10A NCAC 09 .0601 · Violation

Name of Operation: FIRST METHODIST CHURCH WASHINGTON CHILD CARE Facility ID: 07000214 Consultant: MICHELLE O'KELLEY Operation Type: Center Case Number: Visit Date: 2/25/2025 Number Present: 41 Completed Date: 2/25/2025 Age: From 0 To 5 Total Minutes: 250 Time In: 08:45 AM Time Out: 12:55 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for an Annual Compliance visit. Jennifer Linhardt, Licensing Supervisor, accompanied me during today’s visit. The administrator was present and assisted with the visit. Your program currently operates with a Notice of Compliance issued on 5/23/23. The sanitation inspection was completed on 12/9/24 with a “Superior” classification. The last fire inspection was conducted on 8/12/24 and your facility was approved for daytime care only. CORPORATION STATUS: The NC Secretary of State website was reviewed on 2/19/25 and First Methodist Church Washington, INC was listed as current- active. Your contact information on the Division of Child Development & Early Education (DCDEE) website was reviewed during today’s visit. All information is current. It is important to frequently check your email to remain informed about any new changes that have or may occur. The center's compliance history was reviewed with the operator. The program’s compliance history was eighty-seven (87) percent as of 2/24/25. The children transitioned to the outdoor play space. The fenced outdoor spaces included stationary equipment, portable toys, balls, shade, and extra materials. Children under twelve months old received care according to individual needs including tummy time, diapering and bottle feeding. Proper handwashing was observed. I provided you with a Legal Designee form for the pastor to complete. Lunch was being prepared and consisted of chicken strips, broccoli, mixed fruit, and milk. The following violation(s) were documented. Violation Number Comment Rule 114 A summary of the NC Child Care Law was not given to a parent of every child enrolled in the center. One (1) out of the five (5) children’s files reviewed did not include NC Summary of the Law acknowledgement signature. GS 110-102 528 Food substitution was not of comparable food value or recorded on the menu prior to the meal or snack being served. The lunch menu posted stated chicken nuggets, mixed vegetables, pineapples, and milk. Per the kitchen staff lunch was to consist of chicken strips, broccoli, mixed fruit, and milk. Substitutions for lunch was not recorded prior to the meal being served. 10A NCAC 09 .0901(b) 533 Human milk, formula and other bottled beverages including sippy cups, sent from child's home were not fully prepared, dated, and labeled for the appropriate child. In space #1 three (3) sippy cups located in a cabinet above the handwashing sink, were not labeled with child's name and date. 15A NCAC 18A .2804(d) 616 Toys and other mouth-contact surfaces were not cleaned and sanitized daily when used or cleaned more frequently if visibly dirty. In space #4 four (4) mouthed toys were not removed from play and cleaned. .2822(a)(1-4) 807 A safe indoor and outdoor environment was not provided for the children. The black matting on playground #2 around the trees and near the bottom of the steps close to the right side is exposed and is creating a tripping hazard. Located in the unlocked electrical room were 3 cans of paint. 10A NCAC 09 .0601(a) 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. In space #1 there was a package of Zyrtec in an unlocked cabinet above the handwashing sink. 15A NCAC 18A .2820(d) 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. In space #1 there was a package of Zyrtec with no paperwork onsite for Zyrtec. 10A NCAC 09 .0803(1)(a & b) 847 Parent's medication authorization did not include required information. In space #1 there were no valid dates listed on the medication authorization form for Babo Botanicals SPF 50. 10A NCAC 09 .0803(4)(6-9) 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. There was no documentation available for playground inspection for January 2025. .0605(q) 893 A copy of the safe sleep policy was not given to and/or explained to the parent of each child on or before the first day the infant attended the center. One (1) out of the five (5) children’s files reviewed did not include Safe sleep policy acknowledgement signature. 10A NCAC 09 .0606(c) 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. Two (2) of the four (4) staff files monitored did not have current First Aid Certification. .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. Two (2) of the four (4) staff files monitored did not have current CPR Certification. .1102(d) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. Four (4) of the four (4) staff files reviewed did not include orientation. .1101(a)(b) 1324 Signed and dated statement by parent that discipline policy received and explained at enrollment was not in child's file. One (1) out of the five (5) children’s files reviewed did not include discipline policy acknowledgement signature. .1804(c) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. An emergency drill was not completed in the fourth quarter of 2024. .0604(u);.0302(d)(8) 1825 All staff did not review the center's EPR Plan during orientation and/or on an annual basis with the trained staff. Documentation of the review was not maintained on file. There was no documentation indicating that the EPR plan had been reviewed with staff. .0607(f) 1851 The operator did not notify the parent of each child enrolled in writing of the smoking and tobacco restriction. One (1) out of the five (5) children’s files reviewed did not include smoking and tobacco restriction acknowledgement signature. .0604(j) 1866 Other surfacing materials not identified in rule were used that did not meet the ASTM standards, were not installed, maintained, and/or replaced according to manufacturer's instructions. There were no ASTM documents for the pour-in-place surfacing. .0605(j)(2) 1898 Staff did not complete the health and safety training within one year of employment. Documentation of the completion of health and safety training topics as part of on-going training within five years of completing the previous health and training topics was not available for three (3) of the four (4) staff files monitored. .1102(a) 1908 A child's file did not have a statement with parent signature acknowledging receipt and explanation of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy and/or the acknowledgement did not have all the required information. One (1) out of the five (5) children’s files reviewed did not include Prevention of Shaken Baby Syndrome and Abusive Head Trauma acknowledgement signature. .0608(b)(1-6) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before 3/11/25, I must receive a written, dated, and signed compliance letter that describes accurately and in detail how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Michelle O’Kelley, Child Care Consultant PO Box 56 Jamesville, NC 27846 Michelle.OKelley@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Technical Assistance: ABCMS Provider Portal Training: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. 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. You stated you will complete the training and send me your certificate with the compliance letter. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. 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. Over-the-counter medicine: Administering medication requires skill, knowledge, and careful attention to detail. Parents/guardians and prescribing health professionals must give a caregiver/ teacher written authorization to administer medication to the child. Medicines can be crucial to the health and wellness of children. They can also be very dangerous if the wrong type or wrong amount is given to the wrong person or at the wrong time. In space #1 there was a package of Zyrtec in an unlocked cabinet and a medication authorization was not available for the Zyrtec. In space # 1 medical authorization for an over-the-counter Babo Botanicals SPF 50 sun screen did not have valid dates listed. Emergency Drills: You must conduct either a shelter-in-place or a lockdown drill every three months to ensure that the operator and children are aware of what actions to take in the event of a life-threatening emergency. An emergency drill was not completed in the fourth quarter of 2024. The last documented emergency drill was conducted in September 2024. You stated that you just started in December 2024 and did not know that a lockdown or shelter-in-place drill had not taken place. Use a calendar to schedule dates for emergency drills. Annual Review of EPR Plan with Staff: You must train all staff on the EPR Plan and review the plan at least annually with all staff. The more your staff know and understand their roles in responding to emergencies, the better they will be able to stay calm and react efficiently to keep the children safe in the event of an actual emergency. There is no documentation stating the EPR plan has been reviewed with staff. You stated that you did not know that it had not been reviewed with staff and you just started in December 2024. A review of the plan must be completed immediately. When staff cannot attend the annual review, it must be completed one-on-one as soon as possible. Children’s Records: Children's records consist of various documentation such as a child's medical and immunization history, emergency medical care information, NC Summary of the Law, Safe Sleep policy, Discipline policy, Smoking and Tobacco restriction, and Prevention of Shaken Baby Syndrome and Abusive Head Trauma. This information is the basis for meeting each child's physical, emotional, cognitive and social needs. When enrolling children into the facility, a statement regarding the facility’s discipline policy must be signed by parents and include the child’s name and date of enrollment. One (1) out of the five (5) children’s files reviewed did not include NC Summary of the Law, Safe Sleep policy, Discipline policy, Smoking and Tobacco restriction, and Prevention of Shaken Baby Syndrome and Abusive Head Trauma acknowledgement signatures. You stated that you are in the process of going through children’s files and updating information in the children’s files. Use a Children’s File Checklist to document the child’s date of enrollment and the dates of all the documentation on the list to ensure that you have the necessary documents when they are due. CPR/First Aid: Knowing what to do in an emergency medical situation can mean the difference between life or death. Being trained in CPR and first aid can be invaluable when someone is in serious medical distress. Therefore, it is very important that all staff working directly with children have current CPR and First Aid Certification. Two (2) of the four (4) staff files monitored did not have current CPR and First Aid Certification. You stated that you had seven (7) staff signed up for CPR and First Aid training for 2/20/25, it was cancelled due to weather. You stated that you were following up with when CPR and First Aid training will be rescheduled for your staff. Use your Staff file checklist to keep up with due dates. Ongoing Health and Safety Training Requirements - Staff training requirements are essential for adults who interact with and teach children. These requirements protect children in child care facilities by ensuring these facilities provide a physically safe and healthy environment where the developmental needs of children are being met and where children are cared for by qualified staff. Documentation of the completion of health and safety training was not available for three (3) of the four (4) staff files monitored. You stated you did not know that the staff were required to complete the trainings. Chapter 10 – Subsidized Child Care Rules 10A NCAC 10 .0602 (f) states your facility is required to abide by these regulations. Research demonstrates knowledge of why health and safety training is important and enhances your ability to work with young children appropriately and to the full benefit of the child. Use a Staff File Checklist to document the dates of all the documentation on the list to ensure that you have the necessary documents when they are due. Orientation: Staff qualifications and training requirements are essential for adults who interact with and teach children. These requirements protect children in child care facilities by ensuring these facilities provide a physically safe and healthy environment where the developmental needs of children are being met and where children are cared for by qualified staff. Each staff person shall receive 16 hours of orientation within the first 6 weeks of employment. Chapter 10 – Subsidized Child Care Rules 10A NCAC 10 .0602 (f) states your facility is required to abide by these regulations. Six of the hours are required to be completed within the first two weeks of employment. Four (4) of the four (4) staff files reviewed did not include orientation. You stated you did not know that the staff were required to complete the trainings. Use a Staff File Checklist to document the dates of all the documentation on the list to ensure that you have the necessary documents when they are due. Playground Inspections: Checks of the outdoor play areas are required to be documented at least monthly on the playground safety checklist. Although you should be checking the area daily prior to use, documentation must be on file to verify a monthly check has been completed to maintain a safe outdoor environment for staff and children. There was no documentation available for playground inspection for January 2025. The black matting on playground #2 around the trees and near the bottom of the steps close to the right side is exposed and is creating a tripping hazard. You stated that there was no one trained in playground safety available and that you and your assistant have signed up to take the training this week. You also stated that you would have maintenance fix the black matting. Use a calendar for dates to schedule playground safety inspections. Storage of Hazardous Items: Intentional planning of the environment ensures a safe environment has been created which prevents and reduces injuries to young children. Located in the unlocked electrical room were 3 cans of paint. You stated that you would have maintenance lock the door. Place a sign on the door stating that the door must remained locked at all times. Sanitation: Infectious diseases spread easily in early care and education programs, since children, staff, and families are all in close contact. Surfaces and objects can carry germs and have spread diseases. Toys can spread disease when children put the toys in their mouths, touch the toys after putting their hands in their mouths during play or eating, or after toileting with inadequate hand hygiene. Using a dishwasher that has a “sanitizing cycle” or is set to heat dry is an acceptable way to save time and work when sanitizing plastic toys, as long as it’s not washing dishes and cutlery at the same time. In space #4 children put 4 different toys into their mouths and afterwards the toys were not cleaned and sanitized. This includes having sippy cups and bottles labeled with child’s name and date. Developing effective cleaning strategies and policies are important steps to reduce the risk of illness in early care and education programs. Menu Substitutions: Planning the menu in advance and posting the current menu, to include any substitutions, is essential in providing a variety of foods for proper nutrition. During our observations of the lunch being prepared, we noted food substitutions were of comparable food value; however, the substitutions were not recorded on the menu. According to the posted menu, the lunch served consisted of chicken nuggets, mixed vegetables, pineapples, and milk. Today children were served chicken strips, broccoli, mixed fruit, and milk. Prior to any meal or snack being served, the posted menu must be reviewed for accuracy of items served and if comparable changes occur, then make sure those changes are noted on the posted menu(s). Additional Comments: We discussed Clean Classrooms for Carolina Kids and you have completed Lead in Water, and Asbestos testing. Lead-Based Paint is pending mitigation. Facilities are required to submit a response action documenting that they have restricted access and how access restriction has been achieved. To enter the information or submit the ‘response action’ form, they will need to log in to their dashboard on the Clean Water for Carolina Kids at https://www.cleanwaterforuskids.org/en/carolina/. Please let me know when this has been completed. Raise NC- Stay current with communication and email blasts from DCDEE. Be sure to check your email at least weekly. If you are not currently receiving the email, please visit the DCDEE home page. Add your contact information and click subscribe to be added to the mailing list. The Beaufort-Hyde Partnership for Children is also able to provide you with resources, information, training opportunities, and technical assistance on child care issues. Their phone number is (252) 975-4647 or check out their website at www.bhckids.org. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me at Michelle O’Kelley, Child Care Consultant, (252) 508-3955, Michelle.OKelley@dhhs.nc.gov or Jennifer Linhardt, Licensing Supervisor, (252) 373-4199, Jennifer.Linhardt@dhhs.nc.gov if you have questions. 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 .0901 · Violation

Name of Operation: FIRST METHODIST CHURCH WASHINGTON CHILD CARE Facility ID: 07000214 Consultant: MICHELLE O'KELLEY Operation Type: Center Case Number: Visit Date: 2/25/2025 Number Present: 41 Completed Date: 2/25/2025 Age: From 0 To 5 Total Minutes: 250 Time In: 08:45 AM Time Out: 12:55 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for an Annual Compliance visit. Jennifer Linhardt, Licensing Supervisor, accompanied me during today’s visit. The administrator was present and assisted with the visit. Your program currently operates with a Notice of Compliance issued on 5/23/23. The sanitation inspection was completed on 12/9/24 with a “Superior” classification. The last fire inspection was conducted on 8/12/24 and your facility was approved for daytime care only. CORPORATION STATUS: The NC Secretary of State website was reviewed on 2/19/25 and First Methodist Church Washington, INC was listed as current- active. Your contact information on the Division of Child Development & Early Education (DCDEE) website was reviewed during today’s visit. All information is current. It is important to frequently check your email to remain informed about any new changes that have or may occur. The center's compliance history was reviewed with the operator. The program’s compliance history was eighty-seven (87) percent as of 2/24/25. The children transitioned to the outdoor play space. The fenced outdoor spaces included stationary equipment, portable toys, balls, shade, and extra materials. Children under twelve months old received care according to individual needs including tummy time, diapering and bottle feeding. Proper handwashing was observed. I provided you with a Legal Designee form for the pastor to complete. Lunch was being prepared and consisted of chicken strips, broccoli, mixed fruit, and milk. The following violation(s) were documented. Violation Number Comment Rule 114 A summary of the NC Child Care Law was not given to a parent of every child enrolled in the center. One (1) out of the five (5) children’s files reviewed did not include NC Summary of the Law acknowledgement signature. GS 110-102 528 Food substitution was not of comparable food value or recorded on the menu prior to the meal or snack being served. The lunch menu posted stated chicken nuggets, mixed vegetables, pineapples, and milk. Per the kitchen staff lunch was to consist of chicken strips, broccoli, mixed fruit, and milk. Substitutions for lunch was not recorded prior to the meal being served. 10A NCAC 09 .0901(b) 533 Human milk, formula and other bottled beverages including sippy cups, sent from child's home were not fully prepared, dated, and labeled for the appropriate child. In space #1 three (3) sippy cups located in a cabinet above the handwashing sink, were not labeled with child's name and date. 15A NCAC 18A .2804(d) 616 Toys and other mouth-contact surfaces were not cleaned and sanitized daily when used or cleaned more frequently if visibly dirty. In space #4 four (4) mouthed toys were not removed from play and cleaned. .2822(a)(1-4) 807 A safe indoor and outdoor environment was not provided for the children. The black matting on playground #2 around the trees and near the bottom of the steps close to the right side is exposed and is creating a tripping hazard. Located in the unlocked electrical room were 3 cans of paint. 10A NCAC 09 .0601(a) 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. In space #1 there was a package of Zyrtec in an unlocked cabinet above the handwashing sink. 15A NCAC 18A .2820(d) 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. In space #1 there was a package of Zyrtec with no paperwork onsite for Zyrtec. 10A NCAC 09 .0803(1)(a & b) 847 Parent's medication authorization did not include required information. In space #1 there were no valid dates listed on the medication authorization form for Babo Botanicals SPF 50. 10A NCAC 09 .0803(4)(6-9) 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. There was no documentation available for playground inspection for January 2025. .0605(q) 893 A copy of the safe sleep policy was not given to and/or explained to the parent of each child on or before the first day the infant attended the center. One (1) out of the five (5) children’s files reviewed did not include Safe sleep policy acknowledgement signature. 10A NCAC 09 .0606(c) 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. Two (2) of the four (4) staff files monitored did not have current First Aid Certification. .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. Two (2) of the four (4) staff files monitored did not have current CPR Certification. .1102(d) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. Four (4) of the four (4) staff files reviewed did not include orientation. .1101(a)(b) 1324 Signed and dated statement by parent that discipline policy received and explained at enrollment was not in child's file. One (1) out of the five (5) children’s files reviewed did not include discipline policy acknowledgement signature. .1804(c) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. An emergency drill was not completed in the fourth quarter of 2024. .0604(u);.0302(d)(8) 1825 All staff did not review the center's EPR Plan during orientation and/or on an annual basis with the trained staff. Documentation of the review was not maintained on file. There was no documentation indicating that the EPR plan had been reviewed with staff. .0607(f) 1851 The operator did not notify the parent of each child enrolled in writing of the smoking and tobacco restriction. One (1) out of the five (5) children’s files reviewed did not include smoking and tobacco restriction acknowledgement signature. .0604(j) 1866 Other surfacing materials not identified in rule were used that did not meet the ASTM standards, were not installed, maintained, and/or replaced according to manufacturer's instructions. There were no ASTM documents for the pour-in-place surfacing. .0605(j)(2) 1898 Staff did not complete the health and safety training within one year of employment. Documentation of the completion of health and safety training topics as part of on-going training within five years of completing the previous health and training topics was not available for three (3) of the four (4) staff files monitored. .1102(a) 1908 A child's file did not have a statement with parent signature acknowledging receipt and explanation of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy and/or the acknowledgement did not have all the required information. One (1) out of the five (5) children’s files reviewed did not include Prevention of Shaken Baby Syndrome and Abusive Head Trauma acknowledgement signature. .0608(b)(1-6) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before 3/11/25, I must receive a written, dated, and signed compliance letter that describes accurately and in detail how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Michelle O’Kelley, Child Care Consultant PO Box 56 Jamesville, NC 27846 Michelle.OKelley@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Technical Assistance: ABCMS Provider Portal Training: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. 