me or my supervisor, Tammy McGalliard, tammy.mcgalliard@dhhs.nc.gov. If I can be of further assistance, you may contact me at 704-579-4463. Christine Rosinski PO Box 927 Cornelius, NC 28031 Christine.rosinski@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: FIRST BAPTIST DAY CARE CENTER Facility ID: 3650311 Consultant: CHRISTINE ROSINSKI Operation Type: Center Case Number: Visit Date: 8/5/2025 Number Present: 104 Completed Date: 8/5/2025 Age: From 0 To 10 Total Minutes: 177 Time In: 09:28 AM Time Out: 12:25 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for a routine unannounced visit. You, Crystal Ballard assisted me with today’s visit. Your program currently operates with a notice of compliance issued August 19, 2021. The permit restrictions were in compliance including First Shift (daytime care). The Secretary of State website was checked on August 5, 2025, and your business, First Baptist Church of Stanley, N.C., was active and in good standing. If any changes to the corporation need to be made or you decide to sell your business, then you must notify me at least thirty days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location, or inherited. The last sanitation inspection was conducted on July 21, 2025. A “superior” classification was issued with eight (8) demerits noted on the grade card. The last fire inspection was conducted on August 15, 2025. You stated you have contacted the fire inspector who is scheduled to conduct an inspection within the next week. The most recent fire drill was conducted on July 30, 2025, the most recent emergency drill was conducted on May 30, 2025, and the most recent playground inspection was conducted on July 30, 2025. You received the results of your most recent lead water testing showing no levels of lead above the allowed amount, on July 28, 2024. You submitted the lead risk assessment report for lead-based paint testing on January 30, 2025. Per the facility data on the Clean Classrooms for Carolina Kids website, no lead-based paint hazards were identified. You submitted the asbestos inspection report on February 14, 2025. Per the facility data on the Clean Classrooms for Carolina Kids website, no asbestos hazards were identified. A walk-through of the facility was completed today, all indoor and outdoor areas were monitored. I observed children in the indoor learning environment. Children throughout the facility were participating in routines, lunch, group time, free play, and nap during the visit. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Playground Safety, ITS-SIDS, Special Training, and Criminal Background Checks. Six (6) new staff members were hired since the last visit. The following violations were observed/documented during the visit: Violation Number Comment Rule 104 Center has not passed required sanitation inspection and received an approved or superior rating. The facility did not have an annual sanitation inspection. A sanitation inspection was conducted on July 16, 2024, and not again until July 21, 2025. 10A NCAC 09 .0304(b) 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. In Space #1, one (1) bag of Equate Menthol Cough Drops were on a shelf in an unlocked closet to the right of the restroom. In Space #12, one (1) tube of Aquaphor Baby Healing Ointment was in an unlocked drawer in the teacher’s desk, two (2) feet from the ground. 15A NCAC 18A .2820(d) 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. One (1) staff member, employed on July 17, 2025, one (1) staff member, employed on July 14, 2025, and one (1) staff member, employed on August 4, 2025, did not review and sign an acknowledgement of receipt of the facility’s Prevention of Shaken Baby and Abusive Head Trauma Policy prior to caring for children under five (5) years of age. .0608(d)(1-4) The violations documented must be corrected immediately. On or before August 19, 2025, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected, and how compliance will be maintained in the future. Include the violation item number, statement of compliance, date of the visit, and license ID number in the letter. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, it may be considered falsification of information. If sufficient information is not received by the due date, an unannounced follow-up visit may be conducted. The Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Please send your letter to christine.rosinski@dhhs.nc.gov. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Prior to today's visit, your program maintained a compliance history of 82%. Please note any violations cited during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Technical assistance was provided on the following: 1. Each center must be inspected annually by an Environmental Health Specialist and receive an approved or superior rating in accordance with applicable sanitation requirements. I suggested you contact your environmental health specialist at least one (1) month prior to the date the current years’ inspection is due to request an inspection. 2. Medications including prescription and non-prescription items must be stored in a locked cabinet or other locked container and may not be stored above food. Designated emergency medications may be stored out of reach of children (at least five feet from the ground), but are not required to be in locked storage. Non-prescription diaper creams and sunscreen may be kept out of reach of children when not in use (at least five feet from the ground), but are not required to be in locked storage. Teachers must keep any personal medications they bring into the facility in locked storage as well. I suggested you provide staff with locked storage areas to keep all personal items, including purses that may contain medications. Additionally, I suggested you have staff use the lock box for children’s medication located in each classroom to store their own personal medications. The cough drops were placed in locked storage with children’s medication and the ointment was placed on a shelf which was more than five (5) feet from the ground during the visit. 3. All staff members who care for children up to five (5) years of age must review the facility’s Prevention of Shaken Baby and Abusive Head Trauma Policy prior to the staff member caring for children. An acknowledgment of receipt and review must be on file. The acknowledgement of this review shall contain: (1) the individual’s name; (2) the date the center’s policy was given and explained to the individual; (3) the individual’s signature; and (4) the date the individual signed the acknowledgment. I suggested you create a new employee packet to ensure all required documentation is reviewed and on file for all staff members. I also suggested you continue to use the staff file checklist found on the DCDEE website under the “Provider” tab to ensure all required documentation is on file. You reviewed the Prevention of Shaken Baby and Abusive Head trauma Policy with three (3) staff members and obtained a signed statement from three (3) staff members for receipt of the policy during the visit. Consultation As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. You stated you completed the Moodle training and are having issues entering staff into the provider portal. I provided you with a copy of the ABCMS Provider Portal Access Guide via email during the visit. I provided you with a copy of the North Carolina Foundations for Early Learning and Development Book during the visit. For the latest information on child care rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ . This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the "What's New" tab for important updates impacting child care in North Carolina. Thank you for your time today. If you have any questions about today’s visit, please contact me or my supervisor, Tammy McGalliard, tammy.mcgalliard@dhhs.nc.gov. If I can be of further assistance, you may contact me at 704-579-4463. Christine Rosinski PO Box 927 Cornelius, NC 28031 Christine.rosinski@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: FIRST BAPTIST DAY CARE CENTER Facility ID: 3650311 Consultant: CHRISTINE ROSINSKI Operation Type: Center Case Number: Visit Date: 3/3/2025 Number Present: 70 Completed Date: 3/3/2025 Age: From 0 To 5 Total Minutes: 226 Time In: 08:19 AM Time Out: 12:05 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced annual compliance visit was to monitor your compliance with all applicable child care requirements, including health and safety requirements. You, Crystal Ballard, Administrator, assisted with today’s visit. A checklist was used to note the requirements I monitored today. Your program currently operates with a notice of compliance issued August 19, 2021. The permit restrictions were in compliance including First Shift (daytime care). The Secretary of State website was checked on March 3, 2025, and your business, First Baptist Church of Stanley, N.C., was active and in good standing. If any changes to the corporation need to be made or you decide to sell your business, then you must notify me at least thirty days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location, or inherited. A walk-through of the facility was completed today, all indoor and outdoor areas were monitored. I observed children in the indoor and outdoor learning environment. Children throughout the facility were participating in breakfast, routines, lunch, free play, group time, nap and outdoor play during the visit. The last sanitation inspection was conducted on July 16, 2024. A “superior” classification was issued with four (4) demerits noted on the grade card. The last fire inspection was conducted on August 15, 2024. The last fire drill was conducted on February 28, 2025. The last emergency drill was conducted on December 20, 2024. The last playground inspection was conducted on February 28, 2025. Twelve (12) children’s files were reviewed during the visit. Eleven (11) new staff files and two (2) existing staff files were reviewed during the visit. The following violations were observed/documented during today’s visit: Violation Number Comment Rule 601 Refrigerator(s) did not maintain a temperature of 45 degrees F. or below. In Space #2, there was no thermometer in the refrigerator used to store bottles and sippy cups for children. 15A NCAC 18A .2806(j)(2) 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. In Space #10, one (1) aerosol can of Personal Care Extra Thick Shave Cream Sensitive Skin was in an unlocked cabinet to the left of the lego table, accessible to children. .2820(b) 871 Center staff did not comply with the safe sleep policy. In Space #4, one (1) infant, six (6) months of age, had a visual sleep check documented on February 12, 2025, at 5:10pm and not again until 5:30pm and on February 17, 2025, at 11:40am, and not again until 12:00pm. In Space #4, a second infant, also six (6) months of age, had a visual sleep check documented on February 12, 2025, at 3:20pm and not again until 3:45pm. 10A NCAC 09 .0606(a) 1311 Emergency medical care information was not on file in the center on the child's first day of attendance and/or was not updated as changes occurred or at least annually for each child. The most recent update of emergency information on file for one (1) child, enrolled on March 8, 2021, was completed on February 19, 2024. .0802(c) The violation(s) documented must be corrected immediately. On or before March 17, 2025, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected, and how compliance will be maintained in the future. Include the violation item number, statement of compliance, date of the visit, and license ID number in the letter. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, it may be considered falsification of information. If sufficient information is not received by the due date, an unannounced follow-up visit may be conducted. The Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Please send your letter to christine.rosinski@dhhs.nc.gov. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Prior to today's visit, your program maintained a compliance history of 77%. Please note any violations cited during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Technical assistance was provided on the following: 1. Potentially hazardous food requiring refrigeration after preparation, including infant bottles, must be stored at a temperature of 45°F or below. A thermometer must be placed in every refrigerator used to store food and bottles for infants and children to ensure the proper temperature is maintained. You had an extra thermometer in the office, which you placed in the refrigerator during the visit. I suggested you continue to keep extra thermometers on site to replace any thermometers when needed. 2. All hazardous items with multiple warnings and items in aerosol containers must be kept in locked storage. Items labeled “keep out of reach of children” with no other warnings may be stored five (5) feet off the ground. I suggested you remind all staff to check their classrooms thoroughly each morning to ensure all hazardous products are stored properly. Per sanitation memo, shaving cream is not permitted for use in child care centers. You discarded the shaving cream during the visit and stated you have asked staff to check and clean out all cabinets. 3. Your facility’s safe sleep policy must be followed at all times. Per rule and your facility’s safe sleep policy, sleeping infants must be visually checked at least once every fifteen (15) minutes and the check documented on a safe sleep log. I suggested you review the facility’s safe sleep policy with your infant teachers to ensure the policy is followed at all times. 4. Emergency medical care information must be on file for each child. That information must include: (1) the name, address, and telephone number of the parent or other person to be contacted in case of an emergency; (2) the responsible party's choice of health care professional; (3) any chronic illness and any medication taken for that illness; and (4) any other information that has a direct bearing on ensuring safe medical treatment for the child. This emergency medical care information must be on file in the center on the child's first day of attendance and must be updated as changes occur and at least annually. I suggested you create a schedule to have all families update emergency information regularly to ensure the information is updated at least annually. I also suggested you set a due date for families to return information each year to ensure the information is updated and on file in a timely manner. Consultation: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. You stated you have completed the Moodle Training for the ABCMS Provider Portal and are in the process of creating your provider portal at this time. Stay up to date with the Division of Child Development and Early Education by visiting www.ncchildcare.ncdhhs.gov. This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the "What's New" tab for important updates impacting child care in North Carolina. Thank you for your time today. If you have any questions about today’s visit, please contact me or my supervisor, Tammy McGalliard, tammy.mcgalliard@dhhs.nc.gov. If I can be of further assistance, you may contact me at 704-579-4463. Christine Rosinski PO Box 927 Cornelius, NC 28031 Christine.rosinski@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: FIRST BAPTIST DAY CARE CENTER Facility ID: 3650311 Consultant: CHRISTINE ROSINSKI Operation Type: Center Case Number: Visit Date: 3/3/2025 Number Present: 70 Completed Date: 3/3/2025 Age: From 0 To 5 Total Minutes: 226 Time In: 08:19 AM Time Out: 12:05 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced annual compliance visit was to monitor your compliance with all applicable child care requirements, including health and safety requirements. You, Crystal Ballard, Administrator, assisted with today’s visit. A checklist was used to note the requirements I monitored today. Your program currently operates with a notice of compliance issued August 19, 2021. The permit restrictions were in compliance including First Shift (daytime care). The Secretary of State website was checked on March 3, 2025, and your business, First Baptist Church of Stanley, N.C., was active and in good standing. If any changes to the corporation need to be made or you decide to sell your business, then you must notify me at least thirty days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location, or inherited. A walk-through of the facility was completed today, all indoor and outdoor areas were monitored. I observed children in the indoor and outdoor learning environment. Children throughout the facility were participating in breakfast, routines, lunch, free play, group time, nap and outdoor play during the visit. The last sanitation inspection was conducted on July 16, 2024. A “superior” classification was issued with four (4) demerits noted on the grade card. The last fire inspection was conducted on August 15, 2024. The last fire drill was conducted on February 28, 2025. The last emergency drill was conducted on December 20, 2024. The last playground inspection was conducted on February 28, 2025. Twelve (12) children’s files were reviewed during the visit. Eleven (11) new staff files and two (2) existing staff files were reviewed during the visit. The following violations were observed/documented during today’s visit: Violation Number Comment Rule 601 Refrigerator(s) did not maintain a temperature of 45 degrees F. or below. In Space #2, there was no thermometer in the refrigerator used to store bottles and sippy cups for children. 15A NCAC 18A .2806(j)(2) 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. In Space #10, one (1) aerosol can of Personal Care Extra Thick Shave Cream Sensitive Skin was in an unlocked cabinet to the left of the lego table, accessible to children. .2820(b) 871 Center staff did not comply with the safe sleep policy. In Space #4, one (1) infant, six (6) months of age, had a visual sleep check documented on February 12, 2025, at 5:10pm and not again until 5:30pm and on February 17, 2025, at 11:40am, and not again until 12:00pm. In Space #4, a second infant, also six (6) months of age, had a visual sleep check documented on February 12, 2025, at 3:20pm and not again until 3:45pm. 10A NCAC 09 .0606(a) 1311 Emergency medical care information was not on file in the center on the child's first day of attendance and/or was not updated as changes occurred or at least annually for each child. The most recent update of emergency information on file for one (1) child, enrolled on March 8, 2021, was completed on February 19, 2024. .0802(c) The violation(s) documented must be corrected immediately. On or before March 17, 2025, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected, and how compliance will be maintained in the future. Include the violation item number, statement of compliance, date of the visit, and license ID number in the letter. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, it may be considered falsification of information. If sufficient information is not received by the due date, an unannounced follow-up visit may be conducted. The Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Please send your letter to christine.rosinski@dhhs.nc.gov. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Prior to today's visit, your program maintained a compliance history of 77%. Please note any violations cited during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Technical assistance was provided on the following: 1. Potentially hazardous food requiring refrigeration after preparation, including infant bottles, must be stored at a temperature of 45°F or below. A thermometer must be placed in every refrigerator used to store food and bottles for infants and children to ensure the proper temperature is maintained. You had an extra thermometer in the office, which you placed in the refrigerator during the visit. I suggested you continue to keep extra thermometers on site to replace any thermometers when needed. 2. All hazardous items with multiple warnings and items in aerosol containers must be kept in locked storage. Items labeled “keep out of reach of children” with no other warnings may be stored five (5) feet off the ground. I suggested you remind all staff to check their classrooms thoroughly each morning to ensure all hazardous products are stored properly. Per sanitation memo, shaving cream is not permitted for use in child care centers. You discarded the shaving cream during the visit and stated you have asked staff to check and clean out all cabinets. 3. Your facility’s safe sleep policy must be followed at all times. Per rule and your facility’s safe sleep policy, sleeping infants must be visually checked at least once every fifteen (15) minutes and the check documented on a safe sleep log. I suggested you review the facility’s safe sleep policy with your infant teachers to ensure the policy is followed at all times. 4. Emergency medical care information must be on file for each child. That information must include: (1) the name, address, and telephone number of the parent or other person to be contacted in case of an emergency; (2) the responsible party's choice of health care professional; (3) any chronic illness and any medication taken for that illness; and (4) any other information that has a direct bearing on ensuring safe medical treatment for the child. This emergency medical care information must be on file in the center on the child's first day of attendance and must be updated as changes occur and at least annually. I suggested you create a schedule to have all families update emergency information regularly to ensure the information is updated at least annually. I also suggested you set a due date for families to return information each year to ensure the information is updated and on file in a timely manner. Consultation: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. You stated you have completed the Moodle Training for the ABCMS Provider Portal and are in the process of creating your provider portal at this time. Stay up to date with the Division of Child Development and Early Education by visiting www.ncchildcare.ncdhhs.gov. This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the "What's New" tab for important updates impacting child care in North Carolina. Thank you for your time today. If you have any questions about today’s visit, please contact me or my supervisor, Tammy McGalliard, tammy.mcgalliard@dhhs.nc.gov. If I can be of further assistance, you may contact me at 704-579-4463. Christine Rosinski PO Box 927 Cornelius, NC 28031 Christine.rosinski@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: FIRST BAPTIST DAY CARE CENTER Facility ID: 3650311 Consultant: CHRISTINE ROSINSKI Operation Type: Center Case Number: Visit Date: 8/6/2024 Number Present: 83 Completed Date: 8/6/2024 Age: From 0 To 10 Total Minutes: 179 Time In: 08:11 AM Time Out: 11:10 AM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for a routine unannounced visit. You, Crystal Ballard, Administrator, assisted me with today’s visit. Your program currently operates with a notice of compliance issued August 19, 2021. The permit restrictions were in compliance including First Shift (daytime care). The Secretary of State website was checked on August 6, 2024, and your business, First Baptist Church of Stanley, N.C., was active and in good standing. If any changes to the corporation need to be made or you decide to sell your business, then you must notify me at least thirty days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location, or inherited. The last sanitation inspection was conducted on July 16, 2024. A “superior” classification was issued with four (4) demerits noted on the grade card. The last fire inspection was conducted on August 11, 2023. The most recent fire drill was conducted on July 26, 2024, the most recent emergency drill was conducted on July 26, 2024, and the most recent playground inspection was conducted on July 26, 2024. A walk-through of the facility was completed today, all indoor and outdoor areas were monitored. I observed children in the indoor and outdoor learning environment. Children throughout the facility were participating in routines, breakfast, free play, nap, group time, and outdoor play during the visit. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Playground Safety, ITS-SIDS, Special Training, and Criminal Background Checks. Four (4) new staff members were hired since the last visit. The following violations were observed/documented during the visit: Violation Number Comment Rule 319 Staff/child ratios applicable to a classroom, were not posted in each classroom. In Space #10, Space #12, and Space #14a, the staff/child ratio applicable to each classroom was not posted in the classroom. .0713(a)(10), (c) & (f)(3); .2818(e) 601 Refrigerator(s) did not maintain a temperature of 45 degrees F. or below. In Space #4, there was no thermometer in the mini refrigerator used to store bottles of formula and breastmilk for infants. 15A NCAC 18A .2806(j)(2) 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. In Space #14b, one (1) package of Lysol Disinfecting Wipes, and one (1) tube of Speed Stick Regular Deodorant, both with multiple warnings, were in the unlocked drawer of the desk to the right of the stage. In Space #15, one (1) aerosol can of Lysol Air Sanitizer, one (1) aerosol can of 3M General Purpose 45 Spray Adhesive, one (1) bottle of Windex, and one (1) box of Borax Detergent Booster, all with multiple warnings, were in an unlocked cabinet the storage closet behind the teacher’s desk. In Space #15, one (1) container of Ajax Oxygen Bleach Cleanser, with multiple warnings, was in the unlocked closet in the center of the back wall of the classroom. .2820(b) 871 Center staff did not comply with the safe sleep policy. In Space #3, one (1) infant, eight (8) months of age, had a visual sleep check documented on July 24, 2024, at 9:40am and not again until 10:05am, on July 16, 2024, at 12:10pm and not again until 12:30pm, on July 10, 2024, at 12:10pm and not again until 12:30pm, and on July 8, 2024, at 11:40am and not again until 12:00pm. In Space #3, one (1) infant, six (6) months of age, had a visual sleep check documented on July 19, 2024, at 11:10am and not again until 11:30am. In Space #3, one (1) infant, eleven (11) months of age, had a visual sleep check documented on July 12, 2024, at 11:20am and not again until 11:45am. In Space #3, one (1) infant, eight (8) months of age, had a visual sleep check documented on July 11, 2024, at 10:40am and not again until 11:00am. In Space #3, one (1) infant, ten (10) months of age, had a visual sleep check documented on July 8, 2024, at 11:40am and not again until 12:00pm, and on July 3, 2024, at 10:40am and not again until 11:00am. 10A NCAC 09 .0606(a) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. One (1) staff member, employed on March 27, 2024, did not complete First Aid Training. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. One (1) staff member, employed on March 27, 2024, did not complete CPR Training. .1102(d) 1835 The medical action plan was not updated on an annual basis or when changes to the plan were made by the child's parent or health care professional. In Space #10, the medical action plan for one (1) child diagnosed with allergies, and prescribed an epi pen, was last updated on July 17, 2023. .0801(b) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. In Space #10, the Permission to Administer Medication Form for one (1) Auvi-q Epinephrine Injection, USP, expired on April 19, 2024. In Space #14b, there were no Permission to Administer Medication Forms for one (1) container of Banana Boat Kids Sport Sunscreen Lotion Spray, and one (1) container of Banana Boat Sport Sunscreen Lotion Spray. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) The violations documented must be corrected immediately. On or before August 20, 2024, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected, and how compliance will be maintained in the future. Include the violation item number, statement of compliance, date of the visit, and license ID number in the letter. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, it may be considered falsification of information. If sufficient information is not received by the due date, an unannounced follow-up visit may be conducted. The Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Please send your letter to christine.rosinski@dhhs.nc.gov. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Prior to today's visit, your program maintained a compliance history of 82%. Please note any violations cited during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Technical assistance was provided on the following: 1. The staff/child ratio applicable to a classroom based on your facility’s permit restrictions must be posted in that classroom in an area that parents are able to view at all times. I suggested you keep extra copies of the staff/child ratio sheet in each classroom so that it can be replaced if the posting falls or is misplaced. You posted the staff/child ratio sheet in each classroom that did not have one posted during today’s visit. 2. Potentially hazardous food requiring refrigeration after preparation, including infant bottles, must be stored at a temperature of 45°F or below. A thermometer must be placed in every refrigerator used to store food and bottles for infants and children to ensure the proper temperature is maintained. You had an extra thermometer in another refrigerator which you placed in the refrigerator during the visit. I suggested you continue to keep extra thermometers on site to replace any broken or misplaced thermometers when needed. 3. All hazardous items with multiple warnings and items in aerosol containers must be kept in locked storage. Items labeled “keep out of reach of children” with no other warnings may be stored five (5) feet off the ground. I suggested you create a daily safety checklist for staff to ensure all hazardous products are stored properly. I also suggested you have staff check the classrooms thoroughly after the church has used the spaces to ensure all hazardous items are stored properly. You removed all hazardous products during the visit and placed them in locked storage during the visit. You stated you plan to review this rule with all staff at an upcoming staff meeting. 4. Your facility’s safe sleep policy must be followed at all times. Per rule and your facility’s safe sleep policy, sleeping infants must be visually checked at least once every fifteen (15) minutes and the check documented on a safe sleep log. I suggested you review the facility’s safe sleep policy with your infant teachers to ensure the policy is followed at all times. I also suggested you begin to use the sample infant sleep chart found on the DCDEE website under the “Provider” tab. I provided you with a copy of this document via email today. 5. All staff members must maintain active CPR/First Aid certification. New staff members have ninety days from their date of hire to complete the training. For existing staff, schedule classes two to four months prior to the current certifications’ expiration to ensure certification does not expire. I suggested you have new staff members schedule a CPR/First Aid Training during the hiring process to ensure it is completed in a timely manner. You stated the staff member is scheduled to complete CPR/First Aid Training on August 8, 2024. 6. For any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services, a medical action plan must be attached to the application. The medical action plan is to be completed by the child's parent or a health care professional and may include the following: a list of the child's diagnosis or diagnoses including dietary, environmental, and activity considerations that are applicable; contact information for the child's health care professional(s); medications to be administered on a scheduled basis; and medications to be administered on an emergency basis with symptoms, and instructions. The medical action plan must be updated on an annual basis and when changes to the plan are made by the child's parent or health care professional. I suggested you have teachers check all of their medications and medication forms at least once per month to ensure nothing has expired. 7. Standing permission to administer medications for chronic illnesses may be given for up to six (6) months. A new Permission to Administer Medication for Chronic Medical Conditions form must be completed by the child’s guardian at least every six (6) months. Standing permission to administer over-the-counter, topical ointments, topical teething ointment or gel, insect repellents, lotions, creams, fluoridated toothpaste, and powders, such as sunscreen, diapering creams, baby lotion, and baby powder, may be given for up to twelve (12) months. I suggested you require parents to bring all medications to the office for review prior to the medication going to each classroom. I suggested you create a spreadsheet of all medication permission forms and medication expiration dates to monitor to ensure no medication or permission forms expire. I also suggested you have staff members check all medication and permission forms in their classrooms at least monthly to ensure nothing has expired. Consultation For the latest information on child care rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ . This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the "What's New" tab for important updates impacting child care in North Carolina. Thank you for your time today. If you have any questions about today’s visit, please contact me or my supervisor, Tammy McGalliard, tammy.mcgalliard@dhhs.nc.gov. If I can be of further assistance, you may contact me at 704-579-4463. Christine Rosinski PO Box 927 Cornelius, NC 28031 Christine.rosinski@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: FIRST BAPTIST DAY CARE CENTER Facility ID: 3650311 Consultant: CHRISTINE ROSINSKI Operation Type: Center Case Number: Visit Date: 8/6/2024 Number Present: 83 Completed Date: 8/6/2024 Age: From 0 To 10 Total Minutes: 179 Time In: 08:11 AM Time Out: 11:10 AM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for a routine unannounced visit. You, Crystal Ballard, Administrator, assisted me with today’s visit. Your program currently operates with a notice of compliance issued August 19, 2021. The permit restrictions were in compliance including First Shift (daytime care). The Secretary of State website was checked on August 6, 2024, and your business, First Baptist Church of Stanley, N.C., was active and in good standing. If any changes to the corporation need to be made or you decide to sell your business, then you must notify me at least thirty days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location, or inherited. The last sanitation inspection was conducted on July 16, 2024. A “superior” classification was issued with four (4) demerits noted on the grade card. The last fire inspection was conducted on August 11, 2023. The most recent fire drill was conducted on July 26, 2024, the most recent emergency drill was conducted on July 26, 2024, and the most recent playground inspection was conducted on July 26, 2024. A walk-through of the facility was completed today, all indoor and outdoor areas were monitored. I observed children in the indoor and outdoor learning environment. Children throughout the facility were participating in routines, breakfast, free play, nap, group time, and outdoor play during the visit. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Playground Safety, ITS-SIDS, Special Training, and Criminal Background Checks. Four (4) new staff members were hired since the last visit. The following violations were observed/documented during the visit: Violation Number Comment Rule 319 Staff/child ratios applicable to a classroom, were not posted in each classroom. In Space #10, Space #12, and Space #14a, the staff/child ratio applicable to each classroom was not posted in the classroom. .0713(a)(10), (c) & (f)(3); .2818(e) 601 Refrigerator(s) did not maintain a temperature of 45 degrees F. or below. In Space #4, there was no thermometer in the mini refrigerator used to store bottles of formula and breastmilk for infants. 15A NCAC 18A .2806(j)(2) 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. In Space #14b, one (1) package of Lysol Disinfecting Wipes, and one (1) tube of Speed Stick Regular Deodorant, both with multiple warnings, were in the unlocked drawer of the desk to the right of the stage. In Space #15, one (1) aerosol can of Lysol Air Sanitizer, one (1) aerosol can of 3M General Purpose 45 Spray Adhesive, one (1) bottle of Windex, and one (1) box of Borax Detergent Booster, all with multiple warnings, were in an unlocked cabinet the storage closet behind the teacher’s desk. In Space #15, one (1) container of Ajax Oxygen Bleach Cleanser, with multiple warnings, was in the unlocked closet in the center of the back wall of the classroom. .2820(b) 871 Center staff did not comply with the safe sleep policy. In Space #3, one (1) infant, eight (8) months of age, had a visual sleep check documented on July 24, 2024, at 9:40am and not again until 10:05am, on July 16, 2024, at 12:10pm and not again until 12:30pm, on July 10, 2024, at 12:10pm and not again until 12:30pm, and on July 8, 2024, at 11:40am and not again until 12:00pm. In Space #3, one (1) infant, six (6) months of age, had a visual sleep check documented on July 19, 2024, at 11:10am and not again until 11:30am. In Space #3, one (1) infant, eleven (11) months of age, had a visual sleep check documented on July 12, 2024, at 11:20am and not again until 11:45am. In Space #3, one (1) infant, eight (8) months of age, had a visual sleep check documented on July 11, 2024, at 10:40am and not again until 11:00am. In Space #3, one (1) infant, ten (10) months of age, had a visual sleep check documented on July 8, 2024, at 11:40am and not again until 12:00pm, and on July 3, 2024, at 10:40am and not again until 11:00am. 10A NCAC 09 .0606(a) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. One (1) staff member, employed on March 27, 2024, did not complete First Aid Training. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. One (1) staff member, employed on March 27, 2024, did not complete CPR Training. .1102(d) 1835 The medical action plan was not updated on an annual basis or when changes to the plan were made by the child's parent or health care professional. In Space #10, the medical action plan for one (1) child diagnosed with allergies, and prescribed an epi pen, was last updated on July 17, 2023. .0801(b) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. In Space #10, the Permission to Administer Medication Form for one (1) Auvi-q Epinephrine Injection, USP, expired on April 19, 2024. In Space #14b, there were no Permission to Administer Medication Forms for one (1) container of Banana Boat Kids Sport Sunscreen Lotion Spray, and one (1) container of Banana Boat Sport Sunscreen Lotion Spray. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) The violations documented must be corrected immediately. On or before August 20, 2024, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected, and how compliance will be maintained in the future. Include the violation item number, statement of compliance, date of the visit, and license ID number in the letter. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, it may be considered falsification of information. If sufficient information is not received by the due date, an unannounced follow-up visit may be conducted. The Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Please send your letter to christine.rosinski@dhhs.nc.gov. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Prior to today's visit, your program maintained a compliance history of 82%. Please note any violations cited during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Technical assistance was provided on the following: 1. The staff/child ratio applicable to a classroom based on your facility’s permit restrictions must be posted in that classroom in an area that parents are able to view at all times. I suggested you keep extra copies of the staff/child ratio sheet in each classroom so that it can be replaced if the posting falls or is misplaced. You posted the staff/child ratio sheet in each classroom that did not have one posted during today’s visit. 2. Potentially hazardous food requiring refrigeration after preparation, including infant bottles, must be stored at a temperature of 45°F or below. A thermometer must be placed in every refrigerator used to store food and bottles for infants and children to ensure the proper temperature is maintained. You had an extra thermometer in another refrigerator which you placed in the refrigerator during the visit. I suggested you continue to keep extra thermometers on site to replace any broken or misplaced thermometers when needed. 3. All hazardous items with multiple warnings and items in aerosol containers must be kept in locked storage. Items labeled “keep out of reach of children” with no other warnings may be stored five (5) feet off the ground. I suggested you create a daily safety checklist for staff to ensure all hazardous products are stored properly. I also suggested you have staff check the classrooms thoroughly after the church has used the spaces to ensure all hazardous items are stored properly. You removed all hazardous products during the visit and placed them in locked storage during the visit. You stated you plan to review this rule with all staff at an upcoming staff meeting. 4. Your facility’s safe sleep policy must be followed at all times. Per rule and your facility’s safe sleep policy, sleeping infants must be visually checked at least once every fifteen (15) minutes and the check documented on a safe sleep log. I suggested you review the facility’s safe sleep policy with your infant teachers to ensure the policy is followed at all times. I also suggested you begin to use the sample infant sleep chart found on the DCDEE website under the “Provider” tab. I provided you with a copy of this document via email today. 5. All staff members must maintain active CPR/First Aid certification. New staff members have ninety days from their date of hire to complete the training. For existing staff, schedule classes two to four months prior to the current certifications’ expiration to ensure certification does not expire. I suggested you have new staff members schedule a CPR/First Aid Training during the hiring process to ensure it is completed in a timely manner. You stated the staff member is scheduled to complete CPR/First Aid Training on August 8, 2024. 6. For any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services, a medical action plan must be attached to the application. The medical action plan is to be completed by the child's parent or a health care professional and may include the following: a list of the child's diagnosis or diagnoses including dietary, environmental, and activity considerations that are applicable; contact information for the child's health care professional(s); medications to be administered on a scheduled basis; and medications to be administered on an emergency basis with symptoms, and instructions. The medical action plan must be updated on an annual basis and when changes to the plan are made by the child's parent or health care professional. I suggested you have teachers check all of their medications and medication forms at least once per month to ensure nothing has expired. 7. Standing permission to administer medications for chronic illnesses may be given for up to six (6) months. A new Permission to Administer Medication for Chronic Medical Conditions form must be completed by the child’s guardian at least every six (6) months. Standing permission to administer over-the-counter, topical ointments, topical teething ointment or gel, insect repellents, lotions, creams, fluoridated toothpaste, and powders, such as sunscreen, diapering creams, baby lotion, and baby powder, may be given for up to twelve (12) months. I suggested you require parents to bring all medications to the office for review prior to the medication going to each classroom. I suggested you create a spreadsheet of all medication permission forms and medication expiration dates to monitor to ensure no medication or permission forms expire. I also suggested you have staff members check all medication and permission forms in their classrooms at least monthly to ensure nothing has expired. Consultation For the latest information on child care rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ . This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the "What's New" tab for important updates impacting child care in North Carolina. Thank you for your time today. If you have any questions about today’s visit, please contact me or my supervisor, Tammy McGalliard, tammy.mcgalliard@dhhs.nc.gov. If I can be of further assistance, you may contact me at 704-579-4463. Christine Rosinski PO Box 927 Cornelius, NC 28031 Christine.rosinski@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 .0802 · Violation

Name of Operation: FIRST BAPTIST DAY CARE CENTER Facility ID: 3650311 Consultant: CHRISTINE ROSINSKI Operation Type: Center Case Number: Visit Date: 3/20/2024 Number Present: 68 Completed Date: 3/20/2024 Age: From 0 To 5 Total Minutes: 264 Time In: 08:36 AM Time Out: 12:30 PM Time In: 12:55 PM Time Out: 01:25 PM List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced annual compliance visit was to monitor your compliance with all applicable child care requirements, including health and safety requirements. You, Crystal Ballard, Administrator, assisted with today’s visit. A checklist was used to note the requirements I monitored today. Your program currently operates with a notice of compliance issued August 19, 2021. The permit restrictions were in compliance including First Shift (daytime care). The Secretary of State website was checked on February 6, 2024, and your business, First Baptist Church of Stanley, N.C., was active and in good standing. If any changes to the corporation need to be made or you decide to sell your business, then you must notify me at least thirty days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location, or inherited. The last sanitation inspection was conducted on August 23, 2023. A “superior” classification was issued with seven (7) demerits noted on the grade card. The last fire inspection was conducted on August 11, 2023. The last fire drill was conducted on February 29, 2024. The last emergency drill was conducted on December 29, 2023. The last playground inspection was conducted on February 29, 2024. Thirteen (13) children’s files were reviewed during the visit. Seven (7) new staff files and two (2) existing staff files were reviewed during the visit. The following violations were observed/documented during the visit: Violation Number Comment Rule 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. In Space #11, one (1) aerosol can of White Barn Sweater Weather Concentrated Room Spray was on the shelf above the handwashing sink. .2820(b) 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. Fourteen (14) staff