10A NCAC 09 .0803 · Violation

Name of Operation: THINK AND GROW CHILD CARE #2 Facility ID: 33000043 Consultant: KESHIA HAYWARD Operation Type: Center Case Number: Visit Date: 2/11/2025 Number Present: 46 Completed Date: 2/11/2025 Age: From 0 To 5 Total Minutes: 145 Time In: 09:35 AM Time Out: 12:00 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 this program for compliance with applicable child care requirements during a routine unannounced visit. L. Knight, 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 August 6, 2024. The last sanitation inspection was completed on January 29, 2025, earning a “Superior” classification. The last fire inspection was completed on July 25, 2024, and the center was approved for daytime care only. Forty-six (46) children ranging from ages zero (0) to five (5) years old were observed in care today. Children were engaged in morning routines/activities, free-choice play, eating lunch, completing hand washing, and toileting routines, and interacting with teachers. Lunch consisted of sliced turkey, peas, peaches, whole wheat bread and milk. The following violation was documented today. Violation Number Comment Rule 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. A container of white out was on a table near the door and accessible to children. .2820(b) 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. A tube of Nystatin cream onsite did not have written documentation from the parent or health care provider. 10A NCAC 09 .0803(1)(a & b) The violation 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 25 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. COMPLIANCE HISTORY SCORE: The center’s compliance history score was reviewed with the operator. The program’s compliance history was 89% as of February 10, 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. I reminded you that the corporation status for your program must always remain Current and Active. Failure to comply may affect your child care license. STAFF CHILD INTERACTION: Staff in the classrooms with preschool children engaged them in teacher-directed activities relating to learning their names, numbers and alphabets. Stories were read to the children in Space #3a. Infants were bottle-fed, napping and engaged in floor play. The children responded to caregivers in a positive manner. A variety of materials were accessible for children to utilize during play. Activities completed were listed on the lesson plans posted. Ongoing communication occurred between children and staff. Children responded to staff in a positive manner. STAFFING CHANGE: You reported three new staff had been hired since the last visit was completed. Staff files were reviewed during the visit. No concerns were identified. Recordkeeping requirements were met. SAFE INDOOR/OUTDOOR ENVIRONMENT: A container of white out was on a short shelf near the door. I asked the caregiver to remove the white from the table so the children could not access it. The white out was immediately placed in a different location out of reach of children. The caregiver shared she had just finished using the white out and placed it on the table. I recommend encouraging staff to place potentially hazardous items away when finished to ensure it is stored appropriately. 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.

G.S. 110-90 · Violation

Name of Operation: THINK AND GROW CHILD CARE #2 Facility ID: 33000043 Consultant: KESHIA HAYWARD Operation Type: Center Case Number: Visit Date: 2/11/2025 Number Present: 46 Completed Date: 2/11/2025 Age: From 0 To 5 Total Minutes: 145 Time In: 09:35 AM Time Out: 12:00 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 this program for compliance with applicable child care requirements during a routine unannounced visit. L. Knight, 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 August 6, 2024. The last sanitation inspection was completed on January 29, 2025, earning a “Superior” classification. The last fire inspection was completed on July 25, 2024, and the center was approved for daytime care only. Forty-six (46) children ranging from ages zero (0) to five (5) years old were observed in care today. Children were engaged in morning routines/activities, free-choice play, eating lunch, completing hand washing, and toileting routines, and interacting with teachers. Lunch consisted of sliced turkey, peas, peaches, whole wheat bread and milk. The following violation was documented today. Violation Number Comment Rule 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. A container of white out was on a table near the door and accessible to children. .2820(b) 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. A tube of Nystatin cream onsite did not have written documentation from the parent or health care provider. 