THE Growing Tree

10A NCAC 09 .0802 · Violation

Name of Operation: THE GROWING TREE Facility ID: 98000188 Consultant: RAMIE DOLL Operation Type: Center Case Number: Visit Date: 2/5/2026 Number Present: 50 Completed Date: 2/5/2026 Age: From 0 To 8 Total Minutes: 370 Time In: 09:40 AM Time Out: 03:50 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced annual compliance visit was to monitor this program for compliance with applicable child care requirements. Currently, this facility operates with a Five-Star license issued on September 22, 2017. The center's last annual compliance visit was completed on February 24, 2025. A checklist was used to note the requirements monitored during the visit. The last sanitation inspection was completed on September 9, 2025, earning a “Superior” classification and “5” demerits. The last satisfactory fire inspection was completed on October 8, 2025, and the facility was approved for day care. A.Riggins, facility Administrator, was present and available to assist during the visit. Fifty children were present during the visit. School aged children were present today since school was out due to inclement weather. Children in various groups were observed sleeping, resting, interacting with staff, and being fed. The school aged children were interacting with one another and their assigned staff member. The following violations of child care requirements were documented during the visit. Two (2) of the violations documented today were verified as corrected during the visit. When addressing the correction of the other two (2) violations, ensure the compliance letter states specifically how each violation has been corrected. You can mail or email me with verification of compliance regarding the violations that were documented. Submit the compliance letter on or before February 19, 2026. Violation Number Comment Rule 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. The facility's EMC plan was not reviewed annually with all staff. 10A NCAC 09 .0802(a) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. One (1) staff member did not renew First Aid training prior to the expiration date, 1/18/26. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. One (1) staff member did not renew CPR training prior to the expiration date, 1/18/26. .1102(d) 1825 All staff did not review the center's EPR Plan during orientation and/or on an annual basis with the trained staff. Documentation of the review was not maintained on file. The facility's EPR Plan was not reviewed annually with all staff. .0607(f) During the visit, you emailed me a request for an extension for correction of the two (2) pending violations pertaining to CPR and First Aid training. You stated you are registered to complete CPR and First Aid training on February 23, 2026. All other staff have current CPR and First Aid training. Once you complete the training, obtain some type of documentation to verify the completion of the training. You stated you will be emailed the CPR and First Aid card, but you can obtain documentation of completion from the instructor after the training. You stated you were scheduled to complete both CPR and First Aid training on January 18, 2026, but the training was canceled due to inclement weather. The letter of compliance should be mailed or emailed to me, Ramie Doll, PO Box 1397, Elm City, NC 27822. If you have questions related to this visit or if I can be of additional assistance, I can be reached at (252)373-3074 or via email: ramie.doll@dhhs.nc.gov. You may also contact Susan Fuller, Licensing Supervisor, at (252)373-9809. Child care licensing requirements are established to ensure a safe and healthy child care environment. Therefore, it is important for you to be knowledgeable of all the licensing requirements that apply to your type of program. It is your responsibility to maintain compliance with all the applicable laws and rules always if they have been monitored or specifically discussed with you in the past. The best way for you to make sure that you meet all requirements is to periodically review the child care law and rules. We reviewed saving the most current NC Child Care rules to your computer so you can easily access the rules in the future. You are aware of how to access the NC Child Care rules from DCDEE’s website. COMPLIANC HISTORY: Prior to today's visit, this facility maintained an 18-month compliance score of 96%. The violations documented today may affect the facility’s compliance history score. CONSULTATION/TECHNICAL ASSISTANCE EMERGENCY MEDICAL CARE PLAN: When asked, the facility’s Emergency Medical Care Plan has not been reviewed with staff since 2024. Staff have changed since the last Plan was completed; therefore, revisions were required and completed during the visit today. You reviewed the Plan with all staff during the visit, and they signed a document reflecting the Plan was reviewed today. A violation was documented today since the Plan was not reviewed annually with staff but was also verified as corrected during the visit. We discussed that in the future, to update/revise the facility’s Emergency Medical Care Plan when applicable based on staff and their roles at the facility in the event of an emergency. EMERGENCY PREPAREDNESSS PLAN: When asked, the facility’s EPR plan has not been reviewed with staff for 2025. The facility’s EPR plan was revised to make staffing changes, etc. but the revised plan was not reviewed with the staff. You also shared the revisions with the staff during the visit today and they signed a document reflecting the review of the Plan. This was documented as a violation today but was also verified as corrected during the visit. In the future, when revisions/changes to the EPR plan are made or if not, ensure the plan is reviewed with all staff annually and documentation of the review is on file. CHILDREN AND STAFF RECORDS: -Ten (10) percent of children’s records and ten (10) percent of existing staff and all new staff hired since last year’s annual compliance visit will be monitored next week when I return to conclude today’s visit. -Staff records were not monitored during today’s visit due to change of administration and not fully completed staff and training worksheets. We