C’s & T’s Child Care, Inc.

Special diet or food allergy information was not posted where they can be seen in food preparation and eating areas.

“Two classroom did not have this in an area to be seen.”

Rule Special diet or food allergy information was not posted where they can be seen in food preparation and eating areas.. Corrected during the inspection.

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

“There are several corners of the playground near the fence that have piles of pine straw, The green tree on the toddler playground has spiderwebs and a spider under the top. This is an environmental health violation : 15A NCAC 18A .2831 ANIMAL AND VERMIN CONTROL: (h) Any composting areas shall be covered and maintained to prevent attracting pests. Worm bins shall be kept covered. (i) Grass, fruit and vegetable gardens, vines on fences, and other vegetation shall be maintained to prevent the harboring and breeding of pests.”

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: Mar 24, 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.

“The laundry room was unlocked and stored bleach and laundry pods.”

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.

Center did not maintain a record of daily attendance.

“Two children that were new to the facility were not listed or checked present.”

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

Equipment and furnishings were not sturdy, stable and free of hazards.

“Outdoor gross motor structure (vehicle) has chipping paint.”

Rule Equipment and furnishings were not sturdy, stable and free of hazards.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Mar 24, 2025. Correction verified: by a letter from the provider.

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

“Playground has not been inspected/documented since December 2025.”

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.

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

“The last lock down was conducted in October, 2025.”

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: Mar 24, 2025. Correction verified: by a letter from the provider.

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

“This posting was placed outside of the door for most of the classrooms.”

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: Mar 24, 2025. Correction verified: by a letter from the provider.

The depth of the loose surfacing was not based on critical height of the equipment.

“Mulch measured three inches in some areas and less around the slides and steps.”

Rule The depth of the loose surfacing was not based on critical height of the equipment.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Mar 24, 2025. Correction verified: by a letter from the provider.

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

“Posted plan was dated to end June 20, 2025.”

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

A written statement from each child’s parent giving standing permission which may be valid for up to twelve months for participation in off premise activities that occur on a regular basis was not available.

“Permission was not updated, last update was February 2024, and April 2022.”

Rule A written statement from each child's parent giving standing permission which may be valid for up to twelve months for participation in off premise activities that occur on a regular basis was not available.. Corrected during the inspection.

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

“Cots measured 10 inches and under 18 inches in the school-aged and the two year old classrooms.”

Rule Bed, cribs, playpens, cots or mats were not placed at least 18" apart or separated by partitions when in use.. Corrected during the inspection.

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

“Water Baby sunscreen was not properly locked, the key was left in the lock. Teacher’s purse with an prescription inhaler was not locked up and placed on the children’s cubbies.”

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

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

“Activity plans dated for March 10, and March 5th was posted in Space six and space five on the day of the visit.”

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

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

“Space three( two year old’s classsroom), did not have a schedule posted.”

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

Air conditioning units were accessible or did not have a guard to keep objects from being thrown into the unit.

“The gate was opened and unlocked.”

Rule Air conditioning units were accessible or did not have a guard to keep objects from being thrown into the unit.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Apr 2, 2025. Correction verified: by a letter from the provider.

All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement.

“Staff that started in September and November did not complete their questonaire until January.”

Rule All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement.. Corrected during the inspection.

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.

“One of the vans used for travel did not have pictures of the children. The black van, which was not used this week did not have any identfying information.”

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.. 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.

“There was left over A&D ointment/diaper cream in Space two (toddler), the child is no longer in the center.”

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.

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

“There was a bottle of cough medicine on the shelf in the infant room.”

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

On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months.

“Front staff did not have a recent TB screening/test. The test on file was from 2018.”

Rule On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening 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: Apr 2, 2025. Correction verified: by a letter from the provider.

Rule violated (DCDEE’s description below)

“Incident logs were not completed and maintained as required There was no evidence of this log in the current/most recent files.”

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

Signage was not posted regarding the smoking and tobacco restriction at the entrance of the center and/or in vehicles used to transport children.

“There was no signage in the white van.”

Rule Signage was not posted regarding the smoking and tobacco restriction at the entrance of the center and/or in vehicles used to transport children.. Corrected during the inspection.

The depth of the loose surfacing was not based on critical height of the equipment.

“Mulch on the preschool aged playground measure 4inchs in several places around the structure.”

Rule The depth of the loose surfacing was not based on critical height of the equipment.. Corrected during the inspection.

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.

“Staff did not have this policy signed prior to working with 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.

There was no written emergency medical care (EMC) plan.

“The EMC plan contained old information from prior administrators and was only in Space five.”

Rule There was no written emergency medical care (EMC) plan.. Corrected during the inspection.

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

“On February 27, 2025, an eight-month-old infant was carried in a bouncer seat from one classroom to another. The staff member carried the seat with one hand on each side of the child and no support for the child’s body.”

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: Apr 11, 2025. Correction verified: by a letter from the provider.

Child was handled roughly.

“On February 27, 2025, a staff member lifted an eight-month-old infant under the arms in a swift motion, swung the infant in the air with his upper arms causing the infant’s legs to move forward and seated him on the floor where the infant appeared to cry. Additionally, the same staff member lifted the eight-month-old infant from his crib by grasping his upper arms.”

Rule Child was handled roughly.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Apr 11, 2025. Correction verified: by a letter from the provider.

