Christ Rescue Temple #3

10A NCAC 09 .0601 · Violation

Name of Operation: CHRIST RESCUE TEMPLE #3 Facility ID: 34000300 Consultant: CARA MCKEOWN-STEWART Operation Type: Center Case Number: Visit Date: 4/24/2026 Number Present: 18 Completed Date: 4/24/2026 Age: From 1 To 5 Total Minutes: 195 Time In: 09:45 AM Time Out: 01:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable childcare requirements for a routine unannounced visit. This visit was conducted with Deborah Lindsey, Director. Your program currently operates with a G.S.-110 Notice of Compliance effective 2/01/1998. Restrictions include 1st shift care only. The program’s compliance history was 91% prior to today’s visit. All programs are required to maintain at least 75% compliance. Today, the following items were monitored: • Supervision • Staff / Child Ratio • CPR / First Aid • Special Training • CBC Qualification • ITS – SIDS • Emergency Medical Care Plan • Administration of Medication • Storage of Hazardous Products • Storage of Medication • General Safety • Discipline • Adequate / Approved Space • Program Records • License Posted • Permit Restrictions The license was observed, and the restrictions were found in compliance. Upon arrival to the facility seven (7) children three to five years of age were observed engaging in activities and playing with toys in the front office, which is not a licensed space to care for children. Ms. Lindsey stated she had been up front to check her email, print off a document, and work “in between” care; she took all children to their designated classroom within ten minutes. A walk-through of the facility was completed today. Indoor and outdoor areas were observed. Staff/child ratio and space capacity were monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed staff/child interactions today. I observed children engaging in conversations and activities with their teachers individually, in groups, and in centers and participating in general routines during the visit. One new staff member was reported at this program. Storage and administration of medication and medication authorization were monitored. Storage of hazardous items was monitored today. The most recent playground inspection was recorded 3/24/26. A fire drill was recorded 3/10/26. A lockdown drill for the facility was recorded 2/26/26. The most recent fire inspection was on 1/06/2025. I observed a sanitation inspection was last conducted on 12/19/25 earning a Superior classification. The program does not participate in off-premise or aquatic activities at this time. The following violations were cited during today’s visit: Violation Number Comment Rule 125 Daily records of arrival and departure times for children at the center were not maintained as children arrive and depart and/or were not made available for review. The times of arrival were not observed to be recorded for one child enrolled in Space 8 and one child enrolled in Space 5. 10A NCAC 09 .0302(d)(4) 209 Children used space that was not approved. Upon arrival to the facility seven (7) children three to five years of age were observed engaging in activities and playing with toys in the front office, which is not a licensed space to care for children. GS 110-91(1)&(4-5) 807 A safe indoor and outdoor environment was not provided for the children. On the playground used by children, one twisted piece of metal attached to the inside of the fencing was observed to be sharp to the touch. In Space 5, a classroom designated for children two and three years of age, a small wooden toy stove was observed to be splintering and chipping in greater than four areas; two small wooden splinters were observed on the floor near the stove. These splinters were discarded during the visit. 10A NCAC 09 .0601(a) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. In Space 8, a solid room freshener and a box of hygienic wipes, both labeled Keep Out of Reach of Children with additional warnings, were observed stored greater than five feet up, but in unlocked storage. In the boys’ bathroom in the hallway, the last stall near the wall was observed open and with a spray bottle of foaming bathroom cleanser labeled Keep Out of Reach of Children with additional warnings sitting on the back of the toilet. The bathroom in the lobby of the program was observed to be unlocked; the cabinet beneath the sink was also unlocked and observed to contain an aerosol Febreeze spray and a spray bottle of foaming bathroom cleanser labeled Keep Out of Reach of Children with additional warnings. .2820(b) 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. The medication authorization for a Chapstick for one child enrolled in Space 5 had written authorization from 2/11/26 to 3/11/26, but had not been returned to the parent. .0803(12) 902 Each child was not attended to in a nurturing and appropriate manner, or in keeping with the child's developmental needs. The staff member assigned to Space 8, a classroom designated for children infant and one year of age, was observed picking a child (one year of age) up off the ground by his right wrist to keep him from exiting the classroom into the hallway. G.S. 110-91(10) 1823 The EPR Plan did not include the location of the Ready to Go File and or the required information. The Ready to Go Plan did was not observed to include an updated Allergy list for children and staff. .0607(d)(10) Compliance documentation: You must correct the violations found during today's visit immediately and send me documentation verifying compliance on or before 5/08/2026. The following information must be included in your compliance letter: • each violation number, • how you corrected each violation, • what plan will be implemented to prevent each violation from occurring again, • the name of your center, • facility ID number, • date, • title of the person who signs the letter If you state in your Compliance Letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. You may email the letter to cara.mckeown@dhhs.nc.gov or mail two copies of the letter to: Cara McKeown 4948 Martin View Lane Unit 146 Winston Salem, NC 27104 Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. An unannounced follow-up visit will be conducted to monitor discipline and safe handling of children. Technical Assistance Provided During the Visit: Upon arrival to the facility seven (7) children three to five years of age were observed engaging in activities and playing with toys in the front office, which is not a licensed space to care for children. Ms. Lindsey stated she had been up front to check her email, print off a document, and work “in between” care; she took all children to their designated classroom within ten minutes. It is important for children enrolled to be cared for at all times in licensed space, both to ensure they have access to the required developmentally appropriate activities, and for their safety. You may consider creating a plan for staffing each classroom when one staff member is absent or has not yet arrived to work for the day to ensure children enrolled are cared for in the classroom environment. The staff member assigned to Space 8, a classroom designated for children infant and one year of age, was observed picking a child (one year of age) up off the ground by his right wrist to keep him from exiting the classroom into the hallway. Picking up a toddler by the wrist or lower arm can cause Nursemaid’s Elbow, a common, painful injury where the elbow joint partially dislocates. Because a toddler's ligaments are loose and bones are still developing, this action can easily cause the ligament to slip over the bone. This action can also cause soft tissue damage and/or shoulder dislocation. If a staff member needs to physically move a child, the child should always be lifted by supporting him/her under the armpits, around the torso, or by the hips. You may consider reviewing safe practices for physically moving children with all staff and substitutes employed. On the playground used by children, one twisted piece of metal attached to the inside of the fencing was observed to be sharp to the touch. In Space 5, a classroom designated for children two and three years of age, a small wooden toy stove was observed to be splintering and chipping in greater than four areas; two small wooden splinters were observed on the floor near the stove. These splinters were discarded during the visit. In Space 8, a solid room freshener and a box of hygienic wipes, both labeled Keep Out of Reach of Children with additional warnings, were observed stored greater than five feet up, but in unlocked storage. In the boys’ bathroom in the hallway, the last stall near the wall was observed open and with a spray bottle of foaming bathroom cleanser labeled Keep Out of Reach of Children with additional warnings sitting on the back of the toilet. The bathroom in the lobby of the program was observed to be unlocked; the cabinet beneath the sink was also unlocked and observed to contain an aerosol Febreeze spray and a spray bottle of foaming bathroom cleanser labeled Keep Out of Reach of Children with additional warnings. Each of these items was placed into locked storage during the visit. It is imperative for the indoor and outdoor environment to be a safe place for children to engage with and explore at all times. You may consider adding these items to a daily checklist to monitor the indoor and outdoor environment for potential safety hazards prior to children arriving or using these areas each day. The medication authorization for a Chapstick for one child enrolled in Space 5 had written authorization from 2/11/26 to 3/11/26, but had not been returned to the parent. This Chapstick was removed from the classroom and brought to the office to return to the parent during the visit. It is important for all medication and medication authorization forms to be current and active to ensure the health and safety of children enrolled. You may consider creating a calendar reminder to ensure all medication authorization forms are reviewed bi-monthly or monthly. Consultation Provided During Visit: The following Child Care Rules were reviewed with Ms. Lindsey during the visit: • 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (c) regarding safety covers for outlets - 10A NCAC 09 .1802 STAFF/CHILD INTERACTIONS regarding tone of voice used with children and interacting with them in positive ways Consider encouraging staff to complete trainings which include positive guidance of young children. Monitor the child-sized couches in Spaces 2 and 5 for cracking areas and general wear and tear which can make sanitizing these items difficult; you may consider covering these areas with a strong adhesive plastic/rubber cover as you notice them occur. On-Going Professional Development In addition to the required Health and Safety Trainings, staff can access professional development training on the DCDEE website in Moodle under Early Childhood Professional Development in the categories of Child Care and Development Fund (CCDF), Orientation and Regulatory. Updated training modules are being added, including a Child Care Rule Rollout with new rules effective July 1, 2025, found under the Regulatory tab. Specifically, under the Orientation tab, I would encourage all staff to complete the training for “Child Development Module.” This training module provides a basic overview about child development and is designed to help early educators support infants, toddlers, and preschool children to reach their next developmental milestone. In addition to gaining introductory knowledge about child development, early educators will learn about the many resources and professional agencies available in North Carolina to help with promoting a responsive and engaging learning environment to support all children served. Upon completion, participants will receive one (1) contact hour credit (CHC). An individual NCID username and password is needed to access the DCDEE Moodle. If you experience problems with Moodle, contact dcdee_moodle_support@dhhs.nc.gov for assistance. For other training-related questions, please contact the Training and Program Development Consultant, Amia Eaton by calling (919) 814-6365 or emailing her at Amia.Eaton@dhhs.nc.gov • You must notify your consultant 30 days prior to changing the ownership status of your facility. Thank you for your time and assistance during this visit. At the completion of the visit, this visit summary, enrollment worksheet, and monitoring checklist were printed, and a copy was provided to you. You were given the opportunity to ask questions during the visit. Contact me, Cara McKeown, Child Care Consultant, at (336) 408-4849 or cara.mckeown@dhhs.nc.gov or Pamela Hauser, Licensing Supervisor, at (336) 317-5003 pamela.hauser@dhhs.nc.gov if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0302 · Violation

Name of Operation: CHRIST RESCUE TEMPLE #3 Facility ID: 34000300 Consultant: CARA MCKEOWN-STEWART Operation Type: Center Case Number: Visit Date: 4/24/2026 Number Present: 18 Completed Date: 4/24/2026 Age: From 1 To 5 Total Minutes: 195 Time In: 09:45 AM Time Out: 01:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable childcare requirements for a routine unannounced visit. This visit was conducted with Deborah Lindsey, Director. Your program currently operates with a G.S.-110 Notice of Compliance effective 2/01/1998. Restrictions include 1st shift care only. The program’s compliance history was 91% prior to today’s visit. All programs are required to maintain at least 75% compliance. Today, the following items were monitored: • Supervision • Staff / Child Ratio • CPR / First Aid • Special Training • CBC Qualification • ITS – SIDS • Emergency Medical Care Plan • Administration of Medication • Storage of Hazardous Products • Storage of Medication • General Safety • Discipline • Adequate / Approved Space • Program Records • License Posted • Permit Restrictions The license was observed, and the restrictions were found in compliance. Upon arrival to the facility seven (7) children three to five years of age were observed engaging in activities and playing with toys in the front office, which is not a licensed space to care for children. Ms. Lindsey stated she had been up front to check her email, print off a document, and work “in between” care; she took all children to their designated classroom within ten minutes. A walk-through of the facility was completed today. Indoor and outdoor areas were observed. Staff/child ratio and space capacity were monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed staff/child interactions today. I observed children engaging in conversations and activities with their teachers individually, in groups, and in centers and participating in general routines during the visit. One new staff member was reported at this program. Storage and administration of medication and medication authorization were monitored. Storage of hazardous items was monitored today. The most recent playground inspection was recorded 3/24/26. A fire drill was recorded 3/10/26. A lockdown drill for the facility was recorded 2/26/26. The most recent fire inspection was on 1/06/2025. I observed a sanitation inspection was last conducted on 12/19/25 earning a Superior classification. The program does not participate in off-premise or aquatic activities at this time. The following violations were cited during today’s visit: Violation Number Comment Rule 125 Daily records of arrival and departure times for children at the center were not maintained as children arrive and depart and/or were not made available for review. The times of arrival were not observed to be recorded for one child enrolled in Space 8 and one child enrolled in Space 5. 10A NCAC 09 .0302(d)(4) 209 Children used space that was not approved. Upon arrival to the facility seven (7) children three to five years of age were observed engaging in activities and playing with toys in the front office, which is not a licensed space to care for children. GS 110-91(1)&(4-5) 807 A safe indoor and outdoor environment was not provided for the children. On the playground used by children, one twisted piece of metal attached to the inside of the fencing was observed to be sharp to the touch. In Space 5, a classroom designated for children two and three years of age, a small wooden toy stove was observed to be splintering and chipping in greater than four areas; two small wooden splinters were observed on the floor near the stove. These splinters were discarded during the visit. 10A NCAC 09 .0601(a) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. In Space 8, a solid room freshener and a box of hygienic wipes, both labeled Keep Out of Reach of Children with additional warnings, were observed stored greater than five feet up, but in unlocked storage. In the boys’ bathroom in the hallway, the last stall near the wall was observed open and with a spray bottle of foaming bathroom cleanser labeled Keep Out of Reach of Children with additional warnings sitting on the back of the toilet. The bathroom in the lobby of the program was observed to be unlocked; the cabinet beneath the sink was also unlocked and observed to contain an aerosol Febreeze spray and a spray bottle of foaming bathroom cleanser labeled Keep Out of Reach of Children with additional warnings. .2820(b) 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. The medication authorization for a Chapstick for one child enrolled in Space 5 had written authorization from 2/11/26 to 3/11/26, but had not been returned to the parent. .0803(12) 902 Each child was not attended to in a nurturing and appropriate manner, or in keeping with the child's developmental needs. The staff member assigned to Space 8, a classroom designated for children infant and one year of age, was observed picking a child (one year of age) up off the ground by his right wrist to keep him from exiting the classroom into the hallway. G.S. 110-91(10) 1823 The EPR Plan did not include the location of the Ready to Go File and or the required information. The Ready to Go Plan did was not observed to include an updated Allergy list for children and staff. .0607(d)(10) Compliance documentation: You must correct the violations found during today's visit immediately and send me documentation verifying compliance on or before 5/08/2026. The following information must be included in your compliance letter: • each violation number, • how you corrected each violation, • what plan will be implemented to prevent each violation from occurring again, • the name of your center, • facility ID number, • date, • title of the person who signs the letter If you state in your Compliance Letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. You may email the letter to cara.mckeown@dhhs.nc.gov or mail two copies of the letter to: Cara McKeown 4948 Martin View Lane Unit 146 Winston Salem, NC 27104 Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. An unannounced follow-up visit will be conducted to monitor discipline and safe handling of children. Technical Assistance Provided During the Visit: Upon arrival to the facility seven (7) children three to five years of age were observed engaging in activities and playing with toys in the front office, which is not a licensed space to care for children. Ms. Lindsey stated she had been up front to check her email, print off a document, and work “in between” care; she took all children to their designated classroom within ten minutes. It is important for children enrolled to be cared for at all times in licensed space, both to ensure they have access to the required developmentally appropriate activities, and for their safety. You may consider creating a plan for staffing each classroom when one staff member is absent or has not yet arrived to work for the day to ensure children enrolled are cared for in the classroom environment. The staff member assigned to Space 8, a classroom designated for children infant and one year of age, was observed picking a child (one year of age) up off the ground by his right wrist to keep him from exiting the classroom into the hallway. Picking up a toddler by the wrist or lower arm can cause Nursemaid’s Elbow, a common, painful injury where the elbow joint partially dislocates. Because a toddler's ligaments are loose and bones are still developing, this action can easily cause the ligament to slip over the bone. This action can also cause soft tissue damage and/or shoulder dislocation. If a staff member needs to physically move a child, the child should always be lifted by supporting him/her under the armpits, around the torso, or by the hips. You may consider reviewing safe practices for physically moving children with all staff and substitutes employed. On the playground used by children, one twisted piece of metal attached to the inside of the fencing was observed to be sharp to the touch. In Space 5, a classroom designated for children two and three years of age, a small wooden toy stove was observed to be splintering and chipping in greater than four areas; two small wooden splinters were observed on the floor near the stove. These splinters were discarded during the visit. In Space 8, a solid room freshener and a box of hygienic wipes, both labeled Keep Out of Reach of Children with additional warnings, were observed stored greater than five feet up, but in unlocked storage. In the boys’ bathroom in the hallway, the last stall near the wall was observed open and with a spray bottle of foaming bathroom cleanser labeled Keep Out of Reach of Children with additional warnings sitting on the back of the toilet. The bathroom in the lobby of the program was observed to be unlocked; the cabinet beneath the sink was also unlocked and observed to contain an aerosol Febreeze spray and a spray bottle of foaming bathroom cleanser labeled Keep Out of Reach of Children with additional warnings. Each of these items was placed into locked storage during the visit. It is imperative for the indoor and outdoor environment to be a safe place for children to engage with and explore at all times. You may consider adding these items to a daily checklist to monitor the indoor and outdoor environment for potential safety hazards prior to children arriving or using these areas each day. The medication authorization for a Chapstick for one child enrolled in Space 5 had written authorization from 2/11/26 to 3/11/26, but had not been returned to the parent. This Chapstick was removed from the classroom and brought to the office to return to the parent during the visit. It is important for all medication and medication authorization forms to be current and active to ensure the health and safety of children enrolled. You may consider creating a calendar reminder to ensure all medication authorization forms are reviewed bi-monthly or monthly. Consultation Provided During Visit: The following Child Care Rules were reviewed with Ms. Lindsey during the visit: • 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (c) regarding safety covers for outlets - 10A NCAC 09 .1802 STAFF/CHILD INTERACTIONS regarding tone of voice used with children and interacting with them in positive ways Consider encouraging staff to complete trainings which include positive guidance of young children. Monitor the child-sized couches in Spaces 2 and 5 for cracking areas and general wear and tear which can make sanitizing these items difficult; you may consider covering these areas with a strong adhesive plastic/rubber cover as you notice them occur. On-Going Professional Development In addition to the required Health and Safety Trainings, staff can access professional development training on the DCDEE website in Moodle under Early Childhood Professional Development in the categories of Child Care and Development Fund (CCDF), Orientation and Regulatory. Updated training modules are being added, including a Child Care Rule Rollout with new rules effective July 1, 2025, found under the Regulatory tab. Specifically, under the Orientation tab, I would encourage all staff to complete the training for “Child Development Module.” This training module provides a basic overview about child development and is designed to help early educators support infants, toddlers, and preschool children to reach their next developmental milestone. In addition to gaining introductory knowledge about child development, early educators will learn about the many resources and professional agencies available in North Carolina to help with promoting a responsive and engaging learning environment to support all children served. Upon completion, participants will receive one (1) contact hour credit (CHC). An individual NCID username and password is needed to access the DCDEE Moodle. If you experience problems with Moodle, contact dcdee_moodle_support@dhhs.nc.gov for assistance. For other training-related questions, please contact the Training and Program Development Consultant, Amia Eaton by calling (919) 814-6365 or emailing her at Amia.Eaton@dhhs.nc.gov • You must notify your consultant 30 days prior to changing the ownership status of your facility. Thank you for your time and assistance during this visit. At the completion of the visit, this visit summary, enrollment worksheet, and monitoring checklist were printed, and a copy was provided to you. You were given the opportunity to ask questions during the visit. Contact me, Cara McKeown, Child Care Consultant, at (336) 408-4849 or cara.mckeown@dhhs.nc.gov or Pamela Hauser, Licensing Supervisor, at (336) 317-5003 pamela.hauser@dhhs.nc.gov if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0604 · Violation

