Neighbors Grove Child Development Center

GS 110-91 · Violation

Name of Operation: NEIGHBORS GROVE CHILD DEVELOPMENT CENTER Facility ID: 76000010 Consultant: LORI RIERSON Operation Type: Center Case Number: 0626-232L Visit Date: 7/6/2026 Number Present: 63 Completed Date: 7/6/2026 Age: From 0 To 5 Total Minutes: 80 Time In: 01:00 PM Time Out: 02:20 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 investigate allegations of violations of childcare requirements that were received by the Division of Child Development and Early Education on 6/18/26. A visit was attempted on 7/2/26. Upon arrival I met with Tami Thomas, director, and I explained the purpose of my visit. Allegation: There are allegations of violations of childcare requirements. Upon arrival, I asked Ms. Thomas is there were any concerns in the room for infants. She stated a family had just disenrolled a child from the room for one-year old children. I observed video from the room for infants on 6/15/26. During the time of the recording, one staff member was present with one infant and six one-year old children. A second staff arrived as I watched the video. I received copies of sign in/out sheets for 6/15/26. I also received copies of requested incident reports. Conclusion: Based upon the information received during the interviews and observations, a violation of childcare requirements was unsubstantiated. The following violation(s) were documented and technical assistance regarding maintaining compliance was offered. Violation Number Comment Rule 301 Minimum staff/child ratios and group sizes for the number and ages of children in care were not met. While observing the video in the classroom for infants, one staff member was present with one infant and six one-year-old children. GS 110-91(7);.0713(a-d) You were provided an opportunity to ask questions regarding interpretation and implementation of all childcare requirements. Each violation cited was discussed with Ms. Hinojos. The violation(s) documented above must be corrected immediately. A signed and dated letter of compliance must be received on or before 7/20/26. The letter must include the following: *Facility Name and ID number *List of each violation number *How each violation was corrected All items must be included, or the corrective action letter will be returned for corrections. Technical Assistance: You are a licensed GS 110 religious sponsored childcare. We discussed working with staff in the classrooms with younger children to provide intentional activities for the children in keeping with progress towards developmental milestones. This will help children be more engaged and active. Staff were observed sitting on the floor interacting with the children during the video observation. We reviewed staff/child ratios of 1:5 for infants and 1:6 if all children are one-year old. We discussed options for when children are moved to a different classroom for staffing purposes. On the day of the incident, five one-year old children were moved into the room for infants. Children can become easily bored as this room is not in keeping with new developmental needs. An infant can be moved up as long as no child in the next room is two years of age or older. Both rooms have a changing table and this would more easily accommodate keeping the older children engaged. If you have and questions or concerns, please call me at 336-816-4826, or email lori.rierson@dhhs.nc.gov or my supervisor Kaye Adkins at kaye.adkins@dhhs.nc.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: NEIGHBORS GROVE CHILD DEVELOPMENT CENTER Facility ID: 76000010 Consultant: LORI RIERSON Operation Type: Center Case Number: Visit Date: 6/17/2026 Number Present: 76 Completed Date: 6/17/2026 Age: From 0 To 5 Total Minutes: 165 Time In: 09:40 AM Time Out: 12:25 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced Today an unannounced annual compliance visit was conducted. A checklist was used to note the childcare requirements monitored today, and a copy was left with you. The last annual compliance visit was conducted 6/20/25. Currently this program operates with a GS110 Notice of Compliance issued 8/23/23. The center director Tami Thomas assisted me today. I conducted an assisted walk-through of the center. The last sanitation inspection was completed 2/27/26 with a ‘Superior’ classification and 15 demerits. The last fire inspection was conducted on 1/5/26. Children were observed playing in large and small group activities, playing outside, and routine care activities. The center does not provide transportation. A full assessment of childcare requirements was conducted today. The following violation(s) were documented and technical assistance regarding maintaining compliance was offered. Violation Number Comment Rule 843 A drug or medicine was administered after its expiration date. The Epi-pen for a child in MD1 expired 12/25. The inhaler for the child expired 2/26. 10A NCAC 09 .0803(1)(d) 846 Over-the-counter medicines were not in their original containers or administered as authorized in writing by parent, physician or authorized health professional. A diaper cream for a child in room 1 did not have a permission form. 10A NCAC 09 .0803(4) 847 Parent's medication authorization did not include required information. Permission to administer medication was not on file for and Epi-pen, inhaler, and Benadryl for a child in MD1. 