10A NCAC 09 .0601 · Violation

Name of Operation: THE GROWING YEARS Facility ID: 41002421 Consultant: SHARON WILLIAMS Operation Type: Center Case Number: Visit Date: 4/3/2025 Number Present: 120 Completed Date: 4/3/2025 Age: From 0 To 5 Total Minutes: 170 Time In: 10:10 AM Time Out: 01:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced A routine unannounced visit was conducted today to assess compliance with applicable childcare requirements. This facility currently operates with a Four-Star License effective June 19, 2022. Upon my arrival I was greeted by you, Ms. Simone Lee, the administrator. You assisted me with the information required during the visit. A partial assessment of child care requirements occurred during today's visit. I monitored supervision, staff/child ratio, adequate/approved space, license posted and permit restrictions. A walk-thru of the indoor spaces used by the children was monitored. One hundred and twenty (120) children were present during today’s visit. I observed the children playing outside, completing bathroom routines, and completing transition routines. Staff and child ratios were observed in compliance during today’s visit. In the classroom for infants and toddlers, I observed the teachers providing routine care and interacting with the children in a nurturing manner. I observed three infants asleep in cribs. A sanitation inspection was conducted on December 10, 2024, resulting in a superior classification. Monthly fire drills and playground inspections have been documented as well as quarterly disaster drills. During today's visit, one violation of child care requirements were cited. Violation Number Comment Rule 807 A safe indoor and outdoor environment was not provided for the children. On the playground for two-year-olds, the concrete securing the post for the canopy was visible. The base of the concrete steps had jagged and sharp edges. 10A NCAC 09 .0601(a) Childcare 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 documented must be corrected immediately. A signed and dated letter of compliance must be emailed to me on or before April 17, 2025. The letter of compliance should contain the following information: 1. Facility Name 2. Facility ID 3. Date of the letter 4. The violation number. The date the violation was corrected. How the violation was corrected. 5. Signature of the person preparing the letter. If sufficient information is not received by the due date, a follow-up visit may be completed. Email the information to: sharon.y.williams@dhhs.nc.gov We discussed: Lead and asbestos testing are mandated and required for facilities. You are required to meet rule requirements (NC 10A NCAC 41C.1001-1007, NC 154A NCAC 18A.2816). All facilities with a child care license are required to complete this process. Lead-based hazards were identified at your facility on 10/23/24. The facility is required to restrict access to or mitigate the lead-based paint hazards using the recommended response actions per 10A NCAC 41C.1004. The owner or responsible individual must ensure children are not at risk of coming into direct contact with the lead hazard until other measures are taken. You stated that you completed the recommendations and are now awaiting the results from the re-test conducted on March 31, 2025. Thank you for your cooperation during 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

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

NC GS 110-90 · Violation

Name of Operation: THE GROWING YEARS Facility ID: 41002421 Consultant: SHARON WILLIAMS Operation Type: Center Case Number: Visit Date: 4/3/2025 Number Present: 120 Completed Date: 4/3/2025 Age: From 0 To 5 Total Minutes: 170 Time In: 10:10 AM Time Out: 01:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced A routine unannounced visit was conducted today to assess compliance with applicable childcare requirements. This facility currently operates with a Four-Star License effective June 19, 2022. Upon my arrival I was greeted by you, Ms. Simone Lee, the administrator. You assisted me with the information required during the visit. A partial assessment of child care requirements occurred during today's visit. I monitored supervision, staff/child ratio, adequate/approved space, license posted and permit restrictions. A walk-thru of the indoor spaces used by the children was monitored. One hundred and twenty (120) children were present during today’s visit. I observed the children playing outside, completing bathroom routines, and completing transition routines. Staff and child ratios were observed in compliance during today’s visit. In the classroom for infants and toddlers, I observed the teachers providing routine care and interacting with the children in a nurturing manner. I observed three infants asleep in cribs. A sanitation inspection was conducted on December 10, 2024, resulting in a superior classification. Monthly fire drills and playground inspections have been documented as well as quarterly disaster drills. During today's visit, one violation of child care requirements were cited. Violation Number Comment Rule 807 A safe indoor and outdoor environment was not provided for the children. On the playground for two-year-olds, the concrete securing the post for the canopy was visible. The base of the concrete steps had jagged and sharp edges. 10A NCAC 09 .0601(a) Childcare 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 documented must be corrected immediately. A signed and dated letter of compliance must be emailed to me on or before April 17, 2025. The letter of compliance should contain the following information: 1. Facility Name 2. Facility ID 3. Date of the letter 4. The violation number. The date the violation was corrected. How the violation was corrected. 5. Signature of the person preparing the letter. If sufficient information is not received by the due date, a follow-up visit may be completed. Email the information to: sharon.y.williams@dhhs.nc.gov We discussed: Lead and asbestos testing are mandated and required for facilities. You are required to meet rule requirements (NC 10A NCAC 41C.1001-1007, NC 154A NCAC 18A.2816). All facilities with a child care license are required to complete this process. Lead-based hazards were identified at your facility on 10/23/24. The facility is required to restrict access to or mitigate the lead-based paint hazards using the recommended response actions per 10A NCAC 41C.1004. The owner or responsible individual must ensure children are not at risk of coming into direct contact with the lead hazard until other measures are taken. You stated that you completed the recommendations and are now awaiting the results from the re-test conducted on March 31, 2025. Thank you for your cooperation during 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. 110-91 · Violation