10A NCAC 09 .0803(1)(a & b) The violation 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 25 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. COMPLIANCE HISTORY SCORE: The center’s compliance history score was reviewed with the operator. The program’s compliance history was 89% as of February 10, 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. I reminded you that the corporation status for your program must always remain Current and Active. Failure to comply may affect your child care license. STAFF CHILD INTERACTION: Staff in the classrooms with preschool children engaged them in teacher-directed activities relating to learning their names, numbers and alphabets. Stories were read to the children in Space #3a. Infants were bottle-fed, napping and engaged in floor play. The children responded to caregivers in a positive manner. A variety of materials were accessible for children to utilize during play. Activities completed were listed on the lesson plans posted. Ongoing communication occurred between children and staff. Children responded to staff in a positive manner. STAFFING CHANGE: You reported three new staff had been hired since the last visit was completed. Staff files were reviewed during the visit. No concerns were identified. Recordkeeping requirements were met. SAFE INDOOR/OUTDOOR ENVIRONMENT: A container of white out was on a short shelf near the door. I asked the caregiver to remove the white from the table so the children could not access it. The white out was immediately placed in a different location out of reach of children. The caregiver shared she had just finished using the white out and placed it on the table. I recommend encouraging staff to place potentially hazardous items away when finished to ensure it is stored appropriately. 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 .0601 · Violation

Name of Operation: THINK AND GROW CHILD CARE #2 Facility ID: 33000043 Consultant: KESHIA HAYWARD Operation Type: Center Case Number: Visit Date: 8/6/2024 Number Present: 64 Completed Date: 8/6/2024 Age: From 0 To 10 Total Minutes: 195 Time In: 08:10 AM Time Out: 11:25 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 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 August 9, 2023. The last sanitation inspection was completed on February 25, 2024, earning a “Superior” classification. The last fire inspection was completed on July 25, 2024, and the center was approved for daytime care only. Sixty-four (64) children ranging from ages zero to ten years old were observed in care today. Children were engaged in morning routines/activities, free-choice play, outdoor play, eating breakfast/lunch, completing hand washing, diapering and toileting routines, interacting with caregivers and napping. Breakfast consisted of French toast, pears and milk. Lunch consisted of hamburger steak, macaroni cheese, green beans, pears, and milk. The following violations were documented. Violation Number Comment Rule 716 All stationary equipment, more than 18 inches high, was not installed over protective surfacing. Surfacing at the exit points of the slide and walking ramp on the play structure measured less than 1ft. .0605(j) 807 A safe indoor and outdoor environment was not provided for the children. Two active ant beds were observed on the playground. A bolt in the base of the school bus was protruding. A staff member’s purse was hanging on the back of a door within reach of children in Space #6. 10A NCAC 09 .0601(a) 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. written authorization was not provided for an EpiPen onsite for one preschool child enrolled. 10A NCAC 09 .0803(1)(a & b) 1123 All vehicles used to transport children were not free of hazards. Exit doors on the back of two vehicles used to transport children would not open. 10A NCAC 09 .1002(a) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. One staff member hired on July 25, 2022, completed Recognizing and Responding to Suspicion of Child Maltreatment on November 8, 2024. .1102(g) 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 20, 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 96% as of August 5, 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. MEDICATION REQUIREMENTS: Parental authorization was not on file for an EpiPen kept onsite for a preschool child enrolled. I reminded you documentation verifying parental authorization has been given to administer must be on file for all medication. I explained the action plan observed did not include parental authorization. During the visit you contacted the parent of the child and requested she come and complete the medication authorization form for the EpiPen. The parents came over and provided the completed documentation. TRANSPORTATION REQUIREMENTS: Exit doors on two of the vehicles used for transporting children would not open. The doors were jammed shut. You stated one of the vehicles had been taken to the shop to have the door fixed; however, you were not aware the other door was not working. You contacted someone during the visit to inquire about the doors and were told they would be taken to the shop this week. I advised you not to utilize the vehicle until the doors could be repaired. You stated no children were currently being transported at this time. You added I transportation is needed the third vehicle would be used. ADEQUATE SURFACING: The surfacing under the structure on playground #1 measured less than 1inch. We discussed adding more surfacing underneath and around the play structure to ensure the six inch depth requirement. I suggest having someone to maintenance the surfacing to make sure it meets compliance and for longer sustainability. You reported the plan is to change the type of surfacing used. You shared until the new surfacing could be ordered and distributed on the playground, maintenance would till and spread the current surfacing evenly to ensure depth requirements are met, 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.

