Friedland Moravian Church DAY Care

NC GS 110-90 · Violation

Name of Operation: FRIEDLAND MORAVIAN CHURCH DAY CARE Facility ID: 3455198 Consultant: MELINDA LESCAR Operation Type: Center Case Number: 0326-136L Visit Date: 3/18/2026 Number Present: 41 Completed Date: 3/18/2026 Age: From 0 To 5 Total Minutes: 310 Time In: 09:30 AM Time Out: 02:40 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 obtain information related to a self-report received by the Division. During today’s visit, Charity Hauser, Director accompanied me during a walk-through of the facility. During the visit, I discussed the information with Charity Hauser, Director and Melissa Cernvione, Assistant Director. Based on information obtained, the following was determined. On March 10, 2026, a three (3) year old child was left unattended on the playground when one staff member was providing care for eight, three-year-old children. I interviewed the director and assistant director about the incident. The staff member brought the children inside from the playground at 10:56 a.m. The child came to the door at 10:59 a.m. A staff member entered the hallway near the entrance of the door when they heard the door handle jiggling and opened the door, and the child was let in the facility at 11:02 a.m. I observed video coverage that confirmed the incident and that the child was left unsupervised for six (6) minutes. In the video, the child did not appear to be crying or showing any signs of distress. I asked Ms. Hauser what steps had been taken since the incident. Ms. Hauser stated that the staff member was placed on administrative leave immediately and was terminated later that day after viewing the video footage. The director immediately conducted an emergency staff meeting and began implementing head count sheets every thirty (30) minutes on the same day of the incident. The director instructed all staff members to have the children line up at the fence to do a head count before leaving the playground to go inside the facility. I observed attendance sheets for the three-year-old classroom on the day of the incident, and eight (8) children were present with one staff member. Adequate supervision of children was observed today in each space. Limited monitoring of child care requirements occurred during today’s visit. The following violation was confirmed during today’s visit. Violation Number Comment Rule 303 Children were not adequately supervised at all times. On March 10, 2026 A three year old child was left unattended on the playground for six minutes. .1801(a)(1-5) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before April 1, 2026. I must receive a written, dated, and signed compliance letter that describes accurately and in detail how and when the violations were corrected. Please be aware that any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Melinda Lescar PO Box 25174 Winston Salem, NC 27114 Melinda.lescar@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Technical Assistance discussed during today’s visit related to violations: A violation was documented for failure to maintain compliance with supervision requirements. Children should be adequately supervised at all times. It is important for staff members to conduct a head count of all children during transition times using the arrival and departure sheets to ensure that all children are accounted for each day. Ms. Hauser stated she was going to have a staff meeting on March 24, 2026 to discuss how to use the head count sheets correctly and plans to create a supervision policy to share with current staff and review the policy with all new staff during orientation. In addition, Ms. Hauser stated they will install an additional camera that will allow them to view the playground at a closer angle and reposition two cameras for better views of the hallways and outside the entrance into the facility. Ms. Hauser stated she plans to purchase tablets for each classroom to be used in place of their personal cell phones. These tablets will be used only for the facility’s Brightwheel Application to avoid any misuse of cell phone usage during work hours. Staff currently use their personal cell phones for the use of the Brightwheel Application. Violations of this nature directly impact the safety of the children while in your care. In addition, these types of violations have the greatest negative impact on your compliance history. During the visit, we discussed that repeated violations of this nature during consecutive visits may lead to an administrative action against your license. A follow-up visit may be conducted in the near future to monitor compliance with child care requirements. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me at Melinda Lescar, (336) 987-0960, melinda.lescar@dhhs.nc.gov) or Pam Hauser, Licensing Supervisor, (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

NC GS 110-90 · Violation

Name of Operation: FRIEDLAND MORAVIAN CHURCH DAY CARE Facility ID: 3455198 Consultant: MELINDA LESCAR Operation Type: Center Case Number: 0226-130L Visit Date: 2/27/2026 Number Present: 48 Completed Date: 2/27/2026 Age: From 0 To 5 Total Minutes: 180 Time In: 09:15 AM Time Out: 12:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to obtain information regarding alleged violations of childcare requirements. This visit was conducted with Melissa Cervone, Assistant Director. The allegations are as follows: There are concerns regarding Sanitation and a Safe Environment. Your program currently operates with a GS-110-106 license effective 4/22/2024. Restrictions include 1st shift care; children are not allowed to use the church elevator. The facility is owned by Friedland Moravian Church. The program’s compliance history was 77% 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 • Adequate / Approved Space • License Posted • Permit Restrictions Allegation #1: There is a concern regarding Sanitation. Observation and/or Interviews #1: During today’s visit, a walkthrough of the facility was conducted. I observed walls throughout the facility. I observed multiple holes in the wall in Space 6 that ranged from a half to quarter inch in size accessible to children. This classroom has children aged 7-14 months of age. Ms. Cervone and Susan McDowell, Lead Teacher, stated that the gate was broken and removed. Ms. Cervone stated they are in the process of ordering a new gate and will have it installed within two weeks. No additional concerns were observed regarding the condition of the walls. Conclusion #1: Based on the above information, this allegation was substantiated. Allegation #2: There is a concern regarding a save environment. Observation and/or Interviews #2: During today’s visit, I did a walk through the facility. I did not observe any safety concerns in the classrooms. All materials and furniture were in good repair. Conclusion #2: Based on the above information, this allegation was unsubstantiated. The following violations were cited during today’s visit: Violation Number Comment Rule 620 All walls and ceilings including doors and windows were not kept clean, free of visible fungal growth, and in good repair. I observed multiple holes in the wall ranging 1/2-1/4 inch in size in space 6 with children aged 7-14 months of age. The teacher covered the holes with securely attached posters during the visit making the holes inaccessible to the children. 15A NCAC 18A .2825(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. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical assistance discussed during today’s visit: Item #620 There were multiple holes observed in the wall in Space 6. During the visit, the teacher covered the holes with securely attached posters to the wall, making the holes inaccessible to the children. It is important that the holes remain covered until a new gate is installed and/or the wall is repaired to ensure that children do not have access to pick apart small parts of the wall which could result in a choking hazard. 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 printed, reviewed, and a copy was left with you. Contact me at Melinda Lescar, Child Care Consultant (336) 987-0960, melinda.lescar@dhhs.nc.gov or Pam Hauser, Supervisor, (336)317-5003, pamela.hauser@dhhs.nc.gov if you have questions. 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: FRIEDLAND MORAVIAN CHURCH DAY CARE Facility ID: 3455198 Consultant: MELINDA LESCAR Operation Type: Center Case Number: Visit Date: 2/6/2026 Number Present: 41 Completed Date: 2/6/2026 Age: From 0 To 5 Total Minutes: 305 Time In: 09:30 AM Time Out: 02:35 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 Melinda Lescar, Child Care Consultant with Charity Lineberry, Director, and Melissa Cervone, Assistant Director. Your program currently operates with a Notice of Compliance. Restrictions include daytime care only and children are not allowed to use the church elevator. The facility is owned by Friedland Moravian Church. The program’s compliance history was 75% 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 (if receiving subsidy) • 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 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 free play, routine activities, and group time. Two (2) 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, ITS-SIDS, Special Training including Health and Safety Training (if receiving subsidy) and Criminal Background Checks. Storage and administration of medication were monitored. Medication authorization was monitored. Storage of hazardous items were monitored today in locked closet in the hallway. A playground inspection was recorded 1/21/2026 A fire drill was recorded 1/15/26. A shelter in place drill for the facility was recorded 12/18/2025. The most recent fire inspection was on 9/3/2025. I observed a sanitation inspection was last conducted on 3/19/2025 earning an Approved classification. The program does not provide transportation. The following violations were cited during today’s visit: Violation Number Comment Rule 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. The laundry room was unlocked and contained Goo Gone and Ice Melt that was accessible to children. This was corrected during the visit. .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. One (1) medication authorization form for Destin had expired on 1/5/2026. .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 February 20, 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 melinda.lescar@dhhs.nc.gov or mail two copies of the letter to: Melinda Lescar P.O. Box 25174 Winston Salem, NC 27114 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: Item # 0840-Laundry room was not locked and contained hazardous items, Goo Gone and Ice Melt. It is recommended to make sure the laundry room always remains locked to ensure items are not accessible to children. Remind staff to lock door after use each time. This was corrected during the visit. Item #0849- One medication authorization form for Destin expired 1-5-2025. It is important to periodically check authorization forms to ensure compliance. It may be helpful to set reminders on the calendar each month to review all forms. Additional Information/Consultation: It may be beneficial to begin the process with your church requesting the surfacing/mulch for the playgrounds. As you conduct your monthly playground inspections, document the condition of the mulch and all equipment. This will allow time to communicate the need with your church board so that mulch is added in a timely manner and ensures compliance. 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. 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. Melinda Lescar, Child Care Consultant (336 ) 987-0960 melinda.lescar@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: FRIEDLAND MORAVIAN CHURCH DAY CARE Facility ID: 3455198 Consultant: WHITNEY PARKER Operation Type: Center Case Number: Visit Date: 9/2/2025 Number Present: 46 Completed Date: 9/2/2025 Age: From 0 To 4 Total Minutes: 260 Time In: 09:05 AM Time Out: 01:25 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 Ashley Dollyhite, Director. Your program currently operates with a notice of compliance. Restrictions include daytime care only and children not allowed to use the church elevator. The facility is owned by Friedland Moravian Church. The program’s compliance history was 79% 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. 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 free play, routine activities, and group time. I observed materials and activities that were available to the children in the classrooms. The last annual compliance visit was conducted on 09/18/24. A sanitation inspection was completed 03/19/25 with an approved classification. The last fire inspection was conducted 05/15/24. Program records and required postings were monitored. A fire drill was conducted on 08/26/2025. A lockdown drill was documented on 08/01/2025. Staff files and children’s records were monitored per DCDEE procedures. Nutrition requirements 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 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. During the visit, a current fire inspection was not provided. 10A NCAC 09 .0304(a) 807 A safe indoor and outdoor environment was not provided for the children. During the visit, on the playground designated for two-year-old children, I observed several pieces of deteriorated wood. I also observed a large piece of uncovered concrete on the playground designated for prekindergarten children. 10A NCAC 09 .0601(a) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. During the visit, I observed one (1) uncovered outlet in space four (4). 10A NCAC 09 .0604(c) 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. During the visit, I observed a fence measuring approximately 42-27 inches on the playground designated for two-year-old children. I also observed a fence measure approximately 29 inches on the playground designated for toddlers. 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. During the visit, I observed three (3) hand sanitizers, one (1) lotion, and one (1) Benadryl cream in space four (4). I also observe an aerosol air freshener in the bathroom. .2820(b) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. During the visit, I observed two (2) employee files that did not have a Emergency Information Form on file. .0701(a) 1043 All staff records, except financial records, were not made available for review. During the visit, there were two (2) employees that did not have files available for review. G.S. 110-91( 9) 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. During the visit, I observed two (2) employee files that did not have a current First Aid certification. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. During the visit, I observed two (2) employee files that did not have a current CPR certification. .1102(d) 1065 Child care providers scheduled to work in the infant room, did not complete ITS-SIDS training within two months of employment or did not complete the training every three years. Child care administrators did not complete the ITS-SIDS training within 90 days of employment and every three years thereafter. During the visit, I observed one (1) employee that did not have a current SIDS certification on file. .1102(f) 1867 The depth of the loose surfacing was not based on critical height of the equipment. During the visit, I observed mulch on all three (3) playgrounds measuring between one (1) and three (3) inches. .0605(k)(1-4) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. During the visit, I observed twelve (12) diaper creams and/or sunscreens that did not have medication authorizations on file in space two (2). .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) 1890 Each staff member did not have the required medical report, proof of tuberculosis test or screening and/or completed health questionnaire in a medical file, maintained separately from the staff member's individual personnel file. During the visit, I observed three (3) staff files that did not have a medical report. .0701(d) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. During the visit, I observed one (1) employee file that did not have a current Recognizing and Responding to Suspicions of Child Maltreatment certification. .1102(g) 1899 Health and safety training topics were not included as part of on-going training within five years of completing the previous health and safety training topics. During the visit, I observed one (1) staff file that did not have documentation of current health and safety trainings. .1103(b) 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 09/16/25. 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 whitney.parker@dhhs.nc.gov or mail two copies of the letter to: Whitney Parker P.O. Box 1342 Lexington, NC 27293 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 discussed during today’s visit related to violations: • We discussed that all employees need a medical report on file prior to employment. You stated you would have the employees get medical reports on file. • We discussed that all employees need to have a file available for review. You stated that your file and your daughter’s file was at your home and that you would bring them in immediately. • We discussed that fire inspections must be completed once a year. You stated you had a fire inspection completed but the form was not left here. You contacted the fire marshal during the visit, and he stated he would come do a walk through to check the alarm system and bring the form then. • We discussed that outdoor environments must be always kept safe. We discussed that the wood at the bottom of the fence line on the playground designated for two-year-old children is deteriorating and needs to be removed. We also discussed that the large piece of concrete on the playground designated for prekindergarten children needs to be removed as this is a hazard. • We discussed that all playgrounds need mulch. The depth of the mulch measured between one (1) and three (3) inches and it must measure at least six (6) inches deep around the structure. • We discussed that fence heights must be at least four (4) feet tall. We discussed that the fence line can be dug out or you could add to the height of the fence. • We discussed that health and safety trainings must be completed every five (5) years for all existing employees. • We discussed that all medications, including diaper creams and sunscreens, must always have medication authorization forms on file. • We discussed that electrical outlets must be covered at all times when not in use. You covered the outlets during the visit. • We discussed that all items with more than one (1) warning label must be kept in locked storage and that hand sanitizer must be stored at least five (5) vertical feet from the floor. You moved the hazardous items to the appropriate places of storage during the visit. • We discussed that CPR and First Aid must be attained within the first (90) days of employment. You stated that one (1) employee has completed the training but does not have a card. You also stated that one employee just expired in August and that she was going to take the training. • We discussed that the Recognizing and Responding to Suspicions of Child Maltreatment must be completed within ninety (90) days of hire and renewed every five (5) years. You stated the employee said she could not access her certificate. She will need to get a copy of the certificate on file or retake the training. • We discussed that all employees must have an Emergency Information Form on file prior to employment. You had the two (2) employees fill this form out during the visit. • We discussed that all employees that work in the infant room must have SIDS within two (2) months. SIDS must be taken in person. You stated you would have the employee take SIDS and that she would not be able to be alone with children until the training had been completed. Additional Information/Consultation: • You must notify your consultant 30 days prior to changing the ownership status of your facility. • During the visit, we discussed adding materials to space two. • We discussed that the administrator needs to sign all child applications. • We discussed the playground structure steps on the playground designated for two-year-old children and the playground structure metal on the playground designated for prekindergarten children. The steps are beginning to show signs of rust and the metal piece located near the steering wheel on the platform is beginning to show signs of rust as well. Keep a check on these areas. • We discussed the wire cover in space four (4). Keep checking on this as it is beginning to separate from the wall. • We discussed keeping a check on the toilet paper in all stalls in the bathrooms. • We discussed the ABCMS Provider Portal. You stated when you try to log into the portal, you get an error message about the session expiring. I recommend you call the customer service number and inquire about this. Please contact them immediately. This will be monitored on your next licensing visit. • We discussed that L. Dollyhite is not currently working at the facility. We discussed that she cannot come back to work at the facility until she has a current qualifying letter on file. 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. Whitney Parker, Child Care Consultant (336) 590-8765 whitney.parker@dhh.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 .0604 · Violation