Name of Operation: THE GROWING YEARS Facility ID: 41002421 Consultant: SHARON WILLIAMS Operation Type: Center Case Number: Visit Date: 10/25/2024 Number Present: 107 Completed Date: 10/25/2024 Age: From 0 To 5 Total Minutes: 165 Time In: 10:00 AM Time Out: 12:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced annual compliance visit was to assess compliance with applicable child care requirements. A checklist was used to note the requirements I monitored today. Upon my arrival I was greeted by you, Ms. Simone Lee, the administrator. You assisted me with the information required during the visit. Ms. Summer Elliot, Regional Manager arrived during my visit. This program operates with a Four Star License effective June 19, 2022. The operating hours are 6:30 am to 6:00 pm. I completed a walk-through of all indoor and outdoor spaces used by the children. A full assessment of child care requirements was conducted. Today 107 children were present. I observed the children playing outside, completing bathroom routines, completing transition routines, and napping. Staff and child ratios were observed in compliance during today’s visit. In the classroom for infants and toddlers, I observed the teachers providing routine care and interacting with the children in a nurturing manner. I observed one of the teachers changing a child’s diaper. I also observed a teacher holding a child and feeding him his bottle. Staff and children’s files were monitored during today’s visit. A satisfactory fire inspection was completed on March 8, 2024. The most recent sanitation inspection was completed on January 30, 2024. The facility received a Superior classification with two demerits. This facility’s corporation status was verified current on the NC Department of the Secretary of State on October 25, 2024. Today violations of child care requirements were cited. Violation Number Comment Rule 716 All stationary equipment, more than 18 inches high, was not installed over protective surfacing. The mulch on the three years old and up playground did not meet the required depth of surfacing around the brown and green climbing structure. .0605(j) 721 All equipment and furnishings were not in good repair. On the playground for three years old and up, on the red car structure bench the paint is peeling and the wood is in poor condition . The paint is peeling on the blue play structure. G.S. 110-91(6); .0601(b) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violations documented may impact the compliance history score. The violations documented must be corrected immediately. A signed and dated letter of compliance must be emailed to me on or before November 8, 2024. The letter of compliance should contain the following information: 1. Facility Name 2. Facility ID 3. Date of the letter 4. The violation number. The date each violation was corrected. How the violation was corrected. 5. Signature of the person preparing the letter. If sufficient information is not received by the due date, a follow-up visit may be completed. Email the information to: sharon.y.williams@dhhs.nc.gov Rated License Assessment Update: The Governor signed Senate Bill 425 (now Session Law 2024-34), Health and Human Services Omnibus Bill, which includes the Quality Rating Improvement System (QRIS) Modifications recommended to the Legislature by the NC Child Care Commission to update QRIS and create additional pathways for licensed child care facilities to earn star rated licenses. Hold Harmless provisions have been extended and star rated license assessments for licensed child care providers will be conducted by provider request only, until the QRIS rulemaking process has been completed. Star rated license assessments are still required for new child care programs. Thank you for your cooperation during 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

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

NC GS 110-90 · Violation

Name of Operation: THE GROWING YEARS Facility ID: 41002421 Consultant: SHARON WILLIAMS Operation Type: Center Case Number: Visit Date: 10/25/2024 Number Present: 107 Completed Date: 10/25/2024 Age: From 0 To 5 Total Minutes: 165 Time In: 10:00 AM Time Out: 12:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced annual compliance visit was to assess compliance with applicable child care requirements. A checklist was used to note the requirements I monitored today. Upon my arrival I was greeted by you, Ms. Simone Lee, the administrator. You assisted me with the information required during the visit. Ms. Summer Elliot, Regional Manager arrived during my visit. This program operates with a Four Star License effective June 19, 2022. The operating hours are 6:30 am to 6:00 pm. I completed a walk-through of all indoor and outdoor spaces used by the children. A full assessment of child care requirements was conducted. Today 107 children were present. I observed the children playing outside, completing bathroom routines, completing transition routines, and napping. Staff and child ratios were observed in compliance during today’s visit. In the classroom for infants and toddlers, I observed the teachers providing routine care and interacting with the children in a nurturing manner. I observed one of the teachers changing a child’s diaper. I also observed a teacher holding a child and feeding him his bottle. Staff and children’s files were monitored during today’s visit. A satisfactory fire inspection was completed on March 8, 2024. The most recent sanitation inspection was completed on January 30, 2024. The facility received a Superior classification with two demerits. This facility’s corporation status was verified current on the NC Department of the Secretary of State on October 25, 2024. Today violations of child care requirements were cited. Violation Number Comment Rule 716 All stationary equipment, more than 18 inches high, was not installed over protective surfacing. The mulch on the three years old and up playground did not meet the required depth of surfacing around the brown and green climbing structure. .0605(j) 721 All equipment and furnishings were not in good repair. On the playground for three years old and up, on the red car structure bench the paint is peeling and the wood is in poor condition . The paint is peeling on the blue play structure. G.S. 110-91(6); .0601(b) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violations documented may impact the compliance history score. The violations documented must be corrected immediately. A signed and dated letter of compliance must be emailed to me on or before November 8, 2024. The letter of compliance should contain the following information: 1. Facility Name 2. Facility ID 3. Date of the letter 4. The violation number. The date each violation was corrected. How the violation was corrected. 5. Signature of the person preparing the letter. If sufficient information is not received by the due date, a follow-up visit may be completed. Email the information to: sharon.y.williams@dhhs.nc.gov Rated License Assessment Update: The Governor signed Senate Bill 425 (now Session Law 2024-34), Health and Human Services Omnibus Bill, which includes the Quality Rating Improvement System (QRIS) Modifications recommended to the Legislature by the NC Child Care Commission to update QRIS and create additional pathways for licensed child care facilities to earn star rated licenses. Hold Harmless provisions have been extended and star rated license assessments for licensed child care providers will be conducted by provider request only, until the QRIS rulemaking process has been completed. Star rated license assessments are still required for new child care programs. Thank you for your cooperation during 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

