10A NCAC 09 .0803 · Violation

Name of Operation: CENTRAL BAPTIST CHURCH PRESCHOOL Facility ID: 92002817 Consultant: MICHELLE EZZELL Operation Type: Center Case Number: Visit Date: 5/20/2025 Number Present: 140 Completed Date: 5/20/2025 Age: From 0 To 5 Total Minutes: 310 Time In: 10:45 AM Time Out: 03:55 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to conduct an annual compliance visit. My visit was conducted with Emily Bell, Director. The facility received a GS-110 Notice of Compliance originally issued 9-22-10. The church facility operates at 25 sq. ft. inside and rations in rule .0713 (a) with a capacity of 180 for children ages 0-12 years old. The children were observed playing outside, taking a nap and eating snacks. I monitored the required posted documents, interactions between staff and children, discipline, supervision, group sizes, space capacity, program records, fire drills, Shelter-in-place/Lockdown drills, medications, equipment and furnishings requirements. ***Verification of Records & Training*** *The last sanitation inspection was on 1-15-25 and the last fire inspection was on 6-12-24. Remember to scan these inspections to me within 5 days of completion. The fire inspection must be on DCDEE’s form. *The EPR plan was last updated on 9-11-24 and the EPR training was completed by Emily Bell on 10-28-18. *The last playground safety inspection was completed on 4-29-25 by Lawrenda Stevenson. Ms. Stevenson completed playground safety inspection training on 11-15-2003. *The lead water test expires 12-5-26. *I reviewed the NC Secretary of State’s website and observed the owner of the facility (Central Baptist Church of Wendell, Inc.) listed as current-active. Technical Assistance was offered on how to correct the violations cited. To maintain compliance with NC laws and rules regarding childcare operation, the following violations must be corrected immediately. Please email a signed and dated corrective action letter BY 6-3-25 to michelle.ezzell@dhhs.nc.gov Violation Number Comment Rule 807 A safe indoor and outdoor environment was not provided for the children. 1. In several classrooms, teacher supplies such as staplers, adult size scissors, thumb tacks, paperclips, stapler removers, etc. were in unlocked drawers or had unapproved locks. These supplies must be locked using approved locks or at least 5 ft. high, from the floor, out of reach of children. 2. In two classrooms, diapers stored in plastic bags were accessible to children these were located under the diaper changing table and in an unlocked storage closet. 10A NCAC 09 .0601(a) 847 Parent's medication authorization did not include required information. 1. In space two, the butterflies two diaper cream forms did not have the exact name of the diaper cream. 2. In space 6, the the dragonflies, a permission to administer emergency medication permission slip expired March 13, 2025. In space 10, the frogs, the permission slip expired April 24, 2025. 10A NCAC 09 .0803(4)(6-9) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. In space 6, (the dragonflies) a child's epi-pen expired October 2024 and was not sent home or discarded. .0803(12) 1835 The medical action plan was not updated on an annual basis or when changes to the plan were made by the child's parent or health care professional. In space 6, the dragonflies, one child did not have a medical action plan. .0801(b) *APPROVED LOCKS: SANITATION RULE 15A NCAC 18A .2828-STORAGE- Locked storage rooms and cabinets shall include those which are unlocked with a combination lock, electronic or magnetic device, keypad, or equivalent locking device. Keys and electronic or magnetic unlocking devices shall be kept out of the reach of a child and shall not be stored in the lock. 1. In several classrooms, teacher supplies were in unlocked cabinets. We discussed teacher supplies such as staplers, adult size scissors, thumb tacks, paperclips, stapler removers, etc. are considered choking hazards and cannot be accessible to children. These supplies must be locked using approved locks or at least 5 ft. high, from the floor, out of reach of children. 