Name of Operation: FRIEDLAND MORAVIAN CHURCH DAY CARE Facility ID: 3455198 Consultant: WHITNEY PARKER Operation Type: Center Case Number: Visit Date: 9/2/2025 Number Present: 46 Completed Date: 9/2/2025 Age: From 0 To 4 Total Minutes: 260 Time In: 09:05 AM Time Out: 01:25 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 Ashley Dollyhite, Director. Your program currently operates with a notice of compliance. Restrictions include daytime care only and children not allowed to use the church elevator. The facility is owned by Friedland Moravian Church. The program’s compliance history was 79% 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. 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 free play, routine activities, and group time. I observed materials and activities that were available to the children in the classrooms. The last annual compliance visit was conducted on 09/18/24. A sanitation inspection was completed 03/19/25 with an approved classification. The last fire inspection was conducted 05/15/24. Program records and required postings were monitored. A fire drill was conducted on 08/26/2025. A lockdown drill was documented on 08/01/2025. Staff files and children’s records were monitored per DCDEE procedures. Nutrition requirements 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 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. During the visit, a current fire inspection was not provided. 10A NCAC 09 .0304(a) 807 A safe indoor and outdoor environment was not provided for the children. During the visit, on the playground designated for two-year-old children, I observed several pieces of deteriorated wood. I also observed a large piece of uncovered concrete on the playground designated for prekindergarten children. 10A NCAC 09 .0601(a) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. During the visit, I observed one (1) uncovered outlet in space four (4). 10A NCAC 09 .0604(c) 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. During the visit, I observed a fence measuring approximately 42-27 inches on the playground designated for two-year-old children. I also observed a fence measure approximately 29 inches on the playground designated for toddlers. 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. During the visit, I observed three (3) hand sanitizers, one (1) lotion, and one (1) Benadryl cream in space four (4). I also observe an aerosol air freshener in the bathroom. .2820(b) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. During the visit, I observed two (2) employee files that did not have a Emergency Information Form on file. .0701(a) 1043 All staff records, except financial records, were not made available for review. During the visit, there were two (2) employees that did not have files available for review. G.S. 110-91( 9) 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. During the visit, I observed two (2) employee files that did not have a current First Aid certification. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. During the visit, I observed two (2) employee files that did not have a current CPR certification. .1102(d) 1065 Child care providers scheduled to work in the infant room, did not complete ITS-SIDS training within two months of employment or did not complete the training every three years. Child care administrators did not complete the ITS-SIDS training within 90 days of employment and every three years thereafter. During the visit, I observed one (1) employee that did not have a current SIDS certification on file. .1102(f) 1867 The depth of the loose surfacing was not based on critical height of the equipment. During the visit, I observed mulch on all three (3) playgrounds measuring between one (1) and three (3) inches. .0605(k)(1-4) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. During the visit, I observed twelve (12) diaper creams and/or sunscreens that did not have medication authorizations on file in space two (2). .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) 1890 Each staff member did not have the required medical report, proof of tuberculosis test or screening and/or completed health questionnaire in a medical file, maintained separately from the staff member's individual personnel file. During the visit, I observed three (3) staff files that did not have a medical report. .0701(d) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. During the visit, I observed one (1) employee file that did not have a current Recognizing and Responding to Suspicions of Child Maltreatment certification. .1102(g) 1899 Health and safety training topics were not included as part of on-going training within five years of completing the previous health and safety training topics. During the visit, I observed one (1) staff file that did not have documentation of current health and safety trainings. .1103(b) 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 09/16/25. 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 whitney.parker@dhhs.nc.gov or mail two copies of the letter to: Whitney Parker P.O. Box 1342 Lexington, NC 27293 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 discussed during today’s visit related to violations: • We discussed that all employees need a medical report on file prior to employment. You stated you would have the employees get medical reports on file. • We discussed that all employees need to have a file available for review. You stated that your file and your daughter’s file was at your home and that you would bring them in immediately. • We discussed that fire inspections must be completed once a year. You stated you had a fire inspection completed but the form was not left here. You contacted the fire marshal during the visit, and he stated he would come do a walk through to check the alarm system and bring the form then. • We discussed that outdoor environments must be always kept safe. We discussed that the wood at the bottom of the fence line on the playground designated for two-year-old children is deteriorating and needs to be removed. We also discussed that the large piece of concrete on the playground designated for prekindergarten children needs to be removed as this is a hazard. • We discussed that all playgrounds need mulch. The depth of the mulch measured between one (1) and three (3) inches and it must measure at least six (6) inches deep around the structure. • We discussed that fence heights must be at least four (4) feet tall. We discussed that the fence line can be dug out or you could add to the height of the fence. • We discussed that health and safety trainings must be completed every five (5) years for all existing employees. • We discussed that all medications, including diaper creams and sunscreens, must always have medication authorization forms on file. • We discussed that electrical outlets must be covered at all times when not in use. You covered the outlets during the visit. • We discussed that all items with more than one (1) warning label must be kept in locked storage and that hand sanitizer must be stored at least five (5) vertical feet from the floor. You moved the hazardous items to the appropriate places of storage during the visit. • We discussed that CPR and First Aid must be attained within the first (90) days of employment. You stated that one (1) employee has completed the training but does not have a card. You also stated that one employee just expired in August and that she was going to take the training. • We discussed that the Recognizing and Responding to Suspicions of Child Maltreatment must be completed within ninety (90) days of hire and renewed every five (5) years. You stated the employee said she could not access her certificate. She will need to get a copy of the certificate on file or retake the training. • We discussed that all employees must have an Emergency Information Form on file prior to employment. You had the two (2) employees fill this form out during the visit. • We discussed that all employees that work in the infant room must have SIDS within two (2) months. SIDS must be taken in person. You stated you would have the employee take SIDS and that she would not be able to be alone with children until the training had been completed. Additional Information/Consultation: • You must notify your consultant 30 days prior to changing the ownership status of your facility. • During the visit, we discussed adding materials to space two. • We discussed that the administrator needs to sign all child applications. • We discussed the playground structure steps on the playground designated for two-year-old children and the playground structure metal on the playground designated for prekindergarten children. The steps are beginning to show signs of rust and the metal piece located near the steering wheel on the platform is beginning to show signs of rust as well. Keep a check on these areas. • We discussed the wire cover in space four (4). Keep checking on this as it is beginning to separate from the wall. • We discussed keeping a check on the toilet paper in all stalls in the bathrooms. • We discussed the ABCMS Provider Portal. You stated when you try to log into the portal, you get an error message about the session expiring. I recommend you call the customer service number and inquire about this. Please contact them immediately. This will be monitored on your next licensing visit. • We discussed that L. Dollyhite is not currently working at the facility. We discussed that she cannot come back to work at the facility until she has a current qualifying letter on file. 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. Whitney Parker, Child Care Consultant (336) 590-8765 whitney.parker@dhh.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: FRIEDLAND MORAVIAN CHURCH DAY CARE Facility ID: 3455198 Consultant: WHITNEY PARKER Operation Type: Center Case Number: Visit Date: 9/2/2025 Number Present: 46 Completed Date: 9/2/2025 Age: From 0 To 4 Total Minutes: 260 Time In: 09:05 AM Time Out: 01:25 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 Ashley Dollyhite, Director. Your program currently operates with a notice of compliance. Restrictions include daytime care only and children not allowed to use the church elevator. The facility is owned by Friedland Moravian Church. The program’s compliance history was 79% 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. 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 free play, routine activities, and group time. I observed materials and activities that were available to the children in the classrooms. The last annual compliance visit was conducted on 09/18/24. A sanitation inspection was completed 03/19/25 with an approved classification. The last fire inspection was conducted 05/15/24. Program records and required postings were monitored. A fire drill was conducted on 08/26/2025. A lockdown drill was documented on 08/01/2025. Staff files and children’s records were monitored per DCDEE procedures. Nutrition requirements 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 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. During the visit, a current fire inspection was not provided. 10A NCAC 09 .0304(a) 807 A safe indoor and outdoor environment was not provided for the children. During the visit, on the playground designated for two-year-old children, I observed several pieces of deteriorated wood. I also observed a large piece of uncovered concrete on the playground designated for prekindergarten children. 10A NCAC 09 .0601(a) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. During the visit, I observed one (1) uncovered outlet in space four (4). 10A NCAC 09 .0604(c) 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. During the visit, I observed a fence measuring approximately 42-27 inches on the playground designated for two-year-old children. I also observed a fence measure approximately 29 inches on the playground designated for toddlers. 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. During the visit, I observed three (3) hand sanitizers, one (1) lotion, and one (1) Benadryl cream in space four (4). I also observe an aerosol air freshener in the bathroom. .2820(b) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. During the visit, I observed two (2) employee files that did not have a Emergency Information Form on file. .0701(a) 1043 All staff records, except financial records, were not made available for review. During the visit, there were two (2) employees that did not have files available for review. G.S. 110-91( 9) 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. During the visit, I observed two (2) employee files that did not have a current First Aid certification. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. During the visit, I observed two (2) employee files that did not have a current CPR certification. .1102(d) 1065 Child care providers scheduled to work in the infant room, did not complete ITS-SIDS training within two months of employment or did not complete the training every three years. Child care administrators did not complete the ITS-SIDS training within 90 days of employment and every three years thereafter. During the visit, I observed one (1) employee that did not have a current SIDS certification on file. .1102(f) 1867 The depth of the loose surfacing was not based on critical height of the equipment. During the visit, I observed mulch on all three (3) playgrounds measuring between one (1) and three (3) inches. .0605(k)(1-4) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. During the visit, I observed twelve (12) diaper creams and/or sunscreens that did not have medication authorizations on file in space two (2). .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) 1890 Each staff member did not have the required medical report, proof of tuberculosis test or screening and/or completed health questionnaire in a medical file, maintained separately from the staff member's individual personnel file. During the visit, I observed three (3) staff files that did not have a medical report. .0701(d) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. During the visit, I observed one (1) employee file that did not have a current Recognizing and Responding to Suspicions of Child Maltreatment certification. .1102(g) 1899 Health and safety training topics were not included as part of on-going training within five years of completing the previous health and safety training topics. During the visit, I observed one (1) staff file that did not have documentation of current health and safety trainings. .1103(b) 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 09/16/25. 