10A NCAC 09 .0803 · Violation

Name of Operation: THINK AND GROW CHILD CARE #2 Facility ID: 33000043 Consultant: KESHIA HAYWARD Operation Type: Center Case Number: Visit Date: 8/6/2024 Number Present: 64 Completed Date: 8/6/2024 Age: From 0 To 10 Total Minutes: 195 Time In: 08:10 AM Time Out: 11:25 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 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 August 9, 2023. The last sanitation inspection was completed on February 25, 2024, earning a “Superior” classification. The last fire inspection was completed on July 25, 2024, and the center was approved for daytime care only. Sixty-four (64) children ranging from ages zero to ten years old were observed in care today. Children were engaged in morning routines/activities, free-choice play, outdoor play, eating breakfast/lunch, completing hand washing, diapering and toileting routines, interacting with caregivers and napping. Breakfast consisted of French toast, pears and milk. Lunch consisted of hamburger steak, macaroni cheese, green beans, pears, and milk. The following violations were documented. Violation Number Comment Rule 716 All stationary equipment, more than 18 inches high, was not installed over protective surfacing. Surfacing at the exit points of the slide and walking ramp on the play structure measured less than 1ft. .0605(j) 807 A safe indoor and outdoor environment was not provided for the children. Two active ant beds were observed on the playground. A bolt in the base of the school bus was protruding. A staff member’s purse was hanging on the back of a door within reach of children in Space #6. 10A NCAC 09 .0601(a) 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. written authorization was not provided for an EpiPen onsite for one preschool child enrolled. 10A NCAC 09 .0803(1)(a & b) 1123 All vehicles used to transport children were not free of hazards. Exit doors on the back of two vehicles used to transport children would not open. 10A NCAC 09 .1002(a) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. One staff member hired on July 25, 2022, completed Recognizing and Responding to Suspicion of Child Maltreatment on November 8, 2024. .1102(g) 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 20, 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 96% as of August 5, 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. MEDICATION REQUIREMENTS: Parental authorization was not on file for an EpiPen kept onsite for a preschool child enrolled. I reminded you documentation verifying parental authorization has been given to administer must be on file for all medication. I explained the action plan observed did not include parental authorization. During the visit you contacted the parent of the child and requested she come and complete the medication authorization form for the EpiPen. The parents came over and provided the completed documentation. TRANSPORTATION REQUIREMENTS: Exit doors on two of the vehicles used for transporting children would not open. The doors were jammed shut. You stated one of the vehicles had been taken to the shop to have the door fixed; however, you were not aware the other door was not working. You contacted someone during the visit to inquire about the doors and were told they would be taken to the shop this week. I advised you not to utilize the vehicle until the doors could be repaired. You stated no children were currently being transported at this time. You added I transportation is needed the third vehicle would be used. ADEQUATE SURFACING: The surfacing under the structure on playground #1 measured less than 1inch. We discussed adding more surfacing underneath and around the play structure to ensure the six inch depth requirement. I suggest having someone to maintenance the surfacing to make sure it meets compliance and for longer sustainability. You reported the plan is to change the type of surfacing used. You shared until the new surfacing could be ordered and distributed on the playground, maintenance would till and spread the current surfacing evenly to ensure depth requirements are met, 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 .1002 · Violation

Name of Operation: THINK AND GROW CHILD CARE #2 Facility ID: 33000043 Consultant: KESHIA HAYWARD Operation Type: Center Case Number: Visit Date: 8/6/2024 Number Present: 64 Completed Date: 8/6/2024 Age: From 0 To 10 Total Minutes: 195 Time In: 08:10 AM Time Out: 11:25 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 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 August 9, 2023. The last sanitation inspection was completed on February 25, 2024, earning a “Superior” classification. The last fire inspection was completed on July 25, 2024, and the center was approved for daytime care only. Sixty-four (64) children ranging from ages zero to ten years old were observed in care today. Children were engaged in morning routines/activities, free-choice play, outdoor play, eating breakfast/lunch, completing hand washing, diapering and toileting routines, interacting with caregivers and napping. Breakfast consisted of French toast, pears and milk. Lunch consisted of hamburger steak, macaroni cheese, green beans, pears, and milk. The following violations were documented. Violation Number Comment Rule 716 All stationary equipment, more than 18 inches high, was not installed over protective surfacing. Surfacing at the exit points of the slide and walking ramp on the play structure measured less than 1ft. .0605(j) 807 A safe indoor and outdoor environment was not provided for the children. Two active ant beds were observed on the playground. A bolt in the base of the school bus was protruding. A staff member’s purse was hanging on the back of a door within reach of children in Space #6. 10A NCAC 09 .0601(a) 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. written authorization was not provided for an EpiPen onsite for one preschool child enrolled. 