THE Growing Place

10A NCAC 09 .0803 · Violation

Name of Operation: THE GROWING PLACE Facility ID: 7659008 Consultant: LORI RIERSON Operation Type: Center Case Number: Visit Date: 6/4/2026 Number Present: 59 Completed Date: 6/4/2026 Age: From 0 To 8 Total Minutes: 240 Time In: 09:15 AM Time Out: 01:15 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 6/13/25. Currently this program operates with a five (5) Star License, issued 9/17/18. The facility earned seven (7) points in staff education, seven (7) points in program standards, and one (1) quality point for programmatic options met. The Secretary of State site was used to check the status of the corporation. It is current/active. Center director Katherine Davis assisted me today. I conducted an assisted walk-through of the center. The last sanitation inspection was completed 8/14/25 with an ’Approved’ classification and 17 demerits. The last fire inspection was conducted on 8/21/25. Children were observed playing outside, playing in activity areas, and routine care activities. The center uses three passenger vans (KFH 1903, BEA 9188, TAB 4034) to transport school-age children. All were on site and monitored today. A full assessment of applicable childcare rules was conducted today. The following violation(s) were documented and technical assistance regarding maintaining compliance was offered. Violation Number Comment Rule 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. A diaper cream for a child in room 3 did not have a permission form. 10A NCAC 09 .0803(1)(a & b) 887 Caregivers did not document compliance with visually checking on sleeping infants aged 12 months or younger and/or the documents were not maintained for a minimum of one month. Sleep checks were not completed in room 3 on 6/3/26. .0606(g) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. The orientation for C. Caruso was due by 2/9/26 and was completed 2/24/26. The orientation for J. Butts was due by 2/23/26 and was completed 2/26/26. .1101(a) 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. An action plan for a child in room 1 expired 3/26/26. .0802(c) You were provided an opportunity to ask questions regarding interpretation and implementation of all childcare requirements. Each violation cited was discussed with Ms. Davis. The violation(s) documented above must be corrected immediately. A signed and dated letter of compliance must be received on or before 6/18/26. 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. CONSULTATION We discussed the relocation of the center due to renovations today. You stated you plan to close the existing center in August and relocate to the other site while the renovations are completed. This is expected to take up to two years. You will contact me once you receive final building, fire, and sanitation inspections. I will schedule a visit during your move week to measure classrooms and approve the space. I left the application, statement of responsibility, legal designee, and related appendices for you to complete today. You may send those to me at any time. Once you compete the move, I will complete a rated license assessment visit transition you to a new pathway. We discussed the procedure if a medical action plan has an over-the-counter medication listed. All medications listed on a medical action plan must be located in the child’s classroom. Over-the-counter medications must be stored in a locked box and stored with the emergency medication which is unlocked. The over-the-counter medication can be unlocked when accompanied by a letter from the doctor stating the medication if for emergency purposes. The location of the medication must be clearly labeled in the classroom. Each medication must have a separate medication administration log and permission form. A copy of the action plan and a medication administration permission form for each medication must accompany the medication. It is best practice to attach a photo of the child to the action plan. Copies of the action plan must also be included in the transportation notebook. Action plans signed by a parent are valid or six months and valid for twelve months when signed by a doctor. We discussed planning for summer field trips today. You may create a calendar for parents listing the times and locations for each trip. Parents will write child’s name, sign, and date the calendar. The signature line must state that the parent is giving permission for their child to attend all listed trips. You will keep a copy and provide the parent with a copy. If a separate trip is added, you will need to complete an individual permission trip form for that trip. Staff orientation for all staff, even substitutes, must be completed within six weeks. Orientation for T. Poole must be completed by 6/16/26. The emergency medication for a child in room 8 expires 7/2026. 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 * QRIS Updates 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 .0601 · Violation

Name of Operation: THE GROWING PLACE Facility ID: 7659008 Consultant: MONA NDIAYE Operation Type: Center Case Number: Visit Date: 6/13/2025 Number Present: 49 Completed Date: 6/13/2025 Age: From 0 To 5 Total Minutes: 115 Time In: 10:05 AM Time Out: 12:00 PM 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 with a Rated License Assessment. Upon my arrival I was greeted by the Director, Katherine Davis, 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 children were observed participating in free play outside and in their classrooms. The children were observed eating lunch which consisted of cheeseburgers, mixed melon, green beans and milk. The last annual compliance visit was conducted June 18, 2024. The center is operating under a Five star license that was issued September 17, 2018. The license was earned with 7 points in program standards, 7 points in education and 1 quality point. Permit restrictions were in compliance. The last sanitation inspection was conducted April 21, 2025 the center received an Approved rating. Fire drills and playground inspections were monitored. The last fire inspection was conducted on August 23, 2024. Six staff files were monitored including three new staff, and ten children’s files were monitored. Your compliance history is 85%, this may change following today’s visit. During today’s visit, a full assessment of applicable Child Care Requirements was conducted. I observed five violations. Violation Number Comment Rule 807 A safe indoor and outdoor environment was not provided for the children. There was a lamp in the classrooms for 2 and 3 year olds that have a cracked plastic shade. 10A NCAC 09 .0601(a) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. There were uncovered outlets in two classrooms. 10A NCAC 09 .0604(c) 847 Parent's medication authorization did not include required information. Several diaper creams and sunscreens did not have parental authorizations on file or were expired. 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. There were diaper creams and sunscreens in the classroom for two and three year olds and the children were no longer enrolled in the classroom or the center. .0803(12) 1834 Application did not have a medical action plan attached for any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services. There was a child with asthma in the classroom for 2 and 3 year olds that did not have an medical action plan on file. .0801(b) The above violations must be corrected immediately, and a letter must be sent to me no later than July 1, 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 1, 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. Rated License Information I received the signed application for the two-component star rated license during todays visit. Education is currently being processed for two teachers that have completed EDU 119 and are in school. The program had the Environment Rating Scales conducted in July 2024. The average score is 6. Once the education is processed by Workforce, all components will be reviewed, and a determination will be made on a new license. 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 .0604 · Violation

