Elevation Church

The EPR Plan did not include the location of the Ready to Go File and or the required information. The ready to go file did not contain copies of each child's application including emergency information and emergency information for each staff member.

Violation confirmed corrected by letter received from provider on

The depth of the loose surfacing was not based on critical height of the equipment. On the play area serving preschoolers, the resilient surfacing was less did not meet the critical height requirement at the end of the slide.

Violation confirmed corrected by letter received from provider on 3/7/2026

Equipment and furnishings were not sturdy, stable and free of hazards. On the toddler outdoor play area concrete blocks installed to hold the poles for the shade had sharp corners exposed, the wood borders had splintering and a metal bench had sharp edges with rust exposed under seat slats.

Violation confirmed corrected by letter received from provider on 3/7/2026

All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. In Space 105, an epi-pen was stored in a bag lower than five feet accessible to children.

Violation corrected during visit

Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. In Space 146, plastic baggies were accessible to children in two (2) bags on hooks lower than five feet.

Violation corrected during visit

A child care operator did not notify the Division of any new child care providers, as defined in G.S. 110-90.2(a)(2), who were hired or moved into the child care facility within five business days. The facility does not have an ABCMS roster on file with the NCDCDEE.

Violation confirmed corrected by letter received from provider on 3/25/2026

A child's file did not have a statement with parent signature acknowledging receipt and explanation of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy and/or the acknowledgement did not have all the required information. One (1) child enrolled 6/12/23 signed and dated the policy 6/27/23. One (1) child enrolled 5/19/2022 signed and dated the policy 6/27/2022.

Violation confirmed corrected by letter received from provider on 2/25/2026

Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The Fire Inspection conducted March 13, 2025 was not submitted within one week of the inspection visit.

Violation corrected during visit

Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. Two (2) emergency medications were not in original container and did not have the original label.

Violation confirmed corrected by letter received from provider on

Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. In Space 102, one child requiring emergency medication had an Auvi-Q injector expired 6/23/2025.

Violation confirmed corrected by letter received from provider on

On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. Two (2) employees did not have a TB Test on file prior to employment.

Violation confirmed corrected by letter received from provider on 3/10/2025

The medical action plan was not updated on an annual basis or when changes to the plan were made by the child's parent or health care professional. A child requiring emergency medication did not have a medical action plan on file signed by a physician.

Violation confirmed corrected by letter received from provider on 3/11/2025

All equipment and furnishings were not in good repair. Bolts were missing on the stationary play equipment near the slide creating a pinch point.

Violation confirmed corrected by letter received from provider on 3/9/2025

Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. In Space 2, outlets near the bathroom were incovered.

Violation confirmed corrected by letter received from provider on 3/11/2025

All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. in Space 3, hand sanitizer and bleach solution were stored lower than five feet accessible to children.

Violation confirmed corrected by letter received from provider on 3/10/2025

Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. In Spaces 2 a grocery bag full of supplies, a small bubble wand in a child's backpack and a teacher storage drawer on a counter with plastic was accessible to children. In Space 3 paper clips and snack baggies were observed on a counter accessible to children. In Space 5, soiled clothes in a plastic bag were on a hook lower than five feet accessible to children.

Violation confirmed corrected by letter received from provider on 3/6/2025

Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. Two (2) staff members did not have a medical report on file prior to employment.

Violation confirmed corrected by letter received from provider on 3/10/2025

Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. Three (3) staff members did not have a health professional listed on the Emergency Information Form.

Violation confirmed corrected by letter received from provider on 3/10/2025

The depth of the loose surfacing was not based on critical height of the equipment. The mulch under the stationary equipment on the preschool playground did not meet critical depth required.

Violation confirmed corrected by letter received from provider on 3/10/2025

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. Six (6) employees did not have a signed policy on file prior to employment.

Violation confirmed corrected by letter received from provider on 3/10/2025

A valid qualification letter was not on file and available to review at the facility. One staff member did not have a valid qualification letter on file. The letter expired September 10, 2024.

Violation confirmed corrected by letter received from provider on 9/19/2024

Fire drills were not practiced monthly and/or the drill record was incomplete. Verification was not on file that a fire drill was conducted in the month of August 2024.

Violation confirmed corrected by letter received from provider on 9/19/2024

On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. A new staff member's TB test was older than 12 months from hire date.

Violation confirmed corrected by letter received from provider on 9/19/2024

Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. A new staff member's medical report was older than 12 months from hire date.

Violation confirmed corrected by letter received from provider on 9/19/2024

Prior to the expiration date of the qualification letter, the child care provider did not complete and submit required forms to complete a criminal background check (a qualification letter is valid for a maximum of five years for the date of issuance). A staff member's qualification letter expired September 10, 2024.

Violation confirmed corrected by letter received from provider on 9/19/2024

Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The last approved fire inspection was completed December 29, 2022.

Violation confirmed corrected by letter received from provider on 3/26/2024

Beds, cots and mats were not in good repair, properly handled, stored, or clean and sanitized between users. In space #105, the vinyl on six mats used for napping was torn.

Violation confirmed corrected by letter received from provider on 3/26/2024

All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. In space #102, there were two aerosol cans of sunscreen not stored in locked storage.

Violation confirmed corrected by letter received from provider on 3/26/2024

Over-the-counter medicines were not in their original containers or administered as authorized in writing by parent, physician or authorized health professional. In space #102, there were eleven bottles/containers of sunscreen with no permission from parents on file. There was also six containers of diaper creams with no permission and one container of bug repellent with no permission.

Violation confirmed corrected by letter received from provider on 3/26/2024

Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. One staff member's medical report was older than 12 months from the hire date.

Violation confirmed corrected by letter received from provider on 3/26/2024

On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. One staff member's TB test was older than 12 months from the hire date.

Violation confirmed corrected by letter received from provider on 3/26/2024

Children's records that include an application for enrollment, medical and immunization records, and permission to seek emergency medical care was not on file for each child. The parent did not complete the top portion of the medical report for one child.

Violation confirmed corrected by letter received from provider on 3/26/2024

Prior to employment a Criminal Background Check was not completed. Three staff members were hired prior to completed a criminal background check.

Violation corrected during visit

Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. One new staff member's hire date was prior to the date on their medical report.

Violation corrected during visit

The EMC plan did not name the person responsible, and at least one alternate, for choosing and carrying out the plan of action to obtain appropriate medical care. Although the facility had a EMC plan, it had not been updated to include the new Director.

Violation corrected during visit

On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. One new staff member's hire date was prior to their TB test date.

Violation corrected during visit

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. One new staff member did not have verification on file that the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was reviewed prior to caring for children.

Violation corrected during visit