THE Grace School Child Development Center

G.S. 110-90 · Violation

Name of Operation: THE GRACE SCHOOL CHILD DEVELOPMENT CENTER Facility ID: 36000300 Consultant: CHRISTINE ROSINSKI Operation Type: Center Case Number: Visit Date: 3/11/2026 Number Present: 55 Completed Date: 3/11/2026 Age: From 0 To 5 Total Minutes: 116 Time In: 07:44 AM Time Out: 09:40 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, Amy Simmons, Owner/Administrator, assisted me with today’s visit. Your program currently operates with a five (5) star license issued June 24, 2019. The permit restrictions were in compliance including First Shift (daytime care), meets enhanced ratios, meets enhanced space, children under 2 ½ years old in rooms with direct exits only, Building #1 capacity=75, and Building #2 capacity=18. Your facility uses Creative Curriculum for the Pre-Kindergarten classroom and Mother Goose curriculum for all other classrooms. The Secretary of State website was checked on March 12, 2026, and your business, The Grace School, Inc. 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 September 3, 2025. A “superior” classification was issued with two (2) demerits noted on the grade card. The last fire inspection was conducted on December 17, 2025. The most recent fire drill was conducted on February 12, 2026, the most recent emergency drill was conducted on December 10, 2025, and the most recent playground inspection was conducted on February 24, 2026. You received the results of your most recent lead water testing showing no levels of lead above the allowed amount, on September 3, 2025. Per the facility data on the Clean Classrooms for Carolina Kids website, your facility is exempt from lead-based paint and asbestos testing. A walk-through of the facility was completed today and all indoor and outdoor areas were monitored. I observed children in the indoor learning environment. Children throughout the facility were participating in routines, breakfast, group time, and free 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. Five (5) new staff members were hired since the last visit. The following violations were observed/documented during the visit: Violation Number Comment Rule 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. The first aid certification for one (1) staff member, employed on December 11, 2023, expired on February 13, 2026. .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. The CPR certification for one (1) staff member, employed on December 11, 2023, expired on February 13, 2026. .1102(d) The violations documented must be corrected immediately. On or before March 25, 2026, 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 96%. 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 staff members must maintain active CPR/First Aid certification. New staff members have ninety days from their date of hire to complete the training. I suggested you schedule CPR/First Aid Training for all new staff during their hiring process. For existing staff, I suggested you schedule classes two to four months prior to the current certifications’ expiration to ensure certification does not expire. We reviewed the Partnership for Children of Lincoln and Gaston County’s training calendar at https://www.eventbrite.com/o/partnership-for-children-of-lincoln-amp-gaston-counties-45331112 during the visit; however, no upcoming CPR/First Aid Trainings were scheduled. You emailed the Partnership for Children of Lincoln and Gaston Counties during the visit and were advised to email Melvin Burris, CPR/First Aid Trainer, to request a training. You emailed both Mr. Burris and Tara Knight, Child Care Health Consultant with the Gaston County Department of Health and Human Services, during the visit to request a CPR/First Aid Training. Consultation We discussed the QRIS Modernization and the Pathway to the Stars. We reviewed all three (3) pathways, as well as the Family and Community Engagement Standards. I encouraged you to visit the QRIS Modernization website to review information regarding the changes to the rated license process. Information on the three (3) pathway options, as well as links to upcoming webinars may be found on the DCDEE QRIS Modernization website: https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization. We discussed changes to the environment rating scales and the implementation of the “3’s”. I encouraged you to visit the North Carolina Rated License Assessment Project website for more information regarding the 3’s, as well as webinars and training opportunities: https://ncrlap.org/Resources/pages/get-ready-for-3s/. I also suggested you reach out to Deirdre Sykes, your technical assistant with the Partnership for Children of Lincoln and Gaston Counties, to request technical assistance as you prepare to begin the rated license process. Additionally, please ensure all staff members have a WORKS account, that all transcripts have been submitted, and all WORKS accounts are up to date. 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. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. 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: THE GRACE SCHOOL CHILD DEVELOPMENT CENTER Facility ID: 36000300 Consultant: CHRISTINE ROSINSKI Operation Type: Center Case Number: Visit Date: 2/11/2025 Number Present: 52 Completed Date: 2/11/2025 Age: From 1 To 5 Total Minutes: 81 Time In: 10:24 AM Time Out: 11:45 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, Amy Simmons, Owner/Administrator, assisted me with today’s visit. Your program currently operates with a five (5) star license issued June 24, 2019. The permit restrictions were in compliance including First Shift (daytime care), meets enhanced ratios, meets enhanced space, children under 2 ½ years old in rooms with direct exits only, building #1 capacity=75, and building #2 capacity=18. The Secretary of State website was checked on February 11, 2025, and your business, The Grace School, Inc., was current/active. 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 September 3, 2024. A “superior” classification was issued with zero (0) demerits noted on the grade card. The last fire inspection was conducted on December 30, 2024. The most recent fire drill was conducted on January 16, 2025, the most recent emergency drill was conducted on December 18, 2024, and the most recent playground inspection was conducted on January 9, 2025. 