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. You stated you will complete the training and send me your certificate with the compliance letter. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. 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. Over-the-counter medicine: Administering medication requires skill, knowledge, and careful attention to detail. Parents/guardians and prescribing health professionals must give a caregiver/ teacher written authorization to administer medication to the child. Medicines can be crucial to the health and wellness of children. They can also be very dangerous if the wrong type or wrong amount is given to the wrong person or at the wrong time. In space #1 there was a package of Zyrtec in an unlocked cabinet and a medication authorization was not available for the Zyrtec. In space # 1 medical authorization for an over-the-counter Babo Botanicals SPF 50 sun screen did not have valid dates listed. Emergency Drills: You must conduct either a shelter-in-place or a lockdown drill every three months to ensure that the operator and children are aware of what actions to take in the event of a life-threatening emergency. An emergency drill was not completed in the fourth quarter of 2024. The last documented emergency drill was conducted in September 2024. You stated that you just started in December 2024 and did not know that a lockdown or shelter-in-place drill had not taken place. Use a calendar to schedule dates for emergency drills. Annual Review of EPR Plan with Staff: You must train all staff on the EPR Plan and review the plan at least annually with all staff. The more your staff know and understand their roles in responding to emergencies, the better they will be able to stay calm and react efficiently to keep the children safe in the event of an actual emergency. There is no documentation stating the EPR plan has been reviewed with staff. You stated that you did not know that it had not been reviewed with staff and you just started in December 2024. A review of the plan must be completed immediately. When staff cannot attend the annual review, it must be completed one-on-one as soon as possible. Children’s Records: Children's records consist of various documentation such as a child's medical and immunization history, emergency medical care information, NC Summary of the Law, Safe Sleep policy, Discipline policy, Smoking and Tobacco restriction, and Prevention of Shaken Baby Syndrome and Abusive Head Trauma. This information is the basis for meeting each child's physical, emotional, cognitive and social needs. When enrolling children into the facility, a statement regarding the facility’s discipline policy must be signed by parents and include the child’s name and date of enrollment. One (1) out of the five (5) children’s files reviewed did not include NC Summary of the Law, Safe Sleep policy, Discipline policy, Smoking and Tobacco restriction, and Prevention of Shaken Baby Syndrome and Abusive Head Trauma acknowledgement signatures. You stated that you are in the process of going through children’s files and updating information in the children’s files. Use a Children’s File Checklist to document the child’s date of enrollment and the dates of all the documentation on the list to ensure that you have the necessary documents when they are due. CPR/First Aid: Knowing what to do in an emergency medical situation can mean the difference between life or death. Being trained in CPR and first aid can be invaluable when someone is in serious medical distress. Therefore, it is very important that all staff working directly with children have current CPR and First Aid Certification. Two (2) of the four (4) staff files monitored did not have current CPR and First Aid Certification. You stated that you had seven (7) staff signed up for CPR and First Aid training for 2/20/25, it was cancelled due to weather. You stated that you were following up with when CPR and First Aid training will be rescheduled for your staff. Use your Staff file checklist to keep up with due dates. Ongoing Health and Safety Training Requirements - Staff training requirements are essential for adults who interact with and teach children. These requirements protect children in child care facilities by ensuring these facilities provide a physically safe and healthy environment where the developmental needs of children are being met and where children are cared for by qualified staff. Documentation of the completion of health and safety training was not available for three (3) of the four (4) staff files monitored. You stated you did not know that the staff were required to complete the trainings. Chapter 10 – Subsidized Child Care Rules 10A NCAC 10 .0602 (f) states your facility is required to abide by these regulations. Research demonstrates knowledge of why health and safety training is important and enhances your ability to work with young children appropriately and to the full benefit of the child. Use a Staff File Checklist to document the dates of all the documentation on the list to ensure that you have the necessary documents when they are due. Orientation: Staff qualifications and training requirements are essential for adults who interact with and teach children. These requirements protect children in child care facilities by ensuring these facilities provide a physically safe and healthy environment where the developmental needs of children are being met and where children are cared for by qualified staff. Each staff person shall receive 16 hours of orientation within the first 6 weeks of employment. Chapter 10 – Subsidized Child Care Rules 10A NCAC 10 .0602 (f) states your facility is required to abide by these regulations. Six of the hours are required to be completed within the first two weeks of employment. Four (4) of the four (4) staff files reviewed did not include orientation. You stated you did not know that the staff were required to complete the trainings. Use a Staff File Checklist to document the dates of all the documentation on the list to ensure that you have the necessary documents when they are due. Playground Inspections: Checks of the outdoor play areas are required to be documented at least monthly on the playground safety checklist. Although you should be checking the area daily prior to use, documentation must be on file to verify a monthly check has been completed to maintain a safe outdoor environment for staff and children. There was no documentation available for playground inspection for January 2025. The black matting on playground #2 around the trees and near the bottom of the steps close to the right side is exposed and is creating a tripping hazard. You stated that there was no one trained in playground safety available and that you and your assistant have signed up to take the training this week. You also stated that you would have maintenance fix the black matting. Use a calendar for dates to schedule playground safety inspections. Storage of Hazardous Items: Intentional planning of the environment ensures a safe environment has been created which prevents and reduces injuries to young children. Located in the unlocked electrical room were 3 cans of paint. You stated that you would have maintenance lock the door. Place a sign on the door stating that the door must remained locked at all times. Sanitation: Infectious diseases spread easily in early care and education programs, since children, staff, and families are all in close contact. Surfaces and objects can carry germs and have spread diseases. Toys can spread disease when children put the toys in their mouths, touch the toys after putting their hands in their mouths during play or eating, or after toileting with inadequate hand hygiene. Using a dishwasher that has a “sanitizing cycle” or is set to heat dry is an acceptable way to save time and work when sanitizing plastic toys, as long as it’s not washing dishes and cutlery at the same time. In space #4 children put 4 different toys into their mouths and afterwards the toys were not cleaned and sanitized. This includes having sippy cups and bottles labeled with child’s name and date. Developing effective cleaning strategies and policies are important steps to reduce the risk of illness in early care and education programs. Menu Substitutions: Planning the menu in advance and posting the current menu, to include any substitutions, is essential in providing a variety of foods for proper nutrition. During our observations of the lunch being prepared, we noted food substitutions were of comparable food value; however, the substitutions were not recorded on the menu. According to the posted menu, the lunch served consisted of chicken nuggets, mixed vegetables, pineapples, and milk. Today children were served chicken strips, broccoli, mixed fruit, and milk. Prior to any meal or snack being served, the posted menu must be reviewed for accuracy of items served and if comparable changes occur, then make sure those changes are noted on the posted menu(s). Additional Comments: We discussed Clean Classrooms for Carolina Kids and you have completed Lead in Water, and Asbestos testing. Lead-Based Paint is pending mitigation. Facilities are required to submit a response action documenting that they have restricted access and how access restriction has been achieved. To enter the information or submit the ‘response action’ form, they will need to log in to their dashboard on the Clean Water for Carolina Kids at https://www.cleanwaterforuskids.org/en/carolina/. Please let me know when this has been completed. Raise NC- Stay current with communication and email blasts from DCDEE. Be sure to check your email at least weekly. If you are not currently receiving the email, please visit the DCDEE home page. Add your contact information and click subscribe to be added to the mailing list. The Beaufort-Hyde Partnership for Children is also able to provide you with resources, information, training opportunities, and technical assistance on child care issues. Their phone number is (252) 975-4647 or check out their website at www.bhckids.org. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me at Michelle O’Kelley, Child Care Consultant, (252) 508-3955, Michelle.OKelley@dhhs.nc.gov or Jennifer Linhardt, Licensing Supervisor, (252) 373-4199, Jennifer.Linhardt@dhhs.nc.gov if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0606 · Violation

Name of Operation: FIRST METHODIST CHURCH WASHINGTON CHILD CARE Facility ID: 07000214 Consultant: MICHELLE O'KELLEY Operation Type: Center Case Number: Visit Date: 2/25/2025 Number Present: 41 Completed Date: 2/25/2025 Age: From 0 To 5 Total Minutes: 250 Time In: 08:45 AM Time Out: 12:55 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for an Annual Compliance visit. Jennifer Linhardt, Licensing Supervisor, accompanied me during today’s visit. The administrator was present and assisted with the visit. Your program currently operates with a Notice of Compliance issued on 5/23/23. The sanitation inspection was completed on 12/9/24 with a “Superior” classification. The last fire inspection was conducted on 8/12/24 and your facility was approved for daytime care only. CORPORATION STATUS: The NC Secretary of State website was reviewed on 2/19/25 and First Methodist Church Washington, INC was listed as current- active. Your contact information on the Division of Child Development & Early Education (DCDEE) website was reviewed during today’s visit. All information is current. It is important to frequently check your email to remain informed about any new changes that have or may occur. The center's compliance history was reviewed with the operator. The program’s compliance history was eighty-seven (87) percent as of 2/24/25. The children transitioned to the outdoor play space. The fenced outdoor spaces included stationary equipment, portable toys, balls, shade, and extra materials. Children under twelve months old received care according to individual needs including tummy time, diapering and bottle feeding. Proper handwashing was observed. I provided you with a Legal Designee form for the pastor to complete. Lunch was being prepared and consisted of chicken strips, broccoli, mixed fruit, and milk. The following violation(s) were documented. Violation Number Comment Rule 114 A summary of the NC Child Care Law was not given to a parent of every child enrolled in the center. One (1) out of the five (5) children’s files reviewed did not include NC Summary of the Law acknowledgement signature. GS 110-102 528 Food substitution was not of comparable food value or recorded on the menu prior to the meal or snack being served. The lunch menu posted stated chicken nuggets, mixed vegetables, pineapples, and milk. Per the kitchen staff lunch was to consist of chicken strips, broccoli, mixed fruit, and milk. Substitutions for lunch was not recorded prior to the meal being served. 10A NCAC 09 .0901(b) 533 Human milk, formula and other bottled beverages including sippy cups, sent from child's home were not fully prepared, dated, and labeled for the appropriate child. In space #1 three (3) sippy cups located in a cabinet above the handwashing sink, were not labeled with child's name and date. 15A NCAC 18A .2804(d) 616 Toys and other mouth-contact surfaces were not cleaned and sanitized daily when used or cleaned more frequently if visibly dirty. In space #4 four (4) mouthed toys were not removed from play and cleaned. .2822(a)(1-4) 807 A safe indoor and outdoor environment was not provided for the children. The black matting on playground #2 around the trees and near the bottom of the steps close to the right side is exposed and is creating a tripping hazard. Located in the unlocked electrical room were 3 cans of paint. 10A NCAC 09 .0601(a) 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. In space #1 there was a package of Zyrtec in an unlocked cabinet above the handwashing sink. 15A NCAC 18A .2820(d) 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. In space #1 there was a package of Zyrtec with no paperwork onsite for Zyrtec. 10A NCAC 09 .0803(1)(a & b) 847 Parent's medication authorization did not include required information. In space #1 there were no valid dates listed on the medication authorization form for Babo Botanicals SPF 50. 10A NCAC 09 .0803(4)(6-9) 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. There was no documentation available for playground inspection for January 2025. .0605(q) 893 A copy of the safe sleep policy was not given to and/or explained to the parent of each child on or before the first day the infant attended the center. One (1) out of the five (5) children’s files reviewed did not include Safe sleep policy acknowledgement signature. 10A NCAC 09 .0606(c) 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. Two (2) of the four (4) staff files monitored did not have current First Aid Certification. .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. Two (2) of the four (4) staff files monitored did not have current CPR Certification. .1102(d) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. Four (4) of the four (4) staff files reviewed did not include orientation. .1101(a)(b) 1324 Signed and dated statement by parent that discipline policy received and explained at enrollment was not in child's file. One (1) out of the five (5) children’s files reviewed did not include discipline policy acknowledgement signature. .1804(c) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. An emergency drill was not completed in the fourth quarter of 2024. .0604(u);.0302(d)(8) 1825 All staff did not review the center's EPR Plan during orientation and/or on an annual basis with the trained staff. Documentation of the review was not maintained on file. There was no documentation indicating that the EPR plan had been reviewed with staff. .0607(f) 1851 The operator did not notify the parent of each child enrolled in writing of the smoking and tobacco restriction. One (1) out of the five (5) children’s files reviewed did not include smoking and tobacco restriction acknowledgement signature. .0604(j) 1866 Other surfacing materials not identified in rule were used that did not meet the ASTM standards, were not installed, maintained, and/or replaced according to manufacturer's instructions. There were no ASTM documents for the pour-in-place surfacing. .0605(j)(2) 1898 Staff did not complete the health and safety training within one year of employment. Documentation of the completion of health and safety training topics as part of on-going training within five years of completing the previous health and training topics was not available for three (3) of the four (4) staff files monitored. .1102(a) 1908 A child's file did not have a statement with parent signature acknowledging receipt and explanation of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy and/or the acknowledgement did not have all the required information. One (1) out of the five (5) children’s files reviewed did not include Prevention of Shaken Baby Syndrome and Abusive Head Trauma acknowledgement signature. .0608(b)(1-6) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before 3/11/25, I must receive a written, dated, and signed compliance letter that describes accurately and in detail how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Michelle O’Kelley, Child Care Consultant PO Box 56 Jamesville, NC 27846 Michelle.OKelley@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Technical Assistance: ABCMS Provider Portal Training: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. 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. You stated you will complete the training and send me your certificate with the compliance letter. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. 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. Over-the-counter medicine: Administering medication requires skill, knowledge, and careful attention to detail. Parents/guardians and prescribing health professionals must give a caregiver/ teacher written authorization to administer medication to the child. Medicines can be crucial to the health and wellness of children. They can also be very dangerous if the wrong type or wrong amount is given to the wrong person or at the wrong time. In space #1 there was a package of Zyrtec in an unlocked cabinet and a medication authorization was not available for the Zyrtec. In space # 1 medical authorization for an over-the-counter Babo Botanicals SPF 50 sun screen did not have valid dates listed. Emergency Drills: You must conduct either a shelter-in-place or a lockdown drill every three months to ensure that the operator and children are aware of what actions to take in the event of a life-threatening emergency. An emergency drill was not completed in the fourth quarter of 2024. The last documented emergency drill was conducted in September 2024. You stated that you just started in December 2024 and did not know that a lockdown or shelter-in-place drill had not taken place. Use a calendar to schedule dates for emergency drills. Annual Review of EPR Plan with Staff: You must train all staff on the EPR Plan and review the plan at least annually with all staff. The more your staff know and understand their roles in responding to emergencies, the better they will be able to stay calm and react efficiently to keep the children safe in the event of an actual emergency. There is no documentation stating the EPR plan has been reviewed with staff. You stated that you did not know that it had not been reviewed with staff and you just started in December 2024. A review of the plan must be completed immediately. When staff cannot attend the annual review, it must be completed one-on-one as soon as possible. Children’s Records: Children's records consist of various documentation such as a child's medical and immunization history, emergency medical care information, NC Summary of the Law, Safe Sleep policy, Discipline policy, Smoking and Tobacco restriction, and Prevention of Shaken Baby Syndrome and Abusive Head Trauma. This information is the basis for meeting each child's physical, emotional, cognitive and social needs. When enrolling children into the facility, a statement regarding the facility’s discipline policy must be signed by parents and include the child’s name and date of enrollment. One (1) out of the five (5) children’s files reviewed did not include NC Summary of the Law, Safe Sleep policy, Discipline policy, Smoking and Tobacco restriction, and Prevention of Shaken Baby Syndrome and Abusive Head Trauma acknowledgement signatures. You stated that you are in the process of going through children’s files and updating information in the children’s files. Use a Children’s File Checklist to document the child’s date of enrollment and the dates of all the documentation on the list to ensure that you have the necessary documents when they are due. CPR/First Aid: Knowing what to do in an emergency medical situation can mean the difference between life or death. Being trained in CPR and first aid can be invaluable when someone is in serious medical distress. Therefore, it is very important that all staff working directly with children have current CPR and First Aid Certification. Two (2) of the four (4) staff files monitored did not have current CPR and First Aid Certification. You stated that you had seven (7) staff signed up for CPR and First Aid training for 2/20/25, it was cancelled due to weather. You stated that you were following up with when CPR and First Aid training will be rescheduled for your staff. Use your Staff file checklist to keep up with due dates. Ongoing Health and Safety Training Requirements - Staff training requirements are essential for adults who interact with and teach children. These requirements protect children in child care facilities by ensuring these facilities provide a physically safe and healthy environment where the developmental needs of children are being met and where children are cared for by qualified staff. Documentation of the completion of health and safety training was not available for three (3) of the four (4) staff files monitored. You stated you did not know that the staff were required to complete the trainings. Chapter 10 – Subsidized Child Care Rules 10A NCAC 10 .0602 (f) states your facility is required to abide by these regulations. Research demonstrates knowledge of why health and safety training is important and enhances your ability to work with young children appropriately and to the full benefit of the child. Use a Staff File Checklist to document the dates of all the documentation on the list to ensure that you have the necessary documents when they are due. Orientation: Staff qualifications and training requirements are essential for adults who interact with and teach children. These requirements protect children in child care facilities by ensuring these facilities provide a physically safe and healthy environment where the developmental needs of children are being met and where children are cared for by qualified staff. Each staff person shall receive 16 hours of orientation within the first 6 weeks of employment. Chapter 10 – Subsidized Child Care Rules 10A NCAC 10 .0602 (f) states your facility is required to abide by these regulations. Six of the hours are required to be completed within the first two weeks of employment. Four (4) of the four (4) staff files reviewed did not include orientation. You stated you did not know that the staff were required to complete the trainings. Use a Staff File Checklist to document the dates of all the documentation on the list to ensure that you have the necessary documents when they are due. Playground Inspections: Checks of the outdoor play areas are required to be documented at least monthly