Beaufort County Child Development

Children were not adequately supervised at all times.

“On September 16, 2026 a staff member left a child two years of age unsupervised in a classroom for 27 minutes.”

Rule Children were not adequately supervised at all times.. Corrected during the inspection.

A drug or medicine was administered after its expiration date.

“In space #3, a child enrolled had a tube of Aquaphor diaper rash cream on file that expired in 9/2025. In space #4, a child enrolled had a tube of Destin diaper rash cream on file that expired in 11/2025.”

Rule A drug or medicine was administered after its expiration date.. 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 current fire inspection was completed on 3/5/26 and received during today’s visit.”

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

The child care center premises, including the outdoor learning environment, was not clean, drained to minimize standing water, free of litter and hazards, and/or maintained in a manner which does not create conditions that attract or harbor pests.

“On the afterschool playground there were thorns growing along and inside the back and left side of the fence.”

Rule The child care center premises, including the outdoor learning environment, was not clean, drained to minimize standing water, free of litter and hazards, and/or maintained in a manner which does not create conditions that attract or harbor pests.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Apr 21, 2026. Correction verified: by a letter from the provider.

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

“The depth of the sand surrounding the swings on the preschool outdoor space measured at one (1) inch rather than the required six (6) inches.”

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: Apr 21, 2026. Correction verified: by a letter from the provider.

Children were not adequately supervised at all times.

“A child two (2) years of age was left alone in a classroom on February 16, 2026.”

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: Mar 3, 2026. Correction verified: at a follow-up visit by DCDEE.

A child was handled in a rough way, including shaking, pushing, shoving, pinching, slapping, biting, kicking, or spanking.

“A staff member slapped a child, three years of age, in the face and pulled them by the arm, while on the playground on January 23, 2026.”

Rule A child was handled in a rough way, including shaking, pushing, shoving, pinching, slapping, biting, kicking, or spanking.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Feb 6, 2026. Correction verified: at a follow-up visit by DCDEE.

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. The CPR certification for a staff member employed on 1/13/20, expired 9/7/25.”

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 24, 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. The First Aid certification for a staff member employed on 1/13/20, expired 9/7/25.”

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

Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually.

“One (1) staff member, hired on 3/21/25, did not have documentation of the required emergency information on file and available for review.”

Rule Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually.. Corrected during the inspection.

The EMC plan was not reviewed with all staff annually and whenever the plan was revised.

“Documentation of a review of the EMC plan was not on file and available for review.”

Rule The EMC plan was not reviewed with all staff annually and whenever the plan was revised.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Apr 14, 2025. Correction verified: by a letter from the provider.

All staff did not review the center’s EPR Plan during orientation and/or on an annual basis with the trained staff.

“Documentation of the review was not maintained on file. One staff member, hired on 2/27/23, did not have documentation on file that the annual review was completed with them.”

Rule All staff did not review the center's EPR Plan during orientation and/or on an annual basis with the trained staff.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Dec 17, 2024. 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.

“One staff member, hired on 5/16/24 did not have a Health Questionnaire on file until 5/20/24.”

Rule All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Dec 17, 2024. Correction verified: by a letter from the provider.

Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually.

“One staff member, hired on 5/16/24 did not have an Emergency Information Form on file until 5/20/24.”

Rule Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Dec 17, 2024. Correction verified: by a letter from the provider.

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.

“Plastic bags were stored less than 5 feet above the floor in the drawers and cabinets of spaces 4 and 5. Children 2 years of age and younger were in care in the spaces.”

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

Staff did not model appropriate eating behaviors by consuming food or beverages that meet the nutritional requirements specified in the Meal Patterns for Children in Child Care Programs in the presence of children in care.

“In space 2, there was a McDonald’s cup with soda on the shelf above the sink and visible to the children.”

Rule Staff did not model appropriate eating behaviors by consuming food or beverages that meet the nutritional requirements specified in the Meal Patterns for Children in Child Care Programs in the presence 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 17, 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.

“On the preschool playground there was a sandbox with a wooden lid that was coming apart and in poor repair. The paint on the railings in front of the shed was peeling and needs scraping and painting. The bench around the tree on the school age playground also had peeling paint and needs to be repainted.”

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

The child care center premises, including the outdoor learning environment, was not clean, drained to minimize standing water, free of litter and hazards, and/or maintained in a manner which does not create conditions that attract or harbor pests.

“On the playground used by the school age children, there was a vine growing through the fence under the shade structure that had thorns.”

Rule The child care center premises, including the outdoor learning environment, was not clean, drained to minimize standing water, free of litter and hazards, and/or maintained in a manner which does not create conditions that attract or harbor pests.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Sep 24, 2024. Correction verified: at a follow-up visit by DCDEE.

When combining age groups, the staff/child ratios for the youngest child in the group was not maintained for the entire group.

“In space 4, there was a child, one (1) year of age, grouped with eight (8) children, two (2) years, of age during nap with one staff member in the classroom. The required staff/child ratio for this group would be 1:6 based on the age of the youngest child in care.”

Rule When combining age groups, the staff/child ratios for the youngest child in the group was not maintained for the entire group.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Sep 24, 2024. Correction verified: at a follow-up visit by DCDEE.

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 storage shed on the playground used by children one year of age was in poor repair. Both doors were off the hinges and not securely attached to the shed. There were multiple sticks and trash on the playground as well that had not been cleaned up since the storm on 8/9/24.”

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 27, 2024. Correction verified: by a letter from the provider.

Rule violated (DCDEE’s description below)

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: May 12, 2025. Correction verified: by a letter from the provider.

Application did not have a medical action plan attached for any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services.

“One child, in space 2, did not have a medical action plan on file for Diazepam.”

Rule Application did not have a medical action plan attached for any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services.. 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.

Incident reports were not completed each time a child was injured, it did not include all the information required in rule, it was not signed by the parent and/or it was not maintained in the child’s file.

“In one file, out of 6 children’s files reviewed, an incident report for RC was documented on the Incident Log but a copy of the report was not placed in the child’s file.”

Rule Incident reports were not completed each time a child was injured, it did not include all the information required in rule, it was not signed by the parent and/or it was not maintained in the child's file.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Jan 18, 2024. Correction verified: by a letter from the provider.

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

“In space 2, MO had a permission form for a Pro Air inhaler that expired on 1/3/24. During the review of children’s files, CH had a permission form for an EPI pen that expired on 10/13/23.”

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: Jan 23, 2024. Correction verified: by a letter from the provider.

Rule violated (DCDEE’s description below)

“During the 185 day school year, each child aged three-years-old and older on or before the initial school entry date, were not served in a classroom with at least one lead teacher who holds an Initial or Continuing Professional B-K License or a NC Professional Educator’s License with a Provisional B-K or Preschool Add-on. Based on information in WORKS as of 1/4/23, the lead teacher, in the Developmental Day classroom, has an Associates degree in Early Childhood Education.”

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: May 12, 2025. Correction verified: by a letter from the provider.

The medical action plan was not updated on an annual basis or when changes to the plan were made by the child’s parent or health care professional.

“In space 2, MO had a medical action plan for a Pro Air inhaler dated 6/2021 and ZP had a medical action plan for a Pro Air inhaler dated 8/12/22.”

Rule The medical action plan was not updated on an annual basis or when changes to the plan were made by the child's parent 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 18, 2024. Correction verified: by a letter from the provider.