10A NCAC 09 .0511 · Violation

Name of Operation: FIRST BAPTIST CHILDREN'S CENTER Facility ID: 44000057 Consultant: SARAH UPTON Operation Type: Center Case Number: 0625-230L Visit Date: 7/7/2025 Number Present: 51 Completed Date: 7/7/2025 Age: From 0 To 12 Total Minutes: 315 Time In: 11:00 AM Time Out: 04:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today’s visit is to investigate allegations of child care requirements. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Sarah Upton, Child Care Consultant and also signed by Emily Lee, Assistant Administrator, during the visit. Lisa McDaniel, Administrator, was not present during my visit but was available to speak with me and answer questions by phone. An electronic signed copy of the visit summary was left on-site. Ms. Lee assisted me today. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-seven percentage (97%) as of 07/072025. The facility operates with a four star license issued on January 30, 2020 The Special Services/Restrictions include Children under 2 ½ year olds in rooms with direct exits, Meets enhanced space; Meets enhanced space; Meets transportation The complaint was received by the Division of Child Development and Early Education on 06/23/2025 and sent to me on 06/23/2025. There is concern of a children being handled roughly. During today’s visit I spoke with Ms. McDaniel, Administrator, Ms. Lee, assistant administrator and a teacher in the classroom for children ages one-to-two-years of age regarding concerns of children being handled roughly during diaper changes. According to Ms. McDaniel she has never observed anyone mishandling a child during diaper changes or at any other time. Ms. McDaniel reported that she is consistently watching staff interactions in each classroom through the camera system and has never observed any concerns. Currently the camera system is not set up to record. The teacher reported that if she has a child that is trying to sit up during a diaper change, she will gently place the child back down on their back by lifting them with their under arms, laying them back down and supporting the back of their head if need be. Today during my observation of a diaper change in the classroom for children ages one-to-two-years of age the child was handled gentle and was spoken to in a kind, friendly manner. Based on the information gathered today through interviews and observation this allegation was unsubstantiated. There are concerns of a child’s developmental needs being met related to potty training. During today’s visit I spoke with Ms. McDaniel, Administrator, Ms. Lee, assistant administrator and a teacher in the classroom for children ages one-to-two-years of age regarding concerns of children not being able to potty trained at the request of the parent. According to Ms. McDaniel children in the classroom do not start the potty-training process until children are moved into the two-year-old classroom. She reported that she did have a parent come and speak to her about her child starting to potty train. Ms. McDaniel reported that she informed the parents that children typically start the potty-training process once they are moved into the two-year-old classroom due to not having the availability of staff in the one-to-two-year classroom. She reported that the child will move into the older classroom in August. Ms. Lee reported that at this time the facility does not have a potty-training policy. The teacher in the classroom for children ages one-to-two-years of age reported that they do not do potty training in her class due to limited staff. If a parent does speak to her about potty training she informs the office staff so that they may provide an additional staff member to assist with supervision while the child is in the restroom so she may be able to assist as needed. As we talked about today if a child is showing interest in potty-training, can communicate when they need to use the potty and parents are working with the child at home then the facility needs to be consistent with the process and support the process as best they can. Based on the information gathered today through interviews this allegation was substantiated. The following violations were documented during today’s visit: Violation Number Comment Rule 303 Children were not adequately supervised at all times. During lunch the staff members in the classroom for children two-years of age was observed putting out a cot, which caused her back to be turned to the the three (3) children that were still eating at the table. In the classroom for children ages four-to-fives years of age the staff members was observed putting out cots while four (4) children were still eating at the table. There was a staff member's twelve-year-old child that was not being cared for with the other school aged children and was in the church building unsupervised. .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. There was a two-year-old child in the classroom for children age one-to-two-years of age that was not provided assistance with potty-training even though the parent had let office staff know that the child was showing interest in potty-training at home and wanted to start the process at the facility. G.S. 110-91(10) Technical assistance was provided as follows: Item# 902 Potty training in childcare settings requires a collaborative effort between parents and educators and should be based on each child developmental readiness. Consistence in routine and communication are key to success. Today we talked about creating a potty-training policy to share with parents. Item #303 children need to be adequately supervised at all times. Any time children are eating teachers need to be focused on the children eating and not engaged in routine care needs, especially when there is only one teacher present. There should always be at least one teacher standing or sitting by children aged birth to five years while children are eating because choking is silent. This item was addressed during your Administrative Action Written Warning Corrective Action Plan issued on January 08, 2024. Additionally, staff members children under 13 years of age must be enrolled in the center and be supervised by a staff member. Achieving Compliance: The facility received a violation regarding supervision today. A follow-up visit will be conducted in the near future to determine if staff are adequately supervising children per Child Care Rule 10A NCAC 09 .1801(a)(1-5). The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by July 21, 2025 Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: sarah.upton@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Sarah Upton Address 143 Bobcat Trail Clyde, NC 28721 Please call me at 828-782-0937, or email sarah.upton@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Today we discussed 10A NCAC 09 .0511 DAILY ROUTINES FOR CHILDREN UNDER TWO YEARS OF AGE (b) The caregivers shall interact in a positive manner with each child every day, as follows: (3) a caregiver or team of caregivers shall be assigned to each infant or toddler as the primary caregiver(s) who is responsible for care the majority of the time; Primary caregiving refers to the assignment of a specific caregiver to a group of children to foster a close, consistent relationship for each infant or toddler. "Toddler" means any child ages 13 months to 35 months of age. Children should not move from classroom to classroom and should be provided with a consistent classroom and staff member daily. I understand the need to move children to meet staff to child ratio, however, this should not be happening frequently. 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. 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. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable to your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and can be a resource for you while you strive to provide a safe and healthy environment for the well-being of young children. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at sarah.upton@dhhs.nc.gov or 828.782.0937, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

10A NCAC 09 .1801 · Violation

Name of Operation: FIRST BAPTIST CHILDREN'S CENTER Facility ID: 44000057 Consultant: SARAH UPTON Operation Type: Center Case Number: 0625-230L Visit Date: 7/7/2025 Number Present: 51 Completed Date: 7/7/2025 Age: From 0 To 12 Total Minutes: 315 Time In: 11:00 AM Time Out: 04:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today’s visit is to investigate allegations of child care requirements. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Sarah Upton, Child Care Consultant and also signed by Emily Lee, Assistant Administrator, during the visit. Lisa McDaniel, Administrator, was not present during my visit but was available to speak with me and answer questions by phone. An electronic signed copy of the visit summary was left on-site. Ms. Lee assisted me today. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-seven percentage (97%) as of 07/072025. The facility operates with a four star license issued on January 30, 2020 The Special Services/Restrictions include Children under 2 ½ year olds in rooms with direct exits, Meets enhanced space; Meets enhanced space; Meets transportation The complaint was received by the Division of Child Development and Early Education on 06/23/2025 and sent to me on 06/23/2025. There is concern of a children being handled roughly. During today’s visit I spoke with Ms. McDaniel, Administrator, Ms. Lee, assistant administrator and a teacher in the classroom for children ages one-to-two-years of age regarding concerns of children being handled roughly during diaper changes. According to Ms. McDaniel she has never observed anyone mishandling a child during diaper changes or at any other time. Ms. McDaniel reported that she is consistently watching staff interactions in each classroom through the camera system and has never observed any concerns. Currently the camera system is not set up to record. The teacher reported that if she has a child that is trying to sit up during a diaper change, she will gently place the child back down on their back by lifting them with their under arms, laying them back down and supporting the back of their head if need be. Today during my observation of a diaper change in the classroom for children ages one-to-two-years of age the child was handled gentle and was spoken to in a kind, friendly manner. Based on the information gathered today through interviews and observation this allegation was unsubstantiated. There are concerns of a child’s developmental needs being met related to potty training. During today’s visit I spoke with Ms. McDaniel, Administrator, Ms. Lee, assistant administrator and a teacher in the classroom for children ages one-to-two-years of age regarding concerns of children not being able to potty trained at the request of the parent. According to Ms. McDaniel children in the classroom do not start the potty-training process until children are moved into the two-year-old classroom. She reported that she did have a parent come and speak to her about her child starting to potty train. Ms. McDaniel reported that she informed the parents that children typically start the potty-training process once they are moved into the two-year-old classroom due to not having the availability of staff in the one-to-two-year classroom. She reported that the child will move into the older classroom in August. Ms. Lee reported that at this time the facility does not have a potty-training policy. The teacher in the classroom for children ages one-to-two-years of age reported that they do not do potty training in her class due to limited staff. If a parent does speak to her about potty training she informs the office staff so that they may provide an additional staff member to assist with supervision while the child is in the restroom so she may be able to assist as needed. As we talked about today if a child is showing interest in potty-training, can communicate when they need to use the potty and parents are working with the child at home then the facility needs to be consistent with the process and support the process as best they can. Based on the information gathered today through interviews this allegation was substantiated. The following violations were documented during today’s visit: Violation Number Comment Rule 303 Children were not adequately supervised at all times. During lunch the staff members in the classroom for children two-years of age was observed putting out a cot, which caused her back to be turned to the the three (3) children that were still eating at the table. In the classroom for children ages four-to-fives years of age the staff members was observed putting out cots while four (4) children were still eating at the table. There was a staff member's twelve-year-old child that was not being cared for with the other school aged children and was in the church building unsupervised. .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. There was a two-year-old child in the classroom for children age one-to-two-years of age that was not provided assistance with potty-training even though the parent had let office staff know that the child was showing interest in potty-training at home and wanted to start the process at the facility. G.S. 110-91(10) Technical assistance was provided as follows: Item# 902 Potty training in childcare settings requires a collaborative effort between parents and educators and should be based on each child developmental readiness. Consistence in routine and communication are key to success. Today we talked about creating a potty-training policy to share with parents. Item #303 children need to be adequately supervised at all times. Any time children are eating teachers need to be focused on the children eating and not engaged in routine care needs, especially when there is only one teacher present. There should always be at least one teacher standing or sitting by children aged birth to five years while children are eating because choking is silent. This item was addressed during your Administrative Action Written Warning Corrective Action Plan issued on January 08, 2024. Additionally, staff members children under 13 years of age must be enrolled in the center and be supervised by a staff member. Achieving Compliance: The facility received a violation regarding supervision today. A follow-up visit will be conducted in the near future to determine if staff are adequately supervising children per Child Care Rule 10A NCAC 09 .1801(a)(1-5). The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by July 21, 2025 Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: sarah.upton@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Sarah Upton Address 143 Bobcat Trail Clyde, NC 28721 Please call me at 828-782-0937, or email sarah.upton@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Today we discussed 10A NCAC 09 .0511 DAILY ROUTINES FOR CHILDREN UNDER TWO YEARS OF AGE (b) The caregivers shall interact in a positive manner with each child every day, as follows: (3) a caregiver or team of caregivers shall be assigned to each infant or toddler as the primary caregiver(s) who is responsible for care the majority of the time; Primary caregiving refers to the assignment of a specific caregiver to a group of children to foster a close, consistent relationship for each infant or toddler. "Toddler" means any child ages 13 months to 35 months of age. Children should not move from classroom to classroom and should be provided with a consistent classroom and staff member daily. I understand the need to move children to meet staff to child ratio, however, this should not be happening frequently. 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. 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. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable to your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and can be a resource for you while you strive to provide a safe and healthy environment for the well-being of young children. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at sarah.upton@dhhs.nc.gov or 828.782.0937, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

G.S. 110-91 · Violation

Name of Operation: FIRST BAPTIST CHILDREN'S CENTER Facility ID: 44000057 Consultant: SARAH UPTON Operation Type: Center Case Number: 0625-230L Visit Date: 7/7/2025 Number Present: 51 Completed Date: 7/7/2025 Age: From 0 To 12 Total Minutes: 315 Time In: 11:00 AM Time Out: 04:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today’s visit is to investigate allegations of child care requirements. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Sarah Upton, Child Care Consultant and also signed by Emily Lee, Assistant Administrator, during the visit. Lisa McDaniel, Administrator, was not present during my visit but was available to speak with me and answer questions by phone. An electronic signed copy of the visit summary was left on-site. Ms. Lee assisted me today. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-seven percentage (97%) as of 07/072025. The facility operates with a four star license issued on January 30, 2020 The Special Services/Restrictions include Children under 2 ½ year olds in rooms with direct exits, Meets enhanced space; Meets enhanced space; Meets transportation The complaint was received by the Division of Child Development and Early Education on 06/23/2025 and sent to me on 06/23/2025. There is concern of a children being handled roughly. During today’s visit I spoke with Ms. McDaniel, Administrator, Ms. Lee, assistant administrator and a teacher in the classroom for children ages one-to-two-years of age regarding concerns of children being handled roughly during diaper changes. According to Ms. McDaniel she has never observed anyone mishandling a child during diaper changes or at any other time. Ms. McDaniel reported that she is consistently watching staff interactions in each classroom through the camera system and has never observed any concerns. Currently the camera system is not set up to record. The teacher reported that if she has a child that is trying to sit up during a diaper change, she will gently place the child back down on their back by lifting them with their under arms, laying them back down and supporting the back of their head if need be. Today during my observation of a diaper change in the classroom for children ages one-to-two-years of age the child was handled gentle and was spoken to in a kind, friendly manner. Based on the information gathered today through interviews and observation this allegation was unsubstantiated. There are concerns of a child’s developmental needs being met related to potty training. During today’s visit I spoke with Ms. McDaniel, Administrator, Ms. Lee, assistant administrator and a teacher in the classroom for children ages one-to-two-years of age regarding concerns of children not being able to potty trained at the request of the parent. According to Ms. McDaniel children in the classroom do not start the potty-training process until children are moved into the two-year-old classroom. She reported that she did have a parent come and speak to her about her child starting to potty train. Ms. McDaniel reported that she informed the parents that children typically start the potty-training process once they are moved into the two-year-old classroom due to not having the availability of staff in the one-to-two-year classroom. She reported that the child will move into the older classroom in August. Ms. Lee reported that at this time the facility does not have a potty-training policy. The teacher in the classroom for children ages one-to-two-years of age reported that they do not do potty training in her class due to limited staff. If a parent does speak to her about potty training she informs the office staff so that they may provide an additional staff member to assist with supervision while the child is in the restroom so she may be able to assist as needed. As we talked about today if a child is showing interest in potty-training, can communicate when they need to use the potty and parents are working with the child at home then the facility needs to be consistent with the process and support the process as best they can. Based on the information gathered today through interviews this allegation was substantiated. The following violations were documented during today’s visit: Violation Number Comment Rule 303 Children were not adequately supervised at all times. During lunch the staff members in the classroom for children two-years of age was observed putting out a cot, which caused her back to be turned to the the three (3) children that were still eating at the table. In the classroom for children ages four-to-fives years of age the staff members was observed putting out cots while four (4) children were still eating at the table. There was a staff member's twelve-year-old child that was not being cared for with the other school aged children and was in the church building unsupervised. .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. There was a two-year-old child in the classroom for children age one-to-two-years of age that was not provided assistance with potty-training even though the parent had let office staff know that the child was showing interest in potty-training at home and wanted to start the process at the facility. G.S. 110-91(10) Technical assistance was provided as follows: Item# 902 Potty training in childcare settings requires a collaborative effort between parents and educators and should be based on each child developmental readiness. Consistence in routine and communication are key to success. Today we talked about creating a potty-training policy to share with parents. Item #303 children need to be adequately supervised at all times. Any time children are eating teachers need to be focused on the children eating and not engaged in routine care needs, especially when there is only one teacher present. There should always be at least one teacher standing or sitting by children aged birth to five years while children are eating because choking is silent. This item was addressed during your Administrative Action Written Warning Corrective Action Plan issued on January 08, 2024. Additionally, staff members children under 13 years of age must be enrolled in the center and be supervised by a staff member. Achieving Compliance: The facility received a violation regarding supervision today. A follow-up visit will be conducted in the near future to determine if staff are adequately supervising children per Child Care Rule 10A NCAC 09 .1801(a)(1-5). The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by July 21, 2025 Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: sarah.upton@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Sarah Upton Address 143 Bobcat Trail Clyde, NC 28721 Please call me at 828-782-0937, or email sarah.upton@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Today we discussed 10A NCAC 09 .0511 DAILY ROUTINES FOR CHILDREN UNDER TWO YEARS OF AGE (b) The caregivers shall interact in a positive manner with each child every day, as follows: (3) a caregiver or team of caregivers shall be assigned to each infant or toddler as the primary caregiver(s) who is responsible for care the majority of the time; Primary caregiving refers to the assignment of a specific caregiver to a group of children to foster a close, consistent relationship for each infant or toddler. "Toddler" means any child ages 13 months to 35 months of age. Children should not move from classroom to classroom and should be provided with a consistent classroom and staff member daily. I understand the need to move children to meet staff to child ratio, however, this should not be happening frequently. 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. 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. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable to your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and can be a resource for you while you strive to provide a safe and healthy environment for the well-being of young children. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at sarah.upton@dhhs.nc.gov or 828.782.0937, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

