A Place To Grow-Three Rivers, Wingate

10A NCAC 09 .0604 · Violation

Name of Operation: A Place to Grow-Three Rivers, Wingate Facility ID: 90000552 Consultant: ABIGAIL AVALOS Operation Type: Center Case Number: 0426-030L Visit Date: 4/2/2026 Number Present: 8 Completed Date: 4/2/2026 Age: From 0 To 4 Total Minutes: 73 Time In: 04:02 PM Time Out: 05:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today’s visit was to obtain information related to sanitation requirements with animals at the facility. During today’s visit Tekeyah Thomas, Director, accompanied me during a walk-through of the facility. I discussed the information with Ms. Thomas regarding sanitation requirements for animals. In addition, guidance was re-shared around activities involving chicks and ducks. The following information was obtained regarding the activity of hatching chicks: - It was reported that the activity of hatching chicks takes place over the course of twenty-one (21) days and the estimated time the eggs were at the facility was 3/3/26. - The eggs hatched on 3/24/26. - It was reported that children did not touch unhatched or hatched chicks. I observed the following: - Two (2) hatched chicks were in a pen in the lobby next to the water fountains. - A bag of food for chicks was on the floor next to the pen. This was removed and placed in the office during the visit. After further research, feed safety data sheet indicated that feed had potential hazards. - An outlet was uncovered by the pen; it was reported that it was for the incubator. This was corrected during the visit. Guidance on how to properly have chicks for the activity were shared with the owner, Maureen Ord and the director, Tekeyah Thomas on multiple occasions. On 3/5/26 and 4/1/26, Envionrmental Health conducted visits where requirements and guidance were discussed. On 4/1/26 and 4/2/26, I also discussed the requirements and guidance with the director and the owner. Hatched chicks were still present on 4/2/26, conversations via phone and email took place to remove them as soon as possible. During this visit, two (2) hatched chicks were still present at the facility, I was informed that four (4) hatched chicks were removed from the facility earlier in the day. Based on phone conversations, sanitation visit reports, photographs and information obtained, the following was determined: - Hatched chicks have been present for nine (9) days, hatched chicks were not removed per the guidance given by Environmental Health and DCDEE. - The hatched chicks did not have veterinary documentation. Limited monitoring of child care requirements occurred during today’s visit. The children were observed participating in departure, personal care routines and outdoor play. Eight (8) children were present. Violation Number Comment Rule 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. One (1) outlet was uncovered by the chick pen that was used for the incubator located under the water fountain. 10A NCAC 09 .0604(c) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. A bag of food labeled DuMor for chicks was on the floor next to the pen. .2820(b) 9995 A violation was found for which there is no item number. Any rule from NC General Statues or Child Care Requirements or Sanitation. 15A NCAC 18A .2831 ANIMAL AND VERMIN CONTROL (a) Animals that are not contained in a cage or restrained on a leash, except those used in supervised activities or pet therapy programs, shall not be allowed in a child care center, including the outdoor learning environment. When animals are on the child care center premises, copies of each animal's vaccination records shall be available for review upon request during a sanitation inspection of the child care center. Any animals kept at the child care center as pets shall be examined by a veterinarian to determine that they are free from pests and pathogens that could adversely affect human health. Turtles, iguanas, frogs, salamanders, and other reptiles or amphibians shall not be kept as pets on the child care center premises. Animals shall not be allowed in or kept at the entrances to food preparation areas. Animal cages shall be kept clean and animal waste materials shall be bagged, sealed, and immediately disposed of in the child care center's exterior garbage area in a covered container. Animals belonging to child care center owners, employees, volunteers, visitors, and children shall not be allowed in child care centers or on the premises unless the requirements set forth in this Paragraph are met. Six (6) hatched chicks on the child care premises did not have vet documentation on file to determine that they are free from pests and pathogens that could adversely affect human health. Corrective Action Plan – Compliance Letter: The violation must be corrected immediately. On or before 4/16/26, I must receive a written, dated, and signed compliance letter that describes accurately and in detail how and when the violation was corrected. Please be aware that 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 may be completed. A compliance letter template was shared with you please ensure that all these components are completed: • Name of your facility • Your facility ID number • Date the visit was made • Date that you are submitting the compliance letter • Provide the cited violation number • Describe when and how the violation was corrected • Describe how you will prevent the recurrence of the violation (you need to specify how you will prevent the violation from re-occurring) • Sign with your signature Please email the information to: abigail.avalos@dhhs.nc.gov Technical Assistance: Rule requirements were left regarding animals in licensed facilities. Exit Conference: At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. We jointly reviewed the visit summary and documentation of my findings with you, Ms. Thomas. Please continue to visit DCDEE’s website at https://ncchildcare.ncdhhs.gov/ to get the latest updates. If you have questions or need further assistance, please contact me at 704-249-6440 or via email at abigail.avalos@dhhs.nc.gov or Ebony Duncan at 704-594-0043 or ebony.duncan@dhhs.nc.gov thank you for your assistance during today’s visit. Abigail Avalos, M.Ed. Child Care Consultant Division of Child Development and Early Education If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0803 · Violation

Name of Operation: A Place to Grow-Three Rivers, Wingate Facility ID: 90000552 Consultant: ABIGAIL AVALOS Operation Type: Center Case Number: Visit Date: 1/14/2026 Number Present: 25 Completed Date: 1/14/2026 Age: From 0 To 5 Total Minutes: 315 Time In: 09:03 AM Time Out: 12:45 PM Time In: 01:57 PM Time Out: 03:30 PM List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor your program for compliance with applicable child care requirements for an annual compliance visit. Upon arrival I rang the doorbell then called the number on the door, I rang the doorbell again and then was greeted by Tekeyah Thomas, Director. I shared the reason for the visit, Ms. Maureen Ord, Owner was also present and was also able to assist me. The walkthrough was completed with Ms. Thomas. Permit Information: The program currently operates with a Four-Star Center License effective 7/17/25. The license was posted, with the following restrictions: - 1st shift - Children under 2 1/2 years old in rooms with direct exits only. - Meets all enhanced ratios. - Minus one in all age groups. I monitored the following items: supervision, staff/child ratio, staff records, health, safety, and program records. This facility has submitted a curriculum for approval and is still awaiting a response. Ownership: The facility’s corporate owner is Eco Child Care of Charlotte LLC with SoS ID # 2794400, the business was not current and active. A copy of the notice dated 9/12/25 was left with you during the visit. I reviewed requirements, for more information on this matter call the number on the notice or visit the NC Secretary of State website at: https://www.sosnc.gov/ As a reminder, if any changes to the ownership need to be made, you must notify your consultant at least thirty (30) days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location or inherited. Inspections: The program's last fire inspection on file with DCDEE was completed on 10/31/24, requirements were discussed. The last playground inspection was completed on 12/15/25. The program's last sanitation inspection on file with DCDEE was completed on 12/17/25. The program received a provisional classification with forty-two (42) demerits. Indoor Learning Environment: I observed children in the indoor learning environment and found supervision and staff/child ratios in compliance. This facility follows the highest ratios, a staff-child ratio sheet was left with you and reviewed how to complete each one for each licensed space. Children were participating in individual routines. Most of the infants were asleep, I reviewed to ensure that the room has some visibility and that it is not pitch dark. Staff must be able to visually see children as they complete safe sleep logs. Space #1 did not have two (2) infant feeding plans posted, this was corrected during the visit. Children were also observed participating in morning snack in the eating area, the children were also engaged in transition activities, outdoor play, bathroom routines and literacy activities. Outdoor Learning Environment: The outdoor learning environment was monitored, the gate to the playground was left open while children were in the learning environment, this was corrected during the visit. Program Records: The last fire drill was conducted on 12/9/25 and the last emergency drill was conducted on 12/12/25. The EPR plan was last updated on 7/6/25, requirements were discussed. Please remember that daily attendance needs to be accessible to DCDEE for review. Staff Records: The staff-training worksheets were completed during the visit. There was a total of two (2) new staff files that were reviewed and one (1) existing staff file. The following requirements were reviewed and need to be in compliance: - Orientation 1st 2 Weeks - Orientation 1st 6 Weeks - Orientation is separate from Health and Safety Training topics - Day 1 items needed at 1st day of employment or prior (CBC Letters, HQ, EI, Medical Reports) - First Aid/CPR Children's Records: Four (4) files were reviewed, please refer to the worksheet to review which files were reviewed. The following requirements were reviewed and need to be in compliance: - Medical Report - Off Premise Permission Forms - Discipline Policy Documentation - Health Care Needs section of the children’s application Medication: All reported medication was monitored, one (1) inhaler did not have the prescription label/original container. One (1) over the counter medication did not have the original container. Requirements were reviewed in addition to completing medical forms fully including dates and signatures. Nutrition: The facility has many children with nutrition opt out forms. In space #2, the refrigerator temperature read fifty-two (52) degrees Fahrenheit. In the kitchen, the refrigerator read fifty-six (56) degrees Fahrenheit, requirements were discussed. Weapons: The facility was in compliance with child care requirements regarding firearms. Transportation: Transportation is not provided at this facility, requirements were discussed. Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The program's last fire inspection on file with DCDEE was completed on 10/31/24, there wasn't an approved annual fire inspection completed on or before 10/31/25. 10A NCAC 09 .0304(a) 540 An individual written feeding plan was not provided by child's parent or health care provider or was not followed and posted. (omit posting for centers located in a residence) 10A NCAC 09 .0902(a) 601 Refrigerator(s) did not maintain a temperature of 45 degrees F. or below. In space #2, the refrigerator temperature read fifty-two (52) degrees Fahrenheit. In the kitchen, the refrigerator read fifty-six (56) degrees Fahrenheit. 15A NCAC 18A .2806(j)(2) 826 Gates to the fenced outdoor play area did not remain closed while children occupied the area. The gate to the playground was left open while children were in the learning environment. .0605(i) 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. One (1) inhaler did not have the prescription label/original container. .0803(2)(a) 846 Over-the-counter medicines were not in their original containers or administered as authorized in writing by parent, physician or authorized health professional. One (1) over the counter medication for teething did not have the original container. 10A NCAC 09 .0803(4) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. One (1) staff member did not complete their medical report on or before their first day of employment. 10A NCAC 09 .0701(a) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. One (1) staff file did not complete their health questionnaire on for before the first day of employment. .0701(a) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. Three (3) staff did not have an emergency information form on file. .0701(a) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. Staff did not have a total of sixteen (16) hours in the topic areas listed in the chart, eleven (11) hours were recorded. .1101(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 complete First Aid certification on or before ninety (90) days from employment, they did not complete their First Aid certification from an approved training organization. .