10A NCAC 09 .0604 · Violation

Name of Operation: THE GROWING YEARS Facility ID: 41002421 Consultant: SHARON WILLIAMS Operation Type: Center Case Number: 0724-208L Visit Date: 7/24/2024 Number Present: 105 Completed Date: 7/24/2024 Age: From 0 To 6 Total Minutes: 145 Time In: 12:50 PM Time Out: 03:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of this unannounced visit was to investigate allegations of violations of child care requirements at this child care facility. During today’s visit, I discussed the allegations with Ms. Simone Lee, Administrator and additional staff. You were given an opportunity to respond to each concern. I reviewed the facility’s Disenrollment Policy, Room Action Plan, Biting Explanation & Procedures, Child Success Plan, incident reports, incident log, and classroom temperature logs. Limited monitoring of child care requirements occurred during today’s visit. I monitored the supervision of children, staff/child ratios, adequate/approved space, permit restrictions, attendance, and license posted. There were 105 children present during today's visit. I observed the children resting, waking up from nap, and completing bathroom routines. One room that is regularly used for infants has been closed and the infants moved to another room due to the issues with the AC unit. Portable AC units are being used in the classrooms. Some classrooms also have electric fans and portable AC units. During today’s visit, I did not observe any children under the age of 12 months sleeping. The temperature in the room for children under 12 months were 72 degrees. The temperature in the other classrooms for children over twelve months of age ranged from 70 degrees to 80 degrees. Findings: Allegation regarding safe environment, sanitation and health- Prior to today’s visit, I received documentation of hourly classroom temperatures daily via email from Ms. Simone Lee. The facility is in the process of having the ac units repaired and replaced. One ac unit is scheduled to be delivered on Thursday, July 25, 2024. Today the temperature in the room for children under 12 months was 72 degrees. The temperature in the other classrooms for children over twelve months of age ranged from 70 degrees to 80 degrees. Based on my observation and information gathered, I was unable to confirm the report of violations of child care rules regarding safe environment, sanitation and health. Allegation regarding supervision: Based on information provided, on 6/19/24 and 6/20/24, a three-year-old child was bitten by another child. I interviewed staff who had knowledge of the alleged incident. Staff have changed since the date of the alleged incident. Each staff interviewed reported the incident occurred but not due to lack of supervision. They explained that there were nonverbal children in the classroom and who may have a difficult time expressing themselves. During one alleged incident one child took a blanket away from a child resting on the cot. The child got up and bit the other child. During another alleged incident one child got on the cot of another child while the child was resting. The resting child bit the other child. An incident report was completed for both incidents and given to the parents. Staff do not recall seeing blood from the bite marks. The administrative staff was not notified by parents if medical care was received following the incidents. The facility’s administration talked with the parent about preventative measures that would be taken. The parent was also given the choice to have the child transition to the next classroom with four-year-olds. The child transitioned to the older classroom. I reviewed the incident reports and incident log. Today each staff member was able to explain the facility’s biting policy. I reviewed the facility’s Room Action Plan, Biting Explanation & Procedures, and Child Success Plan. Based on information provided, on 7/17/24 the facility contacted a parent to pick up child due to hitting the teacher with a broom. I interviewed the staff who were present on the date of the alleged incident. Based on the information received from interviews with staff the alleged incident occurred. The child was chasing another child with the handle of a broom/dust pan set. When the teacher intervened and attempted to get the broom handle from the child, the child made a hitting motion at the teacher. The handle made contact with the teacher’s thumb which bruised the teacher’s finger. The broom handle is part of a broom/dust pan set. The handle can be removed from broom/dust pan. The broom set hangs on a hook. The hook for the broom set is over five feet. It is a light weight handle. Today I observed a similar broom set hanging from the hook. The broom handle that was used to hit the teacher was removed from the classroom because it was no longer screwed into the set. There were two teachers in the classroom at the time of the incident. One teacher was assisting a child, the other teacher was helping children during transition. Prior to getting the broom handle the child had been running around the classroom and out into the hall. The parent was contacted and asked to speak with the child. The child was redirected by the teacher and given space to self-regulate himself as suggested by the parent. The child remained in the line of sight of the teacher. The administrative staff had been in the classroom to provide support to the teachers and to observe. The administrative staff contacted the parent the second time for the parent to pick up the child because the child continued to run out the classroom and, chased another child with the broom handle, and hit the teacher with the broom handle. Proper supervision of children was observed today in each space. Based on my observation and information gathered, I was unable to confirm the report of violations of child care rules regarding supervision. One violation unrelated to the allegations was cited during today’s visit. The violation was corrected during the visit. Violation Number Comment Rule 813 Electric fans were not mounted out of reach or did not have a mesh guard to prevent access. In the four year old classroom, an electric box fan was on the dramatic play kitchen set in the reach of children. 10A NCAC 09 .0604(d) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. If you have any questions or need assistance, please contact me 336-580-6239 or sharon.y.williams@dhhs.nc.gov. Thank you for your cooperation during 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

