10A NCAC 09 .0601 · Violation

Name of Operation: T. & G. # 3 Facility ID: 33000141 Consultant: KESHIA HAYWARD Operation Type: Center Case Number: Visit Date: 7/8/2025 Number Present: 32 Completed Date: 7/8/2025 Age: From 4 To 11 Total Minutes: 150 Time In: 08:15 AM Time Out: 10:45 AM 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 this program for compliance with applicable child care requirements for during the annual compliance visit. Linda Knight, Administrator, assisted with the visit. This center currently operates with a five-star license earning seven points in staff education, six points in program standards and one quality point for the center having a combined turnover rate of 20% or less for the administrator, program coordinator, lead teacher, teacher and group leader over the last 12 months. The last annual compliance visit was completed on June 23, 2024. The last sanitation inspection was completed on March 19, 2025, with a “Superior” classification. The last fire inspection was completed on July 25, 2024, and the center was approved for daytime care only. Thirty-two (32) children were in care today ranging from four (4) to eleven (11) years old. Children were engaged in free choice play with developmentally age-appropriate materials, outdoor play, completing toileting, and hand washing routines, interacting with caregivers, and eating breakfast. Breakfast consisted of French toast, peaches, and milk. School-age children went on a field trip during the visit to skating rink. Violation Number Comment Rule 528 Food substitution was not of comparable food value or recorded on the menu prior to the meal or snack being served. French toast served to children for breakfast was not recorded on the menu as required for substitution. 10A NCAC 09 .0901(b) 807 A safe indoor and outdoor environment was not provided for the children. Clorox bottles were observed on a shelf less than 5ft. from the finished floor in Space #3. Two screws were protruding from the cabinet door exposing sharp points in Space #2a 10A NCAC 09 .0601(a) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. Electrical outlets not in use were not covered with safety caps in Space #3. 10A NCAC 09 .0604(c) The violations documented were corrected during the visit; therefore, a compliance letter is not required. You stated you understand the violations warranted and would ensure safety is maintained. You removed the Clorox bottles and relocated them to an area inaccessible to children. You covered the electrical outlets with safety caps and recorded the food substitution on the menu then posted them in the classrooms. The screws were also removed form the cabinet door during the visit. COMPLIANCE HISTORY SCORE: The center’s compliance history score was reviewed with the operator. The program’s compliance history was 93% as of July 7, 2025. CORPORATION STATUS: Think and Grow Day Care Center, Inc. is listed as the current owner of this center. According to information verified on the North Carolina Secretary of State’s website, Think and Grow Day Care Center, Inc. remains current and active. Prior to making any changes in the ownership status contact me to discuss the change of ownership procedures. Failure to comply could impact the program license status. FACILITY PROFILE INFORMATION: You verified the phone number email address and mailing address listed on the facility profile are correct. If changes in your facility’s information occur in the future, contact me at 252-214-2709 or email keshia.hayward@dhhs.nc.gov to discuss the changes and ensure accurate information is updated in our system. NC PRE-K MONITORING: NC Pre-K monitoring was not completed today because the program is closed for the summer. I informed you NC Pre-k will be monitored during your next visit. SAFE INDOOR/OUTDOOR ENVIRONMENT: We talked about ensuring potentially hazardous products are stored appropriately and inaccessible to children. I recommended asking staff to periodically check their classrooms to ensure potentially hazardous items are identified and removed. Bottles used for sanitizing/ disinfecting tables and sinks should be stored out of reach of children when not used. I recommended placing safety caps in a space that is visual as a reminder to reinsert when the electrical outlets are no longer being used. Staff could discuss the importance of covering outlets with school-age children to ensure they understand safety caps need to be returned after charging electronics. Be reminded you and staff are responsible for ensuring a safe environment is always provided for children in care. AUTOMATED BACKGROUND CHECK MANAGEMENT SYSTEM (ABCMS) PORTAL: You provided a certificate to verify the ABCMS training has been taken for your program. We talked about the process for linking staff to the center’s portal. I explained staff should be given the code so they can link themselves to the program. Staff who work at multiple programs should be linked the to all centers where they are employed. Once the code has been added, the individual designated must return to the portal to update staff information. This will ensure staff are shown in the portal when reviewed. HEAT SAFETY: To ensure heat safety in a child care setting, prioritize staying cool, hydrated, and informed, and be aware of the signs of heat-related illnesses. Move outdoor activities to cooler times, dress children in appropriate clothing, and provide plenty of fluids. Regularly check for signs of heat exhaustion or heatstroke and have a plan in place for extreme heat situations. Additionally, always check your vehicle when transporting children. Never leave children unattended in parked cars, even for a short time, as temperatures can rise rapidly. DCDEE RESOURCES: I recommended you periodically visit the DCDEE website at https://ncchildcare.ncdhhs.gov/ under the "What's New" tab to stay abreast of updated information provided. Be reminded you are responsible for maintaining compliance with all applicable child care requirements whether they have been discussed or reviewed with you in the past. CONTACT INFORMATION: If you have questions regarding today’s visit, my contact information is listed above. You may also contact Licensing Supervisor, Susan Fuller at 252-373-9809 or email susan.fuller@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

10A NCAC 09 .0604 · Violation

Name of Operation: T. & G. # 3 Facility ID: 33000141 Consultant: KESHIA HAYWARD Operation Type: Center Case Number: Visit Date: 7/8/2025 Number Present: 32 Completed Date: 7/8/2025 Age: From 4 To 11 Total Minutes: 150 Time In: 08:15 AM Time Out: 10:45 AM 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 this program for compliance with applicable child care requirements for during the annual compliance visit. Linda Knight, Administrator, assisted with the visit. This center currently operates with a five-star license earning seven points in staff education, six points in program standards and one quality point for the center having a combined turnover rate of 20% or less for the administrator, program coordinator, lead teacher, teacher and group leader over the last 12 months. The last annual compliance visit was completed on June 23, 2024. The last sanitation inspection was completed on March 19, 2025, with a “Superior” classification. The last fire inspection was completed on July 25, 2024, and the center was approved for daytime care only. Thirty-two (32) children were in care today ranging from four (4) to eleven (11) years old. Children were engaged in free choice play with developmentally age-appropriate materials, outdoor play, completing toileting, and hand washing routines, interacting with caregivers, and eating breakfast. Breakfast consisted of French toast, peaches, and milk. School-age children went on a field trip during the visit to skating rink. Violation Number Comment Rule 528 Food substitution was not of comparable food value or recorded on the menu prior to the meal or snack being served. French toast served to children for breakfast was not recorded on the menu as required for substitution. 10A NCAC 09 .0901(b) 807 A safe indoor and outdoor environment was not provided for the children. Clorox bottles were observed on a shelf less than 5ft. from the finished floor in Space #3. Two screws were protruding from the cabinet door exposing sharp points in Space #2a 10A NCAC 09 .0601(a) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. Electrical outlets not in use were not covered with safety caps in Space #3. 