East Asheville Academy

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.

“The group of two- to three-year-old children did not wash hands prior to eating lunch after group time on the carpet. The children touched the floor, other children, put their hands and fingers in their mouth.”

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: Sep 23, 2026. Correction verified: by a letter from the provider.

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

“One (1) three year old child left at 11:12a parents/guardian and/or staff did not sign the child out when they left the facility.”

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

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

“A fire drill was not conducted for August 2026. The last fire drill documented was dated 7/13/2026.”

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: Sep 23, 2026. Correction verified: by a letter from the provider.

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, a flat iron was located on top of a shelf near the restroom area below five (5) feet.”

Rule All electrical appliances were not used in accordance with the manufacturers instruction.. 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. Staff member hired 9/17/2024 did not successfully complete certification in CPR prior to their card expiration date of 6/28/2026. Staff hired 3/26/2026 CPR card was unable to be determined.”

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: Sep 8, 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. Staff member hired 9/17/2024 did not successfully complete certification in First Aid prior to their card expiration date of 6/28/2026. Staff hired 3/26/2026 First Aid card was unable to be determined.”

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: Sep 8, 2026. Correction verified: by a letter from the provider.

Center staff did not comply with the safe sleep policy.

“Space 1, one (1) one year in their crib with a bottle.”

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

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.

“Space 4, one (1) electrical outlet was uncovered during the visit.”

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.

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.

“Space 1, five (5) bottles not labeled with the children’s name or date.”

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.

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.

“Staff member hired 3/26/2026 did not complete Recognizing and Responding to Suspicions of Child Maltreatment training within ninety (90) days of employment. Training was due to be completed by 6/24/2026. Training certificate on file was dated 6/26/2026.”

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: Sep 8, 2026. Correction verified: by a letter from the provider.

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

“Space 3, during nap the white noise music was too loud to be able to hear changes in the children’s breathing.”

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

Center staff did not comply with the safe sleep policy.

“Space 1, safe sleep check charts were monitored at 11:19a and one (1) child was in the crib asleep last sleep check was completed at 11:00a.”

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

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

“Space 2, at lunch, one (1) child was served water instead of a fluid milk component.”

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

“Staff member hired 2/25/2026, TB Screening Questionnaire was signed by the doctor, but questions were not answered.”

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 13, 2026. Correction verified: by a letter from the provider.

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

“Space #1, daily records of arrival and departure times for children at the center were not maintained as children arrive and depart and were not available for review. The last sign-in/out sheet on file was dated 12/15-12/19/2025. The December 29-31, 2025 sign-in/out sheets was not on file for review. Space #4, sign-in/out sheets were missing for the week of December 15-19, 2025, January 5-9, 2026. Space #3, sign-in/out sheets were missing for the week of December 8-12, 2025, December 15-19, 2025, January 5-9, 2026.”

Rule Daily records of arrival and departure times for children 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: Jan 30, 2026. Correction verified: by a letter from the provider.

A current activity plan was not posted for each group of children for reference.

“In space 4, the daily activity plan was not posted. The plan posted was dated 12/1-5/2025.”

Rule A current activity plan was not posted for each group of children for reference.. Corrected during the inspection.

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.

“In space 4, there were two (2) uncovered electrical outlets near the restroom.”

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.

Menus for all meals and snacks were not current or posted where easily seen by parents and cook.

“Current menu posted was blank for the week of 12/8/2025-12/12/2025.”

Rule Menus for all meals and snacks were not current or posted where easily seen by parents and cook.. Corrected during the inspection.

Menus for all meals and snacks were not planned at least 1 week ahead and dated.

“Menu posted for the month of December only had December 1-5 planned and the remaining weeks were blank.”

Rule Menus for all meals and snacks were not planned at least 1 week ahead and dated.. Corrected during the inspection.

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.

“Space #4, two (2) electrical outlets were observed uncovered on an extension cord behind the adult rocking chair in the classroom and one (1) electrical outlet was uncovered in the block center. **REPEAT VIOLATION**”

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.

Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age.

“Space #3, plastic diaper packaging that is easily torn was located accessible to children underneath the diaper changer. **REPEAT VIOLATION**”

Rule Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age.. Corrected during the inspection.