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

NC GS 110-90 · Violation

Name of Operation: THE GROWING YEARS Facility ID: 41002421 Consultant: SHARON WILLIAMS Operation Type: Center Case Number: 0724-208L Visit Date: 7/24/2024 Number Present: 105 Completed Date: 7/24/2024 Age: From 0 To 6 Total Minutes: 145 Time In: 12:50 PM Time Out: 03:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of this unannounced visit was to investigate allegations of violations of child care requirements at this child care facility. During today’s visit, I discussed the allegations with Ms. Simone Lee, Administrator and additional staff. You were given an opportunity to respond to each concern. I reviewed the facility’s Disenrollment Policy, Room Action Plan, Biting Explanation & Procedures, Child Success Plan, incident reports, incident log, and classroom temperature logs. Limited monitoring of child care requirements occurred during today’s visit. I monitored the supervision of children, staff/child ratios, adequate/approved space, permit restrictions, attendance, and license posted. There were 105 children present during today's visit. I observed the children resting, waking up from nap, and completing bathroom routines. One room that is regularly used for infants has been closed and the infants moved to another room due to the issues with the AC unit. Portable AC units are being used in the classrooms. Some classrooms also have electric fans and portable AC units. During today’s visit, I did not observe any children under the age of 12 months sleeping. The temperature in the room for children under 12 months were 72 degrees. The temperature in the other classrooms for children over twelve months of age ranged from 70 degrees to 80 degrees. Findings: Allegation regarding safe environment, sanitation and health- Prior to today’s visit, I received documentation of hourly classroom temperatures daily via email from Ms. Simone Lee. The facility is in the process of having the ac units repaired and replaced. One ac unit is scheduled to be delivered on Thursday, July 25, 2024. Today the temperature in the room for children under 12 months was 72 degrees. The temperature in the other classrooms for children over twelve months of age ranged from 70 degrees to 80 degrees. Based on my observation and information gathered, I was unable to confirm the report of violations of child care rules regarding safe environment, sanitation and health. Allegation regarding supervision: Based on information provided, on 6/19/24 and 6/20/24, a three-year-old child was bitten by another child. I interviewed staff who had knowledge of the alleged incident. Staff have changed since the date of the alleged incident. Each staff interviewed reported the incident occurred but not due to lack of supervision. They explained that there were nonverbal children in the classroom and who may have a difficult time expressing themselves. During one alleged incident one child took a blanket away from a child resting on the cot. The child got up and bit the other child. During another alleged incident one child got on the cot of another child while the child was resting. The resting child bit the other child. An incident report was completed for both incidents and given to the parents. Staff do not recall seeing blood from the bite marks. The administrative staff was not notified by parents if medical care was received following the incidents. The facility’s administration talked with the parent about preventative measures that would be taken. The parent was also given the choice to have the child transition to the next classroom with four-year-olds. The child transitioned to the older classroom. I reviewed the incident reports and incident log. Today each staff member was able to explain the facility’s biting policy. I reviewed the facility’s Room Action Plan, Biting Explanation & Procedures, and Child Success Plan. Based on information provided, on 7/17/24 the facility contacted a parent to pick up child due to hitting the teacher with a broom. I interviewed the staff who were present on the date of the alleged incident. Based on the information received from interviews with staff the alleged incident occurred. The child was chasing another child with the handle of a broom/dust pan set. When the teacher intervened and attempted to get the broom handle from the child, the child made a hitting motion at the teacher. The handle made contact with the teacher’s thumb which bruised the teacher’s finger. The broom handle is part of a broom/dust pan set. The handle can be removed from broom/dust pan. The broom set hangs on a hook. The hook for the broom set is over five feet. It is a light weight handle. Today I observed a similar broom set hanging from the hook. The broom handle that was used to hit the teacher was removed from the classroom because it was no longer screwed into the set. There were two teachers in the classroom at the time of the incident. One teacher was assisting a child, the other teacher was helping children during transition. Prior to getting the broom handle the child had been running around the classroom and out into the hall. The parent was contacted and asked to speak with the child. The child was redirected by the teacher and given space to self-regulate himself as suggested by the parent. The child remained in the line of sight of the teacher. The administrative staff had been in the classroom to provide support to the teachers and to observe. The administrative staff contacted the parent the second time for the parent to pick up the child because the child continued to run out the classroom and, chased another child with the broom handle, and hit the teacher with the broom handle. Proper supervision of children was observed today in each space. Based on my observation and information gathered, I was unable to confirm the report of violations of child care rules regarding supervision. One violation unrelated to the allegations was cited during today’s visit. The violation was corrected during the visit. Violation Number Comment Rule 813 Electric fans were not mounted out of reach or did not have a mesh guard to prevent access. In the four year old classroom, an electric box fan was on the dramatic play kitchen set in the reach of children. 10A NCAC 09 .0604(d) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. If you have any questions or need assistance, please contact me 336-580-6239 or sharon.y.williams@dhhs.nc.gov. Thank you for your cooperation during 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

10A NCAC 09 .0606 · Violation

Name of Operation: THE GROWING YEARS Facility ID: 41002421 Consultant: SHARON WILLIAMS Operation Type: Center Case Number: 0724-152L Visit Date: 7/15/2024 Number Present: 101 Completed Date: 7/15/2024 Age: From 0 To 6 Total Minutes: 105 Time In: 12:15 PM Time Out: 02:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of this unannounced visit was to investigate allegations of violations of child care requirements at this child care facility. During today’s visit, I discussed the allegations with Ms. Simone Lee, Administrator and additional staff. You were given an opportunity to respond to each concern. Ms. Lee accompanied me during my walk-through of the facility. I reviewed the facility’s Infant/Toddler Safe Sleep Policy, classroom attendance sheets for the week of July 8, 2024 and documentation of hourly temperatures in each classroom. Limited monitoring of child care requirements occurred during today’s visit. I monitored the supervision of children, staff/child ratios, adequate/approved space, permit restrictions, attendance, and license posted. There were 101 children present during today's visit. I observed the children going down for naptime in each classroom. In Infant Room 1, there were eight infants (3 months -7 months) and two teachers. One infant was asleep in a crib. A portable AC unit was installed in the classroom. The temperature in classroom was 77 degrees. In Infant Room 2, there were six children (6 months - 1 year of age) and two teachers. I did not observe any children sleeping. There was a portable AC unit. One temperature device in the classroom showed 77 degrees and the temperature on the portable AC showed 78 degrees. The temperature in the other classrooms for children over twelve months of age ranged from 70 degrees to 80 degrees. Findings: Allegation regarding sanitation and health- Prior to today’s visit, I received information and documentation from Shea Cochran, Area Manager informing me of the steps the facility has taken to address the issues with the AC units. The facility has five AC units and two were non-operational. One AC unit was replaced, and the other unit was ordered. The facility made arrangement for portable AC units be placed in the classrooms that are without air. The facility has been documenting hourly temperatures in each classroom. Today upon arrival, the serviceman for the portable AC units was on site. Today Ms. Lee informed me that the portable AC units were causing problems with the electrical circuits and an electrician was called to the facility. Upon inspection of the electrical system a part was needed. The electrician left to get the part and will be returning to the facility today. Once the electrician returns the portable AC units should return to working properly. Ms. Lee stated that you notified parents that the center will be closing for the remainder of the day and to come pick the children up prior to my arrival. I did observe parents picking up their children during my visit. You stated that you came to the facility at 5:15 AM today to check the temperatures in the facility and during the weekend. Today I observed and documented the temperatures in the infants’ rooms. In one infant room the temperature was 77 degrees and 77-78 degrees in the other room. In the first infant room there was one infant asleep. In your facility’s Infant/Toddler Safe Sleep Policy it states, “To avoid overheating, the temperature of the rooms where infants sleep will be checked and will be kept at a level that is between 68-72 degrees, the temperature cannot exceed 75 degrees”. According to N. C. Law, child care providers caring for infants 12 months of age or younger are required to implement a safe sleep policy and maintain the temperature between 68-75 degrees in the room where infants sleep. Today you stated that on Friday, July 12, 2024, some infants attended the entire day. From the documentation I reviewed today, on Friday July 12, 2024 there were times were the temperatures exceeded 72 degrees but did not exceed 75 degrees in one infant room. You stated you called the service man for the portable AC unit in the infant room on Friday. The portable AC unit had filled up with water but there was no smoke. The portable AC unit was exchange for another unit. Based on the information obtained during my visit, the allegation was substantiated, and a violation cited. Allegation regarding staff/child ratio: I reviewed documented the attendance of each classroom, reviewed attendance sheets for the date in question and asked questions regarding staff/child ratio. During today’s visit, the staff/child ratio was in compliance. Based on my observation and information gathered, I was unable to confirm the report of violations of child care rules regarding staff/child ratio. There was one violation of child requirements cited during today’s visit. Violation Number Comment Rule 886 The temperature in a room where infants aged 12 months or younger were sleeping exceeded 75 degrees. The temperature in infant 1 was 77 degrees. One infant was asleep. .0606(a)(5) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation documented must be corrected immediately. On or before July 29, 2024, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violation was corrected. Please be aware any information submitted by you is considered 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. Email the information to: sharon.y.williams@dhhs.nc.gov TA: I provided technical assistance on the following: 10A NCAC 09 .0606 SAFE SLEEP PRACTICES (a)(5) (a) Each center licensed to care for infants aged 12 months or younger shall develop, adopt, and comply with a written safe sleep policy that: (5) specifies that the temperature in the room where infants aged 12 months or younger are sleeping does not exceed 75° F. Safe sleep practices help reduce the risk of sudden unexpected infant deaths. Facilities should develop a written policy describing the practices to be used to promote safe sleep for infants. During today’s visit the temperature was 77 degrees in one infant room where one infant was asleep. Ms. Lee, administrator stated the facility has been experiencing issues with AC units. Currently the facility uses portable AC units that have caused problems with the electrical system. The electrical issues have been addressed. The facility has been taking measures to ensure the temperatures in all rooms of the facility are monitored hourly. It’s very important for the facility to make alternative arrangements for sleeping infants once room temperature exceeds 75 degrees. Overheating is a risk factor for sudden unexpected infant deaths, therefore the room temperature where infant’s sleep should not exceed 75 degrees Fahrenheit. If you have any questions or need assistance, please contact me. Thank you for your cooperation during 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

