Teachable Moments Child Development Center

GS 110-91 · Violation

Name of Operation: TEACHABLE MOMENTS CHILD DEVELOPMENT CENTER Facility ID: 67001085 Consultant: TAMMY ROSS Operation Type: Center Case Number: 0426-340L Visit Date: 4/30/2026 Number Present: 37 Completed Date: 4/30/2026 Age: From 0 To 5 Total Minutes: 150 Time In: 11:45 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 today’s visit was to investigate a report alleging violations of child care requirements. Limited monitoring of child care requirements occurred during today’s visit. Your program currently operates with a 5 Star License, issued May 5, 2017, earning 7 points in Education, 5 points in Program Standards and 1 Quality Point in the Programmatic Option. Restrictions on the permit include: a capacity of 113 during first shift with an age range of 0-12 years old, daytime care only, and meets all enhanced requirements. As of today, the 18-month compliance history for the facility was 92%. Child Care programs are expected to always achieve and maintain compliance 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 last annual compliance visit was conducted at this facility on October 7, 2025. The center is owned by Teachable Moments LLC. As of today, the corporation is current and active with the NC Secretary of State. Fire Inspection – 01/08/2026 – Approved for day time care only - Satisfactory Sanitation – 12/29/2025 – 10 Demerits – Superior Administrator, Ida Smith, was present and available for consultation. Assistant Administrator, Linda Kreh, was not present when I arrived but arrived back at the facility prior to visit being completed. I conducted a walkthrough and observation in each classroom, unaccompanied. There are seven approved spaces at this facility, and six spaces were being utilized; however, no school age children were present during this visit. There are seventy-two children enrolled and thirty-seven children, aged 0-5, present today. Daily schedules were available for each group of children. Activity plans were posted and age-appropriate learning materials were observed in each classroom. In space #4, infants received care based on their individual needs, including diaper changing and being held as they received a bottle. Infant feeding schedules were observed, and safe sleep charts are being maintained. One infant was observed asleep in their assigned crib. Other infants were awake and on the floor exploring their environment and playing with toys. Toddlers and preschool children in spaces #1, #2, #3, and #6 were finishing up lunch and preparing for nap/rest time. At nap/rest time, lights were turned off, soft music played, and covered cots with blankets were appropriately spaced. Staff/child ratios were in compliance in all classrooms. All children were adequately supervised. Caregivers and children interacted in a positive and appropriate manner. The allegations of this report were discussed with Ms. Smith, Ms. Kreh, and all staff members present during my visit. You were each given the opportunity to state your perceptions of the allegation and to share any pertinent information. This facility does have cameras; they are not working properly. Allegation #1 There are concerns that staff/child ratios are not being maintained; children are being bounced from room to room because facility does not have enough staff. During today’s visit, I visited all classrooms; staff/child ratios were in compliance. Ms. Smith states the allegation was not true. She stated that staff know to call the office prior to the parent leaving the child in the classroom to get assistance or to get a second person in the classroom to ensure staff/child ratios are maintained at all times. On days when you are short staffed, you may need to tell parents they cannot drop off their children or ask parents to come pick them up if they are already here, to maintain compliance with these rules. Ms. Smith stated a child may be moved to another classroom, if needed, to maintain staff/child ratios. I advised Ms. Smith that this should not be the norm due to the importance of the continuity of care for children enrolled at your facility. Parents and children enrolled at your facility should have consistency and stability on a regular basis. Continuity of care in childcare fosters secure emotional attachments, reduces stress from transitions, and promotes smoother social-emotional development. It strengthens partnerships between caregivers and families, leading to better tailored care, improved behavior, and greater long-term academic success. Ms. Smith stated she did not have any concerns with not maintaining staff/child ratios and continues to hire staff to ensure facility is adequately staffed to accommodate the children enrolled at this facility. Ms. Smith stated she and Ms. Kreh were constantly in and out of the classrooms throughout the day to assist and support caregivers. She also stated that headcount continue to be conducted at least 4-5 times per day to ensure staff/child ratios are maintained, all children are adequately supervised and attended to in a nurturing and caring manner at all times. There were seven staff members present during today’s visit; all were interviewed and none voiced concerns regarding staff/child ratios not being maintained. Based on observations, staff interviews, information received, and my investigation, this allegation is unconfirmed. Maintaining staff/child ratios and maximum group sizes is essential to the health and safety of children. If children are combined with similar age groups, such as in the early morning or later evening hours, the staff/child ratio and maximum group size for the youngest child in the group must be maintained. Staff must be aware of children’s ages and how many children are in each group at all times. Today I suggested that staff keep a running list of children and their ages during transition times to ensure they are maintaining ratios and can ask for assistance if needed. As children are transitioning between indoor spaces in the mornings, staff must regularly count children (name to face recognition) at every transition and whenever leaving one area and arriving at another. Allegations #2 There are concerns that a variety of foods were not included in meals and snacks. Menus for the month of April 2026 were reviewed and observed posted. The menus included a variety of foods in meals and snacks. This facility is a participant in the food program – Cape Fear Tutoring, Inc. An unannounced onsite visit was conducted by Cape Fear Tutoring, Inc. on February 24, 2026; monitor reviewed menus and there were no errors found. During today’s visit, lunch consisted of hamburger with gravy, mash potatoes, bread, peaches, and milk. I observed a healthy afternoon snack being served to the children; snack consisted of club crackers, pineapples, and water. Based on observations, staff interviews, information received, and my investigation, this allegation is unconfirmed. Meals/snacks did comply with Meal Patterns for Children in Child Care Programs. Meals and snacks are planned at least 1 week in advance and menus are posted. If an unusual circumstance arises and you must change your plans for what to serve, you documented those changes on the menu. Nutritious foods should be offered throughout the day to ensure children are getting the nourishment and energy they need to learn, grow and be healthy. Research shows that there are crucial relationships between nutrition/health and health/learning. It is especially important to eat a variety of foods and to provide proper nutrition through the meals and snacks served in child care. In addition to eating nutritious foods, meal times are an opportunity for learning and developing social and self-help skills. Encouraging staff members to eat with the children, foster good eating habits, model manners, and engage in conversations will promote developmental growth. There was one violation observed today. The violation was corrected during the visit; therefore, a letter of compliance is not required. Continued compliance with applicable child care requirements is required at all times. Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. The activity plan in the classroom for school age children was dated for last week - April 20, 2026. GS 110-91(12); .0508(a) Child care licensing requirements are established to ensure a safe and healthy child care environment. Therefore, it is important for you to be knowledgeable of all the licensing requirements that apply to your type of program. It is your responsibility to maintain compliance with all the applicable laws and rules always whether they have been monitored or specifically discussed with you in the past. The best way for you to make sure that you meet all requirements is to periodically review the child care law and rules. Comment regarding violation cited All centers shall have a current activity plan for each group of children posted for reference by parents and by caregivers. For each group of children in care, the activity plan shall include activities intended to stimulate the following developmental domains, in accordance with North Carolina Foundations for Early Learning and Development: (1) emotional and social development; (2) health and physical development; (3) approaches to play and learning; (4) language development and communication; and (5) cognitive development. A current activity plan was not posted in the classroom for school-age children; Ms. Smith dated and posted current activity plan. Reminder: Previously referred to as “teacher assistants” - Teachers aide" or "Aide" means a person who assists the lead teacher or the teacher in planning and implementing the daily program. A teacher's aide shall be at least 16 years old and less than 18 years old, shall be literate, and may count in staff/child ratio as long as there is also a credentialed staff person who is at least 21 years of age present in the room and available to respond to the needs of the teacher's aide and children in care. Be sure you are aware of all the requirements for a staff member to be employed as a teacher assistant. Moving forward if you are not complying with this rule, it will be documented as a violation. Documentation was completed electronically. Remember it is your responsibility to always comply with all child care rules and requirements. If you have any questions and/or concerns, contact me at Tammy.Ross@dhhs.nc.gov or (910)824-1143 or my supervisor, Kim Sherry at kim.sherry@dhhs.nc.gov/ 910-824-0470. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

NC GS 110-90 · Violation

Name of Operation: TEACHABLE MOMENTS CHILD DEVELOPMENT CENTER Facility ID: 67001085 Consultant: TAMMY ROSS Operation Type: Center Case Number: 0426-340L Visit Date: 4/30/2026 Number Present: 37 Completed Date: 4/30/2026 Age: From 0 To 5 Total Minutes: 150 Time In: 11:45 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 today’s visit was to investigate a report alleging violations of child care requirements. Limited monitoring of child care requirements occurred during today’s visit. Your program currently operates with a 5 Star License, issued May 5, 2017, earning 7 points in Education, 5 points in Program Standards and 1 Quality Point in the Programmatic Option. Restrictions on the permit include: a capacity of 113 during first shift with an age range of 0-12 years old, daytime care only, and meets all enhanced requirements. As of today, the 18-month compliance history for the facility was 92%. Child Care programs are expected to always achieve and maintain compliance 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 last annual compliance visit was conducted at this facility on October 7, 2025. The center is owned by Teachable Moments LLC. As of today, the corporation is current and active with the NC Secretary of State. Fire Inspection – 01/08/2026 – Approved for day time care only - Satisfactory Sanitation – 12/29/2025 – 10 Demerits – Superior Administrator, Ida Smith, was present and available for consultation. Assistant Administrator, Linda Kreh, was not present when I arrived but arrived back at the facility prior to visit being completed. I conducted a walkthrough and observation in each classroom, unaccompanied. There are seven approved spaces at this facility, and six spaces were being utilized; however, no school age children were present during this visit. There are seventy-two children enrolled and thirty-seven children, aged 0-5, present today. Daily schedules were available for each group of children. Activity plans were posted and age-appropriate learning materials were observed in each classroom. In space #4, infants received care based on their individual needs, including diaper changing and being held as they received a bottle. Infant feeding schedules were observed, and safe sleep charts are being maintained. One infant was observed asleep in their assigned crib. Other infants were awake and on the floor exploring their environment and playing with toys. Toddlers and preschool children in spaces #1, #2, #3, and #6 were finishing up lunch and preparing for nap/rest time. At nap/rest time, lights were turned off, soft music played, and covered cots with blankets were appropriately spaced. Staff/child ratios were in compliance in all classrooms. All children were adequately supervised. Caregivers and children interacted in a positive and appropriate manner. The allegations of this report were discussed with Ms. Smith, Ms. Kreh, and all staff members present during my visit. You were each given the opportunity to state your perceptions of the allegation and to share any pertinent information. This facility does have cameras; they are not working properly. Allegation #1 There are concerns that staff/child ratios are not being maintained; children are being bounced from room to room because facility does not have enough staff. During today’s visit, I visited all classrooms; staff/child ratios were in compliance. Ms. Smith states the allegation was not true. She stated that staff know to call the office prior to the parent leaving the child in the classroom to get assistance or to get a second person in the classroom to ensure staff/child ratios are maintained at all times. On days when you are short staffed, you may need to tell parents they cannot drop off their children or ask parents to come pick them up if they are already here, to maintain compliance with these rules. Ms. Smith stated a child may be moved to another classroom, if needed, to maintain staff/child ratios. I advised Ms. Smith that this should not be the norm due to the importance of the continuity of care for children enrolled at your facility. Parents and children enrolled at your facility should have consistency and stability on a regular basis. Continuity of care in childcare fosters secure emotional attachments, reduces stress from transitions, and promotes smoother social-emotional development. It strengthens partnerships between caregivers and families, leading to better tailored care, improved behavior, and greater long-term academic success. Ms. Smith stated she did not have any concerns with not maintaining staff/child ratios and continues to hire staff to ensure facility is adequately staffed to accommodate the children enrolled at this facility. Ms. Smith stated she and Ms. Kreh were constantly in and out of the classrooms throughout the day to assist and support caregivers. She also stated that headcount continue to be conducted at least 4-5 times per day to ensure staff/child ratios are maintained, all children are adequately supervised and attended to in a nurturing and caring manner at all times. There were seven staff members present during today’s visit; all were interviewed and none voiced concerns regarding staff/child ratios not being maintained. Based on observations, staff interviews, information received, and my investigation, this allegation is unconfirmed. Maintaining staff/child ratios and maximum group sizes is essential to the health and safety of children. If children are combined with similar age groups, such as in the early morning or later evening hours, the staff/child ratio and maximum group size for the youngest child in the group must be maintained. Staff must be aware of children’s ages and how many children are in each group at all times. Today I suggested that staff keep a running list of children and their ages during transition times to ensure they are maintaining ratios and can ask for assistance if needed. As children are transitioning between indoor spaces in the mornings, staff must regularly count children (name to face recognition) at every transition and whenever leaving one area and arriving at another. Allegations #2 There are concerns that a variety of foods were not included in meals and snacks. Menus for the month of April 2026 were reviewed and observed posted. The menus included a variety of foods in meals and snacks. This facility is a participant in the food program – Cape Fear Tutoring, Inc. An unannounced onsite visit was conducted by Cape Fear Tutoring, Inc. on February 24, 2026; monitor reviewed menus and there were no errors found. During today’s visit, lunch consisted of hamburger with gravy, mash potatoes, bread, peaches, and milk. I observed a healthy afternoon snack being served to the children; snack consisted of club crackers, pineapples, and water. Based on observations, staff interviews, information received, and my investigation, this allegation is unconfirmed. Meals/snacks did comply with Meal Patterns for Children in Child Care Programs. Meals and snacks are planned at least 1 week in advance and menus are posted. If an unusual circumstance arises and you must change your plans for what to serve, you documented those changes on the menu. Nutritious foods should be offered throughout the day to ensure children are getting the nourishment and energy they need to learn, grow and be healthy. Research shows that there are crucial relationships between nutrition/health and health/learning. It is especially important to eat a variety of foods and to provide proper nutrition through the meals and snacks served in child care. In addition to eating nutritious foods, meal times are an opportunity for learning and developing social and self-help skills. Encouraging staff members to eat with the children, foster good eating habits, model manners, and engage in conversations will promote developmental growth. There was one violation observed today. The violation was corrected during the visit; therefore, a letter of compliance is not required. Continued compliance with applicable child care requirements is required at all times. Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. The activity plan in the classroom for school age children was dated for last week - April 20, 2026. GS 110-91(12); .0508(a) Child care licensing requirements are established to ensure a safe and healthy child care environment. Therefore, it is important for you to be knowledgeable of all the licensing requirements that apply to your type of program. It is your responsibility to maintain compliance with all the applicable laws and rules always whether they have been monitored or specifically discussed with you in the past. The best way for you to make sure that you meet all requirements is to periodically review the child care law and rules. Comment regarding violation cited All centers shall have a current activity plan for each group of children posted for reference by parents and by caregivers. For each group of children in care, the activity plan shall include activities intended to stimulate the following developmental domains, in accordance with North Carolina Foundations for Early Learning and Development: (1) emotional and social development; (2) health and physical development; (3) approaches to play and learning; (4) language development and communication; and (5) cognitive development. A current activity plan was not posted in the classroom for school-age children; Ms. Smith dated and posted current activity plan. Reminder: Previously referred to as “teacher assistants” - Teachers aide" or "Aide" means a person who assists the lead teacher or the teacher in planning and implementing the daily program. A teacher's aide shall be at least 16 years old and less than 18 years old, shall be literate, and may count in staff/child ratio as long as there is also a credentialed staff person who is at least 21 years of age present in the room and available to respond to the needs of the teacher's aide and children in care. Be sure you are aware of all the requirements for a staff member to be employed as a teacher assistant. Moving forward if you are not complying with this rule, it will be documented as a violation. Documentation was completed electronically. Remember it is your responsibility to always comply with all child care rules and requirements. If you have any questions and/or concerns, contact me at Tammy.Ross@dhhs.nc.gov or (910)824-1143 or my supervisor, Kim Sherry at kim.sherry@dhhs.nc.gov/ 910-824-0470. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

NC GS 110-90 · Violation

Name of Operation: TEACHABLE MOMENTS CHILD DEVELOPMENT CENTER Facility ID: 67001085 Consultant: TAMMY ROSS Operation Type: Center Case Number: Visit Date: 4/23/2026 Number Present: 41 Completed Date: 4/23/2026 Age: From 0 To 5 Total Minutes: 165 Time In: 11:30 AM Time Out: 02:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for a routine unannounced visit. Limited child care requirements pertinent to this visit type were monitored. Your program currently operates with a 5 Star License, issued May 5, 2017, earning 7 points in Education, 5 points in Program Standards and 1 Quality Point in the Programmatic Option. Restrictions on the permit include: a capacity of 113 during first shift with an age range of 0-12 years old, daytime care only, and meets all enhanced requirements. As of today, the 18-month compliance history for the facility was 93%. Child Care programs are expected to always achieve and maintain compliance 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 last annual compliance visit was conducted at this facility on October 7, 2025. The center is owned by Teachable Moments LLC. As of today, the corporation is current and active with the NC Secretary of State. Fire Inspection – 01/08/2026 – Approved for day time care only - Satisfactory Sanitation – 12/29/2025 – 10 Demerits – Superior New Administrator, Ida Faison, was present and available for consultation. Ms. Faison had previously been employed here and was rehired on December 15, 2025. Assistant Administrator Linda Kreh was not present. Ms. Faison accompanied me as I completed a walkthrough and observations of each classroom. There are seven approved spaces at this facility, and six spaces were being utilized for child care; school age children were present in space #7 during this visit. There were seventy one children enrolled and forty one children, ages 0-5, present today. Space #5 is being used as a staff lounge. Daily schedules were available for each group of children. Activity plans were observed posted in each classroom. A variety of age-appropriate learning materials were observed in each classroom. In space #4, infants received care based on their individual needs. Infant feeding schedules were observed posted and safe sleep charts are being maintained. I observed four infants asleep in their assigned cribs, two infants were on the floor playing, one infant was being held by a caregiver, and one infant was receiving a diaper change. Toddlers and preschool children in spaces #1, #2, #3, and #6 were observing nap/rest time. At nap/rest time, lights were turned off, soft music played, and covered cots with blankets were appropriately spaced. Routine toileting and handwashing procedures were monitored, and requirements were met. Staff/child ratios were in compliance in all classrooms. All children were adequately supervised. Caregivers and children interacted in a positive and appropriate manner. Staff and Training Worksheets- There were twelve staff members employed at this facility. Children’s records were not monitored today. There were seven new staff members employed since your last annual compliance visit. New staff files were monitored today. Required information and trainings for all existing staff were also monitored. Health and safety trainings were monitored, and requirements were met. New staff are in the process of completing these required training courses. Health and safety trainings are required to be completed during the first year of employment and renewed every 5 years. Remember, the Recognizing and Responding to Suspicions of Child Maltreatment training must be taken at www.preventchildabusenc.org, within the first 90 days of employment. Completing, refreshing, and updating the required Health and Safety Training increases your awareness and knowledge regarding child development and safety. Ensure this information in completed, recorded on the required form, and on file for review. During today's visit child care requirements monitored for compliance included supervision, staff/child ratio, CPR and First Aid, Criminal Record Checks, storage of hazardous substances and medications, approved space, posting of the license, and other applicable requirements. The following violations were observed and documented today. All violations must be corrected immediately. Continued compliance with applicable child care requirements is always required. Violation Number Comment Rule 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. New staff did not complete training within 90 days of employment and existing staff did not renew training on or before the date it expired. .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. New staff did not complete training within 90 days of employment and existing staff did not renew training on or before the date it expired. .1102(d) For your facility to remain in compliance with NC Child Care Requirements, violations must be corrected immediately. A signed and dated letter of compliance must be received May 7, 2026, describing how the violation was corrected and how compliance will be maintained in the future. If sufficient information is not received by the due date, a follow-up visit will be conducted. A time frame is established to allow you time for submitting your compliance letter. This timeframe is not intended to be used as a guide for correcting violations, as they should be corrected immediately. You may email your letter of compliance to me at Tammy.Ross@dhhs.nc.gov. or mail it to me at: Tammy Ross, Child Care Licensing Consultant, P.O. Box 278, Jacksonville, NC 28541. Child care licensing requirements are established to ensure a safe and healthy child care environment. Therefore, it is important for you to be knowledgeable of all the licensing requirements that apply to your type of program. It is your responsibility to maintain compliance with all the applicable laws and rules always whether they have been monitored or specifically discussed with you in the past. The best way for you to make sure that you meet all requirements is to periodically review the child care law and rules. Technical Assistance regarding violation cited: For the health and safety of the children, all staff members are required to obtain CPR and First Aid certification and keep it current. Renewing this certification is crucial for staff to be refreshed in first aid and other lifesaving techniques as well as receive the most up to date information. I suggest you set a reminder on your calendar to keep track of expiration dates and/or seek out training from additional approved agencies when staff is not able to attend courses offered locally or at the facility. Choosing a Pathway to the Stars: Your facility was issued a Five-Star License on May 5, 2017. During your annual compliance visit conducted on October 7, 205, we discussed and completed a QRIS Conversation Template form and you reported that your facility is choosing Pathway #1, Program Assessment, you planned to apply for a rated license by May 2026. Today, we revisited this information and decided you would apply by June 30, 2026. Therefore, the facility will need to complete and submit the Staff Information and Education Worksheet to me no later than June 30, 2026. Once all your staff’s education has been evaluated, your facility will earn their Star Rated License based on the following: 50% of Lead Teachers and 50% of other educators. (“Educator” means all classroom teaching staff and administrative positions, including education coordinators, curriculum specialists and any staff who have responsibility for planning, caregiving, mentoring or training. To count as an educator meeting 50% of the education standards, an individual must meet the requirements of a position and work on-site, full-time.) Staff Education - During today’s visit, we discussed the education of your staff members and at this time, seven staff members only have high school diplomas. I informed you that the local community college would be offering EDU 119 (NCECC) and 3 or 4 additional early childhood education classes this summer. These are 10-week online classes. I would encourage you to have staff enroll. Staff must have NCECC to meet the minimum requirements for lead teachers. Ensure all information and education has been submitted to DCDEE WORKS for all staff members. It was also determined during today’s visit that several staff members are not in WORKS. I stressed to you the importance of getting this information submitted immediately. You were informed that if the education information is not in WORKS, it will not be counted. This is of vital importance as the information in WORKS for your staff will determine the number of stars that your facility is eligible for in the education component of the QRIS. The application forms are available on the DCDEE website under Provider Documents and Forms, and the QRIS modernization page. I encourage you to review the information under the QRIS Modernization section of our website for the most up to date information on how stars are achieved. The QRIS modernization page was visited during this visit. Pathway #1 – Program Assessment: You are eligible for this pathway, which allows your program to demonstrate quality through best practices using the Environment Rating scale. This includes completing a Continuous Quality Improvement (CQI) Plan, meeting Family and Community Engagement Standards, implementing an approved Curriculum for 4 years olds in 4- and 5-Star programs, and Enhanced Staff/Child Ratios. A list of approved curriculums can be found on the DCDEE website. Family and Community Engagement: Pathway #1, Program Assessment - We reviewed all options included in the following Family and Community Engagement Categories: Educational Opportunity, Engagement & Leadership, and Communication. The facility will need to complete the Family and Community Engagement Standards Worksheet selecting the applicable items. Items selected must be verifiable. Continuous Quality Improvement (CQI): Pathway #1, Program Assessment - A CQI plan will be completed for the facility and each staff member. The CQI Plan includes the following: Identification of goal(s), Necessary resources, supports and actions needed to accomplish the goal(s). Document the reason for the goal(s), Annual review of efforts toward completion of the goal(s). Self-Assessments – All classrooms must complete a self- assessment over a period of 3 months using Outreach Assessment Report or Thinking More About worksheets. The self-assessment must be completed by the lead teacher in each classroom. Other Information Clean Classrooms for Carolina Kids: Your facility’s status, according to the Clean Classrooms for Carolina Kids website, shows the following: • Water Testing-Completed on April 3, 2024. Water testing must be completed every three (3) years. • Lead-Based Paint-Exempt N/A • Asbestos-Exempt N/A Ensure you keep all paperwork that you receive regarding this matter, and it may be requested to verify compliance. Use this link to view test results/status: https://www.cleanwaterforuskids.org/en/carolina/ Provider Portal for ABCMS (the criminal records check database): Ms. Kreh has completed the required training, and access has been given, and current staff are noted on the roster except for two. She is actively working on getting those two added. This information should be updated in ABCMS on an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. 2025-2026 Respiratory Season: To help North Carolinians understand how to defend themselves against serious illness from the flu, COVID-19 and RSV, NCDHHS has released a bilingual Respiratory Illness Communications Toolkit for the 2025–2026 respiratory virus season. The toolkit offers ready-to-share fact sheets, social media content, videos, posters and other materials to help communities, health departments, schools and employers share respiratory illness information. The materials explain how these viruses spread, symptoms to watch for and the benefits of getting updated vaccines. They also provide information on where to get vaccinated. NCDHHS encourages North Carolinians to get vaccinated for the strongest protection and follow everyday steps like handwashing and staying home when sick. For questions or concerns, talk to a health care provider. Resources and vaccine-finder information are available at MySpot.nc.gov. Reminders: A lead teacher or a teacher shall be 18 years of age, have a high school diploma or its equivalent, and have one of the following: (1) One year of child care experience working in a child care center or two years of verifiable experience as a licensed family child care home operator; or (2) Completion of a two year high school program of Early Childhood Education in Family and Consumer Sciences Education; or (3) Twenty hours of training in child development, which shall include the North Carolina Early Childhood Credential coursework, within the first six months of employment in addition to the number of on-going training hours required in Rule .1103 of this Chapter. For the latest information on childcare rules and regulations, please visit the Division of Child Development and Early Education's website at: https://ncchildcare.ncdhhs.gov/ At the completion of the visit, documentation was completed electronically. As we discussed, this computer-generated visit summary serves as completion of the routine unannounced visit. Please remember it is your responsibility to always comply with all child care rules and requirements. If you have any questions and/or concerns, contact me at Tammy.Ross@dhhs.nc.gov or (910)824-1143 or my supervisor, Kim Sherry at kim.sherry@dhhs.nc.gov/ 910-824-0470. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0601 · Violation

