THE Growing Years Learning Center - Cary

10A NCAC 09 .0713 · Violation

Name of Operation: THE GROWING YEARS LEARNING CENTER - CARY Facility ID: 92003595 Consultant: AMBER TELFAIR Operation Type: Center Case Number: 1025-382A Visit Date: 12/3/2025 Number Present: 41 Completed Date: 12/3/2025 Age: From 0 To 6 Total Minutes: 75 Time In: 10:30 AM Time Out: 11:45 AM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Follow-Up Announced/Unannounced: Unannounced The purpose of this unannounced visit was to follow-up regarding allegations of violations of child care requirements at this child care facility. Jessica Huvard, director, accompanied me during a walk-through of the facility. During the visit, I spoke with Ms. Huvard and Shea Cochran, area manager. Limited monitoring of child care requirements occurred during today’s visit. The following violations were observed and/or confirmed during today’s visit. Violation Number Comment Rule 301 Minimum staff/child ratios and group sizes for the number and ages of children in care were not met. During the visit, I observed seven children present in the classroom for one-year-old children. GS 110-91(7);.0713(a-d) 318 Children between 12 and 24 months of age were grouped with children 3 years of age or older. During the visit, I observed a six-year-old child in the classroom for one-year-old children. 10A NCAC 09 .0713(a)(6) The cited violations were corrected during the visit. In addition, a written, dated, and signed letter of compliance must be submitted to me within one week, by 12/10/25, describing how compliance will be maintained in the future. The letter of compliance should be emailed to Amber Telfair, Investigations Consultant, amber.telfair@dhhs.nc.gov. You may contact me Amber Telfair, Investigations Consultant, (919) 830-7551, amber.telfair@dhhs.nc.gov or Sheronda Harris, Central Investigations Supervisor, Sheronda.harris@dhhs.nc.gov. Thank you for your time. 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 YEARS LEARNING CENTER - CARY Facility ID: 92003595 Consultant: AMBER TELFAIR Operation Type: Center Case Number: 1025-382A Visit Date: 12/3/2025 Number Present: 41 Completed Date: 12/3/2025 Age: From 0 To 6 Total Minutes: 75 Time In: 10:30 AM Time Out: 11:45 AM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Follow-Up Announced/Unannounced: Unannounced The purpose of this unannounced visit was to follow-up regarding allegations of violations of child care requirements at this child care facility. Jessica Huvard, director, accompanied me during a walk-through of the facility. During the visit, I spoke with Ms. Huvard and Shea Cochran, area manager. Limited monitoring of child care requirements occurred during today’s visit. The following violations were observed and/or confirmed during today’s visit. Violation Number Comment Rule 301 Minimum staff/child ratios and group sizes for the number and ages of children in care were not met. During the visit, I observed seven children present in the classroom for one-year-old children. GS 110-91(7);.0713(a-d) 318 Children between 12 and 24 months of age were grouped with children 3 years of age or older. During the visit, I observed a six-year-old child in the classroom for one-year-old children. 10A NCAC 09 .0713(a)(6) The cited violations were corrected during the visit. In addition, a written, dated, and signed letter of compliance must be submitted to me within one week, by 12/10/25, describing how compliance will be maintained in the future. The letter of compliance should be emailed to Amber Telfair, Investigations Consultant, amber.telfair@dhhs.nc.gov. You may contact me Amber Telfair, Investigations Consultant, (919) 830-7551, amber.telfair@dhhs.nc.gov or Sheronda Harris, Central Investigations Supervisor, Sheronda.harris@dhhs.nc.gov. Thank you for your time. 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 YEARS LEARNING CENTER - CARY Facility ID: 92003595 Consultant: KIMBERLY GIROUARD Operation Type: Center Case Number: Visit Date: 7/7/2025 Number Present: 34 Completed Date: 7/7/2025 Age: From 0 To 6 Total Minutes: 225 Time In: 11:15 AM Time Out: 03:00 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 your program for compliance with applicable child care requirements for an annual compliance visit. A full assessment of child care requirements was conducted. Your program currently operates with a Five-star license and is approved to care for children 0-12 years of age. Today’s visit was conducted with you, Jessica Huvard, Center Director. You accompanied me throughout my walkthrough of the facility today. I monitored four classrooms in use for compliance with staff/child ratios, supervision, capacity, group size and staff interaction/discipline. Two playgrounds were also monitored today. The facility was monitored for health and safety requirements both indoors and outdoors. There are currently no infants enrolled in the program. I observed the children engaged in centers, having diapers changed, eating lunch and going down for nap. Today, I observed the staff moving about the classrooms, actively engaged in the children’s activities and providing appropriate supervision. Program requirements were monitored today. All inspections and drills were current. Children and staff records were monitored, and the information was documented on the children’s records form and staff and training worksheets. The facility was licensed on January 1, 2019. One violation was cited today and must be corrected immediately. Violation Number Comment Rule 807 A safe indoor and outdoor environment was not provided for the children. The two year old playground has an area where the ground cover has eroded away creating a tripping hazard where the ground cover meets the sidewalk. 