Learning Bridge Development Center

NC GS 110-90 · Violation

Name of Operation: LEARNING BRIDGE DEVELOPMENT CENTER Facility ID: 65001007 Consultant: APRIL LESTER Operation Type: Center Case Number: Visit Date: 8/6/2024 Number Present: 33 Completed Date: 8/6/2024 Age: From 0 To 4 Total Minutes: 75 Time In: 08:35 AM Time Out: 09:50 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 your program for compliance with applicable child care requirements for a routine unannounced visit. You, Claire Quick, Director, assisted me with the visit. Your program currently operates with a four-star-license effective April 18, 2022. Your program currently operates with a four-star license, issued April 18, 2022, earning 7 points in the education component, 2 points in the program standards component meeting enhanced space and ratios and 1 quality point for implementing parent involvement and having a staff benefits package. Your program was also monitored for compliance with implementing an approved curriculum as required for all four- and five-star licensed facilities where four-year-old children are enrolled. Prior to the visit the 18-month compliance history score was 96%. The NC Secretary of State website was reviewed today and Learning Bridge Development Center LLC, was listed as current- active. The license was posted, and the restrictions were in compliance. A walk-through of the facility was completed today and all areas were monitored. I observed children in the indoor learning environments and found supervision and staff/child ratios to be in compliance. Children throughout the facility were participating in group time, free play in activity areas, transitions, and personal care routines. Infants were engaged nap and snack time routines. Sleep checks were completed, recorded, and maintained as required. All caregivers were interacting and meeting the developmental needs for each of the children. Files for new staff were reviewed. Rated license requirements were reviewed to ensure compliance was maintained with current program and education components as well as the quality point. Fire and sanitation inspections were found in compliance. The following violation was observed and corrected during the visit. Violation Number Comment Rule 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. Leftover diaper creams were observed in spaces 2 and 4. .0803(12) Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. Technical assistance: When no longer needed by the child, or when the child withdraws from the program, all medications should be returned to the child’s parent/guardian or disposed of after an attempt to reach parent/guardian within 72 hours of completion of treatment. Some parents are only granting permission for a few months. Staff must be mindful of dates on all permission forms. Today we discussed posting expiration dates of medication permission forms to help staff remember to return medications after the course of the treatment. Reminders: The “hold harmless” state of rated license reassessments has been extended until the new Quality Rating Improvement System standards are put in place. This means that you will not be required to have a reassessment according to the timelines discussed previously, however you may request one voluntarily. Today I encouraged you to review information about the new standards as they become available and to plan on training your staff on the new assessment tools if you are interested in Environment Rating Scales assessments. I will share more information as I am able. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me at April Lester, Child Care Licensing Consultant, 910-824-0954, April.Lester@ddhs.nc.gov or Lynette Robbins, Licensing Supervisor, 910-824-0235, Lynette.Robbins@dhhs.nc.gov if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