10A NCAC 09 .0803(1)(a & b) 1123 All vehicles used to transport children were not free of hazards. Exit doors on the back of two vehicles used to transport children would not open. 10A NCAC 09 .1002(a) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. One staff member hired on July 25, 2022, completed Recognizing and Responding to Suspicion of Child Maltreatment on November 8, 2024. .1102(g) 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 20, 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 96% as of August 5, 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. MEDICATION REQUIREMENTS: Parental authorization was not on file for an EpiPen kept onsite for a preschool child enrolled. I reminded you documentation verifying parental authorization has been given to administer must be on file for all medication. I explained the action plan observed did not include parental authorization. During the visit you contacted the parent of the child and requested she come and complete the medication authorization form for the EpiPen. The parents came over and provided the completed documentation. TRANSPORTATION REQUIREMENTS: Exit doors on two of the vehicles used for transporting children would not open. The doors were jammed shut. You stated one of the vehicles had been taken to the shop to have the door fixed; however, you were not aware the other door was not working. You contacted someone during the visit to inquire about the doors and were told they would be taken to the shop this week. I advised you not to utilize the vehicle until the doors could be repaired. You stated no children were currently being transported at this time. You added I transportation is needed the third vehicle would be used. ADEQUATE SURFACING: The surfacing under the structure on playground #1 measured less than 1inch. We discussed adding more surfacing underneath and around the play structure to ensure the six inch depth requirement. I suggest having someone to maintenance the surfacing to make sure it meets compliance and for longer sustainability. You reported the plan is to change the type of surfacing used. You shared until the new surfacing could be ordered and distributed on the playground, maintenance would till and spread the current surfacing evenly to ensure depth requirements are met, 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 .0803 · Violation

Name of Operation: THINK AND GROW CHILD CARE #2 Facility ID: 33000043 Consultant: KESHIA HAYWARD Operation Type: Center Case Number: Visit Date: 1/9/2024 Number Present: 23 Completed Date: 1/9/2024 Age: From 0 To 4 Total Minutes: 175 Time In: 08:15 AM Time Out: 11:10 AM 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-three children were observed in care today ranging from ages zero to four years old. Children were engaged in morning activities, free-choice play, interacting with the teachers, completing toileting, and hand washing routines and eating breakfast. Breakfast consisted of French toast, pineapples, and milk. Currently this program operates with a Five-Star License earning seven points in education the component, six points in program standards and one quality point for the center having a 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 fire inspection was completed on July 31, 2023, and the center was approved for day time care only. The sanitation inspection was completed on May 17, 2023, earning a superior classification. The annual compliance visit was completed on August 9, 2023. The following violations were documented. Violation Number Comment Rule 846 Over-the-counter medicines were not in their original containers or administered as authorized in writing by parent, physician or authorized health professional. A bottle of Hyland’s Cough and Mucous syrup and container of A & D ointment was not labeled with the child’s name. 10A NCAC 09 .0803(4) 847 Parent's medication authorization did not include required information. The hand-written permission to administer over the counter medication did not include the amount to administer, how often to administer, the route of administration and the timeframe for administration of the medicine. 10A NCAC 09 .0803(4)(6-9) 1734 All children's records, except ones regarding administration of medications as referenced in rule.0803 (13), were not retained on file for as long as the child was enrolled, and/or for at least one year from the date the child was no longer enrolled in the facility. The center did not have a file on site and available for review for one child with dual enrollment between two programs. .2318(6) 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 January 23, 2023. 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. COMPLIANCE HISTORY: The program's compliance history was reviewed with the operator. The program’s compliance history was 92% percent as of January 8, 2023. 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. I reminded 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 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. MEDICATION REQUIREMENTS: Over the counter medications observed in Space #1 were not labeled with children’s names. Permission to administer the over-the-counter medication was handwritten on a sheet of paper and posted on the wall. The written permission did not include required information such as the amount of medication to administer, the route of administration, and how often to administer the medication. I shared authorization to administer medication should be completed on the forms provided by the Division. I explained it is important to have knowledge of why the medication is being administered or how much to give the child /children. An EpiPen for one child enrolled kept locked in a file cabinet in the office had expired. I recommended you review all medication and documentation on site to ensure the necessary information is provided. Expired medication should be returned to the parents; however, if you are unable to return the medication within 72 hours you should discard of it. CHILDREN’S FILES: While completing enrollment, a caregiver did not know the name or age of a child present in her classroom. The caregiver stated the child was enrolled at one of the other centers and was waiting to be picked up. When asked, you stated the child is dually enrolled between the two centers and location attendance is based on the parent’s work scheduled. A file was