Name of Operation: CHRIST RESCUE TEMPLE #3 Facility ID: 34000300 Consultant: CARA MCKEOWN-STEWART Operation Type: Center Case Number: Visit Date: 4/24/2026 Number Present: 18 Completed Date: 4/24/2026 Age: From 1 To 5 Total Minutes: 195 Time In: 09:45 AM Time Out: 01:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable childcare requirements for a routine unannounced visit. This visit was conducted with Deborah Lindsey, Director. Your program currently operates with a G.S.-110 Notice of Compliance effective 2/01/1998. Restrictions include 1st shift care only. The program’s compliance history was 91% prior to today’s visit. All programs are required to maintain at least 75% compliance. Today, the following items were monitored: • Supervision • Staff / Child Ratio • CPR / First Aid • Special Training • CBC Qualification • ITS – SIDS • Emergency Medical Care Plan • Administration of Medication • Storage of Hazardous Products • Storage of Medication • General Safety • Discipline • Adequate / Approved Space • Program Records • License Posted • Permit Restrictions The license was observed, and the restrictions were found in compliance. Upon arrival to the facility seven (7) children three to five years of age were observed engaging in activities and playing with toys in the front office, which is not a licensed space to care for children. Ms. Lindsey stated she had been up front to check her email, print off a document, and work “in between” care; she took all children to their designated classroom within ten minutes. A walk-through of the facility was completed today. Indoor and outdoor areas were observed. Staff/child ratio and space capacity were monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed staff/child interactions today. I observed children engaging in conversations and activities with their teachers individually, in groups, and in centers and participating in general routines during the visit. One new staff member was reported at this program. Storage and administration of medication and medication authorization were monitored. Storage of hazardous items was monitored today. The most recent playground inspection was recorded 3/24/26. A fire drill was recorded 3/10/26. A lockdown drill for the facility was recorded 2/26/26. The most recent fire inspection was on 1/06/2025. I observed a sanitation inspection was last conducted on 12/19/25 earning a Superior classification. The program does not participate in off-premise or aquatic activities at this time. The following violations were cited during today’s visit: Violation Number Comment Rule 125 Daily records of arrival and departure times for children at the center were not maintained as children arrive and depart and/or were not made available for review. The times of arrival were not observed to be recorded for one child enrolled in Space 8 and one child enrolled in Space 5. 10A NCAC 09 .0302(d)(4) 209 Children used space that was not approved. Upon arrival to the facility seven (7) children three to five years of age were observed engaging in activities and playing with toys in the front office, which is not a licensed space to care for children. GS 110-91(1)&(4-5) 807 A safe indoor and outdoor environment was not provided for the children. On the playground used by children, one twisted piece of metal attached to the inside of the fencing was observed to be sharp to the touch. In Space 5, a classroom designated for children two and three years of age, a small wooden toy stove was observed to be splintering and chipping in greater than four areas; two small wooden splinters were observed on the floor near the stove. These splinters were discarded during the visit. 10A NCAC 09 .0601(a) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. In Space 8, a solid room freshener and a box of hygienic wipes, both labeled Keep Out of Reach of Children with additional warnings, were observed stored greater than five feet up, but in unlocked storage. In the boys’ bathroom in the hallway, the last stall near the wall was observed open and with a spray bottle of foaming bathroom cleanser labeled Keep Out of Reach of Children with additional warnings sitting on the back of the toilet. The bathroom in the lobby of the program was observed to be unlocked; the cabinet beneath the sink was also unlocked and observed to contain an aerosol Febreeze spray and a spray bottle of foaming bathroom cleanser labeled Keep Out of Reach of Children with additional warnings. .2820(b) 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. The medication authorization for a Chapstick for one child enrolled in Space 5 had written authorization from 2/11/26 to 3/11/26, but had not been returned to the parent. .0803(12) 902 Each child was not attended to in a nurturing and appropriate manner, or in keeping with the child's developmental needs. The staff member assigned to Space 8, a classroom designated for children infant and one year of age, was observed picking a child (one year of age) up off the ground by his right wrist to keep him from exiting the classroom into the hallway. G.S. 110-91(10) 1823 The EPR Plan did not include the location of the Ready to Go File and or the required information. The Ready to Go Plan did was not observed to include an updated Allergy list for children and staff. .0607(d)(10) Compliance documentation: You must correct the violations found during today's visit immediately and send me documentation verifying compliance on or before 5/08/2026. The following information must be included in your compliance letter: • each violation number, • how you corrected each violation, • what plan will be implemented to prevent each violation from occurring again, • the name of your center, • facility ID number, • date, • title of the person who signs the letter If you state in your Compliance Letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. You may email the letter to cara.mckeown@dhhs.nc.gov or mail two copies of the letter to: Cara McKeown 4948 Martin View Lane Unit 146 Winston Salem, NC 27104 Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. An unannounced follow-up visit will be conducted to monitor discipline and safe handling of children. Technical Assistance Provided During the Visit: Upon arrival to the facility seven (7) children three to five years of age were observed engaging in activities and playing with toys in the front office, which is not a licensed space to care for children. Ms. Lindsey stated she had been up front to check her email, print off a document, and work “in between” care; she took all children to their designated classroom within ten minutes. It is important for children enrolled to be cared for at all times in licensed space, both to ensure they have access to the required developmentally appropriate activities, and for their safety. You may consider creating a plan for staffing each classroom when one staff member is absent or has not yet arrived to work for the day to ensure children enrolled are cared for in the classroom environment. The staff member assigned to Space 8, a classroom designated for children infant and one year of age, was observed picking a child (one year of age) up off the ground by his right wrist to keep him from exiting the classroom into the hallway. Picking up a toddler by the wrist or lower arm can cause Nursemaid’s Elbow, a common, painful injury where the elbow joint partially dislocates. Because a toddler's ligaments are loose and bones are still developing, this action can easily cause the ligament to slip over the bone. This action can also cause soft tissue damage and/or shoulder dislocation. If a staff member needs to physically move a child, the child should always be lifted by supporting him/her under the armpits, around the torso, or by the hips. You may consider reviewing safe practices for physically moving children with all staff and substitutes employed. On the playground used by children, one twisted piece of metal attached to the inside of the fencing was observed to be sharp to the touch. In Space 5, a classroom designated for children two and three years of age, a small wooden toy stove was observed to be splintering and chipping in greater than four areas; two small wooden splinters were observed on the floor near the stove. These splinters were discarded during the visit. In Space 8, a solid room freshener and a box of hygienic wipes, both labeled Keep Out of Reach of Children with additional warnings, were observed stored greater than five feet up, but in unlocked storage. In the boys’ bathroom in the hallway, the last stall near the wall was observed open and with a spray bottle of foaming bathroom cleanser labeled Keep Out of Reach of Children with additional warnings sitting on the back of the toilet. The bathroom in the lobby of the program was observed to be unlocked; the cabinet beneath the sink was also unlocked and observed to contain an aerosol Febreeze spray and a spray bottle of foaming bathroom cleanser labeled Keep Out of Reach of Children with additional warnings. Each of these items was placed into locked storage during the visit. It is imperative for the indoor and outdoor environment to be a safe place for children to engage with and explore at all times. You may consider adding these items to a daily checklist to monitor the indoor and outdoor environment for potential safety hazards prior to children arriving or using these areas each day. The medication authorization for a Chapstick for one child enrolled in Space 5 had written authorization from 2/11/26 to 3/11/26, but had not been returned to the parent. This Chapstick was removed from the classroom and brought to the office to return to the parent during the visit. It is important for all medication and medication authorization forms to be current and active to ensure the health and safety of children enrolled. You may consider creating a calendar reminder to ensure all medication authorization forms are reviewed bi-monthly or monthly. Consultation Provided During Visit: The following Child Care Rules were reviewed with Ms. Lindsey during the visit: • 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (c) regarding safety covers for outlets - 10A NCAC 09 .1802 STAFF/CHILD INTERACTIONS regarding tone of voice used with children and interacting with them in positive ways Consider encouraging staff to complete trainings which include positive guidance of young children. Monitor the child-sized couches in Spaces 2 and 5 for cracking areas and general wear and tear which can make sanitizing these items difficult; you may consider covering these areas with a strong adhesive plastic/rubber cover as you notice them occur. On-Going Professional Development In addition to the required Health and Safety Trainings, staff can access professional development training on the DCDEE website in Moodle under Early Childhood Professional Development in the categories of Child Care and Development Fund (CCDF), Orientation and Regulatory. Updated training modules are being added, including a Child Care Rule Rollout with new rules effective July 1, 2025, found under the Regulatory tab. Specifically, under the Orientation tab, I would encourage all staff to complete the training for “Child Development Module.” This training module provides a basic overview about child development and is designed to help early educators support infants, toddlers, and preschool children to reach their next developmental milestone. In addition to gaining introductory knowledge about child development, early educators will learn about the many resources and professional agencies available in North Carolina to help with promoting a responsive and engaging learning environment to support all children served. Upon completion, participants will receive one (1) contact hour credit (CHC). An individual NCID username and password is needed to access the DCDEE Moodle. If you experience problems with Moodle, contact dcdee_moodle_support@dhhs.nc.gov for assistance. For other training-related questions, please contact the Training and Program Development Consultant, Amia Eaton by calling (919) 814-6365 or emailing her at Amia.Eaton@dhhs.nc.gov • You must notify your consultant 30 days prior to changing the ownership status of your facility. Thank you for your time and assistance during this visit. At the completion of the visit, this visit summary, enrollment worksheet, and monitoring checklist were printed, and a copy was provided to you. You were given the opportunity to ask questions during the visit. Contact me, Cara McKeown, Child Care Consultant, at (336) 408-4849 or cara.mckeown@dhhs.nc.gov or Pamela Hauser, Licensing Supervisor, at (336) 317-5003 pamela.hauser@dhhs.nc.gov if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1802 · Violation

Name of Operation: CHRIST RESCUE TEMPLE #3 Facility ID: 34000300 Consultant: CARA MCKEOWN-STEWART Operation Type: Center Case Number: Visit Date: 4/24/2026 Number Present: 18 Completed Date: 4/24/2026 Age: From 1 To 5 Total Minutes: 195 Time In: 09:45 AM Time Out: 01:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable childcare requirements for a routine unannounced visit. This visit was conducted with Deborah Lindsey, Director. Your program currently operates with a G.S.-110 Notice of Compliance effective 2/01/1998. Restrictions include 1st shift care only. The program’s compliance history was 91% prior to today’s visit. All programs are required to maintain at least 75% compliance. Today, the following items were monitored: • Supervision • Staff / Child Ratio • CPR / First Aid • Special Training • CBC Qualification • ITS – SIDS • Emergency Medical Care Plan • Administration of Medication • Storage of Hazardous Products • Storage of Medication • General Safety • Discipline • Adequate / Approved Space • Program Records • License Posted • Permit Restrictions The license was observed, and the restrictions were found in compliance. Upon arrival to the facility seven (7) children three to five years of age were observed engaging in activities and playing with toys in the front office, which is not a licensed space to care for children. Ms. Lindsey stated she had been up front to check her email, print off a document, and work “in between” care; she took all children to their designated classroom within ten minutes. A walk-through of the facility was completed today. Indoor and outdoor areas were observed. Staff/child ratio and space capacity were monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed staff/child interactions today. I observed children engaging in conversations and activities with their teachers individually, in groups, and in centers and participating in general routines during the visit. One new staff member was reported at this program. Storage and administration of medication and medication authorization were monitored. Storage of hazardous items was monitored today. The most recent playground inspection was recorded 3/24/26. A fire drill was recorded 3/10/26. A lockdown drill for the facility was recorded 2/26/26. The most recent fire inspection was on 1/06/2025. I observed a sanitation inspection was last conducted on 12/19/25 earning a Superior classification. The program does not participate in off-premise or aquatic activities at this time. The following violations were cited during today’s visit: Violation Number Comment Rule 125 Daily records of arrival and departure times for children at the center were not maintained as children arrive and depart and/or were not made available for review. The times of arrival were not observed to be recorded for one child enrolled in Space 8 and one child enrolled in Space 5. 10A NCAC 09 .0302(d)(4) 209 Children used space that was not approved. Upon arrival to the facility seven (7) children three to five years of age were observed engaging in activities and playing with toys in the front office, which is not a licensed space to care for children. GS 110-91(1)&(4-5) 807 A safe indoor and outdoor environment was not provided for the children. On the playground used by children, one twisted piece of metal attached to the inside of the fencing was observed to be sharp to the touch. In Space 5, a classroom designated for children two and three years of age, a small wooden toy stove was observed to be splintering and chipping in greater than four areas; two small wooden splinters were observed on the floor near the stove. These splinters were discarded during the visit. 10A NCAC 09 .0601(a) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. In Space 8, a solid room freshener and a box of hygienic wipes, both labeled Keep Out of Reach of Children with additional warnings, were observed stored greater than five feet up, but in unlocked storage. In the boys’ bathroom in the hallway, the last stall near the wall was observed open and with a spray bottle of foaming bathroom cleanser labeled Keep Out of Reach of Children with additional warnings sitting on the back of the toilet. The bathroom in the lobby of the program was observed to be unlocked; the cabinet beneath the sink was also unlocked and observed to contain an aerosol Febreeze spray and a spray bottle of foaming bathroom cleanser labeled Keep Out of Reach of Children with additional warnings. .2820(b) 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. The medication authorization for a Chapstick for one child enrolled in Space 5 had written authorization from 2/11/26 to 3/11/26, but had not been returned to the parent. .0803(12) 902 Each child was not attended to in a nurturing and appropriate manner, or in keeping with the child's developmental needs. The staff member assigned to Space 8, a classroom designated for children infant and one year of age, was observed picking a child (one year of age) up off the ground by his right wrist to keep him from exiting the classroom into the hallway. G.S. 110-91(10) 1823 The EPR Plan did not include the location of the Ready to Go File and or the required information. The Ready to Go Plan did was not observed to include an updated Allergy list for children and staff. .0607(d)(10) Compliance documentation: You must correct the violations found during today's visit immediately and send me documentation verifying compliance on or before 5/08/2026. The following information must be included in your compliance letter: • each violation number, • how you corrected each violation, • what plan will be implemented to prevent each violation from occurring again, • the name of your center, • facility ID number, • date, • title of the person who signs the letter If you state in your Compliance Letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. You may email the letter to cara.mckeown@dhhs.nc.gov or mail two copies of the letter to: Cara McKeown 4948 Martin View Lane Unit 146 Winston Salem, NC 27104 Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. An unannounced follow-up visit will be conducted to monitor discipline and safe handling of children. Technical Assistance Provided During the Visit: Upon arrival to the facility seven (7) children three to five years of age were observed engaging in activities and playing with toys in the front office, which is not a licensed space to care for children. Ms. Lindsey stated she had been up front to check her email, print off a document, and work “in between” care; she took all children to their designated classroom within ten minutes. It is important for children enrolled to be cared for at all times in licensed space, both to ensure they have access to the required developmentally appropriate activities, and for their safety. You may consider creating a plan for staffing each classroom when one staff member is absent or has not yet arrived to work for the day to ensure children enrolled are cared for in the classroom environment. The staff member assigned to Space 8, a classroom designated for children infant and one year of age, was observed picking a child (one year of age) up off the ground by his right wrist to keep him from exiting the classroom into the hallway. Picking up a toddler by the wrist or lower arm can cause Nursemaid’s Elbow, a common, painful injury where the elbow joint partially dislocates. Because a toddler's ligaments are loose and bones are still developing, this action can easily cause the ligament to slip over the bone. This action can also cause soft tissue damage and/or shoulder dislocation. If a staff member needs to physically move a child, the child should always be lifted by supporting him/her under the armpits, around the torso, or by the hips. You may consider reviewing safe practices for physically moving children with all staff and substitutes employed. On the playground used by children, one twisted piece of metal attached to the inside of the fencing was observed to be sharp to the touch. In Space 5, a classroom designated for children two and three years of age, a small wooden toy stove was observed to be splintering and chipping in greater than four areas; two small wooden splinters were observed on the floor near the stove. These splinters were discarded during the visit. In Space 8, a solid room freshener and a box of hygienic wipes, both labeled Keep Out of Reach of Children with additional warnings, were observed stored greater than five feet up, but in unlocked storage. In the boys’ bathroom in the hallway, the last stall near the wall was observed open and with a spray bottle of foaming bathroom cleanser labeled Keep Out of Reach of Children with additional warnings sitting on the back of the toilet. The bathroom in the lobby of the program was observed to be unlocked; the cabinet beneath the sink was also unlocked and observed to contain an aerosol Febreeze spray and a spray bottle of foaming bathroom cleanser labeled Keep Out of Reach of Children with additional warnings. Each of these items was placed into locked storage during the visit. It is imperative for the indoor and outdoor environment to be a safe place for children to engage with and explore at all times. You may consider adding these items to a daily checklist to monitor the indoor and outdoor environment for potential safety hazards prior to children arriving or using these areas each day. The medication authorization for a Chapstick for one child enrolled in Space 5 had written authorization from 2/11/26 to 3/11/26, but had not been returned to the parent. This Chapstick was removed from the classroom and brought to the office to return to the parent during the visit. It is important for all medication and medication authorization forms to be current and active to ensure the health and safety of children enrolled. You may consider creating a calendar reminder to ensure all medication authorization forms are reviewed bi-monthly or monthly. Consultation Provided During Visit: The following Child Care Rules were reviewed with Ms. Lindsey during the visit: • 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (c) regarding safety covers for outlets - 10A NCAC 09 .1802 STAFF/CHILD INTERACTIONS regarding tone of voice used with children and interacting with them in positive ways Consider encouraging staff to complete trainings which include positive guidance of young children. Monitor the child-sized couches in Spaces 2 and 5 for cracking areas and general wear and tear which can make sanitizing these items difficult; you may consider covering these areas with a strong adhesive plastic/rubber cover as you notice them occur. On-Going Professional Development In addition to the required Health and Safety Trainings, staff can access professional development training on the DCDEE website in Moodle under Early Childhood Professional Development in the categories of Child Care and Development Fund (CCDF), Orientation and Regulatory. Updated training modules are being added, including a Child Care Rule Rollout with new rules effective July 1, 2025, found under the Regulatory tab. Specifically, under the Orientation tab, I would encourage all staff to complete the training for “Child Development Module.” This training module provides a basic overview about child development and is designed to help early educators support infants, toddlers, and preschool children to reach their next developmental milestone. In addition to gaining introductory knowledge about child development, early educators will learn about the many resources and professional agencies available in North Carolina to help with promoting a responsive and engaging learning environment to support all children served. Upon completion, participants will receive one (1) contact hour credit (CHC). An individual NCID username and password is needed to access the DCDEE Moodle. If you experience problems with Moodle, contact dcdee_moodle_support@dhhs.nc.gov for assistance. For other training-related questions, please contact the Training and Program Development Consultant, Amia Eaton by calling (919) 814-6365 or emailing her at Amia.Eaton@dhhs.nc.gov • You must notify your consultant 30 days prior to changing the ownership status of your facility. Thank you for your time and assistance during this visit. At the completion of the visit, this visit summary, enrollment worksheet, and monitoring checklist were printed, and a copy was provided to you. You were given the opportunity to ask questions during the visit. Contact me, Cara McKeown, Child Care Consultant, at (336) 408-4849 or cara.mckeown@dhhs.nc.gov or Pamela Hauser, Licensing Supervisor, at (336) 317-5003 pamela.hauser@dhhs.nc.gov if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

G.S. 110-91 · Violation

Name of Operation: CHRIST RESCUE TEMPLE #3 Facility ID: 34000300 Consultant: CARA MCKEOWN-STEWART Operation Type: Center Case Number: Visit Date: 4/24/2026 Number Present: 18 Completed Date: 4/24/2026 Age: From 1 To 5 Total Minutes: 195 Time In: 09:45 AM Time Out: 01:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable childcare requirements for a routine unannounced visit. This visit was conducted with Deborah Lindsey, Director. Your program currently operates with a G.S.-110 Notice of Compliance effective 2/01/1998. Restrictions include 1st shift care only. The program’s compliance history was 91% prior to today’s visit. All programs are required to maintain at least 75% compliance. Today, the following items were monitored: • Supervision • Staff / Child Ratio • CPR / First Aid • Special Training • CBC Qualification • ITS – SIDS • Emergency Medical Care Plan • Administration of Medication • Storage of Hazardous Products • Storage of Medication • General Safety • Discipline • Adequate / Approved Space • Program Records • License Posted • Permit Restrictions The license was observed, and the restrictions were found in compliance. Upon arrival to the facility seven (7) children three to five years of age were observed engaging in activities and playing with toys in the front office, which is not a licensed space to care for children. Ms. Lindsey stated she had been up front to check her email, print off a document, and work “in between” care; she took all children to their designated classroom within ten minutes. A walk-through of the facility was completed today. Indoor and outdoor areas were observed. Staff/child ratio and space capacity were monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed staff/child interactions today. I observed children engaging in conversations and activities with their teachers individually, in groups, and in centers and participating in general routines during the visit. One new staff member was reported at this program. Storage and administration of medication and medication authorization were monitored. Storage of hazardous items was monitored today. The most recent playground inspection was recorded 3/24/26. A fire drill was recorded 3/10/26. A lockdown drill for the facility was recorded 2/26/26. The most recent fire inspection was on 1/06/2025. I observed a sanitation inspection was last conducted on 12/19/25 earning a Superior classification. The program does not participate in off-premise or aquatic activities at this time. The following violations were cited during today’s visit: Violation Number Comment Rule 125 Daily records of arrival and departure times for children at the center were not maintained as children arrive and depart and/or were not made available for review. The times of arrival were not observed to be recorded for one child enrolled in Space 8 and one child enrolled in Space 5. 10A NCAC 09 .0302(d)(4) 209 Children used space that was not approved. Upon arrival to the facility seven (7) children three to five years of age were observed engaging in activities and playing with toys in the front office, which is not a licensed space to care for children. GS 110-91(1)&(4-5) 807 A safe indoor and outdoor environment was not provided for the children. On the playground used by children, one twisted piece of metal attached to the inside of the fencing was observed to be sharp to the touch. In Space 5, a classroom designated for children two and three years of age, a small wooden toy stove was observed to be splintering and chipping in greater than four areas; two small wooden splinters were observed on the floor near the stove. These splinters were discarded during the visit. 10A NCAC 09 .0601(a) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. In Space 8, a solid room freshener and a box of hygienic wipes, both labeled Keep Out of Reach of Children with additional warnings, were observed stored greater than five feet up, but in unlocked storage. In the boys’ bathroom in the hallway, the last stall near the wall was observed open and with a spray bottle of foaming bathroom cleanser labeled Keep Out of Reach of Children with additional warnings sitting on the back of the toilet. The bathroom in the lobby of the program was observed to be unlocked; the cabinet beneath the sink was also unlocked and observed to contain an aerosol Febreeze spray and a spray bottle of foaming bathroom cleanser labeled Keep Out of Reach of Children with additional warnings. .2820(b) 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. The medication authorization for a Chapstick for one child enrolled in Space 5 had written authorization from 2/11/26 to 3/11/26, but had not been returned to the parent. .0803(12) 902 Each child was not attended to in a nurturing and appropriate manner, or in keeping with the child's developmental needs. The staff member assigned to Space 8, a classroom designated for children infant and one year of age, was observed picking a child (one year of age) up off the ground by his right wrist to keep him from exiting the classroom into the hallway. G.S. 110-91(10) 1823 The EPR Plan did not include the location of the Ready to Go File and or the required information. The Ready to Go Plan did was not observed to include an updated Allergy list for children and staff. .0607(d)(10) Compliance documentation: You must correct the violations found during today's visit immediately and send me documentation verifying compliance on or before 5/08/2026. The following information must be included in your compliance letter: • each violation number, • how you corrected each violation, • what plan will be implemented to prevent each violation from occurring again, • the name of your center, • facility ID number, • date, • title of the person who signs the letter If you state in your Compliance Letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. You may email the letter to cara.mckeown@dhhs.nc.gov or mail two copies of the letter to: Cara McKeown 4948 Martin View Lane Unit 146 Winston Salem, NC 27104 Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. An unannounced follow-up visit will be conducted to monitor discipline and safe handling of children. Technical Assistance Provided During the Visit: Upon arrival to the facility seven (7) children three to five years of age were observed engaging in activities and playing with toys in the front office, which is not a licensed space to care for children. Ms. Lindsey stated she had been up front to check her email, print off a document, and work “in between” care; she took all children to their designated classroom within ten minutes. It is important for children enrolled to be cared for at all times in licensed space, both to ensure they have access to the required developmentally appropriate activities, and for their safety. You may consider creating a plan for staffing each classroom when one staff member is absent or has not yet arrived to work for the day to ensure children enrolled are cared for in the classroom environment. The staff member assigned to Space 8, a classroom designated for children infant and one year of age, was observed picking a child (one year of age) up off the ground by his right wrist to keep him from exiting the classroom into the hallway. Picking up a toddler by the wrist or lower arm can cause Nursemaid’s Elbow, a common, painful injury where the elbow joint partially dislocates. Because a toddler's ligaments are loose and bones are still developing, this action can easily cause the ligament to slip over the bone. This action can also cause soft tissue damage and/or shoulder dislocation. If a staff member needs to physically move a child, the child should always be lifted by supporting him/her under the armpits, around the torso, or by the hips. You may consider reviewing safe practices for physically moving children with all staff and substitutes employed. On the playground used by children, one twisted piece of metal attached to the inside of the fencing was observed to be sharp to the touch. In Space 5, a classroom designated for children two and three years of age, a small wooden toy stove was observed to be splintering and chipping in greater than four areas; two small wooden splinters were observed on the floor near the stove. These splinters were discarded during the visit. In Space 8, a solid room freshener and a box of hygienic wipes, both labeled Keep Out of Reach of Children with additional warnings, were observed stored greater than five feet up, but in unlocked storage. In the boys’ bathroom in the hallway, the last stall near the wall was observed open and with a spray bottle of foaming bathroom cleanser labeled Keep Out of Reach of Children with additional warnings sitting on the back of the toilet. The bathroom in the lobby of the program was observed to be unlocked; the cabinet beneath the sink was also unlocked and observed to contain an aerosol Febreeze spray and a spray bottle of foaming bathroom cleanser labeled Keep Out of Reach of Children with additional warnings. Each of these items was placed into locked storage during the visit. It is imperative for the indoor and outdoor environment to be a safe place for children to engage with and explore at all times. You may consider adding these items to a daily checklist to monitor the indoor and outdoor environment for potential safety hazards prior to children arriving or using these areas each day. The medication authorization for a Chapstick for one child enrolled in Space 5 had written authorization from 2/11/26 to 3/11/26, but had not been returned to the parent. This Chapstick was removed from the classroom and brought to the office to return to the parent during the visit. It is important for all medication and medication authorization forms to be current and active to ensure the health and safety of children enrolled. You may consider creating a calendar reminder to ensure all medication authorization forms are reviewed bi-monthly or monthly. Consultation Provided During Visit: The following Child Care Rules were reviewed with Ms. Lindsey during the visit: • 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (c) regarding safety covers for outlets - 10A NCAC 09 .1802 STAFF/CHILD INTERACTIONS regarding tone of voice used with children and interacting with them in positive ways Consider encouraging staff to complete trainings which include positive guidance of young children. Monitor the child-sized couches in Spaces 2 and 5 for cracking areas and general wear and tear which can make sanitizing these items difficult; you may consider covering these areas with a strong adhesive plastic/rubber cover as you notice them occur. On-Going Professional Development In addition to the required Health and Safety Trainings, staff can access professional development training on the DCDEE website in Moodle under Early Childhood Professional Development in the categories of Child Care and Development Fund (CCDF), Orientation and Regulatory. Updated training modules are being added, including a Child Care Rule Rollout with new rules effective July 1, 2025, found under the Regulatory tab. Specifically, under the Orientation tab, I would encourage all staff to complete the training for “Child Development Module.” This training module provides a basic overview about child development and is designed to help early educators support infants, toddlers, and preschool children to reach their next developmental milestone. In addition to gaining introductory knowledge about child development, early educators will learn about the many resources and professional agencies available in North Carolina to help with promoting a responsive and engaging learning environment to support all children served. Upon completion, participants will receive one (1) contact hour credit (CHC). An individual NCID username and password is needed to access the DCDEE Moodle. If you experience problems with Moodle, contact dcdee_moodle_support@dhhs.nc.gov for assistance. For other training-related questions, please contact the Training and Program Development Consultant, Amia Eaton by calling (919) 814-6365 or emailing her at Amia.Eaton@dhhs.nc.gov • You must notify your consultant 30 days prior to changing the ownership status of your facility. Thank you for your time and assistance during this visit. At the completion of the visit, this visit summary, enrollment worksheet, and monitoring checklist were printed, and a copy was provided to you. You were given the opportunity to ask questions during the visit. Contact me, Cara McKeown, Child Care Consultant, at (336) 408-4849 or cara.mckeown@dhhs.nc.gov or Pamela Hauser, Licensing Supervisor, at (336) 317-5003 pamela.hauser@dhhs.nc.gov if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