members did not review the facility’s Emergency Medical Care Plan within the past year. 10A NCAC 09 .0802(a) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. Six (6) staff members, who have contact with children, did not receive 16 hours of on-site orientation within the first six weeks of employment. .1101(a) 1792 Staff did not model appropriate eating behaviors by consuming food or beverages that meet the nutritional requirements specified in the Meal Patterns for Children in Child Care Programs in the presence of children in care. In Space #12, one (1) open can of Celsius Live Fit Energy Drink was on top of the cubbies. .0901(i) 1825 All staff did not review the center's EPR Plan during orientation and/or on an annual basis with the trained staff. Documentation of the review was not maintained on file. Fourteen (14) staff members did not review the facility’s Emergency Preparedness and Response Plan within the past year. .0607(f) 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. An acknowledgement, signed by the parent, of receipt of the facility’s prevention of shaken baby and abusive head trauma policy was not on file for one (1) child, enrolled on January 3, 2024. .0608(b)(1-6) The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the violation item number, statement of compliance, date of the visit and license ID number in the letter. I must receive your compliance statement by April 3, 2024. Please send your letter to christine.rosinski@dhhs.nc.gov. Failure to correct the violations and send the written statement by the due date may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. The Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Prior to today's visit, your program maintained a compliance history of 79%. Please note any violations cited during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Technical assistance was provided on the following: 1. All hazardous items with multiple warnings and items in aerosol containers must be kept in locked storage. Items labeled “keep out of reach of children” with no other warnings can be stored five (5) feet off the ground. Have staff check their classroom thoroughly each morning to ensure all hazardous products are stored properly. The aerosol can was placed in a locked cabinet during the visit. You stated all hazardous products will be stored in locked cabinets in each classroom. 2. Each child care center must have a written plan that sets forth the steps to follow in the event of a child medical emergency. The plan must be reviewed with all staff annually and whenever the plan is revised. This plan shall give the procedures to be followed to ensure that any child who becomes ill or is injured and requires medical attention while in care at the center receives appropriate medical attention. The following information is to be included in the center's emergency medical care plan: (1) The name of the person and at least one alternate, responsible for carrying out that plan of action, ensuring that appropriate medical care is given, and determining which of the following is needed: (A) first aid given at the center for an injury or illness needing only minimal attention; and (B) calling 911 in accordance with CPR or First Aid training recommendations. (2) The name of the person and one alternate, at the center responsible for: (A) ensuring that the signed authorization described in Paragraph (d) of this Rule is taken with the ill or injured child to the medical facility; (B) accompanying the ill or injured child to the medical facility; (C) notifying a child's parents or emergency contact person about the illness or injury and where the child has been taken for treatment; (D) obtaining substitute staff, if needed, to maintain required staff/child ratio and adequate supervision of children who remain in the center; and (3) A statement giving the location of the telephone located on the premises available for use in case of emergency. A telephone located in an office in the center that is sometimes locked during the time the children are present shall not be designated for use in an emergency. I suggested you review the facility’s Emergency Medical Care Plan with all staff at the same time that you review the facility’s Emergency Preparedness and Response Plan. I also suggested you schedule the staff meeting during which you review the Emergency Medical Care Plan with staff prior to the previous years’ review to ensure that the review is conducted at least once per year. 3. Each center must ensure that each new employee who is expected to have contact with children receives 16 hours of on-site orientation within the first six weeks of employment. As part of this orientation, each new employee must complete six hours of orientation within the first two weeks of employment. Since the facility began accepting subsidy on May 25, 2023, all staff members must complete orientation. I suggested that you use the Orientation Form found on the DCDEE website. I also suggested you set calendar reminders to ensure each new employee’s orientation is completed within the required timeframes. 4. Staff must role model appropriate eating behaviors by consuming only food or beverages that meet the nutritional requirements outlined in the Meal Patterns for Children while in the presence of children in care. Staff may not consume any item not outlined in the above-mentioned requirements in the classroom. The can of Celsius was removed from the classroom during the visit. I suggested you review nutrition requirements with all staff. 5. All staff members must review the center's Emergency Preparedness and Response Plan during orientation and on an annual basis thereafter with the staff member trained in Emergency Preparedness and Response. Documentation of the review must be maintained at the center in the individual's personnel file or in a file designated for emergency preparedness and response plan documents. All substitutes and volunteers counted in ratio must be informed of the child care center's Emergency Preparedness and Response Plan and its location. Documentation of this notice must be maintained in the individual personnel files or in a file designated for emergency preparedness and response plan documents. I suggested you review your facility’s Emergency Preparedness and Response Plan during a staff meeting with all staff members after you review and update the plan each year. I also suggested you schedule the staff meeting during which you review the Emergency Preparedness and Response Plan with staff prior to the previous years’ review to ensure that the review is conducted at least once per year. 6. A copy of your facility’s Prevention of Shaken Baby and Abusive Head Trauma Policy must be given and explained to the parents of newly enrolled children up to five years of age on or before the first day the child receives care at the center. The center shall obtain the parent’s signature on the statement acknowledging the receipt and explanation of the policy. I suggested you review all documents received by parents during the enrollment process to ensure all required documentation has been signed before placing in the children’s files. Consultation: You stated you began accepting subsidy payments on May 25, 2023. By May 25, 2024, all staff members must complete all of the required health and safety trainings, as well as on-going training hours based on their education and experience. The child care administrator(s) and any staff who have responsibility for planning and supervising a child care center, and staff who work with children, must participate in on-going training activities annually, as follows: Education and Experience (Required Training) Four-year degree or higher advanced degree in a child care related field of study from a regionally accredited college or university (5 clock hours) Two-year degree in a child care related field of study from a regionally accredited college or university, or persons with a North Carolina Early Childhood Administration Credential (8 clock hours) Certificate or diploma in a child care related field of study from a regionally accredited college or university, or persons with a North Carolina Early Childhood Credential (10 clock hours) 10 years documented experience as a teacher, director, or caregiver in a licensed child care arrangement (15 clock hours) If none of the other criteria in this chart apply (20 clock hours) Health and safety training shall be completed as part of on-going training so that every five years, all of the topic areas set forth in 10A NCAC 09 .1102(b) will have been covered. Completion of cardiopulmonary resuscitation (CPR) and First Aid training may not be counted toward meeting annual on-going training requirements. Any staff working less than 40 hours per week may choose to complete prorated on-going training requirements as follows: WORKING HOURS PER WEEK (CLOCK HOURS REQUIRED) 0-10 hours worked per week (5 training hours required) 11-20 hours worked per week (10 training hours required) 21-30 hours worked per week (15 training hours required) 31-40 hours worked per week (20 training hours required) Stay up to date with the Division of Child Development and Early Education by visiting www.ncchildcare.ncdhhs.gov. This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the "What's New" tab for important updates impacting child care in North Carolina. Thank you for your time today. If you have any questions about today’s visit, please contact me or my supervisor, Tammy McGalliard, tammy.mcgalliard@dhhs.nc.gov. If I can be of further assistance, you may contact me at 704-579-4463. Christine Rosinski PO Box 927 Cornelius, NC 28031 Christine.rosinski@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 .1102 · Violation

Name of Operation: FIRST BAPTIST DAY CARE CENTER Facility ID: 3650311 Consultant: CHRISTINE ROSINSKI Operation Type: Center Case Number: Visit Date: 3/20/2024 Number Present: 68 Completed Date: 3/20/2024 Age: From 0 To 5 Total Minutes: 264 Time In: 08:36 AM Time Out: 12:30 PM Time In: 12:55 PM Time Out: 01:25 PM List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced annual compliance visit was to monitor your compliance with all applicable child care requirements, including health and safety requirements. You, Crystal Ballard, Administrator, assisted with today’s visit. A checklist was used to note the requirements I monitored today. Your program currently operates with a notice of compliance issued August 19, 2021. The permit restrictions were in compliance including First Shift (daytime care). The Secretary of State website was checked on February 6, 2024, and your business, First Baptist Church of Stanley, N.C., was active and in good standing. If any changes to the corporation need to be made or you decide to sell your business, then you must notify me at least thirty days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location, or inherited. The last sanitation inspection was conducted on August 23, 2023. A “superior” classification was issued with seven (7) demerits noted on the grade card. The last fire inspection was conducted on August 11, 2023. The last fire drill was conducted on February 29, 2024. The last emergency drill was conducted on December 29, 2023. The last playground inspection was conducted on February 29, 2024. Thirteen (13) children’s files were reviewed during the visit. Seven (7) new staff files and two (2) existing staff files were reviewed during the visit. The following violations were observed/documented during the visit: Violation Number Comment Rule 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. In Space #11, one (1) aerosol can of White Barn Sweater Weather Concentrated Room Spray was on the shelf above the handwashing sink. .2820(b) 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. Fourteen (14) staff members did not