reviewed how to complete the staff and training worksheet using previous worksheets. We discussed emailing the completed worksheets to me prior to next week’s visit. You will use last year’s worksheets to make changes and add new staff to the worksheets. CRIMINAL BACKGROUND APPLICATIONS: A new feature in the ABCMA portal now links criminal background applications to facilities. The training via Moodle reviewing the feature has been completed. A roster for this facility has been created in ABCMS. We tried to access the roster during today’s visit but had difficulty logging into the ABCMS portal. We discussed contacting the Help Desk for further assistance. We referenced a job aid today regarding how to create and maintain a facility roster in ABCMS. You printed the job aid for reference during the visit. Remember to use the facility’s business NCID and password to access the facility CBC roster, but anyone trying to access their account must log in using their individual NCID and password. Information should be updated in ABCMS on an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five (5) business days. Please note, the hard copy of the Change of Information form is no longer needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at 1-800-859-0829 and someone will assist you. CLEAN WATER FOR US KIDS: The Clean Water for Carolina Kids status for lead in water is “analysis complete”. The last lead water test was analyzed May 22, 2025. Lead water testing is required every three (3) years. The status for lead based paint and asbestos is “Survey Review by RTI”. This information was verified in the clean water for US kids facility data. We discussed checking the Clean Water for Us Kids website regarding any further information for both lead based paint and asbestos. PROVIDER DOCUMENTS/FORMS: Continue using the most current forms from the Provider Documents and Forms tab from DCDEE’s website. We spent some time today discussing various checklists such as the Program Records Checklist, Staff Records Checklist, and the Children’s Records Checklist. You began serving as this facility’s administrator a few months ago and are continuing to become familiar with applicable NC Child Care rules pertaining to program records. You served in a different role at this facility prior to being hired as the facility’s administrator. I am available anytime to provide any needed technical assistance regarding NC Child Care rules. We discussed the staff and training worksheet and how to enter information on the worksheet and save the document to your computer. You developed an “Annual Compliance 2026” folder during the visit today and saved last year’s staff and training worksheets in the folder so you can go back and revise the worksheets for 2026. Work on revising/updating the worksheets prior to my return visit next Thursday. We also referenced how to find the application for a Rated License and all required forms are hyperlinked related to QRIS. We will further review QRIS information next week. You stated the facility will probably be assessed using Pathway Two. RESOURCES: •The most current provider documents/ forms, checklists, criminal background check application, resources related to child care, MOODLE (ABCMS Provider Portal training & Rule Roll out), and new child care requirements can be found on the Division of Child Development and Early Education website: https://ncchildcare.ncdhhs.gov/, QRIS Modernization: Pathway to the Stars RETURN VISIT: I will return next Thursday, February 12, 2026, to conclude the facility’s Annual Compliance visit. I will review applicable staff and children’s records, transportation requirements, and the outdoor learning environments. Please feel free to contact me at (252)373-3074 or via email at ramie.doll@dhhs.org with any questions. Susan Fuller, Licensing Supervisor, can also be contacted at (252)373-9809 or via email at 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: THE GROWING TREE Facility ID: 98000188 Consultant: KESHIA HAYWARD Operation Type: Center Case Number: Visit Date: 2/24/2025 Number Present: 39 Completed Date: 2/24/2025 Age: From 0 To 5 Total Minutes: 270 Time In: 08:40 AM Time Out: 01:10 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 during an annual compliance visit. S. Howard, 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 standard component program and 1 quality point for offering a staff benefits package and infrastructure of parent involvement. This program continues to meet enhanced ratio and enhanced space requirements. The last annual compliance visit was completed on March 5, 2024. The last sanitation inspection was completed on December 30, 2024, earning a “Superior” classification. The last fire inspection was completed on October 4, 2024, and the center was approved for daytime care only. Thirty-nine (39) children ranging from ages zero (0) to five (5) years old were observed in care today. Children were engaged in morning routine/activities, free-choice play, eating breakfast/lunch, completing hand washing and toileting routines, and interacting with caregivers. Breakfast consisted of egg omelets, peaches, strawberries, and milk. Lunch consisted of Chicken with rice, mixed vegetables, mixed fruit and milk. The following violations were documented. Violation Number Comment Rule 807 A safe indoor and outdoor environment was not provided for the children. A rug, water hose and tee pee stick was laying on the ground posing a tripping hazard. The black barrier enclosing the surfacing around the swings were exposing sharp/rough edges and one bush on the playground had leaves with thorns exposed and in space accessible to children. 