Epiphany Early Childhood Center

G.S. 110-91 · Violation

Name of Operation: EPIPHANY EARLY CHILDHOOD CENTER Facility ID: 34000157 Consultant: JENNIFER DAVIS Operation Type: Center Case Number: Visit Date: 6/2/2026 Number Present: 42 Completed Date: 6/2/2026 Age: From 1 To 5 Total Minutes: 220 Time In: 09:05 AM Time Out: 12:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced An unannounced annual compliance visit and rated license assessment was conducted at this childcare center to monitor compliance with applicable childcare requirements. This visit was conducted by Jennifer Davis, childcare consultant with Zach Baker, administrator. Your program currently operates with a Five Star license issued 10/23/2024. Restrictions include first shift, meets enhanced space and enhanced ratios minus one. The license was observed, and the restrictions were found in compliance. The NC Secretary of State website was reviewed on 6/1/2026 and was listed Evangelical Lutheran Church of the Epiphany 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 positive interactions today. I observed children outside playing, in routine care and free play. I observed that developmentally appropriate materials and activities were available to the children in the classrooms. Your program was also monitored for compliance with implementing an approved curriculum as required for all four- and five-star licensed facilities where four-year-old children are enrolled. Your facility uses the Creative Curriculum. The last annual compliance visit was conducted on 6/9/2025. A sanitation inspection was completed 4/10/2026 with a Superior classification. The last fire inspection was conducted on 5/12/2026 Program records and required postings were monitored. A fire drill was conducted on 5/19/2026. A lockdown drill was documented on 5/7/2026. An outdoor inspection was documented on 5/22/2026. Staff files and children’s records were monitored per DCDEE procedures. Storage of hazardous items was monitored today. Storage and administration of medication were monitored. Medication authorization was monitored. The program does not provide transportation. The following violations were cited during today’s visit: Violation Number Comment Rule 721 All equipment and furnishings were not in good repair. On the playground, there was one yellow picnic table that had chipping paint. In Space 3, there were two battery-operated toys that were not working. These were removed during the visit. G.S. 110-91(6); .0601(b) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. In Space 7, there was one topical ointment with an expired authorization. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) 1898 Staff did not complete the health and safety training within one year of employment. One staff member did not complete the medicaton administration training topic within one year of employment. .1102(a) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. You must correct the violations cited during today's visit immediately and send me documentation verifying compliance on or before June 16, 2026. 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 jennifer.davis@dhhs.nc.gov 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: - When parents fill out medication authorization, the specific name of the topical ointment/medication should be documented. A new permission form should be filled out annually for topical ointments/sunscreens. -Any chipping paint on equipment should be repaired. Any battery operated materials in the classrooms should be working or removed. - All health and safety training topics are required to be completed within one year of employment. Additional information provided during today’s visit: •The following information is available for your facility to use: Child Care Resource Center is offering a free online webpage on FindChildCareNC.org — a valuable tool that connects your program with families searching for quality child care. By claiming your profile, you gain the ability to: Manage your free webpage Keep your program details up to date Highlight your current openings Showcase your unique offerings Help us enhance the services we provide to the early childhood community Need support setting up or updating your account? Our friendly team is here to help: 1. Shareeka McCullough - smccullough@childcareresourcecenter.org - 336-245-4900, ext. 1019 2. Donna Bell - dbell@childcareresourcecenter.org - 336-245-4900, ext. 1004 •You must notify your consultant 30 days prior to changing the ownership status of your facility. • Your rated license for your facility will be due in 2027. The three QRIS pathway options are currently being implemented. Information on the QRIS can be found under the “What’s New” tab on the DCDEE website at ncchildcare.ncdhhs.gov. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me at Jennifer Davis, Child Care Consultant, (336) 317-5041, jenwawa4@gmail.com or (Pam Hauser, Supervisor, (336)317-5003, pamela.hauser@dhhs.nc.gov if you have questions. Thank you for your time and assistance during the visit. 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: EPIPHANY EARLY CHILDHOOD CENTER Facility ID: 34000157 Consultant: JENNIFER DAVIS Operation Type: Center Case Number: Visit Date: 6/2/2026 Number Present: 42 Completed Date: 6/2/2026 Age: From 1 To 5 Total Minutes: 220 Time In: 09:05 AM Time Out: 12:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced An unannounced annual compliance visit and rated license assessment was conducted at this childcare center to monitor compliance with applicable childcare requirements. This visit was conducted by Jennifer Davis, childcare consultant with Zach Baker, administrator. Your program currently operates with a Five Star license issued 10/23/2024. Restrictions include first shift, meets enhanced space and enhanced ratios minus one. The license was observed, and the restrictions were found in compliance. The NC Secretary of State website was reviewed on 6/1/2026 and was listed Evangelical Lutheran Church of the Epiphany 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 positive interactions today. I observed children outside playing, in routine care and free play. I observed that developmentally appropriate materials and activities were available to the children in the classrooms. Your program was also monitored for compliance with implementing an approved curriculum as required for all four- and five-star licensed