Great Thinkers Learning Academy

Copy of each child’s immunization record, including the operator’s own preschool child(ren), was not on file.

“The immunization record for one child enrolled was not observed on file for review.”

Rule Copy of each child's immunization record, including the operator's own preschool child(ren), was not on file.. Corrected during the inspection.

Equipment and toys were not in good repair and developmentally appropriate.

“On the playground used by children, at least four pieces of red paint were observed to have flaked off a stationary toy train and were observed laying on the ground, accessible to children playing outside.”

Rule Equipment and toys were not in good repair and developmentally appropriate.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Jul 7, 2026. Correction verified: by a letter from the provider.

Health questionnaire was not completed annually.

“The most recent Health Questionnaire for the operator was updated on 6/01/2026; the health questionnaire prior to the current one was completed on 5/27/2025.”

Rule Health questionnaire was not completed annually.. Corrected during the inspection.

Operator and/or staff members did not complete a professional development plan within one year of employment.

“The most recent professional development plan observed on file for the operator was dated 2024.”

Rule Operator and/or staff members did not complete a professional development plan within one year of employment.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Jul 7, 2026. Correction verified: by a letter from the provider.

Operator did not give written notice of the written plan of care amendment to parents of all children enrolled, at least 30 days before the change was implemented.

“Each parent did not sign a statement acknowledging the receipt and explanation of the amendment. The operator did not retain the acknowledgment in the child’s record for as long as the child was enrolled in the home and a copy was not maintained on file for review by Division representatives. The Written Plan of Care for two children enrolled had not been updated since changes occurred greater than 30 days ago.”

Rule Operator did not give written notice of the written plan of care amendment to parents of all children enrolled, at least 30 days before the change was implemented.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Jul 7, 2026. Correction verified: by a letter from the provider.

Operator did not implement and follow the written safe sleep policy adopted to maintain a safe sleep environment.

“A record of visual safe sleep checks was not observed on file for one infant enrolled.”

Rule Operator did not implement and follow the written safe sleep policy adopted to maintain a safe sleep environment.. Corrected during the inspection.

Products that are labeled “keep out of reach of children” with an additional warning(s) on the label, were not kept in locked storage while children were in care.

“Greater than six Lens Wipes labeled Keep Out of Reach of Children with additional warnings were observed in an unlocked desk drawer, accessible to children. One individual pump bottle of hand sanitizer was observed stored less than five feet from the ground on a porch table accessible to children.”

Rule Products that are labeled “keep out of reach of children” with an additional warning(s) on the label, were not kept in locked storage while children were in care.. Corrected during the inspection.

Rule violated (DCDEE’s description below)

“An infant was served juice in a bottle without a prescription or written statement on file from a health care professional or licensed dietitian/nutritionist. A child less than twelve months of age was observed drinking juice from a bottle.”

Rule Rule violated (DCDEE’s description below). Corrected during the inspection.

Signed safe sleep statement did not include the infant’s name.

“A safe sleep policy for one child enrolled was not observed on file with the child’s name on it.”

Rule Signed safe sleep statement did not include the infant's name.. Corrected during the inspection.

The EPR Plan did not include the location of the Ready to Go File and/or required information.

“The applications for two children enrolled were not observed on file in the Ready to Go file for two children currently enrolled.”

Rule The EPR Plan did not include the location of the Ready to Go File and/or required information.. Corrected during the inspection.

Operator did not complete Recognizing and Responding to Suspicions of Child Maltreatment training within the required time frame.

“The training certification for Recognizing and Responding to Suspicions of Child Abuse and Maltreatment training on file for Ms. Pearson expired on 6/15/24.”

Rule Operator did not complete Recognizing and Responding to Suspicions of Child Maltreatment training within the required time frame.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Jan 22, 2026. Correction verified: by a letter from the provider.

Operator did not review the abusive head trauma and shaken baby syndrome policy with staff and/or the acknowledgement of the review did not contain required items or was not available for review.

