The Tot Spot at Lulu’s

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 staff member employed on June 8, 2026, did not complete CPR training within ninety (90) days of hire.”

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: Oct 26, 2026. 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. One staff member employed on June 8, 2026, did not complete First Aid training within ninety (90) days of hire.”

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: Oct 26, 2026. Correction verified: by a letter from the provider.

Bed, cribs, playpens, cots or mats were not placed at least 18” apart or separated by partitions when in use.

“In space #3, the classroom for children one year of age, I observed six sleeping cots that measured six inches apart.”

Rule Bed, cribs, playpens, cots or mats were not placed at least 18" apart or separated by partitions when in use.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Oct 26, 2026. Correction verified: by a letter from the provider.

Center staff did not comply with the safe sleep policy.

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: Oct 26, 2026. Correction verified: by a letter from the provider.

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

“In space # 5, the room for children three years of age, I observed a broken toilet paper holder in the children’s bathroom.”

Rule Lavatories were not kept clean, in good repair and 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: Oct 26, 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 EPR plan was last reviewed and updated on April 7, 2025.”

Rule The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Oct 26, 2026. Correction verified: by a letter from the provider.

The written feeding plan did not include the child’s name, parent signature, and/or was not dated when received by the center.

“Two children enrolled on July 21, 2026, had feeding plans posted that did not have a parent signature.”

Rule The written feeding plan did not include the child's name, parent signature, and/or was not dated when received by the center.. Corrected during the inspection.

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

“Activity plans were not current and/or posted in space 3, space 5, and space 6.”

Rule A current activity plan was not posted for each group of children for reference.. Corrected during the inspection.

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 3, a bag of opened potting mixed labeled “keep out of reach of children” was stored on the floor. In space 5, a bottle of germ-x was stored below five feet.”

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.. 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 3, one permission to administer form expired March 19, 2026.”

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.

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 fire inspection that was due by January 2026 was completed on February 27, 2026.”

Rule Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection.. Corrected during the inspection.

All equipment and furnishings were not in good repair.

“In space 4, the soft play climbers had cracked fabric. On the preschool playground, three pans were rusted. A plank on the red storage building was raised with potential tripping hazards. The kitchen set has water damage. On the infant/toddler playground, the wooden porch swing had a broken plank causing a sharp edge and exposed nails. The shade sail on the kitchen set had torn fabric.”

Rule All equipment and furnishings were not in good repair.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Nov 26, 2025. 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.

“A staff member hired on 6/5/23 did not have an annual staff evaluation completed.”

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: Nov 26, 2025. Correction verified: by a letter from the provider.

Each staff member did not have the required medical report, proof of tuberculosis test or screening and/or completed health questionnaire in a medical file, maintained separately from the staff member’s individual personnel file.

“A staff member hired on 10/24/24 did not have a health questionnaire on file following the initial medical report.”

Rule Each staff member did not have the required medical report, proof of tuberculosis test or screening and/or completed health questionnaire in a medical file, maintained separately from the staff member's individual personnel file.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Nov 26, 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.

“A staff hired on 6/5/23 did not receive all on-going training hours for the 2024-2025 year.”

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: Nov 26, 2025. Correction verified: by a letter from the provider.

The professional development plan was not reviewed annually.

“A staff member hired on 10/24/24 did not review the professional development plan annually.”

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: Nov 26, 2025. Correction verified: by a letter from the provider.

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

“In space 2, the posted activity plan was dated March 18 through March 22. In space 5, the posted activity plan was dated for the month of April. In space 4, the posted activity plan was dated for May 19 through May 23.”

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: Jun 25, 2025. Correction verified: by a letter from the provider.

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

“Jeff Austin, cook, did not have a qualification letter on file for review.”

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: Jun 25, 2025. Correction verified: by a letter from the provider.

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 4, a container of bulk soap was stored on the paper towel dispenser. A bucket of mop water was observed sitting in the hallway.”

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.. Corrected during the inspection.

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. A staff member hired on 2/20/23 CPR training expired on 2/9/25. The staff member completed CPR training on 4/7/25.”

Rule All staff did not successfully complete certification in CPR training appropriate to the age of the children in care.. Corrected during the inspection.

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. A staff member hired on 2/20/23 First Aid training expired on 2/9/25. The staff member completed First Aid training on 4/7/25.”

Rule All staff did not successfully complete certification in First Aid appropriate to the age of children in care.. 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.

“Sinks, walls, and soap dispensers were not kept clean. In space 2, the wall near the exterior door was missing trimming. In space 5, the entrance door and door to the storage closet had chipping 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: Jun 25, 2025. Correction verified: by a letter from the provider.

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

“In space 3, attendance was last completed on 6/6/25. Three children were not signed out on 6/10/25. In space 6, attendance was not completed on 6/10/25.”