10A NCAC 09 .0601(a) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. Plastic bags were stored in a cabinet and a shelf accessible to children under age 3 in Space #3. .0604(q) 1124 Emergency and identifying information, including the child's name, photograph, emergency contact information and/or a copy of the emergency medical care information form was not in the vehicle for each child being transported. Emergency information on file for two children transported did not have photographs 10A NCAC 09 .1003(d) 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 March 10, 2025. The two-week time frame is established to allow you time for submitting your compliance verification letter. This timeframe is not intended to be used as a guide for correcting violations, as they should be corrected immediately. Please be aware that any written information submitted by you regarding correction of violations documented during the visit is legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined the information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility's Star Rated License could be issued. If sufficient information is not received by the due date, a follow-up visit will be conducted. The center’s compliance history score was reviewed with the operator. The program’s compliance history was % as of February 23, 2025. CORPORATION STATUS: DLP Wilson Medical Center, LLC, is listed as the current owner of this center. According to information verified on the North Carolina Secretary of State’s website, DLP Wilson Medical Center, LLC remains current and active. Prior to making any changes in the ownership status contact me to discuss the change of ownership procedures. Failure to comply could impact the program license status. SAFE INDOOR/OUTDOOR ENVIRONMENT: We discussed the potential hazards on the playground used by children. You submitted a work order to have maintenance complete the tasks to remove potential hazards identified. According to you, the first playground is only used by infants in the mat area. I explained the playground must always be in compliance if it is being utilized by children. Maintaining a safe environment for children ensures they can explore freely play without concerns. Staff can ensure the environment used by children remains safe by conducting daily checks. Also be reminded, plastic bags should be stored in spaces inaccessible to children under the age of three. The caregiver removed the plastic bags from the cabinet and shelf and discarded them so they could be inaccessible to children. TRANSPORTATION REQUIREMENTS: Children transported by the center must have emergency information on file that includes photographs. Two children did not have photographs with their emergency information. Photographs should be retrieved and attached to the emergency information. You can retrieve photographs by requesting from parents or taking the pictures at the center. I informed you the tires were deflated on bus #18 used to transport children. During the visit, you contacted maintenance to request air be added to the tires. CRIMINAL BACKGROUND CHECK RENEWALS: You have five staff whose criminal background checks are due for renewal in the year of 2025. I recommend you encourage staff to start the renewal process early to ensure it is completed and a qualification letter is received prior to the expiration date of the current letter. NCID PASSWORDS: As part of ongoing efforts to protect state systems and data, the N.C. Department of Information Technology will be changing the minimum length of NCID passwords from eight to 14 characters. The change will affect state agency staff as well as external users like citizens, providers, and state and local county staff. I advised you to share this information w your staff. I recommend you and staff check your passwords to ensure they meet the new requirements. If needed the password should be changed to align with the new password requirements. If you change your current password after Feb. 23, however, you will be required to create a new one that must: •Be a minimum of 14 characters. •Consist of at least one numeric character, at least one uppercase letter, at least one lowercase letter, and at least one special character such as #, & * etc. •Passwords shall not contain numbers or character substitutes to create dictionary words (e.g., d33psl33p for deep sleep). Strong, unique passwords – along with practicing mindful cybersecurity practices – are key components to protecting your devices and personal information at home and at work. DCDEE RESOURCES: I recommended you periodically visit the DCDEE website at https://ncchildcare.ncdhhs.gov/ under the "What's New" tab to stay abreast of updated information provided. At the conclusion of this visit, the visit summary report was completed, reviewed, and left with you. Be reminded you are responsible for maintaining compliance with all applicable child care requirements whether they have been discussed or reviewed with you in the past. CONTACT INFORMATION: If you have questions regarding today’s visit, my contact information is listed above. You may also contact Licensing Supervisor, Susan Fuller at 252-373-9809 or email susan.fuller@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1003 · Violation

Name of Operation: THE GROWING TREE Facility ID: 98000188 Consultant: KESHIA HAYWARD Operation Type: Center Case Number: Visit Date: 2/24/2025 Number Present: 39 Completed Date: 2/24/2025 Age: From 0 To 5 Total Minutes: 270 Time In: 08:40 AM Time Out: 01:10 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 during an annual compliance visit. S. Howard, 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 standard component program and 1 quality point for offering a staff benefits package and infrastructure of parent involvement. This program continues to meet enhanced ratio and enhanced space requirements. The last annual compliance visit was completed on March 5, 2024. The last sanitation inspection was completed on December 30, 2024, earning a “Superior” classification. The last fire inspection was completed on October 4, 2024, and the center was approved for daytime care only. Thirty-nine (39) children ranging from ages zero (0) to five (5) years old were observed in care today. Children were engaged in morning routine/activities, free-choice play, eating breakfast/lunch, completing hand washing and toileting routines, and interacting with caregivers. Breakfast consisted of egg omelets, peaches, strawberries, and milk. Lunch consisted of Chicken with rice, mixed vegetables, mixed fruit and milk. The following violations were documented. Violation Number Comment Rule 807 A safe indoor and outdoor environment was not provided for the children. A rug, water hose and tee pee stick was laying on the ground posing a tripping hazard. The black barrier enclosing the surfacing around the swings were exposing sharp/rough edges and one bush on the playground had leaves with thorns exposed and in space accessible to children. 