on the playground safety checklist. Although you should be checking the area daily prior to use, documentation must be on file to verify a monthly check has been completed to maintain a safe outdoor environment for staff and children. There was no documentation available for playground inspection for January 2025. The black matting on playground #2 around the trees and near the bottom of the steps close to the right side is exposed and is creating a tripping hazard. You stated that there was no one trained in playground safety available and that you and your assistant have signed up to take the training this week. You also stated that you would have maintenance fix the black matting. Use a calendar for dates to schedule playground safety inspections. Storage of Hazardous Items: Intentional planning of the environment ensures a safe environment has been created which prevents and reduces injuries to young children. Located in the unlocked electrical room were 3 cans of paint. You stated that you would have maintenance lock the door. Place a sign on the door stating that the door must remained locked at all times. Sanitation: Infectious diseases spread easily in early care and education programs, since children, staff, and families are all in close contact. Surfaces and objects can carry germs and have spread diseases. Toys can spread disease when children put the toys in their mouths, touch the toys after putting their hands in their mouths during play or eating, or after toileting with inadequate hand hygiene. Using a dishwasher that has a “sanitizing cycle” or is set to heat dry is an acceptable way to save time and work when sanitizing plastic toys, as long as it’s not washing dishes and cutlery at the same time. In space #4 children put 4 different toys into their mouths and afterwards the toys were not cleaned and sanitized. This includes having sippy cups and bottles labeled with child’s name and date. Developing effective cleaning strategies and policies are important steps to reduce the risk of illness in early care and education programs. Menu Substitutions: Planning the menu in advance and posting the current menu, to include any substitutions, is essential in providing a variety of foods for proper nutrition. During our observations of the lunch being prepared, we noted food substitutions were of comparable food value; however, the substitutions were not recorded on the menu. According to the posted menu, the lunch served consisted of chicken nuggets, mixed vegetables, pineapples, and milk. Today children were served chicken strips, broccoli, mixed fruit, and milk. Prior to any meal or snack being served, the posted menu must be reviewed for accuracy of items served and if comparable changes occur, then make sure those changes are noted on the posted menu(s). Additional Comments: We discussed Clean Classrooms for Carolina Kids and you have completed Lead in Water, and Asbestos testing. Lead-Based Paint is pending mitigation. Facilities are required to submit a response action documenting that they have restricted access and how access restriction has been achieved. To enter the information or submit the ‘response action’ form, they will need to log in to their dashboard on the Clean Water for Carolina Kids at https://www.cleanwaterforuskids.org/en/carolina/. Please let me know when this has been completed. Raise NC- Stay current with communication and email blasts from DCDEE. Be sure to check your email at least weekly. If you are not currently receiving the email, please visit the DCDEE home page. Add your contact information and click subscribe to be added to the mailing list. The Beaufort-Hyde Partnership for Children is also able to provide you with resources, information, training opportunities, and technical assistance on child care issues. Their phone number is (252) 975-4647 or check out their website at www.bhckids.org. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me at Michelle O’Kelley, Child Care Consultant, (252) 508-3955, Michelle.OKelley@dhhs.nc.gov or Jennifer Linhardt, Licensing Supervisor, (252) 373-4199, Jennifer.Linhardt@dhhs.nc.gov if you have questions. 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 METHODIST CHURCH WASHINGTON CHILD CARE Facility ID: 07000214 Consultant: MICHELLE O'KELLEY Operation Type: Center Case Number: Visit Date: 2/25/2025 Number Present: 41 Completed Date: 2/25/2025 Age: From 0 To 5 Total Minutes: 250 Time In: 08:45 AM Time Out: 12:55 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for an Annual Compliance visit. Jennifer Linhardt, Licensing Supervisor, accompanied me during today’s visit. The administrator was present and assisted with the visit. Your program currently operates with a Notice of Compliance issued on 5/23/23. The sanitation inspection was completed on 12/9/24 with a “Superior” classification. The last fire inspection was conducted on 8/12/24 and your facility was approved for daytime care only. CORPORATION STATUS: The NC Secretary of State website was reviewed on 2/19/25 and First Methodist Church Washington, INC was listed as current- active. Your contact information on the Division of Child Development & Early Education (DCDEE) website was reviewed during today’s visit. All information is current. It is important to frequently check your email to remain informed about any new changes that have or may occur. The center's compliance history was reviewed with the operator. The program’s compliance history was eighty-seven (87) percent as of 2/24/25. The children transitioned to the outdoor play space. The fenced outdoor spaces included stationary equipment, portable toys, balls, shade, and extra materials. Children under twelve months old received care according to individual needs including tummy time, diapering and bottle feeding. Proper handwashing was observed. I provided you with a Legal Designee form for the pastor to complete. Lunch was being prepared and consisted of chicken strips, broccoli, mixed fruit, and milk. The following violation(s) were documented. Violation Number Comment Rule 114 A summary of the NC Child Care Law was not given to a parent of every child enrolled in the center. One (1) out of the five (5) children’s files reviewed did not include NC Summary of the Law acknowledgement signature. GS 110-102 528 Food substitution was not of comparable food value or recorded on the menu prior to the meal or snack being served. The lunch menu posted stated chicken nuggets, mixed vegetables, pineapples, and milk. Per the kitchen staff lunch was to consist of chicken strips, broccoli, mixed fruit, and milk. Substitutions for lunch was not recorded prior to the meal being served. 10A NCAC 09 .0901(b) 533 Human milk, formula and other bottled beverages including sippy cups, sent from child's home were not fully prepared, dated, and labeled for the appropriate child. In space #1 three (3) sippy cups located in a cabinet above the handwashing sink, were not labeled with child's name and date. 15A NCAC 18A .2804(d) 616 Toys and other mouth-contact surfaces were not cleaned and sanitized daily when used or cleaned more frequently if visibly dirty. In space #4 four (4) mouthed toys were not removed from play and cleaned. .2822(a)(1-4) 807 A safe indoor and outdoor environment was not provided for the children. The black matting on playground #2 around the trees and near the bottom of the steps close to the right side is exposed and is creating a tripping hazard. Located in the unlocked electrical room were 3 cans of paint. 10A NCAC 09 .0601(a) 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. In space #1 there was a package of Zyrtec in an unlocked cabinet above the handwashing sink. 15A NCAC 18A .2820(d) 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. In space #1 there was a package of Zyrtec with no paperwork onsite for Zyrtec. 10A NCAC 09 .0803(1)(a & b) 847 Parent's medication authorization did not include required information. In space #1 there were no valid dates listed on the medication authorization form for Babo Botanicals SPF 50. 10A NCAC 09 .0803(4)(6-9) 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. There was no documentation available for playground inspection for January 2025. .0605(q) 893 A copy of the safe sleep policy was not given to and/or explained to the parent of each child on or before the first day the infant attended the center. One (1) out of the five (5) children’s files reviewed did not include Safe sleep policy acknowledgement signature. 10A NCAC 09 .0606(c) 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. Two (2) of the four (4) staff files monitored did not have current First Aid Certification. .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. Two (2) of the four (4) staff files monitored did not have current CPR Certification. .1102(d) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. Four (4) of the four (4) staff files reviewed did not include orientation. .1101(a)(b) 1324 Signed and dated statement by parent that discipline policy received and explained at enrollment was not in child's file. One (1) out of the five (5) children’s files reviewed did not include discipline policy acknowledgement signature. .1804(c) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. An emergency drill was not completed in the fourth quarter of 2024. .0604(u);.0302(d)(8) 1825 All staff did not review the center's EPR Plan during orientation and/or on an annual basis with the trained staff. Documentation of the review was not maintained on file. There was no documentation indicating that the EPR plan had been reviewed with staff. .0607(f) 1851 The operator did not notify the parent of each child enrolled in writing of the smoking and tobacco restriction. One (1) out of the five (5) children’s files reviewed did not include smoking and tobacco restriction acknowledgement signature. .0604(j) 1866 Other surfacing materials not identified in rule were used that did not meet the ASTM standards, were not installed, maintained, and/or replaced according to manufacturer's instructions. There were no ASTM documents for the pour-in-place surfacing. .0605(j)(2) 1898 Staff did not complete the health and safety training within one year of employment. Documentation of the completion of health and safety training topics as part of on-going training within five years of completing the previous health and training topics was not available for three (3) of the four (4) staff files monitored. .1102(a) 1908 A child's file did not have a statement with parent signature acknowledging receipt and explanation of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy and/or the acknowledgement did not have all the required information. One (1) out of the five (5) children’s files reviewed did not include Prevention of Shaken Baby Syndrome and Abusive Head Trauma acknowledgement signature. .0608(b)(1-6) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before 3/11/25, I must receive a written, dated, and signed compliance letter that describes accurately and in detail how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Michelle O’Kelley, Child Care Consultant PO Box 56 Jamesville, NC 27846 Michelle.OKelley@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Technical Assistance: ABCMS Provider Portal Training: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. 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. You stated you will complete the training and send me your certificate with the compliance letter. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. 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. Over-the-counter medicine: Administering medication requires skill, knowledge, and careful attention to detail. Parents/guardians and prescribing health professionals must give a caregiver/ teacher written authorization to administer medication to the child. Medicines can be crucial to the health and wellness of children. They can also be very dangerous if the wrong type or wrong amount is given to the wrong person or at the wrong time. In space #1 there was a package of Zyrtec in an unlocked cabinet and a medication authorization was not available for the Zyrtec. In space # 1 medical authorization for an over-the-counter Babo Botanicals SPF 50 sun screen did not have valid dates listed. Emergency Drills: You must conduct either a shelter-in-place or a lockdown drill every three months to ensure that the operator and children are aware of what actions to take in the event of a life-threatening emergency. An emergency drill was not completed in the fourth quarter of 2024. The last documented emergency drill was conducted in September 2024. You stated that you just started in December 2024 and did not know that a lockdown or shelter-in-place drill had not taken place. Use a calendar to schedule dates for emergency drills. Annual Review of EPR Plan with Staff: You must train all staff on the EPR Plan and review the plan at least annually with all staff. The more your staff know and understand their roles in responding to emergencies, the better they will be able to stay calm and react efficiently to keep the children safe in the event of an actual emergency. There is no documentation stating the EPR plan has been reviewed with staff. You stated that you did not know that it had not been reviewed with staff and you just started in December 2024. A review of the plan must be completed immediately. When staff cannot attend the annual review, it must be completed one-on-one as soon as possible. Children’s Records: Children's records consist of various documentation such as a child's medical and immunization history, emergency medical care information, NC Summary of the Law, Safe Sleep policy, Discipline policy, Smoking and Tobacco restriction, and Prevention of Shaken Baby Syndrome and Abusive Head Trauma. This information is the basis for meeting each child's physical, emotional, cognitive and social needs. When enrolling children into the facility, a statement regarding the facility’s discipline policy must be signed by parents and include the child’s name and date of enrollment. One (1) out of the five (5) children’s files reviewed did not include NC Summary of the Law, Safe Sleep policy, Discipline policy, Smoking and Tobacco restriction, and Prevention of Shaken Baby Syndrome and Abusive Head Trauma acknowledgement signatures. You stated that you are in the process of going through children’s files and updating information in the children’s files. Use a Children’s File Checklist to document the child’s date of enrollment and the dates of all the documentation on the list to ensure that you have the necessary documents when they are due. CPR/First Aid: Knowing what to do in an emergency medical situation can mean the difference between life or death. Being trained in CPR and first aid can be invaluable when someone is in serious medical distress. Therefore, it is very important that all staff working directly with children have current CPR and First Aid Certification. Two (2) of the four (4) staff files monitored did not have current CPR and First Aid Certification. You stated that you had seven (7) staff signed up for CPR and First Aid training for 2/20/25, it was cancelled due to weather. You stated that you were following up with when CPR and First Aid training will be rescheduled for your staff. Use your Staff file checklist to keep up with due dates. Ongoing Health and Safety Training Requirements - Staff training requirements are essential for adults who interact with and teach children. These requirements protect children in child care facilities by ensuring these facilities provide a physically safe and healthy environment where the developmental needs of children are being met and where children are cared for by qualified staff. Documentation of the completion of health and safety training was not available for three (3) of the four (4) staff files monitored. You stated you did not know that the staff were required to complete the trainings. Chapter 10 – Subsidized Child Care Rules 10A NCAC 10 .0602 (f) states your facility is required to abide by these regulations. Research demonstrates knowledge of why health and safety training is important and enhances your ability to work with young children appropriately and to the full benefit of the child. Use a Staff File Checklist to document the dates of all the documentation on the list to ensure that you have the necessary documents when they are due. Orientation: Staff qualifications and training requirements are essential for adults who interact with and teach children. These requirements protect children in child care facilities by ensuring these facilities provide a physically safe and healthy environment where the developmental needs of children are being met and where children are cared for by qualified staff. Each staff person shall receive 16 hours of orientation within the first 6 weeks of employment. Chapter 10 – Subsidized Child Care Rules 10A NCAC 10 .0602 (f) states your facility is required to abide by these regulations. Six of the hours are required to be completed within the first two weeks of employment. Four (4) of the four (4) staff files reviewed did not include orientation. You stated you did not know that the staff were required to complete the trainings. Use a Staff File Checklist to document the dates of all the documentation on the list to ensure that you have the necessary documents when they are due. Playground Inspections: Checks of the outdoor play areas are required to be documented at least monthly on the playground safety checklist. Although you should be checking the area daily prior to use, documentation must be on file to verify a monthly check has been completed to maintain a safe outdoor environment for staff and children. There was no documentation available for playground inspection for January 2025. The black matting on playground #2 around the trees and near the bottom of the steps close to the right side is exposed and is creating a tripping hazard. You stated that there was no one trained in playground safety available and that you and your assistant have signed up to take the training this week. You also stated that you would have maintenance fix the black matting. Use a calendar for dates to schedule playground safety inspections. Storage of Hazardous Items: Intentional planning of the environment ensures a safe environment has been created which prevents and reduces injuries to young children. Located in the unlocked electrical room were 3 cans of paint. You stated that you would have maintenance lock the door. Place a sign on the door stating that the door must remained locked at all times. Sanitation: Infectious diseases spread easily in early care and education programs, since children, staff, and families are all in close contact. Surfaces and objects can carry germs and have spread diseases. Toys can spread disease when children put the toys in their mouths, touch the toys after putting their hands in their mouths during play or eating, or after toileting with inadequate hand hygiene. Using a dishwasher that has a “sanitizing cycle” or is set to heat dry is an acceptable way to save time and work when sanitizing plastic toys, as long as it’s not washing dishes and cutlery at the same time. In space #4 children put 4 different toys into their mouths and afterwards the toys were not cleaned and sanitized. This includes having sippy cups and bottles labeled with child’s name and date. Developing effective cleaning strategies and policies are important steps to reduce the risk of illness in early care and education programs. Menu Substitutions: Planning the menu in advance and posting the current menu, to include any substitutions, is essential in providing a variety of foods for proper nutrition. During our observations of the lunch being prepared, we noted food substitutions were of comparable food value; however, the substitutions were not recorded on the menu. According to the posted menu, the lunch served consisted of chicken nuggets, mixed vegetables, pineapples, and milk. Today children were served chicken strips, broccoli, mixed fruit, and milk. Prior to any meal or snack being served, the posted menu must be reviewed for accuracy of items served and if comparable changes occur, then make sure those changes are noted on the posted menu(s). Additional Comments: We discussed Clean Classrooms for Carolina Kids and you have completed Lead in Water, and Asbestos testing. Lead-Based Paint is pending mitigation. Facilities are required to submit a response action documenting that they have restricted access and how access restriction has been achieved. To enter the information or submit the ‘response action’ form, they will need to log in to their dashboard on the Clean Water for Carolina Kids at https://www.cleanwaterforuskids.org/en/carolina/. Please let me know when this has been completed. Raise NC- Stay current with communication and email blasts from DCDEE. Be sure to check your email at least weekly. If you are not currently receiving the email, please visit the DCDEE home page. Add your contact information and click subscribe to be added to the mailing list. The Beaufort-Hyde Partnership for Children is also able to provide you with resources, information, training opportunities, and technical assistance on child care issues. Their phone number is (252) 975-4647 or check out their website at www.bhckids.org. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me at Michelle O’Kelley, Child Care Consultant, (252) 508-3955, Michelle.OKelley@dhhs.nc.gov or Jennifer Linhardt, Licensing Supervisor, (252) 373-4199, Jennifer.Linhardt@dhhs.nc.gov if you have questions. 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 METHODIST CHURCH WASHINGTON CHILD CARE Facility ID: 07000214 Consultant: MICHELLE O'KELLEY Operation Type: Center Case Number: Visit Date: 2/25/2025 Number Present: 41 Completed Date: 2/25/2025 Age: From 0 To 5 Total Minutes: 250 Time In: 08:45 AM Time Out: 12:55 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for an Annual Compliance visit. Jennifer Linhardt, Licensing Supervisor, accompanied me during today’s visit. The administrator was present and assisted with the visit. Your program currently operates with a Notice of Compliance issued on 5/23/23. The sanitation inspection was completed on 12/9/24 with a “Superior” classification. The last fire inspection was conducted on 8/12/24 and your facility was approved for daytime care only. CORPORATION STATUS: The NC Secretary of State website was reviewed on 2/19/25 and First Methodist Church Washington, INC was listed as current- active. Your contact information on the Division of Child Development & Early Education (DCDEE) website was reviewed during today’s visit. All information is current. It is important to frequently check your email to remain informed about any new changes that have or may occur. The center's compliance history was reviewed with the operator. The program’s compliance history was eighty-seven (87) percent as of 2/24/25. The children transitioned to the outdoor play space. The fenced outdoor spaces included stationary equipment, portable toys, balls, shade, and extra materials. Children under twelve months old received care according to individual needs including tummy time, diapering and bottle feeding. Proper handwashing was observed. I provided you with a Legal Designee form for the pastor to complete. Lunch was being prepared and consisted of chicken strips, broccoli, mixed fruit, and milk. The following violation(s) were documented. Violation Number Comment Rule 114 A summary of the NC Child Care Law was not given to a parent of every child enrolled in the center. One (1) out of the five (5) children’s files reviewed did not include NC Summary of the Law acknowledgement signature. GS 110-102 528 Food substitution was not of comparable food value or recorded on the menu prior to the meal or snack being served. The lunch menu posted stated chicken nuggets, mixed vegetables, pineapples, and milk. Per the kitchen staff lunch was to consist of chicken strips, broccoli, mixed fruit, and milk. Substitutions for lunch was not recorded prior to the meal being served. 