10A NCAC 09 .0514 · Violation

Name of Operation: FIRST BAPTIST CHURCH CHILD DEVELOPMENT CENTER Facility ID: 12000190 Consultant: KRISTEN R. MAUNEY Operation Type: Center Case Number: Visit Date: 2/10/2026 Number Present: 28 Completed Date: 2/10/2026 Age: From 1 To 5 Total Minutes: 430 Time In: 09:55 AM Time Out: 02:00 PM Time In: 02:40 PM Time Out: 05:45 PM List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor your program for compliance with applicable child care requirements for an annual compliance visit, including health and safety. You, Gail Piercy, Administrator, assisted me with the visit. You provided me with applicable program, staff, and children’s records for review. The most recent annual compliance visit was conducted on February 26, 2025. This facility currently operates with a Five star rated license effective November 4, 2019, meeting daytime care only, enhanced ratios, enhanced space, and enhanced ratios minus one child per group. This facility has earned seven points in program standards, six points in staff education, and one quality point for having a staff benefits package and an infrastructure of parent involvement. The license was posted, and the restrictions were in compliance. The program’s compliance history was 85 percent as of February 10, 2026. The NC Secretary of State website was reviewed on February 10, 2026, and First Baptist Church of Valdese was listed as current/active. A checklist was used to note the requirements monitored today. A walkthrough of the facility was completed today, and all indoor and outdoor areas were monitored. You stated you are currently not using the playgrounds due to accumulated ice and snow that has not melted. You stated you use the courtyard for outdoor gross motor activities for the time being. I reminded you that when children are in care and weather conditions permit, there shall be outdoor time, either as part of a small group, a whole group, or individual activity, for no less than thirty minutes for children under two years of age and no less than sixty minutes for children two through twelve years of age. I observed children in the indoor learning environments and found supervision and staff/child ratios to be in compliance. Children throughout the facility were participating in free play activities indoors, handwashing routines, lunch, and nap. Files for five new staff members, one existing staff member, and applicable records for all staff were reviewed. Four children’s records were reviewed. The most recent sanitation inspection for your facility was conducted on September 26, 2025. An approved sanitation classification was issued with 19 demerits noted on the grade card. I monitored and reviewed the demerits noted on the inspection report with you. The analysis date for the most recent lead water test was August 26, 2024. Lead water testing must be completed every three years. You may review your facilities results by visiting https://www.cleanwaterforuskids.org/en/carolina/. This website also indicated no hazards were identified for asbestos and lead-based paint. The most recent approved fire inspection for your facility was conducted on October 13, 2025. The most recent monthly fire drill was conducted on January 12, 2026, at 10:15am. The most recent quarterly lockdown/shelter-in-place drill was conducted on January 12, 2026, at 10:45am. The facilities EPR Plan was updated on March 28, 2025. The most recent monthly playground inspection was completed on January 30, 2026, by Mary Lackey. The violations observed today were discussed with you and documented in the Visit Summary left with you at the conclusion of this visit. The following violations were observed: Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. In space #3, the activity plan posted in the classroom was dated for “January.” The Lead Teacher stated she had not completed an activity plan for February. GS 110-91(12); .0508(a) 429 The activity plan was not designed to stimulate emotional and social, health and physical, approaches to play and learning, language development and communication, and cognitive development for each group of children in care. In space #4, #5, and #6, the activity plans listed "sand" and "water" rather than listing specific activities and materials to use for sand and water play. In space #4, gross motor activities that may be conducted indoors and outdoors were not listed on the activity plan. The activities listed that could not be conducted indoors were "trikes" and "slides." The gross motor activity listed for Thursday was "sand box" and "clapping." .0508(b)(1-5) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. In space #4 and #5, small pieces of crayon and small pieces of chalk less than one inch in length were observed being used by children and observed in the art activity area accessible to children. .0604(q) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. The orientation checklist for one staff member employed on December 1, 2025, only indicated the staff member received 5 hours of orientation training on December 8, 2025. The orientation checklist for one staff member employed on December 15, 2025, only indicated the staff member received 5 hours of orientation training on December 15, 2025. .1101(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 staff member, D. Brittain, employed on May 7, 2024, did not complete First Aid training. .1102(c) 1203 Operational policies were not discussed with parents on or before the child's first day and/or they were not notified in writing of all changes. The operational policies were not reviewed with the parents of one child enrolled on February 9, 2026, and an acknowledgement form was not on file for review. 10A NCAC 09 .0514(b) 1303 Application was not signed by the parent. The application for enrollment for one child enrolled on October 20, 2025, was not signed by the child's parent. 10A NCAC 09 .0801(a) 1314 Emergency information did not name childs health care professional. The application for enrollment for one child enrolled on October 20, 2025, did not include the parent's choice of health care professional. .0802(c)(2) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. One staff member, D. Brittain, employed on May 7, 2024, did not complete Recognizing and Responding to Suspicions of Child Maltreatment training. .1102(g) The violations documented above must be corrected immediately. On or before February 24, 2026, I must receive a written, dated, and signed compliance letter that describes accurately and in detail how and when the violations were corrected. Please be aware that any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Mail or email the information to: Kristen Mauney, Child Care Consultant PO Box 674 Denver, NC 28037 Kristen.Mauney@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. The email address listed for this facility is gail.vfb.cdc@gmail.com. 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. Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4)(d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. Technical Assistance for the violations observed was provided on the following: Activity Plans- This is a repeated violation. The activity plan for space #3 was completed for February 2026 during the visit. The activity plans for space #4, #5, and #6 were updated to include gross motor activities and sand and water activities during the visit. I suggested that you check activity plans posted in each classroom on the first day of the month and the first day of each week to ensure the current activity plan is completed and posted in each room. I suggested that you request activity plans from staff prior to the beginning of the month or week to check for completion and accuracy with age-appropriate activities. I suggested that you review activity plan requirements with all lead teachers and discuss the intentions for activities to enhance the activity area and stimulate developmental domains. We discussed using specific themes each week or month to assist staff with ideas for activities. Additionally, I suggested you contact Child Care Connections to request additional technical assistance and training for staff on activity plans. For each group of children in care, the activity plan shall include activities intended to stimulate the following developmental domains, in accordance with North Carolina Foundations for Early Learning and Development, available on the Division's website at http://ncchildcare.nc.gov/providers/pv_foundations.asp: (1) emotional and social development; (2) health and physical development; (3) approaches to play and learning; (4) language development and communication; and (5) cognitive development. Choking Hazards- Staff discarded the small, broken pieces of crayon and chalk during the visit. Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed must be inaccessible to children under three years of age. I suggested that administrative staff monitor all classrooms for children under three years of age daily to ensure small toys, small art supplies, and other potential choking hazards are inaccessible to children or removed from the classroom. I suggested that you review safety requirements with all staff members individually and during an upcoming staff meeting. Children’s records- I suggested that you create a one-page acknowledgement form for parents to sign off on all policies at enrollment, including the child’s name, date of enrollment, parent’s signature, and the date of the parents’ signature. Keep this documentation on file for review for each child enrolled. I also suggested that you utilize the Children’s File Checklist to assist you with ensuring parental acknowledgements for all policies are included and on file for review. Child’s application for enrollment- I suggested that you review all children’s applications upon enrollment to ensure all required information is obtained, including the parents’ signature and emergency medical care information. Prior to signing the administrator’s statement at the bottom of the application, I suggested that you review the application to ensure all information is included and if not, obtain the missing information from the parent before filing. If the information does not apply to the child, instruct parents to write “n/a” rather than leaving the information blank. Staff Orientation- This is a repeated violation. During the visit, the administrator reviewed the missing topic area with both staff members and updated the staff orientation checklists to reflect six hours of orientation received for both staff members. Each center shall ensure that each new employee who is expected to have contact with children receives sixteen hours of on-site orientation within the first six weeks of employment. As part of this orientation, each new employee shall complete six hours of orientation within the first two weeks of employment on required topics. I suggested that you complete six hours of new staff orientation on the staff member’s first day of employment, prior to working in a classroom. First Aid- This is a repeated violation. New staff must complete First Aid training within 90 days of employment and must renew certification on or before the expiration date. This staff member received BLS training, which does not include first aid training. You stated this staff member was on leave from March 19, 2025, through February 9, 2026, however, I explained that since this staff member was employed on May 7, 2024, First Aid training would have been due by August 7, 2024. You stated this staff member is registered to complete Cardiopulmonary Resuscitation (CPR) and First Aid training on February 28, 2026. I suggested that you register new staff for First Aid and CPR training, if needed, as soon as they are hired. First Aid and CPR training must be completed in person by an approved agency. Verification of each staff member's completion of this course from an approved training organization shall be maintained in the staff member's file in the center. You may visit the DCDEE website for a list of approved agencies at https://ncchildcare.ncdhhs.gov/Provider/Training-and-Professional-Development/Health-and-Safety-Trainings/Be-a-Smart-Consumer-of-First-Aid-and-CPR-Training. Recognizing and Responding to Suspicions of Child Maltreatment training- This is a repeated violation. New staff must complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. I suggested that you have staff complete this training within the first two weeks of employment, in conjunction with orientation, to ensure compliance with this requirement. D. Brittain must complete Recognizing and Responding to Suspicions of Child Maltreatment training by February 24, 2026. You stated this staff member was on leave from March 19, 2025, through February 9, 2026, however, I explained that since this staff member was employed on May 7, 2024, Recognizing and Responding to Suspicions of Child Maltreatment training would have been due by August 7, 2024. Consultation was provided on the following: -We discussed nutrition requirements and the nutrition opt-out form. -Kinetic sand may not be used in place of sand play. Kinetic sand is not able to be sifted or poured. You may use kinetic sand in addition to regular sand play, but not in place of. -Staff information must be updated in ABCMS on an ongoing basis as staff members are hired (within five days) 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. Staff have been added to the roster for this facility. Should you need assistance, please contact the Criminal Background Check Unit at (919) 814-8401. QRIS Pathways to the Stars: -I briefly reviewed with you Pathway #1, #2, and #3, Family and Community Engagement Foundational Practices, Continuous Quality Improvement, approved curriculum, formative assessment tools, staff education, and staff to child ratio options. I encouraged you to review this information more thoroughly by visiting https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization. -I suggested that you review Environment Rating Scale information and resources at www.ncrlap.org for the following assessments: ITERS-3, ECERS-3. Lead teachers will need to begin completing a three month self-study for their classroom using the “Thinking More” worksheets available on the NCRLAP website. The three month self-studies must be completed before the Environment Rating Scales may be ordered. -Reach out to your local Resource and Referral Agency (Child Care Connections of Burke County) for additional technical assistance and support at 828-439-2328. -You stated you intend to follow Pathway #1 for your upcoming rated license reassessment, however, we did not have ample time during the visit to review all information required of Pathway #1, since you had to go into a classroom to cover a staff member. I suggested that we schedule a Technical Assistance review over the phone or a Technical Assistance visit in person to review the information more thoroughly. I suggested that the first step to move forward with your rated license reassessment, at this point, would be to create WORKS accounts for your new staff members, and to submit official transcripts to the Workforce Education Unit. You may visit https://ncchildcare.ncdhhs.gov/Services/DCDEE-WORKS for step-by-step instructions on how to complete this process. Reminders and Resources: -Providers can speak to a Behavior Support Advisor for advice and resources specific to the challenging behaviors in their classroom by calling 1-888-600-1685 Option 1. Providers may also submit questions to a Behavior Support Advisor online and receive a call or email in response. In addition, providers may post questions in the ‘Talk to the Expert’ Group on an online network, Social Emotional Connections, for early childhood educators. There are also opportunities to join free webinars on challenging topics or classroom activities. For a flyer including active links to access these resources, please reach out to me and I will send this to you via email. I encouraged you to place a copy of the flyer in each classroom so that staff may access the information when needed. -Moodle Support: The Division offers early childhood professionals a wide range of professional development opportunities through our online learning platform Moodle. To get help with Moodle, email at DCDEE_Moodle_Support@dhhs.nc.gov or call (919) 814-6326. Stay up to date with the Division of Child Development and Early Education by visiting 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, at 828-782-0718 or Tammy.McGalliard@dhhs.nc.gov. Thank you for your time and assistance today. If I can be of further assistance, you may contact me at 704-853-9196 or Kristen.Mauney@dhhs.nc.gov. Kristen Mauney, Child Care Consultant PO Box 674, Denver, NC 28037 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 .0801 · Violation

Name of Operation: FIRST BAPTIST CHURCH CHILD DEVELOPMENT CENTER Facility ID: 12000190 Consultant: KRISTEN R. MAUNEY Operation Type: Center Case Number: Visit Date: 2/10/2026 Number Present: 28 Completed Date: 2/10/2026 Age: From 1 To 5 Total Minutes: 430 Time In: 09:55 AM Time Out: 02:00 PM Time In: 02:40 PM Time Out: 05:45 PM List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor your program for compliance with applicable child care requirements for an annual compliance visit, including health and safety. You, Gail Piercy, Administrator, assisted me with the visit. You provided me with applicable program, staff, and children’s records for review. The most recent annual compliance visit was conducted on February 26, 2025. This facility currently operates with a Five star rated license effective November 4, 2019, meeting daytime care only, enhanced ratios, enhanced space, and enhanced ratios minus one child per group. This facility has earned seven points in program standards, six points in staff education, and one quality point for having a staff benefits package and an infrastructure of parent involvement. The license was posted, and the restrictions were in compliance. The program’s compliance history was 85 percent as of February 10, 2026. The NC Secretary of State website was reviewed on February 10, 2026, and First Baptist Church of Valdese was listed as current/active. A checklist was used to note the requirements monitored today. A walkthrough of the facility was completed today, and all indoor and outdoor areas were monitored. You stated you are currently not using the playgrounds due to accumulated ice and snow that has not melted. You stated you use the courtyard for outdoor gross motor activities for the time being. I reminded you that when children are in care and weather conditions permit, there shall be outdoor time, either as part of a small group, a whole group, or individual activity, for no less than thirty minutes for children under two years of age and no less than sixty minutes for children two through twelve years of age. I observed children in the indoor learning environments and found supervision and staff/child ratios to be in compliance. Children throughout the facility were participating in free play activities indoors, handwashing routines, lunch, and nap. Files for five new staff members, one existing staff member, and applicable records for all staff were reviewed. Four children’s records were reviewed. The most recent sanitation inspection for your facility was conducted on September 26, 2025. An approved sanitation classification was issued with 19 demerits noted on the grade card. I monitored and reviewed the demerits noted on the inspection report with you. The analysis date for the most recent lead water test was August 26, 2024. Lead water testing must be completed every three years. You may review your facilities results by visiting https://www.cleanwaterforuskids.org/en/carolina/. This website also indicated no hazards were identified for asbestos and lead-based paint. The most recent approved fire inspection for your facility was conducted on October 13, 2025. The most recent monthly fire drill was conducted on January 12, 2026, at 10:15am. The most recent quarterly lockdown/shelter-in-place drill was conducted on January 12, 2026, at 10:45am. The facilities EPR Plan was updated on March 28, 2025. The most recent monthly playground inspection was completed on January 30, 2026, by Mary Lackey. The violations observed today were discussed with you and documented in the Visit Summary left with you at the conclusion of this visit. The following violations were observed: Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. In space #3, the activity plan posted in the classroom was dated for “January.” The Lead Teacher stated she had not completed an activity plan for February. GS 110-91(12); .0508(a) 429 The activity plan was not designed to stimulate emotional and social, health and physical, approaches to play and learning, language development and communication, and cognitive development for each group of children in care. In space #4, #5, and #6, the activity plans listed "sand" and "water" rather than listing specific activities and materials to use for sand and water play. In space #4, gross motor activities that may be conducted indoors and outdoors were not listed on the activity plan. The activities listed that could not be conducted indoors were "trikes" and "slides." The gross motor activity listed for Thursday was "sand box" and "clapping." .0508(b)(1-5) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. In space #4 and #5, small pieces of crayon and small pieces of chalk less than one inch in length were observed being used by children and observed in the art activity area accessible to children. .0604(q) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. The orientation checklist for one staff member employed on December 1, 2025, only indicated the staff member received 5 hours of orientation training on December 8, 2025. The orientation checklist for one staff member employed on December 15, 2025, only indicated the staff member received 5 hours of orientation training on December 15, 2025. .1101(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 staff member, D. Brittain, employed on May 7, 2024, did not complete First Aid training. .1102(c) 1203 Operational policies were not discussed with parents on or before the child's first day and/or they were not notified in writing of all changes. The operational policies were not reviewed with the parents of one child enrolled on February 9, 2026, and an acknowledgement form was not on file for review. 10A NCAC 09 .0514(b) 1303 Application was not signed by the parent. The application for enrollment for one child enrolled on October 20, 2025, was not signed by the child's parent. 10A NCAC 09 .0801(a) 1314 Emergency information did not name childs health care professional. The application for enrollment for one child enrolled on October 20, 2025, did not include the parent's choice of health care professional. .0802(c)(2) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. One staff member, D. Brittain, employed on May 7, 2024, did not complete Recognizing and Responding to Suspicions of Child Maltreatment training. .1102(g) The violations documented above must be corrected immediately. On or before February 24, 2026, I must receive a written, dated, and signed compliance letter that describes accurately and in detail how and when the violations were corrected. Please be aware that any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Mail or email the information to: Kristen Mauney, Child Care Consultant PO Box 674 Denver, NC 28037 Kristen.Mauney@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. The email address listed for this facility is gail.vfb.cdc@gmail.com. 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. Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4)(d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. Technical Assistance for the violations observed was provided on the following: Activity Plans- This is a repeated violation. The activity plan for space #3 was completed for February 2026 during the visit. The activity plans for space #4, #5, and #6 were updated to include gross motor activities and sand and water activities during the visit. I suggested that you check activity plans posted in each classroom on the first day of the month and the first day of each week to ensure the current activity plan is completed and posted in each room. I suggested that you request activity plans from staff prior to the beginning of the month or week to check for completion and accuracy with age-appropriate activities. I suggested that you review activity plan requirements with all lead teachers and discuss the intentions for activities to enhance the activity area and stimulate developmental domains. We discussed using specific themes each week or month to assist staff with ideas for activities. Additionally, I suggested you contact Child Care Connections to request additional technical assistance and training for staff on activity plans. For each group of children in care, the activity plan shall include activities intended to stimulate the following developmental domains, in accordance with North Carolina Foundations for Early Learning and Development, available on the Division's website at http://ncchildcare.nc.gov/providers/pv_foundations.asp: (1) emotional and social development; (2) health and physical development; (3) approaches to play and learning; (4) language development and communication; and (5) cognitive development. Choking Hazards- Staff discarded the small, broken pieces of crayon and chalk during the visit. Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed must be inaccessible to children under three years of age. I suggested that administrative staff monitor all classrooms for children under three years of age daily to ensure small toys, small art supplies, and other potential choking hazards are inaccessible to children or removed from the classroom. I suggested that you review safety requirements with all staff members individually and during an upcoming staff meeting. Children’s records- I suggested that you create a one-page acknowledgement form for parents to sign off on all policies at enrollment, including the child’s name, date of enrollment, parent’s signature, and the date of the parents’ signature. Keep this documentation on file for review for each child enrolled. I also suggested that you utilize the Children’s File Checklist to assist you with ensuring parental acknowledgements for all policies are included and on file for review. Child’s application for enrollment- I suggested that you review all children’s applications upon enrollment to ensure all required information is obtained, including the parents’ signature and emergency medical care information. Prior to signing the administrator’s statement at the bottom of the application, I suggested that you review the application to ensure all information is included and if not, obtain the missing information from the parent before filing. If the information does not apply to the child, instruct parents to write “n/a” rather than leaving the information blank. Staff Orientation- This is a repeated violation. During the visit, the administrator reviewed the missing topic area with both staff members and updated the staff orientation checklists to reflect six hours of orientation received for both staff members. Each center shall ensure that each new employee who is expected to have contact with children receives sixteen hours of on-site orientation within the first six weeks of employment. As part of this orientation, each new employee shall complete six hours of orientation within the first two weeks of employment on required topics. I suggested that you complete six hours of new staff orientation on the staff member’s first day of employment, prior to working in a classroom. First Aid- This is a repeated violation. New staff must complete First Aid training within 90 days of employment and must renew certification on or before the expiration date. This staff member received BLS training, which does not include first aid training. You stated this staff member was on leave from March 19, 2025, through February 9, 2026, however, I explained that since this staff member was employed on May 7, 2024, First Aid training would have been due by August 7, 2024. You stated this staff member is registered to complete Cardiopulmonary Resuscitation (CPR) and First Aid training on February 28, 2026. I suggested that you register new staff for First Aid and CPR training, if needed, as soon as they are hired. First Aid and CPR training must be completed in person by an approved agency. Verification of each staff member's completion of this course from an approved training organization shall be maintained in the staff member's file in the center. You may visit the DCDEE website for a list of approved agencies at https://ncchildcare.ncdhhs.gov/Provider/Training-and-Professional-Development/Health-and-Safety-Trainings/Be-a-Smart-Consumer-of-First-Aid-and-CPR-Training. Recognizing and Responding to Suspicions of Child Maltreatment training- This is a repeated violation. New staff must complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. I suggested that you have staff complete this training within the first two weeks of employment, in conjunction with orientation, to ensure compliance with this requirement. D. Brittain must complete Recognizing and Responding to Suspicions of Child Maltreatment training by February 24, 2026. You stated this staff member was on leave from March 19, 2025, through February 9, 2026, however, I explained that since this staff member was employed on May 7, 2024, Recognizing and Responding to Suspicions of Child Maltreatment training would have been due by August 7, 2024. Consultation was provided on the following: -We discussed nutrition requirements and the nutrition opt-out form. -Kinetic sand may not be used in place of sand play. Kinetic sand is not able to be sifted or poured. You may use kinetic sand in addition to regular sand play, but not in place of. -Staff information must be updated in ABCMS on an ongoing basis as staff members are hired (within five days) 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. Staff have been added to the roster for this facility. Should you need assistance, please contact the Criminal Background Check Unit at (919) 814-8401. QRIS Pathways to the Stars: -I briefly reviewed with you Pathway #1, #2, and #3, Family and Community Engagement Foundational Practices, Continuous Quality Improvement, approved curriculum, formative assessment tools, staff education, and staff to child ratio options. I encouraged you to review this information more thoroughly by visiting https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization. -I suggested that you review Environment Rating Scale information and resources at www.ncrlap.org for the following assessments: ITERS-3, ECERS-3. Lead teachers will need to begin completing a three month self-study for their classroom using the “Thinking More” worksheets available on the NCRLAP website. The three month self-studies must be completed before the Environment Rating Scales may be ordered. -Reach out to your local Resource and Referral Agency (Child Care Connections of Burke County) for additional technical assistance and support at 828-439-2328. -You stated you intend to follow Pathway #1 for your upcoming rated license reassessment, however, we did not have ample time during the visit to review all information required of Pathway #1, since you had to go into a classroom to cover a staff member. I suggested that we schedule a Technical Assistance review over the phone or a Technical Assistance visit in person to review the information more thoroughly. I suggested that the first step to move forward with your rated license reassessment, at this point, would be to create WORKS accounts for your new staff members, and to submit official transcripts to the Workforce Education Unit. You may visit https://ncchildcare.ncdhhs.gov/Services/DCDEE-WORKS for step-by-step instructions on how to complete this process. Reminders and Resources: -Providers can speak to a Behavior Support Advisor for advice and resources specific to the challenging behaviors in their classroom by calling 1-888-600-1685 Option 1. Providers may also submit questions to a Behavior Support Advisor online and receive a call or email in response. In addition, providers may post questions in the ‘Talk to the Expert’ Group on an online network, Social Emotional Connections, for early childhood educators. There are also opportunities to join free webinars on challenging topics or classroom activities. For a flyer including active links to access these resources, please reach out to me and I will send this to you via email. I encouraged you to place a copy of the flyer in each classroom so that staff may access the information when needed. -Moodle Support: The Division offers early childhood professionals a wide range of professional development opportunities through our online learning platform Moodle. To get help with Moodle, email at DCDEE_Moodle_Support@dhhs.nc.gov or call (919) 814-6326. Stay up to date with the Division of Child Development and Early Education by visiting 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, at 828-782-0718 or Tammy.McGalliard@dhhs.nc.gov. Thank you for your time and assistance today. If I can be of further assistance, you may contact me at 704-853-9196 or Kristen.Mauney@dhhs.nc.gov. Kristen Mauney, Child Care Consultant PO Box 674, Denver, NC 28037 If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

GS 110-91 · Violation

Name of Operation: FIRST BAPTIST CHURCH CHILD DEVELOPMENT CENTER Facility ID: 12000190 Consultant: KRISTEN R. MAUNEY Operation Type: Center Case Number: Visit Date: 2/10/2026 Number Present: 28 Completed Date: 2/10/2026 Age: From 1 To 5 Total Minutes: 430 Time In: 09:55 AM Time Out: 02:00 PM Time In: 02:40 PM Time Out: 05:45 PM List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor your program for compliance with applicable child care requirements for an annual compliance visit, including health and safety. You, Gail Piercy, Administrator, assisted me with the visit. You provided me with applicable program, staff, and children’s records for review. The most recent annual compliance visit was conducted on February 26, 2025. This facility currently operates with a Five star rated license effective November 4, 2019, meeting daytime care only, enhanced ratios, enhanced space, and enhanced ratios minus one child per group. This facility has earned seven points in program standards, six points in staff education, and one quality point for having a staff benefits package and an infrastructure of parent involvement. The license was posted, and the restrictions were in compliance. The program’s compliance history was 85 percent as of February 10, 2026. The NC Secretary of State website was reviewed on February 10, 2026, and First Baptist Church of Valdese was listed as current/active. A checklist was used to note the requirements monitored today. A walkthrough of the facility was completed today, and all indoor and outdoor areas were monitored. You stated you are currently not using the playgrounds due to accumulated ice and snow that has not melted. You stated you use the courtyard for outdoor gross motor activities for the time being. I reminded you that when children are in care and weather conditions permit, there shall be outdoor time, either as part of a small group, a whole group, or individual activity, for no less than thirty minutes for children under two years of age and no less than sixty minutes for children two through twelve years of age. I observed children in the indoor learning environments and found supervision and staff/child ratios to be in compliance. Children throughout the facility were participating in free play activities indoors, handwashing routines, lunch, and nap. Files for five new staff members, one existing staff member, and applicable records for all staff were reviewed. Four children’s records were reviewed. The most recent sanitation inspection for your facility was conducted on September 26, 2025. An approved sanitation classification was issued with 19 demerits noted on the grade card. I monitored and reviewed the demerits noted on the inspection report with you. The analysis date for the most recent lead water test was August 26, 2024. Lead water testing must be completed every three years. You may review your facilities results by visiting https://www.cleanwaterforuskids.org/en/carolina/. This website also indicated no hazards were identified for asbestos and lead-based paint. The most recent approved fire inspection for your facility was conducted on October 13, 2025. The most recent monthly fire drill was conducted on January 12, 2026, at 10:15am. The most recent quarterly lockdown/shelter-in-place drill was conducted on January 12, 2026, at 10:45am. The facilities EPR Plan was updated on March 28, 2025. The most recent monthly playground inspection was completed on January 30, 2026, by Mary Lackey. The violations observed today were discussed with you and documented in the Visit Summary left with you at the conclusion of this visit. The following violations were observed: Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. In space #3, the activity plan posted in the classroom was dated for “January.” The Lead Teacher stated she had not completed an activity plan for February. GS 110-91(12); .0508(a) 429 The activity plan was not designed to stimulate emotional and social, health and physical, approaches to play and learning, language development and communication, and cognitive development for each group of children in care. In space #4, #5, and #6, the activity plans listed "sand" and "water" rather than listing specific activities and materials to use for sand and water play. In space #4, gross motor activities that may be conducted indoors and outdoors were not listed on the activity plan. The activities listed that could not be conducted indoors were "trikes" and "slides." The gross motor activity listed for Thursday was "sand box" and "clapping." .0508(b)(1-5) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. In space #4 and #5, small pieces of crayon and small pieces of chalk less than one inch in length were observed being used by children and observed in the art activity area accessible to children. .0604(q) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. The orientation checklist for one staff member employed on December 1, 2025, only indicated the staff member received 5 hours of orientation training on December 8, 2025. The orientation checklist for one staff member employed on December 15, 2025, only indicated the staff member received 5 hours of orientation training on December 15, 2025. .1101(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 staff member, D. Brittain, employed on May 7, 2024, did not complete First Aid training. .1102(c) 1203 Operational policies were not discussed with parents on or before the child's first day and/or they were not notified in writing of all changes. The operational policies were not reviewed with the parents of one child enrolled on February 9, 2026, and an acknowledgement form was not on file for review. 10A NCAC 09 .0514(b) 1303 Application was not signed by the parent. The application for enrollment for one child enrolled on October 20, 2025, was not signed by the child's parent. 10A NCAC 09 .0801(a) 1314 Emergency information did not name childs health care professional. The application for enrollment for one child enrolled on October 20, 2025, did not include the parent's choice of health care professional. .0802(c)(2) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. One staff member, D. Brittain, employed on May 7, 2024, did not complete Recognizing and Responding to Suspicions of Child Maltreatment training. .1102(g) The violations documented above must be corrected immediately. On or before February 24, 2026, I must receive a written, dated, and signed compliance letter that describes accurately and in detail how and when the violations were corrected. Please be aware that any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Mail or email the information to: Kristen Mauney, Child Care Consultant PO Box 674 Denver, NC 28037 Kristen.Mauney@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. The email address listed for this facility is gail.vfb.cdc@gmail.com. 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. Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4)(d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. Technical Assistance for the violations observed was provided on the following: Activity Plans- This is a repeated violation. The activity plan for space #3 was completed for February 2026 during the visit. The activity plans for space #4, #5, and #6 were updated to include gross motor activities and sand and water activities during the visit. I suggested that you check activity plans posted in each classroom on the first day of the month and the first day of each week to ensure the current activity plan is completed and posted in each room. I suggested that you request activity plans from staff prior to the beginning of the month or week to check for completion and accuracy with age-appropriate activities. I suggested that you review activity plan requirements with all lead teachers and discuss the intentions for activities to enhance the activity area and stimulate developmental domains. We discussed using specific themes each week or month to assist staff with ideas for activities. Additionally, I suggested you contact Child Care Connections to request additional technical assistance and training for staff on activity plans. For each group of children in care, the activity plan shall include activities intended to stimulate the following developmental domains, in accordance with North Carolina Foundations for Early Learning and Development, available on the Division's website at http://ncchildcare.nc.gov/providers/pv_foundations.asp: (1) emotional and social development; (2) health and physical development; (3) approaches to play and learning; (4) language development and communication; and (5) cognitive development. Choking Hazards- Staff discarded the small, broken pieces of crayon and chalk during the visit. Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed must be inaccessible to children under three years of age. I suggested that administrative staff monitor all classrooms for children under three years of age daily to ensure small toys, small art supplies, and other potential choking hazards are inaccessible to children or removed from the classroom. I suggested that you review safety requirements with all staff members individually and during an upcoming staff meeting. Children’s records- I suggested that you create a one-page acknowledgement form for parents to sign off on all policies at enrollment, including the child’s name, date of enrollment, parent’s signature, and the date of the parents’ signature. Keep this documentation on file for review for each child enrolled. I also suggested that you utilize the Children’s File Checklist to assist you with ensuring parental acknowledgements for all policies are included and on file for review. Child’s application for enrollment- I suggested that you review all children’s applications upon enrollment to ensure all required information is obtained, including the parents’ signature and emergency medical care information. Prior to signing the administrator’s statement at the bottom of the application, I suggested that you review the application to ensure all information is included and if not, obtain the missing information from the parent before filing. If the information does not apply to the child, instruct parents to write “n/a” rather than leaving the information blank. Staff Orientation- This is a repeated violation. During the visit, the administrator reviewed the missing topic area with both staff members and updated the staff orientation checklists to reflect six hours of orientation received for both staff members. Each center shall ensure that each new employee who is expected to have contact with children receives sixteen hours of on-site orientation within the first six weeks of employment. As part of this orientation, each new employee shall complete six hours of orientation within the first two weeks of employment on required topics. I suggested that you complete six hours of new staff orientation on the staff member’s first day of employment, prior to working in a classroom. First Aid- This is a repeated violation. New staff must complete First Aid training within 90 days of employment and must renew certification on or before the expiration date. This staff member received BLS training, which does not include first aid training. You stated this staff member was on leave from March 19, 2025, through February 9, 2026, however, I explained that since this staff member was employed on May 7, 2024, First Aid training would have been due by August 7, 2024. You stated this staff member is registered to complete Cardiopulmonary Resuscitation (CPR) and First Aid training on February 28, 2026. I suggested that you register new staff for First Aid and CPR training, if needed, as soon as they are hired. First Aid and CPR training must be completed in person by an approved agency. Verification of each staff member's completion of this course from an approved training organization shall be maintained in the staff member's file in the center. You may visit the DCDEE website for a list of approved agencies at https://ncchildcare.ncdhhs.gov/Provider/Training-and-Professional-Development/Health-and-Safety-Trainings/Be-a-Smart-Consumer-of-First-Aid-and-CPR-Training. Recognizing and Responding to Suspicions of Child Maltreatment training- This is a repeated violation. New staff must complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. I suggested that you have staff complete this training within the first two weeks of employment, in conjunction with orientation, to ensure compliance with this requirement. D. Brittain must complete Recognizing and Responding to Suspicions of Child Maltreatment training by February 24, 2026. You stated this staff member was on leave from March 19, 2025, through February 9, 2026, however, I explained that since this staff member was employed on May 7, 2024, Recognizing and Responding to Suspicions of Child Maltreatment training would have been due by August 7, 2024. Consultation was provided on the following: -We discussed nutrition requirements and the nutrition opt-out form. -Kinetic sand may not be used in place of sand play. Kinetic sand is not able to be sifted or poured. You may use kinetic sand in addition to regular sand play, but not in place of. -Staff information must be updated in ABCMS on an ongoing basis as staff members are hired (within five days) 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. Staff have been added to the roster for this facility. Should you need assistance, please contact the Criminal Background Check Unit at (919) 814-8401. QRIS Pathways to the Stars: -I briefly reviewed with you Pathway #1, #2, and #3, Family and Community Engagement Foundational Practices, Continuous Quality Improvement, approved curriculum, formative assessment tools, staff education, and staff to child ratio options. I encouraged you to review this information more thoroughly by visiting https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization. -I suggested that you review Environment Rating Scale information and resources at www.ncrlap.org for the following assessments: ITERS-3, ECERS-3. Lead teachers will need to begin completing a three month self-study for their classroom using the “Thinking More” worksheets available on the NCRLAP website. The three month self-studies must be completed before the Environment Rating Scales may be ordered. -Reach out to your local Resource and Referral Agency (Child Care Connections of Burke County) for additional technical assistance and support at 828-439-2328. -You stated you intend to follow Pathway #1 for your upcoming rated license reassessment, however, we did not have ample time during the visit to review all information required of Pathway #1, since you had to go into a classroom to cover a staff member. I suggested that we schedule a Technical Assistance review over the phone or a Technical Assistance visit in person to review the information more thoroughly. I suggested that the first step to move forward with your rated license reassessment, at this point, would be to create WORKS accounts for your new staff members, and to submit official transcripts to the Workforce Education Unit. You may visit https://ncchildcare.ncdhhs.gov/Services/DCDEE-WORKS for step-by-step instructions on how to complete this process. Reminders and Resources: -Providers can speak to a Behavior Support Advisor for advice and resources specific to the challenging behaviors in their classroom by calling 1-888-600-1685 Option 1. Providers may also submit questions to a Behavior Support Advisor online and receive a call or email in response. In addition, providers may post questions in the ‘Talk to the Expert’ Group on an online network, Social Emotional Connections, for early childhood educators. There are also opportunities to join free webinars on challenging topics or classroom activities. For a flyer including active links to access these resources, please reach out to me and I will send this to you via email. I encouraged you to place a copy of the flyer in each classroom so that staff may access the information when needed. -Moodle Support: The Division offers early childhood professionals a wide range of professional development opportunities through our online learning platform Moodle. To get help with Moodle, email at DCDEE_Moodle_Support@dhhs.nc.gov or call (919) 814-6326. Stay up to date with the Division of Child Development and Early Education by visiting 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, at 828-782-0718 or Tammy.McGalliard@dhhs.nc.gov. Thank you for your time and assistance today. If I can be of further assistance, you may contact me at 704-853-9196 or Kristen.Mauney@dhhs.nc.gov. Kristen Mauney, Child Care Consultant PO Box 674, Denver, NC 28037 If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

NC GS 110-90 · Violation

Name of Operation: FIRST BAPTIST CHURCH CHILD DEVELOPMENT CENTER Facility ID: 12000190 Consultant: KRISTEN R. MAUNEY Operation Type: Center Case Number: Visit Date: 2/10/2026 Number Present: 28 Completed Date: 2/10/2026 Age: From 1 To 5 Total Minutes: 430 Time In: 09:55 AM Time Out: 02:00 PM Time In: 02:40 PM Time Out: 05:45 PM List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor your program for compliance with applicable child care requirements for an annual compliance visit, including health and safety. You, Gail Piercy, Administrator, assisted me with the visit. You provided me with applicable program, staff, and children’s records for review. The most recent annual compliance visit was conducted on February 26, 2025. This facility currently operates with a Five star rated license effective November 4, 2019, meeting daytime care only, enhanced ratios, enhanced space, and enhanced ratios minus one child per group. This facility has earned seven points in program standards, six points in staff education, and one quality point for having a staff benefits package and an infrastructure of parent involvement. The license was posted, and the restrictions were in compliance. The program’s compliance history was 85 percent as of February 10, 2026. The NC Secretary of State website was reviewed on February 10, 2026, and First Baptist Church of Valdese was listed as current/active. A checklist was used to note the requirements monitored today. A walkthrough of the facility was completed today, and all indoor and outdoor areas were monitored. You stated you are currently not using the playgrounds due to accumulated ice and snow that has not melted. You stated you use the courtyard for outdoor gross motor activities for the time being. I reminded you that when children are in care and weather conditions permit, there shall be outdoor time, either as part of a small group, a whole group, or individual activity, for no less than thirty minutes for children under two years of age and no less than sixty minutes for children two through twelve years of age. I observed children in the indoor learning environments and found supervision and staff/child ratios to be in compliance. Children throughout the facility were participating in free play activities indoors, handwashing routines, lunch, and nap. Files for five new staff members, one existing staff member, and applicable records for all staff were reviewed. Four children’s records were reviewed. The most recent sanitation inspection for your facility was conducted on September 26, 2025. An approved sanitation classification was issued with 19 demerits noted on the grade card. I monitored and reviewed the demerits noted on the inspection report with you. The analysis date for the most recent lead water test was August 26, 2024. Lead water testing must be completed every three years. You may review your facilities results by visiting https://www.cleanwaterforuskids.org/en/carolina/. This website also indicated no hazards were identified for asbestos and lead-based paint. The most recent approved fire inspection for your facility was conducted on October 13, 2025. The most recent monthly fire drill was conducted on January 12, 2026, at 10:15am. The most recent quarterly lockdown/shelter-in-place drill was conducted on January 12, 2026, at 10:45am. The facilities EPR Plan was updated on March 28, 2025. The most recent monthly playground inspection was completed on January 30, 2026, by Mary Lackey. The violations observed today were discussed with you and documented in the Visit Summary left with you at the conclusion of this visit. The following violations were observed: Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. In space #3, the activity plan posted in the classroom was dated for “January.” The Lead Teacher stated she had not completed an activity plan for February. GS 110-91(12); .0508(a) 429 The activity plan was not designed to stimulate emotional and social, health and physical, approaches to play and learning, language development and communication, and cognitive development for each group of children in care. In space #4, #5, and #6, the activity plans listed "sand" and "water" rather than listing specific activities and materials to use for sand and water play. In space #4, gross motor activities that may be conducted indoors and outdoors were not listed on the activity plan. The activities listed that could not be conducted indoors were "trikes" and "slides." The gross motor activity listed for Thursday was "sand box" and "clapping." .0508(b)(1-5) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. In space #4 and #5, small pieces of crayon and small pieces of chalk less than one inch in length were observed being used by children and observed in the art activity area accessible to children. .0604(q) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. The orientation checklist for one staff member employed on December 1, 2025, only indicated the staff member received 5 hours of orientation training on December 8, 2025. The orientation checklist for one staff member employed on December 15, 2025, only indicated the staff member received 5 hours of orientation training on December 15, 2025. .1101(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 staff member, D. Brittain, employed on May 7, 2024, did not complete First Aid training. .1102(c) 1203 Operational policies were not discussed with parents on or before the child's first day and/or they were not notified in writing of all changes. The operational policies were not reviewed with the parents of one child enrolled on February 9, 2026, and an acknowledgement form was not on file for review. 10A NCAC 09 .0514(b) 1303 Application was not signed by the parent. The application for enrollment for one child enrolled on October 20, 2025, was not signed by the child's parent. 10A NCAC 09 .0801(a) 1314 Emergency information did not name childs health care professional. The application for enrollment for one child enrolled on October 20, 2025, did not include the parent's choice of health care professional. .0802(c)(2) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. One staff member, D. Brittain, employed on May 7, 2024, did not complete Recognizing and Responding to Suspicions of Child Maltreatment training. .1102(g) The violations documented above must be corrected immediately. On or before February 24, 2026, I must receive a written, dated, and signed compliance letter that describes accurately and in detail how and when the violations were corrected. Please be aware that any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Mail or email the information to: Kristen Mauney, Child Care Consultant PO Box 674 Denver, NC 28037 Kristen.Mauney@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. The email address listed for this facility is gail.vfb.cdc@gmail.com. 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. Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4)(d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. Technical Assistance for the violations observed was provided on the following: Activity Plans- This is a repeated violation. The activity plan for space #3 was completed for February 2026 during the visit. The activity plans for space #4, #5, and #6 were updated to include gross motor activities and sand and water activities during the visit. I suggested that you check activity plans posted in each classroom on the first day of the month and the first day of each week to ensure the current activity plan is completed and posted in each room. I suggested that you request activity plans from staff prior to the beginning of the month or week to check for completion and accuracy with age-appropriate activities. I suggested that you review activity plan requirements with all lead teachers and discuss the intentions for activities to enhance the activity area and stimulate developmental domains. We discussed using specific themes each week or month to assist staff with ideas for activities. Additionally, I suggested you contact Child Care Connections to request additional technical assistance and training for staff on activity plans. For each group of children in care, the activity plan shall include activities intended to stimulate the following developmental domains, in accordance with North Carolina Foundations for Early Learning and Development, available on the Division's website at http://ncchildcare.nc.gov/providers/pv_foundations.asp: (1) emotional and social development; (2) health and physical development; (3) approaches to play and learning; (4) language development and communication; and (5) cognitive development. Choking Hazards- Staff discarded the small, broken pieces of crayon and chalk during the visit. Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed must be inaccessible to children under three years of age. I suggested that administrative staff monitor all classrooms for children under three years of age daily to ensure small toys, small art supplies, and other potential choking hazards are inaccessible to children or removed from the classroom. I suggested that you review safety requirements with all staff members individually and during an upcoming staff meeting. Children’s records- I suggested that you create a one-page acknowledgement form for parents to sign off on all policies at enrollment, including the child’s name, date of enrollment, parent’s signature, and the date of the parents’ signature. Keep this documentation on file for review for each child enrolled. I also suggested that you utilize the Children’s File Checklist to assist you with ensuring parental acknowledgements for all policies are included and on file for review. Child’s application for enrollment- I suggested that you review all children’s applications upon enrollment to ensure all required information is obtained, including the parents’ signature and emergency medical care information. Prior to signing the administrator’s statement at the bottom of the application, I suggested that you review the application to ensure all information is included and if not, obtain the missing information from the parent before filing. If the information does not apply to the child, instruct parents to write “n/a” rather than leaving the information blank. Staff Orientation- This is a repeated violation. During the visit, the administrator reviewed the missing topic area with both staff members and updated the staff orientation checklists to reflect six hours of orientation received for both staff members. Each center shall ensure that each new employee who is expected to have contact with children receives sixteen hours of on-site orientation within the first six weeks of employment. As part of this orientation, each new employee shall complete six hours of orientation within the first two weeks of employment on required topics. I suggested that you complete six hours of new staff orientation on the staff member’s first day of employment, prior to working in a classroom. First Aid- This is a repeated violation. New staff must complete First Aid training within 90 days of employment and must renew certification on or before the expiration date. This staff member received BLS training, which does not include first aid training. You stated this staff member was on leave from March 19, 2025, through February 9, 2026, however, I explained that since this staff member was employed on May 7, 2024, First Aid training would have been due by August 7, 2024. You stated this staff member is registered to complete Cardiopulmonary Resuscitation (CPR) and First Aid training on February 28, 2026. I suggested that you register new staff for First Aid and CPR training, if needed, as soon as they are hired. First Aid and CPR training must be completed in person by an approved agency. Verification of each staff member's completion of this course from an approved training organization shall be maintained in the staff member's file in the center. You may visit the DCDEE website for a list of approved agencies at https://ncchildcare.ncdhhs.gov/Provider/Training-and-Professional-Development/Health-and-Safety-Trainings/Be-a-Smart-Consumer-of-First-Aid-and-CPR-Training. Recognizing and Responding to Suspicions of Child Maltreatment training- This is a repeated violation. New staff must complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. I suggested that you have staff complete this training within the first two weeks of employment, in conjunction with orientation, to ensure compliance with this requirement. D. Brittain must complete Recognizing and Responding to Suspicions of Child Maltreatment training by February 24, 2026. You stated this staff member was on leave from March 19, 2025, through February 9, 2026, however, I explained that since this staff member was employed on May 7, 2024, Recognizing and Responding to Suspicions of Child Maltreatment training would have been due by August 7, 2024. Consultation was provided on the following: -We discussed nutrition requirements and the nutrition opt-out form. -Kinetic sand may not be used in place of sand play. Kinetic sand is not able to be sifted or poured. You may use kinetic sand in addition to regular sand play, but not in place of. -Staff information must be updated in ABCMS on an ongoing basis as staff members are hired (within five days) 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. Staff have been added to the roster for this facility. Should you need assistance, please contact the Criminal Background Check Unit at (919) 814-8401. QRIS Pathways to the Stars: -I briefly reviewed with you Pathway #1, #2, and #3, Family and Community Engagement Foundational Practices, Continuous Quality Improvement, approved curriculum, formative assessment tools, staff education, and staff to child ratio options. I encouraged you to review this information more thoroughly by visiting https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization. -I suggested that you review Environment Rating Scale information and resources at www.ncrlap.org for the following assessments: ITERS-3, ECERS-3. Lead teachers will need to begin completing a three month self-study for their classroom using the “Thinking More” worksheets available on the NCRLAP website. The three month self-studies must be completed before the Environment Rating Scales may be ordered. -Reach out to your local Resource and Referral Agency (Child Care Connections of Burke County) for additional technical assistance and support at 828-439-2328. -You stated you intend to follow Pathway #1 for your upcoming rated license reassessment, however, we did not have ample time during the visit to review all information required of Pathway #1, since you had to go into a classroom to cover a staff member. I suggested that we schedule a Technical Assistance review over the phone or a Technical Assistance visit in person to review the information more thoroughly. I suggested that the first step to move forward with your rated license reassessment, at this point, would be to create WORKS accounts for your new staff members, and to submit official transcripts to the Workforce Education Unit. You may visit https://ncchildcare.ncdhhs.gov/Services/DCDEE-WORKS for step-by-step instructions on how to complete this process. Reminders and Resources: -Providers can speak to a Behavior Support Advisor for advice and resources specific to the challenging behaviors in their classroom by calling 1-888-600-1685 Option 1. Providers may also submit questions to a Behavior Support Advisor online and receive a call or email in response. In addition, providers may post questions in the ‘Talk to the Expert’ Group on an online network, Social Emotional Connections, for early childhood educators. There are also opportunities to join free webinars on challenging topics or classroom activities. For a flyer including active links to access these resources, please reach out to me and I will send this to you via email. I encouraged you to place a copy of the flyer in each classroom so that staff may access the information when needed. -Moodle Support: The Division offers early childhood professionals a wide range of professional development opportunities through our online learning platform Moodle. To get help with Moodle, email at DCDEE_Moodle_Support@dhhs.nc.gov or call (919) 814-6326. Stay up to date with the Division of Child Development and Early Education by visiting 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, at 828-782-0718 or Tammy.McGalliard@dhhs.nc.gov. Thank you for your time and assistance today. If I can be of further assistance, you may contact me at 704-853-9196 or Kristen.Mauney@dhhs.nc.gov. Kristen Mauney, Child Care Consultant PO Box 674, Denver, NC 28037 If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0803 · Violation

