His Watchmen Childcare, Inc.

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 4, Ziploc bags in the cubbies below five (5) feet. Space 5, three (3) plastic baby wipe packages below five (5) feet.”

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

“Space #2, one (1) emergency medication missing the parent signature authorizing the facility to administer the medications should the child need it.”

Rule A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional.. Corrected during the inspection.

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

“Employee purses and other personal effects shall be kept out of reach of children. Space 3, two (2) staff purses/bags were sitting on the block center shelf near the back exterior door accessible to children.”

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

“Space #1, one (1) emergency medication action plan that expired 1/17/2026.”

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: Feb 3, 2026. Correction verified: by a letter from the provider.

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

“Outdoors, two (2) riding toys were broken showing signs of wear. The blue riding toy on the side playground handle was broken with sharp edges exposed. The red riding toy on the middle back playground with climbing structure back umbrella cover was broken with sharp edges exposed.”

Rule Equipment and furnishings were not sturdy, stable and free of hazards.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Feb 3, 2026. Correction verified: by a letter from the provider.

Children were not adequately supervised at all times.

“An incident occurred on 12/2/2025, where a three-year-old child was left unattended on their cot in the hallway for forty-five (45) minutes.”

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: Dec 22, 2025. Correction verified: at a follow-up visit by DCDEE.

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. The child care operator has not notified the Division of the seven (7) staff, including the administrator, that are hired by His Watchmen Child Care.”

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 17, 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.

“Space #1, three (3) cots measuring less than the required eighteen (18) inches apart without a solid barrier that extends the full length of the cot. Space #2, six (6) cots measuring less than the required eighteen (18) inches apart without a solid barrier that extended the full length of the cot”

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 17, 2025. 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.

“Space #5, one (1) bottle was not dated.”

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.

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) inhaler that expired 9/2025, and one (1) permission to administer medication form that expired 9/2025. The administrator contacted both parents and/or guardians during the visit to request new medical information. Space #2, Two (2) diaper creams were left over from a previous child.”

Rule Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Nov 17, 2025. Correction verified: by a letter from the provider.

Parent’s medication authorization did not include required information.

“Space #5, one (1) diaper cream form that was not signed and dated by the parent.”

Rule Parent's medication authorization did not include required information.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Nov 17, 2025. Correction verified: by a letter from the provider.

The center’s safe sleep policy was not posted in a prominent place in the infant room where parents and caregivers were able to view daily.

“Space #5, the center safe sleep policy was not posted.”

Rule The center's safe sleep policy was not posted in a prominent place in the infant room where parents and caregivers were able to view daily.. Corrected during the inspection.

The medical action plan was not updated on an annual basis or when changes to the plan were made by the child’s parent or health care professional.

“Space #3, two (2) medical action plan expired 6/4/2025 and 10/14/2025.”

Rule The medical action plan was not updated on an annual basis or when changes to the plan were made by the child's parent 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 17, 2025. Correction verified: by a letter from the provider.

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.

“Staff member hired 3/3/25 medical report was dated 9/26 but the year was cut off on the copy in the file. I was unable to verify if the medical report was completed within twelve months prior to hire.”

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.. 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 #2, one (1) sunscreen expired 5/2019.”

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.

Parent’s medication authorization did not include required information.

“Space #3, one (1) emergency inhaler permission to administer medication form did not have a begin or end date for the administrator of the medication”

Rule Parent's medication authorization did not include required information.. 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.

“In space #2, two (2) emergency medications in the medication box that did not have the a signed permission to administer medication form onsite. In space #3, one (1) emergency medication in the medication box that did not have a signed permission to administer medication form on site. The action plan was dated 1/17/2025. . In space #5, one (1) tube of A&D ointment was onsite with out a completed medication form.”

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: Feb 9, 2025. Correction verified: by a letter from the provider.

Rule violated (DCDEE’s description below)

“Equipment and furnishings were not sturdy, stable and free of hazards. outdoors middle playground with climber, one (1) green turtle sandbox cover was cracked and showing signs of wear with potential pinch hazards. One (1) gray Rubbermaid lid was broken with sharp edge on the playground beside the steps. One (1) gray Rubbermaid container cracked on a storage shelf beside the stairs near space #3.”

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: Feb 9, 2025. Correction verified: by a letter from the provider.

A copy of the safe sleep policy was not given to and/or explained to the parent of each child on or before the first day the infant attended the center.