not onsite for the child. You stated the file was at the other center where the child is primarily enrolled. I informed you a file should be kept at both sites because the child is enrolled between the two. I explained it is importance to have a file onsite for children enrolled in case of an emergency. The staff will need contact information for parents. Also, staff should have information regarding health-related concerns and basic knowledge about the child such as fears. A copy of the child’s file was brought over when she was picked up and transitioned to the other center. STAFFING CHANGES: One new staff member has been hired since the last visit. The staff file was reviewed and staff/training worksheet completed. Based on my review of the staff file, requirements were met. LEARN: THE IMPORTANCE of EARLY INTERACTIONS: Children thrive when they have trusting, responsive, and warm relationships with their caregivers. The Institute for Learning & Brain Sciences at the University of Washington has developed this set of resources on the importance of social interactions in a young child’s life which includes a module with embedded videos, discussion guide with additional resources, a 1-page infographic, and is available in English, Spanish, Vietnamese, and Somali. During today’s visit, staff were observed sitting down while children played at tables with materials. We discussed having staff rotate throughout the classrooms interacting with children and engaging them in conversation to enhance their communication skills. I shared as we embark on resuming the star rated license process and environment rating scale assessment, staff should encourage children to utilize materials, engage them in peer interaction through communication and help children utilize materials appropriately. It was suggested utilizing the rating scale assessment booklet as a guide to assist with the types of communication to engage in with children. You could also request technical assistance and guidance from your local partnership for children. TRAINING: HEALTHY SOCIAL BEHAVIORS – TRANSITIONS A free, talk-to-the-experts webinar, presented by the Healthy Social Behaviors Helpline advisors! Transitions can be confusing and difficult for some children. We will discuss strategies that can help children predict what to expect to make transitions smoother and engaging. Tuesday, January 16 | 7-8 pm Join Webinar Meeting ID: 367 799 7738 DCDEE RESOURCES: I recommended you periodically visit the DCDEE website at https://ncchildcare.ncdhhs.gov/ under the "What's New" tab to stay abreast of updated information provided. You can also complete training modules located in the MOODLE platform, access provider's documents, and the child care rules and laws. At the end of this visit, the visit summary report was printed, reviewed with you, and a copy left for your records. CONTACT INFORMATION: If you have any questions about today’s visit, my contact information is listed above. You may also contact Licensing Supervisor Susan Fuller at 252-373-9809 or email susan.fuller@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

10A NCAC 09 .0803 · Violation

Name of Operation: THINK AND GROW CHILD CARE #2 Facility ID: 33000043 Consultant: KESHIA HAYWARD Operation Type: Center Case Number: Visit Date: 1/9/2024 Number Present: 23 Completed Date: 1/9/2024 Age: From 0 To 4 Total Minutes: 175 Time In: 08:15 AM Time Out: 11:10 AM 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-three children were observed in care today ranging from ages zero to four years old. Children were engaged in morning activities, free-choice play, interacting with the teachers, completing toileting, and hand washing routines and eating breakfast. Breakfast consisted of French toast, pineapples, and milk. Currently this program operates with a Five-Star License earning seven points in education the component, six points in program standards and one quality point for the center having a 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 fire inspection was completed on July 31, 2023, and the center was approved for day time care only. The sanitation inspection was completed on May 17, 2023, earning a superior classification. The annual compliance visit was completed on August 9, 2023. The following violations were documented. Violation Number Comment Rule 846 Over-the-counter medicines were not in their original containers or administered as authorized in writing by parent, physician or authorized health professional. A bottle of Hyland’s Cough and Mucous syrup and container of A & D ointment was not labeled with the child’s name. 10A NCAC 09 .0803(4) 847 Parent's medication authorization did not include required information. The hand-written permission to administer over the counter medication did not include the amount to administer, how often to administer, the route of administration and the timeframe for administration of the medicine. 10A NCAC 09 .0803(4)(6-9) 1734 All children's records, except ones regarding administration of medications as referenced in rule.0803 (13), were not retained on file for as long as the child was enrolled, and/or for at least one year from the date the child was no longer enrolled in the facility. The center did not have a file on site and available for review for one child with dual enrollment between two programs. .2318(6) 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 January 23, 2023. 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. COMPLIANCE HISTORY: The program's compliance history was reviewed with the operator. The program’s compliance history was 92% percent as of January 8, 2023. 