10A NCAC 09 .0601(a) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. Plastic bags were stored in a cabinet and a shelf accessible to children under age 3 in Space #3. .0604(q) 1124 Emergency and identifying information, including the child's name, photograph, emergency contact information and/or a copy of the emergency medical care information form was not in the vehicle for each child being transported. Emergency information on file for two children transported did not have photographs 10A NCAC 09 .1003(d) 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 March 10, 2025. The two-week time frame is established to allow you time for submitting your compliance verification letter. This timeframe is not intended to be used as a guide for correcting violations, as they should be corrected immediately. Please be aware that any written information submitted by you regarding correction of violations documented during the visit is legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined the information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility's Star Rated License could be issued. If sufficient information is not received by the due date, a follow-up visit will be conducted. The center’s compliance history score was reviewed with the operator. The program’s compliance history was % as of February 23, 2025. CORPORATION STATUS: DLP Wilson Medical Center, LLC, is listed as the current owner of this center. According to information verified on the North Carolina Secretary of State’s website, DLP Wilson Medical Center, LLC remains current and active. Prior to making any changes in the ownership status contact me to discuss the change of ownership procedures. Failure to comply could impact the program license status. SAFE INDOOR/OUTDOOR ENVIRONMENT: We discussed the potential hazards on the playground used by children. You submitted a work order to have maintenance complete the tasks to remove potential hazards identified. According to you, the first playground is only used by infants in the mat area. I explained the playground must always be in compliance if it is being utilized by children. Maintaining a safe environment for children ensures they can explore freely play without concerns. Staff can ensure the environment used by children remains safe by conducting daily checks. Also be reminded, plastic bags should be stored in spaces inaccessible to children under the age of three. The caregiver removed the plastic bags from the cabinet and shelf and discarded them so they could be inaccessible to children. TRANSPORTATION REQUIREMENTS: Children transported by the center must have emergency information on file that includes photographs. Two children did not have photographs with their emergency information. Photographs should be retrieved and attached to the emergency information. You can retrieve photographs by requesting from parents or taking the pictures at the center. I informed you the tires were deflated on bus #18 used to transport children. During the visit, you contacted maintenance to request air be added to the tires. CRIMINAL BACKGROUND CHECK RENEWALS: You have five staff whose criminal background checks are due for renewal in the year of 2025. I recommend you encourage staff to start the renewal process early to ensure it is completed and a qualification letter is received prior to the expiration date of the current letter. NCID PASSWORDS: As part of ongoing efforts to protect state systems and data, the N.C. Department of Information Technology will be changing the minimum length of NCID passwords from eight to 14 characters. The change will affect state agency staff as well as external users like citizens, providers, and state and local county staff. I advised you to share this information w your staff. I recommend you and staff check your passwords to ensure they meet the new requirements. If needed the password should be changed to align with the new password requirements. If you change your current password after Feb. 23, however, you will be required to create a new one that must: •Be a minimum of 14 characters. •Consist of at least one numeric character, at least one uppercase letter, at least one lowercase letter, and at least one special character such as #, & * etc. •Passwords shall not contain numbers or character substitutes to create dictionary words (e.g., d33psl33p for deep sleep). Strong, unique passwords – along with practicing mindful cybersecurity practices – are key components to protecting your devices and personal information at home and at work. 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: THE GROWING TREE Facility ID: 98000188 Consultant: KESHIA HAYWARD Operation Type: Center Case Number: Visit Date: 9/17/2024 Number Present: 32 Completed Date: 9/17/2024 Age: From 0 To 5 Total Minutes: 175 Time In: 08:30 AM Time Out: 11:25 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. S. Howard, Administrator assisted with the visit. Thirty-two (32) children were observed in care today ranging from zero to five years old. Children were engaged morning activities, free choice play with developmentally age-appropriate materials, interacting with the caregivers, eating breakfast, and completing toileting, diapering and hand washing routines. Breakfast consisted of French toast sticks with syrup, mandarin oranges, and milk/water. Currently this program operates with a five-star license. The last sanitation inspection was completed on June 28, 2024, earning a superior classification. The last fire inspection was completed on October 30, 2023, and the center was approved for daytime care. The last annual compliance visit was completed on March 5, 2024. The following violations 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. Departure times were not documented for three children on April 12,2024. 