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

NC GS 110-90 · Violation

Name of Operation: THE GROWING YEARS Facility ID: 41002421 Consultant: SHARON WILLIAMS Operation Type: Center Case Number: 0724-152L Visit Date: 7/15/2024 Number Present: 101 Completed Date: 7/15/2024 Age: From 0 To 6 Total Minutes: 105 Time In: 12:15 PM Time Out: 02:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of this unannounced visit was to investigate allegations of violations of child care requirements at this child care facility. During today’s visit, I discussed the allegations with Ms. Simone Lee, Administrator and additional staff. You were given an opportunity to respond to each concern. Ms. Lee accompanied me during my walk-through of the facility. I reviewed the facility’s Infant/Toddler Safe Sleep Policy, classroom attendance sheets for the week of July 8, 2024 and documentation of hourly temperatures in each classroom. Limited monitoring of child care requirements occurred during today’s visit. I monitored the supervision of children, staff/child ratios, adequate/approved space, permit restrictions, attendance, and license posted. There were 101 children present during today's visit. I observed the children going down for naptime in each classroom. In Infant Room 1, there were eight infants (3 months -7 months) and two teachers. One infant was asleep in a crib. A portable AC unit was installed in the classroom. The temperature in classroom was 77 degrees. In Infant Room 2, there were six children (6 months - 1 year of age) and two teachers. I did not observe any children sleeping. There was a portable AC unit. One temperature device in the classroom showed 77 degrees and the temperature on the portable AC showed 78 degrees. The temperature in the other classrooms for children over twelve months of age ranged from 70 degrees to 80 degrees. Findings: Allegation regarding sanitation and health- Prior to today’s visit, I received information and documentation from Shea Cochran, Area Manager informing me of the steps the facility has taken to address the issues with the AC units. The facility has five AC units and two were non-operational. One AC unit was replaced, and the other unit was ordered. The facility made arrangement for portable AC units be placed in the classrooms that are without air. The facility has been documenting hourly temperatures in each classroom. Today upon arrival, the serviceman for the portable AC units was on site. Today Ms. Lee informed me that the portable AC units were causing problems with the electrical circuits and an electrician was called to the facility. Upon inspection of the electrical system a part was needed. The electrician left to get the part and will be returning to the facility today. Once the electrician returns the portable AC units should return to working properly. Ms. Lee stated that you notified parents that the center will be closing for the remainder of the day and to come pick the children up prior to my arrival. I did observe parents picking up their children during my visit. You stated that you came to the facility at 5:15 AM today to check the temperatures in the facility and during the weekend. Today I observed and documented the temperatures in the infants’ rooms. In one infant room the temperature was 77 degrees and 77-78 degrees in the other room. In the first infant room there was one infant asleep. In your facility’s Infant/Toddler Safe Sleep Policy it states, “To avoid overheating, the temperature of the rooms where infants sleep will be checked and will be kept at a level that is between 68-72 degrees, the temperature cannot exceed 75 degrees”. According to N. C. Law, child care providers caring for infants 12 months of age or younger are required to implement a safe sleep policy and maintain the temperature between 68-75 degrees in the room where infants sleep. Today you stated that on Friday, July 12, 2024, some infants attended the entire day. From the documentation I reviewed today, on Friday July 12, 2024 there were times were the temperatures exceeded 72 degrees but did not exceed 75 degrees in one infant room. You stated you called the service man for the portable AC unit in the infant room on Friday. The portable AC unit had filled up with water but there was no smoke. The portable AC unit was exchange for another unit. Based on the information obtained during my visit, the allegation was substantiated, and a violation cited. Allegation regarding staff/child ratio: I reviewed documented the attendance of each classroom, reviewed attendance sheets for the date in question and asked questions regarding staff/child ratio. During today’s visit, the staff/child ratio was in compliance. Based on my observation and information gathered, I was unable to confirm the report of violations of child care rules regarding staff/child ratio. There was one violation of child requirements cited during today’s visit. Violation Number Comment Rule 886 The temperature in a room where infants aged 12 months or younger were sleeping exceeded 75 degrees. The temperature in infant 1 was 77 degrees. One infant was asleep. .0606(a)(5) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation documented must be corrected immediately. On or before July 29, 2024, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violation was corrected. Please be aware any information submitted by you is considered 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. Email the information to: sharon.y.williams@dhhs.nc.gov TA: I provided technical assistance on the following: 10A NCAC 09 .0606 SAFE SLEEP PRACTICES (a)(5) (a) Each center licensed to care for infants aged 12 months or younger shall develop, adopt, and comply with a written safe sleep policy that: (5) specifies that the temperature in the room where infants aged 12 months or younger are sleeping does not exceed 75° F. Safe sleep practices help reduce the risk of sudden unexpected infant deaths. Facilities should develop a written policy describing the practices to be used to promote safe sleep for infants. During today’s visit the temperature was 77 degrees in one infant room where one infant was asleep. Ms. Lee, administrator stated the facility has been experiencing issues with AC units. Currently the facility uses portable AC units that have caused problems with the electrical system. The electrical issues have been addressed. The facility has been taking measures to ensure the temperatures in all rooms of the facility are monitored hourly. It’s very important for the facility to make alternative arrangements for sleeping infants once room temperature exceeds 75 degrees. Overheating is a risk factor for sudden unexpected infant deaths, therefore the room temperature where infant’s sleep should not exceed 75 degrees Fahrenheit. If you have any questions or need assistance, please contact me. Thank you for your cooperation during 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 Facility ID: 41002421 Consultant: TIFFANY MOORE Operation Type: Center Case Number: 0624-232A Visit Date: 6/27/2024 Number Present: 107 Completed Date: 6/27/2024 Age: From 0 To 8 Total Minutes: 265 Time In: 09:50 AM Time Out: 02:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of this unannounced visit was to investigate allegations of violations of child care requirements at this child care facility. Simone Lee, administrator, accompanied me during a walk-through of the facility. During the visit, I discussed the allegations with Ms. Lee and three additional staff members. 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 1301 Center did not maintain a record of daily attendance. A staff member failed to accurately document the attendance of ten four-year-old children on 6/17/2024. GS 110-91(9) Violations must be corrected immediately. Within one week, 7/4/2024, you must submit documentation of the corrections you made and your plan to maintain compliance with the identified child care requirements to me at tiffany.d.moore@dhhs.nc.gov. You may contact me at Tiffany Moore, Investigations Consultant, 336-337-5967, tiffany.d.moore@dhhs.nc.gov or Elizabeth Nichols, North Central Investigations Team Supervisor, Elizabeth.nichols@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