Name of Operation: THE GROWING PLACE Facility ID: 7659008 Consultant: MONA NDIAYE Operation Type: Center Case Number: Visit Date: 6/13/2025 Number Present: 49 Completed Date: 6/13/2025 Age: From 0 To 5 Total Minutes: 115 Time In: 10:05 AM Time Out: 12:00 PM 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 with a Rated License Assessment. Upon my arrival I was greeted by the Director, Katherine Davis, 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 children were observed participating in free play outside and in their classrooms. The children were observed eating lunch which consisted of cheeseburgers, mixed melon, green beans and milk. The last annual compliance visit was conducted June 18, 2024. The center is operating under a Five star license that was issued September 17, 2018. The license was earned with 7 points in program standards, 7 points in education and 1 quality point. Permit restrictions were in compliance. The last sanitation inspection was conducted April 21, 2025 the center received an Approved rating. Fire drills and playground inspections were monitored. The last fire inspection was conducted on August 23, 2024. Six staff files were monitored including three new staff, and ten children’s files were monitored. Your compliance history is 85%, this may change following today’s visit. During today’s visit, a full assessment of applicable Child Care Requirements was conducted. I observed five violations. Violation Number Comment Rule 807 A safe indoor and outdoor environment was not provided for the children. There was a lamp in the classrooms for 2 and 3 year olds that have a cracked plastic shade. 10A NCAC 09 .0601(a) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. There were uncovered outlets in two classrooms. 10A NCAC 09 .0604(c) 847 Parent's medication authorization did not include required information. Several diaper creams and sunscreens did not have parental authorizations on file or were expired. 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. There were diaper creams and sunscreens in the classroom for two and three year olds and the children were no longer enrolled in the classroom or the center. .0803(12) 1834 Application did not have a medical action plan attached for any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services. There was a child with asthma in the classroom for 2 and 3 year olds that did not have an medical action plan on file. .0801(b) The above violations must be corrected immediately, and a letter must be sent to me no later than July 1, 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 1, 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. Rated License Information I received the signed application for the two-component star rated license during todays visit. Education is currently being processed for two teachers that have completed EDU 119 and are in school. The program had the Environment Rating Scales conducted in July 2024. The average score is 6. Once the education is processed by Workforce, all components will be reviewed, and a determination will be made on a new license. 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: THE GROWING PLACE Facility ID: 7659008 Consultant: MONA NDIAYE Operation Type: Center Case Number: Visit Date: 6/13/2025 Number Present: 49 Completed Date: 6/13/2025 Age: From 0 To 5 Total Minutes: 115 Time In: 10:05 AM Time Out: 12:00 PM 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 with a Rated License Assessment. Upon my arrival I was greeted by the Director, Katherine Davis, 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 children were observed participating in free play outside and in their classrooms. The children were observed eating lunch which consisted of cheeseburgers, mixed melon, green beans and milk. The last annual compliance visit was conducted June 18, 2024. The center is operating under a Five star license that was issued September 17, 2018. The license was earned with 7 points in program standards, 7 points in education and 1 quality point. Permit restrictions were in compliance. The last sanitation inspection was conducted April 21, 2025 the center received an Approved rating. Fire drills and playground inspections were monitored. The last fire inspection was conducted on August 23, 2024. Six staff files were monitored including three new staff, and ten children’s files were monitored. Your compliance history is 85%, this may change following today’s visit. During today’s visit, a full assessment of applicable Child Care Requirements was conducted. I observed five violations. Violation Number Comment Rule 807 A safe indoor and outdoor environment was not provided for the children. There was a lamp in the classrooms for 2 and 3 year olds that have a cracked plastic shade. 10A NCAC 09 .0601(a) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. There were uncovered outlets in two classrooms. 10A NCAC 09 .0604(c) 847 Parent's medication authorization did not include required information. Several diaper creams and sunscreens did not have parental authorizations on file or were expired. 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. There were diaper creams and sunscreens in the classroom for two and three year olds and the children were no longer enrolled in the classroom or the center. .0803(12) 1834 Application did not have a medical action plan attached for any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services. There was a child with asthma in the classroom for 2 and 3 year olds that did not have an medical action plan on file. .0801(b) The above violations must be corrected immediately, and a letter must be sent to me no later than July 1, 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 1, 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. Rated License Information I received the signed application for the two-component star rated license during todays visit. Education is currently being processed for two teachers that have completed EDU 119 and are in school. The program had the Environment Rating Scales conducted in July 2024. The average score is 6. Once the education is processed by Workforce, all components will be reviewed, and a determination will be made on a new license. 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 .0604 · Violation