10A NCAC 09 .0803(4)(6-9) 1311 Emergency medical care information was not on file in the center on the child's first day of attendance and/or was not updated as changes occurred or at least annually for each child. A medical action plan for a peanut allergy was not on file for a child in MD1. A medical action plan for an inhaler was not on file for a child in MD1. .0802(c) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. A drill was not completed for January-March 2026. .0604(u);.0302(d)(8) You were provided an opportunity to ask questions regarding interpretation and implementation of all childcare requirements. Violations cited during the visit were discussed with Ms. Thomas. The violation(s) documented above must be corrected immediately. A signed and dated letter of compliance must be received on or before 7/1/26. The letter must include the following: *Facility Name and ID number *List of each violation number *How each violation was corrected All items must be included, or the corrective action letter will be returned for corrections. All requested documentation must accompany the Corrective Action Letter. The letter can be emailed to lori.rierson@dhhs.nc.gov. CONSULTATION AND RESOURCES: The previous pastor at the church created a corporation autonomously for the childcare. During the last visit on 3/3/26, we discussed this. In the DCDEE system, the Neighbor’s Grove Wesleyan Church is listed as the owner. The corporation has been dissolved according to the Secretary of State website. If the church does decide to incorporate the childcare, you must notify me prior so we can complete the required forms. If you decide to provide transportation for field trips, you must contact me prior to approve transportation. We discussed emergency medications today. If a parent signs the medication permission and action plan, the forms are valid for six months. If the physician signs them, they are valid for twelve months. Action plans that list an over-the-counter medication such as Benadryl, must be kept in a locked box and stored with the emergency medication that is unlocked. The parent may obtain a note from the physician stating the over-the-counter medication is for emergency use. This note must be kept with the medication and would not be required to be locked. Each medication on an action plan must have a permission to administer form and be included on an action plan. CPR/First Aid is due for some staff in July. Ms. Thomas stated a training is scheduled for June 30, 2026, for these staff and the new staff member K. Pugh. The training for K. Pugh is due by 9/10/26. The ITS/SIDS training for K. Pugh is due by 8/10/26. There were several diaper creams in the infant and toddler classrooms with expiring permission forms. We discussed these in each room. Documents and forms for DCDEE licensure can be found at https://ncchildcare.ncdhhs.gov/Provider/Provider-Documents-and-Forms. AGENCY NEWS AND UPDATES: Please refer to the Division of Child Development and Early Education website, http://ncchildcare.ncdhhs.gov for additional information regarding: *’What’s New’ tab If you have and questions or concerns, please call me at 336-816-4826, or email lori.rierson@dhhs.nc.gov or my supervisor Kaye Adkins at kaye.adkins@dhhs.nc.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: NEIGHBORS GROVE CHILD DEVELOPMENT CENTER Facility ID: 76000010 Consultant: LORI RIERSON Operation Type: Center Case Number: Visit Date: 6/17/2026 Number Present: 76 Completed Date: 6/17/2026 Age: From 0 To 5 Total Minutes: 165 Time In: 09:40 AM Time Out: 12:25 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced Today an unannounced annual compliance visit was conducted. A checklist was used to note the childcare requirements monitored today, and a copy was left with you. The last annual compliance visit was conducted 6/20/25. Currently this program operates with a GS110 Notice of Compliance issued 8/23/23. The center director Tami Thomas assisted me today. I conducted an assisted walk-through of the center. The last sanitation inspection was completed 2/27/26 with a ‘Superior’ classification and 15 demerits. The last fire inspection was conducted on 1/5/26. Children were observed playing in large and small group activities, playing outside, and routine care activities. The center does not provide transportation. A full assessment of childcare requirements was conducted today. The following violation(s) were documented and technical assistance regarding maintaining compliance was offered. Violation Number Comment Rule 843 A drug or medicine was administered after its expiration date. The Epi-pen for a child in MD1 expired 12/25. The inhaler for the child expired 2/26. 10A NCAC 09 .0803(1)(d) 846 Over-the-counter medicines were not in their original containers or administered as authorized in writing by parent, physician or authorized health professional. A diaper cream for a child in room 1 did not have a permission form. 10A NCAC 09 .0803(4) 847 Parent's medication authorization did not include required information. Permission to administer medication was not on file for and Epi-pen, inhaler, and Benadryl for a child in MD1. 10A NCAC 09 .0803(4)(6-9) 1311 Emergency medical care information was not on file in the center on the child's first day of attendance and/or was not updated as changes occurred or at least annually for each child. A medical action plan for a peanut allergy was not on file for a child in MD1. A medical action plan for an inhaler was not on file for a child in MD1. .0802(c) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. A drill was not completed for January-March 2026. .0604(u);.0302(d)(8) You were provided an opportunity to ask questions regarding interpretation and implementation of all childcare requirements. Violations cited during the visit were discussed with Ms. Thomas. The violation(s) documented above must be corrected immediately. A signed and dated letter of compliance must be received on or before 7/1/26. The letter must include the following: *Facility Name and ID number *List of each violation number *How each violation was corrected All items must be included, or the corrective action letter will be returned for corrections. All requested documentation must accompany the Corrective Action Letter. The letter can be emailed to lori.rierson@dhhs.nc.gov. CONSULTATION AND RESOURCES: The previous pastor at the church created a corporation autonomously for the childcare. During the last visit on 3/3/26, we discussed this. In the DCDEE system, the Neighbor’s Grove Wesleyan Church is listed as the owner. The corporation has