Teresa's Tree Of Knowledge

10A NCAC 09 .2703 · Violation

Name of Operation: TERESA'S TREE OF KNOWLEDGE Facility ID: 91000224 Consultant: EMILY HARGROVE Operation Type: Family CC Home Case Number: Visit Date: 4/14/2026 Number Present: 4 Completed Date: 4/14/2026 Age: From 2 To 4 Total Minutes: 135 Time In: 10:00 AM Time Out: 12:15 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor your program for compliance with applicable child care requirements during a routine unannounced visit. T. Kearney, Owner/Operator assisted with the visit. Four (4) children were observed in care today ranging from ages two to four years old. Children were engaged in free choice play with developmentally age-appropriate materials, outdoor playground, interacting with the caregivers, completing toileting, and hand washing routines, preparing for nap, and eating lunch. Lunch consisted of fish fillets, tater tots, sliced apples, bun, and milk. Currently this program operates with a Five-Star License earning seven points in education, five points in program standards and one quality point for serving no more than two children under age one. The last annual compliance visit was completed on November 24, 2025. The following violations were documented: Violation Number Comment Rule 1847 A child care operator did not notify the Division of any new child care providers, as defined in G.S. 110-90.2(a)(2), who were hired or moved into the child care facility within five business days. Operator and household member were not linked in the ABCMS CBC Portal. G.S. 110-90.2 & .2703(r) The violations documented must be corrected immediately. Please send a compliance verification letter to me describing how the violations were corrected. You can submit the compliance verification letter by postal mail to Emily Hargrove, PO Box 1974 Henderson NC 27536, or email emily.hargrove@dhhs.nc.gov. The compliance verification letter must be received on or before April 28, 2026. The two-week time frame is established to allow you time for submitting your compliance verification letter. This time frame is not intended to be used as a guide for correcting violations, as they should be corrected immediately. Please be aware that any written information submitted by you regarding correction of violations documented during the visit is legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility's Star Rated License could be issued. If sufficient information is not received by the due date, a follow-up visit will be conducted. CONSULTATION AND TECHNICAL ASSISTANCE: COMPLIANCE HISTORY Prior to today’s visit your compliance history was 100% over an eighteen (18) month period and remains eligible for the child care license. OWNER & FACILITY PROFILE This program is owned by you, T. Kearney, as the sole proprietor and remains in good standing. Should the status of ownership change please contact me, or your assigned Consultant, prior to doing so. PROGRAM RECORDS: Fire Drills/Emergency Drills, First Aid/CPR Poster, Playground Outdoor Inspections, EMC Plan and License were reviewed and current. MEDICATION: You stated you do administer medication. Staff Records: I reviewed your records for CPR, First Aid, and SIDS they were current. Criminal Background Check: Operator and household members with qualifying letters on file were not linked in the ABCMS Portal. I searched in the ABCMS Portal under roster and no individuals were found. OUTDOOR PLAYGROUND: I reminded you that the playground needs to be free of broken equipment or equipment that needs repairing needs to be removed or fixed to ensure the safety of children while playing on the playground. Challenging Behaviors Helpline The Healthy Social Behaviors Project offers coaching for child care providers who would like support managing challenging classroom behaviors. The goal is to empower teachers to create learning environments that promote pro-social skills, like self-control and problem solving. Support is available by phone (888-600-1685, Option 1), email, or through an online form. TECHNICAL ASSISTANCE Technical assistance was provided today during the visit. I assisted you with ABCMS Portal and I reviewed the information and instructions from ABCMS provider technical assistance. I left copies of the ABCMS Portal Provider Technical Assistance Instructions. DHHS Criminal Background Checks: Basic Information North Carolina Child Care Providers must obtain access to the ABCMS Provider Portal in order to meet the requirement to report new employees within five days of hire. Access to the Provider Portal is granted by CBC Unit staff after providers have completed the required Moodle training and submit the signed Powerform available at the conclusion of the training. Complete information and instructions are available in this ABCMS Provider Technical Assistance. Once you have been notified that access has been granted, log into the provider portal to locate the unique provider code for the facility. Applicants and employees will use this code to create a connecting application to be associated with your facility or Family Child Care Home. The links include a help document to assist you. Basic Information The Division of Child Development Early Education Criminal Background Check Unit performs background checks for several programs within DHHS. Additional information about some of those programs, as well as