10A NCAC 09 .0604(c) The violations documented were corrected during the visit; therefore, a compliance letter is not required. You stated you understand the violations warranted and would ensure safety is maintained. You removed the Clorox bottles and relocated them to an area inaccessible to children. You covered the electrical outlets with safety caps and recorded the food substitution on the menu then posted them in the classrooms. The screws were also removed form the cabinet door during the visit. COMPLIANCE HISTORY SCORE: The center’s compliance history score was reviewed with the operator. The program’s compliance history was 93% as of July 7, 2025. CORPORATION STATUS: Think and Grow Day Care Center, Inc. is listed as the current owner of this center. According to information verified on the North Carolina Secretary of State’s website, Think and Grow Day Care Center, Inc. remains current and active. Prior to making any changes in the ownership status contact me to discuss the change of ownership procedures. Failure to comply could impact the program license status. FACILITY PROFILE INFORMATION: You verified the phone number email address and mailing address listed on the facility profile are correct. If changes in your facility’s information occur in the future, contact me at 252-214-2709 or email keshia.hayward@dhhs.nc.gov to discuss the changes and ensure accurate information is updated in our system. NC PRE-K MONITORING: NC Pre-K monitoring was not completed today because the program is closed for the summer. I informed you NC Pre-k will be monitored during your next visit. SAFE INDOOR/OUTDOOR ENVIRONMENT: We talked about ensuring potentially hazardous products are stored appropriately and inaccessible to children. I recommended asking staff to periodically check their classrooms to ensure potentially hazardous items are identified and removed. Bottles used for sanitizing/ disinfecting tables and sinks should be stored out of reach of children when not used. I recommended placing safety caps in a space that is visual as a reminder to reinsert when the electrical outlets are no longer being used. Staff could discuss the importance of covering outlets with school-age children to ensure they understand safety caps need to be returned after charging electronics. Be reminded you and staff are responsible for ensuring a safe environment is always provided for children in care. AUTOMATED BACKGROUND CHECK MANAGEMENT SYSTEM (ABCMS) PORTAL: You provided a certificate to verify the ABCMS training has been taken for your program. We talked about the process for linking staff to the center’s portal. I explained staff should be given the code so they can link themselves to the program. Staff who work at multiple programs should be linked the to all centers where they are employed. Once the code has been added, the individual designated must return to the portal to update staff information. This will ensure staff are shown in the portal when reviewed. HEAT SAFETY: To ensure heat safety in a child care setting, prioritize staying cool, hydrated, and informed, and be aware of the signs of heat-related illnesses. Move outdoor activities to cooler times, dress children in appropriate clothing, and provide plenty of fluids. Regularly check for signs of heat exhaustion or heatstroke and have a plan in place for extreme heat situations. Additionally, always check your vehicle when transporting children. Never leave children unattended in parked cars, even for a short time, as temperatures can rise rapidly. DCDEE RESOURCES: I recommended you periodically visit the DCDEE website at https://ncchildcare.ncdhhs.gov/ under the "What's New" tab to stay abreast of updated information provided. Be reminded you are responsible for maintaining compliance with all applicable child care requirements whether they have been discussed or reviewed with you in the past. CONTACT INFORMATION: If you have questions regarding today’s visit, my contact information is listed above. You may also contact Licensing Supervisor, Susan Fuller at 252-373-9809 or email susan.fuller@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0901 · Violation

Name of Operation: T. & G. # 3 Facility ID: 33000141 Consultant: KESHIA HAYWARD Operation Type: Center Case Number: Visit Date: 7/8/2025 Number Present: 32 Completed Date: 7/8/2025 Age: From 4 To 11 Total Minutes: 150 Time In: 08:15 AM Time Out: 10:45 AM 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 this program for compliance with applicable child care requirements for during the annual compliance visit. Linda Knight, Administrator, assisted with the visit. This center currently operates with a five-star license earning seven points in staff education, six points in program standards and one quality point for the center having a combined turnover rate of 20% or less for the administrator, program coordinator, lead teacher, teacher and group leader over the last 12 months. The last annual compliance visit was completed on June 23, 2024. The last sanitation inspection was completed on March 19, 2025, with a “Superior” classification. The last fire inspection was completed on July 25, 2024, and the center was approved for daytime care only. Thirty-two (32) children were in care today ranging from four (4) to eleven (11) years old. Children were engaged in free choice play with developmentally age-appropriate materials, outdoor play, completing toileting, and hand washing routines, interacting with caregivers, and eating breakfast. Breakfast consisted of French toast, peaches, and milk. School-age children went on a field trip during the visit to skating rink. Violation Number Comment Rule 528 Food substitution was not of comparable food value or recorded on the menu prior to the meal or snack being served. French toast served to children for breakfast was not recorded on the menu as required for substitution. 10A NCAC 09 .0901(b) 807 A safe indoor and outdoor environment was not provided for the children. Clorox bottles were observed on a shelf less than 5ft. from the finished floor in Space #3. Two screws were protruding from the cabinet door exposing sharp points in Space #2a 10A NCAC 09 .0601(a) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. Electrical outlets not in use were not covered with safety caps in Space #3. 10A NCAC 09 .0604(c) The violations documented were corrected during the visit; therefore, a compliance letter is not required. You stated you understand the violations warranted and would ensure safety is maintained. You removed the Clorox bottles and relocated them to an area inaccessible to children. You covered the electrical outlets with safety caps and recorded the food substitution on the menu then posted them in the classrooms. The screws were also removed form the cabinet door during the visit. COMPLIANCE HISTORY SCORE: The center’s compliance history score was reviewed with the operator. The program’s compliance history was 93% as of July 7, 2025. CORPORATION STATUS: Think and Grow Day Care Center, Inc. is listed as the current owner of this center. According to information verified on the North Carolina Secretary of State’s website, Think and Grow Day Care Center, Inc. remains current and active. Prior to making any changes in the ownership status contact me to discuss the change of ownership procedures. Failure to comply could impact the program license status. FACILITY PROFILE INFORMATION: You verified the phone number email address and mailing address listed on the facility profile are correct. If changes in your facility’s information occur in the future, contact me at 252-214-2709 or email keshia.hayward@dhhs.nc.gov to discuss the changes and ensure accurate information is updated in our system. NC PRE-K MONITORING: NC Pre-K monitoring was not completed today because the program is closed for the summer. I informed you NC Pre-k will be monitored during your next visit. SAFE INDOOR/OUTDOOR ENVIRONMENT: We talked about ensuring potentially hazardous products are stored appropriately and inaccessible to children. I recommended asking staff to periodically check their classrooms to ensure potentially hazardous items are identified and removed. Bottles used for sanitizing/ disinfecting tables and sinks should be stored out of reach of children when not used. I recommended placing safety caps in a space that is visual as a reminder to reinsert when the electrical outlets are no longer being used. Staff could discuss the importance of covering outlets with school-age children to ensure they understand safety caps need to be returned after charging electronics. Be reminded you and staff are responsible for ensuring a safe environment is always provided for children in care. AUTOMATED BACKGROUND CHECK MANAGEMENT SYSTEM (ABCMS) PORTAL: You provided a certificate to verify the ABCMS training has been taken for your program. We talked about the process for linking staff to the center’s portal. I explained staff should be given the code so they can link themselves to the program. Staff who work at multiple programs should be linked the to all centers where they are employed. Once the code has been added, the individual designated must return to the portal to update staff information. This will ensure staff are shown in the portal when reviewed. HEAT SAFETY: To ensure heat safety in a child care setting, prioritize staying cool, hydrated, and informed, and be aware of the signs of heat-related illnesses. Move outdoor activities to cooler times, dress children in appropriate clothing, and provide plenty of fluids. Regularly check for signs of heat exhaustion or heatstroke and have a plan in place for extreme heat situations. Additionally, always check your vehicle when transporting children. Never leave children unattended in parked cars, even for a short time, as temperatures can rise rapidly. DCDEE RESOURCES: I recommended you periodically visit the DCDEE website at https://ncchildcare.ncdhhs.gov/ under the "What's New" tab to stay abreast of updated information provided. Be reminded you are responsible for maintaining compliance with all applicable child care requirements whether they have been discussed or reviewed with you in the past. CONTACT INFORMATION: If you have questions regarding today’s visit, my contact information is listed above. You may also contact Licensing Supervisor, Susan Fuller at 252-373-9809 or email susan.fuller@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0601 · Violation