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, free play, 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. One (1) new staff member was hired since the last visit. The following violations were observed/documented during the visit: Violation Number Comment Rule 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. In Space #2a/b, one (1) Epinephrine Auto Injector, USP was not in the original container in which it was dispensed and did not have the pharmacy label. .0803(2)(a) 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 #3, the most recent update of the medical action plan for one (1) child diagnosed with asthma, was February 5, 2024. .0801(b) The violations documented must be corrected immediately. On or before February 25, 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 94%. 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. Prescribed medications must be stored in the original containers in which they were dispensed with the pharmacy labels. If the medication is a pharmaceutical sample, it must be stored in the manufacturer's original packaging, be labeled with the child's name, and be accompanied by written instructions specifying: the child's name; the names of the medication; the amount and frequency of dosage; the signature of the prescribing physician or other health professional; and the date the instructions were signed by the physician or other health professional. I suggested you contact the child’s parent who is prescribed the Epinephrine Auto Injector and request they bring in the prescription in a original box with the pharmacy label. I reminded you that medications should not be accepted if they are not in the pharmaceutical packaging with pharmacy labels. 2. 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 is to 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 continue to use the sample medical action plans found on the DCDEE website under the “Provider” tab. I also suggested you set calendar reminders to ensure medical action plans are updated at least annually. 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. Hold harmless has been extended until the new QRIS system is implemented. Programs still have the option to choose to voluntarily complete the star rated license reassessment if they so desire. 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 .0302 · Violation

Name of Operation: THE GRACE SCHOOL CHILD DEVELOPMENT CENTER Facility ID: 36000300 Consultant: CHRISTINE ROSINSKI Operation Type: Center Case Number: Visit Date: 9/9/2024 Number Present: 49 Completed Date: 9/9/2024 Age: From 1 To 4 Total Minutes: 161 Time In: 08:19 AM Time Out: 11:00 AM 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, Amy Simmons, Owner/Administrator, assisted with today’s visit. A checklist was used to note the requirements I monitored today. Your program currently operates with a five (5) star license issued June 24, 2019. The permit restrictions were in compliance including First Shift (daytime care), meets enhanced ratios, meets enhanced space, children under 2 ½ years old in rooms with direct exits only, building #1 capacity=75, and building #2 capacity=18. The Secretary of State website was checked on April 22, 2024, and your business, The Grace School, Inc, 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 land outdoor earning environment. Children throughout the facility were participating in routines, breakfast, free play, group time and outdoor play during the visit. The last sanitation inspection was conducted on September 3, 2024. A “superior” classification was issued with zero (0) demerits noted on the grade card. The last fire inspection was conducted on December 12, 2023. The last fire drill was conducted on August 28, 2024. The last emergency drill was conducted on June 4, 2024. The last playground inspection was conducted on August 28, 2024. Six (6) children’s files were reviewed during the visit. Three (3) new staff files and one (1) existing staff file were reviewed during the visit. The following violations were observed/documented during today’s visit: Violation Number Comment Rule 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. One (1) staff member, employed on April 8, 2024, did not have verification of completion of First Aid on file. .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 April 8, 2024, did not have verification of completion of CPR on file. .1102(d) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. One (1) child, enrolled on November 20, 2023, did not have a medical exam on file. GS110-91(1) 1323 Each child was not immunized as per Article 6 of Chapter 130A and an immunization record was not on file before or within 30 days after admission. One (1) child, enrolled on November 20, 2023, did not have an immunization record, or exemption on file. 10A NCAC 09 .0302(d)(2) 1908 A child's file did not have a statement with parent signature acknowledging receipt and explanation of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy and/or the acknowledgement did not have all the required information. One (1) child, born on August 19, 2022, and enrolled on November 20, 2023, and one (1) child, born on July 13, 2020, and enrolled on September 12, 2022, did not have a statement with parent signature acknowledging receipt and explanation of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy on file. .0608(b)(1-6) The violations documented must be corrected immediately. On or before September 23, 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 96%. 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 children must have a medical exam on file within the first thirty (30) days of enrollment. The assessment shall be conducted by a licensed physician, the physician's authorized agent who is currently approved by the North Carolina Medical Board, or comparable certifying board in any state contiguous to North Carolina, a certified nurse practitioner, or a public health nurse. I suggested you ask parents to provide the medical exam during the enrollment process to ensure the documentation is on file in a timely manner. 2. All children must have an immunization record or valid exemption on file within the first thirty (30) days of enrollment. I suggested you ask parents to provide the immunization record or exemption during the enrollment process to ensure the documentation is on file in a timely manner. 