review the facility’s Emergency Medical Care Plan within the past year. 10A NCAC 09 .0802(a) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. Six (6) staff members, who have contact with children, did not receive 16 hours of on-site orientation within the first six weeks of employment. .1101(a) 1792 Staff did not model appropriate eating behaviors by consuming food or beverages that meet the nutritional requirements specified in the Meal Patterns for Children in Child Care Programs in the presence of children in care. In Space #12, one (1) open can of Celsius Live Fit Energy Drink was on top of the cubbies. .0901(i) 1825 All staff did not review the center's EPR Plan during orientation and/or on an annual basis with the trained staff. Documentation of the review was not maintained on file. Fourteen (14) staff members did not review the facility’s Emergency Preparedness and Response Plan within the past year. .0607(f) 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. An acknowledgement, signed by the parent, of receipt of the facility’s prevention of shaken baby and abusive head trauma policy was not on file for one (1) child, enrolled on January 3, 2024. .0608(b)(1-6) The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the violation item number, statement of compliance, date of the visit and license ID number in the letter. I must receive your compliance statement by April 3, 2024. Please send your letter to christine.rosinski@dhhs.nc.gov. Failure to correct the violations and send the written statement by the due date may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. The Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Prior to today's visit, your program maintained a compliance history of 79%. Please note any violations cited during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Technical assistance was provided on the following: 1. All hazardous items with multiple warnings and items in aerosol containers must be kept in locked storage. Items labeled “keep out of reach of children” with no other warnings can be stored five (5) feet off the ground. Have staff check their classroom thoroughly each morning to ensure all hazardous products are stored properly. The aerosol can was placed in a locked cabinet during the visit. You stated all hazardous products will be stored in locked cabinets in each classroom. 2. Each child care center must have a written plan that sets forth the steps to follow in the event of a child medical emergency. The plan must be reviewed with all staff annually and whenever the plan is revised. This plan shall give the procedures to be followed to ensure that any child who becomes ill or is injured and requires medical attention while in care at the center receives appropriate medical attention. The following information is to be included in the center's emergency medical care plan: (1) The name of the person and at least one alternate, responsible for carrying out that plan of action, ensuring that appropriate medical care is given, and determining which of the following is needed: (A) first aid given at the center for an injury or illness needing only minimal attention; and (B) calling 911 in accordance with CPR or First Aid training recommendations. (2) The name of the person and one alternate, at the center responsible for: (A) ensuring that the signed authorization described in Paragraph (d) of this Rule is taken with the ill or injured child to the medical facility; (B) accompanying the ill or injured child to the medical facility; (C) notifying a child's parents or emergency contact person about the illness or injury and where the child has been taken for treatment; (D) obtaining substitute staff, if needed, to maintain required staff/child ratio and adequate supervision of children who remain in the center; and (3) A statement giving the location of the telephone located on the premises available for use in case of emergency. A telephone located in an office in the center that is sometimes locked during the time the children are present shall not be designated for use in an emergency. I suggested you review the facility’s Emergency Medical Care Plan with all staff at the same time that you review the facility’s Emergency Preparedness and Response Plan. I also suggested you schedule the staff meeting during which you review the Emergency Medical Care Plan with staff prior to the previous years’ review to ensure that the review is conducted at least once per year. 3. Each center must ensure that each new employee who is expected to have contact with children receives 16 hours of on-site orientation within the first six weeks of employment. As part of this orientation, each new employee must complete six hours of orientation within the first two weeks of employment. Since the facility began accepting subsidy on May 25, 2023, all staff members must complete orientation. I suggested that you use the Orientation Form found on the DCDEE website. I also suggested you set calendar reminders to ensure each new employee’s orientation is completed within the required timeframes. 4. Staff must role model appropriate eating behaviors by consuming only food or beverages that meet the nutritional requirements outlined in the Meal Patterns for Children while in the presence of children in care. Staff may not consume any item not outlined in the above-mentioned requirements in the classroom. The can of Celsius was removed from the classroom during the visit. I suggested you review nutrition requirements with all staff. 5. All staff members must review the center's Emergency Preparedness and Response Plan during orientation and on an annual basis thereafter with the staff member trained in Emergency Preparedness and Response. Documentation of the review must be maintained at the center in the individual's personnel file or in a file designated for emergency preparedness and response plan documents. All substitutes and volunteers counted in ratio must be informed of the child care center's Emergency Preparedness and Response Plan and its location. Documentation of this notice must be maintained in the individual personnel files or in a file designated for emergency preparedness and response plan documents. I suggested you review your facility’s Emergency Preparedness and Response Plan during a staff meeting with all staff members after you review and update the plan each year. I also suggested you schedule the staff meeting during which you review the Emergency Preparedness and Response Plan with staff prior to the previous years’ review to ensure that the review is conducted at least once per year. 6. A copy of your facility’s Prevention of Shaken Baby and Abusive Head Trauma Policy must be given and explained to the parents of newly enrolled children up to five years of age on or before the first day the child receives care at the center. The center shall obtain the parent’s signature on the statement acknowledging the receipt and explanation of the policy. I suggested you review all documents received by parents during the enrollment process to ensure all required documentation has been signed before placing in the children’s files. Consultation: You stated you began accepting subsidy payments on May 25, 2023. By May 25, 2024, all staff members must complete all of the required health and safety trainings, as well as on-going training hours based on their education and experience. The child care administrator(s) and any staff who have responsibility for planning and supervising a child care center, and staff who work with children, must participate in on-going training activities annually, as follows: Education and Experience (Required Training) Four-year degree or higher advanced degree in a child care related field of study from a regionally accredited college or university (5 clock hours) Two-year degree in a child care related field of study from a regionally accredited college or university, or persons with a North Carolina Early Childhood Administration Credential (8 clock hours) Certificate or diploma in a child care related field of study from a regionally accredited college or university, or persons with a North Carolina Early Childhood Credential (10 clock hours) 10 years documented experience as a teacher, director, or caregiver in a licensed child care arrangement (15 clock hours) If none of the other criteria in this chart apply (20 clock hours) Health and safety training shall be completed as part of on-going training so that every five years, all of the topic areas set forth in 10A NCAC 09 .1102(b) will have been covered. Completion of cardiopulmonary resuscitation (CPR) and First Aid training may not be counted toward meeting annual on-going training requirements. Any staff working less than 40 hours per week may choose to complete prorated on-going training requirements as follows: WORKING HOURS PER WEEK (CLOCK HOURS REQUIRED) 0-10 hours worked per week (5 training hours required) 11-20 hours worked per week (10 training hours required) 21-30 hours worked per week (15 training hours required) 31-40 hours worked per week (20 training hours required) Stay up to date with the Division of Child Development and Early Education by visiting www.ncchildcare.ncdhhs.gov. This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the "What's New" tab for important updates impacting child care in North Carolina. Thank you for your time today. If you have any questions about today’s visit, please contact me or my supervisor, Tammy McGalliard, tammy.mcgalliard@dhhs.nc.gov. If I can be of further assistance, you may contact me at 704-579-4463. Christine Rosinski PO Box 927 Cornelius, NC 28031 Christine.rosinski@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: FIRST BAPTIST DAY CARE CENTER Facility ID: 3650311 Consultant: CHRISTINE ROSINSKI Operation Type: Center Case Number: Visit Date: 3/20/2024 Number Present: 68 Completed Date: 3/20/2024 Age: From 0 To 5 Total Minutes: 264 Time In: 08:36 AM Time Out: 12:30 PM Time In: 12:55 PM Time Out: 01:25 PM List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced annual compliance visit was to monitor your compliance with all applicable child care requirements, including health and safety requirements. You, Crystal Ballard, Administrator, assisted with today’s visit. A checklist was used to note the requirements I monitored today. Your program currently operates with a notice of compliance issued August 19, 2021. The permit restrictions were in compliance including First Shift (daytime care). The Secretary of State website was checked on February 6, 2024, and your business, First Baptist Church of Stanley, N.C., was active and in good standing. If any changes to the corporation need to be made or you decide to sell your business, then you must notify me at least thirty days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location, or inherited. The last sanitation inspection was conducted on August 23, 2023. A “superior” classification was issued with seven (7) demerits noted on the grade card. The last fire inspection was conducted on August 11, 2023. The last fire drill was conducted on February 29, 2024. The last emergency drill was conducted on December 29, 2023. The last playground inspection was conducted on February 29, 2024. Thirteen (13) children’s files were reviewed during the visit. Seven (7) new staff files and two (2) existing staff files were reviewed during the visit. The following violations were observed/documented during the visit: Violation Number Comment Rule 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. In Space #11, one (1) aerosol can of White Barn Sweater Weather Concentrated Room Spray was on the shelf above the handwashing sink. .2820(b) 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. Fourteen (14) staff members did not review the facility’s Emergency Medical Care Plan within the