10A NCAC 09 .0901(b) 533 Human milk, formula and other bottled beverages including sippy cups, sent from child's home were not fully prepared, dated, and labeled for the appropriate child. In space #1 three (3) sippy cups located in a cabinet above the handwashing sink, were not labeled with child's name and date. 15A NCAC 18A .2804(d) 616 Toys and other mouth-contact surfaces were not cleaned and sanitized daily when used or cleaned more frequently if visibly dirty. In space #4 four (4) mouthed toys were not removed from play and cleaned. .2822(a)(1-4) 807 A safe indoor and outdoor environment was not provided for the children. The black matting on playground #2 around the trees and near the bottom of the steps close to the right side is exposed and is creating a tripping hazard. Located in the unlocked electrical room were 3 cans of paint. 10A NCAC 09 .0601(a) 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. In space #1 there was a package of Zyrtec in an unlocked cabinet above the handwashing sink. 15A NCAC 18A .2820(d) 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. In space #1 there was a package of Zyrtec with no paperwork onsite for Zyrtec. 10A NCAC 09 .0803(1)(a & b) 847 Parent's medication authorization did not include required information. In space #1 there were no valid dates listed on the medication authorization form for Babo Botanicals SPF 50. 10A NCAC 09 .0803(4)(6-9) 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. There was no documentation available for playground inspection for January 2025. .0605(q) 893 A copy of the safe sleep policy was not given to and/or explained to the parent of each child on or before the first day the infant attended the center. One (1) out of the five (5) children’s files reviewed did not include Safe sleep policy acknowledgement signature. 10A NCAC 09 .0606(c) 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. Two (2) of the four (4) staff files monitored did not have current First Aid Certification. .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. Two (2) of the four (4) staff files monitored did not have current CPR Certification. .1102(d) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. Four (4) of the four (4) staff files reviewed did not include orientation. .1101(a)(b) 1324 Signed and dated statement by parent that discipline policy received and explained at enrollment was not in child's file. One (1) out of the five (5) children’s files reviewed did not include discipline policy acknowledgement signature. .1804(c) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. An emergency drill was not completed in the fourth quarter of 2024. .0604(u);.0302(d)(8) 1825 All staff did not review the center's EPR Plan during orientation and/or on an annual basis with the trained staff. Documentation of the review was not maintained on file. There was no documentation indicating that the EPR plan had been reviewed with staff. .0607(f) 1851 The operator did not notify the parent of each child enrolled in writing of the smoking and tobacco restriction. One (1) out of the five (5) children’s files reviewed did not include smoking and tobacco restriction acknowledgement signature. .0604(j) 1866 Other surfacing materials not identified in rule were used that did not meet the ASTM standards, were not installed, maintained, and/or replaced according to manufacturer's instructions. There were no ASTM documents for the pour-in-place surfacing. .0605(j)(2) 1898 Staff did not complete the health and safety training within one year of employment. Documentation of the completion of health and safety training topics as part of on-going training within five years of completing the previous health and training topics was not available for three (3) of the four (4) staff files monitored. .1102(a) 1908 A child's file did not have a statement with parent signature acknowledging receipt and explanation of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy and/or the acknowledgement did not have all the required information. One (1) out of the five (5) children’s files reviewed did not include Prevention of Shaken Baby Syndrome and Abusive Head Trauma acknowledgement signature. .0608(b)(1-6) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before 3/11/25, I must receive a written, dated, and signed compliance letter that describes accurately and in detail how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Michelle O’Kelley, Child Care Consultant PO Box 56 Jamesville, NC 27846 Michelle.OKelley@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Technical Assistance: ABCMS Provider Portal Training: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. 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. You stated you will complete the training and send me your certificate with the compliance letter. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. 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. Over-the-counter medicine: Administering medication requires skill, knowledge, and careful attention to detail. Parents/guardians and prescribing health professionals must give a caregiver/ teacher written authorization to administer medication to the child. Medicines can be crucial to the health and wellness of children. They can also be very dangerous if the wrong type or wrong amount is given to the wrong person or at the wrong time. In space #1 there was a package of Zyrtec in an unlocked cabinet and a medication authorization was not available for the Zyrtec. In space # 1 medical authorization for an over-the-counter Babo Botanicals SPF 50 sun screen did not have valid dates listed. Emergency Drills: You must conduct either a shelter-in-place or a lockdown drill every three months to ensure that the operator and children are aware of what actions to take in the event of a life-threatening emergency. An emergency drill was not completed in the fourth quarter of 2024. The last documented emergency drill was conducted in September 2024. You stated that you just started in December 2024 and did not know that a lockdown or shelter-in-place drill had not taken place. Use a calendar to schedule dates for emergency drills. Annual Review of EPR Plan with Staff: You must train all staff on the EPR Plan and review the plan at least annually with all staff. The more your staff know and understand their roles in responding to emergencies, the better they will be able to stay calm and react efficiently to keep the children safe in the event of an actual emergency. There is no documentation stating the EPR plan has been reviewed with staff. You stated that you did not know that it had not been reviewed with staff and you just started in December 2024. A review of the plan must be completed immediately. When staff cannot attend the annual review, it must be completed one-on-one as soon as possible. Children’s Records: Children's records consist of various documentation such as a child's medical and immunization history, emergency medical care information, NC Summary of the Law, Safe Sleep policy, Discipline policy, Smoking and Tobacco restriction, and Prevention of Shaken Baby Syndrome and Abusive Head Trauma. This information is the basis for meeting each child's physical, emotional, cognitive and social needs. When enrolling children into the facility, a statement regarding the facility’s discipline policy must be signed by parents and include the child’s name and date of enrollment. One (1) out of the five (5) children’s files reviewed did not include NC Summary of the Law, Safe Sleep policy, Discipline policy, Smoking and Tobacco restriction, and Prevention of Shaken Baby Syndrome and Abusive Head Trauma acknowledgement signatures. You stated that you are in the process of going through children’s files and updating information in the children’s files. Use a Children’s File Checklist to document the child’s date of enrollment and the dates of all the documentation on the list to ensure that you have the necessary documents when they are due. CPR/First Aid: Knowing what to do in an emergency medical situation can mean the difference between life or death. Being trained in CPR and first aid can be invaluable when someone is in serious medical distress. Therefore, it is very important that all staff working directly with children have current CPR and First Aid Certification. Two (2) of the four (4) staff files monitored did not have current CPR and First Aid Certification. You stated that you had seven (7) staff signed up for CPR and First Aid training for 2/20/25, it was cancelled due to weather. You stated that you were following up with when CPR and First Aid training will be rescheduled for your staff. Use your Staff file checklist to keep up with due dates. Ongoing Health and Safety Training Requirements - Staff training requirements are essential for adults who interact with and teach children. These requirements protect children in child care facilities by ensuring these facilities provide a physically safe and healthy environment where the developmental needs of children are being met and where children are cared for by qualified staff. Documentation of the completion of health and safety training was not available for three (3) of the four (4) staff files monitored. You stated you did not know that the staff were required to complete the trainings. Chapter 10 – Subsidized Child Care Rules 10A NCAC 10 .0602 (f) states your facility is required to abide by these regulations. Research demonstrates knowledge of why health and safety training is important and enhances your ability to work with young children appropriately and to the full benefit of the child. Use a Staff File Checklist to document the dates of all the documentation on the list to ensure that you have the necessary documents when they are due. Orientation: Staff qualifications and training requirements are essential for adults who interact with and teach children. These requirements protect children in child care facilities by ensuring these facilities provide a physically safe and healthy environment where the developmental needs of children are being met and where children are cared for by qualified staff. Each staff person shall receive 16 hours of orientation within the first 6 weeks of employment. Chapter 10 – Subsidized Child Care Rules 10A NCAC 10 .0602 (f) states your facility is required to abide by these regulations. Six of the hours are required to be completed within the first two weeks of employment. Four (4) of the four (4) staff files reviewed did not include orientation. You stated you did not know that the staff were required to complete the trainings. Use a Staff File Checklist to document the dates of all the documentation on the list to ensure that you have the necessary documents when they are due. Playground Inspections: Checks of the outdoor play areas are required to be documented at least monthly on the playground safety checklist. Although you should be checking the area daily prior to use, documentation must be on file to verify a monthly check has been completed to maintain a safe outdoor environment for staff and children. There was no documentation available for playground inspection for January 2025. The black matting on playground #2 around the trees and near the bottom of the steps close to the right side is exposed and is creating a tripping hazard. You stated that there was no one trained in playground safety available and that you and your assistant have signed up to take the training this week. You also stated that you would have maintenance fix the black matting. Use a calendar for dates to schedule playground safety inspections. Storage of Hazardous Items: Intentional planning of the environment ensures a safe environment has been created which prevents and reduces injuries to young children. Located in the unlocked electrical room were 3 cans of paint. You stated that you would have maintenance lock the door. Place a sign on the door stating that the door must remained locked at all times. Sanitation: Infectious diseases spread easily in early care and education programs, since children, staff, and families are all in close contact. Surfaces and objects can carry germs and have spread diseases. Toys can spread disease when children put the toys in their mouths, touch the toys after putting their hands in their mouths during play or eating, or after toileting with inadequate hand hygiene. Using a dishwasher that has a “sanitizing cycle” or is set to heat dry is an acceptable way to save time and work when sanitizing plastic toys, as long as it’s not washing dishes and cutlery at the same time. In space #4 children put 4 different toys into their mouths and afterwards the toys were not cleaned and sanitized. This includes having sippy cups and bottles labeled with child’s name and date. Developing effective cleaning strategies and policies are important steps to reduce the risk of illness in early care and education programs. Menu Substitutions: Planning the menu in advance and posting the current menu, to include any substitutions, is essential in providing a variety of foods for proper nutrition. During our observations of the lunch being prepared, we noted food substitutions were of comparable food value; however, the substitutions were not recorded on the menu. According to the posted menu, the lunch served consisted of chicken nuggets, mixed vegetables, pineapples, and milk. Today children were served chicken strips, broccoli, mixed fruit, and milk. Prior to any meal or snack being served, the posted menu must be reviewed for accuracy of items served and if comparable changes occur, then make sure those changes are noted on the posted menu(s). Additional Comments: We discussed Clean Classrooms for Carolina Kids and you have completed Lead in Water, and Asbestos testing. Lead-Based Paint is pending mitigation. Facilities are required to submit a response action documenting that they have restricted access and how access restriction has been achieved. To enter the information or submit the ‘response action’ form, they will need to log in to their dashboard on the Clean Water for Carolina Kids at https://www.cleanwaterforuskids.org/en/carolina/. Please let me know when this has been completed. Raise NC- Stay current with communication and email blasts from DCDEE. Be sure to check your email at least weekly. If you are not currently receiving the email, please visit the DCDEE home page. Add your contact information and click subscribe to be added to the mailing list. The Beaufort-Hyde Partnership for Children is also able to provide you with resources, information, training opportunities, and technical assistance on child care issues. Their phone number is (252) 975-4647 or check out their website at www.bhckids.org. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me at Michelle O’Kelley, Child Care Consultant, (252) 508-3955, Michelle.OKelley@dhhs.nc.gov or Jennifer Linhardt, Licensing Supervisor, (252) 373-4199, Jennifer.Linhardt@dhhs.nc.gov if you have questions. 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 METHODIST CHURCH WASHINGTON CHILD CARE Facility ID: 07000214 Consultant: MICHELLE O'KELLEY Operation Type: Center Case Number: Visit Date: 2/25/2025 Number Present: 41 Completed Date: 2/25/2025 Age: From 0 To 5 Total Minutes: 250 Time In: 08:45 AM Time Out: 12:55 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for an Annual Compliance visit. Jennifer Linhardt, Licensing Supervisor, accompanied me during today’s visit. The administrator was present and assisted with the visit. Your program currently operates with a Notice of Compliance issued on 5/23/23. The sanitation inspection was completed on 12/9/24 with a “Superior” classification. The last fire inspection was conducted on 8/12/24 and your facility was approved for daytime care only. CORPORATION STATUS: The NC Secretary of State website was reviewed on 2/19/25 and First Methodist Church Washington, INC was listed as current- active. Your contact information on the Division of Child Development & Early Education (DCDEE) website was reviewed during today’s visit. All information is current. It is important to frequently check your email to remain informed about any new changes that have or may occur. The center's compliance history was reviewed with the operator. The program’s compliance history was eighty-seven (87) percent as of 2/24/25. The children transitioned to the outdoor play space. The fenced outdoor spaces included stationary equipment, portable toys, balls, shade, and extra materials. Children under twelve months old received care according to individual needs including tummy time, diapering and bottle feeding. Proper handwashing was observed. I provided you with a Legal Designee form for the pastor to complete. Lunch was being prepared and consisted of chicken strips, broccoli, mixed fruit, and milk. The following violation(s) were documented. Violation Number Comment Rule 114 A summary of the NC Child Care Law was not given to a parent of every child enrolled in the center. One (1) out of the five (5) children’s files reviewed did not include NC Summary of the Law acknowledgement signature. GS 110-102 528 Food substitution was not of comparable food value or recorded on the menu prior to the meal or snack being served. The lunch menu posted stated chicken nuggets, mixed vegetables, pineapples, and milk. Per the kitchen staff lunch was to consist of chicken strips, broccoli, mixed fruit, and milk. Substitutions for lunch was not recorded prior to the meal being served. 10A NCAC 09 .0901(b) 533 Human milk, formula and other bottled beverages including sippy cups, sent from child's home were not fully prepared, dated, and labeled for the appropriate child. In space #1 three (3) sippy cups located in a cabinet above the handwashing sink, were not labeled with child's name and date. 15A NCAC 18A .2804(d) 616 Toys and other mouth-contact surfaces were not cleaned and sanitized daily when used or cleaned more frequently if visibly dirty. In space #4 four (4) mouthed toys were not removed from play and cleaned. .2822(a)(1-4) 807 A safe indoor and outdoor environment was not provided for the children. The black matting on playground #2 around the trees and near the bottom of the steps close to the right side is exposed and is creating a tripping hazard. Located in the unlocked electrical room were 3 cans of paint. 10A NCAC 09 .0601(a) 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. In space #1 there was a package of Zyrtec in an unlocked cabinet above the handwashing sink. 15A NCAC 18A .2820(d) 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. In space #1 there was a package of Zyrtec with no paperwork onsite for Zyrtec. 10A NCAC 09 .0803(1)(a & b) 847 Parent's medication authorization did not include required information. In space #1 there were no valid dates listed on the medication authorization form for Babo Botanicals SPF 50. 10A NCAC 09 .0803(4)(6-9) 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. There was no documentation available for playground inspection for January 2025. .0605(q) 893 A copy of the safe sleep policy was not given to and/or explained to the parent of each child on or before the first day the infant attended the center. One (1) out of the five (5) children’s files reviewed did not include Safe sleep policy acknowledgement signature. 10A NCAC 09 .0606(c) 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. Two (2) of the four (4) staff files monitored did not have current First Aid Certification. .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. Two (2) of the four (4) staff files monitored did not have current CPR Certification. .1102(d) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. Four (4) of the four (4) staff files reviewed did not include orientation. .1101(a)(b) 1324 Signed and dated statement by parent that discipline policy received and explained at enrollment was not in child's file. One (1) out of the five (5) children’s files reviewed did not include discipline policy acknowledgement signature. .1804(c) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. An emergency drill was not completed in the fourth quarter of 2024. .0604(u);.0302(d)(8) 1825 All staff did not review the center's EPR Plan during orientation and/or on an annual basis with the trained staff. Documentation of the review was not maintained on file. There was no documentation indicating that the EPR plan had been reviewed with staff. .0607(f) 1851 The operator did not notify the parent of each child enrolled in writing of the smoking and tobacco restriction. One (1) out of the five (5) children’s files reviewed did not include smoking and tobacco restriction acknowledgement signature. .0604(j) 1866 Other surfacing materials not identified in rule were used that did not meet the ASTM standards, were not installed, maintained, and/or replaced according to manufacturer's instructions. There were no ASTM documents for the pour-in-place surfacing. .0605(j)(2) 1898 Staff did not complete the health and safety training within one year of employment. Documentation of the completion of health and safety training topics as part of on-going training within five years of completing the previous health and training topics was not available for three (3) of the four (4) staff files monitored. .1102(a) 1908 A child's file did not have a statement with parent signature acknowledging receipt and explanation of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy and/or the acknowledgement did not have all the required information. One (1) out of the five (5) children’s files reviewed did not include Prevention of Shaken Baby Syndrome and Abusive Head Trauma acknowledgement signature. .0608(b)(1-6) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before 3/11/25, I must receive a written, dated, and signed compliance letter that describes accurately and in detail how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Michelle O’Kelley, Child Care Consultant PO Box 56 Jamesville, NC 27846 Michelle.OKelley@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Technical Assistance: ABCMS Provider Portal Training: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. 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. You stated you will complete the training and send me your certificate with the compliance letter. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. 