3. 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 reformat your new enrollment signature page to ensure parents do not miss the signature line for receipt of the Prevention of Shaken Baby and Abusive Head Trauma Policy. 4. 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 staff members bring their certificates of completion of CPR/First Aid, or a copy of their CPR/First Aid Cards to you the day after the course is completed to ensure verification of completion of the courses is on file. Consultation: Hold harmless has been extended until the new QRIS system is implemented. Programs still have the option to choose to voluntarily complete the star rated license reassessment if they so desire. 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: THE GRACE SCHOOL CHILD DEVELOPMENT CENTER Facility ID: 36000300 Consultant: CHRISTINE ROSINSKI Operation Type: Center Case Number: Visit Date: 9/9/2024 Number Present: 49 Completed Date: 9/9/2024 Age: From 1 To 4 Total Minutes: 161 Time In: 08:19 AM Time Out: 11:00 AM 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, Amy Simmons, Owner/Administrator, assisted with today’s visit. A checklist was used to note the requirements I monitored today. Your program currently operates with a five (5) star license issued June 24, 2019. The permit restrictions were in compliance including First Shift (daytime care), meets enhanced ratios, meets enhanced space, children under 2 ½ years old in rooms with direct exits only, building #1 capacity=75, and building #2 capacity=18. The Secretary of State website was checked on April 22, 2024, and your business, The Grace School, Inc, 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 land outdoor earning environment. Children throughout the facility were participating in routines, breakfast, free play, group time and outdoor play during the visit. The last sanitation inspection was conducted on September 3, 2024. A “superior” classification was issued with zero (0) demerits noted on the grade card. The last fire inspection was conducted on December 12, 2023. The last fire drill was conducted on August 28, 2024. The last emergency drill was conducted on June 4, 2024. The last playground inspection was conducted on August 28, 2024. Six (6) children’s files were reviewed during the visit. Three (3) new staff files and one (1) existing staff file were reviewed during the visit. The following violations were observed/documented during today’s visit: Violation Number Comment Rule 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. One (1) staff member, employed on April 8, 2024, did not have verification of completion of First Aid on file. .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 April 8, 2024, did not have verification of completion of CPR on file. .1102(d) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. One (1) child, enrolled on November 20, 2023, did not have a medical exam on file. GS110-91(1) 1323 Each child was not immunized as per Article 6 of Chapter 130A and an immunization record was not on file before or within 30 days after admission. One (1) child, enrolled on November 20, 2023, did not have an immunization record, or exemption on file. 10A NCAC 09 .0302(d)(2) 1908 A child's file did not have a statement with parent signature acknowledging receipt and explanation of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy and/or the acknowledgement did not have all the required information. One (1) child, born on August 19, 2022, and enrolled on November 20, 2023, and one (1) child, born on July 13, 2020, and enrolled on September 12, 2022, did not have a statement with parent signature acknowledging receipt and explanation of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy on file. .0608(b)(1-6) The violations documented must be corrected immediately. On or before September 23, 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 96%. 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 children must have a medical exam on file within the first thirty (30) days of enrollment. The assessment shall be conducted by a licensed physician, the physician's authorized agent who is currently approved by the North Carolina Medical Board, or comparable certifying board in any state contiguous to North Carolina, a certified nurse practitioner, or a public health nurse. I suggested you ask parents to provide the medical exam during the enrollment process to ensure the documentation is on file in a timely manner. 2. All children must have an immunization record or valid exemption on file within the first thirty (30) days of enrollment. I suggested you ask parents to provide the immunization record or exemption during the enrollment process to ensure the documentation is on file in a timely manner. 3. 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 reformat your new enrollment signature page to ensure parents do not miss the signature line for receipt of the Prevention of Shaken Baby and Abusive Head Trauma Policy. 4. 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 staff members bring their certificates of completion of CPR/First Aid, or a copy of their CPR/First Aid Cards to you the day after the course is completed to ensure verification of completion of the courses is on file. Consultation: Hold harmless has been extended until the new QRIS system is implemented. Programs still have the option to choose to voluntarily complete the star rated license reassessment if they so desire. 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

GS110-91 · Violation

