10A NCAC 09 .0604 · Violation

Name of Operation: CHILDREN'S CENTER, THE Facility ID: 9955002 Consultant: KAREN YOUNG Operation Type: Center Case Number: Visit Date: 7/15/2025 Number Present: 25 Completed Date: 7/15/2025 Age: From 0 To 5 Total Minutes: 155 Time In: 09:10 AM Time Out: 11:45 AM 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 center to monitor compliance with applicable childcare requirements. This visit was conducted with Teresa Phillips, Director. Your program currently operates with a GS-110, Notice of Compliance. Restrictions include 1st shift-daytime care. The Notice of Compliance was observed, and the restrictions were found in compliance. The NC Secretary of State website was reviewed on 7/14/25 and First Baptist Church of Yadkinville was listed as current and active. 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. 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 having free choice center play, outdoor gross motor play, and an infant and toddlers having individual needs met. I observed materials and activities that were available to the children in the classrooms. The last annual compliance visit was conducted on 8/9/24. A sanitation inspection was completed 6/23/25 with a Provisional classification. The last fire inspection was conducted on 8/2/24 by Keith Handy. A copy of this inspection report was received today during the visit. Program records and required postings were monitored. A fire drill was conducted on 6/26/25 at 3:50 pm with one (1) minute to evacuate by K. Spriggs. A shelter in place emergency drill was documented on 3/15/25 at 9:00 am with one (1) minute to shelter-in-place by K. Spriggs. An outdoor inspection was documented on 6/23/25 by T. Phillips. Two (2) staff files and three (3) children’s records were monitored per DCDEE procedures. Nutrition requirements were monitored per DCDEE procedures. Children at this facility pack at home and bring all meals and snacks to the center daily. There are two (2) large refrigerators in the office area that store the packed lunches. Storage of hazardous items was monitored today. Hazardous items were stored in locked closets. No medications were observed nor reported. The program does not provide transportation. The following violations were cited during today’s visit: Violation Number Comment Rule 805 Fire drills were not practiced monthly and/or the drill record was incomplete. The fire drill were incomplete since they did not list the number of children or adults that were evacuated. .0604(t); .0302(d)(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. You must correct the violations cited during today's visit immediately and send me documentation verifying compliance on or before Tuesday, July 29, 2025. The following information must be included in your signed and dated compliance letter: • the name of your center • facility ID number • date • title of the person who signs the letter • each violation number(s) • describes accurately and in detail how and when you corrected each violation You may email the letter to: karen.young@dhhs.nc.gov or mail two copies of the letter to: Karen Young P.O. Box 1012 Lewisville, NC 27023 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 being 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 being 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. • The number of adults and children that are evacuated on the fire drills are to be listed on the Emergency Drill form for each fire drill practiced. See child Care Rule 10A NCAC 09 .0604(t) & 0302(d)(5). This number is important information in ensuring that all children in your care and your staff have been accounted for and have been safely evacuated. Additional Information/Consultation: • You must notify your consultant 30 days prior to changing the ownership status of your facility. • The QRIS is being implemented. Go to DCDEE website and clink on “What’s New?” then click on QRIS Modernization to learn more about QRIS. • You confirmed with me today that your email address is:tnphillips24@yahoo.com. • Go to the DCDEE homepage and sign up for Raise NC Newsletter updates to get the most recent information on QRIS. 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. Karen Young, Child Care Consultant (336) 207-2151 karen.young@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

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

NC GS 110-90 · Violation

Name of Operation: CHILDREN'S CENTER, THE Facility ID: 9955002 Consultant: KAREN YOUNG Operation Type: Center Case Number: Visit Date: 7/15/2025 Number Present: 25 Completed Date: 7/15/2025 Age: From 0 To 5 Total Minutes: 155 Time In: 09:10 AM Time Out: 11:45 AM 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 center to monitor compliance with applicable childcare requirements. This visit was conducted with Teresa Phillips, Director. Your program currently operates with a GS-110, Notice of Compliance. Restrictions include 1st shift-daytime care. The Notice of Compliance was observed, and the restrictions were found in compliance. The NC Secretary of State website was reviewed on 7/14/25 and First Baptist Church of Yadkinville was listed as current and active. 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. 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 having free choice center play, outdoor gross motor play, and an infant and toddlers having individual needs met. I observed materials and activities that were available to the children in the classrooms. The last annual compliance visit was conducted on 8/9/24. A sanitation inspection was completed 6/23/25 with a Provisional classification. The last fire inspection was conducted on 8/2/24 by Keith Handy. A copy of this inspection report was received today during the visit. Program records and required postings were monitored. A fire drill was conducted on 6/26/25 at 3:50 pm with one (1) minute to evacuate by K. Spriggs. A shelter in place emergency drill was documented on 3/15/25 at 9:00 am with one (1) minute to shelter-in-place by K. Spriggs. An outdoor inspection was documented on 6/23/25 by T. Phillips. Two (2) staff files and three (3) children’s records were monitored per DCDEE procedures. Nutrition requirements were monitored per DCDEE procedures. Children at this facility pack at home and bring all meals and snacks to the center daily. There are two (2) large refrigerators in the office area that store the packed lunches. Storage of hazardous items was monitored today. Hazardous items were stored in locked closets. No medications were observed nor reported. The program does not provide transportation. The following violations were cited during today’s visit: Violation Number Comment Rule 805 Fire drills were not practiced monthly and/or the drill record was incomplete. The fire drill were incomplete since they did not list the number of children or adults that were evacuated. .0604(t); .0302(d)(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. You must correct the violations cited during today's visit immediately and send me documentation verifying compliance on or before Tuesday, July 29, 2025. The following information must be included in your signed and dated compliance letter: • the name of your center • facility ID number • date • title of the person who signs the letter • each violation number(s) • describes accurately and in detail how and when you corrected each violation You may email the letter to: karen.young@dhhs.nc.gov or mail two copies of the letter to: Karen Young P.O. Box 1012 Lewisville, NC 27023 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 being 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 being 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. • The number of adults and children that are evacuated on the fire drills are to be listed on the Emergency Drill form for each fire drill practiced. See child Care Rule 10A NCAC 09 .0604(t) & 0302(d)(5). This number is important information in ensuring that all children in your care and your staff have been accounted for and have been safely evacuated. Additional Information/Consultation: • You must notify your consultant 30 days prior to changing the ownership status of your facility. • The QRIS is being implemented. Go to DCDEE website and clink on “What’s New?” then click on QRIS Modernization to learn more about QRIS. • You confirmed with me today that your email address is:tnphillips24@yahoo.com. • Go to the DCDEE homepage and sign up for Raise NC Newsletter updates to get the most recent information on QRIS. 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. Karen Young, Child Care Consultant (336) 207-2151 karen.young@dhhs.nc.gov Pamela Hauser, Supervisor pamela.hauser@dhhs.nc.gov For the latest information on childcare rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