A current schedule was not posted for each group of children for reference.

“Space #1, and #2, did not have current schedule posted for the children.”

Rule A current schedule was not posted for each group of children for reference.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Oct 29, 2025. Correction verified: at a follow-up visit by DCDEE.

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

Rule A safe indoor and outdoor environment was not provided for the children.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Oct 30, 2025. Correction verified: by a letter from the provider.

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

“Space #3 the group of two-to-three-year-old children where I observed four (4) laying on mats that measured half (1/2) inch to one (1) inch thick instead of the required two (2) inches.”

Rule A violation was found for which there is no item number.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Oct 29, 2025. Correction verified: at a follow-up visit by DCDEE.

All equipment and furnishings were not in good repair.

“Outdoor space #3, I observed the gate latch was broken and the facility was using a loose chain to close the gate.”

Rule All equipment and furnishings were not in good repair.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Oct 30, 2025. 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. Staff member hired 7/16/2025, CPR expired 11/2024.”

Rule All staff did not successfully complete certification in CPR training appropriate to the age of the children in care.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Oct 29, 2025. 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. Staff member hired 7/16/2025, First Aid expired 11/2024.”

Rule All staff did not successfully complete certification in First Aid appropriate to the age of children in care.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Oct 29, 2025. Correction verified: at a follow-up visit by DCDEE.

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

“One (1) student interns file was not on-site 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: Oct 29, 2025. Correction verified: at a follow-up visit by DCDEE.

Bed, cribs, playpens, cots or mats were not placed at least 18” apart or separated by partitions when in use.

“Space #3, three (3) mats during nap did not meet the minimum of eighteen (18) inches apart or have a solid barrier. The cots and mats measured nine (9) inches, seventeen (17) inches, and twelve (12) inches apart in the block area.”

Rule Bed, cribs, playpens, cots or mats were not placed at least 18" apart or separated by partitions when in use.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Oct 29, 2025. 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.

“Staff member hired 8/11/2025 emergency information form was completed on 8/25/2025 after the first day of employment.”

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: Oct 29, 2025. Correction verified: at a follow-up visit by DCDEE.

Each child did not have an opportunity to be outdoors daily, if weather conditions permitted.

“Space #3, the daily scheduled documented that the children were to go outside from 10:45a to 11:30a. At 10:54a, the group was engaged in free play and was not observed going outside during the visit. Space #2, the children did not go outside due to repairs being conducted on the ramp and the outdoor space was closed. Space #1, the children did not go outside due to repairs being conducted on the ramp and the outdoor space was closed.”

Rule Each child did not have an opportunity to be outdoors daily, if weather conditions permitted.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Oct 30, 2025. 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.

“The staff member hired 8/11/2025, job description and operational policies and procedures was not signed by the staff member documenting receipt.”

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: Oct 29, 2025. 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.

“Staff member hired 8/11/2025 did not complete within the first two weeks of employment, six (6) clock hours of training in the required topics. The documentation of orientation form in the staff members file was blank and not completed.”

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: Oct 29, 2025. Correction verified: at a follow-up visit by DCDEE.

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.

“Space #3, under the loft at the back of the classroom, I observed four (4) electrical outlets uncovered.”

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.

Emergency medical care information was not on file in the center on the child’s first day of attendance and/or was not updated as changes occurred or at least annually for each child.

“Child enrolled 2/17/2024 emergency information on file was not updated at least annually. The emergency information on file was dated 4/5/2024.”

Rule Emergency medical care information was not on file in the center on the child's first day of attendance and/or was not updated as changes occurred or at least annually for each child.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Oct 29, 2025. Correction verified: at a follow-up visit by DCDEE.

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

“Space #3, a broken bucket for magnetic tiles was observed in use in the block center.”

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

“Space #3, one (1) tube of Buttpaste diaper cream expired 9/2025. The administrator removed the cream during the visit.”

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.. Corrected during the inspection.

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

“Staff member hired 8/11/2025 did not receive at least 16 hours of orientation within first 6 weeks. The documentation of orientation form in the staff members file was blank and not completed.”

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: Oct 29, 2025. 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.

