Asheville Jewish Community Center

A child care operator did not notify the Division of any new child care providers, as defined in G.S.

“110-90.2(a)(2), who were hired or moved into the child care facility within five business days. Seven (7) new staff were not connected to the ABCMS Provider Portal within five (5) days of hire.”

Rule A child care operator did not notify the Division of any new child care providers, as defined in G.S.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Jul 23, 2026. Correction verified: by a letter from the provider.

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

“Two (2) staff did not have a Criminal Background Check letter on file at the facility.”

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

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

“One (1) bottle of Benadryl was observed in a unlocked storage in fanny pack worn by the Group Leader.”

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

Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional.

“The epinephrine injector for one (1) child in classroom space 11 was not stored in the original pharmacy packaging.”

Rule Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician 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: Jul 27, 2026. Correction verified: by a letter from the provider.

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

“Two (2) staff did not complete all required health and safety training topics 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: Jul 23, 2026. 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.

“Pressurized bear horns were observed in the unlocked ready-to-go bags for classrooms 1, 2, and 5.”

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.

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 certificates for two (2) staff expired on 5/7/26”

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: Jun 25, 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. The First Aid certificates for two (2) staff expired on 5/7/26”

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: Jun 25, 2026. Correction verified: by a letter from the provider.

Materials used for starting fires, such as matches, lighters and accelerants were not kept in locked storage.

“A lighter was observed in an unlocked cabinet in classroom space 2.”

Rule Materials used for starting fires, such as matches, lighters and accelerants were not kept in locked storage.. Corrected during the inspection.

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

“Four (4) topical medication administration permission forms in classroom space 7 did not include the manner in which the medication is to be applied. Two (2) diaper creams for one (1) child and one (1) diaper cream for one (1) child in classroom space 12 did not have a medication administration permission form on file.”

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: Jun 15, 2026. Correction verified: by a letter from the provider.

A child care operator did not notify the Division of any new child care providers, as defined in G.S.

“110-90.2(a)(2), who were hired or moved into the child care facility within five business days. Fifteen (15) staff were not linked to the facility in the ABCMS Provider Portal.”

Rule A child care operator did not notify the Division of any new child care providers, as defined 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 8, 2026. Correction verified: by a letter from the provider.

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

“The qualification letter for A. Lasher expired 7/29/24.”

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: Apr 23, 2026. Correction verified: at a follow-up visit by DCDEE.

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

“In space 8, a spray bottle of detergent solution was not labeled.”

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

“Space 1 one (1) can of Gillette aerosol can shaving cream unlocked. Space 2 one (1) aerosol bear horn in an unlocked compartment.”

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.

All electrical appliances were not used in accordance with the manufacturers instruction.

“Appliances with heating elements, such as bottle warmers, crock pots, curling irons, irons, coffee pots, and/or their cords were accessible to preschool-age children. Space 4 one (1) laminator below five (5) feet accessible to children. Space 5 one (1) hot glue gun and one (1) laminator stored below five (5) feet accessible to children.”

Rule All electrical appliances were not used in accordance with the manufacturers instruction.. Corrected during the inspection.

All staff records, except financial records, were not made available for review.

“The staff file for I. Fertel was not available for review.”

Rule All staff records, except financial records, were not made available for review.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: May 5, 2026. Correction verified: by a letter from the provider.

Children did not wash their hands upon arrival at the center, after each visit to the toilet, before eating, before and after water activity play, after outside play, and after handling animals or animal cages.

“Space 3 children did not wash their hands upon arrival into the classroom after the nature walk.”

Rule Children did not wash their hands upon arrival at the center, after each visit to the toilet, before eating, before and after water activity play, after outside play, and after handling animals or animal cages.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Apr 27, 2026. Correction verified: by a letter from the provider.

Each employee’s personnel file did not contain an annual staff evaluation and a staff development plan.

“Two (2) staff did not have an annual staff evaluation on file.”

Rule Each employee's personnel file did not contain an annual staff evaluation and a staff development plan.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Apr 29, 2026. 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 (1) staff did not complete six hours of training in the required topic areas. Refer to the staff and training worksheet.”

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: Apr 23, 2026. Correction verified: at a follow-up visit by DCDEE.

Individual applications were not on file for each child.

“One (1) child was cared for at the facility by a substitute staff member. The child did not have an enrollment application on file.”

Rule Individual applications were 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: Apr 23, 2026. Correction verified: at a follow-up visit by DCDEE.

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.