“A signed acknowledgement of the Prevention of Shaken Baby and Abusive Head Trauma policy was not observed on file for the operator.”

Rule Operator did not review the abusive head trauma and shaken baby syndrome policy with staff and/or the acknowledgement of the review did not contain required items or was not available for review.. Corrected during the inspection.

A child care operator did not notify the Division of any new child care providers, as defined in G.S.

“110-90.2(a)(2), who were hired or moved into the child care facility within five business days. A facility profile for Criminal Background Checks had not been created; hence, operator and additional caregiver CBCs were also not yet linked to this profile.”

Rule A child care operator did not notify the Division of any new child care providers, as defined in G.S.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Jul 21, 2025. Correction verified: at a follow-up visit by DCDEE.

Individual who provides care for 5 hours or more a week, did not complete Recognizing and Responding to Suspicions of Child Maltreatment training.

“The training certification for Recognizing and Responding to Suspicions of Child Abuse and Maltreatment training for Ms. Speas was not completed through the Prevent Child Abuse NC/Positive Alliance website upon hire; this training was completed on 6/18/2024 through Smart Start of Forsyth County.”

Rule Individual who provides care for 5 hours or more a week, did not complete Recognizing and Responding to Suspicions of Child Maltreatment training.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Jul 11, 2025. Correction verified: by a letter from the provider.

Individuals who provide care for 5 hours or more a week, during planned absences of the operator, had not completed a health questionnaire.

“The health questionnaire for the additional caregiver expired on 6/14/2024.”

Rule Individuals who provide care for 5 hours or more a week, during planned absences of the operator, had not completed a health questionnaire.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Jul 11, 2025. Correction verified: by a letter from the provider.

Infant feeding plans did not include the required information, including but not limited to the type and amount of milk, formula and food, and the frequency of feedings, and/or was not available for reference.

“The infant feeding plan for one child enrolled was not signed by a parent.”

Rule Infant feeding plans did not include the required information, including but not limited to the type and amount of milk, formula and food, and the frequency of feedings, and/or was not available for reference.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Jul 11, 2025. Correction verified: by a letter from the provider.

Plastic bags, toys, and toy parts small enough to be swallowed, including but not limited to materials that can be easily torn apart such as foam rubber and styrofoam, were accessible to children under the age of three.

“Small erasers and rubber pencil holders designed for children of School Age were observed in an unlatched drawer less than five feet from the ground. One small barrette and one small foam pineapple approximately the size of a quarter was observed on the floor of the space designated for caregiving, accessible to children under the age of three.”

Rule Plastic bags, toys, and toy parts small enough to be swallowed, including but not limited to materials that can be easily torn apart such as foam rubber and styrofoam, were accessible to children under the age of three.. Corrected during the inspection.

Rule violated (DCDEE’s description below)

“Operator and/or staff who work with children, did not complete health and safety training as part of on-going training so that every five years, all the topic areas were covered. . The training certification for Recognizing and Responding to Suspicions of Child Abuse and Maltreatment training for Ms. Pearson expired on 6/15/24.”

Rule Rule violated (DCDEE’s description below). Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Jul 11, 2025. Correction verified: by a letter from the provider.

The EPR Plan did not include the location of the Ready to Go File and/or required information.

“The applications for two children enrolled were not observed in the Ready to Go file.”

Rule The EPR Plan did not include the location of the Ready to Go File and/or required information.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Jul 11, 2025. Correction verified: by a letter from the provider.

The operator did not complete the Emergency Preparedness and Response in Child Care training within the required timeframe and/or documentation of completion of the training was not on file.

“The Emergency Preparedness and Response certificate on file for Ms. Pearson is for the EPR training required for Health & Safety trainings receiving one contact hour of training, not the 2.5 hour Emergency Preparedness and Response training required for completion of the EPR Plan in the Risk Management Portal.”