Name of Operation: TEACHABLE MOMENTS CHILD DEVELOPMENT CENTER Facility ID: 67001085 Consultant: TAMMY ROSS Operation Type: Center Case Number: Visit Date: 10/7/2025 Number Present: 24 Completed Date: 10/7/2025 Age: From 0 To 4 Total Minutes: 255 Time In: 09:45 AM Time Out: 02:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance with applicable childcare requirements pertinent to an annual compliance visit. A checklist was used to note the requirements I monitored today, including staff and children’s files. Your program currently operates with a 5 Star License, issued May 5, 2017, earning 7 points in Education, 5 points in Program Standards and 1 Quality Point in the Programmatic Option. Restrictions on the permit include: a capacity of 113 during first shift with an age range of 0-12 years old, daytime care only, and meets all enhanced requirements. As of October 6, 2025, the 18-month compliance history for the facility was 98%. Child Care programs are expected to always achieve and maintain compliance 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 last annual compliance visit was conducted at this facility on October 10, 2024. The center is owned by Teachable Moments LLC. As of October 6, 2025, the corporation is current and active with the NC Secretary of State. Fire Inspection – 01/28/2025 – Approved for day time care only - Satisfactory Sanitation – 05/07/2025 – 3 Demerits – Superior Administrator, Linda Kreh was present and available for consultation. Ms. Kreh accompanied me as I visited each classroom. I monitored the outdoor play area unaccompanied. All approved indoor and outdoor spaces were observed today. There are seven approved spaces at this facility and five spaces were being utilized; however, no school age children were present during this visit. There are forty six children enrolled and twenty-four children, ages 0-4, present today. Daily schedules were available for each group of children. Activity plans were observed posted in each classroom. A variety of age-appropriate learning materials were observed in each classroom. In space #4, infants and one year old children received care based on their individual needs. Infant feeding schedules were observed posted and safe sleep charts are being maintained. Infants were sitting in bouncy seats playing with toys as the one year old children were sitting in their floor feeding seat eating lunch. Caregiver should remain within arm’s reach as children are eating. Toddlers and preschool children in spaces #3 were completing handwashing routines and participating in free choice activities such as playing with blocks and dramatic play. This classroom had a display of their art activity of different color leaves made with their handprints. Toddlers in space #5 were observing nap/rest time. At nap/rest time, lights were turned off, soft music played, and covered cots with blankets were appropriately spaced. Preschool in space #6 were listening to caregiver as she read a book entitled, “Curious George and the Dump Truck.” I also observed the children eating lunch. Lunch consisted of hotdogs, mixed vegetables, peaches, and milk. Routine toileting and handwashing procedures were monitored, and requirements were met. Staff/child ratios were in compliance in all classrooms. All children were adequately supervised. Caregivers and children interacted in a positive and appropriate manner. Staff and Training Worksheets- There are seven staff members employed at this facility. There were four new staff; new staff and a percentage of veteran staff’s files were reviewed. Health and safety trainings were monitored, and requirements were met. New staff are in the process of completing these training courses. Health and safety trainings are required to be completed during the first year of employment and renewed every 5 years. Remember, the Recognizing and Responding to Suspicions of Child Maltreatment training must be taken at www.preventchildabusenc.org, within the first 90 days of employment. Completing, refreshing, and updating the required Health and Safety Training increases your awareness and knowledge regarding child development and safety. Ensure this information in completed, recorded on the required form, and on file for review. The following violations were observed and documented today. All violations must be corrected immediately. Continued compliance with applicable child care requirements is always required. Violation Number Comment Rule 438 Developmentally appropriate equipment and materials were not provided for variety of outdoor activities for vigorous play and large muscle development. Materials are needed for all outdoor play areas. There is a basketball goal without a basketball. I observed two additional play balls; sand toys are limited. 10A NCAC 09 .0509(4) 533 Human milk, formula and other bottled beverages including sippy cups, sent from child's home were not fully prepared, dated, and labeled for the appropriate child. Bottled for one infant was dated for September 6, 2025. 15A NCAC 18A .2804(d) 807 A safe indoor and outdoor environment was not provided for the children. Weeds and debris must be removed from fall zone, mulch tilled or added to the appropriate depth to avoid potential injuries to children. Mulch was very compacted, lots of bird droppings were observed on sand box and shaded structure on playground for preschool children, and rust on equipment and music section of playground. 10A NCAC 09 .0601(a) 859 Monthly playground inspections were completed but they were not completed by an individual trained in playground safety requirements. .0605(q) For your facility to remain in compliance with NC Child Care Requirements, violations must be corrected immediately. On or before October 21, 2025, I must receive a written, dated, and signed compliance letter that describes accurately and in detail how and when the violations were corrected as well as how compliance will be maintained in the future. A time frame is established to allow you time for submitting your compliance letter. This timeframe is not intended to be used as a guide for correcting violations, as they should be corrected immediately. Email the information to me at Tammy.Ross@dhhs.nc.gov. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Child care licensing requirements are established to ensure a safe and healthy child care environment. Therefore, it is important for you to be knowledgeable of all the licensing requirements that apply to your type of program. It is your responsibility to maintain compliance with all the applicable laws and rules always whether they have been monitored or specifically discussed with you in the past. The best way for you to make sure that you meet all requirements is to periodically review the child care law and rules. Technical Assistance regarding violation cited: Ensure bottles are labeled and dated correctly each day. This violation was corrected during the visit. Monthly playground inspections were completed but they were not completed by an individual trained in playground safety requirements. Staff member, K. Jones, completed the outdoor inspection form for September but completion of playground safety training for Ms. Jones was not on site for verification purposes. As discussed, fall zones should be weeded regularly to ensure fall zones are kept free of hazards. For the safety of the children, you must ensure weeds and debris are removed and mulch is tilled or added to the appropriate depth to avoid potential injuries to children. I also urged you again to create a regular weeding and tilling schedule for the mulch. Mulch stationary equipment is very compacted, lots of bird droppings were observed on box and shaded structure on playground for preschool children, and rust on equipment and music section of playground. Materials - Child Care Rule 10A NCAC 09 .0509 states the learning environment consists of the indoor and outdoor area which encourages child initiated and teacher supported activities. The materials and equipment outdoors should be sufficient to provide a variety of play experiences that promote the children's emotional and social development, health and physical development, approaches to play and learning, language development, and communication and cognitive development. The outdoor area does not have adequate materials for the children to play with – there is a basketball goal without a basketball. I observed two additional play balls; sand toys are limited. Ms. Kreh stated that caregivers have toys that are taken outside for each group of children however, she agreed that more materials are needed for outdoor play area. Other Information Criminal Background Check Information – This is a requirement and if it is not completed, it will be documented as a violation. DCDEE launched the Provider Portal for ABCMS on February 1, 2024. This access will allow providers to see applicants that associate themselves with their facility and allow them to “hire” the applicant to their roster, see the real-time background check status of staff/household members, and run a printable report of the staff roster to assist with compliance visits. Ms. Kreh has completed the training and are actively working to enter the information for all staff. This information should be updated in ABCMS on an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. Should you need assistance with the portal or the training, please contact the Criminal Background Check Unit at (919) 814-6401and someone will assist you. CLEAN CLASSROOMS FOR CAROLINA KIDS - Your facility’s status, according to the Clean Classrooms for Carolina Kids website, shows the following: • Water Testing-Completed on April 3, 2024. Water testing must be completed every three (3) years. • Lead-Based Paint- N/A Exempt • Asbestos- N/A Exempt Ensure you keep all paperwork that you receive regarding this matter, as it may be requested to verify compliance. Please refer to the website if you have specific questions! https://www.cleanwaterforuskids.org/en/carolina/faq/ for further guidance and ensure all steps have been completed. Use this link to enroll your program or view test results/status: https://www.cleanwaterforuskids.org/en/carolina/ 2025 Annual Childcare Immunization Report Memo Download the 2025 Annual Childcare Immunization Report Memo The purpose of this memo is to notify childcare operators/Head Start directors and NC Pre-K classrooms of the 2025 annual immunization reporting requirements. North Carolina immunization law requires all schools providing Pre-K and all licensed childcare facilities (as defined in G.S. 110-86(3)) to file an annual immunization report on children aged newborn through preschool (G.S. 130A155(c)). This report is used to determine the number of children who meet state immunization requirements under 10A NCAC 41A.0401, ensuring that children in attendance at your childcare facility are protected against vaccine-preventable diseases. How to Submit your Report • The reporting portal is now open, and reports may be completed at any time prior to the due date but must be submitted electronically via this link. • Instructions and worksheets are available for downloading and may be used to collect data needed before entering your individual school information online. • Only one current report will be accepted per childcare facility, per report period. • All reports must be submitted electronically by midnight, November 15, 2025. • Reports will not be accepted after this date. • If your facility has no children enrolled or is closed, you are still required to submit a report. This ensures your facility is counted and not considered delinquent or missing. • For NC Pre-K and Head Start programs, include all children who attend full-time. • Do not include children already reported on the Annual Kindergarten Immunization Report. If you have additional questions about this report or are not able to access the internet to complete the report, email Immunization.Reports@dhhs.nc.gov or call 877-873-6247. July 2025 Rule Changes: Summary, Training Available The Division of Child Development and Early Education (DCDEE) is excited to share information about the July 2025 child care rule changes. The Child Care Commission adopted rules to support QRIS modernization. The new section, .3200, provides the standards for earning a two-though five-star-rated license. There are three pathways: program assessment, classroom and instructional quality, and accreditation and head start. To support the QRIS changes, additional rules were amended within the following sections: definitions, developmental day services, and NC Pre-Kindergarten services. Consultants will assist as you begin to review the changes, but please note some of the rule changes may not impact your facility. DCDEE has provided a summary of the changes, but for specific details regarding these changes, please ensure you are using the updated July 1, 2025 rule book, and view information in the DCDEE Moodle(Enroll if you haven’t yet).You will need to have an NCID - the same NCID that you use for the health & safety training, WORKS login, and/or the CBC Portal - to participate in Moodle training. If you do not have an NCID, use this link to get one: https://ncid.nc.gov/ncidsspr/. Rule training modules can be found in the same course as the previous Child Care Rule Rollout. If you are unfamiliar with the Child Care Rule Rollout within Moodle and how to navigate, please visit: https://ncchildcare.ncdhhs.gov/Learning-Resources/How-to-Navigate-Moodle. For assistance with Moodle, contact DCDEE_MOODLE_SUPPORT@dhhs.nc.gov. Choosing a Pathway to the Stars The new rules related to the star rated license system (QRIS) have been approved. The DCDEE team looks forward to working with child care facilities across the state to transition to the new QRIS system, also known as Pathways to the Stars, located in Section .3200 of the Child Care Rules. The transition will begin soon with the following informational opportunities: •You can review the rule roll out module in the DCDEE e-learning Moodle platform and •If you were unable to attend the recent webinars regarding Choosing a Pathway to the Stars, the sessions were recorded and will be posted on the QRIS Modernization page. Today, I completed a QRIS Conversation Template for your facility. You reported that your facility is choosing Pathway 1, and you plan to apply for a rated license by May 2026. A copy of this template is attached to this visit summary. We understand this is a big change and are committed to ensuring all providers have a good understanding of the new opportunities to make informed decisions on which pathway best suits the needs of the facility. We look forward to seeing you at these upcoming informational settings and working with you on your pathway to the stars! Reminders You can contact the NC Resource Center for information, resources, and referrals on topics related to child health and health and safety in child care. Anyone in the greater early care and education community is welcome to call 1(800) 367-2229 (choose 1 then 2). Stay up to date with the Division of Child Development and Early Education by visiting www.ncchildcare.ncdhhs.gov. This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. Click on the “What’s New” tab for important updates impacting child care in North Carolina. For the latest information on childcare rules and regulations, please visit the Division of Child Development and Early Education's website at: https://ncchildcare.ncdhhs.gov/ At the completion of the visit, this printed visit summary was reviewed with you, signed, and a copy left with Ms.. Kreh. As we discussed, this computer-generated visit summary serves as completion of the annual compliance visit. If you have any questions and/or concerns, you may contact me at Tammy.Ross@dhhs.nc.gov or (910)824-1143. 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 .0509 · Violation