G.S. 110-91 · Violation

Name of Operation: CHILDREN'S CENTER, THE Facility ID: 9955002 Consultant: KAREN YOUNG Operation Type: Center Case Number: Visit Date: 1/23/2025 Number Present: 22 Completed Date: 1/23/2025 Age: From 0 To 4 Total Minutes: 125 Time In: 10:40 AM Time Out: 12:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit to this child care center was to monitor your program for compliance with applicable childcare requirements for a routine unannounced visit. Assistant Director, Kayla Spriggs, assisted me with the visit. Director Teresa Phillips was off property today. Your program currently operates with a Notice of Compliance, GS-110, Religious Sponsored license. Restrictions include 1st shift daytime care. The program’s compliance history was 93% prior to today’s visit. All programs are required to maintain at least 75% compliance. Today, the following items were monitored: • Supervision • Staff / Child Ratio • CPR / First Aid • Special Training • CBC Qualification • ITS – SIDS • Emergency Medical Care Plan • Administration of Medication • Storage of Hazardous Products • Storage of Medication • General Safety • Discipline • Adequate / Approved Space • Program Records • License Posted • Permit Restrictions The license was observed, and the restrictions were found in compliance. A walk-through of the facility was completed today. Indoor and outdoor areas were observed. 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 free choice center time, lunch, and nap/rest time. Three (3) new staff were reported at this program, Files for new staff were reviewed during the visit today. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Playground Safety, ITS-SIDS, Special Training including Health and Safety Training and Criminal Background Checks. Over the counter medications of diaper creams and ointments were observed and reported. Storage hazardous items were monitored today. A playground inspection was recorded 12/31/24 by K. Spriggs. A fire drill was recorded 12/31/24 at 9:35 am with one (1) minute to evacuate by K. Spriggs. A lockdown emergency drill for the facility was last recorded 12/31/24 at 9:40 am with one (1) minute to lockdown by K. Spriggs. The most recent fire inspection was on 8/2/24. I received a copy of this inspection during the visit today. I observed a sanitation inspection was last conducted on 8/14/24 earning a Superior classification with four (4) demerits. You stated that you do not provide transportation. There was one (1) violation cited during today’s visit: Violation Number Comment Rule 721 All equipment and furnishings were not in good repair. The handles on the cabinet doors in Spaces 4 & 5 are missing. G.S. 110-91(6); .0601(b) You must correct the violations cited during today's visit immediately and send me documentation verifying compliance on or before Thursday, February 6, 2025. The following information must be included in your signed and dated compliance letter: • the name of your center • facility ID number • date • title of the person who signs the letter • each violation number(s) • describes accurately and in detail how and when you corrected each violation You may email the letter to karen.young@dhhs.nc.gov or mail two copies of the letter to: Karen Young P.O. Box 1012 Lewisville, NC 27023 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. 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 was provided during today’s visit on one (1) violation. • All furniture and equipment were not in good repair. See child care rule NCAC 09 .0601(b) & GS.110-91(6). Consultation during today’s visit: • I recommend re-doing the evacuation plans and lable the room numbers or spaces on the floor plan diagram. • I recommend calling your sanitation and your lead asbestos contact to explain why the foam covering is on the exterior door on the playground area. Once you have an answer, please let me know the reason. • You must give your consultant a thirty (30) day notice for any change in location, address, or ownership status. • The cohorts are no more. Visit NCRLAP website and read the information on Connecting with the Three’s! ECERS-3 and ITERS 3 will be used beginning 2/1/25. • The QRIS is being implemented. I will share more information as I learn more to share. • The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. • Public schools and licensed child care facilities in North Carolina are eligible to participate in the funding mechanisms to cover the costs of testing for lead in water and inspecting for asbestos and lead-based paint hazards beyond the May 1, 2024 deadline listed in 10A NCAC 41C .1002(a). Due to the recent impacts of Hurricane Helene and other natural disasters, this deadline has been revised statewide, and facilities that have not yet enrolled should complete the online process by May 31, 2025. The Clean Classrooms for Carolina Kids Program is providing free facility-wide testing and inspections without any out-of-pocket costs. Due to the volume of testing and inspections, completion of the online enrollment process in the program is considered temporary compliance with the testing and inspection requirement and will allow facilities to participate in the funding mechanisms. Required water testing for child care centers under rule 15A NCAC 18A .2816 is not affected by the new May 31, 2025 deadline. Enroll today at https://www.cleanwaterforcarolinakids.org/enroll. If you have enrolled for only one or two of the program sections, log back in to complete surveys for the remaining section(s) to comply with the rule requirements. Thank you for your participation in ensuring healthy learning environments for children across North Carolina. Please contact me at ed.norman@dhhs.nc.gov or 919-218-6511 if you have questions regarding this guidance. 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. Karen Young, Child Care Consultant (336) 207-2151 karen.young@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

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

GS.110-91 · Violation

Name of Operation: CHILDREN'S CENTER, THE Facility ID: 9955002 Consultant: KAREN YOUNG Operation Type: Center Case Number: Visit Date: 1/23/2025 Number Present: 22 Completed Date: 1/23/2025 Age: From 0 To 4 Total Minutes: 125 Time In: 10:40 AM Time Out: 12:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit to this child care center was to monitor your program for compliance with applicable childcare requirements for a routine unannounced visit. Assistant Director, Kayla Spriggs, assisted me with the visit. Director Teresa Phillips was off property today. Your program currently operates with a Notice of Compliance, GS-110, Religious Sponsored license. Restrictions include 1st shift daytime care. The program’s compliance history was 93% prior to today’s visit. All programs are required to maintain at least 75% compliance. Today, the following items were monitored: • Supervision • Staff / Child Ratio • CPR / First Aid • Special Training • CBC Qualification • ITS – SIDS • Emergency Medical Care Plan • Administration of Medication • Storage of Hazardous Products • Storage of Medication • General Safety • Discipline • Adequate / Approved Space • Program Records • License Posted • Permit Restrictions The license was observed, and the restrictions were found in compliance. A walk-through of the facility was completed today. Indoor and outdoor areas were observed. 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 free choice center time, lunch, and nap/rest time. Three (3) new staff were reported at this program, Files for new staff were reviewed during the visit today. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Playground Safety, ITS-SIDS, Special Training including Health and Safety Training and Criminal Background Checks. Over the counter medications of diaper creams and ointments were observed and reported. Storage hazardous items were monitored today. A playground inspection was recorded 12/31/24 by K. Spriggs. A fire drill was recorded 12/31/24 at 9:35 am with one (1) minute to evacuate by K. Spriggs. A lockdown emergency drill for the facility was last recorded 12/31/24 at 9:40 am with one (1) minute to lockdown by K. Spriggs. The most recent fire inspection was on 8/2/24. I received a copy of this inspection during the visit today. I observed a sanitation inspection was last conducted on 8/14/24 earning a Superior classification with four (4) demerits. You stated that you do not provide transportation. There was one (1) violation cited during today’s visit: Violation Number Comment Rule 721 All equipment and furnishings were not in good repair. The handles on the cabinet doors in Spaces 4 & 5 are missing. G.S. 110-91(6); .0601(b) You must correct the violations cited during today's visit immediately and send me documentation verifying compliance on or before Thursday, February 6, 2025. The following information must be included in your signed and dated compliance letter: • the name of your center • facility ID number • date • title of the person who signs the letter • each violation number(s) • describes accurately and in detail how and when you corrected each violation You may email the letter to karen.young@dhhs.nc.gov or mail two copies of the letter to: Karen Young P.O. Box 1012 Lewisville, NC 27023 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. 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 was provided during today’s visit on one (1) violation. • All furniture and equipment were not in good repair. See child care rule NCAC 09 .0601(b) & GS.110-91(6). Consultation during today’s visit: • I recommend re-doing the evacuation plans and lable the room numbers or spaces on the floor plan diagram. • I recommend calling your sanitation and your lead asbestos contact to explain why the foam covering is on the exterior door on the playground area. Once you have an answer, please let me know the reason. • You must give your consultant a thirty (30) day notice for any change in location, address, or ownership status. • The cohorts are no more. Visit NCRLAP website and read the information on Connecting with the Three’s! ECERS-3 and ITERS 3 will be used beginning 2/1/25. • The QRIS is being implemented. I will share more information as I learn more to share. • The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. • Public schools and licensed child care facilities in North Carolina are eligible to participate in the funding mechanisms to cover the costs of testing for lead in water and inspecting for asbestos and lead-based paint hazards beyond the May 1, 2024 deadline listed in 10A NCAC 41C .1002(a). Due to the recent impacts of Hurricane Helene and other natural disasters, this deadline has been revised statewide, and facilities that have not yet enrolled should complete the online process by May 31, 2025. The Clean Classrooms for Carolina Kids Program is providing free facility-wide testing and inspections without any out-of-pocket costs. Due to the volume of testing and inspections, completion of the online enrollment process in the program is considered temporary compliance with the testing and inspection requirement and will allow facilities to participate in the funding mechanisms. Required water testing for child care centers under rule 15A NCAC 18A .2816 is not affected by the new May 31, 2025 deadline. Enroll today at https://www.cleanwaterforcarolinakids.org/enroll. If you have enrolled for only one or two of the program sections, log back in to complete surveys for the remaining section(s) to comply with the rule requirements. Thank you for your participation in ensuring healthy learning environments for children across North Carolina. Please contact me at ed.norman@dhhs.nc.gov or 919-218-6511 if you have questions regarding this guidance. 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. Karen Young, Child Care Consultant (336) 207-2151 karen.young@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: CHILDREN'S CENTER, THE Facility ID: 9955002 Consultant: KAREN YOUNG Operation Type: Center Case Number: Visit Date: 1/23/2025 Number Present: 22 Completed Date: 1/23/2025 Age: From 0 To 4 Total Minutes: 125 Time In: 10:40 AM Time Out: 12:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit to this child care center was to monitor your program for compliance with applicable childcare requirements for a routine unannounced visit. Assistant Director, Kayla Spriggs, assisted me with the visit. Director Teresa Phillips was off property today. Your program currently operates with a Notice of Compliance, GS-110, Religious Sponsored license. Restrictions include 1st shift daytime care. The program’s compliance history was 93% prior to today’s visit. All programs are required to maintain at least 75% compliance. Today, the following items were monitored: • Supervision • Staff / Child Ratio • CPR / First Aid • Special Training • CBC Qualification • ITS – SIDS • Emergency Medical Care Plan • Administration of Medication • Storage of Hazardous Products • Storage of Medication • General Safety • Discipline • Adequate / Approved Space • Program Records • License Posted • Permit Restrictions The license was observed, and the restrictions were found in compliance. A walk-through of the facility was completed today. Indoor and outdoor areas were observed. 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 free choice center time, lunch, and nap/rest time. Three (3) new staff were reported at this program, Files for new staff were reviewed during the visit today. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Playground Safety, ITS-SIDS, Special Training including Health and Safety Training and Criminal Background Checks. Over the counter medications of diaper creams and ointments were observed and reported. Storage hazardous items were monitored today. A playground inspection was recorded 12/31/24 by K. Spriggs. A fire drill was recorded 12/31/24 at 9:35 am with one (1) minute to evacuate by K. Spriggs. A lockdown emergency drill for the facility was last recorded 12/31/24 at 9:40 am with one (1) minute to lockdown by K. Spriggs. The most recent fire inspection was on 8/2/24. I received a copy of this inspection during the visit today. I observed a sanitation inspection was last conducted on 8/14/24 earning a Superior classification with four (4) demerits. You stated that you do not provide transportation. There was one (1) violation cited during today’s visit: Violation Number Comment Rule 721 All equipment and furnishings were not in good repair. The handles on the cabinet doors in Spaces 4 & 5 are missing. G.S. 110-91(6); .0601(b) You must correct the violations cited during today's visit immediately and send me documentation verifying compliance on or before Thursday, February 6, 2025. The following information must be included in your signed and dated compliance letter: • the name of your center • facility ID number • date • title of the person who signs the letter • each violation number(s) • describes accurately and in detail how and when you corrected each violation You may email the letter to karen.young@dhhs.nc.gov or mail two copies of the letter to: Karen Young P.O. Box 1012 Lewisville, NC 27023 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. 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 was provided during today’s visit on one (1) violation. • All furniture and equipment were not in good repair. See child care rule NCAC 09 .0601(b) & GS.110-91(6). Consultation during today’s visit: • I recommend re-doing the evacuation plans and lable the room numbers or spaces on the floor plan diagram. • I recommend calling your sanitation and your lead asbestos contact to explain why the foam covering is on the exterior door on the playground area. Once you have an answer, please let me know the reason. • You must give your consultant a thirty (30) day notice for any change in location, address, or ownership status. • The cohorts are no more. Visit NCRLAP website and read the information on Connecting with the Three’s! ECERS-3 and ITERS 3 will be used beginning 2/1/25. • The QRIS is being implemented. I will share more information as I learn more to share. • The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. • Public schools and licensed child care facilities in North Carolina are eligible to participate in the funding mechanisms to cover the costs of testing for lead in water and inspecting for asbestos and lead-based paint hazards beyond the May 1, 2024 deadline listed in 10A NCAC 41C .1002(a). Due to the recent impacts of Hurricane Helene and other natural disasters, this deadline has been revised statewide, and facilities that have not yet enrolled should complete the online process by May 31, 2025. The Clean Classrooms for Carolina Kids Program is providing free facility-wide testing and inspections without any out-of-pocket costs. Due to the volume of testing and inspections, completion of the online enrollment process in the program is considered temporary compliance with the testing and inspection requirement and will allow facilities to participate in the funding mechanisms. Required water testing for child care centers under rule 15A NCAC 18A .2816 is not affected by the new May 31, 2025 deadline. Enroll today at https://www.cleanwaterforcarolinakids.org/enroll. If you have enrolled for only one or two of the program sections, log back in to complete surveys for the remaining section(s) to comply with the rule requirements. Thank you for your participation in ensuring healthy learning environments for children across North Carolina. Please contact me at ed.norman@dhhs.nc.gov or 919-218-6511 if you have questions regarding this guidance. 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. Karen Young, Child Care Consultant (336) 207-2151 karen.young@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 .0803 · Violation