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 complete CPR certification on or before ninety (90) days from employment, they did not complete their CPR certification from an approved training organization. .1102(d) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. Staff did not complete at least six (6) hours of hours in the required topic areas, five (5) hours were recorded. .1101(a)(b) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. One (1) child did not have a medical report on file before or within thirty (30) days after admission. GS110-91(1) 1322 A written statement from each child's parent giving standing permission which may be valid for up to twelve months for participation in off premise activities that occur on a regular basis was not available. One (1) file did not have an updated off-premise form, it expired on 12/2025. .1005(b)(4) 1325 Parent’s statement includes the child’s name and date of enrollment and the date the parent signed the statement. Four (4) children's files did not have documentation of the reviewed discipline policy. .1804(b) 1329 Application for enrollment did not include all required information. One (1) children's file did not have the Health Care Needs section completed to it's entirety. .0801(a)(1-7) Corrective Action Plan - Compliance Letter: The violations not corrected during the visit must be corrected immediately. On or before 1/28/26, 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 that 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 may be completed. A compliance letter template was shared with you if you need a digital copy, let me know. Please ensure that all these components are completed: • Name of your facility • Your facility ID number • Date the visit made • Date that you are submitting the compliance letter • Provide each cited violation number • Describe when and how each violation was corrected • Describe how you will prevent the recurrence of each violation (you need to specify how you will prevent the violation from re-occurring) • Sign with your signature Please email the information to: abigail.avalos@dhhs.nc.gov Compliance History: The program’s compliance history was ninety-one percent (91%) prior to today’s visit. 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 (75%). Any violation (s) documented may impact the compliance history score. Rated License Information: The QRIS rulemaking process has been completed, this means that hold harmless is no longer in place. We are actively planning for the implementation of the new QRIS requirements. Lead in Water, Paint and Asbestos: As of today, this facility has completed all three (3) sections, lead in water, lead-based paint and asbestos testing. Exit Conference: At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. We jointly reviewed the visit summary and documentation of my findings and violations with you, Ms. Thomas and Ms. Ord. Please continue to visit DCDEE’s website at https://ncchildcare.ncdhhs.gov/ to get the latest updates. If you have questions or need further assistance, please contact me at 704-249-6440 or via email at abigail.avalos@dhhs.nc.gov. Thank you for your assistance during today’s visit. Abigail Avalos, M.Ed. Child Care Consultant Division of Child Development and Early Education 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: A Place to Grow-Three Rivers, Wingate Facility ID: 90000552 Consultant: ABIGAIL AVALOS Operation Type: Center Case Number: Visit Date: 1/14/2026 Number Present: 25 Completed Date: 1/14/2026 Age: From 0 To 5 Total Minutes: 315 Time In: 09:03 AM Time Out: 12:45 PM Time In: 01:57 PM Time Out: 03:30 PM List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor your program for compliance with applicable child care requirements for an annual compliance visit. Upon arrival I rang the doorbell then called the number on the door, I rang the doorbell again and then was greeted by Tekeyah Thomas, Director. I shared the reason for the visit, Ms. Maureen Ord, Owner was also present and was also able to assist me. The walkthrough was completed with Ms. Thomas. Permit Information: The program currently operates with a Four-Star Center License effective 7/17/25. The license was posted, with the following restrictions: - 1st shift - Children under 2 1/2 years old in rooms with direct exits only. - Meets all enhanced ratios. - Minus one in all age groups. I monitored the following items: supervision, staff/child ratio, staff records, health, safety, and program records. This facility has submitted a curriculum for approval and is still awaiting a response. Ownership: The facility’s corporate owner is Eco Child Care of Charlotte LLC with SoS ID # 2794400, the business was not current and active. A copy of the notice dated 9/12/25 was left with you during the visit. I reviewed requirements, for more information on this matter call the number on the notice or visit the NC Secretary of State website at: https://www.sosnc.gov/ As a reminder, if any changes to the ownership need to be made, you must notify your consultant at least thirty (30) days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location or inherited. Inspections: The program's last fire inspection on file with DCDEE was completed on 10/31/24, requirements were discussed. The last playground inspection was completed on 12/15/25. The program's last sanitation inspection on file with DCDEE was completed on 12/17/25. The program received a provisional classification with forty-two (42) demerits. Indoor Learning Environment: I observed children in the indoor learning environment and found supervision and staff/child ratios in compliance. This facility follows the highest ratios, a staff-child ratio sheet was left with you and reviewed how to complete each one for each licensed space. Children were participating in individual routines. Most of the infants were asleep, I reviewed to ensure that the room has some visibility and that it is not pitch dark. Staff must be able to visually see children as they complete safe sleep logs. Space #1 did not have two (2) infant feeding plans posted, this was corrected during the visit. Children were also observed participating in morning snack in the eating area, the children were also engaged in transition activities, outdoor play, bathroom routines and literacy activities. Outdoor Learning Environment: The outdoor learning environment was monitored, the gate to the playground was left open while children were in the learning environment, this was corrected during the visit. Program Records: The last fire drill was conducted on 12/9/25 and the last emergency drill was conducted on 12/12/25. The EPR plan was last updated on 7/6/25, requirements were discussed. Please remember that daily attendance needs to be accessible to DCDEE for review. Staff Records: The staff-training worksheets were completed during the visit. There was a total of two (2) new staff files that were reviewed and one (1) existing staff file. The following requirements were reviewed and need to be in compliance: - Orientation 1st 2 Weeks - Orientation 1st 6 Weeks - Orientation is separate from Health and Safety Training topics - Day 1 items needed at 1st day of employment or prior (CBC Letters, HQ, EI, Medical Reports) - First Aid/CPR Children's Records: Four (4) files were reviewed, please refer to the worksheet to review which files were reviewed. The following requirements were reviewed and need to be in compliance: - Medical Report - Off Premise Permission Forms - Discipline Policy Documentation - Health Care Needs section of the children’s application Medication: All reported medication was monitored, one (1) inhaler did not have the prescription label/original container. One (1) over the counter medication did not have the original container. Requirements were reviewed in addition to completing medical forms fully including dates and signatures. Nutrition: The facility has many children with nutrition opt out forms. In space #2, the refrigerator temperature read fifty-two (52) degrees Fahrenheit. In the kitchen, the refrigerator read fifty-six (56) degrees Fahrenheit, requirements were discussed. Weapons: The facility was in compliance with child care requirements regarding firearms. Transportation: Transportation is not provided at this facility, requirements were discussed. Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The program's last fire inspection on file with DCDEE was completed on 10/31/24, there wasn't an approved annual fire inspection completed on or before 10/31/25. 10A NCAC 09 .0304(a) 540 An individual written feeding plan was not provided by child's parent or health care provider or was not followed and posted. (omit posting for centers located in a residence) 10A NCAC 09 .0902(a) 601 Refrigerator(s) did not maintain a temperature of 45 degrees F. or below. In space #2, the refrigerator temperature read fifty-two (52) degrees Fahrenheit. In the kitchen, the refrigerator read fifty-six (56) degrees Fahrenheit. 15A NCAC 18A .2806(j)(2) 826 Gates to the fenced outdoor play area did not remain closed while children occupied the area. The gate to the playground was left open while children were in the learning environment. .0605(i) 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. One (1) inhaler did not have the prescription label/original container. .0803(2)(a) 846 Over-the-counter medicines were not in their original containers or administered as authorized in writing by parent, physician or authorized health professional. One (1) over the counter medication for teething did not have the original container. 10A NCAC 09 .0803(4) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. One (1) staff member did not complete their medical report on or before their first day of employment. 10A NCAC 09 .0701(a) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. One (1) staff file did not complete their health questionnaire on for before the first day of employment. .0701(a) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. Three (3) staff did not have an emergency information form on file. .0701(a) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. Staff did not have a total of sixteen (16) hours in the topic areas listed in the chart, eleven (11) hours were recorded. .1101(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 complete First Aid certification on or before ninety (90) days from employment, they did not complete their First Aid certification from an approved training organization. .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 complete CPR certification on or before ninety (90) days from employment, they did not complete their CPR certification from an approved training organization. .1102(d) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. Staff did not complete at least six (6) hours of hours in the required topic areas, five (5) hours were recorded. .1101(a)(b) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. One (1) child did not have a medical report on file before or within thirty (30) days after admission. GS110-91(1) 1322 A written statement from each child's parent giving standing permission which may be valid for up to twelve months for participation in off premise activities that occur on a regular basis was not available. One (1) file did not have an updated off-premise form, it expired on 12/2025. .1005(b)(4) 1325 Parent’s statement includes the child’s name and date of enrollment and the date the parent signed the statement. Four (4) children's files did not have documentation of the reviewed discipline policy. .1804(b) 1329 Application for enrollment did not include all required information. One (1) children's file did not have the Health Care Needs section completed to it's entirety. .0801(a)(1-7) Corrective Action Plan - Compliance Letter: The violations not corrected during the visit must be corrected immediately. On or before 1/28/26, 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 that 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 may be completed. A compliance letter template was shared with you if you need a digital copy, let me know. Please ensure that all these components are completed: • Name of your facility • Your facility ID number • Date the visit made • Date that you are submitting the compliance letter • Provide each cited violation number • Describe when and how each violation was corrected • Describe how you will prevent the recurrence of each violation (you need to specify how you will prevent the violation from re-occurring) • Sign with your signature Please email the information to: abigail.avalos@dhhs.nc.gov Compliance History: The program’s compliance history was ninety-one percent (91%) prior to today’s visit. 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 (75%). Any violation (s) documented may impact the compliance history score. Rated License Information: The QRIS rulemaking process has been completed, this means that hold harmless is no longer in place. We are actively planning for the implementation of the new QRIS requirements. Lead in Water, Paint and Asbestos: As of today, this facility has completed all three (3) sections, lead in water, lead-based paint and asbestos testing. Exit Conference: At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. We jointly reviewed the visit summary and documentation of my findings and violations with you, Ms. Thomas and Ms. Ord. Please continue to visit DCDEE’s website at https://ncchildcare.ncdhhs.gov/ to get the latest updates. If you have questions or need further assistance, please contact me at 704-249-6440 or via email at abigail.avalos@dhhs.nc.gov. Thank you for your assistance during today’s visit. Abigail Avalos, M.Ed. Child Care Consultant Division of Child Development and Early Education If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0304 · Violation