Name of Operation: FIRST BAPTIST CHURCH CHILD DEVELOPMENT CENTER Facility ID: 12000190 Consultant: KRISTEN R. MAUNEY Operation Type: Center Case Number: Visit Date: 6/26/2025 Number Present: 34 Completed Date: 6/26/2025 Age: From 0 To 5 Total Minutes: 215 Time In: 10:25 AM Time Out: 02:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Admin Action Follow-Up Lic Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor for compliance with the Notice of Administrative Action: Written Warning and the Corrective Action Plan issued on April 24, 2025. The visit was conducted with you, Gail Piercy, Administrator. The North Carolina Secretary of State website was viewed before the visit and First Baptist Church of Valdese was current/active as of June 26, 2025. If any changes to the corporation need to be made, 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. Limited monitoring was conducted. Staff and children were observed during free play activities indoors, handwashing routines, lunch and nap. Corrective Action Plan Status: The Notice of Administrative Action, cover letter and Corrective Action Plan were observed posted on a parent information board on the wall above the counter where parents sign their children in and out, located in the lobby as you enter the facility. As a reminder, the Notice of Administrative Action, cover letter, and Corrective Action Plan must be posted for three months and until receipt of a closure letter stating the Corrective Action Plan has been completed. I reviewed The Notice of Administrative Action and Corrective Action Plan with you via telephone on May 1, 2025. Item #1: During today’s visit, one violation of child care requirements was observed regarding administering of medication. I reminded you that you must remain in compliance, at all times, with all applicable child care requirements including, but not limited to, criminal records, general safety (including safe sleep checks), administering of medications, cardiopulmonary resuscitation (CPR) and First Aid training, emergency medical care plan, and storage of medication. Item #2: The mandatory review of child care requirements training with all staff members was held on June 20, 2025, from 12:30pm to 4:15pm. Eighteen staff were present. Item #3: During today’s visit, you requested to schedule the Technical Assistance visit for Thursday, July 10, 2025. I plan to arrive at 9:30am on July 10, 2025, to conduct the Technical Assistance visit at your facility. An Administrative Action follow-up visit will be conducted in the near future. The violation observed today was discussed with you and documented in the Visit Summary left with you at the conclusion of this visit. The following violation was observed: Violation Number Comment Rule 847 Parent's medication authorization did not include required information. In space #5, two children's authorization forms for two separate tubes of Playtex baby diaper rash cream did not include the amount of cream to administer. The forms indicated "as needed" and "as much as needed." 10A NCAC 09 .0803(4)(6-9) The violation observed was corrected during the visit. Compliance History: 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: Medication- -The children’s parent arrived during the visit and included “dime size” on both permission forms. I suggested that administrative staff, or a designated staff member, review all medication permission forms to ensure all required information is obtained prior to taking the medication to the classroom. I also suggested that you create a medication permission form specifically for diaper rash creams, giving examples of amounts to document on the permission form. Together, during the visit, you and I created a medication permission form for diaper rash cream only. You stated you intend to implement a policy where diaper cream is only accepted in the facility when a child experiences a rash. I reminded you to add this to your parent handbook and notify parents in writing of this change to your policies. You stated you intend to discuss medication permission forms with all staff during a staff meeting to be held on July 11, 2025. Consultation: -The most recent playground inspection was completed on May 30, 2025. I reminded you to complete a playground inspection today or tomorrow since the facility will be closed next week for the Independence Day holiday. -All staff have been added to the ABCMS Provider Portal roster with the exception of one staff member, who is unable to access her account. I suggested that this staff member reset her NCID password if needed so that this task can be completed. -We discussed choking hazards, including small pieces of crayons, in classrooms with children under the age of three. I reminded staff to monitor the classrooms for choking hazards daily. -Record retention for SIDS Sleep Charts/visual sleep checks for infants must be kept on file for review for a minimum of 30 days after the record has been revised or replaced. -We discussed your facilities cell phone policy for staff. Stay up to date with the Division of Child Development and Early Education by visiting 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 and assistance today. If you have any questions about today’s visit, please contact me or my supervisor, Tammy McGalliard, at Tammy.McGalliard@dhhs.nc.gov. If I can be of further assistance, you may contact me at 704-853-9196 or Kristen.Mauney@dhhs.nc.gov. Kristen Mauney, Child Care Consultant PO Box 674, Denver, NC 28037 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 CHURCH CHILD DEVELOPMENT CENTER Facility ID: 12000190 Consultant: KRISTEN R. MAUNEY Operation Type: Center Case Number: Visit Date: 6/26/2025 Number Present: 34 Completed Date: 6/26/2025 Age: From 0 To 5 Total Minutes: 215 Time In: 10:25 AM Time Out: 02:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Admin Action Follow-Up Lic Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor for compliance with the Notice of Administrative Action: Written Warning and the Corrective Action Plan issued on April 24, 2025. The visit was conducted with you, Gail Piercy, Administrator. The North Carolina Secretary of State website was viewed before the visit and First Baptist Church of Valdese was current/active as of June 26, 2025. If any changes to the corporation need to be made, 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. Limited monitoring was conducted. Staff and children were observed during free play activities indoors, handwashing routines, lunch and nap. Corrective Action Plan Status: The Notice of Administrative Action, cover letter and Corrective Action Plan were observed posted on a parent information board on the wall above the counter where parents sign their children in and out, located in the lobby as you enter the facility. As a reminder, the Notice of Administrative Action, cover letter, and Corrective Action Plan must be posted for three months and until receipt of a closure letter stating the Corrective Action Plan has been completed. I reviewed The Notice of Administrative Action and Corrective Action Plan with you via telephone on May 1, 2025. Item #1: During today’s visit, one violation of child care requirements was observed regarding administering of medication. I reminded you that you must remain in compliance, at all times, with all applicable child care requirements including, but not limited to, criminal records, general safety (including safe sleep checks), administering of medications, cardiopulmonary resuscitation (CPR) and First Aid training, emergency medical care plan, and storage of medication. Item #2: The mandatory review of child care requirements training with all staff members was held on June 20, 2025, from 12:30pm to 4:15pm. Eighteen staff were present. Item #3: During today’s visit, you requested to schedule the Technical Assistance visit for Thursday, July 10, 2025. I plan to arrive at 9:30am on July 10, 2025, to conduct the Technical Assistance visit at your facility. An Administrative Action follow-up visit will be conducted in the near future. The violation observed today was discussed with you and documented in the Visit Summary left with you at the conclusion of this visit. The following violation was observed: Violation Number Comment Rule 847 Parent's medication authorization did not include required information. In space #5, two children's authorization forms for two separate tubes of Playtex baby diaper rash cream did not include the amount of cream to administer. The forms indicated "as needed" and "as much as needed." 10A NCAC 09 .0803(4)(6-9) The violation observed was corrected during the visit. Compliance History: 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: Medication- -The children’s parent arrived during the visit and included “dime size” on both permission forms. I suggested that administrative staff, or a designated staff member, review all medication permission forms to ensure all required information is obtained prior to taking the medication to the classroom. I also suggested that you create a medication permission form specifically for diaper rash creams, giving examples of amounts to document on the permission form. Together, during the visit, you and I created a medication permission form for diaper rash cream only. You stated you intend to implement a policy where diaper cream is only accepted in the facility when a child experiences a rash. I reminded you to add this to your parent handbook and notify parents in writing of this change to your policies. You stated you intend to discuss medication permission forms with all staff during a staff meeting to be held on July 11, 2025. Consultation: -The most recent playground inspection was completed on May 30, 2025. I reminded you to complete a playground inspection today or tomorrow since the facility will be closed next week for the Independence Day holiday. -All staff have been added to the ABCMS Provider Portal roster with the exception of one staff member, who is unable to access her account. I suggested that this staff member reset her NCID password if needed so that this task can be completed. -We discussed choking hazards, including small pieces of crayons, in classrooms with children under the age of three. I reminded staff to monitor the classrooms for choking hazards daily. -Record retention for SIDS Sleep Charts/visual sleep checks for infants must be kept on file for review for a minimum of 30 days after the record has been revised or replaced. -We discussed your facilities cell phone policy for staff. Stay up to date with the Division of Child Development and Early Education by visiting 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 and assistance today. If you have any questions about today’s visit, please contact me or my supervisor, Tammy McGalliard, at Tammy.McGalliard@dhhs.nc.gov. If I can be of further assistance, you may contact me at 704-853-9196 or Kristen.Mauney@dhhs.nc.gov. Kristen Mauney, Child Care Consultant PO Box 674, Denver, NC 28037 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 .0713 · Violation

Name of Operation: FIRST BAPTIST CHURCH CHILD DEVELOPMENT CENTER Facility ID: 12000190 Consultant: KRISTEN R. MAUNEY Operation Type: Center Case Number: Visit Date: 5/19/2025 Number Present: 43 Completed Date: 5/19/2025 Age: From 0 To 5 Total Minutes: 182 Time In: 12:43 PM Time Out: 03:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Admin Action Follow-Up Lic Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor for compliance with the Notice of Administrative Action: Written Warning and the Corrective Action Plan issued on April 24, 2025. The visit was conducted with you, Gail Piercy, Administrator. The North Carolina Secretary of State website was viewed before the visit and First Baptist Church of Valdese was current/active as of May 16, 2025. If any changes to the corporation need to be made, 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. Limited monitoring was conducted. Staff and children were observed during nap time, handwashing routines, snack, and free play activities indoors. Corrective Action Plan Status: The Notice of Administrative Action, cover letter and Corrective Action Plan were observed posted on a parent information board on the wall above the counter where parents sign their children in and out, located in the lobby as you enter the facility. As a reminder, the Notice of Administrative Action, cover letter, and Corrective Action Plan must be posted for three months and until receipt of a closure letter stating the Corrective Action Plan has been completed. I reviewed The Notice of Administrative Action and Corrective Action Plan with you via telephone on May 1, 2025, and again during today’s visit. Item #1: During today’s visit, one violation of child care requirements was observed regarding safe sleep checks. I reminded you that you must remain in compliance, at all times, with all applicable child care requirements including, but not limited to, criminal records, general safety (including safe sleep checks), administering of medications, cardiopulmonary resuscitation (CPR) and First Aid training, emergency medical care plan, and storage of medication. Item #2: The mandatory review of child care requirements training with all staff members has been scheduled for June 20, 2025, at 12:30pm. Item #3: Within one (1) week after the review of all child care requirements is completed, Ms. Piercy shall contact Ms. Mauney, to arrange for a technical assistance visit. Special emphasis shall be placed on violations documented in this Notice. An Administrative Action follow-up visit will be conducted in the near future. The violation observed today was discussed with you and documented in the Visit Summary left with you at the conclusion of this visit. The following violation was observed: Violation Number Comment Rule 887 Caregivers did not document compliance with visually checking on sleeping infants aged 12 months or younger and/or the documents were not maintained for a minimum of one month. On 4/14/2025, it was documented that one infant was visually checked at 11:08am and not checked again until 11:28am while sleeping. On 4/16/2025, it was documented that one infant was visually checked at 10:46am and not checked again until 11:06am while sleeping. .0606(g) 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 June 2, 2025. Please send your letter to Kristen.Mauney@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. Please be aware that any information submitted by you is considered legal documentation. If you state in your violation correction letter that corrections have been made when they have not, it will be considered falsification of information. Compliance History: 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: Safe Sleep Checks- Visually checking on sleeping infants at least every 15 minutes, per your facilities safe sleep policy, is critical in protecting sleeping infants from sudden infant death syndrome. I suggested that you review safe sleep check documentation at least once per week to ensure infants are checked at least every 15 minutes when sleeping. We discussed adding timers in the classroom to set alarms for 10 minutes, per the teacher’s preference, to remind staff to complete safe sleep checks for infants. It was also suggested to add a lamp in the classroom so that staff can see the visual sleep check documentation better when it is darker in the classroom. Consultation: -You asked questions pertaining to transitioning children to the next classroom and/or age group and I provided you with the following information: 10A NCAC 09 .0713 STAFF/CHILD RATIOS FOR CENTERS (a)(1) when combining age groups, the staff/child ratio for the youngest child in the group shall be maintained for the entire group; (2) children of all ages may be cared for together in groups for the first and last operating hour of the day, provided the staff/child ratio for the youngest child in the group is maintained; (5) except as provided in Subparagraphs (2) and (3) of this Paragraph, children under one year of age shall be kept separate from children two years of age and over; (6) except as provided in Subparagraph (2) of this Paragraph, children between the ages of 12 months and 24 months shall not be grouped with older children unless all children in the group are less than three years of age. Stay up to date with the Division of Child Development and Early Education by visiting 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 and assistance today. If you have any questions about today’s visit, please contact me or my supervisor, Tammy McGalliard, at Tammy.McGalliard@dhhs.nc.gov. If I can be of further assistance, you may contact me at 704-853-9196 or Kristen.Mauney@dhhs.nc.gov. Kristen Mauney, Child Care Consultant PO Box 674, Denver, NC 28037 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 CHURCH CHILD DEVELOPMENT CENTER Facility ID: 12000190 Consultant: KRISTEN R. MAUNEY Operation Type: Center Case Number: Visit Date: 5/19/2025 Number Present: 43 Completed Date: 5/19/2025 Age: From 0 To 5 Total Minutes: 182 Time In: 12:43 PM Time Out: 03:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Admin Action Follow-Up Lic Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor for compliance with the Notice of Administrative Action: Written Warning and the Corrective Action Plan issued on April 24, 2025. The visit was conducted with you, Gail Piercy, Administrator. The North Carolina Secretary of State website was viewed before the visit and First Baptist Church of Valdese was current/active as of May 16, 2025. If any changes to the corporation need to be made, 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. Limited monitoring was conducted. Staff and children were observed during nap time, handwashing routines, snack, and free play activities indoors. Corrective Action Plan Status: The Notice of Administrative Action, cover letter and Corrective Action Plan were observed posted on a parent information board on the wall above the counter where parents sign their children in and out, located in the lobby as you enter the facility. As a reminder, the Notice of Administrative Action, cover letter, and Corrective Action Plan must be posted for three months and until receipt of a closure letter stating the Corrective Action Plan has been completed. I reviewed The Notice of Administrative Action and Corrective Action Plan with you via telephone on May 1, 2025, and again during today’s visit. Item #1: During today’s visit, one violation of child care requirements was observed regarding safe sleep checks. I reminded you that you must remain in compliance, at all times, with all applicable child care requirements including, but not limited to, criminal records, general safety (including safe sleep checks), administering of medications, cardiopulmonary resuscitation (CPR) and First Aid training, emergency medical care plan, and storage of medication. Item #2: The mandatory review of child care requirements training with all staff members has been scheduled for June 20, 2025, at 12:30pm. Item #3: Within one (1) week after the review of all child care requirements is completed, Ms. Piercy shall contact Ms. Mauney, to arrange for a technical assistance visit. Special emphasis shall be placed on violations documented in this Notice. An Administrative Action follow-up visit will be conducted in the near future. The violation observed today was discussed with you and documented in the Visit Summary left with you at the conclusion of this visit. The following violation was observed: Violation Number Comment Rule 887 Caregivers did not document compliance with visually checking on sleeping infants aged 12 months or younger and/or the documents were not maintained for a minimum of one month. On 4/14/2025, it was documented that one infant was visually checked at 11:08am and not checked again until 11:28am while sleeping. On 4/16/2025, it was documented that one infant was visually checked at 10:46am and not checked again until 11:06am while sleeping. .0606(g) 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 June 2, 2025. Please send your letter to Kristen.Mauney@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. Please be aware that any information submitted by you is considered legal documentation. If you state in your violation correction letter that corrections have been made when they have not, it will be considered falsification of information. Compliance History: 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: Safe Sleep Checks- Visually checking on sleeping infants at least every 15 minutes, per your facilities safe sleep policy, is critical in protecting sleeping infants from sudden infant death syndrome. I suggested that you review safe sleep check documentation at least once per week to ensure infants are checked at least every 15 minutes when sleeping. We discussed adding timers in the classroom to set alarms for 10 minutes, per the teacher’s preference, to remind staff to complete safe sleep checks for infants. It was also suggested to add a lamp in the classroom so that staff can see the visual sleep check documentation better when it is darker in the classroom. Consultation: -You asked questions pertaining to transitioning children to the next classroom and/or age group and I provided you with the following information: 10A NCAC 09 .0713 STAFF/CHILD RATIOS FOR CENTERS (a)(1) when combining age groups, the staff/child ratio for the youngest child in the group shall be maintained for the entire group; (2) children of all ages may be cared for together in groups for the first and last operating hour of the day, provided the staff/child ratio for the youngest child in the group is maintained; (5) except as provided in Subparagraphs (2) and (3) of this Paragraph, children under one year of age shall be kept separate from children two years of age and over; (6) except as provided in Subparagraph (2) of this Paragraph, children between the ages of 12 months and 24 months shall not be grouped with older children unless all children in the group are less than three years of age. Stay up to date with the Division of Child Development and Early Education by visiting 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 and assistance today. If you have any questions about today’s visit, please contact me or my supervisor, Tammy McGalliard, at Tammy.McGalliard@dhhs.nc.gov. If I can be of further assistance, you may contact me at 704-853-9196 or Kristen.Mauney@dhhs.nc.gov. Kristen Mauney, Child Care Consultant PO Box 674, Denver, NC 28037 If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0604 · Violation

Name of Operation: FIRST BAPTIST CHURCH CHILD DEVELOPMENT CENTER Facility ID: 12000190 Consultant: KRISTEN R. MAUNEY Operation Type: Center Case Number: Visit Date: 3/10/2025 Number Present: 42 Completed Date: 3/10/2025 Age: From 0 To 5 Total Minutes: 218 Time In: 09:32 AM Time Out: 01:10 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Compliance Follow-Up Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor your program for compliance with applicable child care requirements and to verify correction of violations observed during the annual compliance visit conducted on February 26, 2025. The visit was conducted with you, Gail Piercy, Administrator. The NC Secretary of State website was viewed before the visit and First Baptist Church of Valdese was current/active as of March 7, 2025. This program currently operates with a Five star rated license effective November 4, 2019. The program’s compliance history was 72 percent prior to today’s visit. Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. Limited monitoring was conducted. Children and staff were observed during free play activities indoors. The following violations were cited during your most recent Annual Compliance visit conducted on February 26, 2025, and were monitored for compliance today. As a reminder, I must receive your compliance letter for the violations observed on February 26, 2025, by Wednesday, March 12, 2025. 1044- The Criminal Background Check (CMC) qualification letter for Gail Piercy, employed on 1/8/2024, expired on 2/3/2025. -According to the ABCMS portal, Barbara (Gail) Piercy was qualified as of 3/10/2025. Ms. Piercy’s CBC qualification letter expires on 3/10/2030. 1757- The current Criminal Background Check qualification letter for Barbara (Gail) Piercy, employed on 1/8/2024, was not on file available for review. -Gail Piercy was able to access the ABCMS portal and print her current CBC qualification letter, effective 3/10/2025, during today’s visit. 841- A bag of cough drops that belonged to a staff member were observed in an unlocked cabinet in space #5 accessible to children. In space #4, children’s diaper rash creams were stored in an unlocked cabinet below the diaper changing table accessible to children. -No medications were observed in unlocked storage today. The cabinet below the diaper changing table in space #4 was locked. 847- In space #5, one child’s authorization for Boudreaux’s Butt Paste did not include when to apply the cream. In space #1, one child’s authorization for Boudreaux’s Butt Paste did not include the parent’s signature. -The medication in space #5 was no longer needed, therefore the medication was discarded. The medication authorization in space #1 was signed by the child’s parent on 2/26/2025. 848- Parental authorization was written for Hydrocortisone Cream on 8/15/2024 for a child one year of age. The manufacturer’s instructions on the Hydrocortisone cream indicated “children under 2 yrs of age: consult a doctor.” A doctor’s note to administer the Hydrocortisone Cream to the child one year of age was not obtained. -The Hydrocortisone Cream was returned to the parent to be taken home on 2/27/2025. 849- In space #5, the parental authorization for a child’s Aquaphor cream expired on 10/18/2024. -This medication was no longer needed, therefore the medication was discarded. 892- In space #2, the classroom for infants, the facilities safe sleep policy was not posted. -The safe sleep policy was posted in space #1 and space #2 today. 887- On 2/21/2025, it was documented that one infant was visually checked at 12:50pm and not again until 1:10pm while sleeping. On 2/18/2025, five visual sleep checks that were documented at 11:30am, 11:45am, 12:00pm, 12:15pm, and 12:30pm for one child did not include the child’s sleep position. On 2/21/2025, six visual sleep checks that were documented at 12:20pm, 12:35pm, 12:50pm, 1:10pm, 1:25pm, and 1:40pm for one child did not include the child’s sleep position or the teacher’s initials. -On February 27, 2025, it was documented that two infants were visually checked at 12:40pm and not again until 1:00pm while sleeping and one infant was visually checked at 9:40am and not again until 10:00am while sleeping. The Lead Teacher indicated that she began conducting safe sleep checks every ten minutes rather than every fifteen minutes and may have gotten mixed up. I suggested adding a timer in the classroom to set when infants are asleep as a reminder to conduct a safe sleep check every ten minutes. 541- In space #2, one child’s feeding plan only indicated “formula.” Staff reported that this child also eats baby food brought from home. The changes in the child’s eating habits were not documented on the feeding plan. -This child’s feeding plan was updated by the parent and staff member on 2/27/2025. 1830- In space #4, a trash can containing soiled diapers and soiled wipes with feces did not have a lid to cover the trash can. -A trash can with a lid was added to space #4. 405- In space #4, a child’s hands were not washed after their diaper was changed. -In space #5, I observed a staff member assisting a child with hand washing after changing the child’s diaper. 428- In space #4, an activity plan was not posted. In space #5, the activity plan posted in the classroom was dated “Nov 4-8.” -Current activity plans were posted in each space. The activity plan posted in space #4 was dated “March 10-14” and the activity plan posted in space #5 was dated “week of March 10.” 856- Broken, cracked toys including two plastic shovels, a plastic plate, and two plastic sand toys were observed on the playground for preschool children after children had already utilized the playground that day. -During today’s visit, broken, cracked toys including a plastic skimmer, a plastic rake, a plastic toy car, a plastic plate, a plastic shovel, and plastic sand toys were observed on the playground for preschool children after children and staff members had already utilized the playground. You created a playground checklist for the “big playground” and for the “little playground” including a list of things for staff members to check for before and while using the playground. You stated you reviewed these checklists with staff members during a staff meeting on 3/7/2025, however, you had not given staff members this checklist yet. I suggested that you or a designated staff member check the playgrounds each morning to ensure broken toys and equipment are removed/discarded before children utilize the playground. I suggested following through with disciplinary actions when staff members fail to remove broken toys from the playground. 859- The last monthly playground inspection was completed on 2/14/2024 by Mary Lackey. -The monthly playground inspection was completed on 2/27/2025 by Mary Lackey. You also created a playground inspection for staff to complete daily. 114- All five children’s records reviewed did not include a signed acknowledgement from the parents indicating receipt of the NC Summary of the Law. -As of today, none of the five children’s records reviewed had a signed acknowledgement for the receipt of the NC Summary of the Law. As a reminder, this is due to be corrected by 3/12/2025. I provided you with a list of the names of the five children’s records that must have this acknowledgement on file by 3/12/2025, during today’s visit. I suggested that you give the NC Summary of the Law to parents today to ensure you receive the acknowledgement form by 3/12/2025. 1908- All five children’s records reviewed did not include a signed acknowledgement from the parents indicating receipt of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy. -Only one of the five children’s records reviewed had a signed acknowledgement for the receipt of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy during today’s visit. As a reminder, this is due to be corrected by 3/12/2025. I provided you with a list of the names of the five children’s records that must have this acknowledgement on file by 3/12/2025, during today’s visit. I suggested that you give the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy to parents today to ensure you receive the acknowledgement form by 3/12/2025. 1320- One child enrolled on 9/2/2024 did not have a medical exam on file for review. -You received the completed medical exam for this child on 3/10/2025. 1045- One staff member employed on 10/22/2024 and one staff member employed on 11/18/2024 did not receive 16 hours of orientation training in all required topics within the first six weeks of employment. Documentation of orientation required within six weeks of employment was not on file available for review. One staff member employed on 10/31/2024 had orientation training documented as completed on 11/6/2024 and 2/6/2024, however, the hours completed for each topic were not recorded. -Orientation training and documentation of the orientation given was completed for two of the three staff members on 3/7/2025. J. Stamey still needs to receive 16 hours of orientation training by 3/12/2025. 1067- One staff member employed on 2/3/2025 did not receive 6 hours of orientation training until 2/21/2025. One staff member employed on 2/4/2025 did not receive 6 hours of orientation training until 2/21/2025. One staff member employed on 10/31/2024 had orientation training documented as completed on 11/6/2024, however, the hours completed for each topic within the first two weeks were not recorded. -Documentation of the hours completed for orientation training was completed for S. Briles. 1048- One staff member employed on 11/18/2024 did not complete First Aid training within 90 days of employment. 1049- One staff member employed on 11/18/2024 did not complete cardiopulmonary resuscitation (CPR) training within 90 days of employment. -You reached out to Child Care Connections during today’s visit to inquire about training availability for CPR and First Aid and the next availability wasn’t until 4/19/2025. I suggested that you contact the Partnership for Children of Catawba County to see if CPR and First Aid training is offered sooner. I requested that you reach out to me by tomorrow, 3/11/2025, to let me know when you are able to register A. Burleson for CPR and First Aid training. 1874- Six new staff members employed between 10/22/2024 through 2/14/2025 did not have the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy signed acknowledgement on file for review. -Five staff members signed the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy acknowledgement on 2/27/2025. One staff member signed the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy acknowledgement on 2/28/2025. 1233- Six new staff members employed between 10/22/2024 through 2/14/2025 did not have the operational and personnel policies signed acknowledgement on file for review. -Two of the six staff members signed the acknowledgement for reviewing the operational and personnel policies on 3/7/2025 and 3/10/2025. L. Torres, A. Briles, J. Stamey, and A. Burleson must review and sign an acknowledgement for operational and personnel policies by 3/12/2025. 1897- One staff member employed on 11/18/2024 did not complete Recognizing and Responding to Suspicions of Child Maltreatment training. -A. Burleson must complete this training by 3/12/2025. This training may be complete at the following link: https://www.preventchildabusenc.org/online-trainings/. You must send me A. Burleson’s training certificate for this training along with your compliance letter by 3/12/2025. 862- The most recent review of the Emergency Medical Care Plan was documented as completed on 1/9/2024 with six staff members and 3/23/2023 with one staff member. -You updated the Emergency Medical Care Plan on 3/8/2025. Four of six staff members reviewed and signed an acknowledgement for the Emergency Medical Care Plan. J. Lloyd and A. Price must review the Emergency Medical Care Plan and sign an acknowledgement of their review by 3/12/2025. 1824- The new administrator, employed on 1/8/2024 completed Emergency Preparedness and Response (EPR) training on 3/20/2024. The facilities existing EPR Plan was not updated or reviewed with staff within four months of completion of the Emergency Preparedness and Response in Child Care training. -The Emergency Preparedness Response (EPR) Plan was reviewed by the administrator and reviewed with staff members on 3/4/2025. The violations observed today were discussed with you and documented in the Visit Summary left with you at the conclusion of this visit. The following violations were observed: Violation Number Comment Rule 856 The indoor and/or outdoor premises was not checked once a day, prior to initial use, ensuring debris, and broken equipment was removed and disposed of. Broken, cracked toys including a plastic sifter, a plastic rake, a plastic toy car, a plastic plate, a plastic shovel, and plastic sand mold were observed on the playground for preschool children after children and staff members had already utilized the playground. 10A NCAC 09 .0604(p) 887 Caregivers did not document compliance with visually checking on sleeping infants aged 12 months or younger and/or the documents were not maintained for a minimum of one month. On February 27, 2025, it was documented that two infants were visually checked at 12:40pm and not again until 1:00pm while sleeping and one infant was visually checked at 9:40am and not again until 10:00am while sleeping. .0606(g) 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 March 24, 2025. Please send your letter to Kristen.Mauney@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. Please be aware that any information submitted by you is considered legal documentation. If you state in your violation correction letter that corrections have been made when they have not, it will be considered falsification of information. Based on twenty-six violations observed on February 26, 2025, and two repeated violations observed today, an administrative action may be recommended. Technical Assistance was provided on the following: Safe Sleep Checks- -The Lead Teacher indicated that she began conducting safe sleep checks every ten minutes rather than every fifteen minutes and may have gotten mixed up. I suggested adding a timer in the classroom to set when infants are asleep as a reminder to conduct a safe sleep check every ten minutes. Broken toys/equipment- -You picked up and discarded the broken toys during the visit. You created a playground checklist for the “big playground” and for the “little playground” including a list of things for staff members to check for before and while using the playground. You stated you reviewed these checklists with staff members during a staff meeting on March 7, 2025, however, you had not given staff members this checklist yet. I suggested that you or a designated staff member check the playgrounds each morning to ensure broken toys and equipment are removed/discarded before children utilize the playground. I suggested following through with disciplinary actions when staff members fail to remove broken toys from the playground. Consultation: -As a reminder, I must receive your compliance letter by March 12, 2025, for the violations observed on February 26, 2025. Please remember to include how the violation was corrected and your plan to maintain compliance in the future. -Criminal Background Checks- I suggested that staff members begin the process for a criminal background recheck within six months of the expiration date. As a reminder, criminal background check qualification is valid for five years. A valid criminal background check qualification letter must be on file for each employee and must be made available for review. You may review this process by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/Home/DCDEE-Sections/Criminal-Background-Check-Unit. -Storage of Medication- Medications including prescription and non-prescription items shall be stored in a locked cabinet or other locked container and shall not be stored above food. Designated emergency medications shall be kept inaccessible to children, but are not required to be in locked storage. Non-prescription diaper creams and sunscreen shall be kept inaccessible to children when not in use, but are not required to be in locked storage. “Inaccessible to children” is defined as a vertical distance of at least five feet from the finished floor. I suggested that you and staff conduct safety checks of each classroom to ensure all medications are stored appropriately. -Medications- I suggested that you review all medications to ensure the medication has not expired, the authorization from the parent has not expired and that the manufacturer’s instructions on the medication are followed in conjunction with the instructions from the parent. I suggested that you instruct staff to complete monthly checks of medications to ensure compliance with all medication requirements. Any medication remaining after the course of treatment is completed, after authorization is withdrawn or after authorization has expired shall 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, shall be discarded. -Safe Sleep Policy- The facilities safe sleep policy must be posted in each classroom for infants. You must post the safe sleep policy in every classroom where infants may be throughout the day, including the first and last operating hour of the day. -Safe Sleep Checks- Visually checking on sleeping infants every fifteen minutes, per your facilities safe sleep policy, is critical in protecting sleeping infants from sudden infant death syndrome. I suggested that you discuss requirements for safe sleep checks as well as sudden infant death syndrome with all staff, especially all staff who work in the classroom for infants. I suggested utilizing the Caring for Our Children resource book for more information pertaining to safe sleep practices and sudden infant death syndrome. I suggested determining how safe sleep checks will be turned in to administrative staff and create a plan to review safe sleep checks weekly and prior to filing. I suggested that safe sleep checks may be conducted more frequently, such as every ten minutes, and utilizing a timer to assist you with remembering to visually check sleeping infants. -Feeding Plans- Written feeding plans for children under fifteen months of age must be posted in the child’s classroom for reference and must be modified as the child's needs change. The feeding instructions for each infant shall include the type and amount of milk, formula and food, the frequency of feedings and be posted for reference by the caregivers. I suggested that staff review feeding plans monthly with parents to request if changes have been made to their child’s feeding habits. I also suggested that you ensure the correct modifications are reflected in the child’s feeding plan prior to the child moving up to the next classroom. -Storage of Biocontaminants- In child care centers, biocontaminants shall be: (1) stored in locked areas; (2) removed from the premises; (3) inaccessible to children; or (4) shall be disposed of in a covered, plastic lined receptacle. "Biocontaminant" means blood, bodily fluids, or excretions that may spread infectious disease. Biocontaminants include used tissues, band-aids, soiled diapers, soiled wipes, etc. -Handwashing- I suggested that you reach out to Child Care Connections for training and guidance with handwashing routines for new staff. You may access resources regarding handwashing routines by visiting www.ncrlap.org. The NC Resource Center designs posters to improve health and safety practices in early care and education programs. Early care and education programs can download posters or order them free of cost at https://healthychildcare.unc.edu/resources/posters/. Child care center employees shall ensure that children wash their hands as follows: (1) upon arrival at the child care center; (2) after each diaper change or visit to the toilet; (3) before eating meals or snacks; (4) before and after water play; (5) after being outdoors; and (6) after handling animals or animal cages. (d) Except when the action that necessitates handwashing is diapering and before eating meals or snacks, hand antiseptics may be used in lieu of handwashing while a child is outdoors, provided that the child's hands are washed when the child returns indoors. -Activity Plans- I suggested that you complete and print your activity plan for the following week on Friday so that it will be posted each Monday morning. Depending on the age of the children and their developmental needs, a monthly activity plan may be appropriate. I suggested that you reach out to Child Care Connections for training and guidance with activity plans for new staff. -Broken toys and equipment- Per Child Care Requirement 10A NCAC 09 .0604(p), you must monitor indoor and outdoor areas prior to children utilizing the playground to ensure debris and broken equipment is discarded. I suggested that each staff member or a designated staff member monitor classrooms and playgrounds each morning to discard trash and any broken items before children arrive or access the playground. -Playground inspections- A playground inspection must be completed each month by a trained staff member who has completed Playground Safety training. I suggested completed monthly playground inspections on the same day when monthly fire drills are conducted to ensure compliance with this requirement. -Children’s records- I suggested that you utilize the Children’s File Checklist available on the DCDEE website under Provider Documents and Forms to ensure all required documents are on file on or before enrollment or within the required timeframe. I also suggested that you create an acknowledgement form to capture all policies and parent signatures on one page, including the child’s name, enrollment date, and date of parent’s signature. -Children’s medical records- Children’s medical exam or health assessment must be received and on file within thirty days of the child’s enrollment. I suggested that you request children’s medical exams and immunization records prior to enrollment to ensure compliance with this requirement. -Staff Orientation- Each center shall 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 shall complete six hours of orientation within the first two weeks of employment on required topics. I suggested that you complete 6 hours of new staff orientation on the staff member’s first day of employment, prior to working in a classroom. If possible, complete the remaining 10 hours of orientation within the first week of employment to ensure each new staff member is aware of policies and procedures and to ensure compliance with this requirement. Keep in mind, it is impossible for staff to complete all orientation within one day as sixteen hours of training is required. -First Aid/CPR- New staff must complete First Aid and CPR training within 90 days of employment and must renew certification on or before the expiration date. I suggested that you register new staff for First Aid and CPR training as soon as they are hired. First Aid and CPR training must be completed in person by an approved agency. Verification of each staff member's completion of this course from an approved training organization shall be maintained in the staff member's file in the center. You may visit the DCDEE website for a list of approved agencies at https://ncchildcare.ncdhhs.gov/Provider/Training-and-Professional-Development/Health-and-Safety-Trainings/Be-a-Smart-Consumer-of-First-Aid-and-CPR-Training. -Staff Records- I suggested that you utilize the Staff File Checklist available on the DCDEE website under Provider Documents and Forms to ensure all required documents are on file prior to employment. I showed you where to access the sample Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy along with acknowledgment forms and you printed these during the visit. I also suggested that you create an acknowledgement form to capture the facilities policies and staff signatures on one page. -Operational and Personnel policies/handbooks- You stated the handbooks are currently being revised by the church board. The review of policies must be completed during orientation training and a signed acknowledgement from each staff member must be obtained. -Recognizing and Responding to Suspicions of Child Maltreatment training- New staff must complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. I suggested that you have staff complete this training within the first two weeks of employment, in conjunction with orientation, to ensure compliance with this requirement. -Emergency Medical Care Plan- Each child care center shall have a written plan that sets forth the steps to follow in the event of a child medical emergency. The plan shall 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. I suggested that you review your Emergency Medical Care Plan (EMCP) and your Emergency Preparedness and Response (EPR) plan at the same time each year with all staff members. I suggested utilizing an acknowledgement form to record when the review takes place and the signatures of each staff member. -Emergency Preparedness and Response (EPR)- I suggested utilizing an acknowledgement form to record when the EPR review takes place and the signatures of each staff member. The trained staff shall review the Emergency Preparedness and Response Plan annually, or when information in the plan changes, to ensure all information is current. All staff shall review the center's Emergency Preparedness and Response Plan during orientation and on an annual basis with the trained staff. Documentation of the review shall 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 shall be informed of the child care center's Emergency Preparedness and Response Plan and its location. Documentation of this notice shall be maintained in individual personnel files or in a file designated for emergency preparedness and response plan documents. Stay up to date with the Division of Child Development and Early Education by visiting 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, at Tammy McGalliard@dhhs.nc.gov. If I can be of further assistance, you may contact me at 704-853-9196. Kristen Mauney, Child Care Consultant PO Box 674, Denver, NC 28037 Kristen.Mauney@dhhs.nc.gov If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