Name of Operation: THE GRACE SCHOOL CHILD DEVELOPMENT CENTER Facility ID: 36000300 Consultant: CHRISTINE ROSINSKI Operation Type: Center Case Number: Visit Date: 9/9/2024 Number Present: 49 Completed Date: 9/9/2024 Age: From 1 To 4 Total Minutes: 161 Time In: 08:19 AM Time Out: 11:00 AM 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, Amy Simmons, Owner/Administrator, assisted with today’s visit. A checklist was used to note the requirements I monitored today. Your program currently operates with a five (5) star license issued June 24, 2019. The permit restrictions were in compliance including First Shift (daytime care), meets enhanced ratios, meets enhanced space, children under 2 ½ years old in rooms with direct exits only, building #1 capacity=75, and building #2 capacity=18. The Secretary of State website was checked on April 22, 2024, and your business, The Grace School, Inc, 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 land outdoor earning environment. Children throughout the facility were participating in routines, breakfast, free play, group time and outdoor play during the visit. The last sanitation inspection was conducted on September 3, 2024. A “superior” classification was issued with zero (0) demerits noted on the grade card. The last fire inspection was conducted on December 12, 2023. The last fire drill was conducted on August 28, 2024. The last emergency drill was conducted on June 4, 2024. The last playground inspection was conducted on August 28, 2024. Six (6) children’s files were reviewed during the visit. Three (3) new staff files and one (1) existing staff file were reviewed during the visit. The following violations were observed/documented during today’s visit: Violation Number Comment Rule 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. One (1) staff member, employed on April 8, 2024, did not have verification of completion of First Aid on file. .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 April 8, 2024, did not have verification of completion of CPR on file. .1102(d) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. One (1) child, enrolled on November 20, 2023, did not have a medical exam on file. GS110-91(1) 1323 Each child was not immunized as per Article 6 of Chapter 130A and an immunization record was not on file before or within 30 days after admission. One (1) child, enrolled on November 20, 2023, did not have an immunization record, or exemption on file. 10A NCAC 09 .0302(d)(2) 1908 A child's file did not have a statement with parent signature acknowledging receipt and explanation of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy and/or the acknowledgement did not have all the required information. One (1) child, born on August 19, 2022, and enrolled on November 20, 2023, and one (1) child, born on July 13, 2020, and enrolled on September 12, 2022, did not have a statement with parent signature acknowledging receipt and explanation of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy on file. .0608(b)(1-6) The violations documented must be corrected immediately. On or before September 23, 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 96%. 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 children must have a medical exam on file within the first thirty (30) days of enrollment. The assessment shall be conducted by a licensed physician, the physician's authorized agent who is currently approved by the North Carolina Medical Board, or comparable certifying board in any state contiguous to North Carolina, a certified nurse practitioner, or a public health nurse. I suggested you ask parents to provide the medical exam during the enrollment process to ensure the documentation is on file in a timely manner. 2. All children must have an immunization record or valid exemption on file within the first thirty (30) days of enrollment. I suggested you ask parents to provide the immunization record or exemption during the enrollment process to ensure the documentation is on file in a timely manner. 3. 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 reformat your new enrollment signature page to ensure parents do not miss the signature line for receipt of the Prevention of Shaken Baby and Abusive Head Trauma Policy. 4. 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 staff members bring their certificates of completion of CPR/First Aid, or a copy of their CPR/First Aid Cards to you the day after the course is completed to ensure verification of completion of the courses is on file. Consultation: Hold harmless has been extended until the new QRIS system is implemented. Programs still have the option to choose to voluntarily complete the star rated license reassessment if they so desire. 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: THE GRACE SCHOOL CHILD DEVELOPMENT CENTER Facility ID: 36000300 Consultant: CHRISTINE ROSINSKI Operation Type: Center Case Number: Visit Date: 4/17/2024 Number Present: 56 Completed Date: 4/17/2024 Age: From 1 To 5 Total Minutes: 110 Time In: 08:40 AM Time Out: 10:30 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, Amy Simmons, Owner/Administrator, assisted me with today’s visit. Your program currently operates with a five (5) star license issued June 24, 2019. The permit restrictions were in compliance including First Shift (daytime care), meets enhanced ratios, meets enhanced space, children under 2 ½ years old in rooms with direct exits only, Building #1 capacity=75, and Building #2 capacity=18. The Secretary of State website was checked on April 17, 2024, and your business, The Grace School, Inc., 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, breakfast, group time, free play, 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. Three (3) new staff members were hired since the last visit. The most recent sanitation inspection for your facility was conducted on October 25, 2023. A superior sanitation classification was issued with zero (0) demerits. The most recent approved fire inspection for your facility was conducted on December 12, 2023. The last fire drill was conducted on March 6, 2024, 2024. The last emergency drill was conducted on March 20, 2024. The last playground inspection was conducted on March 10, 2024. The following violation was observed/documented during the visit: Violation Number Comment Rule 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 #1, the Permission to Administer Medication Form for one (1) tube of Boudreauxs Butt Paste Diaper Rash Ointment expired on March 9, 2024, and the Permission to Administer Medication Form for one (1) tube of Aquaphor Healing Paste Baby expired on March 28, 2024. In Space #3, the Permission to Administer Medication Form for one (1) tube of Aquaphor Healing Ointment Baby expired on March 7, 2024, the Permission to Administer Medication Form for one (1) tube of Little Journey Diaper Rash Cream expired on January 31, 2024, and the Permission to Administer Medication Form for one (1) container of Boudreauxs Butt Paste Diaper Rash Ointment Max Strength expired on March 7, 2024. In Apace #3, there was no Permission to Administer Medication Form for one (1) tube of Aquaphor Healing Ointment Baby. .0803(12) The violation documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how 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. I must receive your compliance statement by May 1, 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 94%. 