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

10A NCAC 09 .0604 · Violation

Name of Operation: THE GROWING YEARS Facility ID: 41002421 Consultant: CHERISSA ALSTON Operation Type: Center Case Number: Visit Date: 5/1/2024 Number Present: 107 Completed Date: 5/1/2024 Age: From 0 To 5 Total Minutes: 165 Time In: 09:30 AM Time Out: 12:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor for compliance of child care rules. Upon arrival, I was greeted by Kimberly Wilkens, Administrator. I stated the purpose for my visit and you accompanied me on the walkthrough of the facility and assisted me with required documents. There were 107 children present during today’s visit. Children were observed engaged in group time activities, painting, and playing in centers. Infants were observed being fed and napping. Children were also observed playing outside. There were plenty of age appropriate toys and books in the centers. There were also rotational materials available for the centers. The most recent sanitation inspection was on 1/30/24 and the center received a Superior rating. A satisfactory fire inspection was conducted on 3/8/24. Fire drills, emergency drills and playground inspections were documented and current. Required items were posted and current. There were items of non-compliance observed during today’s visit and 7 violations were cited. Two violations were corrected during the visit. Violation Number Comment Rule 808 The child care center premises, including the outdoor learning environment, was not clean, drained to minimize standing water, free of litter and hazards, and/or maintained in a manner which does not create conditions that attract or harbor pests. In the outdoor space used by the older infants, the grass inside the fenced area was overgrown and wild plants were growing. There were also some rusted areas and paint chipping on the caterpillar shaped equipment and the red vehicle that was in the ground. 15A NCAC 18A .2832(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 was an uncovered outlet in Space 9. It was covered before I left the space. 10A NCAC 09 .0604(c) 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 was a diaper cream (Aquaphor) that did not have a permission to administer form. The cream was removed from the space. .0803(12) 871 Center staff did not comply with the safe sleep policy. According to your safe sleep policy, children will be place on their backs to sleep. There were 3 infants sleeping on their tummies. There was no signage that the infant could rollover. 10A NCAC 09 .0606(a) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. A. Quick did not have a medical report completed on the state form. 10A NCAC 09 .0701(a) 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. K. Wilkens First Aid certification expired in January 2024. .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. K. Wilkens CPR certification expired January 2024 .1102(d) Violations documented above must be corrected immediately. A signed and dated letter of compliance must be emailed to me by 5/15/24, describing how and when the violation(s) were corrected and how compliance will be maintained in the future. Please remember your letter should include facility name, facility ID#, and original signature. I reminded you about the lead in water testing that is due every three years. If you had it completed in 2019 or later you may be due for re-testing. I also reminded you that centers must be tested for asbestos. You must register on the website by the end of day today for any available funding if remediation is needed. Thank you for your time today. If you have any questions or concerns, please feel free to contact me at 336-709-9852 or by email @cherissa.alston@dhhhs.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