been dissolved according to the Secretary of State website. If the church does decide to incorporate the childcare, you must notify me prior so we can complete the required forms. If you decide to provide transportation for field trips, you must contact me prior to approve transportation. We discussed emergency medications today. If a parent signs the medication permission and action plan, the forms are valid for six months. If the physician signs them, they are valid for twelve months. Action plans that list an over-the-counter medication such as Benadryl, must be kept in a locked box and stored with the emergency medication that is unlocked. The parent may obtain a note from the physician stating the over-the-counter medication is for emergency use. This note must be kept with the medication and would not be required to be locked. Each medication on an action plan must have a permission to administer form and be included on an action plan. CPR/First Aid is due for some staff in July. Ms. Thomas stated a training is scheduled for June 30, 2026, for these staff and the new staff member K. Pugh. The training for K. Pugh is due by 9/10/26. The ITS/SIDS training for K. Pugh is due by 8/10/26. There were several diaper creams in the infant and toddler classrooms with expiring permission forms. We discussed these in each room. Documents and forms for DCDEE licensure can be found at https://ncchildcare.ncdhhs.gov/Provider/Provider-Documents-and-Forms. AGENCY NEWS AND UPDATES: Please refer to the Division of Child Development and Early Education website, http://ncchildcare.ncdhhs.gov for additional information regarding: *’What’s New’ tab If you have and questions or concerns, please call me at 336-816-4826, or email lori.rierson@dhhs.nc.gov or my supervisor Kaye Adkins at kaye.adkins@dhhs.nc.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: NEIGHBORS GROVE CHILD DEVELOPMENT CENTER Facility ID: 76000010 Consultant: LORI RIERSON Operation Type: Center Case Number: Visit Date: 3/3/2026 Number Present: 74 Completed Date: 3/3/2026 Age: From 0 To 5 Total Minutes: 205 Time In: 10:30 AM Time Out: 01:55 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced Today a routine unannounced visit was conducted. The last annual compliance visit was conducted 6/20/25. Currently this program operates with a GS110 Notice of Compliance issued 8/23/23. The center director Tami Thomas and assistant director Krystal Chaney assisted me today. I conducted an assisted walk-through of the center. The last sanitation inspection was completed 2/27/26 with a ‘Superior’ classification and 15 demerits. The last fire inspection was conducted on 1/5/26. Children were observed playing in large and small group activities, eating lunch, resting and routine care activities. The files for three new staff members were reviewed today. A partial assessment of childcare requirements was conducted today. The following violation(s) were documented and technical assistance regarding maintaining compliance was offered. Violation Number Comment Rule 533 Human milk, formula and other bottled beverages including sippy cups, sent from child's home were not fully prepared, dated, and labeled for the appropriate child. Bottle for two children in room 2 were not dated. 15A NCAC 18A .2804(d) 847 Parent's medication authorization did not include required information. The medication permission for a child in Modular room 1 for an emergency medication expired 3/4/25. 10A NCAC 09 .0803(4)(6-9) 1301 Center did not maintain a record of daily attendance. Attendance was not recorded for March 2 or March 3 for classroom #2. GS 110-91(9) 1311 Emergency medical care information was not on file in the center on the child's first day of attendance and/or was not updated as changes occurred or at least annually for each child. The action plan for a child in modular room 1 was dated 9/29/24. .0802(c) You were provided an opportunity to ask questions regarding interpretation and implementation of all childcare requirements. Violations cited during the visit were discussed with Ms. Thomas. The violation(s) documented above must be corrected immediately. A signed and dated letter of compliance must be received on or before 3/17/26. The letter must include the following: *Facility Name and ID number *List of each violation number *How each violation was corrected All items must be included, or the corrective action letter will be returned for corrections. All requested documentation must accompany the Corrective Action Letter. The letter can be emailed to lori.rierson@dhhs.nc.gov. CONSULTATION AND RESOURCES: We discussed the annual review of the center’s Emergency Preparedness Plan. The plan is registered under the director’s personal NCID. We attempted to access the plan today, however, the NCID was not recognized. You may contact Amia Eaton at 919-814-6365. Explain that you are trying to access the plan and you do not have the NCID. The Emergency Preparedness Plan must be accessed annually, resaved with any updates, and republished. Print the first page for your records indicating the newest revision date. If the word DRAFT appears, the plan did not save and must be resaved/republished again. You completed the EPR training on 1/20/26. We accessed the plan today and discussed the remaining items that need to be completed so you can save and publish the plan. We discussed emergency medications today. If a parent signs the medication permission and action plan, the forms are valid for six months. If the physician signs them, they are valid for twelve months. Action plans that list an over-the-counter medication such as Benadryl, must be kept in a locked box and stored with the emergency medication that is unlocked. The parent may obtain a note from the physician stating the over-the-counter medication is for emergency use. This note must be kept with the medication and would not be required to be locked. CPR/ First Aid for A. McMasters is due by 6/2/26 and for A. Flores by 5/20/26. Documents and forms for DCDEE licensure can be found at https://ncchildcare.ncdhhs.gov/Provider/Provider-Documents-and-Forms. AGENCY NEWS AND UPDATES: Please refer to the Division of Child Development and Early Education website, http://ncchildcare.ncdhhs.gov for additional information regarding: *’What’s New’ tab If you have and questions or concerns, please call me at 336-816-4826, or email lori.rierson@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