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 whitney.parker@dhhs.nc.gov or mail two copies of the letter to: Whitney Parker P.O. Box 1342 Lexington, NC 27293 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 discussed during today’s visit related to violations: • We discussed that all employees need a medical report on file prior to employment. You stated you would have the employees get medical reports on file. • We discussed that all employees need to have a file available for review. You stated that your file and your daughter’s file was at your home and that you would bring them in immediately. • We discussed that fire inspections must be completed once a year. You stated you had a fire inspection completed but the form was not left here. You contacted the fire marshal during the visit, and he stated he would come do a walk through to check the alarm system and bring the form then. • We discussed that outdoor environments must be always kept safe. We discussed that the wood at the bottom of the fence line on the playground designated for two-year-old children is deteriorating and needs to be removed. We also discussed that the large piece of concrete on the playground designated for prekindergarten children needs to be removed as this is a hazard. • We discussed that all playgrounds need mulch. The depth of the mulch measured between one (1) and three (3) inches and it must measure at least six (6) inches deep around the structure. • We discussed that fence heights must be at least four (4) feet tall. We discussed that the fence line can be dug out or you could add to the height of the fence. • We discussed that health and safety trainings must be completed every five (5) years for all existing employees. • We discussed that all medications, including diaper creams and sunscreens, must always have medication authorization forms on file. • We discussed that electrical outlets must be covered at all times when not in use. You covered the outlets during the visit. • We discussed that all items with more than one (1) warning label must be kept in locked storage and that hand sanitizer must be stored at least five (5) vertical feet from the floor. You moved the hazardous items to the appropriate places of storage during the visit. • We discussed that CPR and First Aid must be attained within the first (90) days of employment. You stated that one (1) employee has completed the training but does not have a card. You also stated that one employee just expired in August and that she was going to take the training. • We discussed that the Recognizing and Responding to Suspicions of Child Maltreatment must be completed within ninety (90) days of hire and renewed every five (5) years. You stated the employee said she could not access her certificate. She will need to get a copy of the certificate on file or retake the training. • We discussed that all employees must have an Emergency Information Form on file prior to employment. You had the two (2) employees fill this form out during the visit. • We discussed that all employees that work in the infant room must have SIDS within two (2) months. SIDS must be taken in person. You stated you would have the employee take SIDS and that she would not be able to be alone with children until the training had been completed. Additional Information/Consultation: • You must notify your consultant 30 days prior to changing the ownership status of your facility. • During the visit, we discussed adding materials to space two. • We discussed that the administrator needs to sign all child applications. • We discussed the playground structure steps on the playground designated for two-year-old children and the playground structure metal on the playground designated for prekindergarten children. The steps are beginning to show signs of rust and the metal piece located near the steering wheel on the platform is beginning to show signs of rust as well. Keep a check on these areas. • We discussed the wire cover in space four (4). Keep checking on this as it is beginning to separate from the wall. • We discussed keeping a check on the toilet paper in all stalls in the bathrooms. • We discussed the ABCMS Provider Portal. You stated when you try to log into the portal, you get an error message about the session expiring. I recommend you call the customer service number and inquire about this. Please contact them immediately. This will be monitored on your next licensing visit. • We discussed that L. Dollyhite is not currently working at the facility. We discussed that she cannot come back to work at the facility until she has a current qualifying letter on file. 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. Whitney Parker, Child Care Consultant (336) 590-8765 whitney.parker@dhh.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. 110-91 · Violation

Name of Operation: FRIEDLAND MORAVIAN CHURCH DAY CARE Facility ID: 3455198 Consultant: WHITNEY PARKER Operation Type: Center Case Number: Visit Date: 9/2/2025 Number Present: 46 Completed Date: 9/2/2025 Age: From 0 To 4 Total Minutes: 260 Time In: 09:05 AM Time Out: 01:25 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 Ashley Dollyhite, Director. Your program currently operates with a notice of compliance. Restrictions include daytime care only and children not allowed to use the church elevator. The facility is owned by Friedland Moravian Church. The program’s compliance history was 79% 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. 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 free play, routine activities, and group time. I observed materials and activities that were available to the children in the classrooms. The last annual compliance visit was conducted on 09/18/24. A sanitation inspection was completed 03/19/25 with an approved classification. The last fire inspection was conducted 05/15/24. Program records and required postings were monitored. A fire drill was conducted on 08/26/2025. A lockdown drill was documented on 08/01/2025. Staff files and children’s records were monitored per DCDEE procedures. Nutrition requirements 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 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. During the visit, a current fire inspection was not provided. 10A NCAC 09 .0304(a) 807 A safe indoor and outdoor environment was not provided for the children. During the visit, on the playground designated for two-year-old children, I observed several pieces of deteriorated wood. I also observed a large piece of uncovered concrete on the playground designated for prekindergarten children. 10A NCAC 09 .0601(a) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. During the visit, I observed one (1) uncovered outlet in space four (4). 10A NCAC 09 .0604(c) 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. During the visit, I observed a fence measuring approximately 42-27 inches on the playground designated for two-year-old children. I also observed a fence measure approximately 29 inches on the playground designated for toddlers. 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. During the visit, I observed three (3) hand sanitizers, one (1) lotion, and one (1) Benadryl cream in space four (4). I also observe an aerosol air freshener in the bathroom. .2820(b) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. During the visit, I observed two (2) employee files that did not have a Emergency Information Form on file. .0701(a) 1043 All staff records, except financial records, were not made available for review. During the visit, there were two (2) employees that did not have files available for review. G.S. 110-91( 9) 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. During the visit, I observed two (2) employee files that did not have a current First Aid certification. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. During the visit, I observed two (2) employee files that did not have a current CPR certification. .1102(d) 1065 Child care providers scheduled to work in the infant room, did not complete ITS-SIDS training within two months of employment or did not complete the training every three years. Child care administrators did not complete the ITS-SIDS training within 90 days of employment and every three years thereafter. During the visit, I observed one (1) employee that did not have a current SIDS certification on file. .1102(f) 1867 The depth of the loose surfacing was not based on critical height of the equipment. During the visit, I observed mulch on all three (3) playgrounds measuring between one (1) and three (3) inches. .0605(k)(1-4) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. During the visit, I observed twelve (12) diaper creams and/or sunscreens that did not have medication authorizations on file in space two (2). .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) 1890 Each staff member did not have the required medical report, proof of tuberculosis test or screening and/or completed health questionnaire in a medical file, maintained separately from the staff member's individual personnel file. During the visit, I observed three (3) staff files that did not have a medical report. .0701(d) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. During the visit, I observed one (1) employee file that did not have a current Recognizing and Responding to Suspicions of Child Maltreatment certification. .1102(g) 1899 Health and safety training topics were not included as part of on-going training within five years of completing the previous health and safety training topics. During the visit, I observed one (1) staff file that did not have documentation of current health and safety trainings. .1103(b) 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 09/16/25. 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 whitney.parker@dhhs.nc.gov or mail two copies of the letter to: Whitney Parker P.O. Box 1342 Lexington, NC 27293 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 discussed during today’s visit related to violations: • We discussed that all employees need a medical report on file prior to employment. You stated you would have the employees get medical reports on file. • We discussed that all employees need to have a file available for review. You stated that your file and your daughter’s file was at your home and that you would bring them in immediately. • We discussed that fire inspections must be completed once a year. You stated you had a fire inspection completed but the form was not left here. You contacted the fire marshal during the visit, and he stated he would come do a walk through to check the alarm system and bring the form then. • We discussed that outdoor environments must be always kept safe. We discussed that the wood at the bottom of the fence line on the playground designated for two-year-old children is deteriorating and needs to be removed. We also discussed that the large piece of concrete on the playground designated for prekindergarten children needs to be removed as this is a hazard. • We discussed that all playgrounds need mulch. The depth of the mulch measured between one (1) and three (3) inches and it must measure at least six (6) inches deep around the structure. • We discussed that fence heights must be at least four (4) feet tall. We discussed that the fence line can be dug out or you could add to the height of the fence. • We discussed that health and safety trainings must be completed every five (5) years for all existing employees. • We discussed that all medications, including diaper creams and sunscreens, must always have medication authorization forms on file. • We discussed that electrical outlets must be covered at all times when not in use. You covered the outlets during the visit. • We discussed that all items with more than one (1) warning label must be kept in locked storage and that hand sanitizer must be stored at least five (5) vertical feet from the floor. You moved the hazardous items to the appropriate places of storage during the visit. • We discussed that CPR and First Aid must be attained within the first (90) days of employment. You stated that one (1) employee has completed the training but does not have a card. You also stated that one employee just expired in August and that she was going to take the training. • We discussed that the Recognizing and Responding to Suspicions of Child Maltreatment must be completed within ninety (90) days of hire and renewed every five (5) years. You stated the employee said she could not access her certificate. She will need to get a copy of the certificate on file or retake the training. • We discussed that all employees must have an Emergency Information Form on file prior to employment. You had the two (2) employees fill this form out during the visit. • We discussed that all employees that work in the infant room must have SIDS within two (2) months. SIDS must be taken in person. You stated you would have the employee take SIDS and that she would not be able to be alone with children until the training had been completed. Additional Information/Consultation: • You must notify your consultant 30 days prior to changing the ownership status of your facility. • During the visit, we discussed adding materials to space two. • We discussed that the administrator needs to sign all child applications. • We discussed the playground structure steps on the playground designated for two-year-old children and the playground structure metal on the playground designated for prekindergarten children. The steps are beginning to show signs of rust and the metal piece located near the steering wheel on the platform is beginning to show signs of rust as well. Keep a check on these areas. • We discussed the wire cover in space four (4). Keep checking on this as it is beginning to separate from the wall. • We discussed keeping a check on the toilet paper in all stalls in the bathrooms. • We discussed the ABCMS Provider Portal. You stated when you try to log into the portal, you get an error message about the session expiring. I recommend you call the customer service number and inquire about this. Please contact them immediately. This will be monitored on your next licensing visit. • We discussed that L. Dollyhite is not currently working at the facility. We discussed that she cannot come back to work at the facility until she has a current qualifying letter on file. 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. Whitney Parker, Child Care Consultant (336) 590-8765 whitney.parker@dhh.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: FRIEDLAND MORAVIAN CHURCH DAY CARE Facility ID: 3455198 Consultant: WHITNEY PARKER Operation Type: Center Case Number: Visit Date: 9/2/2025 Number Present: 46 Completed Date: 9/2/2025 Age: From 0 To 4 Total Minutes: 260 Time In: 09:05 AM Time Out: 01:25 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 Ashley Dollyhite, Director. Your program currently operates with a notice of compliance. Restrictions include daytime care only and children not allowed to use the church elevator. The facility is owned by Friedland Moravian Church. The program’s compliance history was 79% 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. 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 free play, routine activities, and group time. I observed materials and activities that were available to the children in the classrooms. The last annual compliance visit was conducted on 09/18/24. A sanitation inspection was completed 03/19/25 with an approved classification. The last fire inspection was conducted 05/15/24. Program records and required postings were monitored. A fire drill was conducted on 08/26/2025. A lockdown drill was documented on 08/01/2025. Staff files and children’s records were monitored per DCDEE procedures. Nutrition requirements 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 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. During the visit, a current fire inspection was not provided. 10A NCAC 09 .0304(a) 807 A safe indoor and outdoor environment was not provided for the children. During the visit, on the playground designated for two-year-old children, I observed several pieces of deteriorated wood. I also observed a large piece of uncovered concrete on the playground designated for prekindergarten children. 10A NCAC 09 .0601(a) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. During the visit, I observed one (1) uncovered outlet in space four (4). 10A NCAC 09 .0604(c) 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. During the visit, I observed a fence measuring approximately 42-27 inches on the playground designated for two-year-old children. I also observed a fence measure approximately 29 inches on the playground designated for toddlers. 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. During the visit, I observed three (3) hand sanitizers, one (1) lotion, and one (1) Benadryl cream in space four (4). I also observe an aerosol air freshener in the bathroom. .2820(b) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. During the visit, I observed two (2) employee files that did not have a Emergency Information Form on file. .0701(a) 1043 All staff records, except financial records, were not made available for review. During the visit, there were two (2) employees that did not have files available for review. G.S. 110-91( 9) 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. During the visit, I observed two (2) employee files that did not have a current First Aid certification. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. During the visit, I observed two (2) employee files that did not have a current CPR certification. .1102(d) 1065 Child care providers scheduled to work in the infant room, did not complete ITS-SIDS training within two months of employment or did not complete the training every three years. Child care administrators did not complete the ITS-SIDS training within 90 days of employment and every three years thereafter. During the visit, I observed one (1) employee that did not have a current SIDS certification on file. .1102(f) 1867 The depth of the loose surfacing was not based on critical height of the equipment. During the visit, I observed mulch on all three (3) playgrounds measuring between one (1) and three (3) inches. .0605(k)(1-4) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. During the visit, I observed twelve (12) diaper creams and/or sunscreens that did not have medication authorizations on file in space two (2). .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) 1890 Each staff member did not have the required medical report, proof of tuberculosis test or screening and/or completed health questionnaire in a medical file, maintained separately from the staff member's individual personnel file. During the visit, I observed three (3) staff files that did not have a medical report. .0701(d) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. During the visit, I observed one (1) employee file that did not have a current Recognizing and Responding to Suspicions of Child Maltreatment certification. .1102(g) 1899 Health and safety training topics were not included as part of on-going training within five years of completing the previous health and safety training topics. During the visit, I observed one (1) staff file that did not have documentation of current health and safety trainings. .1103(b) 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 09/16/25. 