Tiny Tots

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.

“Debris, including food wrappers and broken plastic, was present on playground #3.”

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.. Corrected during the inspection.

Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization.

“In space 7, one (1) diaper cream was expired and one written authorization for diaper cream was expired.”

Rule Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Nov 14, 2025. Correction verified: by a letter from the provider.

Parent’s medication authorization did not include required information.

“In space 2, one (1) written authorization for diaper cream was not dated. In space 7, two (2) written authorizations for diaper cream were not dated.”

Rule Parent's medication authorization did not include required information.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Nov 14, 2025. Correction verified: by a letter from the provider.

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

“A valid qualification letter was not on file for a substitute staff member working today. In addition, another staff member worked between August 2, 2024 and October 16, 2024 without a valid qualification letter. A third staff member was also allowed to work without a valid letter from September 25, 2023 to September 27, 2023.”

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: Nov 14, 2024. Correction verified: at a follow-up visit by DCDEE.

Children were not adequately supervised at all times.

“A child four years of age was left unaccompanied in Space #9 for several minutes after the staff member assigned to this space took the rest of the children to the playground.”

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: Nov 14, 2024. Correction verified: at a follow-up visit by DCDEE.

Emergency and identifying information, including the child’s name, photograph, emergency contact information and/or a copy of the emergency medical care information form was not in the vehicle for each child being transported.

“Emergency and identifying information was not in the vehicle for four children who are routinely transported from local schools to the center.”

Rule Emergency and identifying information, including the child's name, photograph, emergency contact information and/or a copy of the emergency medical care information form was not in the vehicle for each child being transported.. Corrected during the inspection.

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 substitute staff member who began employment May 28, 2024 did not have TB test results until June 14, 2024.”

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.. 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 facility’s previous approved fire inspection was obtained August 10, 2023, and a new approved inspection was not obtained until August 29, 2024.”

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

Prior to employment a Criminal Background Check was not completed.

“A staff member who began employment May 28, 2024 has not yet completed a Criminal Background Check.”

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: Nov 14, 2024. Correction verified: at a follow-up visit by DCDEE.

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).

“A staff member’s qualification letter expired August 2, 2024, and she did not submit required forms for a new background check until October 10, 2024.”

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).. Corrected during the inspection.

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

“A substitute staff member who works more than 10 days in a 12-month period did not complete health and safety training within the first 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: Nov 14, 2024. Correction verified: at a follow-up visit by DCDEE.

Staff/child ratios applicable to a classroom, were not posted in each classroom.

“The ratio chart in Space #5 did not accurately reflect the age and ratio for the youngest child enrolled.”

Rule Staff/child ratios applicable to a classroom, were not posted in each classroom.. Corrected during the inspection.

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 substitute staff members who began employment more than 90 days ago have not yet completed this training.”

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: Nov 14, 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.

“Two broken benches and several pieces of trash were observed on the playground used by preschool children. A broken see saw was also observed on the playground used by children two and three years of age.”

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.. 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.

“Two cans of aerosol sunscreen were observed in an unlocked cabinet in Space #2. The storage room containing hazardous cleaning supplies was also observed unlocked 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.

Center staff did not comply with the safe sleep policy.

“An infant was observed with a pacifier attached to her clothing while asleep in a crib in Space #3. The facility’s safe sleep policy states a pacifier is allowed in the sleep space but only with nothing attached.”

Rule Center staff did not comply with the safe sleep policy.. 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.

“Any other product that is labeled “keep out of reach of children” and does not have any other warnings on the label shall be kept inaccessible to children when not in use, but is not required to be kept in locked storage. A container of disinfectant wipes labeled “keep out of reach of children” were in a low, unlocked cabinet and not kept inaccessible to children.”

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.

Emergency information did not name childs health care professional.

“A health care professional or hospital preference was not listed on one of the eighteen children’s applications monitored today.”

Rule Emergency information did not name childs health care professional.. 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.

“One staff member who has been employed more than five years has not yet repeated all health and safety training topics.”

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 14, 2023. Correction verified: by a letter from the provider.

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

“Two staff members employed more than one year have not yet completed all health and safety training topics.”

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: Nov 14, 2023. 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 members did not complete this training within 90 days of hire.”

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.. Corrected during the inspection.