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

10A NCAC 09 .0606 · Violation

Name of Operation: THE GROWING YEARS Facility ID: 41002421 Consultant: CHERISSA ALSTON Operation Type: Center Case Number: Visit Date: 5/1/2024 Number Present: 107 Completed Date: 5/1/2024 Age: From 0 To 5 Total Minutes: 165 Time In: 09:30 AM Time Out: 12:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor for compliance of child care rules. Upon arrival, I was greeted by Kimberly Wilkens, Administrator. I stated the purpose for my visit and you accompanied me on the walkthrough of the facility and assisted me with required documents. There were 107 children present during today’s visit. Children were observed engaged in group time activities, painting, and playing in centers. Infants were observed being fed and napping. Children were also observed playing outside. There were plenty of age appropriate toys and books in the centers. There were also rotational materials available for the centers. The most recent sanitation inspection was on 1/30/24 and the center received a Superior rating. A satisfactory fire inspection was conducted on 3/8/24. Fire drills, emergency drills and playground inspections were documented and current. Required items were posted and current. There were items of non-compliance observed during today’s visit and 7 violations were cited. Two violations were corrected during the visit. Violation Number Comment Rule 808 The child care center premises, including the outdoor learning environment, was not clean, drained to minimize standing water, free of litter and hazards, and/or maintained in a manner which does not create conditions that attract or harbor pests. In the outdoor space used by the older infants, the grass inside the fenced area was overgrown and wild plants were growing. There were also some rusted areas and paint chipping on the caterpillar shaped equipment and the red vehicle that was in the ground. 15A NCAC 18A .2832(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 was an uncovered outlet in Space 9. It was covered before I left the space. 10A NCAC 09 .0604(c) 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 was a diaper cream (Aquaphor) that did not have a permission to administer form. The cream was removed from the space. .0803(12) 871 Center staff did not comply with the safe sleep policy. According to your safe sleep policy, children will be place on their backs to sleep. There were 3 infants sleeping on their tummies. There was no signage that the infant could rollover. 10A NCAC 09 .0606(a) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. A. Quick did not have a medical report completed on the state form. 10A NCAC 09 .0701(a) 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. K. Wilkens First Aid certification expired in January 2024. .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. K. Wilkens CPR certification expired January 2024 .1102(d) Violations documented above must be corrected immediately. A signed and dated letter of compliance must be emailed to me by 5/15/24, describing how and when the violation(s) were corrected and how compliance will be maintained in the future. Please remember your letter should include facility name, facility ID#, and original signature. I reminded you about the lead in water testing that is due every three years. If you had it completed in 2019 or later you may be due for re-testing. I also reminded you that centers must be tested for asbestos. You must register on the website by the end of day today for any available funding if remediation is needed. Thank you for your time today. If you have any questions or concerns, please feel free to contact me at 336-709-9852 or by email @cherissa.alston@dhhhs.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 .0701 · Violation

Name of Operation: THE GROWING YEARS Facility ID: 41002421 Consultant: CHERISSA ALSTON Operation Type: Center Case Number: Visit Date: 5/1/2024 Number Present: 107 Completed Date: 5/1/2024 Age: From 0 To 5 Total Minutes: 165 Time In: 09:30 AM Time Out: 12:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor for compliance of child care rules. Upon arrival, I was greeted by Kimberly Wilkens, Administrator. I stated the purpose for my visit and you accompanied me on the walkthrough of the facility and assisted me with required documents. There were 107 children present during today’s visit. Children were observed engaged in group time activities, painting, and playing in centers. Infants were observed being fed and napping. Children were also observed playing outside. There were plenty of age appropriate toys and books in the centers. There were also rotational materials available for the centers. The most recent sanitation inspection was on 1/30/24 and the center received a Superior rating. A satisfactory fire inspection was conducted on 3/8/24. Fire drills, emergency drills and playground inspections were documented and current. Required items were posted and current. There were items of non-compliance observed during today’s visit and 7 violations were cited. Two violations were corrected during the visit. Violation Number Comment Rule 808 The child care center premises, including the outdoor learning environment, was not clean, drained to minimize standing water, free of litter and hazards, and/or maintained in a manner which does not create conditions that attract or harbor pests. In the outdoor space used by the older infants, the grass inside the fenced area was overgrown and wild plants were growing. There were also some rusted areas and paint chipping on the caterpillar shaped equipment and the red vehicle that was in the ground. 15A NCAC 18A .2832(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 was an uncovered outlet in Space 9. It was covered before I left the space. 10A NCAC 09 .0604(c) 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 was a diaper cream (Aquaphor) that did not have a permission to administer form. The cream was removed from the space. .0803(12) 871 Center staff did not comply with the safe sleep policy. According to your safe sleep policy, children will be place on their backs to sleep. There were 3 infants sleeping on their tummies. There was no signage that the infant could rollover. 10A NCAC 09 .0606(a) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. A. Quick did not have a medical report completed on the state form. 10A NCAC 09 .0701(a) 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. K. Wilkens First Aid certification expired in January 2024. .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. K. Wilkens CPR certification expired January 2024 .1102(d) Violations documented above must be corrected immediately. A signed and dated letter of compliance must be emailed to me by 5/15/24, describing how and when the violation(s) were corrected and how compliance will be maintained in the future. Please remember your letter should include facility name, facility ID#, and original signature. I reminded you about the lead in water testing that is due every three years. If you had it completed in 2019 or later you may be due for re-testing. I also reminded you that centers must be tested for asbestos. You must register on the website by the end of day today for any available funding if remediation is needed. Thank you for your time today. If you have any questions or concerns, please feel free to contact me at 336-709-9852 or by email @cherissa.alston@dhhhs.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 .0701 · Violation