GS 110-91 · Violation

Name of Operation: NEIGHBORS GROVE CHILD DEVELOPMENT CENTER Facility ID: 76000010 Consultant: LORI RIERSON Operation Type: Center Case Number: Visit Date: 3/3/2026 Number Present: 74 Completed Date: 3/3/2026 Age: From 0 To 5 Total Minutes: 205 Time In: 10:30 AM Time Out: 01:55 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced Today a routine unannounced visit was conducted. The last annual compliance visit was conducted 6/20/25. Currently this program operates with a GS110 Notice of Compliance issued 8/23/23. The center director Tami Thomas and assistant director Krystal Chaney assisted me today. I conducted an assisted walk-through of the center. The last sanitation inspection was completed 2/27/26 with a ‘Superior’ classification and 15 demerits. The last fire inspection was conducted on 1/5/26. Children were observed playing in large and small group activities, eating lunch, resting and routine care activities. The files for three new staff members were reviewed today. A partial assessment of childcare requirements was conducted today. The following violation(s) were documented and technical assistance regarding maintaining compliance was offered. Violation Number Comment Rule 533 Human milk, formula and other bottled beverages including sippy cups, sent from child's home were not fully prepared, dated, and labeled for the appropriate child. Bottle for two children in room 2 were not dated. 15A NCAC 18A .2804(d) 847 Parent's medication authorization did not include required information. The medication permission for a child in Modular room 1 for an emergency medication expired 3/4/25. 10A NCAC 09 .0803(4)(6-9) 1301 Center did not maintain a record of daily attendance. Attendance was not recorded for March 2 or March 3 for classroom #2. GS 110-91(9) 1311 Emergency medical care information was not on file in the center on the child's first day of attendance and/or was not updated as changes occurred or at least annually for each child. The action plan for a child in modular room 1 was dated 9/29/24. .0802(c) You were provided an opportunity to ask questions regarding interpretation and implementation of all childcare requirements. Violations cited during the visit were discussed with Ms. Thomas. The violation(s) documented above must be corrected immediately. A signed and dated letter of compliance must be received on or before 3/17/26. The letter must include the following: *Facility Name and ID number *List of each violation number *How each violation was corrected All items must be included, or the corrective action letter will be returned for corrections. All requested documentation must accompany the Corrective Action Letter. The letter can be emailed to lori.rierson@dhhs.nc.gov. CONSULTATION AND RESOURCES: We discussed the annual review of the center’s Emergency Preparedness Plan. The plan is registered under the director’s personal NCID. We attempted to access the plan today, however, the NCID was not recognized. You may contact Amia Eaton at 919-814-6365. Explain that you are trying to access the plan and you do not have the NCID. The Emergency Preparedness Plan must be accessed annually, resaved with any updates, and republished. Print the first page for your records indicating the newest revision date. If the word DRAFT appears, the plan did not save and must be resaved/republished again. You completed the EPR training on 1/20/26. We accessed the plan today and discussed the remaining items that need to be completed so you can save and publish the plan. We discussed emergency medications today. If a parent signs the medication permission and action plan, the forms are valid for six months. If the physician signs them, they are valid for twelve months. Action plans that list an over-the-counter medication such as Benadryl, must be kept in a locked box and stored with the emergency medication that is unlocked. The parent may obtain a note from the physician stating the over-the-counter medication is for emergency use. This note must be kept with the medication and would not be required to be locked. CPR/ First Aid for A. McMasters is due by 6/2/26 and for A. Flores by 5/20/26. Documents and forms for DCDEE licensure can be found at https://ncchildcare.ncdhhs.gov/Provider/Provider-Documents-and-Forms. AGENCY NEWS AND UPDATES: Please refer to the Division of Child Development and Early Education website, http://ncchildcare.ncdhhs.gov for additional information regarding: *’What’s New’ tab If you have and questions or concerns, please call me at 336-816-4826, or email lori.rierson@dhhs.nc.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: NEIGHBORS GROVE CHILD DEVELOPMENT CENTER Facility ID: 76000010 Consultant: MONA NDIAYE Operation Type: Center Case Number: Visit Date: 6/20/2025 Number Present: 69 Completed Date: 6/20/2025 Age: From 0 To 5 Total Minutes: -560 Time In: 09:45 AM Time Out: 12:25 AM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor childcare requirements applicable to a child care center during an unannounced annual compliance visit. Upon my arrival I was greeted by the Director, Tami Thomas, she assisted me during today’s visit. I completed a walk-through of the classroom spaces, enrollment and attendance were documented, and observations were made. The infants were observed participating in free play their classrooms, napping and one infant was being held by a teacher. The children were observed eating lunch which consisted of cheese pizza, bananas, carrots and milk. The last annual compliance visit was conducted June 28, 2024. The center is operating under a Notice of Compliance that was issued September 6, 2023. The last sanitation inspection was conducted May 6, 2025 the center received a Superior rating. Fire drills and playground inspections were monitored. The last fire inspection was conducted on August January 6, 2025. New staff files were monitored along with ten children’s files were monitored. Your compliance history is 80%, this may change following today’s visit. During today’s visit, a full assessment of applicable Child Care Requirements was conducted. I observed the following violations during today’s visit. Violation Number Comment Rule 542 The written feeding plan was not modified as the child's needs changed. The feeding plans were not updated as needed for the children in space 2. 