Name of Operation: A Place to Grow-Three Rivers, Wingate Facility ID: 90000552 Consultant: ABIGAIL AVALOS Operation Type: Center Case Number: Visit Date: 1/14/2026 Number Present: 25 Completed Date: 1/14/2026 Age: From 0 To 5 Total Minutes: 315 Time In: 09:03 AM Time Out: 12:45 PM Time In: 01:57 PM Time Out: 03:30 PM List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor your program for compliance with applicable child care requirements for an annual compliance visit. Upon arrival I rang the doorbell then called the number on the door, I rang the doorbell again and then was greeted by Tekeyah Thomas, Director. I shared the reason for the visit, Ms. Maureen Ord, Owner was also present and was also able to assist me. The walkthrough was completed with Ms. Thomas. Permit Information: The program currently operates with a Four-Star Center License effective 7/17/25. The license was posted, with the following restrictions: - 1st shift - Children under 2 1/2 years old in rooms with direct exits only. - Meets all enhanced ratios. - Minus one in all age groups. I monitored the following items: supervision, staff/child ratio, staff records, health, safety, and program records. This facility has submitted a curriculum for approval and is still awaiting a response. Ownership: The facility’s corporate owner is Eco Child Care of Charlotte LLC with SoS ID # 2794400, the business was not current and active. A copy of the notice dated 9/12/25 was left with you during the visit. I reviewed requirements, for more information on this matter call the number on the notice or visit the NC Secretary of State website at: https://www.sosnc.gov/ As a reminder, if any changes to the ownership need to be made, you must notify your consultant at least thirty (30) days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location or inherited. Inspections: The program's last fire inspection on file with DCDEE was completed on 10/31/24, requirements were discussed. The last playground inspection was completed on 12/15/25. The program's last sanitation inspection on file with DCDEE was completed on 12/17/25. The program received a provisional classification with forty-two (42) demerits. Indoor Learning Environment: I observed children in the indoor learning environment and found supervision and staff/child ratios in compliance. This facility follows the highest ratios, a staff-child ratio sheet was left with you and reviewed how to complete each one for each licensed space. Children were participating in individual routines. Most of the infants were asleep, I reviewed to ensure that the room has some visibility and that it is not pitch dark. Staff must be able to visually see children as they complete safe sleep logs. Space #1 did not have two (2) infant feeding plans posted, this was corrected during the visit. Children were also observed participating in morning snack in the eating area, the children were also engaged in transition activities, outdoor play, bathroom routines and literacy activities. Outdoor Learning Environment: The outdoor learning environment was monitored, the gate to the playground was left open while children were in the learning environment, this was corrected during the visit. Program Records: The last fire drill was conducted on 12/9/25 and the last emergency drill was conducted on 12/12/25. The EPR plan was last updated on 7/6/25, requirements were discussed. Please remember that daily attendance needs to be accessible to DCDEE for review. Staff Records: The staff-training worksheets were completed during the visit. There was a total of two (2) new staff files that were reviewed and one (1) existing staff file. The following requirements were reviewed and need to be in compliance: - Orientation 1st 2 Weeks - Orientation 1st 6 Weeks - Orientation is separate from Health and Safety Training topics - Day 1 items needed at 1st day of employment or prior (CBC Letters, HQ, EI, Medical Reports) - First Aid/CPR Children's Records: Four (4) files were reviewed, please refer to the worksheet to review which files were reviewed. The following requirements were reviewed and need to be in compliance: - Medical Report - Off Premise Permission Forms - Discipline Policy Documentation - Health Care Needs section of the children’s application Medication: All reported medication was monitored, one (1) inhaler did not have the prescription label/original container. One (1) over the counter medication did not have the original container. Requirements were reviewed in addition to completing medical forms fully including dates and signatures. Nutrition: The facility has many children with nutrition opt out forms. In space #2, the refrigerator temperature read fifty-two (52) degrees Fahrenheit. In the kitchen, the refrigerator read fifty-six (56) degrees Fahrenheit, requirements were discussed. Weapons: The facility was in compliance with child care requirements regarding firearms. Transportation: Transportation is not provided at this facility, requirements were discussed. Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The program's last fire inspection on file with DCDEE was completed on 10/31/24, there wasn't an approved annual fire inspection completed on or before 10/31/25. 10A NCAC 09 .0304(a) 540 An individual written feeding plan was not provided by child's parent or health care provider or was not followed and posted. (omit posting for centers located in a residence) 10A NCAC 09 .0902(a) 601 Refrigerator(s) did not maintain a temperature of 45 degrees F. or below. In space #2, the refrigerator temperature read fifty-two (52) degrees Fahrenheit. In the kitchen, the refrigerator read fifty-six (56) degrees Fahrenheit. 15A NCAC 18A .2806(j)(2) 826 Gates to the fenced outdoor play area did not remain closed while children occupied the area. The gate to the playground was left open while children were in the learning environment. .0605(i) 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. One (1) inhaler did not have the prescription label/original container. .0803(2)(a) 846 Over-the-counter medicines were not in their original containers or administered as authorized in writing by parent, physician or authorized health professional. One (1) over the counter medication for teething did not have the original container. 10A NCAC 09 .0803(4) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. One (1) staff member did not complete their medical report on or before their first day of employment. 10A NCAC 09 .0701(a) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. One (1) staff file did not complete their health questionnaire on for before the first day of employment. .0701(a) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. Three (3) staff did not have an emergency information form on file. .0701(a) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. Staff did not have a total of sixteen (16) hours in the topic areas listed in the chart, eleven (11) hours were recorded. .1101(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 complete First Aid certification on or before ninety (90) days from employment, they did not complete their First Aid certification from an approved training organization. .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 complete CPR certification on or before ninety (90) days from employment, they did not complete their CPR certification from an approved training organization. .1102(d) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. Staff did not complete at least six (6) hours of hours in the required topic areas, five (5) hours were recorded. .1101(a)(b) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. One (1) child did not have a medical report on file before or within thirty (30) days after admission. GS110-91(1) 1322 A written statement from each child's parent giving standing permission which may be valid for up to twelve months for participation in off premise activities that occur on a regular basis was not available. One (1) file did not have an updated off-premise form, it expired on 12/2025. .1005(b)(4) 1325 Parent’s statement includes the child’s name and date of enrollment and the date the parent signed the statement. Four (4) children's files did not have documentation of the reviewed discipline policy. .1804(b) 1329 Application for enrollment did not include all required information. One (1) children's file did not have the Health Care Needs section completed to it's entirety. .0801(a)(1-7) Corrective Action Plan - Compliance Letter: The violations not corrected during the visit must be corrected immediately. On or before 1/28/26, 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 that 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 may be completed. A compliance letter template was shared with you if you need a digital copy, let me know. Please ensure that all these components are completed: • Name of your facility • Your facility ID number • Date the visit made • Date that you are submitting the compliance letter • Provide each cited violation number • Describe when and how each violation was corrected • Describe how you will prevent the recurrence of each violation (you need to specify how you will prevent the violation from re-occurring) • Sign with your signature Please email the information to: abigail.avalos@dhhs.nc.gov Compliance History: The program’s compliance history was ninety-one percent (91%) prior to today’s visit. 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 (75%). Any violation (s) documented may impact the compliance history score. Rated License Information: The QRIS rulemaking process has been completed, this means that hold harmless is no longer in place. We are actively planning for the implementation of the new QRIS requirements. Lead in Water, Paint and Asbestos: As of today, this facility has completed all three (3) sections, lead in water, lead-based paint and asbestos testing. Exit Conference: At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. We jointly reviewed the visit summary and documentation of my findings and violations with you, Ms. Thomas and Ms. Ord. Please continue to visit DCDEE’s website at https://ncchildcare.ncdhhs.gov/ to get the latest updates. If you have questions or need further assistance, please contact me at 704-249-6440 or via email at abigail.avalos@dhhs.nc.gov. Thank you for your assistance during today’s visit. Abigail Avalos, M.Ed. Child Care Consultant Division of Child Development and Early Education 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 .0701 · Violation

Name of Operation: A Place to Grow-Three Rivers, Wingate Facility ID: 90000552 Consultant: ABIGAIL AVALOS Operation Type: Center Case Number: Visit Date: 1/14/2026 Number Present: 25 Completed Date: 1/14/2026 Age: From 0 To 5 Total Minutes: 315 Time In: 09:03 AM Time Out: 12:45 PM Time In: 01:57 PM Time Out: 03:30 PM List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor your program for compliance with applicable child care requirements for an annual compliance visit. Upon arrival I rang the doorbell then called the number on the door, I rang the doorbell again and then was greeted by Tekeyah Thomas, Director. I shared the reason for the visit, Ms. Maureen Ord, Owner was also present and was also able to assist me. The walkthrough was completed with Ms. Thomas. Permit Information: The program currently operates with a Four-Star Center License effective 7/17/25. The license was posted, with the following restrictions: - 1st shift - Children under 2 1/2 years old in rooms with direct exits only. - Meets all enhanced ratios. - Minus one in all age groups. I monitored the following items: supervision, staff/child ratio, staff records, health, safety, and program records. This facility has submitted a curriculum for approval and is still awaiting a response. Ownership: The facility’s corporate owner is Eco Child Care of Charlotte LLC with SoS ID # 2794400, the business was not current and active. A copy of the notice dated 9/12/25 was left with you during the visit. I reviewed requirements, for more information on this matter call the number on the notice or visit the NC Secretary of State website at: https://www.sosnc.gov/ As a reminder, if any changes to the ownership need to be made, you must notify your consultant at least thirty (30) days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location or inherited. Inspections: The program's last fire inspection on file with DCDEE was completed on 10/31/24, requirements were discussed. The last playground inspection was completed on 12/15/25. The program's last sanitation inspection on file with DCDEE was completed on 12/17/25. The program received a provisional classification with forty-two (42) demerits. Indoor Learning Environment: I observed children in the indoor learning environment and found supervision and staff/child ratios in compliance. This facility follows the highest ratios, a staff-child ratio sheet was left with you and reviewed how to complete each one for each licensed space. Children were participating in individual routines. Most of the infants were asleep, I reviewed to ensure that the room has some visibility and that it is not pitch dark. Staff must be able to visually see children as they complete safe sleep logs. Space #1 did not have two (2) infant feeding plans posted, this was corrected during the visit. Children were also observed participating in morning snack in the eating area, the children were also engaged in transition activities, outdoor play, bathroom routines and literacy activities. Outdoor Learning Environment: The outdoor learning environment was monitored, the gate to the playground was left open while children were in the learning environment, this was corrected during the visit. Program Records: The last fire drill was conducted on 12/9/25 and the last emergency drill was conducted on 12/12/25. The EPR plan was last updated on 7/6/25, requirements were discussed. Please remember that daily attendance needs to be accessible to DCDEE for review. Staff Records: The staff-training worksheets were completed during the visit. There was a total of two (2) new staff files that were reviewed and one (1) existing staff file. The following requirements were reviewed and need to be in compliance: - Orientation 1st 2 Weeks - Orientation 1st 6 Weeks - Orientation is separate from Health and Safety Training topics - Day 1 items needed at 1st day of employment or prior (CBC Letters, HQ, EI, Medical Reports) - First Aid/CPR Children's Records: Four (4) files were reviewed, please refer to the worksheet to review which files were reviewed. The following requirements were reviewed and need to be in compliance: - Medical Report - Off Premise Permission Forms - Discipline Policy Documentation - Health Care Needs section of the children’s application Medication: All reported medication was monitored, one (1) inhaler did not have the prescription label/original container. One (1) over the counter medication did not have the original container. Requirements were reviewed in addition to completing medical forms fully including dates and signatures. Nutrition: The facility has many children with nutrition opt out forms. In space #2, the refrigerator temperature read fifty-two (52) degrees Fahrenheit. In the kitchen, the refrigerator read fifty-six (56) degrees Fahrenheit, requirements were discussed. Weapons: The facility was in compliance with child care requirements regarding firearms. Transportation: Transportation is not provided at this facility, requirements were discussed. Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The program's last fire inspection on file with DCDEE was completed on 10/31/24, there wasn't an approved annual fire inspection completed on or before 10/31/25. 10A NCAC 09 .0304(a) 540 An individual written feeding plan was not provided by child's parent or health care provider or was not followed and posted. (omit posting for centers located in a residence) 10A NCAC 09 .0902(a) 601 Refrigerator(s) did not maintain a temperature of 45 degrees F. or below. In space #2, the refrigerator temperature read fifty-two (52) degrees Fahrenheit. In the kitchen, the refrigerator read fifty-six (56) degrees Fahrenheit. 15A NCAC 18A .2806(j)(2) 826 Gates to the fenced outdoor play area did not remain closed while children occupied the area. The gate to the playground was left open while children were in the learning environment. .0605(i) 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. One (1) inhaler did not have the prescription label/original container. .0803(2)(a) 846 Over-the-counter medicines were not in their original containers or administered as authorized in writing by parent, physician or authorized health professional. One (1) over the counter medication for teething did not have the original container. 10A NCAC 09 .0803(4) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. One (1) staff member did not complete their medical report on or before their first day of employment. 10A NCAC 09 .0701(a) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. One (1) staff file did not complete their health questionnaire on for before the first day of employment. .0701(a) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. Three (3) staff did not have an emergency information form on file. .0701(a) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. Staff did not have a total of sixteen (16) hours in the topic areas listed in the chart, eleven (11) hours were recorded. .1101(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 complete First Aid certification on or before ninety (90) days from employment, they did not complete their First Aid certification from an approved training organization. .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 complete CPR certification on or before ninety (90) days from employment, they did not complete their CPR certification from an approved training organization. .1102(d) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. Staff did not complete at least six (6) hours of hours in the required topic areas, five (5) hours were recorded. .1101(a)(b) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. One (1) child did not have a medical report on file before or within thirty (30) days after admission. GS110-91(1) 1322 A written statement from each child's parent giving standing permission which may be valid for up to twelve months for participation in off premise activities that occur on a regular basis was not available. One (1) file did not have an updated off-premise form, it expired on 12/2025. .1005(b)(4) 1325 Parent’s statement includes the child’s name and date of enrollment and the date the parent signed the statement. Four (4) children's files did not have documentation of the reviewed discipline policy. .1804(b) 1329 Application for enrollment did not include all required information. One (1) children's file did not have the Health Care Needs section completed to it's entirety. .0801(a)(1-7) Corrective Action Plan - Compliance Letter: The violations not corrected during the visit must be corrected immediately. On or before 1/28/26, 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 that 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 may be completed. A compliance letter template was shared with you if you need a digital copy, let me know. Please ensure that all these components are completed: • Name of your facility • Your facility ID number • Date the visit made • Date that you are submitting the compliance letter • Provide each cited violation number • Describe when and how each violation was corrected • Describe how you will prevent the recurrence of each violation (you need to specify how you will prevent the violation from re-occurring) • Sign with your signature Please email the information to: abigail.avalos@dhhs.nc.gov Compliance History: The program’s compliance history was ninety-one percent (91%) prior to today’s visit. 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 (75%). Any violation (s) documented may impact the compliance history score. Rated License Information: The QRIS rulemaking process has been completed, this means that hold harmless is no longer in place. We are actively planning for the implementation of the new QRIS requirements. Lead in Water, Paint and Asbestos: As of today, this facility has completed all three (3) sections, lead in water, lead-based paint and asbestos testing. Exit Conference: At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. We jointly reviewed the visit summary and documentation of my findings and violations with you, Ms. Thomas and Ms. Ord. Please continue to visit DCDEE’s website at https://ncchildcare.ncdhhs.gov/ to get the latest updates. If you have questions or need further assistance, please contact me at 704-249-6440 or via email at abigail.avalos@dhhs.nc.gov. Thank you for your assistance during today’s visit. Abigail Avalos, M.Ed. Child Care Consultant Division of Child Development and Early Education 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

GS110-91 · Violation

Name of Operation: A Place to Grow-Three Rivers, Wingate Facility ID: 90000552 Consultant: ABIGAIL AVALOS Operation Type: Center Case Number: Visit Date: 1/14/2026 Number Present: 25 Completed Date: 1/14/2026 Age: From 0 To 5 Total Minutes: 315 Time In: 09:03 AM Time Out: 12:45 PM Time In: 01:57 PM Time Out: 03:30 PM List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor your program for compliance with applicable child care requirements for an annual compliance visit. Upon arrival I rang the doorbell then called the number on the door, I rang the doorbell again and then was greeted by Tekeyah Thomas, Director. I shared the reason for the visit, Ms. Maureen Ord, Owner was also present and was also able to assist me. The walkthrough was completed with Ms. Thomas. Permit Information: The program currently operates with a Four-Star Center License effective 7/17/25. The license was posted, with the following restrictions: - 1st shift - Children under 2 1/2 years old in rooms with direct exits only. - Meets all enhanced ratios. - Minus one in all age groups. I monitored the following items: supervision, staff/child ratio, staff records, health, safety, and program records. This facility has submitted a curriculum for approval and is still awaiting a response. Ownership: The facility’s corporate owner is Eco Child Care of Charlotte LLC with SoS ID # 2794400, the business was not current and active. A copy of the notice dated 9/12/25 was left with you during the visit. I reviewed requirements, for more information on this matter call the number on the notice or visit the NC Secretary of State website at: https://www.sosnc.gov/ As a reminder, if any changes to the ownership need to be made, you must notify your consultant at least thirty (30) days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location or inherited. Inspections: The program's last fire inspection on file with DCDEE was completed on 10/31/24, requirements were discussed. The last playground inspection was completed on 12/15/25. The program's last sanitation inspection on file with DCDEE was completed on 12/17/25. The program received a provisional classification with forty-two (42) demerits. Indoor Learning Environment: I observed children in the indoor learning environment and found supervision and staff/child ratios in compliance. This facility follows the highest ratios, a staff-child ratio sheet was left with you and reviewed how to complete each one for each licensed space. Children were participating in individual routines. Most of the infants were asleep, I reviewed to ensure that the room has some visibility and that it is not pitch dark. Staff must be able to visually see children as they complete safe sleep logs. Space #1 did not have two (2) infant feeding plans posted, this was corrected during the visit. Children were also observed participating in morning snack in the eating area, the children were also engaged in transition activities, outdoor play, bathroom routines and literacy activities. Outdoor Learning Environment: The outdoor learning environment was monitored, the gate to the playground was left open while children were in the learning environment, this was corrected during the visit. Program Records: The last fire drill was conducted on 12/9/25 and the last emergency drill was conducted on 12/12/25. The EPR plan was last updated on 7/6/25, requirements were discussed. Please remember that daily attendance needs to be accessible to DCDEE for review. Staff Records: The staff-training worksheets were completed during the visit. There was a total of two (2) new staff files that were reviewed and one (1) existing staff file. The following requirements were reviewed and need to be in compliance: - Orientation 1st 2 Weeks - Orientation 1st 6 Weeks - Orientation is separate from Health and Safety Training topics - Day 1 items needed at 1st day of employment or prior (CBC Letters, HQ, EI, Medical Reports) - First Aid/CPR Children's Records: Four (4) files were reviewed, please refer to the worksheet to review which files were reviewed. The following requirements were reviewed and need to be in compliance: - Medical Report - Off Premise Permission Forms - Discipline Policy Documentation - Health Care Needs section of the children’s application Medication: All reported medication was monitored, one (1) inhaler did not have the prescription label/original container. One (1) over the counter medication did not have the original container. Requirements were reviewed in addition to completing medical forms fully including dates and signatures. Nutrition: The facility has many children with nutrition opt out forms. In space #2, the refrigerator temperature read fifty-two (52) degrees Fahrenheit. In the kitchen, the refrigerator read fifty-six (56) degrees Fahrenheit, requirements were discussed. Weapons: The facility was in compliance with child care requirements regarding firearms. Transportation: Transportation is not provided at this facility, requirements were discussed. Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The program's last fire inspection on file with DCDEE was completed on 10/31/24, there wasn't an approved annual fire inspection completed on or before 10/31/25. 10A NCAC 09 .0304(a) 540 An individual written feeding plan was not provided by child's parent or health care provider or was not followed and posted. (omit posting for centers located in a residence) 10A NCAC 09 .0902(a) 601 Refrigerator(s) did not maintain a temperature of 45 degrees F. or below. In space #2, the refrigerator temperature read fifty-two (52) degrees Fahrenheit. In the kitchen, the refrigerator read fifty-six (56) degrees Fahrenheit. 15A NCAC 18A .2806(j)(2) 826 Gates to the fenced outdoor play area did not remain closed while children occupied the area. The gate to the playground was left open while children were in the learning environment. .0605(i) 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. One (1) inhaler did not have the prescription label/original container. .0803(2)(a) 846 Over-the-counter medicines were not in their original containers or administered as authorized in writing by parent, physician or authorized health professional. One (1) over the counter medication for teething did not have the original container. 