Name of Operation: TEACHABLE MOMENTS CHILD DEVELOPMENT CENTER Facility ID: 67001085 Consultant: TAMMY ROSS Operation Type: Center Case Number: Visit Date: 10/7/2025 Number Present: 24 Completed Date: 10/7/2025 Age: From 0 To 4 Total Minutes: 255 Time In: 09:45 AM Time Out: 02:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance with applicable childcare requirements pertinent to an annual compliance visit. A checklist was used to note the requirements I monitored today, including staff and children’s files. Your program currently operates with a 5 Star License, issued May 5, 2017, earning 7 points in Education, 5 points in Program Standards and 1 Quality Point in the Programmatic Option. Restrictions on the permit include: a capacity of 113 during first shift with an age range of 0-12 years old, daytime care only, and meets all enhanced requirements. As of October 6, 2025, the 18-month compliance history for the facility was 98%. Child Care programs are expected to always achieve and maintain compliance 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 last annual compliance visit was conducted at this facility on October 10, 2024. The center is owned by Teachable Moments LLC. As of October 6, 2025, the corporation is current and active with the NC Secretary of State. Fire Inspection – 01/28/2025 – Approved for day time care only - Satisfactory Sanitation – 05/07/2025 – 3 Demerits – Superior Administrator, Linda Kreh was present and available for consultation. Ms. Kreh accompanied me as I visited each classroom. I monitored the outdoor play area unaccompanied. All approved indoor and outdoor spaces were observed today. There are seven approved spaces at this facility and five spaces were being utilized; however, no school age children were present during this visit. There are forty six children enrolled and twenty-four children, ages 0-4, present today. Daily schedules were available for each group of children. Activity plans were observed posted in each classroom. A variety of age-appropriate learning materials were observed in each classroom. In space #4, infants and one year old children received care based on their individual needs. Infant feeding schedules were observed posted and safe sleep charts are being maintained. Infants were sitting in bouncy seats playing with toys as the one year old children were sitting in their floor feeding seat eating lunch. Caregiver should remain within arm’s reach as children are eating. Toddlers and preschool children in spaces #3 were completing handwashing routines and participating in free choice activities such as playing with blocks and dramatic play. This classroom had a display of their art activity of different color leaves made with their handprints. Toddlers in space #5 were observing nap/rest time. At nap/rest time, lights were turned off, soft music played, and covered cots with blankets were appropriately spaced. Preschool in space #6 were listening to caregiver as she read a book entitled, “Curious George and the Dump Truck.” I also observed the children eating lunch. Lunch consisted of hotdogs, mixed vegetables, peaches, and milk. Routine toileting and handwashing procedures were monitored, and requirements were met. Staff/child ratios were in compliance in all classrooms. All children were adequately supervised. Caregivers and children interacted in a positive and appropriate manner. Staff and Training Worksheets- There are seven staff members employed at this facility. There were four new staff; new staff and a percentage of veteran staff’s files were reviewed. Health and safety trainings were monitored, and requirements were met. New staff are in the process of completing these training courses. Health and safety trainings are required to be completed during the first year of employment and renewed every 5 years. Remember, the Recognizing and Responding to Suspicions of Child Maltreatment training must be taken at www.preventchildabusenc.org, within the first 90 days of employment. Completing, refreshing, and updating the required Health and Safety Training increases your awareness and knowledge regarding child development and safety. Ensure this information in completed, recorded on the required form, and on file for review. The following violations were observed and documented today. All violations must be corrected immediately. Continued compliance with applicable child care requirements is always required. Violation Number Comment Rule 438 Developmentally appropriate equipment and materials were not provided for variety of outdoor activities for vigorous play and large muscle development. Materials are needed for all outdoor play areas. There is a basketball goal without a basketball. I observed two additional play balls; sand toys are limited. 10A NCAC 09 .0509(4) 533 Human milk, formula and other bottled beverages including sippy cups, sent from child's home were not fully prepared, dated, and labeled for the appropriate child. Bottled for one infant was dated for September 6, 2025. 15A NCAC 18A .2804(d) 807 A safe indoor and outdoor environment was not provided for the children. Weeds and debris must be removed from fall zone, mulch tilled or added to the appropriate depth to avoid potential injuries to children. Mulch was very compacted, lots of bird droppings were observed on sand box and shaded structure on playground for preschool children, and rust on equipment and music section of playground. 10A NCAC 09 .0601(a) 859 Monthly playground inspections were completed but they were not completed by an individual trained in playground safety requirements. .0605(q) For your facility to remain in compliance with NC Child Care Requirements, violations must be corrected immediately. On or before October 21, 2025, I must receive a written, dated, and signed compliance letter that describes accurately and in detail how and when the violations were corrected as well as how compliance will be maintained in the future. A time frame is established to allow you time for submitting your compliance letter. This timeframe is not intended to be used as a guide for correcting violations, as they should be corrected immediately. Email the information to me at Tammy.Ross@dhhs.nc.gov. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Child care licensing requirements are established to ensure a safe and healthy child care environment. Therefore, it is important for you to be knowledgeable of all the licensing requirements that apply to your type of program. It is your responsibility to maintain compliance with all the applicable laws and rules always whether they have been monitored or specifically discussed with you in the past. The best way for you to make sure that you meet all requirements is to periodically review the child care law and rules. Technical Assistance regarding violation cited: Ensure bottles are labeled and dated correctly each day. This violation was corrected during the visit. Monthly playground inspections were completed but they were not completed by an individual trained in playground safety requirements. Staff member, K. Jones, completed the outdoor inspection form for September but completion of playground safety training for Ms. Jones was not on site for verification purposes. As discussed, fall zones should be weeded regularly to ensure fall zones are kept free of hazards. For the safety of the children, you must ensure weeds and debris are removed and mulch is tilled or added to the appropriate depth to avoid potential injuries to children. I also urged you again to create a regular weeding and tilling schedule for the mulch. Mulch stationary equipment is very compacted, lots of bird droppings were observed on box and shaded structure on playground for preschool children, and rust on equipment and music section of playground. Materials - Child Care Rule 10A NCAC 09 .0509 states the learning environment consists of the indoor and outdoor area which encourages child initiated and teacher supported activities. The materials and equipment outdoors should be sufficient to provide a variety of play experiences that promote the children's emotional and social development, health and physical development, approaches to play and learning, language development, and communication and cognitive development. The outdoor area does not have adequate materials for the children to play with – there is a basketball goal without a basketball. I observed two additional play balls; sand toys are limited. Ms. Kreh stated that caregivers have toys that are taken outside for each group of children however, she agreed that more materials are needed for outdoor play area. Other Information Criminal Background Check Information – This is a requirement and if it is not completed, it will be documented as a violation. DCDEE launched the Provider Portal for ABCMS on February 1, 2024. This access will allow providers to see applicants that associate themselves with their facility and allow them to “hire” the applicant to their roster, see the real-time background check status of staff/household members, and run a printable report of the staff roster to assist with compliance visits. Ms. Kreh has completed the training and are actively working to enter the information for all staff. This information should be updated in ABCMS on an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. Should you need assistance with the portal or the training, please contact the Criminal Background Check Unit at (919) 814-6401and someone will assist you. CLEAN CLASSROOMS FOR CAROLINA KIDS - Your facility’s status, according to the Clean Classrooms for Carolina Kids website, shows the following: • Water Testing-Completed on April 3, 2024. Water testing must be completed every three (3) years. • Lead-Based Paint- N/A Exempt • Asbestos- N/A Exempt Ensure you keep all paperwork that you receive regarding this matter, as it may be requested to verify compliance. Please refer to the website if you have specific questions! https://www.cleanwaterforuskids.org/en/carolina/faq/ for further guidance and ensure all steps have been completed. Use this link to enroll your program or view test results/status: https://www.cleanwaterforuskids.org/en/carolina/ 2025 Annual Childcare Immunization Report Memo Download the 2025 Annual Childcare Immunization Report Memo The purpose of this memo is to notify childcare operators/Head Start directors and NC Pre-K classrooms of the 2025 annual immunization reporting requirements. North Carolina immunization law requires all schools providing Pre-K and all licensed childcare facilities (as defined in G.S. 110-86(3)) to file an annual immunization report on children aged newborn through preschool (G.S. 130A155(c)). This report is used to determine the number of children who meet state immunization requirements under 10A NCAC 41A.0401, ensuring that children in attendance at your childcare facility are protected against vaccine-preventable diseases. How to Submit your Report • The reporting portal is now open, and reports may be completed at any time prior to the due date but must be submitted electronically via this link. • Instructions and worksheets are available for downloading and may be used to collect data needed before entering your individual school information online. • Only one current report will be accepted per childcare facility, per report period. • All reports must be submitted electronically by midnight, November 15, 2025. • Reports will not be accepted after this date. • If your facility has no children enrolled or is closed, you are still required to submit a report. This ensures your facility is counted and not considered delinquent or missing. • For NC Pre-K and Head Start programs, include all children who attend full-time. • Do not include children already reported on the Annual Kindergarten Immunization Report. If you have additional questions about this report or are not able to access the internet to complete the report, email Immunization.Reports@dhhs.nc.gov or call 877-873-6247. July 2025 Rule Changes: Summary, Training Available The Division of Child Development and Early Education (DCDEE) is excited to share information about the July 2025 child care rule changes. The Child Care Commission adopted rules to support QRIS modernization. The new section, .3200, provides the standards for earning a two-though five-star-rated license. There are three pathways: program assessment, classroom and instructional quality, and accreditation and head start. To support the QRIS changes, additional rules were amended within the following sections: definitions, developmental day services, and NC Pre-Kindergarten services. Consultants will assist as you begin to review the changes, but please note some of the rule changes may not impact your facility. DCDEE has provided a summary of the changes, but for specific details regarding these changes, please ensure you are using the updated July 1, 2025 rule book, and view information in the DCDEE Moodle(Enroll if you haven’t yet).You will need to have an NCID - the same NCID that you use for the health & safety training, WORKS login, and/or the CBC Portal - to participate in Moodle training. If you do not have an NCID, use this link to get one: https://ncid.nc.gov/ncidsspr/. Rule training modules can be found in the same course as the previous Child Care Rule Rollout. If you are unfamiliar with the Child Care Rule Rollout within Moodle and how to navigate, please visit: https://ncchildcare.ncdhhs.gov/Learning-Resources/How-to-Navigate-Moodle. For assistance with Moodle, contact DCDEE_MOODLE_SUPPORT@dhhs.nc.gov. Choosing a Pathway to the Stars The new rules related to the star rated license system (QRIS) have been approved. The DCDEE team looks forward to working with child care facilities across the state to transition to the new QRIS system, also known as Pathways to the Stars, located in Section .3200 of the Child Care Rules. The transition will begin soon with the following informational opportunities: •You can review the rule roll out module in the DCDEE e-learning Moodle platform and •If you were unable to attend the recent webinars regarding Choosing a Pathway to the Stars, the sessions were recorded and will be posted on the QRIS Modernization page. Today, I completed a QRIS Conversation Template for your facility. You reported that your facility is choosing Pathway 1, and you plan to apply for a rated license by May 2026. A copy of this template is attached to this visit summary. We understand this is a big change and are committed to ensuring all providers have a good understanding of the new opportunities to make informed decisions on which pathway best suits the needs of the facility. We look forward to seeing you at these upcoming informational settings and working with you on your pathway to the stars! Reminders You can contact the NC Resource Center for information, resources, and referrals on topics related to child health and health and safety in child care. Anyone in the greater early care and education community is welcome to call 1(800) 367-2229 (choose 1 then 2). Stay up to date with the Division of Child Development and Early Education by visiting www.ncchildcare.ncdhhs.gov. This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. Click on the “What’s New” tab for important updates impacting child care in North Carolina. For the latest information on childcare rules and regulations, please visit the Division of Child Development and Early Education's website at: https://ncchildcare.ncdhhs.gov/ At the completion of the visit, this printed visit summary was reviewed with you, signed, and a copy left with Ms.. Kreh. As we discussed, this computer-generated visit summary serves as completion of the annual compliance visit. If you have any questions and/or concerns, you may contact me at Tammy.Ross@dhhs.nc.gov or (910)824-1143. 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. 110-86 · Violation

Name of Operation: TEACHABLE MOMENTS CHILD DEVELOPMENT CENTER Facility ID: 67001085 Consultant: TAMMY ROSS Operation Type: Center Case Number: Visit Date: 10/7/2025 Number Present: 24 Completed Date: 10/7/2025 Age: From 0 To 4 Total Minutes: 255 Time In: 09:45 AM Time Out: 02:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance with applicable childcare requirements pertinent to an annual compliance visit. A checklist was used to note the requirements I monitored today, including staff and children’s files. Your program currently operates with a 5 Star License, issued May 5, 2017, earning 7 points in Education, 5 points in Program Standards and 1 Quality Point in the Programmatic Option. Restrictions on the permit include: a capacity of 113 during first shift with an age range of 0-12 years old, daytime care only, and meets all enhanced requirements. As of October 6, 2025, the 18-month compliance history for the facility was 98%. Child Care programs are expected to always achieve and maintain compliance 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 last annual compliance visit was conducted at this facility on October 10, 2024. The center is owned by Teachable Moments LLC. As of October 6, 2025, the corporation is current and active with the NC Secretary of State. Fire Inspection – 01/28/2025 – Approved for day time care only - Satisfactory Sanitation – 05/07/2025 – 3 Demerits – Superior Administrator, Linda Kreh was present and available for consultation. Ms. Kreh accompanied me as I visited each classroom. I monitored the outdoor play area unaccompanied. All approved indoor and outdoor spaces were observed today. There are seven approved spaces at this facility and five spaces were being utilized; however, no school age children were present during this visit. There are forty six children enrolled and twenty-four children, ages 0-4, present today. Daily schedules were available for each group of children. Activity plans were observed posted in each classroom. A variety of age-appropriate learning materials were observed in each classroom. In space #4, infants and one year old children received care based on their individual needs. Infant feeding schedules were observed posted and safe sleep charts are being maintained. Infants were sitting in bouncy seats playing with toys as the one year old children were sitting in their floor feeding seat eating lunch. Caregiver should remain within arm’s reach as children are eating. Toddlers and preschool children in spaces #3 were completing handwashing routines and participating in free choice activities such as playing with blocks and dramatic play. This classroom had a display of their art activity of different color leaves made with their handprints. Toddlers in space #5 were observing nap/rest time. At nap/rest time, lights were turned off, soft music played, and covered cots with blankets were appropriately spaced. Preschool in space #6 were listening to caregiver as she read a book entitled, “Curious George and the Dump Truck.” I also observed the children eating lunch. Lunch consisted of hotdogs, mixed vegetables, peaches, and milk. Routine toileting and handwashing procedures were monitored, and requirements were met. Staff/child ratios were in compliance in all classrooms. All children were adequately supervised. Caregivers and children interacted in a positive and appropriate manner. Staff and Training Worksheets- There are seven staff members employed at this facility. There were four new staff; new staff and a percentage of veteran staff’s files were reviewed. Health and safety trainings were monitored, and requirements were met. New staff are in the process of completing these training courses. Health and safety trainings are required to be completed during the first year of employment and renewed every 5 years. Remember, the Recognizing and Responding to Suspicions of Child Maltreatment training must be taken at www.preventchildabusenc.org, within the first 90 days of employment. Completing, refreshing, and updating the required Health and Safety Training increases your awareness and knowledge regarding child development and safety. Ensure this information in completed, recorded on the required form, and on file for review. The following violations were observed and documented today. All violations must be corrected immediately. Continued compliance with applicable child care requirements is always required. Violation Number Comment Rule 438 Developmentally appropriate equipment and materials were not provided for variety of outdoor activities for vigorous play and large muscle development. Materials are needed for all outdoor play areas. There is a basketball goal without a basketball. I observed two additional play balls; sand toys are limited. 10A NCAC 09 .0509(4) 533 Human milk, formula and other bottled beverages including sippy cups, sent from child's home were not fully prepared, dated, and labeled for the appropriate child. Bottled for one infant was dated for September 6, 2025. 15A NCAC 18A .2804(d) 807 A safe indoor and outdoor environment was not provided for the children. Weeds and debris must be removed from fall zone, mulch tilled or added to the appropriate depth to avoid potential injuries to children. Mulch was very compacted, lots of bird droppings were observed on sand box and shaded structure on playground for preschool children, and rust on equipment and music section of playground. 10A NCAC 09 .0601(a) 859 Monthly playground inspections were completed but they were not completed by an individual trained in playground safety requirements. .0605(q) For your facility to remain in compliance with NC Child Care Requirements, violations must be corrected immediately. On or before October 21, 2025, I must receive a written, dated, and signed compliance letter that describes accurately and in detail how and when the violations were corrected as well as how compliance will be maintained in the future. A time frame is established to allow you time for submitting your compliance letter. This timeframe is not intended to be used as a guide for correcting violations, as they should be corrected immediately. Email the information to me at Tammy.Ross@dhhs.nc.gov. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Child care licensing requirements are established to ensure a safe and healthy child care environment. Therefore, it is important for you to be knowledgeable of all the licensing requirements that apply to your type of program. It is your responsibility to maintain compliance with all the applicable laws and rules always whether they have been monitored or specifically discussed with you in the past. The best way for you to make sure that you meet all requirements is to periodically review the child care law and rules. Technical Assistance regarding violation cited: Ensure bottles are labeled and dated correctly each day. This violation was corrected during the visit. Monthly playground inspections were completed but they were not completed by an individual trained in playground safety requirements. Staff member, K. Jones, completed the outdoor inspection form for September but completion of playground safety training for Ms. Jones was not on site for verification purposes. As discussed, fall zones should be weeded regularly to ensure fall zones are kept free of hazards. For the safety of the children, you must ensure weeds and debris are removed and mulch is tilled or added to the appropriate depth to avoid potential injuries to children. I also urged you again to create a regular weeding and tilling schedule for the mulch. Mulch stationary equipment is very compacted, lots of bird droppings were observed on box and shaded structure on playground for preschool children, and rust on equipment and music section of playground. Materials - Child Care Rule 10A NCAC 09 .0509 states the learning environment consists of the indoor and outdoor area which encourages child initiated and teacher supported activities. The materials and equipment outdoors should be sufficient to provide a variety of play experiences that promote the children's emotional and social development, health and physical development, approaches to play and learning, language development, and communication and cognitive development. The outdoor area does not have adequate materials for the children to play with – there is a basketball goal without a basketball. I observed two additional play balls; sand toys are limited. Ms. Kreh stated that caregivers have toys that are taken outside for each group of children however, she agreed that more materials are needed for outdoor play area. Other Information Criminal Background Check Information – This is a requirement and if it is not completed, it will be documented as a violation. DCDEE launched the Provider Portal for ABCMS on February 1, 2024. This access will allow providers to see applicants that associate themselves with their facility and allow them to “hire” the applicant to their roster, see the real-time background check status of staff/household members, and run a printable report of the staff roster to assist with compliance visits. Ms. Kreh has completed the training and are actively working to enter the information for all staff. This information should be updated in ABCMS on an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. Should you need assistance with the portal or the training, please contact the Criminal Background Check Unit at (919) 814-6401and someone will assist you. CLEAN CLASSROOMS FOR CAROLINA KIDS - Your facility’s status, according to the Clean Classrooms for Carolina Kids website, shows the following: • Water Testing-Completed on April 3, 2024. Water testing must be completed every three (3) years. • Lead-Based Paint- N/A Exempt • Asbestos- N/A Exempt Ensure you keep all paperwork that you receive regarding this matter, as it may be requested to verify compliance. Please refer to the website if you have specific questions! https://www.cleanwaterforuskids.org/en/carolina/faq/ for further guidance and ensure all steps have been completed. Use this link to enroll your program or view test results/status: https://www.cleanwaterforuskids.org/en/carolina/ 2025 Annual Childcare Immunization Report Memo Download the 2025 Annual Childcare Immunization Report Memo The purpose of this memo is to notify childcare operators/Head Start directors and NC Pre-K classrooms of the 2025 annual immunization reporting requirements. North Carolina immunization law requires all schools providing Pre-K and all licensed childcare facilities (as defined in G.S. 110-86(3)) to file an annual immunization report on children aged newborn through preschool (G.S. 130A155(c)). This report is used to determine the number of children who meet state immunization requirements under 10A NCAC 41A.0401, ensuring that children in attendance at your childcare facility are protected against vaccine-preventable diseases. How to Submit your Report • The reporting portal is now open, and reports may be completed at any time prior to the due date but must be submitted electronically via this link. • Instructions and worksheets are available for downloading and may be used to collect data needed before entering your individual school information online. • Only one current report will be accepted per childcare facility, per report period. • All reports must be submitted electronically by midnight, November 15, 2025. • Reports will not be accepted after this date. • If your facility has no children enrolled or is closed, you are still required to submit a report. This ensures your facility is counted and not considered delinquent or missing. • For NC Pre-K and Head Start programs, include all children who attend full-time. • Do not include children already reported on the Annual Kindergarten Immunization Report. If you have additional questions about this report or are not able to access the internet to complete the report, email Immunization.Reports@dhhs.nc.gov or call 877-873-6247. July 2025 Rule Changes: Summary, Training Available The Division of Child Development and Early Education (DCDEE) is excited to share information about the July 2025 child care rule changes. The Child Care Commission adopted rules to support QRIS modernization. The new section, .3200, provides the standards for earning a two-though five-star-rated license. There are three pathways: program assessment, classroom and instructional quality, and accreditation and head start. To support the QRIS changes, additional rules were amended within the following sections: definitions, developmental day services, and NC Pre-Kindergarten services. Consultants will assist as you begin to review the changes, but please note some of the rule changes may not impact your facility. DCDEE has provided a summary of the changes, but for specific details regarding these changes, please ensure you are using the updated July 1, 2025 rule book, and view information in the DCDEE Moodle(Enroll if you haven’t yet).You will need to have an NCID - the same NCID that you use for the health & safety training, WORKS login, and/or the CBC Portal - to participate in Moodle training. If you do not have an NCID, use this link to get one: https://ncid.nc.gov/ncidsspr/. Rule training modules can be found in the same course as the previous Child Care Rule Rollout. If you are unfamiliar with the Child Care Rule Rollout within Moodle and how to navigate, please visit: https://ncchildcare.ncdhhs.gov/Learning-Resources/How-to-Navigate-Moodle. For assistance with Moodle, contact DCDEE_MOODLE_SUPPORT@dhhs.nc.gov. Choosing a Pathway to the Stars The new rules related to the star rated license system (QRIS) have been approved. The DCDEE team looks forward to working with child care facilities across the state to transition to the new QRIS system, also known as Pathways to the Stars, located in Section .3200 of the Child Care Rules. The transition will begin soon with the following informational opportunities: •You can review the rule roll out module in the DCDEE e-learning Moodle platform and •If you were unable to attend the recent webinars regarding Choosing a Pathway to the Stars, the sessions were recorded and will be posted on the QRIS Modernization page. Today, I completed a QRIS Conversation Template for your facility. You reported that your facility is choosing Pathway 1, and you plan to apply for a rated license by May 2026. A copy of this template is attached to this visit summary. We understand this is a big change and are committed to ensuring all providers have a good understanding of the new opportunities to make informed decisions on which pathway best suits the needs of the facility. We look forward to seeing you at these upcoming informational settings and working with you on your pathway to the stars! Reminders You can contact the NC Resource Center for information, resources, and referrals on topics related to child health and health and safety in child care. Anyone in the greater early care and education community is welcome to call 1(800) 367-2229 (choose 1 then 2). Stay up to date with the Division of Child Development and Early Education by visiting www.ncchildcare.ncdhhs.gov. This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. Click on the “What’s New” tab for important updates impacting child care in North Carolina. For the latest information on childcare rules and regulations, please visit the Division of Child Development and Early Education's website at: https://ncchildcare.ncdhhs.gov/ At the completion of the visit, this printed visit summary was reviewed with you, signed, and a copy left with Ms.. Kreh. As we discussed, this computer-generated visit summary serves as completion of the annual compliance visit. If you have any questions and/or concerns, you may contact me at Tammy.Ross@dhhs.nc.gov or (910)824-1143. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