G.S. 110-91 · Violation

Name of Operation: LEARNING BRIDGE DEVELOPMENT CENTER Facility ID: 65001007 Consultant: APRIL LESTER Operation Type: Center Case Number: 0324-340L Visit Date: 4/8/2024 Number Present: 41 Completed Date: 4/8/2024 Age: From 0 To 4 Total Minutes: 80 Time In: 08:40 AM Time Out: 10:00 AM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Follow-Up Announced/Unannounced: Unannounced The purpose of today’s visit was to verify correction of violations documented during my complaint visit on March 26, 2024. Claire Quick, Director, assisted me with the visit. Your program currently operates with a four-star license, issued April 18, 2022, earning 5 points in the education component, 5 points in the program standards component meeting enhanced ratios and enhanced space, and 1 quality point for having an infrastructure of parent involvement and a staff benefits package. Prior to the visit the compliance history score was 97%. There are forty two children enrolled and forty one children ages 0-4, were present today. All approved indoor and outdoor spaces were monitored today. Daily schedules were available for each group of children. Activity plans were observed posted in each classroom. A variety of age-appropriate learning materials was observed in each classroom. Infants/toddlers in Space 4 received care based on individual need, including feeding routines. Infant feeding schedules and safe sleep checks were monitored and found to be in compliance. Children one year of age enrolled in space 2 were observed in free play after eating snacks. Two- and three-year-old children in Space 1 and 3 were participating in free play activities indoors and outdoors. Preschool children in Space 6 were observed eating morning snacks. All food is brought from home for each child. All children were observed to be cared for in a nurturing and caring manner. The following violation documented during the March 26, 2024; visit was monitored for compliance during this visit: 902- Each child was not attended to in a nurturing and appropriate manner, or in keeping with the child’s developmental needs. On March 25, 2024, a staff member spoke to a child, one year of age, in a firm tone after the child took food from another child. Then the staff member moved the child’s face with her fingertips to face hers to redirect her attention. This is a violation of a requirement in G.S. 110-91(10). **The facility immediately self-reported the incident. The compliance letter was received on March 26, 2024, and stated the following actions had been taken: -staff meeting held March 26, 2024, addressing the violation, reviewing staff/child interactions in Child Care Rule .1802. -staff given a handout and administration presented on a tool called “Tell Me What to do Instead!” -staffing and scheduling concerns discussed and staff requested a floater to help during parts of the day when an extra set of hands would be beneficial. -staff were presented with two training opportunities (1) Creating Positive Outcomes from Problematic Behaviors (2) Causes of Misbehaviors: Why do They Act That Way? Staff are required to complete one of the two opportunities by April 19th. -the staff member directly involved in the incident and the center director will take both training courses then have a discussion of professional development and what they learned. -April 22, 2024, there is a scheduled workday, and all staff will come together to share and reflect on the training(s). -observations will be conducted by the administrator following the workday to observe implementation of learned strategies. As of today, 53% percent of staff have completed the required training. The following violation was observed and corrected during the visit. 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. Two paint pens with warning labels were stored in a basket and accessible to children. Both pens were locked in a cabinet during the visit. .2820(b) Comments Section –Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. Technical Assistance: Paint pens were found in Space 2 in a basket. Both paint pends had a warning label for choking hazards for small parts. Please review child care rules regarding storage and accessibility of potentially hazardous items. Items labeled “Keep out of reach of children” with no other warnings must be stored at a minimum of five feet off the floor. Hazardous cleaning supplies, including those kept under pressure in an aerosol can, as well as medications must be kept in locked storage. The definition of locked storage requires that the lock be unlocked with some type of device such as a key or combination. Regular childproofing locks do not meet this requirement. Ensure that all cleaning supplies and other items labeled “Keep out of reach of children” are kept inaccessible while children are in care. Each child should be attended to in a nurturing and appropriate manner, and in keeping with the child’s developmental needs. Staff should protect children from threats, give them opportunities for early learning, through interactions that are emotionally supportive and responsive. Some examples of nurturing behavior are: being fully present in your interactions with children (verbally and non-verbally), validating their feelings, providing physical affection and comfort when sought, laughing and playing games, providing safe mental, physical and social challenges that promote healthy growth and development. Children who are adequately nurtured feel more secure, which leads to the healthy development of self-esteem. Nurturing care is essential for child development and lays the foundation for life-long health and well-being and builds human capital in the child today, the adolescent and adult tomorrow, and in the next generation in the future. At the completion of the visit, this Visit Summary was printed, reviewed, and a copy was left with you. Contact me at April Lester, Child Care Consultant, 910-824-0954, april.lester@dhhs.nc.gov or Lynette Robbins, Licensing Supervisor, 910-824-0235, Lynette.Robbins@dhhs.nc.gov if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