Name of Operation: THE GROWING PLACE Facility ID: 7659008 Consultant: MONA NDIAYE Operation Type: Center Case Number: Visit Date: 6/18/2024 Number Present: 83 Completed Date: 6/18/2024 Age: From 0 To 11 Total Minutes: 285 Time In: 09:15 AM Time Out: 02:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp w/Rated Lic Assess 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 and evaluate the program’s license. Upon my arrival I was greeted by the Director, Katherine Davis, 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 on their designated playground. Two children were observed having their diapers changed. The children were observed eating lunch which consisted of macaroni and cheese, peas, mandarin oranges and milk. The last annual compliance visit was conducted June 29, 2023. The center is operating under a Five Star License that was issued September 17, 2018. The last sanitation inspection was conducted on May 29, 2024, the center received an “Superior” rating. The last fire inspection was completed on August 25, 2023. Fire drills and playground inspections were monitored. One new staff, two existing staff and ten children’s files were monitored. Three vans used for transportation were monitored. Each van has a destinated backpack that holds the first aid kits and the children’s emergency information. 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 428 A current activity plan was not posted for each group of children for reference. The activity plan was not current in the classroom for 2 and 3 year olds. There was no activity plan available in the classroom use for school age children. GS 110-91(12); .0508(a) 429 The activity plan was not designed to stimulate emotional and social, health and physical, approaches to play and learning, language development and communication, and cognitive development for each group of children in care. In the classrooms for children ages two and three and children four and five years of age the activity plan did not have documentation of the required domains. .0508(b)(1-5) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. There were open outlets in power strips in the classrooms for infants, toddlers and two year olds. 10A NCAC 09 .0604(c) 847 Parent's medication authorization did not include required information. Several medications throughout the center had missing information or did not have a authorization on file. 10A NCAC 09 .0803(4)(6-9) 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 the cafeteria where some of the children eat, there was a coffee warmer accessible to the children. .0604(e) 1044 Prior to the expiration date of the qualification letter, the child care provider did not complete and submit required forms to complete a criminal background check (a qualification letter is valid for a maximum of five years for the date of issuance). One staff had an criminal background check that expired 6/6/24 and did not have a current criminal background check on file. G.S. 110-90.2(b) & .2703(n)&(o) 1835 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. Two medical action plans were not updated annually. .0801(b) 1872 Parents were not given the changed Shaken Baby Syndrome and Abusive Head Trauma policy 14 days prior to implementation and did not sign a statement which attests that the new policy was given to and discussed with him or her. Four children did not have a signed shaken baby policy on file. .0608(c) 9999 A violation was found for which there is no item number. 15A NCAC 18A .2819 DIAPERING AND DIAPER CHANGING FACILITIES (d) Child care center employees shall change a child's diaper as follows: (1) gathering supplies before placing child on diapering surface; (2) donning disposable gloves (if needed); (3) using disposable towelette or moistened paper towel to clean child, wiping front to back; (4) disposing of gloves if used, soiled towelettes and diaper in a plastic-lined, covered receptacle; (5) wiping the child care center employee's hands and the child's hands each with a separate disposable towelette or moistened paper towel; (6) sliding a clean diaper under the child, applying diapering products if needed, using facial or toilet tissue, and discarding the tissue in a plastic-lined, covered receptacle; (7) fastening the diaper and placing clothing on child; (8) washing child's hands in accordance with Rule .2803 of this Section, or, if child is unable to support the child's head, cleaning the child's hands with a disposable towelette or moistened paper towel, then drying the child's hands and returning the child to a supervised area; (9) spraying entire diapering surface with detergent solution and wipe clean, using disposable paper towels; (10) spraying entire diapering surface with an approved disinfectant and allowing to remain on the surface for two minutes or as specified by the manufacturer, or air dry; and (11) washing hands in accordance with Rule .2803 of this Section even if disposable gloves are used by the child care center employee. The above violation must be corrected immediately, and a letter must be sent to me no later than July 5, 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 5, 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 Visit the DCDEE website and get the medication form used form topical ointments such as diaper creams and sunscreens. “As Needed” cannot be used on the medication forms. Parents must give specific information such as when and where the medication must be used and how much medication to use. It should never be left up to staff to determine when the medication should be given. Field trip/off premise activities schedule requirements are as follows 10A NCAC 09 .2509 ACTIVITIES: OFF-PREMISES (b) The facility shall develop a plan of activities which is posted in a place in the home base or given to the parents. The plan shall include the location, purpose, time and date, person in charge, and telephone number or method for contacting the person in charge. Consultation We discussed the possibility of a new addition being added on the center. I advised the director to talk with sanitation for specific sanitation questions. We reviewed the square footage required for indoor and outdoor space. Also what would be an ideal placements for bathrooms in a new center. There are plans to remodel the current building. Up date me on all the projects once the church has made its decisions. Labeling all plants on the playground and in the classrooms is best practice to ensure a safer environment. It is best practice to put an “I can roll” statement near each infant’s crib. Rated License Information Your program is in cohort 1, your prep year began July 1, 2023 and will end June 30, 2024. Your assessment your will begin July 1, 2024 and end June 30, 2025. The center currently is operating with 7 points in program standards, 7 points in education standards and 1 quality point. Program Standards The facility is meeting all enhanced requirements and reduced ratios. The Environment Rating Scales (ERS) have been requested. Once the assessments are completed, a visit will be scheduled to review the scores and determine the program standards points. Education Standards The Administrator is meeting 7 points in education. The Lead Teachers are meeting 7 points in education. The Teachers are meeting 7 points in education. The Program Coordinator is meeting 7 points in education. The Group Leaders are meeting 7 points in education. The program has earned 7 points in education standards. Quality Point A quality point was earned by having a staff benefits package and an infrastructure of parental involvement. 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 .0803 · Violation