NC GS 110-90 · Violation

Name of Operation: FIRST BAPTIST CHILDREN'S CENTER Facility ID: 44000057 Consultant: SARAH UPTON Operation Type: Center Case Number: 0625-230L Visit Date: 7/7/2025 Number Present: 51 Completed Date: 7/7/2025 Age: From 0 To 12 Total Minutes: 315 Time In: 11:00 AM Time Out: 04:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today’s visit is to investigate allegations of child care requirements. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Sarah Upton, Child Care Consultant and also signed by Emily Lee, Assistant Administrator, during the visit. Lisa McDaniel, Administrator, was not present during my visit but was available to speak with me and answer questions by phone. An electronic signed copy of the visit summary was left on-site. Ms. Lee assisted me today. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-seven percentage (97%) as of 07/072025. The facility operates with a four star license issued on January 30, 2020 The Special Services/Restrictions include Children under 2 ½ year olds in rooms with direct exits, Meets enhanced space; Meets enhanced space; Meets transportation The complaint was received by the Division of Child Development and Early Education on 06/23/2025 and sent to me on 06/23/2025. There is concern of a children being handled roughly. During today’s visit I spoke with Ms. McDaniel, Administrator, Ms. Lee, assistant administrator and a teacher in the classroom for children ages one-to-two-years of age regarding concerns of children being handled roughly during diaper changes. According to Ms. McDaniel she has never observed anyone mishandling a child during diaper changes or at any other time. Ms. McDaniel reported that she is consistently watching staff interactions in each classroom through the camera system and has never observed any concerns. Currently the camera system is not set up to record. The teacher reported that if she has a child that is trying to sit up during a diaper change, she will gently place the child back down on their back by lifting them with their under arms, laying them back down and supporting the back of their head if need be. Today during my observation of a diaper change in the classroom for children ages one-to-two-years of age the child was handled gentle and was spoken to in a kind, friendly manner. Based on the information gathered today through interviews and observation this allegation was unsubstantiated. There are concerns of a child’s developmental needs being met related to potty training. During today’s visit I spoke with Ms. McDaniel, Administrator, Ms. Lee, assistant administrator and a teacher in the classroom for children ages one-to-two-years of age regarding concerns of children not being able to potty trained at the request of the parent. According to Ms. McDaniel children in the classroom do not start the potty-training process until children are moved into the two-year-old classroom. She reported that she did have a parent come and speak to her about her child starting to potty train. Ms. McDaniel reported that she informed the parents that children typically start the potty-training process once they are moved into the two-year-old classroom due to not having the availability of staff in the one-to-two-year classroom. She reported that the child will move into the older classroom in August. Ms. Lee reported that at this time the facility does not have a potty-training policy. The teacher in the classroom for children ages one-to-two-years of age reported that they do not do potty training in her class due to limited staff. If a parent does speak to her about potty training she informs the office staff so that they may provide an additional staff member to assist with supervision while the child is in the restroom so she may be able to assist as needed. As we talked about today if a child is showing interest in potty-training, can communicate when they need to use the potty and parents are working with the child at home then the facility needs to be consistent with the process and support the process as best they can. Based on the information gathered today through interviews this allegation was substantiated. The following violations were documented during today’s visit: Violation Number Comment Rule 303 Children were not adequately supervised at all times. During lunch the staff members in the classroom for children two-years of age was observed putting out a cot, which caused her back to be turned to the the three (3) children that were still eating at the table. In the classroom for children ages four-to-fives years of age the staff members was observed putting out cots while four (4) children were still eating at the table. There was a staff member's twelve-year-old child that was not being cared for with the other school aged children and was in the church building unsupervised. .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. There was a two-year-old child in the classroom for children age one-to-two-years of age that was not provided assistance with potty-training even though the parent had let office staff know that the child was showing interest in potty-training at home and wanted to start the process at the facility. G.S. 110-91(10) Technical assistance was provided as follows: Item# 902 Potty training in childcare settings requires a collaborative effort between parents and educators and should be based on each child developmental readiness. Consistence in routine and communication are key to success. Today we talked about creating a potty-training policy to share with parents. Item #303 children need to be adequately supervised at all times. Any time children are eating teachers need to be focused on the children eating and not engaged in routine care needs, especially when there is only one teacher present. There should always be at least one teacher standing or sitting by children aged birth to five years while children are eating because choking is silent. This item was addressed during your Administrative Action Written Warning Corrective Action Plan issued on January 08, 2024. Additionally, staff members children under 13 years of age must be enrolled in the center and be supervised by a staff member. Achieving Compliance: The facility received a violation regarding supervision today. A follow-up visit will be conducted in the near future to determine if staff are adequately supervising children per Child Care Rule 10A NCAC 09 .1801(a)(1-5). The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by July 21, 2025 Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: sarah.upton@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Sarah Upton Address 143 Bobcat Trail Clyde, NC 28721 Please call me at 828-782-0937, or email sarah.upton@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Today we discussed 10A NCAC 09 .0511 DAILY ROUTINES FOR CHILDREN UNDER TWO YEARS OF AGE (b) The caregivers shall interact in a positive manner with each child every day, as follows: (3) a caregiver or team of caregivers shall be assigned to each infant or toddler as the primary caregiver(s) who is responsible for care the majority of the time; Primary caregiving refers to the assignment of a specific caregiver to a group of children to foster a close, consistent relationship for each infant or toddler. "Toddler" means any child ages 13 months to 35 months of age. Children should not move from classroom to classroom and should be provided with a consistent classroom and staff member daily. I understand the need to move children to meet staff to child ratio, however, this should not be happening frequently. 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. 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. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable to your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and can be a resource for you while you strive to provide a safe and healthy environment for the well-being of young children. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at sarah.upton@dhhs.nc.gov or 828.782.0937, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0304 · Violation

Name of Operation: FIRST BAPTIST CHILDREN'S CENTER Facility ID: 44000057 Consultant: SARAH UPTON Operation Type: Center Case Number: Visit Date: 2/11/2025 Number Present: 28 Completed Date: 2/11/2025 Age: From 0 To 5 Total Minutes: 300 Time In: 11:00 AM Time Out: 04:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced he purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Sarah Upton, Child Care Consultant and also signed by Lisa McDaniel, Administrator, during the visit. A signed copy of the visit summary was left with Ms. McDaniel. Today, Ms. McDaniel, was available to answer any question and assist me as needed. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-two (92) percent as of 02/10/2025. Permit type – Four Star issued on January 30, 2020 Special Services/Restrictions – Children under 2 ½ year olds in rooms with direct exits, Meets enhanced space; Meets enhanced space The last annual compliance visit was conducted on February 13, 2024. The last fire drill was practiced on February 05, 2025. The last emergency drill was conducted on December 11, 2024. The last Fire Inspection was conducted on February 09, 2024 The last sanitation inspection was conducted on December 13, 2024 with eight (8) demerits for a superior rating. The last playground inspection was conducted on February 03, 2025. You are currently using Creative Curriculum The Emergency Medical Care plan was posted and current. You are approved for transportation. You currently use vans provided by the church during your summer camp with the school age children. Vans were not monitored today but will be monitored during your routine unannounced visit in June. Upon arrival I introduced my presence and explained the reason for my visit. Children in the infant classrooms were observed during indoor free play and routine care needs. Children were observed during lunch which consisted of taco chicken, chips, fiesta beans, corn, pineapple and milk. The group with three-through-five-year-old children were observed during a story time. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violation was written today. Violation Number Comment Rule 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. After review of the staff and training worksheet it was noted that one (1) new hire with the hire date of 02-05-2025 did not have a medical report. 10A NCAC 09 .0701(a) Technical Assistance: Item #1032 When new employees begin work, it is important to be sure that they provide documentation that they have received a medical exam within the last 12 months. Compliance Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license may be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 02-25-2025 Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: sarah.upton@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Sarah Upton 143 Bobcat Trail Clyde, NC 28721 Please call me at 828-782-0937, or email sarah.upton@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Consultation is provided as follows: Lead Paint and Asbestos Testing- In April 2023, North Carolina enacted final rules 10A NCAC 41C .1001-1007 requiring all public schools and child care facilities to: Test for lead in drinking/cooking water (.1005 and .2816), Identify lead-based paint hazards (.1004), Identify asbestos hazards (.1003), Mitigate or restrict access to any identified hazards. Testing is required to be completed by May 31, 2025. Criminal Background Check System (ABCMS)- All child care facility administrators are required to complete the new ABCMS criminal background check portal training on Moodle. Once the training is complete, the administrator will need to log into the ABCMS system to review the staff roster to ensure that all current staff members are listed. When someone is hired or terminated, the administrator will need to log into the ABCMS system to indicate the hire or termination date. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at Sarah.upton@dhhs.nc.gov or 828.782.0937, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

10A NCAC 09 .0701 · Violation

Name of Operation: FIRST BAPTIST CHILDREN'S CENTER Facility ID: 44000057 Consultant: SARAH UPTON Operation Type: Center Case Number: Visit Date: 2/11/2025 Number Present: 28 Completed Date: 2/11/2025 Age: From 0 To 5 Total Minutes: 300 Time In: 11:00 AM Time Out: 04:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced he purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Sarah Upton, Child Care Consultant and also signed by Lisa McDaniel, Administrator, during the visit. A signed copy of the visit summary was left with Ms. McDaniel. Today, Ms. McDaniel, was available to answer any question and assist me as needed. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-two (92) percent as of 02/10/2025. Permit type – Four Star issued on January 30, 2020 Special Services/Restrictions – Children under 2 ½ year olds in rooms with direct exits, Meets enhanced space; Meets enhanced space The last annual compliance visit was conducted on February 13, 2024. The last fire drill was practiced on February 05, 2025. The last emergency drill was conducted on December 11, 2024. The last Fire Inspection was conducted on February 09, 2024 The last sanitation inspection was conducted on December 13, 2024 with eight (8) demerits for a superior rating. The last playground inspection was conducted on February 03, 2025. You are currently using Creative Curriculum The Emergency Medical Care plan was posted and current. You are approved for transportation. You currently use vans provided by the church during your summer camp with the school age children. Vans were not monitored today but will be monitored during your routine unannounced visit in June. Upon arrival I introduced my presence and explained the reason for my visit. Children in the infant classrooms were observed during indoor free play and routine care needs. Children were observed during lunch which consisted of taco chicken, chips, fiesta beans, corn, pineapple and milk. The group with three-through-five-year-old children were observed during a story time. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violation was written today. Violation Number Comment Rule 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. After review of the staff and training worksheet it was noted that one (1) new hire with the hire date of 02-05-2025 did not have a medical report. 10A NCAC 09 .0701(a) Technical Assistance: Item #1032 When new employees begin work, it is important to be sure that they provide documentation that they have received a medical exam within the last 12 months. Compliance Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license may be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 02-25-2025 Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: sarah.upton@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Sarah Upton 143 Bobcat Trail Clyde, NC 28721 Please call me at 828-782-0937, or email sarah.upton@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Consultation is provided as follows: Lead Paint and Asbestos Testing- In April 2023, North Carolina enacted final rules 10A NCAC 41C .1001-1007 requiring all public schools and child care facilities to: Test for lead in drinking/cooking water (.1005 and .2816), Identify lead-based paint hazards (.1004), Identify asbestos hazards (.1003), Mitigate or restrict access to any identified hazards. Testing is required to be completed by May 31, 2025. Criminal Background Check System (ABCMS)- All child care facility administrators are required to complete the new ABCMS criminal background check portal training on Moodle. Once the training is complete, the administrator will need to log into the ABCMS system to review the staff roster to ensure that all current staff members are listed. When someone is hired or terminated, the administrator will need to log into the ABCMS system to indicate the hire or termination date. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at Sarah.upton@dhhs.nc.gov or 828.782.0937, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1102 · Violation

Name of Operation: FIRST BAPTIST CHILDREN'S CENTER Facility ID: 44000057 Consultant: SARAH UPTON Operation Type: Center Case Number: Visit Date: 2/11/2025 Number Present: 28 Completed Date: 2/11/2025 Age: From 0 To 5 Total Minutes: 300 Time In: 11:00 AM Time Out: 04:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced he purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Sarah Upton, Child Care Consultant and also signed by Lisa McDaniel, Administrator, during the visit. A signed copy of the visit summary was left with Ms. McDaniel. Today, Ms. McDaniel, was available to answer any question and assist me as needed. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-two (92) percent as of 02/10/2025. Permit type – Four Star issued on January 30, 2020 Special Services/Restrictions – Children under 2 ½ year olds in rooms with direct exits, Meets enhanced space; Meets enhanced space The last annual compliance visit was conducted on February 13, 2024. The last fire drill was practiced on February 05, 2025. The last emergency drill was conducted on December 11, 2024. The last Fire Inspection was conducted on February 09, 2024 The last sanitation inspection was conducted on December 13, 2024 with eight (8) demerits for a superior rating. The last playground inspection was conducted on February 03, 2025. You are currently using Creative Curriculum The Emergency Medical Care plan was posted and current. You are approved for transportation. You currently use vans provided by the church during your summer camp with the school age children. Vans were not monitored today but will be monitored during your routine unannounced visit in June. Upon arrival I introduced my presence and explained the reason for my visit. Children in the infant classrooms were observed during indoor free play and routine care needs. Children were observed during lunch which consisted of taco chicken, chips, fiesta beans, corn, pineapple and milk. The group with three-through-five-year-old children were observed during a story time. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violation was written today. Violation Number Comment Rule 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. After review of the staff and training worksheet it was noted that one (1) new hire with the hire date of 02-05-2025 did not have a medical report. 10A NCAC 09 .0701(a) Technical Assistance: Item #1032 When new employees begin work, it is important to be sure that they provide documentation that they have received a medical exam within the last 12 months. Compliance Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license may be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 02-25-2025 Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: sarah.upton@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Sarah Upton 143 Bobcat Trail Clyde, NC 28721 Please call me at 828-782-0937, or email sarah.upton@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Consultation is provided as follows: Lead Paint and Asbestos Testing- In April 2023, North Carolina enacted final rules 10A NCAC 41C .1001-1007 requiring all public schools and child care facilities to: Test for lead in drinking/cooking water (.1005 and .2816), Identify lead-based paint hazards (.1004), Identify asbestos hazards (.1003), Mitigate or restrict access to any identified hazards. Testing is required to be completed by May 31, 2025. Criminal Background Check System (ABCMS)- All child care facility administrators are required to complete the new ABCMS criminal background check portal training on Moodle. Once the training is complete, the administrator will need to log into the ABCMS system to review the staff roster to ensure that all current staff members are listed. When someone is hired or terminated, the administrator will need to log into the ABCMS system to indicate the hire or termination date. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at Sarah.upton@dhhs.nc.gov or 828.782.0937, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1703 · Violation

Name of Operation: FIRST BAPTIST CHILDREN'S CENTER Facility ID: 44000057 Consultant: SARAH UPTON Operation Type: Center Case Number: Visit Date: 2/11/2025 Number Present: 28 Completed Date: 2/11/2025 Age: From 0 To 5 Total Minutes: 300 Time In: 11:00 AM Time Out: 04:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced he purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Sarah Upton, Child Care Consultant and also signed by Lisa McDaniel, Administrator, during the visit. A signed copy of the visit summary was left with Ms. McDaniel. Today, Ms. McDaniel, was available to answer any question and assist me as needed. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-two (92) percent as of 02/10/2025. Permit type – Four Star issued on January 30, 2020 Special Services/Restrictions – Children under 2 ½ year olds in rooms with direct exits, Meets enhanced space; Meets enhanced space The last annual compliance visit was conducted on February 13, 2024. The last fire drill was practiced on February 05, 2025. The last emergency drill was conducted on December 11, 2024. The last Fire Inspection was conducted on February 09, 2024 The last sanitation inspection was conducted on December 13, 2024 with eight (8) demerits for a superior rating. The last playground inspection was conducted on February 03, 2025. You are currently using Creative Curriculum The Emergency Medical Care plan was posted and current. You are approved for transportation. You currently use vans provided by the church during your summer camp with the school age children. Vans were not monitored today but will be monitored during your routine unannounced visit in June. Upon arrival I introduced my presence and explained the reason for my visit. Children in the infant classrooms were observed during indoor free play and routine care needs. Children were observed during lunch which consisted of taco chicken, chips, fiesta beans, corn, pineapple and milk. The group with three-through-five-year-old children were observed during a story time. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violation was written today. Violation Number Comment Rule 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. After review of the staff and training worksheet it was noted that one (1) new hire with the hire date of 02-05-2025 did not have a medical report. 10A NCAC 09 .0701(a) Technical Assistance: Item #1032 When new employees begin work, it is important to be sure that they provide documentation that they have received a medical exam within the last 12 months. Compliance Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license may be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 02-25-2025 Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: sarah.upton@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Sarah Upton 143 Bobcat Trail Clyde, NC 28721 Please call me at 828-782-0937, or email sarah.upton@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Consultation is provided as follows: Lead Paint and Asbestos Testing- In April 2023, North Carolina enacted final rules 10A NCAC 41C .1001-1007 requiring all public schools and child care facilities to: Test for lead in drinking/cooking water (.1005 and .2816), Identify lead-based paint hazards (.1004), Identify asbestos hazards (.1003), Mitigate or restrict access to any identified hazards. Testing is required to be completed by May 31, 2025. Criminal Background Check System (ABCMS)- All child care facility administrators are required to complete the new ABCMS criminal background check portal training on Moodle. Once the training is complete, the administrator will need to log into the ABCMS system to review the staff roster to ensure that all current staff members are listed. When someone is hired or terminated, the administrator will need to log into the ABCMS system to indicate the hire or termination date. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at Sarah.upton@dhhs.nc.gov or 828.782.0937, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .2830 · Violation