Name of Operation: CHILDREN'S CENTER, THE Facility ID: 9955002 Consultant: KAREN YOUNG Operation Type: Center Case Number: Visit Date: 8/9/2024 Number Present: 34 Completed Date: 8/9/2024 Age: From 0 To 6 Total Minutes: 174 Time In: 09:36 AM Time Out: 12:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced An unannounced annual compliance visit was conducted at this childcare center to monitor compliance with applicable childcare requirements. This visit was conducted by Karen Young, Childcare Consultant with Teresa Phillips, Director. Your program currently operates with a GS 110-106 Notice of Compliance license. Restrictions include 1st shift daytime care. The Notice of Compliance was observed, and the restrictions were found in compliance. The NC Secretary of State website was reviewed on 8/7/24 and First Baptist Church of Yadkinville was listed as current and active. The program’s compliance history was 90% prior to today’s visit. All programs are required to maintain at least 75% compliance. A walk-through of the facility was completed today. Indoor areas were observed. Outdoor areas were not observed today as the playground is closed until further notice, due to lead paint findings. Jeff Leagans, with Carolina Asbestos Service will conduct the certified lead removal. Ms. Phillips will send me a copy of the final inspection once completed. Children are doing gross motor activities in the classroom until the playground is opened again. 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 free choice play in the classrooms and having lunch. Teachers were near the children, arms-length away while they were eating. I observed developmentally appropriate materials and activities were available to the children in the classrooms. The last annual compliance visit was conducted on 8/21/24. A sanitation inspection was completed 2/29/24 with a Superior classification and eight (8) demerits. The last fire inspection was conducted 8/2/24 by Keith Handy. Program records and required postings were monitored. A fire drill was conducted on 7/23/24 at 4:05 pm with one (1) minute to evacuate by T. Phillips. A shelter in place drill was documented on 5/20/24 at 4:00 pm with one (1) minute to shelter-in-place by T. Phillips. An outdoor inspection was documented on 7/23/24 at 3:30 pm by T. Phillips with no items noted on the inspection sheet. Two (2) staff files and four (4) children’s records were monitored per DCDEE procedures. Nutrition requirements were not monitored per DCDEE procedures, since the children bring their own snacks and meals here. Storage of hazardous items was monitored today. Storage and administration of medication were monitored. Over the counter medication authorization was monitored. There are no prescriptions medications given at this time. The program does not provide transportation. The following violations were cited during today’s visit: Violation Number Comment Rule 847 Parent's medication authorization did not include required information. The child in the infant room did not have the name of the ointment listed on the permission to administer form. Mom was called and arrived to the center to fill in the information during the visit. This violation was corrected during the visit. 10A NCAC 09 .0803(4)(6-9) 1825 All staff did not review the center's EPR Plan during orientation and/or on an annual basis with the trained staff. Documentation of the review was not maintained on file. Staff had reviewed the EPR plan with the direcotr on 6/21/24 however, the EPR plan had not been reviewed in the portal. During the visit the staff were able to go in to the portal and print out the last viewed update of the EPR plan. This violation was corrected during the visit. .0607(f) 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 Friday, August, 23, 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 karen.young@dhhs.nc.gov or mail two copies of the letter to: Karen Young P.O. Box 1012 Lewisville, NC 27023 If you state in your letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical assistance provided during today’s visit: • Permission to Administer medications form must include all the required information on the form. See Child Care Rule 10A NCAC .09 .0803(4)&(6-9). • The EPR plan was reviewed with staff with no changes on 6/21/24, however the EPR plan in the portal was not updated with the most recent date viewed. The plan is to be reviewed annually in the portal per child care rule. 10A NCAC .09 .607 (f). Consultation today included: • You must notify your consultant 30 days prior to changing the ownership status of your facility. • We discussed the future after school program for four- and five-year-old children. Ms. Phillips will update me when building, fire and sanitation inspections have been completed. I will return to measure the space once inspections are completed. • We discussed the children going barefoot in the classroom and outside. The concern is going out for a fire drill and playing outdoors and hazards to the children’s feet. I mentioned a waiver for the children to go barefoot and will discuss with my supervisor. I will email or call Ms. Phillips with the answer. • Today we discussed the incident report and the advantage of using the Division’s form. I printed out a copy for Ms. Phillips during the visit today. I also instructed Ms. Phillips to keep a copy of the incident report in each child’s file. She has them on file but in each individual children’s folder. • Today I informed Ms. Phillips of the Children’s file checklist to keep in the files, as well as checklist for staff , volunteers and substitutes. • Ms. Phillips requested I send her the information on the lead asbestos reimbursement. 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. Karen Young, Child Care Consultant (336) 207-2151 karen.young@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