contact information, can be found in the “More Information” box on this page. Childcare Background Checks Background Checks are conducted under the authority of G.S. 110-90.2. This authority is also laid out in 45 CFR 98.43 and 10A NCAC 09 .2703. The Automated Background Check Management System (ABCMS) launched September 29, 2022 and can be found at this link. DCDEE has developed a user guide that you can find here. Due to legislation passed in July 2022, all background checks are now valid for five years, regardless of what your letter may currently say. Directors can contact the CBC Unit if they have questions. See the July 22, 2022 issue of “Raising North Carolina” for additional information. Obtaining a Background Check All child care background checks, whether in-state or out of state/interstate begin with obtaining a NCID. DCDEE has developed a Job Aid for help in creating a NCID. NCIDs must be obtained by individuals and cannot be used to obtain someone else’s background check. NCID is a single sign on solution and is the “key” to the ABCMS “door”. Support for NCID is provided by NC Information Technology Services or by telephone at 919.754.6000. The Automated Background Check Management System (ABCMS) launched September 29, 2022 and can be found at this link. DCDEE has developed a user guide that you can find here. Following your application, you should take your Fingerprint Release Form to a local law enforcement agency that can provide fingerprinting services. The following link will allow you to search law enforcement agencies by zip code and/or city and state. You will be able to search law enforcement locations that will fingerprint applicants electronically, and this process is referred to as livescan fingerprinting. DCDEE WORKS: All staff should ensure they have an education qualification letter on file. Each staff member should create an account, apply for DPI teacher or DPI teacher assistant, and submit transcripts and licensure if not already done so. RESOURCES: • The most current provider documents/ forms, checklists, resources related to child care, MOODLE trainings, and new child care requirements can be found on the Division of Child Development and Early Education website. https://ncchildcare.ncdhhs.gov/ • NCRLAP: https://NCRLAP.org • NC Child Care Health & Safety Resource Center www.healthychildcare.unc.edu If you have questions related to this visit or if I can be of additional assistance, I can be reached at 252-214-8454 or emily.hargrove@dhhs.nc.gov. You may also contact Susan Fuller, Licensing Supervisor at 252-373-9809 or susan.fuller@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

G.S. 110-90 · Violation

Name of Operation: TERESA'S TREE OF KNOWLEDGE Facility ID: 91000224 Consultant: EMILY HARGROVE Operation Type: Family CC Home Case Number: Visit Date: 4/14/2026 Number Present: 4 Completed Date: 4/14/2026 Age: From 2 To 4 Total Minutes: 135 Time In: 10:00 AM Time Out: 12:15 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor your program for compliance with applicable child care requirements during a routine unannounced visit. T. Kearney, Owner/Operator assisted with the visit. Four (4) children were observed in care today ranging from ages two to four years old. Children were engaged in free choice play with developmentally age-appropriate materials, outdoor playground, interacting with the caregivers, completing toileting, and hand washing routines, preparing for nap, and eating lunch. Lunch consisted of fish fillets, tater tots, sliced apples, bun, and milk. Currently this program operates with a Five-Star License earning seven points in education, five points in program standards and one quality point for serving no more than two children under age one. The last annual compliance visit was completed on November 24, 2025. The following violations were documented: Violation Number Comment Rule 1847 A child care operator did not notify the Division of any new child care providers, as defined in G.S. 110-90.2(a)(2), who were hired or moved into the child care facility within five business days. Operator and household member were not linked in the ABCMS CBC Portal. G.S. 110-90.2 & .2703(r) The violations documented must be corrected immediately. Please send a compliance verification letter to me describing how the violations were corrected. You can submit the compliance verification letter by postal mail to Emily Hargrove, PO Box 1974 Henderson NC 27536, or email emily.hargrove@dhhs.nc.gov. The compliance verification letter must be received on or before April 28, 2026. The two-week time frame is established to allow you time for submitting your compliance verification letter. This time frame is not intended to be used as a guide for correcting violations, as they should be corrected immediately. Please be aware that any written information submitted by you regarding correction of violations documented during the visit is legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility's Star Rated License could be issued. If sufficient information is not received by the due date, a follow-up visit will be conducted. CONSULTATION AND TECHNICAL ASSISTANCE: COMPLIANCE HISTORY Prior to today’s visit your compliance history was 100% over an eighteen (18) month period and remains eligible for the child care license. OWNER & FACILITY PROFILE This program is owned by