NC GS 110-90 · Violation

Name of Operation: LEARNING BRIDGE DEVELOPMENT CENTER Facility ID: 65001007 Consultant: APRIL LESTER Operation Type: Center Case Number: 0324-340L Visit Date: 4/8/2024 Number Present: 41 Completed Date: 4/8/2024 Age: From 0 To 4 Total Minutes: 80 Time In: 08:40 AM Time Out: 10:00 AM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Follow-Up Announced/Unannounced: Unannounced The purpose of today’s visit was to verify correction of violations documented during my complaint visit on March 26, 2024. Claire Quick, Director, assisted me with the visit. Your program currently operates with a four-star license, issued April 18, 2022, earning 5 points in the education component, 5 points in the program standards component meeting enhanced ratios and enhanced space, and 1 quality point for having an infrastructure of parent involvement and a staff benefits package. Prior to the visit the compliance history score was 97%. There are forty two children enrolled and forty one children ages 0-4, were present today. All approved indoor and outdoor spaces were monitored today. Daily schedules were available for each group of children. Activity plans were observed posted in each classroom. A variety of age-appropriate learning materials was observed in each classroom. Infants/toddlers in Space 4 received care based on individual need, including feeding routines. Infant feeding schedules and safe sleep checks were monitored and found to be in compliance. Children one year of age enrolled in space 2 were observed in free play after eating snacks. Two- and three-year-old children in Space 1 and 3 were participating in free play activities indoors and outdoors. Preschool children in Space 6 were observed eating morning snacks. All food is brought from home for each child. All children were observed to be cared for in a nurturing and caring manner. The following violation documented during the March 26, 2024; visit was monitored for compliance during this visit: 902- Each child was not attended to in a nurturing and appropriate manner, or in keeping with the child’s developmental needs. On March 25, 2024, a staff member spoke to a child, one year of age, in a firm tone after the child took food from another child. Then the staff member moved the child’s face with her fingertips to face hers to redirect her attention. This is a violation of a requirement in G.S. 110-91(10). **The facility immediately self-reported the incident. The compliance letter was received on March 26, 2024, and stated the following actions had been taken: -staff meeting held March 26, 2024, addressing the violation, reviewing staff/child interactions in Child Care Rule .1802. -staff given a handout and administration presented on a tool called “Tell Me What to do Instead!” -staffing and scheduling concerns discussed and staff requested a floater to help during parts of the day when an extra set of hands would be beneficial. -staff were presented with two training opportunities (1) Creating Positive Outcomes from Problematic Behaviors (2) Causes of Misbehaviors: Why do They Act That Way? Staff are required to complete one of the two opportunities by April 19th. -the staff member directly involved in the incident and the center director will take both training courses then have a discussion of professional development and what they learned. -April 22, 2024, there is a scheduled workday, and all staff will come together to share and reflect on the training(s). -observations will be conducted by the administrator following the workday to observe implementation of learned strategies. As of today, 53% percent of staff have completed the required training. The following violation was observed and corrected during the visit. 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. Two paint pens with warning labels were stored in a basket and accessible to children. Both pens were locked in a cabinet during the visit. .2820(b) Comments Section –Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. Technical Assistance: Paint pens were found in Space 2 in a basket. Both paint pends had a warning label for choking hazards for small parts. Please review child care rules regarding storage and accessibility of potentially hazardous items. Items labeled “Keep out of reach of children” with no other warnings must be stored at a minimum of five feet off the floor. Hazardous cleaning supplies, including those kept under pressure in an aerosol can, as well as medications must be kept in locked storage. The definition of locked storage requires that the lock be unlocked with some type of device such as a key or combination. Regular childproofing locks do not meet this requirement. Ensure that all cleaning supplies and other items labeled “Keep out of reach of children” are kept inaccessible while children are in care. Each child should be attended to in a nurturing and appropriate manner, and in keeping with the child’s developmental needs. Staff should protect children from threats, give them opportunities for early learning, through interactions that are emotionally supportive and responsive. Some examples of nurturing behavior are: being fully present in your interactions with children (verbally and non-verbally), validating their feelings, providing physical affection and comfort when sought, laughing and playing games, providing safe mental, physical and social challenges that promote healthy growth and development. Children who are adequately nurtured feel more secure, which leads to the healthy development of self-esteem. Nurturing care is essential for child development and lays the foundation for life-long health and well-being and builds human capital in the child today, the adolescent and adult tomorrow, and in the next generation in the future. At the completion of the visit, this Visit Summary was printed, reviewed, and a copy was left with you. Contact me at April Lester, Child Care Consultant, 910-824-0954, april.lester@dhhs.nc.gov or Lynette Robbins, Licensing Supervisor, 910-824-0235, Lynette.Robbins@dhhs.nc.gov if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