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. Over-the-counter medicine: Administering medication requires skill, knowledge, and careful attention to detail. Parents/guardians and prescribing health professionals must give a caregiver/ teacher written authorization to administer medication to the child. Medicines can be crucial to the health and wellness of children. They can also be very dangerous if the wrong type or wrong amount is given to the wrong person or at the wrong time. In space #1 there was a package of Zyrtec in an unlocked cabinet and a medication authorization was not available for the Zyrtec. In space # 1 medical authorization for an over-the-counter Babo Botanicals SPF 50 sun screen did not have valid dates listed. Emergency Drills: You must conduct either a shelter-in-place or a lockdown drill every three months to ensure that the operator and children are aware of what actions to take in the event of a life-threatening emergency. An emergency drill was not completed in the fourth quarter of 2024. The last documented emergency drill was conducted in September 2024. You stated that you just started in December 2024 and did not know that a lockdown or shelter-in-place drill had not taken place. Use a calendar to schedule dates for emergency drills. Annual Review of EPR Plan with Staff: You must train all staff on the EPR Plan and review the plan at least annually with all staff. The more your staff know and understand their roles in responding to emergencies, the better they will be able to stay calm and react efficiently to keep the children safe in the event of an actual emergency. There is no documentation stating the EPR plan has been reviewed with staff. You stated that you did not know that it had not been reviewed with staff and you just started in December 2024. A review of the plan must be completed immediately. When staff cannot attend the annual review, it must be completed one-on-one as soon as possible. Children’s Records: Children's records consist of various documentation such as a child's medical and immunization history, emergency medical care information, NC Summary of the Law, Safe Sleep policy, Discipline policy, Smoking and Tobacco restriction, and Prevention of Shaken Baby Syndrome and Abusive Head Trauma. This information is the basis for meeting each child's physical, emotional, cognitive and social needs. When enrolling children into the facility, a statement regarding the facility’s discipline policy must be signed by parents and include the child’s name and date of enrollment. One (1) out of the five (5) children’s files reviewed did not include NC Summary of the Law, Safe Sleep policy, Discipline policy, Smoking and Tobacco restriction, and Prevention of Shaken Baby Syndrome and Abusive Head Trauma acknowledgement signatures. You stated that you are in the process of going through children’s files and updating information in the children’s files. Use a Children’s File Checklist to document the child’s date of enrollment and the dates of all the documentation on the list to ensure that you have the necessary documents when they are due. CPR/First Aid: Knowing what to do in an emergency medical situation can mean the difference between life or death. Being trained in CPR and first aid can be invaluable when someone is in serious medical distress. Therefore, it is very important that all staff working directly with children have current CPR and First Aid Certification. Two (2) of the four (4) staff files monitored did not have current CPR and First Aid Certification. You stated that you had seven (7) staff signed up for CPR and First Aid training for 2/20/25, it was cancelled due to weather. You stated that you were following up with when CPR and First Aid training will be rescheduled for your staff. Use your Staff file checklist to keep up with due dates. Ongoing Health and Safety Training Requirements - Staff training requirements are essential for adults who interact with and teach children. These requirements protect children in child care facilities by ensuring these facilities provide a physically safe and healthy environment where the developmental needs of children are being met and where children are cared for by qualified staff. Documentation of the completion of health and safety training was not available for three (3) of the four (4) staff files monitored. You stated you did not know that the staff were required to complete the trainings. Chapter 10 – Subsidized Child Care Rules 10A NCAC 10 .0602 (f) states your facility is required to abide by these regulations. Research demonstrates knowledge of why health and safety training is important and enhances your ability to work with young children appropriately and to the full benefit of the child. Use a Staff File Checklist to document the dates of all the documentation on the list to ensure that you have the necessary documents when they are due. Orientation: Staff qualifications and training requirements are essential for adults who interact with and teach children. These requirements protect children in child care facilities by ensuring these facilities provide a physically safe and healthy environment where the developmental needs of children are being met and where children are cared for by qualified staff. Each staff person shall receive 16 hours of orientation within the first 6 weeks of employment. Chapter 10 – Subsidized Child Care Rules 10A NCAC 10 .0602 (f) states your facility is required to abide by these regulations. Six of the hours are required to be completed within the first two weeks of employment. Four (4) of the four (4) staff files reviewed did not include orientation. You stated you did not know that the staff were required to complete the trainings. Use a Staff File Checklist to document the dates of all the documentation on the list to ensure that you have the necessary documents when they are due. Playground Inspections: Checks of the outdoor play areas are required to be documented at least monthly on the playground safety checklist. Although you should be checking the area daily prior to use, documentation must be on file to verify a monthly check has been completed to maintain a safe outdoor environment for staff and children. There was no documentation available for playground inspection for January 2025. The black matting on playground #2 around the trees and near the bottom of the steps close to the right side is exposed and is creating a tripping hazard. You stated that there was no one trained in playground safety available and that you and your assistant have signed up to take the training this week. You also stated that you would have maintenance fix the black matting. Use a calendar for dates to schedule playground safety inspections. Storage of Hazardous Items: Intentional planning of the environment ensures a safe environment has been created which prevents and reduces injuries to young children. Located in the unlocked electrical room were 3 cans of paint. You stated that you would have maintenance lock the door. Place a sign on the door stating that the door must remained locked at all times. Sanitation: Infectious diseases spread easily in early care and education programs, since children, staff, and families are all in close contact. Surfaces and objects can carry germs and have spread diseases. Toys can spread disease when children put the toys in their mouths, touch the toys after putting their hands in their mouths during play or eating, or after toileting with inadequate hand hygiene. Using a dishwasher that has a “sanitizing cycle” or is set to heat dry is an acceptable way to save time and work when sanitizing plastic toys, as long as it’s not washing dishes and cutlery at the same time. In space #4 children put 4 different toys into their mouths and afterwards the toys were not cleaned and sanitized. This includes having sippy cups and bottles labeled with child’s name and date. Developing effective cleaning strategies and policies are important steps to reduce the risk of illness in early care and education programs. Menu Substitutions: Planning the menu in advance and posting the current menu, to include any substitutions, is essential in providing a variety of foods for proper nutrition. During our observations of the lunch being prepared, we noted food substitutions were of comparable food value; however, the substitutions were not recorded on the menu. According to the posted menu, the lunch served consisted of chicken nuggets, mixed vegetables, pineapples, and milk. Today children were served chicken strips, broccoli, mixed fruit, and milk. Prior to any meal or snack being served, the posted menu must be reviewed for accuracy of items served and if comparable changes occur, then make sure those changes are noted on the posted menu(s). Additional Comments: We discussed Clean Classrooms for Carolina Kids and you have completed Lead in Water, and Asbestos testing. Lead-Based Paint is pending mitigation. Facilities are required to submit a response action documenting that they have restricted access and how access restriction has been achieved. To enter the information or submit the ‘response action’ form, they will need to log in to their dashboard on the Clean Water for Carolina Kids at https://www.cleanwaterforuskids.org/en/carolina/. Please let me know when this has been completed. Raise NC- Stay current with communication and email blasts from DCDEE. Be sure to check your email at least weekly. If you are not currently receiving the email, please visit the DCDEE home page. Add your contact information and click subscribe to be added to the mailing list. The Beaufort-Hyde Partnership for Children is also able to provide you with resources, information, training opportunities, and technical assistance on child care issues. Their phone number is (252) 975-4647 or check out their website at www.bhckids.org. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me at Michelle O’Kelley, Child Care Consultant, (252) 508-3955, Michelle.OKelley@dhhs.nc.gov or Jennifer Linhardt, Licensing Supervisor, (252) 373-4199, Jennifer.Linhardt@dhhs.nc.gov if you have questions. 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 METHODIST CHURCH WASHINGTON CHILD CARE Facility ID: 07000214 Consultant: MICHELLE O'KELLEY Operation Type: Center Case Number: Visit Date: 2/25/2025 Number Present: 41 Completed Date: 2/25/2025 Age: From 0 To 5 Total Minutes: 250 Time In: 08:45 AM Time Out: 12:55 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for an Annual Compliance visit. Jennifer Linhardt, Licensing Supervisor, accompanied me during today’s visit. The administrator was present and assisted with the visit. Your program currently operates with a Notice of Compliance issued on 5/23/23. The sanitation inspection was completed on 12/9/24 with a “Superior” classification. The last fire inspection was conducted on 8/12/24 and your facility was approved for daytime care only. CORPORATION STATUS: The NC Secretary of State website was reviewed on 2/19/25 and First Methodist Church Washington, INC was listed as current- active. Your contact information on the Division of Child Development & Early Education (DCDEE) website was reviewed during today’s visit. All information is current. It is important to frequently check your email to remain informed about any new changes that have or may occur. The center's compliance history was reviewed with the operator. The program’s compliance history was eighty-seven (87) percent as of 2/24/25. The children transitioned to the outdoor play space. The fenced outdoor spaces included stationary equipment, portable toys, balls, shade, and extra materials. Children under twelve months old received care according to individual needs including tummy time, diapering and bottle feeding. Proper handwashing was observed. I provided you with a Legal Designee form for the pastor to complete. Lunch was being prepared and consisted of chicken strips, broccoli, mixed fruit, and milk. The following violation(s) were documented. Violation Number Comment Rule 114 A summary of the NC Child Care Law was not given to a parent of every child enrolled in the center. One (1) out of the five (5) children’s files reviewed did not include NC Summary of the Law acknowledgement signature. GS 110-102 528 Food substitution was not of comparable food value or recorded on the menu prior to the meal or snack being served. The lunch menu posted stated chicken nuggets, mixed vegetables, pineapples, and milk. Per the kitchen staff lunch was to consist of chicken strips, broccoli, mixed fruit, and milk. Substitutions for lunch was not recorded prior to the meal being served. 10A NCAC 09 .0901(b) 533 Human milk, formula and other bottled beverages including sippy cups, sent from child's home were not fully prepared, dated, and labeled for the appropriate child. In space #1 three (3) sippy cups located in a cabinet above the handwashing sink, were not labeled with child's name and date. 15A NCAC 18A .2804(d) 616 Toys and other mouth-contact surfaces were not cleaned and sanitized daily when used or cleaned more frequently if visibly dirty. In space #4 four (4) mouthed toys were not removed from play and cleaned. .2822(a)(1-4) 807 A safe indoor and outdoor environment was not provided for the children. The black matting on playground #2 around the trees and near the bottom of the steps close to the right side is exposed and is creating a tripping hazard. Located in the unlocked electrical room were 3 cans of paint. 10A NCAC 09 .0601(a) 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. In space #1 there was a package of Zyrtec in an unlocked cabinet above the handwashing sink. 15A NCAC 18A .2820(d) 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. In space #1 there was a package of Zyrtec with no paperwork onsite for Zyrtec. 10A NCAC 09 .0803(1)(a & b) 847 Parent's medication authorization did not include required information. In space #1 there were no valid dates listed on the medication authorization form for Babo Botanicals SPF 50. 10A NCAC 09 .0803(4)(6-9) 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. There was no documentation available for playground inspection for January 2025. .0605(q) 893 A copy of the safe sleep policy was not given to and/or explained to the parent of each child on or before the first day the infant attended the center. One (1) out of the five (5) children’s files reviewed did not include Safe sleep policy acknowledgement signature. 10A NCAC 09 .0606(c) 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. Two (2) of the four (4) staff files monitored did not have current First Aid Certification. .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. Two (2) of the four (4) staff files monitored did not have current CPR Certification. .1102(d) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. Four (4) of the four (4) staff files reviewed did not include orientation. .1101(a)(b) 1324 Signed and dated statement by parent that discipline policy received and explained at enrollment was not in child's file. One (1) out of the five (5) children’s files reviewed did not include discipline policy acknowledgement signature. .1804(c) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. An emergency drill was not completed in the fourth quarter of 2024. .0604(u);.0302(d)(8) 1825 All staff did not review the center's EPR Plan during orientation and/or on an annual basis with the trained staff. Documentation of the review was not maintained on file. There was no documentation indicating that the EPR plan had been reviewed with staff. .0607(f) 1851 The operator did not notify the parent of each child enrolled in writing of the smoking and tobacco restriction. One (1) out of the five (5) children’s files reviewed did not include smoking and tobacco restriction acknowledgement signature. .0604(j) 1866 Other surfacing materials not identified in rule were used that did not meet the ASTM standards, were not installed, maintained, and/or replaced according to manufacturer's instructions. There were no ASTM documents for the pour-in-place surfacing. .0605(j)(2) 1898 Staff did not complete the health and safety training within one year of employment. Documentation of the completion of health and safety training topics as part of on-going training within five years of completing the previous health and training topics was not available for three (3) of the four (4) staff files monitored. .1102(a) 1908 A child's file did not have a statement with parent signature acknowledging receipt and explanation of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy and/or the acknowledgement did not have all the required information. One (1) out of the five (5) children’s files reviewed did not include Prevention of Shaken Baby Syndrome and Abusive Head Trauma acknowledgement signature. .0608(b)(1-6) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before 3/11/25, I must receive a written, dated, and signed compliance letter that describes accurately and in detail how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Michelle O’Kelley, Child Care Consultant PO Box 56 Jamesville, NC 27846 Michelle.OKelley@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Technical Assistance: ABCMS Provider Portal Training: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. 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. You stated you will complete the training and send me your certificate with the compliance letter. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. 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. Over-the-counter medicine: Administering medication requires skill, knowledge, and careful attention to detail. Parents/guardians and prescribing health professionals must give a caregiver/ teacher written authorization to administer medication to the child. Medicines can be crucial to the health and wellness of children. They can also be very dangerous if the wrong type or wrong amount is given to the wrong person or at the wrong time. In space #1 there was a package of Zyrtec in an unlocked cabinet and a medication authorization was not available for the Zyrtec. In space # 1 medical authorization for an over-the-counter Babo Botanicals SPF 50 sun screen did not have valid dates listed. Emergency Drills: You must conduct either a shelter-in-place or a lockdown drill every three months to ensure that the operator and children are aware of what actions to take in the event of a life-threatening emergency. An emergency drill was not completed in the fourth quarter of 2024. The last documented emergency drill was conducted in September 2024. You stated that you just started in December 2024 and did not know that a lockdown or shelter-in-place drill had not taken place. Use a calendar to schedule dates for emergency drills. Annual Review of EPR Plan with Staff: You must train all staff on the EPR Plan and review the plan at least annually with all staff. The more your staff know and understand their roles in responding to emergencies, the better they will be able to stay calm and react efficiently to keep the children safe in the event of an actual emergency. There is no documentation stating the EPR plan has been reviewed with staff. You stated that you did not know that it had not been reviewed with staff and you just started in December 2024. A review of the plan must be completed immediately. When staff cannot attend the annual review, it must be completed one-on-one as soon as possible. Children’s Records: Children's records consist of various documentation such as a child's medical and immunization history, emergency medical care information, NC Summary of the Law, Safe Sleep policy, Discipline policy, Smoking and Tobacco restriction, and Prevention of Shaken Baby Syndrome and Abusive Head Trauma. This information is the basis for meeting each child's physical, emotional, cognitive and social needs. When enrolling children into the facility, a statement regarding the facility’s discipline policy must be signed by parents and include the child’s name and date of enrollment. One (1) out of the five (5) children’s files reviewed did not include NC Summary of the Law, Safe Sleep policy, Discipline policy, Smoking and Tobacco restriction, and Prevention of Shaken Baby Syndrome and Abusive Head Trauma acknowledgement signatures. You stated that you are in the process of going through children’s files and updating information in the children’s files. Use a Children’s File Checklist to document the child’s date of enrollment and the dates of all the documentation on the list to ensure that you have the necessary documents when they are due. CPR/First Aid: Knowing what to do in an emergency medical situation can mean the difference between life or death. Being trained in CPR and first aid can be invaluable when someone is in serious medical distress. Therefore, it is very important that all staff working directly with children have current CPR and First Aid Certification. Two (2) of the four (4) staff files monitored did not have current CPR and First Aid Certification. You stated that you had seven (7) staff signed up for CPR and First Aid training for 2/20/25, it was cancelled due to weather. You stated that you were following up with when CPR and First Aid training will be rescheduled for your staff. Use your Staff file checklist to keep up with due dates. Ongoing Health and Safety Training Requirements - Staff training requirements are essential for adults who interact with and teach children. These requirements protect children in child care facilities by ensuring these facilities provide a physically safe and healthy environment where the developmental needs of children are being met and where children are cared for by qualified staff. Documentation of the completion of health and safety training was not available for three (3) of the four (4) staff files monitored. You stated you did not know that the staff were required to complete the trainings. Chapter 10 – Subsidized Child Care Rules 10A NCAC 10 .0602 (f) states your facility is required to abide by these regulations. Research demonstrates knowledge of why health and safety training is important and enhances your ability to work with young children appropriately and to the full benefit of the child. Use a Staff File Checklist to document the dates of all the documentation on the list to ensure that you have the necessary documents when they are due. Orientation: Staff qualifications and training requirements are essential for adults who interact with and teach children. These requirements protect children in child care facilities by ensuring these facilities provide a physically safe and healthy environment where the developmental needs of children are being met and where children are cared for by qualified staff. Each staff person shall receive 16 hours of orientation within the first 6 weeks of employment. Chapter 10 – Subsidized Child Care Rules 10A NCAC 10 .0602 (f) states your facility is required to abide by these regulations. Six of the hours are required to be completed within the first two weeks of employment. Four (4) of the four (4) staff files reviewed did not include orientation. You stated you did not know that the staff were required to complete the trainings. Use a Staff File Checklist to document the dates of all the documentation on the list to ensure that you have the necessary documents when they are due. Playground Inspections: Checks of the outdoor play areas are required to be documented at least monthly on the playground safety checklist. Although you should be checking the area daily prior to use, documentation must be on file to verify a monthly check has been completed to maintain a safe outdoor environment for staff and children. There was no documentation available for playground inspection for January 2025. The black matting on playground #2 around the trees and near the bottom of the steps close to the right side is exposed and is creating a tripping hazard. You stated that there was no one trained in playground safety available and that you and your assistant have signed up to take the training this week. You also stated that you would have maintenance fix the black matting. Use a calendar for dates to schedule playground safety inspections. Storage of Hazardous Items: Intentional planning of the environment ensures a safe environment has been created which prevents and reduces injuries to young children. Located in the unlocked electrical room were 3 cans of paint. You stated that you would have maintenance lock the door. Place a sign on the door stating that the door must remained locked at all times. Sanitation: Infectious diseases spread easily in early care and education programs, since children, staff, and families are all in close contact. Surfaces and objects can carry germs and have spread diseases. Toys can spread disease when children put the toys in their mouths, touch the toys after putting their hands in their mouths during play or eating, or after toileting with inadequate hand hygiene. Using a dishwasher that has a “sanitizing cycle” or is set to heat dry is an acceptable way to save time and work when sanitizing plastic toys, as long as it’s not washing dishes and cutlery at the same time. In space #4 children put 4 different toys into their mouths and afterwards the toys were not cleaned and sanitized. This includes having sippy cups and bottles labeled with child’s name and date. Developing effective cleaning strategies and policies are important steps to reduce the risk of illness in early care and education programs. Menu Substitutions: Planning the menu in advance and posting the current menu, to include any substitutions, is essential in providing a variety of foods for proper nutrition. During our observations of the lunch being prepared, we noted food substitutions were of comparable food value; however, the substitutions were not recorded on the menu. According to the posted menu, the lunch served consisted of chicken nuggets, mixed vegetables, pineapples, and milk. Today children were served chicken strips, broccoli, mixed fruit, and milk. Prior to any meal or snack being served, the posted menu must be reviewed for accuracy of items served and if comparable changes occur, then make sure those changes are noted on the posted menu(s). Additional Comments: We discussed Clean Classrooms for Carolina Kids and you have completed Lead in Water, and Asbestos testing. Lead-Based Paint is pending mitigation. Facilities are required to submit a response action documenting that they have restricted access and how access restriction has been achieved. To enter the information or submit the ‘response action’ form, they will need to log in to their dashboard on the Clean Water for Carolina Kids at https://www.cleanwaterforuskids.org/en/carolina/. Please let me know when this has been completed. Raise NC- Stay current with communication and email blasts from DCDEE. Be sure to check your email at least weekly. If you are not currently receiving the email, please visit the DCDEE home page. Add your contact information and click subscribe to be added to the mailing list. The Beaufort-Hyde Partnership for Children is also able to provide you with resources, information, training opportunities, and technical assistance on child care issues. Their phone number is (252) 975-4647 or check out their website at www.bhckids.org. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me at Michelle O’Kelley, Child Care Consultant, (252) 508-3955, Michelle.OKelley@dhhs.nc.gov or Jennifer Linhardt, Licensing Supervisor, (252) 373-4199, Jennifer.Linhardt@dhhs.nc.gov if you have questions. 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 METHODIST CHURCH WASHINGTON CHILD CARE Facility ID: 07000214 Consultant: BRITTANY JONES Operation Type: Center Case Number: 0724-206L Visit Date: 7/31/2024 Number Present: 47 Completed Date: 7/31/2024 Age: From 0 To 6 Total Minutes: 75 Time In: 12:45 PM Time Out: 02:00 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 obtain information regarding alleged violations of child care requirements. The allegations are as follows: There is a concern that sanitation guidelines are not being followed. I observed children throughout the center napping on child sized cots covered with sheets. Once the children awoke, they completed personal care routines before sitting at the table for snack. Snack was observed and included frosted animal crackers and water. Regarding the allegation that the facility is not following sanitation guidelines are not being followed. I interviewed the administrator and caregivers and observed sanitation practices. During rest time, I observed cots to be placed less than 18 inches apart in space #1, rather than the required 18 inches. I observed a staff member in space #4 not wash their hands after feeding an infant a bottle. I observed staff members serve snack to children while wearing gloves. It was reported to me that children that are acting ill or have a fever of 101 are excluded from the group until they are picked up by their parents. I observed illness reports on file that notated the symptoms that the children were experiencing and when they were able to return to care. Based on the above information, this allegation was confirmed. The following violation(s) were observed. Violation Number Comment Rule 609 Staff did not wash their hands thoroughly before beginning work, before/after handling food, before bottle feeding or serving to other children, after toileting or handling body fluids, after diaper changing and after handling soiled items. In space #4, a staff member did not wash their hands after feeding an infant a bottle. 15A NCAC 18A .2803(a) 614 Bed, cribs, playpens, cots or mats were not placed at least 18" apart or separated by partitions when in use. Several cots in space #1 were placed less than 18 inches away from each other. 15A NCAC 18A .2821(e) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before 8/14/24, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is 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 will be conducted. Mail or email the information to: Brittany Jones, Child Care Consultant PO Box 3272 New Bern, NC 28564 Brittany.j.jones@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Technical Assistance with Documented Violations: Handwashing: According to Center for Disease Control and Prevention, Clean hands save lives. Handwashing is like a "do-it-yourself" vaccine—it involves five simple and effective steps (Wet, Lather, Scrub, Rinse, Dry) you can take to reduce the spread of diarrheal and respiratory illness so you can stay healthy. Regular handwashing, particularly before and after certain activities, is one of the best ways to remove germs, avoid getting sick, and prevent the spread of germs to others. It's quick, it's simple, and it can keep us all from getting sick. Handwashing is a win for everyone, except the germs. In space #4, a staff member did not wash their hands after feeding an infant a bottle. We discussed that it is important to wash hands after feeding children to ensure that germs from the child and bottle are washed away before touching other children or surfaces in the classroom. The staff member washed their hands when it was brought to their attention. We discussed that administrators should be observing hand washing procedures and offering guidance when needed. Go over the handwashing procedure frequently with staff members and ensure that it is being completed correctly when conducting classroom observations. Cots: Because respiratory infections are transmitted by large droplets of respiratory secretions, a minimum distance of 18 inches should be maintained between cots, cribs, beds, mats, or pads used for resting or sleeping. A space of 18 inches between cribs, cots, beds, mats, or pads will also provide access by the staff to a child in case of emergency. If the facility uses screens to separate the children, their use must not hinder observation of children by staff or access to children in an emergency. Many caregivers/teachers find that placing children in alternate positions so that one child’s head is across from the other’s feet reduces interaction and promotes settling during rest periods. This positioning may be beneficial in reducing transmission of infectious agents as well. Several cots in space #1 were placed less than 18 inches away from each other. You stated that you talk to staff members about cot placement often. We discussed cutting a piece of yarn or ribbon 18 inches long for each classroom for staff members to use to ensure that cots are spaced apart appropriately. We also discussed using screens in between children if needed and you stated that you have some available to use. Observe classrooms frequently at nap time to ensure that cots are spaced apart at least 18 inches apart or a screen is used between cots. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me at Brittany Jones, Child Care Consultant, (252) 947-1036, Brittany.j.jones@dhhs.nc.gov or Jennifer Linhardt, Licensing Supervisor, (252) 373-4199, Jennifer.Linhardt@dhhs.nc.gov if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

10A NCAC 09 .0302 · Violation

Name of Operation: FIRST METHODIST CHURCH WASHINGTON CHILD CARE Facility ID: 07000214 Consultant: LAKISHA SKINNER Operation Type: Center Case Number: Visit Date: 3/21/2024 Number Present: 44 Completed Date: 3/21/2024 Age: From 0 To 5 Total Minutes: 270 Time In: 08:30 AM Time Out: 01:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced * The purpose of today’s unannounced visit was to monitor for applicable childcare requirements pertaining to an Annual Compliance visit. The last annual compliance visit was conducted 4/18/23. Michelle O’Kelley, Childcare Consultant, accompanied me during today’s visit. The administrator was present and assisted with the visit. Your program currently operates with a Notice of Compliance issued on 5/23/23. The sanitation inspection was completed on 12/7/23 with a “Superior” classification. The last fire inspection was conducted 8/12/23 and your facility was approved for daytime care only. CORPORATION STATUS: The NC Secretary of State website was reviewed on 3/20/24 and First Methodist Church Washington, INC was listed as current- active. Your contact information on the Division of Child Development & Early Education (DCDEE) website was reviewed during today’s visit and all information is current. It is important to frequently check your email to remain informed about any new changes that have or may occur. Observations: The children transitioned to the outdoor play space. The fenced outdoor spaces included stationary and portable toys and equipment. Teachers stationed in different zones talked to, laughed with the children as they played. Lunch consisted of sausage, French toast sticks, applesauce, and milk. The center's compliance history was reviewed with the operator. The program’s compliance history was Ninety-four percent as of 3/20/24. The following violations were documented. Violation Number Comment Rule 114 A summary of the NC Child Care Law was not given to a parent of every child enrolled in the center. Documentation of the parent's receipt of the summary of law was not on file for two out of six children's records monitored. GS 110-102 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. A bottle of Benadryl was observed in Space 1 in an unlocked medicine bag stored above five feet. 15A NCAC 18A .2820(d) 893 A copy of the safe sleep policy was not given to and/or explained to the parent of each child on or before the first day the infant attended the center. Documentation of receipt of the safe sleep policy was not on file for one out of two infant files monitored. 10A NCAC 09 .0606(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. Documentation of the discussion of operational policies was not on file for two out of six children's files monitored. 10A NCAC 09 .0514(b) 1207 Parent participation plan was not discussed with parents on or before the child's first day of attendance and/or a copy was not given to them or posted in the center. Documentation of discussion of the parent participation plan was not on file for two out of six children's files monitored. 10A NCAC 09 .0515(a) 1323 Each child was not immunized as per Article 6 of Chapter 130A and an immunization record was not on file before or within 30 days after admission. Three out of six children's files monitored did not have immunization records on file within 30 days after admission. 10A NCAC 09 .0302(d)(2) 1324 Signed and dated statement by parent that discipline policy received and explained at enrollment was not in child's file. A signed and dated statement by the parent was not on file for two out of six children's filed monitored. .1804(c) 1851 The operator did not notify the parent of each child enrolled in writing of the smoking and tobacco restriction. Documentation of parent receipt of smoking and tobacco restrictions was not on file for two out of six files monitored. .0604(j) 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. Two out of six children's files monitored did not have a statement with parent signature acknowledging receipt of the policy. .0608(b)(1-6) * Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4)(d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before 4/4/24, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is 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 will be conducted. Mail or email the information to: Lakisha Skinner, Child Care Consultant PO BOX 431 Grimesland, NC 27837 Lakisha.Skinner@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Technical Assistance with Documented Violation (s): Immunization Record - Routine immunizations at the appropriate age are the best means of protecting children against vaccine-preventable diseases. According to Caring for Our Children, immunization is particularly important for children in child care because preschool-aged children have the highest age-specific incidence or are at high risk of complications from many vaccine-preventable diseases. One preschool-age child re-enrolled on 12/1/23, has an immunization record on file dated 2/16/24, which is beyond 30 days after admission. You did not indicate why the immunization record for the child was not on file within 30 days of admission. One preschool-age child enrolled on 8/17 23 does not have an immunization record on file. One child enrolled on 5/25/21 does not have an immunization record on file. You did not indicate why the immunization records were not on file. The parent/guardian must submit a certificate of immunization on child's first day of attendance or within 30 calendar days from the first day of attendance. Documentation of compliance is due within two weeks of today’s visit. Children's Records - Maintaining accurate documentation at the child care center is important because it demonstrates compliance with the child care rules and ensures the health and safety of each child. Children's records are required to be completed and maintained for each child who attends your child care (full-time, part-time, or drop-in). The first day a child attends there must be documentation of the receipt of the child care’s discipline policy, parent participation plan, prevention of shaken baby and abusive head trauma policy, safe sleep policy, operational policies, documentation of the receipt of the NC Summary of Child Care Law and a signed notification of smoking and tobacco restrictions. The children’s file checklist attached to each of the six (6) children’s files monitored today; however, no documentation verifying the receipt of the items was available in the two (2) children’s files. You indicated, you moved to a statement sheet inclusive of all policies but had not audited to ensure you received the signed statement from all parents. Your facility has an assistant director, engaged that individual by delegating a file review of all children’s records to ensure you have required documents. ADDITIONAL COMMENTS/ REMINDERS: Be knowledgeable of the child care laws and rules, review the with your center staff, and assist your staff with maintaining compliance with the laws and rules. The most recent version of laws and rules regarding child care facilities in North Carolina are available on the DCDEE website, https://ncchildcare.ncdhhs.gov/. The Beaufort-Hyde Partnership for Children is also able to provide you with resources and information, training opportunities, technical assistance on child care issues. Their phone number is (252) 975-4647 or check out their website at www.bhckids.org . Lead Based Paint & Asbestos - The Child Care Commission adopted childcare rule changes in January 2024. Changes relate to lead based paint and asbestos in childcare facilities. This is a legislatively mandated effort to address lead and asbestos hazards in licensed child care centers. Participation will allow facilities to meet all rule requirements for identified lead and asbestos hazards, as required by law. For information on how to enroll and complete testing please visithttps://www.cleanwaterforuskids.org/en/carolina/. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me at (252) 820-5976, Lakisha.Skinner@dhhs.nc.gov or Jennifer Linhardt, Licensing Supervisor, (252) 373-4199, Jennifer.Linhardt@dhhs.nc.gov if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

10A NCAC 09 .0514 · Violation

Name of Operation: FIRST METHODIST CHURCH WASHINGTON CHILD CARE Facility ID: 07000214 Consultant: LAKISHA SKINNER Operation Type: Center Case Number: Visit Date: 3/21/2024 Number Present: 44 Completed Date: 3/21/2024 Age: From 0 To 5 Total Minutes: 270 Time In: 08:30 AM Time Out: 01:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced * The purpose of today’s unannounced visit was to monitor for applicable childcare requirements pertaining to an Annual Compliance visit. The last annual compliance visit was conducted 4/18/23. Michelle O’Kelley, Childcare Consultant, accompanied me during today’s visit. The administrator was present and assisted with the visit. Your program currently operates with a Notice of Compliance issued on 5/23/23. The sanitation inspection was completed on 12/7/23 with a “Superior” classification. The last fire inspection was conducted 8/12/23 and your facility was approved for daytime care only. CORPORATION STATUS: The NC Secretary of State website was reviewed on 3/20/24 and First Methodist Church Washington, INC was listed as current- active. Your contact information on the Division of Child Development & Early Education (DCDEE) website was reviewed during today’s visit and all information is current. It is important to frequently check your email to remain informed about any new changes that have or may occur. Observations: The children transitioned to the outdoor play space. The fenced outdoor spaces included stationary and portable toys and equipment. Teachers stationed in different zones talked to, laughed with the children as they played. Lunch consisted of sausage, French toast sticks, applesauce, and milk. The center's compliance history was reviewed with the operator. The program’s compliance history was Ninety-four percent as of 3/20/24. The following violations were documented. Violation Number Comment Rule 114 A summary of the NC Child Care Law was not given to a parent of every child enrolled in the center. Documentation of the parent's receipt of the summary of law was not on file for two out of six children's records monitored. GS 110-102 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. A bottle of Benadryl was observed in Space 1 in an unlocked medicine bag stored above five feet. 15A NCAC 18A .2820(d) 893 A copy of the safe sleep policy was not given to and/or explained to the parent of each child on or before the first day the infant attended the center. Documentation of receipt of the safe sleep policy was not on file for one out of two infant files monitored. 10A NCAC 09 .0606(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. Documentation of the discussion of operational policies was not on file for two out of six children's files monitored. 10A NCAC 09 .0514(b) 1207 Parent participation plan was not discussed with parents on or before the child's first day of attendance and/or a copy was not given to them or posted in the center. Documentation of discussion of the parent participation plan was not on file for two out of six children's files monitored. 10A NCAC 09 .0515(a) 1323 Each child was not immunized as per Article 6 of Chapter 130A and an immunization record was not on file before or within 30 days after admission. Three out of six children's files monitored did not have immunization records on file within 30 days after admission. 10A NCAC 09 .0302(d)(2) 1324 Signed and dated statement by parent that discipline policy received and explained at enrollment was not in child's file. A signed and dated statement by the parent was not on file for two out of six children's filed monitored. .1804(c) 1851 The operator did not notify the parent of each child enrolled in writing of the smoking and tobacco restriction. Documentation of parent receipt of smoking and tobacco restrictions was not on file for two out of six files monitored. .0604(j) 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. Two out of six children's files monitored did not have a statement with parent signature acknowledging receipt of the policy. .0608(b)(1-6) * Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4)(d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before 4/4/24, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is 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 will be conducted. Mail or email the information to: Lakisha Skinner, Child Care Consultant PO BOX 431 Grimesland, NC 27837 Lakisha.Skinner@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Technical Assistance with Documented Violation (s): Immunization Record - Routine immunizations at the appropriate age are the best means of protecting children against vaccine-preventable diseases. According to Caring for Our Children, immunization is particularly important for children in child care because preschool-aged children have the highest age-specific incidence or are at high risk of complications from many vaccine-preventable diseases. One preschool-age child re-enrolled on 12/1/23, has an immunization record on file dated 2/16/24, which is beyond 30 days after admission. You did not indicate why the immunization record for the child was not on file within 30 days of admission. One preschool-age child enrolled on 8/17 23 does not have an immunization record on file. One child enrolled on 5/25/21 does not have an immunization record on file. You did not indicate why the immunization records were not on file. The parent/guardian must submit a certificate of immunization on child's first day of attendance or within 30 calendar days from the first day of attendance. Documentation of compliance is due within two weeks of today’s visit. Children's Records - Maintaining accurate documentation at the child care center is important because it demonstrates compliance with the child care rules and ensures the health and safety of each child. Children's records are required to be completed and maintained for each child who attends your child care (full-time, part-time, or drop-in). The first day a child attends there must be documentation of the receipt of the child care’s discipline policy, parent participation plan, prevention of shaken baby and abusive head trauma policy, safe sleep policy, operational policies, documentation of the receipt of the NC Summary of Child Care Law and a signed notification of smoking and tobacco restrictions. The children’s file checklist attached to each of the six (6) children’s files monitored today; however, no documentation verifying the receipt of the items was available in the two (2) children’s files. You indicated, you moved to a statement sheet inclusive of all policies but had not audited to ensure you received the signed statement from all parents. Your facility has an assistant director, engaged that individual by delegating a file review of all children’s records to ensure you have required documents. ADDITIONAL COMMENTS/ REMINDERS: Be knowledgeable of the child care laws and rules, review the with your center staff, and assist your staff with maintaining compliance with the laws and rules. The most recent version of laws and rules regarding child care facilities in North Carolina are available on the DCDEE website, https://ncchildcare.ncdhhs.gov/. The Beaufort-Hyde Partnership for Children is also able to provide you with resources and information, training opportunities, technical assistance on child care issues. Their phone number is (252) 975-4647 or check out their website at www.bhckids.org . Lead Based Paint & Asbestos - The Child Care Commission adopted childcare rule changes in January 2024. Changes relate to lead based paint and asbestos in childcare facilities. This is a legislatively mandated effort to address lead and asbestos hazards in licensed child care centers. Participation will allow facilities to meet all rule requirements for identified lead and asbestos hazards, as required by law. For information on how to enroll and complete testing please visithttps://www.cleanwaterforuskids.org/en/carolina/. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me at (252) 820-5976, Lakisha.Skinner@dhhs.nc.gov or Jennifer Linhardt, Licensing Supervisor, (252) 373-4199, Jennifer.Linhardt@dhhs.nc.gov if you have questions. 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 .0515 · Violation