10 NCAC 09 .0902(a) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. There was an unlocked cabinet in space 6, that had disinfectant wipes and a bottle of body spray. .2820(b) 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. In the classroom for infants, there was a prescription medication, Clotrimazole, that was not in locked storage. 15A NCAC 18A .2820(d) 847 Parent's medication authorization did not include required information. There were several diaper creams that did not have a completed parental authorization on file. 10A NCAC 09 .0803(4)(6-9) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. In space one for infants, there were medications that were left over from children that were no longer enrolled in the classroom. .0803(12) 1879 Prescribed medicines, that are pharmaceutical samples, was not stored in the manufacturers original packaging, was not labeled with the child's name, and/or written instructions did not include the required information. In space 1, for the infants, there was a prescription cream that did not have a pharmacy label. 10A NCAC 09 .0803(2)(b)(i-v) The above violations must be corrected immediately, and a letter must be sent to me no later than July 7, 2025 stating how each item was corrected and a plan to maintain compliance with the requirement. 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 and your plan to keep each item in compliance. My email address is mona.ndiaye@dhhs.nc.gov. If I do not receive your letter by July 7, 2025 and/or if you do not address all violations, a return visit to your program will be made to monitor for compliance of violations and to obtain your compliance letter. Additional violations may be documented if the violations have not been corrected or addressed. You were provided an opportunity to ask questions regarding interpretation and implementation of all child care requirements. Child care licensing rules and regulations are established to ensure a safe and healthy environment for children in care. Therefore, it is important for you to be knowledgeable of all of the licensing requirements that apply to your program. It is your responsibility to maintain compliance with all of the applicable laws and rules at all times. The best way for you to make sure that you are meeting all requirements is to periodically review the child care law and rules. Both are available on the DCDEE website https://ncchildcare.ncdhhs.gov/ , on the home page under the ‘Services’ tab. Go through all the medications to ensure they have completed parental authorization on file. It’s best practice to limit the about of diaper creams to one per child. Technical Assistance With the warmer weather approaching, review the following information. 1.Safety Check & Maintenance Inspect equipment: Check for loose bolts, rust, splinters, or cracks on play structures, swings, and slides. Surface check: Ensure mulch, rubber mats, or sand are evenly spread and thick enough to cushion falls. Fence & gate: Inspect for damage or sharp edges and make sure gates latch securely. Pest control: Check for bees/wasp nests, ant hills, or signs of other pests. 2. Sun Protection Shade structures: Install or check canopies, sails, or umbrellas over play areas and seating. Natural shade: Trim trees for safety but keep them healthy to provide extra sun coverage. Sunscreen policy: Have a plan for applying sunscreen (with parent permission) and ensure staff follows it. 3. Hydration Station Water access: Ensure water is available with disposable cups. Encourage water breaks: Schedule regular hydration times during play. 4. Outdoor Activities & Toys Summer-appropriate toys: Add water tables, sand toys, sports equipment, or ride-ons. Rotate toys: Keep the environment fresh and engaging by rotating outdoor toys. Nature-based play: Include items like gardening tools, pots, or sensory bins with natural materials. 5. Cleanliness Sanitize outdoor toys regularly—especially anything children put in their mouths. Tidy up landscaping: Remove any debris, broken branches, or trash. 6. Safety from Heat Playtime schedule: Shift outdoor play to cooler times (morning or late afternoon). Cooling activities: Plan for cooling breaks with misting bottles, or popsicle breaks. Watch for signs of heat exhaustion in children and staff (lethargy, excessive sweating, etc.). 