you, T. Kearney, as the sole proprietor and remains in good standing. Should the status of ownership change please contact me, or your assigned Consultant, prior to doing so. PROGRAM RECORDS: Fire Drills/Emergency Drills, First Aid/CPR Poster, Playground Outdoor Inspections, EMC Plan and License were reviewed and current. MEDICATION: You stated you do administer medication. Staff Records: I reviewed your records for CPR, First Aid, and SIDS they were current. Criminal Background Check: Operator and household members with qualifying letters on file were not linked in the ABCMS Portal. I searched in the ABCMS Portal under roster and no individuals were found. OUTDOOR PLAYGROUND: I reminded you that the playground needs to be free of broken equipment or equipment that needs repairing needs to be removed or fixed to ensure the safety of children while playing on the playground. Challenging Behaviors Helpline The Healthy Social Behaviors Project offers coaching for child care providers who would like support managing challenging classroom behaviors. The goal is to empower teachers to create learning environments that promote pro-social skills, like self-control and problem solving. Support is available by phone (888-600-1685, Option 1), email, or through an online form. TECHNICAL ASSISTANCE Technical assistance was provided today during the visit. I assisted you with ABCMS Portal and I reviewed the information and instructions from ABCMS provider technical assistance. I left copies of the ABCMS Portal Provider Technical Assistance Instructions. DHHS Criminal Background Checks: Basic Information North Carolina Child Care Providers must obtain access to the ABCMS Provider Portal in order to meet the requirement to report new employees within five days of hire. Access to the Provider Portal is granted by CBC Unit staff after providers have completed the required Moodle training and submit the signed Powerform available at the conclusion of the training. Complete information and instructions are available in this ABCMS Provider Technical Assistance. Once you have been notified that access has been granted, log into the provider portal to locate the unique provider code for the facility. Applicants and employees will use this code to create a connecting application to be associated with your facility or Family Child Care Home. The links include a help document to assist you. Basic Information The Division of Child Development Early Education Criminal Background Check Unit performs background checks for several programs within DHHS. Additional information about some of those programs, as well as contact information, can be found in the “More Information” box on this page. Childcare Background Checks Background Checks are conducted under the authority of G.S. 110-90.2. This authority is also laid out in 45 CFR 98.43 and 10A NCAC 09 .2703. The Automated Background Check Management System (ABCMS) launched September 29, 2022 and can be found at this link. DCDEE has developed a user guide that you can find here. Due to legislation passed in July 2022, all background checks are now valid for five years, regardless of what your letter may currently say. Directors can contact the CBC Unit if they have questions. See the July 22, 2022 issue of “Raising North Carolina” for additional information. Obtaining a Background Check All child care background checks, whether in-state or out of state/interstate begin with obtaining a NCID. DCDEE has developed a Job Aid for help in creating a NCID. NCIDs must be obtained by individuals and cannot be used to obtain someone else’s background check. NCID is a single sign on solution and is the “key” to the ABCMS “door”. Support for NCID is provided by NC Information Technology Services or by telephone at 919.754.6000. The Automated Background Check Management System (ABCMS) launched September 29, 2022 and can be found at this link. DCDEE has developed a user guide that you can find here. Following your application, you should take your Fingerprint Release Form to a local law enforcement agency that can provide fingerprinting services. The following link will allow you to search law enforcement agencies by zip code and/or city and state. You will be able to search law enforcement locations that will fingerprint applicants electronically, and this process is referred to as livescan fingerprinting. DCDEE WORKS: All staff should ensure they have an education qualification letter on file. Each staff member should create an account, apply for DPI teacher or DPI teacher assistant, and submit transcripts and licensure if not already done so. RESOURCES: • The most current provider documents/ forms, checklists, resources related to child care, MOODLE trainings, and new child care requirements can be found on the Division of Child Development and Early Education website. https://ncchildcare.ncdhhs.gov/ • NCRLAP: https://NCRLAP.org • NC Child Care Health & Safety Resource Center www.healthychildcare.unc.edu If you have questions related to this visit or if I can be of additional assistance, I can be reached at 252-214-8454 or emily.hargrove@dhhs.nc.gov. You may also contact Susan Fuller, Licensing Supervisor at 252-373-9809 or susan.fuller@dhhs.nc.gov If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09.1721 · Violation