10A NCAC 09 .0803(4) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. One (1) staff member did not complete their medical report on or before their first day of employment. 10A NCAC 09 .0701(a) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. One (1) staff file did not complete their health questionnaire on for before the first day of employment. .0701(a) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. Three (3) staff did not have an emergency information form on file. .0701(a) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. Staff did not have a total of sixteen (16) hours in the topic areas listed in the chart, eleven (11) hours were recorded. .1101(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 complete First Aid certification on or before ninety (90) days from employment, they did not complete their First Aid certification from an approved training organization. .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 complete CPR certification on or before ninety (90) days from employment, they did not complete their CPR certification from an approved training organization. .1102(d) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. Staff did not complete at least six (6) hours of hours in the required topic areas, five (5) hours were recorded. .1101(a)(b) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. One (1) child did not have a medical report on file before or within thirty (30) days after admission. GS110-91(1) 1322 A written statement from each child's parent giving standing permission which may be valid for up to twelve months for participation in off premise activities that occur on a regular basis was not available. One (1) file did not have an updated off-premise form, it expired on 12/2025. .1005(b)(4) 1325 Parent’s statement includes the child’s name and date of enrollment and the date the parent signed the statement. Four (4) children's files did not have documentation of the reviewed discipline policy. .1804(b) 1329 Application for enrollment did not include all required information. One (1) children's file did not have the Health Care Needs section completed to it's entirety. .0801(a)(1-7) Corrective Action Plan - Compliance Letter: The violations not corrected during the visit must be corrected immediately. On or before 1/28/26, 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 that 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 may be completed. A compliance letter template was shared with you if you need a digital copy, let me know. Please ensure that all these components are completed: • Name of your facility • Your facility ID number • Date the visit made • Date that you are submitting the compliance letter • Provide each cited violation number • Describe when and how each violation was corrected • Describe how you will prevent the recurrence of each violation (you need to specify how you will prevent the violation from re-occurring) • Sign with your signature Please email the information to: abigail.avalos@dhhs.nc.gov Compliance History: The program’s compliance history was ninety-one percent (91%) prior to today’s visit. 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 (75%). Any violation (s) documented may impact the compliance history score. Rated License Information: The QRIS rulemaking process has been completed, this means that hold harmless is no longer in place. We are actively planning for the implementation of the new QRIS requirements. Lead in Water, Paint and Asbestos: As of today, this facility has completed all three (3) sections, lead in water, lead-based paint and asbestos testing. Exit Conference: At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. We jointly reviewed the visit summary and documentation of my findings and violations with you, Ms. Thomas and Ms. Ord. Please continue to visit DCDEE’s website at https://ncchildcare.ncdhhs.gov/ to get the latest updates. If you have questions or need further assistance, please contact me at 704-249-6440 or via email at abigail.avalos@dhhs.nc.gov. Thank you for your assistance during today’s visit. Abigail Avalos, M.Ed. Child Care Consultant Division of Child Development and Early Education 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: A Place to Grow-Three Rivers, Wingate Facility ID: 90000552 Consultant: ABIGAIL AVALOS Operation Type: Center Case Number: Visit Date: 1/14/2026 Number Present: 25 Completed Date: 1/14/2026 Age: From 0 To 5 Total Minutes: 315 Time In: 09:03 AM Time Out: 12:45 PM Time In: 01:57 PM Time Out: 03:30 PM List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor your program for compliance with applicable child care requirements for an annual compliance visit. Upon arrival I rang the doorbell then called the number on the door, I rang the doorbell again and then was greeted by Tekeyah Thomas, Director. I shared the reason for the visit, Ms. Maureen Ord, Owner was also present and was also able to assist me. The walkthrough was completed with Ms. Thomas. Permit Information: The program currently operates with a Four-Star Center License effective 7/17/25. The license was posted, with the following restrictions: - 1st shift - Children under 2 1/2 years old in rooms with direct exits only. - Meets all enhanced ratios. - Minus one in all age groups. I monitored the following items: supervision, staff/child ratio, staff records, health, safety, and program records. This facility has submitted a curriculum for approval and is still awaiting a response. Ownership: The facility’s corporate owner is Eco Child Care of Charlotte LLC with SoS ID # 2794400, the business was not current and active. A copy of the notice dated 9/12/25 was left with you during the visit. I reviewed requirements, for more information on this matter call the number on the notice or visit the NC Secretary of State website at: https://www.sosnc.gov/ As a reminder, if any changes to the ownership need to be made, you must notify your consultant at least thirty (30) days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location or inherited. Inspections: The program's last fire inspection on file with DCDEE was completed on 10/31/24, requirements were discussed. The last playground inspection was completed on 12/15/25. The program's last sanitation inspection on file with DCDEE was completed on 12/17/25. The program received a provisional classification with forty-two (42) demerits. Indoor Learning Environment: I observed children in the indoor learning environment and found supervision and staff/child ratios in compliance. This facility follows the highest ratios, a staff-child ratio sheet was left with you and reviewed how to complete each one for each licensed space. Children were participating in individual routines. Most of the infants were asleep, I reviewed to ensure that the room has some visibility and that it is not pitch dark. Staff must be able to visually see children as they complete safe sleep logs. Space #1 did not have two (2) infant feeding plans posted, this was corrected during the visit. Children were also observed participating in morning snack in the eating area, the children were also engaged in transition activities, outdoor play, bathroom routines and literacy activities. Outdoor Learning Environment: The outdoor learning environment was monitored, the gate to the playground was left open while children were in the learning environment, this was corrected during the visit. Program Records: The last fire drill was conducted on 12/9/25 and the last emergency drill was conducted on 12/12/25. The EPR plan was last updated on 7/6/25, requirements were discussed. Please remember that daily attendance needs to be accessible to DCDEE for review. Staff Records: The staff-training worksheets were completed during the visit. There was a total of two (2) new staff files that were reviewed and one (1) existing staff file. The following requirements were reviewed and need to be in compliance: - Orientation 1st 2 Weeks - Orientation 1st 6 Weeks - Orientation is separate from Health and Safety Training topics - Day 1 items needed at 1st day of employment or prior (CBC Letters, HQ, EI, Medical Reports) - First Aid/CPR Children's Records: Four (4) files were reviewed, please refer to the worksheet to review which files were reviewed. The following requirements were reviewed and need to be in compliance: - Medical Report - Off Premise Permission Forms - Discipline Policy Documentation - Health Care Needs section of the children’s application Medication: All reported medication was monitored, one (1) inhaler did not have the prescription label/original container. One (1) over the counter medication did not have the original container. Requirements were reviewed in addition to completing medical forms fully including dates and signatures. Nutrition: The facility has many children with nutrition opt out forms. In space #2, the refrigerator temperature read fifty-two (52) degrees Fahrenheit. In the kitchen, the refrigerator read fifty-six (56) degrees Fahrenheit, requirements were discussed. Weapons: The facility was in compliance with child care requirements regarding firearms. Transportation: Transportation is not provided at this facility, requirements were discussed. Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The program's last fire inspection on file with DCDEE was completed on 10/31/24, there wasn't an approved annual fire inspection completed on or before 10/31/25. 10A NCAC 09 .0304(a) 540 An individual written feeding plan was not provided by child's parent or health care provider or was not followed and posted. (omit posting for centers located in a residence) 10A NCAC 09 .0902(a) 601 Refrigerator(s) did not maintain a temperature of 45 degrees F. or below. In space #2, the refrigerator temperature read fifty-two (52) degrees Fahrenheit. In the kitchen, the refrigerator read fifty-six (56) degrees Fahrenheit. 15A NCAC 18A .2806(j)(2) 826 Gates to the fenced outdoor play area did not remain closed while children occupied the area. The gate to the playground was left open while children were in the learning environment. .0605(i) 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. One (1) inhaler did not have the prescription label/original container. .0803(2)(a) 846 Over-the-counter medicines were not in their original containers or administered as authorized in writing by parent, physician or authorized health professional. One (1) over the counter medication for teething did not have the original container. 10A NCAC 09 .0803(4) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. One (1) staff member did not complete their medical report on or before their first day of employment. 10A NCAC 09 .0701(a) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. One (1) staff file did not complete their health questionnaire on for before the first day of employment. .0701(a) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. Three (3) staff did not have an emergency information form on file. .0701(a) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. Staff did not have a total of sixteen (16) hours in the topic areas listed in the chart, eleven (11) hours were recorded. .1101(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 complete First Aid certification on or before ninety (90) days from employment, they did not complete their First Aid certification from an approved training organization. .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 complete CPR certification on or before ninety (90) days from employment, they did not complete their CPR certification from an approved training organization. .1102(d) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. Staff did not complete at least six (6) hours of hours in the required topic areas, five (5) hours were recorded. .1101(a)(b) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. One (1) child did not have a medical report on file before or within thirty (30) days after admission. GS110-91(1) 1322 A written statement from each child's parent giving standing permission which may be valid for up to twelve months for participation in off premise activities that occur on a regular basis was not available. One (1) file did not have an updated off-premise form, it expired on 12/2025. .1005(b)(4) 1325 Parent’s statement includes the child’s name and date of enrollment and the date the parent signed the statement. Four (4) children's files did not have documentation of the reviewed discipline policy. .1804(b) 1329 Application for enrollment did not include all required information. One (1) children's file did not have the Health Care Needs section completed to it's entirety. .0801(a)(1-7) Corrective Action Plan - Compliance Letter: The violations not corrected during the visit must be corrected immediately. On or before 1/28/26, 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 that 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 may be completed. A compliance letter template was shared with you if you need a digital copy, let me know. Please ensure that all these components are completed: • Name of your facility • Your facility ID number • Date the visit made • Date that you are submitting the compliance letter • Provide each cited violation number • Describe when and how each violation was corrected • Describe how you will prevent the recurrence of each violation (you need to specify how you will prevent the violation from re-occurring) • Sign with your signature Please email the information to: abigail.avalos@dhhs.nc.gov Compliance History: The program’s compliance history was ninety-one percent (91%) prior to today’s visit. 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 (75%). Any violation (s) documented may impact the compliance history score. Rated License Information: The QRIS rulemaking process has been completed, this means that hold harmless is no longer in place. We are actively planning for the implementation of the new QRIS requirements. Lead in Water, Paint and Asbestos: As of today, this facility has completed all three (3) sections, lead in water, lead-based paint and asbestos testing. Exit Conference: At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. We jointly reviewed the visit summary and documentation of my findings and violations with you, Ms. Thomas and Ms. Ord. Please continue to visit DCDEE’s website at https://ncchildcare.ncdhhs.gov/ to get the latest updates. If you have questions or need further assistance, please contact me at 704-249-6440 or via email at abigail.avalos@dhhs.nc.gov. Thank you for your assistance during today’s visit. Abigail Avalos, M.Ed. Child Care Consultant Division of Child Development and Early Education If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0803 · Violation