7. Communication Notify parents about changes in outdoor routines, sunscreen application, and clothing suggestions (hats, water shoes, etc.). Staff training: Review summer safety protocols with your teachers. RESOURCES The Health and Safety Trainings are offered on the DCDEE Moodle format. On the Division’s website look under the “SERVICES” tab for “DCDEE Moodle”. These trainings are free, and participants will receive training certificates when completed. Child care programs can order free posters from the NC Child Care Health and Safety Resource Center at https://healthychildcare.unc.edu/ . Thank you for your cooperation during today’s visit. If you need assistance, I can be reached at mona.ndiaye@dhhs.nc.gov or by phone at 336-580-5417. You can also reach my supervisor Kaye Adkins at kaye.adkins@dhhs.nc.gov or 336-580-2527 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: NEIGHBORS GROVE CHILD DEVELOPMENT CENTER Facility ID: 76000010 Consultant: MONA NDIAYE Operation Type: Center Case Number: Visit Date: 6/28/2024 Number Present: 97 Completed Date: 6/28/2024 Age: From 0 To 9 Total Minutes: 240 Time In: 09:30 AM Time Out: 01:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced annual compliance visit was to monitor for child care requirements applicable to a child care center. Upon my arrival I was greeted by the Director, Tami Thomas, she assisted me during today’s visit. I completed a walk-through of the classrooms, attendance was documented, and observations were made. The children were observed participating in free play indoors and outdoors. The children were observed eating lunch which consisted of cheese pizza, pineapples, carrots and milk. The last annual compliance visit was conducted July 7, 2023. The center is operating under a Notice of Compliance that was issued September 6, 2023. The last sanitation inspection was conducted May 30, 2024 the center received a Superior rating. The last fire inspection was documented January 4, 2024. Fire drills and playground inspections were monitored. Staff and ten children’s files were monitored. The Department of the Secretary’s website was used to check the status of the corporation. The facility’s owner is current/active. During today’s visit, a full assessment of applicable Child Care Requirements was conducted. The following violations were observed during today’s visit. Violation Number Comment Rule 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. In one of the classrooms for toddlers, there was an unlocked cabinet that had Zep disinfectant spray and Febreze air freshener. .2820(b) 847 Parent's medication authorization did not include required information. Several medications throughout the center had either missing, incomplete or expired parental authorization forms. 10A NCAC 09 .0803(4)(6-9) The above violation must be corrected immediately, and a letter must be sent to me no later than July 16, 2024 stating how each item was corrected and a plan to maintain compliance with the requirement. My email address is mona.ndiaye@dhhs.nc.gov. If I do not receive your letter by July 16, 2024 and/or if you do not address all violations, a return visit to your program will be made to monitor for compliance of violations and to obtain your compliance letter. Additional violations may be documented if the situation has not been corrected or addressed. You were provided an opportunity to ask questions regarding interpretation and implementation of all child care requirements. Child care licensing rules and regulations are established to ensure a safe and healthy environment for children in care. Therefore, it is important for you to be knowledgeable of all of the licensing requirements that apply to your program. It is your responsibility to maintain compliance with all of the applicable laws and rules at all times. The best way for you to make sure that you are meeting all requirements is to periodically review the child care law and rules. Both are available on the DCDEE website https://ncchildcare.ncdhhs.gov/ , on the home page under the ‘Services’ tab. Technical Assistance Several medication forms were either missing, incomplete, or expired, review all of the medication forms and ensure that they are in compliance with child care requirements. There is a new topical medication form on the Division of Child Development and Early Education website. Encourage parents to only bring one diaper cream for their child, this will decrease the amount of paperwork and medications. I observed logs on the playground, to decrease the possible places where snakes can hide, we discussed securing the logs to the ground. Check the slide before allowing children to play on them, if direct sunlight is on the slides, they can become very hot. If this becomes an issue consider adding a shade cover over the slides. During today’s visit, the administrative assistant stated the van is not currently being used for transportation. Ensure there is a first aid kit in the van if you decide to use it in the future. Send me your completed and signed staff and training worksheets by July 2, 2024. Today is the last day to conduct a fire drill and complete a playground inspection for June 2024. RESOURCES The Health and Safety Trainings are offered on the DCDEE Moodle format. On the Division’s website look under the “SERVICES” tab for “DCDEE Moodle”. These trainings are free, and participants will receive training certificates when completed. Child care programs can order free posters from the NC Child Care Health and Safety Resource Center at https://healthychildcare.unc.edu/ . Thank you for your cooperation during today’s visit. If you need assistance, I can be reached at mona.ndiaye@dhhs.nc.gov or by phone at 336-580-5417. You can also reach my supervisor Kaye Adkins at kaye.adkins@dhhs.nc.gov or336-580-2527 If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0902 · Violation

Name of Operation: NEIGHBORS GROVE CHILD DEVELOPMENT CENTER Facility ID: 76000010 Consultant: MONA NDIAYE Operation Type: Center Case Number: 0424-245L Visit Date: 4/25/2024 Number Present: 102 Completed Date: 4/25/2024 Age: From 0 To 5 Total Minutes: 310 Time In: 08:50 AM Time Out: 02:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today’s visit was to investigate a report alleging violations of child care requirements regarding discipline, nurture, and care. The facility currently operates with a Notice of Compliance that was issued on September 6, 2023. The last annual compliance visit was conducted on July 23, 2023.Turkessha Casterlow, Child Care Consultant, assisted me on today’s visit. The Director, Tami Thomas, were present and assisted us during the visit. I informed her the reason for my visit. I visited each classroom to get enrollment. The children were observed participating in free play indoors and outdoors, eating lunch, and napping. Allegation 1 : There is