Children were not adequately supervised at all times.

“On February 27, 2025, staff members left children, including two eight-month-old infants, in a classroom unsupervised for less than one minute.”

Rule Children were not adequately supervised at all times.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Apr 11, 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.

“On February 27, 2025, a staff member told a preschool-age child to act like he has some sense. It was followed by a statement saying they know he doesn’t have any sense. Additionally, staff spoke to children with a raised voice across the classroom.”

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: Apr 11, 2025. Correction verified: by a letter from the provider.

For children under three years of age, the caregiver did not provide developmentally appropriate activities that support health and physical development, on a daily basis.

“On February 27, 2025, two eight-month-old infants, who were able to sit independently, were placed in a bouncer seat designed for children who are unable to sit independently.”

Rule For children under three years of age, the caregiver did not provide developmentally appropriate activities that support health and physical development, on a daily basis.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Apr 11, 2025. Correction verified: by a letter from the provider.

Minimum staff/child ratios and group sizes for the number and ages of children in care were not met.

“On February 27, 2025, a sleeping five-month-old infant was left alone in a classroom for less than one minute.”

Rule Minimum staff/child ratios and group sizes for the number and ages of children in care were not met.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Apr 11, 2025. Correction verified: by a letter from the provider.

Prior to employment a Criminal Background Check was not completed.

“On February 27, 2025, one owner, Lawrence Parsons, did not have a current criminal background check on file on March 4, 2025.”

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: Apr 11, 2025. Correction verified: by a letter from the provider.

There was a substantiation of child maltreatment.

“Pursuant to its investigation, the Division has confirmed sufficient information to determine child maltreatment.”

Rule There was a substantiation of child maltreatment.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Sep 23, 2025. Correction verified: at a follow-up visit by DCDEE.

Rule violated (DCDEE’s description below)

“Bed, cribs, playpens, cots or mats were not placed at least 18” apart or separated by partitions when in use. toddler, twos, and threes year old classroom’s had several cots that were under 18” apart.”

Rule Rule violated (DCDEE’s description below). 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.

“There was a can of oil sheen hair spray and the bleach solution and cleaner were placed on a shelf that was under 5 feet in space space two.”

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.

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.

“Teachers cups (space two and three)and bottles and one toddler cup in space two were not labeled or dated”

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.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Apr 10, 2024. Correction verified: by a letter from the provider.

Parent’s medication authorization did not include required information.

“There were two creams in space two that did not have the required form, and information was missing. One form did not have the end date.”

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: Apr 10, 2024. Correction verified: by a letter from the provider.

Potential biocontaminants were not stored properly (locked storage, removed from premises, inaccessible to children, or covered plastic lined receptacle).

“All classrooms had uncovered trash cans.”

Rule Potential biocontaminants were not stored properly (locked storage, removed from premises, inaccessible to children, or covered plastic lined receptacle).. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Apr 10, 2024. Correction verified: by a letter from the provider.

Rule violated (DCDEE’s description below)

“All walls and ceilings including doors and windows were not kept clean and in good repair. there was peeling paint on the walls in space two, space four.”

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: Apr 10, 2024. Correction verified: by a letter from the provider.

Rule violated (DCDEE’s description below)

“Equipment and furnishings not meeting the requirements outlined in child care .0601(b) and (c) were not removed or made inaccessible. a chair in space 2 was in poor repair, exposed metal that was supposed to be covered by fabric.”

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

Rule violated (DCDEE’s description below)

“Emergency medical care information was not on file in the center on the child’s first day of attendance and/or was not updated as changes occurred or at least annually for each child. one child did not have an updated emergency information.”

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: Apr 10, 2024. 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.

“The sleep policy was not present in the room, only a sleep poster.”

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.. Corrected during the inspection.

Toys and other mouth-contact surfaces were not cleaned and sanitized daily when used or cleaned more frequently if visibly dirty.

“There was no dirty toy bin present, a child dropped a mouth toy and picked up another toy and the original toy remained on the floor.”

Rule Toys and other mouth-contact surfaces were not cleaned and sanitized daily when used or cleaned more frequently if visibly dirty.. Corrected during the inspection.

When children 3 years and older were in care, screen time was not used to stimulate a developmental domain; was not limited to 30 minutes a 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.

“There was no log present in the classroom to kept cumulative.”

Rule When children 3 years and older were in care, screen time was not used to stimulate a developmental domain; was not limited to 30 minutes a 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: Apr 10, 2024. Correction verified: by a letter from the provider.

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

“On February 22, 2024, a staff member attempted to provide transportation while intoxicated.”

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: Mar 20, 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.

“On February 22, 2024, a staff member used a vehicle to attempt to transport a school-age child without identifying information, photograph, contact information and emergency medical care information.”

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: Mar 5, 2024. Correction verified: by a letter from the provider.

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.

“On February 22, 2024, a staff member attempted to transport a child in a vehicle without a fire extinguisher or first aid kit.”

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.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Mar 5, 2024. Correction verified: by a letter from the provider.

There was a substantiation of child maltreatment.

“Pursuant to its investigation, the Division has confirmed sufficient information to determine child maltreatment.”

Rule There was a substantiation of child maltreatment.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: May 6, 2024. Correction verified: by a letter from the provider.