facilities where four-year-old children are enrolled. Your facility uses the Creative Curriculum. The last annual compliance visit was conducted on 6/9/2025. A sanitation inspection was completed 4/10/2026 with a Superior classification. The last fire inspection was conducted on 5/12/2026 Program records and required postings were monitored. A fire drill was conducted on 5/19/2026. A lockdown drill was documented on 5/7/2026. An outdoor inspection was documented on 5/22/2026. Staff files and children’s records were monitored per DCDEE procedures. Storage of hazardous items was monitored today. Storage and administration of medication were monitored. Medication authorization was monitored. The program does not provide transportation. The following violations were cited during today’s visit: Violation Number Comment Rule 721 All equipment and furnishings were not in good repair. On the playground, there was one yellow picnic table that had chipping paint. In Space 3, there were two battery-operated toys that were not working. These were removed during the visit. G.S. 110-91(6); .0601(b) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. In Space 7, there was one topical ointment with an expired authorization. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) 1898 Staff did not complete the health and safety training within one year of employment. One staff member did not complete the medicaton administration training topic within one year of employment. .1102(a) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. You must correct the violations cited during today's visit immediately and send me documentation verifying compliance on or before June 16, 2026. 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 jennifer.davis@dhhs.nc.gov 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: - When parents fill out medication authorization, the specific name of the topical ointment/medication should be documented. A new permission form should be filled out annually for topical ointments/sunscreens. -Any chipping paint on equipment should be repaired. Any battery operated materials in the classrooms should be working or removed. - All health and safety training topics are required to be completed within one year of employment. Additional information provided during today’s visit: •The following information is available for your facility to use: Child Care Resource Center is offering a free online webpage on FindChildCareNC.org — a valuable tool that connects your program with families searching for quality child care. By claiming your profile, you gain the ability to: Manage your free webpage Keep your program details up to date Highlight your current openings Showcase your unique offerings Help us enhance the services we provide to the early childhood community Need support setting up or updating your account? Our friendly team is here to help: 1. Shareeka McCullough - smccullough@childcareresourcecenter.org - 336-245-4900, ext. 1019 2. Donna Bell - dbell@childcareresourcecenter.org - 336-245-4900, ext. 1004 •You must notify your consultant 30 days prior to changing the ownership status of your facility. • Your rated license for your facility will be due in 2027. The three QRIS pathway options are currently being implemented. Information on the QRIS can be found under the “What’s New” tab on the DCDEE website at ncchildcare.ncdhhs.gov. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me at Jennifer Davis, Child Care Consultant, (336) 317-5041, jenwawa4@gmail.com or (Pam Hauser, Supervisor, (336)317-5003, pamela.hauser@dhhs.nc.gov if you have questions. Thank you for your time and assistance during the visit. 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: EPIPHANY EARLY CHILDHOOD CENTER Facility ID: 34000157 Consultant: JENNIFER DAVIS Operation Type: Center Case Number: Visit Date: 1/15/2026 Number Present: 44 Completed Date: 1/15/2026 Age: From 1 To 5 Total Minutes: 120 Time In: 09:20 AM Time Out: 11:20 AM 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 Lisa Nichols, Administrator. Your program currently operates with a Five Star license effective 10/23/2024. Restrictions include daytime care. meets enhanced space and meets enhanced ratios minus one. The NC Secretary of State website was reviewed on 1/14/2026 and Evangelical Lutheran Church of the Epiphany 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. 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. 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 eating snack, in free play, and staff reading to children in group time.. Two new staff were reported at this program. Files for new staff were reviewed. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Playground Safety, ITS-SIDS, Special Training including Health and Safety Training and Criminal Background Checks. Storage and administration of medication were monitored. Medication authorization was monitored. Storage hazardous items was monitored today. A playground inspection was recorded 12/19/2025. A fire drill was recorded 12/17/2025. A lock down drill for the facility was recorded 12/16/2025. The most recent fire inspection was on 5/12/2025. I observed a sanitation inspection was last conducted on 9/16/2025 earning a Superior classification. The program does not provide transportation. The following violation was cited during today’s visit: Violation Number Comment Rule 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. In Space 4, there were two expired permission forms for two chapsticks. In Space 5, there was one expired permission for a topical ointment. In Space 6, there were three expired permission forms for three chapsticks. .0803(12) 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 1/29/2026. 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 jennifer.davis@dhhs.nc.gov 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: • Permission for topical ointments should be updated annually. Additional Information/Consultation: (This section is to b • You must notify your consultant 30 days prior to changing the ownership status of your facility. • DCDEE has updated the Child Care Rule Rollout Course in DCDEE Moodle to include the July 2025 New Rule/Rule Amendments Overview covering the new QRIS Modernization rules. Effective February 1, 2025, ECERS-3, ITERS-3, and FCCERS-3 — also known as the "Threes" — will be used for program assessments and reassessments. Find information about updated resources, credit hour trainings, and outreach assessment opportunities from the North Carolina Rated License Project (NCRLAP) www.ncrlap.org. • Forms for a new administrator were emailed during the visit today. • The rated license will be due in October 2027. I will review pathways at the next visit. 