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. 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. A medication should not be accepted without an accompanying Permission to Administer Medication Form. I suggested you ask staff members to check medications and permission form at least once a month to ensure no medications or permissions slips have expired or been misplaced. 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: THE GRACE SCHOOL CHILD DEVELOPMENT CENTER Facility ID: 36000300 Consultant: CHRISTINE ROSINSKI Operation Type: Center Case Number: 0823-196L Visit Date: 8/16/2023 Number Present: 56 Completed Date: 8/16/2023 Age: From 1 To 5 Total Minutes: 225 Time In: 08:05 AM Time Out: 11:50 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 complaint report alleging violations of child care requirements regarding supervision and records. You, Amy Simmons, Owner/Administrator, assisted me with today’s visit. The NC Secretary of State website was viewed before the visit and The Grace School, Inc. was current/active. I conducted a walk-through of the facility, both indoors and outdoors, and observation in all spaces. You stated the cameras are not functioning at this time and were not functioning on the date the incident occurred. I discussed the allegations with you and three (3) additional staff members during the visit. You and the 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 all staff interviewed stated the incident occurred on Thursday, August 10, 2023 when the injured child and the class in which the injured child was enrolled was outside on the playground. You and all staff interviewed stated the two staff members on the playground always position themselves on the playground to ensure optimal supervision as there is a tree in the middle of the playground which prevents full view of one side of the playground from the other side of the playground. You and staff interviewed stated on the day the incident occurred, one (1) staff member was on one side of the playground, and another staff member was on the opposite side of the playground to ensure appropriate supervision. You and staff interviewed stated the injured child ran into a tree branch as one (1) staff member was walking past the child. Staff interviewed stated the staff member saw the child run into the branch, asked the child if they were “ok” and the child responded that they were ok. Staff interviewed stated they noticed no signs of injury (no redness or bruising) to the child at that time. You and staff interviewed stated the staff member then walked to the fence at the far side of the playground to meet a parent and sign another child out of the facility. You and staff interviewed stated that as the staff member approached the fence, the staff member heard the injured child cry and immediately responded to the crying child. You and staff interviewed stated the injured child pointed to their ear and then pointed to another child next to them and said, “water bottle”. You and staff interviewed stated the other child had a water bottle in their hand at that time. You and staff interviewed stated the staff member noticed the child’s ear was red; however, there was no bruising at that time. You and staff interviewed stated both staff members present at the time left work before the injured child’s parent picked the child up that day. You and staff interviewed stated no incident report form was completed at that time. You and staff interviewed stated the injured child’s mother reached out to the staff member who responded to the injured child at the time of the incident via Facebook message at 7am the day after the incident occurred (August 11, 2023) informing the staff member that the child’s ear was bruised and asked what happened. You and staff interviewed stated the staff member responded to the Facebook message informing the mother of the incident when the child ran into the tree. Staff interviewed stated they did not recall the portion of the incident where the child was hit with a water bottle at the time the message was sent to the injured child’s mother. You and staff interviewed stated the mother contacted the facility by phone the afternoon of August 11, 2023, and spoke with a staff member who was not present at the time the incident occurred. You and staff interviewed stated the staff member who answered the phone spoke with both teachers who were present on the playground at the time the incident occurred, and both stated they were unsure if the branch the child ran into caused the bruise or the water bottle that the child reported being hit with caused the bruise. You and staff interviewed stated the staff member who answered the phone relayed this information by phone to the mother and the mother spoke to the child while on the phone with the staff member. You and staff interviewed stated that while on the phone with the staff member, the staff member heard the child state “water bottle” when asked what caused the bruise. You and staff interviewed stated an incident report was completed on August 11, 2023, and the parent was informed that they could pick up a copy of the incident report form at the facility. You and staff interviewed stated the child’s mother picked up a copy of the incident report form on August 15, 2023; however, the parent did not sign the incident report form. You provided me with a copy of the incident report form during today’s visit. Based on observations, and interviews with staff, the allegations regarding supervision were unsubstantiated. Based on record review and interviews with staff, the allegations regarding records was substantiated. The following violation was 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. A child was injured at the facility on August 10, 2023. The parent was not informed by the facility that the injury occurred, and an incident report form was not completed until August 11, 2023. The parent was provided a copy of the incident report form on August 15, 2023; however, a parent signature was not obtained on the incident report form. .0802 (e) The violation documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how 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. I must receive your compliance statement by August 30, 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 90%. 