10A NCAC 09 .0302(d)(4) 807 A safe indoor and outdoor environment was not provided for the children. A red storage bin storing wooden linking blocks was cracked exposing sharp edges in Space 8. A small plastic container accessible to children was cracked exposing sharp edges in Space 7. 10A NCAC 09 .0601(a) 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 October 1, 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. COMPLIANCE HISTORY: The program's compliance history was reviewed with the operator. The program’s compliance history was 94% percent as of September 16, 2024. STAFF/CHILD INTERACTIONS: During my observation, staff were observed interacting with children about activities they were engaged in while playing. Staff engaged children in conversations about stories read, encouraged them to share materials, play with each other and talked about food served for breakfast. Children were reminded and encouraged to use soap and count when washing hands. One diaper changing was observed and steps were followed according to the diapering chart. Children talked and played with their peers in a positive manner. The caregiver held one inf ant while bottle feeding and talked to the others engaged in floor play. ARRIVAL/DEPARTURE: Arrival and Departure times should be documented for all children upon entering the center and leaving at the end of the day. We discussed reviewing the sign in/out logs to ensure arrival and departure times are recorded. If parents do not record the times, it could be documented by the staff and initialed reflecting person recording the information. SURFACING MAINTENANCE: Although adequate surfacing was on the playground, I advised you when weather permits to have maintenance till and evenly distributed the surfacing on and around the playground equipment to ensure depth measurement is met as required. 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 QRIS UPDATE: GET READY for the 3’s Starting on February 1, 2025, the ECERS-3, ITERS-3, and FCCERS-3—also known as the "3s"—will be used for DCDEE environment rating scale assessments. The DCDEE and the North Carolina Rated License Assessment Project (NCRLAP) are collaboratively working on preparations for the transition to the third editions. These third editions come with a spiral binding at the top, replacing the current revised editions. Visit the NCRLAP’s website for more information about updated resources, credit hour trainings, and outreach assessment opportunities to help you become familiar with these tools. For official environment rating scale assessments for a NC Star Rated License, the NCRLAP will use the Revised editions until February 1, 2025. To get help with Moodle, email DCDEE_Moodle_Support@dhhs.nc.gov or call (919) 814-9326. NEW FEATURE LINKS CRIMINAL BACKGROUND APPLICATIONS TO FACILITIES: North Carolina child care administrators can now view and edit their facility’s staff roster in ABCMS, the DCDEE’s criminal background check system. Provider Access to ABCMS allows administrators to: •See the real-time background check status of staff members. •Run a printable report of the staff roster to assist with compliance visits. •See new background check applicants and add to staff roster. To get started, complete the ABCMS Child Care Provider Portal Training in Moodle—a video tutorial followed by a few questions. BUILDING RELATIONSHIPS WITH FAMILIES: Join this free, talk-to-the-experts webinar, presented by the Healthy Social Behaviors Helpline advisors! Tuesday, September 17th | 7-8 pm https://ccrinc.zoom.us/j/3677997738 Meeting ID: 367 799 7738 Join experts as they discuss how to build relationships with families and talking with families about challenging behaviors using resources we will provide! TAKE THE EARLY EDUCATORS CERTIFICATION/ENDORSEMENT SURVEY: The NC Institute for Child Development Professionals needs your help! Please complete the Early Educator Certification (EEC)/Endorsement Survey. Your input is needed to help them plan next steps for the Early Educator Certification System. EEC is a professional recognition system developed by and for the early childhood workforce. Since 1993, the NC Institute for Child Development Professionals (NCICDP or Institute) has been cultivating a high performing professional development system and fair compensation for all early childhood educators. Take the survey on surveymonkey.com: https://www.surveymonkey.com/r/SJYY87G Information was retrieved form the Raising North Carolina newsletter. At the conclusion of today’s visit, the visit summary report was completed, reviewed, and left with you. DCDEE RESOURCES: I recommended you periodically visit the DCDEE website at https://ncchildcare.ncdhhs.gov/ under the "What's New" tab to stay abreast of updated information provided. Be reminded you are responsible for maintaining compliance with all applicable child care requirements whether they have been discussed or reviewed with you in the past. CONTACT INFORMATION: If you have questions regarding today’s visit, my contact information is listed above. You may also contact Licensing Supervisor, Susan Fuller at 252-373-9809 or email susan.fuller@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0302 · Violation

Name of Operation: THE GROWING TREE Facility ID: 98000188 Consultant: KESHIA HAYWARD Operation Type: Center Case Number: Visit Date: 9/17/2024 Number Present: 32 Completed Date: 9/17/2024 Age: From 0 To 5 Total Minutes: 175 Time In: 08:30 AM Time Out: 11:25 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. S. Howard, Administrator assisted with the visit. Thirty-two (32) children were observed in care today ranging from zero to five years old. Children were engaged morning activities, free choice play with developmentally age-appropriate materials, interacting with the caregivers, eating breakfast, and completing toileting, diapering and hand washing routines. Breakfast consisted of French toast sticks with syrup, mandarin oranges, and milk/water. Currently this program operates with a five-star license. The last sanitation inspection was completed on June 28, 2024, earning a superior classification. The last fire inspection was completed on October 30, 2023, and the center was approved for daytime care. The last annual compliance visit was completed on March 5, 2024. The following violations 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. Departure times were not documented for three children on April 12,2024. 