Waccamaw Siouan Day Care

Staff did not complete the health and safety training within one year of employment.

“One staff did not complete all required health and safety training topics within one year of employment.”

Rule Staff did not complete the health and safety training within one year of employment.. 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.

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 last fire inspection was completed on May 21, 2025.”

Rule Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Jun 17, 2026. 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. An annual review of the Center’s EPR plan was not documented for for three staff.”

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: Mar 10, 2026. Correction verified: at a follow-up visit by DCDEE.

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

“Three staff did not have a health questionnaire on file.”

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: Mar 10, 2026. Correction verified: at a follow-up visit by DCDEE.

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.

“One staff did not have a medical assessment on file.”

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: Mar 10, 2026. Correction verified: at a follow-up visit by DCDEE.

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.

“Four staff did not have emergency information on file.”

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: Mar 10, 2026. Correction verified: at a follow-up visit by DCDEE.

Each staff member did not have the required medical report, proof of tuberculosis test or screening and/or completed health questionnaire in a medical file, maintained separately from the staff member’s individual personnel file.

“The medical information, TB test results and completed health questionnaire for all files reviewed were not maintained separately from the staff member’s individual personnel file.”

Rule Each staff member did not have the required medical report, proof of tuberculosis test or screening and/or completed health questionnaire in a medical file, maintained separately from the staff member's individual personnel file.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Mar 10, 2026. Correction verified: at a follow-up visit by DCDEE.

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

“In the space used by children ages 3 and 4, there were two large burgundy pillows that the stitching was broke and the foam material was exposed.”

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 10, 2026. Correction verified: at a follow-up visit by DCDEE.

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.

“One staff (cook) did not have TB test results on file.”

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: Mar 10, 2026. Correction verified: at a follow-up visit by DCDEE.

Substitute providers and volunteers did not have a health questionnaire on or before the first day of work and annually thereafter.

“The substitute provided did not have a health questionnaire on file on or before the first day of work.”

Rule Substitute providers and volunteers did not have a health questionnaire on or before the first day of work and annually thereafter.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Mar 10, 2026. Correction verified: at a follow-up visit by DCDEE.

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.

“One staff did not have verification on file showing completion of the required training 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: Mar 10, 2026. Correction verified: at a follow-up visit by DCDEE.

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

“There was no verification of an annual EMC plan review with three staff.”

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: Mar 10, 2026. Correction verified: at a follow-up visit by DCDEE.

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.

“One staff did not have verification on file of a signed acknowledgment of the policy.”

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: Mar 10, 2026. Correction verified: at a follow-up visit by DCDEE.

Staff members and child care administrators who were counted in meeting the staff/child ratios concurrently performed food preparation or other duties that are not direct child care responsibilities.

“The Administrator was performing food service duties while a child was present in the kitchen.”

Rule Staff members and child care administrators who were counted in meeting the staff/child ratios concurrently performed food preparation or other duties that are not direct child care responsibilities.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Jan 16, 2026. Correction verified: by a letter from the provider.

Screen time was offered to children under three years of age.

“Space #1 1B, Two year old children were watching children music engagement videos on tv. The tv was turned off and transition to free play activities.”

Rule Screen time was offered to children under three years of age.. Corrected during the inspection.

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.

“Space 1 (1B), A teacher were observed with a can of Dr. Pepper soda while caring for children. The soda was removed from the classroom.”

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.. Corrected during the inspection.

Each staff member did not have the required medical report, proof of tuberculosis test or screening and/or completed health questionnaire in a medical file, maintained separately from the staff member’s individual personnel file.

“One staff file was reviewed and the medical report, TB test results and completed health questionnaire was not maintained separately from the individual personnel file.”

Rule Each staff member did not have the required medical report, proof of tuberculosis test or screening and/or completed health questionnaire in a medical file, maintained separately from the staff member's individual personnel file.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Mar 14, 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 last documented playground inspection was on December 9, 2024. There was no documentation to show inspections completed for January or February 2025.”

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: Mar 14, 2025. Correction verified: by a letter from the provider.

Parent’s statement includes the child’s name and date of enrollment and the date the parent signed the statement.