“Space 3 One (1) Vaseline permission to administer medication form expired 1/9/2026. One (1) Aquaphor permission to administer medication form was dated 11/11/2024 through 11/11/2025. One (1) pack of Boogie wipes permission to administer medication form expired 1/6/2026. In classroom space 7, one (1) diaper cream expired 5/2025 and one (1) diaper cream expired 11/2025. In classroom space 12, one (1) diaper cream expired 12/2025 and one (1) diaper cream expired 10/2025.”

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: Apr 23, 2026. Correction verified: at a follow-up visit by DCDEE.

Medical authorization was not present on child’s first day.

“One (1) infant who was cared for at the facility did not have an emergency medication care authorization on file.”

Rule Medical authorization was not present on child's first day.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Apr 23, 2026. Correction verified: at a follow-up visit by DCDEE.

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

“One (1) staff did not receive at least 16 hrs. orientation within the first 6 weeks. Refer to the staff and training worksheet.”

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: Apr 23, 2026. Correction verified: at a follow-up visit by DCDEE.

Parent’s medication authorization did not include required information.

“In classroom space 6, one (1) permission to administer diaper cream did not include the date the permission was signed. In classroom space 12, one (1) permission to administer a topical medication did not include the name of the medication, and one (1) child’s diaper cream did not have a permission to administer medication. In classroom space 3, one (1) Aquaphor lip repair permission to administer medication was missing the dose.”

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: Apr 27, 2026. Correction verified: by a letter from the provider.

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).

“The qualification letter for A. Lasher expired on 7/29/24.”

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).. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Apr 23, 2026. Correction verified: at a follow-up visit by DCDEE.

Rule violated (DCDEE’s description below)

“Swimming pool safety rules were not posted in a prominent place visible to staff and children for any swimming pool located on the child care facility premises. Swimming pool rules were not posted in the main pool area or in the small pool area.”

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: Apr 23, 2026. Correction verified: at a follow-up visit by DCDEE.

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

“Six (6) staff did not complete all health and safety training topics 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: Apr 27, 2026. Correction verified: by a letter from the provider.

Staff did not wash their hands thoroughly before beginning work, before/after handling food, before bottle feeding or serving to other children, after toileting or handling body fluids, after diaper changing and after handling soiled items.

“Space 3 staff did not wash hands upon arrival into the classroom after the nature walk.”

Rule Staff did not wash their hands thoroughly before beginning work, before/after handling food, before bottle feeding or serving to other children, after toileting or handling body fluids, after diaper changing and after handling soiled items.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Apr 27, 2026. Correction verified: by a letter from the provider.

Staff required to receive on-going training had not completed the required number of hours according to their education and experience.

“Two (2) staff did not complete the required number of on-going training hours. Refer to the staff and training worksheet.”

Rule Staff required to receive on-going training had not completed the required number of hours according to their education and experience.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: May 5, 2026. Correction verified: by a letter from the provider.

The safe sleep policy did not contain the required information.

“The safe sleep policy states “We may allow the use of blankets on a cot for toddlers aged 12 months or older.” In classroom space 13, a twelve-month-old child was observed sleeping on a cot with a blanket.”

Rule The safe sleep policy did not contain the required information.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Apr 23, 2026. Correction verified: at a follow-up visit by DCDEE.

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

“In classroom space 103, the room was too dark. In classroom space 104, the volume of the white noise machine and the speaker playing music was too high.”

Rule A safe indoor and outdoor environment was not provided for the children.. Corrected during the inspection.

Children were not adequately supervised at all times.

“On 8/25/25 at approximately 4:32pm, a four year old child followed the parent of another child from the large preschool playground into classroom space 130. The child remained in the classroom, unsupervised by staff, until 4:41pm.”

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: Sep 9, 2025. Correction verified: at a follow-up visit by DCDEE.

Children were not adequately supervised at all times.

“A two year old child was left alone in classroom space 7 on 5/8/25 from approximately 11:08am to 11:18am.”

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: Jun 3, 2025. Correction verified: at a follow-up visit by DCDEE.

An incident report was not completed and mailed to a Division representative within seven days after the incident when medical treatment was required.

“An incident that occurred on 3/13/25 that required medical attention from a medical professional was sent to the consultant on 3/28/25.”

Rule An incident report was not completed and mailed to a Division representative within seven days after the incident when medical treatment was required.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: May 6, 2025. Correction verified: by a letter from the provider.

Center staff did not comply with the safe sleep policy.

“An infant was observed sleeping on a cot with loose bedding in classroom space 13.”

Rule Center staff did not comply with the safe sleep policy.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: May 6, 2025. Correction verified: by a letter from the provider.

Incident logs were not completed and maintained as required.