Name of Operation: T. & G. # 3 Facility ID: 33000141 Consultant: KESHIA HAYWARD Operation Type: Center Case Number: Visit Date: 2/4/2025 Number Present: 31 Completed Date: 2/4/2025 Age: From 4 To 5 Total Minutes: 180 Time In: 08:00 AM Time Out: 11:00 AM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor this program for compliance with applicable child care requirements during a routine unannounced visit. L. Knights, Administrator, assisted with the visit. This center currently operates with a five-star license, earning seven points in education standards, six points in program standards, and 1 quality point for the center having a combined turnover rate of 20% or less for the administrator, program coordinator, lead teacher, teacher and group leader over the last 12 months. The last annual compliance visit was conducted on July 23, 2024. The last sanitation inspection was completed on April 30, 2024, earning a “Superior” classification. The last fire inspection was completed on July 25, 2024, and the center was approved for daytime care only. Thirty-one (31) children ranging from ages four (4) to five (5) years old were observed in care today. Children were engaged in morning routines/activities, free-choice play, eating breakfast, completing hand washing, and toileting routines, and interacting with teachers. Breakfast French toast, pineapples and milk. The following violations were documented. Violation Number Comment Rule 125 Daily records of arrival and departure times for children at the center were not maintained as children arrive and depart and/or were not made available for review. Departure times were not documented for twelve school-age children on January 27, 2025, and for one school age child on January 10, 2025. 10A NCAC 09 .0302(d)(4) 807 A safe indoor and outdoor environment was not provided for the children. The sand table on the playground was cracked exposing sharp edges. 10A NCAC 09 .0601(a) 1775 NC Pre-K program staff/child ratios and group sizes were not met. NC Pre-K staff/child ratio requirements were not met when one teacher was caring for twelve children alone in Space #1. .3009 The violations documented must be corrected immediately. Please send a compliance verification letter to me describing how the violations were corrected. You can submit the compliance verification letter by postal mail to Keshia Hayward, PO Box 1504 Greenville NC 27834, or email keshia.hayward@dhhs.nc.gov. The compliance verification letter must be received on or before February 18, 2025. The two-week time frame is established to allow you time for submitting your compliance verification letter. This timeframe is not intended to be used as a guide for correcting violations, as they should be corrected immediately. Please be aware that any written information submitted by you regarding correction of violations documented during the visit is legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined the information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility's Star Rated License could be issued. If sufficient information is not received by the due date, a follow-up visit will be conducted. The center’s compliance history score was reviewed with the operator. The program’s compliance history was 96% as of January 3, 2025. CORPORATION STATUS: Think And Grow Day Care Center, Inc. is listed as the current owner of this center. According to information verified on the North Carolina Secretary of State’s website, Think And Grow Day Care Center, Inc. remains current and active. Prior to making any changes in the ownership status contact me to discuss change of ownership procedures. Failure to comply could impact the program license status. NC PRE-K REQUIREMENTS: This program currently has two NC Pre-K classrooms serving a total of thirty-six children. Lesson plans for January and February 2025 were reviewed today. Children were engaged in activities documented on the lesson plan reviewed. Three staff observed working in the classrooms were listed the NC Pre-K system. One teacher assistant was not found in the NC Pre-K system. You stated the teacher was a primary employee for your NC pre-K program. I advised you to contact your local contractor regarding listing the teacher in the NC Pre-K system under your program. Staff interacted with children in a positive and nurturing manner. You reported the program continues to use the Creative Curriculum and Teaching Strategies Gold. Activity plans were completed on teaching strategy templates. You stated the program continues to use the Foundations for Early Learning in conjunction with teaching strategies. Dial 4 developmental assessments were completed and on file in children’s records reviewed today. Ten percent of NC Pre-K children’s records were monitored and in compliance. The program’s monitoring tool for fiscal year 2024/2025 mid-year requirements were completed and no concerns were identified. Parental activities completed were shared and documentation was reviewed. STAFF/CHILD INTERACTIONS: Upon arrival, children in all space were engaged in free-choice play. Classroom #2a transitioned outside to play. Breakfast was served and children engaged in conversation with teachers and their peers. The teacher in Space #1 completed morning circle time activities with children which included counting, story-time and conversations with children. The children responded to caregivers in a positive manner. The activities implemented were documented on the activity plan posted in the classrooms. Developmental domains were identified on the posted activity plans. A variety of materials/toys were available for play. The materials/toys were in good repair. STAFF/CHILD RATIO: Upon arrival, one teacher was observed providing care to twelve (12) children in Space #1 (NC Pre-K). When informed staff/child ratio requirements were not met the teacher stated she would transition two of the children to another classroom. She added normally when the attendance exceeds ten children and she is working alone, the children are transitioned over to Space 2a and they would return when the teacher assistant arrives. You stated the other classrooms were set up to accommodate the overflow of children when there are issues with staffing; therefore, there was no reason for staff/child ratio to be out of compliance. You added you were not aware the second staff member was not present. You stated staff schedules were adjusted when suggested the last time a violation was documented for staff/child ratio. According to you, the teachers were informed that transitions should occur prior to noncompliance to avoid violations. We talked about developing a tool to help the staff remain aware of the number of children present and when to complete the transitions. We talked about the importance of maintaining compliance with staff/child ratio requirements. I explained it ensures children are in a safe environment and staff can provide the necessary time and attention to children in care. It was also suggested encouraging parents to help with ensuring staff child ratio is met. You can explain to parents why staff/child ratio requirements are important and the ratio for their child’s classroom. Parents can also be alert and aware of the number in the classroom to help determine if transitions are needed when their child arrives. SAFE INDOOR/OUTDOOR ENVIRONMENT: You removed the sand table from the playground immediately when notified it was cracked and posed a potential hazard. You asked the staff to remove any other items that are not in good repair when identified. Be reminded a safe environment must always be provided for children in care. EDUCATION EQUIVALENCY EXAM: The Division of Child Development and Early Education (DCDEE) prioritizes increasing career pathways for future ECE teachers. However, after lengthy careful consideration DCDEE has reluctantly decided it will not bring back the Early Childhood Equivalency Exam due to concerns about academic integrity. We make this decision to ensure fair and equitable opportunity for all aspiring early childhood teachers, uphold minimum educational standards, and keep staff and children in licensed child care environments safe. Note, other Pathways to the Profession of Early Childhood Teacher still include: •EDU 119 – Introduction to Early Childhood Education •Test-Out Option for EDU 119 •EDU 3119 – Intro to Early Childhood Education •Child Development Associate® Credential (CDA) Refer to the Raising North Carolina newsletter for additional information about each pathways and how to access them. CRIMINAL BACKGROUND CHECK REQUIREMENTS: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in 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. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. DCDEE RESOURCES: I recommended you periodically visit the DCDEE website at https://ncchildcare.ncdhhs.gov/ under the "What's New" tab to stay abreast of updated information provided. At the conclusion of this visit, the visit summary report was completed, reviewed, and left with you. Be reminded you are responsible for maintaining compliance with all applicable child care requirements whether they have been discussed or reviewed with you in the past. CONTACT INFORMATION: If you have questions regarding today’s visit, my contact information is listed above. You may also contact Licensing Supervisor, Susan Fuller at 252-373-9809 or email susan.fuller@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