GS 110-91 · Violation

Name of Operation: CHRIST RESCUE TEMPLE #3 Facility ID: 34000300 Consultant: CARA MCKEOWN-STEWART Operation Type: Center Case Number: Visit Date: 4/24/2026 Number Present: 18 Completed Date: 4/24/2026 Age: From 1 To 5 Total Minutes: 195 Time In: 09:45 AM Time Out: 01:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable childcare requirements for a routine unannounced visit. This visit was conducted with Deborah Lindsey, Director. Your program currently operates with a G.S.-110 Notice of Compliance effective 2/01/1998. Restrictions include 1st shift care only. The program’s compliance history was 91% prior to today’s visit. All programs are required to maintain at least 75% compliance. Today, the following items were monitored: • Supervision • Staff / Child Ratio • CPR / First Aid • Special Training • CBC Qualification • ITS – SIDS • Emergency Medical Care Plan • Administration of Medication • Storage of Hazardous Products • Storage of Medication • General Safety • Discipline • Adequate / Approved Space • Program Records • License Posted • Permit Restrictions The license was observed, and the restrictions were found in compliance. Upon arrival to the facility seven (7) children three to five years of age were observed engaging in activities and playing with toys in the front office, which is not a licensed space to care for children. Ms. Lindsey stated she had been up front to check her email, print off a document, and work “in between” care; she took all children to their designated classroom within ten minutes. A walk-through of the facility was completed today. Indoor and outdoor areas were observed. Staff/child ratio and space capacity were monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed staff/child interactions today. I observed children engaging in conversations and activities with their teachers individually, in groups, and in centers and participating in general routines during the visit. One new staff member was reported at this program. Storage and administration of medication and medication authorization were monitored. Storage of hazardous items was monitored today. The most recent playground inspection was recorded 3/24/26. A fire drill was recorded 3/10/26. A lockdown drill for the facility was recorded 2/26/26. The most recent fire inspection was on 1/06/2025. I observed a sanitation inspection was last conducted on 12/19/25 earning a Superior classification. The program does not participate in off-premise or aquatic activities at this time. The following violations were cited during today’s visit: Violation Number Comment Rule 125 Daily records of arrival and departure times for children at the center were not maintained as children arrive and depart and/or were not made available for review. The times of arrival were not observed to be recorded for one child enrolled in Space 8 and one child enrolled in Space 5. 10A NCAC 09 .0302(d)(4) 209 Children used space that was not approved. Upon arrival to the facility seven (7) children three to five years of age were observed engaging in activities and playing with toys in the front office, which is not a licensed space to care for children. GS 110-91(1)&(4-5) 807 A safe indoor and outdoor environment was not provided for the children. On the playground used by children, one twisted piece of metal attached to the inside of the fencing was observed to be sharp to the touch. In Space 5, a classroom designated for children two and three years of age, a small wooden toy stove was observed to be splintering and chipping in greater than four areas; two small wooden splinters were observed on the floor near the stove. These splinters were discarded during the visit. 10A NCAC 09 .0601(a) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. In Space 8, a solid room freshener and a box of hygienic wipes, both labeled Keep Out of Reach of Children with additional warnings, were observed stored greater than five feet up, but in unlocked storage. In the boys’ bathroom in the hallway, the last stall near the wall was observed open and with a spray bottle of foaming bathroom cleanser labeled Keep Out of Reach of Children with additional warnings sitting on the back of the toilet. The bathroom in the lobby of the program was observed to be unlocked; the cabinet beneath the sink was also unlocked and observed to contain an aerosol Febreeze spray and a spray bottle of foaming bathroom cleanser labeled Keep Out of Reach of Children with additional warnings. .2820(b) 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. The medication authorization for a Chapstick for one child enrolled in Space 5 had written authorization from 2/11/26 to 3/11/26, but had not been returned to the parent. .0803(12) 902 Each child was not attended to in a nurturing and appropriate manner, or in keeping with the child's developmental needs. The staff member assigned to Space 8, a classroom designated for children infant and one year of age, was observed picking a child (one year of age) up off the ground by his right wrist to keep him from exiting the classroom into the hallway. G.S. 110-91(10) 1823 The EPR Plan did not include the location of the Ready to Go File and or the required information. The Ready to Go Plan did was not observed to include an updated Allergy list for children and staff. .0607(d)(10) Compliance documentation: You must correct the violations found during today's visit immediately and send me documentation verifying compliance on or before 5/08/2026. The following information must be included in your compliance letter: • each violation number, • how you corrected each violation, • what plan will be implemented to prevent each violation from occurring again, • the name of your center, • facility ID number, • date, • title of the person who signs the letter If you state in your Compliance Letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. You may email the letter to cara.mckeown@dhhs.nc.gov or mail two copies of the letter to: Cara McKeown 4948 Martin View Lane Unit 146 Winston Salem, NC 27104 Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. An unannounced follow-up visit will be conducted to monitor discipline and safe handling of children. Technical Assistance Provided During the Visit: Upon arrival to the facility seven (7) children three to five years of age were observed engaging in activities and playing with toys in the front office, which is not a licensed space to care for children. Ms. Lindsey stated she had been up front to check her email, print off a document, and work “in between” care; she took all children to their designated classroom within ten minutes. It is important for children enrolled to be cared for at all times in licensed space, both to ensure they have access to the required developmentally appropriate activities, and for their safety. You may consider creating a plan for staffing each classroom when one staff member is absent or has not yet arrived to work for the day to ensure children enrolled are cared for in the classroom environment. The staff member assigned to Space 8, a classroom designated for children infant and one year of age, was observed picking a child (one year of age) up off the ground by his right wrist to keep him from exiting the classroom into the hallway. Picking up a toddler by the wrist or lower arm can cause Nursemaid’s Elbow, a common, painful injury where the elbow joint partially dislocates. Because a toddler's ligaments are loose and bones are still developing, this action can easily cause the ligament to slip over the bone. This action can also cause soft tissue damage and/or shoulder dislocation. If a staff member needs to physically move a child, the child should always be lifted by supporting him/her under the armpits, around the torso, or by the hips. You may consider reviewing safe practices for physically moving children with all staff and substitutes employed. On the playground used by children, one twisted piece of metal attached to the inside of the fencing was observed to be sharp to the touch. In Space 5, a classroom designated for children two and three years of age, a small wooden toy stove was observed to be splintering and chipping in greater than four areas; two small wooden splinters were observed on the floor near the stove. These splinters were discarded during the visit. In Space 8, a solid room freshener and a box of hygienic wipes, both labeled Keep Out of Reach of Children with additional warnings, were observed stored greater than five feet up, but in unlocked storage. In the boys’ bathroom in the hallway, the last stall near the wall was observed open and with a spray bottle of foaming bathroom cleanser labeled Keep Out of Reach of Children with additional warnings sitting on the back of the toilet. The bathroom in the lobby of the program was observed to be unlocked; the cabinet beneath the sink was also unlocked and observed to contain an aerosol Febreeze spray and a spray bottle of foaming bathroom cleanser labeled Keep Out of Reach of Children with additional warnings. Each of these items was placed into locked storage during the visit. It is imperative for the indoor and outdoor environment to be a safe place for children to engage with and explore at all times. You may consider adding these items to a daily checklist to monitor the indoor and outdoor environment for potential safety hazards prior to children arriving or using these areas each day. The medication authorization for a Chapstick for one child enrolled in Space 5 had written authorization from 2/11/26 to 3/11/26, but had not been returned to the parent. This Chapstick was removed from the classroom and brought to the office to return to the parent during the visit. It is important for all medication and medication authorization forms to be current and active to ensure the health and safety of children enrolled. You may consider creating a calendar reminder to ensure all medication authorization forms are reviewed bi-monthly or monthly. Consultation Provided During Visit: The following Child Care Rules were reviewed with Ms. Lindsey during the visit: • 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (c) regarding safety covers for outlets - 10A NCAC 09 .1802 STAFF/CHILD INTERACTIONS regarding tone of voice used with children and interacting with them in positive ways Consider encouraging staff to complete trainings which include positive guidance of young children. Monitor the child-sized couches in Spaces 2 and 5 for cracking areas and general wear and tear which can make sanitizing these items difficult; you may consider covering these areas with a strong adhesive plastic/rubber cover as you notice them occur. On-Going Professional Development In addition to the required Health and Safety Trainings, staff can access professional development training on the DCDEE website in Moodle under Early Childhood Professional Development in the categories of Child Care and Development Fund (CCDF), Orientation and Regulatory. Updated training modules are being added, including a Child Care Rule Rollout with new rules effective July 1, 2025, found under the Regulatory tab. Specifically, under the Orientation tab, I would encourage all staff to complete the training for “Child Development Module.” This training module provides a basic overview about child development and is designed to help early educators support infants, toddlers, and preschool children to reach their next developmental milestone. In addition to gaining introductory knowledge about child development, early educators will learn about the many resources and professional agencies available in North Carolina to help with promoting a responsive and engaging learning environment to support all children served. Upon completion, participants will receive one (1) contact hour credit (CHC). An individual NCID username and password is needed to access the DCDEE Moodle. If you experience problems with Moodle, contact dcdee_moodle_support@dhhs.nc.gov for assistance. For other training-related questions, please contact the Training and Program Development Consultant, Amia Eaton by calling (919) 814-6365 or emailing her at Amia.Eaton@dhhs.nc.gov • You must notify your consultant 30 days prior to changing the ownership status of your facility. Thank you for your time and assistance during this visit. At the completion of the visit, this visit summary, enrollment worksheet, and monitoring checklist were printed, and a copy was provided to you. You were given the opportunity to ask questions during the visit. Contact me, Cara McKeown, Child Care Consultant, at (336) 408-4849 or cara.mckeown@dhhs.nc.gov or Pamela Hauser, Licensing Supervisor, at (336) 317-5003 pamela.hauser@dhhs.nc.gov if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0601 · Violation

Name of Operation: CHRIST RESCUE TEMPLE #3 Facility ID: 34000300 Consultant: CARA MCKEOWN-STEWART Operation Type: Center Case Number: Visit Date: 10/14/2025 Number Present: 17 Completed Date: 10/14/2025 Age: From 0 To 4 Total Minutes: 190 Time In: 09:20 AM Time Out: 12:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced An unannounced annual compliance visit was conducted at this childcare facility to monitor compliance with applicable childcare requirements. This visit was conducted with Deborah Lindsey, Director. Your program currently operates with a Notice of Compliance. The NC Secretary of State website was reviewed on 10/14/2025, and Christ Rescue Temple Apostolic Church was listed as current and active. The program’s compliance history was 89% prior to today’s visit. All programs are required to maintain at least 75% compliance. A walk-through of the facility was completed today. Indoor and outdoor areas were observed. Upon arrival, staff/child ratio and space capacity were monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed interactions today. I observed children playing in activity centers, participating in general routines, and eating lunch. I observed developmentally appropriate materials and activities were available to the children in the classrooms. The last annual compliance visit was conducted on 10/23/2024. A sanitation inspection was completed 5/14/2025 with a Superior classification. The last fire inspection was conducted 1/06/2025. Program records and required postings were monitored. A fire drill was conducted on 9/15/2025. A lockdown drill was documented on 8/04/2025. An outdoor inspection was documented on 9/19/2025. Staff files and children’s records were monitored per DCDEE procedures. No new staff members were reported since my last visit. The one existing staff member was reviewed during the visit. The files for two children enrolled were also reviewed during the visit. Storage of hazardous items was monitored today and found to be in compliance. Storage and administration of medication and medication authorization were monitored and found to be in compliance. The program is not approved to provide transportation or participate in aquatic or off-premise activities at this time. The following violations were cited during today’s visit: Violation Number Comment Rule 807 A safe indoor and outdoor environment was not provided for the children. On the playground used by children enrolled, two pieces of the metal fencing wire were observed pointed toward the inside of the play area and were sharp to the touch. Push pins were observed in two unlatched drawers accessible to children three and four years of age in Space 2; these push pins were made inaccessible to children during the visit. 10A NCAC 09 .0601(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. A torn plastic wrapper for a case of water bottles was observed accessible to infants in Space 8. .0604(q) 1805 A child care operator did not notify the Division of any new child care providers, as defined in G.S. 110-90.2(a)(2), who were hired or moved into the child care facility within five business days. A facility profile for Criminal Background Checks had not been created; hence, the director and staff CBCs were not yet linked to this profile. G.S. 110-90.2 & .2703(r) 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. You must correct the violations cited during today's visit immediately and send me documentation verifying compliance on or before 10/28/2024. The following information must be included in your signed and dated compliance letter: • the name of your center • facility ID number • date • title of the person who signs the letter • each violation number(s) • describes accurately and in detail how and when you corrected each violation You may email the letter to cara.mckeown@dhhs.nc.gov or mail two copies of the letter to: Cara McKeown 353 Jonestown Road, Unit #146 Winston Salem, NC 27104 If you state in your letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical assistance provided during today’s visit: On the playground used by children enrolled, two pieces of the metal fencing wire were observed pointed toward the inside of the play area and were sharp to the touch. Ms. Lindsey stated she was unaware these were issues on the fencing. You may consider adding monitoring the fencing as part of your monthly playground inspection. A facility profile for Criminal Background Checks had not been created; hence, the director and staff CBCs were not yet linked to this profile. It is necessary for all staff members to be linked to the center’s facility profile in the ABCMS system, as the process of notifying the Division of any new child care providers working who were hired or moved into the child care facility within five business days has changed to include this process. Ms. Lindsey stated she has the instructions I sent via email to complete this process. If you need additional assistance, please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. • You must notify your consultant 30 days prior to changing the ownership status of your facility. At the completion of the visit, this visit summary was reviewed with and provided to you, and you were given the opportunity to ask questions. Thank you for your time and assistance during the visit. If you have any questions about the visit, please contact me or my supervisor using the information below. Cara McKeown, Child Care Consultant (336) 408-4849 cara.mckeown@dhhs.nc.gov Pamela Hauser, Supervisor pamela.hauser@dhhs.nc.gov For the latest information on childcare rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.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: CHRIST RESCUE TEMPLE #3 Facility ID: 34000300 Consultant: CARA MCKEOWN-STEWART Operation Type: Center Case Number: Visit Date: 10/14/2025 Number Present: 17 Completed Date: 10/14/2025 Age: From 0 To 4 Total Minutes: 190 Time In: 09:20 AM Time Out: 12:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced An unannounced annual compliance visit was conducted at this childcare facility to monitor compliance with applicable childcare requirements. This visit was conducted with Deborah Lindsey, Director. Your program currently operates with a Notice of Compliance. The NC Secretary of State website was reviewed on 10/14/2025, and Christ Rescue Temple Apostolic Church was listed as current and active. The program’s compliance history was 89% prior to today’s visit. All programs are required to maintain at least 75% compliance. A walk-through of the facility was completed today. Indoor and outdoor areas were observed. Upon arrival, staff/child ratio and space capacity were monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed interactions today. I observed children playing in activity centers, participating in general routines, and eating lunch. I observed developmentally appropriate materials and activities were available to the children in the classrooms. The last annual compliance visit was conducted on 10/23/2024. A sanitation inspection was completed 5/14/2025 with a Superior classification. The last fire inspection was conducted 1/06/2025. Program records and required postings were monitored. A fire drill was conducted on 9/15/2025. A lockdown drill was documented on 8/04/2025. An outdoor inspection was documented on 9/19/2025. Staff files and children’s records were monitored per DCDEE procedures. No new staff members were reported since my last visit. The one existing staff member was reviewed during the visit. The files for two children enrolled were also reviewed during the visit. Storage of hazardous items was monitored today and found to be in compliance. Storage and administration of medication and medication authorization were monitored and found to be in compliance. The program is not approved to provide transportation or participate in aquatic or off-premise activities at this time. The following violations were cited during today’s visit: Violation Number Comment Rule 807 A safe indoor and outdoor environment was not provided for the children. On the playground used by children enrolled, two pieces of the metal fencing wire were observed pointed toward the inside of the play area and were sharp to the touch. Push pins were observed in two unlatched drawers accessible to children three and four years of age in Space 2; these push pins were made inaccessible to children during the visit. 10A NCAC 09 .0601(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. A torn plastic wrapper for a case of water bottles was observed accessible to infants in Space 8. .0604(q) 1805 A child care operator did not notify the Division of any new child care providers, as defined in G.S. 110-90.2(a)(2), who were hired or moved into the child care facility within five business days. A facility profile for Criminal Background Checks had not been created; hence, the director and staff CBCs were not yet linked to this profile. G.S. 110-90.2 & .2703(r) 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. You must correct the violations cited during today's visit immediately and send me documentation verifying compliance on or before 10/28/2024. The following information must be included in your signed and dated compliance letter: • the name of your center • facility ID number • date • title of the person who signs the letter • each violation number(s) • describes accurately and in detail how and when you corrected each violation You may email the letter to cara.mckeown@dhhs.nc.gov or mail two copies of the letter to: Cara McKeown 353 Jonestown Road, Unit #146 Winston Salem, NC 27104 If you state in your letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical assistance provided during today’s visit: On the playground used by children enrolled, two pieces of the metal fencing wire were observed pointed toward the inside of the play area and were sharp to the touch. Ms. Lindsey stated she was unaware these were issues on the fencing. You may consider adding monitoring the fencing as part of your monthly playground inspection. A facility profile for Criminal Background Checks had not been created; hence, the director and staff CBCs were not yet linked to this profile. It is necessary for all staff members to be linked to the center’s facility profile in the ABCMS system, as the process of notifying the Division of any new child care providers working who were hired or moved into the child care facility within five business days has changed to include this process. Ms. Lindsey stated she has the instructions I sent via email to complete this process. If you need additional assistance, please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. • You must notify your consultant 30 days prior to changing the ownership status of your facility. At the completion of the visit, this visit summary was reviewed with and provided to you, and you were given the opportunity to ask questions. Thank you for your time and assistance during the visit. If you have any questions about the visit, please contact me or my supervisor using the information below. Cara McKeown, Child Care Consultant (336) 408-4849 cara.mckeown@dhhs.nc.gov Pamela Hauser, Supervisor pamela.hauser@dhhs.nc.gov For the latest information on childcare rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.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: CHRIST RESCUE TEMPLE #3 Facility ID: 34000300 Consultant: CARA MCKEOWN-STEWART Operation Type: Center Case Number: Visit Date: 10/14/2025 Number Present: 17 Completed Date: 10/14/2025 Age: From 0 To 4 Total Minutes: 190 Time In: 09:20 AM Time Out: 12:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced An unannounced annual compliance visit was conducted at this childcare facility to monitor compliance with applicable childcare requirements. This visit was conducted with Deborah Lindsey, Director. Your program currently operates with a Notice of Compliance. The NC Secretary of State website was reviewed on 10/14/2025, and Christ Rescue Temple Apostolic Church was listed as current and active. The program’s compliance history was 89% prior to today’s visit. All programs are required to maintain at least 75% compliance. A walk-through of the facility was completed today. Indoor and outdoor areas were observed. Upon arrival, staff/child ratio and space capacity were monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed interactions today. I observed children playing in activity centers, participating in general routines, and eating lunch. I observed developmentally appropriate materials and activities were available to the children in the classrooms. The last annual compliance visit was conducted on 10/23/2024. A sanitation inspection was completed 5/14/2025 with a Superior classification. The last fire inspection was conducted 1/06/2025. Program records and required postings were monitored. A fire drill was conducted on 9/15/2025. A lockdown drill was documented on 8/04/2025. An outdoor inspection was documented on 9/19/2025. Staff files and children’s records were monitored per DCDEE procedures. No new staff members were reported since my last visit. The one existing staff member was reviewed during the visit. The files for two children enrolled were also reviewed during the visit. Storage of hazardous items was monitored today and found to be in compliance. Storage and administration of medication and medication authorization were monitored and found to be in compliance. The program is not approved to provide transportation or participate in aquatic or off-premise activities at this time. The following violations were cited during today’s visit: Violation Number Comment Rule 807 A safe indoor and outdoor environment was not provided for the children. On the playground used by children enrolled, two pieces of the metal fencing wire were observed pointed toward the inside of the play area and were sharp to the touch. Push pins were observed in two unlatched drawers accessible to children three and four years of age in Space 2; these push pins were made inaccessible to children during the visit. 10A NCAC 09 .0601(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. A torn plastic wrapper for a case of water bottles was observed accessible to infants in Space 8. .0604(q) 1805 A child care operator did not notify the Division of any new child care providers, as defined in G.S. 110-90.2(a)(2), who were hired or moved into the child care facility within five business days. A facility profile for Criminal Background Checks had not been created; hence, the director and staff CBCs were not yet linked to this profile. G.S. 110-90.2 & .2703(r) 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. You must correct the violations cited during today's visit immediately and send me documentation verifying compliance on or before 10/28/2024. The following information must be included in your signed and dated compliance letter: • the name of your center • facility ID number • date • title of the person who signs the letter • each violation number(s) • describes accurately and in detail how and when you corrected each violation You may email the letter to cara.mckeown@dhhs.nc.gov or mail two copies of the letter to: Cara McKeown 353 Jonestown Road, Unit #146 Winston Salem, NC 27104 If you state in your letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical assistance provided during today’s visit: On the playground used by children enrolled, two pieces of the metal fencing wire were observed pointed toward the inside of the play area and were sharp to the touch. Ms. Lindsey stated she was unaware these were issues on the fencing. You may consider adding monitoring the fencing as part of your monthly playground inspection. A facility profile for Criminal Background Checks had not been created; hence, the director and staff CBCs were not yet linked to this profile. It is necessary for all staff members to be linked to the center’s facility profile in the ABCMS system, as the process of notifying the Division of any new child care providers working who were hired or moved into the child care facility within five business days has changed to include this process. Ms. Lindsey stated she has the instructions I sent via email to complete this process. If you need additional assistance, please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. • You must notify your consultant 30 days prior to changing the ownership status of your facility. At the completion of the visit, this visit summary was reviewed with and provided to you, and you were given the opportunity to ask questions. Thank you for your time and assistance during the visit. If you have any questions about the visit, please contact me or my supervisor using the information below. Cara McKeown, Child Care Consultant (336) 408-4849 cara.mckeown@dhhs.nc.gov Pamela Hauser, Supervisor pamela.hauser@dhhs.nc.gov For the latest information on childcare rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.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 .0601 · Violation