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. Jennifer Davis, Child Care Consultant ( 336 ) 317-5041 jennifer.davis@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: EPIPHANY EARLY CHILDHOOD CENTER Facility ID: 34000157 Consultant: JENNIFER DAVIS Operation Type: Center Case Number: 0825-120L Visit Date: 8/15/2025 Number Present: 32 Completed Date: 8/15/2025 Age: From 1 To 5 Total Minutes: 175 Time In: 09:35 AM Time Out: 12:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Self Report Announced/Unannounced: Unannounced The purpose of today’s visit was to follow-up on the concerns regarding the self-reported information you shared with the Division of Child Development and Early Education. The visit today was conducted with Lisa Nichols, administrator. On 8/6/2025 an alleged incident was brought to administration. There is a concern regarding inapprpropriate discipline. Prior to the visit, I spoke to the administrator by phone on August 8, 2025, regarding the self-report. The administrator stated that the center does not have video cameras in the classroom spaces. I interviewed three staff members and observed paperwork regarding the incident. Staff stated that a child, age two, was spitting milk in the classroom for one and two year-old children. A staff member firmly held the face of a child , age two, looked at the child in a stern manner and in a harsh tone stated “No Spitting. the child by the face and used a harsh tone, telling the child to stop spitting. The staff member put the child in timeout for a short time. Two staff members observed red lines on the cheeks of the child after the incident. Staff stated that there were no previous concerns related to rough handling with this staff member. The administrator stated that the staff member was terminated. The administrator stated that she met with the parent. She also stated that a staff meeting was being held today and on the 19th to review policies and procedures. Staff reported that there was offered outside support assistance if any staff member needed it. The administrator has requested technical assistance from Smart Start. I observed the discipline policy and the center’s operational policies during the visit today. The following violations were cited during the visit today: Violation Number Comment Rule 852 Incident reports were not completed each time a child was injured, it did not include all the information required in rule, it was not signed by the parent and/or it was not maintained in the child's file. An incident report was not completed for a child that had red marks after a staff member grabbed the child's face. .0802 (e) 904 A child was handled in a rough way, including shaking, pushing, shoving, pinching, slapping, biting, kicking, or spanking. Two staff members observed red lines on the cheeks of a child, age two, after a staff member firmly held a child's face. .1803(a)(1) 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 August 29, 2025. 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 jennifer.davis@dhhs.nc.gov 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 was provided on the following: We discussed reviewing the disciplinary action plan that processes each disciplinary occurrence.We discussed reviewing filling incident reports with staff. We discussed that during the new hire orientation ensuring that the discipline policy is thoroughly reviewed and staff sign acknowledgement that they understand the policy. Administrative staff should continue conducting routine walk-through to be proactive in identifying staff burnout and offer staff members time to step out of the classroom. We discussed creating a system for staff to seek administrative support before situations escalate. The following healthy social behavior specialists have resources for challenging behavior: Region 10 Behavior Specialist Renae Lingafelt-Beeker at rbeeker@childcareresourcecenter.org or Region 10 Behavior Specialist Cherie White at cwhite@childcareresourcecenter.org. You may contact me by phone at (336) 317-5041 or by email at jennifer.davis@dhhs.nc.gov or my supervisor, Pam Hauser, by email at pamela.hauser@dhhs.nc.gov, if you have questions. Thank you for your time and assistance today. 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: EPIPHANY EARLY CHILDHOOD CENTER Facility ID: 34000157 Consultant: JENNIFER DAVIS Operation Type: Center Case Number: Visit Date: 6/9/2025 Number Present: 40 Completed Date: 6/9/2025 Age: From 1 To 5 Total Minutes: 240 Time In: 09:00 AM Time Out: 01:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced An unannounced annual compliance visit and rated license assessment was conducted at this childcare center to monitor compliance with applicable childcare requirements. This visit was conducted by Jennifer Davis, childcare consultant with Lisa Nichols, administrator. Your program currently operates with a Five Star license issued 10/23/2024. Restrictions include first shift, meets enhanced space and enhanced ratios minus one. The license was observed, and the restrictions were found in compliance. The NC Secretary of State website was reviewed on 6/9/2025 and was listed Evangelical Lutheran Church of the Epiphany as current and active. The program’s compliance history was 95% 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 positive interactions today. I observed children outside playing, in routine care and free play. I observed that developmentally appropriate materials and activities were available to the children in the classrooms. Your program was also monitored for compliance with implementing an approved curriculum as required for all four- and five-star licensed facilities where four-year-old children are enrolled. Your facility uses the Creative Curriculum. The last annual compliance visit was conducted on 6/18/2024. A sanitation inspection was completed 6/3/2025 with a Superior classification. The last fire inspection was conducted on 5/12/2025. Program records and required postings were monitored. A fire drill was conducted on 5/23/2025. A shelter-in-place drill was documented on 4/25/2025. An outdoor inspection was documented on 5/23/2025. Staff files and children’s records were monitored per DCDEE procedures. Storage of hazardous items was monitored today. Storage and administration of medication were monitored. Medication authorization was monitored. The program does not provide transportation. 