West Asheville Academy

Children’s records were not made available for review.

“One (1) child, who was four (4) years of age, were present in space #3. The child was a staff member’s child, and he/she was present due to his/her child care center being closed.”

Rule Children's 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 22, 2026. Correction verified: at a follow-up visit by DCDEE.

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

“Approximately five (5) minutes around 10:20 am, one (1) staff member was responsible for a group of eight (8) children, one (1) to two (2) years of age in space #2.”

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: May 22, 2026. Correction verified: at a follow-up visit by DCDEE.

Food substitution was not of comparable food value or recorded on the menu prior to the meal or snack being served.

“Biscuits, apple sauce and milk were served for breakfast while frosted mini wheats, blueberries and milk were listed on the menu. The substitutions were not recorded prior to serving children.”

Rule Food substitution was not of comparable food value or recorded on the menu prior to the meal or snack being served.. Corrected during the inspection.

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

“Medication authorization form contained physician’s signature but not the parent’s signature for Albuterol in space #1. The medication record indicated that it was administered on 10/7/25 at 11:45 am and 10/8/25 at 11:15 am.”

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: Apr 30, 2026. Correction verified: at a follow-up visit by DCDEE.

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

“Baby food Sweet Potato with expiration date of November 20, 2025, was served to an infant in space #1. There were multiple packets of Gerber baby food products that were expired stored in the cabinet by the entrance door in space #1.”

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

“A bottle of Clorox Clean-up Multi-Surface Cleaner + Bleach was stored on the top shelf above the sink in space #1.”

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.

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.

“Action plan for Albuterol Sulfate in space #1 was not on 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: May 4, 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) child who was present in space #1 was not signed in with arrival time.”

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.

Each new employee 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: Apr 30, 2026. Correction verified: at a follow-up visit by DCDEE.

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

“Between 9:08 am and 9:20 am, one (1) staff member was left with six (6) children aged 0-1 at multiple occasions while the other staff member left space #1 to answer the door. The program follows enhanced staff/child ratios.”

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: Apr 30, 2026. Correction verified: at a follow-up visit by DCDEE.

Food substitution was not of comparable food value or recorded on the menu prior to the meal or snack being served.

“Today, bagel with cream cheese, sliced pears and milk were served for breakfast while English muffin, eggs, peanut butter and milk were listed on the menu. Substituted items were not written on the menu prior to serving children.”

Rule Food substitution was not of comparable food value or recorded on the menu prior to the meal or snack being served.. Corrected during the inspection.

Formula and other beverages which require refrigeration were not identified for each child or properly refrigerated.

“Out of six (6) beverage containers in the refrigerator in space #1, two (2) of them were labeled with children’s names and dates - one (1) dated 4/21/26 and the other dated 4/16/26.”

Rule Formula and other beverages which require refrigeration were not identified for each child or properly refrigerated.. 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.

“The authorization form for two (2) diaper creams expired but the creams were not discarded or returned home. Destin diaper cream for a child in space #1 expired on 4/8/26, and Zinc Oxide Ointment for a child in space #1 expired on 3/17/26.”

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 30, 2026. Correction verified: at a follow-up visit by DCDEE.

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

“The medication authorization form for Albuterol did not contain parent signature and date.”

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: Apr 30, 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.

“The orientation form for a staff member hired on 2/6/26 did not have any hours spent on each topic documented. The provider section was also undocumented.”

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 30, 2026. Correction verified: at a follow-up visit by DCDEE.

On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months.

“TB form for a staff members with an employment date of 3/16/26 did not have a health professional’s signature, printed name, location and date. Additionally, consent signature for accurate information was also not signed and dated.”

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: Apr 30, 2026. Correction verified: at a follow-up visit by DCDEE.

Parent’s medication authorization did not include required information.

“Two (2) medications did not have parent authorization form on file - 1. A+D Prevent and Heat 2. Maty’s Baby Multi-purpose ointment. Both medications were maintained in space #1.”

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 30, 2026. Correction verified: at a follow-up visit by DCDEE.

Rule violated (DCDEE’s description below)

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 30, 2026. Correction verified: at a follow-up visit by DCDEE.

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

“Staff/child ratio was not posted in space #3.”

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

The child care environment was not smoke and/or tobacco free.

“When a parent/guardian picked up a child, he/she had a purple vape device on his/her hands while standing outside of entrance door.”

Rule The child care environment was not smoke and/or tobacco free.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Apr 30, 2026. Correction verified: at a follow-up visit by DCDEE.

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

“The lesson plan was posted and dated 2/16–2/20/26 in space #1. Lesson plan was posted and dated 1/5/26 – 1/9/26 in space #2. Lesson plan was posted and dated 1/2/26 – 1/16/26 in space #3.”

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: Mar 10, 2026. Correction verified: by a letter from the provider.