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 whitney.parker@dhhs.nc.gov or mail two copies of the letter to: Whitney Parker P.O. Box 1342 Lexington, NC 27293 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 discussed during today’s visit related to violations: • We discussed that all employees need a medical report on file prior to employment. You stated you would have the employees get medical reports on file. • We discussed that all employees need to have a file available for review. You stated that your file and your daughter’s file was at your home and that you would bring them in immediately. • We discussed that fire inspections must be completed once a year. You stated you had a fire inspection completed but the form was not left here. You contacted the fire marshal during the visit, and he stated he would come do a walk through to check the alarm system and bring the form then. • We discussed that outdoor environments must be always kept safe. We discussed that the wood at the bottom of the fence line on the playground designated for two-year-old children is deteriorating and needs to be removed. We also discussed that the large piece of concrete on the playground designated for prekindergarten children needs to be removed as this is a hazard. • We discussed that all playgrounds need mulch. The depth of the mulch measured between one (1) and three (3) inches and it must measure at least six (6) inches deep around the structure. • We discussed that fence heights must be at least four (4) feet tall. We discussed that the fence line can be dug out or you could add to the height of the fence. • We discussed that health and safety trainings must be completed every five (5) years for all existing employees. • We discussed that all medications, including diaper creams and sunscreens, must always have medication authorization forms on file. • We discussed that electrical outlets must be covered at all times when not in use. You covered the outlets during the visit. • We discussed that all items with more than one (1) warning label must be kept in locked storage and that hand sanitizer must be stored at least five (5) vertical feet from the floor. You moved the hazardous items to the appropriate places of storage during the visit. • We discussed that CPR and First Aid must be attained within the first (90) days of employment. You stated that one (1) employee has completed the training but does not have a card. You also stated that one employee just expired in August and that she was going to take the training. • We discussed that the Recognizing and Responding to Suspicions of Child Maltreatment must be completed within ninety (90) days of hire and renewed every five (5) years. You stated the employee said she could not access her certificate. She will need to get a copy of the certificate on file or retake the training. • We discussed that all employees must have an Emergency Information Form on file prior to employment. You had the two (2) employees fill this form out during the visit. • We discussed that all employees that work in the infant room must have SIDS within two (2) months. SIDS must be taken in person. You stated you would have the employee take SIDS and that she would not be able to be alone with children until the training had been completed. Additional Information/Consultation: • You must notify your consultant 30 days prior to changing the ownership status of your facility. • During the visit, we discussed adding materials to space two. • We discussed that the administrator needs to sign all child applications. • We discussed the playground structure steps on the playground designated for two-year-old children and the playground structure metal on the playground designated for prekindergarten children. The steps are beginning to show signs of rust and the metal piece located near the steering wheel on the platform is beginning to show signs of rust as well. Keep a check on these areas. • We discussed the wire cover in space four (4). Keep checking on this as it is beginning to separate from the wall. • We discussed keeping a check on the toilet paper in all stalls in the bathrooms. • We discussed the ABCMS Provider Portal. You stated when you try to log into the portal, you get an error message about the session expiring. I recommend you call the customer service number and inquire about this. Please contact them immediately. This will be monitored on your next licensing visit. • We discussed that L. Dollyhite is not currently working at the facility. We discussed that she cannot come back to work at the facility until she has a current qualifying letter on file. 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. Whitney Parker, Child Care Consultant (336) 590-8765 whitney.parker@dhh.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: FRIEDLAND MORAVIAN CHURCH DAY CARE Facility ID: 3455198 Consultant: WHITNEY PARKER Operation Type: Center Case Number: Visit Date: 9/2/2025 Number Present: 46 Completed Date: 9/2/2025 Age: From 0 To 4 Total Minutes: 260 Time In: 09:05 AM Time Out: 01:25 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 Ashley Dollyhite, Director. Your program currently operates with a notice of compliance. Restrictions include daytime care only and children not allowed to use the church elevator. The facility is owned by Friedland Moravian Church. The program’s compliance history was 79% 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. 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 free play, routine activities, and group time. I observed materials and activities that were available to the children in the classrooms. The last annual compliance visit was conducted on 09/18/24. A sanitation inspection was completed 03/19/25 with an approved classification. The last fire inspection was conducted 05/15/24. Program records and required postings were monitored. A fire drill was conducted on 08/26/2025. A lockdown drill was documented on 08/01/2025. Staff files and children’s records were monitored per DCDEE procedures. Nutrition requirements 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 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. During the visit, a current fire inspection was not provided. 10A NCAC 09 .0304(a) 807 A safe indoor and outdoor environment was not provided for the children. During the visit, on the playground designated for two-year-old children, I observed several pieces of deteriorated wood. I also observed a large piece of uncovered concrete on the playground designated for prekindergarten children. 10A NCAC 09 .0601(a) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. During the visit, I observed one (1) uncovered outlet in space four (4). 10A NCAC 09 .0604(c) 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. During the visit, I observed a fence measuring approximately 42-27 inches on the playground designated for two-year-old children. I also observed a fence measure approximately 29 inches on the playground designated for toddlers. 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. During the visit, I observed three (3) hand sanitizers, one (1) lotion, and one (1) Benadryl cream in space four (4). I also observe an aerosol air freshener in the bathroom. .2820(b) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. During the visit, I observed two (2) employee files that did not have a Emergency Information Form on file. .0701(a) 1043 All staff records, except financial records, were not made available for review. During the visit, there were two (2) employees that did not have files available for review. G.S. 110-91( 9) 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. During the visit, I observed two (2) employee files that did not have a current First Aid certification. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. During the visit, I observed two (2) employee files that did not have a current CPR certification. .1102(d) 1065 Child care providers scheduled to work in the infant room, did not complete ITS-SIDS training within two months of employment or did not complete the training every three years. Child care administrators did not complete the ITS-SIDS training within 90 days of employment and every three years thereafter. During the visit, I observed one (1) employee that did not have a current SIDS certification on file. .1102(f) 1867 The depth of the loose surfacing was not based on critical height of the equipment. During the visit, I observed mulch on all three (3) playgrounds measuring between one (1) and three (3) inches. .0605(k)(1-4) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. During the visit, I observed twelve (12) diaper creams and/or sunscreens that did not have medication authorizations on file in space two (2). .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) 1890 Each staff member did not have the required medical report, proof of tuberculosis test or screening and/or completed health questionnaire in a medical file, maintained separately from the staff member's individual personnel file. During the visit, I observed three (3) staff files that did not have a medical report. .0701(d) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. During the visit, I observed one (1) employee file that did not have a current Recognizing and Responding to Suspicions of Child Maltreatment certification. .1102(g) 1899 Health and safety training topics were not included as part of on-going training within five years of completing the previous health and safety training topics. During the visit, I observed one (1) staff file that did not have documentation of current health and safety trainings. .1103(b) 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 09/16/25. 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 whitney.parker@dhhs.nc.gov or mail two copies of the letter to: Whitney Parker P.O. Box 1342 Lexington, NC 27293 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 discussed during today’s visit related to violations: • We discussed that all employees need a medical report on file prior to employment. You stated you would have the employees get medical reports on file. • We discussed that all employees need to have a file available for review. You stated that your file and your daughter’s file was at your home and that you would bring them in immediately. • We discussed that fire inspections must be completed once a year. You stated you had a fire inspection completed but the form was not left here. You contacted the fire marshal during the visit, and he stated he would come do a walk through to check the alarm system and bring the form then. • We discussed that outdoor environments must be always kept safe. We discussed that the wood at the bottom of the fence line on the playground designated for two-year-old children is deteriorating and needs to be removed. We also discussed that the large piece of concrete on the playground designated for prekindergarten children needs to be removed as this is a hazard. • We discussed that all playgrounds need mulch. The depth of the mulch measured between one (1) and three (3) inches and it must measure at least six (6) inches deep around the structure. • We discussed that fence heights must be at least four (4) feet tall. We discussed that the fence line can be dug out or you could add to the height of the fence. • We discussed that health and safety trainings must be completed every five (5) years for all existing employees. • We discussed that all medications, including diaper creams and sunscreens, must always have medication authorization forms on file. • We discussed that electrical outlets must be covered at all times when not in use. You covered the outlets during the visit. • We discussed that all items with more than one (1) warning label must be kept in locked storage and that hand sanitizer must be stored at least five (5) vertical feet from the floor. You moved the hazardous items to the appropriate places of storage during the visit. • We discussed that CPR and First Aid must be attained within the first (90) days of employment. You stated that one (1) employee has completed the training but does not have a card. You also stated that one employee just expired in August and that she was going to take the training. • We discussed that the Recognizing and Responding to Suspicions of Child Maltreatment must be completed within ninety (90) days of hire and renewed every five (5) years. You stated the employee said she could not access her certificate. She will need to get a copy of the certificate on file or retake the training. • We discussed that all employees must have an Emergency Information Form on file prior to employment. You had the two (2) employees fill this form out during the visit. • We discussed that all employees that work in the infant room must have SIDS within two (2) months. SIDS must be taken in person. You stated you would have the employee take SIDS and that she would not be able to be alone with children until the training had been completed. Additional Information/Consultation: • You must notify your consultant 30 days prior to changing the ownership status of your facility. • During the visit, we discussed adding materials to space two. • We discussed that the administrator needs to sign all child applications. • We discussed the playground structure steps on the playground designated for two-year-old children and the playground structure metal on the playground designated for prekindergarten children. The steps are beginning to show signs of rust and the metal piece located near the steering wheel on the platform is beginning to show signs of rust as well. Keep a check on these areas. • We discussed the wire cover in space four (4). Keep checking on this as it is beginning to separate from the wall. • We discussed keeping a check on the toilet paper in all stalls in the bathrooms. • We discussed the ABCMS Provider Portal. You stated when you try to log into the portal, you get an error message about the session expiring. I recommend you call the customer service number and inquire about this. Please contact them immediately. This will be monitored on your next licensing visit. • We discussed that L. Dollyhite is not currently working at the facility. We discussed that she cannot come back to work at the facility until she has a current qualifying letter on file. 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. Whitney Parker, Child Care Consultant (336) 590-8765 whitney.parker@dhh.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: FRIEDLAND MORAVIAN CHURCH DAY CARE Facility ID: 3455198 Consultant: WHITNEY PARKER Operation Type: Center Case Number: 0725-122L Visit Date: 7/14/2025 Number Present: 45 Completed Date: 7/14/2025 Age: From 0 To 5 Total Minutes: 180 Time In: 09:00 AM Time Out: 12:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to obtain information regarding alleged violations of childcare requirements. This visit was conducted with Ashley Dollyhite, Director, and Tommy Reed, Head of Church Board of Trustees. The allegations are as follows: There are allegations of violations of childcare requirements regarding sanitation. During today’s visit, the allegations were discussed with you. You had the opportunity to respond. Information shared during this visit is documented in this visit summary. Your program currently operates with a notice of compliance. Restrictions include daytime care only and children not allowed to use the church elevator. The facility is owned by Friedland Moravian Church. The program’s compliance history was 78% 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 • Adequate / Approved Space • License Posted • Permit Restrictions Allegation #1: There are allegations of violations of childcare requirements regarding sanitation. Observation #1: During today’s visit, a walkthrough of the facility was conducted. Upon arrival, I observed the front door being propped open with a vertical board. The door was propped open but there was no visible and accessible gap. I interviewed the director and the Head of Church Board of Trustees during the visit. The director stated the keypad stopped working on July 2nd, 2025. Ms. Dollyhite stated that she tried changing the batteries on the keypad for the door, but the door consistently stayed locked and would not open. Ms. Dollyhite stated they used a piece of wood to prop the door open so the parents could enter and exit the facility without having to wait for someone to open the door. Ms. Dollyhite stated either the Director or Assistant Director would be in the front of the building able to view the windows to monitor who came in and exited the facility. Ms. Dollyhite stated that the children were unaware that the door was broken and there has not been a concern for any children accessing the unlocked door. During the visit, I also interviewed Mr. Tommy Reed, Head of Church Board of Trustees. Mr. Reed confirmed that the door was propped open at the bottom of the door using a piece of wood on Tuesday July 2nd, 2025. Per Mr. Reed, this created approximately a one (1) inch gap in the doorway. Mr. Reed stated this gap was accessible for approximately two (2) days. Mr. Reed stated that he did not like the one (1) inch gap that this left in the door, so he placed double sided tape on the back of the piece of wood and stood the wood up vertically in the doorway to make the gap go away. Mr. Reed confirmed that the door had been propped open like this, without a one (1) inch gap, for over a week. Mr. Reed confirmed that the part needed to fix the keypad was ordered sometime in the week of July 2nd, 2025. Mr. Reed stated that he received a phone call on July 7th, 2025, stating that the part was on back order and would not be available for four (4) to six (6) weeks. Mr. Reed confirmed that the part has been ordered, and they are waiting for the part to arrive. During the visit, Mr. Reed removed the piece of wood from the door and Ms. Dollyhite taped the lock so that the door could open freely without being propped open. Conclusion #1: Based on the above information and observations during today’s visit, there was enough information to support the allegation. This allegation was substantiated. The following violation was cited during today’s visit: Violation Number Comment Rule 617 All openings to the outer air were not protected against the entrance of flying pest. During the visit, it was confirmed during an interview that the front door was propped open leaving a one (1) inch gap for approximately two (2) days. 15A NCAC 18A .2831(c) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation cited during today was corrected during the visit. A compliance letter is not due at this time. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical assistance discussed during today’s visit related to violations: • We discussed during the visit that doors should not be propped open as this could result in pests entering the facility. You closed the door during the visit and stated that the door would remained closed but unlocked to ensure pests could not get in. Additional Information/Consultation: • You must notify your consultant 30 days prior to changing the ownership status of your facility. • We discussed that I needed updated forms from Mr. Caviness. Due to these forms not being filled out correctly, I need Mr. Caviness to sign the visit summary. I left three (3) copies of the visit summary with you. Please have Mr. Caviness sign all three (3) copies and then mail me two (2) copies to: PO Box 1342 Lexington NC 27293. I also need the Facility Profile Application and the Legal Designee form updated and emailed to me as soon as possible. We discussed the updates and signatures during the visit. You can also view the email I sent on 05/28/2025 for more information. • We discussed making families aware of the plan for the door issue. You stated that when the door broke you verbally spoke with all families letting them know. We discussed that you did not want to post this on the door as you did not want outside individuals knowing the door was not working. We discussed that you could use your Brightwheel application to notify families of the door plan and any updates that occur. • Please send me an email letting me know when the door keypad has been replaced or any additional measures you put in place regarding the door. • We discussed licensing the fellowship hall during the visit. If you want to pursue this, you would first need to reach out to building and zoning and have inspections completed by them. You will also have to have a fire and sanitation inspection completed for this area. Once all inspections have been completed, you would reach out to your consultant to come out and measure the space and approve the use of this space. Children would not be allowed in this area until fully approved by your consultant with all required inspections. 