“An incident that occurred on 3/13/25 was not documented on the incident log.”

Rule Incident logs were not completed and maintained as required.. Corrected during the inspection.

Parent’s medication authorization did not include required information.

“The authorization for one (1) sunscreen in classroom space 7 did not include the name of the sunscreen. One (1) diaper cream in classroom space 11 did not have an authorization on file.”

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: May 6, 2025. Correction verified: by a letter from the provider.

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).

“The Criminal Background Check qualifying letter for E. Greene expired 2/18/25. The letter was renewed on 3/14/25.”

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).. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: May 6, 2025. Correction verified: by a letter from the provider.

Safe pick-up and delivery procedures were not communicated to parents and/or were not posted where they can be seen by the parents.

“The safe arrival and departure procedures were not posted.”

Rule Safe pick-up and delivery procedures were not communicated to parents and/or were not posted where they can be seen by the parents.. Corrected during the inspection.

Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete.

“Drills were not practiced every three months. Drills were practiced on 7/25/24, 11/12/24, and 3/10/25.”

Rule Shelter-in-place or lockdown drills were not practiced every three months and/or 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: May 6, 2025. Correction verified: by a letter from the provider.

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

“There were fifty-two (52) children with one (1) group leader and one (1) Youth Program Director present in the field.”

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

Children were not adequately supervised at all times.

“On 7/18/24, a child, three (3) years of age, were left behind in the classroom from 9:49 am to 10:06 am upon transition from the classroom to the pool. The incident occurred in space #129.”

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: Aug 6, 2024. Correction verified: at a follow-up visit by DCDEE.

Daily records of arrival and departure times for children enrolled at the center were not maintained as children arrive and depart and/or were not made available for review.

Rule Daily records of arrival and departure times for children enrolled at the center were not maintained as children arrive and depart and/or were not made available for review.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Aug 9, 2024. Correction verified: by a letter from the provider.

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

“A crochet tapestry was hanging within reach of children in classroom space 11, posing a possible strangulation hazard.”

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

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

“A qualification letter was not on site for C.R., who is an Occupational Therapist that was left alone with children.”

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

An individual written feeding plan was not provided by child’s parent or health care provider or was not followed and posted.

“Seven (7) infant feeding plans were not posted in classroom space 12.”

Rule An individual written feeding plan was not provided by child's parent or health care provider or was not followed and posted.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: May 14, 2024. 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.

“Per the staff and training worksheet, three (3) staff do not have a medical report 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: May 15, 2024. Correction verified: by a letter from the provider.

Each employee’s personnel file did not contain a signed and dated statement that they received a job description and that they have received personnel and operational policies.

“Per the staff and training worksheets, two (2) staff do not have a signed and dated statement that they received operational policies.”

Rule Each employee's personnel file did not contain a signed and dated statement that they received a job description and that they have received personnel and operational policies.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: May 15, 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.

“Per the staff and training worksheet, three (3) staff did not complete, within the first two weeks of employment, six clock hours of training in required topic areas.”

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 15, 2024. Correction verified: by a letter from the provider.

Human milk, formula and other bottled beverages including sippy cups, sent from child’s home were not fully prepared, dated, and labeled for the appropriate child.

“In classroom space 12, one (1) milk was dated for 4/29/24 and one (1) milk was dated for 4/30/24. In classroom space 7, one (1) milk was dated 4/29/24.”

Rule Human milk, formula and other bottled beverages including sippy cups, sent from child's home were not fully prepared, dated, and labeled for the appropriate child.. Corrected during the inspection.

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

“One (1) medical assessment did not contain a physician signature or a stamp of completion by a doctor’s office. (Refer to the Children’s Form)”

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

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

“Per the staff and training worksheet, three (3) staff did not receive at least 16 hours of orientation within first 6 weeks.”

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 15, 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.

“Per the staff and training worksheet, two (2) staff do no have TB test or TB screening 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: May 15, 2024. Correction verified: by a letter from the provider.

Parent’s medication authorization did not include required information.

“The permission for two (2) diaper creams in classroom space 7 did not criteria for administration of medication, manner in which creams are to be applied, signature of parent, date of authorization.”

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

Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional.

“One(1) seizure medication in classroom space 5 was not stored in the original pharmacy label.”

Rule Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician 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: May 14, 2024. Correction verified: at a follow-up visit by DCDEE.

Rule violated (DCDEE’s description below)

“Each employee’s personnel file did not contain an annual staff evaluation and a staff development plan. contain an annual staff evaluation and staff development plan. Per the staff and training worksheet, eight (8) do not have a current annual staff evaluation. Per the staff and training worksheet, eight (8) do not have a current staff development plan or annual staff evaluation on file.”