concern regarding discipline. Findings: During today’s visit, no issues regarding inappropriate discipline were observed. Staff were interviewed and stated they had not witnessed any issues regarding inappropriate discipline. The allegations concerning discipline is unsubstantiated based on the information obtained during today’s visit. Allegation 2 : There is concern regarding nurture and care. Findings: During today’s visit teachers were observed interacting in a positive manner with the children. The allegations regarding nurture and care is unsubstantiated based on the information obtained during today’s visit. Ratios and supervision were observed in compliance. The following violations were documented during today’s visit. Violation Number Comment Rule 318 Children between 12 and 24 months of age were grouped with children 3 years of age or older. A child one year of age was grouped with children three years of age. 10A NCAC 09 .0713(a)(6) 532 All children were not held or placed in feeding chairs or other appropriate apparatus to be fed. Several infants were observed being fed in a cloth covered bouncy seats. 10A NCAC 09 .0902(b) 9999 A violation was found for which there is no item number. A teacher was observed diapering three children and the correct diaper changing procedures were not followed. The above violations must be corrected immediately, and a letter must be sent to me no later than May 9, 2024 stating how each item was corrected and a plan to maintain compliance with the requirement. My email address is mona.ndiaye@dhhs.nc.gov. If I do not receive your letter by May 9, 2024 and/or if you do not address all violations, a return visit to your program will be made to monitor for compliance of violations and to obtain your compliance letter. Additional violations may be documented if the situation has not been corrected or addressed. You were provided an opportunity to ask questions regarding interpretation and implementation of all child care requirements. Child care licensing rules and regulations are established to ensure a safe and healthy environment for children in care. Therefore, it is important for you to be knowledgeable of all of the licensing requirements that apply to your program. It is your responsibility to maintain compliance with all of the applicable laws and rules at all times. The best way for you to make sure that you are meeting all requirements is to periodically review the child care law and rules. Both are available on the DCDEE website https://ncchildcare.ncdhhs.gov/ , on the home page under the ‘Services’ tab. Consultation Three diaper changes were observed in the classroom for two and three year olds and the correct diapering procedures were not followed. I would recommend all new staff complete diaper changing training if they care for children under the age of three. Children one year of age cannot be grouped with children three years of age and older. Children that will be transitioning to the next age group may visit the classroom part of the day but must return to their classroom for the majority of their care. REMINDER Please continue to visit DCDEE’s website to get the latest updates regarding child care rules and regulations. Thank you for your cooperation today. If you have questions, please contact me at 336-580-5417 or by e-mail at mona.ndiaye@dhhs.nc.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 .0713 · Violation

Name of Operation: NEIGHBORS GROVE CHILD DEVELOPMENT CENTER Facility ID: 76000010 Consultant: MONA NDIAYE Operation Type: Center Case Number: 0424-245L Visit Date: 4/25/2024 Number Present: 102 Completed Date: 4/25/2024 Age: From 0 To 5 Total Minutes: 310 Time In: 08:50 AM Time Out: 02:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today’s visit was to investigate a report alleging violations of child care requirements regarding discipline, nurture, and care. The facility currently operates with a Notice of Compliance that was issued on September 6, 2023. The last annual compliance visit was conducted on July 23, 2023.Turkessha Casterlow, Child Care Consultant, assisted me on today’s visit. The Director, Tami Thomas, were present and assisted us during the visit. I informed her the reason for my visit. I visited each classroom to get enrollment. The children were observed participating in free play indoors and outdoors, eating lunch, and napping. Allegation 1 : There is concern regarding discipline. Findings: During today’s visit, no issues regarding inappropriate discipline were observed. Staff were interviewed and stated they had not witnessed any issues regarding inappropriate discipline. The allegations concerning discipline is unsubstantiated based on the information obtained during today’s visit. Allegation 2 : There is concern regarding nurture and care. Findings: During today’s visit teachers were observed interacting in a positive manner with the children. The allegations regarding nurture and care is unsubstantiated based on the information obtained during today’s visit. Ratios and supervision were observed in compliance. The following violations were documented during today’s visit. Violation Number Comment Rule 318 Children between 12 and 24 months of age were grouped with children 3 years of age or older. A child one year of age was grouped with children three years of age. 10A NCAC 09 .0713(a)(6) 532 All children were not held or placed in feeding chairs or other appropriate apparatus to be fed. Several infants were observed being fed in a cloth covered bouncy seats. 