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 NC Child Care Rule 10A NCAC 09 .0802 EMERGENCY MEDICAL CARE: (e) 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: (1) facility identifying information; (2) the child's name; (3) date and time of the incident; (4) witness to the incident; (5) time the parent is notified of the incident and by whom; (6) piece of equipment involved, if applicable; (7) cause of injury, if applicable; (8) type of injury, if applicable; (9) body part injured, if applicable; (10) where the child received medical treatment, if applicable; (11) description of how and where the incident occurred, and the First Aid received; and (12) 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 a parent signature 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. I suggested you review this rule with all staff members and remind staff that an incident report form shall be completed at the time an incident occurs and that the report must be signed by the child’s parent. Parents/guardians should be made aware of any injuries that occur to a child while present at the facility. Consultation: We reviewed NC Child Care Rule 10A NCAC 09 .1801 SUPERVISION IN CHILD CARE CENTERS (a) Children shall be adequately supervised at all times in child care centers. Adequate supervision shall mean that: (1) staff must be positioned in the indoor and outdoor environment to maximize their ability to hear or see the children at all times and render assistance; (2) staff must interact with the children while moving about the indoor or outdoor area; (3) staff must know where each child is located and be aware of the children's activities at all times; (4) staff must provide supervision appropriate to the individual age, needs, and capabilities of each child; and (5) staff must be able to see and hear children aged birth to five years old while the children are eating. All of the conditions in this Paragraph shall apply except when emergencies necessitate that adequate supervision is impossible. Documentation of emergencies shall be maintained and available for review by Division representatives upon request. Continue to have staff members place themselves in the indoor and outdoor environments to optimize supervision. 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 .1801 · Violation

Name of Operation: THE GRACE SCHOOL CHILD DEVELOPMENT CENTER Facility ID: 36000300 Consultant: CHRISTINE ROSINSKI Operation Type: Center Case Number: 0823-196L Visit Date: 8/16/2023 Number Present: 56 Completed Date: 8/16/2023 Age: From 1 To 5 Total Minutes: 225 Time In: 08:05 AM Time Out: 11:50 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 complaint report alleging violations of child care requirements regarding supervision and records. You, Amy Simmons, Owner/Administrator, assisted me with today’s visit. The NC Secretary of State website was viewed before the visit and The Grace School, Inc. was current/active. I conducted a walk-through of the facility, both indoors and outdoors, and observation in all spaces. You stated the cameras are not functioning at this time and were not functioning on the date the incident occurred. I discussed the allegations with you and three (3) additional staff members during the visit. You and the 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 all staff interviewed stated the incident occurred on Thursday, August 10, 2023 when the injured child and the class in which the injured child was enrolled was outside on the playground. You and all staff interviewed stated the two staff members on the playground always position themselves on the playground to ensure optimal supervision as there is a tree in the middle of the playground which prevents full view of one side of the playground from the other side of the playground. You and staff interviewed stated on the day the incident occurred, one (1) staff member was on one side of the playground, and another staff member was on the opposite side of the playground to ensure appropriate supervision. You and staff interviewed stated the injured child ran into a tree branch as one (1) staff member was walking past the child. Staff interviewed stated the staff member saw the child run into the branch, asked the child if they were “ok” and the child responded that they were ok. Staff interviewed stated they noticed no signs of injury (no redness or bruising) to the child at that time. You and staff interviewed stated the staff member then walked to the fence at the far side of the playground to meet a parent and sign another child out of the facility. You and staff interviewed stated that as the staff member approached the fence, the staff member heard the injured child cry and immediately responded to the crying child. You and staff interviewed stated the injured child pointed to their ear and then pointed to another child next to them and said, “water bottle”. You and staff interviewed stated the other child had a water bottle in their hand at that time. You and staff interviewed stated the staff member noticed the child’s ear was red; however, there was no bruising at that time. You and staff interviewed stated both staff members present at the time left work before the injured child’s parent picked the child up that day. You and staff interviewed stated no incident report form was completed at that time. You and staff interviewed stated the injured child’s mother reached out to the staff member who responded to the injured child at the time of the incident via Facebook message at 7am the day after the incident occurred (August 11, 2023) informing the staff member that the child’s ear was bruised and asked what happened. You and staff interviewed stated the staff member responded to the Facebook message informing the mother of the incident when the child ran into the tree. Staff interviewed stated they did not recall the portion of the incident where the child was hit with a water bottle at the time the message was sent to the injured child’s mother. You and staff