NC GS 110-90 · Violation

Name of Operation: TEACHABLE MOMENTS CHILD DEVELOPMENT CENTER Facility ID: 67001085 Consultant: TAMMY ROSS Operation Type: Center Case Number: Visit Date: 10/7/2025 Number Present: 24 Completed Date: 10/7/2025 Age: From 0 To 4 Total Minutes: 255 Time In: 09:45 AM Time Out: 02:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance with applicable childcare requirements pertinent to an annual compliance visit. A checklist was used to note the requirements I monitored today, including staff and children’s files. Your program currently operates with a 5 Star License, issued May 5, 2017, earning 7 points in Education, 5 points in Program Standards and 1 Quality Point in the Programmatic Option. Restrictions on the permit include: a capacity of 113 during first shift with an age range of 0-12 years old, daytime care only, and meets all enhanced requirements. As of October 6, 2025, the 18-month compliance history for the facility was 98%. Child Care programs are expected to always achieve and maintain compliance 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 last annual compliance visit was conducted at this facility on October 10, 2024. The center is owned by Teachable Moments LLC. As of October 6, 2025, the corporation is current and active with the NC Secretary of State. Fire Inspection – 01/28/2025 – Approved for day time care only - Satisfactory Sanitation – 05/07/2025 – 3 Demerits – Superior Administrator, Linda Kreh was present and available for consultation. Ms. Kreh accompanied me as I visited each classroom. I monitored the outdoor play area unaccompanied. All approved indoor and outdoor spaces were observed today. There are seven approved spaces at this facility and five spaces were being utilized; however, no school age children were present during this visit. There are forty six children enrolled and twenty-four children, ages 0-4, present today. Daily schedules were available for each group of children. Activity plans were observed posted in each classroom. A variety of age-appropriate learning materials were observed in each classroom. In space #4, infants and one year old children received care based on their individual needs. Infant feeding schedules were observed posted and safe sleep charts are being maintained. Infants were sitting in bouncy seats playing with toys as the one year old children were sitting in their floor feeding seat eating lunch. Caregiver should remain within arm’s reach as children are eating. Toddlers and preschool children in spaces #3 were completing handwashing routines and participating in free choice activities such as playing with blocks and dramatic play. This classroom had a display of their art activity of different color leaves made with their handprints. Toddlers in space #5 were observing nap/rest time. At nap/rest time, lights were turned off, soft music played, and covered cots with blankets were appropriately spaced. Preschool in space #6 were listening to caregiver as she read a book entitled, “Curious George and the Dump Truck.” I also observed the children eating lunch. Lunch consisted of hotdogs, mixed vegetables, peaches, and milk. Routine toileting and handwashing procedures were monitored, and requirements were met. Staff/child ratios were in compliance in all classrooms. All children were adequately supervised. Caregivers and children interacted in a positive and appropriate manner. Staff and Training Worksheets- There are seven staff members employed at this facility. There were four new staff; new staff and a percentage of veteran staff’s files were reviewed. Health and safety trainings were monitored, and requirements were met. New staff are in the process of completing these training courses. Health and safety trainings are required to be completed during the first year of employment and renewed every 5 years. Remember, the Recognizing and Responding to Suspicions of Child Maltreatment training must be taken at www.preventchildabusenc.org, within the first 90 days of employment. Completing, refreshing, and updating the required Health and Safety Training increases your awareness and knowledge regarding child development and safety. Ensure this information in completed, recorded on the required form, and on file for review. The following violations were observed and documented today. All violations must be corrected immediately. Continued compliance with applicable child care requirements is always required. Violation Number Comment Rule 438 Developmentally appropriate equipment and materials were not provided for variety of outdoor activities for vigorous play and large muscle development. Materials are needed for all outdoor play areas. There is a basketball goal without a basketball. I observed two additional play balls; sand toys are limited. 10A NCAC 09 .0509(4) 533 Human milk, formula and other bottled beverages including sippy cups, sent from child's home were not fully prepared, dated, and labeled for the appropriate child. Bottled for one infant was dated for September 6, 2025. 15A NCAC 18A .2804(d) 807 A safe indoor and outdoor environment was not provided for the children. Weeds and debris must be removed from fall zone, mulch tilled or added to the appropriate depth to avoid potential injuries to children. Mulch was very compacted, lots of bird droppings were observed on sand box and shaded structure on playground for preschool children, and rust on equipment and music section of playground. 10A NCAC 09 .0601(a) 859 Monthly playground inspections were completed but they were not completed by an individual trained in playground safety requirements. .0605(q) For your facility to remain in compliance with NC Child Care Requirements, violations must be corrected immediately. On or before October 21, 2025, I must receive a written, dated, and signed compliance letter that describes accurately and in detail how and when the violations were corrected as well as how compliance will be maintained in the future. A time frame is established to allow you time for submitting your compliance letter. This timeframe is not intended to be used as a guide for correcting violations, as they should be corrected immediately. Email the information to me at Tammy.Ross@dhhs.nc.gov. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Child care licensing requirements are established to ensure a safe and healthy child care environment. Therefore, it is important for you to be knowledgeable of all the licensing requirements that apply to your type of program. It is your responsibility to maintain compliance with all the applicable laws and rules always whether they have been monitored or specifically discussed with you in the past. The best way for you to make sure that you meet all requirements is to periodically review the child care law and rules. Technical Assistance regarding violation cited: Ensure bottles are labeled and dated correctly each day. This violation was corrected during the visit. Monthly playground inspections were completed but they were not completed by an individual trained in playground safety requirements. Staff member, K. Jones, completed the outdoor inspection form for September but completion of playground safety training for Ms. Jones was not on site for verification purposes. As discussed, fall zones should be weeded regularly to ensure fall zones are kept free of hazards. For the safety of the children, you must ensure weeds and debris are removed and mulch is tilled or added to the appropriate depth to avoid potential injuries to children. I also urged you again to create a regular weeding and tilling schedule for the mulch. Mulch stationary equipment is very compacted, lots of bird droppings were observed on box and shaded structure on playground for preschool children, and rust on equipment and music section of playground. Materials - Child Care Rule 10A NCAC 09 .0509 states the learning environment consists of the indoor and outdoor area which encourages child initiated and teacher supported activities. The materials and equipment outdoors should be sufficient to provide a variety of play experiences that promote the children's emotional and social development, health and physical development, approaches to play and learning, language development, and communication and cognitive development. The outdoor area does not have adequate materials for the children to play with – there is a basketball goal without a basketball. I observed two additional play balls; sand toys are limited. Ms. Kreh stated that caregivers have toys that are taken outside for each group of children however, she agreed that more materials are needed for outdoor play area. Other Information Criminal Background Check Information – This is a requirement and if it is not completed, it will be documented as a violation. DCDEE launched the Provider Portal for ABCMS on February 1, 2024. This access will allow providers to see applicants that associate themselves with their facility and allow them to “hire” the applicant to their roster, see the real-time background check status of staff/household members, and run a printable report of the staff roster to assist with compliance visits. Ms. Kreh has completed the training and are actively working to enter the information for all staff. This information should be updated in ABCMS on an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. Should you need assistance with the portal or the training, please contact the Criminal Background Check Unit at (919) 814-6401and someone will assist you. CLEAN CLASSROOMS FOR CAROLINA KIDS - Your facility’s status, according to the Clean Classrooms for Carolina Kids website, shows the following: • Water Testing-Completed on April 3, 2024. Water testing must be completed every three (3) years. • Lead-Based Paint- N/A Exempt • Asbestos- N/A Exempt Ensure you keep all paperwork that you receive regarding this matter, as it may be requested to verify compliance. Please refer to the website if you have specific questions! https://www.cleanwaterforuskids.org/en/carolina/faq/ for further guidance and ensure all steps have been completed. Use this link to enroll your program or view test results/status: https://www.cleanwaterforuskids.org/en/carolina/ 2025 Annual Childcare Immunization Report Memo Download the 2025 Annual Childcare Immunization Report Memo The purpose of this memo is to notify childcare operators/Head Start directors and NC Pre-K classrooms of the 2025 annual immunization reporting requirements. North Carolina immunization law requires all schools providing Pre-K and all licensed childcare facilities (as defined in G.S. 110-86(3)) to file an annual immunization report on children aged newborn through preschool (G.S. 130A155(c)). This report is used to determine the number of children who meet state immunization requirements under 10A NCAC 41A.0401, ensuring that children in attendance at your childcare facility are protected against vaccine-preventable diseases. How to Submit your Report • The reporting portal is now open, and reports may be completed at any time prior to the due date but must be submitted electronically via this link. • Instructions and worksheets are available for downloading and may be used to collect data needed before entering your individual school information online. • Only one current report will be accepted per childcare facility, per report period. • All reports must be submitted electronically by midnight, November 15, 2025. • Reports will not be accepted after this date. • If your facility has no children enrolled or is closed, you are still required to submit a report. This ensures your facility is counted and not considered delinquent or missing. • For NC Pre-K and Head Start programs, include all children who attend full-time. • Do not include children already reported on the Annual Kindergarten Immunization Report. If you have additional questions about this report or are not able to access the internet to complete the report, email Immunization.Reports@dhhs.nc.gov or call 877-873-6247. July 2025 Rule Changes: Summary, Training Available The Division of Child Development and Early Education (DCDEE) is excited to share information about the July 2025 child care rule changes. The Child Care Commission adopted rules to support QRIS modernization. The new section, .3200, provides the standards for earning a two-though five-star-rated license. There are three pathways: program assessment, classroom and instructional quality, and accreditation and head start. To support the QRIS changes, additional rules were amended within the following sections: definitions, developmental day services, and NC Pre-Kindergarten services. Consultants will assist as you begin to review the changes, but please note some of the rule changes may not impact your facility. DCDEE has provided a summary of the changes, but for specific details regarding these changes, please ensure you are using the updated July 1, 2025 rule book, and view information in the DCDEE Moodle(Enroll if you haven’t yet).You will need to have an NCID - the same NCID that you use for the health & safety training, WORKS login, and/or the CBC Portal - to participate in Moodle training. If you do not have an NCID, use this link to get one: https://ncid.nc.gov/ncidsspr/. Rule training modules can be found in the same course as the previous Child Care Rule Rollout. If you are unfamiliar with the Child Care Rule Rollout within Moodle and how to navigate, please visit: https://ncchildcare.ncdhhs.gov/Learning-Resources/How-to-Navigate-Moodle. For assistance with Moodle, contact DCDEE_MOODLE_SUPPORT@dhhs.nc.gov. Choosing a Pathway to the Stars The new rules related to the star rated license system (QRIS) have been approved. The DCDEE team looks forward to working with child care facilities across the state to transition to the new QRIS system, also known as Pathways to the Stars, located in Section .3200 of the Child Care Rules. The transition will begin soon with the following informational opportunities: •You can review the rule roll out module in the DCDEE e-learning Moodle platform and •If you were unable to attend the recent webinars regarding Choosing a Pathway to the Stars, the sessions were recorded and will be posted on the QRIS Modernization page. Today, I completed a QRIS Conversation Template for your facility. You reported that your facility is choosing Pathway 1, and you plan to apply for a rated license by May 2026. A copy of this template is attached to this visit summary. We understand this is a big change and are committed to ensuring all providers have a good understanding of the new opportunities to make informed decisions on which pathway best suits the needs of the facility. We look forward to seeing you at these upcoming informational settings and working with you on your pathway to the stars! Reminders You can contact the NC Resource Center for information, resources, and referrals on topics related to child health and health and safety in child care. Anyone in the greater early care and education community is welcome to call 1(800) 367-2229 (choose 1 then 2). Stay up to date with the Division of Child Development and Early Education by visiting www.ncchildcare.ncdhhs.gov. This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. Click on the “What’s New” tab for important updates impacting child care in North Carolina. For the latest information on childcare rules and regulations, please visit the Division of Child Development and Early Education's website at: https://ncchildcare.ncdhhs.gov/ At the completion of the visit, this printed visit summary was reviewed with you, signed, and a copy left with Ms.. Kreh. As we discussed, this computer-generated visit summary serves as completion of the annual compliance visit. If you have any questions and/or concerns, you may contact me at Tammy.Ross@dhhs.nc.gov or (910)824-1143. 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 .0514 · Violation

Name of Operation: TEACHABLE MOMENTS CHILD DEVELOPMENT CENTER Facility ID: 67001085 Consultant: TAMMY ROSS Operation Type: Center Case Number: Visit Date: 10/10/2024 Number Present: 66 Completed Date: 10/10/2024 Age: From 1 To 5 Total Minutes: 300 Time In: 09:30 AM Time Out: 02:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s annual compliance visit was to monitor compliance with applicable child care requirements. A checklist was used to note the requirements I monitored today. Your program currently operates with a 5 Star License, issued May 5, 2017, earning 7 points in Education, 5 points in Program Standards and 1 Quality Point in the Programmatic Option. Restrictions on the permit include: a capacity of 113 during first shift with an age range of 0-12 years old, daytime care only, and meets all enhanced requirements. The program was also monitored for compliance with implementing an approved curriculum as required for all four- and five-star licensed facilities where four-year-old children are enrolled; this program uses the Creative Curriculum for Preschool, Fifth Edition. As of October 8, 2024, the 18-month compliance history for the facility was 92%. 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 last annual compliance visit was conducted at this facility on October 17, 2023. The center is owned by Teachable Moments LLC. The corporation is current and active with the NC Secretary of State. Fire Inspection – 02/06/2024 – Approved for day time care only - Satisfactory Sanitation – 08/01/2024 – 14 Demerits – Superior Administrator, Ida Faison and Assistant Administrator, Catherine Parker, were present and available for consultation. Ms. Parker accompanied me as I visited each classroom and outdoor play areas. All approved indoor and outdoor spaces were observed today. There are seven approved spaces at this facility and five spaces were being utilized; however, no school age children were present during this visit. There are sixty six children enrolled and twenty nine children, ages 0-4, were present today. Daily schedules were available for each group of children. Activity plans were observed posted in each classroom. A variety of age-appropriate learning materials were observed in each classroom. In space #4, infants received care based on their individual needs. Infant feeding schedules were observed posted and safe sleep charts are being maintained. One infant was observed sitting in high chair eating and one infant was observed asleep in their assigned cribs. Preschool children in spaces #3 and #6 were observed participating in free choice activities. In space # 5, toddlers were also observed eating lunch. Lunch consisted of cheese tortilla, corn, pineapple, and milk. After lunch, children completed handwashing and bathroom routines and prepared for nap/rest time. At nap/rest time, lights were turned off, soft music played, and covered cots with blankets were appropriately spaced. Staff/child ratios were in compliance in all classrooms. All children were adequately supervised. Caregivers and children interacted in a positive and appropriate manner. There was one violation observed. Violation must be corrected immediately. Continued compliance with applicable child care requirements is required at all times. It is your responsibility to ensure you comply with all applicable requirements at all times. Violation Number Comment Rule 1232 Each employee's personnel file did not contain a staff development plan. This information was not on file for one staff member. 10A NCAC 09 .0514(f) In order for your facility to remain in compliance with NC Child Care Requirements, violations must be corrected immediately. A signed and dated letter of compliance must be received October 24, 2024, describing how each violation was corrected and how compliance will be maintained in the future. A time frame is established to allow you time for submitting your compliance letter. This timeframe is not intended to be used as a guide for correcting violations, as they should be corrected immediately. If I can be of further assistance, please do not hesitate to contact me at (910)824-1143 or you can email me at Tammy.Ross@dhhs.nc.gov. You may email me your verification or mail it to me at: Tammy Ross, Child Care Licensing Consultant, P.O. Box 278, Jacksonville, NC 28541 Technical assistance regarding violation cited: Staff Records – All staff must have a staff development plan and staff evaluation annually. I suggest you select a certain month each year to complete these and set a reminder on your calendar, so this information is completed in a timely manner. Child care licensing requirements are established to ensure a safe and healthy child care environment. Therefore, it is important for you to be knowledgeable of all of the licensing requirements that apply to your type of program. It is your responsibility to maintain compliance with all of the applicable laws and rules at all times whether or not they have been monitored or specifically discussed with you in the past. The best way for you to make sure that you are meeting all requirements is to periodically review the child care law and rules. Other Information Health and Safety Training- These training topics outlined in Child Care Rule 10A NCAC 09 .1102. must be completed within the first year of employment for new staff, with the exception of Recognizing and Responding to Suspicions of Child Maltreatment – it must be completed within 90 days of hire. After initial completion of Health and Safety Trainings, they must be completed every five years. Use the Health and Safety Training Record which is found on the DCDEE website under Provider Documents and Forms to track the completion of these trainings. Certificates will need to be attached to the training record for verification purposes. Ensure this information is maintained on file. Completing, refreshing, and updating the required Health and Safety Training increases your awareness and knowledge regarding child development and safety. Rated License Reassessment Information - Your facility’s three-year rated license reassessment was due to be completed in May 2020. There are no longer any cohorts. The “hold harmless” state of rated license reassessments has been extended until the new Quality Rating Improvement System standards are put in place. This means that you may not be required to have a reassessment according to timelines discussed previously, however you may request one voluntarily. Today I encouraged you to review information about the new standards as it becomes available and to plan on training your additional caregivers on new assessment tools if you are still interested in Environment Rating Scales assessments. The new tools are the “3” versions, and I will share more information about training opportunities as they become available. Starting on February 1, 2025, the ECERS-3, ITERS-3, and FCCERS-3—also known as the "3s"—will be used for DCDEE environment rating scale assessments. The DCDEE and the North Carolina Rated License Assessment Project (NCRLAP) are collaboratively working on preparations for the transition to the third editions. These third editions come with a spiral binding at the top, replacing the current revised editions. Visit the NCRLAP’s website for more information about updated resources, credit hour trainings, and outreach assessment opportunities to help you become familiar with these tools. For official environment rating scale assessments for a NC Star Rated License, the NCRLAP will use the Revised editions until February 1, 2025. Ensure all information and education has been submitted to DCDEE WORKS as you hire new staff or as staff complete additional coursework. Keep in mind, it is expected that compliance with Education standards is maintained at all times, so you must ensure you monitor staff qualifications and percentages in advance of your upcoming reassessment. RECALLED ITEMS Power Adapters Sold with Rest 1st Generation Sound Machines: Power: https://www.cpsc.gov/Recalls/2024/Hatch-Baby-Recalls-Power-Adapters-Sold-with-Rest-1st-Generation-Sound-Machines-Due-to-Shock-Hazard Theefun Kids Gardening Tool Sets: https://www.cpsc.gov/Recalls/2024/Thousandshores-Recalled-Theefun-Kids-Gardening-Tools-Sets-Due-to-Violation-of-the-Federal-Phthalates-Ban-Sold-Exclusively-on-Amazon Sling Carriers: https://www.cpsc.gov/Recalls/2024/Sling-Carriers-Recalled-Due-to-Infant-Suffocation-and-Fall-Hazards-Violation-of-the-Federal-Safety-Regulation-for-Sling-Carriers-Sold-on-Walmart-com-through-Joybuy-Marketplace-Express Children’s Pajama Sets: https://www.cpsc.gov/Recalls/2024/Childrens-Pajama-Sets-Recalled-Due-to-Burn-Hazard-and-Violation-of-Federal-Flammability-Standards-Sold-Exclusively-on-Temu-com-by-Fashion-Online Children’s Nightgowns: https://www.cpsc.gov/Recalls/2024/Childrens-Pajama-Sets-Recalled-Due-to-Burn-Hazard-and-Violation-of-Federal-Flammability-Standards-Sold-Exclusively-on-Temu-com-by-Fashion-Online Clean Classrooms for Kids Program – All child care programs must have their water tested for lead and your building tested for lead and asbestos hazards. May 1, 2024, was the initial deadline to enroll your facility in the Clean Classrooms for Carolina Kids program to identify and eliminate exposure to lead and asbestos hazards in building infrastructure. Facilities that have not yet enrolled should complete the process by November 1, 2024. This program is an expansion of Clean Water for Carolina Kids, which previously tested all child care centers in the state for lead in water at drinking and food preparation taps. As this is a legislatively mandated effort, facilities are required to meet rule requirements to have tap water tested every three years(centers) and to have inspections for lead paint and asbestos if applicable. Please see steps below: 1. Sign Up – Pre-enrollment webinars are available at cleanwaterforUSkids.org/carolina or paste https://bit.ly/3CK-webinar into your web browser to see available dates and times for the next month. 2. Enroll – At www.cleanwaterforUSkids.org/carolina using the PIN and complete the enrollment surveys for three program sections: 1) lead in water, 2) lead-based paint, and 3) asbestos. 3. Evaluate Hazards - The program will ship your facility a water sample kit and may coordinate an on-site visit by a professional to assess lead-based paint and asbestos hazards, if needed. 4. Receive Results – Receive your results, recommendations, and water mitigation support, if needed. 5. Request Reimbursement - If you choose to conduct lead-based paint or asbestos mitigation, you can request reimbursement from NC DHHS. Visit the web site at: https://www.ncdhhs.gov/divisions/public-health/asbestos-and-leadbased-paint-reimbursement-program-arpa The information above is from https://www.cleanwaterforuskids.org/en/carolina/, which is also where you enroll in the program. Remember, centers must have their water tested every three years. Family child care homes, as of now, are only required to do it once, and the water testing must be completed by January 1, 2025. DPI Pre-K programs do not need to enroll separately as public schools will be tested as a whole. Please refer to the website if you have specific questions! Criminal Background Check Information - DCDEE launched the Provider Portal for ABCMS on February 1, 2024. This access will allow providers to see applicants that associate themselves with their facility and allow them to “hire” the applicant to their roster, see the real-time background check status of staff/household members, and run a printable report of the staff roster to assist with compliance visits. To gain access to the Provider Portal complete the ABCMS Child Care Provider Portal Training on DCDEE's Moodle. The training consists of watching a short video then taking a test about the video. A certificate will be issued upon successful completion of the test. Email the certificate along with your full name, position, and Facility ID to DCDEE_ABCMS_Provider@dhhs.nc.gov to get access to the portal. Access will then be granted within 2 business days. If you have general questions, please continue to use DHHS.CBC.Unit@dhhs.nc.gov. Outdoor Play Area - There should be no rust on any equipment in the play area. There should also be no tripping hazards as you enter or exit the outdoor play area. There should also be no opening at the bottom of the fence or gate area. Facility must maintain a safe outdoor learning environment at all times. Documentation was completed and reviewed on site, printed and signed. Remember it is your responsibility to comply with all child care rules and requirements at all times. Contact me at Tammy.Ross@dhhs.nc.gov at (910)824-1143 with any questions or concerns. 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 .1102 · Violation