G.S. 110-91 · Violation

Name of Operation: LEARNING BRIDGE DEVELOPMENT CENTER Facility ID: 65001007 Consultant: APRIL LESTER Operation Type: Center Case Number: 0324-340L Visit Date: 3/26/2024 Number Present: 40 Completed Date: 3/26/2024 Age: From 0 To 4 Total Minutes: 120 Time In: 09:45 AM Time Out: 11:45 AM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to obtain information regarding alleged violations of child care requirements. The allegations are as follows: There is a concern that staff did not interact with a child in a nurturing and caring manner. Staff/child ratio, group size, supervision, use of licensed space, space capacity, license restrictions, and the outdoor environment were monitored. The license and emergency care plan were posted. Fire drills, medication administration, and storage of hazardous products were also monitored. Files for new staff were reviewed and contained all required information. Additionally, I observed the indoor and outdoor space used by the children. Children were observed in free play with age-appropriate materials and activities both indoors and outdoors. Staff/child interactions were appropriate and nurturing. Children bring lunch from home. Staff child ratios were monitored and found as follows: Space 1 – two year olds – 1:7 Space 2 – one year olds – 1:6 Space 3 – two and three year olds – 2:13 Space 4 – infants and one year olds – 2:4 Space 6 – three and four year olds – 1:10 Allegation: There is a concern that staff did not interact with a child in a nurturing and caring manner. **On Monday, March 25, 2024, we received a self-report from Director, Claire Quick. A child, one year of age, was dropped off at the facility at approximately 7:40 am. During drop off the mother realized she did not bring the child’s blanket to the facility. The mother returned to the facility at approximately 9:30 am. She stood outside and looked through the window to see an appropriate time to deliver the blanket when she overheard the lead teacher using a stern tone to redirect her child from taking food from another child. When the child did not listen the lead teacher told her, “Eyes on me, (child’s name)” then proceeded to turn the child’s head towards her. The mother dropped off the blanket and then called her husband to tell him what she observed. The parents then decided to pick the child up and take her home for the remainder of the day. The child was picked up before 10:00 am. I interviewed the lead teacher, and she stated that the child was having a rough time listening that morning. When the group sat for snack time the child took a granola bar out of another child’s hand. The lead teacher then took the granola bar back and told the child in a stern tone, “We don’t take food from our friends”. Next, she told the child to look at her then moved her face towards her with her fingertips. The teacher assistant working with that group stated the same events as the lead teacher reported. I was able to speak to the child’s mother via telephone today and confirmed what was reported. Based on information received from interviewed staff, my investigation, and my observations, the finding regarding the allegation of staff not interacting with a child in a nurturing and caring manner was substantiated. The following violation was observed. Violation Number Comment Rule 902 Each child was not attended to in a nurturing and appropriate manner, or in keeping with the child's developmental needs. On March 25, 2024, a staff member spoke to a child one year of age in a firm tone after the child took food from another child. Then the staff member moved the child's face with her fingertips to face hers to redirect her attention. G.S. 110-91(10) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before April 9, 2024, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: April Lester, Child Care Consultant PO Box 12948 Wilmington, NC 28405 April.Lester@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Technical Assistance: Child care rules not only prohibit the use of inappropriate discipline but require all children be attended to in a nurturing and appropriate manner. This can only be achieved when staff members recognize and accept age-appropriate behaviors, and respond in ways consistent with what is developmentally appropriate for each child. Understanding the stages of children’s development is critical; for example, those that cry may not have the verbal ability to express their needs and/or wants; or, they may not have the skills yet to do so. Recognizing this will minimize staff member’s tendencies to become frustrated and use harsh tones or verbal directives with young children who are simply engaging in age-appropriate behaviors. Once you understand that certain challenging behaviors are “typical,” it should allow you to respond in a nurturing and appropriate manner. You must keep your frustration in check by reminding yourself that children are not born knowing how to control and process their emotions; this is learned through caregiver interactions, guidance, and experience over time. Help toddlers navigate their emotions. Recognize and name feelings, then offer guidance on how to manage them. Suggest jumping up and down or visiting the cozy area. Empathize with their feelings and provide acceptable choices to help them feel in control. Comfort them with warm, physical contact, or give them a safe space to work through their negative emotions. Region 4/Puzzles has two trainings in April that may be beneficial to your staff. On April 17th there is a training titled "Nurturing Responsive Care" and on April 18th there is a training titles "Causes of Misbehavior". You and your staff can register for these classes online at https://www.puzzlesregion.com/calendar/ Reminder: A shelter-in-place or lockdown drill is needed before the end of the month. Due to the nature and severity of the violation, a follow-up visit will be conducted. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me at April Lester, Child Care Consultant, 910-824-0954, april.lester@dhhs.nc.gov or Lynette Robbins, Licensing Supervisor, 910-824-0235, lynette.robbins@dhhs.nc.gov if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