Name of Operation: TERESA'S TREE OF KNOWLEDGE Facility ID: 91000224 Consultant: KESHIA HAYWARD Operation Type: Family CC Home Case Number: Visit Date: 12/13/2023 Number Present: 3 Completed Date: 12/13/2023 Age: From 1 To 2 Total Minutes: 175 Time In: 09:05 AM Time Out: 12:00 PM Time In: Time Out: List to Use: Family CC Home 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. T. Kearney, Owner/Operator assisted with the visit. Three children were observed in care today ranging from ages one to two years old. Children were observed completing morning activities, playing with developmentally appropriate materials, eating lunch, completing diaper changing and hand washing routines and interacting with the caregivers. Lunch consisted of cheese pizza, green beans, peaches and milk. Your husband assisted with providing care for children today. Currently this family child care home operates with a Five-Star License earning six points in education standards, seven points in program standards and one quality point for caring for no more than two infants under age one. The last annual compliance visit was conducted on January 26, 2023. The following violations of the child care requirements were documented. Violation Number Comment Rule 543 Screen time was not prohibited for children under the age of three. The operator did not offer alternative activities for children under the age of three years. Screen time was offered to three children under age three (3). .1718(c) 716 Electrical outlets not in use were not covered. Electrical outlets not in use in the surge protector accessible to children under the operators’ desk, on a wall in the designated child care space and in the room where care was provided to children in the main area of the home upon arrival was not covered with safety plugs. 10A NCAC .1719(a)(27) 815 Children's hands were not washed after diapering. One child’s hands were not washed immediately after diapering. The child was placed inside a crib. .1725(a)(6)(C) 910 Copy of each child's health assessment, including the operator's own preschool child(ren), was not on file within 30 days of enrollment. A medical assessment was not on file for one preschool child enrolled. GS 110-91(1); 10A NCAC 09.1721(a)(1) 925 Signed and dated statement which attests that a copy of the discipline policy was given to and discussed with a parent/guardian of each child prior to enrollment was not on file in the home. Documentation was not on file to attest the program’s discipline policy was reviewed and given to the parent of one child enrolled. G.S.110-91(10); .1727(a)&(b) 2030 Operator did not provide a written statement to parents regarding the smoking and tobacco restriction. Documentation was not on file verifying the operator reviewed and provided written documentation to the parents of three children enrolled regarding the program’s smoking/tobacco policy. .1719(a)(11) The violations documented must be corrected immediately. Please send a compliance letter describing how the violations were corrected. The compliance letter must be received on or before December 27, 2023. The compliance letter can be mailed or emailed to Keshia Hayward, PO Box 1504 Greenville NC 27834 or keshia.hayward@dhhs.nc.gov. COMPLIANCE HISTORY: The program's compliance history was reviewed with the operator. The program’s compliance history was 78% as of December 12, 2023. FACILITY PROFILE INFORMATION: You stated the mailing address, phone number and email address listed for your family child care home are correct. If changes in your facility information occurs, please contact your child care consultant Keshia Hayward at telephone number 252-214-2709 or email keshia.hayward@dhhs.nc.gov to discuss the changes and ensure the information is updated in the system. LICENSEE: You are listed as the sole proprietor on the child care license. Prior to changing the facility name and/or ownership (i.e., forming a corporation), please contact me to discuss change of ownership procedures. Failure to comply may affect you child care license. DESIGNATED CHILD CARE SPACE: Upon arrival, I observed care being provided to children a space inside the main dwelling of the home instead of the added component designated for child care. You transferred the children to the designated space before the visit started. You stated the electricity in the home was out earlier and the heat in the designated child care space was not working properly. You added the space designated for child care was cold; therefore, children were brought inside the home space. You reported children arrived late due to no electricity and parents provided breakfast. Upon arrival into the designated space for child care, you removed an electric heater. The heater was not operating; however, you notified me it was put in the designated space to help warm the area faster. Although I did not observe the heater in use, I reminded you to ensure electrical heaters are used in the child care space when children are present. CHILDREN FILES: A medical statement along with discipline and tobacco policies were missing from children’s files. I advised you to review your program’s tobacco and discipline policies with parents, obtain signatures and place a copy in children files. A medical assessment must be completed and provided for the preschool child enrolled. Once received, the medical statement should be placed in the child’s file. It was suggested that you periodically review