interviewed stated the mother contacted the facility by phone the afternoon of August 11, 2023, and spoke with a staff member who was not present at the time the incident occurred. You and staff interviewed stated the staff member who answered the phone spoke with both teachers who were present on the playground at the time the incident occurred, and both stated they were unsure if the branch the child ran into caused the bruise or the water bottle that the child reported being hit with caused the bruise. You and staff interviewed stated the staff member who answered the phone relayed this information by phone to the mother and the mother spoke to the child while on the phone with the staff member. You and staff interviewed stated that while on the phone with the staff member, the staff member heard the child state “water bottle” when asked what caused the bruise. You and staff interviewed stated an incident report was completed on August 11, 2023, and the parent was informed that they could pick up a copy of the incident report form at the facility. You and staff interviewed stated the child’s mother picked up a copy of the incident report form on August 15, 2023; however, the parent did not sign the incident report form. You provided me with a copy of the incident report form during today’s visit. Based on observations, and interviews with staff, the allegations regarding supervision were unsubstantiated. Based on record review and interviews with staff, the allegations regarding records was substantiated. The following violation was 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. A child was injured at the facility on August 10, 2023. The parent was not informed by the facility that the injury occurred, and an incident report form was not completed until August 11, 2023. The parent was provided a copy of the incident report form on August 15, 2023; however, a parent signature was not obtained on the incident report form. .0802 (e) The violation documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how 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. I must receive your compliance statement by August 30, 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 90%. 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 NC Child Care Rule 10A NCAC 09 .0802 EMERGENCY MEDICAL CARE: (e) 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: (1) facility identifying information; (2) the child's name; (3) date and time of the incident; (4) witness to the incident; (5) time the parent is notified of the incident and by whom; (6) piece of equipment involved, if applicable; (7) cause of injury, if applicable; (8) type of injury, if applicable; (9) body part injured, if applicable; (10) where the child received medical treatment, if applicable; (11) description of how and where the incident occurred, and the First Aid received; and (12) 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 a parent signature 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. I suggested you review this rule with all staff members and remind staff that an incident report form shall be completed at the time an incident occurs and that the report must be signed by the child’s parent. Parents/guardians should be made aware of any injuries that occur to a child while present at the facility. Consultation: We reviewed NC Child Care Rule 10A NCAC 09 .1801 SUPERVISION IN CHILD CARE CENTERS (a) Children shall be adequately supervised at all times in child care centers. Adequate supervision shall mean that: (1) staff must be positioned in the indoor and outdoor environment to maximize their ability to hear or see the children at all times and render assistance; (2) staff must interact with the children while moving about the indoor or outdoor area; (3) staff must know where each child is located and be aware of the children's activities at all times; (4) staff must provide supervision appropriate to the individual age, needs, and capabilities of each child; and (5) staff must be able to see and hear children aged birth to five years old while the children are eating. All of the conditions in this Paragraph shall apply except when emergencies necessitate that adequate supervision is impossible. Documentation of emergencies shall be maintained and available for review by Division representatives upon request. Continue to have staff members place themselves in the indoor and outdoor environments to optimize supervision. 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: THE GRACE SCHOOL CHILD DEVELOPMENT CENTER Facility ID: 36000300 Consultant: CHRISTINE ROSINSKI Operation Type: Center Case Number: 0823-196L Visit Date: 8/16/2023 Number Present: 56 Completed Date: 8/16/2023 Age: From 1 To 5 Total Minutes: 225 Time In: 08:05 AM Time Out: 11:50 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 complaint report alleging violations of child care requirements regarding supervision and records. You, Amy Simmons, Owner/Administrator, assisted me with today’s visit. The NC Secretary of State website was viewed before the visit and The Grace School, Inc. was current/active. I conducted a walk-through of the facility, both indoors and outdoors, and observation in all spaces. You stated the cameras are not functioning at this time and were not functioning on the date the incident occurred. I discussed the allegations with you and three (3) additional staff members during the visit. You and the 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 all staff interviewed stated the incident occurred on Thursday, August 10, 2023 when the injured child and the class in which the injured child was enrolled was outside on the playground. You and all staff interviewed stated the two staff members on the playground always position themselves on the playground to ensure optimal supervision as there is a tree in the middle of the playground which prevents full view of one side of the playground from the other side of the playground. You and staff interviewed stated on the day the incident occurred, one (1) staff member was on one side of the playground, and another staff member was on the opposite side of the playground to ensure appropriate supervision. You and staff interviewed stated the injured child ran into a tree branch as one (1) staff member was walking past the child. Staff interviewed stated