Name of Operation: THE GROWING PLACE Facility ID: 7659008 Consultant: MONA NDIAYE Operation Type: Center Case Number: Visit Date: 6/18/2024 Number Present: 83 Completed Date: 6/18/2024 Age: From 0 To 11 Total Minutes: 285 Time In: 09:15 AM Time Out: 02:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp w/Rated Lic Assess 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 and evaluate the program’s license. Upon my arrival I was greeted by the Director, Katherine Davis, 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 on their designated playground. Two children were observed having their diapers changed. The children were observed eating lunch which consisted of macaroni and cheese, peas, mandarin oranges and milk. The last annual compliance visit was conducted June 29, 2023. The center is operating under a Five Star License that was issued September 17, 2018. The last sanitation inspection was conducted on May 29, 2024, the center received an “Superior” rating. The last fire inspection was completed on August 25, 2023. Fire drills and playground inspections were monitored. One new staff, two existing staff and ten children’s files were monitored. Three vans used for transportation were monitored. Each van has a destinated backpack that holds the first aid kits and the children’s emergency information. 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 428 A current activity plan was not posted for each group of children for reference. The activity plan was not current in the classroom for 2 and 3 year olds. There was no activity plan available in the classroom use for school age children. GS 110-91(12); .0508(a) 429 The activity plan was not designed to stimulate emotional and social, health and physical, approaches to play and learning, language development and communication, and cognitive development for each group of children in care. In the classrooms for children ages two and three and children four and five years of age the activity plan did not have documentation of the required domains. .0508(b)(1-5) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. There were open outlets in power strips in the classrooms for infants, toddlers and two year olds. 10A NCAC 09 .0604(c) 847 Parent's medication authorization did not include required information. Several medications throughout the center had missing information or did not have a authorization on file. 10A NCAC 09 .0803(4)(6-9) 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 the cafeteria where some of the children eat, there was a coffee warmer accessible to the children. .0604(e) 1044 Prior to the expiration date of the qualification letter, the child care provider did not complete and submit required forms to complete a criminal background check (a qualification letter is valid for a maximum of five years for the date of issuance). One staff had an criminal background check that expired 6/6/24 and did not have a current criminal background check on file. G.S. 110-90.2(b) & .2703(n)&(o) 1835 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. Two medical action plans were not updated annually. .0801(b) 1872 Parents were not given the changed Shaken Baby Syndrome and Abusive Head Trauma policy 14 days prior to implementation and did not sign a statement which attests that the new policy was given to and discussed with him or her. Four children did not have a signed shaken baby policy on file. .0608(c) 9999 A violation was found for which there is no item number. 15A NCAC 18A .2819 DIAPERING AND DIAPER CHANGING FACILITIES (d) Child care center employees shall change a child's diaper as follows: (1) gathering supplies before placing child on diapering surface; (2) donning disposable gloves (if needed); (3) using disposable towelette or moistened paper towel to clean child, wiping front to back; (4) disposing of gloves if used, soiled towelettes and diaper in a plastic-lined, covered receptacle; (5) wiping the child care center employee's hands and the child's hands each with a separate disposable towelette or moistened paper towel; (6) sliding a clean diaper under the child, applying diapering products if needed, using facial or toilet tissue, and discarding the tissue in a plastic-lined, covered receptacle; (7) fastening the diaper and placing clothing on child; (8) washing child's hands in accordance with Rule .2803 of this Section, or, if child is unable to support the child's head, cleaning the child's hands with a disposable towelette or moistened paper towel, then drying the child's hands and returning the child to a supervised area; (9) spraying entire diapering surface with detergent solution and wipe clean, using disposable paper towels; (10) spraying entire diapering surface with an approved disinfectant and allowing to remain on the surface for two minutes or as specified by the manufacturer, or air dry; and (11) washing hands in accordance with Rule .2803 of this Section even if disposable gloves are used by the child care center employee. The above violation must be corrected immediately, and a letter must be sent to me no later than July 5, 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 5, 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 Visit the DCDEE website and get the medication form used form topical ointments such as diaper creams and sunscreens. “As Needed” cannot be used on the medication forms. Parents must give specific information such as when and where the medication must be used and how much medication to use. It should never be left up to staff to determine when the medication should be given. Field trip/off premise activities schedule requirements are as follows 10A NCAC 09 .2509 ACTIVITIES: OFF-PREMISES (b) The facility shall develop a plan of activities which is posted in a place in the home base or given to the parents. The plan shall include the location, purpose, time and date, person in charge, and telephone number or method for contacting the person in charge. Consultation We discussed the possibility of a new addition being added on the center. I advised the director to talk with sanitation for specific sanitation questions. We reviewed the square footage required for indoor and outdoor space. Also what would be an ideal placements for bathrooms in a new