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. In Space 3, there were pipe cleaners with sharp ends accessible to children age one. These were removed during the visit and made inaccessible. In Space 5, there were three foam pegboards accessible to children age two. These were removed during the visit and made inaccessible. 10A NCAC 09 .0601(a) 1044 Prior to the expiration date of the qualification letter, the child care provider did not complete and submit required forms to complete a criminal background check (a qualification letter is valid for a maximum of five years for the date of issuance). One current employee had an expired qualification in February 2025 and completed the new application in April 2025. G.S. 110-90.2(b) & .2703(n)&(o) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. In Space 6, there was one child with an expired topical sunscreen permission form. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) 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 June 23, 2025. 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 jennifer.davis@dhhs.nc.gov 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: - Topical ointments/creams medication permission forms should be updated annually and when new ones have been brought in to the center. - Ms. Nichols stated that they are implementing for each employee to put criminal quaification renewal dates six months ahead on the calendar. They will check and communicate reminders for employees six months ahead of the expiration dates. Additional information provided during today’s visit: •You must notify your consultant 30 days prior to changing the ownership status of your facility. • Since February 2023, the NC Child Care Commission has been working toward revising the Quality Rating Improvement System (QRIS) as required by Session Law 2023-40. Listening to and communicating with early childhood professionals, families, communities and businesses is a critical component to ensure a successful QRIS modernization. In 2023, the Commission conducted 8 in-person listening sessions and 2 webinars; provided a QR code survey and offered a QRIS email account to collect feedback. Thus, informed by national research, trends and outcomes, and input from more than 1800 NC early childhood education professionals, the Commission formed recommendations for change, such as: • Offering a choice of three pathways to demonstrate quality and earn a 2-5 Star Rated License. • Updates to education standards for early childhood educators to expand options; and • Adds standards for both educators and facilities that support continuous quality improvement and family/community engagement practices that promote communication and collaboration. In addition, on July 8, 2024, Governor Roy Cooper signed Session Law 2024-34, which includes Quality Rating Improvement System (QRIS) Modernization. This law established three pathways to earn star ratings, directed the Commission to continue with rulemaking to support the pathways and allowed the following while rulemaking occurs: • Extension of Hold Harmless provisions - star rated license assessments and reassessments for licensed child care providers will be conducted by provider request only, until the QRIS rulemaking process has been completed. Star rated license assessments continue to be required for new child care programs. • Accreditation Licensure - Child care programs currently accredited through the approved accrediting bodies may move to a 3- or 5-star license if they are not already at this star level. Providers will need to submit a request to their licensing consultant and provide a copy of their accreditation award/certificate for processing: Accreditation Licensure Request Form. • Updated Program Assessment Tool – Beginning on February 1, 2025, child care facilities will use the Environment Rating Scale – Third Edition for family child care homes, infant/toddler classrooms and preschool classrooms, if requesting a program assessment or reassessment. This updated edition includes language and interaction measures, a need consistently identified by early childhood professionals during listening sessions. Now, the Commission is deeply engaged in the rulemaking process to spell out and implement the changes it recommended in the QRIS Legislative Report. •. 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. Jennifer Davis, Child Care Consultant ( 336 ) 317-5041 jennifer.davis@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: EPIPHANY EARLY CHILDHOOD CENTER Facility ID: 34000157 Consultant: JENNIFER DAVIS Operation Type: Center Case Number: Visit Date: 6/9/2025 Number Present: 40 Completed Date: 6/9/2025 Age: From 1 To 5 Total Minutes: 240 Time In: 09:00 AM Time Out: 01:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced An unannounced annual compliance visit and rated license assessment was conducted at this childcare center to monitor compliance with applicable childcare requirements. This visit was conducted by Jennifer Davis, childcare consultant with Lisa Nichols, administrator. Your program currently operates with a Five Star license issued 10/23/2024. Restrictions include first shift, meets enhanced space and enhanced ratios minus one. The license was observed, and the restrictions were found in compliance. The NC Secretary of State website was reviewed on 6/9/2025 and was listed Evangelical Lutheran Church of the Epiphany as current and active. The program’s compliance history was 95% 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 positive interactions today. I observed children outside playing, in routine care and free play. I observed that developmentally appropriate materials and activities were available to the children in the classrooms. Your program was also monitored for compliance with implementing an approved curriculum as required for all four- and five-star licensed facilities where four-year-old children are enrolled. Your facility uses the Creative Curriculum. The last annual compliance visit was conducted on 6/18/2024. A sanitation inspection was completed 6/3/2025 with a Superior classification. The last fire inspection was conducted on 5/12/2025. Program records and required postings were monitored. A fire drill was conducted on 5/23/2025. A shelter-in-place drill was documented on 4/25/2025. An outdoor inspection was documented on 5/23/2025. Staff files and children’s records were monitored per DCDEE procedures. Storage of hazardous items was monitored today. Storage and administration of medication were monitored. Medication authorization was monitored. The program does not provide transportation. 