Name of Operation: TEACHABLE MOMENTS CHILD DEVELOPMENT CENTER Facility ID: 67001085 Consultant: TAMMY ROSS Operation Type: Center Case Number: Visit Date: 10/10/2024 Number Present: 66 Completed Date: 10/10/2024 Age: From 1 To 5 Total Minutes: 300 Time In: 09:30 AM Time Out: 02:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s annual compliance visit was to monitor compliance with applicable child care requirements. A checklist was used to note the requirements I monitored today. Your program currently operates with a 5 Star License, issued May 5, 2017, earning 7 points in Education, 5 points in Program Standards and 1 Quality Point in the Programmatic Option. Restrictions on the permit include: a capacity of 113 during first shift with an age range of 0-12 years old, daytime care only, and meets all enhanced requirements. The program was also monitored for compliance with implementing an approved curriculum as required for all four- and five-star licensed facilities where four-year-old children are enrolled; this program uses the Creative Curriculum for Preschool, Fifth Edition. As of October 8, 2024, the 18-month compliance history for the facility was 92%. 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 last annual compliance visit was conducted at this facility on October 17, 2023. The center is owned by Teachable Moments LLC. The corporation is current and active with the NC Secretary of State. Fire Inspection – 02/06/2024 – Approved for day time care only - Satisfactory Sanitation – 08/01/2024 – 14 Demerits – Superior Administrator, Ida Faison and Assistant Administrator, Catherine Parker, were present and available for consultation. Ms. Parker accompanied me as I visited each classroom and outdoor play areas. All approved indoor and outdoor spaces were observed today. There are seven approved spaces at this facility and five spaces were being utilized; however, no school age children were present during this visit. There are sixty six children enrolled and twenty nine children, ages 0-4, were present today. Daily schedules were available for each group of children. Activity plans were observed posted in each classroom. A variety of age-appropriate learning materials were observed in each classroom. In space #4, infants received care based on their individual needs. Infant feeding schedules were observed posted and safe sleep charts are being maintained. One infant was observed sitting in high chair eating and one infant was observed asleep in their assigned cribs. Preschool children in spaces #3 and #6 were observed participating in free choice activities. In space # 5, toddlers were also observed eating lunch. Lunch consisted of cheese tortilla, corn, pineapple, and milk. After lunch, children completed handwashing and bathroom routines and prepared for nap/rest time. At nap/rest time, lights were turned off, soft music played, and covered cots with blankets were appropriately spaced. Staff/child ratios were in compliance in all classrooms. All children were adequately supervised. Caregivers and children interacted in a positive and appropriate manner. There was one violation observed. Violation must be corrected immediately. Continued compliance with applicable child care requirements is required at all times. It is your responsibility to ensure you comply with all applicable requirements at all times. Violation Number Comment Rule 1232 Each employee's personnel file did not contain a staff development plan. This information was not on file for one staff member. 10A NCAC 09 .0514(f) In order for your facility to remain in compliance with NC Child Care Requirements, violations must be corrected immediately. A signed and dated letter of compliance must be received October 24, 2024, describing how each violation was corrected and how compliance will be maintained in the future. A time frame is established to allow you time for submitting your compliance letter. This timeframe is not intended to be used as a guide for correcting violations, as they should be corrected immediately. If I can be of further assistance, please do not hesitate to contact me at (910)824-1143 or you can email me at Tammy.Ross@dhhs.nc.gov. You may email me your verification or mail it to me at: Tammy Ross, Child Care Licensing Consultant, P.O. Box 278, Jacksonville, NC 28541 Technical assistance regarding violation cited: Staff Records – All staff must have a staff development plan and staff evaluation annually. I suggest you select a certain month each year to complete these and set a reminder on your calendar, so this information is completed in a timely manner. Child care licensing requirements are established to ensure a safe and healthy child care environment. Therefore, it is important for you to be knowledgeable of all of the licensing requirements that apply to your type of program. It is your responsibility to maintain compliance with all of the applicable laws and rules at all times whether or not they have been monitored or specifically discussed with you in the past. The best way for you to make sure that you are meeting all requirements is to periodically review the child care law and rules. Other Information Health and Safety Training- These training topics outlined in Child Care Rule 10A NCAC 09 .1102. must be completed within the first year of employment for new staff, with the exception of Recognizing and Responding to Suspicions of Child Maltreatment – it must be completed within 90 days of hire. After initial completion of Health and Safety Trainings, they must be completed every five years. Use the Health and Safety Training Record which is found on the DCDEE website under Provider Documents and Forms to track the completion of these trainings. Certificates will need to be attached to the training record for verification purposes. Ensure this information is maintained on file. Completing, refreshing, and updating the required Health and Safety Training increases your awareness and knowledge regarding child development and safety. Rated License Reassessment Information - Your facility’s three-year rated license reassessment was due to be completed in May 2020. There are no longer any cohorts. The “hold harmless” state of rated license reassessments has been extended until the new Quality Rating Improvement System standards are put in place. This means that you may not be required to have a reassessment according to timelines discussed previously, however you may request one voluntarily. Today I encouraged you to review information about the new standards as it becomes available and to plan on training your additional caregivers on new assessment tools if you are still interested in Environment Rating Scales assessments. The new tools are the “3” versions, and I will share more information about training opportunities as they become available. Starting on February 1, 2025, the ECERS-3, ITERS-3, and FCCERS-3—also known as the "3s"—will be used for DCDEE environment rating scale assessments. The DCDEE and the North Carolina Rated License Assessment Project (NCRLAP) are collaboratively working on preparations for the transition to the third editions. These third editions come with a spiral binding at the top, replacing the current revised editions. Visit the NCRLAP’s website for more information about updated resources, credit hour trainings, and outreach assessment opportunities to help you become familiar with these tools. For official environment rating scale assessments for a NC Star Rated License, the NCRLAP will use the Revised editions until February 1, 2025. Ensure all information and education has been submitted to DCDEE WORKS as you hire new staff or as staff complete additional coursework. Keep in mind, it is expected that compliance with Education standards is maintained at all times, so you must ensure you monitor staff qualifications and percentages in advance of your upcoming reassessment. RECALLED ITEMS Power Adapters Sold with Rest 1st Generation Sound Machines: Power: https://www.cpsc.gov/Recalls/2024/Hatch-Baby-Recalls-Power-Adapters-Sold-with-Rest-1st-Generation-Sound-Machines-Due-to-Shock-Hazard Theefun Kids Gardening Tool Sets: https://www.cpsc.gov/Recalls/2024/Thousandshores-Recalled-Theefun-Kids-Gardening-Tools-Sets-Due-to-Violation-of-the-Federal-Phthalates-Ban-Sold-Exclusively-on-Amazon Sling Carriers: https://www.cpsc.gov/Recalls/2024/Sling-Carriers-Recalled-Due-to-Infant-Suffocation-and-Fall-Hazards-Violation-of-the-Federal-Safety-Regulation-for-Sling-Carriers-Sold-on-Walmart-com-through-Joybuy-Marketplace-Express Children’s Pajama Sets: https://www.cpsc.gov/Recalls/2024/Childrens-Pajama-Sets-Recalled-Due-to-Burn-Hazard-and-Violation-of-Federal-Flammability-Standards-Sold-Exclusively-on-Temu-com-by-Fashion-Online Children’s Nightgowns: https://www.cpsc.gov/Recalls/2024/Childrens-Pajama-Sets-Recalled-Due-to-Burn-Hazard-and-Violation-of-Federal-Flammability-Standards-Sold-Exclusively-on-Temu-com-by-Fashion-Online Clean Classrooms for Kids Program – All child care programs must have their water tested for lead and your building tested for lead and asbestos hazards. May 1, 2024, was the initial deadline to enroll your facility in the Clean Classrooms for Carolina Kids program to identify and eliminate exposure to lead and asbestos hazards in building infrastructure. Facilities that have not yet enrolled should complete the process by November 1, 2024. This program is an expansion of Clean Water for Carolina Kids, which previously tested all child care centers in the state for lead in water at drinking and food preparation taps. As this is a legislatively mandated effort, facilities are required to meet rule requirements to have tap water tested every three years(centers) and to have inspections for lead paint and asbestos if applicable. Please see steps below: 1. Sign Up – Pre-enrollment webinars are available at cleanwaterforUSkids.org/carolina or paste https://bit.ly/3CK-webinar into your web browser to see available dates and times for the next month. 2. Enroll – At www.cleanwaterforUSkids.org/carolina using the PIN and complete the enrollment surveys for three program sections: 1) lead in water, 2) lead-based paint, and 3) asbestos. 3. Evaluate Hazards - The program will ship your facility a water sample kit and may coordinate an on-site visit by a professional to assess lead-based paint and asbestos hazards, if needed. 4. Receive Results – Receive your results, recommendations, and water mitigation support, if needed. 5. Request Reimbursement - If you choose to conduct lead-based paint or asbestos mitigation, you can request reimbursement from NC DHHS. Visit the web site at: https://www.ncdhhs.gov/divisions/public-health/asbestos-and-leadbased-paint-reimbursement-program-arpa The information above is from https://www.cleanwaterforuskids.org/en/carolina/, which is also where you enroll in the program. Remember, centers must have their water tested every three years. Family child care homes, as of now, are only required to do it once, and the water testing must be completed by January 1, 2025. DPI Pre-K programs do not need to enroll separately as public schools will be tested as a whole. Please refer to the website if you have specific questions! Criminal Background Check Information - DCDEE launched the Provider Portal for ABCMS on February 1, 2024. This access will allow providers to see applicants that associate themselves with their facility and allow them to “hire” the applicant to their roster, see the real-time background check status of staff/household members, and run a printable report of the staff roster to assist with compliance visits. To gain access to the Provider Portal complete the ABCMS Child Care Provider Portal Training on DCDEE's Moodle. The training consists of watching a short video then taking a test about the video. A certificate will be issued upon successful completion of the test. Email the certificate along with your full name, position, and Facility ID to DCDEE_ABCMS_Provider@dhhs.nc.gov to get access to the portal. Access will then be granted within 2 business days. If you have general questions, please continue to use DHHS.CBC.Unit@dhhs.nc.gov. Outdoor Play Area - There should be no rust on any equipment in the play area. There should also be no tripping hazards as you enter or exit the outdoor play area. There should also be no opening at the bottom of the fence or gate area. Facility must maintain a safe outdoor learning environment at all times. Documentation was completed and reviewed on site, printed and signed. Remember it is your responsibility to comply with all child care rules and requirements at all times. Contact me at Tammy.Ross@dhhs.nc.gov at (910)824-1143 with any questions or concerns. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

NC GS 110-90 · Violation

Name of Operation: TEACHABLE MOMENTS CHILD DEVELOPMENT CENTER Facility ID: 67001085 Consultant: TAMMY ROSS Operation Type: Center Case Number: Visit Date: 10/10/2024 Number Present: 66 Completed Date: 10/10/2024 Age: From 1 To 5 Total Minutes: 300 Time In: 09:30 AM Time Out: 02:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s annual compliance visit was to monitor compliance with applicable child care requirements. A checklist was used to note the requirements I monitored today. Your program currently operates with a 5 Star License, issued May 5, 2017, earning 7 points in Education, 5 points in Program Standards and 1 Quality Point in the Programmatic Option. Restrictions on the permit include: a capacity of 113 during first shift with an age range of 0-12 years old, daytime care only, and meets all enhanced requirements. The program was also monitored for compliance with implementing an approved curriculum as required for all four- and five-star licensed facilities where four-year-old children are enrolled; this program uses the Creative Curriculum for Preschool, Fifth Edition. As of October 8, 2024, the 18-month compliance history for the facility was 92%. 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 last annual compliance visit was conducted at this facility on October 17, 2023. The center is owned by Teachable Moments LLC. The corporation is current and active with the NC Secretary of State. Fire Inspection – 02/06/2024 – Approved for day time care only - Satisfactory Sanitation – 08/01/2024 – 14 Demerits – Superior Administrator, Ida Faison and Assistant Administrator, Catherine Parker, were present and available for consultation. Ms. Parker accompanied me as I visited each classroom and outdoor play areas. All approved indoor and outdoor spaces were observed today. There are seven approved spaces at this facility and five spaces were being utilized; however, no school age children were present during this visit. There are sixty six children enrolled and twenty nine children, ages 0-4, were present today. Daily schedules were available for each group of children. Activity plans were observed posted in each classroom. A variety of age-appropriate learning materials were observed in each classroom. In space #4, infants received care based on their individual needs. Infant feeding schedules were observed posted and safe sleep charts are being maintained. One infant was observed sitting in high chair eating and one infant was observed asleep in their assigned cribs. Preschool children in spaces #3 and #6 were observed participating in free choice activities. In space # 5, toddlers were also observed eating lunch. Lunch consisted of cheese tortilla, corn, pineapple, and milk. After lunch, children completed handwashing and bathroom routines and prepared for nap/rest time. At nap/rest time, lights were turned off, soft music played, and covered cots with blankets were appropriately spaced. Staff/child ratios were in compliance in all classrooms. All children were adequately supervised. Caregivers and children interacted in a positive and appropriate manner. There was one violation observed. Violation must be corrected immediately. Continued compliance with applicable child care requirements is required at all times. It is your responsibility to ensure you comply with all applicable requirements at all times. Violation Number Comment Rule 1232 Each employee's personnel file did not contain a staff development plan. This information was not on file for one staff member. 10A NCAC 09 .0514(f) In order for your facility to remain in compliance with NC Child Care Requirements, violations must be corrected immediately. A signed and dated letter of compliance must be received October 24, 2024, describing how each violation was corrected and how compliance will be maintained in the future. A time frame is established to allow you time for submitting your compliance letter. This timeframe is not intended to be used as a guide for correcting violations, as they should be corrected immediately. If I can be of further assistance, please do not hesitate to contact me at (910)824-1143 or you can email me at Tammy.Ross@dhhs.nc.gov. You may email me your verification or mail it to me at: Tammy Ross, Child Care Licensing Consultant, P.O. Box 278, Jacksonville, NC 28541 Technical assistance regarding violation cited: Staff Records – All staff must have a staff development plan and staff evaluation annually. I suggest you select a certain month each year to complete these and set a reminder on your calendar, so this information is completed in a timely manner. Child care licensing requirements are established to ensure a safe and healthy child care environment. Therefore, it is important for you to be knowledgeable of all of the licensing requirements that apply to your type of program. It is your responsibility to maintain compliance with all of the applicable laws and rules at all times whether or not they have been monitored or specifically discussed with you in the past. The best way for you to make sure that you are meeting all requirements is to periodically review the child care law and rules. Other Information Health and Safety Training- These training topics outlined in Child Care Rule 10A NCAC 09 .1102. must be completed within the first year of employment for new staff, with the exception of Recognizing and Responding to Suspicions of Child Maltreatment – it must be completed within 90 days of hire. After initial completion of Health and Safety Trainings, they must be completed every five years. Use the Health and Safety Training Record which is found on the DCDEE website under Provider Documents and Forms to track the completion of these trainings. Certificates will need to be attached to the training record for verification purposes. Ensure this information is maintained on file. Completing, refreshing, and updating the required Health and Safety Training increases your awareness and knowledge regarding child development and safety. Rated License Reassessment Information - Your facility’s three-year rated license reassessment was due to be completed in May 2020. There are no longer any cohorts. The “hold harmless” state of rated license reassessments has been extended until the new Quality Rating Improvement System standards are put in place. This means that you may not be required to have a reassessment according to timelines discussed previously, however you may request one voluntarily. Today I encouraged you to review information about the new standards as it becomes available and to plan on training your additional caregivers on new assessment tools if you are still interested in Environment Rating Scales assessments. The new tools are the “3” versions, and I will share more information about training opportunities as they become available. Starting on February 1, 2025, the ECERS-3, ITERS-3, and FCCERS-3—also known as the "3s"—will be used for DCDEE environment rating scale assessments. The DCDEE and the North Carolina Rated License Assessment Project (NCRLAP) are collaboratively working on preparations for the transition to the third editions. These third editions come with a spiral binding at the top, replacing the current revised editions. Visit the NCRLAP’s website for more information about updated resources, credit hour trainings, and outreach assessment opportunities to help you become familiar with these tools. For official environment rating scale assessments for a NC Star Rated License, the NCRLAP will use the Revised editions until February 1, 2025. Ensure all information and education has been submitted to DCDEE WORKS as you hire new staff or as staff complete additional coursework. Keep in mind, it is expected that compliance with Education standards is maintained at all times, so you must ensure you monitor staff qualifications and percentages in advance of your upcoming reassessment. RECALLED ITEMS Power Adapters Sold with Rest 1st Generation Sound Machines: Power: https://www.cpsc.gov/Recalls/2024/Hatch-Baby-Recalls-Power-Adapters-Sold-with-Rest-1st-Generation-Sound-Machines-Due-to-Shock-Hazard Theefun Kids Gardening Tool Sets: https://www.cpsc.gov/Recalls/2024/Thousandshores-Recalled-Theefun-Kids-Gardening-Tools-Sets-Due-to-Violation-of-the-Federal-Phthalates-Ban-Sold-Exclusively-on-Amazon Sling Carriers: https://www.cpsc.gov/Recalls/2024/Sling-Carriers-Recalled-Due-to-Infant-Suffocation-and-Fall-Hazards-Violation-of-the-Federal-Safety-Regulation-for-Sling-Carriers-Sold-on-Walmart-com-through-Joybuy-Marketplace-Express Children’s Pajama Sets: https://www.cpsc.gov/Recalls/2024/Childrens-Pajama-Sets-Recalled-Due-to-Burn-Hazard-and-Violation-of-Federal-Flammability-Standards-Sold-Exclusively-on-Temu-com-by-Fashion-Online Children’s Nightgowns: https://www.cpsc.gov/Recalls/2024/Childrens-Pajama-Sets-Recalled-Due-to-Burn-Hazard-and-Violation-of-Federal-Flammability-Standards-Sold-Exclusively-on-Temu-com-by-Fashion-Online Clean Classrooms for Kids Program – All child care programs must have their water tested for lead and your building tested for lead and asbestos hazards. May 1, 2024, was the initial deadline to enroll your facility in the Clean Classrooms for Carolina Kids program to identify and eliminate exposure to lead and asbestos hazards in building infrastructure. Facilities that have not yet enrolled should complete the process by November 1, 2024. This program is an expansion of Clean Water for Carolina Kids, which previously tested all child care centers in the state for lead in water at drinking and food preparation taps. As this is a legislatively mandated effort, facilities are required to meet rule requirements to have tap water tested every three years(centers) and to have inspections for lead paint and asbestos if applicable. Please see steps below: 1. Sign Up – Pre-enrollment webinars are available at cleanwaterforUSkids.org/carolina or paste https://bit.ly/3CK-webinar into your web browser to see available dates and times for the next month. 2. Enroll – At www.cleanwaterforUSkids.org/carolina using the PIN and complete the enrollment surveys for three program sections: 1) lead in water, 2) lead-based paint, and 3) asbestos. 3. Evaluate Hazards - The program will ship your facility a water sample kit and may coordinate an on-site visit by a professional to assess lead-based paint and asbestos hazards, if needed. 4. Receive Results – Receive your results, recommendations, and water mitigation support, if needed. 5. Request Reimbursement - If you choose to conduct lead-based paint or asbestos mitigation, you can request reimbursement from NC DHHS. Visit the web site at: https://www.ncdhhs.gov/divisions/public-health/asbestos-and-leadbased-paint-reimbursement-program-arpa The information above is from https://www.cleanwaterforuskids.org/en/carolina/, which is also where you enroll in the program. Remember, centers must have their water tested every three years. Family child care homes, as of now, are only required to do it once, and the water testing must be completed by January 1, 2025. DPI Pre-K programs do not need to enroll separately as public schools will be tested as a whole. Please refer to the website if you have specific questions! Criminal Background Check Information - DCDEE launched the Provider Portal for ABCMS on February 1, 2024. This access will allow providers to see applicants that associate themselves with their facility and allow them to “hire” the applicant to their roster, see the real-time background check status of staff/household members, and run a printable report of the staff roster to assist with compliance visits. To gain access to the Provider Portal complete the ABCMS Child Care Provider Portal Training on DCDEE's Moodle. The training consists of watching a short video then taking a test about the video. A certificate will be issued upon successful completion of the test. Email the certificate along with your full name, position, and Facility ID to DCDEE_ABCMS_Provider@dhhs.nc.gov to get access to the portal. Access will then be granted within 2 business days. If you have general questions, please continue to use DHHS.CBC.Unit@dhhs.nc.gov. Outdoor Play Area - There should be no rust on any equipment in the play area. There should also be no tripping hazards as you enter or exit the outdoor play area. There should also be no opening at the bottom of the fence or gate area. Facility must maintain a safe outdoor learning environment at all times. Documentation was completed and reviewed on site, printed and signed. Remember it is your responsibility to comply with all child care rules and requirements at all times. Contact me at Tammy.Ross@dhhs.nc.gov at (910)824-1143 with any questions or concerns. 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 .0508 · Violation