Name of Operation: CHRIST RESCUE TEMPLE #3 Facility ID: 34000300 Consultant: CARA MCKEOWN-STEWART Operation Type: Center Case Number: Visit Date: 10/23/2024 Number Present: 11 Completed Date: 10/23/2024 Age: From 1 To 4 Total Minutes: 265 Time In: 08:15 AM Time Out: 12:40 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced An unannounced annual compliance visit was conducted at this childcare facility to monitor compliance with applicable childcare requirements. This visit was conducted by Cara McKeown-Stewart, Child Care Consultant with Deborah Lindsey, Director. Your program currently operates with a notice of compliance. The NC Secretary of State website was reviewed on 10/23/2024 and Christ Rescue Temple Apostolic Church was listed as current and active. The program’s compliance history was 90% prior to today’s visit. All programs are required to maintain at least 75% compliance. A walk-through of the facility was completed today. Indoor and outdoor areas were observed. Upon arrival, staff/child ratio and space capacity were monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed interactions today. I observed children playing in activity centers, engaging in activities, songs, and conversations with their teachers, participating in general routines, and eating lunch during the visit. I observed developmentally appropriate materials and activities were available to the children in the classrooms. The last annual compliance visit was conducted on 11/02/2024. A sanitation inspection was completed 5/09/2024 with a Superior classification. The last fire inspection was conducted 12/22/2023. Program records and required postings were monitored. A fire drill was conducted on 9/30/2024. A lockdown drill was documented on 8/21/2024. An outdoor inspection was documented on 9/28/2024. The Emergency Preparedness and Response Plan was last updated on 9/03/2024. Staff files and children’s records were monitored per DCDEE procedures. The files for two new staff members and for one existing staff member were reviewed and found to be in compliance. Storage of hazardous items was monitored today and found to be in compliance. No medications were observed, nor reported. Ms. Lindsey stated the program does not provide transportation, participate in off-premise activities, or participate in aquatic activities at this time. The following violations were cited during today’s visit: Violation Number Comment Rule 125 Daily records of arrival and departure times for children enrolled at the center were not maintained as children arrive and depart and/or were not made available for review. One child was not observed to be signed in upon arrival in Space 5. 10A NCAC 09 .0302(d)(4) 807 A safe indoor and outdoor environment was not provided for the children. On the playground, greater than three shorter pieces of fencing metal were observed to be wrapped around the fencing, but protruding and sharp to the touch. 10A NCAC 09 .0601(a) 824 Outdoor play area was not enclosed by fence with a minimum height of 4 feet. The top of the fence, less than six feet, was not free from protrusions. On the playground, the sections of fencing along the front of the playground (facing the parking lot) were measured to be a height of 47 inches. GS 110-91(6); .0605((i) 1792 Staff did not model appropriate eating behaviors by consuming food or beverages that meet the nutritional requirements specified in the Meal Patterns for Children in Child Care Programs in the presence of children in care. In Space 5, a clear fast food labeled cup and a fast food labeled bag were observed, belonging to a staff member. .0901(i) 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. You must correct the violations cited during today's visit immediately and send me documentation verifying compliance on or before 11/06/2024. The following information must be included in your signed and dated compliance letter: • the name of your center • facility ID number • date • title of the person who signs the letter • each violation number(s) • describes accurately and in detail how and when you corrected each violation You may email the letter to cara.mckeown@dhhs.nc.gov or mail two copies of the letter to: Cara McKeown 353 Jonestown Road, Unit #146 Winston Salem, NC 27104 If you state in your letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical assistance provided during today’s visit: One child was not observed to be signed in upon arrival in Space 5; the teacher recorded the child’s time of arrival when I mentioned this. Exact times of arrival are important to be recorded so staff members know exactly how many children and which children they have at all times. You may consider asking teachers to check the arrival/departure record each day as parents arrive/depart, so times can be recorded at the point of service if a parent forgets to sign a child in/out. On the playground, the sections of fencing along the front of the playground (facing the parking lot) were measured to be a height of 47 inches. It is important for fencing in all areas to meet the required height of 48 inches to ensure the safety of all children enrolled. Ms. Lindsey stated plastic lattice will be added to the front portions of fencing within the next two weeks as well to bring the height of the fence to the required height. Also on the playground, greater than three shorter pieces of fencing metal were observed to be wrapped around the fencing, but protruding and sharp to the touch. Ms. Lindsey stated she was unaware of these safety issues on the fencing. It is essential for the outdoor learning environment to be a safe place for children to explore and engage. Ms. Lindsey and I discussed removing these small pieces completely or turning and securing them so they face outward on the fencing and not inward toward the children. Comments and Additional Information: • You must notify your consultant 30 days prior to changing the ownership status of your facility. Ms. Lindsey and I discussed children of all ages may be cared for together in groups for the first and last operating hour of the day, provided the staff/child ratio for the youngest child in the group is maintained and except for during the aforementioned times, children between the ages of 12 months and 24 months shall not be grouped with older children unless all children in the group are less than three years of age. Ms. Lindsey stated the program operates from 6 a.m. until 5:30 p.m. daily and expressed concerns she does not like to leave the front door unattended in the mornings when it is still dark outside when the program opens. She stated she will leave the front door locked and receive children who arrive through the entrance of Space 2 until her first staff member arrives and it is light outside. The following Child Care Rule was thoroughly discussed with Ms. Lindsey during the visit: 10A NCAC 09 .0607 EMERGENCY PREPAREDNESS AND RESPONSE IN CHILD CARE CENTERS (d) • Please check the boxes on the posted Safe Sleep Policy which your facility follows; please also provide a copy of this updated form to parents of enrolled and/or enrolling infants. • When recording the date of annual review for the Emergency Preparedness and Response Plan for staff, please include the month, date, and year of this review. North Carolina child care administrators can now view and edit their facility’s staff roster in ABCMS, the DCDEE’s criminal background check system. Provider Access to ABCMS allows administrators to: • See the real-time background check status of staff members. • Run a printable report of the staff roster to assist with compliance visits. • See new background check applicants and add to staff roster. To get started, complete the ABCMS Child Care Provider Portal Training in Moodle—a video tutorial followed by a few questions. At the completion of the visit, this visit summary was reviewed with and provided to you. Thank you for your time and assistance during the visit. If you have any questions about the visit, please contact me or my supervisor using the information below. Cara McKeown, Child Care Consultant (336) 408-4849 cara.mckeown@dhhs.nc.gov Pamela Hauser, Supervisor pamela.hauser@dhhs.nc.gov For the latest information on childcare rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0302 · Violation

Name of Operation: CHRIST RESCUE TEMPLE #3 Facility ID: 34000300 Consultant: CARA MCKEOWN-STEWART Operation Type: Center Case Number: Visit Date: 10/23/2024 Number Present: 11 Completed Date: 10/23/2024 Age: From 1 To 4 Total Minutes: 265 Time In: 08:15 AM Time Out: 12:40 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced An unannounced annual compliance visit was conducted at this childcare facility to monitor compliance with applicable childcare requirements. This visit was conducted by Cara McKeown-Stewart, Child Care Consultant with Deborah Lindsey, Director. Your program currently operates with a notice of compliance. The NC Secretary of State website was reviewed on 10/23/2024 and Christ Rescue Temple Apostolic Church was listed as current and active. The program’s compliance history was 90% prior to today’s visit. All programs are required to maintain at least 75% compliance. A walk-through of the facility was completed today. Indoor and outdoor areas were observed. Upon arrival, staff/child ratio and space capacity were monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed interactions today. I observed children playing in activity centers, engaging in activities, songs, and conversations with their teachers, participating in general routines, and eating lunch during the visit. I observed developmentally appropriate materials and activities were available to the children in the classrooms. The last annual compliance visit was conducted on 11/02/2024. A sanitation inspection was completed 5/09/2024 with a Superior classification. The last fire inspection was conducted 12/22/2023. Program records and required postings were monitored. A fire drill was conducted on 9/30/2024. A lockdown drill was documented on 8/21/2024. An outdoor inspection was documented on 9/28/2024. The Emergency Preparedness and Response Plan was last updated on 9/03/2024. Staff files and children’s records were monitored per DCDEE procedures. The files for two new staff members and for one existing staff member were reviewed and found to be in compliance. Storage of hazardous items was monitored today and found to be in compliance. No medications were observed, nor reported. Ms. Lindsey stated the program does not provide transportation, participate in off-premise activities, or participate in aquatic activities at this time. The following violations were cited during today’s visit: Violation Number Comment Rule 125 Daily records of arrival and departure times for children enrolled at the center were not maintained as children arrive and depart and/or were not made available for review. One child was not observed to be signed in upon arrival in Space 5. 10A NCAC 09 .0302(d)(4) 807 A safe indoor and outdoor environment was not provided for the children. On the playground, greater than three shorter pieces of fencing metal were observed to be wrapped around the fencing, but protruding and sharp to the touch. 10A NCAC 09 .0601(a) 824 Outdoor play area was not enclosed by fence with a minimum height of 4 feet. The top of the fence, less than six feet, was not free from protrusions. On the playground, the sections of fencing along the front of the playground (facing the parking lot) were measured to be a height of 47 inches. GS 110-91(6); .0605((i) 1792 Staff did not model appropriate eating behaviors by consuming food or beverages that meet the nutritional requirements specified in the Meal Patterns for Children in Child Care Programs in the presence of children in care. In Space 5, a clear fast food labeled cup and a fast food labeled bag were observed, belonging to a staff member. .0901(i) 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. You must correct the violations cited during today's visit immediately and send me documentation verifying compliance on or before 11/06/2024. The following information must be included in your signed and dated compliance letter: • the name of your center • facility ID number • date • title of the person who signs the letter • each violation number(s) • describes accurately and in detail how and when you corrected each violation You may email the letter to cara.mckeown@dhhs.nc.gov or mail two copies of the letter to: Cara McKeown 353 Jonestown Road, Unit #146 Winston Salem, NC 27104 If you state in your letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical assistance provided during today’s visit: One child was not observed to be signed in upon arrival in Space 5; the teacher recorded the child’s time of arrival when I mentioned this. Exact times of arrival are important to be recorded so staff members know exactly how many children and which children they have at all times. You may consider asking teachers to check the arrival/departure record each day as parents arrive/depart, so times can be recorded at the point of service if a parent forgets to sign a child in/out. On the playground, the sections of fencing along the front of the playground (facing the parking lot) were measured to be a height of 47 inches. It is important for fencing in all areas to meet the required height of 48 inches to ensure the safety of all children enrolled. Ms. Lindsey stated plastic lattice will be added to the front portions of fencing within the next two weeks as well to bring the height of the fence to the required height. Also on the playground, greater than three shorter pieces of fencing metal were observed to be wrapped around the fencing, but protruding and sharp to the touch. Ms. Lindsey stated she was unaware of these safety issues on the fencing. It is essential for the outdoor learning environment to be a safe place for children to explore and engage. Ms. Lindsey and I discussed removing these small pieces completely or turning and securing them so they face outward on the fencing and not inward toward the children. Comments and Additional Information: • You must notify your consultant 30 days prior to changing the ownership status of your facility. Ms. Lindsey and I discussed children of all ages may be cared for together in groups for the first and last operating hour of the day, provided the staff/child ratio for the youngest child in the group is maintained and except for during the aforementioned times, children between the ages of 12 months and 24 months shall not be grouped with older children unless all children in the group are less than three years of age. Ms. Lindsey stated the program operates from 6 a.m. until 5:30 p.m. daily and expressed concerns she does not like to leave the front door unattended in the mornings when it is still dark outside when the program opens. She stated she will leave the front door locked and receive children who arrive through the entrance of Space 2 until her first staff member arrives and it is light outside. The following Child Care Rule was thoroughly discussed with Ms. Lindsey during the visit: 10A NCAC 09 .0607 EMERGENCY PREPAREDNESS AND RESPONSE IN CHILD CARE CENTERS (d) • Please check the boxes on the posted Safe Sleep Policy which your facility follows; please also provide a copy of this updated form to parents of enrolled and/or enrolling infants. • When recording the date of annual review for the Emergency Preparedness and Response Plan for staff, please include the month, date, and year of this review. North Carolina child care administrators can now view and edit their facility’s staff roster in ABCMS, the DCDEE’s criminal background check system. Provider Access to ABCMS allows administrators to: • See the real-time background check status of staff members. • Run a printable report of the staff roster to assist with compliance visits. • See new background check applicants and add to staff roster. To get started, complete the ABCMS Child Care Provider Portal Training in Moodle—a video tutorial followed by a few questions. At the completion of the visit, this visit summary was reviewed with and provided to you. Thank you for your time and assistance during the visit. If you have any questions about the visit, please contact me or my supervisor using the information below. Cara McKeown, Child Care Consultant (336) 408-4849 cara.mckeown@dhhs.nc.gov Pamela Hauser, Supervisor pamela.hauser@dhhs.nc.gov For the latest information on childcare rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.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 .0607 · Violation