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. Whitney Parker, Child Care Consultant (336) 590-8765 whitney.parker@dhh.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: FRIEDLAND MORAVIAN CHURCH DAY CARE Facility ID: 3455198 Consultant: WHITNEY PARKER Operation Type: Center Case Number: Visit Date: 9/18/2024 Number Present: 50 Completed Date: 9/18/2024 Age: From 0 To 4 Total Minutes: 355 Time In: 08:45 AM Time Out: 02:40 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 Whitney Parker and Emily Lamquaye, Childcare Consultants, with Melissa Cervone, Director. Your program currently operates with a notice of compliance. Restrictions include daytime care only and children not allowed to use the church elevator. The facility is owned by Friedland Moravian Church. The program’s compliance history was 86% 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. 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 free play, routine activities, and eating lunch. I observed materials and activities that were available to the children in the classrooms. The last annual compliance visit was conducted on 09/27/2023. A sanitation inspection was completed 06/07/2024 with a superior classification. The last fire inspection was conducted 05/15/2024. Program records and required postings were monitored. A fire drill was conducted on 09/12/2024. A shelter in place drill was documented on 07/17/2024. An outdoor inspection was documented on 08/23/2024. Staff files and children’s records were monitored per DCDEE procedures. Nutrition requirements 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. During today’s visit, you stated you are not providing transportation at this time because the van has been sold. In the future, if you purchase a new vehicle to provide transportation, the vehicle will need to be approved by DCDEE prior to using it to transport children. If you purchase a vehicle in the future, please reach out to your consultant prior to transporting children so the vehicle can be inspected and approved by DCDEE. The following violations were cited during today’s visit: Violation Number Comment Rule 115 A summary of the NC Child Care Law was not posted in a prominent place in the center. During the visit, I did not observe a summary of the law that was posted in a prominent place in the facility. G.S. 110-102 705 Equipment and furnishings were not sturdy, stable and free of hazards. During the visit, I observed a large playground structure on the playground for three to five year old children that had cracking plastic, exposed rust, and peeling paint. The steps to the equipment has a black coating that is cracked and exposing rust underneath. The two megaphones on this structure have peeling paint. .0601(c) 807 A safe indoor and outdoor environment was not provided for the children. During the visit, I observed large rusts spots and several areas of peeling paint on the stairs and posts directly next to the infant and toddler playground. On the playground for two year old children, I observed a screw that was lifted on the sandbox and several broken and cracked toys. On all the playgrounds, there is an ample amount of grass covering the mulch and in the sandbox. 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. During the visit, we measured several areas of fencing on all three playgrounds. The measurements taken during the visit ranged form 2 foot 11 inches through 3 foot five inches. All three playgrounds had areas of fencing that did not measure 4 feet in height. 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. During the visit, I observed Clorox wipes stored on an unlocked shelf in space 1 and 4. I observed hand sanitizer stored on a shelf less than 5 vertical feet tall in spaces 4 and 5. .2820(b) 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. During the visit, I observed one tube of Nystatin in space 2 that was stored on an unlocked shelf. 15A NCAC 18A .2820(d) 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. During the visit, I observed on bottle of sunscreen that had an expired medication form. .0803(12) 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. During the visit, I observed a teacher's Pepsi drink bottle in space 1 and a teacher's Dr. Pepper can in space 6. .0901(i) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. During the visit, I observed a tube of diaper cream in space three and a tube of sunscreen space two that did not have medication authorization forms. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) 1890 Each staff member did not have the required medical report, proof of tuberculosis test or screening and/or completed health questionnaire in a medical file, maintained separately from the staff member's individual personnel file. During the visit, I observed on employee file that did not have proof of a tuberculosis test and one employee file that did not have a current health questionnaire. .0701(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 10/02/2024. 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 whitney.parker@dhhs.nc.gov or mail two copies of the letter to: Whitney Parker P.O. Box 1342 Lexington, NC 27293 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 discussed during today’s visit related to violations: • We discussed that the summary of the law has to be posted for families to see. You posted this during the visit. • We discussed that all playground equipment must be free of hazards including peeling paint and rust. You stated you would let the church know about the equipment so they can begin the repair process. • We discussed that outdoor areas must be free of hazards such as lifted screws ad broken toys. We also discussed that there is an ample amount of grass that is taking over the mulch area. You stated you would let the church know about these issues so they can begin the repair process. • We discussed that all playground fencing must measure four vertical feet tall. You stated you would let the church know about the fencing issue so they can begin the repair process and determine how to increase the height of the fence. • We discussed during the visit that hand sanitizer can be kept in the classroom but must be stored at least 5 vertical feet high. We also discussed that disinfectant wipes must be stored in locked storage. These items were moved to the correct places during the visit. • We discussed that all prescription medications must be kept in locked storage. You removed the prescription medication during the visit. Epi-pens and inhalers can be stored 5 vertical feet high for quick access. • We discussed that all medications must have a current and accurate authorization form on file. We also discussed that medications must be returned to the parent after the permission form has expired or when the medication is no longer in use. You removed these items from the classroom during the visit. • We discussed that staff must model appropriate nutrition behaviors. Staff may have drinks in the classroom; however, they need to be in cups with no labels to ensure they are modeling appropriate nutritional guidelines. These items were removed during the visit. • We discussed that all employees must have a TB test on file on their first day of employment. We also discussed that employees must have a current annual health questionnaire on file. You stated you would have the employees complete these immediately. Additional Information/Consultation: • You must notify your consultant 30 days prior to changing the ownership status of your facility. • On 09/11/2024, Melissa Cervone and I had a telephone conversation regarding the space that was licensed on 06/06/2024 as a Summer Camp. Ms. Cervone stated the facility was no longer going to use that space for licensed childcare. I received an email from Ms. Cervone on 09/16/2024 stating they did not want to use this space and wanted the space removed from their permit. Ms. Cervone stated during today’s visit that the classroom operated from 06/10/2024 through 08/09/2024. Ms. Cervone stated that the last day of enrollment in this space was 08/09/2024. Effective today, this space is no longer licensed and cannot be used to care for licensed children. In the future, if you wish to relicense this space, please reach out to your consultant for information prior to caring for children in that space. Your permit capacity as of today is 90 children. • We discussed during the visit that a previous Director’s, E.C, last date of employment was March 31, 2023. This will be updated in our system to reflect the last date of employment for that employee. • Make sure you update your EPR plan annually and as changes take place. Ensure that your ready to go file is up to date. the location of the Ready to Go File. A Ready to Go File means a collection of information on children, additional caregivers and the facility, to utilize, if an evacuation occurs. The file shall include a copy of the Emergency Preparedness and Response Plan, contact information for individuals to pick-up children, each child's Application for Child Care, medication authorizations and instructions, any action plans for children with special health care needs, a list of any known food allergies of children and additional caregiver, additional caregiver contact information, Incident Report forms, an area map, and emergency telephone numbers. You can update your EPR plan at this website using the username and password that was used when the account was created: https://rmp.nc.gov/portal/portal.aspx • If you use screen time of any kind, you must document this on the screen log. The screen log can be found on DCDEE’s website under provider documents using this link: https://ncchildcare.ncdhhs.gov/Provider/Provider-Documents-and-Forms • You can use this website to order new posters for handwashing, CPR, First Aid, and more: https://healthychildcare.unc.edu/resources/posters/ • Any GS-110 facility that accepts childcare subsidy vouchers must follow the health and safety training rules. This means all employees must have the healthy and safety trainings including CPR and First Aid and Recognizing and Responding to Suspicions of Child Maltreatment. You can enrolled in the health and safety trainings on DCDEE Moodle by following this link: https://www.dcdee.moodle.nc.gov/ You can enroll in the Recognizing and Responding to Suspicions of Child Maltreatment training by following this link: https://preventchildabusenc-lms.org/courses/rr-update/ You can find a healthy and safety training log to document the trainings on DCDEE’s website under provider documents using this link: https://ncchildcare.ncdhhs.gov/Provider/Provider-Documents-and-Forms Each employee will need to print the certificates and have them on file and available for review by DCDEE. These trainings must be renewed every five years. All employees need to have taken Recognizing and Responding to Suspicions of Child Maltreatment by December 2024. All employees need to have take all health and safety trainings by September 2025. • You can find a PDF copy of the staff and training worksheet that is refillable on DCDEE’s website under provider documents using this link: https://ncchildcare.ncdhhs.gov/Provider/Provider-Documents-and-Forms • Keep a check on the playground structure on the playground used by infants and toddlers. The plastic on the tunnel is beginning to crack at the top. • Make sure all medications, including diaper creams and sunscreens, have children’s names written on them. • Make sure that when completing medication forms, the forms are specific to the medication that is on site. For example, if you have a Desitin diaper cream tube, make sure on the medication form, the medication name is listed as Desitin rather than diaper cream. Every medication should have its own medication authorization form. 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. Whitney Parker, Child Care Consultant (336) 590-8765 whitney.parker@dhh.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. 110-102 · Violation

Name of Operation: FRIEDLAND MORAVIAN CHURCH DAY CARE Facility ID: 3455198 Consultant: WHITNEY PARKER Operation Type: Center Case Number: Visit Date: 9/18/2024 Number Present: 50 Completed Date: 9/18/2024 Age: From 0 To 4 Total Minutes: 355 Time In: 08:45 AM Time Out: 02:40 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 Whitney Parker and Emily Lamquaye, Childcare Consultants, with Melissa Cervone, Director. Your program currently operates with a notice of compliance. Restrictions include daytime care only and children not allowed to use the church elevator. The facility is owned by Friedland Moravian Church. The program’s compliance history was 86% 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. 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 free play, routine activities, and eating lunch. I observed materials and activities that were available to the children in the classrooms. The last annual compliance visit was conducted on 09/27/2023. A sanitation inspection was completed 06/07/2024 with a superior classification. The last fire inspection was conducted 05/15/2024. Program records and required postings were monitored. A fire drill was conducted on 09/12/2024. A shelter in place drill was documented on 07/17/2024. An outdoor inspection was documented on 08/23/2024. Staff files and children’s records were monitored per DCDEE procedures. Nutrition requirements 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. During today’s visit, you stated you are not providing transportation at this time because the van has been sold. In the future, if you purchase a new vehicle to provide transportation, the vehicle will need to be approved by DCDEE prior to using it to transport children. If you purchase a vehicle in the future, please reach out to your consultant prior to transporting children so the vehicle can be inspected and approved by DCDEE. The following violations were cited during today’s visit: Violation Number Comment Rule 115 A summary of the NC Child Care Law was not posted in a prominent place in the center. During the visit, I did not observe a summary of the law that was posted in a prominent place in the facility. G.S. 110-102 705 Equipment and furnishings were not sturdy, stable and free of hazards. During the visit, I observed a large playground structure on the playground for three to five year old children that had cracking plastic, exposed rust, and peeling paint. The steps to the equipment has a black coating that is cracked and exposing rust underneath. The two megaphones on this structure have peeling paint. .0601(c) 807 A safe indoor and outdoor environment was not provided for the children. During the visit, I observed large rusts spots and several areas of peeling paint on the stairs and posts directly next to the infant and toddler playground. On the playground for two year old children, I observed a screw that was lifted on the sandbox and several broken and cracked toys. On all the playgrounds, there is an ample amount of grass covering the mulch and in the sandbox. 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. During the visit, we measured several areas of fencing on all three playgrounds. The measurements taken during the visit ranged form 2 foot 11 inches through 3 foot five inches. All three playgrounds had areas of fencing that did not measure 4 feet in height. 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. During the visit, I observed Clorox wipes stored on an unlocked shelf in space 1 and 4. I observed hand sanitizer stored on a shelf less than 5 vertical feet tall in spaces 4 and 5. .2820(b) 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. During the visit, I observed one tube of Nystatin in space 2 that was stored on an unlocked shelf. 15A NCAC 18A .2820(d) 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. During the visit, I observed on bottle of sunscreen that had an expired medication form. .0803(12) 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. During the visit, I observed a teacher's Pepsi drink bottle in space 1 and a teacher's Dr. Pepper can in space 6. .0901(i) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. During the visit, I observed a tube of diaper cream in space three and a tube of sunscreen space two that did not have medication authorization forms. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) 1890 Each staff member did not have the required medical report, proof of tuberculosis test or screening and/or completed health questionnaire in a medical file, maintained separately from the staff member's individual personnel file. During the visit, I observed on employee file that did not have proof of a tuberculosis test and one employee file that did not have a current health questionnaire. .0701(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 10/02/2024. 