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

GS 110-106 · Violation

Name of Operation: CHILDREN'S CENTER, THE Facility ID: 9955002 Consultant: KAREN YOUNG Operation Type: Center Case Number: Visit Date: 8/9/2024 Number Present: 34 Completed Date: 8/9/2024 Age: From 0 To 6 Total Minutes: 174 Time In: 09:36 AM Time Out: 12:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced An unannounced annual compliance visit was conducted at this childcare center to monitor compliance with applicable childcare requirements. This visit was conducted by Karen Young, Childcare Consultant with Teresa Phillips, Director. Your program currently operates with a GS 110-106 Notice of Compliance license. Restrictions include 1st shift daytime care. The Notice of Compliance was observed, and the restrictions were found in compliance. The NC Secretary of State website was reviewed on 8/7/24 and First Baptist Church of Yadkinville was listed as current and active. The program’s compliance history was 90% prior to today’s visit. All programs are required to maintain at least 75% compliance. A walk-through of the facility was completed today. Indoor areas were observed. Outdoor areas were not observed today as the playground is closed until further notice, due to lead paint findings. Jeff Leagans, with Carolina Asbestos Service will conduct the certified lead removal. Ms. Phillips will send me a copy of the final inspection once completed. Children are doing gross motor activities in the classroom until the playground is opened again. 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 free choice play in the classrooms and having lunch. Teachers were near the children, arms-length away while they were eating. I observed developmentally appropriate materials and activities were available to the children in the classrooms. The last annual compliance visit was conducted on 8/21/24. A sanitation inspection was completed 2/29/24 with a Superior classification and eight (8) demerits. The last fire inspection was conducted 8/2/24 by Keith Handy. Program records and required postings were monitored. A fire drill was conducted on 7/23/24 at 4:05 pm with one (1) minute to evacuate by T. Phillips. A shelter in place drill was documented on 5/20/24 at 4:00 pm with one (1) minute to shelter-in-place by T. Phillips. An outdoor inspection was documented on 7/23/24 at 3:30 pm by T. Phillips with no items noted on the inspection sheet. Two (2) staff files and four (4) children’s records were monitored per DCDEE procedures. Nutrition requirements were not monitored per DCDEE procedures, since the children bring their own snacks and meals here. Storage of hazardous items was monitored today. Storage and administration of medication were monitored. Over the counter medication authorization was monitored. There are no prescriptions medications given at this time. The program does not provide transportation. The following violations were cited during today’s visit: Violation Number Comment Rule 847 Parent's medication authorization did not include required information. The child in the infant room did not have the name of the ointment listed on the permission to administer form. Mom was called and arrived to the center to fill in the information during the visit. This violation was corrected during the visit. 10A NCAC 09 .0803(4)(6-9) 1825 All staff did not review the center's EPR Plan during orientation and/or on an annual basis with the trained staff. Documentation of the review was not maintained on file. Staff had reviewed the EPR plan with the direcotr on 6/21/24 however, the EPR plan had not been reviewed in the portal. During the visit the staff were able to go in to the portal and print out the last viewed update of the EPR plan. This violation was corrected during the visit. .0607(f) 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 Friday, August, 23, 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 karen.young@dhhs.nc.gov or mail two copies of the letter to: Karen Young P.O. Box 1012 Lewisville, NC 27023 If you state in your letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical assistance provided during today’s visit: • Permission to Administer medications form must include all the required information on the form. See Child Care Rule 10A NCAC .09 .0803(4)&(6-9). • The EPR plan was reviewed with staff with no changes on 6/21/24, however the EPR plan in the portal was not updated with the most recent date viewed. The plan is to be reviewed annually in the portal per child care rule. 10A NCAC .09 .607 (f). Consultation today included: • You must notify your consultant 30 days prior to changing the ownership status of your facility. • We discussed the future after school program for four- and five-year-old children. Ms. Phillips will update me when building, fire and sanitation inspections have been completed. I will return to measure the space once inspections are completed. • We discussed the children going barefoot in the classroom and outside. The concern is going out for a fire drill and playing outdoors and hazards to the children’s feet. I mentioned a waiver for the children to go barefoot and will discuss with my supervisor. I will email or call Ms. Phillips with the answer. • Today we discussed the incident report and the advantage of using the Division’s form. I printed out a copy for Ms. Phillips during the visit today. I also instructed Ms. Phillips to keep a copy of the incident report in each child’s file. She has them on file but in each individual children’s folder. • Today I informed Ms. Phillips of the Children’s file checklist to keep in the files, as well as checklist for staff , volunteers and substitutes. • Ms. Phillips requested I send her the information on the lead asbestos reimbursement. 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. Karen Young, Child Care Consultant (336) 207-2151 karen.young@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: CHILDREN'S CENTER, THE Facility ID: 9955002 Consultant: KAREN YOUNG Operation Type: Center Case Number: Visit Date: 8/9/2024 Number Present: 34 Completed Date: 8/9/2024 Age: From 0 To 6 Total Minutes: 174 Time In: 09:36 AM Time Out: 12:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced An unannounced annual compliance visit was conducted at this childcare center to monitor compliance with applicable childcare requirements. This visit was conducted by Karen Young, Childcare Consultant with Teresa Phillips, Director. Your program currently operates with a GS 110-106 Notice of Compliance license. Restrictions include 1st shift daytime care. The Notice of Compliance was observed, and the restrictions were found in compliance. The NC Secretary of State website was reviewed on 8/7/24 and First Baptist Church of Yadkinville was listed as current and active. The program’s compliance history was 90% prior to today’s visit. All programs are required to maintain at least 75% compliance. A walk-through of the facility was completed today. Indoor areas were observed. Outdoor areas were not observed today as the playground is closed until further notice, due to lead paint findings. Jeff Leagans, with Carolina Asbestos Service will conduct the certified lead removal. Ms. Phillips will send me a copy of the final inspection once completed. Children are doing gross motor activities in the classroom until the playground is opened again. 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 free choice play in the classrooms and having lunch. Teachers were near the children, arms-length away while they were eating. I observed developmentally appropriate materials and activities were available to the children in the classrooms. The last annual compliance visit was conducted on 8/21/24. A sanitation inspection was completed 2/29/24 with a Superior classification and eight (8) demerits. The last fire inspection was conducted 8/2/24 by Keith Handy. Program records and required postings were monitored. A fire drill was conducted on 7/23/24 at 4:05 pm with one (1) minute to evacuate by T. Phillips. A shelter in place drill was documented on 5/20/24 at 4:00 pm with one (1) minute to shelter-in-place by T. Phillips. An outdoor inspection was documented on 7/23/24 at 3:30 pm by T. Phillips with no items noted on the inspection sheet. Two (2) staff files and four (4) children’s records were monitored per DCDEE procedures. Nutrition requirements were not monitored per DCDEE procedures, since the children bring their own snacks and meals here. Storage of hazardous items was monitored today. Storage and administration of medication were monitored. Over the counter medication authorization was monitored. There are no prescriptions medications given at this time. The program does not provide transportation. The following violations were cited during today’s visit: Violation Number Comment Rule 847 Parent's medication authorization did not include required information. The child in the infant room did not have the name of the ointment listed on the permission to administer form. Mom was called and arrived to the center to fill in the information during the visit. This violation was corrected during the visit. 10A NCAC 09 .0803(4)(6-9) 1825 All staff did not review the center's EPR Plan during orientation and/or on an annual basis with the trained staff. Documentation of the review was not maintained on file. Staff had reviewed the EPR plan with the direcotr on 6/21/24 however, the EPR plan had not been reviewed in the portal. During the visit the staff were able to go in to the portal and print out the last viewed update of the EPR plan. This violation was corrected during the visit. .0607(f) 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 Friday, August, 23, 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 karen.young@dhhs.nc.gov or mail two copies of the letter to: Karen Young P.O. Box 1012 Lewisville, NC 27023 If you state in your letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical assistance provided during today’s visit: • Permission to Administer medications form must include all the required information on the form. See Child Care Rule 10A NCAC .09 .0803(4)&(6-9). • The EPR plan was reviewed with staff with no changes on 6/21/24, however the EPR plan in the portal was not updated with the most recent date viewed. The plan is to be reviewed annually in the portal per child care rule. 10A NCAC .09 .607 (f). Consultation today included: • You must notify your consultant 30 days prior to changing the ownership status of your facility. • We discussed the future after school program for four- and five-year-old children. Ms. Phillips will update me when building, fire and sanitation inspections have been completed. I will return to measure the space once inspections are completed. • We discussed the children going barefoot in the classroom and outside. The concern is going out for a fire drill and playing outdoors and hazards to the children’s feet. I mentioned a waiver for the children to go barefoot and will discuss with my supervisor. I will email or call Ms. Phillips with the answer. • Today we discussed the incident report and the advantage of using the Division’s form. I printed out a copy for Ms. Phillips during the visit today. I also instructed Ms. Phillips to keep a copy of the incident report in each child’s file. She has them on file but in each individual children’s folder. • Today I informed Ms. Phillips of the Children’s file checklist to keep in the files, as well as checklist for staff , volunteers and substitutes. • Ms. Phillips requested I send her the information on the lead asbestos reimbursement. 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. Karen Young, Child Care Consultant (336) 207-2151 karen.young@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: CHILDREN'S CENTER, THE Facility ID: 9955002 Consultant: KAREN YOUNG Operation Type: Center Case Number: Visit Date: 2/8/2024 Number Present: 26 Completed Date: 2/8/2024 Age: From 0 To 5 Total Minutes: 170 Time In: 09:30 AM Time Out: 12:20 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable childcare requirements for a routine unannounced visit. This visit was conducted by Karen Young, Childcare Consultant, with Kayla Spriggs, Assistant Director. Teresa Phillips, Director, is off on Thursdays. Your program currently operates with a GS 110-1-6 Notice of Compliance effective 3/2/12. Restrictions include 1st shift daytime care. The NC Secretary of State website was reviewed on 1/7/24 and First Baptist Church Yadkinville NC was listed as current and active. The program’s compliance history was 90% prior to today’s visit. All programs are required to maintain at least 75% compliance. Today, the following items were monitored: • Supervision • Staff / Child Ratio • CPR / First Aid • Special Training • CBC Qualification • ITS – SIDS • Emergency Medical Care Plan • Administration of Medication • Storage of Hazardous Products • Storage of Medication • General Safety • Discipline • Adequate / Approved Space • Program Records • License Posted • Permit Restrictions The Notice of Compliance was observed, and the restrictions were found in compliance. A walk-through of the facility was completed today. Indoor and outdoor areas were observed. Staff/child ratio and space capacity were monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed staff/child interactions today. I observed children having free choice center play, and having individual needs met in the infant room. Four (4) new staff were reported at this program. Files for new staff were reviewed. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Playground Safety, ITS-SIDS, Special Training including Health and Safety Training and Criminal Background Checks. Storage and administration of medication were monitored. Medication authorization was monitored. Storage hazardous items was monitored today. A playground inspection was recorded 2/8/24 by K. Spriggs. A fire drill was recorded 1/3/24 at 10:10 am with one (1) minute to evacuate by M. Shreve. A lock down drill for the facility was recorded 12/29/23 at 3:30 pm with one (1) minute to lockdown by T. Phillips. The most recent fire inspection was on 8/2/23. I observed a sanitation inspection was last conducted on 3/28/23 earning a Superior classification with four (4) demerits. The program does not provide transportation. The following violations were cited during today’s visit: Violation Number Comment Rule 807 A safe indoor and outdoor environment was not provided for the children. I oberserved rust all along the bottom of the fence gate at the bottom lower left of the playground. Rust was observed on the swing connectors at the top of the swing set. I observed flaking paint coming off the wooden chalkboard border that is attached to the brick wall of the church building. 10A NCAC 09 .0601(a) 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. I observed four (4) new staff files where there was no signed acknowledgement of the Shaken Baby Abusive Head Trauma policy prior to staff caring for children. .0608(d)(1-4) 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 Thursday, February, 22, 2024. The following information must be included in your signed and dated compliance letter: • the name of your center • facility ID number • date • title of the person who signs the letter • each violation number(s) • describes accurately and in detail how and when you corrected each violation If you state in your letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. You may email the letter to karen.young@dhhs.nc.gov or mail two copies of the letter to: Karen Young P.O. Box 1012 Lewisville, NC 27023 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: • Rust was found on the bottom of the gate at the lower left side of the playground and on the top connector hooks for the swings. Rust should be removed, and object painted over. Refer to child care Rule 10A NCAC .09 .0601(a) • Paint is flaking off the wooden border on the outside chalkboard attached to the brick wall of the church building. Refer to Rule 10 A NCAC 09 .0601(a) • New staff must have a certificate for receiving the Shaken Baby Abusive Head Trauma policy information in their files prior to caring for children. Refer to Rule 10 A NCAC 09 .0608(d)(1-4). Additional Information/Consultation: • You must notify your consultant 30 days prior to changing the ownership status of your facility. • There is a new Summary of the Law poster and a new Staff & Training worksheet on the DCDEE website under Provider > forms & documents > scroll down to Summary of the Law and Staff & Training worksheet. • You are not in a Cohort for license reassessment since you are a GS-110-106 Religious Sponsored center with a Notice of Compliance. • Health information, including TB test results, medical statement, and Health questionnaire, for staff, must be kept in a separate file from other personnel information. 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. Karen Young, Child Care Consultant (336) 207-2151 karen.young@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