Name of Operation: FIRST METHODIST CHURCH WASHINGTON CHILD CARE Facility ID: 07000214 Consultant: LAKISHA SKINNER Operation Type: Center Case Number: Visit Date: 3/21/2024 Number Present: 44 Completed Date: 3/21/2024 Age: From 0 To 5 Total Minutes: 270 Time In: 08:30 AM Time Out: 01:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced * The purpose of today’s unannounced visit was to monitor for applicable childcare requirements pertaining to an Annual Compliance visit. The last annual compliance visit was conducted 4/18/23. Michelle O’Kelley, Childcare Consultant, accompanied me during today’s visit. The administrator was present and assisted with the visit. Your program currently operates with a Notice of Compliance issued on 5/23/23. The sanitation inspection was completed on 12/7/23 with a “Superior” classification. The last fire inspection was conducted 8/12/23 and your facility was approved for daytime care only. CORPORATION STATUS: The NC Secretary of State website was reviewed on 3/20/24 and First Methodist Church Washington, INC was listed as current- active. Your contact information on the Division of Child Development & Early Education (DCDEE) website was reviewed during today’s visit and all information is current. It is important to frequently check your email to remain informed about any new changes that have or may occur. Observations: The children transitioned to the outdoor play space. The fenced outdoor spaces included stationary and portable toys and equipment. Teachers stationed in different zones talked to, laughed with the children as they played. Lunch consisted of sausage, French toast sticks, applesauce, and milk. The center's compliance history was reviewed with the operator. The program’s compliance history was Ninety-four percent as of 3/20/24. The following violations were documented. Violation Number Comment Rule 114 A summary of the NC Child Care Law was not given to a parent of every child enrolled in the center. Documentation of the parent's receipt of the summary of law was not on file for two out of six children's records monitored. GS 110-102 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. A bottle of Benadryl was observed in Space 1 in an unlocked medicine bag stored above five feet. 15A NCAC 18A .2820(d) 893 A copy of the safe sleep policy was not given to and/or explained to the parent of each child on or before the first day the infant attended the center. Documentation of receipt of the safe sleep policy was not on file for one out of two infant files monitored. 10A NCAC 09 .0606(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. Documentation of the discussion of operational policies was not on file for two out of six children's files monitored. 10A NCAC 09 .0514(b) 1207 Parent participation plan was not discussed with parents on or before the child's first day of attendance and/or a copy was not given to them or posted in the center. Documentation of discussion of the parent participation plan was not on file for two out of six children's files monitored. 10A NCAC 09 .0515(a) 1323 Each child was not immunized as per Article 6 of Chapter 130A and an immunization record was not on file before or within 30 days after admission. Three out of six children's files monitored did not have immunization records on file within 30 days after admission. 10A NCAC 09 .0302(d)(2) 1324 Signed and dated statement by parent that discipline policy received and explained at enrollment was not in child's file. A signed and dated statement by the parent was not on file for two out of six children's filed monitored. .1804(c) 1851 The operator did not notify the parent of each child enrolled in writing of the smoking and tobacco restriction. Documentation of parent receipt of smoking and tobacco restrictions was not on file for two out of six files monitored. .0604(j) 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. Two out of six children's files monitored did not have a statement with parent signature acknowledging receipt of the policy. .0608(b)(1-6) * Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4)(d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before 4/4/24, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is 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 will be conducted. Mail or email the information to: Lakisha Skinner, Child Care Consultant PO BOX 431 Grimesland, NC 27837 Lakisha.Skinner@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Technical Assistance with Documented Violation (s): Immunization Record - Routine immunizations at the appropriate age are the best means of protecting children against vaccine-preventable diseases. According to Caring for Our Children, immunization is particularly important for children in child care because preschool-aged children have the highest age-specific incidence or are at high risk of complications from many vaccine-preventable diseases. One preschool-age child re-enrolled on 12/1/23, has an immunization record on file dated 2/16/24, which is beyond 30 days after admission. You did not indicate why the immunization record for the child was not on file within 30 days of admission. One preschool-age child enrolled on 8/17 23 does not have an immunization record on file. One child enrolled on 5/25/21 does not have an immunization record on file. You did not indicate why the immunization records were not on file. The parent/guardian must submit a certificate of immunization on child's first day of attendance or within 30 calendar days from the first day of attendance. Documentation of compliance is due within two weeks of today’s visit. Children's Records - Maintaining accurate documentation at the child care center is important because it demonstrates compliance with the child care rules and ensures the health and safety of each child. Children's records are required to be completed and maintained for each child who attends your child care (full-time, part-time, or drop-in). The first day a child attends there must be documentation of the receipt of the child care’s discipline policy, parent participation plan, prevention of shaken baby and abusive head trauma policy, safe sleep policy, operational policies, documentation of the receipt of the NC Summary of Child Care Law and a signed notification of smoking and tobacco restrictions. The children’s file checklist attached to each of the six (6) children’s files monitored today; however, no documentation verifying the receipt of the items was available in the two (2) children’s files. You indicated, you moved to a statement sheet inclusive of all policies but had not audited to ensure you received the signed statement from all parents. Your facility has an assistant director, engaged that individual by delegating a file review of all children’s records to ensure you have required documents. ADDITIONAL COMMENTS/ REMINDERS: Be knowledgeable of the child care laws and rules, review the with your center staff, and assist your staff with maintaining compliance with the laws and rules. The most recent version of laws and rules regarding child care facilities in North Carolina are available on the DCDEE website, https://ncchildcare.ncdhhs.gov/. The Beaufort-Hyde Partnership for Children is also able to provide you with resources and information, training opportunities, technical assistance on child care issues. Their phone number is (252) 975-4647 or check out their website at www.bhckids.org . Lead Based Paint & Asbestos - The Child Care Commission adopted childcare rule changes in January 2024. Changes relate to lead based paint and asbestos in childcare facilities. This is a legislatively mandated effort to address lead and asbestos hazards in licensed child care centers. Participation will allow facilities to meet all rule requirements for identified lead and asbestos hazards, as required by law. For information on how to enroll and complete testing please visithttps://www.cleanwaterforuskids.org/en/carolina/. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me at (252) 820-5976, Lakisha.Skinner@dhhs.nc.gov or Jennifer Linhardt, Licensing Supervisor, (252) 373-4199, Jennifer.Linhardt@dhhs.nc.gov if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0606 · Violation

Name of Operation: FIRST METHODIST CHURCH WASHINGTON CHILD CARE Facility ID: 07000214 Consultant: LAKISHA SKINNER Operation Type: Center Case Number: Visit Date: 3/21/2024 Number Present: 44 Completed Date: 3/21/2024 Age: From 0 To 5 Total Minutes: 270 Time In: 08:30 AM Time Out: 01:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced * The purpose of today’s unannounced visit was to monitor for applicable childcare requirements pertaining to an Annual Compliance visit. The last annual compliance visit was conducted 4/18/23. Michelle O’Kelley, Childcare Consultant, accompanied me during today’s visit. The administrator was present and assisted with the visit. Your program currently operates with a Notice of Compliance issued on 5/23/23. The sanitation inspection was completed on 12/7/23 with a “Superior” classification. The last fire inspection was conducted 8/12/23 and your facility was approved for daytime care only. CORPORATION STATUS: The NC Secretary of State website was reviewed on 3/20/24 and First Methodist Church Washington, INC was listed as current- active. Your contact information on the Division of Child Development & Early Education (DCDEE) website was reviewed during today’s visit and all information is current. It is important to frequently check your email to remain informed about any new changes that have or may occur. Observations: The children transitioned to the outdoor play space. The fenced outdoor spaces included stationary and portable toys and equipment. Teachers stationed in different zones talked to, laughed with the children as they played. Lunch consisted of sausage, French toast sticks, applesauce, and milk. The center's compliance history was reviewed with the operator. The program’s compliance history was Ninety-four percent as of 3/20/24. The following violations were documented. Violation Number Comment Rule 114 A summary of the NC Child Care Law was not given to a parent of every child enrolled in the center. Documentation of the parent's receipt of the summary of law was not on file for two out of six children's records monitored. GS 110-102 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. A bottle of Benadryl was observed in Space 1 in an unlocked medicine bag stored above five feet. 15A NCAC 18A .2820(d) 893 A copy of the safe sleep policy was not given to and/or explained to the parent of each child on or before the first day the infant attended the center. Documentation of receipt of the safe sleep policy was not on file for one out of two infant files monitored. 10A NCAC 09 .0606(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. Documentation of the discussion of operational policies was not on file for two out of six children's files monitored. 10A NCAC 09 .0514(b) 1207 Parent participation plan was not discussed with parents on or before the child's first day of attendance and/or a copy was not given to them or posted in the center. Documentation of discussion of the parent participation plan was not on file for two out of six children's files monitored. 10A NCAC 09 .0515(a) 1323 Each child was not immunized as per Article 6 of Chapter 130A and an immunization record was not on file before or within 30 days after admission. Three out of six children's files monitored did not have immunization records on file within 30 days after admission. 10A NCAC 09 .0302(d)(2) 1324 Signed and dated statement by parent that discipline policy received and explained at enrollment was not in child's file. A signed and dated statement by the parent was not on file for two out of six children's filed monitored. .1804(c) 1851 The operator did not notify the parent of each child enrolled in writing of the smoking and tobacco restriction. Documentation of parent receipt of smoking and tobacco restrictions was not on file for two out of six files monitored. .0604(j) 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. Two out of six children's files monitored did not have a statement with parent signature acknowledging receipt of the policy. .0608(b)(1-6) * Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4)(d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before 4/4/24, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is 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 will be conducted. Mail or email the information to: Lakisha Skinner, Child Care Consultant PO BOX 431 Grimesland, NC 27837 Lakisha.Skinner@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Technical Assistance with Documented Violation (s): Immunization Record - Routine immunizations at the appropriate age are the best means of protecting children against vaccine-preventable diseases. According to Caring for Our Children, immunization is particularly important for children in child care because preschool-aged children have the highest age-specific incidence or are at high risk of complications from many vaccine-preventable diseases. One preschool-age child re-enrolled on 12/1/23, has an immunization record on file dated 2/16/24, which is beyond 30 days after admission. You did not indicate why the immunization record for the child was not on file within 30 days of admission. One preschool-age child enrolled on 8/17 23 does not have an immunization record on file. One child enrolled on 5/25/21 does not have an immunization record on file. You did not indicate why the immunization records were not on file. The parent/guardian must submit a certificate of immunization on child's first day of attendance or within 30 calendar days from the first day of attendance. Documentation of compliance is due within two weeks of today’s visit. Children's Records - Maintaining accurate documentation at the child care center is important because it demonstrates compliance with the child care rules and ensures the health and safety of each child. Children's records are required to be completed and maintained for each child who attends your child care (full-time, part-time, or drop-in). The first day a child attends there must be documentation of the receipt of the child care’s discipline policy, parent participation plan, prevention of shaken baby and abusive head trauma policy, safe sleep policy, operational policies, documentation of the receipt of the NC Summary of Child Care Law and a signed notification of smoking and tobacco restrictions. The children’s file checklist attached to each of the six (6) children’s files monitored today; however, no documentation verifying the receipt of the items was available in the two (2) children’s files. You indicated, you moved to a statement sheet inclusive of all policies but had not audited to ensure you received the signed statement from all parents. Your facility has an assistant director, engaged that individual by delegating a file review of all children’s records to ensure you have required documents. ADDITIONAL COMMENTS/ REMINDERS: Be knowledgeable of the child care laws and rules, review the with your center staff, and assist your staff with maintaining compliance with the laws and rules. The most recent version of laws and rules regarding child care facilities in North Carolina are available on the DCDEE website, https://ncchildcare.ncdhhs.gov/. The Beaufort-Hyde Partnership for Children is also able to provide you with resources and information, training opportunities, technical assistance on child care issues. Their phone number is (252) 975-4647 or check out their website at www.bhckids.org . Lead Based Paint & Asbestos - The Child Care Commission adopted childcare rule changes in January 2024. Changes relate to lead based paint and asbestos in childcare facilities. This is a legislatively mandated effort to address lead and asbestos hazards in licensed child care centers. Participation will allow facilities to meet all rule requirements for identified lead and asbestos hazards, as required by law. For information on how to enroll and complete testing please visithttps://www.cleanwaterforuskids.org/en/carolina/. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me at (252) 820-5976, Lakisha.Skinner@dhhs.nc.gov or Jennifer Linhardt, Licensing Supervisor, (252) 373-4199, Jennifer.Linhardt@dhhs.nc.gov if you have questions. 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 METHODIST CHURCH WASHINGTON CHILD CARE Facility ID: 07000214 Consultant: LAKISHA SKINNER Operation Type: Center Case Number: Visit Date: 3/21/2024 Number Present: 44 Completed Date: 3/21/2024 Age: From 0 To 5 Total Minutes: 270 Time In: 08:30 AM Time Out: 01:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced * The purpose of today’s unannounced visit was to monitor for applicable childcare requirements pertaining to an Annual Compliance visit. The last annual compliance visit was conducted 4/18/23. Michelle O’Kelley, Childcare Consultant, accompanied me during today’s visit. The administrator was present and assisted with the visit. Your program currently operates with a Notice of Compliance issued on 5/23/23. The sanitation inspection was completed on 12/7/23 with a “Superior” classification. The last fire inspection was conducted 8/12/23 and your facility was approved for daytime care only. CORPORATION STATUS: The NC Secretary of State website was reviewed on 3/20/24 and First Methodist Church Washington, INC was listed as current- active. Your contact information on the Division of Child Development & Early Education (DCDEE) website was reviewed during today’s visit and all information is current. It is important to frequently check your email to remain informed about any new changes that have or may occur. Observations: The children transitioned to the outdoor play space. The fenced outdoor spaces included stationary and portable toys and equipment. Teachers stationed in different zones talked to, laughed with the children as they played. Lunch consisted of sausage, French toast sticks, applesauce, and milk. The center's compliance history was reviewed with the operator. The program’s compliance history was Ninety-four percent as of 3/20/24. The following violations were documented. Violation Number Comment Rule 114 A summary of the NC Child Care Law was not given to a parent of every child enrolled in the center. Documentation of the parent's receipt of the summary of law was not on file for two out of six children's records monitored. GS 110-102 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. A bottle of Benadryl was observed in Space 1 in an unlocked medicine bag stored above five feet. 15A NCAC 18A .2820(d) 893 A copy of the safe sleep policy was not given to and/or explained to the parent of each child on or before the first day the infant attended the center. Documentation of receipt of the safe sleep policy was not on file for one out of two infant files monitored. 10A NCAC 09 .0606(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. Documentation of the discussion of operational policies was not on file for two out of six children's files monitored. 10A NCAC 09 .0514(b) 1207 Parent participation plan was not discussed with parents on or before the child's first day of attendance and/or a copy was not given to them or posted in the center. Documentation of discussion of the parent participation plan was not on file for two out of six children's files monitored. 10A NCAC 09 .0515(a) 1323 Each child was not immunized as per Article 6 of Chapter 130A and an immunization record was not on file before or within 30 days after admission. Three out of six children's files monitored did not have immunization records on file within 30 days after admission. 10A NCAC 09 .0302(d)(2) 1324 Signed and dated statement by parent that discipline policy received and explained at enrollment was not in child's file. A signed and dated statement by the parent was not on file for two out of six children's filed monitored. .1804(c) 1851 The operator did not notify the parent of each child enrolled in writing of the smoking and tobacco restriction. Documentation of parent receipt of smoking and tobacco restrictions was not on file for two out of six files monitored. .0604(j) 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. Two out of six children's files monitored did not have a statement with parent signature acknowledging receipt of the policy. .0608(b)(1-6) * Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4)(d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before 4/4/24, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is 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 will be conducted. Mail or email the information to: Lakisha Skinner, Child Care Consultant PO BOX 431 Grimesland, NC 27837 Lakisha.Skinner@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Technical Assistance with Documented Violation (s): Immunization Record - Routine immunizations at the appropriate age are the best means of protecting children against vaccine-preventable diseases. According to Caring for Our Children, immunization is particularly important for children in child care because preschool-aged children have the highest age-specific incidence or are at high risk of complications from many vaccine-preventable diseases. One preschool-age child re-enrolled on 12/1/23, has an immunization record on file dated 2/16/24, which is beyond 30 days after admission. You did not indicate why the immunization record for the child was not on file within 30 days of admission. One preschool-age child enrolled on 8/17 23 does not have an immunization record on file. One child enrolled on 5/25/21 does not have an immunization record on file. You did not indicate why the immunization records were not on file. The parent/guardian must submit a certificate of immunization on child's first day of attendance or within 30 calendar days from the first day of attendance. Documentation of compliance is due within two weeks of today’s visit. Children's Records - Maintaining accurate documentation at the child care center is important because it demonstrates compliance with the child care rules and ensures the health and safety of each child. Children's records are required to be completed and maintained for each child who attends your child care (full-time, part-time, or drop-in). The first day a child attends there must be documentation of the receipt of the child care’s discipline policy, parent participation plan, prevention of shaken baby and abusive head trauma policy, safe sleep policy, operational policies, documentation of the receipt of the NC Summary of Child Care Law and a signed notification of smoking and tobacco restrictions. The children’s file checklist attached to each of the six (6) children’s files monitored today; however, no documentation verifying the receipt of the items was available in the two (2) children’s files. You indicated, you moved to a statement sheet inclusive of all policies but had not audited to ensure you received the signed statement from all parents. Your facility has an assistant director, engaged that individual by delegating a file review of all children’s records to ensure you have required documents. ADDITIONAL COMMENTS/ REMINDERS: Be knowledgeable of the child care laws and rules, review the with your center staff, and assist your staff with maintaining compliance with the laws and rules. The most recent version of laws and rules regarding child care facilities in North Carolina are available on the DCDEE website, https://ncchildcare.ncdhhs.gov/. The Beaufort-Hyde Partnership for Children is also able to provide you with resources and information, training opportunities, technical assistance on child care issues. Their phone number is (252) 975-4647 or check out their website at www.bhckids.org . Lead Based Paint & Asbestos - The Child Care Commission adopted childcare rule changes in January 2024. Changes relate to lead based paint and asbestos in childcare facilities. This is a legislatively mandated effort to address lead and asbestos hazards in licensed child care centers. Participation will allow facilities to meet all rule requirements for identified lead and asbestos hazards, as required by law. For information on how to enroll and complete testing please visithttps://www.cleanwaterforuskids.org/en/carolina/. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me at (252) 820-5976, Lakisha.Skinner@dhhs.nc.gov or Jennifer Linhardt, Licensing Supervisor, (252) 373-4199, Jennifer.Linhardt@dhhs.nc.gov if you have questions. 