Name of Operation: CHRIST RESCUE TEMPLE #3 Facility ID: 34000300 Consultant: CARA MCKEOWN-STEWART Operation Type: Center Case Number: Visit Date: 10/23/2024 Number Present: 11 Completed Date: 10/23/2024 Age: From 1 To 4 Total Minutes: 265 Time In: 08:15 AM Time Out: 12:40 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced An unannounced annual compliance visit was conducted at this childcare facility to monitor compliance with applicable childcare requirements. This visit was conducted by Cara McKeown-Stewart, Child Care Consultant with Deborah Lindsey, Director. Your program currently operates with a notice of compliance. The NC Secretary of State website was reviewed on 10/23/2024 and Christ Rescue Temple Apostolic Church was listed as current and active. The program’s compliance history was 90% prior to today’s visit. All programs are required to maintain at least 75% compliance. A walk-through of the facility was completed today. Indoor and outdoor areas were observed. Upon arrival, staff/child ratio and space capacity were monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed interactions today. I observed children playing in activity centers, engaging in activities, songs, and conversations with their teachers, participating in general routines, and eating lunch during the visit. I observed developmentally appropriate materials and activities were available to the children in the classrooms. The last annual compliance visit was conducted on 11/02/2024. A sanitation inspection was completed 5/09/2024 with a Superior classification. The last fire inspection was conducted 12/22/2023. Program records and required postings were monitored. A fire drill was conducted on 9/30/2024. A lockdown drill was documented on 8/21/2024. An outdoor inspection was documented on 9/28/2024. The Emergency Preparedness and Response Plan was last updated on 9/03/2024. Staff files and children’s records were monitored per DCDEE procedures. The files for two new staff members and for one existing staff member were reviewed and found to be in compliance. Storage of hazardous items was monitored today and found to be in compliance. No medications were observed, nor reported. Ms. Lindsey stated the program does not provide transportation, participate in off-premise activities, or participate in aquatic activities at this time. The following violations were cited during today’s visit: Violation Number Comment Rule 125 Daily records of arrival and departure times for children enrolled at the center were not maintained as children arrive and depart and/or were not made available for review. One child was not observed to be signed in upon arrival in Space 5. 10A NCAC 09 .0302(d)(4) 807 A safe indoor and outdoor environment was not provided for the children. On the playground, greater than three shorter pieces of fencing metal were observed to be wrapped around the fencing, but protruding and sharp to the touch. 10A NCAC 09 .0601(a) 824 Outdoor play area was not enclosed by fence with a minimum height of 4 feet. The top of the fence, less than six feet, was not free from protrusions. On the playground, the sections of fencing along the front of the playground (facing the parking lot) were measured to be a height of 47 inches. GS 110-91(6); .0605((i) 1792 Staff did not model appropriate eating behaviors by consuming food or beverages that meet the nutritional requirements specified in the Meal Patterns for Children in Child Care Programs in the presence of children in care. In Space 5, a clear fast food labeled cup and a fast food labeled bag were observed, belonging to a staff member. .0901(i) 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. You must correct the violations cited during today's visit immediately and send me documentation verifying compliance on or before 11/06/2024. The following information must be included in your signed and dated compliance letter: • the name of your center • facility ID number • date • title of the person who signs the letter • each violation number(s) • describes accurately and in detail how and when you corrected each violation You may email the letter to cara.mckeown@dhhs.nc.gov or mail two copies of the letter to: Cara McKeown 353 Jonestown Road, Unit #146 Winston Salem, NC 27104 If you state in your letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical assistance provided during today’s visit: One child was not observed to be signed in upon arrival in Space 5; the teacher recorded the child’s time of arrival when I mentioned this. Exact times of arrival are important to be recorded so staff members know exactly how many children and which children they have at all times. You may consider asking teachers to check the arrival/departure record each day as parents arrive/depart, so times can be recorded at the point of service if a parent forgets to sign a child in/out. On the playground, the sections of fencing along the front of the playground (facing the parking lot) were measured to be a height of 47 inches. It is important for fencing in all areas to meet the required height of 48 inches to ensure the safety of all children enrolled. Ms. Lindsey stated plastic lattice will be added to the front portions of fencing within the next two weeks as well to bring the height of the fence to the required height. Also on the playground, greater than three shorter pieces of fencing metal were observed to be wrapped around the fencing, but protruding and sharp to the touch. Ms. Lindsey stated she was unaware of these safety issues on the fencing. It is essential for the outdoor learning environment to be a safe place for children to explore and engage. Ms. Lindsey and I discussed removing these small pieces completely or turning and securing them so they face outward on the fencing and not inward toward the children. Comments and Additional Information: • You must notify your consultant 30 days prior to changing the ownership status of your facility. Ms. Lindsey and I discussed children of all ages may be cared for together in groups for the first and last operating hour of the day, provided the staff/child ratio for the youngest child in the group is maintained and except for during the aforementioned times, children between the ages of 12 months and 24 months shall not be grouped with older children unless all children in the group are less than three years of age. Ms. Lindsey stated the program operates from 6 a.m. until 5:30 p.m. daily and expressed concerns she does not like to leave the front door unattended in the mornings when it is still dark outside when the program opens. She stated she will leave the front door locked and receive children who arrive through the entrance of Space 2 until her first staff member arrives and it is light outside. The following Child Care Rule was thoroughly discussed with Ms. Lindsey during the visit: 10A NCAC 09 .0607 EMERGENCY PREPAREDNESS AND RESPONSE IN CHILD CARE CENTERS (d) • Please check the boxes on the posted Safe Sleep Policy which your facility follows; please also provide a copy of this updated form to parents of enrolled and/or enrolling infants. • When recording the date of annual review for the Emergency Preparedness and Response Plan for staff, please include the month, date, and year of this review. North Carolina child care administrators can now view and edit their facility’s staff roster in ABCMS, the DCDEE’s criminal background check system. Provider Access to ABCMS allows administrators to: • See the real-time background check status of staff members. • Run a printable report of the staff roster to assist with compliance visits. • See new background check applicants and add to staff roster. To get started, complete the ABCMS Child Care Provider Portal Training in Moodle—a video tutorial followed by a few questions. At the completion of the visit, this visit summary was reviewed with and provided to you. Thank you for your time and assistance during the visit. If you have any questions about the visit, please contact me or my supervisor using the information below. Cara McKeown, Child Care Consultant (336) 408-4849 cara.mckeown@dhhs.nc.gov Pamela Hauser, Supervisor pamela.hauser@dhhs.nc.gov For the latest information on childcare rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.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: CHRIST RESCUE TEMPLE #3 Facility ID: 34000300 Consultant: CARA MCKEOWN-STEWART Operation Type: Center Case Number: Visit Date: 10/23/2024 Number Present: 11 Completed Date: 10/23/2024 Age: From 1 To 4 Total Minutes: 265 Time In: 08:15 AM Time Out: 12:40 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced An unannounced annual compliance visit was conducted at this childcare facility to monitor compliance with applicable childcare requirements. This visit was conducted by Cara McKeown-Stewart, Child Care Consultant with Deborah Lindsey, Director. Your program currently operates with a notice of compliance. The NC Secretary of State website was reviewed on 10/23/2024 and Christ Rescue Temple Apostolic Church was listed as current and active. The program’s compliance history was 90% prior to today’s visit. All programs are required to maintain at least 75% compliance. A walk-through of the facility was completed today. Indoor and outdoor areas were observed. Upon arrival, staff/child ratio and space capacity were monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed interactions today. I observed children playing in activity centers, engaging in activities, songs, and conversations with their teachers, participating in general routines, and eating lunch during the visit. I observed developmentally appropriate materials and activities were available to the children in the classrooms. The last annual compliance visit was conducted on 11/02/2024. A sanitation inspection was completed 5/09/2024 with a Superior classification. The last fire inspection was conducted 12/22/2023. Program records and required postings were monitored. A fire drill was conducted on 9/30/2024. A lockdown drill was documented on 8/21/2024. An outdoor inspection was documented on 9/28/2024. The Emergency Preparedness and Response Plan was last updated on 9/03/2024. Staff files and children’s records were monitored per DCDEE procedures. The files for two new staff members and for one existing staff member were reviewed and found to be in compliance. Storage of hazardous items was monitored today and found to be in compliance. No medications were observed, nor reported. Ms. Lindsey stated the program does not provide transportation, participate in off-premise activities, or participate in aquatic activities at this time. The following violations were cited during today’s visit: Violation Number Comment Rule 125 Daily records of arrival and departure times for children enrolled at the center were not maintained as children arrive and depart and/or were not made available for review. One child was not observed to be signed in upon arrival in Space 5. 10A NCAC 09 .0302(d)(4) 807 A safe indoor and outdoor environment was not provided for the children. On the playground, greater than three shorter pieces of fencing metal were observed to be wrapped around the fencing, but protruding and sharp to the touch. 10A NCAC 09 .0601(a) 824 Outdoor play area was not enclosed by fence with a minimum height of 4 feet. The top of the fence, less than six feet, was not free from protrusions. On the playground, the sections of fencing along the front of the playground (facing the parking lot) were measured to be a height of 47 inches. GS 110-91(6); .0605((i) 1792 Staff did not model appropriate eating behaviors by consuming food or beverages that meet the nutritional requirements specified in the Meal Patterns for Children in Child Care Programs in the presence of children in care. In Space 5, a clear fast food labeled cup and a fast food labeled bag were observed, belonging to a staff member. .0901(i) 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. You must correct the violations cited during today's visit immediately and send me documentation verifying compliance on or before 11/06/2024. The following information must be included in your signed and dated compliance letter: • the name of your center • facility ID number • date • title of the person who signs the letter • each violation number(s) • describes accurately and in detail how and when you corrected each violation You may email the letter to cara.mckeown@dhhs.nc.gov or mail two copies of the letter to: Cara McKeown 353 Jonestown Road, Unit #146 Winston Salem, NC 27104 If you state in your letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical assistance provided during today’s visit: One child was not observed to be signed in upon arrival in Space 5; the teacher recorded the child’s time of arrival when I mentioned this. Exact times of arrival are important to be recorded so staff members know exactly how many children and which children they have at all times. You may consider asking teachers to check the arrival/departure record each day as parents arrive/depart, so times can be recorded at the point of service if a parent forgets to sign a child in/out. On the playground, the sections of fencing along the front of the playground (facing the parking lot) were measured to be a height of 47 inches. It is important for fencing in all areas to meet the required height of 48 inches to ensure the safety of all children enrolled. Ms. Lindsey stated plastic lattice will be added to the front portions of fencing within the next two weeks as well to bring the height of the fence to the required height. Also on the playground, greater than three shorter pieces of fencing metal were observed to be wrapped around the fencing, but protruding and sharp to the touch. Ms. Lindsey stated she was unaware of these safety issues on the fencing. It is essential for the outdoor learning environment to be a safe place for children to explore and engage. Ms. Lindsey and I discussed removing these small pieces completely or turning and securing them so they face outward on the fencing and not inward toward the children. Comments and Additional Information: • You must notify your consultant 30 days prior to changing the ownership status of your facility. Ms. Lindsey and I discussed children of all ages may be cared for together in groups for the first and last operating hour of the day, provided the staff/child ratio for the youngest child in the group is maintained and except for during the aforementioned times, children between the ages of 12 months and 24 months shall not be grouped with older children unless all children in the group are less than three years of age. Ms. Lindsey stated the program operates from 6 a.m. until 5:30 p.m. daily and expressed concerns she does not like to leave the front door unattended in the mornings when it is still dark outside when the program opens. She stated she will leave the front door locked and receive children who arrive through the entrance of Space 2 until her first staff member arrives and it is light outside. The following Child Care Rule was thoroughly discussed with Ms. Lindsey during the visit: 10A NCAC 09 .0607 EMERGENCY PREPAREDNESS AND RESPONSE IN CHILD CARE CENTERS (d) • Please check the boxes on the posted Safe Sleep Policy which your facility follows; please also provide a copy of this updated form to parents of enrolled and/or enrolling infants. • When recording the date of annual review for the Emergency Preparedness and Response Plan for staff, please include the month, date, and year of this review. North Carolina child care administrators can now view and edit their facility’s staff roster in ABCMS, the DCDEE’s criminal background check system. Provider Access to ABCMS allows administrators to: • See the real-time background check status of staff members. • Run a printable report of the staff roster to assist with compliance visits. • See new background check applicants and add to staff roster. To get started, complete the ABCMS Child Care Provider Portal Training in Moodle—a video tutorial followed by a few questions. At the completion of the visit, this visit summary was reviewed with and provided to you. Thank you for your time and assistance during the visit. If you have any questions about the visit, please contact me or my supervisor using the information below. Cara McKeown, Child Care Consultant (336) 408-4849 cara.mckeown@dhhs.nc.gov Pamela Hauser, Supervisor pamela.hauser@dhhs.nc.gov For the latest information on childcare rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.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: CHRIST RESCUE TEMPLE #3 Facility ID: 34000300 Consultant: CARA MCKEOWN-STEWART Operation Type: Center Case Number: Visit Date: 10/23/2024 Number Present: 11 Completed Date: 10/23/2024 Age: From 1 To 4 Total Minutes: 265 Time In: 08:15 AM Time Out: 12:40 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced An unannounced annual compliance visit was conducted at this childcare facility to monitor compliance with applicable childcare requirements. This visit was conducted by Cara McKeown-Stewart, Child Care Consultant with Deborah Lindsey, Director. Your program currently operates with a notice of compliance. The NC Secretary of State website was reviewed on 10/23/2024 and Christ Rescue Temple Apostolic Church was listed as current and active. The program’s compliance history was 90% prior to today’s visit. All programs are required to maintain at least 75% compliance. A walk-through of the facility was completed today. Indoor and outdoor areas were observed. Upon arrival, staff/child ratio and space capacity were monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed interactions today. I observed children playing in activity centers, engaging in activities, songs, and conversations with their teachers, participating in general routines, and eating lunch during the visit. I observed developmentally appropriate materials and activities were available to the children in the classrooms. The last annual compliance visit was conducted on 11/02/2024. A sanitation inspection was completed 5/09/2024 with a Superior classification. The last fire inspection was conducted 12/22/2023. Program records and required postings were monitored. A fire drill was conducted on 9/30/2024. A lockdown drill was documented on 8/21/2024. An outdoor inspection was documented on 9/28/2024. The Emergency Preparedness and Response Plan was last updated on 9/03/2024. Staff files and children’s records were monitored per DCDEE procedures. The files for two new staff members and for one existing staff member were reviewed and found to be in compliance. Storage of hazardous items was monitored today and found to be in compliance. No medications were observed, nor reported. Ms. Lindsey stated the program does not provide transportation, participate in off-premise activities, or participate in aquatic activities at this time. The following violations were cited during today’s visit: Violation Number Comment Rule 125 Daily records of arrival and departure times for children enrolled at the center were not maintained as children arrive and depart and/or were not made available for review. One child was not observed to be signed in upon arrival in Space 5. 10A NCAC 09 .0302(d)(4) 807 A safe indoor and outdoor environment was not provided for the children. On the playground, greater than three shorter pieces of fencing metal were observed to be wrapped around the fencing, but protruding and sharp to the touch. 10A NCAC 09 .0601(a) 824 Outdoor play area was not enclosed by fence with a minimum height of 4 feet. The top of the fence, less than six feet, was not free from protrusions. On the playground, the sections of fencing along the front of the playground (facing the parking lot) were measured to be a height of 47 inches. GS 110-91(6); .0605((i) 1792 Staff did not model appropriate eating behaviors by consuming food or beverages that meet the nutritional requirements specified in the Meal Patterns for Children in Child Care Programs in the presence of children in care. In Space 5, a clear fast food labeled cup and a fast food labeled bag were observed, belonging to a staff member. .0901(i) 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. You must correct the violations cited during today's visit immediately and send me documentation verifying compliance on or before 11/06/2024. The following information must be included in your signed and dated compliance letter: • the name of your center • facility ID number • date • title of the person who signs the letter • each violation number(s) • describes accurately and in detail how and when you corrected each violation You may email the letter to cara.mckeown@dhhs.nc.gov or mail two copies of the letter to: Cara McKeown 353 Jonestown Road, Unit #146 Winston Salem, NC 27104 If you state in your letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical assistance provided during today’s visit: One child was not observed to be signed in upon arrival in Space 5; the teacher recorded the child’s time of arrival when I mentioned this. Exact times of arrival are important to be recorded so staff members know exactly how many children and which children they have at all times. You may consider asking teachers to check the arrival/departure record each day as parents arrive/depart, so times can be recorded at the point of service if a parent forgets to sign a child in/out. On the playground, the sections of fencing along the front of the playground (facing the parking lot) were measured to be a height of 47 inches. It is important for fencing in all areas to meet the required height of 48 inches to ensure the safety of all children enrolled. Ms. Lindsey stated plastic lattice will be added to the front portions of fencing within the next two weeks as well to bring the height of the fence to the required height. Also on the playground, greater than three shorter pieces of fencing metal were observed to be wrapped around the fencing, but protruding and sharp to the touch. Ms. Lindsey stated she was unaware of these safety issues on the fencing. It is essential for the outdoor learning environment to be a safe place for children to explore and engage. Ms. Lindsey and I discussed removing these small pieces completely or turning and securing them so they face outward on the fencing and not inward toward the children. Comments and Additional Information: • You must notify your consultant 30 days prior to changing the ownership status of your facility. Ms. Lindsey and I discussed children of all ages may be cared for together in groups for the first and last operating hour of the day, provided the staff/child ratio for the youngest child in the group is maintained and except for during the aforementioned times, children between the ages of 12 months and 24 months shall not be grouped with older children unless all children in the group are less than three years of age. Ms. Lindsey stated the program operates from 6 a.m. until 5:30 p.m. daily and expressed concerns she does not like to leave the front door unattended in the mornings when it is still dark outside when the program opens. She stated she will leave the front door locked and receive children who arrive through the entrance of Space 2 until her first staff member arrives and it is light outside. The following Child Care Rule was thoroughly discussed with Ms. Lindsey during the visit: 10A NCAC 09 .0607 EMERGENCY PREPAREDNESS AND RESPONSE IN CHILD CARE CENTERS (d) • Please check the boxes on the posted Safe Sleep Policy which your facility follows; please also provide a copy of this updated form to parents of enrolled and/or enrolling infants. • When recording the date of annual review for the Emergency Preparedness and Response Plan for staff, please include the month, date, and year of this review. North Carolina child care administrators can now view and edit their facility’s staff roster in ABCMS, the DCDEE’s criminal background check system. Provider Access to ABCMS allows administrators to: • See the real-time background check status of staff members. • Run a printable report of the staff roster to assist with compliance visits. • See new background check applicants and add to staff roster. To get started, complete the ABCMS Child Care Provider Portal Training in Moodle—a video tutorial followed by a few questions. At the completion of the visit, this visit summary was reviewed with and provided to you. Thank you for your time and assistance during the visit. If you have any questions about the visit, please contact me or my supervisor using the information below. Cara McKeown, Child Care Consultant (336) 408-4849 cara.mckeown@dhhs.nc.gov Pamela Hauser, Supervisor pamela.hauser@dhhs.nc.gov For the latest information on childcare rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.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: CHRIST RESCUE TEMPLE #3 Facility ID: 34000300 Consultant: CARA MCKEOWN-STEWART Operation Type: Center Case Number: Visit Date: 5/22/2024 Number Present: 17 Completed Date: 5/22/2024 Age: From 1 To 5 Total Minutes: 145 Time In: 10:50 AM Time Out: 01:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable childcare requirements for a routine unannounced visit. This visit was conducted by Cara McKeown-Stewart, Childcare Consultant with Deborah Lindsey, Director. Your program currently operates with a G.S. 110 Notice of Compliance effective 2/01/1998. Restrictions include 1st shift care. The NC Secretary of State website was reviewed on 5/21/2024 and Christ Rescue Temple Apostolic Church was listed as current and active. The program’s compliance history was 86 % prior to today’s visit. All programs are required to maintain at least 75% compliance. Today, the following items were monitored: • Supervision • Staff / Child Ratio • CPR / First Aid • Special Training • CBC Qualification • ITS – SIDS • Emergency Medical Care Plan • Administration of Medication • Storage of Hazardous Products • Storage of Medication • General Safety • Discipline • Adequate / Approved Space • Program Records • Notice of Compliance Posted • Permit Restrictions The license was observed, and the restrictions were found in compliance. A walk-through of the facility was completed today. Indoor and outdoor areas were observed. Staff/child ratio and space capacity were monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed staff/child interactions today. I observed children playing with toys, engaging in conversations, songs, and music and movement activities with their teachers, and participating in general routines during the visit. One new staff member was reported at this program. The file for this staff member was reviewed. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, ITS-SIDS, Special Trainings, and Criminal Background Checks. Medication storage, emergency medication, and parent authorization to administer medications were monitored. Storage of hazardous items was monitored today. The most recent playground inspection was recorded 4/13/2024. A fire drill was recorded 5/08/2024. The most recent lock down drill for the facility was recorded 5/17/2024. The most recent fire inspection was on 12/22/2023. Ms. Linsey provided me a copy of this inspection during the visit. I observed a sanitation inspection was last conducted on 5/09/2024 earning a Superior classification. The program does not provide transportation or participate in off-premise or aquatic activities at this time. The following violations were cited during today’s visit: Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The most recent fire inspection was conducted on 12/22/2023. A copy of the inspection was not submitted to the Division within one week of the inspection; a copy of the inspection was provided during today's visit. 10A NCAC 09 .0304(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. Two plastic bags were observed inside two drawers of an unlatched filing cabinet, accessible to children under two years of age. .0604(q) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The most recent shelter-in-place drill was conducted on 5/17/2024. The most recent lockdown/ shelter-in-place drills prior to that date were conducted on 8/17/2023 and 1/5/2024. .0604(u);.0302(d)(8) 1823 The EPR Plan did not include the location of the Ready to Go File and or the required information. The Ready To Go file did not contain the emergency contact information for one new staff member and required information for five children enrolled. .0607(d)(10) You must correct the violations cited during today's visit immediately and send me documentation verifying compliance on or before 6/05/2024. The following information must be included in your signed and dated compliance letter: • the name of your center • facility ID number • date • title of the person who signs the letter • each violation number(s) • describes accurately and in detail how and when you corrected each violation If you state in your letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. You may email the letter to cara.mckeown-stewart@dhhs.nc.gov or mail two copies of the letter to: Cara McKeown 353 Jonestown Road, Unit #146 Winston Salem, NC 27104 Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical assistance discussed during today’s visit: • Two plastic bags were observed inside two drawers of an unlatched filing cabinet, accessible to children under two years of age. Ms. Lindsey locked this filing cabinet during the visit. Ms. Lindsey stated she did not realize these bags were located in the filing cabinet. • The most recent shelter-in-place drill was conducted on 5/17/2024. The most recent lockdown/ shelter-in-place drills prior to that date were conducted on 8/17/2023 and 1/5/2024. These emergency drills must be conducted every three months to ensure children have the opportunity to practice these so they feel prepared and confident in knowing what to do in the event of an actual emergency situation. The most recent fire inspection was conducted on 12/22/2023. To ensure the safety of children, a fire inspection must be conducted every 12 (twelve) months. You may consider setting an email calendar reminder to schedule or conduct these drills/inspections prior to their due dates. - The Ready To Go file did not contain the emergency contact information for one new staff member and required information for five children enrolled. It is imperative for staff contact information and the required information for children enrolled to be in this file, in the event of a mandatory evacuation to ensure the health and safety of all individuals. You may consider setting a routine schedule for monitoring this file so children enrolled or disenrolled can be added/removed and staff employed/leaving can be added or removed. Additional Information/Consultation: • You must notify your consultant 30 days prior to changing the ownership status of your facility. •The following Child Care Rules were thoroughly discussed with Ms. Lindsey during the visit: 15A NCAC 18A .2831 ANIMAL AND VERMIN CONTROL (i) 10A NCAC 09 .0607 EMERGENCY PREPAREDNESS AND RESPONSE IN CHILD CARE CENTERS (d) (10) On February 21, 2024, I emailed you a document regarding required Lead and Asbestos Testing. Ms. Lindsey confirmed during today’s visit that the email was received and provided information that she/he enrolled in testing on 2/29/2024. At the completion of the visit, this visit summary was reviewed with and provided to you. Thank you for your time and assistance during the visit. If you have any questions about the visit, please contact me or my supervisor using the information below. Cara McKeown-Stewart, Child Care Consultant (336) 408-4849 cara.mckeown-stewart@dhhs.nc.gov Pamela Hauser, Supervisor pamela.hauser@dhhs.nc.gov For the latest information on childcare rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.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 .0607 · Violation

Name of Operation: CHRIST RESCUE TEMPLE #3 Facility ID: 34000300 Consultant: CARA MCKEOWN-STEWART Operation Type: Center Case Number: Visit Date: 5/22/2024 Number Present: 17 Completed Date: 5/22/2024 Age: From 1 To 5 Total Minutes: 145 Time In: 10:50 AM Time Out: 01:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable childcare requirements for a routine unannounced visit. This visit was conducted by Cara McKeown-Stewart, Childcare Consultant with Deborah Lindsey, Director. Your program currently operates with a G.S. 110 Notice of Compliance effective 2/01/1998. Restrictions include 1st shift care. The NC Secretary of State website was reviewed on 5/21/2024 and Christ Rescue Temple Apostolic Church was listed as current and active. The program’s compliance history was 86 % prior to today’s visit. All programs are required to maintain at least 75% compliance. Today, the following items were monitored: • Supervision • Staff / Child Ratio • CPR / First Aid • Special Training • CBC Qualification • ITS – SIDS • Emergency Medical Care Plan • Administration of Medication • Storage of Hazardous Products • Storage of Medication • General Safety • Discipline • Adequate / Approved Space • Program Records • Notice of Compliance Posted • Permit Restrictions The license was observed, and the restrictions were found in compliance. A walk-through of the facility was completed today. Indoor and outdoor areas were observed. Staff/child ratio and space capacity were monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed staff/child interactions today. I observed children playing with toys, engaging in conversations, songs, and music and movement activities with their teachers, and participating in general routines during the visit. One new staff member was reported at this program. The file for this staff member was reviewed. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, ITS-SIDS, Special Trainings, and Criminal Background Checks. Medication storage, emergency medication, and parent authorization to administer medications were monitored. Storage of hazardous items was monitored today. The most recent playground inspection was recorded 4/13/2024. A fire drill was recorded 5/08/2024. The most recent lock down drill for the facility was recorded 5/17/2024. The most recent fire inspection was on 12/22/2023. Ms. Linsey provided me a copy of this inspection during the visit. I observed a sanitation inspection was last conducted on 5/09/2024 earning a Superior classification. The program does not provide transportation or participate in off-premise or aquatic activities at this time. The following violations were cited during today’s visit: Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The most recent fire inspection was conducted on 12/22/2023. A copy of the inspection was not submitted to the Division within one week of the inspection; a copy of the inspection was provided during today's visit. 10A NCAC 09 .0304(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. Two plastic bags were observed inside two drawers of an unlatched filing cabinet, accessible to children under two years of age. .0604(q) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The most recent shelter-in-place drill was conducted on 5/17/2024. The most recent lockdown/ shelter-in-place drills prior to that date were conducted on 8/17/2023 and 1/5/2024. .0604(u);.0302(d)(8) 1823 The EPR Plan did not include the location of the Ready to Go File and or the required information. The Ready To Go file did not contain the emergency contact information for one new staff member and required information for five children enrolled. .0607(d)(10) You must correct the violations cited during today's visit immediately and send me documentation verifying compliance on or before 6/05/2024. The following information must be included in your signed and dated compliance letter: • the name of your center • facility ID number • date • title of the person who signs the letter • each violation number(s) • describes accurately and in detail how and when you corrected each violation If you state in your letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. You may email the letter to cara.mckeown-stewart@dhhs.nc.gov or mail two copies of the letter to: Cara McKeown 353 Jonestown Road, Unit #146 Winston Salem, NC 27104 Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical assistance discussed during today’s visit: • Two plastic bags were observed inside two drawers of an unlatched filing cabinet, accessible to children under two years of age. Ms. Lindsey locked this filing cabinet during the visit. Ms. Lindsey stated she did not realize these bags were located in the filing cabinet. • The most recent shelter-in-place drill was conducted on 5/17/2024. The most recent lockdown/ shelter-in-place drills prior to that date were conducted on 8/17/2023 and 1/5/2024. These emergency drills must be conducted every three months to ensure children have the opportunity to practice these so they feel prepared and confident in knowing what to do in the event of an actual emergency situation. The most recent fire inspection was conducted on 12/22/2023. To ensure the safety of children, a fire inspection must be conducted every 12 (twelve) months. You may consider setting an email calendar reminder to schedule or conduct these drills/inspections prior to their due dates. - The Ready To Go file did not contain the emergency contact information for one new staff member and required information for five children enrolled. It is imperative for staff contact information and the required information for children enrolled to be in this file, in the event of a mandatory evacuation to ensure the health and safety of all individuals. You may consider setting a routine schedule for monitoring this file so children enrolled or disenrolled can be added/removed and staff employed/leaving can be added or removed. Additional Information/Consultation: • You must notify your consultant 30 days prior to changing the ownership status of your facility. •The following Child Care Rules were thoroughly discussed with Ms. Lindsey during the visit: 15A NCAC 18A .2831 ANIMAL AND VERMIN CONTROL (i) 10A NCAC 09 .0607 EMERGENCY PREPAREDNESS AND RESPONSE IN CHILD CARE CENTERS (d) (10) On February 21, 2024, I emailed you a document regarding required Lead and Asbestos Testing. Ms. Lindsey confirmed during today’s visit that the email was received and provided information that she/he enrolled in testing on 2/29/2024. At the completion of the visit, this visit summary was reviewed with and provided to you. Thank you for your time and assistance during the visit. If you have any questions about the visit, please contact me or my supervisor using the information below. Cara McKeown-Stewart, Child Care Consultant (336) 408-4849 cara.mckeown-stewart@dhhs.nc.gov Pamela Hauser, Supervisor pamela.hauser@dhhs.nc.gov For the latest information on childcare rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.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 .0601 · Violation