10A NCAC 09 .0302(d)(4) 807 A safe indoor and outdoor environment was not provided for the children. A red storage bin storing wooden linking blocks was cracked exposing sharp edges in Space 8. A small plastic container accessible to children was cracked exposing sharp edges in Space 7. 10A NCAC 09 .0601(a) 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 October 1, 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. COMPLIANCE HISTORY: The program's compliance history was reviewed with the operator. The program’s compliance history was 94% percent as of September 16, 2024. STAFF/CHILD INTERACTIONS: During my observation, staff were observed interacting with children about activities they were engaged in while playing. Staff engaged children in conversations about stories read, encouraged them to share materials, play with each other and talked about food served for breakfast. Children were reminded and encouraged to use soap and count when washing hands. One diaper changing was observed and steps were followed according to the diapering chart. Children talked and played with their peers in a positive manner. The caregiver held one inf ant while bottle feeding and talked to the others engaged in floor play. ARRIVAL/DEPARTURE: Arrival and Departure times should be documented for all children upon entering the center and leaving at the end of the day. We discussed reviewing the sign in/out logs to ensure arrival and departure times are recorded. If parents do not record the times, it could be documented by the staff and initialed reflecting person recording the information. SURFACING MAINTENANCE: Although adequate surfacing was on the playground, I advised you when weather permits to have maintenance till and evenly distributed the surfacing on and around the playground equipment to ensure depth measurement is met as required. 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 QRIS UPDATE: GET READY for the 3’s Starting on February 1, 2025, the ECERS-3, ITERS-3, and FCCERS-3—also known as the "3s"—will be used for DCDEE environment rating scale assessments. The DCDEE and the North Carolina Rated License Assessment Project (NCRLAP) are collaboratively working on preparations for the transition to the third editions. These third editions come with a spiral binding at the top, replacing the current revised editions. Visit the NCRLAP’s website for more information about updated resources, credit hour trainings, and outreach assessment opportunities to help you become familiar with these tools. For official environment rating scale assessments for a NC Star Rated License, the NCRLAP will use the Revised editions until February 1, 2025. To get help with Moodle, email DCDEE_Moodle_Support@dhhs.nc.gov or call (919) 814-9326. NEW FEATURE LINKS CRIMINAL BACKGROUND APPLICATIONS TO FACILITIES: North Carolina child care administrators can now view and edit their facility’s staff roster in ABCMS, the DCDEE’s criminal background check system. Provider Access to ABCMS allows administrators to: •See the real-time background check status of staff members. •Run a printable report of the staff roster to assist with compliance visits. •See new background check applicants and add to staff roster. To get started, complete the ABCMS Child Care Provider Portal Training in Moodle—a video tutorial followed by a few questions. BUILDING RELATIONSHIPS WITH FAMILIES: Join this free, talk-to-the-experts webinar, presented by the Healthy Social Behaviors Helpline advisors! Tuesday, September 17th | 7-8 pm https://ccrinc.zoom.us/j/3677997738 Meeting ID: 367 799 7738 Join experts as they discuss how to build relationships with families and talking with families about challenging behaviors using resources we will provide! TAKE THE EARLY EDUCATORS CERTIFICATION/ENDORSEMENT SURVEY: The NC Institute for Child Development Professionals needs your help! Please complete the Early Educator Certification (EEC)/Endorsement Survey. Your input is needed to help them plan next steps for the Early Educator Certification System. EEC is a professional recognition system developed by and for the early childhood workforce. Since 1993, the NC Institute for Child Development Professionals (NCICDP or Institute) has been cultivating a high performing professional development system and fair compensation for all early childhood educators. Take the survey on surveymonkey.com: https://www.surveymonkey.com/r/SJYY87G Information was retrieved form the Raising North Carolina newsletter. At the conclusion of today’s visit, the visit summary report was completed, reviewed, and left with you. DCDEE RESOURCES: I recommended you periodically visit the DCDEE website at https://ncchildcare.ncdhhs.gov/ under the "What's New" tab to stay abreast of updated information provided. Be reminded you are responsible for maintaining compliance with all applicable child care requirements whether they have been discussed or reviewed with you in the past. CONTACT INFORMATION: If you have questions regarding today’s visit, my contact information is listed above. You may also contact Licensing Supervisor, Susan Fuller at 252-373-9809 or email susan.fuller@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0601 · Violation