children’s records to ensure the required documentation is on file. SCREEN TIME: The television was turned on for children when they entered the designated child care space. I informed you screen time is prohibited for children under the age of three. You had your husband turn the television off immediately. If you utilize the television for school age children in care, alternative activities should be offered to children under age three. You should also monitor to ensure children under age three are not watching the television when in use. HAND WASHING: After diaper changing, a child was placed in his crib without hand washing. When asked, you acknowledge the child’s hands had not been washed and immediately done so. I reminded you children’s hands should be washed after diapering. I recommended you, volunteers and additional caregivers review the hand washing procedures to ensure children’s hands are washed as required. Hand washing is important to the health and safety of children. It also cuts down on the spread of germs. DCDEE RESOURCES: I recommended you periodically visit the DCDEE website at https://ncchildcare.ncdhhs.gov/ under the "What's New" tab to stay abreast of updated information provided. You can also complete training modules located in MOODLE platform, access provider's documents, and the child care rules and laws. At the end of this visit, the visit summary report was printed, reviewed with you, and a copy left for your records. CONTACT INFORMATION: If you have any questions about today’s visit, my contact information is listed above. You may also contact Licensing Supervisor Susan Fuller at 252-373-9809 or email susan.fuller@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

G.S.110-91 · Violation

Name of Operation: TERESA'S TREE OF KNOWLEDGE Facility ID: 91000224 Consultant: KESHIA HAYWARD Operation Type: Family CC Home Case Number: Visit Date: 12/13/2023 Number Present: 3 Completed Date: 12/13/2023 Age: From 1 To 2 Total Minutes: 175 Time In: 09:05 AM Time Out: 12:00 PM Time In: Time Out: List to Use: Family CC Home 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. T. Kearney, Owner/Operator assisted with the visit. Three children were observed in care today ranging from ages one to two years old. Children were observed completing morning activities, playing with developmentally appropriate materials, eating lunch, completing diaper changing and hand washing routines and interacting with the caregivers. Lunch consisted of cheese pizza, green beans, peaches and milk. Your husband assisted with providing care for children today. Currently this family child care home operates with a Five-Star License earning six points in education standards, seven points in program standards and one quality point for caring for no more than two infants under age one. The last annual compliance visit was conducted on January 26, 2023. The following violations of the child care requirements were documented. Violation Number Comment Rule 543 Screen time was not prohibited for children under the age of three. The operator did not offer alternative activities for children under the age of three years. Screen time was offered to three children under age three (3). .1718(c) 716 Electrical outlets not in use were not covered. Electrical outlets not in use in the surge protector accessible to children under the operators’ desk, on a wall in the designated child care space and in the room where care was provided to children in the main area of the home upon arrival was not covered with safety plugs. 10A NCAC .1719(a)(27) 815 Children's hands were not washed after diapering. One child’s hands were not washed immediately after diapering. The child was placed inside a crib. .1725(a)(6)(C) 910 Copy of each child's health assessment, including the operator's own preschool child(ren), was not on file within 30 days of enrollment. A medical assessment was not on file for one preschool child enrolled. GS 110-91(1); 10A NCAC 09.1721(a)(1) 925 Signed and dated statement which attests that a copy of the discipline policy was given to and discussed with a parent/guardian of each child prior to enrollment was not on file in the home. Documentation was not on file to attest the program’s discipline policy was reviewed and given to the parent of one child enrolled. G.S.110-91(10); .1727(a)&(b) 2030 Operator did not provide a written statement to parents regarding the smoking and tobacco restriction. Documentation was not on file verifying the operator reviewed and provided written documentation to the parents of three children enrolled regarding the program’s smoking/tobacco policy. .1719(a)(11) The violations documented must be corrected immediately. Please send a compliance letter describing how the violations were corrected. The compliance letter must be received on or before December 27, 2023. The compliance letter can be mailed or emailed to Keshia Hayward, PO Box 1504 Greenville NC 27834 or keshia.hayward@dhhs.nc.gov. COMPLIANCE HISTORY: The program's compliance history was reviewed with the operator. The program’s compliance history was 78% as of December 12, 2023. FACILITY PROFILE INFORMATION: You stated the mailing address, phone number and email address listed for your family child care home are correct. If changes in your facility information occurs, please contact your child care consultant Keshia