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. In Space 3, there were pipe cleaners with sharp ends accessible to children age one. These were removed during the visit and made inaccessible. In Space 5, there were three foam pegboards accessible to children age two. These were removed during the visit and made inaccessible. 10A NCAC 09 .0601(a) 1044 Prior to the expiration date of the qualification letter, the child care provider did not complete and submit required forms to complete a criminal background check (a qualification letter is valid for a maximum of five years for the date of issuance). One current employee had an expired qualification in February 2025 and completed the new application in April 2025. G.S. 110-90.2(b) & .2703(n)&(o) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. In Space 6, there was one child with an expired topical sunscreen permission form. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) 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 June 23, 2025. 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 jennifer.davis@dhhs.nc.gov 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: - Topical ointments/creams medication permission forms should be updated annually and when new ones have been brought in to the center. - Ms. Nichols stated that they are implementing for each employee to put criminal quaification renewal dates six months ahead on the calendar. They will check and communicate reminders for employees six months ahead of the expiration dates. Additional information provided during today’s visit: •You must notify your consultant 30 days prior to changing the ownership status of your facility. • Since February 2023, the NC Child Care Commission has been working toward revising the Quality Rating Improvement System (QRIS) as required by Session Law 2023-40. Listening to and communicating with early childhood professionals, families, communities and businesses is a critical component to ensure a successful QRIS modernization. In 2023, the Commission conducted 8 in-person listening sessions and 2 webinars; provided a QR code survey and offered a QRIS email account to collect feedback. Thus, informed by national research, trends and outcomes, and input from more than 1800 NC early childhood education professionals, the Commission formed recommendations for change, such as: • Offering a choice of three pathways to demonstrate quality and earn a 2-5 Star Rated License. • Updates to education standards for early childhood educators to expand options; and • Adds standards for both educators and facilities that support continuous quality improvement and family/community engagement practices that promote communication and collaboration. In addition, on July 8, 2024, Governor Roy Cooper signed Session Law 2024-34, which includes Quality Rating Improvement System (QRIS) Modernization. This law established three pathways to earn star ratings, directed the Commission to continue with rulemaking to support the pathways and allowed the following while rulemaking occurs: • Extension of Hold Harmless provisions - star rated license assessments and reassessments for licensed child care providers will be conducted by provider request only, until the QRIS rulemaking process has been completed. Star rated license assessments continue to be required for new child care programs. • Accreditation Licensure - Child care programs currently accredited through the approved accrediting bodies may move to a 3- or 5-star license if they are not already at this star level. Providers will need to submit a request to their licensing consultant and provide a copy of their accreditation award/certificate for processing: Accreditation Licensure Request Form. • Updated Program Assessment Tool – Beginning on February 1, 2025, child care facilities will use the Environment Rating Scale – Third Edition for family child care homes, infant/toddler classrooms and preschool classrooms, if requesting a program assessment or reassessment. This updated edition includes language and interaction measures, a need consistently identified by early childhood professionals during listening sessions. Now, the Commission is deeply engaged in the rulemaking process to spell out and implement the changes it recommended in the QRIS Legislative Report. •. 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. Jennifer Davis, Child Care Consultant ( 336 ) 317-5041 jennifer.davis@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: EPIPHANY EARLY CHILDHOOD CENTER Facility ID: 34000157 Consultant: JENNIFER DAVIS Operation Type: Center Case Number: Visit Date: 6/9/2025 Number Present: 40 Completed Date: 6/9/2025 Age: From 1 To 5 Total Minutes: 240 Time In: 09:00 AM Time Out: 01:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced An unannounced annual compliance visit and rated license assessment was conducted at this childcare center to monitor compliance with applicable childcare requirements. This visit was conducted by Jennifer Davis, childcare consultant with Lisa Nichols, administrator. Your program currently operates with a Five Star license issued 10/23/2024. Restrictions include first shift, meets enhanced space and enhanced ratios minus one. The license was observed, and the restrictions were found in compliance. The NC Secretary of State website was reviewed on 6/9/2025 and was listed Evangelical Lutheran Church of the Epiphany as current and active. The program’s compliance history was 95% 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 positive interactions today. I observed children outside playing, in routine care and free play. I observed that developmentally appropriate materials and activities were available to the children in the classrooms. Your program was also monitored for compliance with implementing an approved curriculum as required for all four- and five-star licensed facilities where four-year-old children are enrolled. Your facility uses the Creative Curriculum. The last annual compliance visit was conducted on 6/18/2024. A sanitation inspection was completed 6/3/2025 with a Superior classification. The last fire inspection was conducted on 5/12/2025. Program records and required postings were monitored. A fire drill was conducted on 5/23/2025. A shelter-in-place drill was documented on 4/25/2025. An outdoor inspection was documented on 5/23/2025. Staff files and children’s records were monitored per DCDEE procedures. Storage of hazardous items was monitored today. Storage and administration of medication were monitored. Medication authorization was monitored. The program does not provide transportation. 