Name of Operation: FIRST BAPTIST CHILDREN'S CENTER Facility ID: 44000057 Consultant: SARAH UPTON Operation Type: Center Case Number: Visit Date: 2/11/2025 Number Present: 28 Completed Date: 2/11/2025 Age: From 0 To 5 Total Minutes: 300 Time In: 11:00 AM Time Out: 04:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced he purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Sarah Upton, Child Care Consultant and also signed by Lisa McDaniel, Administrator, during the visit. A signed copy of the visit summary was left with Ms. McDaniel. Today, Ms. McDaniel, was available to answer any question and assist me as needed. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-two (92) percent as of 02/10/2025. Permit type – Four Star issued on January 30, 2020 Special Services/Restrictions – Children under 2 ½ year olds in rooms with direct exits, Meets enhanced space; Meets enhanced space The last annual compliance visit was conducted on February 13, 2024. The last fire drill was practiced on February 05, 2025. The last emergency drill was conducted on December 11, 2024. The last Fire Inspection was conducted on February 09, 2024 The last sanitation inspection was conducted on December 13, 2024 with eight (8) demerits for a superior rating. The last playground inspection was conducted on February 03, 2025. You are currently using Creative Curriculum The Emergency Medical Care plan was posted and current. You are approved for transportation. You currently use vans provided by the church during your summer camp with the school age children. Vans were not monitored today but will be monitored during your routine unannounced visit in June. Upon arrival I introduced my presence and explained the reason for my visit. Children in the infant classrooms were observed during indoor free play and routine care needs. Children were observed during lunch which consisted of taco chicken, chips, fiesta beans, corn, pineapple and milk. The group with three-through-five-year-old children were observed during a story time. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violation was written today. Violation Number Comment Rule 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. After review of the staff and training worksheet it was noted that one (1) new hire with the hire date of 02-05-2025 did not have a medical report. 10A NCAC 09 .0701(a) Technical Assistance: Item #1032 When new employees begin work, it is important to be sure that they provide documentation that they have received a medical exam within the last 12 months. Compliance Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license may be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 02-25-2025 Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: sarah.upton@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Sarah Upton 143 Bobcat Trail Clyde, NC 28721 Please call me at 828-782-0937, or email sarah.upton@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Consultation is provided as follows: Lead Paint and Asbestos Testing- In April 2023, North Carolina enacted final rules 10A NCAC 41C .1001-1007 requiring all public schools and child care facilities to: Test for lead in drinking/cooking water (.1005 and .2816), Identify lead-based paint hazards (.1004), Identify asbestos hazards (.1003), Mitigate or restrict access to any identified hazards. Testing is required to be completed by May 31, 2025. Criminal Background Check System (ABCMS)- All child care facility administrators are required to complete the new ABCMS criminal background check portal training on Moodle. Once the training is complete, the administrator will need to log into the ABCMS system to review the staff roster to ensure that all current staff members are listed. When someone is hired or terminated, the administrator will need to log into the ABCMS system to indicate the hire or termination date. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at Sarah.upton@dhhs.nc.gov or 828.782.0937, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

G.S. 110-90 · Violation

Name of Operation: FIRST BAPTIST CHILDREN'S CENTER Facility ID: 44000057 Consultant: SARAH UPTON Operation Type: Center Case Number: Visit Date: 2/11/2025 Number Present: 28 Completed Date: 2/11/2025 Age: From 0 To 5 Total Minutes: 300 Time In: 11:00 AM Time Out: 04:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced he purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Sarah Upton, Child Care Consultant and also signed by Lisa McDaniel, Administrator, during the visit. A signed copy of the visit summary was left with Ms. McDaniel. Today, Ms. McDaniel, was available to answer any question and assist me as needed. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-two (92) percent as of 02/10/2025. Permit type – Four Star issued on January 30, 2020 Special Services/Restrictions – Children under 2 ½ year olds in rooms with direct exits, Meets enhanced space; Meets enhanced space The last annual compliance visit was conducted on February 13, 2024. The last fire drill was practiced on February 05, 2025. The last emergency drill was conducted on December 11, 2024. The last Fire Inspection was conducted on February 09, 2024 The last sanitation inspection was conducted on December 13, 2024 with eight (8) demerits for a superior rating. The last playground inspection was conducted on February 03, 2025. You are currently using Creative Curriculum The Emergency Medical Care plan was posted and current. You are approved for transportation. You currently use vans provided by the church during your summer camp with the school age children. Vans were not monitored today but will be monitored during your routine unannounced visit in June. Upon arrival I introduced my presence and explained the reason for my visit. Children in the infant classrooms were observed during indoor free play and routine care needs. Children were observed during lunch which consisted of taco chicken, chips, fiesta beans, corn, pineapple and milk. The group with three-through-five-year-old children were observed during a story time. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violation was written today. Violation Number Comment Rule 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. After review of the staff and training worksheet it was noted that one (1) new hire with the hire date of 02-05-2025 did not have a medical report. 10A NCAC 09 .0701(a) Technical Assistance: Item #1032 When new employees begin work, it is important to be sure that they provide documentation that they have received a medical exam within the last 12 months. Compliance Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license may be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 02-25-2025 Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: sarah.upton@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Sarah Upton 143 Bobcat Trail Clyde, NC 28721 Please call me at 828-782-0937, or email sarah.upton@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Consultation is provided as follows: Lead Paint and Asbestos Testing- In April 2023, North Carolina enacted final rules 10A NCAC 41C .1001-1007 requiring all public schools and child care facilities to: Test for lead in drinking/cooking water (.1005 and .2816), Identify lead-based paint hazards (.1004), Identify asbestos hazards (.1003), Mitigate or restrict access to any identified hazards. Testing is required to be completed by May 31, 2025. Criminal Background Check System (ABCMS)- All child care facility administrators are required to complete the new ABCMS criminal background check portal training on Moodle. Once the training is complete, the administrator will need to log into the ABCMS system to review the staff roster to ensure that all current staff members are listed. When someone is hired or terminated, the administrator will need to log into the ABCMS system to indicate the hire or termination date. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at Sarah.upton@dhhs.nc.gov or 828.782.0937, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1801 · Violation

Name of Operation: FIRST BAPTIST CHILDREN'S CENTER Facility ID: 44000057 Consultant: SARAH UPTON Operation Type: Center Case Number: 0324-324L Visit Date: 3/27/2024 Number Present: 30 Completed Date: 3/27/2024 Age: From 0 To 5 Total Minutes: 105 Time In: 03:15 PM Time Out: 05:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today’s visit was to investigate concerns regarding child care requirements. Upon my arrival I explained to Lisa McDaniel, Administrator, the reason for my visit. I explained the allegations to Ms. McDaniel and was allowed to ask questions. The following allegations were received on March 22, 2024 and sent to me on March 25, 2024. There is a concern regarding staff/ ratio. According to the reporter on Tuesday March 19, 2024 they overheard a staff member say that a one-year old child is not supposed to be in the classroom occupied by two-year olds. The child would need to be moved if the “state lady”, came. Based on the information provided today, on Tuesday March 19, 2024, a one-year-old child was in the classroom for two-year children. I made a visit on March 19, 2024 and was told by staff that all eleven (11) children present were two-years-old. During my visit there was only one (1) teacher present with the eleven (11) children but all were napping. There was an additional staff member on site and based on 10A NCAC 09 .1801 SUPERVISION IN CHILD CARE CENTERS “(b) For groups of children aged two years or older, the staff/child ratio during nap time shall comply with the requirements of this Chapter if at least one person remains in the room, all children are visible to that person, and the total number of required staff are on the premises and within calling distance of the rooms occupied by children” rule the faclity was in compliance. However, according to the attendance record and the daily sign in/out form from March 19, 2024, reviewed today a one-year-old child was placed in the classroom for two-year-old children at 10:30 am and was signed out 5:20pm. Based on the attendance record there were eleven (11) children present. Ms. McDaniel confirmed that she did move the child over from the one-year-old classroom thinking that he was two. Based on the information reviewed today the allegation listed above was substantiated. The following violation written: Violation Number Comment Rule 1756 Enhanced staff/child ratios and group sizes were not met. On March 19, 2024 there were eleven (11) children ranging in age one through two years being cared for in the classroom for children ages two years of age. This exceeded the maximum group size of ten (10) allowed based on your license. Additionally, there was only one (1) teacher present in the classroom from 12:30pm-2:30pm while the children were napping, which is not allowed for children under two years of age. 10A NCAC 09 .2818 Technical Assistance: Item 1756- Staff to child ratio and maximum group size must be met at all times based on the youngest child present. As we talked about today the maximum group size for the youngest child present must also be maintained regardless of the number of staff present. Ms. McDaniel reported today that she will no longer move the one-year-old over to the two-year-old classroom. She reported that she honestly thought the child had already turned two and the group would be in ratio if he was moved over. Ms. McDaniel reported that she understands that she must maintain staff to child ratio and cannot go over the maximum group size for the youngest child present. According to 10A NCAC 09 .2818 ENHANCED STAFF/CHILD RATIOS FOR A RATED LICENSE FOR CHILD CARE CENTERS (a) This Rule shall apply to evaluating the staff/child ratios and maximum group sizes for a rated license for child care centers. (c) To earn seven points for program standards, the center shall comply with the following staff/child ratios and maximum group sizes. Age Ratio Staff/Children Maximum Group Size 0 to 12 Months 1/4 08 1 to 2 Years 1/5 10 2 to 3 Years 1/8 16 3 to 4 Years 1/9 18 4 to 5 Years 1/12 24 5 to 6 Years 1/14 25 6 Years and Older 1/19 25 Corrective Action Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license may be issued. I will be making another visit soon to follow-up on the violaiton written above. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at sarah.upton@dhhs.nc.gov or 828.782.0937, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

10A NCAC 09 .2818 · Violation

Name of Operation: FIRST BAPTIST CHILDREN'S CENTER Facility ID: 44000057 Consultant: SARAH UPTON Operation Type: Center Case Number: 0324-324L Visit Date: 3/27/2024 Number Present: 30 Completed Date: 3/27/2024 Age: From 0 To 5 Total Minutes: 105 Time In: 03:15 PM Time Out: 05:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today’s visit was to investigate concerns regarding child care requirements. Upon my arrival I explained to Lisa McDaniel, Administrator, the reason for my visit. I explained the allegations to Ms. McDaniel and was allowed to ask questions. The following allegations were received on March 22, 2024 and sent to me on March 25, 2024. There is a concern regarding staff/ ratio. According to the reporter on Tuesday March 19, 2024 they overheard a staff member say that a one-year old child is not supposed to be in the classroom occupied by two-year olds. The child would need to be moved if the “state lady”, came. Based on the information provided today, on Tuesday March 19, 2024, a one-year-old child was in the classroom for two-year children. I made a visit on March 19, 2024 and was told by staff that all eleven (11) children present were two-years-old. During my visit there was only one (1) teacher present with the eleven (11) children but all were napping. There was an additional staff member on site and based on 10A NCAC 09 .1801 SUPERVISION IN CHILD CARE CENTERS “(b) For groups of children aged two years or older, the staff/child ratio during nap time shall comply with the requirements of this Chapter if at least one person remains in the room, all children are visible to that person, and the total number of required staff are on the premises and within calling distance of the rooms occupied by children” rule the faclity was in compliance. However, according to the attendance record and the daily sign in/out form from March 19, 2024, reviewed today a one-year-old child was placed in the classroom for two-year-old children at 10:30 am and was signed out 5:20pm. Based on the attendance record there were eleven (11) children present. Ms. McDaniel confirmed that she did move the child over from the one-year-old classroom thinking that he was two. Based on the information reviewed today the allegation listed above was substantiated. The following violation written: Violation Number Comment Rule 1756 Enhanced staff/child ratios and group sizes were not met. On March 19, 2024 there were eleven (11) children ranging in age one through two years being cared for in the classroom for children ages two years of age. This exceeded the maximum group size of ten (10) allowed based on your license. Additionally, there was only one (1) teacher present in the classroom from 12:30pm-2:30pm while the children were napping, which is not allowed for children under two years of age. 10A NCAC 09 .2818 Technical Assistance: Item 1756- Staff to child ratio and maximum group size must be met at all times based on the youngest child present. As we talked about today the maximum group size for the youngest child present must also be maintained regardless of the number of staff present. Ms. McDaniel reported today that she will no longer move the one-year-old over to the two-year-old classroom. She reported that she honestly thought the child had already turned two and the group would be in ratio if he was moved over. Ms. McDaniel reported that she understands that she must maintain staff to child ratio and cannot go over the maximum group size for the youngest child present. According to 10A NCAC 09 .2818 ENHANCED STAFF/CHILD RATIOS FOR A RATED LICENSE FOR CHILD CARE CENTERS (a) This Rule shall apply to evaluating the staff/child ratios and maximum group sizes for a rated license for child care centers. (c) To earn seven points for program standards, the center shall comply with the following staff/child ratios and maximum group sizes. Age Ratio Staff/Children Maximum Group Size 0 to 12 Months 1/4 08 1 to 2 Years 1/5 10 2 to 3 Years 1/8 16 3 to 4 Years 1/9 18 4 to 5 Years 1/12 24 5 to 6 Years 1/14 25 6 Years and Older 1/19 25 Corrective Action Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license may be issued. I will be making another visit soon to follow-up on the violaiton written above. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at sarah.upton@dhhs.nc.gov or 828.782.0937, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1102 · Violation

Name of Operation: FIRST BAPTIST CHILDREN'S CENTER Facility ID: 44000057 Consultant: SARAH UPTON Operation Type: Center Case Number: 0224-168L Visit Date: 2/19/2024 Number Present: 37 Completed Date: 2/19/2024 Age: From 0 To 5 Total Minutes: 90 Time In: 03:00 PM Time Out: 04:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today’s visit was to investigate concerns regarding child care requirements. Upon my arrival I explained to Lisa McDaniel, Administrator, the reason for my visit. I explained the allegations to Ms. McDaniel and was allowed to ask questions. The following allegations were received on February 15, 2024 and sent to me on February 15, 2024. Allegation states: There are concerns regarding staff qualifications, sanitation and health. Allegation one: Child repeatedly getting sick. Concerned that the facility isn’t cleaning/sanitizing properly. There are concerns about proper hand-washing. According to Ms. McDaniel the faclity cleans and sanitizes the classrooms, doorhandles, and surface areas in the evening after hours and in the morning before children arrive. Toys are cleaned and sanitized daily if they are mouthed or dirty. Sheets are washed at least once a week unless they are visibly soiled. Crib sheets are washed daily. Children and staff wash their hands before and after meals, when returning to the classroom from outside, after wiping noses and when otherwise needed. This practice was observed during my visit on February 13, 2024. Based on the information received today this allegation was unsubstantiated. Allegation two: There is concern that parents are called to report a sick child when the faclity is short-staffed- child is not actually sick/ no fever and cleared by pediatrician. Ms. McDaniel does send out a reminder each week asking about attendance for the upcoming week so she can appropriately staff for each day. During my visit today there were enough staff on-site to cover all the classrooms. During my visit on February 13, 2024 I observed teachers doing a well child check on a child that they were concerned was running a fever. The was not running fever and parents were not called. Today a child’s parent was called due to the child running a high fever. When parents are called and need to be picked up the parents are given a sick form policy that documents the child’s symptoms, fever, and instructions on when the child may return. The faclity has had several case of stomach virus, COVID, Flu and strep throat going through the facility. Several teachers have been out with sickness and are required to follow the same procedures as the children. Ms. McDaniel stated today that the faclity does have a strict sick policy and that the policy is explained to parents upon enrollment. I reviewed a copy of the facility’s Health and Safety Policies that explains their sick policy. This policy is given to each parent in the center’s handbook upon enrollment. According to the facility’s policy children may be sent home if they are showing signs and symptoms listed in the policies regardless of their temperature. Symptoms listed include Fever of 100.4 or above, diarrhea (more than one abnormally loose stool/day, vomiting, nausea, severe cough, unusual yellow color to skin or eyes, skin or eye lesions or rashes that are severe, weeping or pus filled, stiff neck, headache with one or more of the symptoms listed above, difficult breathing or wheezing, or complaints of severe pain. Ms. McDaniel reported that temperatures are taken several times with different thermometers before the decision is made to call parents for pick-up. Temperatures are taken under the arm and on the forehead. These procedures were observed during my visits on February 13, 2024 and February 19. 2024. Ms. McDaniel does send out a reminder each week asking about attendance for the upcoming week so she can appropriately staff for each day. During my visit today there were enough staff on-site to cover all the classrooms. Based on the information received today this allegation was unsubstantiated. Allegation three: There is a concern that caregiver JH, is left alone with children. Based on the information reviewed today JH, is a qualified staff member that works 2.5 hours a day He has a Qualification Letter, Medial Assessment and signed polices. However, JH was hired on March 31, 2023 and has not completed First Aid and CPR training. Ms. McDaniel reported today that they have a First Aid and CPR class scheduled for Wednesday February 21, 2024. Ms. McDaniel reported today that JH is not left alone with children for more than ten minutes, just long enough for the teacher to take a restroom break. If the teacher needs to be away longer than a floater or Ms. McDaniel with cover the classroom with JH. Because JH has not completed the required First Aid and CPR training this allegation was substantiated. Ms. McDaniel reported today that he will not be left alone with children until JH has completed the trainings. The following violations were written. Violation Number Comment Rule 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. After review of JH teacher's file it was noted that he was hired on March 21, 2023 had completed the required First Aid training. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. After review of JH teacher's file it was noted that he was hired on March 21, 2023 had completed the required CPR training. .1102(d) Technical Assistance: Item #1048 & 1049: First Aid and CPR First Aid and CPR training shall be completed within ninety(90) days of employment. The certification shall be renewed before the expiration date. First aid and CPR training must be provided by the approved agency or organization. According 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (c) All staff who provide direct care or accompany children when they are off premises shall successfully complete certification in First Aid appropriate to the ages of children in care. The training shall be completed by June 30, 2018, or for new staff hired on or after September 1, 2017, training must be completed within 90 days of employment. Distance learning shall not be permitted for First Aid training. At all times when children are in care at least one staff member present must have successfully completed First Aid training, as evidenced by a certificate or card from an approved training organization. First Aid training shall be renewed on or before expiration of the certification. "Successfully completed" is defined as demonstrating competency, as evaluated by the instructor. Verification of each required staff member's completion of this course from an approved training organization shall be maintained in the staff member's file in the center. (d) All staff who provide direct care or accompany children when they are off premises shall successfully complete certification in a cardiopulmonary resuscitation (CPR) course appropriate to the ages of children in care. At all times when children are in care one staff member present must have successfully completed CPR training. The training shall be completed by June 30, 2018 or for new staff hired on or after September 1, 2017 training must be completed within 90 days of employment. Distance learning shall not be permitted for CPR training. CPR training shall be renewed on or before the expiration of the certification. Verification of each staff member's completion of this course from an approved training organization shall be maintained in the staff member's file in the center. Corrective Action Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license may be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by March 04, 2024. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: sarah.upton@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Sarah Upton 143 Bobcat Trail Clyde NC 28721 Please call me at 828-782-0937, or email sarah.upton@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations Closure: Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at sarah.upton@dhhs.nc.gov or 828.782.0937, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

