Ashe Developmental Day School

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. I observed one (1) staff who had no documentation of receipt of CPR training with in 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: Jan 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. I observed one (1) staff who had no documentation of receipt of 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: Feb 20, 2026. 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.

“I observed in Space 4 one inhaler with medication already placed in the Flow vent tubing. There was no prescription label on the medication nor a box with a medication label for this inhaler medication.”

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 26, 2026. 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.

“I observed two (2) staff who did not have documentation of receiving the 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 26, 2026. 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.

“I observed one (1) staff with no documentation of receiving the Shaken Baby Abusive Head Trauma policy training 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.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Jan 26, 2026. Correction verified: by a letter from the provider.

Children under one year of age were not kept separate from children two years and older.

“In Space 2, I observed an infant in the classroom with a two-year-old child.”

Rule Children under one year of age were not kept separate from children two years and older.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Aug 23, 2024. Correction verified: by a letter from the provider.

The indoor and/or outdoor premises was not checked once a day, prior to initial use, ensuring debris, and broken equipment was removed and disposed of.

“The closet door in new Space 6 was off the hinges and propped up by a shelf.”

Rule The indoor and/or outdoor premises was not checked once a day, prior to initial use, ensuring debris, and broken equipment was removed and disposed of.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Aug 23, 2024. Correction verified: by a letter from the provider.

Children were not adequately supervised at all times.

“Staff members were unaware of a four-year-old child’s activities when the child picked up a staff members vape pen/e-cigarette and placed it in their mouth.”

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

Smoking materials were not kept in locked storage.

“A staff member did not keep their vape/e-cigarette in locked storage.”

Rule Smoking materials were not kept in locked storage.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Aug 4, 2024. Correction verified: by a letter from the provider.

A child was given over the counter medication without written authorization from a parent to follow the direction of the NC State Health Director during a public health emergency and/or the authorization did not contain the required information.

“I observed an over the counter Desitin ointment in Space 7 that stated the amount as “as needed”. The parent was notified and scanned a copy of the permission to administer medication during the visit. The parent scanned the permission to administer back to the school during the visit today. The permission was taken to the classroom and placed with the medication. The vioaltion was corredted during the visit today.”

Rule A child was given over the counter medication without written authorization from a parent to follow the direction of the NC State Health Director during a public health emergency and/or the authorization did not contain the required information.. Corrected during the inspection.

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

“In the toddler room space 2, I observed a piece of the metal heat venting at the floor had a piece of metal sticking out. This violation was corrected during the visit today with duck tape until the maintenance man can repair. It was observed that standing water was in a small tub on the cement riding area of the playground. The water was removed during the visit today. Both violations were corrected during the visit today.”

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

“I observed an unlocked cabinet with hazardous items in the bathroom of the two’s room, space 7. The teacher locked the cabinet and this violation was corrected during the visit today.”

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.