Name of Operation: A Place to Grow-Three Rivers, Wingate Facility ID: 90000552 Consultant: RASHEKA WHEELER Operation Type: Center Case Number: Visit Date: 7/8/2025 Number Present: 5 Completed Date: 7/8/2025 Age: From 0 To 2 Total Minutes: 115 Time In: 09:15 AM Time Out: 11:10 AM Time In: Time Out: List to Use: Center Type Of Visit: Temp Time Period Announced/Unannounced: Unannounced The purpose of my unannounced visit was to monitor compliance with applicable childcare requirements for a third temporary time-period and review the results of your Environment Rating Scale Assessment. You achieved the following score on the assessments: ECERS-3-5.15; and ITERS-3-5.41. Ms. Maureen Ord, the Owner/ Administrator, assisted us during the visit. Abigail Avalos, Child Care Consultant, accompanied me during today’s visit. Currently this center operates with a Temporary License, issued on January 16, 2024, to July 16, 2025. The restrictions include first shift only; Age Range 0-12; Children under 2 1/2 years old in rooms with direct exits only. We used the Child Care Center Item Number Listing as a basic monitoring tool to assess compliance with all applicable childcare requirements pertinent to this facility. In addition to monitoring health and safety, I reviewed center files and required postings. During the walk-through we observed a large group time (activities included, phonic awareness and letter recognition). The following items were posted in the classrooms: Daily schedules, activity plans, staff/child ratio worksheets, emergency numbers, emergency procedures, arrival/departure procedures, summary of law and menus. Indoor Learning Environment: Children were engaged in indoor and outdoor play. The infant was engaged in play with a mobile unit. Staff/child ratio was observed and in compliance. The outdoor inspections and fire drill report forms were reviewed during today’s visit. The forms were current and up to date. The last fire drill was observed documented and was completed on 2/24/2025. The last monthly playground inspection observed documented was completed on 3/04/25. Sanitation Inspection: The last sanitation inspection was conducted on January 10, 2025, by the Environmental Health Specialist. A “Superior” classification was issued with 4 demerits noted on the grade card. Fire Inspection, October 31, 2024, and approved for daytime care only. Weapons: Your facility is in compliance with Child Care Requirements regarding firearms. Rated License: A review of each item on the Environment Rating Scale assessment was discussed with you and documented on the form attached to the visit summary. Curriculum: We discussed curriculum for her four-year-old children. Ms. Ord stated that she may consider with her four-year-old children using Montessori because one of her staff members has Montessori training. I stated that she can adopt that curriculum if she chooses to do so, she must let her families know about any changes with the curriculum. Ms. Ord desires to have A Place to Grow curriculum. Your temporary license will expire on July 17, 2025. The rated license packet will be processed with the points you have earned. 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. In space #6, one (1) aerosol sunscreen spray was observed behind an unlocked cabinet. .2820(b) 843 A drug or medicine was administered after its expiration date. In space #6, I observed one (1) topical ointment (bug spray) expired on 6/2024. 10A NCAC 09 .0803(1)(d) We discussed that you must meet enhanced ratios and enhance space, minus one to receive and meet requirements for seven points in Program Standards. As discussed, the staff/child ratio form will need to be updated in each classroom by placing a check mark in the box for voluntary enhanced ratio requirements. We told you that programs with less than a three-star license will not be able to receive subsidy funding. The facility had the Environment Rating Scales (ERS) completed on June 11, 2025, and June 16, 2025. We reviewed the results with Ms. Ord and discussed potential licensing violations that were observed during the assessments. She understands that should these concerns be observed during future licensing visits violations of childcare requirements could be cited. Hand Washing Outdoor time for infants is 30 minutes per day weather permitting and an hour for toddlers through School Age weather permitting. I also reviewed the indicator items that scored less than 5 and gave suggestions on how the staff could improve those scores. Rated License Assessment Education Component The director qualifies at the 7-point level as an Administrator. At 50%, three (3) lead teachers were used to calculate the projected education points for lead teachers. As of today, the three (3) lead teachers qualified for 4-points in education. Program Component The facility has opted to have a reduced group size decrease by at least one child and has decreased their staff/child ratio by one. ECERS-3 5.15 ITERS-3 5.41 The average ERS score for ITERS-3 and ECERS-3 is 5.28 The facility has earned 6, points in Program Standards. Quality Point Option The facility has earned the quality point by meeting: The facility provides for their staff, a Staff Benefits package and the infrastructure of parent involvement. Compliance History: Prior to today's visit, your program maintained 93% compliance. Please note that any violations cited today or during future visits will negatively impact your compliance history. North Carolina General Statute 110-90(4)(d) requires all child care facilities to maintain a compliance history of at least seventy-five percent (75%) for the past 18 months or during the length of time the facility has operated, whichever is less. Failure to do so may result in the issuance of a provisional license or other administrative action against the facility's license. Rated License: I reminded you that if you receive a four or five-star license, then you will be required to have approved and maintain a curriculum for children four years of age. As discussed, at the end of your temporary license period you must be at least a three (3) star facility in order to continue to provide care for children who receive subsidies. General Reminders (in compliance today): You are currently meeting voluntary enhanced requirements although minimum are required at this time. The following staff/child ratios and maximum group sizes apply to your facility: 0 to 12 Months ~ 1 staff / 5 children ~ 10 group 1 to 2 Years ~ 1 staff / 6 children ~ 12 group 2 to 3 Years ~ 1 staff / 9 children ~ 18 group 3 to 4 -Years ~ 1 staff / 10 children ~ 20 group 4 to 5 Years ~ 1 staff /13 children ~ 25 group 5 to 6 Years ~ 1 staff / 15 children ~ 25 group 6 Years and Older ~ 1 staff / 20 children ~ 25 group During the walkthrough the following child care requirements were discussed: - Topical Ointments and forms - Refrigerator temperatures need to be maintained under forty-five (45) degrees - Staff personal items/purses need to be maintained at five feet or higher and/or locked - If sanitizing and disinfecting sprays are in unlocked storage closets, they need to be maintained above five (5) feet - Children’s personal items (diaper bags, bags, lunch bags etc.) need to be checked daily especially if they are taking home topical ointments. - Daily attendance needs to be accessible for DCDEE to review - Daily sign-in and out needs to be accessible for DCDEE to review Stay up to date with the Division of Child Development and Early Education by visiting www.https://ncchildcare.ncdhhs.gov. This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the “What’s New” tab for important updates impacting childcare in North Carolina. Violations were observed today and documented on the Visit Summary left with you at the conclusion of this visit. The following violations were observed and corrected today. The Consultant assigned to this program after July 16, 2025, will be Abigail Avalos. Her information is listed below. Abigail Avalos Email: Abigail.Avalos@dhhs.nc.gov. 704-249-6440 Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development and Early Education may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. If you state in your letter that corrections have been made when they have not, it will be considered falsification of information. It is important for licensed providers to be knowledgeable of all of the licensing requirements that apply to their type of program. Child care consultants can make unannounced visits at any time. It's the provider's responsibility to be in compliance with all of the applicable laws and rules. Feel free to contact me for assistance at either my office 704-776-0602 or my e-mail Rasheka.Wheeler@dhhs.nc.gov. Rasheka Wheeler Lead Child Care Consultant Regulatory Services Section/DHHS Division of Child Development and Early Education Post Office Box P.O. Box 691174 Mint Hill, NC 28227 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: A Place to Grow-Three Rivers, Wingate Facility ID: 90000552 Consultant: RASHEKA WHEELER Operation Type: Center Case Number: Visit Date: 4/30/2025 Number Present: 7 Completed Date: 4/30/2025 Age: From 0 To 4 Total Minutes: 210 Time In: 09:30 AM Time Out: 01:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Temp Time Period Announced/Unannounced: Unannounced The purpose of today's unannounced temporary visit was to monitor compliance with all applicable child care center requirements. The temporary license was issued on January 16, 2025. This is the second temporary time period visit during the center’s temporary license period. Upon arrival I ranged the doorbell twice before calling the number that was posted on the front door for access. I was greeted by T. Thomas, staff member allowed me access into the facility. I explained the purpose of today’s visit and stated I already to spoke to Ms. Ord about today's visit and was going to continue with the visit. I observed an infant and toddler engaged in floor activities in their designated classroom area. The preschool classroom was participating in a large group reading activity. The enrollment for this program is thirteen (13) children enrollment. During today's visit, seven (7)children were observed present. I monitored the bulletin board and observed all required documents posted. The last fire drill was documented for 3/31/2025. I stated to the program that a fire drill will be needed before the end of the day and documented. The last playground inspection took place on 4/16/2025. The outdoor space was monitored during today’s visit. Please make sure you are keeping an eye out for overgrown grassy areas. The following violations were observed and cited during today’s visit. Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. A current activity plan was not posted in space(s) #1, #2, and #6. GS 110-91(12); .0508(a) 805 Fire drills were not practiced monthly and/or the drill record was incomplete. The fire drill that took place on 3/31/25 was not documented on the fire drill record. This was completed in front on me during today's visit. Ms. Ord displayed documentation that the drill took place via a text message on her cellphone. The information was not documented on the fire drill record. .0604(t); .0302(d)(5) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. One new staff member, hired on 3/24/25 did not have a current medical report on file during today's visit. The report that was on file was dated back in 2023. 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. One staff member hired 3/24/25 did not have a current (within 12 months) TB Test or screening on file during today's visit. .0701(a) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. One staff member did not have a health questionnaire on file during today's visit. .0701(a) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. Two new staff members with start dated of 3/24/25 and 4/14/2025 did not have documentation of six clock hours received within the first two weeks of employment. .1101(a)(b) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. Two children enrolled over 30 days did not have a completed medical exam/health assessment on file during today's visit. GS110-91(1) 1323 Each child was not immunized as per Article 6 of Chapter 130A and an immunization record was not on file before or within 30 days after admission. One child enrolled 3/24/2025 did not have an immunization record on file during today's visit. 