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 15, 2024. Correction verified: by a letter from the provider.

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

“Per the staff and training worksheet, thirteen (13) staff have not completed health and safety training within one year of hire.”

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: May 22, 2024. Correction verified: by a letter from the provider.

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

“Per the staff and training worksheets, three (3) staff have not reviewed the EMC plan annually.”

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

The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current.

“Per the staff and training worksheet, twenty (20) staff have not reviewed the EPR plan annually.”

Rule The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: May 14, 2024. Correction verified: at a follow-up visit by DCDEE.

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

“Three (3) infant feeding plans were not signed by parents in classroom space 12.”

Rule The written feeding plan did not include the child's name, parent signature, and/or was not dated when received by the center.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: May 14, 2024. Correction verified: at a follow-up visit by DCDEE.

Children were not adequately supervised at all times.

“On 1/18/24, one (1) five year old child and one (1) six year old child were left alone in classroom space 10 while the rest of the children transitioned to the gym with the group leader. The two (2) children were located approximately twenty-two (22) minutes later and rejoined the group. The children were not harmed while left alone in the classroom.”

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: Feb 6, 2024. Correction verified: at a follow-up visit by DCDEE.

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

“On the playground #3, two (2) children emptied the shelf for the large wooden blocks. The children placed one (1) wooden block on the side of the shelf. The children climbed on the shelf and sled down on the block placed on the side of the shelf. No guidance was given to the children. On the Clyde Street playground, at least three (3) children climbed on a wooden triangle climber and jumped off the structure. The structure was approximately five (5) feet and seven (7) inches high off the ground.”

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: Dec 18, 2023. Correction verified: at a follow-up visit by DCDEE.

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

“After review of eleven (11) new teachers’ files it was noted that three (3) new teachers, Sofia Magennis, Ashe Pilzer, and Kylee Plemmons did have a copy of their qualification letter on file and available for review. One provider aged seventeen years of age, had not completed the Criminal Records Check and did not have a qualification letter.”

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: Dec 18, 2023. Correction verified: at a follow-up visit by DCDEE.

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. After review of eleven (11) new teachers’ files it was noted that one (1) new teacher (LW) did not have a signed and dated statement that they had reviewed the center’s EPR. Please refer to the Staff and Training Worksheet completed today.”

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 18, 2023. 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. After review of eleven (11) new teachers’ files it was noted that two (2) new teachers (SF, AP) had not completed CPR training within 90 days of employment. Please refer to the Staff and Training Worksheet completed today.”

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: Dec 18, 2023. Correction verified: at a follow-up visit by DCDEE.

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. After review of eleven (11) new teachers’ files it was noted that two (2) new teachers (SF, AP) had not completed First Aid training within 90 days of employment. Please refer to the Staff and Training Worksheet completed today.”

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: Dec 18, 2023. Correction verified: at a follow-up visit by DCDEE.

All staff records, except financial records, were not made available for review.

“There were two (2) new teachers that did not have a file available for review (RV, KP)”

Rule All staff records, except financial records, were not made available for review.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Dec 18, 2023. Correction verified: at a follow-up visit by DCDEE.

An individual on a provisional criminal background check status was not supervised by a staff person who was determined to be qualified.

“One (1) new teacher with a provisional criminal background check status was left alone with a group of school aged children.”

Rule An individual on a provisional criminal background check status was not supervised by a staff person who was determined to be qualified.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Dec 18, 2023. Correction verified: at a follow-up visit by DCDEE.

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.

“An action plan for a child with an inhaler in space #4 was not in the child’s file.”

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: Dec 18, 2023. 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.

“After review of eleven (11) new teachers’ files it was noted that three (3) new teachers (RP, SP, SF ) did not have a medical report on file prior to employment. Please refer to the Staff and Training Worksheet completed today for list of teachers names.”

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: Jan 3, 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.

“After review of eleven (11) new teachers’ files it was noted that eight (8) new teachers (SP, LB, CS, NC, LW, SF, SM, AP) did not have emergency information on file. Please refer to the Staff and Training Worksheet completed today for list of teachers names.”

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 18, 2023. Correction verified: at a follow-up visit by DCDEE.

Each employee’s personnel file did not contain a signed and dated statement that they received a job description and that they have received personnel and operational policies.

“After review of eleven (11) new teachers’ files it was noted that one (1) new teacher (LW) did not have a signed and dated statement that they received a job description and that they have received personnel and operational policies. Please refer to the Staff and Training Worksheet completed today for list of teachers names.”