“Staff member hired 8/11/2025, TB test was completed by the doctor on 8/25/2025 after the first day of employment.”

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: Oct 29, 2025. Correction verified: at a follow-up visit by DCDEE.

Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age.

“Plastic diaper packaging that is easily torn was accessible to children under three years old in the cubby area and underneath the diaper changer.”

Rule Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age.. Corrected during the inspection.

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

“Staff member hired 9/17/2024, health and safety training of administration of medication was not completed within one (1) 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: Oct 29, 2025. Correction verified: at a follow-up visit by DCDEE.

Surfacing did not extend six (6) feet beyond the external limits of the equipment or 3 feet for equipment used only by children less than 2 years of age.

“Outdoor space #3, The large portable safety-first climber that requires multiple people to move was too close to the fence. The equipment was three (3) feet from the wood privacy fence instead of the required six (6) feet.”

Rule Surfacing did not extend six (6) feet beyond the external limits of the equipment or 3 feet for equipment used only by children less than 2 years of age.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Oct 29, 2025. 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.

“Staff member hired 8/11/2025 shaken Baby and Abusive Head Trauma Policy was not signed by the staff member.”

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: Oct 29, 2025. Correction verified: at a follow-up visit by DCDEE.

When children 3 years and older were in care, screen time was not used to stimulate a developmental domain; was not limited to 30 minutes a day and no more than a total of two and a half hours per week, per child; and/or was not documented on a cumulative log or the activity plan that is available for review.

“Space #3, a three-year-old child was observed watching an Ipad from 12:12p to 12:22p and fell asleep while viewing the screen. The show the child was watching was not used to stimulate a developmental domain.”

Rule When children 3 years and older were in care, screen time was not used to stimulate a developmental domain; was not limited to 30 minutes a day and no more than a total of two and a half hours per week, per child; and/or was not documented on a cumulative log or the activity plan that is available for review.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Oct 30, 2025. Correction verified: by a letter from the provider.

A current activity plan was not posted for each group of children for reference.

“In space #4 and space #2, a current activity plan was not posted. Activity plan posted in space #4 was dated 3/24-3/28 and the activity plan posted in space #2 was dated 3/10-3/14.”

Rule A current activity plan was not posted for each group of children for reference.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Apr 23, 2025. Correction verified: by a letter from the provider.

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 #1, I observed one (1) diaper cream expired 2/2025. Ms. Davis discarded the expired medication during the visit. Two (2) medication forms for diaper cream expired, one (1) 3/1/2025 and one (1) 3/2/2025. **Repeat Violation**”

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

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

“In space #1, one (1) feeding plan was not signed by the parents. **Repeat violation**”

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

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

“In space #3, one (1) emergency medication was observed on-site without a permission to administer medication form completed.”

Rule A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Nov 29, 2024. Correction verified: by a letter from the provider.

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

“The kitchen staff was observed preparing without a hair net or hair restraint.”

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

Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age.

“Two (2) grocery bags were below five (5) feet. The staff member removed the bags and stored them in the storage area.”

Rule Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age.. Corrected during the inspection.

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

“In space #3, one (1) emergency medication was on-site without an original pharmacy label or container.”

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: Nov 29, 2024. Correction verified: by a letter from the provider.

Rule violated (DCDEE’s description below)

“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 # 1, one (1) diaper cream was observed that expired on 8/2024. In space #4, one (1) diaper cream medication form expired on 9/18/2024.”

Rule Rule violated (DCDEE’s description below). Corrected during the inspection.

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

“In space # 1 two (2) infant feeding plans were not signed and dated by the parent when submitted to the facility.”

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: Nov 29, 2024. 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 (1) staff, hire date 1/17/24, did not complete CPR training within ninety (90) days of hire. The CPR training was due on 4/16/24.”

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: Jul 8, 2024. Correction verified: by a letter from the provider.

All staff did not successfully complete certification in First Aid appropriate to the age of children in care.

“Verification of staff completion of First Aid training from an approved training organization was not in the staff file. One (1) staff, hire date 1/17/24, did not complete First Aid training within ninety (90) days of hire. The First Aid training was due on 4/16/24.”

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: Jul 8, 2024. Correction verified: by a letter from the provider.