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

GS 110-1 · Violation

Name of Operation: CHILDREN'S CENTER, THE Facility ID: 9955002 Consultant: KAREN YOUNG Operation Type: Center Case Number: Visit Date: 2/8/2024 Number Present: 26 Completed Date: 2/8/2024 Age: From 0 To 5 Total Minutes: 170 Time In: 09:30 AM Time Out: 12:20 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable childcare requirements for a routine unannounced visit. This visit was conducted by Karen Young, Childcare Consultant, with Kayla Spriggs, Assistant Director. Teresa Phillips, Director, is off on Thursdays. Your program currently operates with a GS 110-1-6 Notice of Compliance effective 3/2/12. Restrictions include 1st shift daytime care. The NC Secretary of State website was reviewed on 1/7/24 and First Baptist Church Yadkinville NC was listed as current and active. The program’s compliance history was 90% prior to today’s visit. All programs are required to maintain at least 75% compliance. Today, the following items were monitored: • Supervision • Staff / Child Ratio • CPR / First Aid • Special Training • CBC Qualification • ITS – SIDS • Emergency Medical Care Plan • Administration of Medication • Storage of Hazardous Products • Storage of Medication • General Safety • Discipline • Adequate / Approved Space • Program Records • License Posted • Permit Restrictions The Notice of Compliance was observed, and the restrictions were found in compliance. A walk-through of the facility was completed today. Indoor and outdoor areas were observed. Staff/child ratio and space capacity were monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed staff/child interactions today. I observed children having free choice center play, and having individual needs met in the infant room. Four (4) new staff were reported at this program. Files for new staff were reviewed. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Playground Safety, ITS-SIDS, Special Training including Health and Safety Training and Criminal Background Checks. Storage and administration of medication were monitored. Medication authorization was monitored. Storage hazardous items was monitored today. A playground inspection was recorded 2/8/24 by K. Spriggs. A fire drill was recorded 1/3/24 at 10:10 am with one (1) minute to evacuate by M. Shreve. A lock down drill for the facility was recorded 12/29/23 at 3:30 pm with one (1) minute to lockdown by T. Phillips. The most recent fire inspection was on 8/2/23. I observed a sanitation inspection was last conducted on 3/28/23 earning a Superior classification with four (4) demerits. The program does not provide transportation. The following violations were cited during today’s visit: Violation Number Comment Rule 807 A safe indoor and outdoor environment was not provided for the children. I oberserved rust all along the bottom of the fence gate at the bottom lower left of the playground. Rust was observed on the swing connectors at the top of the swing set. I observed flaking paint coming off the wooden chalkboard border that is attached to the brick wall of the church building. 10A NCAC 09 .0601(a) 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. I observed four (4) new staff files where there was no signed acknowledgement of the Shaken Baby Abusive Head Trauma policy prior to staff caring for children. .0608(d)(1-4) 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 Thursday, February, 22, 2024. The following information must be included in your signed and dated compliance letter: • the name of your center • facility ID number • date • title of the person who signs the letter • each violation number(s) • describes accurately and in detail how and when you corrected each violation If you state in your letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. You may email the letter to karen.young@dhhs.nc.gov or mail two copies of the letter to: Karen Young P.O. Box 1012 Lewisville, NC 27023 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: • Rust was found on the bottom of the gate at the lower left side of the playground and on the top connector hooks for the swings. Rust should be removed, and object painted over. Refer to child care Rule 10A NCAC .09 .0601(a) • Paint is flaking off the wooden border on the outside chalkboard attached to the brick wall of the church building. Refer to Rule 10 A NCAC 09 .0601(a) • New staff must have a certificate for receiving the Shaken Baby Abusive Head Trauma policy information in their files prior to caring for children. Refer to Rule 10 A NCAC 09 .0608(d)(1-4). Additional Information/Consultation: • You must notify your consultant 30 days prior to changing the ownership status of your facility. • There is a new Summary of the Law poster and a new Staff & Training worksheet on the DCDEE website under Provider > forms & documents > scroll down to Summary of the Law and Staff & Training worksheet. • You are not in a Cohort for license reassessment since you are a GS-110-106 Religious Sponsored center with a Notice of Compliance. • Health information, including TB test results, medical statement, and Health questionnaire, for staff, must be kept in a separate file from other personnel information. 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. Karen Young, Child Care Consultant (336) 207-2151 karen.young@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: CHILDREN'S CENTER, THE Facility ID: 9955002 Consultant: KAREN YOUNG Operation Type: Center Case Number: Visit Date: 2/8/2024 Number Present: 26 Completed Date: 2/8/2024 Age: From 0 To 5 Total Minutes: 170 Time In: 09:30 AM Time Out: 12:20 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable childcare requirements for a routine unannounced visit. This visit was conducted by Karen Young, Childcare Consultant, with Kayla Spriggs, Assistant Director. Teresa Phillips, Director, is off on Thursdays. Your program currently operates with a GS 110-1-6 Notice of Compliance effective 3/2/12. Restrictions include 1st shift daytime care. The NC Secretary of State website was reviewed on 1/7/24 and First Baptist Church Yadkinville NC was listed as current and active. The program’s compliance history was 90% prior to today’s visit. All programs are required to maintain at least 75% compliance. Today, the following items were monitored: • Supervision • Staff / Child Ratio • CPR / First Aid • Special Training • CBC Qualification • ITS – SIDS • Emergency Medical Care Plan • Administration of Medication • Storage of Hazardous Products • Storage of Medication • General Safety • Discipline • Adequate / Approved Space • Program Records • License Posted • Permit Restrictions The Notice of Compliance was observed, and the restrictions were found in compliance. A walk-through of the facility was completed today. Indoor and outdoor areas were observed. Staff/child ratio and space capacity were monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed staff/child interactions today. I observed children having free choice center play, and having individual needs met in the infant room. Four (4) new staff were reported at this program. Files for new staff were reviewed. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Playground Safety, ITS-SIDS, Special Training including Health and Safety Training and Criminal Background Checks. Storage and administration of medication were monitored. Medication authorization was monitored. Storage hazardous items was monitored today. A playground inspection was recorded 2/8/24 by K. Spriggs. A fire drill was recorded 1/3/24 at 10:10 am with one (1) minute to evacuate by M. Shreve. A lock down drill for the facility was recorded 12/29/23 at 3:30 pm with one (1) minute to lockdown by T. Phillips. The most recent fire inspection was on 8/2/23. I observed a sanitation inspection was last conducted on 3/28/23 earning a Superior classification with four (4) demerits. The program does not provide transportation. The following violations were cited during today’s visit: Violation Number Comment Rule 807 A safe indoor and outdoor environment was not provided for the children. I oberserved rust all along the bottom of the fence gate at the bottom lower left of the playground. Rust was observed on the swing connectors at the top of the swing set. I observed flaking paint coming off the wooden chalkboard border that is attached to the brick wall of the church building. 10A NCAC 09 .0601(a) 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. I observed four (4) new staff files where there was no signed acknowledgement of the Shaken Baby Abusive Head Trauma policy prior to staff caring for children. .0608(d)(1-4) 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 Thursday, February, 22, 2024. The following information must be included in your signed and dated compliance letter: • the name of your center • facility ID number • date • title of the person who signs the letter • each violation number(s) • describes accurately and in detail how and when you corrected each violation If you state in your letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. You may email the letter to karen.young@dhhs.nc.gov or mail two copies of the letter to: Karen Young P.O. Box 1012 Lewisville, NC 27023 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: • Rust was found on the bottom of the gate at the lower left side of the playground and on the top connector hooks for the swings. Rust should be removed, and object painted over. Refer to child care Rule 10A NCAC .09 .0601(a) • Paint is flaking off the wooden border on the outside chalkboard attached to the brick wall of the church building. Refer to Rule 10 A NCAC 09 .0601(a) • New staff must have a certificate for receiving the Shaken Baby Abusive Head Trauma policy information in their files prior to caring for children. Refer to Rule 10 A NCAC 09 .0608(d)(1-4). Additional Information/Consultation: • You must notify your consultant 30 days prior to changing the ownership status of your facility. • There is a new Summary of the Law poster and a new Staff & Training worksheet on the DCDEE website under Provider > forms & documents > scroll down to Summary of the Law and Staff & Training worksheet. • You are not in a Cohort for license reassessment since you are a GS-110-106 Religious Sponsored center with a Notice of Compliance. • Health information, including TB test results, medical statement, and Health questionnaire, for staff, must be kept in a separate file from other personnel information. 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. Karen Young, Child Care Consultant (336) 207-2151 karen.young@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 .0803 · Violation