10A NCAC 09 .0601(a) TECHNICAL ASSISTANCE: *ABCMS- As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. Ms. Ware has all of her staff linked to her facility and has been completing the process within the 5-day requirement. *Safe Sleep – At this time there are no infants enrolled at this facility. I reminded the director, Ms. Huvard, of the importance of confirming the infant teacher is trained in all the required documentation that must be maintained according to rule and that the infant teacher completely understands the Infant Safe Sleep policy that must be followed at all times. *Attendance – Currently the facility staff have three places to maintain attendance, a handwritten monthly and daily attendance form and an electronic attendance on the ipad. All areas were found to be in compliance today. It is very important for staff to maintain accurate attendance throughout the day, so they are aware of how many children are present in the event of an emergency and who they need to account for. *I discussed the importance of paying close attention to the temperature to confirm it is safe to take the children outside and for how long they should stay outside. Remember the importance of making sure there is water available for all children and staff and the staff encourage play under shaded areas during the hot summer months. I observed Weather Watch Charts posted throughout the facility today and the staff utilizing them to plan their outdoor play time for the children in their classes. *RATED LICENSE Director, Ms. Huvard, is currently working with NCRLAP. They completed Mock assessments in June 2025. They are now using the feedback to devise trainings, so they are ready for the real assessments in the next couple of months. RESOURCES / INFORMATION *The NC Child Care Health and Safety Resource Center is a valuable resource where you can find skills-based training and technical assistance from your Child Care Health Consultant on specific medications or health conditions, as well as the new poster on Stand-Up Changing Procedures. Sign up for their quarterly newsletter and find updated resources at www.healthychildcare.unc.edu or 800-367-2229, choose option 1, then 2. *The Healthy Social Behaviors (HSB) Project supports teachers to promote healthy social-emotional development and reduce the expulsion rate among young children in licensed child care centers across North Carolina. Specialists are available with early childhood education backgrounds who are passionate about empowering teachers to develop learning environments and teaching practices that promote prosocial skills in young children. A flier with the challenging behaviors hotline information was provided today. *Please continue to visit DCDEE’s website for child care updates at https://ncchildcare.ncdhhs.gov/. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before July 21, 2025, I must receive a written, dated, and signed compliance letter that describes accurately and in detail how and when the violation cited today was corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Kimberly Girouard PO Box 1184 Wake Forest, NC 27588 Kimberly.Girouard@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Again, your Corrective Action Letter is due to me no later than July 21, 2025. If you have any questions or concerns, you can contact me at 919-602-2582 or Kimberly.Girouard@dhhs.nc.gov. Thank you for your time throughout today’s visit. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

G.S. 110-90 · Violation

Name of Operation: THE GROWING YEARS LEARNING CENTER - CARY Facility ID: 92003595 Consultant: KIMBERLY GIROUARD Operation Type: Center Case Number: Visit Date: 7/7/2025 Number Present: 34 Completed Date: 7/7/2025 Age: From 0 To 6 Total Minutes: 225 Time In: 11:15 AM Time Out: 03:00 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 your program for compliance with applicable child care requirements for an annual compliance visit. A full assessment of child care requirements was conducted. Your program currently operates with a Five-star license and is approved to care for children 0-12 years of age. Today’s visit was conducted with you, Jessica Huvard, Center Director. You accompanied me throughout my walkthrough of the facility today. I monitored four classrooms in use for compliance with staff/child ratios, supervision, capacity, group size and staff interaction/discipline. Two playgrounds were also monitored today. The facility was monitored for health and safety requirements both indoors and outdoors. There are currently no infants enrolled in the program. I observed the children engaged in centers, having diapers changed, eating lunch and going down for nap. Today, I observed the staff moving about the classrooms, actively engaged in the children’s activities and providing appropriate supervision. Program requirements were monitored today. All inspections and drills were current. Children and staff records were monitored, and the information was documented on the children’s records form and staff and training worksheets. The facility was licensed on January 1, 2019. One violation was cited today and must be corrected immediately. Violation Number Comment Rule 807 A safe indoor and outdoor environment was not provided for the children. The two year old playground has an area where the ground cover has eroded away creating a tripping hazard where the ground cover meets the sidewalk. 