10A NCAC 09 .0302(d)(2) 1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. Two (2) new staff members did not have a signed Prevention of Shaken Baby Syndrome and Abusive Head Trauma documented acknowledgement in the staff's file. .0608(d)(1-4) Technical Assistance: I discussed with Ms. Ord the importance of going back through paperwork for staff and children to make sure all required paperwork is on file and completed. Please use the helpful checklist on the Division's website to help with a quick reference of what documentation is needed for each file. We spoke about TB test or screening dates during the visit. Tuberculin (TB) Test or Screening. The results indicating the individual is free of active tuberculosis shall. On or before first day of work. Be obtained within the 12 months prior to the date of employment. Please remember to speak with all staff about the kitchen door being left open when a staff member is not physically present inside of the kitchen. It is very important for everyone to remember this rule and make a conscience effort in closing and locking the kitchen door after use. I spoke with Ms. Ord about items that will need to posted inside of the classroom (Schedules and activity plans). Some schedules were posted in the hall way and some staff were working on activity plans that was not readily available to post during the visit. I recommend, completing activity plans either on a Friday prior to the upcoming week to make sure the necessary materials are present for the upcoming week's activities. Quality Enhancement and/or Technical Assistance Discussions Environment Rating Scales (ERS) Assessments – The facility desires to have the ERS assessments completed. I handed Ms. Ord the application for her to complete during the visit. Ms. Ord stated that she has Teri Brooks from CCRI assisting the program for the environment rating scale. I stated that she may need additional materials in all classrooms and children need to engage in the designated classrooms for each age group on a consistent basis. We also spoke about the required curriculum for a four and five star program that cares for children 4 years of age. The desired curriculum for this program is A Place to Grow designed curriculum that is aligned with NC Foundations is still in the process of getting an approval. I stated that the curriculum will need to be an approved curriculum before their temporary license expires on July 16, 2025. The rated license assessment will be requested today, by 5:00 p.m. Please make sure you review your upcoming calendar for any possible dates that you or staff will be on vacation, prior to the phone call you will received from the ERS calendar requester. Please work with all staff in getting all their official transcripts sent to WORKS for an evaluation as soon as possible. If staff members are having difficulties getting into WORKS or creating a WORKS account please visit out website for a thorough WORKS online training that can be found in Moodle. www.https:// dcdee.ncdhhs.gov I continue to encouraged the administrator to access the valuable resources at the NC Rated License Project website – www.ncrlap.org – that will help the staff prepare for the assessments and especially the Language for Learning videos. TREQUIRED RESPONSE: You shall correct the violation(s) immediately. Send two (2) signed corrections letters to the address below by 05/14/25. The format to follow is: -Name of your facility, -ID number, -date of the visit, -date you are submitting the letter, -citing each violation number, -when AND how it was corrected AND how you will prevent the reoccurrence of this violation, -Close with YOUR SIGNATURE Feel free to contact me for assistance at either my office 704-776-0602 or my e-mail Rasheka.Wheeler@dhhs.nc.gov. Rasheka Wheeler Child Care Consultant Regulatory Services Section/DHHS Division of Child Development and Early Education Post Office Box P.O. Box 691174 Mint Hill, NC 28227 Stay up to date with the Division of Child Development and Early Education by visiting www.ncchildcare.ncdhhs.gov. This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the “What’s New” tab for important updates impacting childcare in North Carolina. 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 .0701 · Violation

Name of Operation: A Place to Grow-Three Rivers, Wingate Facility ID: 90000552 Consultant: RASHEKA WHEELER Operation Type: Center Case Number: Visit Date: 4/30/2025 Number Present: 7 Completed Date: 4/30/2025 Age: From 0 To 4 Total Minutes: 210 Time In: 09:30 AM Time Out: 01:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Temp Time Period Announced/Unannounced: Unannounced The purpose of today's unannounced temporary visit was to monitor compliance with all applicable child care center requirements. The temporary license was issued on January 16, 2025. This is the second temporary time period visit during the center’s temporary license period. Upon arrival I ranged the doorbell twice before calling the number that was posted on the front door for access. I was greeted by T. Thomas, staff member allowed me access into the facility. I explained the purpose of today’s visit and stated I already to spoke to Ms. Ord about today's visit and was going to continue with the visit. I observed an infant and toddler engaged in floor activities in their designated classroom area. The preschool classroom was participating in a large group reading activity. The enrollment for this program is thirteen (13) children enrollment. During today's visit, seven (7)children were observed present. I monitored the bulletin board and observed all required documents posted. The last fire drill was documented for 3/31/2025. I stated to the program that a fire drill will be needed before the end of the day and documented. The last playground inspection took place on 4/16/2025. The outdoor space was monitored during today’s visit. Please make sure you are keeping an eye out for overgrown grassy areas. The following violations were observed and cited during today’s visit. Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. A current activity plan was not posted in space(s) #1, #2, and #6. GS 110-91(12); .0508(a) 805 Fire drills were not practiced monthly and/or the drill record was incomplete. The fire drill that took place on 3/31/25 was not documented on the fire drill record. This was completed in front on me during today's visit. Ms. Ord displayed documentation that the drill took place via a text message on her cellphone. The information was not documented on the fire drill record. .0604(t); .0302(d)(5) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. One new staff member, hired on 3/24/25 did not have a current medical report on file during today's visit. The report that was on file was dated back in 2023. 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. One staff member hired 3/24/25 did not have a current (within 12 months) TB Test or screening on file during today's visit. .0701(a) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. One staff member did not have a health questionnaire on file during today's visit. .0701(a) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. Two new staff members with start dated of 3/24/25 and 4/14/2025 did not have documentation of six clock hours received within the first two weeks of employment. .1101(a)(b) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. Two children enrolled over 30 days did not have a completed medical exam/health assessment on file during today's visit. GS110-91(1) 1323 Each child was not immunized as per Article 6 of Chapter 130A and an immunization record was not on file before or within 30 days after admission. One child enrolled 3/24/2025 did not have an immunization record on file during today's visit. 10A NCAC 09 .0302(d)(2) 1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. Two (2) new staff members did not have a signed Prevention of Shaken Baby Syndrome and Abusive Head Trauma documented acknowledgement in the staff's file. .0608(d)(1-4) Technical Assistance: I discussed with Ms. Ord the importance of going back through paperwork for staff and children to make sure all required paperwork is on file and completed. Please use the helpful checklist on the Division's website to help with a quick reference of what documentation is needed for each file. We spoke about TB test or screening dates during the visit. Tuberculin (TB) Test or Screening. The results indicating the individual is free of active tuberculosis shall. On or before first day of work. Be obtained within the 12 months prior to the date of employment. Please remember to speak with all staff about the kitchen door being left open when a staff member is not physically present inside of the kitchen. It is very important for everyone to remember this rule and make a conscience effort in closing and locking the kitchen door after use. I spoke with Ms. Ord about items that will need to posted inside of the classroom (Schedules and activity plans). Some schedules were posted in the hall way and some staff were working on activity plans that was not readily available to post during the visit. I recommend, completing activity plans either on a Friday prior to the upcoming week to make sure the necessary materials are present for the upcoming week's activities. Quality Enhancement and/or Technical Assistance Discussions Environment Rating Scales (ERS) Assessments – The facility desires to have the ERS assessments completed. I handed Ms. Ord the application for her to complete during the visit. Ms. Ord stated that she has Teri Brooks from CCRI assisting the program for the environment rating scale. I stated that she may need additional materials in all classrooms and children need to engage in the designated classrooms for each age group on a consistent basis. We also spoke about the required curriculum for a four and five star program that cares for children 4 years of age. The desired curriculum for this program is A Place to Grow designed curriculum that is aligned with NC Foundations is still in the process of getting an approval. I stated that the curriculum will need to be an approved curriculum before their temporary license expires on July 16, 2025. The rated license assessment will be requested today, by 5:00 p.m. Please make sure you review your upcoming calendar for any possible dates that you or staff will be on vacation, prior to the phone call you will received from the ERS calendar requester. Please work with all staff in getting all their official transcripts sent to WORKS for an evaluation as soon as possible. If staff members are having difficulties getting into WORKS or creating a WORKS account please visit out website for a thorough WORKS online training that can be found in Moodle. www.https:// dcdee.ncdhhs.gov I continue to encouraged the administrator to access the valuable resources at the NC Rated License Project website – www.ncrlap.org – that will help the staff prepare for the assessments and especially the Language for Learning videos. TREQUIRED RESPONSE: You shall correct the violation(s) immediately. Send two (2) signed corrections letters to the address below by 05/14/25. The format to follow is: -Name of your facility, -ID number, -date of the visit, -date you are submitting the letter, -citing each violation number, -when AND how it was corrected AND how you will prevent the reoccurrence of this violation, -Close with YOUR SIGNATURE Feel free to contact me for assistance at either my office 704-776-0602 or my e-mail Rasheka.Wheeler@dhhs.nc.gov. Rasheka Wheeler Child Care Consultant Regulatory Services Section/DHHS Division of Child Development and Early Education Post Office Box P.O. Box 691174 Mint Hill, NC 28227 Stay up to date with the Division of Child Development and Early Education by visiting www.ncchildcare.ncdhhs.gov. This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the “What’s New” tab for important updates impacting childcare in North Carolina. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

GS 110-91 · Violation