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 whitney.parker@dhhs.nc.gov or mail two copies of the letter to: Whitney Parker P.O. Box 1342 Lexington, NC 27293 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 discussed during today’s visit related to violations: • We discussed that the summary of the law has to be posted for families to see. You posted this during the visit. • We discussed that all playground equipment must be free of hazards including peeling paint and rust. You stated you would let the church know about the equipment so they can begin the repair process. • We discussed that outdoor areas must be free of hazards such as lifted screws ad broken toys. We also discussed that there is an ample amount of grass that is taking over the mulch area. You stated you would let the church know about these issues so they can begin the repair process. • We discussed that all playground fencing must measure four vertical feet tall. You stated you would let the church know about the fencing issue so they can begin the repair process and determine how to increase the height of the fence. • We discussed during the visit that hand sanitizer can be kept in the classroom but must be stored at least 5 vertical feet high. We also discussed that disinfectant wipes must be stored in locked storage. These items were moved to the correct places during the visit. • We discussed that all prescription medications must be kept in locked storage. You removed the prescription medication during the visit. Epi-pens and inhalers can be stored 5 vertical feet high for quick access. • We discussed that all medications must have a current and accurate authorization form on file. We also discussed that medications must be returned to the parent after the permission form has expired or when the medication is no longer in use. You removed these items from the classroom during the visit. • We discussed that staff must model appropriate nutrition behaviors. Staff may have drinks in the classroom; however, they need to be in cups with no labels to ensure they are modeling appropriate nutritional guidelines. These items were removed during the visit. • We discussed that all employees must have a TB test on file on their first day of employment. We also discussed that employees must have a current annual health questionnaire on file. You stated you would have the employees complete these immediately. Additional Information/Consultation: • You must notify your consultant 30 days prior to changing the ownership status of your facility. • On 09/11/2024, Melissa Cervone and I had a telephone conversation regarding the space that was licensed on 06/06/2024 as a Summer Camp. Ms. Cervone stated the facility was no longer going to use that space for licensed childcare. I received an email from Ms. Cervone on 09/16/2024 stating they did not want to use this space and wanted the space removed from their permit. Ms. Cervone stated during today’s visit that the classroom operated from 06/10/2024 through 08/09/2024. Ms. Cervone stated that the last day of enrollment in this space was 08/09/2024. Effective today, this space is no longer licensed and cannot be used to care for licensed children. In the future, if you wish to relicense this space, please reach out to your consultant for information prior to caring for children in that space. Your permit capacity as of today is 90 children. • We discussed during the visit that a previous Director’s, E.C, last date of employment was March 31, 2023. This will be updated in our system to reflect the last date of employment for that employee. • Make sure you update your EPR plan annually and as changes take place. Ensure that your ready to go file is up to date. the location of the Ready to Go File. A Ready to Go File means a collection of information on children, additional caregivers and the facility, to utilize, if an evacuation occurs. The file shall include a copy of the Emergency Preparedness and Response Plan, contact information for individuals to pick-up children, each child's Application for Child Care, medication authorizations and instructions, any action plans for children with special health care needs, a list of any known food allergies of children and additional caregiver, additional caregiver contact information, Incident Report forms, an area map, and emergency telephone numbers. You can update your EPR plan at this website using the username and password that was used when the account was created: https://rmp.nc.gov/portal/portal.aspx • If you use screen time of any kind, you must document this on the screen log. The screen log can be found on DCDEE’s website under provider documents using this link: https://ncchildcare.ncdhhs.gov/Provider/Provider-Documents-and-Forms • You can use this website to order new posters for handwashing, CPR, First Aid, and more: https://healthychildcare.unc.edu/resources/posters/ • Any GS-110 facility that accepts childcare subsidy vouchers must follow the health and safety training rules. This means all employees must have the healthy and safety trainings including CPR and First Aid and Recognizing and Responding to Suspicions of Child Maltreatment. You can enrolled in the health and safety trainings on DCDEE Moodle by following this link: https://www.dcdee.moodle.nc.gov/ You can enroll in the Recognizing and Responding to Suspicions of Child Maltreatment training by following this link: https://preventchildabusenc-lms.org/courses/rr-update/ You can find a healthy and safety training log to document the trainings on DCDEE’s website under provider documents using this link: https://ncchildcare.ncdhhs.gov/Provider/Provider-Documents-and-Forms Each employee will need to print the certificates and have them on file and available for review by DCDEE. These trainings must be renewed every five years. All employees need to have taken Recognizing and Responding to Suspicions of Child Maltreatment by December 2024. All employees need to have take all health and safety trainings by September 2025. • You can find a PDF copy of the staff and training worksheet that is refillable on DCDEE’s website under provider documents using this link: https://ncchildcare.ncdhhs.gov/Provider/Provider-Documents-and-Forms • Keep a check on the playground structure on the playground used by infants and toddlers. The plastic on the tunnel is beginning to crack at the top. • Make sure all medications, including diaper creams and sunscreens, have children’s names written on them. • Make sure that when completing medication forms, the forms are specific to the medication that is on site. For example, if you have a Desitin diaper cream tube, make sure on the medication form, the medication name is listed as Desitin rather than diaper cream. Every medication should have its own medication authorization form. 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. Whitney Parker, Child Care Consultant (336) 590-8765 whitney.parker@dhh.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: FRIEDLAND MORAVIAN CHURCH DAY CARE Facility ID: 3455198 Consultant: WHITNEY PARKER Operation Type: Center Case Number: Visit Date: 9/18/2024 Number Present: 50 Completed Date: 9/18/2024 Age: From 0 To 4 Total Minutes: 355 Time In: 08:45 AM Time Out: 02:40 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 Whitney Parker and Emily Lamquaye, Childcare Consultants, with Melissa Cervone, Director. Your program currently operates with a notice of compliance. Restrictions include daytime care only and children not allowed to use the church elevator. The facility is owned by Friedland Moravian Church. The program’s compliance history was 86% 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. 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 free play, routine activities, and eating lunch. I observed materials and activities that were available to the children in the classrooms. The last annual compliance visit was conducted on 09/27/2023. A sanitation inspection was completed 06/07/2024 with a superior classification. The last fire inspection was conducted 05/15/2024. Program records and required postings were monitored. A fire drill was conducted on 09/12/2024. A shelter in place drill was documented on 07/17/2024. An outdoor inspection was documented on 08/23/2024. Staff files and children’s records were monitored per DCDEE procedures. Nutrition requirements 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. During today’s visit, you stated you are not providing transportation at this time because the van has been sold. In the future, if you purchase a new vehicle to provide transportation, the vehicle will need to be approved by DCDEE prior to using it to transport children. If you purchase a vehicle in the future, please reach out to your consultant prior to transporting children so the vehicle can be inspected and approved by DCDEE. The following violations were cited during today’s visit: Violation Number Comment Rule 115 A summary of the NC Child Care Law was not posted in a prominent place in the center. During the visit, I did not observe a summary of the law that was posted in a prominent place in the facility. G.S. 110-102 705 Equipment and furnishings were not sturdy, stable and free of hazards. During the visit, I observed a large playground structure on the playground for three to five year old children that had cracking plastic, exposed rust, and peeling paint. The steps to the equipment has a black coating that is cracked and exposing rust underneath. The two megaphones on this structure have peeling paint. .0601(c) 807 A safe indoor and outdoor environment was not provided for the children. During the visit, I observed large rusts spots and several areas of peeling paint on the stairs and posts directly next to the infant and toddler playground. On the playground for two year old children, I observed a screw that was lifted on the sandbox and several broken and cracked toys. On all the playgrounds, there is an ample amount of grass covering the mulch and in the sandbox. 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. During the visit, we measured several areas of fencing on all three playgrounds. The measurements taken during the visit ranged form 2 foot 11 inches through 3 foot five inches. All three playgrounds had areas of fencing that did not measure 4 feet in height. 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. During the visit, I observed Clorox wipes stored on an unlocked shelf in space 1 and 4. I observed hand sanitizer stored on a shelf less than 5 vertical feet tall in spaces 4 and 5. .2820(b) 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. During the visit, I observed one tube of Nystatin in space 2 that was stored on an unlocked shelf. 15A NCAC 18A .2820(d) 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. During the visit, I observed on bottle of sunscreen that had an expired medication form. .0803(12) 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. During the visit, I observed a teacher's Pepsi drink bottle in space 1 and a teacher's Dr. Pepper can in space 6. .0901(i) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. During the visit, I observed a tube of diaper cream in space three and a tube of sunscreen space two that did not have medication authorization forms. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) 1890 Each staff member did not have the required medical report, proof of tuberculosis test or screening and/or completed health questionnaire in a medical file, maintained separately from the staff member's individual personnel file. During the visit, I observed on employee file that did not have proof of a tuberculosis test and one employee file that did not have a current health questionnaire. .0701(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 10/02/2024. 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 whitney.parker@dhhs.nc.gov or mail two copies of the letter to: Whitney Parker P.O. Box 1342 Lexington, NC 27293 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 discussed during today’s visit related to violations: • We discussed that the summary of the law has to be posted for families to see. You posted this during the visit. • We discussed that all playground equipment must be free of hazards including peeling paint and rust. You stated you would let the church know about the equipment so they can begin the repair process. • We discussed that outdoor areas must be free of hazards such as lifted screws ad broken toys. We also discussed that there is an ample amount of grass that is taking over the mulch area. You stated you would let the church know about these issues so they can begin the repair process. • We discussed that all playground fencing must measure four vertical feet tall. You stated you would let the church know about the fencing issue so they can begin the repair process and determine how to increase the height of the fence. • We discussed during the visit that hand sanitizer can be kept in the classroom but must be stored at least 5 vertical feet high. We also discussed that disinfectant wipes must be stored in locked storage. These items were moved to the correct places during the visit. • We discussed that all prescription medications must be kept in locked storage. You removed the prescription medication during the visit. Epi-pens and inhalers can be stored 5 vertical feet high for quick access. • We discussed that all medications must have a current and accurate authorization form on file. We also discussed that medications must be returned to the parent after the permission form has expired or when the medication is no longer in use. You removed these items from the classroom during the visit. • We discussed that staff must model appropriate nutrition behaviors. Staff may have drinks in the classroom; however, they need to be in cups with no labels to ensure they are modeling appropriate nutritional guidelines. These items were removed during the visit. • We discussed that all employees must have a TB test on file on their first day of employment. We also discussed that employees must have a current annual health questionnaire on file. You stated you would have the employees complete these immediately. Additional Information/Consultation: • You must notify your consultant 30 days prior to changing the ownership status of your facility. • On 09/11/2024, Melissa Cervone and I had a telephone conversation regarding the space that was licensed on 06/06/2024 as a Summer Camp. Ms. Cervone stated the facility was no longer going to use that space for licensed childcare. I received an email from Ms. Cervone on 09/16/2024 stating they did not want to use this space and wanted the space removed from their permit. Ms. Cervone stated during today’s visit that the classroom operated from 06/10/2024 through 08/09/2024. Ms. Cervone stated that the last day of enrollment in this space was 08/09/2024. Effective today, this space is no longer licensed and cannot be used to care for licensed children. In the future, if you wish to relicense this space, please reach out to your consultant for information prior to caring for children in that space. Your permit capacity as of today is 90 children. • We discussed during the visit that a previous Director’s, E.C, last date of employment was March 31, 2023. This will be updated in our system to reflect the last date of employment for that employee. • Make sure you update your EPR plan annually and as changes take place. Ensure that your ready to go file is up to date. the location of the Ready to Go File. A Ready to Go File means a collection of information on children, additional caregivers and the facility, to utilize, if an evacuation occurs. The file shall include a copy of the Emergency Preparedness and Response Plan, contact information for individuals to pick-up children, each child's Application for Child Care, medication authorizations and instructions, any action plans for children with special health care needs, a list of any known food allergies of children and additional caregiver, additional caregiver contact information, Incident Report forms, an area map, and emergency telephone numbers. You can update your EPR plan at this website using the username and password that was used when the account was created: https://rmp.nc.gov/portal/portal.aspx • If you use screen time of any kind, you must document this on the screen log. The screen log can be found on DCDEE’s website under provider documents using this link: https://ncchildcare.ncdhhs.gov/Provider/Provider-Documents-and-Forms • You can use this website to order new posters for handwashing, CPR, First Aid, and more: https://healthychildcare.unc.edu/resources/posters/ • Any GS-110 facility that accepts childcare subsidy vouchers must follow the health and safety training rules. This means all employees must have the healthy and safety trainings including CPR and First Aid and Recognizing and Responding to Suspicions of Child Maltreatment. You can enrolled in the health and safety trainings on DCDEE Moodle by following this link: https://www.dcdee.moodle.nc.gov/ You can enroll in the Recognizing and Responding to Suspicions of Child Maltreatment training by following this link: https://preventchildabusenc-lms.org/courses/rr-update/ You can find a healthy and safety training log to document the trainings on DCDEE’s website under provider documents using this link: https://ncchildcare.ncdhhs.gov/Provider/Provider-Documents-and-Forms Each employee will need to print the certificates and have them on file and available for review by DCDEE. These trainings must be renewed every five years. All employees need to have taken Recognizing and Responding to Suspicions of Child Maltreatment by December 2024. All employees need to have take all health and safety trainings by September 2025. • You can find a PDF copy of the staff and training worksheet that is refillable on DCDEE’s website under provider documents using this link: https://ncchildcare.ncdhhs.gov/Provider/Provider-Documents-and-Forms • Keep a check on the playground structure on the playground used by infants and toddlers. The plastic on the tunnel is beginning to crack at the top. • Make sure all medications, including diaper creams and sunscreens, have children’s names written on them. • Make sure that when completing medication forms, the forms are specific to the medication that is on site. For example, if you have a Desitin diaper cream tube, make sure on the medication form, the medication name is listed as Desitin rather than diaper cream. Every medication should have its own medication authorization form. 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. Whitney Parker, Child Care Consultant (336) 590-8765 whitney.parker@dhh.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: FRIEDLAND MORAVIAN CHURCH DAY CARE Facility ID: 3455198 Consultant: WHITNEY PARKER Operation Type: Center Case Number: Visit Date: 9/18/2024 Number Present: 50 Completed Date: 9/18/2024 Age: From 0 To 4 Total Minutes: 355 Time In: 08:45 AM Time Out: 02:40 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 Whitney Parker and Emily Lamquaye, Childcare Consultants, with Melissa Cervone, Director. Your program currently operates with a notice of compliance. Restrictions include daytime care only and children not allowed to use the church elevator. The facility is owned by Friedland Moravian Church. The program’s compliance history was 86% 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. 