Think and Grow Child Care Center #4

A safe and comfortable bed, crib, or cot, equipped with a firm waterproof mattress at least 4 inches thick was not provided for each child receiving overnight care.

“In space number three (3), where infant aged children are cared for, the crib sheets in all five (5) of the cribs did not fit securely and could become a SIDS sleep hazard.”

Rule A safe and comfortable bed, crib, or cot, equipped with a firm waterproof mattress at least 4 inches thick was not provided for each child receiving overnight care.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Jun 26, 2026. Correction verified: by a letter from the provider.

A safe indoor and outdoor environment was not provided for the children.

“In space number five (5) there is a changing table that the left door was hanging off the hinge. This could pinch a child. In the outdoor learning environment, playground number two (2), the fence gate was not closing appropriately and had a gap between the fence and the gate which could entrap a child. The fence was also out of alignment at the top.”

Rule A safe indoor and outdoor environment was not provided for the children.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Jul 28, 2026. Correction verified: by a letter from the provider.

Baby food that had been opened was not covered, labeled with date opened, properly refrigerated and/or used within two days of opening.

“In space number three (3), where infant aged children are cared for, the bottles and open baby food containers in the refrigerator were labeled, however, the bottles and the baby food did not have a date on them.”

Rule Baby food that had been opened was not covered, labeled with date opened, properly refrigerated and/or used within two days of opening.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Jun 26, 2026. Correction verified: by a letter from the provider.

Caregivers did not document compliance with visually checking on sleeping infants aged 12 months or younger and/or the documents were not maintained for a minimum of one month.

“In space number three (3), where infant aged children are cared for there were five (5) infant aged children enrolled and there was only one (1) child who had documentation of sleep checks being completed; however, the last sleep check completed was on February 10, 2026.”

Rule Caregivers did not document compliance with visually checking on sleeping infants aged 12 months or younger and/or the documents were not maintained for a minimum of one month.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Jun 26, 2026. Correction verified: by a letter from the provider.

Center did not maintain a record of daily attendance.

“In space number three (3) and space number five (5) attendance was not completed for the children present.”

Rule Center did not maintain a record of daily attendance.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Jun 26, 2026. Correction verified: by a letter from the provider.

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.

“T. Staton did not have documentation of completing her annual emergency information form.”

Rule 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.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Jun 26, 2026. Correction verified: by a letter from the provider.

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.

“In space number five (5) there was an electrical out next to the back door, not covered with a protective cover.”

Rule 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.. Corrected during the inspection.

Health and safety training topics were not included as part of on-going training within five years of completing the previous health and safety training topics.

“T. Staton, began employment on September 26, 2023, did not have documentation of completing the required health and safety trainings. T. Staton began employment on September 26, 2023, it was stated that she completed the training on October 22, 22; however, there was not documentation available for review.”

Rule Health and safety training topics were not included as part of on-going training within five years of completing the previous health and safety training topics.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Jul 30, 2026. Correction verified: by a letter from the provider.

The number of children present was not within permit capacity.

“In space number four (4) the room capacity is eleven (11) children. There were 13 children present in space number four (4). There were five (5) year-olds present and 8 school-aged children present.”

Rule The number of children present was not within permit capacity.. Corrected during the inspection.

First aid kit and/or fire extinguisher was not located in vehicle; kit and/or extinguisher was not mounted or secured if in passenger area.

“There was not a first aid kit available on the vehicle used to transport children.”

Rule First aid kit and/or fire extinguisher was not located in vehicle; kit and/or extinguisher was not mounted or secured if in passenger area.. Corrected during the inspection.

The professional development plan was not reviewed annually.

“There was not a current professional development plan on file for L. Knight.”

Rule The professional development plan was not reviewed annually.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Aug 4, 2025. Correction verified: by a letter from the provider.

A safe indoor and outdoor environment was not provided for the children.

“Three bolts were protruding above the flush of the black barrier enclosing the fire truck rocker and the plastic playhouse was cracked on the top and side exposing sharp points on playground #1. Active ant beds were observed on playground #2.”

Rule A safe indoor and outdoor environment was not provided for the children.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: May 8, 2025. Correction verified: by a letter from the provider.