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 (1) staff, hire date 3/15/18, did not complete Health and Safety training within five years of the previous completion.”

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: Jul 9, 2024. Correction verified: by a letter from the provider.

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

“One (1) staff, hire date 4/1/23, and one (1) staff, hire date 5/2/23, did not complete Health and Safety Training within one (1) 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 9, 2024. 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.

“One (1) staff, hire date 12/31/07, had seven (7) documented training hours instead of the required eight (8) hours.”

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: Jul 8, 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.

“One (1) staff, hire date 1/17/24, did not complete Recognizing and Responding to Suspicions of Child Maltreatment training within ninety (90) days of hire. The training was due on 4/16/24.”

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: Jul 8, 2024. Correction verified: by a letter from the provider.

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

“Space #2 three (3) tubes of Aquaphor cream were on-site for a child without written authorizations and instructions from the parent or health care professional.”

Rule A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Jun 19, 2024. Correction verified: by a letter from the provider.

All equipment and furnishings were not in good repair.

“Outdoor, playground space #1 a broken push lawn mower was observed broken with sharp edges. On space #3, a red fire truck and yellow dump truck with observed broken with sharp edges.”

Rule All equipment and furnishings were not in good repair.. 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. Staff member hired 1/17/2024 CPR training was due to be completed by 4/16/2024. Staff file does not contain a completed CPR certification.”

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: Jul 8, 2024. Correction verified: by a letter from the provider.

All staff did not successfully complete certification in First Aid appropriate to the age of children in care.

“Verification of staff completion of First Aid training from an approved training organization was not in the staff file. Staff member hired 1/17/2024 First Aid training was due to be completed by 4/16/2024. Staff file does not contain a completed First Aid certification.”

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: Jul 8, 2024. 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.

“Space # 1 four (4) electrical outlets were uncovered on the powerstrip below the bottle warmer. The staff member corrected this during the visit. Space # 4 one (1) electrical outlet was uncovered at the diaper changer, and two (1) electrical outlets were uncovered to the left of the classroom door as you enter. The administrator corrected this during the visit.”

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

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

“Staff member hired 3/15/2018 health and safety training topics were not completed within five (5) years of the previous health and safety completion date.”

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: Jul 9, 2024. Correction verified: by a letter from the provider.

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.

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: Jun 24, 2024. 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.

“Nystatin prescription cream was observed in an unlocked basket.”

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: Jun 19, 2024. Correction verified: by a letter from the provider.

Openings in equipment, steps, decks, handrails, and fencing were not less than 3 1/2 inches or greater than 9 inches.

“Outdoor playground space #1, two (2) openings below the decking were not less than 3 ½ inches or greater than nine (9) inches.”

Rule Openings in equipment, steps, decks, handrails, and fencing were not less than 3 1/2 inches or greater than 9 inches.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Jun 24, 2024. Correction verified: at a follow-up visit by DCDEE.

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

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 19, 2024. Correction verified: by a letter from the provider.

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

“Space #1, one (1) prescription Nystatin cream was not in the original pharmacy labeled container.”

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: Jun 19, 2024. Correction verified: by a letter from the provider.

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

“Staff member hired 4/1/2023 and staff member 5/2/2023, health and safety training topics were not completed within one (1) 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 9, 2024. 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.

“Staff member employed on 12/31/2007 did not receive the required on-going training hours for their education and experience. Staff member had seven (7) documented training hours instead of the required eight (8) hours.”

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: Jul 8, 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.

“Staff member hired 1/17/2024 Recognizing and Responding to Suspicions of Child Maltreatment training was not completed within ninety (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: Jul 8, 2024. Correction verified: by a letter from the provider.

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

“Outside space #1, lattice was broken with sharp edges and could potentially cut a child.”

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 6, 2023. 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.

“In the kitchen area, one (1) bottle of Radiance dish washing fluid was located on top of the refrigerator. The staff moved this to a locking storage during the visit.”

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.

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.

“In space #3, a power strip was located on top of a shelf with three (3) uncovered electrical outlets. One (1) electrical outlet on the wall under the loft was uncovered. The administrator corrected this during the visit.”

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.