past year. 10A NCAC 09 .0802(a) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. Six (6) staff members, who have contact with children, did not receive 16 hours of on-site orientation within the first six weeks of employment. .1101(a) 1792 Staff did not model appropriate eating behaviors by consuming food or beverages that meet the nutritional requirements specified in the Meal Patterns for Children in Child Care Programs in the presence of children in care. In Space #12, one (1) open can of Celsius Live Fit Energy Drink was on top of the cubbies. .0901(i) 1825 All staff did not review the center's EPR Plan during orientation and/or on an annual basis with the trained staff. Documentation of the review was not maintained on file. Fourteen (14) staff members did not review the facility’s Emergency Preparedness and Response Plan within the past year. .0607(f) 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. An acknowledgement, signed by the parent, of receipt of the facility’s prevention of shaken baby and abusive head trauma policy was not on file for one (1) child, enrolled on January 3, 2024. .0608(b)(1-6) The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the violation item number, statement of compliance, date of the visit and license ID number in the letter. I must receive your compliance statement by April 3, 2024. Please send your letter to christine.rosinski@dhhs.nc.gov. Failure to correct the violations and send the written statement by the due date may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. The Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Prior to today's visit, your program maintained a compliance history of 79%. Please note any violations cited during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Technical assistance was provided on the following: 1. All hazardous items with multiple warnings and items in aerosol containers must be kept in locked storage. Items labeled “keep out of reach of children” with no other warnings can be stored five (5) feet off the ground. Have staff check their classroom thoroughly each morning to ensure all hazardous products are stored properly. The aerosol can was placed in a locked cabinet during the visit. You stated all hazardous products will be stored in locked cabinets in each classroom. 2. Each child care center must have a written plan that sets forth the steps to follow in the event of a child medical emergency. The plan must be reviewed with all staff annually and whenever the plan is revised. This plan shall give the procedures to be followed to ensure that any child who becomes ill or is injured and requires medical attention while in care at the center receives appropriate medical attention. The following information is to be included in the center's emergency medical care plan: (1) The name of the person and at least one alternate, responsible for carrying out that plan of action, ensuring that appropriate medical care is given, and determining which of the following is needed: (A) first aid given at the center for an injury or illness needing only minimal attention; and (B) calling 911 in accordance with CPR or First Aid training recommendations. (2) The name of the person and one alternate, at the center responsible for: (A) ensuring that the signed authorization described in Paragraph (d) of this Rule is taken with the ill or injured child to the medical facility; (B) accompanying the ill or injured child to the medical facility; (C) notifying a child's parents or emergency contact person about the illness or injury and where the child has been taken for treatment; (D) obtaining substitute staff, if needed, to maintain required staff/child ratio and adequate supervision of children who remain in the center; and (3) A statement giving the location of the telephone located on the premises available for use in case of emergency. A telephone located in an office in the center that is sometimes locked during the time the children are present shall not be designated for use in an emergency. I suggested you review the facility’s Emergency Medical Care Plan with all staff at the same time that you review the facility’s Emergency Preparedness and Response Plan. I also suggested you schedule the staff meeting during which you review the Emergency Medical Care Plan with staff prior to the previous years’ review to ensure that the review is conducted at least once per year. 3. Each center must ensure that each new employee who is expected to have contact with children receives 16 hours of on-site orientation within the first six weeks of employment. As part of this orientation, each new employee must complete six hours of orientation within the first two weeks of employment. Since the facility began accepting subsidy on May 25, 2023, all staff members must complete orientation. I suggested that you use the Orientation Form found on the DCDEE website. I also suggested you set calendar reminders to ensure each new employee’s orientation is completed within the required timeframes. 4. Staff must role model appropriate eating behaviors by consuming only food or beverages that meet the nutritional requirements outlined in the Meal Patterns for Children while in the presence of children in care. Staff may not consume any item not outlined in the above-mentioned requirements in the classroom. The can of Celsius was removed from the classroom during the visit. I suggested you review nutrition requirements with all staff. 5. All staff members must review the center's Emergency Preparedness and Response Plan during orientation and on an annual basis thereafter with the staff member trained in Emergency Preparedness and Response. Documentation of the review must be maintained at the center in the individual's personnel file or in a file designated for emergency preparedness and response plan documents. All substitutes and volunteers counted in ratio must be informed of the child care center's Emergency Preparedness and Response Plan and its location. Documentation of this notice must be maintained in the individual personnel files or in a file designated for emergency preparedness and response plan documents. I suggested you review your facility’s Emergency Preparedness and Response Plan during a staff meeting with all staff members after you review and update the plan each year. I also suggested you schedule the staff meeting during which you review the Emergency Preparedness and Response Plan with staff prior to the previous years’ review to ensure that the review is conducted at least once per year. 6. A copy of your facility’s Prevention of Shaken Baby and Abusive Head Trauma Policy must be given and explained to the parents of newly enrolled children up to five years of age on or before the first day the child receives care at the center. The center shall obtain the parent’s signature on the statement acknowledging the receipt and explanation of the policy. I suggested you review all documents received by parents during the enrollment process to ensure all required documentation has been signed before placing in the children’s files. Consultation: You stated you began accepting subsidy payments on May 25, 2023. By May 25, 2024, all staff members must complete all of the required health and safety trainings, as well as on-going training hours based on their education and experience. The child care administrator(s) and any staff who have responsibility for planning and supervising a child care center, and staff who work with children, must participate in on-going training activities annually, as follows: Education and Experience (Required Training) Four-year degree or higher advanced degree in a child care related field of study from a regionally accredited college or university (5 clock hours) Two-year degree in a child care related field of study from a regionally accredited college or university, or persons with a North Carolina Early Childhood Administration Credential (8 clock hours) Certificate or diploma in a child care related field of study from a regionally accredited college or university, or persons with a North Carolina Early Childhood Credential (10 clock hours) 10 years documented experience as a teacher, director, or caregiver in a licensed child care arrangement (15 clock hours) If none of the other criteria in this chart apply (20 clock hours) Health and safety training shall be completed as part of on-going training so that every five years, all of the topic areas set forth in 10A NCAC 09 .1102(b) will have been covered. Completion of cardiopulmonary resuscitation (CPR) and First Aid training may not be counted toward meeting annual on-going training requirements. Any staff working less than 40 hours per week may choose to complete prorated on-going training requirements as follows: WORKING HOURS PER WEEK (CLOCK HOURS REQUIRED) 0-10 hours worked per week (5 training hours required) 11-20 hours worked per week (10 training hours required) 21-30 hours worked per week (15 training hours required) 31-40 hours worked per week (20 training hours required) Stay up to date with the Division of Child Development and Early Education by visiting www.ncchildcare.ncdhhs.gov. This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the "What's New" tab for important updates impacting child care in North Carolina. Thank you for your time today. If you have any questions about today’s visit, please contact me or my supervisor, Tammy McGalliard, tammy.mcgalliard@dhhs.nc.gov. If I can be of further assistance, you may contact me at 704-579-4463. Christine Rosinski PO Box 927 Cornelius, NC 28031 Christine.rosinski@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: FIRST BAPTIST DAY CARE CENTER Facility ID: 3650311 Consultant: CHRISTINE ROSINSKI Operation Type: Center Case Number: Visit Date: 11/13/2023 Number Present: 53 Completed Date: 11/13/2023 Age: From 0 To 5 Total Minutes: 125 Time In: 08:30 AM Time Out: 10:35 AM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for a routine unannounced visit. You, Crystal Ballard, Administrator, assisted me with today’s visit. Your program currently operates with a notice of compliance issued August 19, 2021. The permit restrictions were in compliance including First Shift (daytime care). The Secretary of State website was checked on October 11, 2023, and your business, First Baptist Church of Stanley, N.C. was active and in good standing. If any changes to the corporation need to be made or you decide to sell your business, then you must notify me at least thirty days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location, or inherited. A walk-through of the facility was completed today, all indoor and outdoor areas were monitored. I observed children in the indoor and outdoor learning environment. Children throughout the facility were participating in routines, group time, outdoor play, breakfast, and free play during today’s visit. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Playground Safety, ITS-SIDS, Special Training, and Criminal Background Checks. Seven (7) new staff members were hired since the last visit. The most recent sanitation inspection for your facility was conducted on August 23, 2023. A superior sanitation classification was issued with seven (7) demerits. The most recent approved fire inspection for your facility was conducted on August 11, 2023. The following violations were observed/documented during today’s visit: Violation Number Comment Rule 125 Daily records of arrival and departure times for children enrolled at the center were not maintained as children arrive and depart and/or were not made available for review. In Space #1, two (2) children were not signed out on October 13, 2023. In Space #10, one (1) child was not signed out on October 13, 2023, one (1) child was not signed out on November 9, 2023, two (2) children were not signed in on November 10, 2023, and one (1) child was not signed out on November 10, 2023. In Space #14a, two (2) children were not signed out on November 7, 2023, and one (1) child was not signed out on November 10, 2023. 