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 free play, routine activities, and eating lunch. I observed materials and activities that were available to the children in the classrooms. The last annual compliance visit was conducted on 09/27/2023. A sanitation inspection was completed 06/07/2024 with a superior classification. The last fire inspection was conducted 05/15/2024. Program records and required postings were monitored. A fire drill was conducted on 09/12/2024. A shelter in place drill was documented on 07/17/2024. An outdoor inspection was documented on 08/23/2024. Staff files and children’s records were monitored per DCDEE procedures. Nutrition requirements 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. During today’s visit, you stated you are not providing transportation at this time because the van has been sold. In the future, if you purchase a new vehicle to provide transportation, the vehicle will need to be approved by DCDEE prior to using it to transport children. If you purchase a vehicle in the future, please reach out to your consultant prior to transporting children so the vehicle can be inspected and approved by DCDEE. The following violations were cited during today’s visit: Violation Number Comment Rule 115 A summary of the NC Child Care Law was not posted in a prominent place in the center. During the visit, I did not observe a summary of the law that was posted in a prominent place in the facility. G.S. 110-102 705 Equipment and furnishings were not sturdy, stable and free of hazards. During the visit, I observed a large playground structure on the playground for three to five year old children that had cracking plastic, exposed rust, and peeling paint. The steps to the equipment has a black coating that is cracked and exposing rust underneath. The two megaphones on this structure have peeling paint. .0601(c) 807 A safe indoor and outdoor environment was not provided for the children. During the visit, I observed large rusts spots and several areas of peeling paint on the stairs and posts directly next to the infant and toddler playground. On the playground for two year old children, I observed a screw that was lifted on the sandbox and several broken and cracked toys. On all the playgrounds, there is an ample amount of grass covering the mulch and in the sandbox. 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. During the visit, we measured several areas of fencing on all three playgrounds. The measurements taken during the visit ranged form 2 foot 11 inches through 3 foot five inches. All three playgrounds had areas of fencing that did not measure 4 feet in height. 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. During the visit, I observed Clorox wipes stored on an unlocked shelf in space 1 and 4. I observed hand sanitizer stored on a shelf less than 5 vertical feet tall in spaces 4 and 5. .2820(b) 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. During the visit, I observed one tube of Nystatin in space 2 that was stored on an unlocked shelf. 15A NCAC 18A .2820(d) 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. During the visit, I observed on bottle of sunscreen that had an expired medication form. .0803(12) 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. During the visit, I observed a teacher's Pepsi drink bottle in space 1 and a teacher's Dr. Pepper can in space 6. .0901(i) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. During the visit, I observed a tube of diaper cream in space three and a tube of sunscreen space two that did not have medication authorization forms. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) 1890 Each staff member did not have the required medical report, proof of tuberculosis test or screening and/or completed health questionnaire in a medical file, maintained separately from the staff member's individual personnel file. During the visit, I observed on employee file that did not have proof of a tuberculosis test and one employee file that did not have a current health questionnaire. .0701(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 10/02/2024. 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 whitney.parker@dhhs.nc.gov or mail two copies of the letter to: Whitney Parker P.O. Box 1342 Lexington, NC 27293 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 discussed during today’s visit related to violations: • We discussed that the summary of the law has to be posted for families to see. You posted this during the visit. • We discussed that all playground equipment must be free of hazards including peeling paint and rust. You stated you would let the church know about the equipment so they can begin the repair process. • We discussed that outdoor areas must be free of hazards such as lifted screws ad broken toys. We also discussed that there is an ample amount of grass that is taking over the mulch area. You stated you would let the church know about these issues so they can begin the repair process. • We discussed that all playground fencing must measure four vertical feet tall. You stated you would let the church know about the fencing issue so they can begin the repair process and determine how to increase the height of the fence. • We discussed during the visit that hand sanitizer can be kept in the classroom but must be stored at least 5 vertical feet high. We also discussed that disinfectant wipes must be stored in locked storage. These items were moved to the correct places during the visit. • We discussed that all prescription medications must be kept in locked storage. You removed the prescription medication during the visit. Epi-pens and inhalers can be stored 5 vertical feet high for quick access. • We discussed that all medications must have a current and accurate authorization form on file. We also discussed that medications must be returned to the parent after the permission form has expired or when the medication is no longer in use. You removed these items from the classroom during the visit. • We discussed that staff must model appropriate nutrition behaviors. Staff may have drinks in the classroom; however, they need to be in cups with no labels to ensure they are modeling appropriate nutritional guidelines. These items were removed during the visit. • We discussed that all employees must have a TB test on file on their first day of employment. We also discussed that employees must have a current annual health questionnaire on file. You stated you would have the employees complete these immediately. Additional Information/Consultation: • You must notify your consultant 30 days prior to changing the ownership status of your facility. • On 09/11/2024, Melissa Cervone and I had a telephone conversation regarding the space that was licensed on 06/06/2024 as a Summer Camp. Ms. Cervone stated the facility was no longer going to use that space for licensed childcare. I received an email from Ms. Cervone on 09/16/2024 stating they did not want to use this space and wanted the space removed from their permit. Ms. Cervone stated during today’s visit that the classroom operated from 06/10/2024 through 08/09/2024. Ms. Cervone stated that the last day of enrollment in this space was 08/09/2024. Effective today, this space is no longer licensed and cannot be used to care for licensed children. In the future, if you wish to relicense this space, please reach out to your consultant for information prior to caring for children in that space. Your permit capacity as of today is 90 children. • We discussed during the visit that a previous Director’s, E.C, last date of employment was March 31, 2023. This will be updated in our system to reflect the last date of employment for that employee. • Make sure you update your EPR plan annually and as changes take place. Ensure that your ready to go file is up to date. the location of the Ready to Go File. A Ready to Go File means a collection of information on children, additional caregivers and the facility, to utilize, if an evacuation occurs. The file shall include a copy of the Emergency Preparedness and Response Plan, contact information for individuals to pick-up children, each child's Application for Child Care, medication authorizations and instructions, any action plans for children with special health care needs, a list of any known food allergies of children and additional caregiver, additional caregiver contact information, Incident Report forms, an area map, and emergency telephone numbers. You can update your EPR plan at this website using the username and password that was used when the account was created: https://rmp.nc.gov/portal/portal.aspx • If you use screen time of any kind, you must document this on the screen log. The screen log can be found on DCDEE’s website under provider documents using this link: https://ncchildcare.ncdhhs.gov/Provider/Provider-Documents-and-Forms • You can use this website to order new posters for handwashing, CPR, First Aid, and more: https://healthychildcare.unc.edu/resources/posters/ • Any GS-110 facility that accepts childcare subsidy vouchers must follow the health and safety training rules. This means all employees must have the healthy and safety trainings including CPR and First Aid and Recognizing and Responding to Suspicions of Child Maltreatment. You can enrolled in the health and safety trainings on DCDEE Moodle by following this link: https://www.dcdee.moodle.nc.gov/ You can enroll in the Recognizing and Responding to Suspicions of Child Maltreatment training by following this link: https://preventchildabusenc-lms.org/courses/rr-update/ You can find a healthy and safety training log to document the trainings on DCDEE’s website under provider documents using this link: https://ncchildcare.ncdhhs.gov/Provider/Provider-Documents-and-Forms Each employee will need to print the certificates and have them on file and available for review by DCDEE. These trainings must be renewed every five years. All employees need to have taken Recognizing and Responding to Suspicions of Child Maltreatment by December 2024. All employees need to have take all health and safety trainings by September 2025. • You can find a PDF copy of the staff and training worksheet that is refillable on DCDEE’s website under provider documents using this link: https://ncchildcare.ncdhhs.gov/Provider/Provider-Documents-and-Forms • Keep a check on the playground structure on the playground used by infants and toddlers. The plastic on the tunnel is beginning to crack at the top. • Make sure all medications, including diaper creams and sunscreens, have children’s names written on them. • Make sure that when completing medication forms, the forms are specific to the medication that is on site. For example, if you have a Desitin diaper cream tube, make sure on the medication form, the medication name is listed as Desitin rather than diaper cream. Every medication should have its own medication authorization form. 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. Whitney Parker, Child Care Consultant (336) 590-8765 whitney.parker@dhh.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: FRIEDLAND MORAVIAN CHURCH DAY CARE Facility ID: 3455198 Consultant: AUDREY DAVIS Operation Type: Center Case Number: Visit Date: 9/27/2023 Number Present: 52 Completed Date: 9/27/2023 Age: From 0 To 5 Total Minutes: 365 Time In: 10:45 AM Time Out: 04:50 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 Audrey Davis childcare consultant with Stephanie Vogler, center director. Your program currently operates with a notice of compliance last issued 12/11/18. Restrictions include day time care only; and children not allowed to use the church elevator. This program is owned and operated by Friedland Moravian Church. Sandy Sisk, church accountant and secretary confirmed the church is not incorporated. The program’s compliance history was 94% 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 having indoor and outdoor play, lunch, and rest. I observed developmentally appropriate materials and activities were available to the children in the classrooms. The last annual compliance visit was conducted on 10/5/22. A sanitation inspection was completed 8/4/23 with a Superior classification. The last fire inspection was conducted 9/17/2023. You provided me with a copy of the fire inspection report during this visit. Program records and required postings were monitored. A fire drill was conducted on 8/22/23 and a shelter in place drill was documented 7/28/23. Staff files and children’s records were monitored per DCDEE procedures. Storage of hazardous items was monitored today and are stored in a locked closet. Storage and administration of medication were monitored. Medication authorization was observed. The program does not provide transportation. The following violations were cited during today’s visit: Violation Number Comment Rule 540 An individual written feeding plan was not provided by child's parent or health care provider or was not followed and posted. (omit posting for centers located in a residence). A feeding schedule was not on file for a 14 month old child. 10A NCAC 09 .0902(a) 601 Refrigerator(s) did not maintain a temperature of 45 degrees F. or below. A thermometer was not found in a refrigerator used to store infant bottles to verify the appropriate temperature is maintained. 15A NCAC 18A .2806(j)(2) 807 A safe indoor and outdoor environment was not provided for the children. In the outdoor play area, alumininum pans mounted on the fence for a music center, were rusted and peeling and bent in a manner that exposed sharp edges. 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 child removed a loose outlet cover from an outlet in the room for infants and had it in the child's mouth. .0604(q) 887 Caregivers did not document compliance with visually checking on sleeping infants aged 12 months or younger and/or the documents were not maintained for a minimum of one month. A staff did not document times sleeping infants are checked and the position the infants are in at the time they are checked. .0606(g) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. The file for a teacher employed 8/14/23 did not include a physician's medical statement. 10A NCAC 09 .0701(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 director's First Aid training was not taken from an approved organization. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. The directors CPR was not taken by an approved agency. .1102(d) 1327 Accurate records were not maintained for all children. Two children's files did not contain all of the required documents. G.S. 110-91(9) 1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. The file for one staff did not include a signed statement verifying the staff received a review of the facility's prevent shaken baby policy prior to caring for children. .0608(d)(1-4) Child Care programs are expected to be in 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 October 11, 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 Audrey.Davis@dhhs.nc.gov or mail two copies of the letter to: Audrey Davis P.O. Box 17273 Winston-Salem, NC 27116 If you state in your letter that corrections or changes have been made when they have not yet been made, 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 by 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. This includes becoming incorporated or dissolving a corporation. • I observed push pins used to display feeding schedules and safe sleep policies. Today I recommended not using push pins since they could easily pop off and cause injury to a child. • You asked today if you are permitted to transition to electronic files for children and staff. You stated you agree to maintain a paper file for staff and children boxed up and filed in a way that they are easy to access upon request. However, your day to day handling of records would be primarily electronic. • You asked if you could begin using the church sanctuary for chapel once per month for children ages 2 and older. We agreed to schedule a time for me to come back and look at the route to the chapel and the inside of the chapel prior to approving this. At the completion of the visit, this visit summary was reviewed with Stephanie Vogler, center director from my computer screen and emailed to you at Friedlandmoravianchildcare@gmail.com If you have any questions about the visit, please contact me or my supervisor using the information below. Audrey Davis, Child Care Consultant (336)317-6514 Audrey.Davis@dhh.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/ Thank you for your time and assistance during the visit. 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 .0902 · Violation

Name of Operation: FRIEDLAND MORAVIAN CHURCH DAY CARE Facility ID: 3455198 Consultant: AUDREY DAVIS Operation Type: Center Case Number: Visit Date: 9/27/2023 Number Present: 52 Completed Date: 9/27/2023 Age: From 0 To 5 Total Minutes: 365 Time In: 10:45 AM Time Out: 04:50 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 Audrey Davis childcare consultant with Stephanie Vogler, center director. Your program currently operates with a notice of compliance last issued 12/11/18. Restrictions include day time care only; and children not allowed to use the church elevator. This program is owned and operated by Friedland Moravian Church. Sandy Sisk, church accountant and secretary confirmed the church is not incorporated. The program’s compliance history was 94% 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 having indoor and outdoor play, lunch, and rest. I observed developmentally appropriate materials and activities were available to the children in the classrooms. The last annual compliance visit was conducted on 10/5/22. A sanitation inspection was completed 8/4/23 with a Superior classification. The last fire inspection was conducted 9/17/2023. You provided me with a copy of the fire inspection report during this visit. Program records and required postings were monitored. A fire drill was conducted on 8/22/23 and a shelter in place drill was documented 7/28/23. Staff files and children’s records were monitored per DCDEE procedures. Storage of hazardous items was monitored today and are stored in a locked closet. Storage and administration of medication were monitored. Medication authorization was observed. The program does not provide transportation. The following violations were cited during today’s visit: Violation Number Comment Rule 540 An individual written feeding plan was not provided by child's parent or health care provider or was not followed and posted. (omit posting for centers located in a residence). A feeding schedule was not on file for a 14 month old child. 10A NCAC 09 .0902(a) 601 Refrigerator(s) did not maintain a temperature of 45 degrees F. or below. A thermometer was not found in a refrigerator used to store infant bottles to verify the appropriate temperature is maintained. 15A NCAC 18A .2806(j)(2) 807 A safe indoor and outdoor environment was not provided for the children. In the outdoor play area, alumininum pans mounted on the fence for a music center, were rusted and peeling and bent in a manner that exposed sharp edges. 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 child removed a loose outlet cover from an outlet in the room for infants and had it in the child's mouth. .0604(q) 887 Caregivers did not document compliance with visually checking on sleeping infants aged 12 months or younger and/or the documents were not maintained for a minimum of one month. A staff did not document times sleeping infants are checked and the position the infants are in at the time they are checked. .0606(g) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. The file for a teacher employed 8/14/23 did not include a physician's medical statement. 10A NCAC 09 .0701(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 director's First Aid training was not taken from an approved organization. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. The directors CPR was not taken by an approved agency. .1102(d) 1327 Accurate records were not maintained for all children. Two children's files did not contain all of the required documents. G.S. 110-91(9) 1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. The file for one staff did not include a signed statement verifying the staff received a review of the facility's prevent shaken baby policy prior to caring for children. .0608(d)(1-4) Child Care programs are expected to be in 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 October 11, 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 Audrey.Davis@dhhs.nc.gov or mail two copies of the letter to: Audrey Davis P.O. Box 17273 Winston-Salem, NC 27116 If you state in your letter that corrections or changes have been made when they have not yet been made, 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 by 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. This includes becoming incorporated or dissolving a corporation. • I observed push pins used to display feeding schedules and safe sleep policies. Today I recommended not using push pins since they could easily pop off and cause injury to a child. • You asked today if you are permitted to transition to electronic files for children and staff. You stated you agree to maintain a paper file for staff and children boxed up and filed in a way that they are easy to access upon request. However, your day to day handling of records would be primarily electronic. • You asked if you could begin using the church sanctuary for chapel once per month for children ages 2 and older. We agreed to schedule a time for me to come back and look at the route to the chapel and the inside of the chapel prior to approving this. At the completion of the visit, this visit summary was reviewed with Stephanie Vogler, center director from my computer screen and emailed to you at Friedlandmoravianchildcare@gmail.com If you have any questions about the visit, please contact me or my supervisor using the information below. Audrey Davis, Child Care Consultant (336)317-6514 Audrey.Davis@dhh.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/ Thank you for your time and assistance during the visit. 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 .0701 · Violation