10A NCAC 09 .0604 · Violation

Name of Operation: FIRST BAPTIST CHURCH CHILD DEVELOPMENT CENTER Facility ID: 12000190 Consultant: KRISTEN R. MAUNEY Operation Type: Center Case Number: Visit Date: 3/10/2025 Number Present: 42 Completed Date: 3/10/2025 Age: From 0 To 5 Total Minutes: 218 Time In: 09:32 AM Time Out: 01:10 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Compliance Follow-Up Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor your program for compliance with applicable child care requirements and to verify correction of violations observed during the annual compliance visit conducted on February 26, 2025. The visit was conducted with you, Gail Piercy, Administrator. The NC Secretary of State website was viewed before the visit and First Baptist Church of Valdese was current/active as of March 7, 2025. This program currently operates with a Five star rated license effective November 4, 2019. The program’s compliance history was 72 percent prior to today’s visit. Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. Limited monitoring was conducted. Children and staff were observed during free play activities indoors. The following violations were cited during your most recent Annual Compliance visit conducted on February 26, 2025, and were monitored for compliance today. As a reminder, I must receive your compliance letter for the violations observed on February 26, 2025, by Wednesday, March 12, 2025. 1044- The Criminal Background Check (CMC) qualification letter for Gail Piercy, employed on 1/8/2024, expired on 2/3/2025. -According to the ABCMS portal, Barbara (Gail) Piercy was qualified as of 3/10/2025. Ms. Piercy’s CBC qualification letter expires on 3/10/2030. 1757- The current Criminal Background Check qualification letter for Barbara (Gail) Piercy, employed on 1/8/2024, was not on file available for review. -Gail Piercy was able to access the ABCMS portal and print her current CBC qualification letter, effective 3/10/2025, during today’s visit. 841- A bag of cough drops that belonged to a staff member were observed in an unlocked cabinet in space #5 accessible to children. In space #4, children’s diaper rash creams were stored in an unlocked cabinet below the diaper changing table accessible to children. -No medications were observed in unlocked storage today. The cabinet below the diaper changing table in space #4 was locked. 847- In space #5, one child’s authorization for Boudreaux’s Butt Paste did not include when to apply the cream. In space #1, one child’s authorization for Boudreaux’s Butt Paste did not include the parent’s signature. -The medication in space #5 was no longer needed, therefore the medication was discarded. The medication authorization in space #1 was signed by the child’s parent on 2/26/2025. 848- Parental authorization was written for Hydrocortisone Cream on 8/15/2024 for a child one year of age. The manufacturer’s instructions on the Hydrocortisone cream indicated “children under 2 yrs of age: consult a doctor.” A doctor’s note to administer the Hydrocortisone Cream to the child one year of age was not obtained. -The Hydrocortisone Cream was returned to the parent to be taken home on 2/27/2025. 849- In space #5, the parental authorization for a child’s Aquaphor cream expired on 10/18/2024. -This medication was no longer needed, therefore the medication was discarded. 892- In space #2, the classroom for infants, the facilities safe sleep policy was not posted. -The safe sleep policy was posted in space #1 and space #2 today. 887- On 2/21/2025, it was documented that one infant was visually checked at 12:50pm and not again until 1:10pm while sleeping. On 2/18/2025, five visual sleep checks that were documented at 11:30am, 11:45am, 12:00pm, 12:15pm, and 12:30pm for one child did not include the child’s sleep position. On 2/21/2025, six visual sleep checks that were documented at 12:20pm, 12:35pm, 12:50pm, 1:10pm, 1:25pm, and 1:40pm for one child did not include the child’s sleep position or the teacher’s initials. -On February 27, 2025, it was documented that two infants were visually checked at 12:40pm and not again until 1:00pm while sleeping and one infant was visually checked at 9:40am and not again until 10:00am while sleeping. The Lead Teacher indicated that she began conducting safe sleep checks every ten minutes rather than every fifteen minutes and may have gotten mixed up. I suggested adding a timer in the classroom to set when infants are asleep as a reminder to conduct a safe sleep check every ten minutes. 541- In space #2, one child’s feeding plan only indicated “formula.” Staff reported that this child also eats baby food brought from home. The changes in the child’s eating habits were not documented on the feeding plan. -This child’s feeding plan was updated by the parent and staff member on 2/27/2025. 1830- In space #4, a trash can containing soiled diapers and soiled wipes with feces did not have a lid to cover the trash can. -A trash can with a lid was added to space #4. 405- In space #4, a child’s hands were not washed after their diaper was changed. -In space #5, I observed a staff member assisting a child with hand washing after changing the child’s diaper. 428- In space #4, an activity plan was not posted. In space #5, the activity plan posted in the classroom was dated “Nov 4-8.” -Current activity plans were posted in each space. The activity plan posted in space #4 was dated “March 10-14” and the activity plan posted in space #5 was dated “week of March 10.” 856- Broken, cracked toys including two plastic shovels, a plastic plate, and two plastic sand toys were observed on the playground for preschool children after children had already utilized the playground that day. -During today’s visit, broken, cracked toys including a plastic skimmer, a plastic rake, a plastic toy car, a plastic plate, a plastic shovel, and plastic sand toys were observed on the playground for preschool children after children and staff members had already utilized the playground. You created a playground checklist for the “big playground” and for the “little playground” including a list of things for staff members to check for before and while using the playground. You stated you reviewed these checklists with staff members during a staff meeting on 3/7/2025, however, you had not given staff members this checklist yet. I suggested that you or a designated staff member check the playgrounds each morning to ensure broken toys and equipment are removed/discarded before children utilize the playground. I suggested following through with disciplinary actions when staff members fail to remove broken toys from the playground. 859- The last monthly playground inspection was completed on 2/14/2024 by Mary Lackey. -The monthly playground inspection was completed on 2/27/2025 by Mary Lackey. You also created a playground inspection for staff to complete daily. 114- All five children’s records reviewed did not include a signed acknowledgement from the parents indicating receipt of the NC Summary of the Law. -As of today, none of the five children’s records reviewed had a signed acknowledgement for the receipt of the NC Summary of the Law. As a reminder, this is due to be corrected by 3/12/2025. I provided you with a list of the names of the five children’s records that must have this acknowledgement on file by 3/12/2025, during today’s visit. I suggested that you give the NC Summary of the Law to parents today to ensure you receive the acknowledgement form by 3/12/2025. 1908- All five children’s records reviewed did not include a signed acknowledgement from the parents indicating receipt of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy. -Only one of the five children’s records reviewed had a signed acknowledgement for the receipt of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy during today’s visit. As a reminder, this is due to be corrected by 3/12/2025. I provided you with a list of the names of the five children’s records that must have this acknowledgement on file by 3/12/2025, during today’s visit. I suggested that you give the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy to parents today to ensure you receive the acknowledgement form by 3/12/2025. 1320- One child enrolled on 9/2/2024 did not have a medical exam on file for review. -You received the completed medical exam for this child on 3/10/2025. 1045- One staff member employed on 10/22/2024 and one staff member employed on 11/18/2024 did not receive 16 hours of orientation training in all required topics within the first six weeks of employment. Documentation of orientation required within six weeks of employment was not on file available for review. One staff member employed on 10/31/2024 had orientation training documented as completed on 11/6/2024 and 2/6/2024, however, the hours completed for each topic were not recorded. -Orientation training and documentation of the orientation given was completed for two of the three staff members on 3/7/2025. J. Stamey still needs to receive 16 hours of orientation training by 3/12/2025. 1067- One staff member employed on 2/3/2025 did not receive 6 hours of orientation training until 2/21/2025. One staff member employed on 2/4/2025 did not receive 6 hours of orientation training until 2/21/2025. One staff member employed on 10/31/2024 had orientation training documented as completed on 11/6/2024, however, the hours completed for each topic within the first two weeks were not recorded. -Documentation of the hours completed for orientation training was completed for S. Briles. 1048- One staff member employed on 11/18/2024 did not complete First Aid training within 90 days of employment. 1049- One staff member employed on 11/18/2024 did not complete cardiopulmonary resuscitation (CPR) training within 90 days of employment. -You reached out to Child Care Connections during today’s visit to inquire about training availability for CPR and First Aid and the next availability wasn’t until 4/19/2025. I suggested that you contact the Partnership for Children of Catawba County to see if CPR and First Aid training is offered sooner. I requested that you reach out to me by tomorrow, 3/11/2025, to let me know when you are able to register A. Burleson for CPR and First Aid training. 1874- Six new staff members employed between 10/22/2024 through 2/14/2025 did not have the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy signed acknowledgement on file for review. -Five staff members signed the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy acknowledgement on 2/27/2025. One staff member signed the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy acknowledgement on 2/28/2025. 1233- Six new staff members employed between 10/22/2024 through 2/14/2025 did not have the operational and personnel policies signed acknowledgement on file for review. -Two of the six staff members signed the acknowledgement for reviewing the operational and personnel policies on 3/7/2025 and 3/10/2025. L. Torres, A. Briles, J. Stamey, and A. Burleson must review and sign an acknowledgement for operational and personnel policies by 3/12/2025. 1897- One staff member employed on 11/18/2024 did not complete Recognizing and Responding to Suspicions of Child Maltreatment training. -A. Burleson must complete this training by 3/12/2025. This training may be complete at the following link: https://www.preventchildabusenc.org/online-trainings/. You must send me A. Burleson’s training certificate for this training along with your compliance letter by 3/12/2025. 862- The most recent review of the Emergency Medical Care Plan was documented as completed on 1/9/2024 with six staff members and 3/23/2023 with one staff member. -You updated the Emergency Medical Care Plan on 3/8/2025. Four of six staff members reviewed and signed an acknowledgement for the Emergency Medical Care Plan. J. Lloyd and A. Price must review the Emergency Medical Care Plan and sign an acknowledgement of their review by 3/12/2025. 1824- The new administrator, employed on 1/8/2024 completed Emergency Preparedness and Response (EPR) training on 3/20/2024. The facilities existing EPR Plan was not updated or reviewed with staff within four months of completion of the Emergency Preparedness and Response in Child Care training. -The Emergency Preparedness Response (EPR) Plan was reviewed by the administrator and reviewed with staff members on 3/4/2025. The violations observed today were discussed with you and documented in the Visit Summary left with you at the conclusion of this visit. The following violations were observed: Violation Number Comment Rule 856 The indoor and/or outdoor premises was not checked once a day, prior to initial use, ensuring debris, and broken equipment was removed and disposed of. Broken, cracked toys including a plastic sifter, a plastic rake, a plastic toy car, a plastic plate, a plastic shovel, and plastic sand mold were observed on the playground for preschool children after children and staff members had already utilized the playground. 10A NCAC 09 .0604(p) 887 Caregivers did not document compliance with visually checking on sleeping infants aged 12 months or younger and/or the documents were not maintained for a minimum of one month. On February 27, 2025, it was documented that two infants were visually checked at 12:40pm and not again until 1:00pm while sleeping and one infant was visually checked at 9:40am and not again until 10:00am while sleeping. .0606(g) 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 March 24, 2025. Please send your letter to Kristen.Mauney@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. Please be aware that any information submitted by you is considered legal documentation. If you state in your violation correction letter that corrections have been made when they have not, it will be considered falsification of information. Based on twenty-six violations observed on February 26, 2025, and two repeated violations observed today, an administrative action may be recommended. Technical Assistance was provided on the following: Safe Sleep Checks- -The Lead Teacher indicated that she began conducting safe sleep checks every ten minutes rather than every fifteen minutes and may have gotten mixed up. I suggested adding a timer in the classroom to set when infants are asleep as a reminder to conduct a safe sleep check every ten minutes. Broken toys/equipment- -You picked up and discarded the broken toys during the visit. You created a playground checklist for the “big playground” and for the “little playground” including a list of things for staff members to check for before and while using the playground. You stated you reviewed these checklists with staff members during a staff meeting on March 7, 2025, however, you had not given staff members this checklist yet. I suggested that you or a designated staff member check the playgrounds each morning to ensure broken toys and equipment are removed/discarded before children utilize the playground. I suggested following through with disciplinary actions when staff members fail to remove broken toys from the playground. Consultation: -As a reminder, I must receive your compliance letter by March 12, 2025, for the violations observed on February 26, 2025. Please remember to include how the violation was corrected and your plan to maintain compliance in the future. -Criminal Background Checks- I suggested that staff members begin the process for a criminal background recheck within six months of the expiration date. As a reminder, criminal background check qualification is valid for five years. A valid criminal background check qualification letter must be on file for each employee and must be made available for review. You may review this process by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/Home/DCDEE-Sections/Criminal-Background-Check-Unit. -Storage of Medication- Medications including prescription and non-prescription items shall be stored in a locked cabinet or other locked container and shall not be stored above food. Designated emergency medications shall be kept inaccessible to children, but are not required to be in locked storage. Non-prescription diaper creams and sunscreen shall be kept inaccessible to children when not in use, but are not required to be in locked storage. “Inaccessible to children” is defined as a vertical distance of at least five feet from the finished floor. I suggested that you and staff conduct safety checks of each classroom to ensure all medications are stored appropriately. -Medications- I suggested that you review all medications to ensure the medication has not expired, the authorization from the parent has not expired and that the manufacturer’s instructions on the medication are followed in conjunction with the instructions from the parent. I suggested that you instruct staff to complete monthly checks of medications to ensure compliance with all medication requirements. Any medication remaining after the course of treatment is completed, after authorization is withdrawn or after authorization has expired shall 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, shall be discarded. -Safe Sleep Policy- The facilities safe sleep policy must be posted in each classroom for infants. You must post the safe sleep policy in every classroom where infants may be throughout the day, including the first and last operating hour of the day. -Safe Sleep Checks- Visually checking on sleeping infants every fifteen minutes, per your facilities safe sleep policy, is critical in protecting sleeping infants from sudden infant death syndrome. I suggested that you discuss requirements for safe sleep checks as well as sudden infant death syndrome with all staff, especially all staff who work in the classroom for infants. I suggested utilizing the Caring for Our Children resource book for more information pertaining to safe sleep practices and sudden infant death syndrome. I suggested determining how safe sleep checks will be turned in to administrative staff and create a plan to review safe sleep checks weekly and prior to filing. I suggested that safe sleep checks may be conducted more frequently, such as every ten minutes, and utilizing a timer to assist you with remembering to visually check sleeping infants. -Feeding Plans- Written feeding plans for children under fifteen months of age must be posted in the child’s classroom for reference and must be modified as the child's needs change. The feeding instructions for each infant shall include the type and amount of milk, formula and food, the frequency of feedings and be posted for reference by the caregivers. I suggested that staff review feeding plans monthly with parents to request if changes have been made to their child’s feeding habits. I also suggested that you ensure the correct modifications are reflected in the child’s feeding plan prior to the child moving up to the next classroom. -Storage of Biocontaminants- In child care centers, biocontaminants shall be: (1) stored in locked areas; (2) removed from the premises; (3) inaccessible to children; or (4) shall be disposed of in a covered, plastic lined receptacle. "Biocontaminant" means blood, bodily fluids, or excretions that may spread infectious disease. Biocontaminants include used tissues, band-aids, soiled diapers, soiled wipes, etc. -Handwashing- I suggested that you reach out to Child Care Connections for training and guidance with handwashing routines for new staff. You may access resources regarding handwashing routines by visiting www.ncrlap.org. The NC Resource Center designs posters to improve health and safety practices in early care and education programs. Early care and education programs can download posters or order them free of cost at https://healthychildcare.unc.edu/resources/posters/. Child care center employees shall ensure that children wash their hands as follows: (1) upon arrival at the child care center; (2) after each diaper change or visit to the toilet; (3) before eating meals or snacks; (4) before and after water play; (5) after being outdoors; and (6) after handling animals or animal cages. (d) Except when the action that necessitates handwashing is diapering and before eating meals or snacks, hand antiseptics may be used in lieu of handwashing while a child is outdoors, provided that the child's hands are washed when the child returns indoors. -Activity Plans- I suggested that you complete and print your activity plan for the following week on Friday so that it will be posted each Monday morning. Depending on the age of the children and their developmental needs, a monthly activity plan may be appropriate. I suggested that you reach out to Child Care Connections for training and guidance with activity plans for new staff. -Broken toys and equipment- Per Child Care Requirement 10A NCAC 09 .0604(p), you must monitor indoor and outdoor areas prior to children utilizing the playground to ensure debris and broken equipment is discarded. I suggested that each staff member or a designated staff member monitor classrooms and playgrounds each morning to discard trash and any broken items before children arrive or access the playground. -Playground inspections- A playground inspection must be completed each month by a trained staff member who has completed Playground Safety training. I suggested completed monthly playground inspections on the same day when monthly fire drills are conducted to ensure compliance with this requirement. -Children’s records- I suggested that you utilize the Children’s File Checklist available on the DCDEE website under Provider Documents and Forms to ensure all required documents are on file on or before enrollment or within the required timeframe. I also suggested that you create an acknowledgement form to capture all policies and parent signatures on one page, including the child’s name, enrollment date, and date of parent’s signature. -Children’s medical records- Children’s medical exam or health assessment must be received and on file within thirty days of the child’s enrollment. I suggested that you request children’s medical exams and immunization records prior to enrollment to ensure compliance with this requirement. -Staff Orientation- Each center shall 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 shall complete six hours of orientation within the first two weeks of employment on required topics. I suggested that you complete 6 hours of new staff orientation on the staff member’s first day of employment, prior to working in a classroom. If possible, complete the remaining 10 hours of orientation within the first week of employment to ensure each new staff member is aware of policies and procedures and to ensure compliance with this requirement. Keep in mind, it is impossible for staff to complete all orientation within one day as sixteen hours of training is required. -First Aid/CPR- New staff must complete First Aid and CPR training within 90 days of employment and must renew certification on or before the expiration date. I suggested that you register new staff for First Aid and CPR training as soon as they are hired. First Aid and CPR training must be completed in person by an approved agency. Verification of each staff member's completion of this course from an approved training organization shall be maintained in the staff member's file in the center. You may visit the DCDEE website for a list of approved agencies at https://ncchildcare.ncdhhs.gov/Provider/Training-and-Professional-Development/Health-and-Safety-Trainings/Be-a-Smart-Consumer-of-First-Aid-and-CPR-Training. -Staff Records- I suggested that you utilize the Staff File Checklist available on the DCDEE website under Provider Documents and Forms to ensure all required documents are on file prior to employment. I showed you where to access the sample Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy along with acknowledgment forms and you printed these during the visit. I also suggested that you create an acknowledgement form to capture the facilities policies and staff signatures on one page. -Operational and Personnel policies/handbooks- You stated the handbooks are currently being revised by the church board. The review of policies must be completed during orientation training and a signed acknowledgement from each staff member must be obtained. -Recognizing and Responding to Suspicions of Child Maltreatment training- New staff must complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. I suggested that you have staff complete this training within the first two weeks of employment, in conjunction with orientation, to ensure compliance with this requirement. -Emergency Medical Care Plan- Each child care center shall have a written plan that sets forth the steps to follow in the event of a child medical emergency. The plan shall 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. I suggested that you review your Emergency Medical Care Plan (EMCP) and your Emergency Preparedness and Response (EPR) plan at the same time each year with all staff members. I suggested utilizing an acknowledgement form to record when the review takes place and the signatures of each staff member. -Emergency Preparedness and Response (EPR)- I suggested utilizing an acknowledgement form to record when the EPR review takes place and the signatures of each staff member. The trained staff shall review the Emergency Preparedness and Response Plan annually, or when information in the plan changes, to ensure all information is current. All staff shall review the center's Emergency Preparedness and Response Plan during orientation and on an annual basis with the trained staff. Documentation of the review shall 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 shall be informed of the child care center's Emergency Preparedness and Response Plan and its location. Documentation of this notice shall be maintained in individual personnel files or in a file designated for emergency preparedness and response plan documents. Stay up to date with the Division of Child Development and Early Education by visiting 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, at Tammy McGalliard@dhhs.nc.gov. If I can be of further assistance, you may contact me at 704-853-9196. Kristen Mauney, Child Care Consultant PO Box 674, Denver, NC 28037 Kristen.Mauney@dhhs.nc.gov If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

NC GS 110-90 · Violation

Name of Operation: FIRST BAPTIST CHURCH CHILD DEVELOPMENT CENTER Facility ID: 12000190 Consultant: KRISTEN R. MAUNEY Operation Type: Center Case Number: Visit Date: 3/10/2025 Number Present: 42 Completed Date: 3/10/2025 Age: From 0 To 5 Total Minutes: 218 Time In: 09:32 AM Time Out: 01:10 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Compliance Follow-Up Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor your program for compliance with applicable child care requirements and to verify correction of violations observed during the annual compliance visit conducted on February 26, 2025. The visit was conducted with you, Gail Piercy, Administrator. The NC Secretary of State website was viewed before the visit and First Baptist Church of Valdese was current/active as of March 7, 2025. This program currently operates with a Five star rated license effective November 4, 2019. The program’s compliance history was 72 percent prior to today’s visit. Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. Limited monitoring was conducted. Children and staff were observed during free play activities indoors. The following violations were cited during your most recent Annual Compliance visit conducted on February 26, 2025, and were monitored for compliance today. As a reminder, I must receive your compliance letter for the violations observed on February 26, 2025, by Wednesday, March 12, 2025. 1044- The Criminal Background Check (CMC) qualification letter for Gail Piercy, employed on 1/8/2024, expired on 2/3/2025. -According to the ABCMS portal, Barbara (Gail) Piercy was qualified as of 3/10/2025. Ms. Piercy’s CBC qualification letter expires on 3/10/2030. 1757- The current Criminal Background Check qualification letter for Barbara (Gail) Piercy, employed on 1/8/2024, was not on file available for review. -Gail Piercy was able to access the ABCMS portal and print her current CBC qualification letter, effective 3/10/2025, during today’s visit. 841- A bag of cough drops that belonged to a staff member were observed in an unlocked cabinet in space #5 accessible to children. In space #4, children’s diaper rash creams were stored in an unlocked cabinet below the diaper changing table accessible to children. -No medications were observed in unlocked storage today. The cabinet below the diaper changing table in space #4 was locked. 847- In space #5, one child’s authorization for Boudreaux’s Butt Paste did not include when to apply the cream. In space #1, one child’s authorization for Boudreaux’s Butt Paste did not include the parent’s signature. -The medication in space #5 was no longer needed, therefore the medication was discarded. The medication authorization in space #1 was signed by the child’s parent on 2/26/2025. 848- Parental authorization was written for Hydrocortisone Cream on 8/15/2024 for a child one year of age. The manufacturer’s instructions on the Hydrocortisone cream indicated “children under 2 yrs of age: consult a doctor.” A doctor’s note to administer the Hydrocortisone Cream to the child one year of age was not obtained. -The Hydrocortisone Cream was returned to the parent to be taken home on 2/27/2025. 849- In space #5, the parental authorization for a child’s Aquaphor cream expired on 10/18/2024. -This medication was no longer needed, therefore the medication was discarded. 892- In space #2, the classroom for infants, the facilities safe sleep policy was not posted. -The safe sleep policy was posted in space #1 and space #2 today. 887- On 2/21/2025, it was documented that one infant was visually checked at 12:50pm and not again until 1:10pm while sleeping. On 2/18/2025, five visual sleep checks that were documented at 11:30am, 11:45am, 12:00pm, 12:15pm, and 12:30pm for one child did not include the child’s sleep position. On 2/21/2025, six visual sleep checks that were documented at 12:20pm, 12:35pm, 12:50pm, 1:10pm, 1:25pm, and 1:40pm for one child did not include the child’s sleep position or the teacher’s initials. -On February 27, 2025, it was documented that two infants were visually checked at 12:40pm and not again until 1:00pm while sleeping and one infant was visually checked at 9:40am and not again until 10:00am while sleeping. The Lead Teacher indicated that she began conducting safe sleep checks every ten minutes rather than every fifteen minutes and may have gotten mixed up. I suggested adding a timer in the classroom to set when infants are asleep as a reminder to conduct a safe sleep check every ten minutes. 541- In space #2, one child’s feeding plan only indicated “formula.” Staff reported that this child also eats baby food brought from home. The changes in the child’s eating habits were not documented on the feeding plan. -This child’s feeding plan was updated by the parent and staff member on 2/27/2025. 1830- In space #4, a trash can containing soiled diapers and soiled wipes with feces did not have a lid to cover the trash can. -A trash can with a lid was added to space #4. 405- In space #4, a child’s hands were not washed after their diaper was changed. -In space #5, I observed a staff member assisting a child with hand washing after changing the child’s diaper. 428- In space #4, an activity plan was not posted. In space #5, the activity plan posted in the classroom was dated “Nov 4-8.” -Current activity plans were posted in each space. The activity plan posted in space #4 was dated “March 10-14” and the activity plan posted in space #5 was dated “week of March 10.” 856- Broken, cracked toys including two plastic shovels, a plastic plate, and two plastic sand toys were observed on the playground for preschool children after children had already utilized the playground that day. -During today’s visit, broken, cracked toys including a plastic skimmer, a plastic rake, a plastic toy car, a plastic plate, a plastic shovel, and plastic sand toys were observed on the playground for preschool children after children and staff members had already utilized the playground. You created a playground checklist for the “big playground” and for the “little playground” including a list of things for staff members to check for before and while using the playground. You stated you reviewed these checklists with staff members during a staff meeting on 3/7/2025, however, you had not given staff members this checklist yet. I suggested that you or a designated staff member check the playgrounds each morning to ensure broken toys and equipment are removed/discarded before children utilize the playground. I suggested following through with disciplinary actions when staff members fail to remove broken toys from the playground. 859- The last monthly playground inspection was completed on 2/14/2024 by Mary Lackey. -The monthly playground inspection was completed on 2/27/2025 by Mary Lackey. You also created a playground inspection for staff to complete daily. 114- All five children’s records reviewed did not include a signed acknowledgement from the parents indicating receipt of the NC Summary of the Law. -As of today, none of the five children’s records reviewed had a signed acknowledgement for the receipt of the NC Summary of the Law. As a reminder, this is due to be corrected by 3/12/2025. I provided you with a list of the names of the five children’s records that must have this acknowledgement on file by 3/12/2025, during today’s visit. I suggested that you give the NC Summary of the Law to parents today to ensure you receive the acknowledgement form by 3/12/2025. 1908- All five children’s records reviewed did not include a signed acknowledgement from the parents indicating receipt of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy. -Only one of the five children’s records reviewed had a signed acknowledgement for the receipt of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy during today’s visit. As a reminder, this is due to be corrected by 3/12/2025. I provided you with a list of the names of the five children’s records that must have this acknowledgement on file by 3/12/2025, during today’s visit. I suggested that you give the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy to parents today to ensure you receive the acknowledgement form by 3/12/2025. 1320- One child enrolled on 9/2/2024 did not have a medical exam on file for review. -You received the completed medical exam for this child on 3/10/2025. 1045- One staff member employed on 10/22/2024 and one staff member employed on 11/18/2024 did not receive 16 hours of orientation training in all required topics within the first six weeks of employment. Documentation of orientation required within six weeks of employment was not on file available for review. One staff member employed on 10/31/2024 had orientation training documented as completed on 11/6/2024 and 2/6/2024, however, the hours completed for each topic were not recorded. -Orientation training and documentation of the orientation given was completed for two of the three staff members on 3/7/2025. J. Stamey still needs to receive 16 hours of orientation training by 3/12/2025. 1067- One staff member employed on 2/3/2025 did not receive 6 hours of orientation training until 2/21/2025. One staff member employed on 2/4/2025 did not receive 6 hours of orientation training until 2/21/2025. One staff member employed on 10/31/2024 had orientation training documented as completed on 11/6/2024, however, the hours completed for each topic within the first two weeks were not recorded. -Documentation of the hours completed for orientation training was completed for S. Briles. 1048- One staff member employed on 11/18/2024 did not complete First Aid training within 90 days of employment. 1049- One staff member employed on 11/18/2024 did not complete cardiopulmonary resuscitation (CPR) training within 90 days of employment. -You reached out to Child Care Connections during today’s visit to inquire about training availability for CPR and First Aid and the next availability wasn’t until 4/19/2025. I suggested that you contact the Partnership for Children of Catawba County to see if CPR and First Aid training is offered sooner. I requested that you reach out to me by tomorrow, 3/11/2025, to let me know when you are able to register A. Burleson for CPR and First Aid training. 1874- Six new staff members employed between 10/22/2024 through 2/14/2025 did not have the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy signed acknowledgement on file for review. -Five staff members signed the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy acknowledgement on 2/27/2025. One staff member signed the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy acknowledgement on 2/28/2025. 1233- Six new staff members employed between 10/22/2024 through 2/14/2025 did not have the operational and personnel policies signed acknowledgement on file for review. -Two of the six staff members signed the acknowledgement for reviewing the operational and personnel policies on 3/7/2025 and 3/10/2025. L. Torres, A. Briles, J. Stamey, and A. Burleson must review and sign an acknowledgement for operational and personnel policies by 3/12/2025. 1897- One staff member employed on 11/18/2024 did not complete Recognizing and Responding to Suspicions of Child Maltreatment training. -A. Burleson must complete this training by 3/12/2025. This training may be complete at the following link: https://www.preventchildabusenc.org/online-trainings/. You must send me A. Burleson’s training certificate for this training along with your compliance letter by 3/12/2025. 862- The most recent review of the Emergency Medical Care Plan was documented as completed on 1/9/2024 with six staff members and 3/23/2023 with one staff member. -You updated the Emergency Medical Care Plan on 3/8/2025. Four of six staff members reviewed and signed an acknowledgement for the Emergency Medical Care Plan. J. Lloyd and A. Price must review the Emergency Medical Care Plan and sign an acknowledgement of their review by 3/12/2025. 1824- The new administrator, employed on 1/8/2024 completed Emergency Preparedness and Response (EPR) training on 3/20/2024. The facilities existing EPR Plan was not updated or reviewed with staff within four months of completion of the Emergency Preparedness and Response in Child Care training. -The Emergency Preparedness Response (EPR) Plan was reviewed by the administrator and reviewed with staff members on 3/4/2025. The violations observed today were discussed with you and documented in the Visit Summary left with you at the conclusion of this visit. The following violations were observed: Violation Number Comment Rule 856 The indoor and/or outdoor premises was not checked once a day, prior to initial use, ensuring debris, and broken equipment was removed and disposed of. Broken, cracked toys including a plastic sifter, a plastic rake, a plastic toy car, a plastic plate, a plastic shovel, and plastic sand mold were observed on the playground for preschool children after children and staff members had already utilized the playground. 10A NCAC 09 .0604(p) 887 Caregivers did not document compliance with visually checking on sleeping infants aged 12 months or younger and/or the documents were not maintained for a minimum of one month. On February 27, 2025, it was documented that two infants were visually checked at 12:40pm and not again until 1:00pm while sleeping and one infant was visually checked at 9:40am and not again until 10:00am while sleeping. .0606(g) 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 March 24, 2025. Please send your letter to Kristen.Mauney@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. Please be aware that any information submitted by you is considered legal documentation. If you state in your violation correction letter that corrections have been made when they have not, it will be considered falsification of information. Based on twenty-six violations observed on February 26, 2025, and two repeated violations observed today, an administrative action may be recommended. Technical Assistance was provided on the following: Safe Sleep Checks- -The Lead Teacher indicated that she began conducting safe sleep checks every ten minutes rather than every fifteen minutes and may have gotten mixed up. I suggested adding a timer in the classroom to set when infants are asleep as a reminder to conduct a safe sleep check every ten minutes. Broken toys/equipment- -You picked up and discarded the broken toys during the visit. You created a playground checklist for the “big playground” and for the “little playground” including a list of things for staff members to check for before and while using the playground. You stated you reviewed these checklists with staff members during a staff meeting on March 7, 2025, however, you had not given staff members this checklist yet. I suggested that you or a designated staff member check the playgrounds each morning to ensure broken toys and equipment are removed/discarded before children utilize the playground. I suggested following through with disciplinary actions when staff members fail to remove broken toys from the playground. Consultation: -As a reminder, I must receive your compliance letter by March 12, 2025, for the violations observed on February 26, 2025. Please remember to include how the violation was corrected and your plan to maintain compliance in the future. -Criminal Background Checks- I suggested that staff members begin the process for a criminal background recheck within six months of the expiration date. As a reminder, criminal background check qualification is valid for five years. A valid criminal background check qualification letter must be on file for each employee and must be made available for review. You may review this process by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/Home/DCDEE-Sections/Criminal-Background-Check-Unit. -Storage of Medication- Medications including prescription and non-prescription items shall be stored in a locked cabinet or other locked container and shall not be stored above food. Designated emergency medications shall be kept inaccessible to children, but are not required to be in locked storage. Non-prescription diaper creams and sunscreen shall be kept inaccessible to children when not in use, but are not required to be in locked storage. “Inaccessible to children” is defined as a vertical distance of at least five feet from the finished floor. I suggested that you and staff conduct safety checks of each classroom to ensure all medications are stored appropriately. -Medications- I suggested that you review all medications to ensure the medication has not expired, the authorization from the parent has not expired and that the manufacturer’s instructions on the medication are followed in conjunction with the instructions from the parent. I suggested that you instruct staff to complete monthly checks of medications to ensure compliance with all medication requirements. Any medication remaining after the course of treatment is completed, after authorization is withdrawn or after authorization has expired shall 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, shall be discarded. -Safe Sleep Policy- The facilities safe sleep policy must be posted in each classroom for infants. You must post the safe sleep policy in every classroom where infants may be throughout the day, including the first and last operating hour of the day. -Safe Sleep Checks- Visually checking on sleeping infants every fifteen minutes, per your facilities safe sleep policy, is critical in protecting sleeping infants from sudden infant death syndrome. I suggested that you discuss requirements for safe sleep checks as well as sudden infant death syndrome with all staff, especially all staff who work in the classroom for infants. I suggested utilizing the Caring for Our Children resource book for more information pertaining to safe sleep practices and sudden infant death syndrome. I suggested determining how safe sleep checks will be turned in to administrative staff and create a plan to review safe sleep checks weekly and prior to filing. I suggested that safe sleep checks may be conducted more frequently, such as every ten minutes, and utilizing a timer to assist you with remembering to visually check sleeping infants. -Feeding Plans- Written feeding plans for children under fifteen months of age must be posted in the child’s classroom for reference and must be modified as the child's needs change. The feeding instructions for each infant shall include the type and amount of milk, formula and food, the frequency of feedings and be posted for reference by the caregivers. I suggested that staff review feeding plans monthly with parents to request if changes have been made to their child’s feeding habits. I also suggested that you ensure the correct modifications are reflected in the child’s feeding plan prior to the child moving up to the next classroom. -Storage of Biocontaminants- In child care centers, biocontaminants shall be: (1) stored in locked areas; (2) removed from the premises; (3) inaccessible to children; or (4) shall be disposed of in a covered, plastic lined receptacle. "Biocontaminant" means blood, bodily fluids, or excretions that may spread infectious disease. Biocontaminants include used tissues, band-aids, soiled diapers, soiled wipes, etc. -Handwashing- I suggested that you reach out to Child Care Connections for training and guidance with handwashing routines for new staff. You may access resources regarding handwashing routines by visiting www.ncrlap.org. The NC Resource Center designs posters to improve health and safety practices in early care and education programs. Early care and education programs can download posters or order them free of cost at https://healthychildcare.unc.edu/resources/posters/. Child care center employees shall ensure that children wash their hands as follows: (1) upon arrival at the child care center; (2) after each diaper change or visit to the toilet; (3) before eating meals or snacks; (4) before and after water play; (5) after being outdoors; and (6) after handling animals or animal cages. (d) Except when the action that necessitates handwashing is diapering and before eating meals or snacks, hand antiseptics may be used in lieu of handwashing while a child is outdoors, provided that the child's hands are washed when the child returns indoors. -Activity Plans- I suggested that you complete and print your activity plan for the following week on Friday so that it will be posted each Monday morning. Depending on the age of the children and their developmental needs, a monthly activity plan may be appropriate. I suggested that you reach out to Child Care Connections for training and guidance with activity plans for new staff. -Broken toys and equipment- Per Child Care Requirement 10A NCAC 09 .0604(p), you must monitor indoor and outdoor areas prior to children utilizing the playground to ensure debris and broken equipment is discarded. I suggested that each staff member or a designated staff member monitor classrooms and playgrounds each morning to discard trash and any broken items before children arrive or access the playground. -Playground inspections- A playground inspection must be completed each month by a trained staff member who has completed Playground Safety training. I suggested completed monthly playground inspections on the same day when monthly fire drills are conducted to ensure compliance with this requirement. -Children’s records- I suggested that you utilize the Children’s File Checklist available on the DCDEE website under Provider Documents and Forms to ensure all required documents are on file on or before enrollment or within the required timeframe. I also suggested that you create an acknowledgement form to capture all policies and parent signatures on one page, including the child’s name, enrollment date, and date of parent’s signature. -Children’s medical records- Children’s medical exam or health assessment must be received and on file within thirty days of the child’s enrollment. I suggested that you request children’s medical exams and immunization records prior to enrollment to ensure compliance with this requirement. -Staff Orientation- Each center shall 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 shall complete six hours of orientation within the first two weeks of employment on required topics. I suggested that you complete 6 hours of new staff orientation on the staff member’s first day of employment, prior to working in a classroom. If possible, complete the remaining 10 hours of orientation within the first week of employment to ensure each new staff member is aware of policies and procedures and to ensure compliance with this requirement. Keep in mind, it is impossible for staff to complete all orientation within one day as sixteen hours of training is required. -First Aid/CPR- New staff must complete First Aid and CPR training within 90 days of employment and must renew certification on or before the expiration date. I suggested that you register new staff for First Aid and CPR training as soon as they are hired. First Aid and CPR training must be completed in person by an approved agency. Verification of each staff member's completion of this course from an approved training organization shall be maintained in the staff member's file in the center. You may visit the DCDEE website for a list of approved agencies at https://ncchildcare.ncdhhs.gov/Provider/Training-and-Professional-Development/Health-and-Safety-Trainings/Be-a-Smart-Consumer-of-First-Aid-and-CPR-Training. -Staff Records- I suggested that you utilize the Staff File Checklist available on the DCDEE website under Provider Documents and Forms to ensure all required documents are on file prior to employment. I showed you where to access the sample Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy along with acknowledgment forms and you printed these during the visit. I also suggested that you create an acknowledgement form to capture the facilities policies and staff signatures on one page. -Operational and Personnel policies/handbooks- You stated the handbooks are currently being revised by the church board. The review of policies must be completed during orientation training and a signed acknowledgement from each staff member must be obtained. -Recognizing and Responding to Suspicions of Child Maltreatment training- New staff must complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. I suggested that you have staff complete this training within the first two weeks of employment, in conjunction with orientation, to ensure compliance with this requirement. -Emergency Medical Care Plan- Each child care center shall have a written plan that sets forth the steps to follow in the event of a child medical emergency. The plan shall 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. I suggested that you review your Emergency Medical Care Plan (EMCP) and your Emergency Preparedness and Response (EPR) plan at the same time each year with all staff members. I suggested utilizing an acknowledgement form to record when the review takes place and the signatures of each staff member. -Emergency Preparedness and Response (EPR)- I suggested utilizing an acknowledgement form to record when the EPR review takes place and the signatures of each staff member. The trained staff shall review the Emergency Preparedness and Response Plan annually, or when information in the plan changes, to ensure all information is current. All staff shall review the center's Emergency Preparedness and Response Plan during orientation and on an annual basis with the trained staff. Documentation of the review shall 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 shall be informed of the child care center's Emergency Preparedness and Response Plan and its location. Documentation of this notice shall be maintained in individual personnel files or in a file designated for emergency preparedness and response plan documents. Stay up to date with the Division of Child Development and Early Education by visiting 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, at Tammy McGalliard@dhhs.nc.gov. If I can be of further assistance, you may contact me at 704-853-9196. Kristen Mauney, Child Care Consultant PO Box 674, Denver, NC 28037 Kristen.Mauney@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 .0604 · Violation

Name of Operation: FIRST BAPTIST CHURCH CHILD DEVELOPMENT CENTER Facility ID: 12000190 Consultant: KRISTEN R. MAUNEY Operation Type: Center Case Number: Visit Date: 2/26/2025 Number Present: 41 Completed Date: 2/26/2025 Age: From 0 To 5 Total Minutes: 418 Time In: 09:47 AM Time Out: 01:05 PM Time In: 01:45 PM Time Out: 05:25 PM List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor your program for compliance with applicable child care requirements for an annual compliance visit, including health and safety. The visit was conducted with you, Gail Piercy, Administrator. You provided me with applicable program, staff, and children’s records for review. The NC Secretary of State website was viewed before the visit and First Baptist Church of Valdese was current/active as of February 26, 2025. This program currently operates with a Five star rated license effective November 4, 2019. The program’s compliance history was 81 percent prior to today’s visit. Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. A checklist was used to note the requirements I monitored today. Children and staff were observed during free play activities indoors and diaper changing routines. The most recent sanitation inspection for your facility was conducted on February 6, 2025. A superior sanitation classification was issued with 14 demerits noted on the grade card. The most recent lead water test results were completed on August 26, 2024. Lead testing must be completed every three years. You may review your facilities results by visiting https://www.cleanwaterforuskids.org/en/carolina/. This website also indicated no asbestos or lead-based paint hazards were identified. The most recent approved fire inspection for your facility was conducted on October 25, 2024. The violations observed today were discussed with you and documented in the handwritten Visit Summary left with you at the conclusion of this visit. The computer-generated visit summary was emailed to you. The following violations were observed: Violation Number Comment Rule 114 A summary of the NC Child Care Law was not given to a parent of every child enrolled in the center. All five children's records reviewed did not include a signed acknowledgement from the parents indicating receipt of the NC Summary of the Law. GS 110-102 405 A child's hands were not washed after each diaper change. In space #4, a child's hands were not washed after their diaper was changed. 15A NCAC 18A .2803(c)(2) 428 A current activity plan was not posted for each group of children for reference. In space #4, an activity plan was not posted. In space #5, the activity plan posted in the classroom was dated "Nov 4-8." GS 110-91(12); .0508(a) 541 The written feeding plan did not include the child's name, parent signature, and/or was not dated when received by the center. In space #2, one child's feeding plan only indicated the child was to be fed formula. Staff reported that this child also eats baby food brought from home. The changes to the child's eating habits were not documented on the feeding plan. .0902(a) 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. A bag of cough drops that belonged to a staff member were observed in an unlocked cabinet in space #5 accessible to children. In space #4, children's diaper rash creams were stored in an unlocked cabinet below the diaper changing table accessible to children. 15A NCAC 18A .2820(d) 847 Parent's medication authorization did not include required information. In space #5, one child's authorization for Boudreaux's Butt Paste did not include when to apply the cream. In space #1, one child's authorization for Boudreaux's Butt Paste did not include the parent's signature. 10A NCAC 09 .0803(4)(6-9) 848 Questionable medication instructions from parents were followed without signed written dosage instructions received from physician or authorized health professional. Parental authorization was written for Hydrocortisone Cream on 8/15/2024 for a child one year of age. The manufacturers instructions on the Hydrocortisone cream indicated "children under 2 yrs of age: consult a doctor." A doctor's note to administer the Hydrocortisone Cream to the child one year of age was not obtained. 10A NCAC 09 .0803(5) 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 #5, the parental authorization for a child's Aquaphor cream expired on 10/18/2024. .0803(12) 856 The indoor and/or outdoor premises was not checked once a day, prior to initial use, ensuring debris, and broken equipment was removed and disposed of. Broken, cracked toys including two plastic shovels, a plastic plate, and two plastic sand toys were observed on the playground for preschool children after children had already utilized the playground that day. 10A NCAC 09 .0604(p) 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. The last monthly playground inspection was completed on 2/14/2024 by Mary Lackey. .0605(q) 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. The most recent review of the Emergency Medical Care Plan was documented as completed on 1/9/2024 with six staff members and 3/23/2023 with one staff member. 10A NCAC 09 .0802(a) 887 Caregivers did not document compliance with visually checking on sleeping infants aged 12 months or younger and/or the documents were not maintained for a minimum of one month. On 2/21/2025, it was documented that one infant was visually checked at 12:50pm and not again until 1:10pm while sleeping. On 2/18/2025, five visual sleep checks that were documented at 11:30am, 11:45am, 12:00pm, 12:15pm, and 12:30pm for one child did not include the child's sleep position. On 2/21/2025, six visual sleep checks that were documented at 12:20pm, 12:35pm, 12:50pm, 1:10pm, 1:25pm, and 1:40pm for one child did not include the child's sleep position or the teacher's initials. .0606(g) 892 The center's safe sleep policy was not posted in a prominent place in the infant room where parents and caregivers were able to view daily. In space #2, the classroom for infants, the facilities safe sleep policy was not posted. .0606(b) 1044 Prior to the expiration date of the qualification letter, the child care provider did not complete and submit required forms to complete a criminal background check (a qualification letter is valid for a maximum of five years for the date of issuance). The Criminal Background Check qualification letter for Gail Piercy, employed on 1/8/2024, expired on 2/3/2025. G.S. 110-90.2(b) & .2703(n)&(o) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. One staff member employed on 2/3/2025 did not receive 6 hours of orientation training until 2/21/2025. One staff member employed on 2/4/2025 did not receive 6 hours of orientation training until 2/21/2025. One staff member employed on 10/22/2024 and one staff member employed on 11/18/2024 did not receive 16 hours of orientation training in all required topics within the first six weeks of employment. Documentation of orientation required within six weeks of employment for these staff members was not on file available for review. One staff member employed on 10/31/2024 had orientation training documented as completed on 11/6/2024 and 2/6/2025, however, the hours completed for each topic were not recorded. .1101(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 staff member employed on 11/18/2024 did not complete First Aid training within 90 days of employment. .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 staff member employed on 11/18/2024 did not complete cardiopulmonary resuscitation (CPR) training within 90 days of employment. .1102(d) 1233 Each employee's personnel file did not contain a signed and dated statement that they received a job description and that they have received personnel and operational policies. Six new staff members employed between 10/22/2024 through 2/14/2025 did not have the operational and personnel policies signed acknowledgement on file for review. 10A NCAC 09 .0514(g) 1320 Children's records that include an application for enrollment, medical and immunization records, and permission to seek emergency medical care was not on file for each child. One child enrolled on 9/2/2024 did not have a medical exam on file for review. GS 110-91(1);.0302(d)(2); .0304(g) 1757 A valid qualification letter was not on file and available to review at the facility. The current Criminal Background Check qualification letter for Gail Piercy, employed on 1/8/2024, was not on file available for review. G.S. 110-90.2(b) & (d) & .2703(e) 1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. The new administrator, employed on 1/8/2024 completed Emergency Preparedness and Response (EPR) training on 3/20/2024. The facilities existing EPR Plan was not updated or reviewed with staff within four months of completion of the Emergency Preparedness and Response in Child Care training. .0607(e) 1830 Potential biocontaminants were not stored properly (locked storage, removed from premises, inaccessible to children, or covered plastic lined receptacle). In space #4, a trash can containing soiled diapers and soiled wipes with feces did not have a lid to cover the trash can. .0604(v) 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. Six new staff members employed between 10/22/2024 through 2/14/2025 did not have the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy signed acknowledgement on file for review. .0608(d)(1-4) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. One staff member employed on 11/18/2024 did not complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. One staff member employed on 10/31/2024 did not complete Recognizing and Responding to Suspicions of Child Maltreatment training until 2/18/2025. .1102(g) 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. All five children's records reviewed did not include a signed acknowledgement from the parents indicating receipt of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy. .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 March 12, 2025. Please send your letter to Kristen.Mauney@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. Please be aware that any information submitted by you is considered legal documentation. If you state in your violation correction letter that corrections have been made when they have not, it will be considered falsification of information. Due to the number of violations cited, an unannounced follow-up visit may be conducted in the near future and an administrative action may be recommended. Technical Assistance was provided on the following: Criminal Background Checks- I suggested that you begin the process for a criminal background recheck within six months of the expiration date. As a reminder, criminal background check qualification is valid for five years. A valid criminal background check qualification letter must be on file for each employee and must be made available for review. Ms. Piercy must begin the criminal background recheck process immediately in order to obtain a qualification letter by March 12, 2025. You may review this process by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/Home/DCDEE-Sections/Criminal-Background-Check-Unit. Storage of Medication- Medications including prescription and non-prescription items shall be stored in a locked cabinet or other locked container and shall not be stored above food. Designated emergency medications shall be kept inaccessible to children, but are not required to be in locked storage. Non-prescription diaper creams and sunscreen shall be kept inaccessible to children when not in use, but are not required to be in locked storage. “Inaccessible to children” is defined as a vertical distance of at least five feet from the finished floor. I suggested that you and staff conduct safety checks of each classroom to ensure all medications are stored appropriately. Medications- I suggested that you review all medications to ensure the medication has not expired, the authorization from the parent has not expired and that the manufacturer’s instructions on the medication are followed in conjunction with the instructions from the parent. I suggested that you instruct staff to complete monthly checks of medications to ensure compliance with all medication requirements. Any medication remaining after the course of treatment is completed, after authorization is withdrawn or after authorization has expired shall 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, shall be discarded. Safe Sleep Policy- The facilities safe sleep policy must be posted in each classroom for infants. You made a copy of the policy that was posted in space #1 and posted the policy in space #2 during the visit. You must post the safe sleep policy in every classroom where infants may be throughout the day, including the first and last operating hour of the day. Safe Sleep Checks- Visually checking on sleeping infants every fifteen minutes, per your facilities safe sleep policy, is critical in protecting sleeping infants from sudden infant death syndrome. I suggested that you discuss requirements for safe sleep checks as well as sudden infant death syndrome with all staff, especially all staff who work in the classroom for infants. I suggested utilizing the Caring for Our Children resource book for more information pertaining to safe sleep practices and sudden infant death syndrome. I suggested determining how safe sleep checks will be turned in to administrative staff and create a plan to review safe sleep checks weekly and prior to filing. I suggested that safe sleep checks may be conducted more frequently, such as every ten minutes, and utilizing a timer to assist you with remembering to visually check sleeping infants. Feeding Plans- Written feeding plans for children under fifteen months of age must be posted in the child’s classroom for reference and must be modified as the child's needs change. The feeding instructions for each infant shall include the type and amount of milk, formula and food, the frequency of feedings and be posted for reference by the caregivers. I suggested that staff review feeding plans monthly with parents to request if changes have been made to their child’s feeding habits. I also suggested that you ensure the correct modifications are reflected in the child’s feeding plan prior to the child moving up to the next classroom. Storage of Biocontaminants- In child care centers, biocontaminants shall be: (1) stored in locked areas; (2) removed from the premises; (3) inaccessible to children; or (4) shall be disposed of in a covered, plastic lined receptacle. "Biocontaminant" means blood, bodily fluids, or excretions that may spread infectious disease. I suggested that you purchase a trash can with a hands-free lid for space #4 and any classroom that does not have a trash can with a lid to discard any item containing biocontaminants. Biocontaminants include used tissues, band-aids, soiled diapers, soiled wipes, etc. Handwashing- I reviewed handwashing requirements with you and staff during the visit. I suggested that you reach out to Child Care Connections for training and guidance with handwashing routines for new staff. You may access resources regarding handwashing routines by visiting www.ncrlap.org. The NC Resource Center designs posters to improve health and safety practices in early care and education programs. Early care and education programs can download posters or order them free of cost at https://healthychildcare.unc.edu/resources/posters/. Child care center employees shall ensure that children wash their hands as follows: (1) upon arrival at the child care center; (2) after each diaper change or visit to the toilet; (3) before eating meals or snacks; (4) before and after water play; (5) after being outdoors; and (6) after handling animals or animal cages. (d) Except when the action that necessitates handwashing is diapering and before eating meals or snacks, hand antiseptics may be used in lieu of handwashing while a child is outdoors, provided that the child's hands are washed when the child returns indoors. Activity Plans- I suggested that you complete and print your activity plan for the following week on Friday so that it will be posted each Monday morning. Depending on the age of the children and their developmental needs, a monthly activity plan may be appropriate. I suggested that you reach out to Child Care Connections for training and guidance with activity plans for new staff. Broken toys and equipment- The administrator discarded the broken, cracked toys during the visit. Per Child Care Requirement 10A NCAC 09 .0604(p), you must monitor indoor and outdoor areas prior to children utilizing the playground to ensure debris and broken equipment is discarded. I suggested that each staff member or a designated staff member monitor classrooms and playgrounds each morning to discard trash and any broken items before children arrive or access the playground. Playground inspections- A playground inspection must be completed each month by a trained staff member who has completed Playground Safety training. I suggested completed monthly playground inspections on the same day when monthly fire drills are conducted to ensure compliance with this requirement. Children’s records- I suggested that you utilize the Children’s File Checklist available on the DCDEE website under Provider Documents and Forms to ensure all required documents are on file on or before enrollment or within the required timeframe. I also suggested that you create an acknowledgement form to capture all policies and parent signatures on one page, including the child’s name, enrollment date, and date of parent’s signature. Children’s medical records- Children’s medical exam or health assessment must be received and on file within thirty days of the child’s enrollment. I suggested that you request children’s medical exams and immunization records prior to enrollment to ensure compliance with this requirement. Staff Orientation- Each center shall 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 shall complete six hours of orientation within the first two weeks of employment on required topics. I suggested that you complete 6 hours of new staff orientation on the staff member’s first day of employment, prior to working in a classroom. If possible, complete the remaining 10 hours of orientation within the first week of employment to ensure each new staff member is aware of policies and procedures and to ensure compliance with this requirement. Keep in mind, it is impossible for staff to complete all orientation within one day as sixteen hours of training is required. First Aid/CPR- New staff must complete First Aid and CPR training within 90 days of employment and must renew certification on or before the expiration date. I suggested that you register new staff for First Aid and CPR training as soon as they are hired. First Aid and CPR training must be completed in person by an approved agency. Verification of each staff member's completion of this course from an approved training organization shall be maintained in the staff member's file in the center. You may visit the DCDEE website for a list of approved agencies at https://ncchildcare.ncdhhs.gov/Provider/Training-and-Professional-Development/Health-and-Safety-Trainings/Be-a-Smart-Consumer-of-First-Aid-and-CPR-Training. Staff Records- I suggested that you utilize the Staff File Checklist available on the DCDEE website under Provider Documents and Forms to ensure all required documents are on file prior to employment. I showed you where to access the sample Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy along with acknowledgment forms and you printed these during the visit. I also suggested that you create an acknowledgement form to capture the facilities policies and staff signatures on one page. Operational and Personnel policies/handbooks- You stated the handbooks are currently being revised by the church board. I suggested that you review the previous versions of your policies with six new staff members until the policies are revised, then review the revised policies with all staff members. The review of policies must be completed during orientation training and a signed acknowledgement from each staff member must be obtained. Recognizing and Responding to Suspicions of Child Maltreatment training- New staff must complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. I suggested that you have staff complete this training within the first two weeks of employment, in conjunction with orientation, to ensure compliance with this requirement. Emergency Medical Care Plan- Each child care center shall have a written plan that sets forth the steps to follow in the event of a child medical emergency. The plan shall 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. I suggested that you review your Emergency Medical Care Plan (EMCP) and your Emergency Preparedness and Response (EPR) plan at the same time each year with all staff members. I suggested utilizing an acknowledgement form to record when the review takes place and the signatures of each staff member. Emergency Preparedness and Response (EPR)- I suggested utilizing an acknowledgement form to record when the EPR review takes place and the signatures of each staff member. The trained staff shall review the Emergency Preparedness and Response Plan annually, or when information in the plan changes, to ensure all information is current. All staff shall review the center's Emergency Preparedness and Response Plan during orientation and on an annual basis with the trained staff. Documentation of the review shall 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 shall be informed of the child care center's Emergency Preparedness and Response Plan and its location. Documentation of this notice shall be maintained in individual personnel files or in a file designated for emergency preparedness and response plan documents. Consultation: We discussed the following during the visit: -Per Senate Bill 425, facilities are currently held harmless from star rated license assessments. -The snack menu posted in the kitchen and in each classroom listed two months on one page. Both months were labeled "January," however, different menus were recorded for both months. I suggested that you correct the label for the second month listed on this menu. -I suggested that you rake and fluff the rubber mulch on the playground for preschool children in fall zone areas extending six feet from the equipment. Mulch had been pushed below the equipment and beyond the six-foot perimeter fall zone area. -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 on 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. Reminders and Resources: -Providers can speak to a Behavior Support Advisor for advice and resources specific to the challenging behaviors in their classroom by calling 1-888-600-1685 Option 1. -Moodle Support: The Division offers early childhood professionals a wide range of professional development opportunities through our online learning platform Moodle. As we continue expanding our training offerings, DCDEE has established a new email address and phone number for Moodle support. To get help with Moodle, email at DCDEE_Moodle_Support@dhhs.nc.gov or call (919) 814-6326. Stay up to date with the Division of Child Development and Early Education by visiting 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, at Tammy McGalliard@dhhs.nc.gov. If I can be of further assistance, you may contact me at 704-853-9196. Kristen Mauney, Child Care Consultant PO Box 674, Denver, NC 28037 Kristen.Mauney@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 .0803 · Violation