Name of Operation: THE GROWING YEARS Facility ID: 41002421 Consultant: CAMILLE DAVIS Operation Type: Center Case Number: Visit Date: 11/28/2023 Number Present: 95 Completed Date: 11/28/2023 Age: From 0 To 5 Total Minutes: 295 Time In: 09:55 AM Time Out: 02:50 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced annual compliance visit was to assess compliance with applicable child care requirements. Upon my arrival I was greeted by you, Kim Wilkens, the administrator. You assisted me with the information required during the visit. This program operates with a Four Star License effective June 19, 2022. The operating hours are 6:30 am to 6:00 pm. A fire inspection was completed on March 1, 2023. The most recent sanitation inspection was completed on February 1, 2023. The facility received a Superior classification with ten demerits. I completed a walk-through of the indoor and outdoor areas that the children use in the facility. Ninety-five children were present today. I observed the preschool children engaged in free choice center play, playing outside, eating lunch, completing handwashing and bathroom routines, and resting during naptime. In the classroom for infants and toddlers, I observed the teachers providing routine care and interacting with the children in a nurturing manner. I observed one of the teachers changing a child’s diaper. I also observed a teacher holding a child and feeding him his bottle. A full assessment of applicable child care requirements was conducted during today’s visit as per the attached checklist. The following violations were observed and documented. Violation Number Comment Rule 716 All stationary equipment, more than 18 inches high, was not installed over protective surfacing. The mulch did not meet the required depth in the fall zones of the car structure and at the base of the silver slide on the large playground at the far end of the building. .0605(j) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. The maintenance staff was replacing floor tiles in a classroom with the children present. The materials being used were toxic. .2820(b) 847 Parent's medication authorization did not include required information. The parent's medication authorization was not current for five children's medications. 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. Two expired medications were not returned to the children's parents. .0803(12) 886 The temperature in a room where infants aged 12 months or younger were sleeping exceeded 75 degrees. A thermometer was not available in a classroom for infants to determine the temperature of the room. .0606(a)(5) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. One new staff did not have a medical report on file. 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. One new staff did not have a current TB test or TB screening on file. .0701(a) 1864 Outdoor play equipment was not age and developmentally appropriate. Playground equipment on a playground previously used for older preschool children had not been removed when the outdoor space was changed to being used by children that are one and two years old. .0605(a) In order to maintain compliance with North Carolina child care laws and rules, the above violations must be corrected immediately. A letter stating how the violations were corrected and how you plan to maintain compliance in the future must be submitted electronically to my email address by December 12, 2023. The compliance letter should contain the following information: 1. Facility Name 2. Facility ID 3. Date of the letter 4. The violation number, the date the violation was corrected, information regarding how the violation was corrected and how you plan to maintain compliance with the item number in the future 5. Signature of the person preparing the letter New Child Care Sanitation Rules The NC Children’s Environmental Health has re-adopted child care sanitation rules effective July 1, 2023. These rules can be found on the DCDEE website at https://ncchildcare.ncdhhs.gov/Portals/0/documents/pdf/S/Section_2800_Sanitation_of_Child_Care_Centers.pdf. If you have any questions or if I may be of further assistance, please contact me at 336-580-7335 or by email at Camille.Davis@dhhs.nc.gov. Thank you for your time and cooperation during the visit today. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

10A NCAC 09 .0803 · Violation

Name of Operation: THE GROWING YEARS Facility ID: 41002421 Consultant: CAMILLE DAVIS Operation Type: Center Case Number: Visit Date: 11/28/2023 Number Present: 95 Completed Date: 11/28/2023 Age: From 0 To 5 Total Minutes: 295 Time In: 09:55 AM Time Out: 02:50 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced annual compliance visit was to assess compliance with applicable child care requirements. Upon my arrival I was greeted by you, Kim Wilkens, the administrator. You assisted me with the information required during the visit. This program operates with a Four Star License effective June 19, 2022. The operating hours are 6:30 am to 6:00 pm. A fire inspection was completed on March 1, 2023. The most recent sanitation inspection was completed on February 1, 2023. The facility received a Superior classification with ten demerits. I completed a walk-through of the indoor and outdoor areas that the children use in the facility. Ninety-five children were present today. I observed the preschool children engaged in free choice center play, playing outside, eating lunch, completing handwashing and bathroom routines, and resting during naptime. In the classroom for infants and toddlers, I observed the teachers providing routine care and interacting with the children in a nurturing manner. I observed one of the teachers changing a child’s diaper. I also observed a teacher holding a child and feeding him his bottle. A full assessment of applicable child care requirements was conducted during today’s visit as per the attached checklist. The following violations were observed and documented. Violation Number Comment Rule 716 All stationary equipment, more than 18 inches high, was not installed over protective surfacing. The mulch did not meet the required depth in the fall zones of the car structure and at the base of the silver slide on the large playground at the far end of the building. .0605(j) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. The maintenance staff was replacing floor tiles in a classroom with the children present. The materials being used were toxic. .2820(b) 847 Parent's medication authorization did not include required information. The parent's medication authorization was not current for five children's medications. 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. Two expired medications were not returned to the children's parents. .0803(12) 886 The temperature in a room where infants aged 12 months or younger were sleeping exceeded 75 degrees. A thermometer was not available in a classroom for infants to determine the temperature of the room. .0606(a)(5) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. One new staff did not have a medical report on file. 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. One new staff did not have a current TB test or TB screening on file. .0701(a) 1864 Outdoor play equipment was not age and developmentally appropriate. Playground equipment on a playground previously used for older preschool children had not been removed when the outdoor space was changed to being used by children that are one and two years old. .0605(a) In order to maintain compliance with North Carolina child care laws and rules, the above violations must be corrected immediately. A letter stating how the violations were corrected and how you plan to maintain compliance in the future must be submitted electronically to my email address by December 12, 2023. The compliance letter should contain the following information: 1. Facility Name 2. Facility ID 3. Date of the letter 4. The violation number, the date the violation was corrected, information regarding how the violation was corrected and how you plan to maintain compliance with the item number in the future 5. Signature of the person preparing the letter New Child Care Sanitation Rules The NC Children’s Environmental Health has re-adopted child care sanitation rules effective July 1, 2023. These rules can be found on the DCDEE website at https://ncchildcare.ncdhhs.gov/Portals/0/documents/pdf/S/Section_2800_Sanitation_of_Child_Care_Centers.pdf. If you have any questions or if I may be of further assistance, please contact me at 336-580-7335 or by email at Camille.Davis@dhhs.nc.gov. Thank you for your time and cooperation during the visit today. 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