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

“Weighted blankets were used for two (2) children - aged four (4) and two (2) years old during nap time during today’s visit. additionally, one (1) who was twenty-three (23) month of age, were observed to use infant bouncer in space #1.”

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: Mar 10, 2026. Correction verified: by a letter from the provider.

All floors and floor coverings were not constructed of nonabsorbent material and/or were not kept clean and in good repair.

“The circular rug in space #3 was stained, and debris was observed on the rug.”

Rule All floors and floor coverings were not constructed of nonabsorbent material and/or were not kept clean and in good repair.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Mar 10, 2026. Correction verified: by a letter from the provider.

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.

“One (1) child, who was four (4) years of age, in space #1 with a seizure disorder, did not have action plan on 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: Mar 10, 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.

“Three (3) children did not have arrival time documented for 2/20/26. Two (2) children did not have departure time documented for 2/24/26. Attendance record with arrival and departure time was not found for 2/27/26.”

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: Mar 10, 2026. Correction verified: by a letter from the provider.

For children under three years of age, an open area that allows freedom of movement was not available, both indoors or outdoors.

“A large table was placed in the middle of the room and occupied most of the open space in space #1 with infants and children who were one (1) year of age. Due to the placement of the table, another child climbed over the child in the infant bouncer to reach the other side of the room. Additionally, when one (1) child pushed a toy cart, the child was only able to move the cart approximately 1.5 feet due to the limited space available.”

Rule For children under three years of age, an open area that allows freedom of movement was not available, both indoors or outdoors.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Mar 10, 2026. Correction verified: by a letter from the provider.

Outdoor play equipment was not age and developmentally appropriate.

“HQBB tricycles with critical height of approximately fifteen (15) inches were offered to children as young as two (2) years old. Based on the information obtained on the website, yellow HQBB tricycles were for children ages three (3) to eight (8) years of age.”

Rule Outdoor play equipment was not age and developmentally appropriate.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Mar 11, 2026. 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.

“Feeding plan for one (1) child with birth date of 7/11/25 was not signed by the parent.”

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: Mar 10, 2026. Correction verified: by a letter from the provider.

Toys and other mouth-contact surfaces were not cleaned and sanitized daily when used or cleaned more frequently if visibly dirty.

“A pretend asparagus in space #3 was not removed after a child put it in the mouth.”

Rule Toys and other mouth-contact surfaces were not cleaned and sanitized daily when used or cleaned more frequently if visibly dirty.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Mar 10, 2026. Correction verified: 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. No staff members were listed on the center’s roster on the ABCMS system.”

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: Nov 25, 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 #2, the posted activity plan was dated for 10/27/25 - 10/31/25.”

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: Nov 18, 2025. Correction verified: by a letter from the provider.

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

“In space #2, one (1) child’s face was covered by his/her blanket.”

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: Nov 18, 2025. 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.

“A can of Lysol aerosol spray was next to faucet for a sink by the changing table in space #1.”

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.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Nov 18, 2025. Correction verified: by a letter from the provider.

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

“One (1) staff member’s record were not available for review. The staff was initially hired in 2009, left in 2023 and returned in 2024. Due to lack of documents, exact date of employment was not determined.”

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: Nov 18, 2025. Correction verified: by a letter from the provider.

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

“In space #1, three (3) cribs were places right next to each other with no spaces among them. In space #3, two (2) cots in the housekeeping area were nine (9) inches apart.”

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: Nov 18, 2025. Correction verified: by a letter from the provider.

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

“A record of immunization was not in one (1) child’s file.”

Rule Children's records that include an application for enrollment, medical and immunization records, and permission to seek emergency medical care was not on file for each child.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Nov 18, 2025. 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.

“Six (6) children were signed in when there were seven (7) children in space #1 - one (1) child’s arrival time was not recorded. There were twelve (12) children while thirteen (13) children were signed in for space #3 - one (1) left before 9 am, but the time was not recorded.”

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: Nov 18, 2025. Correction verified: by a letter from the provider.

Refrigerator(s) did not maintain a temperature of 45 degrees F. or below.

“The refrigerator temperature was fifty-two (52) degrees in space #1.”

Rule Refrigerator(s) did not maintain a temperature of 45 degrees F. or below.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Nov 18, 2025. 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.

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: Nov 25, 2025. Correction verified: by a letter from the provider.

The child care center premises, including the outdoor learning environment, was not clean, drained to minimize standing water, free of litter and hazards, and/or maintained in a manner which does not create conditions that attract or harbor pests.

“There were litter on the young children’s playground including plastic cups, candy wrappers, and a broken plastic piece.”

Rule The child care center premises, including the outdoor learning environment, was not clean, drained to minimize standing water, free of litter and hazards, and/or maintained in a manner which does not create conditions that attract or harbor pests.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Nov 18, 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.

“Three (3) feeding plans were not signed by the parents in space #1.”