G.S. 110-90 · Violation

Name of Operation: FIRST BAPTIST CHILDREN'S CENTER Facility ID: 44000057 Consultant: SARAH UPTON Operation Type: Center Case Number: 0224-168L Visit Date: 2/19/2024 Number Present: 37 Completed Date: 2/19/2024 Age: From 0 To 5 Total Minutes: 90 Time In: 03:00 PM Time Out: 04:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today’s visit was to investigate concerns regarding child care requirements. Upon my arrival I explained to Lisa McDaniel, Administrator, the reason for my visit. I explained the allegations to Ms. McDaniel and was allowed to ask questions. The following allegations were received on February 15, 2024 and sent to me on February 15, 2024. Allegation states: There are concerns regarding staff qualifications, sanitation and health. Allegation one: Child repeatedly getting sick. Concerned that the facility isn’t cleaning/sanitizing properly. There are concerns about proper hand-washing. According to Ms. McDaniel the faclity cleans and sanitizes the classrooms, doorhandles, and surface areas in the evening after hours and in the morning before children arrive. Toys are cleaned and sanitized daily if they are mouthed or dirty. Sheets are washed at least once a week unless they are visibly soiled. Crib sheets are washed daily. Children and staff wash their hands before and after meals, when returning to the classroom from outside, after wiping noses and when otherwise needed. This practice was observed during my visit on February 13, 2024. Based on the information received today this allegation was unsubstantiated. Allegation two: There is concern that parents are called to report a sick child when the faclity is short-staffed- child is not actually sick/ no fever and cleared by pediatrician. Ms. McDaniel does send out a reminder each week asking about attendance for the upcoming week so she can appropriately staff for each day. During my visit today there were enough staff on-site to cover all the classrooms. During my visit on February 13, 2024 I observed teachers doing a well child check on a child that they were concerned was running a fever. The was not running fever and parents were not called. Today a child’s parent was called due to the child running a high fever. When parents are called and need to be picked up the parents are given a sick form policy that documents the child’s symptoms, fever, and instructions on when the child may return. The faclity has had several case of stomach virus, COVID, Flu and strep throat going through the facility. Several teachers have been out with sickness and are required to follow the same procedures as the children. Ms. McDaniel stated today that the faclity does have a strict sick policy and that the policy is explained to parents upon enrollment. I reviewed a copy of the facility’s Health and Safety Policies that explains their sick policy. This policy is given to each parent in the center’s handbook upon enrollment. According to the facility’s policy children may be sent home if they are showing signs and symptoms listed in the policies regardless of their temperature. Symptoms listed include Fever of 100.4 or above, diarrhea (more than one abnormally loose stool/day, vomiting, nausea, severe cough, unusual yellow color to skin or eyes, skin or eye lesions or rashes that are severe, weeping or pus filled, stiff neck, headache with one or more of the symptoms listed above, difficult breathing or wheezing, or complaints of severe pain. Ms. McDaniel reported that temperatures are taken several times with different thermometers before the decision is made to call parents for pick-up. Temperatures are taken under the arm and on the forehead. These procedures were observed during my visits on February 13, 2024 and February 19. 2024. Ms. McDaniel does send out a reminder each week asking about attendance for the upcoming week so she can appropriately staff for each day. During my visit today there were enough staff on-site to cover all the classrooms. Based on the information received today this allegation was unsubstantiated. Allegation three: There is a concern that caregiver JH, is left alone with children. Based on the information reviewed today JH, is a qualified staff member that works 2.5 hours a day He has a Qualification Letter, Medial Assessment and signed polices. However, JH was hired on March 31, 2023 and has not completed First Aid and CPR training. Ms. McDaniel reported today that they have a First Aid and CPR class scheduled for Wednesday February 21, 2024. Ms. McDaniel reported today that JH is not left alone with children for more than ten minutes, just long enough for the teacher to take a restroom break. If the teacher needs to be away longer than a floater or Ms. McDaniel with cover the classroom with JH. Because JH has not completed the required First Aid and CPR training this allegation was substantiated. Ms. McDaniel reported today that he will not be left alone with children until JH has completed the trainings. The following violations were written. Violation Number Comment Rule 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. After review of JH teacher's file it was noted that he was hired on March 21, 2023 had completed the required First Aid training. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. After review of JH teacher's file it was noted that he was hired on March 21, 2023 had completed the required CPR training. .1102(d) Technical Assistance: Item #1048 & 1049: First Aid and CPR First Aid and CPR training shall be completed within ninety(90) days of employment. The certification shall be renewed before the expiration date. First aid and CPR training must be provided by the approved agency or organization. According 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (c) All staff who provide direct care or accompany children when they are off premises shall successfully complete certification in First Aid appropriate to the ages of children in care. The training shall be completed by June 30, 2018, or for new staff hired on or after September 1, 2017, training must be completed within 90 days of employment. Distance learning shall not be permitted for First Aid training. At all times when children are in care at least one staff member present must have successfully completed First Aid training, as evidenced by a certificate or card from an approved training organization. First Aid training shall be renewed on or before expiration of the certification. "Successfully completed" is defined as demonstrating competency, as evaluated by the instructor. Verification of each required staff member's completion of this course from an approved training organization shall be maintained in the staff member's file in the center. (d) All staff who provide direct care or accompany children when they are off premises shall successfully complete certification in a cardiopulmonary resuscitation (CPR) course appropriate to the ages of children in care. At all times when children are in care one staff member present must have successfully completed CPR training. The training shall be completed by June 30, 2018 or for new staff hired on or after September 1, 2017 training must be completed within 90 days of employment. Distance learning shall not be permitted for CPR training. CPR training shall be renewed on or before the expiration of the certification. Verification of each staff member's completion of this course from an approved training organization shall be maintained in the staff member's file in the center. Corrective Action Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license may be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by March 04, 2024. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: sarah.upton@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Sarah Upton 143 Bobcat Trail Clyde NC 28721 Please call me at 828-782-0937, or email sarah.upton@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations Closure: Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at sarah.upton@dhhs.nc.gov or 828.782.0937, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0304 · Violation

Name of Operation: FIRST BAPTIST CHILDREN'S CENTER Facility ID: 44000057 Consultant: SARAH UPTON Operation Type: Center Case Number: Visit Date: 2/13/2024 Number Present: 40 Completed Date: 2/13/2024 Age: From 0 To 5 Total Minutes: 270 Time In: 10:00 AM Time Out: 02:30 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 compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Sarah Upton, Child Care Consultant and also signed by Lisa McDaniel, Administrator, during the visit. An electronic signed copy of the visit summary was electronically emailed to Ms. McDaniel. Today, Ms. McDaniel, was available to answer any question and assist me as needed. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-seven (87) percent as of 02/13/2023. Permit type – Four Star issued on January 30, 2020 Special Services/Restrictions – Children under 2 ½ year olds in rooms with direct exits, Meets enhanced space; Meets enhanced space The last annual compliance visit was conducted on February 21, 2024. The last fire drill was practiced on February 02, 2024. The last shelter-in-place drill was conducted on February 05, 2024. The last Fire Inspection was conducted on February 09, 2024 The last sanitation inspection was conducted on September 01, 2023 with five (5) demerits for a superior rating. The last playground inspection was conducted on February 02, 2024. You are currently using Creative Curriculum The Emergency Medical Care plan was posted and current. We have a visit scheduled for Monday February 19th, 2024 to review staff and children’s files. Upon arrival I introduced my presence and explained the reason for my visit. I observed the group with one-year-old children engaged free play and outside time. Children in the infant classrooms were observed during indoor free play and routine care needs. Children were observed during lunch which consisted of taco chicken, chips, fiesta beans, corn, fruit, and milk. The group with two-through-three-year-old children were observed during inside free play. The group with four-through-five-year-old children were observed during a story time. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ There were no violations written today. Violation Number Comment Rule 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. After review of three (3) new teacher's it was noted that one (1) teacher (KR) was hired on 11-07-23 but her medical was dated 12-07-2023. 10A NCAC 09 .0701(a) Consultation: On January 8th, 2024 you received a Notice of Adminstravite Action Written Warning. We reviewed the proposed Written Warning and the attached corrective action plan. 1.The child care operator shall maintain compliance at all times with all applicable child care requirements including, but not limited to, the following: •Child Care Rule 10A NCAC 09 .1801 regarding supervision •Child Care Rule 10A NCAC 09 .2818 regarding enhanced staff/child ratios **This stipulation was found to be in compliance during today’s visit. 2.Within one (1) week after this Notice is received, Lisa McDaniel, administrator, shall contact Karen Darby, Director of Learning and Development, Southwestern Child Development Commission, telephone number 828-226-0047, email darby.karen@swcdcinc.org, to arrange for Active Supervision Counts training. All staff members, including administrative, full-time, part-time, auxiliary, substitute, and volunteer staff, shall participate in the mandatory training. Documentation of the training shall include a training roster with the name and signature of the trainer and the training participants, including the title of the training and the date and time the training was conducted. The documentation shall be maintained in the facility files for review by representatives of the Division of Child Development and Early Education upon request. **This training is scheduled to be completed as a group tonight from 5:30-7:30. All staff will need to attend and sign in and sign out on a training roster. Please submit the training roster to me once the training is completed. 3.Within two (2) weeks after the training in Item #2 is completed, Ms. McDaniel shall develop a written plan regarding the steps the facility will take to ensure adequate supervision of children. The written plan shall include, but not be limited to, the following: •When children are transitioned from one caregiver to another •When more than one group of children is combined •When children are transitioned from one area to another •When children need to use the restroom •When children are eating •When staff need to complete tasks outside of the classroom •Procedures for supervisory staff members to visit each classroom and monitor staff members’ implementation of the supervision policy •Procedures for periodic review of the supervision plan with all staff members before they assume child care responsibilities •Consequences of staff members’ non-compliance with policies and procedures The written plan shall be submitted to Sarah Upton, Child Care Consultant, 143 Bobcat Trail, Clyde, NC 28721, telephone number 828-782-0937, email sarah.upton@dhhs.nc.gov, for approval. Ms. Upton shall notify Ms. McDaniel, orally and in writing, as to whether the written plan is approved or if modifications are needed. Once approved, the written plan shall be implemented immediately and incorporated into operating procedures. A copy of the approved written plan shall be maintained in facility files for review by representatives of the Division of Child Development and Early Education upon request. **Once the training scheduled tonight is completed you will meet to complete the written plan above and address each bulletin by February 27, 2024. I will review it and will notify you in writing and orally if approved or if modifications are needed. 4.Within two (2) weeks after the training in Item #2 is completed, Ms. McDaniel must develop written procedures that include a staffing pattern plan that ensures staff/child ratios are met throughout the day including, but not limited to, the following: •In the classroom, on the playground, and during transition periods, including naptime, meals and snacks, bathroom time, and when groups of children leave the classroom to go to another location •Procedures for informing administration when staff members need to attend to personal care needs or to complete tasks outside the classroom or away from the group •Frequent review of the procedures with staff members, as well as, incorporation in the orientation of new staff members •Absence of staff members The written procedures shall be submitted to Ms. Upton for approval. Ms. Upton shall notify Ms. McDaniel, orally and in writing, as to whether the written procedures are approved or if modifications are needed. Once approved, the written procedures shall be implemented immediately and incorporated into operating procedures. A copy of the approved written procedures shall be maintained in facility files for review by representatives of the Division of Child Development and Early Education upon request. **Once the training scheduled tonight is completed you will meet to complete the written plan above and address each bulletin by February 27, 2024. I will review it and will notify you in writing and orally if approved or if modifications are needed. 5.Within two (2) weeks, after approval of the written plan in Item #3 and written procedures in Item #4, Ms. McDaniel shall conduct a staff meeting with all staff members to review the approved plan, procedures, and discuss each person’s responsibilities and expectations regarding supervision and staff/child ratios. Within three (3) days after the staff meeting, Ms. McDaniel shall email documentation of the staff meeting to Ms. Upton. Documentation of the staff meeting shall include an attendance roster with the printed name and signature of each staff member in attendance, the date, time and length of the meeting, and documentation of information discussed during the meeting. All documentation shall be maintained in facility files for review by representatives of the Division of Child Development and Early Education upon request. **Once the written plan and written procedures are approved you will need to conduct a staff meeting and review then with staff. You will need email me documentation of the staff meeting including attendance roster with printed name and signature, the date, time and length and documentation of what was discussed. Today, we discussed the following: - We discussed that you are a part of Cohort 2 for rated license reassessments. The program’s year of preparation will begin 7/1/2024 and end 6/30/2025. The assessment year will begin 7/1/2025 and end 6/30/2026. Each staff member will need to update their WORKS account to reflect their most recently completed education. Also, be sure to take advantage of the preparation year assessment. The benefits of taking advantage to the preparation year assessment are: the scores do not have to count, assessment results can help build understanding of the current program situations, and programs can choose to have additional assessments later for licensure. Please review the Preparation Year: Environment Rating Scale Assessment and Preparation Year: Activities and Ideas for cohort 1, 2, and 3 resources that I emailed to you today. Consultation: If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify me, may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. Please continue to visit DCDEE’s website to get the latest information for child care at https://ncchildcare.ncdhhs.gov/. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at sarah.upton@dhhs.nc.gov or 828.782.0937, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

10A NCAC 09 .0701 · Violation

Name of Operation: FIRST BAPTIST CHILDREN'S CENTER Facility ID: 44000057 Consultant: SARAH UPTON Operation Type: Center Case Number: Visit Date: 2/13/2024 Number Present: 40 Completed Date: 2/13/2024 Age: From 0 To 5 Total Minutes: 270 Time In: 10:00 AM Time Out: 02:30 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 compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Sarah Upton, Child Care Consultant and also signed by Lisa McDaniel, Administrator, during the visit. An electronic signed copy of the visit summary was electronically emailed to Ms. McDaniel. Today, Ms. McDaniel, was available to answer any question and assist me as needed. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-seven (87) percent as of 02/13/2023. Permit type – Four Star issued on January 30, 2020 Special Services/Restrictions – Children under 2 ½ year olds in rooms with direct exits, Meets enhanced space; Meets enhanced space The last annual compliance visit was conducted on February 21, 2024. The last fire drill was practiced on February 02, 2024. The last shelter-in-place drill was conducted on February 05, 2024. The last Fire Inspection was conducted on February 09, 2024 The last sanitation inspection was conducted on September 01, 2023 with five (5) demerits for a superior rating. The last playground inspection was conducted on February 02, 2024. You are currently using Creative Curriculum The Emergency Medical Care plan was posted and current. We have a visit scheduled for Monday February 19th, 2024 to review staff and children’s files. Upon arrival I introduced my presence and explained the reason for my visit. I observed the group with one-year-old children engaged free play and outside time. Children in the infant classrooms were observed during indoor free play and routine care needs. Children were observed during lunch which consisted of taco chicken, chips, fiesta beans, corn, fruit, and milk. The group with two-through-three-year-old children were observed during inside free play. The group with four-through-five-year-old children were observed during a story time. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ There were no violations written today. Violation Number Comment Rule 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. After review of three (3) new teacher's it was noted that one (1) teacher (KR) was hired on 11-07-23 but her medical was dated 12-07-2023. 10A NCAC 09 .0701(a) Consultation: On January 8th, 2024 you received a Notice of Adminstravite Action Written Warning. We reviewed the proposed Written Warning and the attached corrective action plan. 1.The child care operator shall maintain compliance at all times with all applicable child care requirements including, but not limited to, the following: •Child Care Rule 10A NCAC 09 .1801 regarding supervision •Child Care Rule 10A NCAC 09 .2818 regarding enhanced staff/child ratios **This stipulation was found to be in compliance during today’s visit. 2.Within one (1) week after this Notice is received, Lisa McDaniel, administrator, shall contact Karen Darby, Director of Learning and Development, Southwestern Child Development Commission, telephone number 828-226-0047, email darby.karen@swcdcinc.org, to arrange for Active Supervision Counts training. All staff members, including administrative, full-time, part-time, auxiliary, substitute, and volunteer staff, shall participate in the mandatory training. Documentation of the training shall include a training roster with the name and signature of the trainer and the training participants, including the title of the training and the date and time the training was conducted. The documentation shall be maintained in the facility files for review by representatives of the Division of Child Development and Early Education upon request. **This training is scheduled to be completed as a group tonight from 5:30-7:30. All staff will need to attend and sign in and sign out on a training roster. Please submit the training roster to me once the training is completed. 3.Within two (2) weeks after the training in Item #2 is completed, Ms. McDaniel shall develop a written plan regarding the steps the facility will take to ensure adequate supervision of children. The written plan shall include, but not be limited to, the following: •When children are transitioned from one caregiver to another •When more than one group of children is combined •When children are transitioned from one area to another •When children need to use the restroom •When children are eating •When staff need to complete tasks outside of the classroom •Procedures for supervisory staff members to visit each classroom and monitor staff members’ implementation of the supervision policy •Procedures for periodic review of the supervision plan with all staff members before they assume child care responsibilities •Consequences of staff members’ non-compliance with policies and procedures The written plan shall be submitted to Sarah Upton, Child Care Consultant, 143 Bobcat Trail, Clyde, NC 28721, telephone number 828-782-0937, email sarah.upton@dhhs.nc.gov, for approval. Ms. Upton shall notify Ms. McDaniel, orally and in writing, as to whether the written plan is approved or if modifications are needed. Once approved, the written plan shall be implemented immediately and incorporated into operating procedures. A copy of the approved written plan shall be maintained in facility files for review by representatives of the Division of Child Development and Early Education upon request. **Once the training scheduled tonight is completed you will meet to complete the written plan above and address each bulletin by February 27, 2024. I will review it and will notify you in writing and orally if approved or if modifications are needed. 4.Within two (2) weeks after the training in Item #2 is completed, Ms. McDaniel must develop written procedures that include a staffing pattern plan that ensures staff/child ratios are met throughout the day including, but not limited to, the following: •In the classroom, on the playground, and during transition periods, including naptime, meals and snacks, bathroom time, and when groups of children leave the classroom to go to another location •Procedures for informing administration when staff members need to attend to personal care needs or to complete tasks outside the classroom or away from the group •Frequent review of the procedures with staff members, as well as, incorporation in the orientation of new staff members •Absence of staff members The written procedures shall be submitted to Ms. Upton for approval. Ms. Upton shall notify Ms. McDaniel, orally and in writing, as to whether the written procedures are approved or if modifications are needed. Once approved, the written procedures shall be implemented immediately and incorporated into operating procedures. A copy of the approved written procedures shall be maintained in facility files for review by representatives of the Division of Child Development and Early Education upon request. **Once the training scheduled tonight is completed you will meet to complete the written plan above and address each bulletin by February 27, 2024. I will review it and will notify you in writing and orally if approved or if modifications are needed. 5.Within two (2) weeks, after approval of the written plan in Item #3 and written procedures in Item #4, Ms. McDaniel shall conduct a staff meeting with all staff members to review the approved plan, procedures, and discuss each person’s responsibilities and expectations regarding supervision and staff/child ratios. Within three (3) days after the staff meeting, Ms. McDaniel shall email documentation of the staff meeting to Ms. Upton. Documentation of the staff meeting shall include an attendance roster with the printed name and signature of each staff member in attendance, the date, time and length of the meeting, and documentation of information discussed during the meeting. All documentation shall be maintained in facility files for review by representatives of the Division of Child Development and Early Education upon request. **Once the written plan and written procedures are approved you will need to conduct a staff meeting and review then with staff. You will need email me documentation of the staff meeting including attendance roster with printed name and signature, the date, time and length and documentation of what was discussed. Today, we discussed the following: - We discussed that you are a part of Cohort 2 for rated license reassessments. The program’s year of preparation will begin 7/1/2024 and end 6/30/2025. The assessment year will begin 7/1/2025 and end 6/30/2026. Each staff member will need to update their WORKS account to reflect their most recently completed education. Also, be sure to take advantage of the preparation year assessment. The benefits of taking advantage to the preparation year assessment are: the scores do not have to count, assessment results can help build understanding of the current program situations, and programs can choose to have additional assessments later for licensure. Please review the Preparation Year: Environment Rating Scale Assessment and Preparation Year: Activities and Ideas for cohort 1, 2, and 3 resources that I emailed to you today. Consultation: If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify me, may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. Please continue to visit DCDEE’s website to get the latest information for child care at https://ncchildcare.ncdhhs.gov/. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at sarah.upton@dhhs.nc.gov or 828.782.0937, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1102 · Violation