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 METHODIST CHURCH WASHINGTON CHILD CARE Facility ID: 07000214 Consultant: LAKISHA SKINNER Operation Type: Center Case Number: Visit Date: 3/21/2024 Number Present: 44 Completed Date: 3/21/2024 Age: From 0 To 5 Total Minutes: 270 Time In: 08:30 AM Time Out: 01:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced * The purpose of today’s unannounced visit was to monitor for applicable childcare requirements pertaining to an Annual Compliance visit. The last annual compliance visit was conducted 4/18/23. Michelle O’Kelley, Childcare Consultant, accompanied me during today’s visit. The administrator was present and assisted with the visit. Your program currently operates with a Notice of Compliance issued on 5/23/23. The sanitation inspection was completed on 12/7/23 with a “Superior” classification. The last fire inspection was conducted 8/12/23 and your facility was approved for daytime care only. CORPORATION STATUS: The NC Secretary of State website was reviewed on 3/20/24 and First Methodist Church Washington, INC was listed as current- active. Your contact information on the Division of Child Development & Early Education (DCDEE) website was reviewed during today’s visit and all information is current. It is important to frequently check your email to remain informed about any new changes that have or may occur. Observations: The children transitioned to the outdoor play space. The fenced outdoor spaces included stationary and portable toys and equipment. Teachers stationed in different zones talked to, laughed with the children as they played. Lunch consisted of sausage, French toast sticks, applesauce, and milk. The center's compliance history was reviewed with the operator. The program’s compliance history was Ninety-four percent as of 3/20/24. The following violations were documented. Violation Number Comment Rule 114 A summary of the NC Child Care Law was not given to a parent of every child enrolled in the center. Documentation of the parent's receipt of the summary of law was not on file for two out of six children's records monitored. GS 110-102 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. A bottle of Benadryl was observed in Space 1 in an unlocked medicine bag stored above five feet. 15A NCAC 18A .2820(d) 893 A copy of the safe sleep policy was not given to and/or explained to the parent of each child on or before the first day the infant attended the center. Documentation of receipt of the safe sleep policy was not on file for one out of two infant files monitored. 10A NCAC 09 .0606(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. Documentation of the discussion of operational policies was not on file for two out of six children's files monitored. 10A NCAC 09 .0514(b) 1207 Parent participation plan was not discussed with parents on or before the child's first day of attendance and/or a copy was not given to them or posted in the center. Documentation of discussion of the parent participation plan was not on file for two out of six children's files monitored. 10A NCAC 09 .0515(a) 1323 Each child was not immunized as per Article 6 of Chapter 130A and an immunization record was not on file before or within 30 days after admission. Three out of six children's files monitored did not have immunization records on file within 30 days after admission. 10A NCAC 09 .0302(d)(2) 1324 Signed and dated statement by parent that discipline policy received and explained at enrollment was not in child's file. A signed and dated statement by the parent was not on file for two out of six children's filed monitored. .1804(c) 1851 The operator did not notify the parent of each child enrolled in writing of the smoking and tobacco restriction. Documentation of parent receipt of smoking and tobacco restrictions was not on file for two out of six files monitored. .0604(j) 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. Two out of six children's files monitored did not have a statement with parent signature acknowledging receipt of the policy. .0608(b)(1-6) * Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4)(d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before 4/4/24, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is 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 will be conducted. Mail or email the information to: Lakisha Skinner, Child Care Consultant PO BOX 431 Grimesland, NC 27837 Lakisha.Skinner@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Technical Assistance with Documented Violation (s): Immunization Record - Routine immunizations at the appropriate age are the best means of protecting children against vaccine-preventable diseases. According to Caring for Our Children, immunization is particularly important for children in child care because preschool-aged children have the highest age-specific incidence or are at high risk of complications from many vaccine-preventable diseases. One preschool-age child re-enrolled on 12/1/23, has an immunization record on file dated 2/16/24, which is beyond 30 days after admission. You did not indicate why the immunization record for the child was not on file within 30 days of admission. One preschool-age child enrolled on 8/17 23 does not have an immunization record on file. One child enrolled on 5/25/21 does not have an immunization record on file. You did not indicate why the immunization records were not on file. The parent/guardian must submit a certificate of immunization on child's first day of attendance or within 30 calendar days from the first day of attendance. Documentation of compliance is due within two weeks of today’s visit. Children's Records - Maintaining accurate documentation at the child care center is important because it demonstrates compliance with the child care rules and ensures the health and safety of each child. Children's records are required to be completed and maintained for each child who attends your child care (full-time, part-time, or drop-in). The first day a child attends there must be documentation of the receipt of the child care’s discipline policy, parent participation plan, prevention of shaken baby and abusive head trauma policy, safe sleep policy, operational policies, documentation of the receipt of the NC Summary of Child Care Law and a signed notification of smoking and tobacco restrictions. The children’s file checklist attached to each of the six (6) children’s files monitored today; however, no documentation verifying the receipt of the items was available in the two (2) children’s files. You indicated, you moved to a statement sheet inclusive of all policies but had not audited to ensure you received the signed statement from all parents. Your facility has an assistant director, engaged that individual by delegating a file review of all children’s records to ensure you have required documents. ADDITIONAL COMMENTS/ REMINDERS: Be knowledgeable of the child care laws and rules, review the with your center staff, and assist your staff with maintaining compliance with the laws and rules. The most recent version of laws and rules regarding child care facilities in North Carolina are available on the DCDEE website, https://ncchildcare.ncdhhs.gov/. The Beaufort-Hyde Partnership for Children is also able to provide you with resources and information, training opportunities, technical assistance on child care issues. Their phone number is (252) 975-4647 or check out their website at www.bhckids.org . Lead Based Paint & Asbestos - The Child Care Commission adopted childcare rule changes in January 2024. Changes relate to lead based paint and asbestos in childcare facilities. This is a legislatively mandated effort to address lead and asbestos hazards in licensed child care centers. Participation will allow facilities to meet all rule requirements for identified lead and asbestos hazards, as required by law. For information on how to enroll and complete testing please visithttps://www.cleanwaterforuskids.org/en/carolina/. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me at (252) 820-5976, Lakisha.Skinner@dhhs.nc.gov or Jennifer Linhardt, Licensing Supervisor, (252) 373-4199, Jennifer.Linhardt@dhhs.nc.gov if you have questions. 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 METHODIST CHURCH WASHINGTON CHILD CARE Facility ID: 07000214 Consultant: BRITTANY JONES Operation Type: Center Case Number: Visit Date: 11/16/2023 Number Present: 32 Completed Date: 11/16/2023 Age: From 0 To 5 Total Minutes: 230 Time In: 09:10 AM Time Out: 01:00 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. D. Van Staaluinen assisted me with today’s visit. Your program currently operates with a a Notice of Compliance issued 2/5/2020. The last annual compliance visit was conducted 4/18/23. The sanitation inspection was completed on 6/12/23 with a “Superior” classification. The last fire inspection was conducted on 8/3/23. The center's compliance history was reviewed with the operator. The program’s compliance history was ninety six percent as of 11/15/23. The NC Secretary of State website was reviewed on 11/15/23 and First Methodist Church Washington, Inc. was listed as current- active. You visited all indoor and outdoor areas with me. I observed children in both the indoor and outdoor learning environments. Children throughout the facility were participating in group time, free play in activity areas, transitions, and personal care routines. Infants were engaged in free play on the floor and napping. The outdoor spaces were observed to have a stationary climber, portable houses, riding bikes on a track, balls, and hula hoops for the children to engage in gross motor activities. Lunch was observed and included macaroni and cheese, green beans, applesauce, and milk. The following violation(s) were documented. Violation Number Comment Rule 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. A child enrolled in space #1 had an EpiPen on file without written permission from the parent. 10A NCAC 09 .0803(1)(a & b) 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. In space #4, safe sleep charts were not maintained on 11/13/23 and 11/14/23. .0606(g) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. One staff member hired on 9/18/23 did not have a medical report of TB skin test on file until 10/14/23. One staff member hired on 9/13/23 had a medical report of TB skin test on file dated 2/22/22. .0701(a) Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before 11/30/23, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is 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: Brittany Jones, Child Care Consultant PO Box 3272 New Bern, NC 28564 Brittany.j.jones@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address on file with DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Technical assistance with violations: Medication Permission Forms: All medications for children present at the center must have a current, completed medication permission form even if there is a Medical Action Plan. The medication permission forms provide additional information that could be critical to the administration of the medication and the care of the child. Medication permission forms for OTC, prescription, and emergency medication have an administration log as part of the form. This must be completed any time the medication is given. The medication permission forms must include the specific name of the medication. (Coppertone Baby vs. Sunscreen. Cutter Bug Repellant vs. Bug Spray. Albuterol vs. Inhaler). Medication permission forms are valid for a defined length of time and must be updated, if needed. A child enrolled in space #1 had an EpiPen on file without written permission from the parent. You stated that you were unaware that an EpiPen required written permission. We reviewed the division’s website together and printed the correct medication form. Have the parent fill out the permission form according to the medical action plan that is on file. I shared a Medication Flyer with you during the visit that shows the length of time that written permission is valid according to the type of medication. Review this flyer when accepting medication. I encourage you to review the section in the NC Child Care Requirements on medication: 10A NCAC 09 .0803 Administering Medication in Child Care Centers. Safe Sleep Charts: Maintaining accurate documentation at the child care center is important in determining compliance with the child care rules and to ensure the health and safety of each child. Infant sleep charts allow teachers to document visually checking sleeping infants every 15 minutes. They note the infant’s sleep position, skin color, breathing, level of sleep, and body temperature. This needs to be documented every time a child is sleeping in your care. In space #4, safe sleep charts were not maintained on 11/13/23 and 11/14/23. You stated that a substitute teacher was in the classroom on those two days and was confused about where to document on the chart and the times that the children were asleep was documented in ProCare. Any teacher that works in the infant room needs to be shown how to use the safe sleep charts or work with someone that is knowledgeable about them. You stated that you will be having additional training on the safe sleep charts with staff members that work with infants. It would be helpful to have the sleep charts on a clipboard that is close to the crib so it can be easily accessed when an infant falls asleep and a visual reminder to document every 15 minutes. Staff Records: The health and safety of children requires that information regarding each staff member working with the children should be kept and available when needed. Staff records consist of various documentation to include emergency contact information. A Staff Medical Report and TB Screening/Test is due for new employees by their first day of work to ensure they are physically, mentally, and emotionally well enough to care for children in a busy, rigorous environment. within the 12 months prior to the date of employment. One staff member hired on 9/18/23 did not have a medical report of TB skin test on file until 10/14/23. One staff member hired on 9/13/23 had a medical report of TB skin test on file dated 2/22/22. You stated that the staff members were hired during a time when you were spending a lot of time working in the classroom, but are currently updating the staff and training worksheet. It would be helpful to use the current Staff and Training Worksheet to help you verify that all required forms are on file. Placing each form in the same order as the worksheet makes it even quicker and easier to review files and update the worksheet. Additional Comments: Sanitation: Presentations on the Child Care Sanitation Rules and resources can be found at https://ehs.dph.ncdhhs.gov/hhccehb/cehu/ccs/children.htm. The Healthy Social Behaviors (HSB) Project supports teachers to promote healthy social-emotional development and reduce the expulsion rate among young children in licensed child care centers across North Carolina. The team is made up of specialists with early childhood education backgrounds who are passionate about empowering teachers to develop learning environments and teaching practices that promote prosocial skills in young children. To speak to a Behavior Support Advisor contact 1-888-600-1685 option 1. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me at Brittany Jones, Child Care Consultant, (252) 947-1036, Brittany.j.jones@dhhs.nc.gov or Jennifer Linhardt, Licensing Supervisor, Jennifer.Linhardt@dhhs.nc.gov if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

NC GS 110-90 · Violation

Name of Operation: FIRST METHODIST CHURCH WASHINGTON CHILD CARE Facility ID: 07000214 Consultant: BRITTANY JONES Operation Type: Center Case Number: Visit Date: 11/16/2023 Number Present: 32 Completed Date: 11/16/2023 Age: From 0 To 5 Total Minutes: 230 Time In: 09:10 AM Time Out: 01:00 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. D. Van Staaluinen assisted me with today’s visit. Your program currently operates with a a Notice of Compliance issued 2/5/2020. The last annual compliance visit was conducted 4/18/23. The sanitation inspection was completed on 6/12/23 with a “Superior” classification. The last fire inspection was conducted on 8/3/23. The center's compliance history was reviewed with the operator. The program’s compliance history was ninety six percent as of 11/15/23. The NC Secretary of State website was reviewed on 11/15/23 and First Methodist Church Washington, Inc. was listed as current- active. You visited all indoor and outdoor areas with me. I observed children in both the indoor and outdoor learning environments. Children throughout the facility were participating in group time, free play in activity areas, transitions, and personal care routines. Infants were engaged in free play on the floor and napping. The outdoor spaces were observed to have a stationary climber, portable houses, riding bikes on a track, balls, and hula hoops for the children to engage in gross motor activities. Lunch was observed and included macaroni and cheese, green beans, applesauce, and milk. The following violation(s) were documented. Violation Number Comment Rule 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. A child enrolled in space #1 had an EpiPen on file without written permission from the parent. 10A NCAC 09 .0803(1)(a & b) 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. In space #4, safe sleep charts were not maintained on 11/13/23 and 11/14/23. .0606(g) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. One staff member hired on 9/18/23 did not have a medical report of TB skin test on file until 10/14/23. One staff member hired on 9/13/23 had a medical report of TB skin test on file dated 2/22/22. .0701(a) Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before 11/30/23, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is 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: Brittany Jones, Child Care Consultant PO Box 3272 New Bern, NC 28564 Brittany.j.jones@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address on file with DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Technical assistance with violations: Medication Permission Forms: All medications for children present at the center must have a current, completed medication permission form even if there is a Medical Action Plan. The medication permission forms provide additional information that could be critical to the administration of the medication and the care of the child. Medication permission forms for OTC, prescription, and emergency medication have an administration log as part of the form. This must be completed any time the medication is given. The medication permission forms must include the specific name of the medication. (Coppertone Baby vs. Sunscreen. Cutter Bug Repellant vs. Bug Spray. Albuterol vs. Inhaler). Medication permission forms are valid for a defined length of time and must be updated, if needed. A child enrolled in space #1 had an EpiPen on file without written permission from the parent. You stated that you were unaware that an EpiPen required written permission. We reviewed the division’s website together and printed the correct medication form. Have the parent fill out the permission form according to the medical action plan that is on file. I shared a Medication Flyer with you during the visit that shows the length of time that written permission is valid according to the type of medication. Review this flyer when accepting medication. I encourage you to review the section in the NC Child Care Requirements on medication: 10A NCAC 09 .0803 Administering Medication in Child Care Centers. Safe Sleep Charts: Maintaining accurate documentation at the child care center is important in determining compliance with the child care rules and to ensure the health and safety of each child. Infant sleep charts allow teachers to document visually checking sleeping infants every 15 minutes. They note the infant’s sleep position, skin color, breathing, level of sleep, and body temperature. This needs to be documented every time a child is sleeping in your care. In space #4, safe sleep charts were not maintained on 11/13/23 and 11/14/23. You stated that a substitute teacher was in the classroom on those two days and was confused about where to document on the chart and the times that the children were asleep was documented in ProCare. Any teacher that works in the infant room needs to be shown how to use the safe sleep charts or work with someone that is knowledgeable about them. You stated that you will be having additional training on the safe sleep charts with staff members that work with infants. It would be helpful to have the sleep charts on a clipboard that is close to the crib so it can be easily accessed when an infant falls asleep and a visual reminder to document every 15 minutes. Staff Records: The health and safety of children requires that information regarding each staff member working with the children should be kept and available when needed. Staff records consist of various documentation to include emergency contact information. A Staff Medical Report and TB Screening/Test is due for new employees by their first day of work to ensure they are physically, mentally, and emotionally well enough to care for children in a busy, rigorous environment. within the 12 months prior to the date of employment. One staff member hired on 9/18/23 did not have a medical report of TB skin test on file until 10/14/23. One staff member hired on 9/13/23 had a medical report of TB skin test on file dated 2/22/22. You stated that the staff members were hired during a time when you were spending a lot of time working in the classroom, but are currently updating the staff and training worksheet. It would be helpful to use the current Staff and Training Worksheet to help you verify that all required forms are on file. Placing each form in the same order as the worksheet makes it even quicker and easier to review files and update the worksheet. Additional Comments: Sanitation: Presentations on the Child Care Sanitation Rules and resources can be found at https://ehs.dph.ncdhhs.gov/hhccehb/cehu/ccs/children.htm. The Healthy Social Behaviors (HSB) Project supports teachers to promote healthy social-emotional development and reduce the expulsion rate among young children in licensed child care centers across North Carolina. The team is made up of specialists with early childhood education backgrounds who are passionate about empowering teachers to develop learning environments and teaching practices that promote prosocial skills in young children. To speak to a Behavior Support Advisor contact 1-888-600-1685 option 1. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me at Brittany Jones, Child Care Consultant, (252) 947-1036, Brittany.j.jones@dhhs.nc.gov or Jennifer Linhardt, Licensing Supervisor, Jennifer.Linhardt@dhhs.nc.gov if you have questions. 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 METHODIST CHURCH WASHINGTON CHILD CARE Facility ID: 07000214 Consultant: HOLLY LASSITER Operation Type: Center Case Number: 0823-356A Visit Date: 8/29/2023 Number Present: 54 Completed Date: 8/29/2023 Age: From 0 To 5 Total Minutes: 135 Time In: 11:05 AM Time Out: 01:20 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of this unannounced visit was to investigate allegations of violations of child care requirements at this child care facility. Diane Stoalduinen, Administrator, was also present and assisted me during the visit. I was unaccompanied during the walk-through of the facility. During the visit, I spoke with Ms. Stoalduinan and six additional staff members. Limited monitoring of child care requirements occurred during today’s visit. Violation Number Comment Rule 303 Children were not adequately supervised at all times. On August 18, 2023, staff members failed to supervise a child who exited the classroom unsupervised and was found walking out of the exit door. .1801(a)(1-5) 902 Each child was not attended to in a nurturing and appropriate manner, or in keeping with the child's developmental needs. During various times in August 2023 a staff member was observed talking to children in a loud and inappropriate tone. G.S. 110-91(10) 904 Child was handled roughly. In August 2023, a staff member handled children in a manner that was rough and caused temporary red marks on some of the children. .1803(a)(1) You may contact me at Holly Lassiter, Investigations Consultant, (252)820-2367, holly.lassiter@dhhs.nc.gov. Thank you for your time. 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.