Name of Operation: THE GROWING TREE Facility ID: 98000188 Consultant: KESHIA HAYWARD Operation Type: Center Case Number: Visit Date: 3/5/2024 Number Present: 39 Completed Date: 3/5/2024 Age: From 0 To 7 Total Minutes: 225 Time In: 08:30 AM Time Out: 12:15 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 during an annual compliance visit. S. Howard, 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 offering a staff benefits package and infrastructure of parent involvement. The last annual compliance visit was completed on March 23, 2023. The last sanitation inspection was completed on December 29, 2023, earning a “Superior” classification. The last fire inspection was completed on October 30, 2023, and the center was approved for daytime care only. Thirty-nine (39) children were observed in care today. Children were engaged in morning activities, free choice play with developmentally age-appropriate materials, completing toileting and hand washing routines, interacting with caregivers, outdoor play and eating breakfast. Breakfast consisted of French toast sticks/bread, mandarin oranges and milk. The center’s compliance history score was reviewed with the operator. The program’s compliance history was 90% as of February 13, 2024. The following violations were documented. 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 and departure times were not documented for eleven children between the dates of January 5, 2024, to February 16, 2024. 10A NCAC 09 .0302(d)(4) 807 A safe indoor and outdoor environment was not provided for the children. Two containers storing toys were cracked exposing sharp edges in Space #7-B2. 10A NCAC 09 .0601(a) 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 March 19, 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 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: DLP Wilson Medical Center, LLC is listed as the current owner of this center. According to information verified on the North Carolina Secretary of State’s website, DLP Wilson Medical Center, LLC 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. SAFE ENVIRONMENT I informed you and the caregiver that two containers storing play materials were cracked exposing sharp edges. The caregiver removed the containers from space accessible to children. You stated the two containers would be replaced. I recommended having staff periodically conduct safety checks of materials in their classrooms and remove damaged items that pose potential hazards to children. Be reminded you are responsible for always maintaining a safe environment for children. ARRIVAL AND DEPARTURE TIMES: Arrival and departure times should be documented for all children in attendance daily. Parents should be reminded to record arrival and departure times when bringing and dropping off their children. It was suggested to ask staff to check sign-in/out logs periodically throughout the day to ensure times were recorded. If arrival or departure times are missing when checked by staff, they could add the times and add their signature or initials to reflect who recorded the information. CLEAN CLASSROOMS FOR CAROLINA KIDS: You stated your program has already been enrolled in the Clean Classrooms for Carolina kids’ system. I informed you an email would be sent later today along with flyers regarding the requirements and providing additional information. If you have question contact information will also be included. CHILDREN’S ORAL HEALTH: We discussed the newsletter and resources sent out via email by the Child Care Health Consultant regarding children’s oral health. The information will help early child care educator’s understand the importance of children’s oral health and could be shared with parents. The Child Care Health Consultant is offering an upcoming training. The training topic is Stay Healthy, Stay Clean (Handwashing, Diapering and Food Handling in Child Care). This 2-hour training will focus on handwashing, diapering, and food handling procedures. The training is scheduled for March 21, 2024, 6 pm – 8 pm, Braswell Memorial Library. For more information contact Stacy at 252-557-4208 or email stacy_rosser@unc.edu. RULE CHANNGES EFFECTIVE JANUARY 2024:Training Modules Available in DCDEE Moodle Please ensure you are using the updated rule book dated January 1, 2024, and review information in the DCDEE Moodle regarding the updated rule changes. You will need to have an NCID - the same NCID that you use for the health & safety training, WORKS login, and/or the CBC Portal - to participate in Moodle training. If you do not have an NCID, use this link to get one: https://ncid.nc.gov. Rule training modules can be found in the same course as the October 2017 Child Care Rule Rollout. If you are unfamiliar with the Child Care Rule Rollout within Moodle and how to navigate, please visit: https://ncchildcare.ncdhhs.gov/Learning-Resources/How-to-Navigate-Moodle. To get help with Moodle, email DCDEE_Moodle_Support@dhhs.nc.gov or call (919) 814-9326. PROVIDER ACCESS to the BACKGROUND CHECK MANAGEMENT SYSTEM DCDEE has launched the Provider Portal for ABCMS effective February 1, 2024. This access will allow providers to: •See applicants that associate themselves with their facility and allow them to “hire” the applicant to their roster •See the real-time background check status of staff members •Run a printable report of the staff roster to assist with compliance visits To gain access to the Provider Portal complete the ABCMS Child Care Provider Portal Training on DCDEE's Moodle. The training consists of watching a short video then taking a test about the video. A certificate will be issued upon successful completion of the test. Email the certificate along with your full name, position and Facility ID to DCDEE_ABCMS_Provider@dhhs.nc.gov to get access to the portal. We will grant your access within 2 business days. Please do not use this email account to ask background check questions. If you have general questions, please continue to use DHHS.CBC.Unit@dhhs.nc.gov. EQUIVALENCY EXAM OFFLINE for MAINTENANCE: The NC Early Childhood Equivalency exam located in Moodle will be unavailable until further notice for updates. In the meantime, earn the Early Childhood Education Certificate by enrolling in EDU 119 at a local community college. Better yet, take advantage of DCDEE’s offer of a No-Cost Professional Development Teacher Membership and earn your CDA! The NC Early Childhood Equivalency exam located in Moodle will be unavailable until further notice for updates. In the meantime, earn the Early Childhood Education Certificate by enrolling in EDU 119 at a local community college. 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 .0302 · Violation