10A NCAC 09 .0601(a) TECHNICAL ASSISTANCE: *ABCMS- As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. Ms. Ware has all of her staff linked to her facility and has been completing the process within the 5-day requirement. *Safe Sleep – At this time there are no infants enrolled at this facility. I reminded the director, Ms. Huvard, of the importance of confirming the infant teacher is trained in all the required documentation that must be maintained according to rule and that the infant teacher completely understands the Infant Safe Sleep policy that must be followed at all times. *Attendance – Currently the facility staff have three places to maintain attendance, a handwritten monthly and daily attendance form and an electronic attendance on the ipad. All areas were found to be in compliance today. It is very important for staff to maintain accurate attendance throughout the day, so they are aware of how many children are present in the event of an emergency and who they need to account for. *I discussed the importance of paying close attention to the temperature to confirm it is safe to take the children outside and for how long they should stay outside. Remember the importance of making sure there is water available for all children and staff and the staff encourage play under shaded areas during the hot summer months. I observed Weather Watch Charts posted throughout the facility today and the staff utilizing them to plan their outdoor play time for the children in their classes. *RATED LICENSE Director, Ms. Huvard, is currently working with NCRLAP. They completed Mock assessments in June 2025. They are now using the feedback to devise trainings, so they are ready for the real assessments in the next couple of months. RESOURCES / INFORMATION *The NC Child Care Health and Safety Resource Center is a valuable resource where you can find skills-based training and technical assistance from your Child Care Health Consultant on specific medications or health conditions, as well as the new poster on Stand-Up Changing Procedures. Sign up for their quarterly newsletter and find updated resources at www.healthychildcare.unc.edu or 800-367-2229, choose option 1, then 2. *The Healthy Social Behaviors (HSB) Project supports teachers to promote healthy social-emotional development and reduce the expulsion rate among young children in licensed child care centers across North Carolina. Specialists are available with early childhood education backgrounds who are passionate about empowering teachers to develop learning environments and teaching practices that promote prosocial skills in young children. A flier with the challenging behaviors hotline information was provided today. *Please continue to visit DCDEE’s website for child care updates at https://ncchildcare.ncdhhs.gov/. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before July 21, 2025, I must receive a written, dated, and signed compliance letter that describes accurately and in detail how and when the violation cited today was corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Kimberly Girouard PO Box 1184 Wake Forest, NC 27588 Kimberly.Girouard@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Again, your Corrective Action Letter is due to me no later than July 21, 2025. If you have any questions or concerns, you can contact me at 919-602-2582 or Kimberly.Girouard@dhhs.nc.gov. Thank you for your time throughout today’s visit. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

NC GS 110-90 · Violation

Name of Operation: THE GROWING YEARS LEARNING CENTER - CARY Facility ID: 92003595 Consultant: KIMBERLY GIROUARD Operation Type: Center Case Number: Visit Date: 7/7/2025 Number Present: 34 Completed Date: 7/7/2025 Age: From 0 To 6 Total Minutes: 225 Time In: 11:15 AM Time Out: 03:00 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 your program for compliance with applicable child care requirements for an annual compliance visit. A full assessment of child care requirements was conducted. Your program currently operates with a Five-star license and is approved to care for children 0-12 years of age. Today’s visit was conducted with you, Jessica Huvard, Center Director. You accompanied me throughout my walkthrough of the facility today. I monitored four classrooms in use for compliance with staff/child ratios, supervision, capacity, group size and staff interaction/discipline. Two playgrounds were also monitored today. The facility was monitored for health and safety requirements both indoors and outdoors. There are currently no infants enrolled in the program. I observed the children engaged in centers, having diapers changed, eating lunch and going down for nap. Today, I observed the staff moving about the classrooms, actively engaged in the children’s activities and providing appropriate supervision. Program requirements were monitored today. All inspections and drills were current. Children and staff records were monitored, and the information was documented on the children’s records form and staff and training worksheets. The facility was licensed on January 1, 2019. One violation was cited today and must be corrected immediately. Violation Number Comment Rule 807 A safe indoor and outdoor environment was not provided for the children. The two year old playground has an area where the ground cover has eroded away creating a tripping hazard where the ground cover meets the sidewalk. 