Name of Operation: TEACHABLE MOMENTS CHILD DEVELOPMENT CENTER Facility ID: 67001085 Consultant: TAMMY ROSS Operation Type: Center Case Number: 0224-118L Visit Date: 2/22/2024 Number Present: 53 Completed Date: 2/22/2024 Age: From 0 To 5 Total Minutes: 135 Time In: 10:15 AM Time Out: 12:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today’s visit was to investigate a report alleging violations of child care requirements. Limited monitoring of child care requirements occurred during today’s visit. Observations and a walk through were conducted throughout the indoor facility. Administrator, Ida Faison, was present and accompanied me as I visited each classroom. Assistant Administrator, Catherine Parker, was not present during today’s visit. However, the complaint allegations were discussed with Ms. Parker via telephone. There are seven classrooms operating at this facility. Staff/child ratios for all spaces were monitored and found to be in compliance. There are eighty-four children enrolled and fifty-three children, ages 0 – 5, were present with eleven caregivers. There were six infants in space #4 receiving care based on their individual needs. Preschool children in spaces #1, #2, #3, and #5 were completing personal hygiene routines and preparing for nap/rest time. Lights were turned off, covered cots with blankets were appropriately spaced, and soft music played making the area conducive to nap/rest time. Preschool children in space #6 were finishing lunch. Lunch consisted of grilled cheese sandwich, corn, pineapples, and milk. After lunch, the children sat down on the rug area as a caregiver prepared to read a book to them. All children were adequately supervised. Space #7 is used by school age children. They were not present due to the time the visit was conducted. The allegations of this report were specific to the classroom for two-year-old children. It was discussed with Ms. Faison, Ms. Parker, and the caregivers in the classroom for two-year-old children, Tange Boone, and Autumn Duncan. You were all given the opportunity to state your perceptions of the allegations and to share any pertinent information. Staff/Child Ratio for classroom for two-year-old children – 1 caregiver: 9 children Allegation #1 There is a concern that staff did not interact with children in a nurturing and caring manner. Ms. Faison and Ms. Parker did not recall any incidents occurring or being brought to their attention regarding concerns with staff interactions with children in their care. During today’s visit, staff were observed interacting with children in a nurturing and caring manner. Caregivers were attentive to the needs of the children in their care. Each child must be attended to in a nurturing and appropriate manner, and in keeping with the child's developmental needs. No form of corporal punishment or rough handling is ever acceptable. No child may be yelled at, threatened, shamed, humiliated, bullied, or subjected to sarcastic remarks or profanity. it is important to remember to engage in one-to-one interactions with children, get on the child’s level for face-to-face interactions, use a pleasant, calm voice and simple language, provide warm, responsive physical contact, help children understand classroom expectations, redirect children when they engage in challenging behavior, listen to children and encourage them to listen to others, and acknowledge children for their accomplishments and efforts. Positive interactions between children and the caregiver are fundamental to quality child care. Ms. Faison stated the facility’s discipline policy is reviewed with all staff upon hire. Each staff member received a copy of the discipline policy and signed a written statement confirming receipt; this information is on file for all staff. You cannot hit children. You cannot grab, push, pull, yank or snatch children. Corporal Punishment is not permitted by staff or parents. Children must not be subjected to corporal punishment by anyone at any time for any reason. Child Care Rule 10A NCAC 09 .1803 PROHIBITED DISCIPLINE IN CHILD CARE CENTERS states no child shall be subjected to any form of corporal punishment by the owner, operator, director, or staff of any child care center. The word discipline means to teach and guide. Discipline is not punishment. The discipline standard should reflect an approach that prevents behavior problems by supporting children in learning appropriate social skills and emotional responses. Those that work with young children should care for children without ever resorting to physical punishment or abusive language. When a child needs assistance, needs to express feelings, needs, and wants, the adult should help the child learn strategies for dealing with any situation. Modify the learning/play environment (schedule, routine, activities, transitions, etc.) to support appropriate behavior in a child. Create a predictable schedule. When a routine is predictable, children are more likely to know what to do and what is expected of them. This may decrease anxiety which may decrease acting out. Use encouragement and descriptive praise. When clear encouragement and descriptive praise are used to give attention to appropriate behaviors, those behaviors are likely to be repeated. Encouragement and praise should label the behaviors—not the child. Recognize and accept age-appropriate behaviors. Understand the stages of development in which the children in your care fall. For example, those that cry may not have the verbal ability to express their needs and/or wants or they may not have the skills yet to do so. Based on my observations and information received, this allegation is unsubstantiated. Safety starts in the classroom. Children should feel and be safe everywhere on campus—in the rest rooms, hallways, on field trips, and on the playground. Feeling safe makes learning possible. Caregivers can help a child feel safe, secure, and supported by acknowledging and responding sensitively to children's cues/signals and supporting children's secure attachment through consistent and warm nurturing relationships. One sign of a positive, respectful, and responsive relationships is that children and caregivers have a variety of meaningful interactions during their time together. Developing positive teacher-child relationships is vital to creating a healthy environment for children in your facility. Allegation #2 There is a concern that staff/child ratios are not followed during all hours of operations. This allegation was specific to the classroom for two-year-old children on February 12, 2024. This facility does have cameras in the office and hallway areas but not in the classrooms. The video footage was not viewed today due to administration stated they thought it was “live feed” and did not know how to operate camera/recording equipment. Attendance sheets for staff and children were reviewed today for February 8, 2024. It appeared that on February 8, 2024, there were 9 children present, age 2, with one caregiver, Ms. Boone. Ms. Boone was interviewed, and she stated that she was not out of ratio on February 8, 2024, or any other day as there is adequate staff for all classrooms. She states that on the day in question, Ms. Autumn Duncan and herself were the main caregivers for the classroom for two-year-old children other than when other staff stepped in for lunch and potty breaks. I also interviewed Ms. Duncan and she stated the same information that was shared with me by Ms. Boone. Ms. Faison, Ms. Parker, and Ms. Boone stated that children that are enrolled in Ms. Boone’s classroom are moved to the classroom for three-year-old children when needed to maintain staff/child ratio. However, this should not be the “norm, “ – it should be the “exception.” The classroom for two-year-old children has thirteen children enrolled; therefore, there should be two staff members for this classroom to support the continuity of care for these children. As discussed with Ms. Parker, your facility has staff available to be assigned as the second teacher in the classroom for two-year-old children. Ms. Faison, Ms. Parker, and Ms. Boone also recalled an incident on February 8, 2024, that involved a parent, who was also an employee at this facility. The parent/employee has three children enrolled at this facility, including a two-year-old child. The parent/employee arrived late due to one of her children having a doctor’s appointment. Ms. Boone stated a staff member brought the two-year-old child to her classroom and she told that staff member that she could not accept the child because that would put her out of staff/child ratio; she had nine children, and she was the only staff member in the room. Therefore, the staff member returned the child to the parent/employee and the parent/employee left with the child and her infant daughter as she was enrolled at a different facility. Ms. Boone stated in approximately five minutes of the parent/employee leaving, the father of the said child arrived and requested all of the child’s belongings and child nor parent/employee have returned back to the facility. Ms. Boone, Ms. Faison, and Ms. Parker stated at no point did the parent/employee nor father express any concerns regarding the care their child received at the facility or why they were removing the child from care. Ms. Faison stated parent/employee emailed her a resignation letter at a later date. Ms. Faison stated the staff/child ratio requirements are frequently reviewed with staff and it is part of the orientation process for new staff. Ms. Faison stated she is in the process of implementing a new form that requires the teachers to sign each child in and/or out of their classroom each day. This form will also require staff members to sign in and out of classrooms each day. Ms. Faison feels this form is needed for more accountability and responsibility for staff. As I visited classrooms today, all staff were aware of the staff/child ratio for their classroom, and I observed accurate staff/child ratios forms posted in each classroom. Staff stated they did not have any concerns regarding staff/child ratios. Based on my investigation, my observations, and information received, this allegation is unsubstantiated. As you elected to operate under voluntary enhanced staff-child ratios, these ratios must be followed at all times, no exceptions. Staff-child ratio refers to the maximum number of children who may be supervised by one staff member. A group is the maximum number of children occupying an individual classroom or well-defined space. Each group of children must have the appropriate number of staff members present based on the total number and ages of children in care at all times. Maintaining staff/child ratios and maximum group sizes is essential to the health and safety of children. Staff must be aware of the children’s ages and how many children are always in each group. Today I suggested that staff keep a running list of children and their ages to ensure they are maintaining ratios and can ask for assistance if needed or ask parents to return to the office for guidance of placement of their child if accepting the child would make your group size too large. If children are combined with similar age groups, such as in the early morning or later evening hours, the staff/child ratio and maximum group size for the youngest child in the group must be maintained. Smaller group sizes and larger numbers of staff to children are related to positive outcomes for children and promote direct, warm, social interactions between caregivers and children. Ms. Faison stated she and Ms. Parker are constantly in and out of the classrooms throughout the day to assist and support caregivers, ensure all children are adequately supervised, and attended to in a nurturing and caring manner at all times. Ms. Parker stated she completes headcounts for each classroom throughout the day to ensure staff/child ratios are maintained. There was one violation observed today. Violation must be corrected immediately. Continued compliance with applicable child care requirements is required at all times. Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. This information was not available for space #4. GS 110-91(12); .0508(a) 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. In order for your facility to remain in compliance with NC Child Care Requirements, violations must be corrected immediately. On or before February 29, 2024, I must receive a written, dated, and signed compliance letter that describes accurately and in detail how and when the violations were corrected as well as how compliance will be maintained in the future. A time frame is established to allow you time for submitting your compliance letter. This timeframe is not intended to be used as a guide for correcting violations, as they should be corrected immediately. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Email the information to me at Tammy.Ross@dhhs.nc.gov. The compliance letter must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. Child care licensing requirements are established to ensure a safe and healthy child care environment. Therefore, it is important for you to be knowledgeable of all of the licensing requirements that apply to your program. It is your responsibility to maintain compliance with all of the applicable laws and rules at all times whether or not they have been monitored or specifically discussed with you in the past. The best way for you to make sure that you are meeting all requirements is to periodically review the child care law and rules. Comments Regarding Violation Child Care Rule 10A NCAC 09 .0508 ACTIVITY SCHEDULES AND PLANS states (a) All centers shall have a current schedule and activity plan for each group of children posted for reference by parents and by caregivers. For each group of children in care, the activity plan shall include activities intended to stimulate the following developmental domains, in accordance with North Carolina Foundations for Early Learning and Development, available on the Division's website at http://ncchildcare.nc.gov/providers/pv_foundations.asp: (1) emotional and social development; (2) health and physical development; (3) approaches to play and learning; (4) language development and communication; and (5) cognitive development. At the completion of the investigation, the visit summary was completed, reviewed electronically with you, signed, and a copy was emailed to you. Continue to contact me with any questions or concerns at Tammy.Ross@dhhs.nc.gov and/or(910)824-1143. 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 .1803 · Violation

Name of Operation: TEACHABLE MOMENTS CHILD DEVELOPMENT CENTER Facility ID: 67001085 Consultant: TAMMY ROSS Operation Type: Center Case Number: 0224-118L Visit Date: 2/22/2024 Number Present: 53 Completed Date: 2/22/2024 Age: From 0 To 5 Total Minutes: 135 Time In: 10:15 AM Time Out: 12:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today’s visit was to investigate a report alleging violations of child care requirements. Limited monitoring of child care requirements occurred during today’s visit. Observations and a walk through were conducted throughout the indoor facility. Administrator, Ida Faison, was present and accompanied me as I visited each classroom. Assistant Administrator, Catherine Parker, was not present during today’s visit. However, the complaint allegations were discussed with Ms. Parker via telephone. There are seven classrooms operating at this facility. Staff/child ratios for all spaces were monitored and found to be in compliance. There are eighty-four children enrolled and fifty-three children, ages 0 – 5, were present with eleven caregivers. There were six infants in space #4 receiving care based on their individual needs. Preschool children in spaces #1, #2, #3, and #5 were completing personal hygiene routines and preparing for nap/rest time. Lights were turned off, covered cots with blankets were appropriately spaced, and soft music played making the area conducive to nap/rest time. Preschool children in space #6 were finishing lunch. Lunch consisted of grilled cheese sandwich, corn, pineapples, and milk. After lunch, the children sat down on the rug area as a caregiver prepared to read a book to them. All children were adequately supervised. Space #7 is used by school age children. They were not present due to the time the visit was conducted. The allegations of this report were specific to the classroom for two-year-old children. It was discussed with Ms. Faison, Ms. Parker, and the caregivers in the classroom for two-year-old children, Tange Boone, and Autumn Duncan. You were all given the opportunity to state your perceptions of the allegations and to share any pertinent information. Staff/Child Ratio for classroom for two-year-old children – 1 caregiver: 9 children Allegation #1 There is a concern that staff did not interact with children in a nurturing and caring manner. Ms. Faison and Ms. Parker did not recall any incidents occurring or being brought to their attention regarding concerns with staff interactions with children in their care. During today’s visit, staff were observed interacting with children in a nurturing and caring manner. Caregivers were attentive to the needs of the children in their care. Each child must be attended to in a nurturing and appropriate manner, and in keeping with the child's developmental needs. No form of corporal punishment or rough handling is ever acceptable. No child may be yelled at, threatened, shamed, humiliated, bullied, or subjected to sarcastic remarks or profanity. it is important to remember to engage in one-to-one interactions with children, get on the child’s level for face-to-face interactions, use a pleasant, calm voice and simple language, provide warm, responsive physical contact, help children understand classroom expectations, redirect children when they engage in challenging behavior, listen to children and encourage them to listen to others, and acknowledge children for their accomplishments and efforts. Positive interactions between children and the caregiver are fundamental to quality child care. Ms. Faison stated the facility’s discipline policy is reviewed with all staff upon hire. Each staff member received a copy of the discipline policy and signed a written statement confirming receipt; this information is on file for all staff. You cannot hit children. You cannot grab, push, pull, yank or snatch children. Corporal Punishment is not permitted by staff or parents. Children must not be subjected to corporal punishment by anyone at any time for any reason. Child Care Rule 10A NCAC 09 .1803 PROHIBITED DISCIPLINE IN CHILD CARE CENTERS states no child shall be subjected to any form of corporal punishment by the owner, operator, director, or staff of any child care center. The word discipline means to teach and guide. Discipline is not punishment. The discipline standard should reflect an approach that prevents behavior problems by supporting children in learning appropriate social skills and emotional responses. Those that work with young children should care for children without ever resorting to physical punishment or abusive language. When a child needs assistance, needs to express feelings, needs, and wants, the adult should help the child learn strategies for dealing with any situation. Modify the learning/play environment (schedule, routine, activities, transitions, etc.) to support appropriate behavior in a child. Create a predictable schedule. When a routine is predictable, children are more likely to know what to do and what is expected of them. This may decrease anxiety which may decrease acting out. Use encouragement and descriptive praise. When clear encouragement and descriptive praise are used to give attention to appropriate behaviors, those behaviors are likely to be repeated. Encouragement and praise should label the behaviors—not the child. Recognize and accept age-appropriate behaviors. Understand the stages of development in which the children in your care fall. For example, those that cry may not have the verbal ability to express their needs and/or wants or they may not have the skills yet to do so. Based on my observations and information received, this allegation is unsubstantiated. Safety starts in the classroom. Children should feel and be safe everywhere on campus—in the rest rooms, hallways, on field trips, and on the playground. Feeling safe makes learning possible. Caregivers can help a child feel safe, secure, and supported by acknowledging and responding sensitively to children's cues/signals and supporting children's secure attachment through consistent and warm nurturing relationships. One sign of a positive, respectful, and responsive relationships is that children and caregivers have a variety of meaningful interactions during their time together. Developing positive teacher-child relationships is vital to creating a healthy environment for children in your facility. Allegation #2 There is a concern that staff/child ratios are not followed during all hours of operations. This allegation was specific to the classroom for two-year-old children on February 12, 2024. This facility does have cameras in the office and hallway areas but not in the classrooms. The video footage was not viewed today due to administration stated they thought it was “live feed” and did not know how to operate camera/recording equipment. Attendance sheets for staff and children were reviewed today for February 8, 2024. It appeared that on February 8, 2024, there were 9 children present, age 2, with one caregiver, Ms. Boone. Ms. Boone was interviewed, and she stated that she was not out of ratio on February 8, 2024, or any other day as there is adequate staff for all classrooms. She states that on the day in question, Ms. Autumn Duncan and herself were the main caregivers for the classroom for two-year-old children other than when other staff stepped in for lunch and potty breaks. I also interviewed Ms. Duncan and she stated the same information that was shared with me by Ms. Boone. Ms. Faison, Ms. Parker, and Ms. Boone stated that children that are enrolled in Ms. Boone’s classroom are moved to the classroom for three-year-old children when needed to maintain staff/child ratio. However, this should not be the “norm, “ – it should be the “exception.” The classroom for two-year-old children has thirteen children enrolled; therefore, there should be two staff members for this classroom to support the continuity of care for these children. As discussed with Ms. Parker, your facility has staff available to be assigned as the second teacher in the classroom for two-year-old children. Ms. Faison, Ms. Parker, and Ms. Boone also recalled an incident on February 8, 2024, that involved a parent, who was also an employee at this facility. The parent/employee has three children enrolled at this facility, including a two-year-old child. The parent/employee arrived late due to one of her children having a doctor’s appointment. Ms. Boone stated a staff member brought the two-year-old child to her classroom and she told that staff member that she could not accept the child because that would put her out of staff/child ratio; she had nine children, and she was the only staff member in the room. Therefore, the staff member returned the child to the parent/employee and the parent/employee left with the child and her infant daughter as she was enrolled at a different facility. Ms. Boone stated in approximately five minutes of the parent/employee leaving, the father of the said child arrived and requested all of the child’s belongings and child nor parent/employee have returned back to the facility. Ms. Boone, Ms. Faison, and Ms. Parker stated at no point did the parent/employee nor father express any concerns regarding the care their child received at the facility or why they were removing the child from care. Ms. Faison stated parent/employee emailed her a resignation letter at a later date. Ms. Faison stated the staff/child ratio requirements are frequently reviewed with staff and it is part of the orientation process for new staff. Ms. Faison stated she is in the process of implementing a new form that requires the teachers to sign each child in and/or out of their classroom each day. This form will also require staff members to sign in and out of classrooms each day. Ms. Faison feels this form is needed for more accountability and responsibility for staff. As I visited classrooms today, all staff were aware of the staff/child ratio for their classroom, and I observed accurate staff/child ratios forms posted in each classroom. Staff stated they did not have any concerns regarding staff/child ratios. Based on my investigation, my observations, and information received, this allegation is unsubstantiated. As you elected to operate under voluntary enhanced staff-child ratios, these ratios must be followed at all times, no exceptions. Staff-child ratio refers to the maximum number of children who may be supervised by one staff member. A group is the maximum number of children occupying an individual classroom or well-defined space. Each group of children must have the appropriate number of staff members present based on the total number and ages of children in care at all times. Maintaining staff/child ratios and maximum group sizes is essential to the health and safety of children. Staff must be aware of the children’s ages and how many children are always in each group. Today I suggested that staff keep a running list of children and their ages to ensure they are maintaining ratios and can ask for assistance if needed or ask parents to return to the office for guidance of placement of their child if accepting the child would make your group size too large. If children are combined with similar age groups, such as in the early morning or later evening hours, the staff/child ratio and maximum group size for the youngest child in the group must be maintained. Smaller group sizes and larger numbers of staff to children are related to positive outcomes for children and promote direct, warm, social interactions between caregivers and children. Ms. Faison stated she and Ms. Parker are constantly in and out of the classrooms throughout the day to assist and support caregivers, ensure all children are adequately supervised, and attended to in a nurturing and caring manner at all times. Ms. Parker stated she completes headcounts for each classroom throughout the day to ensure staff/child ratios are maintained. There was one violation observed today. Violation must be corrected immediately. Continued compliance with applicable child care requirements is required at all times. Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. This information was not available for space #4. GS 110-91(12); .0508(a) 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. In order for your facility to remain in compliance with NC Child Care Requirements, violations must be corrected immediately. On or before February 29, 2024, I must receive a written, dated, and signed compliance letter that describes accurately and in detail how and when the violations were corrected as well as how compliance will be maintained in the future. A time frame is established to allow you time for submitting your compliance letter. This timeframe is not intended to be used as a guide for correcting violations, as they should be corrected immediately. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Email the information to me at Tammy.Ross@dhhs.nc.gov. The compliance letter must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. Child care licensing requirements are established to ensure a safe and healthy child care environment. Therefore, it is important for you to be knowledgeable of all of the licensing requirements that apply to your program. It is your responsibility to maintain compliance with all of the applicable laws and rules at all times whether or not they have been monitored or specifically discussed with you in the past. The best way for you to make sure that you are meeting all requirements is to periodically review the child care law and rules. Comments Regarding Violation Child Care Rule 10A NCAC 09 .0508 ACTIVITY SCHEDULES AND PLANS states (a) All centers shall have a current schedule and activity plan for each group of children posted for reference by parents and by caregivers. For each group of children in care, the activity plan shall include activities intended to stimulate the following developmental domains, in accordance with North Carolina Foundations for Early Learning and Development, available on the Division's website at http://ncchildcare.nc.gov/providers/pv_foundations.asp: (1) emotional and social development; (2) health and physical development; (3) approaches to play and learning; (4) language development and communication; and (5) cognitive development. At the completion of the investigation, the visit summary was completed, reviewed electronically with you, signed, and a copy was emailed to you. Continue to contact me with any questions or concerns at Tammy.Ross@dhhs.nc.gov and/or(910)824-1143. 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: TEACHABLE MOMENTS CHILD DEVELOPMENT CENTER Facility ID: 67001085 Consultant: TAMMY ROSS Operation Type: Center Case Number: 0224-118L Visit Date: 2/22/2024 Number Present: 53 Completed Date: 2/22/2024 Age: From 0 To 5 Total Minutes: 135 Time In: 10:15 AM Time Out: 12:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today’s visit was to investigate a report alleging violations of child care requirements. Limited monitoring of child care requirements occurred during today’s visit. Observations and a walk through were conducted throughout the indoor facility. Administrator, Ida Faison, was present and accompanied me as I visited each classroom. Assistant Administrator, Catherine Parker, was not present during today’s visit. However, the complaint allegations were discussed with Ms. Parker via telephone. There are seven classrooms operating at this facility. Staff/child ratios for all spaces were monitored and found to be in compliance. There are eighty-four children enrolled and fifty-three children, ages 0 – 5, were present with eleven caregivers. There were six infants in space #4 receiving care based on their individual needs. Preschool children in spaces #1, #2, #3, and #5 were completing personal hygiene routines and preparing for nap/rest time. Lights were turned off, covered cots with blankets were appropriately spaced, and soft music played making the area conducive to nap/rest time. Preschool children in space #6 were finishing lunch. Lunch consisted of grilled cheese sandwich, corn, pineapples, and milk. After lunch, the children sat down on the rug area as a caregiver prepared to read a book to them. All children were adequately supervised. Space #7 is used by school age children. They were not present due to the time the visit was conducted. The allegations of this report were specific to the classroom for two-year-old children. It was discussed with Ms. Faison, Ms. Parker, and the caregivers in the classroom for two-year-old children, Tange Boone, and Autumn Duncan. You were all given the opportunity to state your perceptions of the allegations and to share any pertinent information. Staff/Child Ratio for classroom for two-year-old children – 1 caregiver: 9 children Allegation #1 There is a concern that staff did not interact with children in a nurturing and caring manner. Ms. Faison and Ms. Parker did not recall any incidents occurring or being brought to their attention regarding concerns with staff interactions with children in their care. During today’s visit, staff were observed interacting with children in a nurturing and caring manner. Caregivers were attentive to the needs of the children in their care. Each child must be attended to in a nurturing and appropriate manner, and in keeping with the child's developmental needs. No form of corporal punishment or rough handling is ever acceptable. No child may be yelled at, threatened, shamed, humiliated, bullied, or subjected to sarcastic remarks or profanity. it is important to remember to engage in one-to-one interactions with children, get on the child’s level for face-to-face interactions, use a pleasant, calm voice and simple language, provide warm, responsive physical contact, help children understand classroom expectations, redirect children when they engage in challenging behavior, listen to children and encourage them to listen to others, and acknowledge children for their accomplishments and efforts. Positive interactions between children and the caregiver are fundamental to quality child care. Ms. Faison stated the facility’s discipline policy is reviewed with all staff upon hire. Each staff member received a copy of the discipline policy and signed a written statement confirming receipt; this information is on file for all staff. You cannot hit children. You cannot grab, push, pull, yank or snatch children. Corporal Punishment is not permitted by staff or parents. Children must not be subjected to corporal punishment by anyone at any time for any reason. Child Care Rule 10A NCAC 09 .1803 PROHIBITED DISCIPLINE IN CHILD CARE CENTERS states no child shall be subjected to any form of corporal punishment by the owner, operator, director, or staff of any child care center. The word discipline means to teach and guide. Discipline is not punishment. The discipline standard should reflect an approach that prevents behavior problems by supporting children in learning appropriate social skills and emotional responses. Those that work with young children should care for children without ever resorting to physical punishment or abusive language. When a child needs assistance, needs to express feelings, needs, and wants, the adult should help the child learn strategies for dealing with any situation. Modify the learning/play environment (schedule, routine, activities, transitions, etc.) to support appropriate behavior in a child. Create a predictable schedule. When a routine is predictable, children are more likely to know what to do and what is expected of them. This may decrease anxiety which may decrease acting out. Use encouragement and descriptive praise. When clear encouragement and descriptive praise are used to give attention to appropriate behaviors, those behaviors are likely to be repeated. Encouragement and praise should label the behaviors—not the child. Recognize and accept age-appropriate behaviors. Understand the stages of development in which the children in your care fall. For example, those that cry may not have the verbal ability to express their needs and/or wants or they may not have the skills yet to do so. Based on my observations and information received, this allegation is unsubstantiated. Safety starts in the classroom. Children should feel and be safe everywhere on campus—in the rest rooms, hallways, on field trips, and on the playground. Feeling safe makes learning possible. Caregivers can help a child feel safe, secure, and supported by acknowledging and responding sensitively to children's cues/signals and supporting children's secure attachment through consistent and warm nurturing relationships. One sign of a positive, respectful, and responsive relationships is that children and caregivers have a variety of meaningful interactions during their time together. Developing positive teacher-child relationships is vital to creating a healthy environment for children in your facility. Allegation #2 There is a concern that staff/child ratios are not followed during all hours of operations. This allegation was specific to the classroom for two-year-old children on February 12, 2024. This facility does have cameras in the office and hallway areas but not in the classrooms. The video footage was not viewed today due to administration stated they thought it was “live feed” and did not know how to operate camera/recording equipment. Attendance sheets for staff and children were reviewed today for February 8, 2024. It appeared that on February 8, 2024, there were 9 children present, age 2, with one caregiver, Ms. Boone. Ms. Boone was interviewed, and she stated that she was not out of ratio on February 8, 2024, or any other day as there is adequate staff for all classrooms. She states that on the day in question, Ms. Autumn Duncan and herself were the main caregivers for the classroom for two-year-old children other than when other staff stepped in for lunch and potty breaks. I also interviewed Ms. Duncan and she stated the same information that was shared with me by Ms. Boone. Ms. Faison, Ms. Parker, and Ms. Boone stated that children that are enrolled in Ms. Boone’s classroom are moved to the classroom for three-year-old children when needed to maintain staff/child ratio. However, this should not be the “norm, “ – it should be the “exception.” The classroom for two-year-old children has thirteen children enrolled; therefore, there should be two staff members for this classroom to support the continuity of care for these children. As discussed with Ms. Parker, your facility has staff available to be assigned as the second teacher in the classroom for two-year-old children. Ms. Faison, Ms. Parker, and Ms. Boone also recalled an incident on February 8, 2024, that involved a parent, who was also an employee at this facility. The parent/employee has three children enrolled at this facility, including a two-year-old child. The parent/employee arrived late due to one of her children having a doctor’s appointment. Ms. Boone stated a staff member brought the two-year-old child to her classroom and she told that staff member that she could not accept the child because that would put her out of staff/child ratio; she had nine children, and she was the only staff member in the room. Therefore, the staff member returned the child to the parent/employee and the parent/employee left with the child and her infant daughter as she was enrolled at a different facility. Ms. Boone stated in approximately five minutes of the parent/employee leaving, the father of the said child arrived and requested all of the child’s belongings and child nor parent/employee have returned back to the facility. Ms. Boone, Ms. Faison, and Ms. Parker stated at no point did the parent/employee nor father express any concerns regarding the care their child received at the facility or why they were removing the child from care. Ms. Faison stated parent/employee emailed her a resignation letter at a later date. Ms. Faison stated the staff/child ratio requirements are frequently reviewed with staff and it is part of the orientation process for new staff. Ms. Faison stated she is in the process of implementing a new form that requires the teachers to sign each child in and/or out of their classroom each day. This form will also require staff members to sign in and out of classrooms each day. Ms. Faison feels this form is needed for more accountability and responsibility for staff. As I visited classrooms today, all staff were aware of the staff/child ratio for their classroom, and I observed accurate staff/child ratios forms posted in each classroom. Staff stated they did not have any concerns regarding staff/child ratios. Based on my investigation, my observations, and information received, this allegation is unsubstantiated. As you elected to operate under voluntary enhanced staff-child ratios, these ratios must be followed at all times, no exceptions. Staff-child ratio refers to the maximum number of children who may be supervised by one staff member. A group is the maximum number of children occupying an individual classroom or well-defined space. Each group of children must have the appropriate number of staff members present based on the total number and ages of children in care at all times. Maintaining staff/child ratios and maximum group sizes is essential to the health and safety of children. Staff must be aware of the children’s ages and how many children are always in each group. Today I suggested that staff keep a running list of children and their ages to ensure they are maintaining ratios and can ask for assistance if needed or ask parents to return to the office for guidance of placement of their child if accepting the child would make your group size too large. If children are combined with similar age groups, such as in the early morning or later evening hours, the staff/child ratio and maximum group size for the youngest child in the group must be maintained. Smaller group sizes and larger numbers of staff to children are related to positive outcomes for children and promote direct, warm, social interactions between caregivers and children. Ms. Faison stated she and Ms. Parker are constantly in and out of the classrooms throughout the day to assist and support caregivers, ensure all children are adequately supervised, and attended to in a nurturing and caring manner at all times. Ms. Parker stated she completes headcounts for each classroom throughout the day to ensure staff/child ratios are maintained. There was one violation observed today. Violation must be corrected immediately. Continued compliance with applicable child care requirements is required at all times. Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. This information was not available for space #4. GS 110-91(12); .0508(a) 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. In order for your facility to remain in compliance with NC Child Care Requirements, violations must be corrected immediately. On or before February 29, 2024, I must receive a written, dated, and signed compliance letter that describes accurately and in detail how and when the violations were corrected as well as how compliance will be maintained in the future. A time frame is established to allow you time for submitting your compliance letter. This timeframe is not intended to be used as a guide for correcting violations, as they should be corrected immediately. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Email the information to me at Tammy.Ross@dhhs.nc.gov. The compliance letter must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. Child care licensing requirements are established to ensure a safe and healthy child care environment. Therefore, it is important for you to be knowledgeable of all of the licensing requirements that apply to your program. It is your responsibility to maintain compliance with all of the applicable laws and rules at all times whether or not they have been monitored or specifically discussed with you in the past. The best way for you to make sure that you are meeting all requirements is to periodically review the child care law and rules. Comments Regarding Violation Child Care Rule 10A NCAC 09 .0508 ACTIVITY SCHEDULES AND PLANS states (a) All centers shall have a current schedule and activity plan for each group of children posted for reference by parents and by caregivers. For each group of children in care, the activity plan shall include activities intended to stimulate the following developmental domains, in accordance with North Carolina Foundations for Early Learning and Development, available on the Division's website at http://ncchildcare.nc.gov/providers/pv_foundations.asp: (1) emotional and social development; (2) health and physical development; (3) approaches to play and learning; (4) language development and communication; and (5) cognitive development. At the completion of the investigation, the visit summary was completed, reviewed electronically with you, signed, and a copy was emailed to you. Continue to contact me with any questions or concerns at Tammy.Ross@dhhs.nc.gov and/or(910)824-1143. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