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. I reminded 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 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. MEDICATION REQUIREMENTS: Over the counter medications observed in Space #1 were not labeled with children’s names. Permission to administer the over-the-counter medication was handwritten on a sheet of paper and posted on the wall. The written permission did not include required information such as the amount of medication to administer, the route of administration, and how often to administer the medication. I shared authorization to administer medication should be completed on the forms provided by the Division. I explained it is important to have knowledge of why the medication is being administered or how much to give the child /children. An EpiPen for one child enrolled kept locked in a file cabinet in the office had expired. I recommended you review all medication and documentation on site to ensure the necessary information is provided. Expired medication should be returned to the parents; however, if you are unable to return the medication within 72 hours you should discard of it. CHILDREN’S FILES: While completing enrollment, a caregiver did not know the name or age of a child present in her classroom. The caregiver stated the child was enrolled at one of the other centers and was waiting to be picked up. When asked, you stated the child is dually enrolled between the two centers and location attendance is based on the parent’s work scheduled. A file was not onsite for the child. You stated the file was at the other center where the child is primarily enrolled. I informed you a file should be kept at both sites because the child is enrolled between the two. I explained it is importance to have a file onsite for children enrolled in case of an emergency. The staff will need contact information for parents. Also, staff should have information regarding health-related concerns and basic knowledge about the child such as fears. A copy of the child’s file was brought over when she was picked up and transitioned to the other center. STAFFING CHANGES: One new staff member has been hired since the last visit. The staff file was reviewed and staff/training worksheet completed. Based on my review of the staff file, requirements were met. LEARN: THE IMPORTANCE of EARLY INTERACTIONS: Children thrive when they have trusting, responsive, and warm relationships with their caregivers. The Institute for Learning & Brain Sciences at the University of Washington has developed this set of resources on the importance of social interactions in a young child’s life which includes a module with embedded videos, discussion guide with additional resources, a 1-page infographic, and is available in English, Spanish, Vietnamese, and Somali. During today’s visit, staff were observed sitting down while children played at tables with materials. We discussed having staff rotate throughout the classrooms interacting with children and engaging them in conversation to enhance their communication skills. I shared as we embark on resuming the star rated license process and environment rating scale assessment, staff should encourage children to utilize materials, engage them in peer interaction through communication and help children utilize materials appropriately. It was suggested utilizing the rating scale assessment booklet as a guide to assist with the types of communication to engage in with children. You could also request technical assistance and guidance from your local partnership for children. TRAINING: HEALTHY SOCIAL BEHAVIORS – TRANSITIONS A free, talk-to-the-experts webinar, presented by the Healthy Social Behaviors Helpline advisors! Transitions can be confusing and difficult for some children. We will discuss strategies that can help children predict what to expect to make transitions smoother and engaging. Tuesday, January 16 | 7-8 pm Join Webinar Meeting ID: 367 799 7738 DCDEE RESOURCES: I recommended you periodically visit the DCDEE website at https://ncchildcare.ncdhhs.gov/ under the "What's New" tab to stay abreast of updated information provided. You can also complete training modules located in the MOODLE platform, access provider's documents, and the child care rules and laws. At the end of this visit, the visit summary report was printed, reviewed with you, and a copy left for your records. CONTACT INFORMATION: If you have any questions about today’s visit, my contact information is listed above. You may also contact Licensing Supervisor Susan Fuller at 252-373-9809 or email susan.fuller@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0302 · Violation

Name of Operation: THINK AND GROW CHILD CARE #2 Facility ID: 33000043 Consultant: KESHIA HAYWARD Operation Type: Center Case Number: Visit Date: 8/9/2023 Number Present: 78 Completed Date: 8/9/2023 Age: From 0 To 9 Total Minutes: 155 Time In: 11:45 AM Time Out: 02:20 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor this program for compliance with applicable child care requirements for 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 center having a combined turnover rate or 20% or less for the administrator, lead teacher, teacher, program coordinator and group leader over the past 12 months. The last annual compliance visit was completed on August 17, 2022. This program continues to meet enhanced ratio and space requirements. The last sanitation inspection was completed on May 2, 2023, with a “Superior” classification. The last fire inspection was completed on July 31, 2023, and the center was approved for daytime care only. Seventy-eight children were observed in care today ranging from ages zero to eleven years old. Children were engaged in morning activities, free-choice play with developmentally age-appropriate materials, outdoor play, completing hand washing, diapering and toileting routines and napping. Lunch was observed during the visit. Lunch consisted of sausage links, mixed vegetable, peaches, apples, sliced bread and milk. The center’s compliance history score was reviewed with the operator. The program’s compliance history was (92%) as of August 8, 2023. Three violations of the child care requirements were documented today. Violation Number Comment Rule 125 Daily records of arrival and departure times for children enrolled at the center were not maintained as children arrive and depart and/or were not made available for review. Arrival/departure times were not documented for seven children between July 1, 2023, to August 8, 2023. 10A NCAC 09 .0302(d)(4) 1123 All vehicles used to transport children were not free of hazards. Upholstery on the arm rest and front passenger seat was torn exposing the interior padding on one of the white fifteen passenger vans used to transport children. 