10A NCAC 09 .0601(a) TECHNICAL ASSISTANCE: *ABCMS- As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. Ms. Ware has all of her staff linked to her facility and has been completing the process within the 5-day requirement. *Safe Sleep – At this time there are no infants enrolled at this facility. I reminded the director, Ms. Huvard, of the importance of confirming the infant teacher is trained in all the required documentation that must be maintained according to rule and that the infant teacher completely understands the Infant Safe Sleep policy that must be followed at all times. *Attendance – Currently the facility staff have three places to maintain attendance, a handwritten monthly and daily attendance form and an electronic attendance on the ipad. All areas were found to be in compliance today. It is very important for staff to maintain accurate attendance throughout the day, so they are aware of how many children are present in the event of an emergency and who they need to account for. *I discussed the importance of paying close attention to the temperature to confirm it is safe to take the children outside and for how long they should stay outside. Remember the importance of making sure there is water available for all children and staff and the staff encourage play under shaded areas during the hot summer months. I observed Weather Watch Charts posted throughout the facility today and the staff utilizing them to plan their outdoor play time for the children in their classes. *RATED LICENSE Director, Ms. Huvard, is currently working with NCRLAP. They completed Mock assessments in June 2025. They are now using the feedback to devise trainings, so they are ready for the real assessments in the next couple of months. RESOURCES / INFORMATION *The NC Child Care Health and Safety Resource Center is a valuable resource where you can find skills-based training and technical assistance from your Child Care Health Consultant on specific medications or health conditions, as well as the new poster on Stand-Up Changing Procedures. Sign up for their quarterly newsletter and find updated resources at www.healthychildcare.unc.edu or 800-367-2229, choose option 1, then 2. *The Healthy Social Behaviors (HSB) Project supports teachers to promote healthy social-emotional development and reduce the expulsion rate among young children in licensed child care centers across North Carolina. Specialists are available with early childhood education backgrounds who are passionate about empowering teachers to develop learning environments and teaching practices that promote prosocial skills in young children. A flier with the challenging behaviors hotline information was provided today. *Please continue to visit DCDEE’s website for child care updates at https://ncchildcare.ncdhhs.gov/. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before July 21, 2025, I must receive a written, dated, and signed compliance letter that describes accurately and in detail how and when the violation cited today was corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Kimberly Girouard PO Box 1184 Wake Forest, NC 27588 Kimberly.Girouard@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Again, your Corrective Action Letter is due to me no later than July 21, 2025. If you have any questions or concerns, you can contact me at 919-602-2582 or Kimberly.Girouard@dhhs.nc.gov. Thank you for your time throughout today’s visit. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

GS 110-91 · Violation

Name of Operation: THE GROWING YEARS LEARNING CENTER - CARY Facility ID: 92003595 Consultant: KIMBERLY GIROUARD Operation Type: Center Case Number: Visit Date: 7/22/2024 Number Present: 74 Completed Date: 7/22/2024 Age: From 0 To 5 Total Minutes: 380 Time In: 10:00 AM Time Out: 04:20 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 your program for compliance with applicable child care requirements for an annual compliance visit. Your program currently operates with a Five Star License issued on July 17, 2020. Today’s visit was conducted with you, Ms. Feinman, Assistant Director. During today’s visit, I monitored all indoor and outdoor space occupied by the children. You, Ms. Feinman, visited each indoor and outdoor space with me. I monitored all classrooms in use for supervision, staff/child ratios, materials, equipment and required postings. Staff files were monitored today. A selection of children’s files was monitored. Throughout today’s visit, the children present were observed engaged in indoor activities such as art, music time and centers. Staff assisted children with materials, met their developmental needs, and facilitated daily activities. Today, I also reviewed all required inspections including fire drills, emergency drills, sanitation, fire, and outdoor inspections. All inspections were found to be in compliance today. The facility’s EPR plan was updated on June 20, 2024 and ready to go files and supplies were accessible. A checklist was used to note the requirements that were monitored today. The completed checklist was given to the Ms. Feinman at the conclusion of the visit. Two violations of childcare requirements were observed, documented and technical assistance regarding maintaining compliance was offered during today’s visit. Violation Number Comment Rule 1316 Emergency medical care information did not contain information needed for safe medical treatment. One (1) child was identified as having a medical condition that required emergency medication but the medication was not on cite and available in the event it was needed and no medical