10A NCAC 09 .0902(b) 9999 A violation was found for which there is no item number. A teacher was observed diapering three children and the correct diaper changing procedures were not followed. The above violations must be corrected immediately, and a letter must be sent to me no later than May 9, 2024 stating how each item was corrected and a plan to maintain compliance with the requirement. My email address is mona.ndiaye@dhhs.nc.gov. If I do not receive your letter by May 9, 2024 and/or if you do not address all violations, a return visit to your program will be made to monitor for compliance of violations and to obtain your compliance letter. Additional violations may be documented if the situation has not been corrected or addressed. You were provided an opportunity to ask questions regarding interpretation and implementation of all child care requirements. Child care licensing rules and regulations are established to ensure a safe and healthy environment for children in care. Therefore, it is important for you to be knowledgeable of all of the licensing requirements that apply to your program. It is your responsibility to maintain compliance with all of the applicable laws and rules at all times. The best way for you to make sure that you are meeting all requirements is to periodically review the child care law and rules. Both are available on the DCDEE website https://ncchildcare.ncdhhs.gov/ , on the home page under the ‘Services’ tab. Consultation Three diaper changes were observed in the classroom for two and three year olds and the correct diapering procedures were not followed. I would recommend all new staff complete diaper changing training if they care for children under the age of three. Children one year of age cannot be grouped with children three years of age and older. Children that will be transitioning to the next age group may visit the classroom part of the day but must return to their classroom for the majority of their care. REMINDER Please continue to visit DCDEE’s website to get the latest updates regarding child care rules and regulations. Thank you for your cooperation today. If you have questions, please contact me at 336-580-5417 or by e-mail at mona.ndiaye@dhhs.nc.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: NEIGHBORS GROVE CHILD DEVELOPMENT CENTER Facility ID: 76000010 Consultant: MONA NDIAYE Operation Type: Center Case Number: Visit Date: 2/26/2024 Number Present: 88 Completed Date: 2/26/2024 Age: From 0 To 5 Total Minutes: 145 Time In: 09:50 AM Time Out: 12:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor for applicable Child Care Requirements. The facility currently operates with a Notice of Compliance that was issued on August 23, 2023. The last annual compliance visit was conducted on July 7, 2023. The Director was present and assisted me during the visit. Children were observed participating in free play outside on the playground. The toddlers were observed participating in free play in their classrooms and eating lunch. The last sanitation inspection was completed August 29, 2023 with a “Superior” classification. The last fire inspection was conducted January 4, 2024. During today’s visit, a partial assessment of applicable Child Care Requirements was conducted. I observed the following violations during the visit. Violation Number Comment Rule 716 All stationary equipment, more than 18 inches high, was not installed over protective surfacing.There was a stationary slide on the playground for preschool age children that did not have appropriate surfacing .0605(j) 807 A safe indoor and outdoor environment was not provided for the children. On the play ground for preschool age children there were open S hooks on the swings and a wooden table that was chipped around the edges. 10A NCAC 09 .0601(a) 861 Prohibited styrofoam and foam rubber products were accessible to children under 3 years of age and/or approved foam products were used without proper supervision. In one of the classrooms for 2 years olds there were foam blocks. .0604(q) 898 All electrical appliances were not used in accordance with the manufacturers instruction. Appliances with heating elements, such as bottle warmers, crock pots, curling irons, irons, coffee pots, and/or their cords were accessible to preschool-age children. In one of the classrooms for three year olds there was glue gun sitting on top of a file cabinet. .0604(e) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file.One staff did not have current First Aid training on file. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. One staff did not have current CPR training on file. .1102(d) The violation(s) must be corrected immediately, and a letter must be sent to me no later than March 11, 2024 stating how each item was corrected and how you plan to maintain compliance with the requirement. Please e-mail the letter to me at mona.ndiaye@dhhs.nc.gov . You were provided an opportunity to ask questions regarding interpretation and implementation of all child care requirements. Child care licensing rules and regulations are established to ensure a safe and healthy environment for children in care. Therefore, it is important for you to be knowledgeable of all of the licensing requirements that apply to your program. It is your responsibility to maintain compliance with all of the applicable laws and rules at all times. The best way for you to make sure that you are meeting all requirements is to periodically review the child care law and rules. Both are available on the DCDEE website https://ncchildcare.ncdhhs.gov/ , on the home page under the ‘Services’ tab. Consultation Glue guns cannot be out when children are in care. The wooden table on the playground has chipped wood and should be removed. RESOURCES The Health and Safety Trainings are offered on the DCDEE Moodle format. On the Division’s website look under the “SERVICES” tab for “DCDEE Moodle”. These trainings are free, and participants will receive training certificates when completed. Child care programs can order free posters from the NC Child Care Health and Safety Resource Center at https://healthychildcare.unc.edu/ . The Health and Safety Trainings are now being offered on the DCDEE Moodle format as well. These trainings are free, and participants will receive training certificates when completed. If you have questions or concerns, I can be reached at 336-580-5417 or at mona.ndiaye@dhhs.nc.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