Name of Operation: CHRIST RESCUE TEMPLE #3 Facility ID: 34000300 Consultant: CARA MCKEOWN-STEWART Operation Type: Center Case Number: Visit Date: 11/2/2023 Number Present: 15 Completed Date: 11/2/2023 Age: From 0 To 4 Total Minutes: 355 Time In: 09:50 AM Time Out: 03:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced An unannounced annual compliance visit was conducted at this childcare facility to monitor compliance with applicable childcare requirements. This visit was conducted by Cara McKeown-Stewart, Child Care Consultant with Deborah Lindsey, Director. Your program currently operates with a notice of compliance. The NC Secretary of State website was reviewed on 11/01/2023 and Christ Rescue Temple Apostolic Church was listed as current and active. The program’s compliance history was 93% prior to today’s visit. All programs are required to maintain at least 75% compliance. A walk-through of the facility was completed today. Indoor and outdoor areas were observed. On the playground, greater than two sections of the top rail of the chain link fencing were observed to be rusting. The two corner sections of fencing at the front left of the playground (facing the parking lot) were measured to be heights of 47 inches and 44 inches, respectively. Upon arrival, staff/child ratio and space capacity were monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed positive interactions today. I observed children playing in activity centers, engaging in activities, songs, and conversations with their teachers, participating in general routines and eating lunch. I observed developmentally appropriate materials and activities were available to the children in the classrooms. The last annual compliance visit was conducted on 11/16/2022. A sanitation inspection was completed 11/18/2022 with a Superior classification. The last fire inspection was conducted 11/23/2022; a copy of this inspection was provided to me during the visit. Ms. Lindsey stated she is preparing to request each of these visits to be scheduled for the 2023 year. Program records and required postings were monitored. A fire drill was conducted on 10/20/2023. A lockdown drill was documented on 8/17/2023; prior to this date, the most recent shelter in place/ lockdown drill was completed on 3/20/2023. An outdoor inspection was documented on 10/23/2023. The Emergency Preparedness and Response Plan was last updated on 10/07/2022. Staff files and children’s records were monitored per DCDEE procedures. The file for one existing staff member did not include the following documents: an annual Emergency Medical Care Plan review, annual EPR review, and a valid certification for First Aid. Storage of hazardous items was monitored today. In Space 2, a small spray bottle of Pen Gear dry erase spray, labeled Keep Out of Reach of Children with additional warnings, was observed on a shelf greater than five feet from the ground, but in unlocked storage. The teacher placed this item into locked storage during the visit. Storage and administration of medication were monitored. Medication authorization was monitored. An over-the-counter topical ointment for one child enrolled did not have a medication authorization form completed. The program does not provide transportation, participate in off-premise activities, or participate in aquatic activities. The following violations were cited during today’s visit: Violation Number Comment Rule 807 A safe indoor and outdoor environment was not provided for the children. On the playground, greater than two sections of the top rail of the chain link fencing were observed to be rusting. 10A NCAC 09 .0601(a) 824 Outdoor play area was not enclosed by fence with a minimum height of 4 feet. The top of the fence, less than six feet, was not free from protrusions. The two corner sections of fencing at the front left of the playground were measured to be heights of 47 inches and 44 inches, respectively. GS 110-91(6); .0605((i) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. In Space 2, a small spray bottle of Pen Gear dry erase spray, labeled Keep Out of Reach of Children with additional warnings, was observed on a shelf greater than five feet from the ground, but in unlocked storage. .2820(b) 847 Parent's medication authorization did not include required information. An over-the-counter topical ointment for one child enrolled did not have a medication authorization form completed. 10A NCAC 09 .0803(4)(6-9) 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. The file for one existing staff member did not include the annual Emergency Medical Care Plan review. 10A NCAC 09 .0802(a) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. The file for one existing staff member did not include a valid certification for First Aid. .1102(c) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. A lockdown drill was documented on 8/17/2023; prior to this date, the most recent shelter in place/ lockdown drill was completed on 3/20/2023. .0604(u);.0302(d)(8) 1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. The Emergency Preparedness and Response Plan was last updated on 10/07/2022. The file for one existing staff member did not include an annual EPR review. .0607(e) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. You must correct the violations cited during today's visit immediately and send me documentation verifying compliance on or before 11/16/2023. The following information must be included in your signed and dated compliance letter: • the name of your center • facility ID number • date • title of the person who signs the letter • each violation number(s) • describes accurately and in detail how and when you corrected each violation You may email the letter to cara.mckeown@dhhs.nc.gov or mail two copies of the letter to: Cara McKeown 353 Jonestown Road, Unit #146 Winston Salem, NC 27104 If you state in your letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical assistance provided during today’s visit: It was observed that greater than two sections of the top rail of the chain link fencing were observed to be rusting on the playground. Ms. Lindsey stated she had already purchased Rustoleum spray to cover these sections of fencing. It was observed that two corner sections of fencing at the front left of the playground were measured to be heights of 47 inches and 44 inches, respectively. Ms. Lindsey stated she was unaware all fencing was no longer measuring 48 inches in height. I stated the area along the inside of the fencing could have dirt removed, but must remain safe for the children in care (for example, gently sloped for the fencing to meet the required 48 inches in height, as opposed to a small trench which could present a safety hazard). A lockdown drill was observed to be documented on 8/17/2023; prior to this date, the most recent shelter in place/ lockdown drill was completed on 3/20/2023. Ms. Lindsey stated she overlooked completing this drill, and will write the dates these are due on her calendar as reminders. The Emergency Preparedness and Response Plan was last updated on 10/07/2022. Ms. Lindsey stated she overlooked updating this plan and will write the dates this is due on her calendar as a reminder. The file for one existing staff member did not include the following documents: an annual Emergency Medical Care Plan review, annual EPR review, and valid certification for First Aid. Ms. Lindsey stated she was unaware the BLS course taken through the American Heart Association did not include the required First Aid component, and she stated she will be rescheduling an approved CPR/FA course for all current employees this week. An over-the-counter topical ointment for one child enrolled did not have a medication authorization form completed. Ms. Lindsey stated the Medical Action Plan was mistaken for the medication authorization form; she stated she would provide the medication authorization form to the parent to be completed at pick-up today. Comments and Additional Information: • You must notify your consultant 30 days prior to changing the ownership status of your facility. The following Child Care Rules were thoroughly discussed with Ms. Lindsey during the visit: 15A NCAC 18A .2820 STORAGE (b) Toxic substances, which include corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled shall be kept in the original container or in another labeled container, used according to the manufacturer's instructions, and stored in a locked storage room or cabinet when not in use. Locked storage rooms and cabinets shall include those which are unlocked with a combination lock, electronic or magnetic device, keypad, key, 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. Toxic substances shall be stored below or separate from medications and food. Any other product that is labeled "keep out of reach of children" and does not have any other warnings on the label shall be kept inaccessible to children when not in use, but is not required to be kept in locked storage. For the purpose of Paragraphs (b), (c), and (d) of this Rule, a product shall be considered inaccessible to children when stored on a shelf or in an unlocked cabinet that is mounted a minimum vertical distance of five feet above the finished floor. 10A NCAC 09 .0515 PARENT PARTICIPATION (a) Each center shall have a plan that will encourage parent participation and inform parents about the program and its services. The plan shall be discussed with parents on or before the child's first day of attendance and shall be posted in the center or a copy shall be given to parents on or before the child's first day of attendance. (b) The plan shall include the following: (1) a procedure for registering a child for child care that involves both parents when possible and that encourages a visit to the center by the child and the child's parents before the child begins attending the center; (2) opportunities for caregiving staff to meet with parents on a regular basis to discuss their child's needs and progress and to exchange information about the program; (4) a procedure for parents who need information or have complaints about the child care program. 10A NCAC 09 .0607 EMERGENCY PREPAREDNESS AND RESPONSE IN CHILD CARE CENTERS (e) The trained staff shall review the Emergency Preparedness and Response Plan annually, or when information in the plan changes, to ensure all information is current. (f) All staff shall review the center's Emergency Preparedness and Response Plan during orientation and on an annual basis with the trained staff. Documentation of the review shall be maintained at the center in the individual's personnel file or in a file designated for emergency preparedness and response plan documents. • Please record specific amounts of diaper cream or other non-prescription topical ointment to be administered on medication authorization forms. • Please secure the outlet plate more firmly to the wall in Space 5. • Please ensure all enrolled infant food items are labeled with both the child’s name, and the date. • Please check the boxes on the posted Safe Sleep Policy which your facility follows; please also provide a copy of this updated form to parents of enrolled and/or enrolling infants. • You can access the Automated Background Check Management System (ABCMS) at the following link to print a copy of your most recent Criminal Background Check qualifying letter: https://ncabcms.nc.gov/DCDEE/Applicant/ • Please use the most recently updated forms from the Division website for children, staff, and program records; these can be accessed at the following website: https://ncchildcare.ncdhhs.gov/Provider/Provider-Documents-and-Forms • Please access the Risk Management Portal at the following website to update your Emergency Preparedness and Response Plan: https://rmp.nc.gov/portal/portal.aspx# • Please review all staff records to ensure that all forms have been fully completed. • The Child Care Health Consultant for Forsyth County is Keturah Oglesby at Smart Start of Forsyth County. Ms. Oglesby can be contacted at: keturaho@smartstart-fc.org. At the completion of the visit, this visit summary was reviewed with and provided to you. Thank you for your time and assistance during the visit. If you have any questions about the visit, please contact me or my supervisor using the information below. Cara McKeown, Child Care Consultant (336) 408-4849 cara.mckeown@dhhs.nc.gov Pamela Hauser, Supervisor pamela.hauser@dhhs.nc.gov For the latest information on childcare rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.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 .0515 · Violation

Name of Operation: CHRIST RESCUE TEMPLE #3 Facility ID: 34000300 Consultant: CARA MCKEOWN-STEWART Operation Type: Center Case Number: Visit Date: 11/2/2023 Number Present: 15 Completed Date: 11/2/2023 Age: From 0 To 4 Total Minutes: 355 Time In: 09:50 AM Time Out: 03:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced An unannounced annual compliance visit was conducted at this childcare facility to monitor compliance with applicable childcare requirements. This visit was conducted by Cara McKeown-Stewart, Child Care Consultant with Deborah Lindsey, Director. Your program currently operates with a notice of compliance. The NC Secretary of State website was reviewed on 11/01/2023 and Christ Rescue Temple Apostolic Church was listed as current and active. The program’s compliance history was 93% prior to today’s visit. All programs are required to maintain at least 75% compliance. A walk-through of the facility was completed today. Indoor and outdoor areas were observed. On the playground, greater than two sections of the top rail of the chain link fencing were observed to be rusting. The two corner sections of fencing at the front left of the playground (facing the parking lot) were measured to be heights of 47 inches and 44 inches, respectively. Upon arrival, staff/child ratio and space capacity were monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed positive interactions today. I observed children playing in activity centers, engaging in activities, songs, and conversations with their teachers, participating in general routines and eating lunch. I observed developmentally appropriate materials and activities were available to the children in the classrooms. The last annual compliance visit was conducted on 11/16/2022. A sanitation inspection was completed 11/18/2022 with a Superior classification. The last fire inspection was conducted 11/23/2022; a copy of this inspection was provided to me during the visit. Ms. Lindsey stated she is preparing to request each of these visits to be scheduled for the 2023 year. Program records and required postings were monitored. A fire drill was conducted on 10/20/2023. A lockdown drill was documented on 8/17/2023; prior to this date, the most recent shelter in place/ lockdown drill was completed on 3/20/2023. An outdoor inspection was documented on 10/23/2023. The Emergency Preparedness and Response Plan was last updated on 10/07/2022. Staff files and children’s records were monitored per DCDEE procedures. The file for one existing staff member did not include the following documents: an annual Emergency Medical Care Plan review, annual EPR review, and a valid certification for First Aid. Storage of hazardous items was monitored today. In Space 2, a small spray bottle of Pen Gear dry erase spray, labeled Keep Out of Reach of Children with additional warnings, was observed on a shelf greater than five feet from the ground, but in unlocked storage. The teacher placed this item into locked storage during the visit. Storage and administration of medication were monitored. Medication authorization was monitored. An over-the-counter topical ointment for one child enrolled did not have a medication authorization form completed. The program does not provide transportation, participate in off-premise activities, or participate in aquatic activities. The following violations were cited during today’s visit: Violation Number Comment Rule 807 A safe indoor and outdoor environment was not provided for the children. On the playground, greater than two sections of the top rail of the chain link fencing were observed to be rusting. 10A NCAC 09 .0601(a) 824 Outdoor play area was not enclosed by fence with a minimum height of 4 feet. The top of the fence, less than six feet, was not free from protrusions. The two corner sections of fencing at the front left of the playground were measured to be heights of 47 inches and 44 inches, respectively. GS 110-91(6); .0605((i) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. In Space 2, a small spray bottle of Pen Gear dry erase spray, labeled Keep Out of Reach of Children with additional warnings, was observed on a shelf greater than five feet from the ground, but in unlocked storage. .2820(b) 847 Parent's medication authorization did not include required information. An over-the-counter topical ointment for one child enrolled did not have a medication authorization form completed. 10A NCAC 09 .0803(4)(6-9) 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. The file for one existing staff member did not include the annual Emergency Medical Care Plan review. 10A NCAC 09 .0802(a) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. The file for one existing staff member did not include a valid certification for First Aid. .1102(c) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. A lockdown drill was documented on 8/17/2023; prior to this date, the most recent shelter in place/ lockdown drill was completed on 3/20/2023. .0604(u);.0302(d)(8) 1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. The Emergency Preparedness and Response Plan was last updated on 10/07/2022. The file for one existing staff member did not include an annual EPR review. .0607(e) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. You must correct the violations cited during today's visit immediately and send me documentation verifying compliance on or before 11/16/2023. The following information must be included in your signed and dated compliance letter: • the name of your center • facility ID number • date • title of the person who signs the letter • each violation number(s) • describes accurately and in detail how and when you corrected each violation You may email the letter to cara.mckeown@dhhs.nc.gov or mail two copies of the letter to: Cara McKeown 353 Jonestown Road, Unit #146 Winston Salem, NC 27104 If you state in your letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical assistance provided during today’s visit: It was observed that greater than two sections of the top rail of the chain link fencing were observed to be rusting on the playground. Ms. Lindsey stated she had already purchased Rustoleum spray to cover these sections of fencing. It was observed that two corner sections of fencing at the front left of the playground were measured to be heights of 47 inches and 44 inches, respectively. Ms. Lindsey stated she was unaware all fencing was no longer measuring 48 inches in height. I stated the area along the inside of the fencing could have dirt removed, but must remain safe for the children in care (for example, gently sloped for the fencing to meet the required 48 inches in height, as opposed to a small trench which could present a safety hazard). A lockdown drill was observed to be documented on 8/17/2023; prior to this date, the most recent shelter in place/ lockdown drill was completed on 3/20/2023. Ms. Lindsey stated she overlooked completing this drill, and will write the dates these are due on her calendar as reminders. The Emergency Preparedness and Response Plan was last updated on 10/07/2022. Ms. Lindsey stated she overlooked updating this plan and will write the dates this is due on her calendar as a reminder. The file for one existing staff member did not include the following documents: an annual Emergency Medical Care Plan review, annual EPR review, and valid certification for First Aid. Ms. Lindsey stated she was unaware the BLS course taken through the American Heart Association did not include the required First Aid component, and she stated she will be rescheduling an approved CPR/FA course for all current employees this week. An over-the-counter topical ointment for one child enrolled did not have a medication authorization form completed. Ms. Lindsey stated the Medical Action Plan was mistaken for the medication authorization form; she stated she would provide the medication authorization form to the parent to be completed at pick-up today. Comments and Additional Information: • You must notify your consultant 30 days prior to changing the ownership status of your facility. The following Child Care Rules were thoroughly discussed with Ms. Lindsey during the visit: 15A NCAC 18A .2820 STORAGE (b) Toxic substances, which include corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled shall be kept in the original container or in another labeled container, used according to the manufacturer's instructions, and stored in a locked storage room or cabinet when not in use. Locked storage rooms and cabinets shall include those which are unlocked with a combination lock, electronic or magnetic device, keypad, key, 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. Toxic substances shall be stored below or separate from medications and food. Any other product that is labeled "keep out of reach of children" and does not have any other warnings on the label shall be kept inaccessible to children when not in use, but is not required to be kept in locked storage. For the purpose of Paragraphs (b), (c), and (d) of this Rule, a product shall be considered inaccessible to children when stored on a shelf or in an unlocked cabinet that is mounted a minimum vertical distance of five feet above the finished floor. 10A NCAC 09 .0515 PARENT PARTICIPATION (a) Each center shall have a plan that will encourage parent participation and inform parents about the program and its services. The plan shall be discussed with parents on or before the child's first day of attendance and shall be posted in the center or a copy shall be given to parents on or before the child's first day of attendance. (b) The plan shall include the following: (1) a procedure for registering a child for child care that involves both parents when possible and that encourages a visit to the center by the child and the child's parents before the child begins attending the center; (2) opportunities for caregiving staff to meet with parents on a regular basis to discuss their child's needs and progress and to exchange information about the program; (4) a procedure for parents who need information or have complaints about the child care program. 10A NCAC 09 .0607 EMERGENCY PREPAREDNESS AND RESPONSE IN CHILD CARE CENTERS (e) The trained staff shall review the Emergency Preparedness and Response Plan annually, or when information in the plan changes, to ensure all information is current. (f) All staff shall review the center's Emergency Preparedness and Response Plan during orientation and on an annual basis with the trained staff. Documentation of the review shall be maintained at the center in the individual's personnel file or in a file designated for emergency preparedness and response plan documents. • Please record specific amounts of diaper cream or other non-prescription topical ointment to be administered on medication authorization forms. • Please secure the outlet plate more firmly to the wall in Space 5. • Please ensure all enrolled infant food items are labeled with both the child’s name, and the date. • Please check the boxes on the posted Safe Sleep Policy which your facility follows; please also provide a copy of this updated form to parents of enrolled and/or enrolling infants. • You can access the Automated Background Check Management System (ABCMS) at the following link to print a copy of your most recent Criminal Background Check qualifying letter: https://ncabcms.nc.gov/DCDEE/Applicant/ • Please use the most recently updated forms from the Division website for children, staff, and program records; these can be accessed at the following website: https://ncchildcare.ncdhhs.gov/Provider/Provider-Documents-and-Forms • Please access the Risk Management Portal at the following website to update your Emergency Preparedness and Response Plan: https://rmp.nc.gov/portal/portal.aspx# • Please review all staff records to ensure that all forms have been fully completed. • The Child Care Health Consultant for Forsyth County is Keturah Oglesby at Smart Start of Forsyth County. Ms. Oglesby can be contacted at: keturaho@smartstart-fc.org. At the completion of the visit, this visit summary was reviewed with and provided to you. Thank you for your time and assistance during the visit. If you have any questions about the visit, please contact me or my supervisor using the information below. Cara McKeown, Child Care Consultant (336) 408-4849 cara.mckeown@dhhs.nc.gov Pamela Hauser, Supervisor pamela.hauser@dhhs.nc.gov For the latest information on childcare rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.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 .0607 · Violation