Hayward at telephone number 252-214-2709 or email keshia.hayward@dhhs.nc.gov to discuss the changes and ensure the information is updated in the system. LICENSEE: You are listed as the sole proprietor on the child care license. Prior to changing the facility name and/or ownership (i.e., forming a corporation), please contact me to discuss change of ownership procedures. Failure to comply may affect you child care license. DESIGNATED CHILD CARE SPACE: Upon arrival, I observed care being provided to children a space inside the main dwelling of the home instead of the added component designated for child care. You transferred the children to the designated space before the visit started. You stated the electricity in the home was out earlier and the heat in the designated child care space was not working properly. You added the space designated for child care was cold; therefore, children were brought inside the home space. You reported children arrived late due to no electricity and parents provided breakfast. Upon arrival into the designated space for child care, you removed an electric heater. The heater was not operating; however, you notified me it was put in the designated space to help warm the area faster. Although I did not observe the heater in use, I reminded you to ensure electrical heaters are used in the child care space when children are present. CHILDREN FILES: A medical statement along with discipline and tobacco policies were missing from children’s files. I advised you to review your program’s tobacco and discipline policies with parents, obtain signatures and place a copy in children files. A medical assessment must be completed and provided for the preschool child enrolled. Once received, the medical statement should be placed in the child’s file. It was suggested that you periodically review children’s records to ensure the required documentation is on file. SCREEN TIME: The television was turned on for children when they entered the designated child care space. I informed you screen time is prohibited for children under the age of three. You had your husband turn the television off immediately. If you utilize the television for school age children in care, alternative activities should be offered to children under age three. You should also monitor to ensure children under age three are not watching the television when in use. HAND WASHING: After diaper changing, a child was placed in his crib without hand washing. When asked, you acknowledge the child’s hands had not been washed and immediately done so. I reminded you children’s hands should be washed after diapering. I recommended you, volunteers and additional caregivers review the hand washing procedures to ensure children’s hands are washed as required. Hand washing is important to the health and safety of children. It also cuts down on the spread of germs. DCDEE RESOURCES: I recommended you periodically visit the DCDEE website at https://ncchildcare.ncdhhs.gov/ under the "What's New" tab to stay abreast of updated information provided. You can also complete training modules located in MOODLE platform, access provider's documents, and the child care rules and laws. At the end of this visit, the visit summary report was printed, reviewed with you, and a copy left for your records. CONTACT INFORMATION: If you have any questions about today’s visit, my contact information is listed above. You may also contact Licensing Supervisor Susan Fuller at 252-373-9809 or email susan.fuller@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

GS 110-91 · Violation

Name of Operation: TERESA'S TREE OF KNOWLEDGE Facility ID: 91000224 Consultant: KESHIA HAYWARD Operation Type: Family CC Home Case Number: Visit Date: 12/13/2023 Number Present: 3 Completed Date: 12/13/2023 Age: From 1 To 2 Total Minutes: 175 Time In: 09:05 AM Time Out: 12:00 PM Time In: Time Out: List to Use: Family CC Home 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. T. Kearney, Owner/Operator assisted with the visit. Three children were observed in care today ranging from ages one to two years old. Children were observed completing morning activities, playing with developmentally appropriate materials, eating lunch, completing diaper changing and hand washing routines and interacting with the caregivers. Lunch consisted of cheese pizza, green beans, peaches and milk. Your husband assisted with providing care for children today. Currently this family child care home operates with a Five-Star License earning six points in education standards, seven points in program standards and one quality point for caring for no more than two infants under age one. The last annual compliance visit was conducted on January 26, 2023. The following violations of the child care requirements were documented. Violation Number Comment Rule 543 Screen time was not prohibited for children under the age of three. The operator did not offer alternative activities for children under the age of three years. Screen time was offered to three children under age three (3). .1718(c) 716 Electrical outlets not in use were not covered. Electrical outlets not in use in the surge protector accessible to children under the operators’ desk, on a wall in the designated child care space and in the room where care was provided to children in the main area of the home upon arrival was not covered with safety plugs. 