Name of Operation: FRIEDLAND MORAVIAN CHURCH DAY CARE Facility ID: 3455198 Consultant: AUDREY DAVIS Operation Type: Center Case Number: Visit Date: 9/27/2023 Number Present: 52 Completed Date: 9/27/2023 Age: From 0 To 5 Total Minutes: 365 Time In: 10:45 AM Time Out: 04:50 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 Audrey Davis childcare consultant with Stephanie Vogler, center director. Your program currently operates with a notice of compliance last issued 12/11/18. Restrictions include day time care only; and children not allowed to use the church elevator. This program is owned and operated by Friedland Moravian Church. Sandy Sisk, church accountant and secretary confirmed the church is not incorporated. The program’s compliance history was 94% 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 having indoor and outdoor play, lunch, and rest. I observed developmentally appropriate materials and activities were available to the children in the classrooms. The last annual compliance visit was conducted on 10/5/22. A sanitation inspection was completed 8/4/23 with a Superior classification. The last fire inspection was conducted 9/17/2023. You provided me with a copy of the fire inspection report during this visit. Program records and required postings were monitored. A fire drill was conducted on 8/22/23 and a shelter in place drill was documented 7/28/23. Staff files and children’s records were monitored per DCDEE procedures. Storage of hazardous items was monitored today and are stored in a locked closet. Storage and administration of medication were monitored. Medication authorization was observed. The program does not provide transportation. The following violations were cited during today’s visit: Violation Number Comment Rule 540 An individual written feeding plan was not provided by child's parent or health care provider or was not followed and posted. (omit posting for centers located in a residence). A feeding schedule was not on file for a 14 month old child. 10A NCAC 09 .0902(a) 601 Refrigerator(s) did not maintain a temperature of 45 degrees F. or below. A thermometer was not found in a refrigerator used to store infant bottles to verify the appropriate temperature is maintained. 15A NCAC 18A .2806(j)(2) 807 A safe indoor and outdoor environment was not provided for the children. In the outdoor play area, alumininum pans mounted on the fence for a music center, were rusted and peeling and bent in a manner that exposed sharp edges. 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 child removed a loose outlet cover from an outlet in the room for infants and had it in the child's mouth. .0604(q) 887 Caregivers did not document compliance with visually checking on sleeping infants aged 12 months or younger and/or the documents were not maintained for a minimum of one month. A staff did not document times sleeping infants are checked and the position the infants are in at the time they are checked. .0606(g) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. The file for a teacher employed 8/14/23 did not include a physician's medical statement. 10A NCAC 09 .0701(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 director's First Aid training was not taken from an approved organization. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. The directors CPR was not taken by an approved agency. .1102(d) 1327 Accurate records were not maintained for all children. Two children's files did not contain all of the required documents. G.S. 110-91(9) 1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. The file for one staff did not include a signed statement verifying the staff received a review of the facility's prevent shaken baby policy prior to caring for children. .0608(d)(1-4) Child Care programs are expected to be in 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 October 11, 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 Audrey.Davis@dhhs.nc.gov or mail two copies of the letter to: Audrey Davis P.O. Box 17273 Winston-Salem, NC 27116 If you state in your letter that corrections or changes have been made when they have not yet been made, 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 by 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. This includes becoming incorporated or dissolving a corporation. • I observed push pins used to display feeding schedules and safe sleep policies. Today I recommended not using push pins since they could easily pop off and cause injury to a child. • You asked today if you are permitted to transition to electronic files for children and staff. You stated you agree to maintain a paper file for staff and children boxed up and filed in a way that they are easy to access upon request. However, your day to day handling of records would be primarily electronic. • You asked if you could begin using the church sanctuary for chapel once per month for children ages 2 and older. We agreed to schedule a time for me to come back and look at the route to the chapel and the inside of the chapel prior to approving this. At the completion of the visit, this visit summary was reviewed with Stephanie Vogler, center director from my computer screen and emailed to you at Friedlandmoravianchildcare@gmail.com If you have any questions about the visit, please contact me or my supervisor using the information below. Audrey Davis, Child Care Consultant (336)317-6514 Audrey.Davis@dhh.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/ Thank you for your time and assistance during the visit. 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: FRIEDLAND MORAVIAN CHURCH DAY CARE Facility ID: 3455198 Consultant: AUDREY DAVIS Operation Type: Center Case Number: Visit Date: 9/27/2023 Number Present: 52 Completed Date: 9/27/2023 Age: From 0 To 5 Total Minutes: 365 Time In: 10:45 AM Time Out: 04:50 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 Audrey Davis childcare consultant with Stephanie Vogler, center director. Your program currently operates with a notice of compliance last issued 12/11/18. Restrictions include day time care only; and children not allowed to use the church elevator. This program is owned and operated by Friedland Moravian Church. Sandy Sisk, church accountant and secretary confirmed the church is not incorporated. The program’s compliance history was 94% 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 having indoor and outdoor play, lunch, and rest. I observed developmentally appropriate materials and activities were available to the children in the classrooms. The last annual compliance visit was conducted on 10/5/22. A sanitation inspection was completed 8/4/23 with a Superior classification. The last fire inspection was conducted 9/17/2023. You provided me with a copy of the fire inspection report during this visit. Program records and required postings were monitored. A fire drill was conducted on 8/22/23 and a shelter in place drill was documented 7/28/23. Staff files and children’s records were monitored per DCDEE procedures. Storage of hazardous items was monitored today and are stored in a locked closet. Storage and administration of medication were monitored. Medication authorization was observed. The program does not provide transportation. The following violations were cited during today’s visit: Violation Number Comment Rule 540 An individual written feeding plan was not provided by child's parent or health care provider or was not followed and posted. (omit posting for centers located in a residence). A feeding schedule was not on file for a 14 month old child. 10A NCAC 09 .0902(a) 601 Refrigerator(s) did not maintain a temperature of 45 degrees F. or below. A thermometer was not found in a refrigerator used to store infant bottles to verify the appropriate temperature is maintained. 15A NCAC 18A .2806(j)(2) 807 A safe indoor and outdoor environment was not provided for the children. In the outdoor play area, alumininum pans mounted on the fence for a music center, were rusted and peeling and bent in a manner that exposed sharp edges. 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 child removed a loose outlet cover from an outlet in the room for infants and had it in the child's mouth. .0604(q) 887 Caregivers did not document compliance with visually checking on sleeping infants aged 12 months or younger and/or the documents were not maintained for a minimum of one month. A staff did not document times sleeping infants are checked and the position the infants are in at the time they are checked. .0606(g) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. The file for a teacher employed 8/14/23 did not include a physician's medical statement. 10A NCAC 09 .0701(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 director's First Aid training was not taken from an approved organization. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. The directors CPR was not taken by an approved agency. .1102(d) 1327 Accurate records were not maintained for all children. Two children's files did not contain all of the required documents. G.S. 110-91(9) 1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. The file for one staff did not include a signed statement verifying the staff received a review of the facility's prevent shaken baby policy prior to caring for children. .0608(d)(1-4) Child Care programs are expected to be in 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 October 11, 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 Audrey.Davis@dhhs.nc.gov or mail two copies of the letter to: Audrey Davis P.O. Box 17273 Winston-Salem, NC 27116 If you state in your letter that corrections or changes have been made when they have not yet been made, 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 by 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. This includes becoming incorporated or dissolving a corporation. • I observed push pins used to display feeding schedules and safe sleep policies. Today I recommended not using push pins since they could easily pop off and cause injury to a child. • You asked today if you are permitted to transition to electronic files for children and staff. You stated you agree to maintain a paper file for staff and children boxed up and filed in a way that they are easy to access upon request. However, your day to day handling of records would be primarily electronic. • You asked if you could begin using the church sanctuary for chapel once per month for children ages 2 and older. We agreed to schedule a time for me to come back and look at the route to the chapel and the inside of the chapel prior to approving this. At the completion of the visit, this visit summary was reviewed with Stephanie Vogler, center director from my computer screen and emailed to you at Friedlandmoravianchildcare@gmail.com If you have any questions about the visit, please contact me or my supervisor using the information below. Audrey Davis, Child Care Consultant (336)317-6514 Audrey.Davis@dhh.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/ Thank you for your time and assistance during the visit. 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: FRIEDLAND MORAVIAN CHURCH DAY CARE Facility ID: 3455198 Consultant: AUDREY DAVIS Operation Type: Center Case Number: Visit Date: 9/27/2023 Number Present: 52 Completed Date: 9/27/2023 Age: From 0 To 5 Total Minutes: 365 Time In: 10:45 AM Time Out: 04:50 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 Audrey Davis childcare consultant with Stephanie Vogler, center director. Your program currently operates with a notice of compliance last issued 12/11/18. Restrictions include day time care only; and children not allowed to use the church elevator. This program is owned and operated by Friedland Moravian Church. Sandy Sisk, church accountant and secretary confirmed the church is not incorporated. The program’s compliance history was 94% 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 having indoor and outdoor play, lunch, and rest. I observed developmentally appropriate materials and activities were available to the children in the classrooms. The last annual compliance visit was conducted on 10/5/22. A sanitation inspection was completed 8/4/23 with a Superior classification. The last fire inspection was conducted 9/17/2023. You provided me with a copy of the fire inspection report during this visit. Program records and required postings were monitored. A fire drill was conducted on 8/22/23 and a shelter in place drill was documented 7/28/23. Staff files and children’s records were monitored per DCDEE procedures. Storage of hazardous items was monitored today and are stored in a locked closet. Storage and administration of medication were monitored. Medication authorization was observed. The program does not provide transportation. The following violations were cited during today’s visit: Violation Number Comment Rule 540 An individual written feeding plan was not provided by child's parent or health care provider or was not followed and posted. (omit posting for centers located in a residence). A feeding schedule was not on file for a 14 month old child. 10A NCAC 09 .0902(a) 601 Refrigerator(s) did not maintain a temperature of 45 degrees F. or below. A thermometer was not found in a refrigerator used to store infant bottles to verify the appropriate temperature is maintained. 15A NCAC 18A .2806(j)(2) 807 A safe indoor and outdoor environment was not provided for the children. In the outdoor play area, alumininum pans mounted on the fence for a music center, were rusted and peeling and bent in a manner that exposed sharp edges. 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 child removed a loose outlet cover from an outlet in the room for infants and had it in the child's mouth. .0604(q) 887 Caregivers did not document compliance with visually checking on sleeping infants aged 12 months or younger and/or the documents were not maintained for a minimum of one month. A staff did not document times sleeping infants are checked and the position the infants are in at the time they are checked. .0606(g) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. The file for a teacher employed 8/14/23 did not include a physician's medical statement. 10A NCAC 09 .0701(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 director's First Aid training was not taken from an approved organization. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. The directors CPR was not taken by an approved agency. .1102(d) 1327 Accurate records were not maintained for all children. Two children's files did not contain all of the required documents. G.S. 110-91(9) 1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. The file for one staff did not include a signed statement verifying the staff received a review of the facility's prevent shaken baby policy prior to caring for children. .0608(d)(1-4) Child Care programs are expected to be in 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 October 11, 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 Audrey.Davis@dhhs.nc.gov or mail two copies of the letter to: Audrey Davis P.O. Box 17273 Winston-Salem, NC 27116 If you state in your letter that corrections or changes have been made when they have not yet been made, 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 by 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. This includes becoming incorporated or dissolving a corporation. • I observed push pins used to display feeding schedules and safe sleep policies. Today I recommended not using push pins since they could easily pop off and cause injury to a child. • You asked today if you are permitted to transition to electronic files for children and staff. You stated you agree to maintain a paper file for staff and children boxed up and filed in a way that they are easy to access upon request. However, your day to day handling of records would be primarily electronic. • You asked if you could begin using the church sanctuary for chapel once per month for children ages 2 and older. We agreed to schedule a time for me to come back and look at the route to the chapel and the inside of the chapel prior to approving this. At the completion of the visit, this visit summary was reviewed with Stephanie Vogler, center director from my computer screen and emailed to you at Friedlandmoravianchildcare@gmail.com If you have any questions about the visit, please contact me or my supervisor using the information below. Audrey Davis, Child Care Consultant (336)317-6514 Audrey.Davis@dhh.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/ Thank you for your time and assistance during the visit. 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