10A NCAC 09 .1002(a) The violations documented must be corrected immediately. Please send a compliance verification letter to me describing how the violation was corrected. I asked that you include in the compliance letter a detailed plan regarding how staff/child ratio requirements will always be maintained. 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 23, 2023. 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 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. CORPORATION STATUS: Think And Grow Daycare 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 Daycare Center, Inc. remains Current and Active. Prior to making any changes in the corporation status, please contact me to discuss change of ownership procedures. 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, mailing address and email 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. ARRIVAL & DEPARTURE: Arrival and departure times were not documented for seven children between the dates of July 1, 2023, to August 8, 2023. You stated you have identified the issue and would ensure staff are aware times must be documented as required. It was suggested having staff to review the logs periodically throughout the arrival and departure times to ensure times are records and are accurate. TRANSPORTATION SAFETY: The arm rest and first passenger seat on one of the white fifteen passenger vans used to transport children upholstery was torn exposing the interior [padding. We discussed covering the holds to ensure children do not have access to the cushion. I explained it was a safety risk to children is the cushion is handled inappropriately. STAR RATED LICENSE: I informed you information regarding the preparation for the star rated license assessment process is located on the Division of Child Development and Early Education and North Carolina Rated License Project websites. I recommended you and staff visit ncrlap.org to review videos and obtain detailed information about how the process will be implemented as well as review prep year activities and ideas offered. More information will be provided regarding your programs rated license assessment timeframe in the future. RULE CHANGES EFFECTIVE JULY 2023: The Division of Child Development and Early Education (DCDEE) is excited to share information about the July 2023 child care rule changes. A summary of the changes can be accessed here, but for specific details regarding these changes, please ensure you are using the updated July 1, 2023, rules, and enroll, if necessary, and view information in the DCDEE Moodle. Rule training modules can be found in the same course as the October 2017 Child Care Rule Rollout. 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, learn how to navigate Moodle. Also, Children’s Environmental Health recently re-adopted Child Care Sanitation Rules, effective July 1, 2023. I advised you to visit the website to access a copy of the updated sanitation rules. See the training agenda, new rules, and other resources at https://ehs.dph.ncdhhs.gov/hhccehb/cehu/ccs/children.htm. Please note that there will be future trainings for those that are not able to attend. Registration is not required. EARLY CHILDHOOD EQUIVALENCY EXAM: The North Carolina Early Childhood Equivalency Exam is a new pathway option comparable to a NC Early Childhood Credential. Applicants who achieve a score of 80% or higher on the NC Early Childhood Equivalency Exam earn the new North Carolina Early Childhood Equivalency Certificate. This certificate is equivalent to a North Carolina Early Childhood Credential and will qualify the individual to be a lead teacher in an early childhood classroom. To take the exam, go to DCDEE Moodle and select Early Childhood Professional Development/Child Care and Development Fund (CCDF)/North Carolina Early Childhood Equivalency Exam. GETTING HELP WITH CHALLENGING BEHAVIORS: Assistance can be requested for help with handling challenging behaviors. The Healthy Social Behaviors in Child Care Centers Project (HSB) provides ideas to create a learning environment that can assist in preventing challenging behaviors. They provide free technical assistance, professional development, and they offer a variety of additional resources. For additional information on the Healthy Social Behaviors Project or to view a current listing of scheduled trainings, browse the NC Child Care Resource & Referral Council website. For information about Pyramid Model CEU-level trainings, contact the HSB Education Specialist, Liz Tuttle at etuttle@childcareresourcesinc.org. To obtain a Request for TA Services, contact your local Behavior Specialist or email the Statewide Project Manager, Smokie Brawley, at sbrawley@childcareresourcesinc.org. You and staff can also contact the challenging behavior helpline at 1-888- 600-1685 option 2. You can speak to a Behavior Support Advisor or submit questions about specific behaviors in your program. You will also be able to post questions in the “Talk to the Expert” group in the online network. 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 .1002 · Violation

Name of Operation: THINK AND GROW CHILD CARE #2 Facility ID: 33000043 Consultant: KESHIA HAYWARD Operation Type: Center Case Number: Visit Date: 8/9/2023 Number Present: 78 Completed Date: 8/9/2023 Age: From 0 To 9 Total Minutes: 155 Time In: 11:45 AM Time Out: 02:20 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor this program for compliance with applicable child care requirements for 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 center having a combined turnover rate or 20% or less for the administrator, lead teacher, teacher, program coordinator and group leader over the past 12 months. The last annual compliance visit was completed on August 17, 2022. This program continues to meet enhanced ratio and space requirements. The last sanitation inspection was completed on May 2, 2023, with a “Superior” classification. The last fire inspection was completed on July 31, 2023, and the center was approved for daytime care only. Seventy-eight children were observed in care today ranging from ages zero to eleven years old. Children were engaged in morning activities, free-choice play with developmentally age-appropriate materials, outdoor play, completing hand washing, diapering and toileting routines and napping. Lunch was observed during the visit. Lunch consisted of sausage links, mixed vegetable, peaches, apples, sliced bread and milk. The center’s compliance history score was reviewed with the operator. The program’s compliance history was (92%) as of August 8, 2023. Three violations of the child care requirements were documented today. Violation Number Comment Rule 125 Daily records of arrival and departure times for children enrolled at the center were not maintained as children arrive and depart and/or were not made available for review. Arrival/departure times were not documented for seven children between July 1, 2023, to August 8, 2023. 