Name of Operation: FIRST BAPTIST CHILDREN'S CENTER Facility ID: 44000057 Consultant: SARAH UPTON Operation Type: Center Case Number: Visit Date: 2/13/2024 Number Present: 40 Completed Date: 2/13/2024 Age: From 0 To 5 Total Minutes: 270 Time In: 10:00 AM Time Out: 02:30 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 compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Sarah Upton, Child Care Consultant and also signed by Lisa McDaniel, Administrator, during the visit. An electronic signed copy of the visit summary was electronically emailed to Ms. McDaniel. Today, Ms. McDaniel, was available to answer any question and assist me as needed. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-seven (87) percent as of 02/13/2023. Permit type – Four Star issued on January 30, 2020 Special Services/Restrictions – Children under 2 ½ year olds in rooms with direct exits, Meets enhanced space; Meets enhanced space The last annual compliance visit was conducted on February 21, 2024. The last fire drill was practiced on February 02, 2024. The last shelter-in-place drill was conducted on February 05, 2024. The last Fire Inspection was conducted on February 09, 2024 The last sanitation inspection was conducted on September 01, 2023 with five (5) demerits for a superior rating. The last playground inspection was conducted on February 02, 2024. You are currently using Creative Curriculum The Emergency Medical Care plan was posted and current. We have a visit scheduled for Monday February 19th, 2024 to review staff and children’s files. Upon arrival I introduced my presence and explained the reason for my visit. I observed the group with one-year-old children engaged free play and outside time. Children in the infant classrooms were observed during indoor free play and routine care needs. Children were observed during lunch which consisted of taco chicken, chips, fiesta beans, corn, fruit, and milk. The group with two-through-three-year-old children were observed during inside free play. The group with four-through-five-year-old children were observed during a story time. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ There were no violations written today. Violation Number Comment Rule 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. After review of three (3) new teacher's it was noted that one (1) teacher (KR) was hired on 11-07-23 but her medical was dated 12-07-2023. 10A NCAC 09 .0701(a) Consultation: On January 8th, 2024 you received a Notice of Adminstravite Action Written Warning. We reviewed the proposed Written Warning and the attached corrective action plan. 1.The child care operator shall maintain compliance at all times with all applicable child care requirements including, but not limited to, the following: •Child Care Rule 10A NCAC 09 .1801 regarding supervision •Child Care Rule 10A NCAC 09 .2818 regarding enhanced staff/child ratios **This stipulation was found to be in compliance during today’s visit. 2.Within one (1) week after this Notice is received, Lisa McDaniel, administrator, shall contact Karen Darby, Director of Learning and Development, Southwestern Child Development Commission, telephone number 828-226-0047, email darby.karen@swcdcinc.org, to arrange for Active Supervision Counts training. All staff members, including administrative, full-time, part-time, auxiliary, substitute, and volunteer staff, shall participate in the mandatory training. Documentation of the training shall include a training roster with the name and signature of the trainer and the training participants, including the title of the training and the date and time the training was conducted. The documentation shall be maintained in the facility files for review by representatives of the Division of Child Development and Early Education upon request. **This training is scheduled to be completed as a group tonight from 5:30-7:30. All staff will need to attend and sign in and sign out on a training roster. Please submit the training roster to me once the training is completed. 3.Within two (2) weeks after the training in Item #2 is completed, Ms. McDaniel shall develop a written plan regarding the steps the facility will take to ensure adequate supervision of children. The written plan shall include, but not be limited to, the following: •When children are transitioned from one caregiver to another •When more than one group of children is combined •When children are transitioned from one area to another •When children need to use the restroom •When children are eating •When staff need to complete tasks outside of the classroom •Procedures for supervisory staff members to visit each classroom and monitor staff members’ implementation of the supervision policy •Procedures for periodic review of the supervision plan with all staff members before they assume child care responsibilities •Consequences of staff members’ non-compliance with policies and procedures The written plan shall be submitted to Sarah Upton, Child Care Consultant, 143 Bobcat Trail, Clyde, NC 28721, telephone number 828-782-0937, email sarah.upton@dhhs.nc.gov, for approval. Ms. Upton shall notify Ms. McDaniel, orally and in writing, as to whether the written plan is approved or if modifications are needed. Once approved, the written plan shall be implemented immediately and incorporated into operating procedures. A copy of the approved written plan shall be maintained in facility files for review by representatives of the Division of Child Development and Early Education upon request. **Once the training scheduled tonight is completed you will meet to complete the written plan above and address each bulletin by February 27, 2024. I will review it and will notify you in writing and orally if approved or if modifications are needed. 4.Within two (2) weeks after the training in Item #2 is completed, Ms. McDaniel must develop written procedures that include a staffing pattern plan that ensures staff/child ratios are met throughout the day including, but not limited to, the following: •In the classroom, on the playground, and during transition periods, including naptime, meals and snacks, bathroom time, and when groups of children leave the classroom to go to another location •Procedures for informing administration when staff members need to attend to personal care needs or to complete tasks outside the classroom or away from the group •Frequent review of the procedures with staff members, as well as, incorporation in the orientation of new staff members •Absence of staff members The written procedures shall be submitted to Ms. Upton for approval. Ms. Upton shall notify Ms. McDaniel, orally and in writing, as to whether the written procedures are approved or if modifications are needed. Once approved, the written procedures shall be implemented immediately and incorporated into operating procedures. A copy of the approved written procedures shall be maintained in facility files for review by representatives of the Division of Child Development and Early Education upon request. **Once the training scheduled tonight is completed you will meet to complete the written plan above and address each bulletin by February 27, 2024. I will review it and will notify you in writing and orally if approved or if modifications are needed. 5.Within two (2) weeks, after approval of the written plan in Item #3 and written procedures in Item #4, Ms. McDaniel shall conduct a staff meeting with all staff members to review the approved plan, procedures, and discuss each person’s responsibilities and expectations regarding supervision and staff/child ratios. Within three (3) days after the staff meeting, Ms. McDaniel shall email documentation of the staff meeting to Ms. Upton. Documentation of the staff meeting shall include an attendance roster with the printed name and signature of each staff member in attendance, the date, time and length of the meeting, and documentation of information discussed during the meeting. All documentation shall be maintained in facility files for review by representatives of the Division of Child Development and Early Education upon request. **Once the written plan and written procedures are approved you will need to conduct a staff meeting and review then with staff. You will need email me documentation of the staff meeting including attendance roster with printed name and signature, the date, time and length and documentation of what was discussed. Today, we discussed the following: - We discussed that you are a part of Cohort 2 for rated license reassessments. The program’s year of preparation will begin 7/1/2024 and end 6/30/2025. The assessment year will begin 7/1/2025 and end 6/30/2026. Each staff member will need to update their WORKS account to reflect their most recently completed education. Also, be sure to take advantage of the preparation year assessment. The benefits of taking advantage to the preparation year assessment are: the scores do not have to count, assessment results can help build understanding of the current program situations, and programs can choose to have additional assessments later for licensure. Please review the Preparation Year: Environment Rating Scale Assessment and Preparation Year: Activities and Ideas for cohort 1, 2, and 3 resources that I emailed to you today. Consultation: If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify me, may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. Please continue to visit DCDEE’s website to get the latest information for child care at https://ncchildcare.ncdhhs.gov/. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at sarah.upton@dhhs.nc.gov or 828.782.0937, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1703 · Violation

Name of Operation: FIRST BAPTIST CHILDREN'S CENTER Facility ID: 44000057 Consultant: SARAH UPTON Operation Type: Center Case Number: Visit Date: 2/13/2024 Number Present: 40 Completed Date: 2/13/2024 Age: From 0 To 5 Total Minutes: 270 Time In: 10:00 AM Time Out: 02:30 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 compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Sarah Upton, Child Care Consultant and also signed by Lisa McDaniel, Administrator, during the visit. An electronic signed copy of the visit summary was electronically emailed to Ms. McDaniel. Today, Ms. McDaniel, was available to answer any question and assist me as needed. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-seven (87) percent as of 02/13/2023. Permit type – Four Star issued on January 30, 2020 Special Services/Restrictions – Children under 2 ½ year olds in rooms with direct exits, Meets enhanced space; Meets enhanced space The last annual compliance visit was conducted on February 21, 2024. The last fire drill was practiced on February 02, 2024. The last shelter-in-place drill was conducted on February 05, 2024. The last Fire Inspection was conducted on February 09, 2024 The last sanitation inspection was conducted on September 01, 2023 with five (5) demerits for a superior rating. The last playground inspection was conducted on February 02, 2024. You are currently using Creative Curriculum The Emergency Medical Care plan was posted and current. We have a visit scheduled for Monday February 19th, 2024 to review staff and children’s files. Upon arrival I introduced my presence and explained the reason for my visit. I observed the group with one-year-old children engaged free play and outside time. Children in the infant classrooms were observed during indoor free play and routine care needs. Children were observed during lunch which consisted of taco chicken, chips, fiesta beans, corn, fruit, and milk. The group with two-through-three-year-old children were observed during inside free play. The group with four-through-five-year-old children were observed during a story time. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ There were no violations written today. Violation Number Comment Rule 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. After review of three (3) new teacher's it was noted that one (1) teacher (KR) was hired on 11-07-23 but her medical was dated 12-07-2023. 10A NCAC 09 .0701(a) Consultation: On January 8th, 2024 you received a Notice of Adminstravite Action Written Warning. We reviewed the proposed Written Warning and the attached corrective action plan. 1.The child care operator shall maintain compliance at all times with all applicable child care requirements including, but not limited to, the following: •Child Care Rule 10A NCAC 09 .1801 regarding supervision •Child Care Rule 10A NCAC 09 .2818 regarding enhanced staff/child ratios **This stipulation was found to be in compliance during today’s visit. 2.Within one (1) week after this Notice is received, Lisa McDaniel, administrator, shall contact Karen Darby, Director of Learning and Development, Southwestern Child Development Commission, telephone number 828-226-0047, email darby.karen@swcdcinc.org, to arrange for Active Supervision Counts training. All staff members, including administrative, full-time, part-time, auxiliary, substitute, and volunteer staff, shall participate in the mandatory training. Documentation of the training shall include a training roster with the name and signature of the trainer and the training participants, including the title of the training and the date and time the training was conducted. The documentation shall be maintained in the facility files for review by representatives of the Division of Child Development and Early Education upon request. **This training is scheduled to be completed as a group tonight from 5:30-7:30. All staff will need to attend and sign in and sign out on a training roster. Please submit the training roster to me once the training is completed. 3.Within two (2) weeks after the training in Item #2 is completed, Ms. McDaniel shall develop a written plan regarding the steps the facility will take to ensure adequate supervision of children. The written plan shall include, but not be limited to, the following: •When children are transitioned from one caregiver to another •When more than one group of children is combined •When children are transitioned from one area to another •When children need to use the restroom •When children are eating •When staff need to complete tasks outside of the classroom •Procedures for supervisory staff members to visit each classroom and monitor staff members’ implementation of the supervision policy •Procedures for periodic review of the supervision plan with all staff members before they assume child care responsibilities •Consequences of staff members’ non-compliance with policies and procedures The written plan shall be submitted to Sarah Upton, Child Care Consultant, 143 Bobcat Trail, Clyde, NC 28721, telephone number 828-782-0937, email sarah.upton@dhhs.nc.gov, for approval. Ms. Upton shall notify Ms. McDaniel, orally and in writing, as to whether the written plan is approved or if modifications are needed. Once approved, the written plan shall be implemented immediately and incorporated into operating procedures. A copy of the approved written plan shall be maintained in facility files for review by representatives of the Division of Child Development and Early Education upon request. **Once the training scheduled tonight is completed you will meet to complete the written plan above and address each bulletin by February 27, 2024. I will review it and will notify you in writing and orally if approved or if modifications are needed. 4.Within two (2) weeks after the training in Item #2 is completed, Ms. McDaniel must develop written procedures that include a staffing pattern plan that ensures staff/child ratios are met throughout the day including, but not limited to, the following: •In the classroom, on the playground, and during transition periods, including naptime, meals and snacks, bathroom time, and when groups of children leave the classroom to go to another location •Procedures for informing administration when staff members need to attend to personal care needs or to complete tasks outside the classroom or away from the group •Frequent review of the procedures with staff members, as well as, incorporation in the orientation of new staff members •Absence of staff members The written procedures shall be submitted to Ms. Upton for approval. Ms. Upton shall notify Ms. McDaniel, orally and in writing, as to whether the written procedures are approved or if modifications are needed. Once approved, the written procedures shall be implemented immediately and incorporated into operating procedures. A copy of the approved written procedures shall be maintained in facility files for review by representatives of the Division of Child Development and Early Education upon request. **Once the training scheduled tonight is completed you will meet to complete the written plan above and address each bulletin by February 27, 2024. I will review it and will notify you in writing and orally if approved or if modifications are needed. 5.Within two (2) weeks, after approval of the written plan in Item #3 and written procedures in Item #4, Ms. McDaniel shall conduct a staff meeting with all staff members to review the approved plan, procedures, and discuss each person’s responsibilities and expectations regarding supervision and staff/child ratios. Within three (3) days after the staff meeting, Ms. McDaniel shall email documentation of the staff meeting to Ms. Upton. Documentation of the staff meeting shall include an attendance roster with the printed name and signature of each staff member in attendance, the date, time and length of the meeting, and documentation of information discussed during the meeting. All documentation shall be maintained in facility files for review by representatives of the Division of Child Development and Early Education upon request. **Once the written plan and written procedures are approved you will need to conduct a staff meeting and review then with staff. You will need email me documentation of the staff meeting including attendance roster with printed name and signature, the date, time and length and documentation of what was discussed. Today, we discussed the following: - We discussed that you are a part of Cohort 2 for rated license reassessments. The program’s year of preparation will begin 7/1/2024 and end 6/30/2025. The assessment year will begin 7/1/2025 and end 6/30/2026. Each staff member will need to update their WORKS account to reflect their most recently completed education. Also, be sure to take advantage of the preparation year assessment. The benefits of taking advantage to the preparation year assessment are: the scores do not have to count, assessment results can help build understanding of the current program situations, and programs can choose to have additional assessments later for licensure. Please review the Preparation Year: Environment Rating Scale Assessment and Preparation Year: Activities and Ideas for cohort 1, 2, and 3 resources that I emailed to you today. Consultation: If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify me, may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. Please continue to visit DCDEE’s website to get the latest information for child care at https://ncchildcare.ncdhhs.gov/. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at sarah.upton@dhhs.nc.gov or 828.782.0937, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1801 · Violation