the staff member saw the child run into the branch, asked the child if they were “ok” and the child responded that they were ok. Staff interviewed stated they noticed no signs of injury (no redness or bruising) to the child at that time. You and staff interviewed stated the staff member then walked to the fence at the far side of the playground to meet a parent and sign another child out of the facility. You and staff interviewed stated that as the staff member approached the fence, the staff member heard the injured child cry and immediately responded to the crying child. You and staff interviewed stated the injured child pointed to their ear and then pointed to another child next to them and said, “water bottle”. You and staff interviewed stated the other child had a water bottle in their hand at that time. You and staff interviewed stated the staff member noticed the child’s ear was red; however, there was no bruising at that time. You and staff interviewed stated both staff members present at the time left work before the injured child’s parent picked the child up that day. You and staff interviewed stated no incident report form was completed at that time. You and staff interviewed stated the injured child’s mother reached out to the staff member who responded to the injured child at the time of the incident via Facebook message at 7am the day after the incident occurred (August 11, 2023) informing the staff member that the child’s ear was bruised and asked what happened. You and staff interviewed stated the staff member responded to the Facebook message informing the mother of the incident when the child ran into the tree. Staff interviewed stated they did not recall the portion of the incident where the child was hit with a water bottle at the time the message was sent to the injured child’s mother. You and staff interviewed stated the mother contacted the facility by phone the afternoon of August 11, 2023, and spoke with a staff member who was not present at the time the incident occurred. You and staff interviewed stated the staff member who answered the phone spoke with both teachers who were present on the playground at the time the incident occurred, and both stated they were unsure if the branch the child ran into caused the bruise or the water bottle that the child reported being hit with caused the bruise. You and staff interviewed stated the staff member who answered the phone relayed this information by phone to the mother and the mother spoke to the child while on the phone with the staff member. You and staff interviewed stated that while on the phone with the staff member, the staff member heard the child state “water bottle” when asked what caused the bruise. You and staff interviewed stated an incident report was completed on August 11, 2023, and the parent was informed that they could pick up a copy of the incident report form at the facility. You and staff interviewed stated the child’s mother picked up a copy of the incident report form on August 15, 2023; however, the parent did not sign the incident report form. You provided me with a copy of the incident report form during today’s visit. Based on observations, and interviews with staff, the allegations regarding supervision were unsubstantiated. Based on record review and interviews with staff, the allegations regarding records was substantiated. The following violation was 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. A child was injured at the facility on August 10, 2023. The parent was not informed by the facility that the injury occurred, and an incident report form was not completed until August 11, 2023. The parent was provided a copy of the incident report form on August 15, 2023; however, a parent signature was not obtained on the incident report form. .0802 (e) The violation documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how 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. I must receive your compliance statement by August 30, 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 90%. 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 NC Child Care Rule 10A NCAC 09 .0802 EMERGENCY MEDICAL CARE: (e) 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: (1) facility identifying information; (2) the child's name; (3) date and time of the incident; (4) witness to the incident; (5) time the parent is notified of the incident and by whom; (6) piece of equipment involved, if applicable; (7) cause of injury, if applicable; (8) type of injury, if applicable; (9) body part injured, if applicable; (10) where the child received medical treatment, if applicable; (11) description of how and where the incident occurred, and the First Aid received; and (12) 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 a parent signature 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. I suggested you review this rule with all staff members and remind staff that an incident report form shall be completed at the time an incident occurs and that the report must be signed by the child’s parent. Parents/guardians should be made aware of any injuries that occur to a child while present at the facility. Consultation: We reviewed NC Child Care Rule 10A NCAC 09 .1801 SUPERVISION IN CHILD CARE CENTERS (a) Children shall be adequately supervised at all times in child care centers. Adequate supervision shall mean that: (1) staff must be positioned in the indoor and outdoor environment to maximize their ability to hear or see the children at all times and render assistance; (2) staff must interact with the children while moving about the indoor or outdoor area; (3) staff must know where each child is located and be aware of the children's activities at all times; (4) staff must provide supervision appropriate to the individual age, needs, and capabilities of each child; and (5) staff must be able to see and hear children aged birth to five years old while the children are eating. All of the conditions in this Paragraph shall apply except when emergencies necessitate that adequate supervision is impossible. Documentation of emergencies shall be maintained and available for review by Division representatives upon request. Continue to have staff members place themselves in the indoor and outdoor environments to optimize supervision. 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