Name of Operation: FIRST BAPTIST CHURCH CHILD DEVELOPMENT CENTER Facility ID: 12000190 Consultant: KRISTEN R. MAUNEY Operation Type: Center Case Number: Visit Date: 2/26/2025 Number Present: 41 Completed Date: 2/26/2025 Age: From 0 To 5 Total Minutes: 418 Time In: 09:47 AM Time Out: 01:05 PM Time In: 01:45 PM Time Out: 05:25 PM List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor your program for compliance with applicable child care requirements for an annual compliance visit, including health and safety. The visit was conducted with you, Gail Piercy, Administrator. You provided me with applicable program, staff, and children’s records for review. The NC Secretary of State website was viewed before the visit and First Baptist Church of Valdese was current/active as of February 26, 2025. This program currently operates with a Five star rated license effective November 4, 2019. The program’s compliance history was 81 percent prior to today’s visit. Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. A checklist was used to note the requirements I monitored today. Children and staff were observed during free play activities indoors and diaper changing routines. The most recent sanitation inspection for your facility was conducted on February 6, 2025. A superior sanitation classification was issued with 14 demerits noted on the grade card. The most recent lead water test results were completed on August 26, 2024. Lead testing must be completed every three years. You may review your facilities results by visiting https://www.cleanwaterforuskids.org/en/carolina/. This website also indicated no asbestos or lead-based paint hazards were identified. The most recent approved fire inspection for your facility was conducted on October 25, 2024. The violations observed today were discussed with you and documented in the handwritten Visit Summary left with you at the conclusion of this visit. The computer-generated visit summary was emailed to you. The following violations were observed: Violation Number Comment Rule 114 A summary of the NC Child Care Law was not given to a parent of every child enrolled in the center. All five children's records reviewed did not include a signed acknowledgement from the parents indicating receipt of the NC Summary of the Law. GS 110-102 405 A child's hands were not washed after each diaper change. In space #4, a child's hands were not washed after their diaper was changed. 15A NCAC 18A .2803(c)(2) 428 A current activity plan was not posted for each group of children for reference. In space #4, an activity plan was not posted. In space #5, the activity plan posted in the classroom was dated "Nov 4-8." GS 110-91(12); .0508(a) 541 The written feeding plan did not include the child's name, parent signature, and/or was not dated when received by the center. In space #2, one child's feeding plan only indicated the child was to be fed formula. Staff reported that this child also eats baby food brought from home. The changes to the child's eating habits were not documented on the feeding plan. .0902(a) 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. A bag of cough drops that belonged to a staff member were observed in an unlocked cabinet in space #5 accessible to children. In space #4, children's diaper rash creams were stored in an unlocked cabinet below the diaper changing table accessible to children. 15A NCAC 18A .2820(d) 847 Parent's medication authorization did not include required information. In space #5, one child's authorization for Boudreaux's Butt Paste did not include when to apply the cream. In space #1, one child's authorization for Boudreaux's Butt Paste did not include the parent's signature. 10A NCAC 09 .0803(4)(6-9) 848 Questionable medication instructions from parents were followed without signed written dosage instructions received from physician or authorized health professional. Parental authorization was written for Hydrocortisone Cream on 8/15/2024 for a child one year of age. The manufacturers instructions on the Hydrocortisone cream indicated "children under 2 yrs of age: consult a doctor." A doctor's note to administer the Hydrocortisone Cream to the child one year of age was not obtained. 10A NCAC 09 .0803(5) 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 #5, the parental authorization for a child's Aquaphor cream expired on 10/18/2024. .0803(12) 856 The indoor and/or outdoor premises was not checked once a day, prior to initial use, ensuring debris, and broken equipment was removed and disposed of. Broken, cracked toys including two plastic shovels, a plastic plate, and two plastic sand toys were observed on the playground for preschool children after children had already utilized the playground that day. 10A NCAC 09 .0604(p) 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. The last monthly playground inspection was completed on 2/14/2024 by Mary Lackey. .0605(q) 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. The most recent review of the Emergency Medical Care Plan was documented as completed on 1/9/2024 with six staff members and 3/23/2023 with one staff member. 10A NCAC 09 .0802(a) 887 Caregivers did not document compliance with visually checking on sleeping infants aged 12 months or younger and/or the documents were not maintained for a minimum of one month. On 2/21/2025, it was documented that one infant was visually checked at 12:50pm and not again until 1:10pm while sleeping. On 2/18/2025, five visual sleep checks that were documented at 11:30am, 11:45am, 12:00pm, 12:15pm, and 12:30pm for one child did not include the child's sleep position. On 2/21/2025, six visual sleep checks that were documented at 12:20pm, 12:35pm, 12:50pm, 1:10pm, 1:25pm, and 1:40pm for one child did not include the child's sleep position or the teacher's initials. .0606(g) 892 The center's safe sleep policy was not posted in a prominent place in the infant room where parents and caregivers were able to view daily. In space #2, the classroom for infants, the facilities safe sleep policy was not posted. .0606(b) 1044 Prior to the expiration date of the qualification letter, the child care provider did not complete and submit required forms to complete a criminal background check (a qualification letter is valid for a maximum of five years for the date of issuance). The Criminal Background Check qualification letter for Gail Piercy, employed on 1/8/2024, expired on 2/3/2025. G.S. 110-90.2(b) & .2703(n)&(o) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. One staff member employed on 2/3/2025 did not receive 6 hours of orientation training until 2/21/2025. One staff member employed on 2/4/2025 did not receive 6 hours of orientation training until 2/21/2025. One staff member employed on 10/22/2024 and one staff member employed on 11/18/2024 did not receive 16 hours of orientation training in all required topics within the first six weeks of employment. Documentation of orientation required within six weeks of employment for these staff members was not on file available for review. One staff member employed on 10/31/2024 had orientation training documented as completed on 11/6/2024 and 2/6/2025, however, the hours completed for each topic were not recorded. .1101(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 staff member employed on 11/18/2024 did not complete First Aid training within 90 days of employment. .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 staff member employed on 11/18/2024 did not complete cardiopulmonary resuscitation (CPR) training within 90 days of employment. .1102(d) 1233 Each employee's personnel file did not contain a signed and dated statement that they received a job description and that they have received personnel and operational policies. Six new staff members employed between 10/22/2024 through 2/14/2025 did not have the operational and personnel policies signed acknowledgement on file for review. 10A NCAC 09 .0514(g) 1320 Children's records that include an application for enrollment, medical and immunization records, and permission to seek emergency medical care was not on file for each child. One child enrolled on 9/2/2024 did not have a medical exam on file for review. GS 110-91(1);.0302(d)(2); .0304(g) 1757 A valid qualification letter was not on file and available to review at the facility. The current Criminal Background Check qualification letter for Gail Piercy, employed on 1/8/2024, was not on file available for review. G.S. 110-90.2(b) & (d) & .2703(e) 1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. The new administrator, employed on 1/8/2024 completed Emergency Preparedness and Response (EPR) training on 3/20/2024. The facilities existing EPR Plan was not updated or reviewed with staff within four months of completion of the Emergency Preparedness and Response in Child Care training. .0607(e) 1830 Potential biocontaminants were not stored properly (locked storage, removed from premises, inaccessible to children, or covered plastic lined receptacle). In space #4, a trash can containing soiled diapers and soiled wipes with feces did not have a lid to cover the trash can. .0604(v) 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. Six new staff members employed between 10/22/2024 through 2/14/2025 did not have the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy signed acknowledgement on file for review. .0608(d)(1-4) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. One staff member employed on 11/18/2024 did not complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. One staff member employed on 10/31/2024 did not complete Recognizing and Responding to Suspicions of Child Maltreatment training until 2/18/2025. .1102(g) 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. All five children's records reviewed did not include a signed acknowledgement from the parents indicating receipt of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy. .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 March 12, 2025. Please send your letter to Kristen.Mauney@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. Please be aware that any information submitted by you is considered legal documentation. If you state in your violation correction letter that corrections have been made when they have not, it will be considered falsification of information. Due to the number of violations cited, an unannounced follow-up visit may be conducted in the near future and an administrative action may be recommended. Technical Assistance was provided on the following: Criminal Background Checks- I suggested that you begin the process for a criminal background recheck within six months of the expiration date. As a reminder, criminal background check qualification is valid for five years. A valid criminal background check qualification letter must be on file for each employee and must be made available for review. Ms. Piercy must begin the criminal background recheck process immediately in order to obtain a qualification letter by March 12, 2025. You may review this process by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/Home/DCDEE-Sections/Criminal-Background-Check-Unit. Storage of Medication- Medications including prescription and non-prescription items shall be stored in a locked cabinet or other locked container and shall not be stored above food. Designated emergency medications shall be kept inaccessible to children, but are not required to be in locked storage. Non-prescription diaper creams and sunscreen shall be kept inaccessible to children when not in use, but are not required to be in locked storage. “Inaccessible to children” is defined as a vertical distance of at least five feet from the finished floor. I suggested that you and staff conduct safety checks of each classroom to ensure all medications are stored appropriately. Medications- I suggested that you review all medications to ensure the medication has not expired, the authorization from the parent has not expired and that the manufacturer’s instructions on the medication are followed in conjunction with the instructions from the parent. I suggested that you instruct staff to complete monthly checks of medications to ensure compliance with all medication requirements. Any medication remaining after the course of treatment is completed, after authorization is withdrawn or after authorization has expired shall 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, shall be discarded. Safe Sleep Policy- The facilities safe sleep policy must be posted in each classroom for infants. You made a copy of the policy that was posted in space #1 and posted the policy in space #2 during the visit. You must post the safe sleep policy in every classroom where infants may be throughout the day, including the first and last operating hour of the day. Safe Sleep Checks- Visually checking on sleeping infants every fifteen minutes, per your facilities safe sleep policy, is critical in protecting sleeping infants from sudden infant death syndrome. I suggested that you discuss requirements for safe sleep checks as well as sudden infant death syndrome with all staff, especially all staff who work in the classroom for infants. I suggested utilizing the Caring for Our Children resource book for more information pertaining to safe sleep practices and sudden infant death syndrome. I suggested determining how safe sleep checks will be turned in to administrative staff and create a plan to review safe sleep checks weekly and prior to filing. I suggested that safe sleep checks may be conducted more frequently, such as every ten minutes, and utilizing a timer to assist you with remembering to visually check sleeping infants. Feeding Plans- Written feeding plans for children under fifteen months of age must be posted in the child’s classroom for reference and must be modified as the child's needs change. The feeding instructions for each infant shall include the type and amount of milk, formula and food, the frequency of feedings and be posted for reference by the caregivers. I suggested that staff review feeding plans monthly with parents to request if changes have been made to their child’s feeding habits. I also suggested that you ensure the correct modifications are reflected in the child’s feeding plan prior to the child moving up to the next classroom. Storage of Biocontaminants- In child care centers, biocontaminants shall be: (1) stored in locked areas; (2) removed from the premises; (3) inaccessible to children; or (4) shall be disposed of in a covered, plastic lined receptacle. "Biocontaminant" means blood, bodily fluids, or excretions that may spread infectious disease. I suggested that you purchase a trash can with a hands-free lid for space #4 and any classroom that does not have a trash can with a lid to discard any item containing biocontaminants. Biocontaminants include used tissues, band-aids, soiled diapers, soiled wipes, etc. Handwashing- I reviewed handwashing requirements with you and staff during the visit. I suggested that you reach out to Child Care Connections for training and guidance with handwashing routines for new staff. You may access resources regarding handwashing routines by visiting www.ncrlap.org. The NC Resource Center designs posters to improve health and safety practices in early care and education programs. Early care and education programs can download posters or order them free of cost at https://healthychildcare.unc.edu/resources/posters/. Child care center employees shall ensure that children wash their hands as follows: (1) upon arrival at the child care center; (2) after each diaper change or visit to the toilet; (3) before eating meals or snacks; (4) before and after water play; (5) after being outdoors; and (6) after handling animals or animal cages. (d) Except when the action that necessitates handwashing is diapering and before eating meals or snacks, hand antiseptics may be used in lieu of handwashing while a child is outdoors, provided that the child's hands are washed when the child returns indoors. Activity Plans- I suggested that you complete and print your activity plan for the following week on Friday so that it will be posted each Monday morning. Depending on the age of the children and their developmental needs, a monthly activity plan may be appropriate. I suggested that you reach out to Child Care Connections for training and guidance with activity plans for new staff. Broken toys and equipment- The administrator discarded the broken, cracked toys during the visit. Per Child Care Requirement 10A NCAC 09 .0604(p), you must monitor indoor and outdoor areas prior to children utilizing the playground to ensure debris and broken equipment is discarded. I suggested that each staff member or a designated staff member monitor classrooms and playgrounds each morning to discard trash and any broken items before children arrive or access the playground. Playground inspections- A playground inspection must be completed each month by a trained staff member who has completed Playground Safety training. I suggested completed monthly playground inspections on the same day when monthly fire drills are conducted to ensure compliance with this requirement. Children’s records- I suggested that you utilize the Children’s File Checklist available on the DCDEE website under Provider Documents and Forms to ensure all required documents are on file on or before enrollment or within the required timeframe. I also suggested that you create an acknowledgement form to capture all policies and parent signatures on one page, including the child’s name, enrollment date, and date of parent’s signature. Children’s medical records- Children’s medical exam or health assessment must be received and on file within thirty days of the child’s enrollment. I suggested that you request children’s medical exams and immunization records prior to enrollment to ensure compliance with this requirement. Staff Orientation- Each center shall 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 shall complete six hours of orientation within the first two weeks of employment on required topics. I suggested that you complete 6 hours of new staff orientation on the staff member’s first day of employment, prior to working in a classroom. If possible, complete the remaining 10 hours of orientation within the first week of employment to ensure each new staff member is aware of policies and procedures and to ensure compliance with this requirement. Keep in mind, it is impossible for staff to complete all orientation within one day as sixteen hours of training is required. First Aid/CPR- New staff must complete First Aid and CPR training within 90 days of employment and must renew certification on or before the expiration date. I suggested that you register new staff for First Aid and CPR training as soon as they are hired. First Aid and CPR training must be completed in person by an approved agency. Verification of each staff member's completion of this course from an approved training organization shall be maintained in the staff member's file in the center. You may visit the DCDEE website for a list of approved agencies at https://ncchildcare.ncdhhs.gov/Provider/Training-and-Professional-Development/Health-and-Safety-Trainings/Be-a-Smart-Consumer-of-First-Aid-and-CPR-Training. Staff Records- I suggested that you utilize the Staff File Checklist available on the DCDEE website under Provider Documents and Forms to ensure all required documents are on file prior to employment. I showed you where to access the sample Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy along with acknowledgment forms and you printed these during the visit. I also suggested that you create an acknowledgement form to capture the facilities policies and staff signatures on one page. Operational and Personnel policies/handbooks- You stated the handbooks are currently being revised by the church board. I suggested that you review the previous versions of your policies with six new staff members until the policies are revised, then review the revised policies with all staff members. The review of policies must be completed during orientation training and a signed acknowledgement from each staff member must be obtained. Recognizing and Responding to Suspicions of Child Maltreatment training- New staff must complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. I suggested that you have staff complete this training within the first two weeks of employment, in conjunction with orientation, to ensure compliance with this requirement. Emergency Medical Care Plan- Each child care center shall have a written plan that sets forth the steps to follow in the event of a child medical emergency. The plan shall 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. I suggested that you review your Emergency Medical Care Plan (EMCP) and your Emergency Preparedness and Response (EPR) plan at the same time each year with all staff members. I suggested utilizing an acknowledgement form to record when the review takes place and the signatures of each staff member. Emergency Preparedness and Response (EPR)- I suggested utilizing an acknowledgement form to record when the EPR review takes place and the signatures of each staff member. The trained staff shall review the Emergency Preparedness and Response Plan annually, or when information in the plan changes, to ensure all information is current. All staff shall review the center's Emergency Preparedness and Response Plan during orientation and on an annual basis with the trained staff. Documentation of the review shall 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 shall be informed of the child care center's Emergency Preparedness and Response Plan and its location. Documentation of this notice shall be maintained in individual personnel files or in a file designated for emergency preparedness and response plan documents. Consultation: We discussed the following during the visit: -Per Senate Bill 425, facilities are currently held harmless from star rated license assessments. -The snack menu posted in the kitchen and in each classroom listed two months on one page. Both months were labeled "January," however, different menus were recorded for both months. I suggested that you correct the label for the second month listed on this menu. -I suggested that you rake and fluff the rubber mulch on the playground for preschool children in fall zone areas extending six feet from the equipment. Mulch had been pushed below the equipment and beyond the six-foot perimeter fall zone area. -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 on 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. Reminders and Resources: -Providers can speak to a Behavior Support Advisor for advice and resources specific to the challenging behaviors in their classroom by calling 1-888-600-1685 Option 1. -Moodle Support: The Division offers early childhood professionals a wide range of professional development opportunities through our online learning platform Moodle. As we continue expanding our training offerings, DCDEE has established a new email address and phone number for Moodle support. To get help with Moodle, email at DCDEE_Moodle_Support@dhhs.nc.gov or call (919) 814-6326. Stay up to date with the Division of Child Development and Early Education by visiting 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, at Tammy McGalliard@dhhs.nc.gov. If I can be of further assistance, you may contact me at 704-853-9196. Kristen Mauney, Child Care Consultant PO Box 674, Denver, NC 28037 Kristen.Mauney@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 .0514 · Violation

Name of Operation: FIRST BAPTIST CHURCH CHILD DEVELOPMENT CENTER Facility ID: 12000190 Consultant: KRISTEN R. MAUNEY Operation Type: Center Case Number: Visit Date: 2/26/2025 Number Present: 41 Completed Date: 2/26/2025 Age: From 0 To 5 Total Minutes: 418 Time In: 09:47 AM Time Out: 01:05 PM Time In: 01:45 PM Time Out: 05:25 PM List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor your program for compliance with applicable child care requirements for an annual compliance visit, including health and safety. The visit was conducted with you, Gail Piercy, Administrator. You provided me with applicable program, staff, and children’s records for review. The NC Secretary of State website was viewed before the visit and First Baptist Church of Valdese was current/active as of February 26, 2025. This program currently operates with a Five star rated license effective November 4, 2019. The program’s compliance history was 81 percent prior to today’s visit. Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. A checklist was used to note the requirements I monitored today. Children and staff were observed during free play activities indoors and diaper changing routines. The most recent sanitation inspection for your facility was conducted on February 6, 2025. A superior sanitation classification was issued with 14 demerits noted on the grade card. The most recent lead water test results were completed on August 26, 2024. Lead testing must be completed every three years. You may review your facilities results by visiting https://www.cleanwaterforuskids.org/en/carolina/. This website also indicated no asbestos or lead-based paint hazards were identified. The most recent approved fire inspection for your facility was conducted on October 25, 2024. The violations observed today were discussed with you and documented in the handwritten Visit Summary left with you at the conclusion of this visit. The computer-generated visit summary was emailed to you. The following violations were observed: Violation Number Comment Rule 114 A summary of the NC Child Care Law was not given to a parent of every child enrolled in the center. All five children's records reviewed did not include a signed acknowledgement from the parents indicating receipt of the NC Summary of the Law. GS 110-102 405 A child's hands were not washed after each diaper change. In space #4, a child's hands were not washed after their diaper was changed. 15A NCAC 18A .2803(c)(2) 428 A current activity plan was not posted for each group of children for reference. In space #4, an activity plan was not posted. In space #5, the activity plan posted in the classroom was dated "Nov 4-8." GS 110-91(12); .0508(a) 541 The written feeding plan did not include the child's name, parent signature, and/or was not dated when received by the center. In space #2, one child's feeding plan only indicated the child was to be fed formula. Staff reported that this child also eats baby food brought from home. The changes to the child's eating habits were not documented on the feeding plan. .0902(a) 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. A bag of cough drops that belonged to a staff member were observed in an unlocked cabinet in space #5 accessible to children. In space #4, children's diaper rash creams were stored in an unlocked cabinet below the diaper changing table accessible to children. 15A NCAC 18A .2820(d) 847 Parent's medication authorization did not include required information. In space #5, one child's authorization for Boudreaux's Butt Paste did not include when to apply the cream. In space #1, one child's authorization for Boudreaux's Butt Paste did not include the parent's signature. 10A NCAC 09 .0803(4)(6-9) 848 Questionable medication instructions from parents were followed without signed written dosage instructions received from physician or authorized health professional. Parental authorization was written for Hydrocortisone Cream on 8/15/2024 for a child one year of age. The manufacturers instructions on the Hydrocortisone cream indicated "children under 2 yrs of age: consult a doctor." A doctor's note to administer the Hydrocortisone Cream to the child one year of age was not obtained. 10A NCAC 09 .0803(5) 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 #5, the parental authorization for a child's Aquaphor cream expired on 10/18/2024. .0803(12) 856 The indoor and/or outdoor premises was not checked once a day, prior to initial use, ensuring debris, and broken equipment was removed and disposed of. Broken, cracked toys including two plastic shovels, a plastic plate, and two plastic sand toys were observed on the playground for preschool children after children had already utilized the playground that day. 10A NCAC 09 .0604(p) 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. The last monthly playground inspection was completed on 2/14/2024 by Mary Lackey. .0605(q) 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. The most recent review of the Emergency Medical Care Plan was documented as completed on 1/9/2024 with six staff members and 3/23/2023 with one staff member. 10A NCAC 09 .0802(a) 887 Caregivers did not document compliance with visually checking on sleeping infants aged 12 months or younger and/or the documents were not maintained for a minimum of one month. On 2/21/2025, it was documented that one infant was visually checked at 12:50pm and not again until 1:10pm while sleeping. On 2/18/2025, five visual sleep checks that were documented at 11:30am, 11:45am, 12:00pm, 12:15pm, and 12:30pm for one child did not include the child's sleep position. On 2/21/2025, six visual sleep checks that were documented at 12:20pm, 12:35pm, 12:50pm, 1:10pm, 1:25pm, and 1:40pm for one child did not include the child's sleep position or the teacher's initials. .0606(g) 892 The center's safe sleep policy was not posted in a prominent place in the infant room where parents and caregivers were able to view daily. In space #2, the classroom for infants, the facilities safe sleep policy was not posted. .0606(b) 1044 Prior to the expiration date of the qualification letter, the child care provider did not complete and submit required forms to complete a criminal background check (a qualification letter is valid for a maximum of five years for the date of issuance). The Criminal Background Check qualification letter for Gail Piercy, employed on 1/8/2024, expired on 2/3/2025. G.S. 110-90.2(b) & .2703(n)&(o) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. One staff member employed on 2/3/2025 did not receive 6 hours of orientation training until 2/21/2025. One staff member employed on 2/4/2025 did not receive 6 hours of orientation training until 2/21/2025. One staff member employed on 10/22/2024 and one staff member employed on 11/18/2024 did not receive 16 hours of orientation training in all required topics within the first six weeks of employment. Documentation of orientation required within six weeks of employment for these staff members was not on file available for review. One staff member employed on 10/31/2024 had orientation training documented as completed on 11/6/2024 and 2/6/2025, however, the hours completed for each topic were not recorded. .1101(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 staff member employed on 11/18/2024 did not complete First Aid training within 90 days of employment. .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 staff member employed on 11/18/2024 did not complete cardiopulmonary resuscitation (CPR) training within 90 days of employment. .1102(d) 1233 Each employee's personnel file did not contain a signed and dated statement that they received a job description and that they have received personnel and operational policies. Six new staff members employed between 10/22/2024 through 2/14/2025 did not have the operational and personnel policies signed acknowledgement on file for review. 10A NCAC 09 .0514(g) 1320 Children's records that include an application for enrollment, medical and immunization records, and permission to seek emergency medical care was not on file for each child. One child enrolled on 9/2/2024 did not have a medical exam on file for review. GS 110-91(1);.0302(d)(2); .0304(g) 1757 A valid qualification letter was not on file and available to review at the facility. The current Criminal Background Check qualification letter for Gail Piercy, employed on 1/8/2024, was not on file available for review. G.S. 110-90.2(b) & (d) & .2703(e) 1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. The new administrator, employed on 1/8/2024 completed Emergency Preparedness and Response (EPR) training on 3/20/2024. The facilities existing EPR Plan was not updated or reviewed with staff within four months of completion of the Emergency Preparedness and Response in Child Care training. .0607(e) 1830 Potential biocontaminants were not stored properly (locked storage, removed from premises, inaccessible to children, or covered plastic lined receptacle). In space #4, a trash can containing soiled diapers and soiled wipes with feces did not have a lid to cover the trash can. .0604(v) 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. Six new staff members employed between 10/22/2024 through 2/14/2025 did not have the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy signed acknowledgement on file for review. .0608(d)(1-4) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. One staff member employed on 11/18/2024 did not complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. One staff member employed on 10/31/2024 did not complete Recognizing and Responding to Suspicions of Child Maltreatment training until 2/18/2025. .1102(g) 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. All five children's records reviewed did not include a signed acknowledgement from the parents indicating receipt of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy. .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 March 12, 2025. Please send your letter to Kristen.Mauney@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. Please be aware that any information submitted by you is considered legal documentation. If you state in your violation correction letter that corrections have been made when they have not, it will be considered falsification of information. Due to the number of violations cited, an unannounced follow-up visit may be conducted in the near future and an administrative action may be recommended. Technical Assistance was provided on the following: Criminal Background Checks- I suggested that you begin the process for a criminal background recheck within six months of the expiration date. As a reminder, criminal background check qualification is valid for five years. A valid criminal background check qualification letter must be on file for each employee and must be made available for review. Ms. Piercy must begin the criminal background recheck process immediately in order to obtain a qualification letter by March 12, 2025. You may review this process by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/Home/DCDEE-Sections/Criminal-Background-Check-Unit. Storage of Medication- Medications including prescription and non-prescription items shall be stored in a locked cabinet or other locked container and shall not be stored above food. Designated emergency medications shall be kept inaccessible to children, but are not required to be in locked storage. Non-prescription diaper creams and sunscreen shall be kept inaccessible to children when not in use, but are not required to be in locked storage. “Inaccessible to children” is defined as a vertical distance of at least five feet from the finished floor. I suggested that you and staff conduct safety checks of each classroom to ensure all medications are stored appropriately. Medications- I suggested that you review all medications to ensure the medication has not expired, the authorization from the parent has not expired and that the manufacturer’s instructions on the medication are followed in conjunction with the instructions from the parent. I suggested that you instruct staff to complete monthly checks of medications to ensure compliance with all medication requirements. Any medication remaining after the course of treatment is completed, after authorization is withdrawn or after authorization has expired shall 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, shall be discarded. Safe Sleep Policy- The facilities safe sleep policy must be posted in each classroom for infants. You made a copy of the policy that was posted in space #1 and posted the policy in space #2 during the visit. You must post the safe sleep policy in every classroom where infants may be throughout the day, including the first and last operating hour of the day. Safe Sleep Checks- Visually checking on sleeping infants every fifteen minutes, per your facilities safe sleep policy, is critical in protecting sleeping infants from sudden infant death syndrome. I suggested that you discuss requirements for safe sleep checks as well as sudden infant death syndrome with all staff, especially all staff who work in the classroom for infants. I suggested utilizing the Caring for Our Children resource book for more information pertaining to safe sleep practices and sudden infant death syndrome. I suggested determining how safe sleep checks will be turned in to administrative staff and create a plan to review safe sleep checks weekly and prior to filing. I suggested that safe sleep checks may be conducted more frequently, such as every ten minutes, and utilizing a timer to assist you with remembering to visually check sleeping infants. Feeding Plans- Written feeding plans for children under fifteen months of age must be posted in the child’s classroom for reference and must be modified as the child's needs change. The feeding instructions for each infant shall include the type and amount of milk, formula and food, the frequency of feedings and be posted for reference by the caregivers. I suggested that staff review feeding plans monthly with parents to request if changes have been made to their child’s feeding habits. I also suggested that you ensure the correct modifications are reflected in the child’s feeding plan prior to the child moving up to the next classroom. Storage of Biocontaminants- In child care centers, biocontaminants shall be: (1) stored in locked areas; (2) removed from the premises; (3) inaccessible to children; or (4) shall be disposed of in a covered, plastic lined receptacle. "Biocontaminant" means blood, bodily fluids, or excretions that may spread infectious disease. I suggested that you purchase a trash can with a hands-free lid for space #4 and any classroom that does not have a trash can with a lid to discard any item containing biocontaminants. Biocontaminants include used tissues, band-aids, soiled diapers, soiled wipes, etc. Handwashing- I reviewed handwashing requirements with you and staff during the visit. I suggested that you reach out to Child Care Connections for training and guidance with handwashing routines for new staff. You may access resources regarding handwashing routines by visiting www.ncrlap.org. The NC Resource Center designs posters to improve health and safety practices in early care and education programs. Early care and education programs can download posters or order them free of cost at https://healthychildcare.unc.edu/resources/posters/. Child care center employees shall ensure that children wash their hands as follows: (1) upon arrival at the child care center; (2) after each diaper change or visit to the toilet; (3) before eating meals or snacks; (4) before and after water play; (5) after being outdoors; and (6) after handling animals or animal cages. (d) Except when the action that necessitates handwashing is diapering and before eating meals or snacks, hand antiseptics may be used in lieu of handwashing while a child is outdoors, provided that the child's hands are washed when the child returns indoors. Activity Plans- I suggested that you complete and print your activity plan for the following week on Friday so that it will be posted each Monday morning. Depending on the age of the children and their developmental needs, a monthly activity plan may be appropriate. I suggested that you reach out to Child Care Connections for training and guidance with activity plans for new staff. Broken toys and equipment- The administrator discarded the broken, cracked toys during the visit. Per Child Care Requirement 10A NCAC 09 .0604(p), you must monitor indoor and outdoor areas prior to children utilizing the playground to ensure debris and broken equipment is discarded. I suggested that each staff member or a designated staff member monitor classrooms and playgrounds each morning to discard trash and any broken items before children arrive or access the playground. Playground inspections- A playground inspection must be completed each month by a trained staff member who has completed Playground Safety training. I suggested completed monthly playground inspections on the same day when monthly fire drills are conducted to ensure compliance with this requirement. Children’s records- I suggested that you utilize the Children’s File Checklist available on the DCDEE website under Provider Documents and Forms to ensure all required documents are on file on or before enrollment or within the required timeframe. I also suggested that you create an acknowledgement form to capture all policies and parent signatures on one page, including the child’s name, enrollment date, and date of parent’s signature. Children’s medical records- Children’s medical exam or health assessment must be received and on file within thirty days of the child’s enrollment. I suggested that you request children’s medical exams and immunization records prior to enrollment to ensure compliance with this requirement. Staff Orientation- Each center shall 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 shall complete six hours of orientation within the first two weeks of employment on required topics. I suggested that you complete 6 hours of new staff orientation on the staff member’s first day of employment, prior to working in a classroom. If possible, complete the remaining 10 hours of orientation within the first week of employment to ensure each new staff member is aware of policies and procedures and to ensure compliance with this requirement. Keep in mind, it is impossible for staff to complete all orientation within one day as sixteen hours of training is required. First Aid/CPR- New staff must complete First Aid and CPR training within 90 days of employment and must renew certification on or before the expiration date. I suggested that you register new staff for First Aid and CPR training as soon as they are hired. First Aid and CPR training must be completed in person by an approved agency. Verification of each staff member's completion of this course from an approved training organization shall be maintained in the staff member's file in the center. You may visit the DCDEE website for a list of approved agencies at https://ncchildcare.ncdhhs.gov/Provider/Training-and-Professional-Development/Health-and-Safety-Trainings/Be-a-Smart-Consumer-of-First-Aid-and-CPR-Training. Staff Records- I suggested that you utilize the Staff File Checklist available on the DCDEE website under Provider Documents and Forms to ensure all required documents are on file prior to employment. I showed you where to access the sample Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy along with acknowledgment forms and you printed these during the visit. I also suggested that you create an acknowledgement form to capture the facilities policies and staff signatures on one page. Operational and Personnel policies/handbooks- You stated the handbooks are currently being revised by the church board. I suggested that you review the previous versions of your policies with six new staff members until the policies are revised, then review the revised policies with all staff members. The review of policies must be completed during orientation training and a signed acknowledgement from each staff member must be obtained. Recognizing and Responding to Suspicions of Child Maltreatment training- New staff must complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. I suggested that you have staff complete this training within the first two weeks of employment, in conjunction with orientation, to ensure compliance with this requirement. Emergency Medical Care Plan- Each child care center shall have a written plan that sets forth the steps to follow in the event of a child medical emergency. The plan shall 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. I suggested that you review your Emergency Medical Care Plan (EMCP) and your Emergency Preparedness and Response (EPR) plan at the same time each year with all staff members. I suggested utilizing an acknowledgement form to record when the review takes place and the signatures of each staff member. Emergency Preparedness and Response (EPR)- I suggested utilizing an acknowledgement form to record when the EPR review takes place and the signatures of each staff member. The trained staff shall review the Emergency Preparedness and Response Plan annually, or when information in the plan changes, to ensure all information is current. All staff shall review the center's Emergency Preparedness and Response Plan during orientation and on an annual basis with the trained staff. Documentation of the review shall 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 shall be informed of the child care center's Emergency Preparedness and Response Plan and its location. Documentation of this notice shall be maintained in individual personnel files or in a file designated for emergency preparedness and response plan documents. Consultation: We discussed the following during the visit: -Per Senate Bill 425, facilities are currently held harmless from star rated license assessments. -The snack menu posted in the kitchen and in each classroom listed two months on one page. Both months were labeled "January," however, different menus were recorded for both months. I suggested that you correct the label for the second month listed on this menu. -I suggested that you rake and fluff the rubber mulch on the playground for preschool children in fall zone areas extending six feet from the equipment. Mulch had been pushed below the equipment and beyond the six-foot perimeter fall zone area. -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 on 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. Reminders and Resources: -Providers can speak to a Behavior Support Advisor for advice and resources specific to the challenging behaviors in their classroom by calling 1-888-600-1685 Option 1. -Moodle Support: The Division offers early childhood professionals a wide range of professional development opportunities through our online learning platform Moodle. As we continue expanding our training offerings, DCDEE has established a new email address and phone number for Moodle support. To get help with Moodle, email at DCDEE_Moodle_Support@dhhs.nc.gov or call (919) 814-6326. Stay up to date with the Division of Child Development and Early Education by visiting 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, at Tammy McGalliard@dhhs.nc.gov. If I can be of further assistance, you may contact me at 704-853-9196. Kristen Mauney, Child Care Consultant PO Box 674, Denver, NC 28037 Kristen.Mauney@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 .0604 · Violation