NC GS 110-90 · Violation

Name of Operation: LEARNING BRIDGE DEVELOPMENT CENTER Facility ID: 65001007 Consultant: APRIL LESTER Operation Type: Center Case Number: 0324-340L Visit Date: 3/26/2024 Number Present: 40 Completed Date: 3/26/2024 Age: From 0 To 4 Total Minutes: 120 Time In: 09:45 AM Time Out: 11:45 AM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to obtain information regarding alleged violations of child care requirements. The allegations are as follows: There is a concern that staff did not interact with a child in a nurturing and caring manner. Staff/child ratio, group size, supervision, use of licensed space, space capacity, license restrictions, and the outdoor environment were monitored. The license and emergency care plan were posted. Fire drills, medication administration, and storage of hazardous products were also monitored. Files for new staff were reviewed and contained all required information. Additionally, I observed the indoor and outdoor space used by the children. Children were observed in free play with age-appropriate materials and activities both indoors and outdoors. Staff/child interactions were appropriate and nurturing. Children bring lunch from home. Staff child ratios were monitored and found as follows: Space 1 – two year olds – 1:7 Space 2 – one year olds – 1:6 Space 3 – two and three year olds – 2:13 Space 4 – infants and one year olds – 2:4 Space 6 – three and four year olds – 1:10 Allegation: There is a concern that staff did not interact with a child in a nurturing and caring manner. **On Monday, March 25, 2024, we received a self-report from Director, Claire Quick. A child, one year of age, was dropped off at the facility at approximately 7:40 am. During drop off the mother realized she did not bring the child’s blanket to the facility. The mother returned to the facility at approximately 9:30 am. She stood outside and looked through the window to see an appropriate time to deliver the blanket when she overheard the lead teacher using a stern tone to redirect her child from taking food from another child. When the child did not listen the lead teacher told her, “Eyes on me, (child’s name)” then proceeded to turn the child’s head towards her. The mother dropped off the blanket and then called her husband to tell him what she observed. The parents then decided to pick the child up and take her home for the remainder of the day. The child was picked up before 10:00 am. I interviewed the lead teacher, and she stated that the child was having a rough time listening that morning. When the group sat for snack time the child took a granola bar out of another child’s hand. The lead teacher then took the granola bar back and told the child in a stern tone, “We don’t take food from our friends”. Next, she told the child to look at her then moved her face towards her with her fingertips. The teacher assistant working with that group stated the same events as the lead teacher reported. I was able to speak to the child’s mother via telephone today and confirmed what was reported. Based on information received from interviewed staff, my investigation, and my observations, the finding regarding the allegation of staff not interacting with a child in a nurturing and caring manner was substantiated. The following violation was observed. Violation Number Comment Rule 902 Each child was not attended to in a nurturing and appropriate manner, or in keeping with the child's developmental needs. On March 25, 2024, a staff member spoke to a child one year of age in a firm tone after the child took food from another child. Then the staff member moved the child's face with her fingertips to face hers to redirect her attention. G.S. 110-91(10) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before April 9, 2024, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: April Lester, Child Care Consultant PO Box 12948 Wilmington, NC 28405 April.Lester@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Technical Assistance: Child care rules not only prohibit the use of inappropriate discipline but require all children be attended to in a nurturing and appropriate manner. This can only be achieved when staff members recognize and accept age-appropriate behaviors, and respond in ways consistent with what is developmentally appropriate for each child. Understanding the stages of children’s development is critical; for example, those that cry may not have the verbal ability to express their needs and/or wants; or, they may not have the skills yet to do so. Recognizing this will minimize staff member’s tendencies to become frustrated and use harsh tones or verbal directives with young children who are simply engaging in age-appropriate behaviors. Once you understand that certain challenging behaviors are “typical,” it should allow you to respond in a nurturing and appropriate manner. You must keep your frustration in check by reminding yourself that children are not born knowing how to control and process their emotions; this is learned through caregiver interactions, guidance, and experience over time. Help toddlers navigate their emotions. Recognize and name feelings, then offer guidance on how to manage them. Suggest jumping up and down or visiting the cozy area. Empathize with their feelings and provide acceptable choices to help them feel in control. Comfort them with warm, physical contact, or give them a safe space to work through their negative emotions. Region 4/Puzzles has two trainings in April that may be beneficial to your staff. On April 17th there is a training titled "Nurturing Responsive Care" and on April 18th there is a training titles "Causes of Misbehavior". You and your staff can register for these classes online at https://www.puzzlesregion.com/calendar/ Reminder: A shelter-in-place or lockdown drill is needed before the end of the month. Due to the nature and severity of the violation, a follow-up visit will be conducted. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me at April Lester, Child Care Consultant, 910-824-0954, april.lester@dhhs.nc.gov or Lynette Robbins, Licensing Supervisor, 910-824-0235, lynette.robbins@dhhs.nc.gov if you have questions. 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 .0902 · Violation