center. There are plans to remodel the current building. Up date me on all the projects once the church has made its decisions. Labeling all plants on the playground and in the classrooms is best practice to ensure a safer environment. It is best practice to put an “I can roll” statement near each infant’s crib. Rated License Information Your program is in cohort 1, your prep year began July 1, 2023 and will end June 30, 2024. Your assessment your will begin July 1, 2024 and end June 30, 2025. The center currently is operating with 7 points in program standards, 7 points in education standards and 1 quality point. Program Standards The facility is meeting all enhanced requirements and reduced ratios. The Environment Rating Scales (ERS) have been requested. Once the assessments are completed, a visit will be scheduled to review the scores and determine the program standards points. Education Standards The Administrator is meeting 7 points in education. The Lead Teachers are meeting 7 points in education. The Teachers are meeting 7 points in education. The Program Coordinator is meeting 7 points in education. The Group Leaders are meeting 7 points in education. The program has earned 7 points in education standards. Quality Point A quality point was earned by having a staff benefits package and an infrastructure of parental involvement. 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 .2509 · Violation

Name of Operation: THE GROWING PLACE Facility ID: 7659008 Consultant: MONA NDIAYE Operation Type: Center Case Number: Visit Date: 6/18/2024 Number Present: 83 Completed Date: 6/18/2024 Age: From 0 To 11 Total Minutes: 285 Time In: 09:15 AM Time Out: 02:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp w/Rated Lic Assess 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 and evaluate the program’s license. Upon my arrival I was greeted by the Director, Katherine Davis, 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 on their designated playground. Two children were observed having their diapers changed. The children were observed eating lunch which consisted of macaroni and cheese, peas, mandarin oranges and milk. The last annual compliance visit was conducted June 29, 2023. The center is operating under a Five Star License that was issued September 17, 2018. The last sanitation inspection was conducted on May 29, 2024, the center received an “Superior” rating. The last fire inspection was completed on August 25, 2023. Fire drills and playground inspections were monitored. One new staff, two existing staff and ten children’s files were monitored. Three vans used for transportation were monitored. Each van has a destinated backpack that holds the first aid kits and the children’s emergency information. 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 428 A current activity plan was not posted for each group of children for reference. The activity plan was not current in the classroom for 2 and 3 year olds. There was no activity plan available in the classroom use for school age children. GS 110-91(12); .0508(a) 429 The activity plan was not designed to stimulate emotional and social, health and physical, approaches to play and learning, language development and communication, and cognitive development for each group of children in care. In the classrooms for children ages two and three and children four and five years of age the activity plan did not have documentation of the required domains. .0508(b)(1-5) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. There were open outlets in power strips in the classrooms for infants, toddlers and two year olds. 10A NCAC 09 .0604(c) 847 Parent's medication authorization did not include required information. Several medications throughout the center had missing information or did not have a authorization on file. 10A NCAC 09 .0803(4)(6-9) 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 the cafeteria where some of the children eat, there was a coffee warmer accessible to the children. .0604(e) 1044 Prior to the expiration date of the qualification letter, the child care provider did not complete and submit required forms to complete a criminal background check (a qualification letter is valid for a maximum of five years for the date of issuance). One staff had an criminal background check that expired 6/6/24 and did not have a current criminal background check on file. G.S. 110-90.2(b) & .2703(n)&(o) 1835 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. Two medical action plans were not updated annually. .0801(b) 1872 Parents were not given the changed Shaken Baby Syndrome and Abusive Head Trauma policy 14 days prior to implementation and did not sign a statement which attests that the new policy was given to and discussed with him or her. Four children did not have a signed shaken baby policy on file. .0608(c) 9999 A violation was found for which there is no item number. 15A NCAC 18A .2819 DIAPERING AND DIAPER CHANGING FACILITIES (d) Child care center employees shall change a child's diaper as follows: (1) gathering supplies before placing child on diapering surface; (2) donning disposable gloves (if needed); (3) using disposable towelette or moistened paper towel to clean child, wiping front to back; (4) disposing of gloves if used, soiled towelettes and diaper in a plastic-lined, covered receptacle; (5) wiping the child care center employee's hands and the child's hands each with a separate disposable towelette or moistened paper towel; (6) sliding a clean diaper under the child, applying diapering products if needed, using facial or toilet tissue, and discarding the tissue in a plastic-lined, covered receptacle; (7) fastening the diaper and placing clothing on child; (8) washing child's hands in accordance with Rule .2803 of this Section, or, if child is unable to support the child's head, cleaning the child's hands with a disposable towelette or moistened paper towel, then drying the child's hands and returning the child to a supervised area; (9) spraying entire diapering surface with detergent solution and wipe clean, using disposable paper towels; (10) spraying entire diapering surface with an approved disinfectant and allowing to remain on the surface for two minutes or as specified by the manufacturer, or air dry; and (11) washing hands in accordance with Rule .2803 of this Section even if disposable gloves are used by the child care center employee. The above violation must be corrected immediately, and a letter must be sent to me no later than July 5, 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 5, 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 Visit the DCDEE website and get the medication form used form topical ointments such as diaper creams and sunscreens. “As Needed” cannot be used on the medication forms. Parents must give specific information such as when and where the medication must be used and how much medication to use. It should never be left up to staff to determine when the medication should be given. Field trip/off premise activities schedule requirements are as follows 10A NCAC 09 .2509 ACTIVITIES: OFF-PREMISES (b) The facility shall develop a plan of activities which is posted in a place in the home base or given to the parents. The plan shall include the location, purpose, time and date, person in charge, and telephone number or method for contacting the person in charge. Consultation We discussed the possibility of a new addition being added on the center. I advised the director to talk with sanitation for specific sanitation questions. We reviewed the square footage required for indoor and outdoor space. Also what would be an ideal placements for bathrooms in a new center. There are plans to remodel the current building. Up date me on all the projects once the church has made its decisions. Labeling all plants on the playground and in the classrooms is best practice to ensure a safer environment. It is best practice to put an “I can roll” statement near each infant’s crib. Rated License Information Your program is in cohort 1, your prep year began July 1, 2023 and will end June 30, 2024. Your assessment your will begin July 1, 2024 and end June 30, 2025. The center currently is operating with 7 points in program standards, 7 points in education standards and 1 quality point. Program Standards The facility is meeting all enhanced requirements and reduced ratios. The Environment Rating Scales (ERS) have been requested. Once the assessments are completed, a visit will be scheduled to review the scores and determine the program standards points. Education Standards The Administrator is meeting 7 points in education. The Lead Teachers are meeting 7 points in education. The Teachers are meeting 7 points in education. The Program Coordinator is meeting 7 points in education. The Group Leaders are meeting 7 points in education. The program has earned 7 points in education standards. Quality Point A quality point was earned by having a staff benefits package and an infrastructure of parental involvement. 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

G.S. 110-90 · Violation

Name of Operation: THE GROWING PLACE Facility ID: 7659008 Consultant: MONA NDIAYE Operation Type: Center Case Number: Visit Date: 6/18/2024 Number Present: 83 Completed Date: 6/18/2024 Age: From 0 To 11 Total Minutes: 285 Time In: 09:15 AM Time Out: 02:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp w/Rated Lic Assess 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 and evaluate the program’s license. Upon my arrival I was greeted by the Director, Katherine Davis, 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 on their designated playground. Two children were observed having their diapers changed. The children were observed eating lunch which consisted of macaroni and cheese, peas, mandarin oranges and milk. The last annual compliance visit was conducted June 29, 2023. The center is operating under a Five Star License that was issued September 17, 2018. The last sanitation inspection was conducted on May 29, 2024, the center received an “Superior” rating. The last fire inspection was completed on August 25, 2023. Fire drills and playground inspections were monitored. One new staff, two existing staff and ten children’s files were monitored. Three vans used for transportation were monitored. Each van has a destinated backpack that holds the first aid kits and the children’s emergency information. 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 428 A current activity plan was not posted for each group of children for reference. The activity plan was not current in the classroom for 2 and 3 year olds. There was no activity plan available in the classroom use for school age children. GS 110-91(12); .0508(a) 429 The activity plan was not designed to stimulate emotional and social, health and physical, approaches to play and learning, language development and communication, and cognitive development for each group of children in care. In the classrooms for children ages two and three and children four and five years of age the activity plan did not have documentation of the required domains. .0508(b)(1-5) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. There were open outlets in power strips in the classrooms for infants, toddlers and two year olds. 10A NCAC 09 .0604(c) 847 Parent's medication authorization did not include required information. Several medications throughout the center had missing information or did not have a authorization on file. 10A NCAC 09 .0803(4)(6-9) 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 the cafeteria where some of the children eat, there was a coffee warmer accessible to the children. .0604(e) 1044 Prior to the expiration date of the qualification letter, the child care provider did not complete and submit required forms to complete a criminal background check (a qualification letter is valid for a maximum of five years for the date of issuance). One staff had an criminal background check that expired 6/6/24 and did not have a current criminal background check on file. G.S. 110-90.2(b) & .2703(n)&(o) 1835 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. Two medical action plans were not updated annually. .0801(b) 1872 Parents were not given the changed Shaken Baby Syndrome and Abusive Head Trauma policy 14 days prior to implementation and did not sign a statement which attests that the new policy was given to and discussed with him or her. Four children did not have a signed shaken baby policy on file. .0608(c) 9999 A violation was found for which there is no item number. 15A NCAC 18A .2819 DIAPERING AND DIAPER CHANGING FACILITIES (d) Child care center employees shall change a child's diaper as follows: (1) gathering supplies before placing child on diapering surface; (2) donning disposable gloves (if needed); (3) using disposable towelette or moistened paper towel to clean child, wiping front to back; (4) disposing of gloves if used, soiled towelettes and diaper in a plastic-lined, covered receptacle; (5) wiping the child care center employee's hands and the child's hands each with a separate disposable towelette or moistened paper towel; (6) sliding a clean diaper under the child, applying diapering products if needed, using facial or toilet tissue, and discarding the tissue in a plastic-lined, covered receptacle; (7) fastening the diaper and placing clothing on child; (8) washing child's hands in accordance with Rule .2803 of this Section, or, if child is unable to support the child's head, cleaning the child's hands with a disposable towelette or moistened paper towel, then drying the child's hands and returning the child to a supervised area; (9) spraying entire diapering surface with detergent solution and wipe clean, using disposable paper towels; (10) spraying entire diapering surface with an approved disinfectant and allowing to remain on the surface for two minutes or as specified by the manufacturer, or air dry; and (11) washing hands in accordance with Rule .2803 of this Section even if disposable gloves are used by the child care center employee. The above violation must be corrected immediately, and a letter must be sent to me no later than July 5, 