Name of Operation: FIRST BAPTIST CHURCH CHILD DEVELOPMENT CENTER Facility ID: 12000190 Consultant: KRISTEN R. MAUNEY Operation Type: Center Case Number: Visit Date: 2/26/2025 Number Present: 41 Completed Date: 2/26/2025 Age: From 0 To 5 Total Minutes: 418 Time In: 09:47 AM Time Out: 01:05 PM Time In: 01:45 PM Time Out: 05:25 PM List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor your program for compliance with applicable child care requirements for an annual compliance visit, including health and safety. The visit was conducted with you, Gail Piercy, Administrator. You provided me with applicable program, staff, and children’s records for review. The NC Secretary of State website was viewed before the visit and First Baptist Church of Valdese was current/active as of February 26, 2025. This program currently operates with a Five star rated license effective November 4, 2019. The program’s compliance history was 81 percent prior to today’s visit. Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. A checklist was used to note the requirements I monitored today. Children and staff were observed during free play activities indoors and diaper changing routines. The most recent sanitation inspection for your facility was conducted on February 6, 2025. A superior sanitation classification was issued with 14 demerits noted on the grade card. The most recent lead water test results were completed on August 26, 2024. Lead testing must be completed every three years. You may review your facilities results by visiting https://www.cleanwaterforuskids.org/en/carolina/. This website also indicated no asbestos or lead-based paint hazards were identified. The most recent approved fire inspection for your facility was conducted on October 25, 2024. The violations observed today were discussed with you and documented in the handwritten Visit Summary left with you at the conclusion of this visit. The computer-generated visit summary was emailed to you. The following violations were observed: Violation Number Comment Rule 114 A summary of the NC Child Care Law was not given to a parent of every child enrolled in the center. All five children's records reviewed did not include a signed acknowledgement from the parents indicating receipt of the NC Summary of the Law. GS 110-102 405 A child's hands were not washed after each diaper change. In space #4, a child's hands were not washed after their diaper was changed. 15A NCAC 18A .2803(c)(2) 428 A current activity plan was not posted for each group of children for reference. In space #4, an activity plan was not posted. In space #5, the activity plan posted in the classroom was dated "Nov 4-8." GS 110-91(12); .0508(a) 541 The written feeding plan did not include the child's name, parent signature, and/or was not dated when received by the center. In space #2, one child's feeding plan only indicated the child was to be fed formula. Staff reported that this child also eats baby food brought from home. The changes to the child's eating habits were not documented on the feeding plan. .0902(a) 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. A bag of cough drops that belonged to a staff member were observed in an unlocked cabinet in space #5 accessible to children. In space #4, children's diaper rash creams were stored in an unlocked cabinet below the diaper changing table accessible to children. 15A NCAC 18A .2820(d) 847 Parent's medication authorization did not include required information. In space #5, one child's authorization for Boudreaux's Butt Paste did not include when to apply the cream. In space #1, one child's authorization for Boudreaux's Butt Paste did not include the parent's signature. 10A NCAC 09 .0803(4)(6-9) 848 Questionable medication instructions from parents were followed without signed written dosage instructions received from physician or authorized health professional. Parental authorization was written for Hydrocortisone Cream on 8/15/2024 for a child one year of age. The manufacturers instructions on the Hydrocortisone cream indicated "children under 2 yrs of age: consult a doctor." A doctor's note to administer the Hydrocortisone Cream to the child one year of age was not obtained. 10A NCAC 09 .0803(5) 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 #5, the parental authorization for a child's Aquaphor cream expired on 10/18/2024. .0803(12) 856 The indoor and/or outdoor premises was not checked once a day, prior to initial use, ensuring debris, and broken equipment was removed and disposed of. Broken, cracked toys including two plastic shovels, a plastic plate, and two plastic sand toys were observed on the playground for preschool children after children had already utilized the playground that day. 10A NCAC 09 .0604(p) 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. The last monthly playground inspection was completed on 2/14/2024 by Mary Lackey. .0605(q) 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. The most recent review of the Emergency Medical Care Plan was documented as completed on 1/9/2024 with six staff members and 3/23/2023 with one staff member. 10A NCAC 09 .0802(a) 887 Caregivers did not document compliance with visually checking on sleeping infants aged 12 months or younger and/or the documents were not maintained for a minimum of one month. On 2/21/2025, it was documented that one infant was visually checked at 12:50pm and not again until 1:10pm while sleeping. On 2/18/2025, five visual sleep checks that were documented at 11:30am, 11:45am, 12:00pm, 12:15pm, and 12:30pm for one child did not include the child's sleep position. On 2/21/2025, six visual sleep checks that were documented at 12:20pm, 12:35pm, 12:50pm, 1:10pm, 1:25pm, and 1:40pm for one child did not include the child's sleep position or the teacher's initials. .0606(g) 892 The center's safe sleep policy was not posted in a prominent place in the infant room where parents and caregivers were able to view daily. In space #2, the classroom for infants, the facilities safe sleep policy was not posted. .0606(b) 1044 Prior to the expiration date of the qualification letter, the child care provider did not complete and submit required forms to complete a criminal background check (a qualification letter is valid for a maximum of five years for the date of issuance). The Criminal Background Check qualification letter for Gail Piercy, employed on 1/8/2024, expired on 2/3/2025. G.S. 110-90.2(b) & .2703(n)&(o) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. One staff member employed on 2/3/2025 did not receive 6 hours of orientation training until 2/21/2025. One staff member employed on 2/4/2025 did not receive 6 hours of orientation training until 2/21/2025. One staff member employed on 10/22/2024 and one staff member employed on 11/18/2024 did not receive 16 hours of orientation training in all required topics within the first six weeks of employment. Documentation of orientation required within six weeks of employment for these staff members was not on file available for review. One staff member employed on 10/31/2024 had orientation training documented as completed on 11/6/2024 and 2/6/2025, however, the hours completed for each topic were not recorded. .1101(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 staff member employed on 11/18/2024 did not complete First Aid training within 90 days of employment. .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 staff member employed on 11/18/2024 did not complete cardiopulmonary resuscitation (CPR) training within 90 days of employment. .1102(d) 1233 Each employee's personnel file did not contain a signed and dated statement that they received a job description and that they have received personnel and operational policies. Six new staff members employed between 10/22/2024 through 2/14/2025 did not have the operational and personnel policies signed acknowledgement on file for review. 10A NCAC 09 .0514(g) 1320 Children's records that include an application for enrollment, medical and immunization records, and permission to seek emergency medical care was not on file for each child. One child enrolled on 9/2/2024 did not have a medical exam on file for review. GS 110-91(1);.0302(d)(2); .0304(g) 1757 A valid qualification letter was not on file and available to review at the facility. The current Criminal Background Check qualification letter for Gail Piercy, employed on 1/8/2024, was not on file available for review. G.S. 110-90.2(b) & (d) & .2703(e) 1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. The new administrator, employed on 1/8/2024 completed Emergency Preparedness and Response (EPR) training on 3/20/2024. The facilities existing EPR Plan was not updated or reviewed with staff within four months of completion of the Emergency Preparedness and Response in Child Care training. .0607(e) 1830 Potential biocontaminants were not stored properly (locked storage, removed from premises, inaccessible to children, or covered plastic lined receptacle). In space #4, a trash can containing soiled diapers and soiled wipes with feces did not have a lid to cover the trash can. .0604(v) 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. Six new staff members employed between 10/22/2024 through 2/14/2025 did not have the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy signed acknowledgement on file for review. .0608(d)(1-4) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. One staff member employed on 11/18/2024 did not complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. One staff member employed on 10/31/2024 did not complete Recognizing and Responding to Suspicions of Child Maltreatment training until 2/18/2025. .1102(g) 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. All five children's records reviewed did not include a signed acknowledgement from the parents indicating receipt of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy. .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 March 12, 2025. Please send your letter to Kristen.Mauney@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. Please be aware that any information submitted by you is considered legal documentation. If you state in your violation correction letter that corrections have been made when they have not, it will be considered falsification of information. Due to the number of violations cited, an unannounced follow-up visit may be conducted in the near future and an administrative action may be recommended. Technical Assistance was provided on the following: Criminal Background Checks- I suggested that you begin the process for a criminal background recheck within six months of the expiration date. As a reminder, criminal background check qualification is valid for five years. A valid criminal background check qualification letter must be on file for each employee and must be made available for review. Ms. Piercy must begin the criminal background recheck process immediately in order to obtain a qualification letter by March 12, 2025. You may review this process by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/Home/DCDEE-Sections/Criminal-Background-Check-Unit. Storage of Medication- Medications including prescription and non-prescription items shall be stored in a locked cabinet or other locked container and shall not be stored above food. Designated emergency medications shall be kept inaccessible to children, but are not required to be in locked storage. Non-prescription diaper creams and sunscreen shall be kept inaccessible to children when not in use, but are not required to be in locked storage. “Inaccessible to children” is defined as a vertical distance of at least five feet from the finished floor. I suggested that you and staff conduct safety checks of each classroom to ensure all medications are stored appropriately. Medications- I suggested that you review all medications to ensure the medication has not expired, the authorization from the parent has not expired and that the manufacturer’s instructions on the medication are followed in conjunction with the instructions from the parent. I suggested that you instruct staff to complete monthly checks of medications to ensure compliance with all medication requirements. Any medication remaining after the course of treatment is completed, after authorization is withdrawn or after authorization has expired shall 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, shall be discarded. Safe Sleep Policy- The facilities safe sleep policy must be posted in each classroom for infants. You made a copy of the policy that was posted in space #1 and posted the policy in space #2 during the visit. You must post the safe sleep policy in every classroom where infants may be throughout the day, including the first and last operating hour of the day. Safe Sleep Checks- Visually checking on sleeping infants every fifteen minutes, per your facilities safe sleep policy, is critical in protecting sleeping infants from sudden infant death syndrome. I suggested that you discuss requirements for safe sleep checks as well as sudden infant death syndrome with all staff, especially all staff who work in the classroom for infants. I suggested utilizing the Caring for Our Children resource book for more information pertaining to safe sleep practices and sudden infant death syndrome. I suggested determining how safe sleep checks will be turned in to administrative staff and create a plan to review safe sleep checks weekly and prior to filing. I suggested that safe sleep checks may be conducted more frequently, such as every ten minutes, and utilizing a timer to assist you with remembering to visually check sleeping infants. Feeding Plans- Written feeding plans for children under fifteen months of age must be posted in the child’s classroom for reference and must be modified as the child's needs change. The feeding instructions for each infant shall include the type and amount of milk, formula and food, the frequency of feedings and be posted for reference by the caregivers. I suggested that staff review feeding plans monthly with parents to request if changes have been made to their child’s feeding habits. I also suggested that you ensure the correct modifications are reflected in the child’s feeding plan prior to the child moving up to the next classroom. Storage of Biocontaminants- In child care centers, biocontaminants shall be: (1) stored in locked areas; (2) removed from the premises; (3) inaccessible to children; or (4) shall be disposed of in a covered, plastic lined receptacle. "Biocontaminant" means blood, bodily fluids, or excretions that may spread infectious disease. I suggested that you purchase a trash can with a hands-free lid for space #4 and any classroom that does not have a trash can with a lid to discard any item containing biocontaminants. Biocontaminants include used tissues, band-aids, soiled diapers, soiled wipes, etc. Handwashing- I reviewed handwashing requirements with you and staff during the visit. I suggested that you reach out to Child Care Connections for training and guidance with handwashing routines for new staff. You may access resources regarding handwashing routines by visiting www.ncrlap.org. The NC Resource Center designs posters to improve health and safety practices in early care and education programs. Early care and education programs can download posters or order them free of cost at https://healthychildcare.unc.edu/resources/posters/. Child care center employees shall ensure that children wash their hands as follows: (1) upon arrival at the child care center; (2) after each diaper change or visit to the toilet; (3) before eating meals or snacks; (4) before and after water play; (5) after being outdoors; and (6) after handling animals or animal cages. (d) Except when the action that necessitates handwashing is diapering and before eating meals or snacks, hand antiseptics may be used in lieu of handwashing while a child is outdoors, provided that the child's hands are washed when the child returns indoors. Activity Plans- I suggested that you complete and print your activity plan for the following week on Friday so that it will be posted each Monday morning. Depending on the age of the children and their developmental needs, a monthly activity plan may be appropriate. I suggested that you reach out to Child Care Connections for training and guidance with activity plans for new staff. Broken toys and equipment- The administrator discarded the broken, cracked toys during the visit. Per Child Care Requirement 10A NCAC 09 .0604(p), you must monitor indoor and outdoor areas prior to children utilizing the playground to ensure debris and broken equipment is discarded. I suggested that each staff member or a designated staff member monitor classrooms and playgrounds each morning to discard trash and any broken items before children arrive or access the playground. Playground inspections- A playground inspection must be completed each month by a trained staff member who has completed Playground Safety training. I suggested completed monthly playground inspections on the same day when monthly fire drills are conducted to ensure compliance with this requirement. Children’s records- I suggested that you utilize the Children’s File Checklist available on the DCDEE website under Provider Documents and Forms to ensure all required documents are on file on or before enrollment or within the required timeframe. I also suggested that you create an acknowledgement form to capture all policies and parent signatures on one page, including the child’s name, enrollment date, and date of parent’s signature. Children’s medical records- Children’s medical exam or health assessment must be received and on file within thirty days of the child’s enrollment. I suggested that you request children’s medical exams and immunization records prior to enrollment to ensure compliance with this requirement. Staff Orientation- Each center shall 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 shall complete six hours of orientation within the first two weeks of employment on required topics. I suggested that you complete 6 hours of new staff orientation on the staff member’s first day of employment, prior to working in a classroom. If possible, complete the remaining 10 hours of orientation within the first week of employment to ensure each new staff member is aware of policies and procedures and to ensure compliance with this requirement. Keep in mind, it is impossible for staff to complete all orientation within one day as sixteen hours of training is required. First Aid/CPR- New staff must complete First Aid and CPR training within 90 days of employment and must renew certification on or before the expiration date. I suggested that you register new staff for First Aid and CPR training as soon as they are hired. First Aid and CPR training must be completed in person by an approved agency. Verification of each staff member's completion of this course from an approved training organization shall be maintained in the staff member's file in the center. You may visit the DCDEE website for a list of approved agencies at https://ncchildcare.ncdhhs.gov/Provider/Training-and-Professional-Development/Health-and-Safety-Trainings/Be-a-Smart-Consumer-of-First-Aid-and-CPR-Training. Staff Records- I suggested that you utilize the Staff File Checklist available on the DCDEE website under Provider Documents and Forms to ensure all required documents are on file prior to employment. I showed you where to access the sample Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy along with acknowledgment forms and you printed these during the visit. I also suggested that you create an acknowledgement form to capture the facilities policies and staff signatures on one page. Operational and Personnel policies/handbooks- You stated the handbooks are currently being revised by the church board. I suggested that you review the previous versions of your policies with six new staff members until the policies are revised, then review the revised policies with all staff members. The review of policies must be completed during orientation training and a signed acknowledgement from each staff member must be obtained. Recognizing and Responding to Suspicions of Child Maltreatment training- New staff must complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. I suggested that you have staff complete this training within the first two weeks of employment, in conjunction with orientation, to ensure compliance with this requirement. Emergency Medical Care Plan- Each child care center shall have a written plan that sets forth the steps to follow in the event of a child medical emergency. The plan shall 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. I suggested that you review your Emergency Medical Care Plan (EMCP) and your Emergency Preparedness and Response (EPR) plan at the same time each year with all staff members. I suggested utilizing an acknowledgement form to record when the review takes place and the signatures of each staff member. Emergency Preparedness and Response (EPR)- I suggested utilizing an acknowledgement form to record when the EPR review takes place and the signatures of each staff member. The trained staff shall review the Emergency Preparedness and Response Plan annually, or when information in the plan changes, to ensure all information is current. All staff shall review the center's Emergency Preparedness and Response Plan during orientation and on an annual basis with the trained staff. Documentation of the review shall 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 shall be informed of the child care center's Emergency Preparedness and Response Plan and its location. Documentation of this notice shall be maintained in individual personnel files or in a file designated for emergency preparedness and response plan documents. Consultation: We discussed the following during the visit: -Per Senate Bill 425, facilities are currently held harmless from star rated license assessments. -The snack menu posted in the kitchen and in each classroom listed two months on one page. Both months were labeled "January," however, different menus were recorded for both months. I suggested that you correct the label for the second month listed on this menu. -I suggested that you rake and fluff the rubber mulch on the playground for preschool children in fall zone areas extending six feet from the equipment. Mulch had been pushed below the equipment and beyond the six-foot perimeter fall zone area. -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 on 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. Reminders and Resources: -Providers can speak to a Behavior Support Advisor for advice and resources specific to the challenging behaviors in their classroom by calling 1-888-600-1685 Option 1. -Moodle Support: The Division offers early childhood professionals a wide range of professional development opportunities through our online learning platform Moodle. As we continue expanding our training offerings, DCDEE has established a new email address and phone number for Moodle support. To get help with Moodle, email at DCDEE_Moodle_Support@dhhs.nc.gov or call (919) 814-6326. Stay up to date with the Division of Child Development and Early Education by visiting 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, at Tammy McGalliard@dhhs.nc.gov. If I can be of further assistance, you may contact me at 704-853-9196. Kristen Mauney, Child Care Consultant PO Box 674, Denver, NC 28037 Kristen.Mauney@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 CHURCH CHILD DEVELOPMENT CENTER Facility ID: 12000190 Consultant: KRISTEN R. MAUNEY Operation Type: Center Case Number: Visit Date: 2/26/2025 Number Present: 41 Completed Date: 2/26/2025 Age: From 0 To 5 Total Minutes: 418 Time In: 09:47 AM Time Out: 01:05 PM Time In: 01:45 PM Time Out: 05:25 PM List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor your program for compliance with applicable child care requirements for an annual compliance visit, including health and safety. The visit was conducted with you, Gail Piercy, Administrator. You provided me with applicable program, staff, and children’s records for review. The NC Secretary of State website was viewed before the visit and First Baptist Church of Valdese was current/active as of February 26, 2025. This program currently operates with a Five star rated license effective November 4, 2019. The program’s compliance history was 81 percent prior to today’s visit. Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. A checklist was used to note the requirements I monitored today. Children and staff were observed during free play activities indoors and diaper changing routines. The most recent sanitation inspection for your facility was conducted on February 6, 2025. A superior sanitation classification was issued with 14 demerits noted on the grade card. The most recent lead water test results were completed on August 26, 2024. Lead testing must be completed every three years. You may review your facilities results by visiting https://www.cleanwaterforuskids.org/en/carolina/. This website also indicated no asbestos or lead-based paint hazards were identified. The most recent approved fire inspection for your facility was conducted on October 25, 2024. The violations observed today were discussed with you and documented in the handwritten Visit Summary left with you at the conclusion of this visit. The computer-generated visit summary was emailed to you. The following violations were observed: Violation Number Comment Rule 114 A summary of the NC Child Care Law was not given to a parent of every child enrolled in the center. All five children's records reviewed did not include a signed acknowledgement from the parents indicating receipt of the NC Summary of the Law. GS 110-102 405 A child's hands were not washed after each diaper change. In space #4, a child's hands were not washed after their diaper was changed. 15A NCAC 18A .2803(c)(2) 428 A current activity plan was not posted for each group of children for reference. In space #4, an activity plan was not posted. In space #5, the activity plan posted in the classroom was dated "Nov 4-8." GS 110-91(12); .0508(a) 541 The written feeding plan did not include the child's name, parent signature, and/or was not dated when received by the center. In space #2, one child's feeding plan only indicated the child was to be fed formula. Staff reported that this child also eats baby food brought from home. The changes to the child's eating habits were not documented on the feeding plan. .0902(a) 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. A bag of cough drops that belonged to a staff member were observed in an unlocked cabinet in space #5 accessible to children. In space #4, children's diaper rash creams were stored in an unlocked cabinet below the diaper changing table accessible to children. 15A NCAC 18A .2820(d) 847 Parent's medication authorization did not include required information. In space #5, one child's authorization for Boudreaux's Butt Paste did not include when to apply the cream. In space #1, one child's authorization for Boudreaux's Butt Paste did not include the parent's signature. 10A NCAC 09 .0803(4)(6-9) 848 Questionable medication instructions from parents were followed without signed written dosage instructions received from physician or authorized health professional. Parental authorization was written for Hydrocortisone Cream on 8/15/2024 for a child one year of age. The manufacturers instructions on the Hydrocortisone cream indicated "children under 2 yrs of age: consult a doctor." A doctor's note to administer the Hydrocortisone Cream to the child one year of age was not obtained. 10A NCAC 09 .0803(5) 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 #5, the parental authorization for a child's Aquaphor cream expired on 10/18/2024. .0803(12) 856 The indoor and/or outdoor premises was not checked once a day, prior to initial use, ensuring debris, and broken equipment was removed and disposed of. Broken, cracked toys including two plastic shovels, a plastic plate, and two plastic sand toys were observed on the playground for preschool children after children had already utilized the playground that day. 10A NCAC 09 .0604(p) 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. The last monthly playground inspection was completed on 2/14/2024 by Mary Lackey. .0605(q) 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. The most recent review of the Emergency Medical Care Plan was documented as completed on 1/9/2024 with six staff members and 3/23/2023 with one staff member. 10A NCAC 09 .0802(a) 887 Caregivers did not document compliance with visually checking on sleeping infants aged 12 months or younger and/or the documents were not maintained for a minimum of one month. On 2/21/2025, it was documented that one infant was visually checked at 12:50pm and not again until 1:10pm while sleeping. On 2/18/2025, five visual sleep checks that were documented at 11:30am, 11:45am, 12:00pm, 12:15pm, and 12:30pm for one child did not include the child's sleep position. On 2/21/2025, six visual sleep checks that were documented at 12:20pm, 12:35pm, 12:50pm, 1:10pm, 1:25pm, and 1:40pm for one child did not include the child's sleep position or the teacher's initials. .0606(g) 892 The center's safe sleep policy was not posted in a prominent place in the infant room where parents and caregivers were able to view daily. In space #2, the classroom for infants, the facilities safe sleep policy was not posted. .0606(b) 1044 Prior to the expiration date of the qualification letter, the child care provider did not complete and submit required forms to complete a criminal background check (a qualification letter is valid for a maximum of five years for the date of issuance). The Criminal Background Check qualification letter for Gail Piercy, employed on 1/8/2024, expired on 2/3/2025. G.S. 110-90.2(b) & .2703(n)&(o) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. One staff member employed on 2/3/2025 did not receive 6 hours of orientation training until 2/21/2025. One staff member employed on 2/4/2025 did not receive 6 hours of orientation training until 2/21/2025. One staff member employed on 10/22/2024 and one staff member employed on 11/18/2024 did not receive 16 hours of orientation training in all required topics within the first six weeks of employment. Documentation of orientation required within six weeks of employment for these staff members was not on file available for review. One staff member employed on 10/31/2024 had orientation training documented as completed on 11/6/2024 and 2/6/2025, however, the hours completed for each topic were not recorded. .1101(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 staff member employed on 11/18/2024 did not complete First Aid training within 90 days of employment. .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 staff member employed on 11/18/2024 did not complete cardiopulmonary resuscitation (CPR) training within 90 days of employment. .1102(d) 1233 Each employee's personnel file did not contain a signed and dated statement that they received a job description and that they have received personnel and operational policies. Six new staff members employed between 10/22/2024 through 2/14/2025 did not have the operational and personnel policies signed acknowledgement on file for review. 10A NCAC 09 .0514(g) 1320 Children's records that include an application for enrollment, medical and immunization records, and permission to seek emergency medical care was not on file for each child. One child enrolled on 9/2/2024 did not have a medical exam on file for review. GS 110-91(1);.0302(d)(2); .0304(g) 1757 A valid qualification letter was not on file and available to review at the facility. The current Criminal Background Check qualification letter for Gail Piercy, employed on 1/8/2024, was not on file available for review. G.S. 110-90.2(b) & (d) & .2703(e) 1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. The new administrator, employed on 1/8/2024 completed Emergency Preparedness and Response (EPR) training on 3/20/2024. The facilities existing EPR Plan was not updated or reviewed with staff within four months of completion of the Emergency Preparedness and Response in Child Care training. .0607(e) 1830 Potential biocontaminants were not stored properly (locked storage, removed from premises, inaccessible to children, or covered plastic lined receptacle). In space #4, a trash can containing soiled diapers and soiled wipes with feces did not have a lid to cover the trash can. .0604(v) 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. Six new staff members employed between 10/22/2024 through 2/14/2025 did not have the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy signed acknowledgement on file for review. .0608(d)(1-4) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. One staff member employed on 11/18/2024 did not complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. One staff member employed on 10/31/2024 did not complete Recognizing and Responding to Suspicions of Child Maltreatment training until 2/18/2025. .1102(g) 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. All five children's records reviewed did not include a signed acknowledgement from the parents indicating receipt of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy. .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 March 12, 2025. Please send your letter to Kristen.Mauney@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. Please be aware that any information submitted by you is considered legal documentation. If you state in your violation correction letter that corrections have been made when they have not, it will be considered falsification of information. Due to the number of violations cited, an unannounced follow-up visit may be conducted in the near future and an administrative action may be recommended. Technical Assistance was provided on the following: Criminal Background Checks- I suggested that you begin the process for a criminal background recheck within six months of the expiration date. As a reminder, criminal background check qualification is valid for five years. A valid criminal background check qualification letter must be on file for each employee and must be made available for review. Ms. Piercy must begin the criminal background recheck process immediately in order to obtain a qualification letter by March 12, 2025. You may review this process by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/Home/DCDEE-Sections/Criminal-Background-Check-Unit. Storage of Medication- Medications including prescription and non-prescription items shall be stored in a locked cabinet or other locked container and shall not be stored above food. Designated emergency medications shall be kept inaccessible to children, but are not required to be in locked storage. Non-prescription diaper creams and sunscreen shall be kept inaccessible to children when not in use, but are not required to be in locked storage. “Inaccessible to children” is defined as a vertical distance of at least five feet from the finished floor. I suggested that you and staff conduct safety checks of each classroom to ensure all medications are stored appropriately. Medications- I suggested that you review all medications to ensure the medication has not expired, the authorization from the parent has not expired and that the manufacturer’s instructions on the medication are followed in conjunction with the instructions from the parent. I suggested that you instruct staff to complete monthly checks of medications to ensure compliance with all medication requirements. Any medication remaining after the course of treatment is completed, after authorization is withdrawn or after authorization has expired shall 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, shall be discarded. Safe Sleep Policy- The facilities safe sleep policy must be posted in each classroom for infants. You made a copy of the policy that was posted in space #1 and posted the policy in space #2 during the visit. You must post the safe sleep policy in every classroom where infants may be throughout the day, including the first and last operating hour of the day. Safe Sleep Checks- Visually checking on sleeping infants every fifteen minutes, per your facilities safe sleep policy, is critical in protecting sleeping infants from sudden infant death syndrome. I suggested that you discuss requirements for safe sleep checks as well as sudden infant death syndrome with all staff, especially all staff who work in the classroom for infants. I suggested utilizing the Caring for Our Children resource book for more information pertaining to safe sleep practices and sudden infant death syndrome. I suggested determining how safe sleep checks will be turned in to administrative staff and create a plan to review safe sleep checks weekly and prior to filing. I suggested that safe sleep checks may be conducted more frequently, such as every ten minutes, and utilizing a timer to assist you with remembering to visually check sleeping infants. Feeding Plans- Written feeding plans for children under fifteen months of age must be posted in the child’s classroom for reference and must be modified as the child's needs change. The feeding instructions for each infant shall include the type and amount of milk, formula and food, the frequency of feedings and be posted for reference by the caregivers. I suggested that staff review feeding plans monthly with parents to request if changes have been made to their child’s feeding habits. I also suggested that you ensure the correct modifications are reflected in the child’s feeding plan prior to the child moving up to the next classroom. Storage of Biocontaminants- In child care centers, biocontaminants shall be: (1) stored in locked areas; (2) removed from the premises; (3) inaccessible to children; or (4) shall be disposed of in a covered, plastic lined receptacle. "Biocontaminant" means blood, bodily fluids, or excretions that may spread infectious disease. I suggested that you purchase a trash can with a hands-free lid for space #4 and any classroom that does not have a trash can with a lid to discard any item containing biocontaminants. Biocontaminants include used tissues, band-aids, soiled diapers, soiled wipes, etc. Handwashing- I reviewed handwashing requirements with you and staff during the visit. I suggested that you reach out to Child Care Connections for training and guidance with handwashing routines for new staff. You may access resources regarding handwashing routines by visiting www.ncrlap.org. The NC Resource Center designs posters to improve health and safety practices in early care and education programs. Early care and education programs can download posters or order them free of cost at https://healthychildcare.unc.edu/resources/posters/. Child care center employees shall ensure that children wash their hands as follows: (1) upon arrival at the child care center; (2) after each diaper change or visit to the toilet; (3) before eating meals or snacks; (4) before and after water play; (5) after being outdoors; and (6) after handling animals or animal cages. (d) Except when the action that necessitates handwashing is diapering and before eating meals or snacks, hand antiseptics may be used in lieu of handwashing while a child is outdoors, provided that the child's hands are washed when the child returns indoors. Activity Plans- I suggested that you complete and print your activity plan for the following week on Friday so that it will be posted each Monday morning. Depending on the age of the children and their developmental needs, a monthly activity plan may be appropriate. I suggested that you reach out to Child Care Connections for training and guidance with activity plans for new staff. Broken toys and equipment- The administrator discarded the broken, cracked toys during the visit. Per Child Care Requirement 10A NCAC 09 .0604(p), you must monitor indoor and outdoor areas prior to children utilizing the playground to ensure debris and broken equipment is discarded. I suggested that each staff member or a designated staff member monitor classrooms and playgrounds each morning to discard trash and any broken items before children arrive or access the playground. Playground inspections- A playground inspection must be completed each month by a trained staff member who has completed Playground Safety training. I suggested completed monthly playground inspections on the same day when monthly fire drills are conducted to ensure compliance with this requirement. Children’s records- I suggested that you utilize the Children’s File Checklist available on the DCDEE website under Provider Documents and Forms to ensure all required documents are on file on or before enrollment or within the required timeframe. I also suggested that you create an acknowledgement form to capture all policies and parent signatures on one page, including the child’s name, enrollment date, and date of parent’s signature. Children’s medical records- Children’s medical exam or health assessment must be received and on file within thirty days of the child’s enrollment. I suggested that you request children’s medical exams and immunization records prior to enrollment to ensure compliance with this requirement. Staff Orientation- Each center shall 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 shall complete six hours of orientation within the first two weeks of employment on required topics. I suggested that you complete 6 hours of new staff orientation on the staff member’s first day of employment, prior to working in a classroom. If possible, complete the remaining 10 hours of orientation within the first week of employment to ensure each new staff member is aware of policies and procedures and to ensure compliance with this requirement. Keep in mind, it is impossible for staff to complete all orientation within one day as sixteen hours of training is required. First Aid/CPR- New staff must complete First Aid and CPR training within 90 days of employment and must renew certification on or before the expiration date. I suggested that you register new staff for First Aid and CPR training as soon as they are hired. First Aid and CPR training must be completed in person by an approved agency. Verification of each staff member's completion of this course from an approved training organization shall be maintained in the staff member's file in the center. You may visit the DCDEE website for a list of approved agencies at https://ncchildcare.ncdhhs.gov/Provider/Training-and-Professional-Development/Health-and-Safety-Trainings/Be-a-Smart-Consumer-of-First-Aid-and-CPR-Training. Staff Records- I suggested that you utilize the Staff File Checklist available on the DCDEE website under Provider Documents and Forms to ensure all required documents are on file prior to employment. I showed you where to access the sample Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy along with acknowledgment forms and you printed these during the visit. I also suggested that you create an acknowledgement form to capture the facilities policies and staff signatures on one page. Operational and Personnel policies/handbooks- You stated the handbooks are currently being revised by the church board. I suggested that you review the previous versions of your policies with six new staff members until the policies are revised, then review the revised policies with all staff members. The review of policies must be completed during orientation training and a signed acknowledgement from each staff member must be obtained. Recognizing and Responding to Suspicions of Child Maltreatment training- New staff must complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. I suggested that you have staff complete this training within the first two weeks of employment, in conjunction with orientation, to ensure compliance with this requirement. Emergency Medical Care Plan- Each child care center shall have a written plan that sets forth the steps to follow in the event of a child medical emergency. The plan shall 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. I suggested that you review your Emergency Medical Care Plan (EMCP) and your Emergency Preparedness and Response (EPR) plan at the same time each year with all staff members. I suggested utilizing an acknowledgement form to record when the review takes place and the signatures of each staff member. Emergency Preparedness and Response (EPR)- I suggested utilizing an acknowledgement form to record when the EPR review takes place and the signatures of each staff member. The trained staff shall review the Emergency Preparedness and Response Plan annually, or when information in the plan changes, to ensure all information is current. All staff shall review the center's Emergency Preparedness and Response Plan during orientation and on an annual basis with the trained staff. Documentation of the review shall 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 shall be informed of the child care center's Emergency Preparedness and Response Plan and its location. Documentation of this notice shall be maintained in individual personnel files or in a file designated for emergency preparedness and response plan documents. Consultation: We discussed the following during the visit: -Per Senate Bill 425, facilities are currently held harmless from star rated license assessments. -The snack menu posted in the kitchen and in each classroom listed two months on one page. Both months were labeled "January," however, different menus were recorded for both months. I suggested that you correct the label for the second month listed on this menu. -I suggested that you rake and fluff the rubber mulch on the playground for preschool children in fall zone areas extending six feet from the equipment. Mulch had been pushed below the equipment and beyond the six-foot perimeter fall zone area. -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 on 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. Reminders and Resources: -Providers can speak to a Behavior Support Advisor for advice and resources specific to the challenging behaviors in their classroom by calling 1-888-600-1685 Option 1. -Moodle Support: The Division offers early childhood professionals a wide range of professional development opportunities through our online learning platform Moodle. As we continue expanding our training offerings, DCDEE has established a new email address and phone number for Moodle support. To get help with Moodle, email at DCDEE_Moodle_Support@dhhs.nc.gov or call (919) 814-6326. Stay up to date with the Division of Child Development and Early Education by visiting 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, at Tammy McGalliard@dhhs.nc.gov. If I can be of further assistance, you may contact me at 704-853-9196. Kristen Mauney, Child Care Consultant PO Box 674, Denver, NC 28037 Kristen.Mauney@dhhs.nc.gov If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0803 · Violation