10A NCAC 09 .0302 · Violation

Name of Operation: T. & G. # 3 Facility ID: 33000141 Consultant: KESHIA HAYWARD Operation Type: Center Case Number: Visit Date: 2/4/2025 Number Present: 31 Completed Date: 2/4/2025 Age: From 4 To 5 Total Minutes: 180 Time In: 08:00 AM Time Out: 11:00 AM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor this program for compliance with applicable child care requirements during a routine unannounced visit. L. Knights, Administrator, assisted with the visit. This center currently operates with a five-star license, earning seven points in education standards, six points in program standards, and 1 quality point for the center having a combined turnover rate of 20% or less for the administrator, program coordinator, lead teacher, teacher and group leader over the last 12 months. The last annual compliance visit was conducted on July 23, 2024. The last sanitation inspection was completed on April 30, 2024, earning a “Superior” classification. The last fire inspection was completed on July 25, 2024, and the center was approved for daytime care only. Thirty-one (31) children ranging from ages four (4) to five (5) years old were observed in care today. Children were engaged in morning routines/activities, free-choice play, eating breakfast, completing hand washing, and toileting routines, and interacting with teachers. Breakfast French toast, pineapples and milk. The following violations were documented. Violation Number Comment Rule 125 Daily records of arrival and departure times for children at the center were not maintained as children arrive and depart and/or were not made available for review. Departure times were not documented for twelve school-age children on January 27, 2025, and for one school age child on January 10, 2025. 10A NCAC 09 .0302(d)(4) 807 A safe indoor and outdoor environment was not provided for the children. The sand table on the playground was cracked exposing sharp edges. 10A NCAC 09 .0601(a) 1775 NC Pre-K program staff/child ratios and group sizes were not met. NC Pre-K staff/child ratio requirements were not met when one teacher was caring for twelve children alone in Space #1. .3009 The violations documented must be corrected immediately. Please send a compliance verification letter to me describing how the violations were corrected. You can submit the compliance verification letter by postal mail to Keshia Hayward, PO Box 1504 Greenville NC 27834, or email keshia.hayward@dhhs.nc.gov. The compliance verification letter must be received on or before February 18, 2025. The two-week time frame is established to allow you time for submitting your compliance verification letter. This timeframe is not intended to be used as a guide for correcting violations, as they should be corrected immediately. Please be aware that any written information submitted by you regarding correction of violations documented during the visit is legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined the information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility's Star Rated License could be issued. If sufficient information is not received by the due date, a follow-up visit will be conducted. The center’s compliance history score was reviewed with the operator. The program’s compliance history was 96% as of January 3, 2025. CORPORATION STATUS: Think And Grow Day Care Center, Inc. is listed as the current owner of this center. According to information verified on the North Carolina Secretary of State’s website, Think And Grow Day Care Center, Inc. remains current and active. Prior to making any changes in the ownership status contact me to discuss change of ownership procedures. Failure to comply could impact the program license status. NC PRE-K REQUIREMENTS: This program currently has two NC Pre-K classrooms serving a total of thirty-six children. Lesson plans for January and February 2025 were reviewed today. Children were engaged in activities documented on the lesson plan reviewed. Three staff observed working in the classrooms were listed the NC Pre-K system. One teacher assistant was not found in the NC Pre-K system. You stated the teacher was a primary employee for your NC pre-K program. I advised you to contact your local contractor regarding listing the teacher in the NC Pre-K system under your program. Staff interacted with children in a positive and nurturing manner. You reported the program continues to use the Creative Curriculum and Teaching Strategies Gold. Activity plans were completed on teaching strategy templates. You stated the program continues to use the Foundations for Early Learning in conjunction with teaching strategies. Dial 4 developmental assessments were completed and on file in children’s records reviewed today. Ten percent of NC Pre-K children’s records were monitored and in compliance. The program’s monitoring tool for fiscal year 2024/2025 mid-year requirements were completed and no concerns were identified. Parental activities completed were shared and documentation was reviewed. STAFF/CHILD INTERACTIONS: Upon arrival, children in all space were engaged in free-choice play. Classroom #2a transitioned outside to play. Breakfast was served and children engaged in conversation with teachers and their peers. The teacher in Space #1 completed morning circle time activities with children which included counting, story-time and conversations with children. The children responded to caregivers in a positive manner. The activities implemented were documented on the activity plan posted in the classrooms. Developmental domains were identified on the posted activity plans. A variety of materials/toys were available for play. The materials/toys were in good repair. STAFF/CHILD RATIO: Upon arrival, one teacher was observed providing care to twelve (12) children in Space #1 (NC Pre-K). When informed staff/child ratio requirements were not met the teacher stated she would transition two of the children to another classroom. She added normally when the attendance exceeds ten children and she is working alone, the children are transitioned over to Space 2a and they would return when the teacher assistant arrives. You stated the other classrooms were set up to accommodate the overflow of children when there are issues with staffing; therefore, there was no reason for staff/child ratio to be out of compliance. You added you were not aware the second staff member was not present. You stated staff schedules were adjusted when suggested the last time a violation was documented for staff/child ratio. According to you, the teachers were informed that transitions should occur prior to noncompliance to avoid violations. We talked about developing a tool to help the staff remain aware of the number of children present and when to complete the transitions. We talked about the importance of maintaining compliance with staff/child ratio requirements. I explained it ensures children are in a safe environment and staff can provide the necessary time and attention to children in care. It was also suggested encouraging parents to help with ensuring staff child ratio is met. You can explain to parents why staff/child ratio requirements are important and the ratio for their child’s classroom. Parents can also be alert and aware of the number in the classroom to help determine if transitions are needed when their child arrives. SAFE INDOOR/OUTDOOR ENVIRONMENT: You removed the sand table from the playground immediately when notified it was cracked and posed a potential hazard. You asked the staff to remove any other items that are not in good repair when identified. Be reminded a safe environment must always be provided for children in care. EDUCATION EQUIVALENCY EXAM: The Division of Child Development and Early Education (DCDEE) prioritizes increasing career pathways for future ECE teachers. However, after lengthy careful consideration DCDEE has reluctantly decided it will not bring back the Early Childhood Equivalency Exam due to concerns about academic integrity. We make this decision to ensure fair and equitable opportunity for all aspiring early childhood teachers, uphold minimum educational standards, and keep staff and children in licensed child care environments safe. Note, other Pathways to the Profession of Early Childhood Teacher still include: •EDU 119 – Introduction to Early Childhood Education •Test-Out Option for EDU 119 •EDU 3119 – Intro to Early Childhood Education •Child Development Associate® Credential (CDA) Refer to the Raising North Carolina newsletter for additional information about each pathways and how to access them. CRIMINAL BACKGROUND CHECK REQUIREMENTS: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in 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. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. DCDEE RESOURCES: I recommended you periodically visit the DCDEE website at https://ncchildcare.ncdhhs.gov/ under the "What's New" tab to stay abreast of updated information provided. At the conclusion of this visit, the visit summary report was completed, reviewed, and left with you. Be reminded you are responsible for maintaining compliance with all applicable child care requirements whether they have been discussed or reviewed with you in the past. CONTACT INFORMATION: If you have questions regarding today’s visit, my contact information is listed above. You may also contact Licensing Supervisor, Susan Fuller at 252-373-9809 or email susan.fuller@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