2. In two classrooms, diapers stored in plastic bags were accessible to children located under the diaper changing table and in an unlocked storage closet. *Plastic Bags- Rule .0604. Plastic bags are a suffocation hazard for young children and should be made inaccessible to children less than three years of age. Any plastic bags must be stored out of reach of the children, which are five feet or higher from the finished floor. Keep trash bags tucked so large sections are not accessible to the children. I suggested using mesh bags vs. plastic Ziploc bags. *Medical Action Plans - Growing up healthy is every child's right and every parent's dream for their children. Significant advances in improving the overall health and development of children with chronic illnesses have been made. Having a medical action plan in place when caring for children with health issues is vital in ensuring their health and safety. These health issues could include allergies, asthma, or other chronic conditions that require specialized health services. The maintenance of these plans and the ability to implement such plans for the treatment of reactions are essential. It is important to remember that a medical action plan must be attached to the child’s application for enrollment, completed by the child's parent or a health care professional and must be updated on an annual basis. *MEDICATIONS: *Permission to administer emergency medications must be updated every 6 months. *The exact name of the diaper cream must be on the form, it cannot have “diaper cream” or “OTC cream”, etc. *Primary Caregivers should be assigned to each Infant/Toddler (Children under two years old): when more than one teacher works in the classroom for infants/toddlers. Primary caregivers should be assigned to each infant and toddler. Responsive primary caregivers buffer stress and help the infant or toddler regulate. The Program for Infant/Toddler Care recommends six essential program practices as a framework for relationship-based care. One of these practices is primary caregiving, the practice in which the care of each infant or toddler is assigned to one specific caregiver who is principally responsible for caring for that child in the care setting and communicating with the child’s family. Consistent, responsive, and meaningful interactions with a primary caregiver build a child’s attachment to a familiar adult. Primary caregiving also strengthens relationships with families, which, in turn, supports the development of trust and security between the infant or toddler and the primary caregiver. Diaper changing, tummy time, feedings and napping (safe sleep checks) are maintained more easily than multiple teachers trying to manage all of the infants/toddlers in their care. See rule reference. .0511 (3)(4) *******ADDITIONAL SPACE: ******** *A total of three classrooms were measured today. Space # 1059, 1007 & 1009. *Space #1059 was approved for childcare May,2018 by Kim Wimberly, childcare consultant. The classroom was originally one (1) large room with a capacity of 66 children. Since 2018, a sheetrock wall was added, splitting the classroom into two (2) spaces, so the room can accommodate students that attend the (unlicensed) private school. The children that attend the private school will be housed in another building, away from the childcare facility. *The left side of the classroom (room 1059 A) has a direct exit with double glass doors, leading outside. The right side of the classroom (1059 B) has double windows and no direct exit leading outside. Both classrooms have exits leading into the hallway. A few doors down there’s a men’s and women’s bathroom in the hallway the preschool children have access to. ****We discussed the following: Emily stated this space will be used by preschool children. *To prevent supervision issues, it’s best practice to add a bathroom in each classroom. Otherwise, each time a child needs to use the bathroom, they must be accompanied by an adult to the bathroom, while maintaining staff/child ratios in the classroom. *It’s best practice to add a sink in each classroom to prevent multiple trips to the bathroom for handwashing purposes. Childcare rules explain children and staff should wash their hands for meals/snacks, each time a child sneezes, coughs, enters the classroom, before and after water/sand play, etc. *There must be a direct exit for children 2.5 & under. *Before this classroom can be used, a new building, fire and sanitation inspection must be submitted to me; it’s best to allow at least a 30-to-60-day notice so I can make a visit to the center. *PLAYGROUND: We discussed its best practice to add a fence to accommodate a playground outside of space 1059 a & b. For example, if a group of 25 children are outside, they need at least 2,500 sq. ft. of space (this is 100 sq. ft. per child). This will prevent too many children from being on the existing playgrounds at one time, which will prevent supervision and unnecessary injuries. Contact me with questions Michelle Ezzell, Licensing Consultant 919-819-9304 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.