“Space #5, child was enrolled on 1/8/2024 and date of birth was 2/7/2023. Safe sleep policy as not given and/or explained to the parents of the child on or before the first day the child attended the center. During file review, a signed safe sleep policy was not on file for review. When I asked the administrator, she stated she must have failed to complete that since the child was getting ready to turn twelve (12) months old.”

Rule A copy of the safe sleep policy was not given to and/or explained to the parent of each child on or before the first day the infant attended the center.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: May 31, 2024. Correction verified: by a letter from the provider.

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

“Space # 5 current activity plan was not posted. The plans posted were dated 3/20-3/24. The administrator posted the current activity plans during the visit. Space #2 current activity plans was not posted. The plans posted were dated 5/6-5/10.”

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 27, 2024. Correction verified: by a letter from the provider.

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

“Space #4 a therapist was working one on one with a child. Space #6 a therapist was working one on one with a child.”

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 27, 2024. 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.

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.

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

“Staff member hired 4/3/2017 annual staff evaluation was not on file for review. The last completed evaluation was completed on 1/3/2023.”

Rule Each employee's personnel file did not contain an annual staff evaluation and a staff development plan.. Corrected during the inspection.

Each infant was not served only bottles labeled with their individual name.

“Space #5, one (1) bottle was observed not labeled with the child’s name and date in the refrigerator.”

Rule Each infant was not served only bottles labeled with their individual name.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: May 31, 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.

“Space #2, three (3) permission to administer medication forms expired. Two (2) A & D Ointment expired on 2/26/24 and 2/27/24.”

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: May 31, 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.

“Space #5, plastic wipe packaging, plastic diaper packaging, plastic cup packaging were observed stored below five (5) feet and accessible to children.”

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.

Prior to employment a Criminal Background Check was not completed.

“Space #4 a therapist was working one on one with a child. Space #6 a therapist was working one on one with a child.”

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: May 27, 2024. Correction verified: by a letter from the provider.

The professional development plan was not reviewed annually.

“Staff member hired 4/3/2027 annual professional development plan was not on file for review. The last completed professional development plan was completed on 1/3/2023.”

Rule The professional development plan was not reviewed annually.. Corrected during the inspection.

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

“Center EPR plan was not reviewed annually. The last documented review date was 5/8/2023.”

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 31, 2024. 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.

“Hallway closet that housed the mop bucket, aerosol glass cleaner, comet cleaner, and bleach was unlocked and open with the key in the doorknob. The staff member in charge corrected this during the visit by closing the door, and removing the key from the doorknob.”

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 equipment and furnishings were not in good repair.

“Outdoor space #3 Little tikes cottage window above the door was cracked and had two (2) sharp edges. Fence ties were missing and the fence was bowing away from the post.”

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: Dec 9, 2023. Correction verified: by a letter from the provider.

All staff did not review the center’s EPR Plan during orientation and/or on an annual basis with the trained staff.

“Documentation of the review was not maintained on file. Staff member AH hired 8/21/2023 did not documentation of review of the Emergency Preparedness and Response on file.”

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 9, 2023. Correction verified: by a letter from the provider.

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

“Child care administrators did not complete the ITS-SIDS training within 90 days of employment and every three years thereafter. Staff member AH hired 8/21/2023 did not complete six (6) clock hours of orientation training within the first two weeks of employment.”

Rule Child care providers scheduled to work in the infant room, did not complete ITS-SIDS training within two months of employment or did not complete the training every three years.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Dec 9, 2023. 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.

“Staff member AH hired 8/21/2023 did not complete the emergency information form on or before the first day of work.”

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 9, 2023. 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.

“Staff member AH hired 8/21/2023 file did not contain a signed and dated statement of the personnel and 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: Dec 9, 2023. Correction verified: by a letter from the provider.

Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements.

“The monthly playground inspection was not completed for August and September of 2023.”

Rule Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Dec 9, 2023. Correction verified: by a letter from the provider.

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

“Staff member AH hired 8/21/2023 did not complete sixteen (16) clock hours of orientation training within the first six weeks of employment.”

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 9, 2023. Correction verified: by a letter from the provider.

The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment.

“Staff member AH hired 8/21/2023 was due to complete Recognizing and Responding to Suspicions of Child Maltreatment training by 11/12/2023.”

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 9, 2023. Correction verified: by a letter from the provider.

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 AH hired 8/21/2023 did not have a signed acknowledgement of The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy on file for review.”

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 9, 2023. Correction verified: by a letter from the provider.