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. In Space 3, there were pipe cleaners with sharp ends accessible to children age one. These were removed during the visit and made inaccessible. In Space 5, there were three foam pegboards accessible to children age two. These were removed during the visit and made inaccessible. 10A NCAC 09 .0601(a) 1044 Prior to the expiration date of the qualification letter, the child care provider did not complete and submit required forms to complete a criminal background check (a qualification letter is valid for a maximum of five years for the date of issuance). One current employee had an expired qualification in February 2025 and completed the new application in April 2025. G.S. 110-90.2(b) & .2703(n)&(o) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. In Space 6, there was one child with an expired topical sunscreen permission form. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) 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 June 23, 2025. 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 jennifer.davis@dhhs.nc.gov 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: - Topical ointments/creams medication permission forms should be updated annually and when new ones have been brought in to the center. - Ms. Nichols stated that they are implementing for each employee to put criminal quaification renewal dates six months ahead on the calendar. They will check and communicate reminders for employees six months ahead of the expiration dates. Additional information provided during today’s visit: •You must notify your consultant 30 days prior to changing the ownership status of your facility. • Since February 2023, the NC Child Care Commission has been working toward revising the Quality Rating Improvement System (QRIS) as required by Session Law 2023-40. Listening to and communicating with early childhood professionals, families, communities and businesses is a critical component to ensure a successful QRIS modernization. In 2023, the Commission conducted 8 in-person listening sessions and 2 webinars; provided a QR code survey and offered a QRIS email account to collect feedback. Thus, informed by national research, trends and outcomes, and input from more than 1800 NC early childhood education professionals, the Commission formed recommendations for change, such as: • Offering a choice of three pathways to demonstrate quality and earn a 2-5 Star Rated License. • Updates to education standards for early childhood educators to expand options; and • Adds standards for both educators and facilities that support continuous quality improvement and family/community engagement practices that promote communication and collaboration. In addition, on July 8, 2024, Governor Roy Cooper signed Session Law 2024-34, which includes Quality Rating Improvement System (QRIS) Modernization. This law established three pathways to earn star ratings, directed the Commission to continue with rulemaking to support the pathways and allowed the following while rulemaking occurs: • Extension of Hold Harmless provisions - star rated license assessments and reassessments for licensed child care providers will be conducted by provider request only, until the QRIS rulemaking process has been completed. Star rated license assessments continue to be required for new child care programs. • Accreditation Licensure - Child care programs currently accredited through the approved accrediting bodies may move to a 3- or 5-star license if they are not already at this star level. Providers will need to submit a request to their licensing consultant and provide a copy of their accreditation award/certificate for processing: Accreditation Licensure Request Form. • Updated Program Assessment Tool – Beginning on February 1, 2025, child care facilities will use the Environment Rating Scale – Third Edition for family child care homes, infant/toddler classrooms and preschool classrooms, if requesting a program assessment or reassessment. This updated edition includes language and interaction measures, a need consistently identified by early childhood professionals during listening sessions. Now, the Commission is deeply engaged in the rulemaking process to spell out and implement the changes it recommended in the QRIS Legislative Report. •. 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. Jennifer Davis, Child Care Consultant ( 336 ) 317-5041 jennifer.davis@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: EPIPHANY EARLY CHILDHOOD CENTER Facility ID: 34000157 Consultant: JENNIFER DAVIS Operation Type: Center Case Number: Visit Date: 6/18/2024 Number Present: 39 Completed Date: 6/18/2024 Age: From 1 To 5 Total Minutes: 220 Time In: 08:50 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 and rated license assessment was conducted at this childcare center to monitor compliance with applicable childcare requirements. This visit was conducted by Jennifer Davis, childcare consultant with Lisa Nichols, Director, and Cynthia Jeffries, Assistant Director. Your program currently operates with a Five Star license. Restrictions include first shift, meets enhanced space and enhanced ratios minus one. The license was observed, and the restrictions were found in compliance. The NC Secretary of State website was reviewed on 6/17/2024 and was listed Evangelical Lutheran Church of the Epiphany 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 positive interactions today. I observed children outside playing, in group time with teachers reading, in routine care and free play. I observed developmentally appropriate materials and activities were available to the children in the classrooms. Your program was also monitored for compliance with implementing an approved curriculum as required for all four- and five-star licensed