Rule Each employee's personnel file did not contain a signed and dated statement that they received a job description and that they have received personnel and operational policies.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Dec 18, 2023. Correction verified: at a follow-up visit by DCDEE.

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

“After review of eleven (11) new teachers’ files it was noted that seven (7) new teachers (LW, SF, SM, AP, RP, LB, CS, NC) had not received at least 6 hours of orientation within the first 2 weeks of employment. Please refer to the Staff and Training Worksheet completed today for list of teachers names.”

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 18, 2023. Correction verified: at a follow-up visit by DCDEE.

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

“In space #5, a pack of extra strength gas relief chewable tablets were stored in an unlocked cabinet above the counter with sink by the door. During a routine field trip to the pool, a backpack for the classroom #4 was maintained in a wagon, and First Aid Antibiotic Ointment for a child was maintained in the backpack, accessible to the children. “OFF! Deep Woods insect spray with deet was maintained in a backpack on a wagon accessible to children upon a routine field trip to the pool.””

Rule Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Dec 18, 2023. Correction verified: at a follow-up visit by DCDEE.

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

“After review of eleven (11) new teachers’ files it was noted that five (5) new teachers (LW, SF, SM, AP, RP) had not received at least 16 hours of orientation within the first 6 weeks of employment. Please refer to the Staff and Training Worksheet completed today for list of teachers names.”

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: Dec 18, 2023. 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.

“After review of eleven (11) new teachers’ files it was noted that two (2) new teachers (AP, SF ) did not have results indicating they were free of active TB on file prior to employment. Please refer to the Staff and Training Worksheet completed today for list of teachers names.”

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 18, 2023. Correction verified: at a follow-up visit by DCDEE.

Parent’s medication authorization did not include required information.

“A authorization form for an inhaler for a child in space #4 was not in the child’s file.”

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: Dec 18, 2023. Correction verified: at a follow-up visit by DCDEE.

Prior to employment a Criminal Background Check was not completed.

“R. V., was hired on 06-26-2022 and has not completed 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: Dec 18, 2023. Correction verified: at a follow-up visit by DCDEE.

Prior to supervising children on an aquatic activity, and annually, staff did not sign and date a statement that they had reviewed the center’s policies on aquatic activities.

“After review of eleven (11) new teachers’ files it was noted that one (1) new teacher (LW) did not have a signed and dated statement that they had reviewed the center’s policies on aquatic activities. Please refer to the Staff and Training Worksheet completed today.”

Rule Prior to supervising children on an aquatic activity, and annually, staff did not sign and date a statement that they had reviewed the center's policies on aquatic activities.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Dec 18, 2023. Correction verified: at a follow-up visit by DCDEE.

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, a black liquid in a transparent Dunkin Donuts cup was accessible to children on the counter by the sink.”

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 18, 2023. Correction verified: at a follow-up visit by DCDEE.

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

“In space #1, staff/child ratio was not posted in the classroom.”

Rule Staff/child ratios applicable to a classroom, were not posted in each classroom.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Dec 18, 2023. 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.

“After review of eleven (11) new teachers’ files it was noted that three (3) new teachers (SF, AP, LB) had not completed the required Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Please refer to the Staff and Training Worksheet completed today for list of teachers names.”

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: Dec 18, 2023. Correction verified: at a follow-up visit by DCDEE.

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

“There are no loose surfacing around the triangle climber, which is approximately six (6) feet high On the Clyde Street playground.”

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 18, 2023. 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.

“After review of eleven (11) new teachers’ files it was noted that five (5) new teachers (LW, SP, LB, CS, NC,) did not have a signed and dated statement that they had reviewed the center’s policies on aquatic activities. Please refer to the Staff and Training Worksheet completed today.”

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 18, 2023. Correction verified: at a follow-up visit by DCDEE.

Toilet fixtures were not cleaned and disinfected at least daily and when visibly soiled.

“In space #1, one of the toilets for the children was filled with toilet paper and was not able to flush.”

Rule Toilet fixtures were not cleaned and disinfected at least daily and when visibly soiled.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Dec 18, 2023. Correction verified: at a follow-up visit by DCDEE.

An incident report was not completed and mailed to a Division representative within seven days after the incident when medical treatment was required.

“A three-year-old child was injured on 9/29/23 and taken for medical treatment on 10/03/23. Staff did not mail a copy of the incident report to a Division representative.”

Rule An incident report was not completed and mailed to a Division representative within seven days after the incident when medical treatment was required.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Dec 7, 2023. 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.

“An incident report involving a child with a black eye was not available for review.”

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: Dec 7, 2023. Correction verified: by a letter from the provider.