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 5, 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 Visit the DCDEE website and get the medication form used form topical ointments such as diaper creams and sunscreens. “As Needed” cannot be used on the medication forms. Parents must give specific information such as when and where the medication must be used and how much medication to use. It should never be left up to staff to determine when the medication should be given. Field trip/off premise activities schedule requirements are as follows 10A NCAC 09 .2509 ACTIVITIES: OFF-PREMISES (b) The facility shall develop a plan of activities which is posted in a place in the home base or given to the parents. The plan shall include the location, purpose, time and date, person in charge, and telephone number or method for contacting the person in charge. Consultation We discussed the possibility of a new addition being added on the center. I advised the director to talk with sanitation for specific sanitation questions. We reviewed the square footage required for indoor and outdoor space. Also what would be an ideal placements for bathrooms in a new center. There are plans to remodel the current building. Up date me on all the projects once the church has made its decisions. Labeling all plants on the playground and in the classrooms is best practice to ensure a safer environment. It is best practice to put an “I can roll” statement near each infant’s crib. Rated License Information Your program is in cohort 1, your prep year began July 1, 2023 and will end June 30, 2024. Your assessment your will begin July 1, 2024 and end June 30, 2025. The center currently is operating with 7 points in program standards, 7 points in education standards and 1 quality point. Program Standards The facility is meeting all enhanced requirements and reduced ratios. The Environment Rating Scales (ERS) have been requested. Once the assessments are completed, a visit will be scheduled to review the scores and determine the program standards points. Education Standards The Administrator is meeting 7 points in education. The Lead Teachers are meeting 7 points in education. The Teachers are meeting 7 points in education. The Program Coordinator is meeting 7 points in education. The Group Leaders are meeting 7 points in education. The program has earned 7 points in education standards. Quality Point A quality point was earned by having a staff benefits package and an infrastructure of parental involvement. 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

GS 110-91 · Violation

Name of Operation: THE GROWING PLACE Facility ID: 7659008 Consultant: MONA NDIAYE Operation Type: Center Case Number: Visit Date: 6/18/2024 Number Present: 83 Completed Date: 6/18/2024 Age: From 0 To 11 Total Minutes: 285 Time In: 09:15 AM Time Out: 02:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp w/Rated Lic Assess 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 and evaluate the program’s license. Upon my arrival I was greeted by the Director, Katherine Davis, 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 on their designated playground. Two children were observed having their diapers changed. The children were observed eating lunch which consisted of macaroni and cheese, peas, mandarin oranges and milk. The last annual compliance visit was conducted June 29, 2023. The center is operating under a Five Star License that was issued September 17, 2018. The last sanitation inspection was conducted on May 29, 2024, the center received an “Superior” rating. The last fire inspection was completed on August 25, 2023. Fire drills and playground inspections were monitored. One new staff, two existing staff and ten children’s files were monitored. Three vans used for transportation were monitored. Each van has a destinated backpack that holds the first aid kits and the children’s emergency information. 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 428 A current activity plan was not posted for each group of children for reference. The activity plan was not current in the classroom for 2 and 3 year olds. There was no activity plan available in the classroom use for school age children. GS 110-91(12); .0508(a) 429 The activity plan was not designed to stimulate emotional and social, health and physical, approaches to play and learning, language development and communication, and cognitive development for each group of children in care. In the classrooms for children ages two and three and children four and five years of age the activity plan did not have documentation of the required domains. .0508(b)(1-5) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. There were open outlets in power strips in the classrooms for infants, toddlers and two year olds. 10A NCAC 09 .0604(c) 847 Parent's medication authorization did not include required information. Several medications throughout the center had missing information or did not have a authorization on file. 10A NCAC 09 .0803(4)(6-9) 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 the cafeteria where some of the children eat, there was a coffee warmer accessible to the children. .0604(e) 1044 Prior to the expiration date of the qualification letter, the child care provider did not complete and submit required forms to complete a criminal background check (a qualification letter is valid for a maximum of five years for the date of issuance). One staff had an criminal background check that expired 6/6/24 and did not have a current criminal background check on file. G.S. 110-90.2(b) & .2703(n)&(o) 1835 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. Two medical action plans were not updated annually. .0801(b) 1872 Parents were not given the changed Shaken Baby Syndrome and Abusive Head Trauma policy 14 days prior to implementation and did not sign a statement which attests that the new policy was given to and discussed with him or her. Four children did not have a signed shaken baby policy on file. .0608(c) 9999 A violation was found for which there is no item number. 