Childcare Network #297

A current activity plan was not posted for each group of children for reference.

“The activity plan was not posted were it could be easily referenced by the teacher or parents.”

Rule A current activity plan was not posted for each group of children for reference.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Dec 29, 2025. Correction verified: by a letter from the provider.

A valid qualification letter was not on file and available to review at the facility.

“A man was observed doing soccer activities on the playground with the children. The Assistant Director did not know the man’s name.”

Rule A valid qualification letter was not on file and available to review at the facility.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Dec 29, 2025. Correction verified: by a letter from the provider.

A violation was found for which there is no item number.

“Two of the three diaper changes observed did not following the required diaper changing procedures. 15A NCAC 18A .2819(d) DIAPERING AND DIAPER CHANGING FACILITIES”

Rule A violation was found for which there is no item number.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Dec 29, 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.Three new staff did not have CPR training within 90 days of employment.”

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: Dec 29, 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. Three new staff did not have first aid training within 90 days of employment.”

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: Dec 29, 2025. Correction verified: by a letter from the provider.

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) Feeding plans were not posted.”

Rule An individual written feeding plan was not provided by child's parent or health care provider or was not followed and posted.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Dec 29, 2025. Correction verified: by a letter from the provider.

Application for employment and date of birth was not on file for all staff.

“Several new staff did not have employment applications on file.”

Rule Application for employment and date of birth was not on file for all staff.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Dec 29, 2025. Correction verified: by a letter from the provider.

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.

“Several new staff did not have medical reports on file.”

Rule 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.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Dec 29, 2025. Correction verified: by a letter from the provider.

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 in March 2025 did not have an immunization record on file.”

Rule 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.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Dec 29, 2025. Correction verified: by a letter from the provider.

New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks.

“Several new staff did not have completed orientation on file.”

Rule New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Dec 29, 2025. Correction verified: by a letter from the provider.

Rule violated (DCDEE’s description below)

“Children’s records that include an application for enrollment, medical and immunization records, and permission to seek emergency medical care was not on file for each child.One child enrolled in March 2025 did not have a medical report on file.”

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: Dec 29, 2025. Correction verified: by a letter from the provider.

Rule violated (DCDEE’s description below)

“Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization.Nystatin medication was not returned to the parent after the course of treatment.”

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: Dec 29, 2025. Correction verified: by a letter from the provider.

Staff did not provide assistance to each child to ensure good hygiene.

“Several children were observed with dirty noses, some were observed with dried mucus under their noses.”

Rule Staff did not provide assistance to each child to ensure good hygiene.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Dec 29, 2025. Correction verified: by a letter from the provider.

Staff required to receive on-going training had not completed the required number of hours according to their education and experience.

“Two staff did not have documentation of on-going training.”

Rule Staff required to receive on-going training had not completed the required number of hours according to their education and experience.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Dec 29, 2025. Correction verified: by a letter from the provider.

Each child was not attended to in a nurturing and appropriate manner, or in keeping with the child’s developmental needs.

“A staff member failed to attend to a three-year-old in a nurturing manner when picking the child up by their arms and sitting them down, abruptly and harshly, resulting in the child crying.”

Rule Each child was not attended to in a nurturing and appropriate manner, or in keeping with the child's developmental needs.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Oct 29, 2025. Correction verified: at a follow-up visit by DCDEE.

Center staff did not comply with the safe sleep policy.

“Required safe sleep checks were not logged adequately. When infants were placed in cribs for resting, written documentation of staff performing safe sleep checks every 15 minutes were not maintained. Technical assistance was provided.”

Rule Center staff did not comply with the safe sleep policy.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Jan 17, 2025. Correction verified: by a letter from the provider.

The center’s safe sleep policy was not posted in a prominent place in the infant room where parents and caregivers were able to view daily.

“In a classroom with infants and toddlers, the safe sleep policy was not posted as required.”

Rule The center's safe sleep policy was not posted in a prominent place in the infant room where parents and caregivers were able to view daily.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Jan 17, 2025. Correction verified: by a letter from the provider.

Rule violated (DCDEE’s description below)

“Children did not wash their hands upon arrival at the center, after each visit to the toilet, before eating, before and after water activity play, after outside play, and after handling animals or animal cages. ***Children were not instructed on the appropriate, approved way to wash their hands before lunch. Children were sent to the sinks, unmonitored and I observed them not washing their hands for fifteen(15)seconds and they used their bare hands to turn off the faucet after washing.***”

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: Jan 16, 2025. Correction verified: by a letter from the provider.

Rule violated (DCDEE’s description below)

“Staff did not wash their hands thoroughly before beginning work, before/after handling food, before bottle feeding or serving to other children, after toileting or handling body fluids, after diaper changing and after handling soiled items. ***A staff member was observed useing her bare hands to turn off the faucet after washing here hands. She used a towel to dry her hands after she turned off the water.***”

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: Jan 16, 2025. Correction verified: by a letter from the provider.

Rule violated (DCDEE’s description below)

“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 a classroom with school-age children three outlets were observed uncovered and not in use.”

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: Jan 16, 2025. Correction verified: by a letter from the provider.

Rule violated (DCDEE’s description below)

“Center staff did not comply with the safe sleep policy. ***Documentation of afternoon sleep checks were not available for Division Representative review.****”

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: Jan 16, 2025. Correction verified: by a letter from the provider.

Rule violated (DCDEE’s description below)

“All vehicles were not insured for liability as required by state law. ***Documentation of current vehicle insurance was not available for Division Representative review. ****”

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: Jan 16, 2025. Correction verified: by a letter from the provider.