Eagle’s Nest ELC & Preschool Washington

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.

“12-month authorization to administer the over-the-counter medication “Hydro-& Lotion” for a child was not on file in space 100.”

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..

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

“F. Slade hired on 5/22/26 did not have a valid criminal background check on file for review.”

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

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

“Located in the far-left corner of the preschool/ school-age playground is a climbing structure. The structure has paint peeling, rust, and the base of the slide is broken. The columns located in the covered area out the back door have paint peeling off.”

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

Incident logs were not completed and maintained as required.

“The last incident that was documented was dated 8/10/26. There were 7 incident report forms dated between September 9, 2026 to October 8, 2026.”

Rule Incident logs were not completed and maintained as required..

Meals/snacks did not comply with the Meal Patterns for Children in Child Care Programs.

“In space #103, one (1) child present at lunch was offered and served water at lunch rather than milk or alternative milk substitute.”

Rule Meals/snacks did not comply with the Meal Patterns for Children in Child Care Programs..

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

“In space 103 located in the closet with the key in the unlocked door, there was an open backpack sitting on top of cots with a bottle of prescribed levocetirizine 5 mg inside.”

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

Prior to the expiration date of the qualification letter, the child care provider did not complete and submit required forms to complete a criminal background check (a qualification letter is valid for a maximum of five years for the date of issuance).

“F. Slade hired on 5/22/26 did not have a valid qualifying letter on file for review.”

Rule Prior to the expiration date of the qualification letter, the child care provider did not complete and submit required forms to complete a criminal background check (a qualification letter is valid for a maximum of five years for the date of issuance)..

Rule violated (DCDEE’s description below)

“The license was not posted in a prominent place at all times. . The license posted at the main entrance was the Temporary License with effective dates November 25, 2025 to May 25, 2026.”

Rule Rule violated (DCDEE’s description below).

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

“The depth of the mulch on the preschool/school-age outdoor space measured four (4) inches at the base of the slide and five (5) inches at the double slide and the slide on the back of the large climber rather than the required six (6) inches.”

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

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

“One (1) posted feeding plan did not include parent signature and one (1) posted feeding plan did not include the date the plans were received.”

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

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 person hired on 1/20/26 has not completed CPR training.”

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: May 13, 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 person hired on 1/20/26 has not completed First Aid training.”

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: May 13, 2026. 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. One staff person hired on 1/21/25 did not have certification of the completion of CPR on file.”

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 19, 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 person hired on 1/21/25 did not have certification of the completion of First Aid on file.”

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 19, 2026. 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.

“A health questionnaire was not on file for one staff person.”

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: Feb 19, 2026. Correction verified: by a letter from the provider.

Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months.

“A medical report was not on file for one staff person.”

Rule Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report 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: Feb 19, 2026. Correction verified: by a letter from the provider.

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.

“One child enrolled on 12/2/25 had a an immunization record on file older than 12 months of the enrollment date.”

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: Feb 19, 2026. 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.

“Two open outlets were observed in Space 6.”

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.

Medical exam or health assessment record was not on file before or within 30 days after admission.

“One child enrolled on 12/2/25 had a medical record on file older than 12 months of the enrollment date.”

Rule Medical exam or health assessment 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: Feb 19, 2026. Correction verified: by a letter from the provider.

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.

“Neither a TB test or screening was on file for one staff person.”

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: Feb 19, 2026. Correction verified: by a letter from the provider.

Accurate records were not maintained for all children.

“One (1) out of nineteen (19) children’s enrolled does not have a file available for review.”

Rule Accurate records were not maintained for all children.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Dec 23, 2025. Correction verified: by a letter from the provider.

Application for employment and date of birth was not on file for all staff.

“An application was not available for an employee hired on 11/24/25.”

Rule Application for employment and date of birth was not on file for all staff.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Dec 23, 2025. Correction verified: by a letter from the provider.

Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months.

“A medical report was not on file for an individual hired on 11/24/25.”

Rule Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report 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: Dec 23, 2025. Correction verified: by a letter from the provider.

Children’s records that include an application for enrollment, medical and immunization records, and permission to seek emergency medical care was not on file for each child.

“An medical record was not on file for a child enrolled March 2025.”

Rule Children's records that include an application for enrollment, medical and immunization records, and permission to seek emergency medical care was not on file for each child.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Dec 23, 2025. Correction verified: by a letter from the provider.

Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas.

“An employee hired on 11/24/25 did not have documentation of six (6) hours of orientation completed within the first 2 weeks of employment.”

Rule Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Dec 23, 2025. Correction verified: by a letter from the provider.

Fire drills were not practiced monthly and/or the drill record was incomplete.

“Documentation of a completed fire drill was unavailable for November 2025.”

Rule Fire drills were not practiced monthly and/or the 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: Dec 23, 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.

“The November 2025 playground inspection was completed by an individual who has not been trained in playground safety requirements.”

Rule Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Dec 23, 2025. Correction verified: by a letter from the provider.

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.

“A TB result indication an employee hired on 11/24/25 was free of active TB was available for review.”

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: Dec 23, 2025. 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 mulch underneath the stationary equipment did not measure 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: Dec 23, 2025. 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.

“Signed acknowledgement of the review of the prevention of shaken baby and abusive head trauma policy was not maintained in the file of an employee hired on 11/24/25.”

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: Dec 23, 2025. Correction verified: by a letter from the provider.