10A NCAC 09 .0302(d)(4) 1123 All vehicles used to transport children were not free of hazards. Upholstery on the arm rest and front passenger seat was torn exposing the interior padding on one of the white fifteen passenger vans used to transport children. 10A NCAC 09 .1002(a) The violations documented must be corrected immediately. Please send a compliance verification letter to me describing how the violation was corrected. I asked that you include in the compliance letter a detailed plan regarding how staff/child ratio requirements will always be maintained. 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 23, 2023. 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 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. CORPORATION STATUS: Think And Grow Daycare 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 Daycare Center, Inc. remains Current and Active. Prior to making any changes in the corporation status, please contact me to discuss change of ownership procedures. 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, mailing address and email 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. ARRIVAL & DEPARTURE: Arrival and departure times were not documented for seven children between the dates of July 1, 2023, to August 8, 2023. You stated you have identified the issue and would ensure staff are aware times must be documented as required. It was suggested having staff to review the logs periodically throughout the arrival and departure times to ensure times are records and are accurate. TRANSPORTATION SAFETY: The arm rest and first passenger seat on one of the white fifteen passenger vans used to transport children upholstery was torn exposing the interior [padding. We discussed covering the holds to ensure children do not have access to the cushion. I explained it was a safety risk to children is the cushion is handled inappropriately. STAR RATED LICENSE: I informed you information regarding the preparation for the star rated license assessment process is located on the Division of Child Development and Early Education and North Carolina Rated License Project websites. I recommended you and staff visit ncrlap.org to review videos and obtain detailed information about how the process will be implemented as well as review prep year activities and ideas offered. More information will be provided regarding your programs rated license assessment timeframe in the future. RULE CHANGES EFFECTIVE JULY 2023: The Division of Child Development and Early Education (DCDEE) is excited to share information about the July 2023 child care rule changes. A summary of the changes can be accessed here, but for specific details regarding these changes, please ensure you are using the updated July 1, 2023, rules, and enroll, if necessary, and view information in the DCDEE Moodle. Rule training modules can be found in the same course as the October 2017 Child Care Rule Rollout. 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, learn how to navigate Moodle. Also, Children’s Environmental Health recently re-adopted Child Care Sanitation Rules, effective July 1, 2023. I advised you to visit the website to access a copy of the updated sanitation rules. See the training agenda, new rules, and other resources at https://ehs.dph.ncdhhs.gov/hhccehb/cehu/ccs/children.htm. Please note that there will be future trainings for those that are not able to attend. Registration is not required. EARLY CHILDHOOD EQUIVALENCY EXAM: The North Carolina Early Childhood Equivalency Exam is a new pathway option comparable to a NC Early Childhood Credential. Applicants who achieve a score of 80% or higher on the NC Early Childhood Equivalency Exam earn the new North Carolina Early Childhood Equivalency Certificate. This certificate is equivalent to a North Carolina Early Childhood Credential and will qualify the individual to be a lead teacher in an early childhood classroom. To take the exam, go to DCDEE Moodle and select Early Childhood Professional Development/Child Care and Development Fund (CCDF)/North Carolina Early Childhood Equivalency Exam. GETTING HELP WITH CHALLENGING BEHAVIORS: Assistance can be requested for help with handling challenging behaviors. The Healthy Social Behaviors in Child Care Centers Project (HSB) provides ideas to create a learning environment that can assist in preventing challenging behaviors. They provide free technical assistance, professional development, and they offer a variety of additional resources. For additional information on the Healthy Social Behaviors Project or to view a current listing of scheduled trainings, browse the NC Child Care Resource & Referral Council website. For information about Pyramid Model CEU-level trainings, contact the HSB Education Specialist, Liz Tuttle at etuttle@childcareresourcesinc.org. To obtain a Request for TA Services, contact your local Behavior Specialist or email the Statewide Project Manager, Smokie Brawley, at sbrawley@childcareresourcesinc.org. You and staff can also contact the challenging behavior helpline at 1-888- 600-1685 option 2. You can speak to a Behavior Support Advisor or submit questions about specific behaviors in your program. You will also be able to post questions in the “Talk to the Expert” group in the online network. 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