facilities where four-year-old children are enrolled. Your facility uses the Creative Curriculum. The last annual compliance visit was conducted on 7/18/2023. A sanitation inspection was completed 4/22/2024 with a Superior classification. The last fire inspection was conducted 5/17/2024. Program records and required postings were monitored. A fire drill was conducted on 5/31/2024. A lockdown drill was documented on 5/31/2024. An outdoor inspection was documented on 5/28/2024. Staff files and children’s records were monitored per DCDEE procedures. Storage of hazardous items was monitored today. Storage and administration of medication were monitored. Medication authorization was monitored. The program does not provide transportation. The following violations were cited during today’s visit: Violation Number Comment Rule 707 Equipment and furnishings not meeting the requirements outlined in child care .0601(b) and (c) were not removed or made inaccessible. In Space 3, two battery-operated toys that were not working were not removed or made inaccessible. .0601(d) 807 A safe indoor and outdoor environment was not provided for the children. A bush that had been cut back was sticking up causing a tripping hazard. 10A NCAC 09 .0601(a) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violations were corrected during the visit today. The battery operated toys were removed and the bush that was cut back was covered to make it inaccessible. 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. Additional information provided during today’s visit: •You must notify your consultant 30 days prior to changing the ownership status of your facility. • We discussed the prep year assessment during the visit today. A request form for the ERS was emailed to Ms. Nichols. She will email it to me when they are ready to request it. •. Clean water/asbestos testing 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. Jennifer Davis, Child Care Consultant ( 336 ) 317-5041 jennifer.davis@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: EPIPHANY EARLY CHILDHOOD CENTER Facility ID: 34000157 Consultant: JENNIFER DAVIS Operation Type: Center Case Number: Visit Date: 6/18/2024 Number Present: 39 Completed Date: 6/18/2024 Age: From 1 To 5 Total Minutes: 220 Time In: 08:50 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 and rated license assessment was conducted at this childcare center to monitor compliance with applicable childcare requirements. This visit was conducted by Jennifer Davis, childcare consultant with Lisa Nichols, Director, and Cynthia Jeffries, Assistant Director. Your program currently operates with a Five Star license. Restrictions include first shift, meets enhanced space and enhanced ratios minus one. The license was observed, and the restrictions were found in compliance. The NC Secretary of State website was reviewed on 6/17/2024 and was listed Evangelical Lutheran Church of the Epiphany 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 positive interactions today. I observed children outside playing, in group time with teachers reading, in routine care and free play. I observed developmentally appropriate materials and activities were available to the children in the classrooms. Your program was also monitored for compliance with implementing an approved curriculum as required for all four- and five-star licensed facilities where four-year-old children are enrolled. Your facility uses the Creative Curriculum. The last annual compliance visit was conducted on 7/18/2023. A sanitation inspection was completed 4/22/2024 with a Superior classification. The last fire inspection was conducted 5/17/2024. Program records and required postings were monitored. A fire drill was conducted on 5/31/2024. A lockdown drill was documented on 5/31/2024. An outdoor inspection was documented on 5/28/2024. Staff files and children’s records were monitored per DCDEE procedures. Storage of hazardous items was monitored today. Storage and administration of medication were monitored. Medication authorization was monitored. The program does not provide transportation. The following violations were cited during today’s visit: Violation Number Comment Rule 707 Equipment and furnishings not meeting the requirements outlined in child care .0601(b) and (c) were not removed or made inaccessible. In Space 3, two battery-operated toys that were not working were not removed or made inaccessible. .0601(d) 807 A safe indoor and outdoor environment was not provided for the children. A bush that had been cut back was sticking up causing a tripping hazard. 10A NCAC 09 .0601(a) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violations were corrected during the visit today. The battery operated toys were removed and the bush that was cut back was covered to make it inaccessible. 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. Additional information provided during today’s visit: •You must notify your consultant 30 days prior to changing the ownership status of your facility. • We discussed the prep year assessment during the visit today. A request form for the ERS was emailed to Ms. Nichols. She will email it to me when they are ready to request it. •. Clean water/asbestos testing 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. Jennifer Davis, Child Care Consultant ( 336 ) 317-5041 jennifer.davis@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: EPIPHANY EARLY CHILDHOOD CENTER Facility ID: 34000157 Consultant: JENNIFER DAVIS Operation Type: Center Case Number: Visit Date: 7/18/2023 Number Present: 34 Completed Date: 7/18/2023 Age: From 1 To 5 Total Minutes: 270 Time In: 09:00 AM Time Out: 01:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced An unannounced annual compliance visit and rated license assessment was conducted at this childcare center to monitor compliance with applicable childcare requirements. This visit was conducted by Jennifer Davis, childcare consultant with Lisa Nichols, Director, and Cynthia Jeffries, Assistant Director. Your program currently operates with a Five Star license. Restrictions include first shift, meets enhanced space and enhanced ratios minus one. The license was observed, and the restrictions were found in compliance. The NC Secretary of State website was reviewed on 7/17/2023 and was listed Evangelical Lutheran Church of the Epiphany as current and active. The program’s compliance history was 85% 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 