Name of Operation: FIRST BAPTIST CHURCH CHILD DEVELOPMENT CENTER Facility ID: 12000190 Consultant: KRISTEN R. MAUNEY Operation Type: Center Case Number: Visit Date: 2/26/2025 Number Present: 41 Completed Date: 2/26/2025 Age: From 0 To 5 Total Minutes: 418 Time In: 09:47 AM Time Out: 01:05 PM Time In: 01:45 PM Time Out: 05:25 PM List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor your program for compliance with applicable child care requirements for an annual compliance visit, including health and safety. The visit was conducted with you, Gail Piercy, Administrator. You provided me with applicable program, staff, and children’s records for review. The NC Secretary of State website was viewed before the visit and First Baptist Church of Valdese was current/active as of February 26, 2025. This program currently operates with a Five star rated license effective November 4, 2019. The program’s compliance history was 81 percent prior to today’s visit. Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. A checklist was used to note the requirements I monitored today. Children and staff were observed during free play activities indoors and diaper changing routines. The most recent sanitation inspection for your facility was conducted on February 6, 2025. A superior sanitation classification was issued with 14 demerits noted on the grade card. The most recent lead water test results were completed on August 26, 2024. Lead testing must be completed every three years. You may review your facilities results by visiting https://www.cleanwaterforuskids.org/en/carolina/. This website also indicated no asbestos or lead-based paint hazards were identified. The most recent approved fire inspection for your facility was conducted on October 25, 2024. The violations observed today were discussed with you and documented in the handwritten Visit Summary left with you at the conclusion of this visit. The computer-generated visit summary was emailed to you. The following violations were observed: Violation Number Comment Rule 114 A summary of the NC Child Care Law was not given to a parent of every child enrolled in the center. All five children's records reviewed did not include a signed acknowledgement from the parents indicating receipt of the NC Summary of the Law. GS 110-102 405 A child's hands were not washed after each diaper change. In space #4, a child's hands were not washed after their diaper was changed. 15A NCAC 18A .2803(c)(2) 428 A current activity plan was not posted for each group of children for reference. In space #4, an activity plan was not posted. In space #5, the activity plan posted in the classroom was dated "Nov 4-8." GS 110-91(12); .0508(a) 541 The written feeding plan did not include the child's name, parent signature, and/or was not dated when received by the center. In space #2, one child's feeding plan only indicated the child was to be fed formula. Staff reported that this child also eats baby food brought from home. The changes to the child's eating habits were not documented on the feeding plan. .0902(a) 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. A bag of cough drops that belonged to a staff member were observed in an unlocked cabinet in space #5 accessible to children. In space #4, children's diaper rash creams were stored in an unlocked cabinet below the diaper changing table accessible to children. 15A NCAC 18A .2820(d) 847 Parent's medication authorization did not include required information. In space #5, one child's authorization for Boudreaux's Butt Paste did not include when to apply the cream. In space #1, one child's authorization for Boudreaux's Butt Paste did not include the parent's signature. 10A NCAC 09 .0803(4)(6-9) 848 Questionable medication instructions from parents were followed without signed written dosage instructions received from physician or authorized health professional. Parental authorization was written for Hydrocortisone Cream on 8/15/2024 for a child one year of age. The manufacturers instructions on the Hydrocortisone cream indicated "children under 2 yrs of age: consult a doctor." A doctor's note to administer the Hydrocortisone Cream to the child one year of age was not obtained. 10A NCAC 09 .0803(5) 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 #5, the parental authorization for a child's Aquaphor cream expired on 10/18/2024. .0803(12) 856 The indoor and/or outdoor premises was not checked once a day, prior to initial use, ensuring debris, and broken equipment was removed and disposed of. Broken, cracked toys including two plastic shovels, a plastic plate, and two plastic sand toys were observed on the playground for preschool children after children had already utilized the playground that day. 10A NCAC 09 .0604(p) 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. The last monthly playground inspection was completed on 2/14/2024 by Mary Lackey. .0605(q) 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. The most recent review of the Emergency Medical Care Plan was documented as completed on 1/9/2024 with six staff members and 3/23/2023 with one staff member. 10A NCAC 09 .0802(a) 887 Caregivers did not document compliance with visually checking on sleeping infants aged 12 months or younger and/or the documents were not maintained for a minimum of one month. On 2/21/2025, it was documented that one infant was visually checked at 12:50pm and not again until 1:10pm while sleeping. On 2/18/2025, five visual sleep checks that were documented at 11:30am, 11:45am, 12:00pm, 12:15pm, and 12:30pm for one child did not include the child's sleep position. On 2/21/2025, six visual sleep checks that were documented at 12:20pm, 12:35pm, 12:50pm, 1:10pm, 1:25pm, and 1:40pm for one child did not include the child's sleep position or the teacher's initials. .0606(g) 892 The center's safe sleep policy was not posted in a prominent place in the infant room where parents and caregivers were able to view daily. In space #2, the classroom for infants, the facilities safe sleep policy was not posted. .0606(b) 1044 Prior to the expiration date of the qualification letter, the child care provider did not complete and submit required forms to complete a criminal background check (a qualification letter is valid for a maximum of five years for the date of issuance). The Criminal Background Check qualification letter for Gail Piercy, employed on 1/8/2024, expired on 2/3/2025. G.S. 110-90.2(b) & .2703(n)&(o) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. One staff member employed on 2/3/2025 did not receive 6 hours of orientation training until 2/21/2025. One staff member employed on 2/4/2025 did not receive 6 hours of orientation training until 2/21/2025. One staff member employed on 10/22/2024 and one staff member employed on 11/18/2024 did not receive 16 hours of orientation training in all required topics within the first six weeks of employment. Documentation of orientation required within six weeks of employment for these staff members was not on file available for review. One staff member employed on 10/31/2024 had orientation training documented as completed on 11/6/2024 and 2/6/2025, however, the hours completed for each topic were not recorded. .1101(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 staff member employed on 11/18/2024 did not complete First Aid training within 90 days of employment. .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 staff member employed on 11/18/2024 did not complete cardiopulmonary resuscitation (CPR) training within 90 days of employment. .1102(d) 1233 Each employee's personnel file did not contain a signed and dated statement that they received a job description and that they have received personnel and operational policies. Six new staff members employed between 10/22/2024 through 2/14/2025 did not have the operational and personnel policies signed acknowledgement on file for review. 10A NCAC 09 .0514(g) 1320 Children's records that include an application for enrollment, medical and immunization records, and permission to seek emergency medical care was not on file for each child. One child enrolled on 9/2/2024 did not have a medical exam on file for review. GS 110-91(1);.0302(d)(2); .0304(g) 1757 A valid qualification letter was not on file and available to review at the facility. The current Criminal Background Check qualification letter for Gail Piercy, employed on 1/8/2024, was not on file available for review. G.S. 110-90.2(b) & (d) & .2703(e) 1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. The new administrator, employed on 1/8/2024 completed Emergency Preparedness and Response (EPR) training on 3/20/2024. The facilities existing EPR Plan was not updated or reviewed with staff within four months of completion of the Emergency Preparedness and Response in Child Care training. .0607(e) 1830 Potential biocontaminants were not stored properly (locked storage, removed from premises, inaccessible to children, or covered plastic lined receptacle). In space #4, a trash can containing soiled diapers and soiled wipes with feces did not have a lid to cover the trash can. .0604(v) 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. Six new staff members employed between 10/22/2024 through 2/14/2025 did not have the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy signed acknowledgement on file for review. .0608(d)(1-4) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. One staff member employed on 11/18/2024 did not complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. One staff member employed on 10/31/2024 did not complete Recognizing and Responding to Suspicions of Child Maltreatment training until 2/18/2025. .1102(g) 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. All five children's records reviewed did not include a signed acknowledgement from the parents indicating receipt of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy. .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 March 12, 2025. Please send your letter to Kristen.Mauney@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. Please be aware that any information submitted by you is considered legal documentation. If you state in your violation correction letter that corrections have been made when they have not, it will be considered falsification of information. Due to the number of violations cited, an unannounced follow-up visit may be conducted in the near future and an administrative action may be recommended. Technical Assistance was provided on the following: Criminal Background Checks- I suggested that you begin the process for a criminal background recheck within six months of the expiration date. As a reminder, criminal background check qualification is valid for five years. A valid criminal background check qualification letter must be on file for each employee and must be made available for review. Ms. Piercy must begin the criminal background recheck process immediately in order to obtain a qualification letter by March 12, 2025. You may review this process by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/Home/DCDEE-Sections/Criminal-Background-Check-Unit. Storage of Medication- Medications including prescription and non-prescription items shall be stored in a locked cabinet or other locked container and shall not be stored above food. Designated emergency medications shall be kept inaccessible to children, but are not required to be in locked storage. Non-prescription diaper creams and sunscreen shall be kept inaccessible to children when not in use, but are not required to be in locked storage. “Inaccessible to children” is defined as a vertical distance of at least five feet from the finished floor. I suggested that you and staff conduct safety checks of each classroom to ensure all medications are stored appropriately. Medications- I suggested that you review all medications to ensure the medication has not expired, the authorization from the parent has not expired and that the manufacturer’s instructions on the medication are followed in conjunction with the instructions from the parent. I suggested that you instruct staff to complete monthly checks of medications to ensure compliance with all medication requirements. Any medication remaining after the course of treatment is completed, after authorization is withdrawn or after authorization has expired shall 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, shall be discarded. Safe Sleep Policy- The facilities safe sleep policy must be posted in each classroom for infants. You made a copy of the policy that was posted in space #1 and posted the policy in space #2 during the visit. You must post the safe sleep policy in every classroom where infants may be throughout the day, including the first and last operating hour of the day. Safe Sleep Checks- Visually checking on sleeping infants every fifteen minutes, per your facilities safe sleep policy, is critical in protecting sleeping infants from sudden infant death syndrome. I suggested that you discuss requirements for safe sleep checks as well as sudden infant death syndrome with all staff, especially all staff who work in the classroom for infants. I suggested utilizing the Caring for Our Children resource book for more information pertaining to safe sleep practices and sudden infant death syndrome. I suggested determining how safe sleep checks will be turned in to administrative staff and create a plan to review safe sleep checks weekly and prior to filing. I suggested that safe sleep checks may be conducted more frequently, such as every ten minutes, and utilizing a timer to assist you with remembering to visually check sleeping infants. Feeding Plans- Written feeding plans for children under fifteen months of age must be posted in the child’s classroom for reference and must be modified as the child's needs change. The feeding instructions for each infant shall include the type and amount of milk, formula and food, the frequency of feedings and be posted for reference by the caregivers. I suggested that staff review feeding plans monthly with parents to request if changes have been made to their child’s feeding habits. I also suggested that you ensure the correct modifications are reflected in the child’s feeding plan prior to the child moving up to the next classroom. Storage of Biocontaminants- In child care centers, biocontaminants shall be: (1) stored in locked areas; (2) removed from the premises; (3) inaccessible to children; or (4) shall be disposed of in a covered, plastic lined receptacle. "Biocontaminant" means blood, bodily fluids, or excretions that may spread infectious disease. I suggested that you purchase a trash can with a hands-free lid for space #4 and any classroom that does not have a trash can with a lid to discard any item containing biocontaminants. Biocontaminants include used tissues, band-aids, soiled diapers, soiled wipes, etc. Handwashing- I reviewed handwashing requirements with you and staff during the visit. I suggested that you reach out to Child Care Connections for training and guidance with handwashing routines for new staff. You may access resources regarding handwashing routines by visiting www.ncrlap.org. The NC Resource Center designs posters to improve health and safety practices in early care and education programs. Early care and education programs can download posters or order them free of cost at https://healthychildcare.unc.edu/resources/posters/. Child care center employees shall ensure that children wash their hands as follows: (1) upon arrival at the child care center; (2) after each diaper change or visit to the toilet; (3) before eating meals or snacks; (4) before and after water play; (5) after being outdoors; and (6) after handling animals or animal cages. (d) Except when the action that necessitates handwashing is diapering and before eating meals or snacks, hand antiseptics may be used in lieu of handwashing while a child is outdoors, provided that the child's hands are washed when the child returns indoors. Activity Plans- I suggested that you complete and print your activity plan for the following week on Friday so that it will be posted each Monday morning. Depending on the age of the children and their developmental needs, a monthly activity plan may be appropriate. I suggested that you reach out to Child Care Connections for training and guidance with activity plans for new staff. Broken toys and equipment- The administrator discarded the broken, cracked toys during the visit. Per Child Care Requirement 10A NCAC 09 .0604(p), you must monitor indoor and outdoor areas prior to children utilizing the playground to ensure debris and broken equipment is discarded. I suggested that each staff member or a designated staff member monitor classrooms and playgrounds each morning to discard trash and any broken items before children arrive or access the playground. Playground inspections- A playground inspection must be completed each month by a trained staff member who has completed Playground Safety training. I suggested completed monthly playground inspections on the same day when monthly fire drills are conducted to ensure compliance with this requirement. Children’s records- I suggested that you utilize the Children’s File Checklist available on the DCDEE website under Provider Documents and Forms to ensure all required documents are on file on or before enrollment or within the required timeframe. I also suggested that you create an acknowledgement form to capture all policies and parent signatures on one page, including the child’s name, enrollment date, and date of parent’s signature. Children’s medical records- Children’s medical exam or health assessment must be received and on file within thirty days of the child’s enrollment. I suggested that you request children’s medical exams and immunization records prior to enrollment to ensure compliance with this requirement. Staff Orientation- Each center shall 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 shall complete six hours of orientation within the first two weeks of employment on required topics. I suggested that you complete 6 hours of new staff orientation on the staff member’s first day of employment, prior to working in a classroom. If possible, complete the remaining 10 hours of orientation within the first week of employment to ensure each new staff member is aware of policies and procedures and to ensure compliance with this requirement. Keep in mind, it is impossible for staff to complete all orientation within one day as sixteen hours of training is required. First Aid/CPR- New staff must complete First Aid and CPR training within 90 days of employment and must renew certification on or before the expiration date. I suggested that you register new staff for First Aid and CPR training as soon as they are hired. First Aid and CPR training must be completed in person by an approved agency. Verification of each staff member's completion of this course from an approved training organization shall be maintained in the staff member's file in the center. You may visit the DCDEE website for a list of approved agencies at https://ncchildcare.ncdhhs.gov/Provider/Training-and-Professional-Development/Health-and-Safety-Trainings/Be-a-Smart-Consumer-of-First-Aid-and-CPR-Training. Staff Records- I suggested that you utilize the Staff File Checklist available on the DCDEE website under Provider Documents and Forms to ensure all required documents are on file prior to employment. I showed you where to access the sample Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy along with acknowledgment forms and you printed these during the visit. I also suggested that you create an acknowledgement form to capture the facilities policies and staff signatures on one page. Operational and Personnel policies/handbooks- You stated the handbooks are currently being revised by the church board. I suggested that you review the previous versions of your policies with six new staff members until the policies are revised, then review the revised policies with all staff members. The review of policies must be completed during orientation training and a signed acknowledgement from each staff member must be obtained. Recognizing and Responding to Suspicions of Child Maltreatment training- New staff must complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. I suggested that you have staff complete this training within the first two weeks of employment, in conjunction with orientation, to ensure compliance with this requirement. Emergency Medical Care Plan- Each child care center shall have a written plan that sets forth the steps to follow in the event of a child medical emergency. The plan shall 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. I suggested that you review your Emergency Medical Care Plan (EMCP) and your Emergency Preparedness and Response (EPR) plan at the same time each year with all staff members. I suggested utilizing an acknowledgement form to record when the review takes place and the signatures of each staff member. Emergency Preparedness and Response (EPR)- I suggested utilizing an acknowledgement form to record when the EPR review takes place and the signatures of each staff member. The trained staff shall review the Emergency Preparedness and Response Plan annually, or when information in the plan changes, to ensure all information is current. All staff shall review the center's Emergency Preparedness and Response Plan during orientation and on an annual basis with the trained staff. Documentation of the review shall 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 shall be informed of the child care center's Emergency Preparedness and Response Plan and its location. Documentation of this notice shall be maintained in individual personnel files or in a file designated for emergency preparedness and response plan documents. Consultation: We discussed the following during the visit: -Per Senate Bill 425, facilities are currently held harmless from star rated license assessments. -The snack menu posted in the kitchen and in each classroom listed two months on one page. Both months were labeled "January," however, different menus were recorded for both months. I suggested that you correct the label for the second month listed on this menu. -I suggested that you rake and fluff the rubber mulch on the playground for preschool children in fall zone areas extending six feet from the equipment. Mulch had been pushed below the equipment and beyond the six-foot perimeter fall zone area. -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 on 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. Reminders and Resources: -Providers can speak to a Behavior Support Advisor for advice and resources specific to the challenging behaviors in their classroom by calling 1-888-600-1685 Option 1. -Moodle Support: The Division offers early childhood professionals a wide range of professional development opportunities through our online learning platform Moodle. As we continue expanding our training offerings, DCDEE has established a new email address and phone number for Moodle support. To get help with Moodle, email at DCDEE_Moodle_Support@dhhs.nc.gov or call (919) 814-6326. Stay up to date with the Division of Child Development and Early Education by visiting 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, at Tammy McGalliard@dhhs.nc.gov. If I can be of further assistance, you may contact me at 704-853-9196. Kristen Mauney, Child Care Consultant PO Box 674, Denver, NC 28037 Kristen.Mauney@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 CHURCH CHILD DEVELOPMENT CENTER Facility ID: 12000190 Consultant: KRISTEN R. MAUNEY Operation Type: Center Case Number: Visit Date: 2/26/2025 Number Present: 41 Completed Date: 2/26/2025 Age: From 0 To 5 Total Minutes: 418 Time In: 09:47 AM Time Out: 01:05 PM Time In: 01:45 PM Time Out: 05:25 PM List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor your program for compliance with applicable child care requirements for an annual compliance visit, including health and safety. The visit was conducted with you, Gail Piercy, Administrator. You provided me with applicable program, staff, and children’s records for review. The NC Secretary of State website was viewed before the visit and First Baptist Church of Valdese was current/active as of February 26, 2025. This program currently operates with a Five star rated license effective November 4, 2019. The program’s compliance history was 81 percent prior to today’s visit. Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. A checklist was used to note the requirements I monitored today. Children and staff were observed during free play activities indoors and diaper changing routines. The most recent sanitation inspection for your facility was conducted on February 6, 2025. A superior sanitation classification was issued with 14 demerits noted on the grade card. The most recent lead water test results were completed on August 26, 2024. Lead testing must be completed every three years. You may review your facilities results by visiting https://www.cleanwaterforuskids.org/en/carolina/. This website also indicated no asbestos or lead-based paint hazards were identified. The most recent approved fire inspection for your facility was conducted on October 25, 2024. The violations observed today were discussed with you and documented in the handwritten Visit Summary left with you at the conclusion of this visit. The computer-generated visit summary was emailed to you. The following violations were observed: Violation Number Comment Rule 114 A summary of the NC Child Care Law was not given to a parent of every child enrolled in the center. All five children's records reviewed did not include a signed acknowledgement from the parents indicating receipt of the NC Summary of the Law. GS 110-102 405 A child's hands were not washed after each diaper change. In space #4, a child's hands were not washed after their diaper was changed. 15A NCAC 18A .2803(c)(2) 428 A current activity plan was not posted for each group of children for reference. In space #4, an activity plan was not posted. In space #5, the activity plan posted in the classroom was dated "Nov 4-8." GS 110-91(12); .0508(a) 541 The written feeding plan did not include the child's name, parent signature, and/or was not dated when received by the center. In space #2, one child's feeding plan only indicated the child was to be fed formula. Staff reported that this child also eats baby food brought from home. The changes to the child's eating habits were not documented on the feeding plan. .0902(a) 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. A bag of cough drops that belonged to a staff member were observed in an unlocked cabinet in space #5 accessible to children. In space #4, children's diaper rash creams were stored in an unlocked cabinet below the diaper changing table accessible to children. 15A NCAC 18A .2820(d) 847 Parent's medication authorization did not include required information. In space #5, one child's authorization for Boudreaux's Butt Paste did not include when to apply the cream. In space #1, one child's authorization for Boudreaux's Butt Paste did not include the parent's signature. 10A NCAC 09 .0803(4)(6-9) 848 Questionable medication instructions from parents were followed without signed written dosage instructions received from physician or authorized health professional. Parental authorization was written for Hydrocortisone Cream on 8/15/2024 for a child one year of age. The manufacturers instructions on the Hydrocortisone cream indicated "children under 2 yrs of age: consult a doctor." A doctor's note to administer the Hydrocortisone Cream to the child one year of age was not obtained. 10A NCAC 09 .0803(5) 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 #5, the parental authorization for a child's Aquaphor cream expired on 10/18/2024. .0803(12) 856 The indoor and/or outdoor premises was not checked once a day, prior to initial use, ensuring debris, and broken equipment was removed and disposed of. Broken, cracked toys including two plastic shovels, a plastic plate, and two plastic sand toys were observed on the playground for preschool children after children had already utilized the playground that day. 10A NCAC 09 .0604(p) 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. The last monthly playground inspection was completed on 2/14/2024 by Mary Lackey. .0605(q) 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. The most recent review of the Emergency Medical Care Plan was documented as completed on 1/9/2024 with six staff members and 3/23/2023 with one staff member. 10A NCAC 09 .0802(a) 887 Caregivers did not document compliance with visually checking on sleeping infants aged 12 months or younger and/or the documents were not maintained for a minimum of one month. On 2/21/2025, it was documented that one infant was visually checked at 12:50pm and not again until 1:10pm while sleeping. On 2/18/2025, five visual sleep checks that were documented at 11:30am, 11:45am, 12:00pm, 12:15pm, and 12:30pm for one child did not include the child's sleep position. On 2/21/2025, six visual sleep checks that were documented at 12:20pm, 12:35pm, 12:50pm, 1:10pm, 1:25pm, and 1:40pm for one child did not include the child's sleep position or the teacher's initials. .0606(g) 892 The center's safe sleep policy was not posted in a prominent place in the infant room where parents and caregivers were able to view daily. In space #2, the classroom for infants, the facilities safe sleep policy was not posted. .0606(b) 1044 Prior to the expiration date of the qualification letter, the child care provider did not complete and submit required forms to complete a criminal background check (a qualification letter is valid for a maximum of five years for the date of issuance). The Criminal Background Check qualification letter for Gail Piercy, employed on 1/8/2024, expired on 2/3/2025. G.S. 110-90.2(b) & .2703(n)&(o) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. One staff member employed on 2/3/2025 did not receive 6 hours of orientation training until 2/21/2025. One staff member employed on 2/4/2025 did not receive 6 hours of orientation training until 2/21/2025. One staff member employed on 10/22/2024 and one staff member employed on 11/18/2024 did not receive 16 hours of orientation training in all required topics within the first six weeks of employment. Documentation of orientation required within six weeks of employment for these staff members was not on file available for review. One staff member employed on 10/31/2024 had orientation training documented as completed on 11/6/2024 and 2/6/2025, however, the hours completed for each topic were not recorded. .1101(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 staff member employed on 11/18/2024 did not complete First Aid training within 90 days of employment. .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 staff member employed on 11/18/2024 did not complete cardiopulmonary resuscitation (CPR) training within 90 days of employment. .1102(d) 1233 Each employee's personnel file did not contain a signed and dated statement that they received a job description and that they have received personnel and operational policies. Six new staff members employed between 10/22/2024 through 2/14/2025 did not have the operational and personnel policies signed acknowledgement on file for review. 10A NCAC 09 .0514(g) 1320 Children's records that include an application for enrollment, medical and immunization records, and permission to seek emergency medical care was not on file for each child. One child enrolled on 9/2/2024 did not have a medical exam on file for review. GS 110-91(1);.0302(d)(2); .0304(g) 1757 A valid qualification letter was not on file and available to review at the facility. The current Criminal Background Check qualification letter for Gail Piercy, employed on 1/8/2024, was not on file available for review. G.S. 110-90.2(b) & (d) & .2703(e) 1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. The new administrator, employed on 1/8/2024 completed Emergency Preparedness and Response (EPR) training on 3/20/2024. The facilities existing EPR Plan was not updated or reviewed with staff within four months of completion of the Emergency Preparedness and Response in Child Care training. .0607(e) 1830 Potential biocontaminants were not stored properly (locked storage, removed from premises, inaccessible to children, or covered plastic lined receptacle). In space #4, a trash can containing soiled diapers and soiled wipes with feces did not have a lid to cover the trash can. .0604(v) 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. Six new staff members employed between 10/22/2024 through 2/14/2025 did not have the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy signed acknowledgement on file for review. .0608(d)(1-4) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. One staff member employed on 11/18/2024 did not complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. One staff member employed on 10/31/2024 did not complete Recognizing and Responding to Suspicions of Child Maltreatment training until 2/18/2025. .1102(g) 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. All five children's records reviewed did not include a signed acknowledgement from the parents indicating receipt of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy. .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 March 12, 2025. Please send your letter to Kristen.Mauney@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. Please be aware that any information submitted by you is considered legal documentation. If you state in your violation correction letter that corrections have been made when they have not, it will be considered falsification of information. Due to the number of violations cited, an unannounced follow-up visit may be conducted in the near future and an administrative action may be recommended. Technical Assistance was provided on the following: Criminal Background Checks- I suggested that you begin the process for a criminal background recheck within six months of the expiration date. As a reminder, criminal background check qualification is valid for five years. A valid criminal background check qualification letter must be on file for each employee and must be made available for review. Ms. Piercy must begin the criminal background recheck process immediately in order to obtain a qualification letter by March 12, 2025. You may review this process by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/Home/DCDEE-Sections/Criminal-Background-Check-Unit. Storage of Medication- Medications including prescription and non-prescription items shall be stored in a locked cabinet or other locked container and shall not be stored above food. Designated emergency medications shall be kept inaccessible to children, but are not required to be in locked storage. Non-prescription diaper creams and sunscreen shall be kept inaccessible to children when not in use, but are not required to be in locked storage. “Inaccessible to children” is defined as a vertical distance of at least five feet from the finished floor. I suggested that you and staff conduct safety checks of each classroom to ensure all medications are stored appropriately. Medications- I suggested that you review all medications to ensure the medication has not expired, the authorization from the parent has not expired and that the manufacturer’s instructions on the medication are followed in conjunction with the instructions from the parent. I suggested that you instruct staff to complete monthly checks of medications to ensure compliance with all medication requirements. Any medication remaining after the course of treatment is completed, after authorization is withdrawn or after authorization has expired shall 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, shall be discarded. Safe Sleep Policy- The facilities safe sleep policy must be posted in each classroom for infants. You made a copy of the policy that was posted in space #1 and posted the policy in space #2 during the visit. You must post the safe sleep policy in every classroom where infants may be throughout the day, including the first and last operating hour of the day. Safe Sleep Checks- Visually checking on sleeping infants every fifteen minutes, per your facilities safe sleep policy, is critical in protecting sleeping infants from sudden infant death syndrome. I suggested that you discuss requirements for safe sleep checks as well as sudden infant death syndrome with all staff, especially all staff who work in the classroom for infants. I suggested utilizing the Caring for Our Children resource book for more information pertaining to safe sleep practices and sudden infant death syndrome. I suggested determining how safe sleep checks will be turned in to administrative staff and create a plan to review safe sleep checks weekly and prior to filing. I suggested that safe sleep checks may be conducted more frequently, such as every ten minutes, and utilizing a timer to assist you with remembering to visually check sleeping infants. Feeding Plans- Written feeding plans for children under fifteen months of age must be posted in the child’s classroom for reference and must be modified as the child's needs change. The feeding instructions for each infant shall include the type and amount of milk, formula and food, the frequency of feedings and be posted for reference by the caregivers. I suggested that staff review feeding plans monthly with parents to request if changes have been made to their child’s feeding habits. I also suggested that you ensure the correct modifications are reflected in the child’s feeding plan prior to the child moving up to the next classroom. Storage of Biocontaminants- In child care centers, biocontaminants shall be: (1) stored in locked areas; (2) removed from the premises; (3) inaccessible to children; or (4) shall be disposed of in a covered, plastic lined receptacle. "Biocontaminant" means blood, bodily fluids, or excretions that may spread infectious disease. I suggested that you purchase a trash can with a hands-free lid for space #4 and any classroom that does not have a trash can with a lid to discard any item containing biocontaminants. Biocontaminants include used tissues, band-aids, soiled diapers, soiled wipes, etc. Handwashing- I reviewed handwashing requirements with you and staff during the visit. I suggested that you reach out to Child Care Connections for training and guidance with handwashing routines for new staff. You may access resources regarding handwashing routines by visiting www.ncrlap.org. The NC Resource Center designs posters to improve health and safety practices in early care and education programs. Early care and education programs can download posters or order them free of cost at https://healthychildcare.unc.edu/resources/posters/. Child care center employees shall ensure that children wash their hands as follows: (1) upon arrival at the child care center; (2) after each diaper change or visit to the toilet; (3) before eating meals or snacks; (4) before and after water play; (5) after being outdoors; and (6) after handling animals or animal cages. (d) Except when the action that necessitates handwashing is diapering and before eating meals or snacks, hand antiseptics may be used in lieu of handwashing while a child is outdoors, provided that the child's hands are washed when the child returns indoors. Activity Plans- I suggested that you complete and print your activity plan for the following week on Friday so that it will be posted each Monday morning. Depending on the age of the children and their developmental needs, a monthly activity plan may be appropriate. I suggested that you reach out to Child Care Connections for training and guidance with activity plans for new staff. Broken toys and equipment- The administrator discarded the broken, cracked toys during the visit. Per Child Care Requirement 10A NCAC 09 .0604(p), you must monitor indoor and outdoor areas prior to children utilizing the playground to ensure debris and broken equipment is discarded. I suggested that each staff member or a designated staff member monitor classrooms and playgrounds each morning to discard trash and any broken items before children arrive or access the playground. Playground inspections- A playground inspection must be completed each month by a trained staff member who has completed Playground Safety training. I suggested completed monthly playground inspections on the same day when monthly fire drills are conducted to ensure compliance with this requirement. Children’s records- I suggested that you utilize the Children’s File Checklist available on the DCDEE website under Provider Documents and Forms to ensure all required documents are on file on or before enrollment or within the required timeframe. I also suggested that you create an acknowledgement form to capture all policies and parent signatures on one page, including the child’s name, enrollment date, and date of parent’s signature. Children’s medical records- Children’s medical exam or health assessment must be received and on file within thirty days of the child’s enrollment. I suggested that you request children’s medical exams and immunization records prior to enrollment to ensure compliance with this requirement. Staff Orientation- Each center shall 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 shall complete six hours of orientation within the first two weeks of employment on required topics. I suggested that you complete 6 hours of new staff orientation on the staff member’s first day of employment, prior to working in a classroom. If possible, complete the remaining 10 hours of orientation within the first week of employment to ensure each new staff member is aware of policies and procedures and to ensure compliance with this requirement. Keep in mind, it is impossible for staff to complete all orientation within one day as sixteen hours of training is required. First Aid/CPR- New staff must complete First Aid and CPR training within 90 days of employment and must renew certification on or before the expiration date. I suggested that you register new staff for First Aid and CPR training as soon as they are hired. First Aid and CPR training must be completed in person by an approved agency. Verification of each staff member's completion of this course from an approved training organization shall be maintained in the staff member's file in the center. You may visit the DCDEE website for a list of approved agencies at https://ncchildcare.ncdhhs.gov/Provider/Training-and-Professional-Development/Health-and-Safety-Trainings/Be-a-Smart-Consumer-of-First-Aid-and-CPR-Training. Staff Records- I suggested that you utilize the Staff File Checklist available on the DCDEE website under Provider Documents and Forms to ensure all required documents are on file prior to employment. I showed you where to access the sample Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy along with acknowledgment forms and you printed these during the visit. I also suggested that you create an acknowledgement form to capture the facilities policies and staff signatures on one page. Operational and Personnel policies/handbooks- You stated the handbooks are currently being revised by the church board. I suggested that you review the previous versions of your policies with six new staff members until the policies are revised, then review the revised policies with all staff members. The review of policies must be completed during orientation training and a signed acknowledgement from each staff member must be obtained. Recognizing and Responding to Suspicions of Child Maltreatment training- New staff must complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. I suggested that you have staff complete this training within the first two weeks of employment, in conjunction with orientation, to ensure compliance with this requirement. Emergency Medical Care Plan- Each child care center shall have a written plan that sets forth the steps to follow in the event of a child medical emergency. The plan shall 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. I suggested that you review your Emergency Medical Care Plan (EMCP) and your Emergency Preparedness and Response (EPR) plan at the same time each year with all staff members. I suggested utilizing an acknowledgement form to record when the review takes place and the signatures of each staff member. Emergency Preparedness and Response (EPR)- I suggested utilizing an acknowledgement form to record when the EPR review takes place and the signatures of each staff member. The trained staff shall review the Emergency Preparedness and Response Plan annually, or when information in the plan changes, to ensure all information is current. All staff shall review the center's Emergency Preparedness and Response Plan during orientation and on an annual basis with the trained staff. Documentation of the review shall 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 shall be informed of the child care center's Emergency Preparedness and Response Plan and its location. Documentation of this notice shall be maintained in individual personnel files or in a file designated for emergency preparedness and response plan documents. Consultation: We discussed the following during the visit: -Per Senate Bill 425, facilities are currently held harmless from star rated license assessments. -The snack menu posted in the kitchen and in each classroom listed two months on one page. Both months were labeled "January," however, different menus were recorded for both months. I suggested that you correct the label for the second month listed on this menu. -I suggested that you rake and fluff the rubber mulch on the playground for preschool children in fall zone areas extending six feet from the equipment. Mulch had been pushed below the equipment and beyond the six-foot perimeter fall zone area. -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 on 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. Reminders and Resources: -Providers can speak to a Behavior Support Advisor for advice and resources specific to the challenging behaviors in their classroom by calling 1-888-600-1685 Option 1. -Moodle Support: The Division offers early childhood professionals a wide range of professional development opportunities through our online learning platform Moodle. As we continue expanding our training offerings, DCDEE has established a new email address and phone number for Moodle support. To get help with Moodle, email at DCDEE_Moodle_Support@dhhs.nc.gov or call (919) 814-6326. Stay up to date with the Division of Child Development and Early Education by visiting 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, at Tammy McGalliard@dhhs.nc.gov. If I can be of further assistance, you may contact me at 704-853-9196. Kristen Mauney, Child Care Consultant PO Box 674, Denver, NC 28037 Kristen.Mauney@dhhs.nc.gov If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

GS 110-102 · Violation

Name of Operation: FIRST BAPTIST CHURCH CHILD DEVELOPMENT CENTER Facility ID: 12000190 Consultant: KRISTEN R. MAUNEY Operation Type: Center Case Number: Visit Date: 2/26/2025 Number Present: 41 Completed Date: 2/26/2025 Age: From 0 To 5 Total Minutes: 418 Time In: 09:47 AM Time Out: 01:05 PM Time In: 01:45 PM Time Out: 05:25 PM List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor your program for compliance with applicable child care requirements for an annual compliance visit, including health and safety. The visit was conducted with you, Gail Piercy, Administrator. You provided me with applicable program, staff, and children’s records for review. The NC Secretary of State website was viewed before the visit and First Baptist Church of Valdese was current/active as of February 26, 2025. This program currently operates with a Five star rated license effective November 4, 2019. The program’s compliance history was 81 percent prior to today’s visit. Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. A checklist was used to note the requirements I monitored today. Children and staff were observed during free play activities indoors and diaper changing routines. The most recent sanitation inspection for your facility was conducted on February 6, 2025. A superior sanitation classification was issued with 14 demerits noted on the grade card. The most recent lead water test results were completed on August 26, 2024. Lead testing must be completed every three years. You may review your facilities results by visiting https://www.cleanwaterforuskids.org/en/carolina/. This website also indicated no asbestos or lead-based paint hazards were identified. The most recent approved fire inspection for your facility was conducted on October 25, 2024. The violations observed today were discussed with you and documented in the handwritten Visit Summary left with you at the conclusion of this visit. The computer-generated visit summary was emailed to you. The following violations were observed: Violation Number Comment Rule 114 A summary of the NC Child Care Law was not given to a parent of every child enrolled in the center. All five children's records reviewed did not include a signed acknowledgement from the parents indicating receipt of the NC Summary of the Law. GS 110-102 405 A child's hands were not washed after each diaper change. In space #4, a child's hands were not washed after their diaper was changed. 15A NCAC 18A .2803(c)(2) 428 A current activity plan was not posted for each group of children for reference. In space #4, an activity plan was not posted. In space #5, the activity plan posted in the classroom was dated "Nov 4-8." GS 110-91(12); .0508(a) 541 The written feeding plan did not include the child's name, parent signature, and/or was not dated when received by the center. In space #2, one child's feeding plan only indicated the child was to be fed formula. Staff reported that this child also eats baby food brought from home. The changes to the child's eating habits were not documented on the feeding plan. .0902(a) 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. A bag of cough drops that belonged to a staff member were observed in an unlocked cabinet in space #5 accessible to children. In space #4, children's diaper rash creams were stored in an unlocked cabinet below the diaper changing table accessible to children. 15A NCAC 18A .2820(d) 847 Parent's medication authorization did not include required information. In space #5, one child's authorization for Boudreaux's Butt Paste did not include when to apply the cream. In space #1, one child's authorization for Boudreaux's Butt Paste did not include the parent's signature. 10A NCAC 09 .0803(4)(6-9) 848 Questionable medication instructions from parents were followed without signed written dosage instructions received from physician or authorized health professional. Parental authorization was written for Hydrocortisone Cream on 8/15/2024 for a child one year of age. The manufacturers instructions on the Hydrocortisone cream indicated "children under 2 yrs of age: consult a doctor." A doctor's note to administer the Hydrocortisone Cream to the child one year of age was not obtained. 10A NCAC 09 .0803(5) 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 #5, the parental authorization for a child's Aquaphor cream expired on 10/18/2024. .0803(12) 856 The indoor and/or outdoor premises was not checked once a day, prior to initial use, ensuring debris, and broken equipment was removed and disposed of. Broken, cracked toys including two plastic shovels, a plastic plate, and two plastic sand toys were observed on the playground for preschool children after children had already utilized the playground that day. 10A NCAC 09 .0604(p) 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. The last monthly playground inspection was completed on 2/14/2024 by Mary Lackey. .0605(q) 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. The most recent review of the Emergency Medical Care Plan was documented as completed on 1/9/2024 with six staff members and 3/23/2023 with one staff member. 10A NCAC 09 .0802(a) 887 Caregivers did not document compliance with visually checking on sleeping infants aged 12 months or younger and/or the documents were not maintained for a minimum of one month. On 2/21/2025, it was documented that one infant was visually checked at 12:50pm and not again until 1:10pm while sleeping. On 2/18/2025, five visual sleep checks that were documented at 11:30am, 11:45am, 12:00pm, 12:15pm, and 12:30pm for one child did not include the child's sleep position. On 2/21/2025, six visual sleep checks that were documented at 12:20pm, 12:35pm, 12:50pm, 1:10pm, 1:25pm, and 1:40pm for one child did not include the child's sleep position or the teacher's initials. .0606(g) 892 The center's safe sleep policy was not posted in a prominent place in the infant room where parents and caregivers were able to view daily. In space #2, the classroom for infants, the facilities safe sleep policy was not posted. .0606(b) 1044 Prior to the expiration date of the qualification letter, the child care provider did not complete and submit required forms to complete a criminal background check (a qualification letter is valid for a maximum of five years for the date of issuance). The Criminal Background Check qualification letter for Gail Piercy, employed on 1/8/2024, expired on 2/3/2025. G.S. 110-90.2(b) & .2703(n)&(o) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. One staff member employed on 2/3/2025 did not receive 6 hours of orientation training until 2/21/2025. One staff member employed on 2/4/2025 did not receive 6 hours of orientation training until 2/21/2025. One staff member employed on 10/22/2024 and one staff member employed on 11/18/2024 did not receive 16 hours of orientation training in all required topics within the first six weeks of employment. Documentation of orientation required within six weeks of employment for these staff members was not on file available for review. One staff member employed on 10/31/2024 had orientation training documented as completed on 11/6/2024 and 2/6/2025, however, the hours completed for each topic were not recorded. .1101(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 staff member employed on 11/18/2024 did not complete First Aid training within 90 days of employment. .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 staff member employed on 11/18/2024 did not complete cardiopulmonary resuscitation (CPR) training within 90 days of employment. .1102(d) 1233 Each employee's personnel file did not contain a signed and dated statement that they received a job description and that they have received personnel and operational policies. Six new staff members employed between 10/22/2024 through 2/14/2025 did not have the operational and personnel policies signed acknowledgement on file for review. 10A NCAC 09 .0514(g) 1320 Children's records that include an application for enrollment, medical and immunization records, and permission to seek emergency medical care was not on file for each child. One child enrolled on 9/2/2024 did not have a medical exam on file for review. GS 110-91(1);.0302(d)(2); .0304(g) 1757 A valid qualification letter was not on file and available to review at the facility. The current Criminal Background Check qualification letter for Gail Piercy, employed on 1/8/2024, was not on file available for review. G.S. 110-90.2(b) & (d) & .2703(e) 1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. The new administrator, employed on 1/8/2024 completed Emergency Preparedness and Response (EPR) training on 3/20/2024. The facilities existing EPR Plan was not updated or reviewed with staff within four months of completion of the Emergency Preparedness and Response in Child Care training. .0607(e) 1830 Potential biocontaminants were not stored properly (locked storage, removed from premises, inaccessible to children, or covered plastic lined receptacle). In space #4, a trash can containing soiled diapers and soiled wipes with feces did not have a lid to cover the trash can. .0604(v) 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. Six new staff members employed between 10/22/2024 through 2/14/2025 did not have the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy signed acknowledgement on file for review. .0608(d)(1-4) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. One staff member employed on 11/18/2024 did not complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. One staff member employed on 10/31/2024 did not complete Recognizing and Responding to Suspicions of Child Maltreatment training until 2/18/2025. .1102(g) 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. All five children's records reviewed did not include a signed acknowledgement from the parents indicating receipt of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy. .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 March 12, 2025. Please send your letter to Kristen.Mauney@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. Please be aware that any information submitted by you is considered legal documentation. If you state in your violation correction letter that corrections have been made when they have not, it will be considered falsification of information. Due to the number of violations cited, an unannounced follow-up visit may be conducted in the near future and an administrative action may be recommended. Technical Assistance was provided on the following: Criminal Background Checks- I suggested that you begin the process for a criminal background recheck within six months of the expiration date. As a reminder, criminal background check qualification is valid for five years. A valid criminal background check qualification letter must be on file for each employee and must be made available for review. Ms. Piercy must begin the criminal background recheck process immediately in order to obtain a qualification letter by March 12, 2025. You may review this process by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/Home/DCDEE-Sections/Criminal-Background-Check-Unit. Storage of Medication- Medications including prescription and non-prescription items shall be stored in a locked cabinet or other locked container and shall not be stored above food. Designated emergency medications shall be kept inaccessible to children, but are not required to be in locked storage. Non-prescription diaper creams and sunscreen shall be kept inaccessible to children when not in use, but are not required to be in locked storage. “Inaccessible to children” is defined as a vertical distance of at least five feet from the finished floor. I suggested that you and staff conduct safety checks of each classroom to ensure all medications are stored appropriately. Medications- I suggested that you review all medications to ensure the medication has not expired, the authorization from the parent has not expired and that the manufacturer’s instructions on the medication are followed in conjunction with the instructions from the parent. I suggested that you instruct staff to complete monthly checks of medications to ensure compliance with all medication requirements. Any medication remaining after the course of treatment is completed, after authorization is withdrawn or after authorization has expired shall 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, shall be discarded. Safe Sleep Policy- The facilities safe sleep policy must be posted in each classroom for infants. You made a copy of the policy that was posted in space #1 and posted the policy in space #2 during the visit. You must post the safe sleep policy in every classroom where infants may be throughout the day, including the first and last operating hour of the day. Safe Sleep Checks- Visually checking on sleeping infants every fifteen minutes, per your facilities safe sleep policy, is critical in protecting sleeping infants from sudden infant death syndrome. I suggested that you discuss requirements for safe sleep checks as well as sudden infant death syndrome with all staff, especially all staff who work in the classroom for infants. I suggested utilizing the Caring for Our Children resource book for more information pertaining to safe sleep practices and sudden infant death syndrome. I suggested determining how safe sleep checks will be turned in to administrative staff and create a plan to review safe sleep checks weekly and prior to filing. I suggested that safe sleep checks may be conducted more frequently, such as every ten minutes, and utilizing a timer to assist you with remembering to visually check sleeping infants. Feeding Plans- Written feeding plans for children under fifteen months of age must be posted in the child’s classroom for reference and must be modified as the child's needs change. The feeding instructions for each infant shall include the type and amount of milk, formula and food, the frequency of feedings and be posted for reference by the caregivers. I suggested that staff review feeding plans monthly with parents to request if changes have been made to their child’s feeding habits. I also suggested that you ensure the correct modifications are reflected in the child’s feeding plan prior to the child moving up to the next classroom. Storage of Biocontaminants- In child care centers, biocontaminants shall be: (1) stored in locked areas; (2) removed from the premises; (3) inaccessible to children; or (4) shall be disposed of in a covered, plastic lined receptacle. "Biocontaminant" means blood, bodily fluids, or excretions that may spread infectious disease. I suggested that you purchase a trash can with a hands-free lid for space #4 and any classroom that does not have a trash can with a lid to discard any item containing biocontaminants. Biocontaminants include used tissues, band-aids, soiled diapers, soiled wipes, etc. Handwashing- I reviewed handwashing requirements with you and staff during the visit. I suggested that you reach out to Child Care Connections for training and guidance with handwashing routines for new staff. You may access resources regarding handwashing routines by visiting www.ncrlap.org. The NC Resource Center designs posters to improve health and safety practices in early care and education programs. Early care and education programs can download posters or order them free of cost at https://healthychildcare.unc.edu/resources/posters/. Child care center employees shall ensure that children wash their hands as follows: (1) upon arrival at the child care center; (2) after each diaper change or visit to the toilet; (3) before eating meals or snacks; (4) before and after water play; (5) after being outdoors; and (6) after handling animals or animal cages. (d) Except when the action that necessitates handwashing is diapering and before eating meals or snacks, hand antiseptics may be used in lieu of handwashing while a child is outdoors, provided that the child's hands are washed when the child returns indoors. Activity Plans- I suggested that you complete and print your activity plan for the following week on Friday so that it will be posted each Monday morning. Depending on the age of the children and their developmental needs, a monthly activity plan may be appropriate. I suggested that you reach out to Child Care Connections for training and guidance with activity plans for new staff. Broken toys and equipment- The administrator discarded the broken, cracked toys during the visit. Per Child Care Requirement 10A NCAC 09 .0604(p), you must monitor indoor and outdoor areas prior to children utilizing the playground to ensure debris and broken equipment is discarded. I suggested that each staff member or a designated staff member monitor classrooms and playgrounds each morning to discard trash and any broken items before children arrive or access the playground. Playground inspections- A playground inspection must be completed each month by a trained staff member who has completed Playground Safety training. I suggested completed monthly playground inspections on the same day when monthly fire drills are conducted to ensure compliance with this requirement. Children’s records- I suggested that you utilize the Children’s File Checklist available on the DCDEE website under Provider Documents and Forms to ensure all required documents are on file on or before enrollment or within the required timeframe. I also suggested that you create an acknowledgement form to capture all policies and parent signatures on one page, including the child’s name, enrollment date, and date of parent’s signature. Children’s medical records- Children’s medical exam or health assessment must be received and on file within thirty days of the child’s enrollment. I suggested that you request children’s medical exams and immunization records prior to enrollment to ensure compliance with this requirement. Staff Orientation- Each center shall 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 shall complete six hours of orientation within the first two weeks of employment on required topics. I suggested that you complete 6 hours of new staff orientation on the staff member’s first day of employment, prior to working in a classroom. If possible, complete the remaining 10 hours of orientation within the first week of employment to ensure each new staff member is aware of policies and procedures and to ensure compliance with this requirement. Keep in mind, it is impossible for staff to complete all orientation within one day as sixteen hours of training is required. First Aid/CPR- New staff must complete First Aid and CPR training within 90 days of employment and must renew certification on or before the expiration date. I suggested that you register new staff for First Aid and CPR training as soon as they are hired. First Aid and CPR training must be completed in person by an approved agency. Verification of each staff member's completion of this course from an approved training organization shall be maintained in the staff member's file in the center. You may visit the DCDEE website for a list of approved agencies at https://ncchildcare.ncdhhs.gov/Provider/Training-and-Professional-Development/Health-and-Safety-Trainings/Be-a-Smart-Consumer-of-First-Aid-and-CPR-Training. Staff Records- I suggested that you utilize the Staff File Checklist available on the DCDEE website under Provider Documents and Forms to ensure all required documents are on file prior to employment. I showed you where to access the sample Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy along with acknowledgment forms and you printed these during the visit. I also suggested that you create an acknowledgement form to capture the facilities policies and staff signatures on one page. Operational and Personnel policies/handbooks- You stated the handbooks are currently being revised by the church board. I suggested that you review the previous versions of your policies with six new staff members until the policies are revised, then review the revised policies with all staff members. The review of policies must be completed during orientation training and a signed acknowledgement from each staff member must be obtained. Recognizing and Responding to Suspicions of Child Maltreatment training- New staff must complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. I suggested that you have staff complete this training within the first two weeks of employment, in conjunction with orientation, to ensure compliance with this requirement. Emergency Medical Care Plan- Each child care center shall have a written plan that sets forth the steps to follow in the event of a child medical emergency. The plan shall 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. I suggested that you review your Emergency Medical Care Plan (EMCP) and your Emergency Preparedness and Response (EPR) plan at the same time each year with all staff members. I suggested utilizing an acknowledgement form to record when the review takes place and the signatures of each staff member. Emergency Preparedness and Response (EPR)- I suggested utilizing an acknowledgement form to record when the EPR review takes place and the signatures of each staff member. The trained staff shall review the Emergency Preparedness and Response Plan annually, or when information in the plan changes, to ensure all information is current. All staff shall review the center's Emergency Preparedness and Response Plan during orientation and on an annual basis with the trained staff. Documentation of the review shall 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 shall be informed of the child care center's Emergency Preparedness and Response Plan and its location. Documentation of this notice shall be maintained in individual personnel files or in a file designated for emergency preparedness and response plan documents. Consultation: We discussed the following during the visit: -Per Senate Bill 425, facilities are currently held harmless from star rated license assessments. -The snack menu posted in the kitchen and in each classroom listed two months on one page. Both months were labeled "January," however, different menus were recorded for both months. I suggested that you correct the label for the second month listed on this menu. -I suggested that you rake and fluff the rubber mulch on the playground for preschool children in fall zone areas extending six feet from the equipment. Mulch had been pushed below the equipment and beyond the six-foot perimeter fall zone area. -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 on 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. Reminders and Resources: -Providers can speak to a Behavior Support Advisor for advice and resources specific to the challenging behaviors in their classroom by calling 1-888-600-1685 Option 1. -Moodle Support: The Division offers early childhood professionals a wide range of professional development opportunities through our online learning platform Moodle. As we continue expanding our training offerings, DCDEE has established a new email address and phone number for Moodle support. To get help with Moodle, email at DCDEE_Moodle_Support@dhhs.nc.gov or call (919) 814-6326. Stay up to date with the Division of Child Development and Early Education by visiting 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, at Tammy McGalliard@dhhs.nc.gov. If I can be of further assistance, you may contact me at 704-853-9196. Kristen Mauney, Child Care Consultant PO Box 674, Denver, NC 28037 Kristen.Mauney@dhhs.nc.gov If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