10A NCAC 09 .0302(d)(4) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. In Space #10, one (1) tube of Aveeno Baby Continuous Protection Zinc Oxide Sunscreen expired October 2023. In Space #14a, one (1) tub of Aquaphor Healing Ointment Baby Advanced Therapy expired October 2023. .0803(12) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. One (1) staff member, employed on May 8, 2023, did not complete First Aid Training. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. One (1) staff member, employed on May 8, 2023, did not complete CPR Training. .1102(d) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. In Space #3, the Permission to Administer Medication Form for one (1) tube of Aquaphor Healing Ointment Baby Advanced Therapy expired on July 27, 2023. In Space #10, there was no Permission to Administer Medication Form for one (1) tube of Boudreauxs Butt Paste Max Strength Diaper Rash Ointment. In Space #10, the Permission to Administer Medication Form for one (1) tube of Cerave Moisturizing Cream expired on November 1, 2023. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the violation item number, statement of compliance, date of the visit and license ID number in the letter. I must receive your compliance statement by November 27, 2023. Please send your letter to christine.rosinski@dhhs.nc.gov. Failure to correct the violations and send the written statement by the due date may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. The Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Prior to today's visit, your program maintained a compliance history of 79%. Please note any violations cited during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Technical Assistance was provided on the following: 1. Keep daily records of arrival and departure times for children enrolled at the center. This can be completed by parents, teachers, or both. You have sign in/out sheets printed and placed on a clipboard in each classroom. Use these forms to document arrival and departure of each child each day. I suggested you review sign in/out requirements with all staff. 2. Any medication remaining after the course of treatment is completed, after authorization is withdrawn or after authorization or medication has expired must be returned to the child's parents. Any medication the parent fails to retrieve within 72 hours of completion of treatment, or withdrawal of authorization, should be discarded. Standing permission to administer medications for chronic illnesses may be given for up to six (6) months. A new Permission to Administer Medication for Chronic Medical Conditions form must be completed by the child’s guardian at least every six (6) months. Standing permission to administer over-the-counter, topical ointments, topical teething ointment or gel, insect repellents, lotions, creams, fluoridated toothpaste, and powders, such as sunscreen, diapering creams, baby lotion, and baby powder, may be given for up to twelve (12) months. Teachers should periodically check medications and permission forms to ensure no medication or permission forms are expired. No medication should be accepted by the facility without an accompanying Permission to Administer Medication Form. Continue to use the Medication Administration Permission Form found on the DCDEE website under the “Provider” tab. 3. All staff members must maintain active CPR/First Aid certification. New staff members have ninety (90) days from their date of hire to complete the training. For existing staff, schedule classes two to four months prior to the current certifications’ expiration to ensure certification does not expire. You stated you contacted the CPR/First Aid trainer that your facility uses for all CPR/First Aid Training to schedule a training with the staff member who has not completed CPR/First Aid Training. Consultation Qualifying letters are now valid for five (5) years from the date of issue. Please begin the criminal background re-check at least two (2) months prior to the expiration of the current qualifying letter. For the latest information on child care rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ . This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the "What's New" tab for important updates impacting child care in North Carolina. Thank you for your time today. If you have any questions about today’s visit, please contact me or my supervisor, Tammy McGalliard, tammy.mcgalliard@dhhs.nc.gov. If I can be of further assistance, you may contact me at 704-579-4463. Christine Rosinski PO Box 927 Cornelius, NC 28031 Christine.rosinski@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: FIRST BAPTIST DAY CARE CENTER Facility ID: 3650311 Consultant: CHRISTINE ROSINSKI Operation Type: Center Case Number: Visit Date: 11/13/2023 Number Present: 53 Completed Date: 11/13/2023 Age: From 0 To 5 Total Minutes: 125 Time In: 08:30 AM Time Out: 10:35 AM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for a routine unannounced visit. You, Crystal Ballard, Administrator, assisted me with today’s visit. Your program currently operates with a notice of compliance issued August 19, 2021. The permit restrictions were in compliance including First Shift (daytime care). The Secretary of State website was checked on October 11, 2023, and your business, First Baptist Church of Stanley, N.C. was active and in good standing. If any changes to the corporation need to be made or you decide to sell your business, then you must notify me at least thirty days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location, or inherited. A walk-through of the facility was completed today, all indoor and outdoor areas were monitored. I observed children in the indoor and outdoor learning environment. Children throughout the facility were participating in routines, group time, outdoor play, breakfast, and free play during today’s visit. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Playground Safety, ITS-SIDS, Special Training, and Criminal Background Checks. Seven (7) new staff members were hired since the last visit. The most recent sanitation inspection for your facility was conducted on August 23, 2023. A superior sanitation classification was issued with seven (7) demerits. The most recent approved fire inspection for your facility was conducted on August 11, 2023. The following violations were observed/documented during today’s visit: Violation Number Comment Rule 125 Daily records of arrival and departure times for children enrolled at the center were not maintained as children arrive and depart and/or were not made available for review. In Space #1, two (2) children were not signed out on October 13, 2023. In Space #10, one (1) child was not signed out on October 13, 2023, one (1) child was not signed out on November 9, 2023, two (2) children were not signed in on November 10, 2023, and one (1) child was not signed out on November 10, 2023. In Space #14a, two (2) children were not signed out on November 7, 2023, and one (1) child was not signed out on November 10, 2023. 10A NCAC 09 .0302(d)(4) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. In Space #10, one (1) tube of Aveeno Baby Continuous Protection Zinc Oxide Sunscreen expired October 2023. In Space #14a, one (1) tub of Aquaphor Healing Ointment Baby Advanced Therapy expired October 2023. .0803(12) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. One (1) staff member, employed on May 8, 2023, did not complete First Aid Training. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. One (1) staff member, employed on May 8, 2023, did not complete CPR Training. .1102(d) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. In Space #3, the Permission to Administer Medication Form for one (1) tube of Aquaphor Healing Ointment Baby Advanced Therapy expired on July 27, 2023. In Space #10, there was no Permission to Administer Medication Form for one (1) tube of Boudreauxs Butt Paste Max Strength Diaper Rash Ointment. In Space #10, the Permission to Administer Medication Form for one (1) tube of Cerave Moisturizing Cream expired on November 1, 2023. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the violation item number, statement of compliance, date of the visit and license ID number in the letter. I must receive your compliance statement by November 27, 2023. Please send your letter to christine.rosinski@dhhs.nc.gov. Failure to correct the violations and send the written statement by the due date may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. The Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Prior to today's visit, your program maintained a compliance history of 79%. Please note any violations cited during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Technical Assistance was provided on the following: 1. Keep daily records of arrival and departure times for children enrolled at the center. This can be completed by parents, teachers, or both. You have sign in/out sheets printed and placed on a clipboard in each classroom. Use these forms to document arrival and departure of each child each day. I suggested you review sign in/out requirements with all staff. 2. Any medication remaining after the course of treatment is completed, after authorization is withdrawn or after authorization or medication has expired must be returned to the child's parents. Any medication the parent fails to retrieve within 72 hours of completion of treatment, or withdrawal of authorization, should be discarded. Standing permission to administer medications for chronic illnesses may be given for up to six (6) months. A new Permission to Administer Medication for Chronic Medical Conditions form must be completed by the child’s guardian at least every six (6) months. Standing permission to administer over-the-counter, topical ointments, topical teething ointment or gel, insect repellents, lotions, creams, fluoridated toothpaste, and powders, such as sunscreen, diapering creams, baby lotion, and baby powder, may be given for up to twelve (12) months. Teachers should periodically check medications and permission forms to ensure no medication or permission forms are expired. No medication should be accepted by the facility without an accompanying Permission to Administer Medication Form. Continue to use the Medication Administration Permission Form found on the DCDEE website under the “Provider” tab. 3. All staff members must maintain active CPR/First Aid certification. New staff members have ninety (90) days from their date of hire to complete the training. For existing staff, schedule classes two to four months prior to the current certifications’ expiration to ensure certification does not expire. You stated you contacted the CPR/First Aid trainer that your facility uses for all CPR/First Aid Training to schedule a training with the staff member who has not completed CPR/First Aid Training. Consultation Qualifying letters are now valid for five (5) years from the date of issue. Please begin the criminal background re-check at least two (2) months prior to the expiration of the current qualifying letter. For the latest information on child care rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ . This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the "What's New" tab for important updates impacting child care in North Carolina. Thank you for your time today. If you have any questions about today’s visit, please contact me or my supervisor, Tammy McGalliard, tammy.mcgalliard@dhhs.nc.gov. If I can be of further assistance, you may contact me at 704-579-4463. Christine Rosinski PO Box 927 Cornelius, NC 28031 Christine.rosinski@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