G.S. 110-90 · Violation

Name of Operation: T. & G. # 3 Facility ID: 33000141 Consultant: KESHIA HAYWARD Operation Type: Center Case Number: Visit Date: 2/4/2025 Number Present: 31 Completed Date: 2/4/2025 Age: From 4 To 5 Total Minutes: 180 Time In: 08:00 AM Time Out: 11:00 AM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor this program for compliance with applicable child care requirements during a routine unannounced visit. L. Knights, Administrator, assisted with the visit. This center currently operates with a five-star license, earning seven points in education standards, six points in program standards, and 1 quality point for the center having a combined turnover rate of 20% or less for the administrator, program coordinator, lead teacher, teacher and group leader over the last 12 months. The last annual compliance visit was conducted on July 23, 2024. The last sanitation inspection was completed on April 30, 2024, earning a “Superior” classification. The last fire inspection was completed on July 25, 2024, and the center was approved for daytime care only. Thirty-one (31) children ranging from ages four (4) to five (5) years old were observed in care today. Children were engaged in morning routines/activities, free-choice play, eating breakfast, completing hand washing, and toileting routines, and interacting with teachers. Breakfast French toast, pineapples and milk. The following violations were documented. Violation Number Comment Rule 125 Daily records of arrival and departure times for children at the center were not maintained as children arrive and depart and/or were not made available for review. Departure times were not documented for twelve school-age children on January 27, 2025, and for one school age child on January 10, 2025. 10A NCAC 09 .0302(d)(4) 807 A safe indoor and outdoor environment was not provided for the children. The sand table on the playground was cracked exposing sharp edges. 10A NCAC 09 .0601(a) 1775 NC Pre-K program staff/child ratios and group sizes were not met. NC Pre-K staff/child ratio requirements were not met when one teacher was caring for twelve children alone in Space #1. .3009 The violations documented must be corrected immediately. Please send a compliance verification letter to me describing how the violations were corrected. You can submit the compliance verification letter by postal mail to Keshia Hayward, PO Box 1504 Greenville NC 27834, or email keshia.hayward@dhhs.nc.gov. The compliance verification letter must be received on or before February 18, 2025. The two-week time frame is established to allow you time for submitting your compliance verification letter. This timeframe is not intended to be used as a guide for correcting violations, as they should be corrected immediately. Please be aware that any written information submitted by you regarding correction of violations documented during the visit is legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined the information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility's Star Rated License could be issued. If sufficient information is not received by the due date, a follow-up visit will be conducted. The center’s compliance history score was reviewed with the operator. The program’s compliance history was 96% as of January 3, 2025. CORPORATION STATUS: Think And Grow Day Care Center, Inc. is listed as the current owner of this center. According to information verified on the North Carolina Secretary of State’s website, Think And Grow Day Care Center, Inc. remains current and active. Prior to making any changes in the ownership status contact me to discuss change of ownership procedures. Failure to comply could impact the program license status. NC PRE-K REQUIREMENTS: This program currently has two NC Pre-K classrooms serving a total of thirty-six children. Lesson plans for January and February 2025 were reviewed today. Children were engaged in activities documented on the lesson plan reviewed. Three staff observed working in the classrooms were listed the NC Pre-K system. One teacher assistant was not found in the NC Pre-K system. You stated the teacher was a primary employee for your NC pre-K program. I advised you to contact your local contractor regarding listing the teacher in the NC Pre-K system under your program. Staff interacted with children in a positive and nurturing manner. You reported the program continues to use the Creative Curriculum and Teaching Strategies Gold. Activity plans were completed on teaching strategy templates. You stated the program continues to use the Foundations for Early Learning in conjunction with teaching strategies. Dial 4 developmental assessments were completed and on file in children’s records reviewed today. Ten percent of NC Pre-K children’s records were monitored and in compliance. The program’s monitoring tool for fiscal year 2024/2025 mid-year requirements were completed and no concerns were identified. Parental activities completed were shared and documentation was reviewed. STAFF/CHILD INTERACTIONS: Upon arrival, children in all space were engaged in free-choice play. Classroom #2a transitioned outside to play. Breakfast was served and children engaged in conversation with teachers and their peers. The teacher in Space #1 completed morning circle time activities with children which included counting, story-time and conversations with children. The children responded to caregivers in a positive manner. The activities implemented were documented on the activity plan posted in the classrooms. Developmental domains were identified on the posted activity plans. A variety of materials/toys were available for play. The materials/toys were in good repair. STAFF/CHILD RATIO: Upon arrival, one teacher was observed providing care to twelve (12) children in Space #1 (NC Pre-K). When informed staff/child ratio requirements were not met the teacher stated she would transition two of the children to another classroom. She added normally when the attendance exceeds ten children and she is working alone, the children are transitioned over to Space 2a and they would return when the teacher assistant arrives. You stated the other classrooms were set up to accommodate the overflow of children when there are issues with staffing; therefore, there was no reason for staff/child ratio to be out of compliance. You added you were not aware the second staff member was not present. You stated staff schedules were adjusted when suggested the last time a violation was documented for staff/child ratio. According to you, the teachers were informed that transitions should occur prior to noncompliance to avoid violations. We talked about developing a tool to help the staff remain aware of the number of children present and when to complete the transitions. We talked about the importance of maintaining compliance with staff/child ratio requirements. I explained it ensures children are in a safe environment and staff can provide the necessary time and attention to children in care. It was also suggested encouraging parents to help with ensuring staff child ratio is met. You can explain to parents why staff/child ratio requirements are important and the ratio for their child’s classroom. Parents can also be alert and aware of the number in the classroom to help determine if transitions are needed when their child arrives. SAFE INDOOR/OUTDOOR ENVIRONMENT: You removed the sand table from the playground immediately when notified it was cracked and posed a potential hazard. You asked the staff to remove any other items that are not in good repair when identified. Be reminded a safe environment must always be provided for children in care. EDUCATION EQUIVALENCY EXAM: The Division of Child Development and Early Education (DCDEE) prioritizes increasing career pathways for future ECE teachers. However, after lengthy careful consideration DCDEE has reluctantly decided it will not bring back the Early Childhood Equivalency Exam due to concerns about academic integrity. We make this decision to ensure fair and equitable opportunity for all aspiring early childhood teachers, uphold minimum educational standards, and keep staff and children in licensed child care environments safe. Note, other Pathways to the Profession of Early Childhood Teacher still include: •EDU 119 – Introduction to Early Childhood Education •Test-Out Option for EDU 119 •EDU 3119 – Intro to Early Childhood Education •Child Development Associate® Credential (CDA) Refer to the Raising North Carolina newsletter for additional information about each pathways and how to access them. CRIMINAL BACKGROUND CHECK REQUIREMENTS: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in 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. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. DCDEE RESOURCES: I recommended you periodically visit the DCDEE website at https://ncchildcare.ncdhhs.gov/ under the "What's New" tab to stay abreast of updated information provided. At the conclusion of this visit, the visit summary report was completed, reviewed, and left with you. Be reminded you are responsible for maintaining compliance with all applicable child care requirements whether they have been discussed or reviewed with you in the past. CONTACT INFORMATION: If you have questions regarding today’s visit, my contact information is listed above. You may also contact Licensing Supervisor, Susan Fuller at 252-373-9809 or email susan.fuller@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1003 · Violation