Name of Operation: LEARNING BRIDGE DEVELOPMENT CENTER Facility ID: 65001007 Consultant: APRIL LESTER Operation Type: Center Case Number: Visit Date: 1/31/2024 Number Present: 38 Completed Date: 1/31/2024 Age: From 0 To 4 Total Minutes: 135 Time In: 09:00 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 your program for compliance with applicable childcare requirements for an annual compliance visit. Claire Quick, assisted me with the visit. Your program currently operates with a four-star license, issued April 18, 2022, earning 5 points in the education component, 5 points in the program standards component meeting enhanced ratios and enhanced space, and 1 quality point for having an infrastructure of parent involvement and a staff benefits package. Your program was also monitored for compliance with implementing an approved curriculum as required for all four- and five-star licensed facilities where four-year-old children are enrolled. The last annual compliance visit was conducted February 8, 2023. The sanitation inspection was completed April 26, 2023, with a “Superior” classification. The last fire inspection was conducted December 18, 2023, and your facility was approved for daytime care only. The center's compliance history was reviewed with the operator. The program’s compliance history was 100% as of January 30, 2024. The NC Secretary of State website was reviewed today, and Learning Bridge Development Center LLC was listed as current- active. There are forty children enrolled and thirty-eight children ages 0-4, were present today. All approved indoor and outdoor spaces were monitored today. Daily schedules were available for each group of children. Activity plans were observed posted in each classroom. A variety of age-appropriate learning materials was observed in each classroom. Infants in Space 4 received care based on individual need, including feeding routines. Infant feeding schedules and safe sleep checks were monitored and found to be in compliance. Children one year of age enrolled in space 2 were observed outdoors. Two- and three-year-old children in Space 1 and 3 were participating in free play activities indoors and outdoors. Preschool children in Space 6 were observed in outdoor free play. Lunch is brought from home for each child. The following violation was observed today and corrected during the visit. Violation Number Comment Rule 532 All children were not held or placed in feeding chairs or other appropriate apparatus to be fed. An infant in space 4 was observed drinking a bottle in a crib. 10A NCAC 09 .0902(b) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. Technical Assistance: Feeding apparatus’ promote the healthy physical development of the child and prevent choking. Cribs are not designed to ensure the natural progression of the child’s motor skills while eating. Feeding requires an erect posture to support necessary lung expansion and good breathing which is supportive of proper head alignment and crucial for the development of visual motor skills. Mrs. Quick reviewed proper feeding policies with the infant staff during the visit and the infant was immediately removed form the crib and held for the remainder of the bottle feeding. Reminders: Two small cockroaches were observed in a drawer in the infant room (space 4). These insects were removed, and all cloth materials were removed to be washed. Cockroaches can carry and spread various diseases, pathogens, bacteria, and germs. When they travel throughout your facility, they leave a path of urine, feces, and regurgitated saliva and digestive fluids that contain harmful agents that can be transmitted to humans. Clean all affect areas with an approved disinfectant and sanitizer. To keep pests out for good, fill holes and seal cracks in walls, floors and woodwork, and around plumbing fixtures. Keep food and food waste in sealed containers with tight fitting lids. Also reduce sticky substances such as tape which can attract roaches. I suggest you contract with an exterminator if you do not already have one. D. Bowen needs 4 additional on-going training hours before February 8, 2024. Please send me these certificates once they are obtained. There is a newer version of the incident log on our website under the provider document tab. At the completion of the visit, this visit summary was reviewed and emailed to you. Contact me at April Lester, Child Care Consultant, 910-824-0954, april.lester@dhhs.nc.gov or Lynette Robbins, Licensing Supervisor, 910-824-0235, Lynette.Robbins@dhhs.nc.gov if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