GS 110-91 · Violation

Name of Operation: FIRST BAPTIST CHURCH CHILD DEVELOPMENT CENTER Facility ID: 12000190 Consultant: KRISTEN R. MAUNEY Operation Type: Center Case Number: Visit Date: 2/26/2025 Number Present: 41 Completed Date: 2/26/2025 Age: From 0 To 5 Total Minutes: 418 Time In: 09:47 AM Time Out: 01:05 PM Time In: 01:45 PM Time Out: 05:25 PM List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor your program for compliance with applicable child care requirements for an annual compliance visit, including health and safety. The visit was conducted with you, Gail Piercy, Administrator. You provided me with applicable program, staff, and children’s records for review. The NC Secretary of State website was viewed before the visit and First Baptist Church of Valdese was current/active as of February 26, 2025. This program currently operates with a Five star rated license effective November 4, 2019. The program’s compliance history was 81 percent prior to today’s visit. Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. A checklist was used to note the requirements I monitored today. Children and staff were observed during free play activities indoors and diaper changing routines. The most recent sanitation inspection for your facility was conducted on February 6, 2025. A superior sanitation classification was issued with 14 demerits noted on the grade card. The most recent lead water test results were completed on August 26, 2024. Lead testing must be completed every three years. You may review your facilities results by visiting https://www.cleanwaterforuskids.org/en/carolina/. This website also indicated no asbestos or lead-based paint hazards were identified. The most recent approved fire inspection for your facility was conducted on October 25, 2024. The violations observed today were discussed with you and documented in the handwritten Visit Summary left with you at the conclusion of this visit. The computer-generated visit summary was emailed to you. The following violations were observed: Violation Number Comment Rule 114 A summary of the NC Child Care Law was not given to a parent of every child enrolled in the center. All five children's records reviewed did not include a signed acknowledgement from the parents indicating receipt of the NC Summary of the Law. GS 110-102 405 A child's hands were not washed after each diaper change. In space #4, a child's hands were not washed after their diaper was changed. 15A NCAC 18A .2803(c)(2) 428 A current activity plan was not posted for each group of children for reference. In space #4, an activity plan was not posted. In space #5, the activity plan posted in the classroom was dated "Nov 4-8." GS 110-91(12); .0508(a) 541 The written feeding plan did not include the child's name, parent signature, and/or was not dated when received by the center. In space #2, one child's feeding plan only indicated the child was to be fed formula. Staff reported that this child also eats baby food brought from home. The changes to the child's eating habits were not documented on the feeding plan. .0902(a) 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. A bag of cough drops that belonged to a staff member were observed in an unlocked cabinet in space #5 accessible to children. In space #4, children's diaper rash creams were stored in an unlocked cabinet below the diaper changing table accessible to children. 15A NCAC 18A .2820(d) 847 Parent's medication authorization did not include required information. In space #5, one child's authorization for Boudreaux's Butt Paste did not include when to apply the cream. In space #1, one child's authorization for Boudreaux's Butt Paste did not include the parent's signature. 10A NCAC 09 .0803(4)(6-9) 848 Questionable medication instructions from parents were followed without signed written dosage instructions received from physician or authorized health professional. Parental authorization was written for Hydrocortisone Cream on 8/15/2024 for a child one year of age. The manufacturers instructions on the Hydrocortisone cream indicated "children under 2 yrs of age: consult a doctor." A doctor's note to administer the Hydrocortisone Cream to the child one year of age was not obtained. 10A NCAC 09 .0803(5) 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 #5, the parental authorization for a child's Aquaphor cream expired on 10/18/2024. .0803(12) 856 The indoor and/or outdoor premises was not checked once a day, prior to initial use, ensuring debris, and broken equipment was removed and disposed of. Broken, cracked toys including two plastic shovels, a plastic plate, and two plastic sand toys were observed on the playground for preschool children after children had already utilized the playground that day. 10A NCAC 09 .0604(p) 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. The last monthly playground inspection was completed on 2/14/2024 by Mary Lackey. .0605(q) 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. The most recent review of the Emergency Medical Care Plan was documented as completed on 1/9/2024 with six staff members and 3/23/2023 with one staff member. 10A NCAC 09 .0802(a) 887 Caregivers did not document compliance with visually checking on sleeping infants aged 12 months or younger and/or the documents were not maintained for a minimum of one month. On 2/21/2025, it was documented that one infant was visually checked at 12:50pm and not again until 1:10pm while sleeping. On 2/18/2025, five visual sleep checks that were documented at 11:30am, 11:45am, 12:00pm, 12:15pm, and 12:30pm for one child did not include the child's sleep position. On 2/21/2025, six visual sleep checks that were documented at 12:20pm, 12:35pm, 12:50pm, 1:10pm, 1:25pm, and 1:40pm for one child did not include the child's sleep position or the teacher's initials. .0606(g) 892 The center's safe sleep policy was not posted in a prominent place in the infant room where parents and caregivers were able to view daily. In space #2, the classroom for infants, the facilities safe sleep policy was not posted. .0606(b) 1044 Prior to the expiration date of the qualification letter, the child care provider did not complete and submit required forms to complete a criminal background check (a qualification letter is valid for a maximum of five years for the date of issuance). The Criminal Background Check qualification letter for Gail Piercy, employed on 1/8/2024, expired on 2/3/2025. G.S. 110-90.2(b) & .2703(n)&(o) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. One staff member employed on 2/3/2025 did not receive 6 hours of orientation training until 2/21/2025. One staff member employed on 2/4/2025 did not receive 6 hours of orientation training until 2/21/2025. One staff member employed on 10/22/2024 and one staff member employed on 11/18/2024 did not receive 16 hours of orientation training in all required topics within the first six weeks of employment. Documentation of orientation required within six weeks of employment for these staff members was not on file available for review. One staff member employed on 10/31/2024 had orientation training documented as completed on 11/6/2024 and 2/6/2025, however, the hours completed for each topic were not recorded. .1101(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 staff member employed on 11/18/2024 did not complete First Aid training within 90 days of employment. .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 staff member employed on 11/18/2024 did not complete cardiopulmonary resuscitation (CPR) training within 90 days of employment. .1102(d) 1233 Each employee's personnel file did not contain a signed and dated statement that they received a job description and that they have received personnel and operational policies. Six new staff members employed between 10/22/2024 through 2/14/2025 did not have the operational and personnel policies signed acknowledgement on file for review. 10A NCAC 09 .0514(g) 1320 Children's records that include an application for enrollment, medical and immunization records, and permission to seek emergency medical care was not on file for each child. One child enrolled on 9/2/2024 did not have a medical exam on file for review. GS 110-91(1);.0302(d)(2); .0304(g) 1757 A valid qualification letter was not on file and available to review at the facility. The current Criminal Background Check qualification letter for Gail Piercy, employed on 1/8/2024, was not on file available for review. G.S. 110-90.2(b) & (d) & .2703(e) 1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. The new administrator, employed on 1/8/2024 completed Emergency Preparedness and Response (EPR) training on 3/20/2024. The facilities existing EPR Plan was not updated or reviewed with staff within four months of completion of the Emergency Preparedness and Response in Child Care training. .0607(e) 1830 Potential biocontaminants were not stored properly (locked storage, removed from premises, inaccessible to children, or covered plastic lined receptacle). In space #4, a trash can containing soiled diapers and soiled wipes with feces did not have a lid to cover the trash can. .0604(v) 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. Six new staff members employed between 10/22/2024 through 2/14/2025 did not have the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy signed acknowledgement on file for review. .0608(d)(1-4) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. One staff member employed on 11/18/2024 did not complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. One staff member employed on 10/31/2024 did not complete Recognizing and Responding to Suspicions of Child Maltreatment training until 2/18/2025. .1102(g) 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. All five children's records reviewed did not include a signed acknowledgement from the parents indicating receipt of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy. .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 March 12, 2025. Please send your letter to Kristen.Mauney@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. Please be aware that any information submitted by you is considered legal documentation. If you state in your violation correction letter that corrections have been made when they have not, it will be considered falsification of information. Due to the number of violations cited, an unannounced follow-up visit may be conducted in the near future and an administrative action may be recommended. Technical Assistance was provided on the following: Criminal Background Checks- I suggested that you begin the process for a criminal background recheck within six months of the expiration date. As a reminder, criminal background check qualification is valid for five years. A valid criminal background check qualification letter must be on file for each employee and must be made available for review. Ms. Piercy must begin the criminal background recheck process immediately in order to obtain a qualification letter by March 12, 2025. You may review this process by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/Home/DCDEE-Sections/Criminal-Background-Check-Unit. Storage of Medication- Medications including prescription and non-prescription items shall be stored in a locked cabinet or other locked container and shall not be stored above food. Designated emergency medications shall be kept inaccessible to children, but are not required to be in locked storage. Non-prescription diaper creams and sunscreen shall be kept inaccessible to children when not in use, but are not required to be in locked storage. “Inaccessible to children” is defined as a vertical distance of at least five feet from the finished floor. I suggested that you and staff conduct safety checks of each classroom to ensure all medications are stored appropriately. Medications- I suggested that you review all medications to ensure the medication has not expired, the authorization from the parent has not expired and that the manufacturer’s instructions on the medication are followed in conjunction with the instructions from the parent. I suggested that you instruct staff to complete monthly checks of medications to ensure compliance with all medication requirements. Any medication remaining after the course of treatment is completed, after authorization is withdrawn or after authorization has expired shall 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, shall be discarded. Safe Sleep Policy- The facilities safe sleep policy must be posted in each classroom for infants. You made a copy of the policy that was posted in space #1 and posted the policy in space #2 during the visit. You must post the safe sleep policy in every classroom where infants may be throughout the day, including the first and last operating hour of the day. Safe Sleep Checks- Visually checking on sleeping infants every fifteen minutes, per your facilities safe sleep policy, is critical in protecting sleeping infants from sudden infant death syndrome. I suggested that you discuss requirements for safe sleep checks as well as sudden infant death syndrome with all staff, especially all staff who work in the classroom for infants. I suggested utilizing the Caring for Our Children resource book for more information pertaining to safe sleep practices and sudden infant death syndrome. I suggested determining how safe sleep checks will be turned in to administrative staff and create a plan to review safe sleep checks weekly and prior to filing. I suggested that safe sleep checks may be conducted more frequently, such as every ten minutes, and utilizing a timer to assist you with remembering to visually check sleeping infants. Feeding Plans- Written feeding plans for children under fifteen months of age must be posted in the child’s classroom for reference and must be modified as the child's needs change. The feeding instructions for each infant shall include the type and amount of milk, formula and food, the frequency of feedings and be posted for reference by the caregivers. I suggested that staff review feeding plans monthly with parents to request if changes have been made to their child’s feeding habits. I also suggested that you ensure the correct modifications are reflected in the child’s feeding plan prior to the child moving up to the next classroom. Storage of Biocontaminants- In child care centers, biocontaminants shall be: (1) stored in locked areas; (2) removed from the premises; (3) inaccessible to children; or (4) shall be disposed of in a covered, plastic lined receptacle. "Biocontaminant" means blood, bodily fluids, or excretions that may spread infectious disease. I suggested that you purchase a trash can with a hands-free lid for space #4 and any classroom that does not have a trash can with a lid to discard any item containing biocontaminants. Biocontaminants include used tissues, band-aids, soiled diapers, soiled wipes, etc. Handwashing- I reviewed handwashing requirements with you and staff during the visit. I suggested that you reach out to Child Care Connections for training and guidance with handwashing routines for new staff. You may access resources regarding handwashing routines by visiting www.ncrlap.org. The NC Resource Center designs posters to improve health and safety practices in early care and education programs. Early care and education programs can download posters or order them free of cost at https://healthychildcare.unc.edu/resources/posters/. Child care center employees shall ensure that children wash their hands as follows: (1) upon arrival at the child care center; (2) after each diaper change or visit to the toilet; (3) before eating meals or snacks; (4) before and after water play; (5) after being outdoors; and (6) after handling animals or animal cages. (d) Except when the action that necessitates handwashing is diapering and before eating meals or snacks, hand antiseptics may be used in lieu of handwashing while a child is outdoors, provided that the child's hands are washed when the child returns indoors. Activity Plans- I suggested that you complete and print your activity plan for the following week on Friday so that it will be posted each Monday morning. Depending on the age of the children and their developmental needs, a monthly activity plan may be appropriate. I suggested that you reach out to Child Care Connections for training and guidance with activity plans for new staff. Broken toys and equipment- The administrator discarded the broken, cracked toys during the visit. Per Child Care Requirement 10A NCAC 09 .0604(p), you must monitor indoor and outdoor areas prior to children utilizing the playground to ensure debris and broken equipment is discarded. I suggested that each staff member or a designated staff member monitor classrooms and playgrounds each morning to discard trash and any broken items before children arrive or access the playground. Playground inspections- A playground inspection must be completed each month by a trained staff member who has completed Playground Safety training. I suggested completed monthly playground inspections on the same day when monthly fire drills are conducted to ensure compliance with this requirement. Children’s records- I suggested that you utilize the Children’s File Checklist available on the DCDEE website under Provider Documents and Forms to ensure all required documents are on file on or before enrollment or within the required timeframe. I also suggested that you create an acknowledgement form to capture all policies and parent signatures on one page, including the child’s name, enrollment date, and date of parent’s signature. Children’s medical records- Children’s medical exam or health assessment must be received and on file within thirty days of the child’s enrollment. I suggested that you request children’s medical exams and immunization records prior to enrollment to ensure compliance with this requirement. Staff Orientation- Each center shall 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 shall complete six hours of orientation within the first two weeks of employment on required topics. I suggested that you complete 6 hours of new staff orientation on the staff member’s first day of employment, prior to working in a classroom. If possible, complete the remaining 10 hours of orientation within the first week of employment to ensure each new staff member is aware of policies and procedures and to ensure compliance with this requirement. Keep in mind, it is impossible for staff to complete all orientation within one day as sixteen hours of training is required. First Aid/CPR- New staff must complete First Aid and CPR training within 90 days of employment and must renew certification on or before the expiration date. I suggested that you register new staff for First Aid and CPR training as soon as they are hired. First Aid and CPR training must be completed in person by an approved agency. Verification of each staff member's completion of this course from an approved training organization shall be maintained in the staff member's file in the center. You may visit the DCDEE website for a list of approved agencies at https://ncchildcare.ncdhhs.gov/Provider/Training-and-Professional-Development/Health-and-Safety-Trainings/Be-a-Smart-Consumer-of-First-Aid-and-CPR-Training. Staff Records- I suggested that you utilize the Staff File Checklist available on the DCDEE website under Provider Documents and Forms to ensure all required documents are on file prior to employment. I showed you where to access the sample Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy along with acknowledgment forms and you printed these during the visit. I also suggested that you create an acknowledgement form to capture the facilities policies and staff signatures on one page. Operational and Personnel policies/handbooks- You stated the handbooks are currently being revised by the church board. I suggested that you review the previous versions of your policies with six new staff members until the policies are revised, then review the revised policies with all staff members. The review of policies must be completed during orientation training and a signed acknowledgement from each staff member must be obtained. Recognizing and Responding to Suspicions of Child Maltreatment training- New staff must complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. I suggested that you have staff complete this training within the first two weeks of employment, in conjunction with orientation, to ensure compliance with this requirement. Emergency Medical Care Plan- Each child care center shall have a written plan that sets forth the steps to follow in the event of a child medical emergency. The plan shall 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. I suggested that you review your Emergency Medical Care Plan (EMCP) and your Emergency Preparedness and Response (EPR) plan at the same time each year with all staff members. I suggested utilizing an acknowledgement form to record when the review takes place and the signatures of each staff member. Emergency Preparedness and Response (EPR)- I suggested utilizing an acknowledgement form to record when the EPR review takes place and the signatures of each staff member. The trained staff shall review the Emergency Preparedness and Response Plan annually, or when information in the plan changes, to ensure all information is current. All staff shall review the center's Emergency Preparedness and Response Plan during orientation and on an annual basis with the trained staff. Documentation of the review shall 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 shall be informed of the child care center's Emergency Preparedness and Response Plan and its location. Documentation of this notice shall be maintained in individual personnel files or in a file designated for emergency preparedness and response plan documents. Consultation: We discussed the following during the visit: -Per Senate Bill 425, facilities are currently held harmless from star rated license assessments. -The snack menu posted in the kitchen and in each classroom listed two months on one page. Both months were labeled "January," however, different menus were recorded for both months. I suggested that you correct the label for the second month listed on this menu. -I suggested that you rake and fluff the rubber mulch on the playground for preschool children in fall zone areas extending six feet from the equipment. Mulch had been pushed below the equipment and beyond the six-foot perimeter fall zone area. -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 on 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. Reminders and Resources: -Providers can speak to a Behavior Support Advisor for advice and resources specific to the challenging behaviors in their classroom by calling 1-888-600-1685 Option 1. -Moodle Support: The Division offers early childhood professionals a wide range of professional development opportunities through our online learning platform Moodle. As we continue expanding our training offerings, DCDEE has established a new email address and phone number for Moodle support. To get help with Moodle, email at DCDEE_Moodle_Support@dhhs.nc.gov or call (919) 814-6326. Stay up to date with the Division of Child Development and Early Education by visiting 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, at Tammy McGalliard@dhhs.nc.gov. If I can be of further assistance, you may contact me at 704-853-9196. Kristen Mauney, Child Care Consultant PO Box 674, Denver, NC 28037 Kristen.Mauney@dhhs.nc.gov If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

NC GS 110-90 · Violation

Name of Operation: FIRST BAPTIST CHURCH CHILD DEVELOPMENT CENTER Facility ID: 12000190 Consultant: KRISTEN R. MAUNEY Operation Type: Center Case Number: Visit Date: 2/26/2025 Number Present: 41 Completed Date: 2/26/2025 Age: From 0 To 5 Total Minutes: 418 Time In: 09:47 AM Time Out: 01:05 PM Time In: 01:45 PM Time Out: 05:25 PM List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor your program for compliance with applicable child care requirements for an annual compliance visit, including health and safety. The visit was conducted with you, Gail Piercy, Administrator. You provided me with applicable program, staff, and children’s records for review. The NC Secretary of State website was viewed before the visit and First Baptist Church of Valdese was current/active as of February 26, 2025. This program currently operates with a Five star rated license effective November 4, 2019. The program’s compliance history was 81 percent prior to today’s visit. Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. A checklist was used to note the requirements I monitored today. Children and staff were observed during free play activities indoors and diaper changing routines. The most recent sanitation inspection for your facility was conducted on February 6, 2025. A superior sanitation classification was issued with 14 demerits noted on the grade card. The most recent lead water test results were completed on August 26, 2024. Lead testing must be completed every three years. You may review your facilities results by visiting https://www.cleanwaterforuskids.org/en/carolina/. This website also indicated no asbestos or lead-based paint hazards were identified. The most recent approved fire inspection for your facility was conducted on October 25, 2024. The violations observed today were discussed with you and documented in the handwritten Visit Summary left with you at the conclusion of this visit. The computer-generated visit summary was emailed to you. The following violations were observed: Violation Number Comment Rule 114 A summary of the NC Child Care Law was not given to a parent of every child enrolled in the center. All five children's records reviewed did not include a signed acknowledgement from the parents indicating receipt of the NC Summary of the Law. GS 110-102 405 A child's hands were not washed after each diaper change. In space #4, a child's hands were not washed after their diaper was changed. 15A NCAC 18A .2803(c)(2) 428 A current activity plan was not posted for each group of children for reference. In space #4, an activity plan was not posted. In space #5, the activity plan posted in the classroom was dated "Nov 4-8." GS 110-91(12); .0508(a) 541 The written feeding plan did not include the child's name, parent signature, and/or was not dated when received by the center. In space #2, one child's feeding plan only indicated the child was to be fed formula. Staff reported that this child also eats baby food brought from home. The changes to the child's eating habits were not documented on the feeding plan. .0902(a) 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. A bag of cough drops that belonged to a staff member were observed in an unlocked cabinet in space #5 accessible to children. In space #4, children's diaper rash creams were stored in an unlocked cabinet below the diaper changing table accessible to children. 15A NCAC 18A .2820(d) 847 Parent's medication authorization did not include required information. In space #5, one child's authorization for Boudreaux's Butt Paste did not include when to apply the cream. In space #1, one child's authorization for Boudreaux's Butt Paste did not include the parent's signature. 10A NCAC 09 .0803(4)(6-9) 848 Questionable medication instructions from parents were followed without signed written dosage instructions received from physician or authorized health professional. Parental authorization was written for Hydrocortisone Cream on 8/15/2024 for a child one year of age. The manufacturers instructions on the Hydrocortisone cream indicated "children under 2 yrs of age: consult a doctor." A doctor's note to administer the Hydrocortisone Cream to the child one year of age was not obtained. 10A NCAC 09 .0803(5) 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 #5, the parental authorization for a child's Aquaphor cream expired on 10/18/2024. .0803(12) 856 The indoor and/or outdoor premises was not checked once a day, prior to initial use, ensuring debris, and broken equipment was removed and disposed of. Broken, cracked toys including two plastic shovels, a plastic plate, and two plastic sand toys were observed on the playground for preschool children after children had already utilized the playground that day. 10A NCAC 09 .0604(p) 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. The last monthly playground inspection was completed on 2/14/2024 by Mary Lackey. .0605(q) 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. The most recent review of the Emergency Medical Care Plan was documented as completed on 1/9/2024 with six staff members and 3/23/2023 with one staff member. 10A NCAC 09 .0802(a) 887 Caregivers did not document compliance with visually checking on sleeping infants aged 12 months or younger and/or the documents were not maintained for a minimum of one month. On 2/21/2025, it was documented that one infant was visually checked at 12:50pm and not again until 1:10pm while sleeping. On 2/18/2025, five visual sleep checks that were documented at 11:30am, 11:45am, 12:00pm, 12:15pm, and 12:30pm for one child did not include the child's sleep position. On 2/21/2025, six visual sleep checks that were documented at 12:20pm, 12:35pm, 12:50pm, 1:10pm, 1:25pm, and 1:40pm for one child did not include the child's sleep position or the teacher's initials. .0606(g) 892 The center's safe sleep policy was not posted in a prominent place in the infant room where parents and caregivers were able to view daily. In space #2, the classroom for infants, the facilities safe sleep policy was not posted. .0606(b) 1044 Prior to the expiration date of the qualification letter, the child care provider did not complete and submit required forms to complete a criminal background check (a qualification letter is valid for a maximum of five years for the date of issuance). The Criminal Background Check qualification letter for Gail Piercy, employed on 1/8/2024, expired on 2/3/2025. G.S. 110-90.2(b) & .2703(n)&(o) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. One staff member employed on 2/3/2025 did not receive 6 hours of orientation training until 2/21/2025. One staff member employed on 2/4/2025 did not receive 6 hours of orientation training until 2/21/2025. One staff member employed on 10/22/2024 and one staff member employed on 11/18/2024 did not receive 16 hours of orientation training in all required topics within the first six weeks of employment. Documentation of orientation required within six weeks of employment for these staff members was not on file available for review. One staff member employed on 10/31/2024 had orientation training documented as completed on 11/6/2024 and 2/6/2025, however, the hours completed for each topic were not recorded. .1101(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 staff member employed on 11/18/2024 did not complete First Aid training within 90 days of employment. .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 staff member employed on 11/18/2024 did not complete cardiopulmonary resuscitation (CPR) training within 90 days of employment. .1102(d) 1233 Each employee's personnel file did not contain a signed and dated statement that they received a job description and that they have received personnel and operational policies. Six new staff members employed between 10/22/2024 through 2/14/2025 did not have the operational and personnel policies signed acknowledgement on file for review. 10A NCAC 09 .0514(g) 1320 Children's records that include an application for enrollment, medical and immunization records, and permission to seek emergency medical care was not on file for each child. One child enrolled on 9/2/2024 did not have a medical exam on file for review. GS 110-91(1);.0302(d)(2); .0304(g) 1757 A valid qualification letter was not on file and available to review at the facility. The current Criminal Background Check qualification letter for Gail Piercy, employed on 1/8/2024, was not on file available for review. G.S. 110-90.2(b) & (d) & .2703(e) 1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. The new administrator, employed on 1/8/2024 completed Emergency Preparedness and Response (EPR) training on 3/20/2024. The facilities existing EPR Plan was not updated or reviewed with staff within four months of completion of the Emergency Preparedness and Response in Child Care training. .0607(e) 1830 Potential biocontaminants were not stored properly (locked storage, removed from premises, inaccessible to children, or covered plastic lined receptacle). In space #4, a trash can containing soiled diapers and soiled wipes with feces did not have a lid to cover the trash can. .0604(v) 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. Six new staff members employed between 10/22/2024 through 2/14/2025 did not have the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy signed acknowledgement on file for review. .0608(d)(1-4) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. One staff member employed on 11/18/2024 did not complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. One staff member employed on 10/31/2024 did not complete Recognizing and Responding to Suspicions of Child Maltreatment training until 2/18/2025. .1102(g) 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. All five children's records reviewed did not include a signed acknowledgement from the parents indicating receipt of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy. .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 March 12, 2025. Please send your letter to Kristen.Mauney@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. Please be aware that any information submitted by you is considered legal documentation. If you state in your violation correction letter that corrections have been made when they have not, it will be considered falsification of information. Due to the number of violations cited, an unannounced follow-up visit may be conducted in the near future and an administrative action may be recommended. Technical Assistance was provided on the following: Criminal Background Checks- I suggested that you begin the process for a criminal background recheck within six months of the expiration date. As a reminder, criminal background check qualification is valid for five years. A valid criminal background check qualification letter must be on file for each employee and must be made available for review. Ms. Piercy must begin the criminal background recheck process immediately in order to obtain a qualification letter by March 12, 2025. You may review this process by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/Home/DCDEE-Sections/Criminal-Background-Check-Unit. Storage of Medication- Medications including prescription and non-prescription items shall be stored in a locked cabinet or other locked container and shall not be stored above food. Designated emergency medications shall be kept inaccessible to children, but are not required to be in locked storage. Non-prescription diaper creams and sunscreen shall be kept inaccessible to children when not in use, but are not required to be in locked storage. “Inaccessible to children” is defined as a vertical distance of at least five feet from the finished floor. I suggested that you and staff conduct safety checks of each classroom to ensure all medications are stored appropriately. Medications- I suggested that you review all medications to ensure the medication has not expired, the authorization from the parent has not expired and that the manufacturer’s instructions on the medication are followed in conjunction with the instructions from the parent. I suggested that you instruct staff to complete monthly checks of medications to ensure compliance with all medication requirements. Any medication remaining after the course of treatment is completed, after authorization is withdrawn or after authorization has expired shall 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, shall be discarded. Safe Sleep Policy- The facilities safe sleep policy must be posted in each classroom for infants. You made a copy of the policy that was posted in space #1 and posted the policy in space #2 during the visit. You must post the safe sleep policy in every classroom where infants may be throughout the day, including the first and last operating hour of the day. Safe Sleep Checks- Visually checking on sleeping infants every fifteen minutes, per your facilities safe sleep policy, is critical in protecting sleeping infants from sudden infant death syndrome. I suggested that you discuss requirements for safe sleep checks as well as sudden infant death syndrome with all staff, especially all staff who work in the classroom for infants. I suggested utilizing the Caring for Our Children resource book for more information pertaining to safe sleep practices and sudden infant death syndrome. I suggested determining how safe sleep checks will be turned in to administrative staff and create a plan to review safe sleep checks weekly and prior to filing. I suggested that safe sleep checks may be conducted more frequently, such as every ten minutes, and utilizing a timer to assist you with remembering to visually check sleeping infants. Feeding Plans- Written feeding plans for children under fifteen months of age must be posted in the child’s classroom for reference and must be modified as the child's needs change. The feeding instructions for each infant shall include the type and amount of milk, formula and food, the frequency of feedings and be posted for reference by the caregivers. I suggested that staff review feeding plans monthly with parents to request if changes have been made to their child’s feeding habits. I also suggested that you ensure the correct modifications are reflected in the child’s feeding plan prior to the child moving up to the next classroom. Storage of Biocontaminants- In child care centers, biocontaminants shall be: (1) stored in locked areas; (2) removed from the premises; (3) inaccessible to children; or (4) shall be disposed of in a covered, plastic lined receptacle. "Biocontaminant" means blood, bodily fluids, or excretions that may spread infectious disease. I suggested that you purchase a trash can with a hands-free lid for space #4 and any classroom that does not have a trash can with a lid to discard any item containing biocontaminants. Biocontaminants include used tissues, band-aids, soiled diapers, soiled wipes, etc. Handwashing- I reviewed handwashing requirements with you and staff during the visit. I suggested that you reach out to Child Care Connections for training and guidance with handwashing routines for new staff. You may access resources regarding handwashing routines by visiting www.ncrlap.org. The NC Resource Center designs posters to improve health and safety practices in early care and education programs. Early care and education programs can download posters or order them free of cost at https://healthychildcare.unc.edu/resources/posters/. Child care center employees shall ensure that children wash their hands as follows: (1) upon arrival at the child care center; (2) after each diaper change or visit to the toilet; (3) before eating meals or snacks; (4) before and after water play; (5) after being outdoors; and (6) after handling animals or animal cages. (d) Except when the action that necessitates handwashing is diapering and before eating meals or snacks, hand antiseptics may be used in lieu of handwashing while a child is outdoors, provided that the child's hands are washed when the child returns indoors. Activity Plans- I suggested that you complete and print your activity plan for the following week on Friday so that it will be posted each Monday morning. Depending on the age of the children and their developmental needs, a monthly activity plan may be appropriate. I suggested that you reach out to Child Care Connections for training and guidance with activity plans for new staff. Broken toys and equipment- The administrator discarded the broken, cracked toys during the visit. Per Child Care Requirement 10A NCAC 09 .0604(p), you must monitor indoor and outdoor areas prior to children utilizing the playground to ensure debris and broken equipment is discarded. I suggested that each staff member or a designated staff member monitor classrooms and playgrounds each morning to discard trash and any broken items before children arrive or access the playground. Playground inspections- A playground inspection must be completed each month by a trained staff member who has completed Playground Safety training. I suggested completed monthly playground inspections on the same day when monthly fire drills are conducted to ensure compliance with this requirement. Children’s records- I suggested that you utilize the Children’s File Checklist available on the DCDEE website under Provider Documents and Forms to ensure all required documents are on file on or before enrollment or within the required timeframe. I also suggested that you create an acknowledgement form to capture all policies and parent signatures on one page, including the child’s name, enrollment date, and date of parent’s signature. Children’s medical records- Children’s medical exam or health assessment must be received and on file within thirty days of the child’s enrollment. I suggested that you request children’s medical exams and immunization records prior to enrollment to ensure compliance with this requirement. Staff Orientation- Each center shall 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 shall complete six hours of orientation within the first two weeks of employment on required topics. I suggested that you complete 6 hours of new staff orientation on the staff member’s first day of employment, prior to working in a classroom. If possible, complete the remaining 10 hours of orientation within the first week of employment to ensure each new staff member is aware of policies and procedures and to ensure compliance with this requirement. Keep in mind, it is impossible for staff to complete all orientation within one day as sixteen hours of training is required. First Aid/CPR- New staff must complete First Aid and CPR training within 90 days of employment and must renew certification on or before the expiration date. I suggested that you register new staff for First Aid and CPR training as soon as they are hired. First Aid and CPR training must be completed in person by an approved agency. Verification of each staff member's completion of this course from an approved training organization shall be maintained in the staff member's file in the center. You may visit the DCDEE website for a list of approved agencies at https://ncchildcare.ncdhhs.gov/Provider/Training-and-Professional-Development/Health-and-Safety-Trainings/Be-a-Smart-Consumer-of-First-Aid-and-CPR-Training. Staff Records- I suggested that you utilize the Staff File Checklist available on the DCDEE website under Provider Documents and Forms to ensure all required documents are on file prior to employment. I showed you where to access the sample Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy along with acknowledgment forms and you printed these during the visit. I also suggested that you create an acknowledgement form to capture the facilities policies and staff signatures on one page. Operational and Personnel policies/handbooks- You stated the handbooks are currently being revised by the church board. I suggested that you review the previous versions of your policies with six new staff members until the policies are revised, then review the revised policies with all staff members. The review of policies must be completed during orientation training and a signed acknowledgement from each staff member must be obtained. Recognizing and Responding to Suspicions of Child Maltreatment training- New staff must complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. I suggested that you have staff complete this training within the first two weeks of employment, in conjunction with orientation, to ensure compliance with this requirement. Emergency Medical Care Plan- Each child care center shall have a written plan that sets forth the steps to follow in the event of a child medical emergency. The plan shall 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. I suggested that you review your Emergency Medical Care Plan (EMCP) and your Emergency Preparedness and Response (EPR) plan at the same time each year with all staff members. I suggested utilizing an acknowledgement form to record when the review takes place and the signatures of each staff member. Emergency Preparedness and Response (EPR)- I suggested utilizing an acknowledgement form to record when the EPR review takes place and the signatures of each staff member. The trained staff shall review the Emergency Preparedness and Response Plan annually, or when information in the plan changes, to ensure all information is current. All staff shall review the center's Emergency Preparedness and Response Plan during orientation and on an annual basis with the trained staff. Documentation of the review shall 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 shall be informed of the child care center's Emergency Preparedness and Response Plan and its location. Documentation of this notice shall be maintained in individual personnel files or in a file designated for emergency preparedness and response plan documents. Consultation: We discussed the following during the visit: -Per Senate Bill 425, facilities are currently held harmless from star rated license assessments. -The snack menu posted in the kitchen and in each classroom listed two months on one page. Both months were labeled "January," however, different menus were recorded for both months. I suggested that you correct the label for the second month listed on this menu. -I suggested that you rake and fluff the rubber mulch on the playground for preschool children in fall zone areas extending six feet from the equipment. Mulch had been pushed below the equipment and beyond the six-foot perimeter fall zone area. -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 on 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. Reminders and Resources: -Providers can speak to a Behavior Support Advisor for advice and resources specific to the challenging behaviors in their classroom by calling 1-888-600-1685 Option 1. -Moodle Support: The Division offers early childhood professionals a wide range of professional development opportunities through our online learning platform Moodle. As we continue expanding our training offerings, DCDEE has established a new email address and phone number for Moodle support. To get help with Moodle, email at DCDEE_Moodle_Support@dhhs.nc.gov or call (919) 814-6326. Stay up to date with the Division of Child Development and Early Education by visiting 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, at Tammy McGalliard@dhhs.nc.gov. If I can be of further assistance, you may contact me at 704-853-9196. Kristen Mauney, Child Care Consultant PO Box 674, Denver, NC 28037 Kristen.Mauney@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 .0604 · Violation

Name of Operation: FIRST BAPTIST CHURCH CHILD DEVELOPMENT CENTER Facility ID: 12000190 Consultant: KRISTEN R. MAUNEY Operation Type: Center Case Number: 1124-054L Visit Date: 11/18/2024 Number Present: 51 Completed Date: 11/18/2024 Age: From 0 To 5 Total Minutes: 145 Time In: 02:15 PM Time Out: 04:40 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 alleging violations of child care requirements regarding nurture, care, and treatment of children. The visit was conducted with you, Gail Piercy, administrator. On November 6, 2024, the following allegation was received: There is a concern that children are not treated in a nurturing and caring manner. I conducted a walkthrough of indoor space. Limited monitoring was conducted. Upon my arrival, seventeen children, three to five years of age, and two staff members were exiting an unapproved space, room 310. Seventeen cots were observed in room 310 and staff indicated they used that space for nap today. I observed children and staff during snack, free play activities, and transitioning to outdoors. I discussed the allegation with you and applicable staff during the visit. You and applicable staff had an opportunity to ask questions, state perceptions of the situation and provide pertinent information in response to the allegation. Based on observations, information regarding the allegation concerning nurture, care, and treatment of children was confirmed, therefore the allegation was substantiated. One violation of child care requirements related to the allegation and three violations unrelated to the allegation were observed. Violations and technical assistance were discussed with you and documented in the Visit Summary left with you at the conclusion of this visit. Violation Number Comment Rule 209 Children used space that was not approved. Seventeen children, three to five years of age, and two staff members were observed exiting an unapproved space, room 310. Seventeen cots were observed in room 310 and staff indicated the space was used for nap today, November 18, 2024. GS 110-91(1)&(4-5) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. In an unapproved space, room 310, used by children, one electrical outlet not in use was uncovered and accessible to children below the television. 10A NCAC 09 .0604(c) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. In an unapproved space, room 310, used by children, two 4-gallon buckets of Sherwin Williams interior latex paint and three 1-gallon cans of Valspar interior latex paint were observed in the corner of the room under a table accessible to children. .2820(b) 902 Each child was not attended to in a nurturing and appropriate manner, or in keeping with the child's developmental needs. In space #5, a staff member was observed stating “get off of him”, “sit down”, and “be quiet” in a loud, harsh tone to children two and three years of age. G.S. 110-91(10) 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 December 2, 2024. Please send your letter to Kristen.Mauney@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. If you state in your violation correction letter that corrections have been made when they have not, it will be considered falsification of information. Due to the nature of the violation concerning unapproved space, an unannounced follow-up visit will be conducted. Based on the substantiated complaint, an administrative action may be recommended. Technical Assistance was provided on the following: Nurture, care, and treatment of children- NC GS 110-91(10) states each operator or staff member shall attend to any child in a nurturing and appropriate manner, and in keeping with the child's developmental needs. I suggested that you contact a technical assistant from Child Care Connections at 828-439-2328 and request a technical assistance visit to provide guidance to staff pertaining to appropriate language, interaction, and treatment of children. I also suggested requesting training for your staff pertaining to appropriate language, interaction, and treatment of children. Another suggestion I provided was to visit the NC Rated License Assessment Project website at www.ncrlap.org. Specific trainings that would be beneficial for you and your staff are titled “Language for Learning: Preschoolers” and “Language for Learning: Infants and Toddlers.” Approved space- I reviewed procedures for approving new space with you. I explained that an approved sanitation inspection from Environmental Health, an approved fire inspection from your local Fire Marshal, and an approved building inspection from your local Building Inspector must be completed and sent to me. Once all three inspections are received, a visit will be made to measure the space to determine the number of children allowed per space capacity. Documentation of approval of the space would be provided to you before you would be able to use the space for child care. I informed you that room 310 is not approved to be used by children until this process is completed. I reviewed current space capacity for approved spaces with you and staff during the visit. Electrical Outlets- I suggested that you monitor all spaces throughout the day to ensure all electrical outlets not in use are covered with a safety plug. Instruct staff to check all electrical outlets at the beginning of the day. I reminded you that unapproved space may not be used by children and once the space becomes approved, the space must meet all applicable child care requirements including covering electrical outlets. Storage of Hazardous Products- -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 must be stored in a locked storage room or cabinet. I suggested that you monitor all areas of the child care facility each day to ensure all hazardous products are stored appropriately. I reminded you that unapproved space may not be used by children and once the space becomes approved, the space must meet all applicable sanitation requirements and child care requirements including storage of hazardous products. Consultation: -I reviewed positive staff interaction requirements with you and encouraged you to review these requirements with all staff. 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. Stay up to date with the Division of Child Development by visiting https://ncchildcare.ncdhhs.gov/. This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download provider documents and 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, at Tammy.McGalliard@dhhs.nc.gov. If I can be of further assistance, you may contact me at 704-853-9196. Kristen Mauney, Child Care Consultant PO Box 674, Denver, NC 28037 Kristen.Mauney@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 .1802 · Violation

Name of Operation: FIRST BAPTIST CHURCH CHILD DEVELOPMENT CENTER Facility ID: 12000190 Consultant: KRISTEN R. MAUNEY Operation Type: Center Case Number: 1124-054L Visit Date: 11/18/2024 Number Present: 51 Completed Date: 11/18/2024 Age: From 0 To 5 Total Minutes: 145 Time In: 02:15 PM Time Out: 04:40 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 alleging violations of child care requirements regarding nurture, care, and treatment of children. The visit was conducted with you, Gail Piercy, administrator. On November 6, 2024, the following allegation was received: There is a concern that children are not treated in a nurturing and caring manner. I conducted a walkthrough of indoor space. Limited monitoring was conducted. Upon my arrival, seventeen children, three to five years of age, and two staff members were exiting an unapproved space, room 310. Seventeen cots were observed in room 310 and staff indicated they used that space for nap today. I observed children and staff during snack, free play activities, and transitioning to outdoors. I discussed the allegation with you and applicable staff during the visit. You and applicable staff had an opportunity to ask questions, state perceptions of the situation and provide pertinent information in response to the allegation. Based on observations, information regarding the allegation concerning nurture, care, and treatment of children was confirmed, therefore the allegation was substantiated. One violation of child care requirements related to the allegation and three violations unrelated to the allegation were observed. Violations and technical assistance were discussed with you and documented in the Visit Summary left with you at the conclusion of this visit. Violation Number Comment Rule 209 Children used space that was not approved. Seventeen children, three to five years of age, and two staff members were observed exiting an unapproved space, room 310. Seventeen cots were observed in room 310 and staff indicated the space was used for nap today, November 18, 2024. GS 110-91(1)&(4-5) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. In an unapproved space, room 310, used by children, one electrical outlet not in use was uncovered and accessible to children below the television. 10A NCAC 09 .0604(c) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. In an unapproved space, room 310, used by children, two 4-gallon buckets of Sherwin Williams interior latex paint and three 1-gallon cans of Valspar interior latex paint were observed in the corner of the room under a table accessible to children. .2820(b) 902 Each child was not attended to in a nurturing and appropriate manner, or in keeping with the child's developmental needs. In space #5, a staff member was observed stating “get off of him”, “sit down”, and “be quiet” in a loud, harsh tone to children two and three years of age. G.S. 110-91(10) 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 December 2, 2024. Please send your letter to Kristen.Mauney@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. If you state in your violation correction letter that corrections have been made when they have not, it will be considered falsification of information. Due to the nature of the violation concerning unapproved space, an unannounced follow-up visit will be conducted. Based on the substantiated complaint, an administrative action may be recommended. Technical Assistance was provided on the following: Nurture, care, and treatment of children- NC GS 110-91(10) states each operator or staff member shall attend to any child in a nurturing and appropriate manner, and in keeping with the child's developmental needs. I suggested that you contact a technical assistant from Child Care Connections at 828-439-2328 and request a technical assistance visit to provide guidance to staff pertaining to appropriate language, interaction, and treatment of children. I also suggested requesting training for your staff pertaining to appropriate language, interaction, and treatment of children. Another suggestion I provided was to visit the NC Rated License Assessment Project website at www.ncrlap.org. Specific trainings that would be beneficial for you and your staff are titled “Language for Learning: Preschoolers” and “Language for Learning: Infants and Toddlers.” Approved space- I reviewed procedures for approving new space with you. I explained that an approved sanitation inspection from Environmental Health, an approved fire inspection from your local Fire Marshal, and an approved building inspection from your local Building Inspector must be completed and sent to me. Once all three inspections are received, a visit will be made to measure the space to determine the number of children allowed per space capacity. Documentation of approval of the space would be provided to you before you would be able to use the space for child care. I informed you that room 310 is not approved to be used by children until this process is completed. I reviewed current space capacity for approved spaces with you and staff during the visit. Electrical Outlets- I suggested that you monitor all spaces throughout the day to ensure all electrical outlets not in use are covered with a safety plug. Instruct staff to check all electrical outlets at the beginning of the day. I reminded you that unapproved space may not be used by children and once the space becomes approved, the space must meet all applicable child care requirements including covering electrical outlets. Storage of Hazardous Products- -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 must be stored in a locked storage room or cabinet. I suggested that you monitor all areas of the child care facility each day to ensure all hazardous products are stored appropriately. I reminded you that unapproved space may not be used by children and once the space becomes approved, the space must meet all applicable sanitation requirements and child care requirements including storage of hazardous products. Consultation: -I reviewed positive staff interaction requirements with you and encouraged you to review these requirements with all staff. 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. Stay up to date with the Division of Child Development by visiting https://ncchildcare.ncdhhs.gov/. This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download provider documents and 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, at Tammy.McGalliard@dhhs.nc.gov. If I can be of further assistance, you may contact me at 704-853-9196. Kristen Mauney, Child Care Consultant PO Box 674, Denver, NC 28037 Kristen.Mauney@dhhs.nc.gov If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

G.S. 110-91 · Violation

Name of Operation: FIRST BAPTIST CHURCH CHILD DEVELOPMENT CENTER Facility ID: 12000190 Consultant: KRISTEN R. MAUNEY Operation Type: Center Case Number: 1124-054L Visit Date: 11/18/2024 Number Present: 51 Completed Date: 11/18/2024 Age: From 0 To 5 Total Minutes: 145 Time In: 02:15 PM Time Out: 04:40 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 alleging violations of child care requirements regarding nurture, care, and treatment of children. The visit was conducted with you, Gail Piercy, administrator. On November 6, 2024, the following allegation was received: There is a concern that children are not treated in a nurturing and caring manner. I conducted a walkthrough of indoor space. Limited monitoring was conducted. Upon my arrival, seventeen children, three to five years of age, and two staff members were exiting an unapproved space, room 310. Seventeen cots were observed in room 310 and staff indicated they used that space for nap today. I observed children and staff during snack, free play activities, and transitioning to outdoors. I discussed the allegation with you and applicable staff during the visit. You and applicable staff had an opportunity to ask questions, state perceptions of the situation and provide pertinent information in response to the allegation. Based on observations, information regarding the allegation concerning nurture, care, and treatment of children was confirmed, therefore the allegation was substantiated. One violation of child care requirements related to the allegation and three violations unrelated to the allegation were observed. Violations and technical assistance were discussed with you and documented in the Visit Summary left with you at the conclusion of this visit. Violation Number Comment Rule 209 Children used space that was not approved. Seventeen children, three to five years of age, and two staff members were observed exiting an unapproved space, room 310. Seventeen cots were observed in room 310 and staff indicated the space was used for nap today, November 18, 2024. GS 110-91(1)&(4-5) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. In an unapproved space, room 310, used by children, one electrical outlet not in use was uncovered and accessible to children below the television. 10A NCAC 09 .0604(c) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. In an unapproved space, room 310, used by children, two 4-gallon buckets of Sherwin Williams interior latex paint and three 1-gallon cans of Valspar interior latex paint were observed in the corner of the room under a table accessible to children. .2820(b) 902 Each child was not attended to in a nurturing and appropriate manner, or in keeping with the child's developmental needs. In space #5, a staff member was observed stating “get off of him”, “sit down”, and “be quiet” in a loud, harsh tone to children two and three years of age. G.S. 110-91(10) 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 December 2, 2024. Please send your letter to Kristen.Mauney@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. If you state in your violation correction letter that corrections have been made when they have not, it will be considered falsification of information. Due to the nature of the violation concerning unapproved space, an unannounced follow-up visit will be conducted. Based on the substantiated complaint, an administrative action may be recommended. Technical Assistance was provided on the following: Nurture, care, and treatment of children- NC GS 110-91(10) states each operator or staff member shall attend to any child in a nurturing and appropriate manner, and in keeping with the child's developmental needs. I suggested that you contact a technical assistant from Child Care Connections at 828-439-2328 and request a technical assistance visit to provide guidance to staff pertaining to appropriate language, interaction, and treatment of children. I also suggested requesting training for your staff pertaining to appropriate language, interaction, and treatment of children. Another suggestion I provided was to visit the NC Rated License Assessment Project website at www.ncrlap.org. Specific trainings that would be beneficial for you and your staff are titled “Language for Learning: Preschoolers” and “Language for Learning: Infants and Toddlers.” Approved space- I reviewed procedures for approving new space with you. I explained that an approved sanitation inspection from Environmental Health, an approved fire inspection from your local Fire Marshal, and an approved building inspection from your local Building Inspector must be completed and sent to me. Once all three inspections are received, a visit will be made to measure the space to determine the number of children allowed per space capacity. Documentation of approval of the space would be provided to you before you would be able to use the space for child care. I informed you that room 310 is not approved to be used by children until this process is completed. I reviewed current space capacity for approved spaces with you and staff during the visit. Electrical Outlets- I suggested that you monitor all spaces throughout the day to ensure all electrical outlets not in use are covered with a safety plug. Instruct staff to check all electrical outlets at the beginning of the day. I reminded you that unapproved space may not be used by children and once the space becomes approved, the space must meet all applicable child care requirements including covering electrical outlets. Storage of Hazardous Products- -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 must be stored in a locked storage room or cabinet. I suggested that you monitor all areas of the child care facility each day to ensure all hazardous products are stored appropriately. I reminded you that unapproved space may not be used by children and once the space becomes approved, the space must meet all applicable sanitation requirements and child care requirements including storage of hazardous products. Consultation: -I reviewed positive staff interaction requirements with you and encouraged you to review these requirements with all staff. 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. Stay up to date with the Division of Child Development by visiting https://ncchildcare.ncdhhs.gov/. This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download provider documents and 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, at Tammy.McGalliard@dhhs.nc.gov. If I can be of further assistance, you may contact me at 704-853-9196. Kristen Mauney, Child Care Consultant PO Box 674, Denver, NC 28037 Kristen.Mauney@dhhs.nc.gov If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

GS 110-91 · Violation

Name of Operation: FIRST BAPTIST CHURCH CHILD DEVELOPMENT CENTER Facility ID: 12000190 Consultant: KRISTEN R. MAUNEY Operation Type: Center Case Number: 1124-054L Visit Date: 11/18/2024 Number Present: 51 Completed Date: 11/18/2024 Age: From 0 To 5 Total Minutes: 145 Time In: 02:15 PM Time Out: 04:40 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 alleging violations of child care requirements regarding nurture, care, and treatment of children. The visit was conducted with you, Gail Piercy, administrator. On November 6, 2024, the following allegation was received: There is a concern that children are not treated in a nurturing and caring manner. I conducted a walkthrough of indoor space. Limited monitoring was conducted. Upon my arrival, seventeen children, three to five years of age, and two staff members were exiting an unapproved space, room 310. Seventeen cots were observed in room 310 and staff indicated they used that space for nap today. I observed children and staff during snack, free play activities, and transitioning to outdoors. I discussed the allegation with you and applicable staff during the visit. You and applicable staff had an opportunity to ask questions, state perceptions of the situation and provide pertinent information in response to the allegation. Based on observations, information regarding the allegation concerning nurture, care, and treatment of children was confirmed, therefore the allegation was substantiated. One violation of child care requirements related to the allegation and three violations unrelated to the allegation were observed. Violations and technical assistance were discussed with you and documented in the Visit Summary left with you at the conclusion of this visit. Violation Number Comment Rule 209 Children used space that was not approved. Seventeen children, three to five years of age, and two staff members were observed exiting an unapproved space, room 310. Seventeen cots were observed in room 310 and staff indicated the space was used for nap today, November 18, 2024. GS 110-91(1)&(4-5) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. In an unapproved space, room 310, used by children, one electrical outlet not in use was uncovered and accessible to children below the television. 10A NCAC 09 .0604(c) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. In an unapproved space, room 310, used by children, two 4-gallon buckets of Sherwin Williams interior latex paint and three 1-gallon cans of Valspar interior latex paint were observed in the corner of the room under a table accessible to children. .2820(b) 902 Each child was not attended to in a nurturing and appropriate manner, or in keeping with the child's developmental needs. In space #5, a staff member was observed stating “get off of him”, “sit down”, and “be quiet” in a loud, harsh tone to children two and three years of age. G.S. 110-91(10) 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 December 2, 2024. Please send your letter to Kristen.Mauney@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. If you state in your violation correction letter that corrections have been made when they have not, it will be considered falsification of information. Due to the nature of the violation concerning unapproved space, an unannounced follow-up visit will be conducted. Based on the substantiated complaint, an administrative action may be recommended. Technical Assistance was provided on the following: Nurture, care, and treatment of children- NC GS 110-91(10) states each operator or staff member shall attend to any child in a nurturing and appropriate manner, and in keeping with the child's developmental needs. I suggested that you contact a technical assistant from Child Care Connections at 828-439-2328 and request a technical assistance visit to provide guidance to staff pertaining to appropriate language, interaction, and treatment of children. I also suggested requesting training for your staff pertaining to appropriate language, interaction, and treatment of children. Another suggestion I provided was to visit the NC Rated License Assessment Project website at www.ncrlap.org. Specific trainings that would be beneficial for you and your staff are titled “Language for Learning: Preschoolers” and “Language for Learning: Infants and Toddlers.” Approved space- I reviewed procedures for approving new space with you. I explained that an approved sanitation inspection from Environmental Health, an approved fire inspection from your local Fire Marshal, and an approved building inspection from your local Building Inspector must be completed and sent to me. Once all three inspections are received, a visit will be made to measure the space to determine the number of children allowed per space capacity. Documentation of approval of the space would be provided to you before you would be able to use the space for child care. I informed you that room 310 is not approved to be used by children until this process is completed. I reviewed current space capacity for approved spaces with you and staff during the visit. Electrical Outlets- I suggested that you monitor all spaces throughout the day to ensure all electrical outlets not in use are covered with a safety plug. Instruct staff to check all electrical outlets at the beginning of the day. I reminded you that unapproved space may not be used by children and once the space becomes approved, the space must meet all applicable child care requirements including covering electrical outlets. Storage of Hazardous Products- -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 must be stored in a locked storage room or cabinet. I suggested that you monitor all areas of the child care facility each day to ensure all hazardous products are stored appropriately. I reminded you that unapproved space may not be used by children and once the space becomes approved, the space must meet all applicable sanitation requirements and child care requirements including storage of hazardous products. Consultation: -I reviewed positive staff interaction requirements with you and encouraged you to review these requirements with all staff. 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. Stay up to date with the Division of Child Development by visiting https://ncchildcare.ncdhhs.gov/. This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download provider documents and 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, at Tammy.McGalliard@dhhs.nc.gov. If I can be of further assistance, you may contact me at 704-853-9196. Kristen Mauney, Child Care Consultant PO Box 674, Denver, NC 28037 Kristen.Mauney@dhhs.nc.gov If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