Name of Operation: T. & G. # 3 Facility ID: 33000141 Consultant: KESHIA HAYWARD Operation Type: Center Case Number: Visit Date: 7/23/2024 Number Present: 22 Completed Date: 7/23/2024 Age: From 4 To 10 Total Minutes: 175 Time In: 08:20 AM Time Out: 11:15 AM 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 this program for compliance with applicable child care requirements during an annual compliance visit. L. Knight, Administrator, assisted with the visit. This center currently operates with a five-star license, earning seven points in the education component, six points in the program standard component and 1 quality point for the program having a combined turnover rate of 20% or less for 75% of lead teachers and teachers having at least 10 years of documented early childhood work experience that can be verified by the Division. The last annual compliance visit was completed on August 9, 2023. The last sanitation inspection was completed on April 30, 2024, earning a “Superior” classification. The last fire inspection was completed on July 31, 2023, and the center was approved for day time and night care. Twenty-two (22) children ranging from ages four to ten years old were observed in care today. Children were engaged in morning routine/activities, free-choice play, outdoor play, eating breakfast, completing hand washing, and toileting routines, and interacting with caregivers. Breakfast consisted of French toast, pineapples and milk. The following violations were documented. Violation Number Comment Rule 1124 Emergency and identifying information, including the child's name, photograph, emergency contact information and/or a copy of the emergency medical care information form was not in the vehicle for each child being transported. Emergency information for two children being transported did not include photographs. 10A NCAC 09 .1003(d) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. A health assessment of file for one preschool child enrolled on June 19, 2023, was dated for August 22, 2023. GS110-91(1) The violations documented must be corrected immediately. Please send a compliance verification letter to me describing how the violations were corrected. You can submit the compliance verification letter by postal mail to Keshia Hayward, PO Box 1504 Greenville NC 27834, or email keshia.hayward@dhhs.nc.gov. The compliance verification letter must be received on or before August 6, 2024. The two-week time frame is established to allow you time for submitting your compliance verification letter. This timeframe is not intended to be used as a guide for correcting violations, as they should be corrected immediately. Please be aware that any written information submitted by you regarding correction of violations documented during the visit is legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined the information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility's Star Rated License could be issued. If sufficient information is not received by the due date, a follow-up visit will be conducted. The center’s compliance history score was reviewed with the operator. The program’s compliance history was 95% as of July 22, 2024. CORPORTAION STATUS: Think And Grow Day Care center, Inc. is listed as the current owner of this center. According to information verified on the North Carolina Secretary of State’s website, Think And Grow Day Care Center, Inc. remains current and active. I reminded you the corporation status for your program must always remain Current and Active. Failure to comply may affect your child care license. FACILITY PROFILE INFORMATION: You verified the phone number email address and mailing address listed on the facility profile are correct. If changes in your facility’s information occur in the future, contact me at 252-214-2709 or email keshia.hayward@dhhs.nc.gov to discuss the changes and ensure accurate information is updated in our system. NC PRE-K: NC Pre-K was closed for the summer; therefore, requirements were not monitored today. I informed you NC Pre-K requirements would be monitored during a future visit. MEDICAL ASSESSMENT: We discussed tracking children enrollment dates to ensure health assessments are requested and received within the thirty-day timeframe. You could develop a tracking log with enrollment dates and due dates for health assessments. A schedule could be included of dates to remind/notify parents about the health assessment due dates. Once health assessments are received the tracking system could be updated to reflect completion. EMERGENCY INFORMATION/PHOTOGRAPHS: Photographs were not included with the emergency information for two children transported in the month of July 2024. I advised you to add pictures of the children to the transportation notebook. We discussed the importance of having photographs to identify children in the event of an emergency. QUALITY RATING IMPROVEMENT SYSTEM: The Governor signed Senate Bill 425 (now Session Law 2024-34), Health and Human Services Omnibus Bill, which includes the Quality Rating Improvement System (QRIS) Modifications recommended to the Legislature by the NC Child Care Commission to update QRIS and create additional pathways for licensed child care facilities to earn star rated licenses. Hold Harmless provisions have been extended and star rated license assessments for licensed child care providers will be conducted by provider request only, until the QRIS rulemaking process has been completed. Star rated license assessments are still required for new child care programs. This legislation also provides a pathway for child care programs currently accredited through the approved accrediting bodies to move to a 3 or 5 star license if they are not already at this star level. Providers will need to submit a request to their licensing consultant and provide a copy of their accreditation award/certificate for processing: Accreditation Licensure Request Form MENTAL HEALTH BEGINS BY BIRTH: A free 6-hour training on the foundations of infant and early childhood mental health, offered by the ARCh Project at the Center for Child & Family Health. The six hours are divided over two half-days of content: The training dates will be on Friday, August 30th and Friday, September 6th, from 9:30am to 12:30pm each of those days. I will send you registration information via email. Available to anyone in NC whose professional work supports the relational, emotional, and mental health of babies and young children. DCDEE RESOURCES: I recommended you periodically visit the DCDEE website at https://ncchildcare.ncdhhs.gov/ under the "What's New" tab to stay abreast of updated information provided. Be reminded you are responsible for maintaining compliance with all applicable child care requirements whether they have been discussed or reviewed with you in the past. CONTACT INFORMATION: If you have questions regarding today’s visit, my contact information is listed above. You may also contact Licensing Supervisor, Susan Fuller at 252-373-9809 or email susan.fuller@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

GS110-91 · Violation