NC GS 110-90 · Violation

Name of Operation: LEARNING BRIDGE DEVELOPMENT CENTER Facility ID: 65001007 Consultant: APRIL LESTER Operation Type: Center Case Number: Visit Date: 1/31/2024 Number Present: 38 Completed Date: 1/31/2024 Age: From 0 To 4 Total Minutes: 135 Time In: 09:00 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 your program for compliance with applicable childcare requirements for an annual compliance visit. Claire Quick, assisted me with the visit. Your program currently operates with a four-star license, issued April 18, 2022, earning 5 points in the education component, 5 points in the program standards component meeting enhanced ratios and enhanced space, and 1 quality point for having an infrastructure of parent involvement and a staff benefits package. Your program was also monitored for compliance with implementing an approved curriculum as required for all four- and five-star licensed facilities where four-year-old children are enrolled. The last annual compliance visit was conducted February 8, 2023. The sanitation inspection was completed April 26, 2023, with a “Superior” classification. The last fire inspection was conducted December 18, 2023, and your facility was approved for daytime care only. The center's compliance history was reviewed with the operator. The program’s compliance history was 100% as of January 30, 2024. The NC Secretary of State website was reviewed today, and Learning Bridge Development Center LLC was listed as current- active. There are forty children enrolled and thirty-eight children ages 0-4, were present today. All approved indoor and outdoor spaces were monitored today. Daily schedules were available for each group of children. Activity plans were observed posted in each classroom. A variety of age-appropriate learning materials was observed in each classroom. Infants in Space 4 received care based on individual need, including feeding routines. Infant feeding schedules and safe sleep checks were monitored and found to be in compliance. Children one year of age enrolled in space 2 were observed outdoors. Two- and three-year-old children in Space 1 and 3 were participating in free play activities indoors and outdoors. Preschool children in Space 6 were observed in outdoor free play. Lunch is brought from home for each child. The following violation was observed today and corrected during the visit. Violation Number Comment Rule 532 All children were not held or placed in feeding chairs or other appropriate apparatus to be fed. An infant in space 4 was observed drinking a bottle in a crib. 10A NCAC 09 .0902(b) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. Technical Assistance: Feeding apparatus’ promote the healthy physical development of the child and prevent choking. Cribs are not designed to ensure the natural progression of the child’s motor skills while eating. Feeding requires an erect posture to support necessary lung expansion and good breathing which is supportive of proper head alignment and crucial for the development of visual motor skills. Mrs. Quick reviewed proper feeding policies with the infant staff during the visit and the infant was immediately removed form the crib and held for the remainder of the bottle feeding. Reminders: Two small cockroaches were observed in a drawer in the infant room (space 4). These insects were removed, and all cloth materials were removed to be washed. Cockroaches can carry and spread various diseases, pathogens, bacteria, and germs. When they travel throughout your facility, they leave a path of urine, feces, and regurgitated saliva and digestive fluids that contain harmful agents that can be transmitted to humans. Clean all affect areas with an approved disinfectant and sanitizer. To keep pests out for good, fill holes and seal cracks in walls, floors and woodwork, and around plumbing fixtures. Keep food and food waste in sealed containers with tight fitting lids. Also reduce sticky substances such as tape which can attract roaches. I suggest you contract with an exterminator if you do not already have one. D. Bowen needs 4 additional on-going training hours before February 8, 2024. Please send me these certificates once they are obtained. There is a newer version of the incident log on our website under the provider document tab. At the completion of the visit, this visit summary was reviewed and emailed to you. Contact me at April Lester, Child Care Consultant, 910-824-0954, april.lester@dhhs.nc.gov or Lynette Robbins, Licensing Supervisor, 910-824-0235, Lynette.Robbins@dhhs.nc.gov if you have questions. 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