Name of Operation: THE GROWING TREE Facility ID: 98000188 Consultant: KESHIA HAYWARD Operation Type: Center Case Number: Visit Date: 3/5/2024 Number Present: 39 Completed Date: 3/5/2024 Age: From 0 To 7 Total Minutes: 225 Time In: 08:30 AM Time Out: 12:15 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 during an annual compliance visit. S. Howard, 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 offering a staff benefits package and infrastructure of parent involvement. The last annual compliance visit was completed on March 23, 2023. The last sanitation inspection was completed on December 29, 2023, earning a “Superior” classification. The last fire inspection was completed on October 30, 2023, and the center was approved for daytime care only. Thirty-nine (39) children were observed in care today. Children were engaged in morning activities, free choice play with developmentally age-appropriate materials, completing toileting and hand washing routines, interacting with caregivers, outdoor play and eating breakfast. Breakfast consisted of French toast sticks/bread, mandarin oranges and milk. The center’s compliance history score was reviewed with the operator. The program’s compliance history was 90% as of February 13, 2024. The following violations were documented. 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 and departure times were not documented for eleven children between the dates of January 5, 2024, to February 16, 2024. 10A NCAC 09 .0302(d)(4) 807 A safe indoor and outdoor environment was not provided for the children. Two containers storing toys were cracked exposing sharp edges in Space #7-B2. 10A NCAC 09 .0601(a) 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 March 19, 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 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: DLP Wilson Medical Center, LLC is listed as the current owner of this center. According to information verified on the North Carolina Secretary of State’s website, DLP Wilson Medical Center, LLC 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. SAFE ENVIRONMENT I informed you and the caregiver that two containers storing play materials were cracked exposing sharp edges. The caregiver removed the containers from space accessible to children. You stated the two containers would be replaced. I recommended having staff periodically conduct safety checks of materials in their classrooms and remove damaged items that pose potential hazards to children. Be reminded you are responsible for always maintaining a safe environment for children. ARRIVAL AND DEPARTURE TIMES: Arrival and departure times should be documented for all children in attendance daily. Parents should be reminded to record arrival and departure times when bringing and dropping off their children. It was suggested to ask staff to check sign-in/out logs periodically throughout the day to ensure times were recorded. If arrival or departure times are missing when checked by staff, they could add the times and add their signature or initials to reflect who recorded the information. CLEAN CLASSROOMS FOR CAROLINA KIDS: You stated your program has already been enrolled in the Clean Classrooms for Carolina kids’ system. I informed you an email would be sent later today along with flyers regarding the requirements and providing additional information. If you have question contact information will also be included. CHILDREN’S ORAL HEALTH: We discussed the newsletter and resources sent out via email by the Child Care Health Consultant regarding children’s oral health. The information will help early child care educator’s understand the importance of children’s oral health and could be shared with parents. The Child Care Health Consultant is offering an upcoming training. The training topic is Stay Healthy, Stay Clean (Handwashing, Diapering and Food Handling in Child Care). This 2-hour training will focus on handwashing, diapering, and food handling procedures. The training is scheduled for March 21, 2024, 6 pm – 8 pm, Braswell Memorial Library. For more information contact Stacy at 252-557-4208 or email stacy_rosser@unc.edu. RULE CHANNGES EFFECTIVE JANUARY 2024:Training Modules Available in DCDEE Moodle Please ensure you are using the updated rule book dated January 1, 2024, and review information in the DCDEE Moodle regarding the updated rule changes. You will need to have an NCID - the same NCID that you use for the health & safety training, WORKS login, and/or the CBC Portal - to participate in Moodle training. If you do not have an NCID, use this link to get one: https://ncid.nc.gov. Rule training modules can be found in the same course as the October 2017 Child Care Rule Rollout. If you are unfamiliar with the Child Care Rule Rollout within Moodle and how to navigate, please visit: https://ncchildcare.ncdhhs.gov/Learning-Resources/How-to-Navigate-Moodle. To get help with Moodle, email DCDEE_Moodle_Support@dhhs.nc.gov or call (919) 814-9326. PROVIDER ACCESS to the BACKGROUND CHECK MANAGEMENT SYSTEM DCDEE has launched the Provider Portal for ABCMS effective February 1, 2024. This access will allow providers to: •See applicants that associate themselves with their facility and allow them to “hire” the applicant to their roster •See the real-time background check status of staff members •Run a printable report of the staff roster to assist with compliance visits To gain access to the Provider Portal complete the ABCMS Child Care Provider Portal Training on DCDEE's Moodle. The training consists of watching a short video then taking a test about the video. A certificate will be issued upon successful completion of the test. Email the certificate along with your full name, position and Facility ID to DCDEE_ABCMS_Provider@dhhs.nc.gov to get access to the portal. We will grant your access within 2 business days. Please do not use this email account to ask background check questions. If you have general questions, please continue to use DHHS.CBC.Unit@dhhs.nc.gov. EQUIVALENCY EXAM OFFLINE for MAINTENANCE: The NC Early Childhood Equivalency exam located in Moodle will be unavailable until further notice for updates. In the meantime, earn the Early Childhood Education Certificate by enrolling in EDU 119 at a local community college. Better yet, take advantage of DCDEE’s offer of a No-Cost Professional Development Teacher Membership and earn your CDA! The NC Early Childhood Equivalency exam located in Moodle will be unavailable until further notice for updates. In the meantime, earn the Early Childhood Education Certificate by enrolling in EDU 119 at a local community college. 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