positive interactions today. I observed children in center free play and routine care. I observed developmentally appropriate materials and activities were available to the children in the classrooms. Your program was also monitored for compliance with implementing an approved curriculum as required for all four- and five-star licensed facilities where four-year-old children are enrolled. Your facility uses the Creative Curriculum. The last annual compliance visit was conducted on 7/27/2022. A sanitation inspection was completed 1/18/2023 with a Superior classification. The last fire inspection was conducted 6/27/2023. Program records and required postings were monitored. A fire drill was conducted on 6/27/2023. A shelter in place drill was documented on 5/21/2023. An outdoor inspection was documented on 6/27/2023. Staff files and children’s records were monitored per DCDEE procedures. Storage of hazardous items was monitored today. Storage and administration of medication were monitored. Medication authorization was monitored. The program does not provide transportation. The following violations were cited during today’s visit: Violation Number Comment Rule 303 Children were not adequately supervised at all times. In Space 5, the teacher was conducting a diaper change for one child in the bathroom adjacent to the room, and four children age two were playing on the opposite side of the room. The children could not be supervised during the diapering process. .1801(a)(1-5) 428 A current activity plan was not posted for each group of children for reference. In Space 6, there was not a current activity plan posted. GS 110-91(12); .0508(a) 861 Prohibited styrofoam and foam rubber products were accessible to children under 3 years of age and/or approved foam products were used without proper supervision. In Space 5, there were foam mirrors accessible to children age two. .0604(q) 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 August 1, 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 jennifer.davis@dhhs.nc.gov 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: •You must notify your consultant 30 days prior to changing the ownership status of your facility. • We discussed fencing requirements during the visit. Due to entrapment hazards, the rails must be less than 3 ½ inches apart. A barrier will need to be added to inside of fencing due to age of fence. • A plan for supervision during diaper- changing will be need to implemented and a follow-up visit will be made. 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. Jennifer Davis, Child Care Consultant ( 336 ) 317-5041 jennifer.davis@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: EPIPHANY EARLY CHILDHOOD CENTER Facility ID: 34000157 Consultant: JENNIFER DAVIS Operation Type: Center Case Number: Visit Date: 7/18/2023 Number Present: 34 Completed Date: 7/18/2023 Age: From 1 To 5 Total Minutes: 270 Time In: 09:00 AM Time Out: 01:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced An unannounced annual compliance visit and rated license assessment was conducted at this childcare center to monitor compliance with applicable childcare requirements. This visit was conducted by Jennifer Davis, childcare consultant with Lisa Nichols, Director, and Cynthia Jeffries, Assistant Director. Your program currently operates with a Five Star license. Restrictions include first shift, meets enhanced space and enhanced ratios minus one. The license was observed, and the restrictions were found in compliance. The NC Secretary of State website was reviewed on 7/17/2023 and was listed Evangelical Lutheran Church of the Epiphany as current and active. The program’s compliance history was 85% 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 positive interactions today. I observed children in center free play and routine care. I observed developmentally appropriate materials and activities were available to the children in the classrooms. Your program was also monitored for compliance with implementing an approved curriculum as required for all four- and five-star licensed facilities where four-year-old children are enrolled. Your facility uses the Creative Curriculum. The last annual compliance visit was conducted on 7/27/2022. A sanitation inspection was completed 1/18/2023 with a Superior classification. The last fire inspection was conducted 6/27/2023. Program records and required postings were monitored. A fire drill was conducted on 6/27/2023. A shelter in place drill was documented on 5/21/2023. An outdoor inspection was documented on 6/27/2023. Staff files and children’s records were monitored per DCDEE procedures. Storage of hazardous items was monitored today. Storage and administration of medication were monitored. Medication authorization was monitored. The program does not provide transportation. The following violations were cited during today’s visit: Violation Number Comment Rule 303 Children were not adequately supervised at all times. In Space 5, the teacher was conducting a diaper change for one child in the bathroom adjacent to the room, and four children age two were playing on the opposite side of the room. The children could not be supervised during the diapering process. .1801(a)(1-5) 428 A current activity plan was not posted for each group of children for reference. In Space 6, there was not a current activity plan posted. GS 110-91(12); .0508(a) 861 Prohibited styrofoam and foam rubber products were accessible to children under 3 years of age and/or approved foam products were used without proper supervision. In Space 5, there were foam mirrors accessible to children age two. .0604(q) 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 August 1, 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 jennifer.davis@dhhs.nc.gov 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: •You must notify your consultant 30 days prior to changing the ownership status of your facility. • We discussed fencing requirements during the visit. Due to entrapment hazards, the rails must be less than 3 ½ inches apart. A barrier will need to be added to inside of fencing due to age of fence. • A plan for supervision during diaper- changing will be need to implemented and a follow-up visit will be made. 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. Jennifer Davis, Child Care Consultant ( 336 ) 317-5041 jennifer.davis@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