Name of Operation: CHILDREN'S CENTER, THE Facility ID: 9955002 Consultant: KAREN YOUNG Operation Type: Center Case Number: Visit Date: 8/21/2023 Number Present: 28 Completed Date: 8/21/2023 Age: From 0 To 4 Total Minutes: 205 Time In: 09:20 AM Time Out: 12:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced An unannounced annual compliance visit was conducted at this childcare center to monitor compliance with applicable childcare requirements. This visit was conducted by Karen Young, Childcare Consultant with Teresa Phillips, Director. Your program currently operates with a Notice of Compliance issued 3/5/12. Restrictions include 1st shift, daytime care. The Notice of Compliance was observed, and the restriction found in compliance. The NC Secretary of State website was reviewed on 8/10/23 and First Baptist Church of Yadkinville NC was listed as current and active. The program’s compliance history was 87% 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. I observed two authorizations to administer over the counter medication that did not have the amount listed on the permission to administer form. One from the infant room and one from the toddler room. This GS 110-106 program does not administer prescribed Dr. medications. 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 outdoor playtime, eating lunch, and preparing for nap /rest time. I observed developmentally appropriate materials and activities were available to the children in the classrooms. Your facility uses Creative Curriculum. The last annual compliance visit was conducted on 9/22/22. A sanitation inspection was completed 3/28/23 with a Superior classification and four (4) demerits. The last fire inspection was conducted 8/2/23 by Adam Eller. I received a copy of the most recent fire inspection today. Program records and required postings were monitored. This GS 110-106 program does receive subsidy, so health & safety trainings are required and were monitored today. A fire drill was conducted on 7/31/23. A shelter in place drill was documented on 6/28/23. An outdoor inspection was documented on 7/25/23. Staff files and children’s records were monitored per DCDEE procedures. No violations were cited. Nutrition requirements were monitored per DCDEE procedures. Storage of hazardous items was monitored today. Storage and administration of over-the-counter diaper cream and ointment medication were monitored. Medication authorization was monitored. No prescribed Dr. medications were observed nor reported. The program does not provide transportation. The following violation was cited during today’s visit: Violation Number Comment Rule 865 A child was given over the counter medication without written authorization from a parent to follow the direction of the NC State Health Director during a public health emergency and/or the authorization did not contain the required information. I observed two (2) medication authorization forms that did not contain the amount of the otc medication to be administwered. In the infant romm, the authoization form had no amount listed. In the toddler room the authorization form had "tube" listed as the amount. 10A NCAC 09 .0803(9)(a-d) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. You must correct the violations cited during today's visit immediately and send me documentation verifying compliance on or before Monday, September 4, 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 karen.young@dhhs.nc.gov or mail two copies of the letter to: Karen Young P.O. Box 1012 Lewisville, NC 27023 If you state in your letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical assistance provided during today’s visit: • You must notify your consultant 30 days prior to changing the ownership status of your facility. • You are not in a license reassessment Cohort as you are a GS 110-106 religious sponsored center with a Notice of Compliance. • Review the EPR plan & the EMCP with ALL staff including new staff •Print and staple child and staff checklist to left side of file folders to use as checkoff as items are brought to you to file. *Update and post the Summary of the Law poster, found on the DCDEE website under forms and documents. *Print the Health & Safety training documentation sheet to record H&S trainings for each staff member’s 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. Karen Young, Child Care Consultant (336) 207-2151 karen.young@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

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

GS 110-106 · Violation

Name of Operation: CHILDREN'S CENTER, THE Facility ID: 9955002 Consultant: KAREN YOUNG Operation Type: Center Case Number: Visit Date: 8/21/2023 Number Present: 28 Completed Date: 8/21/2023 Age: From 0 To 4 Total Minutes: 205 Time In: 09:20 AM Time Out: 12:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced An unannounced annual compliance visit was conducted at this childcare center to monitor compliance with applicable childcare requirements. This visit was conducted by Karen Young, Childcare Consultant with Teresa Phillips, Director. Your program currently operates with a Notice of Compliance issued 3/5/12. Restrictions include 1st shift, daytime care. The Notice of Compliance was observed, and the restriction found in compliance. The NC Secretary of State website was reviewed on 8/10/23 and First Baptist Church of Yadkinville NC was listed as current and active. The program’s compliance history was 87% 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. I observed two authorizations to administer over the counter medication that did not have the amount listed on the permission to administer form. One from the infant room and one from the toddler room. This GS 110-106 program does not administer prescribed Dr. medications. 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 outdoor playtime, eating lunch, and preparing for nap /rest time. I observed developmentally appropriate materials and activities were available to the children in the classrooms. Your facility uses Creative Curriculum. The last annual compliance visit was conducted on 9/22/22. A sanitation inspection was completed 3/28/23 with a Superior classification and four (4) demerits. The last fire inspection was conducted 8/2/23 by Adam Eller. I received a copy of the most recent fire inspection today. Program records and required postings were monitored. This GS 110-106 program does receive subsidy, so health & safety trainings are required and were monitored today. A fire drill was conducted on 7/31/23. A shelter in place drill was documented on 6/28/23. An outdoor inspection was documented on 7/25/23. Staff files and children’s records were monitored per DCDEE procedures. No violations were cited. Nutrition requirements were monitored per DCDEE procedures. Storage of hazardous items was monitored today. Storage and administration of over-the-counter diaper cream and ointment medication were monitored. Medication authorization was monitored. No prescribed Dr. medications were observed nor reported. The program does not provide transportation. The following violation was cited during today’s visit: Violation Number Comment Rule 865 A child was given over the counter medication without written authorization from a parent to follow the direction of the NC State Health Director during a public health emergency and/or the authorization did not contain the required information. I observed two (2) medication authorization forms that did not contain the amount of the otc medication to be administwered. In the infant romm, the authoization form had no amount listed. In the toddler room the authorization form had "tube" listed as the amount. 10A NCAC 09 .0803(9)(a-d) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. You must correct the violations cited during today's visit immediately and send me documentation verifying compliance on or before Monday, September 4, 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 karen.young@dhhs.nc.gov or mail two copies of the letter to: Karen Young P.O. Box 1012 Lewisville, NC 27023 If you state in your letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical assistance provided during today’s visit: • You must notify your consultant 30 days prior to changing the ownership status of your facility. • You are not in a license reassessment Cohort as you are a GS 110-106 religious sponsored center with a Notice of Compliance. • Review the EPR plan & the EMCP with ALL staff including new staff •Print and staple child and staff checklist to left side of file folders to use as checkoff as items are brought to you to file. *Update and post the Summary of the Law poster, found on the DCDEE website under forms and documents. *Print the Health & Safety training documentation sheet to record H&S trainings for each staff member’s 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. Karen Young, Child Care Consultant (336) 207-2151 karen.young@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: CHILDREN'S CENTER, THE Facility ID: 9955002 Consultant: KAREN YOUNG Operation Type: Center Case Number: Visit Date: 8/21/2023 Number Present: 28 Completed Date: 8/21/2023 Age: From 0 To 4 Total Minutes: 205 Time In: 09:20 AM Time Out: 12:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced An unannounced annual compliance visit was conducted at this childcare center to monitor compliance with applicable childcare requirements. This visit was conducted by Karen Young, Childcare Consultant with Teresa Phillips, Director. Your program currently operates with a Notice of Compliance issued 3/5/12. Restrictions include 1st shift, daytime care. The Notice of Compliance was observed, and the restriction found in compliance. The NC Secretary of State website was reviewed on 8/10/23 and First Baptist Church of Yadkinville NC was listed as current and active. The program’s compliance history was 87% 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. I observed two authorizations to administer over the counter medication that did not have the amount listed on the permission to administer form. One from the infant room and one from the toddler room. This GS 110-106 program does not administer prescribed Dr. medications. 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 outdoor playtime, eating lunch, and preparing for nap /rest time. I observed developmentally appropriate materials and activities were available to the children in the classrooms. Your facility uses Creative Curriculum. The last annual compliance visit was conducted on 9/22/22. A sanitation inspection was completed 3/28/23 with a Superior classification and four (4) demerits. The last fire inspection was conducted 8/2/23 by Adam Eller. I received a copy of the most recent fire inspection today. Program records and required postings were monitored. This GS 110-106 program does receive subsidy, so health & safety trainings are required and were monitored today. A fire drill was conducted on 7/31/23. A shelter in place drill was documented on 6/28/23. An outdoor inspection was documented on 7/25/23. Staff files and children’s records were monitored per DCDEE procedures. No violations were cited. Nutrition requirements were monitored per DCDEE procedures. Storage of hazardous items was monitored today. Storage and administration of over-the-counter diaper cream and ointment medication were monitored. Medication authorization was monitored. No prescribed Dr. medications were observed nor reported. The program does not provide transportation. The following violation was cited during today’s visit: Violation Number Comment Rule 865 A child was given over the counter medication without written authorization from a parent to follow the direction of the NC State Health Director during a public health emergency and/or the authorization did not contain the required information. I observed two (2) medication authorization forms that did not contain the amount of the otc medication to be administwered. In the infant romm, the authoization form had no amount listed. In the toddler room the authorization form had "tube" listed as the amount. 10A NCAC 09 .0803(9)(a-d) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. You must correct the violations cited during today's visit immediately and send me documentation verifying compliance on or before Monday, September 4, 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 karen.young@dhhs.nc.gov or mail two copies of the letter to: Karen Young P.O. Box 1012 Lewisville, NC 27023 If you state in your letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical assistance provided during today’s visit: • You must notify your consultant 30 days prior to changing the ownership status of your facility. • You are not in a license reassessment Cohort as you are a GS 110-106 religious sponsored center with a Notice of Compliance. • Review the EPR plan & the EMCP with ALL staff including new staff •Print and staple child and staff checklist to left side of file folders to use as checkoff as items are brought to you to file. *Update and post the Summary of the Law poster, found on the DCDEE website under forms and documents. *Print the Health & Safety training documentation sheet to record H&S trainings for each staff member’s 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. Karen Young, Child Care Consultant (336) 207-2151 karen.young@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 .0806 · Violation

