Alexander Early Head Start

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.

“Baby wipes were stored below 5 feet in a unlocked cabinet on the playground.”

Rule 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.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: May 12, 2026. Correction verified: by a letter from the provider.

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. Four (4) staff members with hire dates of 4/15/19, 9/15/25, 8/24/15 and 9/8/25 were not listed on the ABCMS roster.”

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: Feb 5, 2026. Correction verified: by a letter from the provider.

Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule.

“In space 1 there was one (1) Destin diaper cream that did not have permission to administer on file. In space 1 there was one (1) medication permission to administer form that did not contain all of the required information such as, name the amount of medication to administer and the container was not labeled with the child’s name.”

Rule Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Feb 5, 2026. Correction verified: by a letter from the provider.

Staff/child ratios applicable to a classroom, were not posted in each classroom.

“In spaces 3 and 4, there was not a staff/child ratio worksheet posted.”

Rule Staff/child ratios applicable to a classroom, were not posted in each classroom.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Feb 5, 2026. Correction verified: by a letter from the provider.

The EMC plan did not name the person responsible, and at least one alternate, for choosing and carrying out the plan of action to obtain appropriate medical care.

“The Emergency Medical Care Plan that was posted identified the previous administrator that is no longer employed at the facility as a contact person instead of the current administrator.”

Rule The EMC plan did not name the person responsible, and at least one alternate, for choosing and carrying out the plan of action to obtain appropriate medical care.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Feb 5, 2026. Correction verified: by a letter from the provider.

The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current.

“The Emergency Preparedness and Response Plan that was posted identified the previous administrator that is no longer employed at the facility as a contact person.”

Rule The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current.. Corrected during the inspection.

Lavatories were not kept clean, in good repair and kept free of storage.

“In space 2 items were stored in the bathroom area.”

Rule Lavatories were not kept clean, in good repair and kept free of storage.. Corrected during the inspection.

All walls and ceilings including doors and windows were not kept clean, free of visible fungal growth, and in good repair.

“In space #1, there was one wall that had peeling paint. As discussed, walls should be kept in good repair and be free of peeling paint.”

Rule All walls and ceilings including doors and windows were not kept clean, free of visible fungal growth, and in good repair.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Mar 13, 2025. Correction verified: by a letter from the provider.

Center did not maintain a record of daily attendance.

“In space #3 the attendance roster was not up to date and current. There were two (2) children that were present today that were not identified as present on the attendance roster.”

Rule Center did not maintain a record of daily attendance.. Corrected during the inspection.

Frozen human milk, stored beyond 7 days was not stored in a freezer compartment of a full-size refrigerator with a separate door to the freezer, chest, or deep freezer.

“Frozen human milk was stored in a freezer for more than 3 months and/or was not labeled with date received and date thawed for use. In space #1, Human milk that was stored in the freezer in a container labeled with the child’s name that was not labeled with the date the milk was brought to school by the parent.”

Rule Frozen human milk, stored beyond 7 days was not stored in a freezer compartment of a full-size refrigerator with a separate door to the freezer, chest, or deep freezer.. Corrected during the inspection.

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.

“In space #1 one topical cream had expired. The medication “Aquafor Healing Ointment” had expired as of 12/2024. In space #1 there was one (1) medication permission to administer form for Aquafor Healing Ointment that had expired. The dates listed on the medication permission to administer form for this topical cream was from 9/9/2024 to 12/31/2024.”

Rule 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.. Corrected during the inspection.

Parent’s medication authorization did not include required information.

“In space #1, there was one (1) medication permission to administer form for Desitin Maximum Strength diaper cream was not completed and was left blank. In space #1 there was one topical cream that had a medication permission to administer form that did not list the medication expiration date.”

Rule Parent's medication authorization did not include required information.. Corrected during the inspection.

All equipment and furnishings were not in good repair.

“The outside space in the front of the center, had 1 round chalkboard lined stool that was worn with chipped paint.”

Rule All equipment and furnishings were not in good repair.. Corrected during the inspection.

Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule.

“In space 1, 1 medication permission to administer form for Destin did not name a sizable amount to administer.”

Rule Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule.. Corrected during the inspection.

Over-the-counter medicines were not in their original containers or administered as authorized in writing by parent, physician or authorized health professional.

“In space 2, 1 unopened package of Destin was not labeled with the child’s name.”

Rule Over-the-counter medicines were not in their original containers or administered as authorized in writing by parent, physician or authorized health professional.. Corrected during the inspection.

Parent’s statement includes the child’s name and date of enrollment and the date the parent signed the statement.

“The discipline policy for a child with a birthdate of 3/15/2024, did not list the date of enrollment on the acknowledgement statement.”

Rule Parent’s statement includes the child’s name and date of enrollment and the date the parent signed the statement.. Corrected during the inspection.

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. One staff member with a hire date of 3/26/19 had not completed the IT’S SIDS training prior to the expiration of the training certificate on file with an expiration date of 7/13/2023.”

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: Mar 4, 2024. Correction verified: by a letter from the provider.