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

Human milk, formula and other bottled beverages including sippy cups, sent from child’s home were not fully prepared, dated, and labeled for the appropriate child.

“Water bottles and cups sent from home were not labeled with the child’s name.”

Rule Human milk, formula and other bottled beverages including sippy cups, sent from child's home were not fully prepared, dated, and labeled for the appropriate child.. Corrected during the inspection.

Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container.

“In space 6, a bottle of Ibuprofen was stored in an unlocked cabinet.”

Rule Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container.. Corrected during the inspection.

Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age.

“In space 3, diapers in a plastic sleeve were stored on a table accessible to children.”

Rule Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age.. Corrected during the inspection.

Prior to employment a Criminal Background Check was not completed.

“Jeff Austin, cook, did not have a Criminal Background Check completed prior to employment.”

Rule Prior to employment a Criminal Background Check was not completed.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Jun 25, 2025. Correction verified: by a letter from the provider.

The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment.

“A staff member hired on 10/24/24 did not complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. The training was completed on 4/11/25.”

Rule The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Jun 25, 2025. Correction verified: by a letter from the provider.

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 2, two topical ointments expired on 9/2024 and 10/2024. In space 2, one permission to administer form expired on 9/30/2024.”

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.

Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements.

“Playground inspections were not documented for July 2024 and August 2024.”

Rule Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements.. Corrected during the inspection.

Parent’s medication authorization did not include required information.

“In space 2 and space 6, a topical ointment did not have medication authorization forms on file for review.”

Rule Parent's medication authorization did not include required information.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Dec 9, 2024. Correction verified: by a letter from the provider.

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.

“A staff member hired on 5/23/24 did not have a signed acknowledgement prior to caring for children.”

Rule 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.. Corrected during the inspection.

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 1, an aerosol can of shaving cream was stored in an unlocked closet. In space 2, an aerosol can of Febreze was stored on a shelf. In space 5, an aerosol can of Lysol and an aerosol can of shaving cream was stored in an unlocked closet.”

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.. 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.

“Doors, walls, sinks, and outside of refrigerators throughout the facility were not kept clean.”

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: Jun 17, 2024. Correction verified: by a letter from the provider.

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 2, a child’s permission to administer form expired 2/22/24.”

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.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Jun 17, 2024. Correction verified: by a letter from the provider.

Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete.

“The last documented emergency drill was completed 1/23/24.”

Rule Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Jun 17, 2024. Correction verified: by a letter from the provider.

The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment.

“A staff member hired on 2/15/23 has not completed Recognizing and Responding to Suspicions of Child Maltreatment training.”

Rule The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Jun 17, 2024. 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. A staff member hired on 10/9/23 did not complete CPR within 90 days of hire.”

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: Feb 6, 2024. 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. A staff member hired on 10/9/23 has not completed First Aid within 90 days of hire.”

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: Feb 6, 2024. Correction verified: by a letter from the provider.

Baby bottles were not stored to protect from contamination.

“In space 2, children’s water bottles brought from home were stored collectively in a container.”

Rule Baby bottles were not stored to protect from contamination.. 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.

For children under three years of age, developmentally appropriate toys and activities were not provided as outlined in Rule.

“In space 2, children three years of age and under were engaged in sensory play using rice and playdoh. The staff members removed the items during the visit.”

Rule For children under three years of age, developmentally appropriate toys and activities were not provided as outlined in Rule.. Corrected during the inspection.

Four of the five activity area(s): art/creative play, children’s books, blocks/block building, manipulatives, family living/dramatic play was not available daily.

“In space 4, the classroom caring for school age children was not properly set up in activity areas for children to engage.”

Rule Four of the five activity area(s): art/creative play, children’s books, blocks/block building, manipulatives, family living/dramatic play was not available daily.. 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.

Individual responsible for a group of children did not meet the preservice requirements for a lead teacher or teacher.

“In space 6, a staff member does not meet the preservice requirements for a teacher.”

Rule Individual responsible for a group of children did not meet the preservice requirements for a lead teacher or teacher.. 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.

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 2, a topical ointment expired on 11/2023. In space 6, a topical ointment expired on 12/2023. The topical ointments were removed from the classrooms during today’s visit.”

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.. 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.

Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional.

“In space 2, a prescribed medication was not in the original pharmacy packaging. The medication was removed from the classroom during today’s visit.”

Rule Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional.. 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 child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment.

“A staff member hired on 4/19/23, 6/5/23, and 10/9/23, did not complete Recognizing and Responding to Suspicions of Child Maltreatment within 90 days of employment.”

Rule The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment.. 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 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.

“A staff member hired on 4/19/23 did not sign acknowledgement of the policy prior to caring for children. The policy was signed on 5/25/23. A staff member hired on 11/6/17 did not sign acknowledgement of the policy prior to caring for children. The policy was signed on 11/10/17.”

Rule 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.. 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.