10A NCAC .1719(a)(27) 815 Children's hands were not washed after diapering. One child’s hands were not washed immediately after diapering. The child was placed inside a crib. .1725(a)(6)(C) 910 Copy of each child's health assessment, including the operator's own preschool child(ren), was not on file within 30 days of enrollment. A medical assessment was not on file for one preschool child enrolled. GS 110-91(1); 10A NCAC 09.1721(a)(1) 925 Signed and dated statement which attests that a copy of the discipline policy was given to and discussed with a parent/guardian of each child prior to enrollment was not on file in the home. Documentation was not on file to attest the program’s discipline policy was reviewed and given to the parent of one child enrolled. G.S.110-91(10); .1727(a)&(b) 2030 Operator did not provide a written statement to parents regarding the smoking and tobacco restriction. Documentation was not on file verifying the operator reviewed and provided written documentation to the parents of three children enrolled regarding the program’s smoking/tobacco policy. .1719(a)(11) The violations documented must be corrected immediately. Please send a compliance letter describing how the violations were corrected. The compliance letter must be received on or before December 27, 2023. The compliance letter can be mailed or emailed to Keshia Hayward, PO Box 1504 Greenville NC 27834 or keshia.hayward@dhhs.nc.gov. COMPLIANCE HISTORY: The program's compliance history was reviewed with the operator. The program’s compliance history was 78% as of December 12, 2023. FACILITY PROFILE INFORMATION: You stated the mailing address, phone number and email address listed for your family child care home are correct. If changes in your facility information occurs, please contact your child care consultant Keshia Hayward at telephone number 252-214-2709 or email keshia.hayward@dhhs.nc.gov to discuss the changes and ensure the information is updated in the system. LICENSEE: You are listed as the sole proprietor on the child care license. Prior to changing the facility name and/or ownership (i.e., forming a corporation), please contact me to discuss change of ownership procedures. Failure to comply may affect you child care license. DESIGNATED CHILD CARE SPACE: Upon arrival, I observed care being provided to children a space inside the main dwelling of the home instead of the added component designated for child care. You transferred the children to the designated space before the visit started. You stated the electricity in the home was out earlier and the heat in the designated child care space was not working properly. You added the space designated for child care was cold; therefore, children were brought inside the home space. You reported children arrived late due to no electricity and parents provided breakfast. Upon arrival into the designated space for child care, you removed an electric heater. The heater was not operating; however, you notified me it was put in the designated space to help warm the area faster. Although I did not observe the heater in use, I reminded you to ensure electrical heaters are used in the child care space when children are present. CHILDREN FILES: A medical statement along with discipline and tobacco policies were missing from children’s files. I advised you to review your program’s tobacco and discipline policies with parents, obtain signatures and place a copy in children files. A medical assessment must be completed and provided for the preschool child enrolled. Once received, the medical statement should be placed in the child’s file. It was suggested that you periodically review children’s records to ensure the required documentation is on file. SCREEN TIME: The television was turned on for children when they entered the designated child care space. I informed you screen time is prohibited for children under the age of three. You had your husband turn the television off immediately. If you utilize the television for school age children in care, alternative activities should be offered to children under age three. You should also monitor to ensure children under age three are not watching the television when in use. HAND WASHING: After diaper changing, a child was placed in his crib without hand washing. When asked, you acknowledge the child’s hands had not been washed and immediately done so. I reminded you children’s hands should be washed after diapering. I recommended you, volunteers and additional caregivers review the hand washing procedures to ensure children’s hands are washed as required. Hand washing is important to the health and safety of children. It also cuts down on the spread of germs. DCDEE RESOURCES: I recommended you periodically visit the DCDEE website at https://ncchildcare.ncdhhs.gov/ under the "What's New" tab to stay abreast of updated information provided. You can also complete training modules located in MOODLE platform, access provider's documents, and the child care rules and laws. At the end of this visit, the visit summary report was printed, reviewed with you, and a copy left for your records. CONTACT INFORMATION: If you have any questions about today’s visit, my contact information is listed above. You may also contact Licensing Supervisor Susan Fuller at 252-373-9809 or email susan.fuller@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