Name of Operation: A Place to Grow-Three Rivers, Wingate Facility ID: 90000552 Consultant: RASHEKA WHEELER Operation Type: Center Case Number: Visit Date: 4/30/2025 Number Present: 7 Completed Date: 4/30/2025 Age: From 0 To 4 Total Minutes: 210 Time In: 09:30 AM Time Out: 01:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Temp Time Period Announced/Unannounced: Unannounced The purpose of today's unannounced temporary visit was to monitor compliance with all applicable child care center requirements. The temporary license was issued on January 16, 2025. This is the second temporary time period visit during the center’s temporary license period. Upon arrival I ranged the doorbell twice before calling the number that was posted on the front door for access. I was greeted by T. Thomas, staff member allowed me access into the facility. I explained the purpose of today’s visit and stated I already to spoke to Ms. Ord about today's visit and was going to continue with the visit. I observed an infant and toddler engaged in floor activities in their designated classroom area. The preschool classroom was participating in a large group reading activity. The enrollment for this program is thirteen (13) children enrollment. During today's visit, seven (7)children were observed present. I monitored the bulletin board and observed all required documents posted. The last fire drill was documented for 3/31/2025. I stated to the program that a fire drill will be needed before the end of the day and documented. The last playground inspection took place on 4/16/2025. The outdoor space was monitored during today’s visit. Please make sure you are keeping an eye out for overgrown grassy areas. The following violations were observed and cited during today’s visit. Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. A current activity plan was not posted in space(s) #1, #2, and #6. GS 110-91(12); .0508(a) 805 Fire drills were not practiced monthly and/or the drill record was incomplete. The fire drill that took place on 3/31/25 was not documented on the fire drill record. This was completed in front on me during today's visit. Ms. Ord displayed documentation that the drill took place via a text message on her cellphone. The information was not documented on the fire drill record. .0604(t); .0302(d)(5) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. One new staff member, hired on 3/24/25 did not have a current medical report on file during today's visit. The report that was on file was dated back in 2023. 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. One staff member hired 3/24/25 did not have a current (within 12 months) TB Test or screening on file during today's visit. .0701(a) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. One staff member did not have a health questionnaire on file during today's visit. .0701(a) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. Two new staff members with start dated of 3/24/25 and 4/14/2025 did not have documentation of six clock hours received within the first two weeks of employment. .1101(a)(b) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. Two children enrolled over 30 days did not have a completed medical exam/health assessment on file during today's visit. GS110-91(1) 1323 Each child was not immunized as per Article 6 of Chapter 130A and an immunization record was not on file before or within 30 days after admission. One child enrolled 3/24/2025 did not have an immunization record on file during today's visit. 10A NCAC 09 .0302(d)(2) 1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. Two (2) new staff members did not have a signed Prevention of Shaken Baby Syndrome and Abusive Head Trauma documented acknowledgement in the staff's file. .0608(d)(1-4) Technical Assistance: I discussed with Ms. Ord the importance of going back through paperwork for staff and children to make sure all required paperwork is on file and completed. Please use the helpful checklist on the Division's website to help with a quick reference of what documentation is needed for each file. We spoke about TB test or screening dates during the visit. Tuberculin (TB) Test or Screening. The results indicating the individual is free of active tuberculosis shall. On or before first day of work. Be obtained within the 12 months prior to the date of employment. Please remember to speak with all staff about the kitchen door being left open when a staff member is not physically present inside of the kitchen. It is very important for everyone to remember this rule and make a conscience effort in closing and locking the kitchen door after use. I spoke with Ms. Ord about items that will need to posted inside of the classroom (Schedules and activity plans). Some schedules were posted in the hall way and some staff were working on activity plans that was not readily available to post during the visit. I recommend, completing activity plans either on a Friday prior to the upcoming week to make sure the necessary materials are present for the upcoming week's activities. Quality Enhancement and/or Technical Assistance Discussions Environment Rating Scales (ERS) Assessments – The facility desires to have the ERS assessments completed. I handed Ms. Ord the application for her to complete during the visit. Ms. Ord stated that she has Teri Brooks from CCRI assisting the program for the environment rating scale. I stated that she may need additional materials in all classrooms and children need to engage in the designated classrooms for each age group on a consistent basis. We also spoke about the required curriculum for a four and five star program that cares for children 4 years of age. The desired curriculum for this program is A Place to Grow designed curriculum that is aligned with NC Foundations is still in the process of getting an approval. I stated that the curriculum will need to be an approved curriculum before their temporary license expires on July 16, 2025. The rated license assessment will be requested today, by 5:00 p.m. Please make sure you review your upcoming calendar for any possible dates that you or staff will be on vacation, prior to the phone call you will received from the ERS calendar requester. Please work with all staff in getting all their official transcripts sent to WORKS for an evaluation as soon as possible. If staff members are having difficulties getting into WORKS or creating a WORKS account please visit out website for a thorough WORKS online training that can be found in Moodle. www.https:// dcdee.ncdhhs.gov I continue to encouraged the administrator to access the valuable resources at the NC Rated License Project website – www.ncrlap.org – that will help the staff prepare for the assessments and especially the Language for Learning videos. TREQUIRED RESPONSE: You shall correct the violation(s) immediately. Send two (2) signed corrections letters to the address below by 05/14/25. The format to follow is: -Name of your facility, -ID number, -date of the visit, -date you are submitting the letter, -citing each violation number, -when AND how it was corrected AND how you will prevent the reoccurrence of this violation, -Close with YOUR SIGNATURE Feel free to contact me for assistance at either my office 704-776-0602 or my e-mail Rasheka.Wheeler@dhhs.nc.gov. Rasheka Wheeler Child Care Consultant Regulatory Services Section/DHHS Division of Child Development and Early Education Post Office Box P.O. Box 691174 Mint Hill, NC 28227 Stay up to date with the Division of Child Development and Early Education by visiting www.ncchildcare.ncdhhs.gov. This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the “What’s New” tab for important updates impacting childcare in North Carolina. 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

GS110-91 · Violation

Name of Operation: A Place to Grow-Three Rivers, Wingate Facility ID: 90000552 Consultant: RASHEKA WHEELER Operation Type: Center Case Number: Visit Date: 4/30/2025 Number Present: 7 Completed Date: 4/30/2025 Age: From 0 To 4 Total Minutes: 210 Time In: 09:30 AM Time Out: 01:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Temp Time Period Announced/Unannounced: Unannounced The purpose of today's unannounced temporary visit was to monitor compliance with all applicable child care center requirements. The temporary license was issued on January 16, 2025. This is the second temporary time period visit during the center’s temporary license period. Upon arrival I ranged the doorbell twice before calling the number that was posted on the front door for access. I was greeted by T. Thomas, staff member allowed me access into the facility. I explained the purpose of today’s visit and stated I already to spoke to Ms. Ord about today's visit and was going to continue with the visit. I observed an infant and toddler engaged in floor activities in their designated classroom area. The preschool classroom was participating in a large group reading activity. The enrollment for this program is thirteen (13) children enrollment. During today's visit, seven (7)children were observed present. I monitored the bulletin board and observed all required documents posted. The last fire drill was documented for 3/31/2025. I stated to the program that a fire drill will be needed before the end of the day and documented. The last playground inspection took place on 4/16/2025. The outdoor space was monitored during today’s visit. Please make sure you are keeping an eye out for overgrown grassy areas. The following violations were observed and cited during today’s visit. Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. A current activity plan was not posted in space(s) #1, #2, and #6. GS 110-91(12); .0508(a) 805 Fire drills were not practiced monthly and/or the drill record was incomplete. The fire drill that took place on 3/31/25 was not documented on the fire drill record. This was completed in front on me during today's visit. Ms. Ord displayed documentation that the drill took place via a text message on her cellphone. The information was not documented on the fire drill record. .0604(t); .0302(d)(5) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. One new staff member, hired on 3/24/25 did not have a current medical report on file during today's visit. The report that was on file was dated back in 2023. 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. One staff member hired 3/24/25 did not have a current (within 12 months) TB Test or screening on file during today's visit. .0701(a) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. One staff member did not have a health questionnaire on file during today's visit. .0701(a) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. Two new staff members with start dated of 3/24/25 and 4/14/2025 did not have documentation of six clock hours received within the first two weeks of employment. .1101(a)(b) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. Two children enrolled over 30 days did not have a completed medical exam/health assessment on file during today's visit. GS110-91(1) 1323 Each child was not immunized as per Article 6 of Chapter 130A and an immunization record was not on file before or within 30 days after admission. One child enrolled 3/24/2025 did not have an immunization record on file during today's visit. 10A NCAC 09 .0302(d)(2) 1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. Two (2) new staff members did not have a signed Prevention of Shaken Baby Syndrome and Abusive Head Trauma documented acknowledgement in the staff's file. .0608(d)(1-4) Technical Assistance: I discussed with Ms. Ord the importance of going back through paperwork for staff and children to make sure all required paperwork is on file and completed. Please use the helpful checklist on the Division's website to help with a quick reference of what documentation is needed for each file. We spoke about TB test or screening dates during the visit. Tuberculin (TB) Test or Screening. The results indicating the individual is free of active tuberculosis shall. On or before first day of work. Be obtained within the 12 months prior to the date of employment. Please remember to speak with all staff about the kitchen door being left open when a staff member is not physically present inside of the kitchen. It is very important for everyone to remember this rule and make a conscience effort in closing and locking the kitchen door after use. I spoke with Ms. Ord about items that will need to posted inside of the classroom (Schedules and activity plans). Some schedules were posted in the hall way and some staff were working on activity plans that was not readily available to post during the visit. I recommend, completing activity plans either on a Friday prior to the upcoming week to make sure the necessary materials are present for the upcoming week's activities. Quality Enhancement and/or Technical Assistance Discussions Environment Rating Scales (ERS) Assessments – The facility desires to have the ERS assessments completed. I handed Ms. Ord the application for her to complete during the visit. Ms. Ord stated that she has Teri Brooks from CCRI assisting the program for the environment rating scale. I stated that she may need additional materials in all classrooms and children need to engage in the designated classrooms for each age group on a consistent basis. We also spoke about the required curriculum for a four and five star program that cares for children 4 years of age. The desired curriculum for this program is A Place to Grow designed curriculum that is aligned with NC Foundations is still in the process of getting an approval. I stated that the curriculum will need to be an approved curriculum before their temporary license expires on July 16, 2025. The rated license assessment will be requested today, by 5:00 p.m. Please make sure you review your upcoming calendar for any possible dates that you or staff will be on vacation, prior to the phone call you will received from the ERS calendar requester. Please work with all staff in getting all their official transcripts sent to WORKS for an evaluation as soon as possible. If staff members are having difficulties getting into WORKS or creating a WORKS account please visit out website for a thorough WORKS online training that can be found in Moodle. www.https:// dcdee.ncdhhs.gov I continue to encouraged the administrator to access the valuable resources at the NC Rated License Project website – www.ncrlap.org – that will help the staff prepare for the assessments and especially the Language for Learning videos. TREQUIRED RESPONSE: You shall correct the violation(s) immediately. Send two (2) signed corrections letters to the address below by 05/14/25. The format to follow is: -Name of your facility, -ID number, -date of the visit, -date you are submitting the letter, -citing each violation number, -when AND how it was corrected AND how you will prevent the reoccurrence of this violation, -Close with YOUR SIGNATURE Feel free to contact me for assistance at either my office 704-776-0602 or my e-mail Rasheka.Wheeler@dhhs.nc.gov. Rasheka Wheeler Child Care Consultant Regulatory Services Section/DHHS Division of Child Development and Early Education Post Office Box P.O. Box 691174 Mint Hill, NC 28227 Stay up to date with the Division of Child Development and Early Education by visiting www.ncchildcare.ncdhhs.gov. This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the “What’s New” tab for important updates impacting childcare in North Carolina. 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