Name of Operation: CHRIST RESCUE TEMPLE #3 Facility ID: 34000300 Consultant: CARA MCKEOWN-STEWART Operation Type: Center Case Number: Visit Date: 11/2/2023 Number Present: 15 Completed Date: 11/2/2023 Age: From 0 To 4 Total Minutes: 355 Time In: 09:50 AM Time Out: 03:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced An unannounced annual compliance visit was conducted at this childcare facility to monitor compliance with applicable childcare requirements. This visit was conducted by Cara McKeown-Stewart, Child Care Consultant with Deborah Lindsey, Director. Your program currently operates with a notice of compliance. The NC Secretary of State website was reviewed on 11/01/2023 and Christ Rescue Temple Apostolic Church was listed as current and active. The program’s compliance history was 93% prior to today’s visit. All programs are required to maintain at least 75% compliance. A walk-through of the facility was completed today. Indoor and outdoor areas were observed. On the playground, greater than two sections of the top rail of the chain link fencing were observed to be rusting. The two corner sections of fencing at the front left of the playground (facing the parking lot) were measured to be heights of 47 inches and 44 inches, respectively. Upon arrival, staff/child ratio and space capacity were monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed positive interactions today. I observed children playing in activity centers, engaging in activities, songs, and conversations with their teachers, participating in general routines and eating lunch. I observed developmentally appropriate materials and activities were available to the children in the classrooms. The last annual compliance visit was conducted on 11/16/2022. A sanitation inspection was completed 11/18/2022 with a Superior classification. The last fire inspection was conducted 11/23/2022; a copy of this inspection was provided to me during the visit. Ms. Lindsey stated she is preparing to request each of these visits to be scheduled for the 2023 year. Program records and required postings were monitored. A fire drill was conducted on 10/20/2023. A lockdown drill was documented on 8/17/2023; prior to this date, the most recent shelter in place/ lockdown drill was completed on 3/20/2023. An outdoor inspection was documented on 10/23/2023. The Emergency Preparedness and Response Plan was last updated on 10/07/2022. Staff files and children’s records were monitored per DCDEE procedures. The file for one existing staff member did not include the following documents: an annual Emergency Medical Care Plan review, annual EPR review, and a valid certification for First Aid. Storage of hazardous items was monitored today. In Space 2, a small spray bottle of Pen Gear dry erase spray, labeled Keep Out of Reach of Children with additional warnings, was observed on a shelf greater than five feet from the ground, but in unlocked storage. The teacher placed this item into locked storage during the visit. Storage and administration of medication were monitored. Medication authorization was monitored. An over-the-counter topical ointment for one child enrolled did not have a medication authorization form completed. The program does not provide transportation, participate in off-premise activities, or participate in aquatic activities. The following violations were cited during today’s visit: Violation Number Comment Rule 807 A safe indoor and outdoor environment was not provided for the children. On the playground, greater than two sections of the top rail of the chain link fencing were observed to be rusting. 10A NCAC 09 .0601(a) 824 Outdoor play area was not enclosed by fence with a minimum height of 4 feet. The top of the fence, less than six feet, was not free from protrusions. The two corner sections of fencing at the front left of the playground were measured to be heights of 47 inches and 44 inches, respectively. GS 110-91(6); .0605((i) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. In Space 2, a small spray bottle of Pen Gear dry erase spray, labeled Keep Out of Reach of Children with additional warnings, was observed on a shelf greater than five feet from the ground, but in unlocked storage. .2820(b) 847 Parent's medication authorization did not include required information. An over-the-counter topical ointment for one child enrolled did not have a medication authorization form completed. 10A NCAC 09 .0803(4)(6-9) 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. The file for one existing staff member did not include the annual Emergency Medical Care Plan review. 10A NCAC 09 .0802(a) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. The file for one existing staff member did not include a valid certification for First Aid. .1102(c) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. A lockdown drill was documented on 8/17/2023; prior to this date, the most recent shelter in place/ lockdown drill was completed on 3/20/2023. .0604(u);.0302(d)(8) 1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. The Emergency Preparedness and Response Plan was last updated on 10/07/2022. The file for one existing staff member did not include an annual EPR review. .0607(e) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. You must correct the violations cited during today's visit immediately and send me documentation verifying compliance on or before 11/16/2023. The following information must be included in your signed and dated compliance letter: • the name of your center • facility ID number • date • title of the person who signs the letter • each violation number(s) • describes accurately and in detail how and when you corrected each violation You may email the letter to cara.mckeown@dhhs.nc.gov or mail two copies of the letter to: Cara McKeown 353 Jonestown Road, Unit #146 Winston Salem, NC 27104 If you state in your letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical assistance provided during today’s visit: It was observed that greater than two sections of the top rail of the chain link fencing were observed to be rusting on the playground. Ms. Lindsey stated she had already purchased Rustoleum spray to cover these sections of fencing. It was observed that two corner sections of fencing at the front left of the playground were measured to be heights of 47 inches and 44 inches, respectively. Ms. Lindsey stated she was unaware all fencing was no longer measuring 48 inches in height. I stated the area along the inside of the fencing could have dirt removed, but must remain safe for the children in care (for example, gently sloped for the fencing to meet the required 48 inches in height, as opposed to a small trench which could present a safety hazard). A lockdown drill was observed to be documented on 8/17/2023; prior to this date, the most recent shelter in place/ lockdown drill was completed on 3/20/2023. Ms. Lindsey stated she overlooked completing this drill, and will write the dates these are due on her calendar as reminders. The Emergency Preparedness and Response Plan was last updated on 10/07/2022. Ms. Lindsey stated she overlooked updating this plan and will write the dates this is due on her calendar as a reminder. The file for one existing staff member did not include the following documents: an annual Emergency Medical Care Plan review, annual EPR review, and valid certification for First Aid. Ms. Lindsey stated she was unaware the BLS course taken through the American Heart Association did not include the required First Aid component, and she stated she will be rescheduling an approved CPR/FA course for all current employees this week. An over-the-counter topical ointment for one child enrolled did not have a medication authorization form completed. Ms. Lindsey stated the Medical Action Plan was mistaken for the medication authorization form; she stated she would provide the medication authorization form to the parent to be completed at pick-up today. Comments and Additional Information: • You must notify your consultant 30 days prior to changing the ownership status of your facility. The following Child Care Rules were thoroughly discussed with Ms. Lindsey during the visit: 15A NCAC 18A .2820 STORAGE (b) Toxic substances, which include corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled shall be kept in the original container or in another labeled container, used according to the manufacturer's instructions, and stored in a locked storage room or cabinet when not in use. Locked storage rooms and cabinets shall include those which are unlocked with a combination lock, electronic or magnetic device, keypad, key, 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. Toxic substances shall be stored below or separate from medications and food. Any other product that is labeled "keep out of reach of children" and does not have any other warnings on the label shall be kept inaccessible to children when not in use, but is not required to be kept in locked storage. For the purpose of Paragraphs (b), (c), and (d) of this Rule, a product shall be considered inaccessible to children when stored on a shelf or in an unlocked cabinet that is mounted a minimum vertical distance of five feet above the finished floor. 10A NCAC 09 .0515 PARENT PARTICIPATION (a) Each center shall have a plan that will encourage parent participation and inform parents about the program and its services. The plan shall be discussed with parents on or before the child's first day of attendance and shall be posted in the center or a copy shall be given to parents on or before the child's first day of attendance. (b) The plan shall include the following: (1) a procedure for registering a child for child care that involves both parents when possible and that encourages a visit to the center by the child and the child's parents before the child begins attending the center; (2) opportunities for caregiving staff to meet with parents on a regular basis to discuss their child's needs and progress and to exchange information about the program; (4) a procedure for parents who need information or have complaints about the child care program. 10A NCAC 09 .0607 EMERGENCY PREPAREDNESS AND RESPONSE IN CHILD CARE CENTERS (e) The trained staff shall review the Emergency Preparedness and Response Plan annually, or when information in the plan changes, to ensure all information is current. (f) All staff shall review the center's Emergency Preparedness and Response Plan during orientation and on an annual basis with the trained staff. Documentation of the review shall be maintained at the center in the individual's personnel file or in a file designated for emergency preparedness and response plan documents. • Please record specific amounts of diaper cream or other non-prescription topical ointment to be administered on medication authorization forms. • Please secure the outlet plate more firmly to the wall in Space 5. • Please ensure all enrolled infant food items are labeled with both the child’s name, and the date. • Please check the boxes on the posted Safe Sleep Policy which your facility follows; please also provide a copy of this updated form to parents of enrolled and/or enrolling infants. • You can access the Automated Background Check Management System (ABCMS) at the following link to print a copy of your most recent Criminal Background Check qualifying letter: https://ncabcms.nc.gov/DCDEE/Applicant/ • Please use the most recently updated forms from the Division website for children, staff, and program records; these can be accessed at the following website: https://ncchildcare.ncdhhs.gov/Provider/Provider-Documents-and-Forms • Please access the Risk Management Portal at the following website to update your Emergency Preparedness and Response Plan: https://rmp.nc.gov/portal/portal.aspx# • Please review all staff records to ensure that all forms have been fully completed. • The Child Care Health Consultant for Forsyth County is Keturah Oglesby at Smart Start of Forsyth County. Ms. Oglesby can be contacted at: keturaho@smartstart-fc.org. At the completion of the visit, this visit summary was reviewed with and provided to you. Thank you for your time and assistance during the visit. If you have any questions about the visit, please contact me or my supervisor using the information below. Cara McKeown, Child Care Consultant (336) 408-4849 cara.mckeown@dhhs.nc.gov Pamela Hauser, Supervisor pamela.hauser@dhhs.nc.gov For the latest information on childcare rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0802 · Violation

Name of Operation: CHRIST RESCUE TEMPLE #3 Facility ID: 34000300 Consultant: CARA MCKEOWN-STEWART Operation Type: Center Case Number: Visit Date: 11/2/2023 Number Present: 15 Completed Date: 11/2/2023 Age: From 0 To 4 Total Minutes: 355 Time In: 09:50 AM Time Out: 03:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced An unannounced annual compliance visit was conducted at this childcare facility to monitor compliance with applicable childcare requirements. This visit was conducted by Cara McKeown-Stewart, Child Care Consultant with Deborah Lindsey, Director. Your program currently operates with a notice of compliance. The NC Secretary of State website was reviewed on 11/01/2023 and Christ Rescue Temple Apostolic Church was listed as current and active. The program’s compliance history was 93% prior to today’s visit. All programs are required to maintain at least 75% compliance. A walk-through of the facility was completed today. Indoor and outdoor areas were observed. On the playground, greater than two sections of the top rail of the chain link fencing were observed to be rusting. The two corner sections of fencing at the front left of the playground (facing the parking lot) were measured to be heights of 47 inches and 44 inches, respectively. Upon arrival, staff/child ratio and space capacity were monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed positive interactions today. I observed children playing in activity centers, engaging in activities, songs, and conversations with their teachers, participating in general routines and eating lunch. I observed developmentally appropriate materials and activities were available to the children in the classrooms. The last annual compliance visit was conducted on 11/16/2022. A sanitation inspection was completed 11/18/2022 with a Superior classification. The last fire inspection was conducted 11/23/2022; a copy of this inspection was provided to me during the visit. Ms. Lindsey stated she is preparing to request each of these visits to be scheduled for the 2023 year. Program records and required postings were monitored. A fire drill was conducted on 10/20/2023. A lockdown drill was documented on 8/17/2023; prior to this date, the most recent shelter in place/ lockdown drill was completed on 3/20/2023. An outdoor inspection was documented on 10/23/2023. The Emergency Preparedness and Response Plan was last updated on 10/07/2022. Staff files and children’s records were monitored per DCDEE procedures. The file for one existing staff member did not include the following documents: an annual Emergency Medical Care Plan review, annual EPR review, and a valid certification for First Aid. Storage of hazardous items was monitored today. In Space 2, a small spray bottle of Pen Gear dry erase spray, labeled Keep Out of Reach of Children with additional warnings, was observed on a shelf greater than five feet from the ground, but in unlocked storage. The teacher placed this item into locked storage during the visit. Storage and administration of medication were monitored. Medication authorization was monitored. An over-the-counter topical ointment for one child enrolled did not have a medication authorization form completed. The program does not provide transportation, participate in off-premise activities, or participate in aquatic activities. The following violations were cited during today’s visit: Violation Number Comment Rule 807 A safe indoor and outdoor environment was not provided for the children. On the playground, greater than two sections of the top rail of the chain link fencing were observed to be rusting. 10A NCAC 09 .0601(a) 824 Outdoor play area was not enclosed by fence with a minimum height of 4 feet. The top of the fence, less than six feet, was not free from protrusions. The two corner sections of fencing at the front left of the playground were measured to be heights of 47 inches and 44 inches, respectively. GS 110-91(6); .0605((i) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. In Space 2, a small spray bottle of Pen Gear dry erase spray, labeled Keep Out of Reach of Children with additional warnings, was observed on a shelf greater than five feet from the ground, but in unlocked storage. .2820(b) 847 Parent's medication authorization did not include required information. An over-the-counter topical ointment for one child enrolled did not have a medication authorization form completed. 10A NCAC 09 .0803(4)(6-9) 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. The file for one existing staff member did not include the annual Emergency Medical Care Plan review. 10A NCAC 09 .0802(a) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. The file for one existing staff member did not include a valid certification for First Aid. .1102(c) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. A lockdown drill was documented on 8/17/2023; prior to this date, the most recent shelter in place/ lockdown drill was completed on 3/20/2023. .0604(u);.0302(d)(8) 1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. The Emergency Preparedness and Response Plan was last updated on 10/07/2022. The file for one existing staff member did not include an annual EPR review. .0607(e) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. You must correct the violations cited during today's visit immediately and send me documentation verifying compliance on or before 11/16/2023. The following information must be included in your signed and dated compliance letter: • the name of your center • facility ID number • date • title of the person who signs the letter • each violation number(s) • describes accurately and in detail how and when you corrected each violation You may email the letter to cara.mckeown@dhhs.nc.gov or mail two copies of the letter to: Cara McKeown 353 Jonestown Road, Unit #146 Winston Salem, NC 27104 If you state in your letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical assistance provided during today’s visit: It was observed that greater than two sections of the top rail of the chain link fencing were observed to be rusting on the playground. Ms. Lindsey stated she had already purchased Rustoleum spray to cover these sections of fencing. It was observed that two corner sections of fencing at the front left of the playground were measured to be heights of 47 inches and 44 inches, respectively. Ms. Lindsey stated she was unaware all fencing was no longer measuring 48 inches in height. I stated the area along the inside of the fencing could have dirt removed, but must remain safe for the children in care (for example, gently sloped for the fencing to meet the required 48 inches in height, as opposed to a small trench which could present a safety hazard). A lockdown drill was observed to be documented on 8/17/2023; prior to this date, the most recent shelter in place/ lockdown drill was completed on 3/20/2023. Ms. Lindsey stated she overlooked completing this drill, and will write the dates these are due on her calendar as reminders. The Emergency Preparedness and Response Plan was last updated on 10/07/2022. Ms. Lindsey stated she overlooked updating this plan and will write the dates this is due on her calendar as a reminder. The file for one existing staff member did not include the following documents: an annual Emergency Medical Care Plan review, annual EPR review, and valid certification for First Aid. Ms. Lindsey stated she was unaware the BLS course taken through the American Heart Association did not include the required First Aid component, and she stated she will be rescheduling an approved CPR/FA course for all current employees this week. An over-the-counter topical ointment for one child enrolled did not have a medication authorization form completed. Ms. Lindsey stated the Medical Action Plan was mistaken for the medication authorization form; she stated she would provide the medication authorization form to the parent to be completed at pick-up today. Comments and Additional Information: • You must notify your consultant 30 days prior to changing the ownership status of your facility. The following Child Care Rules were thoroughly discussed with Ms. Lindsey during the visit: 15A NCAC 18A .2820 STORAGE (b) Toxic substances, which include corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled shall be kept in the original container or in another labeled container, used according to the manufacturer's instructions, and stored in a locked storage room or cabinet when not in use. Locked storage rooms and cabinets shall include those which are unlocked with a combination lock, electronic or magnetic device, keypad, key, 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. Toxic substances shall be stored below or separate from medications and food. Any other product that is labeled "keep out of reach of children" and does not have any other warnings on the label shall be kept inaccessible to children when not in use, but is not required to be kept in locked storage. For the purpose of Paragraphs (b), (c), and (d) of this Rule, a product shall be considered inaccessible to children when stored on a shelf or in an unlocked cabinet that is mounted a minimum vertical distance of five feet above the finished floor. 10A NCAC 09 .0515 PARENT PARTICIPATION (a) Each center shall have a plan that will encourage parent participation and inform parents about the program and its services. The plan shall be discussed with parents on or before the child's first day of attendance and shall be posted in the center or a copy shall be given to parents on or before the child's first day of attendance. (b) The plan shall include the following: (1) a procedure for registering a child for child care that involves both parents when possible and that encourages a visit to the center by the child and the child's parents before the child begins attending the center; (2) opportunities for caregiving staff to meet with parents on a regular basis to discuss their child's needs and progress and to exchange information about the program; (4) a procedure for parents who need information or have complaints about the child care program. 10A NCAC 09 .0607 EMERGENCY PREPAREDNESS AND RESPONSE IN CHILD CARE CENTERS (e) The trained staff shall review the Emergency Preparedness and Response Plan annually, or when information in the plan changes, to ensure all information is current. (f) All staff shall review the center's Emergency Preparedness and Response Plan during orientation and on an annual basis with the trained staff. Documentation of the review shall be maintained at the center in the individual's personnel file or in a file designated for emergency preparedness and response plan documents. • Please record specific amounts of diaper cream or other non-prescription topical ointment to be administered on medication authorization forms. • Please secure the outlet plate more firmly to the wall in Space 5. • Please ensure all enrolled infant food items are labeled with both the child’s name, and the date. • Please check the boxes on the posted Safe Sleep Policy which your facility follows; please also provide a copy of this updated form to parents of enrolled and/or enrolling infants. • You can access the Automated Background Check Management System (ABCMS) at the following link to print a copy of your most recent Criminal Background Check qualifying letter: https://ncabcms.nc.gov/DCDEE/Applicant/ • Please use the most recently updated forms from the Division website for children, staff, and program records; these can be accessed at the following website: https://ncchildcare.ncdhhs.gov/Provider/Provider-Documents-and-Forms • Please access the Risk Management Portal at the following website to update your Emergency Preparedness and Response Plan: https://rmp.nc.gov/portal/portal.aspx# • Please review all staff records to ensure that all forms have been fully completed. • The Child Care Health Consultant for Forsyth County is Keturah Oglesby at Smart Start of Forsyth County. Ms. Oglesby can be contacted at: keturaho@smartstart-fc.org. At the completion of the visit, this visit summary was reviewed with and provided to you. Thank you for your time and assistance during the visit. If you have any questions about the visit, please contact me or my supervisor using the information below. Cara McKeown, Child Care Consultant (336) 408-4849 cara.mckeown@dhhs.nc.gov Pamela Hauser, Supervisor pamela.hauser@dhhs.nc.gov For the latest information on childcare rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0803 · Violation