15A NCAC 18A .2819 DIAPERING AND DIAPER CHANGING FACILITIES (d) Child care center employees shall change a child's diaper as follows: (1) gathering supplies before placing child on diapering surface; (2) donning disposable gloves (if needed); (3) using disposable towelette or moistened paper towel to clean child, wiping front to back; (4) disposing of gloves if used, soiled towelettes and diaper in a plastic-lined, covered receptacle; (5) wiping the child care center employee's hands and the child's hands each with a separate disposable towelette or moistened paper towel; (6) sliding a clean diaper under the child, applying diapering products if needed, using facial or toilet tissue, and discarding the tissue in a plastic-lined, covered receptacle; (7) fastening the diaper and placing clothing on child; (8) washing child's hands in accordance with Rule .2803 of this Section, or, if child is unable to support the child's head, cleaning the child's hands with a disposable towelette or moistened paper towel, then drying the child's hands and returning the child to a supervised area; (9) spraying entire diapering surface with detergent solution and wipe clean, using disposable paper towels; (10) spraying entire diapering surface with an approved disinfectant and allowing to remain on the surface for two minutes or as specified by the manufacturer, or air dry; and (11) washing hands in accordance with Rule .2803 of this Section even if disposable gloves are used by the child care center employee. The above violation must be corrected immediately, and a letter must be sent to me no later than July 5, 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 5, 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 Visit the DCDEE website and get the medication form used form topical ointments such as diaper creams and sunscreens. “As Needed” cannot be used on the medication forms. Parents must give specific information such as when and where the medication must be used and how much medication to use. It should never be left up to staff to determine when the medication should be given. Field trip/off premise activities schedule requirements are as follows 10A NCAC 09 .2509 ACTIVITIES: OFF-PREMISES (b) The facility shall develop a plan of activities which is posted in a place in the home base or given to the parents. The plan shall include the location, purpose, time and date, person in charge, and telephone number or method for contacting the person in charge. Consultation We discussed the possibility of a new addition being added on the center. I advised the director to talk with sanitation for specific sanitation questions. We reviewed the square footage required for indoor and outdoor space. Also what would be an ideal placements for bathrooms in a new center. There are plans to remodel the current building. Up date me on all the projects once the church has made its decisions. Labeling all plants on the playground and in the classrooms is best practice to ensure a safer environment. It is best practice to put an “I can roll” statement near each infant’s crib. Rated License Information Your program is in cohort 1, your prep year began July 1, 2023 and will end June 30, 2024. Your assessment your will begin July 1, 2024 and end June 30, 2025. The center currently is operating with 7 points in program standards, 7 points in education standards and 1 quality point. Program Standards The facility is meeting all enhanced requirements and reduced ratios. The Environment Rating Scales (ERS) have been requested. Once the assessments are completed, a visit will be scheduled to review the scores and determine the program standards points. Education Standards The Administrator is meeting 7 points in education. The Lead Teachers are meeting 7 points in education. The Teachers are meeting 7 points in education. The Program Coordinator is meeting 7 points in education. The Group Leaders are meeting 7 points in education. The program has earned 7 points in education standards. Quality Point A quality point was earned by having a staff benefits package and an infrastructure of parental involvement. 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 .0803 · Violation

Name of Operation: THE GROWING PLACE Facility ID: 7659008 Consultant: MONA NDIAYE Operation Type: Center Case Number: Visit Date: 2/23/2024 Number Present: 49 Completed Date: 2/23/2024 Age: From 0 To 5 Total Minutes: 95 Time In: 09:30 AM Time Out: 11:05 AM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor for applicable Child Care Requirements. The facility currently operates with a Five Star License that was issued on September 17, 2018. The last annual compliance visit was conducted on June 29, 2023. The Director was present and assisted me during the visit. Children were observed participating in free play in there classrooms. The children 3 through 5 years of age were observed participating in a group time dental awareness presentation. The last sanitation inspection was completed December 14, 2024 with a “Superior” classification. The last fire inspection was conducted August 25, 2023. During today’s visit, a partial assessment of applicable Child Care Requirements was conducted. I observed the following violations. Violation Number Comment Rule 847 Parent's medication authorization did not include required information. There was asthma medication in the classroom for two year olds that did not have a parental authorization on file. 10A NCAC 09 .0803(4)(6-9) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. Three staff did not have documentation of current first aid training. .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.Three staff did not have documentation of current CPR training. .1102(d) The violation(s) must be corrected immediately, and a letter must be sent to me no later than March 8, 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 Your NCRLAP assessment window has been assigned refer to the NCRLAP website for resources to assist you in your preparation for your assessments. -DCDEE has announced their plan to resume the Star Rated License process. Facilities have been divided into 3 Cohorts. Each cohort will have a preparation year and an assessment year. Your facility is in Cohort 1. Your preparation year began July 1, 2023 and will end on June 30, 2024. Your assessment year begins July 1, 2024. The preparation year is an opportunity to focus on your Star Rated License and consider strategies to help maintain or increase your star rating. It could be helpful to consider areas where refresher information might be helpful. These ideas can then be incorporated into ongoing training and/or professional development plans as you prepare for your assessment year when the regular star rated license reassessment process is required. Some preparation year ideas to consider are: 1. Review your previous ECERS-R and ITERS-R assessments. 2. Look for assessment related resources at www.ncrlap.org 3. Seek out webinars and/or in-person trainings related to topics of interest. 4. Start a self-study process to become more familiar with the ERS or priority areas relevant to your program 5. Schedule staff meetings to discuss topics related to the Environment Rating Scales 6. Support and encourage staff during a self-study process. Connect them with resources at ncrlap.org 7. Ensure all staff’s education is current in WORKS by having them log in to access their information at https://dcdee.works.nc.gov/ The North Carolina Early Childhood Equivalency Exam is a new pathway option comparable to a NC Early Childhood Credential. Applicants who achieve a score of 80% or higher on the NC Early Childhood Equivalency Exam earn the new North Carolina Early Childhood Equivalency Certificate. This certificate is equivalent to a North Carolina Early Childhood Credential and will qualify the individual to be a lead teacher in an early childhood classroom. To take the exam, go to DCDEE Moodle and select Early Childhood Professional Development/Child Care and Development Fund (CCDF)/North Carolina Early Childhood Equivalency Exam. 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