NC GS 110-90 · Violation

Name of Operation: TEACHABLE MOMENTS CHILD DEVELOPMENT CENTER Facility ID: 67001085 Consultant: TAMMY ROSS Operation Type: Center Case Number: 0224-118L Visit Date: 2/22/2024 Number Present: 53 Completed Date: 2/22/2024 Age: From 0 To 5 Total Minutes: 135 Time In: 10:15 AM Time Out: 12:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today’s visit was to investigate a report alleging violations of child care requirements. Limited monitoring of child care requirements occurred during today’s visit. Observations and a walk through were conducted throughout the indoor facility. Administrator, Ida Faison, was present and accompanied me as I visited each classroom. Assistant Administrator, Catherine Parker, was not present during today’s visit. However, the complaint allegations were discussed with Ms. Parker via telephone. There are seven classrooms operating at this facility. Staff/child ratios for all spaces were monitored and found to be in compliance. There are eighty-four children enrolled and fifty-three children, ages 0 – 5, were present with eleven caregivers. There were six infants in space #4 receiving care based on their individual needs. Preschool children in spaces #1, #2, #3, and #5 were completing personal hygiene routines and preparing for nap/rest time. Lights were turned off, covered cots with blankets were appropriately spaced, and soft music played making the area conducive to nap/rest time. Preschool children in space #6 were finishing lunch. Lunch consisted of grilled cheese sandwich, corn, pineapples, and milk. After lunch, the children sat down on the rug area as a caregiver prepared to read a book to them. All children were adequately supervised. Space #7 is used by school age children. They were not present due to the time the visit was conducted. The allegations of this report were specific to the classroom for two-year-old children. It was discussed with Ms. Faison, Ms. Parker, and the caregivers in the classroom for two-year-old children, Tange Boone, and Autumn Duncan. You were all given the opportunity to state your perceptions of the allegations and to share any pertinent information. Staff/Child Ratio for classroom for two-year-old children – 1 caregiver: 9 children Allegation #1 There is a concern that staff did not interact with children in a nurturing and caring manner. Ms. Faison and Ms. Parker did not recall any incidents occurring or being brought to their attention regarding concerns with staff interactions with children in their care. During today’s visit, staff were observed interacting with children in a nurturing and caring manner. Caregivers were attentive to the needs of the children in their care. Each child must be attended to in a nurturing and appropriate manner, and in keeping with the child's developmental needs. No form of corporal punishment or rough handling is ever acceptable. No child may be yelled at, threatened, shamed, humiliated, bullied, or subjected to sarcastic remarks or profanity. it is important to remember to engage in one-to-one interactions with children, get on the child’s level for face-to-face interactions, use a pleasant, calm voice and simple language, provide warm, responsive physical contact, help children understand classroom expectations, redirect children when they engage in challenging behavior, listen to children and encourage them to listen to others, and acknowledge children for their accomplishments and efforts. Positive interactions between children and the caregiver are fundamental to quality child care. Ms. Faison stated the facility’s discipline policy is reviewed with all staff upon hire. Each staff member received a copy of the discipline policy and signed a written statement confirming receipt; this information is on file for all staff. You cannot hit children. You cannot grab, push, pull, yank or snatch children. Corporal Punishment is not permitted by staff or parents. Children must not be subjected to corporal punishment by anyone at any time for any reason. Child Care Rule 10A NCAC 09 .1803 PROHIBITED DISCIPLINE IN CHILD CARE CENTERS states no child shall be subjected to any form of corporal punishment by the owner, operator, director, or staff of any child care center. The word discipline means to teach and guide. Discipline is not punishment. The discipline standard should reflect an approach that prevents behavior problems by supporting children in learning appropriate social skills and emotional responses. Those that work with young children should care for children without ever resorting to physical punishment or abusive language. When a child needs assistance, needs to express feelings, needs, and wants, the adult should help the child learn strategies for dealing with any situation. Modify the learning/play environment (schedule, routine, activities, transitions, etc.) to support appropriate behavior in a child. Create a predictable schedule. When a routine is predictable, children are more likely to know what to do and what is expected of them. This may decrease anxiety which may decrease acting out. Use encouragement and descriptive praise. When clear encouragement and descriptive praise are used to give attention to appropriate behaviors, those behaviors are likely to be repeated. Encouragement and praise should label the behaviors—not the child. Recognize and accept age-appropriate behaviors. Understand the stages of development in which the children in your care fall. For example, those that cry may not have the verbal ability to express their needs and/or wants or they may not have the skills yet to do so. Based on my observations and information received, this allegation is unsubstantiated. Safety starts in the classroom. Children should feel and be safe everywhere on campus—in the rest rooms, hallways, on field trips, and on the playground. Feeling safe makes learning possible. Caregivers can help a child feel safe, secure, and supported by acknowledging and responding sensitively to children's cues/signals and supporting children's secure attachment through consistent and warm nurturing relationships. One sign of a positive, respectful, and responsive relationships is that children and caregivers have a variety of meaningful interactions during their time together. Developing positive teacher-child relationships is vital to creating a healthy environment for children in your facility. Allegation #2 There is a concern that staff/child ratios are not followed during all hours of operations. This allegation was specific to the classroom for two-year-old children on February 12, 2024. This facility does have cameras in the office and hallway areas but not in the classrooms. The video footage was not viewed today due to administration stated they thought it was “live feed” and did not know how to operate camera/recording equipment. Attendance sheets for staff and children were reviewed today for February 8, 2024. It appeared that on February 8, 2024, there were 9 children present, age 2, with one caregiver, Ms. Boone. Ms. Boone was interviewed, and she stated that she was not out of ratio on February 8, 2024, or any other day as there is adequate staff for all classrooms. She states that on the day in question, Ms. Autumn Duncan and herself were the main caregivers for the classroom for two-year-old children other than when other staff stepped in for lunch and potty breaks. I also interviewed Ms. Duncan and she stated the same information that was shared with me by Ms. Boone. Ms. Faison, Ms. Parker, and Ms. Boone stated that children that are enrolled in Ms. Boone’s classroom are moved to the classroom for three-year-old children when needed to maintain staff/child ratio. However, this should not be the “norm, “ – it should be the “exception.” The classroom for two-year-old children has thirteen children enrolled; therefore, there should be two staff members for this classroom to support the continuity of care for these children. As discussed with Ms. Parker, your facility has staff available to be assigned as the second teacher in the classroom for two-year-old children. Ms. Faison, Ms. Parker, and Ms. Boone also recalled an incident on February 8, 2024, that involved a parent, who was also an employee at this facility. The parent/employee has three children enrolled at this facility, including a two-year-old child. The parent/employee arrived late due to one of her children having a doctor’s appointment. Ms. Boone stated a staff member brought the two-year-old child to her classroom and she told that staff member that she could not accept the child because that would put her out of staff/child ratio; she had nine children, and she was the only staff member in the room. Therefore, the staff member returned the child to the parent/employee and the parent/employee left with the child and her infant daughter as she was enrolled at a different facility. Ms. Boone stated in approximately five minutes of the parent/employee leaving, the father of the said child arrived and requested all of the child’s belongings and child nor parent/employee have returned back to the facility. Ms. Boone, Ms. Faison, and Ms. Parker stated at no point did the parent/employee nor father express any concerns regarding the care their child received at the facility or why they were removing the child from care. Ms. Faison stated parent/employee emailed her a resignation letter at a later date. Ms. Faison stated the staff/child ratio requirements are frequently reviewed with staff and it is part of the orientation process for new staff. Ms. Faison stated she is in the process of implementing a new form that requires the teachers to sign each child in and/or out of their classroom each day. This form will also require staff members to sign in and out of classrooms each day. Ms. Faison feels this form is needed for more accountability and responsibility for staff. As I visited classrooms today, all staff were aware of the staff/child ratio for their classroom, and I observed accurate staff/child ratios forms posted in each classroom. Staff stated they did not have any concerns regarding staff/child ratios. Based on my investigation, my observations, and information received, this allegation is unsubstantiated. As you elected to operate under voluntary enhanced staff-child ratios, these ratios must be followed at all times, no exceptions. Staff-child ratio refers to the maximum number of children who may be supervised by one staff member. A group is the maximum number of children occupying an individual classroom or well-defined space. Each group of children must have the appropriate number of staff members present based on the total number and ages of children in care at all times. Maintaining staff/child ratios and maximum group sizes is essential to the health and safety of children. Staff must be aware of the children’s ages and how many children are always in each group. Today I suggested that staff keep a running list of children and their ages to ensure they are maintaining ratios and can ask for assistance if needed or ask parents to return to the office for guidance of placement of their child if accepting the child would make your group size too large. If children are combined with similar age groups, such as in the early morning or later evening hours, the staff/child ratio and maximum group size for the youngest child in the group must be maintained. Smaller group sizes and larger numbers of staff to children are related to positive outcomes for children and promote direct, warm, social interactions between caregivers and children. Ms. Faison stated she and Ms. Parker are constantly in and out of the classrooms throughout the day to assist and support caregivers, ensure all children are adequately supervised, and attended to in a nurturing and caring manner at all times. Ms. Parker stated she completes headcounts for each classroom throughout the day to ensure staff/child ratios are maintained. There was one violation observed today. Violation must be corrected immediately. Continued compliance with applicable child care requirements is required at all times. Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. This information was not available for space #4. GS 110-91(12); .0508(a) 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. In order for your facility to remain in compliance with NC Child Care Requirements, violations must be corrected immediately. On or before February 29, 2024, I must receive a written, dated, and signed compliance letter that describes accurately and in detail how and when the violations were corrected as well as how compliance will be maintained in the future. A time frame is established to allow you time for submitting your compliance letter. This timeframe is not intended to be used as a guide for correcting violations, as they should be corrected immediately. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Email the information to me at Tammy.Ross@dhhs.nc.gov. The compliance letter must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. Child care licensing requirements are established to ensure a safe and healthy child care environment. Therefore, it is important for you to be knowledgeable of all of the licensing requirements that apply to your program. It is your responsibility to maintain compliance with all of the applicable laws and rules at all times whether or not they have been monitored or specifically discussed with you in the past. The best way for you to make sure that you are meeting all requirements is to periodically review the child care law and rules. Comments Regarding Violation Child Care Rule 10A NCAC 09 .0508 ACTIVITY SCHEDULES AND PLANS states (a) All centers shall have a current schedule and activity plan for each group of children posted for reference by parents and by caregivers. For each group of children in care, the activity plan shall include activities intended to stimulate the following developmental domains, in accordance with North Carolina Foundations for Early Learning and Development, available on the Division's website at http://ncchildcare.nc.gov/providers/pv_foundations.asp: (1) emotional and social development; (2) health and physical development; (3) approaches to play and learning; (4) language development and communication; and (5) cognitive development. At the completion of the investigation, the visit summary was completed, reviewed electronically with you, signed, and a copy was emailed to you. Continue to contact me with any questions or concerns at Tammy.Ross@dhhs.nc.gov and/or(910)824-1143. 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 .0304 · Violation