Name of Operation: CHILDREN'S CENTER, THE Facility ID: 9955002 Consultant: KAREN YOUNG Operation Type: Center Case Number: 0723-108L Visit Date: 7/24/2023 Number Present: 21 Completed Date: 7/24/2023 Age: From 0 To 5 Total Minutes: 225 Time In: 09:30 AM Time Out: 01:15 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 by Karen Young, childcare consultant with Teresa Phillips, Director. The allegations are as follows: There is a concern related to sanitation and health. A child was allowed to remain in soiled clothing for an extended period of time. During today’s visit, the allegations were discussed with you. You had the opportunity to respond. Information shared during this visit are documented in this visit summary. Your program currently operates with a Notice of Compliance effective 3/5/12. Restrictions include daytime care only. The NC Secretary of State website was reviewed on 7/21/23 and First Baptist Church of Yadkinville NC was listed as current and active. The program’s compliance history was 89% prior to today’s visit. All programs are required to maintain at least 75% compliance. 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 and health. Observation #1: During today’s visit, I observed all classrooms. It was observed that there is no record of diaper changing times except in the infant classroom. Teachers were asked, “what happens if you see a child needs to be changed and you are outside on the playground?” The director stated there are always two people outside so that one can alert the inside person to come out to help. Staff stated that children are typically checked and/or changed at 7am, 8:45 am, 10:00 am - all children are checked again, after lunch and before nap at 11:30 am, at 12:30 pm if a child wakes up early, between 1:30 and 2:00 pm after nap, at 4:00 pm prior to going outside and at 5:00 pm when coming in from outside prior to going home at 5:30 pm. Per the director, children are checked constantly throughout the day. She stated that she is constantly checking children as they leave to go home to see if they need to be changed prior to leaving the center. The director stated that she works late in the summer since her summer hours are 10:00am -5:30 pm. She stated the children are outside in the afternoon from 4:00-5:00 pm if the air quality allows. The director stated that she is constantly checking children as they leave the center to be sure they are going home clean and dry. The director stated that they do have extra clothing at the center but that it is for the children 1 year old and younger. They currently have a few 2Tand 3T clothes but no extra clothing for the older children. Space 3 teacher and director stated that parents are asked to bring in at least 2 sets of extra clothing for their children. She stated that sometimes parents do but they do not always follow through. 10A NCAC 09 .0806 TOILETING, CLOTHING AND LINENS (a) Diapers shall be changed whenever they become soiled or wet and not on a shift basis. (b) The center shall ensure that clean clothes are available in the event that a child’s clothes become wet or soiled. The change of clothing may be provided by the center or by the child's parents. During today’s visit I interviewed the teacher in Space 3, director, and the floater/assistant to the director. Teacher in Space 3 stated that she left at noon on Tuesday, July 18, 2023. Floater/assistant to the director stated that she was bringing the children in from the playground at 5:00 pm to change for the last time to go home. She stated that she was in transition of getting children inside and changing when grandmother arrived to pick up the child. She stated the child was on the rug in a tantrum when she was encouraging the child to get changed when the grandmother arrived to pick up. Floater stated that grandmother stated she would take the child and change in the car. I observed the sign-out sheet from Tuesday July 18, 2023. Grandmother arrived to pick up the child at 5:00 pm. Conclusion #1: Based on the above information, this allegation was unsubstantiated. I recommend that soap, paper towels and the trash can are kept inside the bathroom for use by the children and adults. I recommend the children be monitored during the handwashing process. I suggested to the director to have circle times to discuss the handwashing process and the proper use of soap and paper towels. It was observed that the children in Space 5 were left unattended today while the teacher stepped across the hall to take a child to the bathroom. The teacher started she could visually see the children in the room, but there was no staff member in the classroom with the children. This is a violation. The director stated that she did have adequate staff present today in the building. The procedure is in place for a staff member to verbally call out for the floater to assist with the bathroom and/or classroom assistance. The director also stated that the teacher in Space 5 has read the policies and procedures on supervision. Two violations were cited at today’s visit. Violation Number Comment Rule 303 Children were not adequately supervised at all times. The teacher in Space 5 left children unattended in the classroom to go across the hall to supervise a child in the bathroom. She could visually see the children but the two year old children were alone in the classroom. .1801(a)(1-5) 803 There were no clean clothes available for the children to wear when children's clothes became wet or soiled. The director and teacher is Space 3 stated that the center has clothing for children 1 yr old, 2T, and 3T. They stated they do not have clothing for the older children. 10A NCAC 09 .0806(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 Monday, August 7, 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 karen.young@dhhs.nc.gov or mail two copies of the letter to: Karen Young P.O. Box 1012 Lewisville, NC 27023 If you state in your letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical assistance provided during today’s visit: • You must notify your consultant 30 days prior to changing the ownership status of your facility. • Refer to recommendations made by your consultant and share with your staff at upcoming staff meetings to put these suggestions into place. • I recommend a diaper changing chart be posted in each classroom where diaper changing occurs. Mark the child’s name and the date and time the diaper was changed. You may add if the diaper was wet or soiled. You may also add if the staff had to change the outer clothing due to wet or soiled clothing. • Ensure that soap, paper towels and a trash can are placed inside each bathroom. 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. Karen Young, Child Care Consultant (336) 207-2151 karen.young@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