“One child’s discipline policy did not have the date of enrollment. No other form in the file had the date of enrollment listed.”

Rule Parent’s statement includes the child’s name and date of enrollment and the date the parent signed the statement.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Mar 14, 2025. Correction verified: by a letter from the provider.

All stationary equipment, more than 18 inches high, was not installed over protective surfacing.

“There is indoor/outdoor Turf Realistic Artificial grass installed over the protective surfacing underneath and surrounding the climber on the playground. This is not an acceptable surfacing.”

Rule All stationary equipment, more than 18 inches high, was not installed over protective surfacing.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Jun 3, 2024. Correction verified: by a letter from the provider.

Caregivers did not document compliance with visually checking on sleeping infants aged 12 months or younger and/or the documents were not maintained for a minimum of one month.

“Sleep checks for the one infant enrolled/present were not available for the month of April, as well as the previous month.”

Rule Caregivers did not document compliance with visually checking on sleeping infants aged 12 months or younger and/or the documents were not maintained for a minimum of one month.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: May 13, 2024. 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.

“One staff’s two week orientation was not complete.”

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: May 13, 2024. Correction verified: by a letter from the provider.

Each staff member did not have the required medical report, proof of tuberculosis test or screening and/or completed health questionnaire in a medical file, maintained separately from the staff member’s individual personnel file.

“Although each staff member had the required medical reports on file, they were not maintained separately from the personnel file.”

Rule Each staff member did not have the required medical report, proof of tuberculosis test or screening and/or completed health questionnaire in a medical file, maintained separately from the staff member's individual personnel file.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: May 13, 2024. Correction verified: by a letter from the provider.

New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks.

“One staff’s orientation was not complete.”

Rule New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: May 13, 2024. Correction verified: by a letter from the provider.

On-going training documentation did not include all applicable information: subject matter, topic area in G.S.

“110-91(11), name of training provider, date training was provided, number of hours of training, and name of staff. On-going training documentation logs were not complete with all required information for six staff for the 2023-2024 training year.”

Rule On-going training documentation did not include all applicable information: subject matter, topic area in G.S.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: May 13, 2024. 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.

“Two staff did not have verification on file showing the completion of the Recognizing and Responding to Suspicions of Child Maltreatment training 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: May 13, 2024. Correction verified: by a letter from the provider.

All children were not held or placed in feeding chairs or other appropriate apparatus to be fed.

“During the visit, staff stated they have allowed a child to fall asleep with a bottle in the crib. This has been corrected by staff being informed that children must be held for bottle feeding or placed in an appropriate apparatus to be fed.”

Rule All children were not held or placed in feeding chairs or other appropriate apparatus to be fed.. Corrected during the inspection.

Enhanced staff/child ratios and group sizes were not met.

“In space #1a, eleven (11) children, age’s 3-5, were present with one caregiver. The staff/child ratio for 3 years + when meeting enhanced ratios is 1:10.”

Rule Enhanced staff/child ratios and group sizes were not met.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Feb 13, 2024. Correction verified: at a follow-up visit by DCDEE.

Child care providers scheduled to work in the infant room, did not complete ITS-SIDS training within two months of employment or did not complete the training every three years.

“Child care administrators did not complete the ITS-SIDS training within 90 days of employment and every three years thereafter. One staff, working in infant room, did not have verification of completing ITS-SIDS training on file.”

Rule Child care providers scheduled to work in the infant room, did not complete ITS-SIDS training within two months of employment or did not complete the training every three years.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Jan 22, 2024. Correction verified: by a letter from the provider.

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

“One staff did not have a qualification letter on file.”

Rule A valid qualification letter was not on file and available to review at the facility.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Jan 5, 2024. Correction verified: by a letter from the provider.

Center has not passed required sanitation inspection and received an approved or superior rating.

“The last sanitation inspection was December 13, 2022.”

Rule Center has not passed required sanitation inspection and received an approved or superior rating.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Jan 26, 2024. 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.

“One new staff did not have TB test results on file.”

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

Prior to employment a Criminal Background Check was not completed.

“One new staff did not complete a criminal background check prior to employment on December 6, 2023.”

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