Name of Operation: T. & G. # 3 Facility ID: 33000141 Consultant: KESHIA HAYWARD Operation Type: Center Case Number: Visit Date: 7/23/2024 Number Present: 22 Completed Date: 7/23/2024 Age: From 4 To 10 Total Minutes: 175 Time In: 08:20 AM Time Out: 11:15 AM 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 this program for compliance with applicable child care requirements during an annual compliance visit. L. Knight, Administrator, assisted with the visit. This center currently operates with a five-star license, earning seven points in the education component, six points in the program standard component and 1 quality point for the program having a combined turnover rate of 20% or less for 75% of lead teachers and teachers having at least 10 years of documented early childhood work experience that can be verified by the Division. The last annual compliance visit was completed on August 9, 2023. The last sanitation inspection was completed on April 30, 2024, earning a “Superior” classification. The last fire inspection was completed on July 31, 2023, and the center was approved for day time and night care. Twenty-two (22) children ranging from ages four to ten years old were observed in care today. Children were engaged in morning routine/activities, free-choice play, outdoor play, eating breakfast, completing hand washing, and toileting routines, and interacting with caregivers. Breakfast consisted of French toast, pineapples and milk. The following violations were documented. Violation Number Comment Rule 1124 Emergency and identifying information, including the child's name, photograph, emergency contact information and/or a copy of the emergency medical care information form was not in the vehicle for each child being transported. Emergency information for two children being transported did not include photographs. 10A NCAC 09 .1003(d) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. A health assessment of file for one preschool child enrolled on June 19, 2023, was dated for August 22, 2023. GS110-91(1) The violations documented must be corrected immediately. Please send a compliance verification letter to me describing how the violations were corrected. You can submit the compliance verification letter by postal mail to Keshia Hayward, PO Box 1504 Greenville NC 27834, or email keshia.hayward@dhhs.nc.gov. The compliance verification letter must be received on or before August 6, 2024. The two-week time frame is established to allow you time for submitting your compliance verification letter. This timeframe is not intended to be used as a guide for correcting violations, as they should be corrected immediately. Please be aware that any written information submitted by you regarding correction of violations documented during the visit is legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined the information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility's Star Rated License could be issued. If sufficient information is not received by the due date, a follow-up visit will be conducted. The center’s compliance history score was reviewed with the operator. The program’s compliance history was 95% as of July 22, 2024. CORPORTAION STATUS: Think And Grow Day Care center, Inc. is listed as the current owner of this center. According to information verified on the North Carolina Secretary of State’s website, Think And Grow Day Care Center, Inc. remains current and active. I reminded you the corporation status for your program must always remain Current and Active. Failure to comply may affect your child care license. FACILITY PROFILE INFORMATION: You verified the phone number email address and mailing address listed on the facility profile are correct. If changes in your facility’s information occur in the future, contact me at 252-214-2709 or email keshia.hayward@dhhs.nc.gov to discuss the changes and ensure accurate information is updated in our system. NC PRE-K: NC Pre-K was closed for the summer; therefore, requirements were not monitored today. I informed you NC Pre-K requirements would be monitored during a future visit. MEDICAL ASSESSMENT: We discussed tracking children enrollment dates to ensure health assessments are requested and received within the thirty-day timeframe. You could develop a tracking log with enrollment dates and due dates for health assessments. A schedule could be included of dates to remind/notify parents about the health assessment due dates. Once health assessments are received the tracking system could be updated to reflect completion. EMERGENCY INFORMATION/PHOTOGRAPHS: Photographs were not included with the emergency information for two children transported in the month of July 2024. I advised you to add pictures of the children to the transportation notebook. We discussed the importance of having photographs to identify children in the event of an emergency. QUALITY RATING IMPROVEMENT SYSTEM: The Governor signed Senate Bill 425 (now Session Law 2024-34), Health and Human Services Omnibus Bill, which includes the Quality Rating Improvement System (QRIS) Modifications recommended to the Legislature by the NC Child Care Commission to update QRIS and create additional pathways for licensed child care facilities to earn star rated licenses. Hold Harmless provisions have been extended and star rated license assessments for licensed child care providers will be conducted by provider request only, until the QRIS rulemaking process has been completed. Star rated license assessments are still required for new child care programs. This legislation also provides a pathway for child care programs currently accredited through the approved accrediting bodies to move to a 3 or 5 star license if they are not already at this star level. Providers will need to submit a request to their licensing consultant and provide a copy of their accreditation award/certificate for processing: Accreditation Licensure Request Form MENTAL HEALTH BEGINS BY BIRTH: A free 6-hour training on the foundations of infant and early childhood mental health, offered by the ARCh Project at the Center for Child & Family Health. The six hours are divided over two half-days of content: The training dates will be on Friday, August 30th and Friday, September 6th, from 9:30am to 12:30pm each of those days. I will send you registration information via email. Available to anyone in NC whose professional work supports the relational, emotional, and mental health of babies and young children. DCDEE RESOURCES: I recommended you periodically visit the DCDEE website at https://ncchildcare.ncdhhs.gov/ under the "What's New" tab to stay abreast of updated information provided. Be reminded you are responsible for maintaining compliance with all applicable child care requirements whether they have been discussed or reviewed with you in the past. CONTACT INFORMATION: If you have questions regarding today’s visit, my contact information is listed above. You may also contact Licensing Supervisor, Susan Fuller at 252-373-9809 or email susan.fuller@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0601 · Violation

Name of Operation: T. & G. # 3 Facility ID: 33000141 Consultant: KESHIA HAYWARD Operation Type: Center Case Number: Visit Date: 2/23/2024 Number Present: 25 Completed Date: 2/23/2024 Age: From 4 To 5 Total Minutes: 250 Time In: 08:35 AM Time Out: 12:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor your facility for compliance with applicable child care requirements during a routine unannounced visit. L. Knight, Administrator assisted with the visit. Twenty-five children were observed in care today ranging from ages four to five years old. Children were engaged in free choice play with developmentally age-appropriate materials, interacting with the teachers, completing toileting, and hand washing routines, engaged in outside time, and eating breakfast & lunch. Breakfast consisted of pancakes, peaches, and milk. Lunch consisted of stew beef in gravy with vegetable, string beans, apples, cheese cubes and milk. Currently this program operates with a Five-Star License earning seven points in education, six points in program standards and one quality point for the center having a combined turnover rate of 20% or less for the administrator, program coordinator, lead teacher, teacher, and group leader over the last 12 months. The last sanitation inspection was completed on May 2, 2023, earning a Superior classification. The fire inspection report was completed on July 31, 2023, and the center was approved for daytime care only. The last annual compliance visit was completed on August 9, 2023. The following violations were documented. Violation Number Comment Rule 807 A safe indoor and outdoor environment was not provided for the children. A large tin can with the lid open was on a table where a child was sitting in Space 1. 