NC GS 110-91 · Violation

Name of Operation: FIRST BAPTIST CHURCH CHILD DEVELOPMENT CENTER Facility ID: 12000190 Consultant: KRISTEN R. MAUNEY Operation Type: Center Case Number: 1124-054L Visit Date: 11/18/2024 Number Present: 51 Completed Date: 11/18/2024 Age: From 0 To 5 Total Minutes: 145 Time In: 02:15 PM Time Out: 04:40 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 alleging violations of child care requirements regarding nurture, care, and treatment of children. The visit was conducted with you, Gail Piercy, administrator. On November 6, 2024, the following allegation was received: There is a concern that children are not treated in a nurturing and caring manner. I conducted a walkthrough of indoor space. Limited monitoring was conducted. Upon my arrival, seventeen children, three to five years of age, and two staff members were exiting an unapproved space, room 310. Seventeen cots were observed in room 310 and staff indicated they used that space for nap today. I observed children and staff during snack, free play activities, and transitioning to outdoors. I discussed the allegation with you and applicable staff during the visit. You and applicable staff had an opportunity to ask questions, state perceptions of the situation and provide pertinent information in response to the allegation. Based on observations, information regarding the allegation concerning nurture, care, and treatment of children was confirmed, therefore the allegation was substantiated. One violation of child care requirements related to the allegation and three violations unrelated to the allegation were observed. Violations and technical assistance were discussed with you and documented in the Visit Summary left with you at the conclusion of this visit. Violation Number Comment Rule 209 Children used space that was not approved. Seventeen children, three to five years of age, and two staff members were observed exiting an unapproved space, room 310. Seventeen cots were observed in room 310 and staff indicated the space was used for nap today, November 18, 2024. GS 110-91(1)&(4-5) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. In an unapproved space, room 310, used by children, one electrical outlet not in use was uncovered and accessible to children below the television. 10A NCAC 09 .0604(c) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. In an unapproved space, room 310, used by children, two 4-gallon buckets of Sherwin Williams interior latex paint and three 1-gallon cans of Valspar interior latex paint were observed in the corner of the room under a table accessible to children. .2820(b) 902 Each child was not attended to in a nurturing and appropriate manner, or in keeping with the child's developmental needs. In space #5, a staff member was observed stating “get off of him”, “sit down”, and “be quiet” in a loud, harsh tone to children two and three years of age. G.S. 110-91(10) 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 December 2, 2024. Please send your letter to Kristen.Mauney@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. If you state in your violation correction letter that corrections have been made when they have not, it will be considered falsification of information. Due to the nature of the violation concerning unapproved space, an unannounced follow-up visit will be conducted. Based on the substantiated complaint, an administrative action may be recommended. Technical Assistance was provided on the following: Nurture, care, and treatment of children- NC GS 110-91(10) states each operator or staff member shall attend to any child in a nurturing and appropriate manner, and in keeping with the child's developmental needs. I suggested that you contact a technical assistant from Child Care Connections at 828-439-2328 and request a technical assistance visit to provide guidance to staff pertaining to appropriate language, interaction, and treatment of children. I also suggested requesting training for your staff pertaining to appropriate language, interaction, and treatment of children. Another suggestion I provided was to visit the NC Rated License Assessment Project website at www.ncrlap.org. Specific trainings that would be beneficial for you and your staff are titled “Language for Learning: Preschoolers” and “Language for Learning: Infants and Toddlers.” Approved space- I reviewed procedures for approving new space with you. I explained that an approved sanitation inspection from Environmental Health, an approved fire inspection from your local Fire Marshal, and an approved building inspection from your local Building Inspector must be completed and sent to me. Once all three inspections are received, a visit will be made to measure the space to determine the number of children allowed per space capacity. Documentation of approval of the space would be provided to you before you would be able to use the space for child care. I informed you that room 310 is not approved to be used by children until this process is completed. I reviewed current space capacity for approved spaces with you and staff during the visit. Electrical Outlets- I suggested that you monitor all spaces throughout the day to ensure all electrical outlets not in use are covered with a safety plug. Instruct staff to check all electrical outlets at the beginning of the day. I reminded you that unapproved space may not be used by children and once the space becomes approved, the space must meet all applicable child care requirements including covering electrical outlets. Storage of Hazardous Products- -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 must be stored in a locked storage room or cabinet. I suggested that you monitor all areas of the child care facility each day to ensure all hazardous products are stored appropriately. I reminded you that unapproved space may not be used by children and once the space becomes approved, the space must meet all applicable sanitation requirements and child care requirements including storage of hazardous products. Consultation: -I reviewed positive staff interaction requirements with you and encouraged you to review these requirements with all staff. 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. Stay up to date with the Division of Child Development by visiting https://ncchildcare.ncdhhs.gov/. This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download provider documents and 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, at Tammy.McGalliard@dhhs.nc.gov. If I can be of further assistance, you may contact me at 704-853-9196. Kristen Mauney, Child Care Consultant PO Box 674, Denver, NC 28037 Kristen.Mauney@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: FIRST BAPTIST CHURCH CHILD DEVELOPMENT CENTER Facility ID: 12000190 Consultant: KRISTEN R. MAUNEY Operation Type: Center Case Number: 0624-344L Visit Date: 7/8/2024 Number Present: 42 Completed Date: 7/8/2024 Age: From 0 To 5 Total Minutes: 155 Time In: 10:15 AM Time Out: 12:50 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 alleging violations of child care requirements regarding supervision, incident reports, and nurture, care, and treatment of children. The visit was conducted with you, Gail Piercy, administrator. On June 28, 2024, the following allegation was received. There are concerns that: Children are not adequately supervised. Incident reports are not prepared as required. A child was not physically handled in a caring manner. I conducted a walkthrough of indoor and outdoor space. Limited monitoring was conducted. During the visit, children and staff were observed during free play activities indoors and gross motor activities outdoors. The facility was closed July 1, 2024, through July 5, 2024. I discussed the allegations with you and applicable staff during the visit. You and the staff interviewed had an opportunity to ask questions, state perceptions of the situation and provide pertinent information in response to the allegation. I reviewed attendance records and head count sheets for May 2024 and June 2024. I also reviewed a random sampling of incident reports and incident logs completed in June 2024. You stated the facility does not have cameras. Based on a review of documentation, information regarding the allegation concerning incident reports was confirmed, therefore the allegation was substantiated. Based on observations, a review of documentation, and interviews with staff, information regarding the allegations concerning supervision and nurture, care, and treatment of children were unconfirmed, therefore the allegations were unsubstantiated. One violation of child care requirements regarding the allegation concerning incident reports was observed. The violation and technical assistance were discussed with you and documented in the Visit Summary left with you at the conclusion of this 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 incident report dated 6/12/2024 did not include a description of first aid given to the child. One incident report dated 6/17/2024 did not include steps taken to prevent reoccurrence or the time the parent was notified of the incident and by whom. .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 July 22, 2024. Please send your letter to Kristen.Mauney@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. If you state in your violation correction letter that corrections have been made when they have not, it will be considered falsification of information. Technical Assistance was provided on the following: -I suggested that you review incident report requirements with all staff again and prepare a sample incident report as a guide for staff to follow to assist with ensuring all required information is obtained. I also suggested that you review all incident reports once received to ensure all required information is obtained and to request any missing information from the staff member prior to logging and filing the incident report. Per child care requirements, 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. Consultation: -I suggested that you thoroughly review supervision requirements with all staff. 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. (b) For groups of children aged two years or older, the staff/child ratio during nap time shall comply with the requirements of this Chapter if at least one person remains in the room, all children are visible to that person, and the total number of required staff are on the premises and within calling distance of the rooms occupied by children. Stay up to date with the Division of Child Development by visiting https://ncchildcare.ncdhhs.gov/. This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download provider documents and 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, at Tammy.McGalliard@dhhs.nc.gov. If I can be of further assistance, you may contact me at 704-853-9196. Kristen Mauney, Child Care Consultant PO Box 674, Denver, NC 28037 Kristen.Mauney@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 .0607 · Violation

Name of Operation: FIRST BAPTIST CHURCH CHILD DEVELOPMENT CENTER Facility ID: 12000190 Consultant: KRISTEN R. MAUNEY Operation Type: Center Case Number: Visit Date: 3/11/2024 Number Present: 38 Completed Date: 3/11/2024 Age: From 0 To 5 Total Minutes: 340 Time In: 09:50 AM Time Out: 12:45 PM Time In: 01:15 PM Time Out: 04:00 PM List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for an annual compliance visit, including health and safety. Upon arrival, the purpose of today’s visit was reviewed with you, Gail Piercy, new Administrator. You assisted with the walkthrough of the facility. You provided me with applicable program, staff, and children’s records for review. The NC Secretary of State website was viewed before the visit and First Baptist Church of Valdese was current/active as of March 11, 2024. This program currently operates with a Five star rated license effective November 4, 2019. The program’s compliance history was 91 percent prior to today’s visit. Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. A checklist was used to note the requirements I monitored today. Children and staff were observed during free play activities indoors, diaper changing routines, and gross motor activities outdoors. The most recent sanitation inspection for your facility was conducted on October 25, 2023. A superior sanitation classification was issued with 7 demerits noted on the grade card. The most recent approved fire inspection for your facility was conducted on October 4, 2023. The violations observed today were discussed with you and documented in the handwritten Visit Summary left with you at the conclusion of this visit. The computer-generated visit summary was emailed to you on March 13, 2024. The following violations were observed: Violation Number Comment Rule 114 A summary of the NC Child Care Law was not given to a parent of every child enrolled in the center. Two children's records for children enrolled on 2/19/2024 and 2/26/2024 did not contain a Summary of the Law acknowledgement signed by the child's parent. GS 110-102 705 Equipment and furnishings were not sturdy, stable and free of hazards. In space #6, a two-inch crack was observed on a plastic lid to a container of translucent rainbow pebbles accessible to children in the science activity area. .0601(c) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. In space #6, an aerosol can of Lysol disinfectant spray, four aerosol cans of Modge Podge acrylic sealer, an aerosol can of Scrubbing Bubbles bathroom disinfectant, an aerosol can of 409 carpet stain remover, nail polish remover, and Goo Gone were observed in an unlocked cabinet that did not have an operable locking device. .2820(b) 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 incident report for a child's injury that occurred on 3/4/2024 did not include steps taken to prevent reoccurrence nor the time the child's parent was notified of the injury and by whom. .0802 (e) 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 staff employed on 10/9/2023 did not complete First Aid training until 2/3/2024. .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 staff employed on 10/9/2023 did not complete CPR training until 2/3/2024. .1102(d) 1314 Emergency information did not name child's health care professional. The application for one child enrolled on 2/19/2024 did not include emergency medical care information regarding the parent's choice of health care professional. .0802(c)(2) 1329 Application for enrollment did not include all required information. The application for one child enrolled on 2/19/2024 did not include health care concerns, allergies, particular fears, or behavior characteristics. .0801(a)(1-7) 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 staff employed on 2/26/2024 did not have the Prevention of Shaken Baby and Abusive Head Trauma policy signed acknowledgement on file for review. .0608(d)(1-4) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. One staff employed on 10/9/2023 did not complete Recognizing and Responding to Suspicions of Child Maltreatment training until 2/3/2024. .1102(g) 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 March 25, 2024. Please send your letter to Kristen.Mauney@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. Technical Assistance was provided on the following: Broken toys and equipment- The administrator discarded the cracked lid during the visit. I reminded you to conduct checks throughout all indoor and outdoor areas to ensure broken toys and equipment accessible to children are removed from the play area or discarded. Storage of hazardous products- The administrator moved the hazardous products to locked storage during the visit. I recommended checking all locking devices throughout the facility to ensure they function properly at all times. Any locking device that is not reliable, I recommended that you not store hazardous products in that particular area. Children’s records- I recommended that you utilize the Children’s File Checklist available on the DCDEE website under Provider Documents and Forms to ensure all required documents are on file on or before enrollment. Incident reports- The administrator completed the missing information on the incident report during the visit. I recommended that you review all incident reports upon entering on the incident log to ensure all required information is obtained. Incident reports 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. Children’s emergency medical care information- I recommended that you thoroughly review each child’s application prior to enrollment to ensure all required information obtained, including, but not limited to, the preferred doctor, hospital preference, Medical Action Plan information, health care concerns, allergies, medications, particular fears, or behavior characteristics, as applicable. If the information does not apply to the child, instruct parents to write “n/a” rather than leaving the information blank. Staff Records- S. Carswell signed the Prevention of Shaken Baby and Abusive Head Trauma policy during the visit. I recommended that you utilize the Staff File Checklist available on the DCDEE website under Provider Documents and Forms to ensure all required documents are on file prior to employment. First Aid/CPR- New staff must complete First Aid and CPR training within 90 days of employment and must renew certification on or before the expiration date. I recommended registering staff for CPR and First Aid training as soon as they are hired. Recognizing and Responding to Suspicions of Child Maltreatment training- New staff must complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. I encouraged you to have staff complete this training within the first two weeks of employment, in conjunction with orientation, to ensure compliance with this requirement. Rated License Reassessment: To prepare for the reassessment process, DCDEE has developed a cohort system. There are three cohorts, and each includes a preparation year and a reassessment year. Your facility is in cohort two. The preparation year for cohort two will begin July 1, 2024. The reassessment year will be July 1, 2025, through June 30, 2026. More information will be forthcoming once your cohort year approaches. Consultation: We discussed the following during the visit: -One staff person must complete the required EPR training within four months of the day the previous trained person (the previous administrator) was no longer employed at the facility. 10A NCAC 09 .0607 EMERGENCY PREPAREDNESS AND RESPONSE IN CHILD CARE CENTERS (b) Existing child care centers shall have one person on staff who has completed the Emergency Preparedness and Response in Child Care training. New centers shall have one person on staff who has completed the Emergency Preparedness and Response in Child Care training within one year of the effective date of the initial license. When the trained staff member leaves employment, the center shall ensure that another staff member completes the required training within four months of the vacancy. Documentation of completion of the training shall be maintained in the individual's personnel file or in a file designated for emergency preparedness and response plan documents. -Orientation training completed by the administrator with new staff must be completed after the staff member has started work. Orientation training must be specific to the facilities policies and procedures. Orientation training is not solely conducted by staff completing online training. -The Staff and Training Worksheet used by the administrator appeared to have been created by the previous administrator. There were many spacing issues and some information had inadvertently been deleted. I requested that you utilize the pdf version of the Staff and Training Worksheets on the Divisions website under Provider Documents and Forms moving forward. -We discussed activities on the activity plan, specifically for one year old children. I gave suggestions for activities for gross motor activities, art activities, and books. -I recommended that you rake and fluff the rubber mulch on the playground for preschool children in fall zone areas extending six feet from the equipment. Mulch had been pushed beneath the equipment and beyond the six-foot perimeter fall zone area. -Many tree limbs and branches had fallen on both playgrounds over the weekend. I reminded you to check both playgrounds at the beginning of each day to ensure debris and potential hazards are not accessible to children. We also discussed potential tripping and fall hazards on the playground for toddlers. -On the playground, we discussed moving a piece of equipment over an area of poured concrete so that the concrete is not exposed. Covering the concrete with mulch would not be an option. Stay up to date with the Division of Child Development and Early Education by visiting 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, at Tammy McGalliard@dhhs.nc.gov. If I can be of further assistance, you may contact me at 704-853-9196. Kristen Mauney, Child Care Consultant PO Box 674, Denver, NC 28037 Kristen.Mauney@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.

GS 110-102 · Violation

Name of Operation: FIRST BAPTIST CHURCH CHILD DEVELOPMENT CENTER Facility ID: 12000190 Consultant: KRISTEN R. MAUNEY Operation Type: Center Case Number: Visit Date: 3/11/2024 Number Present: 38 Completed Date: 3/11/2024 Age: From 0 To 5 Total Minutes: 340 Time In: 09:50 AM Time Out: 12:45 PM Time In: 01:15 PM Time Out: 04:00 PM List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for an annual compliance visit, including health and safety. Upon arrival, the purpose of today’s visit was reviewed with you, Gail Piercy, new Administrator. You assisted with the walkthrough of the facility. You provided me with applicable program, staff, and children’s records for review. The NC Secretary of State website was viewed before the visit and First Baptist Church of Valdese was current/active as of March 11, 2024. This program currently operates with a Five star rated license effective November 4, 2019. The program’s compliance history was 91 percent prior to today’s visit. Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. A checklist was used to note the requirements I monitored today. Children and staff were observed during free play activities indoors, diaper changing routines, and gross motor activities outdoors. The most recent sanitation inspection for your facility was conducted on October 25, 2023. A superior sanitation classification was issued with 7 demerits noted on the grade card. The most recent approved fire inspection for your facility was conducted on October 4, 2023. The violations observed today were discussed with you and documented in the handwritten Visit Summary left with you at the conclusion of this visit. The computer-generated visit summary was emailed to you on March 13, 2024. The following violations were observed: Violation Number Comment Rule 114 A summary of the NC Child Care Law was not given to a parent of every child enrolled in the center. Two children's records for children enrolled on 2/19/2024 and 2/26/2024 did not contain a Summary of the Law acknowledgement signed by the child's parent. GS 110-102 705 Equipment and furnishings were not sturdy, stable and free of hazards. In space #6, a two-inch crack was observed on a plastic lid to a container of translucent rainbow pebbles accessible to children in the science activity area. .0601(c) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. In space #6, an aerosol can of Lysol disinfectant spray, four aerosol cans of Modge Podge acrylic sealer, an aerosol can of Scrubbing Bubbles bathroom disinfectant, an aerosol can of 409 carpet stain remover, nail polish remover, and Goo Gone were observed in an unlocked cabinet that did not have an operable locking device. .2820(b) 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 incident report for a child's injury that occurred on 3/4/2024 did not include steps taken to prevent reoccurrence nor the time the child's parent was notified of the injury and by whom. .0802 (e) 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 staff employed on 10/9/2023 did not complete First Aid training until 2/3/2024. .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 staff employed on 10/9/2023 did not complete CPR training until 2/3/2024. .1102(d) 1314 Emergency information did not name child's health care professional. The application for one child enrolled on 2/19/2024 did not include emergency medical care information regarding the parent's choice of health care professional. .0802(c)(2) 1329 Application for enrollment did not include all required information. The application for one child enrolled on 2/19/2024 did not include health care concerns, allergies, particular fears, or behavior characteristics. .0801(a)(1-7) 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 staff employed on 2/26/2024 did not have the Prevention of Shaken Baby and Abusive Head Trauma policy signed acknowledgement on file for review. .0608(d)(1-4) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. One staff employed on 10/9/2023 did not complete Recognizing and Responding to Suspicions of Child Maltreatment training until 2/3/2024. .1102(g) 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 March 25, 2024. Please send your letter to Kristen.Mauney@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. Technical Assistance was provided on the following: Broken toys and equipment- The administrator discarded the cracked lid during the visit. I reminded you to conduct checks throughout all indoor and outdoor areas to ensure broken toys and equipment accessible to children are removed from the play area or discarded. Storage of hazardous products- The administrator moved the hazardous products to locked storage during the visit. I recommended checking all locking devices throughout the facility to ensure they function properly at all times. Any locking device that is not reliable, I recommended that you not store hazardous products in that particular area. Children’s records- I recommended that you utilize the Children’s File Checklist available on the DCDEE website under Provider Documents and Forms to ensure all required documents are on file on or before enrollment. Incident reports- The administrator completed the missing information on the incident report during the visit. I recommended that you review all incident reports upon entering on the incident log to ensure all required information is obtained. Incident reports 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. Children’s emergency medical care information- I recommended that you thoroughly review each child’s application prior to enrollment to ensure all required information obtained, including, but not limited to, the preferred doctor, hospital preference, Medical Action Plan information, health care concerns, allergies, medications, particular fears, or behavior characteristics, as applicable. If the information does not apply to the child, instruct parents to write “n/a” rather than leaving the information blank. Staff Records- S. Carswell signed the Prevention of Shaken Baby and Abusive Head Trauma policy during the visit. I recommended that you utilize the Staff File Checklist available on the DCDEE website under Provider Documents and Forms to ensure all required documents are on file prior to employment. First Aid/CPR- New staff must complete First Aid and CPR training within 90 days of employment and must renew certification on or before the expiration date. I recommended registering staff for CPR and First Aid training as soon as they are hired. Recognizing and Responding to Suspicions of Child Maltreatment training- New staff must complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. I encouraged you to have staff complete this training within the first two weeks of employment, in conjunction with orientation, to ensure compliance with this requirement. Rated License Reassessment: To prepare for the reassessment process, DCDEE has developed a cohort system. There are three cohorts, and each includes a preparation year and a reassessment year. Your facility is in cohort two. The preparation year for cohort two will begin July 1, 2024. The reassessment year will be July 1, 2025, through June 30, 2026. More information will be forthcoming once your cohort year approaches. Consultation: We discussed the following during the visit: -One staff person must complete the required EPR training within four months of the day the previous trained person (the previous administrator) was no longer employed at the facility. 10A NCAC 09 .0607 EMERGENCY PREPAREDNESS AND RESPONSE IN CHILD CARE CENTERS (b) Existing child care centers shall have one person on staff who has completed the Emergency Preparedness and Response in Child Care training. New centers shall have one person on staff who has completed the Emergency Preparedness and Response in Child Care training within one year of the effective date of the initial license. When the trained staff member leaves employment, the center shall ensure that another staff member completes the required training within four months of the vacancy. Documentation of completion of the training shall be maintained in the individual's personnel file or in a file designated for emergency preparedness and response plan documents. -Orientation training completed by the administrator with new staff must be completed after the staff member has started work. Orientation training must be specific to the facilities policies and procedures. Orientation training is not solely conducted by staff completing online training. -The Staff and Training Worksheet used by the administrator appeared to have been created by the previous administrator. There were many spacing issues and some information had inadvertently been deleted. I requested that you utilize the pdf version of the Staff and Training Worksheets on the Divisions website under Provider Documents and Forms moving forward. -We discussed activities on the activity plan, specifically for one year old children. I gave suggestions for activities for gross motor activities, art activities, and books. -I recommended that you rake and fluff the rubber mulch on the playground for preschool children in fall zone areas extending six feet from the equipment. Mulch had been pushed beneath the equipment and beyond the six-foot perimeter fall zone area. -Many tree limbs and branches had fallen on both playgrounds over the weekend. I reminded you to check both playgrounds at the beginning of each day to ensure debris and potential hazards are not accessible to children. We also discussed potential tripping and fall hazards on the playground for toddlers. -On the playground, we discussed moving a piece of equipment over an area of poured concrete so that the concrete is not exposed. Covering the concrete with mulch would not be an option. Stay up to date with the Division of Child Development and Early Education by visiting 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, at Tammy McGalliard@dhhs.nc.gov. If I can be of further assistance, you may contact me at 704-853-9196. Kristen Mauney, Child Care Consultant PO Box 674, Denver, NC 28037 Kristen.Mauney@dhhs.nc.gov If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

NC GS 110-90 · Violation

Name of Operation: FIRST BAPTIST CHURCH CHILD DEVELOPMENT CENTER Facility ID: 12000190 Consultant: KRISTEN R. MAUNEY Operation Type: Center Case Number: Visit Date: 3/11/2024 Number Present: 38 Completed Date: 3/11/2024 Age: From 0 To 5 Total Minutes: 340 Time In: 09:50 AM Time Out: 12:45 PM Time In: 01:15 PM Time Out: 04:00 PM List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for an annual compliance visit, including health and safety. Upon arrival, the purpose of today’s visit was reviewed with you, Gail Piercy, new Administrator. You assisted with the walkthrough of the facility. You provided me with applicable program, staff, and children’s records for review. The NC Secretary of State website was viewed before the visit and First Baptist Church of Valdese was current/active as of March 11, 2024. This program currently operates with a Five star rated license effective November 4, 2019. The program’s compliance history was 91 percent prior to today’s visit. Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. A checklist was used to note the requirements I monitored today. Children and staff were observed during free play activities indoors, diaper changing routines, and gross motor activities outdoors. The most recent sanitation inspection for your facility was conducted on October 25, 2023. A superior sanitation classification was issued with 7 demerits noted on the grade card. The most recent approved fire inspection for your facility was conducted on October 4, 2023. The violations observed today were discussed with you and documented in the handwritten Visit Summary left with you at the conclusion of this visit. The computer-generated visit summary was emailed to you on March 13, 2024. The following violations were observed: Violation Number Comment Rule 114 A summary of the NC Child Care Law was not given to a parent of every child enrolled in the center. Two children's records for children enrolled on 2/19/2024 and 2/26/2024 did not contain a Summary of the Law acknowledgement signed by the child's parent. GS 110-102 705 Equipment and furnishings were not sturdy, stable and free of hazards. In space #6, a two-inch crack was observed on a plastic lid to a container of translucent rainbow pebbles accessible to children in the science activity area. .0601(c) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. In space #6, an aerosol can of Lysol disinfectant spray, four aerosol cans of Modge Podge acrylic sealer, an aerosol can of Scrubbing Bubbles bathroom disinfectant, an aerosol can of 409 carpet stain remover, nail polish remover, and Goo Gone were observed in an unlocked cabinet that did not have an operable locking device. .2820(b) 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 incident report for a child's injury that occurred on 3/4/2024 did not include steps taken to prevent reoccurrence nor the time the child's parent was notified of the injury and by whom. .0802 (e) 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 staff employed on 10/9/2023 did not complete First Aid training until 2/3/2024. .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 staff employed on 10/9/2023 did not complete CPR training until 2/3/2024. .1102(d) 1314 Emergency information did not name child's health care professional. The application for one child enrolled on 2/19/2024 did not include emergency medical care information regarding the parent's choice of health care professional. .0802(c)(2) 1329 Application for enrollment did not include all required information. The application for one child enrolled on 2/19/2024 did not include health care concerns, allergies, particular fears, or behavior characteristics. .0801(a)(1-7) 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 staff employed on 2/26/2024 did not have the Prevention of Shaken Baby and Abusive Head Trauma policy signed acknowledgement on file for review. .0608(d)(1-4) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. One staff employed on 10/9/2023 did not complete Recognizing and Responding to Suspicions of Child Maltreatment training until 2/3/2024. .1102(g) 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 March 25, 2024. Please send your letter to Kristen.Mauney@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. Technical Assistance was provided on the following: Broken toys and equipment- The administrator discarded the cracked lid during the visit. I reminded you to conduct checks throughout all indoor and outdoor areas to ensure broken toys and equipment accessible to children are removed from the play area or discarded. Storage of hazardous products- The administrator moved the hazardous products to locked storage during the visit. I recommended checking all locking devices throughout the facility to ensure they function properly at all times. Any locking device that is not reliable, I recommended that you not store hazardous products in that particular area. Children’s records- I recommended that you utilize the Children’s File Checklist available on the DCDEE website under Provider Documents and Forms to ensure all required documents are on file on or before enrollment. Incident reports- The administrator completed the missing information on the incident report during the visit. I recommended that you review all incident reports upon entering on the incident log to ensure all required information is obtained. Incident reports 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. Children’s emergency medical care information- I recommended that you thoroughly review each child’s application prior to enrollment to ensure all required information obtained, including, but not limited to, the preferred doctor, hospital preference, Medical Action Plan information, health care concerns, allergies, medications, particular fears, or behavior characteristics, as applicable. If the information does not apply to the child, instruct parents to write “n/a” rather than leaving the information blank. Staff Records- S. Carswell signed the Prevention of Shaken Baby and Abusive Head Trauma policy during the visit. I recommended that you utilize the Staff File Checklist available on the DCDEE website under Provider Documents and Forms to ensure all required documents are on file prior to employment. First Aid/CPR- New staff must complete First Aid and CPR training within 90 days of employment and must renew certification on or before the expiration date. I recommended registering staff for CPR and First Aid training as soon as they are hired. Recognizing and Responding to Suspicions of Child Maltreatment training- New staff must complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. I encouraged you to have staff complete this training within the first two weeks of employment, in conjunction with orientation, to ensure compliance with this requirement. Rated License Reassessment: To prepare for the reassessment process, DCDEE has developed a cohort system. There are three cohorts, and each includes a preparation year and a reassessment year. Your facility is in cohort two. The preparation year for cohort two will begin July 1, 2024. The reassessment year will be July 1, 2025, through June 30, 2026. More information will be forthcoming once your cohort year approaches. Consultation: We discussed the following during the visit: -One staff person must complete the required EPR training within four months of the day the previous trained person (the previous administrator) was no longer employed at the facility. 10A NCAC 09 .0607 EMERGENCY PREPAREDNESS AND RESPONSE IN CHILD CARE CENTERS (b) Existing child care centers shall have one person on staff who has completed the Emergency Preparedness and Response in Child Care training. New centers shall have one person on staff who has completed the Emergency Preparedness and Response in Child Care training within one year of the effective date of the initial license. When the trained staff member leaves employment, the center shall ensure that another staff member completes the required training within four months of the vacancy. Documentation of completion of the training shall be maintained in the individual's personnel file or in a file designated for emergency preparedness and response plan documents. -Orientation training completed by the administrator with new staff must be completed after the staff member has started work. Orientation training must be specific to the facilities policies and procedures. Orientation training is not solely conducted by staff completing online training. -The Staff and Training Worksheet used by the administrator appeared to have been created by the previous administrator. There were many spacing issues and some information had inadvertently been deleted. I requested that you utilize the pdf version of the Staff and Training Worksheets on the Divisions website under Provider Documents and Forms moving forward. -We discussed activities on the activity plan, specifically for one year old children. I gave suggestions for activities for gross motor activities, art activities, and books. -I recommended that you rake and fluff the rubber mulch on the playground for preschool children in fall zone areas extending six feet from the equipment. Mulch had been pushed beneath the equipment and beyond the six-foot perimeter fall zone area. -Many tree limbs and branches had fallen on both playgrounds over the weekend. I reminded you to check both playgrounds at the beginning of each day to ensure debris and potential hazards are not accessible to children. We also discussed potential tripping and fall hazards on the playground for toddlers. -On the playground, we discussed moving a piece of equipment over an area of poured concrete so that the concrete is not exposed. Covering the concrete with mulch would not be an option. Stay up to date with the Division of Child Development and Early Education by visiting 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, at Tammy McGalliard@dhhs.nc.gov. If I can be of further assistance, you may contact me at 704-853-9196. Kristen Mauney, Child Care Consultant PO Box 674, Denver, NC 28037 Kristen.Mauney@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 .0604 · Violation

Name of Operation: FIRST BAPTIST CHURCH CHILD DEVELOPMENT CENTER Facility ID: 12000190 Consultant: KRISTEN R. MAUNEY Operation Type: Center Case Number: Visit Date: 8/31/2023 Number Present: 42 Completed Date: 8/31/2023 Age: From 0 To 4 Total Minutes: 130 Time In: 11:00 AM Time Out: 01:10 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. The following areas were monitored during the visit: supervision, staff/child ratio, CPR, first aid, ITS-SIDS training, special training including health and safety trainings, criminal background checks, Emergency Medical Care Plan, administering of medication, storage of hazardous products, storage of medication, general safety, discipline, adequate/approved space, program records, license posted, and permit restrictions. Upon arrival, the purpose of today’s visit was reviewed with you, Tanya Short, Administrator. You accompanied me on the walkthrough of the facility and provided me with applicable program and staff records for review during the visit. This program currently operates with a Five star rated license effective November 4, 2019. The program’s compliance history was 88 percent prior to today’s visit. Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The NC Secretary of State website was reviewed on August 31, 2023, and First Baptist Church of Valdese was listed as current/active. Limited monitoring was conducted. A walk-through of licensed indoor and outdoor space was completed during the visit. Staff and children were observed during lunch, free play activities indoors, handwashing and toileting routines. The most recent sanitation inspection for your facility was conducted on November 1, 2022. A superior sanitation classification was issued with 8 demerits noted on the grade card. The most recent fire inspection for your facility was conducted on October 4, 2022. You stated one new staff has been employed since your most recent annual compliance visit conducted on March 29, 2023. The following violations of child care requirements were observed during today’s visit. The violation and technical assistance were thoroughly reviewed with you and documented in the Visit Summary given to you at the conclusion of the visit. Violation Number Comment Rule 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. In space #2, one electrical outlet not in use was uncovered and accessible to children on the wall beside a crib. 10A NCAC 09 .0604(c) 813 Electric fans were not mounted out of reach or did not have a mesh guard to prevent access. In space #3, an electric fan was in use on top of a cabinet less than five feet from the floor. The electric fan was not mounted nor contained a mesh guard. 10A NCAC 09 .0604(d) 847 Parent's medication authorization did not include required information. In space #2, the permission form for one child's Boudreaux's Butt Paste was missing the parent's signature. 10A NCAC 09 .0803(4)(6-9) 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 September 14, 2023. Please send your compliance letter to kristen.mauney@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. Technical Assistance regarding the violations observed: Electrical outlets- -The electrical outlet was covered with a safety plug during the visit. I reminded you to check all electrical outlets in each space to ensure they are covered with a safety plug when not in use. Electric fans- -Electric fans must be mounted out of reach or have a mesh guard to prevent access. You stated the electric fan was in use due to the air conditioner unit being broke in space #3. During the visit, you received a message indicating the new AC unit has arrived and will be installed this evening when no children are present. Medication Authorization- -A parent may give a caregiver standing authorization for up to 12 months to apply 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, to a child, when needed. The authorization shall be in writing and shall contain: (a) the child's name; (b) the names of the authorized ointments, repellents, lotions, creams, fluoridated toothpaste, and powders; (c) the criteria for the administration of the ointments, repellents, lotions, creams, fluoridated toothpaste, and powders; (d) the manner in which the ointments, repellents, lotions, creams, fluoridated toothpaste, and powders shall be applied; (e) the signature of the parent; (f) the date the authorization was signed by the parent; and (g) the length of time the authorization is valid, if less than 12 months. Consultation (the following items reviewed were in compliance today): -I recommended that mulch on the playground surrounding the composite structure be raked from the edges of the border closer to the exit of the slides and other fall zone areas within six feet of the structure. -We discussed information pertaining to COVID-19. Here is the link for the current resources and information regarding COVID-19. https://covid19.ncdhhs.gov/materials-and-resources/materials-about-covid-19-symptoms-and-treatment -Providers can speak to a Behavior Support Advisor for advice and resources specific to the challenging behaviors in their classroom by calling 1-888-600-1685 Option 1. -Moodle Support: The Division offers early childhood professionals a wide range of professional development opportunities through our online learning platform Moodle. As we continue expanding our training offerings, DCDEE has established a new email address and phone number for Moodle support. To get help with Moodle, email at DCDEE_Moodle_Support@dhhs.nc.gov or call (919) 814-6326. Stay up to date with the Division of Child Development and Early Education by visiting 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 and assistance during today’s visit. If you have any questions about today’s visit, please contact me or my supervisor, Tammy McGalliard, at Tammy.McGalliard@dhhs.nc.gov. If I can be of further assistance, you may contact me at 704-853-9196. Kristen Mauney, Child Care Consultant PO Box 674, Denver, NC 28037 Kristen.Mauney@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 .0803 · Violation

Name of Operation: FIRST BAPTIST CHURCH CHILD DEVELOPMENT CENTER Facility ID: 12000190 Consultant: KRISTEN R. MAUNEY Operation Type: Center Case Number: Visit Date: 8/31/2023 Number Present: 42 Completed Date: 8/31/2023 Age: From 0 To 4 Total Minutes: 130 Time In: 11:00 AM Time Out: 01:10 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. The following areas were monitored during the visit: supervision, staff/child ratio, CPR, first aid, ITS-SIDS training, special training including health and safety trainings, criminal background checks, Emergency Medical Care Plan, administering of medication, storage of hazardous products, storage of medication, general safety, discipline, adequate/approved space, program records, license posted, and permit restrictions. Upon arrival, the purpose of today’s visit was reviewed with you, Tanya Short, Administrator. You accompanied me on the walkthrough of the facility and provided me with applicable program and staff records for review during the visit. This program currently operates with a Five star rated license effective November 4, 2019. The program’s compliance history was 88 percent prior to today’s visit. Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The NC Secretary of State website was reviewed on August 31, 2023, and First Baptist Church of Valdese was listed as current/active. Limited monitoring was conducted. A walk-through of licensed indoor and outdoor space was completed during the visit. Staff and children were observed during lunch, free play activities indoors, handwashing and toileting routines. The most recent sanitation inspection for your facility was conducted on November 1, 2022. A superior sanitation classification was issued with 8 demerits noted on the grade card. The most recent fire inspection for your facility was conducted on October 4, 2022. You stated one new staff has been employed since your most recent annual compliance visit conducted on March 29, 2023. The following violations of child care requirements were observed during today’s visit. The violation and technical assistance were thoroughly reviewed with you and documented in the Visit Summary given to you at the conclusion of the visit. Violation Number Comment Rule 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. In space #2, one electrical outlet not in use was uncovered and accessible to children on the wall beside a crib. 10A NCAC 09 .0604(c) 813 Electric fans were not mounted out of reach or did not have a mesh guard to prevent access. In space #3, an electric fan was in use on top of a cabinet less than five feet from the floor. The electric fan was not mounted nor contained a mesh guard. 10A NCAC 09 .0604(d) 847 Parent's medication authorization did not include required information. In space #2, the permission form for one child's Boudreaux's Butt Paste was missing the parent's signature. 10A NCAC 09 .0803(4)(6-9) 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 September 14, 2023. Please send your compliance letter to kristen.mauney@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. Technical Assistance regarding the violations observed: Electrical outlets- -The electrical outlet was covered with a safety plug during the visit. I reminded you to check all electrical outlets in each space to ensure they are covered with a safety plug when not in use. Electric fans- -Electric fans must be mounted out of reach or have a mesh guard to prevent access. You stated the electric fan was in use due to the air conditioner unit being broke in space #3. During the visit, you received a message indicating the new AC unit has arrived and will be installed this evening when no children are present. Medication Authorization- -A parent may give a caregiver standing authorization for up to 12 months to apply 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, to a child, when needed. The authorization shall be in writing and shall contain: (a) the child's name; (b) the names of the authorized ointments, repellents, lotions, creams, fluoridated toothpaste, and powders; (c) the criteria for the administration of the ointments, repellents, lotions, creams, fluoridated toothpaste, and powders; (d) the manner in which the ointments, repellents, lotions, creams, fluoridated toothpaste, and powders shall be applied; (e) the signature of the parent; (f) the date the authorization was signed by the parent; and (g) the length of time the authorization is valid, if less than 12 months. Consultation (the following items reviewed were in compliance today): -I recommended that mulch on the playground surrounding the composite structure be raked from the edges of the border closer to the exit of the slides and other fall zone areas within six feet of the structure. -We discussed information pertaining to COVID-19. Here is the link for the current resources and information regarding COVID-19. https://covid19.ncdhhs.gov/materials-and-resources/materials-about-covid-19-symptoms-and-treatment -Providers can speak to a Behavior Support Advisor for advice and resources specific to the challenging behaviors in their classroom by calling 1-888-600-1685 Option 1. -Moodle Support: The Division offers early childhood professionals a wide range of professional development opportunities through our online learning platform Moodle. As we continue expanding our training offerings, DCDEE has established a new email address and phone number for Moodle support. To get help with Moodle, email at DCDEE_Moodle_Support@dhhs.nc.gov or call (919) 814-6326. Stay up to date with the Division of Child Development and Early Education by visiting 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 and assistance during today’s visit. If you have any questions about today’s visit, please contact me or my supervisor, Tammy McGalliard, at Tammy.McGalliard@dhhs.nc.gov. If I can be of further assistance, you may contact me at 704-853-9196. Kristen Mauney, Child Care Consultant PO Box 674, Denver, NC 28037 Kristen.Mauney@dhhs.nc.gov If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

NC GS 110-90 · Violation

Name of Operation: FIRST BAPTIST CHURCH CHILD DEVELOPMENT CENTER Facility ID: 12000190 Consultant: KRISTEN R. MAUNEY Operation Type: Center Case Number: Visit Date: 8/31/2023 Number Present: 42 Completed Date: 8/31/2023 Age: From 0 To 4 Total Minutes: 130 Time In: 11:00 AM Time Out: 01:10 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. The following areas were monitored during the visit: supervision, staff/child ratio, CPR, first aid, ITS-SIDS training, special training including health and safety trainings, criminal background checks, Emergency Medical Care Plan, administering of medication, storage of hazardous products, storage of medication, general safety, discipline, adequate/approved space, program records, license posted, and permit restrictions. Upon arrival, the purpose of today’s visit was reviewed with you, Tanya Short, Administrator. You accompanied me on the walkthrough of the facility and provided me with applicable program and staff records for review during the visit. This program currently operates with a Five star rated license effective November 4, 2019. The program’s compliance history was 88 percent prior to today’s visit. Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The NC Secretary of State website was reviewed on August 31, 2023, and First Baptist Church of Valdese was listed as current/active. Limited monitoring was conducted. A walk-through of licensed indoor and outdoor space was completed during the visit. Staff and children were observed during lunch, free play activities indoors, handwashing and toileting routines. The most recent sanitation inspection for your facility was conducted on November 1, 2022. A superior sanitation classification was issued with 8 demerits noted on the grade card. The most recent fire inspection for your facility was conducted on October 4, 2022. You stated one new staff has been employed since your most recent annual compliance visit conducted on March 29, 2023. The following violations of child care requirements were observed during today’s visit. The violation and technical assistance were thoroughly reviewed with you and documented in the Visit Summary given to you at the conclusion of the visit. Violation Number Comment Rule 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. In space #2, one electrical outlet not in use was uncovered and accessible to children on the wall beside a crib. 10A NCAC 09 .0604(c) 813 Electric fans were not mounted out of reach or did not have a mesh guard to prevent access. In space #3, an electric fan was in use on top of a cabinet less than five feet from the floor. The electric fan was not mounted nor contained a mesh guard. 10A NCAC 09 .0604(d) 847 Parent's medication authorization did not include required information. In space #2, the permission form for one child's Boudreaux's Butt Paste was missing the parent's signature. 10A NCAC 09 .0803(4)(6-9) 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 September 14, 2023. Please send your compliance letter to kristen.mauney@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. Technical Assistance regarding the violations observed: Electrical outlets- -The electrical outlet was covered with a safety plug during the visit. I reminded you to check all electrical outlets in each space to ensure they are covered with a safety plug when not in use. Electric fans- -Electric fans must be mounted out of reach or have a mesh guard to prevent access. You stated the electric fan was in use due to the air conditioner unit being broke in space #3. During the visit, you received a message indicating the new AC unit has arrived and will be installed this evening when no children are present. Medication Authorization- -A parent may give a caregiver standing authorization for up to 12 months to apply 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, to a child, when needed. The authorization shall be in writing and shall contain: (a) the child's name; (b) the names of the authorized ointments, repellents, lotions, creams, fluoridated toothpaste, and powders; (c) the criteria for the administration of the ointments, repellents, lotions, creams, fluoridated toothpaste, and powders; (d) the manner in which the ointments, repellents, lotions, creams, fluoridated toothpaste, and powders shall be applied; (e) the signature of the parent; (f) the date the authorization was signed by the parent; and (g) the length of time the authorization is valid, if less than 12 months. Consultation (the following items reviewed were in compliance today): -I recommended that mulch on the playground surrounding the composite structure be raked from the edges of the border closer to the exit of the slides and other fall zone areas within six feet of the structure. -We discussed information pertaining to COVID-19. Here is the link for the current resources and information regarding COVID-19. https://covid19.ncdhhs.gov/materials-and-resources/materials-about-covid-19-symptoms-and-treatment -Providers can speak to a Behavior Support Advisor for advice and resources specific to the challenging behaviors in their classroom by calling 1-888-600-1685 Option 1. -Moodle Support: The Division offers early childhood professionals a wide range of professional development opportunities through our online learning platform Moodle. As we continue expanding our training offerings, DCDEE has established a new email address and phone number for Moodle support. To get help with Moodle, email at DCDEE_Moodle_Support@dhhs.nc.gov or call (919) 814-6326. Stay up to date with the Division of Child Development and Early Education by visiting 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 and assistance during today’s visit. If you have any questions about today’s visit, please contact me or my supervisor, Tammy McGalliard, at Tammy.McGalliard@dhhs.nc.gov. If I can be of further assistance, you may contact me at 704-853-9196. Kristen Mauney, Child Care Consultant PO Box 674, Denver, NC 28037 Kristen.Mauney@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