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

10A NCAC 09 .0806 · Violation

Name of Operation: CHILDREN'S CENTER, THE Facility ID: 9955002 Consultant: KAREN YOUNG Operation Type: Center Case Number: 0723-108L Visit Date: 7/24/2023 Number Present: 21 Completed Date: 7/24/2023 Age: From 0 To 5 Total Minutes: 225 Time In: 09:30 AM Time Out: 01:15 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 by Karen Young, childcare consultant with Teresa Phillips, Director. The allegations are as follows: There is a concern related to sanitation and health. A child was allowed to remain in soiled clothing for an extended period of time. During today’s visit, the allegations were discussed with you. You had the opportunity to respond. Information shared during this visit are documented in this visit summary. Your program currently operates with a Notice of Compliance effective 3/5/12. Restrictions include daytime care only. The NC Secretary of State website was reviewed on 7/21/23 and First Baptist Church of Yadkinville NC was listed as current and active. The program’s compliance history was 89% prior to today’s visit. All programs are required to maintain at least 75% compliance. 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 and health. Observation #1: During today’s visit, I observed all classrooms. It was observed that there is no record of diaper changing times except in the infant classroom. Teachers were asked, “what happens if you see a child needs to be changed and you are outside on the playground?” The director stated there are always two people outside so that one can alert the inside person to come out to help. Staff stated that children are typically checked and/or changed at 7am, 8:45 am, 10:00 am - all children are checked again, after lunch and before nap at 11:30 am, at 12:30 pm if a child wakes up early, between 1:30 and 2:00 pm after nap, at 4:00 pm prior to going outside and at 5:00 pm when coming in from outside prior to going home at 5:30 pm. Per the director, children are checked constantly throughout the day. She stated that she is constantly checking children as they leave to go home to see if they need to be changed prior to leaving the center. The director stated that she works late in the summer since her summer hours are 10:00am -5:30 pm. She stated the children are outside in the afternoon from 4:00-5:00 pm if the air quality allows. The director stated that she is constantly checking children as they leave the center to be sure they are going home clean and dry. The director stated that they do have extra clothing at the center but that it is for the children 1 year old and younger. They currently have a few 2Tand 3T clothes but no extra clothing for the older children. Space 3 teacher and director stated that parents are asked to bring in at least 2 sets of extra clothing for their children. She stated that sometimes parents do but they do not always follow through. 10A NCAC 09 .0806 TOILETING, CLOTHING AND LINENS (a) Diapers shall be changed whenever they become soiled or wet and not on a shift basis. (b) The center shall ensure that clean clothes are available in the event that a child’s clothes become wet or soiled. The change of clothing may be provided by the center or by the child's parents. During today’s visit I interviewed the teacher in Space 3, director, and the floater/assistant to the director. Teacher in Space 3 stated that she left at noon on Tuesday, July 18, 2023. Floater/assistant to the director stated that she was bringing the children in from the playground at 5:00 pm to change for the last time to go home. She stated that she was in transition of getting children inside and changing when grandmother arrived to pick up the child. She stated the child was on the rug in a tantrum when she was encouraging the child to get changed when the grandmother arrived to pick up. Floater stated that grandmother stated she would take the child and change in the car. I observed the sign-out sheet from Tuesday July 18, 2023. Grandmother arrived to pick up the child at 5:00 pm. Conclusion #1: Based on the above information, this allegation was unsubstantiated. I recommend that soap, paper towels and the trash can are kept inside the bathroom for use by the children and adults. I recommend the children be monitored during the handwashing process. I suggested to the director to have circle times to discuss the handwashing process and the proper use of soap and paper towels. It was observed that the children in Space 5 were left unattended today while the teacher stepped across the hall to take a child to the bathroom. The teacher started she could visually see the children in the room, but there was no staff member in the classroom with the children. This is a violation. The director stated that she did have adequate staff present today in the building. The procedure is in place for a staff member to verbally call out for the floater to assist with the bathroom and/or classroom assistance. The director also stated that the teacher in Space 5 has read the policies and procedures on supervision. Two violations were cited at today’s visit. Violation Number Comment Rule 303 Children were not adequately supervised at all times. The teacher in Space 5 left children unattended in the classroom to go across the hall to supervise a child in the bathroom. She could visually see the children but the two year old children were alone in the classroom. .1801(a)(1-5) 803 There were no clean clothes available for the children to wear when children's clothes became wet or soiled. The director and teacher is Space 3 stated that the center has clothing for children 1 yr old, 2T, and 3T. They stated they do not have clothing for the older children. 10A NCAC 09 .0806(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 Monday, August 7, 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 karen.young@dhhs.nc.gov or mail two copies of the letter to: Karen Young P.O. Box 1012 Lewisville, NC 27023 If you state in your letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical assistance provided during today’s visit: • You must notify your consultant 30 days prior to changing the ownership status of your facility. • Refer to recommendations made by your consultant and share with your staff at upcoming staff meetings to put these suggestions into place. • I recommend a diaper changing chart be posted in each classroom where diaper changing occurs. Mark the child’s name and the date and time the diaper was changed. You may add if the diaper was wet or soiled. You may also add if the staff had to change the outer clothing due to wet or soiled clothing. • Ensure that soap, paper towels and a trash can are placed inside each bathroom. 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. Karen Young, Child Care Consultant (336) 207-2151 karen.young@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: CHILDREN'S CENTER, THE Facility ID: 9955002 Consultant: KAREN YOUNG Operation Type: Center Case Number: 0723-108L Visit Date: 7/24/2023 Number Present: 21 Completed Date: 7/24/2023 Age: From 0 To 5 Total Minutes: 225 Time In: 09:30 AM Time Out: 01:15 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 by Karen Young, childcare consultant with Teresa Phillips, Director. The allegations are as follows: There is a concern related to sanitation and health. A child was allowed to remain in soiled clothing for an extended period of time. During today’s visit, the allegations were discussed with you. You had the opportunity to respond. Information shared during this visit are documented in this visit summary. Your program currently operates with a Notice of Compliance effective 3/5/12. Restrictions include daytime care only. The NC Secretary of State website was reviewed on 7/21/23 and First Baptist Church of Yadkinville NC was listed as current and active. The program’s compliance history was 89% prior to today’s visit. All programs are required to maintain at least 75% compliance. 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 and health. Observation #1: During today’s visit, I observed all classrooms. It was observed that there is no record of diaper changing times except in the infant classroom. Teachers were asked, “what happens if you see a child needs to be changed and you are outside on the playground?” The director stated there are always two people outside so that one can alert the inside person to come out to help. Staff stated that children are typically checked and/or changed at 7am, 8:45 am, 10:00 am - all children are checked again, after lunch and before nap at 11:30 am, at 12:30 pm if a child wakes up early, between 1:30 and 2:00 pm after nap, at 4:00 pm prior to going outside and at 5:00 pm when coming in from outside prior to going home at 5:30 pm. Per the director, children are checked constantly throughout the day. She stated that she is constantly checking children as they leave to go home to see if they need to be changed prior to leaving the center. The director stated that she works late in the summer since her summer hours are 10:00am -5:30 pm. She stated the children are outside in the afternoon from 4:00-5:00 pm if the air quality allows. The director stated that she is constantly checking children as they leave the center to be sure they are going home clean and dry. The director stated that they do have extra clothing at the center but that it is for the children 1 year old and younger. They currently have a few 2Tand 3T clothes but no extra clothing for the older children. Space 3 teacher and director stated that parents are asked to bring in at least 2 sets of extra clothing for their children. She stated that sometimes parents do but they do not always follow through. 10A NCAC 09 .0806 TOILETING, CLOTHING AND LINENS (a) Diapers shall be changed whenever they become soiled or wet and not on a shift basis. (b) The center shall ensure that clean clothes are available in the event that a child’s clothes become wet or soiled. The change of clothing may be provided by the center or by the child's parents. During today’s visit I interviewed the teacher in Space 3, director, and the floater/assistant to the director. Teacher in Space 3 stated that she left at noon on Tuesday, July 18, 2023. Floater/assistant to the director stated that she was bringing the children in from the playground at 5:00 pm to change for the last time to go home. She stated that she was in transition of getting children inside and changing when grandmother arrived to pick up the child. She stated the child was on the rug in a tantrum when she was encouraging the child to get changed when the grandmother arrived to pick up. Floater stated that grandmother stated she would take the child and change in the car. I observed the sign-out sheet from Tuesday July 18, 2023. Grandmother arrived to pick up the child at 5:00 pm. Conclusion #1: Based on the above information, this allegation was unsubstantiated. I recommend that soap, paper towels and the trash can are kept inside the bathroom for use by the children and adults. I recommend the children be monitored during the handwashing process. I suggested to the director to have circle times to discuss the handwashing process and the proper use of soap and paper towels. It was observed that the children in Space 5 were left unattended today while the teacher stepped across the hall to take a child to the bathroom. The teacher started she could visually see the children in the room, but there was no staff member in the classroom with the children. This is a violation. The director stated that she did have adequate staff present today in the building. The procedure is in place for a staff member to verbally call out for the floater to assist with the bathroom and/or classroom assistance. The director also stated that the teacher in Space 5 has read the policies and procedures on supervision. Two violations were cited at today’s visit. Violation Number Comment Rule 303 Children were not adequately supervised at all times. The teacher in Space 5 left children unattended in the classroom to go across the hall to supervise a child in the bathroom. She could visually see the children but the two year old children were alone in the classroom. .1801(a)(1-5) 803 There were no clean clothes available for the children to wear when children's clothes became wet or soiled. The director and teacher is Space 3 stated that the center has clothing for children 1 yr old, 2T, and 3T. They stated they do not have clothing for the older children. 10A NCAC 09 .0806(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 Monday, August 7, 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 karen.young@dhhs.nc.gov or mail two copies of the letter to: Karen Young P.O. Box 1012 Lewisville, NC 27023 If you state in your letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical assistance provided during today’s visit: • You must notify your consultant 30 days prior to changing the ownership status of your facility. • Refer to recommendations made by your consultant and share with your staff at upcoming staff meetings to put these suggestions into place. • I recommend a diaper changing chart be posted in each classroom where diaper changing occurs. Mark the child’s name and the date and time the diaper was changed. You may add if the diaper was wet or soiled. You may also add if the staff had to change the outer clothing due to wet or soiled clothing. • Ensure that soap, paper towels and a trash can are placed inside each bathroom. 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. Karen Young, Child Care Consultant (336) 207-2151 karen.young@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