10A NCAC 09 .0601(a) 1775 NC Pre-K program staff/child ratios and group sizes were not met. One teacher was providing care for ten children ranging from ages four to five years old in Space #1. One teacher was observed providing care for thirteen children ranging from ages four to five in Space 2B. .3009 The violations documented above must be corrected immediately. Send a compliance letter to me describing how the violations were corrected. You may submit the compliance letter by postal mail to Keshia Hayward, PO Box 1504 Greenville NC 27834, or email keshia.hayward@dhhs.nc.gov. The compliance verification letter must be received on or before March 8, 2024. used as a guide for correcting violations, as they should be corrected immediately. Please be aware that any written information submitted by you regarding correction of violations documented during the visit is legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined the information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility's license could be issued. COMPLIANCE HISTORY: The program's compliance history was reviewed with the operator. The program’s compliance history was 98% percent as of February 22, 2024. CORPORATION STATUS: Think And Grow Child Care Center, Inc. is listed as the current owner of this program in our system; however, based on information provided during our conversation you stated the ownership should be listed under Think And Grow Day Care Center, Inc. Based on my review of the Secretary of State’s website the owner’s name is listed as Think And Grow Day Care Center, Inc. which is also showing Active but not current. I requested you complete an updated application so the owner’s name can be corrected in the system as it is reflected on the Secretary of States website. We also talked about the status of Active not current and you reported you were not sure why the status had changed. I recommended you contact the Secretary of State to inquire about the change. I reminded you the corporation status for your program must always remain Current and Active. Failure to comply may affect your child care license. I recommended you check the Secretary of States website periodically to check the status of your corporation. FACILITY PROFILE INFORMATION: You stated the mailing address, phone number and email address listed for your program are correct. If changes in your facility information occurs, please contact me at 252-214-2709 or email keshia.hayward@dhhs.nc.gov to discuss the changes and ensure the information is updated in the system. NC PRE-K REQUIREMENTS: This program currently has two NC Pre-K classrooms serving a total of thirty-five children. Lesson plans for January 2024 to February 2024 were reviewed today. You stated the first day of school for children was September 6, 2023. Children were engaged in activities documented on the lesson plan posted. Three teachers observed working in the classrooms were listed in the NC Pre-K plan. One substitute was assisting today. Staff interacted with children in a positive and nurturing manner. You reported the program continues to use the Creative Curriculum and Teaching Strategies Gold. You added the NC Foundation is also used in conjunction with the curriculum. Developmental screenings using the Dial 4 were completed and on file in children records reviewed today. The program’s monitoring tool was reviewed, and no concerns identified. Menus for the month of February 2024, were posted and reviewed. Staff interacted and talked with children as they played and completed their activities. The children were engaged in active communication with their teachers and peers throughout the duration of the visit. A variety of materials were available and accessible to children. The materials were clean and in good repair. The site tool was not available for review today. RATED LICENSE: We discussed steps that will be taken when the rated license assessment process resumes. I reminded you that your program is in Cohort 1; therefore, this is your preparation year. You stated staffing has changed since the last rated license assessment and new staff education has not been updated in DCDEE WORKS. I explained points in education could not be determined until the education is evaluated in DCDEE WORKS. You should ensure staff create a WORKS account and upload their current education. Point earned in program standard will be determined when the Environment Rating scale assessment is completed for your program. Your program continues to qualify for the quality point option for staff turnover rate being less than 20% within the last twelve months. I recommended you and the staff review webinars on NCRLAP’s website, request technical assistance from your local partnership and utilize resources available to self-evaluate your program. I will reach out to you soon to offer a technical assistance visit. If you have questions prior to the assessment time, contact me using the information above. STAFF/CHILD RATIO: Upon arrival, I called to notify you I was across the street at T & G #3 to conduct the routine unannounced visit. You, a staff member and two children came across from the other program to the facility. As we entered the building, one teacher was observed providing care for ten children in Space #1. When I obtained enrollment in Space 2B, one teacher was observed providing care to thirteen children in Space 2B. A second teacher was allowed entrance into Space 2B through a side door shortly after I entered the classroom. You stated the program was short staffed this morning due to medical emergencies. You added at the time ratio checks were completed prior to my arrival, T & G #3 was complying with staff/child ratios; however, a host of children arrived at one time. You shared staff assignments in spaces were readjusted to ensure compliance was maintained once non-compliance was identified. We discussed looking at schedules and adjusting them to ensure there are enough staff to provide care for the number of children present each day. It was suggested developing a network with other child care programs in the area to create a substitute pool that could be utilized when needed. I explained staff/child ratio requirements must always be met. You stated you were in the process of hiring two new employees to assist with maintaining compliance. I informed you an unannounced follow-up visit will be conducted to monitor staff/child ratio requirements. SAFE ENVIRONMENT: Be reminded, you and staff are responsible for ensuring a safe environment is provided for children at all times. STAFF FILE REVIEW: A new employee has been hired since the last visit conducted on August 9, 2023. The staff file was reviewed, and a staff/training worksheet was completed. Based on my review, compliance was met with staff record requirements. CHILDREN’S ORAL HEALTH: We discussed the newsletter and resources sent out via email by the Child Care Health Consultant regarding children’s oral health. The information will help early child care educator’s understand the importance of children’s oral health and could be shared with parents. The Child Care Health Consultant is offering an upcoming training. The training topic is Stay Healthy, Stay Clean (Handwashing, Diapering and Food Handling in Child Care). This 2-hour training will focus on handwashing, diapering, and food handling procedures. The training is scheduled for March 21, 2024, 6 pm – 8 pm, Braswell Memorial Library. For more information contact Stacy at 252-557-4208 or email stacy_rosser@unc.edu. COMING SOON! PROVIDER ACCESS to the BACKGROUND CHECK MANAGEMENT SYSTEM: DCDEE is ready to launch 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 members •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. We will grant your access within 2 business days. Please do not use this email account to ask background check questions. If you have general questions, please continue to use DHHS.CBC.Unit@dhhs.nc.gov. RULE CHANGES EFFECTIVE JANUARY 2024: Training Modules Available in DCDEE Moodle The Child Care Commission adopted child care rule changes in January 2024. Changes relate to definitions; lead and asbestos for centers and family child care homes; building requirements for family child care homes; multi-unit child care centers; and criminal background checks. Consultants will assist as you begin to review and implement the changes, but please note, some of the rule changes may or may not impact your facility. An example is the rules in section .2600 for multi-unit child care center. These rules are specific to child care centers with multiple licensed centers within one building. Please ensure you are using the updated January 2024 rule book, and view information in the DCDEE Moodle (enroll if necessary). 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. Rule training modules can be found in the same course as the October 2017 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/LearningResources/How-to-Navigate-Moodle. To get help with Moodle, email DCDEE_Moodle_Support@dhhs.nc.gov or call (919) 814-9326. EQUIVALENCY EXAM OFFLINE for MAINTENANCE: The NC Early Childhood Equivalency exam located in Moodle will be unavailable until further notice for updates. In the meantime, earn the Early Childhood Education Certificate by enrolling in EDU 119 at a local community college. Better yet, take advantage of DCDEE’s offer of a No-Cost Professional Development Teacher Membership and earn your CDA! The NC Early Childhood Equivalency exam located in Moodle will be unavailable until further notice for updates. In the meantime, earn the Early Childhood Education Certificate by enrolling in EDU 119 at a local community college. At the conclusion of today’s visit, the visit summary report was completed, reviewed, and left with you. DCDEE RESOURCES: I recommended you periodically visit the DCDEE website at https://ncchildcare.ncdhhs.gov/ under the "What's New" tab to stay abreast of updated information provided. Be reminded you are responsible for maintaining compliance with all applicable child care requirements whether they have been discussed or reviewed with you in the past. CONTACT INFORMATION: If you have questions regarding today’s visit, my contact information is listed above. You may also contact Licensing Supervisor, Susan Fuller at 252-373-9809 or email susan.fuller@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.