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 18, 2025. Correction verified: by a letter from the provider.

The written feeding plan was not modified as the child’s needs changed.

“The feeding plans were not updated as children’s needs changed Per interview, a staff member stated that eight (8) children out of nine (9) enrolled are on regular food. However, three (3) children’s feeding plans were not modified to reflect the changes.”

Rule The written feeding plan was not modified as the child's needs changed.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Nov 18, 2025. Correction verified: by a letter from the provider.

Toys and other mouth-contact surfaces were not cleaned and sanitized daily when used or cleaned more frequently if visibly dirty.

“In space #3, seven (7) children and one (1) staff member sat at a table. One (1) was eating breakfast (waffles, syrup, pineapples and milk) and six (6) other children were playing with paper, crayons, baby dolls, pretend food, toy vehicles and pretend animals on the same table. The child who had breakfast cleaned the plate, sat at the table and played with other children. The table was not cleaned before or after.”

Rule Toys and other mouth-contact surfaces were not cleaned and sanitized daily when used or cleaned more frequently if visibly dirty.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Nov 18, 2025. 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.

“A child’s hand wash not washed after diaper change in space #1.”

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: Nov 25, 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.

“Aquaphor Healing Ointment Baby for a child expired in September, 2024 in space #1.”

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: Dec 1, 2024. Correction verified: by a letter from the provider.

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

“In space #1, two (2) Nystatin creams were maintained in a plastic shoe-box container in the cubby above five (5) feet along with other over-the-counter diaper creams.”

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 1, 2024. Correction verified: by a letter from the provider.

Parent’s medication authorization did not include required information.

“The medication authorization for Dentin in space #2 was dated 5/12/23.”

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 1, 2024. Correction verified: by a letter from the provider.

Prohibited styrofoam and foam rubber products were accessible to children under 3 years of age and/or approved foam products were used without proper supervision.

“Three packs of napkins (Smart & Simple, Great Value, Kirkland) were stored on top of the cabinet by the entrance door in space #1.”

Rule Prohibited styrofoam and foam rubber products were accessible to children under 3 years of age and/or approved foam products were used without proper supervision.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Dec 1, 2024. Correction verified: by a letter from the provider.

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

“Last lockdown drill was completed on 5/3/24.”

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: Nov 26, 2024. 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.

“Staff member did not wash hands after changing a child’s diaper in space #1.”

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: Nov 25, 2024. 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.

“A feeding plan in space #1 was posted but not signed by the parent.”

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 25, 2024. Correction verified: by a letter from the provider.

Children between 12 and 24 months of age were grouped with children 3 years of age or older.

“A three-year-old child from space #3 was taken to space #2 for diaper change. The teacher from #3 left the three-year-old child from space #3 with a teacher in space #2. At the time of the incident, there were one (1) teacher with three (3) children, one-to-two years of age, were present in space #2.”

Rule Children between 12 and 24 months of age were grouped with children 3 years of age or older.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Aug 20, 2024. Correction verified: at a follow-up visit by DCDEE.

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

“Per interview, a child, one (1) year of age, in space #1 is not served milk due to parent preference. No notes has been obtained.”

Rule Meals/snacks did not comply with the Meal Patterns for Children in Child Care Programs.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Aug 19, 2024. Correction verified: by a letter from the provider.

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.

“I observed some prohibited items in space #2 and #3. In space #2, there were a grocery bag, a packet of Hersey’s chocolate package and a bag of large marshmallows on top of the shelf with height of approximately thirty-six (36) inches. The marshmallows are cylinder shape with 1 ¼ inch diameter. In space #3, there were counting toy with cars and pretend people. The people toy was ¾ inches in diameter, ¾ and two (2) inches long.”

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.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Aug 19, 2024. Correction verified: by a letter from the provider.

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

“This week’s activity plan was not posted in space #1. Lesson plan posted in space #2 was dated 5/6/24 - 5/10/24”

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: May 23, 2024. Correction verified: by a letter from the provider.

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

“No schedule was posted in space #1.”

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: May 23, 2024. Correction verified: by a letter from the provider.

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.

“There were no arrival time logged for five (5) children present at 9:20 am in space #1.”

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: May 23, 2024. Correction verified: by a letter from the provider.

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

“Nystatin was stored with other diaper cream in space #1.In space #2, a diaper creams in a tool box was maintained on the shelf at approximately forty-one (41) inches high.”

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: May 23, 2024. Correction verified: by a letter from the provider.

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.

“Member’s Mark paper Plate in plastic bag was stored on the shelf at approximately thirty-four (34) inches high in space #2. On the same shelf five (5) mini candy bars and one (1) Austin Cheddar Cheese crackers were stored.”

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.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: May 23, 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.

“The staff member hired on 1/15/24 did not complete the training 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: May 24, 2024. Correction verified: by a letter from the provider.