Name of Operation: FIRST BAPTIST CHILDREN'S CENTER Facility ID: 44000057 Consultant: SARAH UPTON Operation Type: Center Case Number: Visit Date: 2/13/2024 Number Present: 40 Completed Date: 2/13/2024 Age: From 0 To 5 Total Minutes: 270 Time In: 10:00 AM Time Out: 02:30 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 compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Sarah Upton, Child Care Consultant and also signed by Lisa McDaniel, Administrator, during the visit. An electronic signed copy of the visit summary was electronically emailed to Ms. McDaniel. Today, Ms. McDaniel, was available to answer any question and assist me as needed. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-seven (87) percent as of 02/13/2023. Permit type – Four Star issued on January 30, 2020 Special Services/Restrictions – Children under 2 ½ year olds in rooms with direct exits, Meets enhanced space; Meets enhanced space The last annual compliance visit was conducted on February 21, 2024. The last fire drill was practiced on February 02, 2024. The last shelter-in-place drill was conducted on February 05, 2024. The last Fire Inspection was conducted on February 09, 2024 The last sanitation inspection was conducted on September 01, 2023 with five (5) demerits for a superior rating. The last playground inspection was conducted on February 02, 2024. You are currently using Creative Curriculum The Emergency Medical Care plan was posted and current. We have a visit scheduled for Monday February 19th, 2024 to review staff and children’s files. Upon arrival I introduced my presence and explained the reason for my visit. I observed the group with one-year-old children engaged free play and outside time. Children in the infant classrooms were observed during indoor free play and routine care needs. Children were observed during lunch which consisted of taco chicken, chips, fiesta beans, corn, fruit, and milk. The group with two-through-three-year-old children were observed during inside free play. The group with four-through-five-year-old children were observed during a story time. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ There were no violations written today. Violation Number Comment Rule 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. After review of three (3) new teacher's it was noted that one (1) teacher (KR) was hired on 11-07-23 but her medical was dated 12-07-2023. 10A NCAC 09 .0701(a) Consultation: On January 8th, 2024 you received a Notice of Adminstravite Action Written Warning. We reviewed the proposed Written Warning and the attached corrective action plan. 1.The child care operator shall maintain compliance at all times with all applicable child care requirements including, but not limited to, the following: •Child Care Rule 10A NCAC 09 .1801 regarding supervision •Child Care Rule 10A NCAC 09 .2818 regarding enhanced staff/child ratios **This stipulation was found to be in compliance during today’s visit. 2.Within one (1) week after this Notice is received, Lisa McDaniel, administrator, shall contact Karen Darby, Director of Learning and Development, Southwestern Child Development Commission, telephone number 828-226-0047, email darby.karen@swcdcinc.org, to arrange for Active Supervision Counts training. All staff members, including administrative, full-time, part-time, auxiliary, substitute, and volunteer staff, shall participate in the mandatory training. Documentation of the training shall include a training roster with the name and signature of the trainer and the training participants, including the title of the training and the date and time the training was conducted. The documentation shall be maintained in the facility files for review by representatives of the Division of Child Development and Early Education upon request. **This training is scheduled to be completed as a group tonight from 5:30-7:30. All staff will need to attend and sign in and sign out on a training roster. Please submit the training roster to me once the training is completed. 3.Within two (2) weeks after the training in Item #2 is completed, Ms. McDaniel shall develop a written plan regarding the steps the facility will take to ensure adequate supervision of children. The written plan shall include, but not be limited to, the following: •When children are transitioned from one caregiver to another •When more than one group of children is combined •When children are transitioned from one area to another •When children need to use the restroom •When children are eating •When staff need to complete tasks outside of the classroom •Procedures for supervisory staff members to visit each classroom and monitor staff members’ implementation of the supervision policy •Procedures for periodic review of the supervision plan with all staff members before they assume child care responsibilities •Consequences of staff members’ non-compliance with policies and procedures The written plan shall be submitted to Sarah Upton, Child Care Consultant, 143 Bobcat Trail, Clyde, NC 28721, telephone number 828-782-0937, email sarah.upton@dhhs.nc.gov, for approval. Ms. Upton shall notify Ms. McDaniel, orally and in writing, as to whether the written plan is approved or if modifications are needed. Once approved, the written plan shall be implemented immediately and incorporated into operating procedures. A copy of the approved written plan shall be maintained in facility files for review by representatives of the Division of Child Development and Early Education upon request. **Once the training scheduled tonight is completed you will meet to complete the written plan above and address each bulletin by February 27, 2024. I will review it and will notify you in writing and orally if approved or if modifications are needed. 4.Within two (2) weeks after the training in Item #2 is completed, Ms. McDaniel must develop written procedures that include a staffing pattern plan that ensures staff/child ratios are met throughout the day including, but not limited to, the following: •In the classroom, on the playground, and during transition periods, including naptime, meals and snacks, bathroom time, and when groups of children leave the classroom to go to another location •Procedures for informing administration when staff members need to attend to personal care needs or to complete tasks outside the classroom or away from the group •Frequent review of the procedures with staff members, as well as, incorporation in the orientation of new staff members •Absence of staff members The written procedures shall be submitted to Ms. Upton for approval. Ms. Upton shall notify Ms. McDaniel, orally and in writing, as to whether the written procedures are approved or if modifications are needed. Once approved, the written procedures shall be implemented immediately and incorporated into operating procedures. A copy of the approved written procedures shall be maintained in facility files for review by representatives of the Division of Child Development and Early Education upon request. **Once the training scheduled tonight is completed you will meet to complete the written plan above and address each bulletin by February 27, 2024. I will review it and will notify you in writing and orally if approved or if modifications are needed. 5.Within two (2) weeks, after approval of the written plan in Item #3 and written procedures in Item #4, Ms. McDaniel shall conduct a staff meeting with all staff members to review the approved plan, procedures, and discuss each person’s responsibilities and expectations regarding supervision and staff/child ratios. Within three (3) days after the staff meeting, Ms. McDaniel shall email documentation of the staff meeting to Ms. Upton. Documentation of the staff meeting shall include an attendance roster with the printed name and signature of each staff member in attendance, the date, time and length of the meeting, and documentation of information discussed during the meeting. All documentation shall be maintained in facility files for review by representatives of the Division of Child Development and Early Education upon request. **Once the written plan and written procedures are approved you will need to conduct a staff meeting and review then with staff. You will need email me documentation of the staff meeting including attendance roster with printed name and signature, the date, time and length and documentation of what was discussed. Today, we discussed the following: - We discussed that you are a part of Cohort 2 for rated license reassessments. The program’s year of preparation will begin 7/1/2024 and end 6/30/2025. The assessment year will begin 7/1/2025 and end 6/30/2026. Each staff member will need to update their WORKS account to reflect their most recently completed education. Also, be sure to take advantage of the preparation year assessment. The benefits of taking advantage to the preparation year assessment are: the scores do not have to count, assessment results can help build understanding of the current program situations, and programs can choose to have additional assessments later for licensure. Please review the Preparation Year: Environment Rating Scale Assessment and Preparation Year: Activities and Ideas for cohort 1, 2, and 3 resources that I emailed to you today. Consultation: If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify me, may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. Please continue to visit DCDEE’s website to get the latest information for child care at https://ncchildcare.ncdhhs.gov/. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at sarah.upton@dhhs.nc.gov or 828.782.0937, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .2818 · Violation

Name of Operation: FIRST BAPTIST CHILDREN'S CENTER Facility ID: 44000057 Consultant: SARAH UPTON Operation Type: Center Case Number: Visit Date: 2/13/2024 Number Present: 40 Completed Date: 2/13/2024 Age: From 0 To 5 Total Minutes: 270 Time In: 10:00 AM Time Out: 02:30 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 compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Sarah Upton, Child Care Consultant and also signed by Lisa McDaniel, Administrator, during the visit. An electronic signed copy of the visit summary was electronically emailed to Ms. McDaniel. Today, Ms. McDaniel, was available to answer any question and assist me as needed. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-seven (87) percent as of 02/13/2023. Permit type – Four Star issued on January 30, 2020 Special Services/Restrictions – Children under 2 ½ year olds in rooms with direct exits, Meets enhanced space; Meets enhanced space The last annual compliance visit was conducted on February 21, 2024. The last fire drill was practiced on February 02, 2024. The last shelter-in-place drill was conducted on February 05, 2024. The last Fire Inspection was conducted on February 09, 2024 The last sanitation inspection was conducted on September 01, 2023 with five (5) demerits for a superior rating. The last playground inspection was conducted on February 02, 2024. You are currently using Creative Curriculum The Emergency Medical Care plan was posted and current. We have a visit scheduled for Monday February 19th, 2024 to review staff and children’s files. Upon arrival I introduced my presence and explained the reason for my visit. I observed the group with one-year-old children engaged free play and outside time. Children in the infant classrooms were observed during indoor free play and routine care needs. Children were observed during lunch which consisted of taco chicken, chips, fiesta beans, corn, fruit, and milk. The group with two-through-three-year-old children were observed during inside free play. The group with four-through-five-year-old children were observed during a story time. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ There were no violations written today. Violation Number Comment Rule 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. After review of three (3) new teacher's it was noted that one (1) teacher (KR) was hired on 11-07-23 but her medical was dated 12-07-2023. 10A NCAC 09 .0701(a) Consultation: On January 8th, 2024 you received a Notice of Adminstravite Action Written Warning. We reviewed the proposed Written Warning and the attached corrective action plan. 1.The child care operator shall maintain compliance at all times with all applicable child care requirements including, but not limited to, the following: •Child Care Rule 10A NCAC 09 .1801 regarding supervision •Child Care Rule 10A NCAC 09 .2818 regarding enhanced staff/child ratios **This stipulation was found to be in compliance during today’s visit. 2.Within one (1) week after this Notice is received, Lisa McDaniel, administrator, shall contact Karen Darby, Director of Learning and Development, Southwestern Child Development Commission, telephone number 828-226-0047, email darby.karen@swcdcinc.org, to arrange for Active Supervision Counts training. All staff members, including administrative, full-time, part-time, auxiliary, substitute, and volunteer staff, shall participate in the mandatory training. Documentation of the training shall include a training roster with the name and signature of the trainer and the training participants, including the title of the training and the date and time the training was conducted. The documentation shall be maintained in the facility files for review by representatives of the Division of Child Development and Early Education upon request. **This training is scheduled to be completed as a group tonight from 5:30-7:30. All staff will need to attend and sign in and sign out on a training roster. Please submit the training roster to me once the training is completed. 3.Within two (2) weeks after the training in Item #2 is completed, Ms. McDaniel shall develop a written plan regarding the steps the facility will take to ensure adequate supervision of children. The written plan shall include, but not be limited to, the following: •When children are transitioned from one caregiver to another •When more than one group of children is combined •When children are transitioned from one area to another •When children need to use the restroom •When children are eating •When staff need to complete tasks outside of the classroom •Procedures for supervisory staff members to visit each classroom and monitor staff members’ implementation of the supervision policy •Procedures for periodic review of the supervision plan with all staff members before they assume child care responsibilities •Consequences of staff members’ non-compliance with policies and procedures The written plan shall be submitted to Sarah Upton, Child Care Consultant, 143 Bobcat Trail, Clyde, NC 28721, telephone number 828-782-0937, email sarah.upton@dhhs.nc.gov, for approval. Ms. Upton shall notify Ms. McDaniel, orally and in writing, as to whether the written plan is approved or if modifications are needed. Once approved, the written plan shall be implemented immediately and incorporated into operating procedures. A copy of the approved written plan shall be maintained in facility files for review by representatives of the Division of Child Development and Early Education upon request. **Once the training scheduled tonight is completed you will meet to complete the written plan above and address each bulletin by February 27, 2024. I will review it and will notify you in writing and orally if approved or if modifications are needed. 4.Within two (2) weeks after the training in Item #2 is completed, Ms. McDaniel must develop written procedures that include a staffing pattern plan that ensures staff/child ratios are met throughout the day including, but not limited to, the following: •In the classroom, on the playground, and during transition periods, including naptime, meals and snacks, bathroom time, and when groups of children leave the classroom to go to another location •Procedures for informing administration when staff members need to attend to personal care needs or to complete tasks outside the classroom or away from the group •Frequent review of the procedures with staff members, as well as, incorporation in the orientation of new staff members •Absence of staff members The written procedures shall be submitted to Ms. Upton for approval. Ms. Upton shall notify Ms. McDaniel, orally and in writing, as to whether the written procedures are approved or if modifications are needed. Once approved, the written procedures shall be implemented immediately and incorporated into operating procedures. A copy of the approved written procedures shall be maintained in facility files for review by representatives of the Division of Child Development and Early Education upon request. **Once the training scheduled tonight is completed you will meet to complete the written plan above and address each bulletin by February 27, 2024. I will review it and will notify you in writing and orally if approved or if modifications are needed. 5.Within two (2) weeks, after approval of the written plan in Item #3 and written procedures in Item #4, Ms. McDaniel shall conduct a staff meeting with all staff members to review the approved plan, procedures, and discuss each person’s responsibilities and expectations regarding supervision and staff/child ratios. Within three (3) days after the staff meeting, Ms. McDaniel shall email documentation of the staff meeting to Ms. Upton. Documentation of the staff meeting shall include an attendance roster with the printed name and signature of each staff member in attendance, the date, time and length of the meeting, and documentation of information discussed during the meeting. All documentation shall be maintained in facility files for review by representatives of the Division of Child Development and Early Education upon request. **Once the written plan and written procedures are approved you will need to conduct a staff meeting and review then with staff. You will need email me documentation of the staff meeting including attendance roster with printed name and signature, the date, time and length and documentation of what was discussed. Today, we discussed the following: - We discussed that you are a part of Cohort 2 for rated license reassessments. The program’s year of preparation will begin 7/1/2024 and end 6/30/2025. The assessment year will begin 7/1/2025 and end 6/30/2026. Each staff member will need to update their WORKS account to reflect their most recently completed education. Also, be sure to take advantage of the preparation year assessment. The benefits of taking advantage to the preparation year assessment are: the scores do not have to count, assessment results can help build understanding of the current program situations, and programs can choose to have additional assessments later for licensure. Please review the Preparation Year: Environment Rating Scale Assessment and Preparation Year: Activities and Ideas for cohort 1, 2, and 3 resources that I emailed to you today. Consultation: If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify me, may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. Please continue to visit DCDEE’s website to get the latest information for child care at https://ncchildcare.ncdhhs.gov/. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at sarah.upton@dhhs.nc.gov or 828.782.0937, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .2830 · Violation