Name of Operation: CHRIST RESCUE TEMPLE #3 Facility ID: 34000300 Consultant: CARA MCKEOWN-STEWART Operation Type: Center Case Number: Visit Date: 11/2/2023 Number Present: 15 Completed Date: 11/2/2023 Age: From 0 To 4 Total Minutes: 355 Time In: 09:50 AM Time Out: 03:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced An unannounced annual compliance visit was conducted at this childcare facility to monitor compliance with applicable childcare requirements. This visit was conducted by Cara McKeown-Stewart, Child Care Consultant with Deborah Lindsey, Director. Your program currently operates with a notice of compliance. The NC Secretary of State website was reviewed on 11/01/2023 and Christ Rescue Temple Apostolic Church was listed as current and active. The program’s compliance history was 93% prior to today’s visit. All programs are required to maintain at least 75% compliance. A walk-through of the facility was completed today. Indoor and outdoor areas were observed. On the playground, greater than two sections of the top rail of the chain link fencing were observed to be rusting. The two corner sections of fencing at the front left of the playground (facing the parking lot) were measured to be heights of 47 inches and 44 inches, respectively. Upon arrival, staff/child ratio and space capacity were monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed positive interactions today. I observed children playing in activity centers, engaging in activities, songs, and conversations with their teachers, participating in general routines and eating lunch. I observed developmentally appropriate materials and activities were available to the children in the classrooms. The last annual compliance visit was conducted on 11/16/2022. A sanitation inspection was completed 11/18/2022 with a Superior classification. The last fire inspection was conducted 11/23/2022; a copy of this inspection was provided to me during the visit. Ms. Lindsey stated she is preparing to request each of these visits to be scheduled for the 2023 year. Program records and required postings were monitored. A fire drill was conducted on 10/20/2023. A lockdown drill was documented on 8/17/2023; prior to this date, the most recent shelter in place/ lockdown drill was completed on 3/20/2023. An outdoor inspection was documented on 10/23/2023. The Emergency Preparedness and Response Plan was last updated on 10/07/2022. Staff files and children’s records were monitored per DCDEE procedures. The file for one existing staff member did not include the following documents: an annual Emergency Medical Care Plan review, annual EPR review, and a valid certification for First Aid. Storage of hazardous items was monitored today. In Space 2, a small spray bottle of Pen Gear dry erase spray, labeled Keep Out of Reach of Children with additional warnings, was observed on a shelf greater than five feet from the ground, but in unlocked storage. The teacher placed this item into locked storage during the visit. Storage and administration of medication were monitored. Medication authorization was monitored. An over-the-counter topical ointment for one child enrolled did not have a medication authorization form completed. The program does not provide transportation, participate in off-premise activities, or participate in aquatic activities. The following violations were cited during today’s visit: Violation Number Comment Rule 807 A safe indoor and outdoor environment was not provided for the children. On the playground, greater than two sections of the top rail of the chain link fencing were observed to be rusting. 10A NCAC 09 .0601(a) 824 Outdoor play area was not enclosed by fence with a minimum height of 4 feet. The top of the fence, less than six feet, was not free from protrusions. The two corner sections of fencing at the front left of the playground were measured to be heights of 47 inches and 44 inches, respectively. GS 110-91(6); .0605((i) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. In Space 2, a small spray bottle of Pen Gear dry erase spray, labeled Keep Out of Reach of Children with additional warnings, was observed on a shelf greater than five feet from the ground, but in unlocked storage. .2820(b) 847 Parent's medication authorization did not include required information. An over-the-counter topical ointment for one child enrolled did not have a medication authorization form completed. 10A NCAC 09 .0803(4)(6-9) 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. The file for one existing staff member did not include the annual Emergency Medical Care Plan review. 10A NCAC 09 .0802(a) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. The file for one existing staff member did not include a valid certification for First Aid. .1102(c) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. A lockdown drill was documented on 8/17/2023; prior to this date, the most recent shelter in place/ lockdown drill was completed on 3/20/2023. .0604(u);.0302(d)(8) 1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. The Emergency Preparedness and Response Plan was last updated on 10/07/2022. The file for one existing staff member did not include an annual EPR review. .0607(e) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. You must correct the violations cited during today's visit immediately and send me documentation verifying compliance on or before 11/16/2023. The following information must be included in your signed and dated compliance letter: • the name of your center • facility ID number • date • title of the person who signs the letter • each violation number(s) • describes accurately and in detail how and when you corrected each violation You may email the letter to cara.mckeown@dhhs.nc.gov or mail two copies of the letter to: Cara McKeown 353 Jonestown Road, Unit #146 Winston Salem, NC 27104 If you state in your letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical assistance provided during today’s visit: It was observed that greater than two sections of the top rail of the chain link fencing were observed to be rusting on the playground. Ms. Lindsey stated she had already purchased Rustoleum spray to cover these sections of fencing. It was observed that two corner sections of fencing at the front left of the playground were measured to be heights of 47 inches and 44 inches, respectively. Ms. Lindsey stated she was unaware all fencing was no longer measuring 48 inches in height. I stated the area along the inside of the fencing could have dirt removed, but must remain safe for the children in care (for example, gently sloped for the fencing to meet the required 48 inches in height, as opposed to a small trench which could present a safety hazard). A lockdown drill was observed to be documented on 8/17/2023; prior to this date, the most recent shelter in place/ lockdown drill was completed on 3/20/2023. Ms. Lindsey stated she overlooked completing this drill, and will write the dates these are due on her calendar as reminders. The Emergency Preparedness and Response Plan was last updated on 10/07/2022. Ms. Lindsey stated she overlooked updating this plan and will write the dates this is due on her calendar as a reminder. The file for one existing staff member did not include the following documents: an annual Emergency Medical Care Plan review, annual EPR review, and valid certification for First Aid. Ms. Lindsey stated she was unaware the BLS course taken through the American Heart Association did not include the required First Aid component, and she stated she will be rescheduling an approved CPR/FA course for all current employees this week. An over-the-counter topical ointment for one child enrolled did not have a medication authorization form completed. Ms. Lindsey stated the Medical Action Plan was mistaken for the medication authorization form; she stated she would provide the medication authorization form to the parent to be completed at pick-up today. Comments and Additional Information: • You must notify your consultant 30 days prior to changing the ownership status of your facility. The following Child Care Rules were thoroughly discussed with Ms. Lindsey during the visit: 15A NCAC 18A .2820 STORAGE (b) Toxic substances, which include corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled shall be kept in the original container or in another labeled container, used according to the manufacturer's instructions, and stored in a locked storage room or cabinet when not in use. Locked storage rooms and cabinets shall include those which are unlocked with a combination lock, electronic or magnetic device, keypad, key, 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. Toxic substances shall be stored below or separate from medications and food. Any other product that is labeled "keep out of reach of children" and does not have any other warnings on the label shall be kept inaccessible to children when not in use, but is not required to be kept in locked storage. For the purpose of Paragraphs (b), (c), and (d) of this Rule, a product shall be considered inaccessible to children when stored on a shelf or in an unlocked cabinet that is mounted a minimum vertical distance of five feet above the finished floor. 10A NCAC 09 .0515 PARENT PARTICIPATION (a) Each center shall have a plan that will encourage parent participation and inform parents about the program and its services. The plan shall be discussed with parents on or before the child's first day of attendance and shall be posted in the center or a copy shall be given to parents on or before the child's first day of attendance. (b) The plan shall include the following: (1) a procedure for registering a child for child care that involves both parents when possible and that encourages a visit to the center by the child and the child's parents before the child begins attending the center; (2) opportunities for caregiving staff to meet with parents on a regular basis to discuss their child's needs and progress and to exchange information about the program; (4) a procedure for parents who need information or have complaints about the child care program. 10A NCAC 09 .0607 EMERGENCY PREPAREDNESS AND RESPONSE IN CHILD CARE CENTERS (e) The trained staff shall review the Emergency Preparedness and Response Plan annually, or when information in the plan changes, to ensure all information is current. (f) All staff shall review the center's Emergency Preparedness and Response Plan during orientation and on an annual basis with the trained staff. Documentation of the review shall be maintained at the center in the individual's personnel file or in a file designated for emergency preparedness and response plan documents. • Please record specific amounts of diaper cream or other non-prescription topical ointment to be administered on medication authorization forms. • Please secure the outlet plate more firmly to the wall in Space 5. • Please ensure all enrolled infant food items are labeled with both the child’s name, and the date. • Please check the boxes on the posted Safe Sleep Policy which your facility follows; please also provide a copy of this updated form to parents of enrolled and/or enrolling infants. • You can access the Automated Background Check Management System (ABCMS) at the following link to print a copy of your most recent Criminal Background Check qualifying letter: https://ncabcms.nc.gov/DCDEE/Applicant/ • Please use the most recently updated forms from the Division website for children, staff, and program records; these can be accessed at the following website: https://ncchildcare.ncdhhs.gov/Provider/Provider-Documents-and-Forms • Please access the Risk Management Portal at the following website to update your Emergency Preparedness and Response Plan: https://rmp.nc.gov/portal/portal.aspx# • Please review all staff records to ensure that all forms have been fully completed. • The Child Care Health Consultant for Forsyth County is Keturah Oglesby at Smart Start of Forsyth County. Ms. Oglesby can be contacted at: keturaho@smartstart-fc.org. At the completion of the visit, this visit summary was reviewed with and provided to you. Thank you for your time and assistance during the visit. If you have any questions about the visit, please contact me or my supervisor using the information below. Cara McKeown, Child Care Consultant (336) 408-4849 cara.mckeown@dhhs.nc.gov Pamela Hauser, Supervisor pamela.hauser@dhhs.nc.gov For the latest information on childcare rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.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: CHRIST RESCUE TEMPLE #3 Facility ID: 34000300 Consultant: CARA MCKEOWN-STEWART Operation Type: Center Case Number: Visit Date: 11/2/2023 Number Present: 15 Completed Date: 11/2/2023 Age: From 0 To 4 Total Minutes: 355 Time In: 09:50 AM Time Out: 03:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced An unannounced annual compliance visit was conducted at this childcare facility to monitor compliance with applicable childcare requirements. This visit was conducted by Cara McKeown-Stewart, Child Care Consultant with Deborah Lindsey, Director. Your program currently operates with a notice of compliance. The NC Secretary of State website was reviewed on 11/01/2023 and Christ Rescue Temple Apostolic Church was listed as current and active. The program’s compliance history was 93% prior to today’s visit. All programs are required to maintain at least 75% compliance. A walk-through of the facility was completed today. Indoor and outdoor areas were observed. On the playground, greater than two sections of the top rail of the chain link fencing were observed to be rusting. The two corner sections of fencing at the front left of the playground (facing the parking lot) were measured to be heights of 47 inches and 44 inches, respectively. Upon arrival, staff/child ratio and space capacity were monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed positive interactions today. I observed children playing in activity centers, engaging in activities, songs, and conversations with their teachers, participating in general routines and eating lunch. I observed developmentally appropriate materials and activities were available to the children in the classrooms. The last annual compliance visit was conducted on 11/16/2022. A sanitation inspection was completed 11/18/2022 with a Superior classification. The last fire inspection was conducted 11/23/2022; a copy of this inspection was provided to me during the visit. Ms. Lindsey stated she is preparing to request each of these visits to be scheduled for the 2023 year. Program records and required postings were monitored. A fire drill was conducted on 10/20/2023. A lockdown drill was documented on 8/17/2023; prior to this date, the most recent shelter in place/ lockdown drill was completed on 3/20/2023. An outdoor inspection was documented on 10/23/2023. The Emergency Preparedness and Response Plan was last updated on 10/07/2022. Staff files and children’s records were monitored per DCDEE procedures. The file for one existing staff member did not include the following documents: an annual Emergency Medical Care Plan review, annual EPR review, and a valid certification for First Aid. Storage of hazardous items was monitored today. In Space 2, a small spray bottle of Pen Gear dry erase spray, labeled Keep Out of Reach of Children with additional warnings, was observed on a shelf greater than five feet from the ground, but in unlocked storage. The teacher placed this item into locked storage during the visit. Storage and administration of medication were monitored. Medication authorization was monitored. An over-the-counter topical ointment for one child enrolled did not have a medication authorization form completed. The program does not provide transportation, participate in off-premise activities, or participate in aquatic activities. The following violations were cited during today’s visit: Violation Number Comment Rule 807 A safe indoor and outdoor environment was not provided for the children. On the playground, greater than two sections of the top rail of the chain link fencing were observed to be rusting. 10A NCAC 09 .0601(a) 824 Outdoor play area was not enclosed by fence with a minimum height of 4 feet. The top of the fence, less than six feet, was not free from protrusions. The two corner sections of fencing at the front left of the playground were measured to be heights of 47 inches and 44 inches, respectively. GS 110-91(6); .0605((i) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. In Space 2, a small spray bottle of Pen Gear dry erase spray, labeled Keep Out of Reach of Children with additional warnings, was observed on a shelf greater than five feet from the ground, but in unlocked storage. .2820(b) 847 Parent's medication authorization did not include required information. An over-the-counter topical ointment for one child enrolled did not have a medication authorization form completed. 10A NCAC 09 .0803(4)(6-9) 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. The file for one existing staff member did not include the annual Emergency Medical Care Plan review. 10A NCAC 09 .0802(a) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. The file for one existing staff member did not include a valid certification for First Aid. .1102(c) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. A lockdown drill was documented on 8/17/2023; prior to this date, the most recent shelter in place/ lockdown drill was completed on 3/20/2023. .0604(u);.0302(d)(8) 1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. The Emergency Preparedness and Response Plan was last updated on 10/07/2022. The file for one existing staff member did not include an annual EPR review. .0607(e) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. You must correct the violations cited during today's visit immediately and send me documentation verifying compliance on or before 11/16/2023. The following information must be included in your signed and dated compliance letter: • the name of your center • facility ID number • date • title of the person who signs the letter • each violation number(s) • describes accurately and in detail how and when you corrected each violation You may email the letter to cara.mckeown@dhhs.nc.gov or mail two copies of the letter to: Cara McKeown 353 Jonestown Road, Unit #146 Winston Salem, NC 27104 If you state in your letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical assistance provided during today’s visit: It was observed that greater than two sections of the top rail of the chain link fencing were observed to be rusting on the playground. Ms. Lindsey stated she had already purchased Rustoleum spray to cover these sections of fencing. It was observed that two corner sections of fencing at the front left of the playground were measured to be heights of 47 inches and 44 inches, respectively. Ms. Lindsey stated she was unaware all fencing was no longer measuring 48 inches in height. I stated the area along the inside of the fencing could have dirt removed, but must remain safe for the children in care (for example, gently sloped for the fencing to meet the required 48 inches in height, as opposed to a small trench which could present a safety hazard). A lockdown drill was observed to be documented on 8/17/2023; prior to this date, the most recent shelter in place/ lockdown drill was completed on 3/20/2023. Ms. Lindsey stated she overlooked completing this drill, and will write the dates these are due on her calendar as reminders. The Emergency Preparedness and Response Plan was last updated on 10/07/2022. Ms. Lindsey stated she overlooked updating this plan and will write the dates this is due on her calendar as a reminder. The file for one existing staff member did not include the following documents: an annual Emergency Medical Care Plan review, annual EPR review, and valid certification for First Aid. Ms. Lindsey stated she was unaware the BLS course taken through the American Heart Association did not include the required First Aid component, and she stated she will be rescheduling an approved CPR/FA course for all current employees this week. An over-the-counter topical ointment for one child enrolled did not have a medication authorization form completed. Ms. Lindsey stated the Medical Action Plan was mistaken for the medication authorization form; she stated she would provide the medication authorization form to the parent to be completed at pick-up today. Comments and Additional Information: • You must notify your consultant 30 days prior to changing the ownership status of your facility. The following Child Care Rules were thoroughly discussed with Ms. Lindsey during the visit: 15A NCAC 18A .2820 STORAGE (b) Toxic substances, which include corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled shall be kept in the original container or in another labeled container, used according to the manufacturer's instructions, and stored in a locked storage room or cabinet when not in use. Locked storage rooms and cabinets shall include those which are unlocked with a combination lock, electronic or magnetic device, keypad, key, 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. Toxic substances shall be stored below or separate from medications and food. Any other product that is labeled "keep out of reach of children" and does not have any other warnings on the label shall be kept inaccessible to children when not in use, but is not required to be kept in locked storage. For the purpose of Paragraphs (b), (c), and (d) of this Rule, a product shall be considered inaccessible to children when stored on a shelf or in an unlocked cabinet that is mounted a minimum vertical distance of five feet above the finished floor. 10A NCAC 09 .0515 PARENT PARTICIPATION (a) Each center shall have a plan that will encourage parent participation and inform parents about the program and its services. The plan shall be discussed with parents on or before the child's first day of attendance and shall be posted in the center or a copy shall be given to parents on or before the child's first day of attendance. (b) The plan shall include the following: (1) a procedure for registering a child for child care that involves both parents when possible and that encourages a visit to the center by the child and the child's parents before the child begins attending the center; (2) opportunities for caregiving staff to meet with parents on a regular basis to discuss their child's needs and progress and to exchange information about the program; (4) a procedure for parents who need information or have complaints about the child care program. 10A NCAC 09 .0607 EMERGENCY PREPAREDNESS AND RESPONSE IN CHILD CARE CENTERS (e) The trained staff shall review the Emergency Preparedness and Response Plan annually, or when information in the plan changes, to ensure all information is current. (f) All staff shall review the center's Emergency Preparedness and Response Plan during orientation and on an annual basis with the trained staff. Documentation of the review shall be maintained at the center in the individual's personnel file or in a file designated for emergency preparedness and response plan documents. • Please record specific amounts of diaper cream or other non-prescription topical ointment to be administered on medication authorization forms. • Please secure the outlet plate more firmly to the wall in Space 5. • Please ensure all enrolled infant food items are labeled with both the child’s name, and the date. • Please check the boxes on the posted Safe Sleep Policy which your facility follows; please also provide a copy of this updated form to parents of enrolled and/or enrolling infants. • You can access the Automated Background Check Management System (ABCMS) at the following link to print a copy of your most recent Criminal Background Check qualifying letter: https://ncabcms.nc.gov/DCDEE/Applicant/ • Please use the most recently updated forms from the Division website for children, staff, and program records; these can be accessed at the following website: https://ncchildcare.ncdhhs.gov/Provider/Provider-Documents-and-Forms • Please access the Risk Management Portal at the following website to update your Emergency Preparedness and Response Plan: https://rmp.nc.gov/portal/portal.aspx# • Please review all staff records to ensure that all forms have been fully completed. • The Child Care Health Consultant for Forsyth County is Keturah Oglesby at Smart Start of Forsyth County. Ms. Oglesby can be contacted at: keturaho@smartstart-fc.org. At the completion of the visit, this visit summary was reviewed with and provided to you. Thank you for your time and assistance during the visit. If you have any questions about the visit, please contact me or my supervisor using the information below. Cara McKeown, Child Care Consultant (336) 408-4849 cara.mckeown@dhhs.nc.gov Pamela Hauser, Supervisor pamela.hauser@dhhs.nc.gov For the latest information on childcare rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.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: CHRIST RESCUE TEMPLE #3 Facility ID: 34000300 Consultant: CARA MCKEOWN-STEWART Operation Type: Center Case Number: Visit Date: 11/2/2023 Number Present: 15 Completed Date: 11/2/2023 Age: From 0 To 4 Total Minutes: 355 Time In: 09:50 AM Time Out: 03:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced An unannounced annual compliance visit was conducted at this childcare facility to monitor compliance with applicable childcare requirements. This visit was conducted by Cara McKeown-Stewart, Child Care Consultant with Deborah Lindsey, Director. Your program currently operates with a notice of compliance. The NC Secretary of State website was reviewed on 11/01/2023 and Christ Rescue Temple Apostolic Church was listed as current and active. The program’s compliance history was 93% prior to today’s visit. All programs are required to maintain at least 75% compliance. A walk-through of the facility was completed today. Indoor and outdoor areas were observed. On the playground, greater than two sections of the top rail of the chain link fencing were observed to be rusting. The two corner sections of fencing at the front left of the playground (facing the parking lot) were measured to be heights of 47 inches and 44 inches, respectively. Upon arrival, staff/child ratio and space capacity were monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed positive interactions today. I observed children playing in activity centers, engaging in activities, songs, and conversations with their teachers, participating in general routines and eating lunch. I observed developmentally appropriate materials and activities were available to the children in the classrooms. The last annual compliance visit was conducted on 11/16/2022. A sanitation inspection was completed 11/18/2022 with a Superior classification. The last fire inspection was conducted 11/23/2022; a copy of this inspection was provided to me during the visit. Ms. Lindsey stated she is preparing to request each of these visits to be scheduled for the 2023 year. Program records and required postings were monitored. A fire drill was conducted on 10/20/2023. A lockdown drill was documented on 8/17/2023; prior to this date, the most recent shelter in place/ lockdown drill was completed on 3/20/2023. An outdoor inspection was documented on 10/23/2023. The Emergency Preparedness and Response Plan was last updated on 10/07/2022. Staff files and children’s records were monitored per DCDEE procedures. The file for one existing staff member did not include the following documents: an annual Emergency Medical Care Plan review, annual EPR review, and a valid certification for First Aid. Storage of hazardous items was monitored today. In Space 2, a small spray bottle of Pen Gear dry erase spray, labeled Keep Out of Reach of Children with additional warnings, was observed on a shelf greater than five feet from the ground, but in unlocked storage. The teacher placed this item into locked storage during the visit. Storage and administration of medication were monitored. Medication authorization was monitored. An over-the-counter topical ointment for one child enrolled did not have a medication authorization form completed. The program does not provide transportation, participate in off-premise activities, or participate in aquatic activities. The following violations were cited during today’s visit: Violation Number Comment Rule 807 A safe indoor and outdoor environment was not provided for the children. On the playground, greater than two sections of the top rail of the chain link fencing were observed to be rusting. 10A NCAC 09 .0601(a) 824 Outdoor play area was not enclosed by fence with a minimum height of 4 feet. The top of the fence, less than six feet, was not free from protrusions. The two corner sections of fencing at the front left of the playground were measured to be heights of 47 inches and 44 inches, respectively. GS 110-91(6); .0605((i) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. In Space 2, a small spray bottle of Pen Gear dry erase spray, labeled Keep Out of Reach of Children with additional warnings, was observed on a shelf greater than five feet from the ground, but in unlocked storage. .2820(b) 847 Parent's medication authorization did not include required information. An over-the-counter topical ointment for one child enrolled did not have a medication authorization form completed. 10A NCAC 09 .0803(4)(6-9) 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. The file for one existing staff member did not include the annual Emergency Medical Care Plan review. 10A NCAC 09 .0802(a) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. The file for one existing staff member did not include a valid certification for First Aid. .1102(c) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. A lockdown drill was documented on 8/17/2023; prior to this date, the most recent shelter in place/ lockdown drill was completed on 3/20/2023. .0604(u);.0302(d)(8) 1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. The Emergency Preparedness and Response Plan was last updated on 10/07/2022. The file for one existing staff member did not include an annual EPR review. .0607(e) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. You must correct the violations cited during today's visit immediately and send me documentation verifying compliance on or before 11/16/2023. The following information must be included in your signed and dated compliance letter: • the name of your center • facility ID number • date • title of the person who signs the letter • each violation number(s) • describes accurately and in detail how and when you corrected each violation You may email the letter to cara.mckeown@dhhs.nc.gov or mail two copies of the letter to: Cara McKeown 353 Jonestown Road, Unit #146 Winston Salem, NC 27104 If you state in your letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical assistance provided during today’s visit: It was observed that greater than two sections of the top rail of the chain link fencing were observed to be rusting on the playground. Ms. Lindsey stated she had already purchased Rustoleum spray to cover these sections of fencing. It was observed that two corner sections of fencing at the front left of the playground were measured to be heights of 47 inches and 44 inches, respectively. Ms. Lindsey stated she was unaware all fencing was no longer measuring 48 inches in height. I stated the area along the inside of the fencing could have dirt removed, but must remain safe for the children in care (for example, gently sloped for the fencing to meet the required 48 inches in height, as opposed to a small trench which could present a safety hazard). A lockdown drill was observed to be documented on 8/17/2023; prior to this date, the most recent shelter in place/ lockdown drill was completed on 3/20/2023. Ms. Lindsey stated she overlooked completing this drill, and will write the dates these are due on her calendar as reminders. The Emergency Preparedness and Response Plan was last updated on 10/07/2022. Ms. Lindsey stated she overlooked updating this plan and will write the dates this is due on her calendar as a reminder. The file for one existing staff member did not include the following documents: an annual Emergency Medical Care Plan review, annual EPR review, and valid certification for First Aid. Ms. Lindsey stated she was unaware the BLS course taken through the American Heart Association did not include the required First Aid component, and she stated she will be rescheduling an approved CPR/FA course for all current employees this week. An over-the-counter topical ointment for one child enrolled did not have a medication authorization form completed. Ms. Lindsey stated the Medical Action Plan was mistaken for the medication authorization form; she stated she would provide the medication authorization form to the parent to be completed at pick-up today. Comments and Additional Information: • You must notify your consultant 30 days prior to changing the ownership status of your facility. The following Child Care Rules were thoroughly discussed with Ms. Lindsey during the visit: 15A NCAC 18A .2820 STORAGE (b) Toxic substances, which include corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled shall be kept in the original container or in another labeled container, used according to the manufacturer's instructions, and stored in a locked storage room or cabinet when not in use. Locked storage rooms and cabinets shall include those which are unlocked with a combination lock, electronic or magnetic device, keypad, key, 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. Toxic substances shall be stored below or separate from medications and food. Any other product that is labeled "keep out of reach of children" and does not have any other warnings on the label shall be kept inaccessible to children when not in use, but is not required to be kept in locked storage. For the purpose of Paragraphs (b), (c), and (d) of this Rule, a product shall be considered inaccessible to children when stored on a shelf or in an unlocked cabinet that is mounted a minimum vertical distance of five feet above the finished floor. 10A NCAC 09 .0515 PARENT PARTICIPATION (a) Each center shall have a plan that will encourage parent participation and inform parents about the program and its services. The plan shall be discussed with parents on or before the child's first day of attendance and shall be posted in the center or a copy shall be given to parents on or before the child's first day of attendance. (b) The plan shall include the following: (1) a procedure for registering a child for child care that involves both parents when possible and that encourages a visit to the center by the child and the child's parents before the child begins attending the center; (2) opportunities for caregiving staff to meet with parents on a regular basis to discuss their child's needs and progress and to exchange information about the program; (4) a procedure for parents who need information or have complaints about the child care program. 10A NCAC 09 .0607 EMERGENCY PREPAREDNESS AND RESPONSE IN CHILD CARE CENTERS (e) The trained staff shall review the Emergency Preparedness and Response Plan annually, or when information in the plan changes, to ensure all information is current. (f) All staff shall review the center's Emergency Preparedness and Response Plan during orientation and on an annual basis with the trained staff. Documentation of the review shall be maintained at the center in the individual's personnel file or in a file designated for emergency preparedness and response plan documents. • Please record specific amounts of diaper cream or other non-prescription topical ointment to be administered on medication authorization forms. • Please secure the outlet plate more firmly to the wall in Space 5. • Please ensure all enrolled infant food items are labeled with both the child’s name, and the date. • Please check the boxes on the posted Safe Sleep Policy which your facility follows; please also provide a copy of this updated form to parents of enrolled and/or enrolling infants. • You can access the Automated Background Check Management System (ABCMS) at the following link to print a copy of your most recent Criminal Background Check qualifying letter: https://ncabcms.nc.gov/DCDEE/Applicant/ • Please use the most recently updated forms from the Division website for children, staff, and program records; these can be accessed at the following website: https://ncchildcare.ncdhhs.gov/Provider/Provider-Documents-and-Forms • Please access the Risk Management Portal at the following website to update your Emergency Preparedness and Response Plan: https://rmp.nc.gov/portal/portal.aspx# • Please review all staff records to ensure that all forms have been fully completed. • The Child Care Health Consultant for Forsyth County is Keturah Oglesby at Smart Start of Forsyth County. Ms. Oglesby can be contacted at: keturaho@smartstart-fc.org. At the completion of the visit, this visit summary was reviewed with and provided to you. Thank you for your time and assistance during the visit. If you have any questions about the visit, please contact me or my supervisor using the information below. Cara McKeown, Child Care Consultant (336) 408-4849 cara.mckeown@dhhs.nc.gov Pamela Hauser, Supervisor pamela.hauser@dhhs.nc.gov For the latest information on childcare rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.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