Name of Operation: TEACHABLE MOMENTS CHILD DEVELOPMENT CENTER Facility ID: 67001085 Consultant: TAMMY ROSS Operation Type: Center Case Number: 0224-006L Visit Date: 2/6/2024 Number Present: 49 Completed Date: 2/6/2024 Age: From 0 To 4 Total Minutes: 150 Time In: 10:30 AM Time Out: 01:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today’s visit was to investigate a report alleging violations of child care requirements. Limited monitoring of child care requirements occurred during today’s visit. Observations and a walk through were conducted throughout the indoor facility. Assistant Administrator, Catherine Parker, was present and accompanied me as I visited each classroom. The new Administrator, Ida Faison, was not present when I arrived; she arrived approximately thirty minutes into the visit. There are seven classrooms operating at this facility. Staff/child ratios for all spaces were monitored and found to be in compliance. There are seventy-eight children enrolled and forty-nine children, ages 0 – 4, were present with eight caregivers. Infants in space #4 received care based on their individual needs. Infant feeding schedules are available and safe sleep charts are being maintained. Preschool children in spaces #1, #2, #3, and #5 were completing personal hygiene routines and preparing for nap/rest time. Lights were turned off, covered cots with blankets were appropriately spaced, and soft music played making the area conducive to nap/rest time. Preschool children in space #6 were observed eating lunch. Lunch consisted of turkey wraps, green beans, pineapples, and milk. Caregivers were observed sitting with the children, eating lunch with the children, and talking with the children as they ate lunch. All children were adequately supervised. Space #7 is used by school age children. They were not present due to the time the visit was conducted. The allegation of this report was specific to the classroom for three-year-old and four-year-old children. It was discussed with Ms. Faison, Ms. Parker, and the caregivers in the classroom for three-year-old and four-year-old children, E. Batista and T. Gonzalez. You were all given the opportunity to state your perceptions of the allegation and to share any pertinent information. Staff/Child Ratio for classroom for three-year-old and four-year-old children – 2 caregivers: 15 children Allegation - There is a concern that staff are not interacting with children in a nurturing and caring manner. During today’s visit, staff were observed interacting with children in a nurturing and caring manner. Caregivers were attentive to the needs of the children in their care. Ms. Faison and Ms. Parker did recall a concern that was brought to their attention by a parent who was upset that a staff member was speaking to her child about his father. There is a no contact order in place against the father for her and her children; a copy of the protective order was on file and reviewed during today’s visit. The parent submitted a written statement to Ms. Faison regarding her concerns and Ms. Faison addressed those concerns with staff member. Staff member denied all allegations and also submitted a written statement to Ms. Faison regarding the situation. I received and reviewed the written statements from the parent and staff member. Staff member was not present during today's visit. She is the van driver and works from 730a.m.-930a.m and 230p.m.-430p.m. However, Ms. Parker contacted staff member via telephone and I spoke with her and she reiterated the information on her written statement. During today’s visit, an additional caregiver who also worked in the classroom for three-year-old and four-year-old children were interviewed and she stated she has not seen any staff member speaking to a child inappropriately or regarding confidential information. Ms. Faison stated the facility’s confidentiality policy is reviewed with all staff upon hire. Each staff member received a copy of the confidentiality policy and signed a written statement confirming receipt of all policies. Ms. Faison stated she is in the process of updating the confidentiality policy and plans to discuss and review with all staff members the importance of the confidentiality policy during the mandatory staff meeting on February 15, 2024, at 6p.m. After review of the updated confidentiality policy with all staff, each staff member will confirm receipt of the policy, their understanding of the policy, and their responsibility by signing an updated written statement. I received and reviewed a copy of the existing confidentiality policy during today’s visit and Ms. Faison plans to submit to me a copy of the updated confidentiality policy once it is completed. In the workplace, confidentiality makes sure that all of your staff members know that they should be keeping everything they hear or see confidential. If they know that there are real consequences for breaching confidentiality, they will be less likely to breach it. A key element of confidentiality is that it helps build trust. Parents and staff need to be confident that their private information will be kept confidential. This enables them to feel secure and prevents all sorts of internal/external problems. Failure to protect and secure confidential information may not only lead to the loss of business or clients but can also lead to legal problems, disciplinary action, and criminal convictions. Based on my observations, information received, and my investigation, this allegation is unsubstantiated. Positive interactions and appropriate communication between children and their caregiver are fundamental to quality child care. Positive interactions at an early age are the basis for good relationships for children to improve and develop good cognitive, socio-emotional and language skills. Children also obtain sensitivity, the ability to talk out problems, encouragement, and the ability to ask questions without fear or shame with positive interactions. Each child must be attended to in a nurturing and appropriate manner, and in keeping with the child's developmental needs. Interactions that promote positive relationships have common qualities; they are validating, personal, respectful, and accepting. Caregivers should be communicating to children in a way that helps children feel safe and accepted. Children who have had chronic and intense fearful experiences often lose the capacity to differentiate between threat and safety. This impairs their ability to learn and interact with others, because they frequently perceive threat in familiar social circumstances, such as in their home, neighborhood, or school/child care. Safety starts in the classroom. Students should feel and be safe everywhere at your facility - in the rest rooms, hallways, on field trips, and on the playground. Feeling safe makes learning possible. Caregivers can help a child feel safe, secure, and supported by acknowledging and responding sensitively to children's cues/signals and supporting children's secure attachment through consistent and warm nurturing relationships. There was one violation observed today. The violation observed is not related to the allegation of this report and must be corrected immediately. Continued compliance with applicable child care requirements is required at all times. Violation Number Comment Rule 106 Operator has not obtained a fire inspection within 12 months of the previous inspection. The last fire inspection was completed on January 31, 2023. 10A NCAC 09 .0304(a) 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. In order for your facility to remain in compliance with NC Child Care Requirements, violations must be corrected immediately. On or before February 13, 2024, I must receive a written, dated, and signed compliance letter that describes accurately and in detail how and when the violations were corrected as well as how compliance will be maintained in the future. A time frame is established to allow you time for submitting your compliance letter. This timeframe is not intended to be used as a guide for correcting violations, as they should be corrected immediately. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Email the information to me at Tammy.Ross@dhhs.nc.gov. The compliance letter must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. Child care licensing requirements are established to ensure a safe and healthy child care environment. Therefore, it is important for you to be knowledgeable of all of the licensing requirements that apply to your program. It is your responsibility to maintain compliance with all of the applicable laws and rules at all times whether or not they have been monitored or specifically discussed with you in the past. The best way for you to make sure that you are meeting all requirements is to periodically review the child care law and rules. Comments Regarding Violation Fire Inspection - Your last fire inspection was on January 31, 2023. Child Care Rule 10A NCAC 09 .0304 (a) states that each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division. I suggest noting the date of your most recent inspection on a calendar and setting a reminder for yourself to call and request your inspection at least one month in advance of the deadline; administration stated they had been contacting the fire inspector for the past two weeks. Ms. Parker stated fire inspector is scheduled to conduct fire inspection today. At the completion of the investigation, the visit summary was completed, reviewed electronically with you, signed, and a copy was emailed to you. Continue to contact me with any questions or concerns at Tammy.Ross@dhhs.nc.gov and/or(910)824-1143. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

NC GS 110-90 · Violation

Name of Operation: TEACHABLE MOMENTS CHILD DEVELOPMENT CENTER Facility ID: 67001085 Consultant: TAMMY ROSS Operation Type: Center Case Number: 0224-006L Visit Date: 2/6/2024 Number Present: 49 Completed Date: 2/6/2024 Age: From 0 To 4 Total Minutes: 150 Time In: 10:30 AM Time Out: 01:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today’s visit was to investigate a report alleging violations of child care requirements. Limited monitoring of child care requirements occurred during today’s visit. Observations and a walk through were conducted throughout the indoor facility. Assistant Administrator, Catherine Parker, was present and accompanied me as I visited each classroom. The new Administrator, Ida Faison, was not present when I arrived; she arrived approximately thirty minutes into the visit. There are seven classrooms operating at this facility. Staff/child ratios for all spaces were monitored and found to be in compliance. There are seventy-eight children enrolled and forty-nine children, ages 0 – 4, were present with eight caregivers. Infants in space #4 received care based on their individual needs. Infant feeding schedules are available and safe sleep charts are being maintained. Preschool children in spaces #1, #2, #3, and #5 were completing personal hygiene routines and preparing for nap/rest time. Lights were turned off, covered cots with blankets were appropriately spaced, and soft music played making the area conducive to nap/rest time. Preschool children in space #6 were observed eating lunch. Lunch consisted of turkey wraps, green beans, pineapples, and milk. Caregivers were observed sitting with the children, eating lunch with the children, and talking with the children as they ate lunch. All children were adequately supervised. Space #7 is used by school age children. They were not present due to the time the visit was conducted. The allegation of this report was specific to the classroom for three-year-old and four-year-old children. It was discussed with Ms. Faison, Ms. Parker, and the caregivers in the classroom for three-year-old and four-year-old children, E. Batista and T. Gonzalez. You were all given the opportunity to state your perceptions of the allegation and to share any pertinent information. Staff/Child Ratio for classroom for three-year-old and four-year-old children – 2 caregivers: 15 children Allegation - There is a concern that staff are not interacting with children in a nurturing and caring manner. During today’s visit, staff were observed interacting with children in a nurturing and caring manner. Caregivers were attentive to the needs of the children in their care. Ms. Faison and Ms. Parker did recall a concern that was brought to their attention by a parent who was upset that a staff member was speaking to her child about his father. There is a no contact order in place against the father for her and her children; a copy of the protective order was on file and reviewed during today’s visit. The parent submitted a written statement to Ms. Faison regarding her concerns and Ms. Faison addressed those concerns with staff member. Staff member denied all allegations and also submitted a written statement to Ms. Faison regarding the situation. I received and reviewed the written statements from the parent and staff member. Staff member was not present during today's visit. She is the van driver and works from 730a.m.-930a.m and 230p.m.-430p.m. However, Ms. Parker contacted staff member via telephone and I spoke with her and she reiterated the information on her written statement. During today’s visit, an additional caregiver who also worked in the classroom for three-year-old and four-year-old children were interviewed and she stated she has not seen any staff member speaking to a child inappropriately or regarding confidential information. Ms. Faison stated the facility’s confidentiality policy is reviewed with all staff upon hire. Each staff member received a copy of the confidentiality policy and signed a written statement confirming receipt of all policies. Ms. Faison stated she is in the process of updating the confidentiality policy and plans to discuss and review with all staff members the importance of the confidentiality policy during the mandatory staff meeting on February 15, 2024, at 6p.m. After review of the updated confidentiality policy with all staff, each staff member will confirm receipt of the policy, their understanding of the policy, and their responsibility by signing an updated written statement. I received and reviewed a copy of the existing confidentiality policy during today’s visit and Ms. Faison plans to submit to me a copy of the updated confidentiality policy once it is completed. In the workplace, confidentiality makes sure that all of your staff members know that they should be keeping everything they hear or see confidential. If they know that there are real consequences for breaching confidentiality, they will be less likely to breach it. A key element of confidentiality is that it helps build trust. Parents and staff need to be confident that their private information will be kept confidential. This enables them to feel secure and prevents all sorts of internal/external problems. Failure to protect and secure confidential information may not only lead to the loss of business or clients but can also lead to legal problems, disciplinary action, and criminal convictions. Based on my observations, information received, and my investigation, this allegation is unsubstantiated. Positive interactions and appropriate communication between children and their caregiver are fundamental to quality child care. Positive interactions at an early age are the basis for good relationships for children to improve and develop good cognitive, socio-emotional and language skills. Children also obtain sensitivity, the ability to talk out problems, encouragement, and the ability to ask questions without fear or shame with positive interactions. Each child must be attended to in a nurturing and appropriate manner, and in keeping with the child's developmental needs. Interactions that promote positive relationships have common qualities; they are validating, personal, respectful, and accepting. Caregivers should be communicating to children in a way that helps children feel safe and accepted. Children who have had chronic and intense fearful experiences often lose the capacity to differentiate between threat and safety. This impairs their ability to learn and interact with others, because they frequently perceive threat in familiar social circumstances, such as in their home, neighborhood, or school/child care. Safety starts in the classroom. Students should feel and be safe everywhere at your facility - in the rest rooms, hallways, on field trips, and on the playground. Feeling safe makes learning possible. Caregivers can help a child feel safe, secure, and supported by acknowledging and responding sensitively to children's cues/signals and supporting children's secure attachment through consistent and warm nurturing relationships. There was one violation observed today. The violation observed is not related to the allegation of this report and must be corrected immediately. Continued compliance with applicable child care requirements is required at all times. Violation Number Comment Rule 106 Operator has not obtained a fire inspection within 12 months of the previous inspection. The last fire inspection was completed on January 31, 2023. 10A NCAC 09 .0304(a) 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. In order for your facility to remain in compliance with NC Child Care Requirements, violations must be corrected immediately. On or before February 13, 2024, I must receive a written, dated, and signed compliance letter that describes accurately and in detail how and when the violations were corrected as well as how compliance will be maintained in the future. A time frame is established to allow you time for submitting your compliance letter. This timeframe is not intended to be used as a guide for correcting violations, as they should be corrected immediately. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Email the information to me at Tammy.Ross@dhhs.nc.gov. The compliance letter must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. Child care licensing requirements are established to ensure a safe and healthy child care environment. Therefore, it is important for you to be knowledgeable of all of the licensing requirements that apply to your program. It is your responsibility to maintain compliance with all of the applicable laws and rules at all times whether or not they have been monitored or specifically discussed with you in the past. The best way for you to make sure that you are meeting all requirements is to periodically review the child care law and rules. Comments Regarding Violation Fire Inspection - Your last fire inspection was on January 31, 2023. Child Care Rule 10A NCAC 09 .0304 (a) states that each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division. I suggest noting the date of your most recent inspection on a calendar and setting a reminder for yourself to call and request your inspection at least one month in advance of the deadline; administration stated they had been contacting the fire inspector for the past two weeks. Ms. Parker stated fire inspector is scheduled to conduct fire inspection today. At the completion of the investigation, the visit summary was completed, reviewed electronically with you, signed, and a copy was emailed to you. Continue to contact me with any questions or concerns at Tammy.Ross@dhhs.nc.gov and/or(910)824-1143. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

NC GS 110-90 · Violation

Name of Operation: TEACHABLE MOMENTS CHILD DEVELOPMENT CENTER Facility ID: 67001085 Consultant: TAMMY ROSS Operation Type: Center Case Number: Visit Date: 8/24/2023 Number Present: 57 Completed Date: 8/24/2023 Age: From 0 To 11 Total Minutes: 75 Time In: 02:00 PM Time Out: 03:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s routine unannounced visit was to monitor compliance with applicable child care requirements. Limited child care requirements pertinent to this visit type were monitored. Your program currently operates with a 5 Star License, issued May 5, 2017, earning 7 points in Education, 5 points in Program Standards and 1 Quality Point in the Programmatic Option. Restrictions on the permit include: a capacity of 113 for first shift with an age range of 0-12 years old, daytime care only, and meets all enhanced requirements. As of August 24, 2023, the 18 month compliance history your facility was 89%. The last annual compliance visit was conducted at this facility on October 20, 2022. The center is owned by Teachable Moments LLC. The corporation is current and active with the NC Secretary of State. Fire Inspection – 01/31/2023 – Approved for day time care only - Satisfactory Sanitation – 12/08/2022 – 14 Demerits – Superior Executive Director, Alice Marshburn, was present and available for consultation. The Acting Administrator, Linda Kreh, was not present, she is on medical leave. Assistant Administrator, Catherine Parker, is no longer employed at this facility. There are seven approved spaces at this facility and five classrooms were being utilized. There are seventy six children enrolled and fifty seven children, ages 0 – 11, were present today. All approved indoor spaces were visited today. Infants received care based on their individual needs. Toddlers and preschool children were waking up from nap/rest time, completing personal routines and preparing for snack. Snack consisted of crackers, pickles, and water. Older preschool children and school age children were observed participating in free choice activities. Reminder: All mat/cots must be placed at least 18" apart or separated by partitions when in use. There was one violation observed today. Violation must be corrected immediately. Continued compliance with applicable child care requirements is required at all times. Violation Number Comment Rule 317 The staff/child ratios for children, two years and older, during naptime were not maintained by having at least one person in each room, visually supervising all children and the total number of required staff on the premises within calling distance of each room occupied by children. Nap/rest time ends when child or children are awake, off their mats/cots and engaged in other activities. In space #3, a staff member was left alone with 18 children, ages 2-3. .1801(b) In order for your facility to remain in compliance with NC Child Care Requirements, violations must be corrected immediately. A signed and dated letter of compliance must be received by August 31, 2023 describing how each violation was corrected and how compliance will be maintained in the future. A time frame is established to allow you time for submitting your compliance letter. This timeframe is not intended to be used as a guide for correcting violations, as they should be corrected immediately. If I can be of further assistance, please do not hesitate to contact me at (910)824-1143 or you can email me at Tammy.Ross@dhhs.nc.gov. You may email me your verification or mail it to me at: Tammy Ross, Child Care Licensing Consultant, P.O. Box 278, Jacksonville, NC 28541 Comment regarding violation Staff/child ratio during nap time shall comply with the requirements of at least one person remains in the room, all children are visible to that person, and the total number of required staff are on the premises and within calling distance of the rooms occupied by children. Nap/rest time ends when child or children are awake, off their mats/cots and engaged in other activities. In space #3, a staff member was left alone with 18 children, ages 2-3. All children were waking up from nap, staff member was completing diaper changing procedures, assisting children with handwashing routines. Several children in this space were observed sitting at table having snack. Additional caregiver for this classroom was located in another classroom as other staff members took their lunch breaks. Staff/child ratios must be maintained at all times, no exceptions. Each group of children must have the appropriate number of staff members present based on the total number and ages of children in care. Maintaining staff/child ratios and maximum group sizes is also essential to the health and safety of children. Research has verified that staff-child ratios and group sizes are important quality indicators. 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. Due to staff/child ratio being cited as a violation, a follow-up visit will be conducted to verify compliance. Violations of this nature directly impact the safety of the children while in your care. Child care licensing requirements are established to ensure a safe and healthy child care environment. Therefore, it is important for you to be knowledgeable of all of the licensing requirements that apply to your type of program. It is your responsibility to maintain compliance with all of the applicable laws and rules at all times whether or not they have been monitored or specifically discussed with you in the past. The best way for you to make sure that you are meeting all requirements is to periodically review the child care law and rules. Technical Assistance Infant Care - During today’s visit, there were five infants present with one caregiver. Caregiver was busy feeding one infant, and all the other infants were crying. I left the classroom to look for Ms. Marshburn to assist in this classroom, however, she was assisting in another classroom and no other staff were available to assist. I advised caregiver she could respond to crying infant by verbally acknowledging the crying and reassuring the infant that she will check on them. It will be helpful to provide the caregiver with more mentoring, coaching, and shadowing in the classroom to help her feel more comfortable and supported in providing care to infants. Infant needs are a top priority. Caregivers must understand the importance of responding to an infant’s needs immediately and never ignore a crying infant. As routine tasks are completed, caregiver should interact in a positive and appropriate manner. It is important to be warm and responsive to an infant’s needs. Trust is an essential building block for a healthy sense of self. For babies, this means meeting their needs—feeding, diapering, holding, rocking, swaying, calming, comforting, etc. When a caregiver consistently responds to an infant's needs, it sets the stage for the growing child to enter healthy relationships with other people throughout life and to appropriately experience and express a full range of emotions. Quick responses to their cries let them know that they are safe and cared for; they will learn to count on you as their caregiver. They will feel safe and secure and confident that if they make their needs known, they will be met. Staff Interactions with each other During today’s visit, some staff members shared they do not feel respected by administrative staff. Some staff members alleged that administrative staff have been unprofessional and spoken to them in an unkind manner. These concerns were addressed with Ms. Marshburn and Mr. Goyal via telephone. Ms. Marshburn stated she treats all staff members with respect and is supportive of them. We discussed the importance of all employees, administrative and caregivers, feeling respected and valued. Employees who feel respected and valued work better and are more satisfied with their jobs and more grateful for—and loyal to—their companies. Kindness, courtesy, and politeness are the three basics that you need to get right in treating your employees. Avoid name-calling, condescending, dictating, or insulting them. Raising voice to your employees or vice versa shows a lack of respect. You should help each other with the right way to do their job. Administrators provide guidance, inspiration, and motivation when achieving goals. Leaders possess the necessary skills and knowledge to make informed decisions and solve problems effectively. As we discussed administrators are responsible for setting the pace and tone for the facility and leading by example. It is the responsibility of all staff to ensure the health and safety of children in your child care program, to promote quality child, and to increase access to quality child care to families and children in your community and across North Carolina. Documentation was not completed on site due to computer issues. However, concerns and violation were discussed with Ms. Marshburn on site and Owner, Ajay Goyal, via telephone. Contact me at Tammy.Ross@dhhs.nc.gov at (910)824-1143 with any questions or concerns. 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