Name of Operation: FIRST BAPTIST CHILDREN'S CENTER Facility ID: 44000057 Consultant: SARAH UPTON Operation Type: Center Case Number: Visit Date: 2/13/2024 Number Present: 40 Completed Date: 2/13/2024 Age: From 0 To 5 Total Minutes: 270 Time In: 10:00 AM Time Out: 02:30 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 compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Sarah Upton, Child Care Consultant and also signed by Lisa McDaniel, Administrator, during the visit. An electronic signed copy of the visit summary was electronically emailed to Ms. McDaniel. Today, Ms. McDaniel, was available to answer any question and assist me as needed. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-seven (87) percent as of 02/13/2023. Permit type – Four Star issued on January 30, 2020 Special Services/Restrictions – Children under 2 ½ year olds in rooms with direct exits, Meets enhanced space; Meets enhanced space The last annual compliance visit was conducted on February 21, 2024. The last fire drill was practiced on February 02, 2024. The last shelter-in-place drill was conducted on February 05, 2024. The last Fire Inspection was conducted on February 09, 2024 The last sanitation inspection was conducted on September 01, 2023 with five (5) demerits for a superior rating. The last playground inspection was conducted on February 02, 2024. You are currently using Creative Curriculum The Emergency Medical Care plan was posted and current. We have a visit scheduled for Monday February 19th, 2024 to review staff and children’s files. Upon arrival I introduced my presence and explained the reason for my visit. I observed the group with one-year-old children engaged free play and outside time. Children in the infant classrooms were observed during indoor free play and routine care needs. Children were observed during lunch which consisted of taco chicken, chips, fiesta beans, corn, fruit, and milk. The group with two-through-three-year-old children were observed during inside free play. The group with four-through-five-year-old children were observed during a story time. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ There were no violations written today. Violation Number Comment Rule 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. After review of three (3) new teacher's it was noted that one (1) teacher (KR) was hired on 11-07-23 but her medical was dated 12-07-2023. 10A NCAC 09 .0701(a) Consultation: On January 8th, 2024 you received a Notice of Adminstravite Action Written Warning. We reviewed the proposed Written Warning and the attached corrective action plan. 1.The child care operator shall maintain compliance at all times with all applicable child care requirements including, but not limited to, the following: •Child Care Rule 10A NCAC 09 .1801 regarding supervision •Child Care Rule 10A NCAC 09 .2818 regarding enhanced staff/child ratios **This stipulation was found to be in compliance during today’s visit. 2.Within one (1) week after this Notice is received, Lisa McDaniel, administrator, shall contact Karen Darby, Director of Learning and Development, Southwestern Child Development Commission, telephone number 828-226-0047, email darby.karen@swcdcinc.org, to arrange for Active Supervision Counts training. All staff members, including administrative, full-time, part-time, auxiliary, substitute, and volunteer staff, shall participate in the mandatory training. Documentation of the training shall include a training roster with the name and signature of the trainer and the training participants, including the title of the training and the date and time the training was conducted. The documentation shall be maintained in the facility files for review by representatives of the Division of Child Development and Early Education upon request. **This training is scheduled to be completed as a group tonight from 5:30-7:30. All staff will need to attend and sign in and sign out on a training roster. Please submit the training roster to me once the training is completed. 3.Within two (2) weeks after the training in Item #2 is completed, Ms. McDaniel shall develop a written plan regarding the steps the facility will take to ensure adequate supervision of children. The written plan shall include, but not be limited to, the following: •When children are transitioned from one caregiver to another •When more than one group of children is combined •When children are transitioned from one area to another •When children need to use the restroom •When children are eating •When staff need to complete tasks outside of the classroom •Procedures for supervisory staff members to visit each classroom and monitor staff members’ implementation of the supervision policy •Procedures for periodic review of the supervision plan with all staff members before they assume child care responsibilities •Consequences of staff members’ non-compliance with policies and procedures The written plan shall be submitted to Sarah Upton, Child Care Consultant, 143 Bobcat Trail, Clyde, NC 28721, telephone number 828-782-0937, email sarah.upton@dhhs.nc.gov, for approval. Ms. Upton shall notify Ms. McDaniel, orally and in writing, as to whether the written plan is approved or if modifications are needed. Once approved, the written plan shall be implemented immediately and incorporated into operating procedures. A copy of the approved written plan shall be maintained in facility files for review by representatives of the Division of Child Development and Early Education upon request. **Once the training scheduled tonight is completed you will meet to complete the written plan above and address each bulletin by February 27, 2024. I will review it and will notify you in writing and orally if approved or if modifications are needed. 4.Within two (2) weeks after the training in Item #2 is completed, Ms. McDaniel must develop written procedures that include a staffing pattern plan that ensures staff/child ratios are met throughout the day including, but not limited to, the following: •In the classroom, on the playground, and during transition periods, including naptime, meals and snacks, bathroom time, and when groups of children leave the classroom to go to another location •Procedures for informing administration when staff members need to attend to personal care needs or to complete tasks outside the classroom or away from the group •Frequent review of the procedures with staff members, as well as, incorporation in the orientation of new staff members •Absence of staff members The written procedures shall be submitted to Ms. Upton for approval. Ms. Upton shall notify Ms. McDaniel, orally and in writing, as to whether the written procedures are approved or if modifications are needed. Once approved, the written procedures shall be implemented immediately and incorporated into operating procedures. A copy of the approved written procedures shall be maintained in facility files for review by representatives of the Division of Child Development and Early Education upon request. **Once the training scheduled tonight is completed you will meet to complete the written plan above and address each bulletin by February 27, 2024. I will review it and will notify you in writing and orally if approved or if modifications are needed. 5.Within two (2) weeks, after approval of the written plan in Item #3 and written procedures in Item #4, Ms. McDaniel shall conduct a staff meeting with all staff members to review the approved plan, procedures, and discuss each person’s responsibilities and expectations regarding supervision and staff/child ratios. Within three (3) days after the staff meeting, Ms. McDaniel shall email documentation of the staff meeting to Ms. Upton. Documentation of the staff meeting shall include an attendance roster with the printed name and signature of each staff member in attendance, the date, time and length of the meeting, and documentation of information discussed during the meeting. All documentation shall be maintained in facility files for review by representatives of the Division of Child Development and Early Education upon request. **Once the written plan and written procedures are approved you will need to conduct a staff meeting and review then with staff. You will need email me documentation of the staff meeting including attendance roster with printed name and signature, the date, time and length and documentation of what was discussed. Today, we discussed the following: - We discussed that you are a part of Cohort 2 for rated license reassessments. The program’s year of preparation will begin 7/1/2024 and end 6/30/2025. The assessment year will begin 7/1/2025 and end 6/30/2026. Each staff member will need to update their WORKS account to reflect their most recently completed education. Also, be sure to take advantage of the preparation year assessment. The benefits of taking advantage to the preparation year assessment are: the scores do not have to count, assessment results can help build understanding of the current program situations, and programs can choose to have additional assessments later for licensure. Please review the Preparation Year: Environment Rating Scale Assessment and Preparation Year: Activities and Ideas for cohort 1, 2, and 3 resources that I emailed to you today. Consultation: If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify me, may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. Please continue to visit DCDEE’s website to get the latest information for child care at https://ncchildcare.ncdhhs.gov/. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at sarah.upton@dhhs.nc.gov or 828.782.0937, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1801 · Violation

Name of Operation: FIRST BAPTIST CHILDREN'S CENTER Facility ID: 44000057 Consultant: SARAH UPTON Operation Type: Center Case Number: Visit Date: 11/3/2023 Number Present: 31 Completed Date: 11/3/2023 Age: From 0 To 5 Total Minutes: 105 Time In: 11:15 AM Time Out: 01:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Unannounced Visit Follow-Up Announced/Unannounced: Unannounced The purpose of today's unannounced follow-up visit was to follow-up on violation written during your complaint follow-up visit on October 23, 2023 regarding supervision. Refer to Complaint Follow-up visit summary dated October 23, 2023 for full details of the violation written. Lisa McDaniel, Administrator, was not present. Emily Lee, Office Assistant, was present and available to assist me as needed. A computerized generated report of today’s visit was completed and signed by Sarah Upton, Child Care Consultant and Ms. Lee. A copy of this report was electronically emailed to Ms. McDaniel. During my walkthrough of the classrooms, children were observed during a group activities, free play activities, routine care needs, lunch, which consisted of pizza, peaches, corn, and milk. The group of children age three to five years of age were observed playing outside. The following violation was written. Violation Number Comment Rule 303 Children were not adequately supervised at all times. The staff member in space 206B with children birth-to-twelve months of age was observed walking to the cabinet area near the sink to get gloves and turned her back on two (2) children eating lunch which consisted of pizza, peaches and French fries cut into small pieces. The staff member in space 206C with children birth-to-twelve months of age was observed in the diaper changing area with her back to a child that was eating pizza, peaches and French fries. The staff member was then observed removing a child from a highchair and walked away from the eating area. The staff member then completed some paperwork. The staff member in space 203 with children two-to-three years of age was observed walking around the classroom cleaning up plates and picking up toys while a child was still at the table eating lunch. Additionally, the staff member was observed going to the diaper changing area to talk with another staff member, at this time the child's back was turned towards both staff members. This was a repeat violation from the October 23, 2023 visit. .1801(a)(1-5) Technical Assistance: Item #303 children need to be adequately supervised at all times. Any time children are eating teachers need to be focused on the children eating and not engaged in routine care needs especially when there is only one teacher present. If all children are done eating then plates and milk need to be removed before teachers step away. There should always be at least one teacher standing or sitting by the children while eating. The rule clearly states that staff must be able to see AND hear while children are eating. If your back is turned to children that are eating then you cannot see them. According to 10A NCAC 09 .1801 SUPERVISION IN CHILD CARE CENTERS (a) Children shall be adequately supervised at all times in child care centers. Adequate supervision shall mean that: (5) staff must be able to see and hear children aged birth to five years old while the children are eating. Corrective Action Plan All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license may be issued. Another visit will be made to ensure that this violation is being corrected. Because a violation regarding staff to child ratio and a violation regarding supervision was written in three consecutive visits it could result in and Adminstravite Action. Refer to SECTION .2200 ADMINISTRATIVE ACTIONS AND CIVIL PENALTIES regarding Administrative Actions. Closure: Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at sarah.upton@dhhs.nc.gov or 828.782.0937, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

10A NCAC 09 .1801 · Violation

Name of Operation: FIRST BAPTIST CHILDREN'S CENTER Facility ID: 44000057 Consultant: SARAH UPTON Operation Type: Center Case Number: 1023-042L Visit Date: 10/23/2023 Number Present: 37 Completed Date: 10/23/2023 Age: From 0 To 5 Total Minutes: 120 Time In: 11:10 AM Time Out: 01:10 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Follow-Up Announced/Unannounced: Unannounced The purpose of today's complaint follow-up visit was to follow-up on violation written during your complaint visit on October 12, 2023 regarding staff to child ratio. Refer to Complaint Visit visit summary dated October 12, 2023 for full details of the violation written. Lisa McDaniel, Administrator, was present A computerized generated report of today’s visit was completed and signed by Sarah Upton, Child Care Consultant. A copy of this report was signed by Ms. McDaniel and an electronic signed copy of the visit summary was electronically emailed to Ms. McDaniel. During my walkthrough of the classrooms all were found to be in compliance with staff to child ratio. The following violation was written. Violation Number Comment Rule 303 Children were not adequately supervised at all times. Upon arrival to the facility there was one (1) staff member on the playground with children three years of age. The staff member was observed sitting on the gray climbing rock at the lower end of the playground while six (6) children were observed playing on the upper part of the playground. After lunch the staff member in the classroom with one year old children was observed standing at the diaper changing area while three (3) children were sitting at the table with food and milk. In the classroom with children eight months through one year of age the staff member was observed walking around the classroom while a child was at the table with food. .1801(a)(1-5) Technical Assistance: Item #303 children need to be adequately supervised at all times. While children are playing outside teachers need to be up and moving about the playground and in the areas where children are playing. They need to be engaging and interacting with the children as well. Any time children are eating teachers need to be focused on the children eating and not engaged in routine care needs especially when there is only one teacher present. If all children are done eating then plates and milk need to be removed before teachers step away. There should always be at least one teacher standing or sitting by the children while eating. According to 10A NCAC 09 .1801 SUPERVISION IN CHILD CARE CENTERS (a) Children shall be adequately supervised at all times in child care centers. Adequate supervision shall mean that: (1) staff must be positioned in the indoor and outdoor environment to maximize their ability to hear or see the children at all times and render assistance; (2) staff must interact with the children while moving about the indoor or outdoor area; (3) staff must know where each child is located and be aware of the children's activities at all times; (4) staff must provide supervision appropriate to the individual age, needs, and capabilities of each child; and (5) staff must be able to see and hear children aged birth to five years old while the children are eating. Corrective Action Plan All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license may be issued. Another visit will be made to ensure that this violation is being corrected. Because a violaiton regarding staff to child ratio and a violation regarding supervision was written in two consecutive visits it could result in and Adminstravite Action. Refer to SECTION .2200 ADMINISTRATIVE ACTIONS AND CIVIL PENALTIES regarding Administrative Actions. Closure: Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at sarah.upton@dhhs.nc.gov or 828.782.0937, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

10A NCAC 09 .2818 · Violation

Name of Operation: FIRST BAPTIST CHILDREN'S CENTER Facility ID: 44000057 Consultant: SARAH UPTON Operation Type: Center Case Number: 1023-042L Visit Date: 10/10/2023 Number Present: 38 Completed Date: 10/10/2023 Age: From 0 To 5 Total Minutes: 120 Time In: 10:30 AM Time Out: 12:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today’s visit was to investigate concerns regarding child care requirements. Upon my arrival I explained to Emily Lee, Administrative Assistant, the reason for my visit. Lisa McDaniel, Administrator, was not available. I explained the allegations to Ms. Lee and was allowed to ask questions. The following allegations were sent to me on October 4, 2023. Allegation states: There are concerns regarding policy and staff/ratio. Allegation one: Children sent home with a temperature of 99 degrees. There is no policy in the handbook stating children are to be exempt from care for temperatures less than 100. Ms. Lee provided me with a copy of the facility’s Health and Safety Policies that explains their sick policy. Ms. Lee reported that this information is given to each parent in the center’s handbook upon enrollment. Ms. Lee reported that they have recently seen an increase in positive flu cases and are being cautious when children show possible signs and symptoms. According to the facilities policy and Ms. Lee’s report children may be sent home if they are showing signs and symptoms listed in the policies regardless of their temperature. Symptoms listed include Fever of 100.4 or above, diarrhea (more than one abnormally loose stool/day, vomiting, nausea, severe cough, unusual yellow color to skin or eyes, skin or eye lesions or rashes that are severe, weeping or pus filled, stiff neck, headache with one or more of the symptoms listed above, difficult breathing or wheezing, or complaints of severe pain. Ms. Lee reported that temperatures are taken several times with different thermometers before the decision is made to call parents for pick-up. Temperatures are taken under the arm and on the forehead. Based on the information received today allegation one was not substantiated. Allegation two: There are concerns regarding ratio. Parents received text from administration asking if their children will be in care each day for the upcoming week. Ms. Lee reported today that Ms. McDaniel does send out a reminder each week asking about attendance for the upcoming week so she can appropriately staff for each day. During my visit today there were enough staff on-site to cover all the classrooms. However, a violation was written regarding the staff to child ratio based on my observation. Based on my observation today allegation two was substantiated. The following violation was written. Violation Number Comment Rule 1756 Enhanced staff/child ratios and group sizes were not met. Upon arrival to the facility, nine (9) two year old children were outside on the playground with one (1) staff member. 10A NCAC 09 .2818 Technical Assistance: Item 1756-Enhanced staff/child ratios and group sizes must be met at all times. According to 10A NCAC 09 .2818 ENHANCED STAFF/CHILD RATIOS FOR A RATED LICENSE FOR CHILD CARE CENTERS (a) This Rule shall apply to evaluating the staff/child ratios and maximum group sizes for a rated license for child care centers. (b) The center shall comply with the following staff/child ratios and maximum group sizes. (c) To earn seven points for program standards, the center shall comply with the following staff/child ratios and maximum group sizes. Age Ratio Staff/Children Maximum Group Size 0 to 12 Months 1/4 8 1 to 2 Years 1/5 10 2 to 3 Years 1/8 16 3 to 4 Years 1/9 18 4 to 5 Years 1/12 24 5 to 6 Years 1/14 25 6 Years and Older 1/19 25 Corrective Action Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and ruthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license may be issued. I will be making another visit soon to follow-up on the violation written above. If you have questions, please contact me at sarah.upton@dhhs.nc.gov or 828.782.0937, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

10A NCAC 09 .0304 · Violation

Name of Operation: FIRST BAPTIST CHILDREN'S CENTER Facility ID: 44000057 Consultant: SARAH UPTON Operation Type: Center Case Number: Visit Date: 8/25/2023 Number Present: 28 Completed Date: 8/25/2023 Age: From 0 To 5 Total Minutes: 225 Time In: 11:00 AM Time Out: 02:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of this routine unannounced visit was to conduct limited compliance monitoring and offer consultation to the program. A computerized generated report of today’s visit was completed and reviewed with Lisa McDaniel, Administrator. A copy was signed by Sarah Upton, Child Care Consultant and also signed by Ms. McDaniel during the visit. An electronic copy was send to Ms. McDaniel. Upon my arrival I explained to Ms. McDaniel the reason of my visit. I observed children during lunch which consisted of pizza, peaches, cucumbers, French fries and milk. Children were also observed playing outside. Interactions observed between children and teachers were positive and helpful. Ms. McDaniel was available to assist with questions and paperwork needed. The program’s annual compliance visit was conducted on visit February 21, 2023. The following items were monitored today: Supervision Staff Child Ratios CPR First Aid Special Training Criminal Record Checks Completed Emergency Medical Care Plan Administration of Medication Storage of Hazardous Substances Storage of Medication Adequate/Approved Space General Safety Discipline Program Records License Posted Permit Restrictions Permit type – Four Star issued on January 30, 2020 Special Services/Restrictions – Children under 2 ½ year olds in rooms with direct exits, Meets enhanced space; Meets enhanced space The last annual compliance visit was conducted on February 21, 2023 The last fire drill was practiced on August 08, 2023. The last shelter-in-place drill was conducted on June 02, 2023. The last sanitation inspection was conducted on June 23, 2023 with thirteen (13) demerits for a provisional rating. The last playground inspection was conducted on August 08, 2023 You are currently using Creative Curriculum The Emergency Medical Care plan was posted and current. No new teachers have been hired since your Annual Compliance in February conducted . I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were written. Violation Number Comment Rule 104 Center has not passed required sanitation inspection and received an approved or superior rating. The facility received a Provisional sanitation inspection on 06/23/2023 and has not had received another inspection. 10A NCAC 09 .0304(b) 428 A current activity plan was not posted for each group of children for reference. In the classroom for children ages two-to-three years old the activity plan was dated July 31 through August 04, 2023. In the classroom for children ages four-to-five year olds the activity plan was dated July 17 through July 21, 2023. GS 110-91(12); .0508(a) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. In the classroom for infants there were diapers wrapped in plastic wrap and a plastic package of baby wipes located underneath the unlocked diaper changing table. In the classroom for children one-to-two years of age there was a zip lock bag with clothes in it stored underneath the unlocked diaper changing table. .0604(q) Technical assistance: Item 106- all facilities must receive an approved or superior rating on sanitation inspections for it to be considered in compliance. In situations in which a provisional classification is received another inspection needs to be completed with a superior or approved classification According to 10A NCAC 09 .0304 ON-GOING REQUIREMENTS FOR A LICENSE (b) Each center shall be inspected annually by an Environmental Health Specialist and receive an approved or superior rating in accordance with applicable sanitation requirements adopted by the Commission for Public Health as described in 15A NCAC 18A .2800. Item 428-activity plans must be current and posted at all times. According to 10A NCAC 09 .0508 ACTIVITY SCHEDULES AND PLANS (a) All centers shall have a current schedule and activity plan for each group of children posted for reference by parents and by caregivers. The schedule and activity plan may be combined in a single document. **I encourage all staff to complete the NC Foundations for Early Learning and Development (NC FELD) training at https://www.swcdcinc.org/training-registration. Item 858- all plastics including the plastic wrapping on diapers must be inaccessible to children. Inaccessible is defined as at least five (5) feet above the floor or stored in a locked cabinet or storage if stored below five (5) feet. According to 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (q) Plastic bags, toys, toy parts small enough to be swallowed, and materials that can be torn apart, such as foam rubber and styrofoam, shall not be accessible to children under three years of age. However, styrofoam plates and larger pieces of foam rubber may be used for supervised art activities and styrofoam plates may be used for food service. Jump ropes and rubber bands shall not be accessible to children under five years of age without adult supervision. Balloons shall be prohibited for children of all ages. Corrective Action Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license may be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by September 08, 2023 Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: sarah.upton@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Sarah Upton 143 Bobcat Trail Clyde NC 28721 Please call me at 828-782-0937, or email sarah.upton@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at sarah.upton@dhhs.nc.gov or 828.782.0937, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