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. CPR training for one employee providing direct care to children was not renewed on or before March 21, 2025.”

Rule All staff did not successfully complete certification in CPR training appropriate to the age of the children in care.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: May 15, 2025. Correction verified: by a letter from the provider.

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. First Aid training for one employee providing direct care to children was not renewed on or before March 21, 2025.”

Rule All staff did not successfully complete certification in First Aid appropriate to the age of children in care.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: May 15, 2025. Correction verified: by a letter from the provider.

Child care providers scheduled to work in the infant room, did not complete ITS-SIDS training within two months of employment or did not complete the training every three years.

“Child care administrators did not complete the ITS-SIDS training within 90 days of employment and every three years thereafter. The administrator did not renew IT’S SIDS training on or before the expiration date of March 31, 2025.”

Rule Child care providers scheduled to work in the infant room, did not complete ITS-SIDS training within two months of employment or did not complete the training every three years.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: May 8, 2025. Correction verified: by a letter from the provider.

Children between 12 and 24 months of age were grouped with children 3 years of age or older.

“A one year old child was grouped with three-year-old children from 9:20am to 9:28am during outdoor play.”

Rule Children between 12 and 24 months of age were grouped with children 3 years of age or older.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: May 8, 2025. Correction verified: by a letter from the provider.

A safe indoor and outdoor environment was not provided for the children.

“An opening underneath the building was accessible to children on playground #1. The manhole cover was removed.”

Rule A safe indoor and outdoor environment was not provided for the children.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Aug 9, 2024. Correction verified: by a letter from the provider.

All stationary equipment, more than 18 inches high, was not installed over protective surfacing.

“Surfacing under and around the play structure on playground #1 measured less than 1ft.”

Rule All stationary equipment, more than 18 inches high, was not installed over protective surfacing.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Aug 9, 2024. Correction verified: by a letter from the provider.

Daily records of arrival and departure times for children enrolled at the center were not maintained as children arrive and depart and/or were not made available for review.

“Arrival and departure times were not documented for nine children between the dates of June 20, 2024, and July 11, 2024.”

Rule Daily records of arrival and departure times for children enrolled at the center were not maintained as children arrive and depart and/or were not made available for review.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Aug 9, 2024. Correction verified: by a letter from the provider.

Diaper changing surfaces were not kept free of storage.

“A container of toys was observed on the diaper changing table in Space #2.”

Rule Diaper changing surfaces were not kept free of storage.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Aug 9, 2024. Correction verified: by a letter from the provider.

Each employee’s personnel file did not contain an annual staff evaluation and a staff development plan.

“An annual evaluation and staff development plan was not on file for two employees records reviewed.”

Rule Each employee's personnel file did not contain an annual staff evaluation and a staff development plan.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Aug 9, 2024. Correction verified: by a letter from the provider.

Emergency and identifying information, including the child’s name, photograph, emergency contact information and/or a copy of the emergency medical care information form was not in the vehicle for each child being transported.

“Emergency information for children transported did not include photographs.”

Rule Emergency and identifying information, including the child's name, photograph, emergency contact information and/or a copy of the emergency medical care information form was not in the vehicle for each child being transported.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Aug 9, 2024. Correction verified: by a letter from the provider.

The EMC plan was not reviewed with all staff annually and whenever the plan was revised.

“Documentation was not on file for two employees verifying annual review of the center’s emergency medical care plan as required. The last dated review was 8/1/2022.”

Rule The EMC plan was not reviewed with all staff annually and whenever the plan was revised.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Aug 9, 2024. Correction verified: by a letter from the provider.

When screen time was provided to school-aged children, it was not offered as a free-choice activity; not used to meet a developmental goal; was not limited to 30 minutes per day and no more than a total of two and a half hours per week, per child; and/or was not documented on a cumulative log or the activity plan that is available for review.

“Screen time was not documented on a on a cumulative log or the activity plan that is available for review as required in Space #4.”

Rule When screen time was provided to school-aged children, it was not offered as a free-choice activity; not used to meet a developmental goal; was not limited to 30 minutes per day and no more than a total of two and a half hours per week, per child; and/or was not documented on a cumulative log or the activity plan that is available for review.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Aug 9, 2024. Correction verified: by a letter from the provider.