Rule The operator did not complete the Emergency Preparedness and Response in Child Care training within the required timeframe and/or documentation of completion of the training was not on file.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Jul 11, 2025. Correction verified: by a letter from the provider.

Monthly check for hazards on the outdoor play area was not completed using a form supplied by the Division.

“A playground inspection was not observed on file during the visit for the month of November, 2024.”

Rule Monthly check for hazards on the outdoor play area was not completed using a form supplied by the Division.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Jan 31, 2025. Correction verified: by a letter from the provider.

Plastic bags, toys, and toy parts small enough to be swallowed, including but not limited to materials that can be easily torn apart such as foam rubber and styrofoam, were accessible to children under the age of three.

“Greater than two plastic wrappers were observed inside a plastic set of drawers in the space designated for child care, accessible to children under three years of age.”

Rule Plastic bags, toys, and toy parts small enough to be swallowed, including but not limited to materials that can be easily torn apart such as foam rubber and styrofoam, were accessible to children under the age of three.. Corrected during the inspection.

The operator did not complete the Emergency Preparedness and Response in Child Care training within the required timeframe and/or documentation of completion of the training was not on file.

“The training certificate for Emergency Preparedness and Response was not observed on file for review.”

Rule The operator did not complete the Emergency Preparedness and Response in Child Care training within the required timeframe and/or documentation of completion of the training was not on file.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Jan 31, 2025. Correction verified: by a letter from the provider.

Operator and/or staff who work with children, did not complete health and safety training as part of on-going training so that every five years, all the topic areas were covered.

“Health and Safety training topic #2 (Administration of medication, with standards for parental consent) was not observed on file for review during the visit for the operator.”

Rule Operator and/or staff who work with children, did not complete health and safety training as part of on-going training so that every five years, all the topic areas were covered.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Jul 17, 2024. Correction verified: by a letter from the provider.

Refrigerator was not maintained at a temperature of 45 degrees Fahrenheit or below and/or was not monitored by a refrigerator thermometer.

“A thermometer was not observed in the refrigerator containing food for children enrolled.”

Rule Refrigerator was not maintained at a temperature of 45 degrees Fahrenheit or below and/or was not monitored by a refrigerator thermometer.. Corrected during the inspection.

Safe sleep policy and poster about safe sleep practices was not posted in a prominent place in the infant sleeping room or area where parents and caregivers are able to view daily.

“A safe sleep poster was not posted during the visit.”

Rule Safe sleep policy and poster about safe sleep practices was not posted in a prominent place in the infant sleeping room or area where parents and caregivers are able to view daily.. Corrected during the inspection.

Operator did not maintain accurate daily attendance records including documentation of arrival and departure for all children in care, including the operator’s own preschool children.

“A record of attendance and recorded times of arrival and departure were not available for review during the visit.”

Rule Operator did not maintain accurate daily attendance records including documentation of arrival and departure for all children in care, including the operator's own preschool children.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Jan 23, 2024. Correction verified: by a letter from the provider.

Operator did not provide a physically safe and healthy indoor and outdoor environment that meets the developmental needs of the children in care.

“In the primary space designated for child care, a plastic food wrapper was observed in the top drawer of a plastic set of storage drawers accessible to children under the age of three years old. Ms. Pearson disposed of this wrapper during the visit. The purse of an additional caregiver was observed stored less than five feet from the ground; this purse was made inaccessible to children during the visit. On the playground, just inside the gate entrance, weed block was observed emerging from the mulch surfacing.”

Rule Operator did not provide a physically safe and healthy indoor and outdoor environment that meets the developmental needs 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: Jan 23, 2024. Correction verified: by a letter from the provider.

The EPR Plan did not include the location of the Ready to Go File and/or required information.

“The Ready to Go file was not available for review.”

Rule The EPR Plan did not include the location of the Ready to Go File and/or required information.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Jan 23, 2024. Correction verified: by a letter from the provider.