10A NCAC 09 .0508 · Violation

Name of Operation: FIRST BAPTIST CHILDREN'S CENTER Facility ID: 44000057 Consultant: SARAH UPTON Operation Type: Center Case Number: Visit Date: 8/25/2023 Number Present: 28 Completed Date: 8/25/2023 Age: From 0 To 5 Total Minutes: 225 Time In: 11:00 AM Time Out: 02:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of this routine unannounced visit was to conduct limited compliance monitoring and offer consultation to the program. A computerized generated report of today’s visit was completed and reviewed with Lisa McDaniel, Administrator. A copy was signed by Sarah Upton, Child Care Consultant and also signed by Ms. McDaniel during the visit. An electronic copy was send to Ms. McDaniel. Upon my arrival I explained to Ms. McDaniel the reason of my visit. I observed children during lunch which consisted of pizza, peaches, cucumbers, French fries and milk. Children were also observed playing outside. Interactions observed between children and teachers were positive and helpful. Ms. McDaniel was available to assist with questions and paperwork needed. The program’s annual compliance visit was conducted on visit February 21, 2023. The following items were monitored today: Supervision Staff Child Ratios CPR First Aid Special Training Criminal Record Checks Completed Emergency Medical Care Plan Administration of Medication Storage of Hazardous Substances Storage of Medication Adequate/Approved Space General Safety Discipline Program Records License Posted Permit Restrictions Permit type – Four Star issued on January 30, 2020 Special Services/Restrictions – Children under 2 ½ year olds in rooms with direct exits, Meets enhanced space; Meets enhanced space The last annual compliance visit was conducted on February 21, 2023 The last fire drill was practiced on August 08, 2023. The last shelter-in-place drill was conducted on June 02, 2023. The last sanitation inspection was conducted on June 23, 2023 with thirteen (13) demerits for a provisional rating. The last playground inspection was conducted on August 08, 2023 You are currently using Creative Curriculum The Emergency Medical Care plan was posted and current. No new teachers have been hired since your Annual Compliance in February conducted . I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were written. Violation Number Comment Rule 104 Center has not passed required sanitation inspection and received an approved or superior rating. The facility received a Provisional sanitation inspection on 06/23/2023 and has not had received another inspection. 10A NCAC 09 .0304(b) 428 A current activity plan was not posted for each group of children for reference. In the classroom for children ages two-to-three years old the activity plan was dated July 31 through August 04, 2023. In the classroom for children ages four-to-five year olds the activity plan was dated July 17 through July 21, 2023. GS 110-91(12); .0508(a) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. In the classroom for infants there were diapers wrapped in plastic wrap and a plastic package of baby wipes located underneath the unlocked diaper changing table. In the classroom for children one-to-two years of age there was a zip lock bag with clothes in it stored underneath the unlocked diaper changing table. .0604(q) Technical assistance: Item 106- all facilities must receive an approved or superior rating on sanitation inspections for it to be considered in compliance. In situations in which a provisional classification is received another inspection needs to be completed with a superior or approved classification According to 10A NCAC 09 .0304 ON-GOING REQUIREMENTS FOR A LICENSE (b) Each center shall be inspected annually by an Environmental Health Specialist and receive an approved or superior rating in accordance with applicable sanitation requirements adopted by the Commission for Public Health as described in 15A NCAC 18A .2800. Item 428-activity plans must be current and posted at all times. According to 10A NCAC 09 .0508 ACTIVITY SCHEDULES AND PLANS (a) All centers shall have a current schedule and activity plan for each group of children posted for reference by parents and by caregivers. The schedule and activity plan may be combined in a single document. **I encourage all staff to complete the NC Foundations for Early Learning and Development (NC FELD) training at https://www.swcdcinc.org/training-registration. Item 858- all plastics including the plastic wrapping on diapers must be inaccessible to children. Inaccessible is defined as at least five (5) feet above the floor or stored in a locked cabinet or storage if stored below five (5) feet. According to 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (q) Plastic bags, toys, toy parts small enough to be swallowed, and materials that can be torn apart, such as foam rubber and styrofoam, shall not be accessible to children under three years of age. However, styrofoam plates and larger pieces of foam rubber may be used for supervised art activities and styrofoam plates may be used for food service. Jump ropes and rubber bands shall not be accessible to children under five years of age without adult supervision. Balloons shall be prohibited for children of all ages. Corrective Action Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license may be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by September 08, 2023 Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: sarah.upton@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Sarah Upton 143 Bobcat Trail Clyde NC 28721 Please call me at 828-782-0937, or email sarah.upton@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at sarah.upton@dhhs.nc.gov or 828.782.0937, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0604 · Violation

Name of Operation: FIRST BAPTIST CHILDREN'S CENTER Facility ID: 44000057 Consultant: SARAH UPTON Operation Type: Center Case Number: Visit Date: 8/25/2023 Number Present: 28 Completed Date: 8/25/2023 Age: From 0 To 5 Total Minutes: 225 Time In: 11:00 AM Time Out: 02:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of this routine unannounced visit was to conduct limited compliance monitoring and offer consultation to the program. A computerized generated report of today’s visit was completed and reviewed with Lisa McDaniel, Administrator. A copy was signed by Sarah Upton, Child Care Consultant and also signed by Ms. McDaniel during the visit. An electronic copy was send to Ms. McDaniel. Upon my arrival I explained to Ms. McDaniel the reason of my visit. I observed children during lunch which consisted of pizza, peaches, cucumbers, French fries and milk. Children were also observed playing outside. Interactions observed between children and teachers were positive and helpful. Ms. McDaniel was available to assist with questions and paperwork needed. The program’s annual compliance visit was conducted on visit February 21, 2023. The following items were monitored today: Supervision Staff Child Ratios CPR First Aid Special Training Criminal Record Checks Completed Emergency Medical Care Plan Administration of Medication Storage of Hazardous Substances Storage of Medication Adequate/Approved Space General Safety Discipline Program Records License Posted Permit Restrictions Permit type – Four Star issued on January 30, 2020 Special Services/Restrictions – Children under 2 ½ year olds in rooms with direct exits, Meets enhanced space; Meets enhanced space The last annual compliance visit was conducted on February 21, 2023 The last fire drill was practiced on August 08, 2023. The last shelter-in-place drill was conducted on June 02, 2023. The last sanitation inspection was conducted on June 23, 2023 with thirteen (13) demerits for a provisional rating. The last playground inspection was conducted on August 08, 2023 You are currently using Creative Curriculum The Emergency Medical Care plan was posted and current. No new teachers have been hired since your Annual Compliance in February conducted . I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were written. Violation Number Comment Rule 104 Center has not passed required sanitation inspection and received an approved or superior rating. The facility received a Provisional sanitation inspection on 06/23/2023 and has not had received another inspection. 10A NCAC 09 .0304(b) 428 A current activity plan was not posted for each group of children for reference. In the classroom for children ages two-to-three years old the activity plan was dated July 31 through August 04, 2023. In the classroom for children ages four-to-five year olds the activity plan was dated July 17 through July 21, 2023. GS 110-91(12); .0508(a) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. In the classroom for infants there were diapers wrapped in plastic wrap and a plastic package of baby wipes located underneath the unlocked diaper changing table. In the classroom for children one-to-two years of age there was a zip lock bag with clothes in it stored underneath the unlocked diaper changing table. .0604(q) Technical assistance: Item 106- all facilities must receive an approved or superior rating on sanitation inspections for it to be considered in compliance. In situations in which a provisional classification is received another inspection needs to be completed with a superior or approved classification According to 10A NCAC 09 .0304 ON-GOING REQUIREMENTS FOR A LICENSE (b) Each center shall be inspected annually by an Environmental Health Specialist and receive an approved or superior rating in accordance with applicable sanitation requirements adopted by the Commission for Public Health as described in 15A NCAC 18A .2800. Item 428-activity plans must be current and posted at all times. According to 10A NCAC 09 .0508 ACTIVITY SCHEDULES AND PLANS (a) All centers shall have a current schedule and activity plan for each group of children posted for reference by parents and by caregivers. The schedule and activity plan may be combined in a single document. **I encourage all staff to complete the NC Foundations for Early Learning and Development (NC FELD) training at https://www.swcdcinc.org/training-registration. Item 858- all plastics including the plastic wrapping on diapers must be inaccessible to children. Inaccessible is defined as at least five (5) feet above the floor or stored in a locked cabinet or storage if stored below five (5) feet. According to 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (q) Plastic bags, toys, toy parts small enough to be swallowed, and materials that can be torn apart, such as foam rubber and styrofoam, shall not be accessible to children under three years of age. However, styrofoam plates and larger pieces of foam rubber may be used for supervised art activities and styrofoam plates may be used for food service. Jump ropes and rubber bands shall not be accessible to children under five years of age without adult supervision. Balloons shall be prohibited for children of all ages. Corrective Action Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license may be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by September 08, 2023 Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: sarah.upton@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Sarah Upton 143 Bobcat Trail Clyde NC 28721 Please call me at 828-782-0937, or email sarah.upton@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at sarah.upton@dhhs.nc.gov or 828.782.0937, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

G.S. 110-90 · Violation

Name of Operation: FIRST BAPTIST CHILDREN'S CENTER Facility ID: 44000057 Consultant: SARAH UPTON Operation Type: Center Case Number: Visit Date: 8/25/2023 Number Present: 28 Completed Date: 8/25/2023 Age: From 0 To 5 Total Minutes: 225 Time In: 11:00 AM Time Out: 02:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of this routine unannounced visit was to conduct limited compliance monitoring and offer consultation to the program. A computerized generated report of today’s visit was completed and reviewed with Lisa McDaniel, Administrator. A copy was signed by Sarah Upton, Child Care Consultant and also signed by Ms. McDaniel during the visit. An electronic copy was send to Ms. McDaniel. Upon my arrival I explained to Ms. McDaniel the reason of my visit. I observed children during lunch which consisted of pizza, peaches, cucumbers, French fries and milk. Children were also observed playing outside. Interactions observed between children and teachers were positive and helpful. Ms. McDaniel was available to assist with questions and paperwork needed. The program’s annual compliance visit was conducted on visit February 21, 2023. The following items were monitored today: Supervision Staff Child Ratios CPR First Aid Special Training Criminal Record Checks Completed Emergency Medical Care Plan Administration of Medication Storage of Hazardous Substances Storage of Medication Adequate/Approved Space General Safety Discipline Program Records License Posted Permit Restrictions Permit type – Four Star issued on January 30, 2020 Special Services/Restrictions – Children under 2 ½ year olds in rooms with direct exits, Meets enhanced space; Meets enhanced space The last annual compliance visit was conducted on February 21, 2023 The last fire drill was practiced on August 08, 2023. The last shelter-in-place drill was conducted on June 02, 2023. The last sanitation inspection was conducted on June 23, 2023 with thirteen (13) demerits for a provisional rating. The last playground inspection was conducted on August 08, 2023 You are currently using Creative Curriculum The Emergency Medical Care plan was posted and current. No new teachers have been hired since your Annual Compliance in February conducted . I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were written. Violation Number Comment Rule 104 Center has not passed required sanitation inspection and received an approved or superior rating. The facility received a Provisional sanitation inspection on 06/23/2023 and has not had received another inspection. 10A NCAC 09 .0304(b) 428 A current activity plan was not posted for each group of children for reference. In the classroom for children ages two-to-three years old the activity plan was dated July 31 through August 04, 2023. In the classroom for children ages four-to-five year olds the activity plan was dated July 17 through July 21, 2023. GS 110-91(12); .0508(a) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. In the classroom for infants there were diapers wrapped in plastic wrap and a plastic package of baby wipes located underneath the unlocked diaper changing table. In the classroom for children one-to-two years of age there was a zip lock bag with clothes in it stored underneath the unlocked diaper changing table. .0604(q) Technical assistance: Item 106- all facilities must receive an approved or superior rating on sanitation inspections for it to be considered in compliance. In situations in which a provisional classification is received another inspection needs to be completed with a superior or approved classification According to 10A NCAC 09 .0304 ON-GOING REQUIREMENTS FOR A LICENSE (b) Each center shall be inspected annually by an Environmental Health Specialist and receive an approved or superior rating in accordance with applicable sanitation requirements adopted by the Commission for Public Health as described in 15A NCAC 18A .2800. Item 428-activity plans must be current and posted at all times. According to 10A NCAC 09 .0508 ACTIVITY SCHEDULES AND PLANS (a) All centers shall have a current schedule and activity plan for each group of children posted for reference by parents and by caregivers. The schedule and activity plan may be combined in a single document. **I encourage all staff to complete the NC Foundations for Early Learning and Development (NC FELD) training at https://www.swcdcinc.org/training-registration. Item 858- all plastics including the plastic wrapping on diapers must be inaccessible to children. Inaccessible is defined as at least five (5) feet above the floor or stored in a locked cabinet or storage if stored below five (5) feet. According to 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (q) Plastic bags, toys, toy parts small enough to be swallowed, and materials that can be torn apart, such as foam rubber and styrofoam, shall not be accessible to children under three years of age. However, styrofoam plates and larger pieces of foam rubber may be used for supervised art activities and styrofoam plates may be used for food service. Jump ropes and rubber bands shall not be accessible to children under five years of age without adult supervision. Balloons shall be prohibited for children of all ages. Corrective Action Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license may be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by September 08, 2023 Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: sarah.upton@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Sarah Upton 143 Bobcat Trail Clyde NC 28721 Please call me at 828-782-0937, or email sarah.upton@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at sarah.upton@dhhs.nc.gov or 828.782.0937, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

GS 110-91 · Violation

Name of Operation: FIRST BAPTIST CHILDREN'S CENTER Facility ID: 44000057 Consultant: SARAH UPTON Operation Type: Center Case Number: Visit Date: 8/25/2023 Number Present: 28 Completed Date: 8/25/2023 Age: From 0 To 5 Total Minutes: 225 Time In: 11:00 AM Time Out: 02:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of this routine unannounced visit was to conduct limited compliance monitoring and offer consultation to the program. A computerized generated report of today’s visit was completed and reviewed with Lisa McDaniel, Administrator. A copy was signed by Sarah Upton, Child Care Consultant and also signed by Ms. McDaniel during the visit. An electronic copy was send to Ms. McDaniel. Upon my arrival I explained to Ms. McDaniel the reason of my visit. I observed children during lunch which consisted of pizza, peaches, cucumbers, French fries and milk. Children were also observed playing outside. Interactions observed between children and teachers were positive and helpful. Ms. McDaniel was available to assist with questions and paperwork needed. The program’s annual compliance visit was conducted on visit February 21, 2023. The following items were monitored today: Supervision Staff Child Ratios CPR First Aid Special Training Criminal Record Checks Completed Emergency Medical Care Plan Administration of Medication Storage of Hazardous Substances Storage of Medication Adequate/Approved Space General Safety Discipline Program Records License Posted Permit Restrictions Permit type – Four Star issued on January 30, 2020 Special Services/Restrictions – Children under 2 ½ year olds in rooms with direct exits, Meets enhanced space; Meets enhanced space The last annual compliance visit was conducted on February 21, 2023 The last fire drill was practiced on August 08, 2023. The last shelter-in-place drill was conducted on June 02, 2023. The last sanitation inspection was conducted on June 23, 2023 with thirteen (13) demerits for a provisional rating. The last playground inspection was conducted on August 08, 2023 You are currently using Creative Curriculum The Emergency Medical Care plan was posted and current. No new teachers have been hired since your Annual Compliance in February conducted . I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were written. Violation Number Comment Rule 104 Center has not passed required sanitation inspection and received an approved or superior rating. The facility received a Provisional sanitation inspection on 06/23/2023 and has not had received another inspection. 10A NCAC 09 .0304(b) 428 A current activity plan was not posted for each group of children for reference. In the classroom for children ages two-to-three years old the activity plan was dated July 31 through August 04, 2023. In the classroom for children ages four-to-five year olds the activity plan was dated July 17 through July 21, 2023. GS 110-91(12); .0508(a) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. In the classroom for infants there were diapers wrapped in plastic wrap and a plastic package of baby wipes located underneath the unlocked diaper changing table. In the classroom for children one-to-two years of age there was a zip lock bag with clothes in it stored underneath the unlocked diaper changing table. .0604(q) Technical assistance: Item 106- all facilities must receive an approved or superior rating on sanitation inspections for it to be considered in compliance. In situations in which a provisional classification is received another inspection needs to be completed with a superior or approved classification According to 10A NCAC 09 .0304 ON-GOING REQUIREMENTS FOR A LICENSE (b) Each center shall be inspected annually by an Environmental Health Specialist and receive an approved or superior rating in accordance with applicable sanitation requirements adopted by the Commission for Public Health as described in 15A NCAC 18A .2800. Item 428-activity plans must be current and posted at all times. According to 10A NCAC 09 .0508 ACTIVITY SCHEDULES AND PLANS (a) All centers shall have a current schedule and activity plan for each group of children posted for reference by parents and by caregivers. The schedule and activity plan may be combined in a single document. **I encourage all staff to complete the NC Foundations for Early Learning and Development (NC FELD) training at https://www.swcdcinc.org/training-registration. Item 858- all plastics including the plastic wrapping on diapers must be inaccessible to children. Inaccessible is defined as at least five (5) feet above the floor or stored in a locked cabinet or storage if stored below five (5) feet. According to 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (q) Plastic bags, toys, toy parts small enough to be swallowed, and materials that can be torn apart, such as foam rubber and styrofoam, shall not be accessible to children under three years of age. However, styrofoam plates and larger pieces of foam rubber may be used for supervised art activities and styrofoam plates may be used for food service. Jump ropes and rubber bands shall not be accessible to children under five years of age without adult supervision. Balloons shall be prohibited for children of all ages. Corrective Action Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license may be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by September 08, 2023 Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: sarah.upton@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Sarah Upton 143 Bobcat Trail Clyde NC 28721 Please call me at 828-782-0937, or email sarah.upton@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at sarah.upton@dhhs.nc.gov or 828.782.0937, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times