action plan was completed and submitted by the child's parent. .0802 (c)(4) 1320 Children's records that include an application for enrollment, medical and immunization records, and permission to seek emergency medical care was not on file for each child. One (1) child was missing the required medical form completed by a physician and one (1) child was missing the required medical information completed by the child's parent. GS 110-91(1);.0302(d)(2); .0304(g) COMPLIANCE HISTORY According to NC General Statute all Child Care programs must maintain a compliance history of at least seventy-five percent (75%) for the past 18 months or during the length of time the facility has operated, whichever is less. Any violations documented during visits to your program may have an impact on the total compliance history score and cause your score to drop below the mandated level. **Prior to today’s visit, the compliance history score for the center was 89%. TECHNICAL ASSISTANCE: It is extremely important to provide a safe environment at all times which includes reviewing all medical reports required to be submitted by each child’s parent and the child’s physician and maintaining required documents for those children with identified medical conditions. During today’s visit one (1) child was missing the required medical history completed by the child’s parent, one (1) child was missing the required physical report completed by the child’s physician, and two (2) children who have identified medical conditions did not have the required medical action plans on file and in place if needed in the event of an emergency. CONSULTATION: PLAYGROUND SAFETY While monitoring the playgrounds today, I discussed the importance of checking the temperature of the playground equipment and ground cover to confirm it is not too hot to the touch BEFORE the children are allowed outside. I left two hand outs with Ms. Feinman regarding playground safety as it pertains to the temperature of outdoor play equipment. The facility has a heat gun and we talked about the importance of using that during the hot summer days we are currently experiencing. RATED LICENSE The Growing Years Learning Center – Cary is in COHORT 2. Your Prep year is from July 1, 2024 - June 30, 2025 and your Reassessment Year is from July 1, 2025 – June 30, 2026. During the facility Routine Unannounced visit conducted on 2/16/2024, I had a lengthy discussion with the facility assistant director, Ms. Feinman on 2/16/2024, regarding the rated license process and the variety of pathways that could be followed. Today I recommended the facility assistant director, Ms. Feinman, begin by confirming all of the staff have an up-to-date WORKS account and determine where the staff education is. I also suggested she contact Wake County Smart Start (WCSS) for additional training that may be necessary to prepare the staff for the rated license process and Environmental Rating Scale assessments. A good contact for WCSS is: Lynn Policastro Early Childhood Initiatives Manager Wake County SmartStart Direct: 919-723-9279 | Office: 919-851-9550 | Fax: 919-851-9530 Please keep me updated on how you plan to move forward and reach out if you need any assistance. UPDATES/RESOURCES: Today I discussed information regarding Clean Classrooms for Carolina Kids program to identify and eliminate exposure to lead and asbestos hazards in child care. Assistant Director, Ms. Feinman, provided documentation showing the facility has completed lead water testing and no areas of non-compliance were identified. The building this facility is housed in was built after 1978 therefore does not need to be inspected for lead paint and/or asbestos. EMERGENCY MEDICATION: Today we discussed the importance of making sure all staff know who the children are that require emergency medication in the event the emergency medication is needed to be administered. I recommend the administrators contact their health care consultant for periodic trainings on the emergency medications housed in their building. CLASSROOM ATTENDANCE: Throughout my walk-through of the facility today I found attendance being completed. While monitoring this requirement, I reminded the staff the importance of maintaining updated attendance throughout the entire day. We never know when an emergency situation could arise, therefore updating attendance throughout the day is extremely important. Be sure to visit DCDEE’s website and access the What’s New section for the newest child care rules that were effective January 1, 2024. You may visit MOODLE and complete training for the new child care requirements effective January 1, 2024. Today we discussed information regarding DCDEE’s free professional development membership offer through Teaching Strategies. Visit quorumlearning.com for more information. Please submit a corrective action letter for the above violations. While the Division allows you time to explain how you have corrected violations when they are documented, it is expected that you correct all violations immediately. Your corrective action letter must include the following: Name of your program, Id number of your program, Date of Letter, Violation(s) number(s), and How and When each violation was corrected. Your letter is due no later than August 5, 2024, and should be emailed to Kimberly Girouard at Kimberly.Girouard@dhhs.nc.gov . The visit summary was reviewed and left with you, Ms. Feinman, today. Feel free to contact me with questions at 919-602-2582 or kimberly.girouard@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