Care-O-World Enrichment Center

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

“On playground #1, there were tree roots protruding above ground on the far-right side causing a tripping hazard for children.”

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: Aug 24, 2026. Correction verified: by a letter from the provider.

A drug or medication was administered without written authorization and/or instructions from a child’s parent or authorized health professional.

“6-month authorization to administer the prescribed medication for a child diagnosed with a chronic illness expired on 8-27-25 in space #6. In space #5, an authorization for banana boat sun screen expired on 8-19-25.”

Rule A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Sep 29, 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.

“Stored behind the driver seat on the floor of one (1) of two (2) buses, was a gallon container of antifreeze.”

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.

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

“In space #2 located in an unlocked closet was a staff member’s purse. 15A NCAC 18A .2820(g) Purses and other personal effects belonging to child care center employees shall be kept inaccessible to children and shall be stored in accordance with this Rule, as applicable.”

Rule A violation was found for which there is no item number.. 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. The CPR certification for a staff member, employed on 8/1/18, expired 9/2024.”

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 28, 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. The First Aid certification for a staff member, employed on 8/1/18, expired 9/2024.”

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 28, 2024. Correction verified: by a letter from the provider.

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

“A closet in Space 6 with the key in the lock contained a bottle of Excedrin migraine pills and a bottle of daytime severe cold and flu relief liquid.”

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

“A container of Clorox Disinfectant Wipes was observed on the bus floor behind the driver’s seat.”

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.

Food substitution was not of comparable food value or recorded on the menu prior to the meal or snack being served.

“Bagels with cream cheese, apple sauce and milk were served for breakfast. Whole grain cheese toast, applesauce, and milk were listed to be served on the posted menu. I did not observe documentation of the substitution.”

Rule Food substitution was not of comparable food value or recorded on the menu prior to the meal or snack being served.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: May 20, 2024. Correction verified: by a letter from the provider.

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

“A bottle of hand antiseptic was stored on top of the cubby near the entrance in space 7. This is a violation of sanitation rule 15A NCAC 18A .2820 STORAGE (c) Non-aerosol sanitizing solutions, approved disinfectants, detergent solutions, hand antiseptics, and hand lotions shall be kept inaccessible to children when not in use, but are not required to be in locked storage.”

Rule A violation was found for which there is no item number.. Corrected during the inspection.

Each child was not immunized as per Article 6 of Chapter 130A and an immunization record was not on file before or within 30 days after admission.

“Two (2) out of sixteen (16) children’s records reviewed did not have an immunization record on file before or within 30 days after admission.”

Rule Each child was not immunized as per Article 6 of Chapter 130A and an immunization record was not on file before or within 30 days after admission.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Nov 16, 2023. Correction verified: by a letter from the provider.

Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child.

“One (1) open electrical outlet was observed in space 5, two (2) open electrical outlets were observed in space 6, and one (1) open electrical outlet was observed in space 8.”

Rule Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child.. Corrected during the inspection.

Health and safety training topics were not included as part of on-going training within five years of completing the previous health and safety training topics.

“Documentation of the completion of health and safety training topics as part of on-going training within five years of completing the previous health and training topics was not available for one (1) staff person who completed the trainings on July 31, 2018.”

Rule Health and safety training topics were not included as part of on-going training within five years of completing the previous health and safety training topics.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Nov 16, 2023. 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.

“Two (2) small bags of googly eyes, a bag of small craft sticks, and a container of paper clips were stored in an unlocked drawer in space 5 where children two to three years of age were present.”

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.

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

“The depth of the mulch surrounding the stationary climber on the preschool/school-age outdoor space measured at five (5) inches at the perimeter of the enclosure 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: Nov 16, 2023. Correction verified: by a letter from the provider.