The Christine Avery Learning Center - St. Mark’s

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

“The EPR plan on file was updated 6/9/25.”

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

All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement.

“Two (2) staff did not update the Health Questionnaire annually.”

Rule All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement.. 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.

“One (1) child with asthma and food allergy did not have a Medical 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: Feb 4, 2026. 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.

“One (1) staff, hire date 5/1/25, had a medical report on file dated 5/6/25.”

Rule Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Feb 4, 2026. 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.

“Two (2) staff did not update the Emergency Information annually. One (1) staff did not include the choice of health care professional on the Emergency information form.”

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.. 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.

“One (1) staff, hire date 5/1/25, completed orientation training for the topics required to be covered within the first two (2) weeks of employment on 7/3/25.”

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: Feb 4, 2026. Correction verified: by a letter from the provider.

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

“One (1) staff, hire date 5/1/25, had a TB test/screening on file dated 5/9/25.”

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: Feb 4, 2026. Correction verified: by a letter from the provider.

Prior to employment a Criminal Background Check was not completed.

“One (1) staff, hire date 5/1/25, had a Criminal Background Check letter on file dated 5/6/25.”

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: Feb 4, 2026. 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.

“The last lockdown drill was conducted on 8/20/25.”

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

The number of children present was not within permit capacity.

“There were twenty-one (21) children present at the facility today. The licensed capacity is twenty (20) children.”

Rule The number of children present was not within permit capacity.. 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: 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.

“One (1) staff, hire date 5/1/25, did not sign the acknowledgement for the Prevention of Shaken Baby Syndrome and Abusive Head Trauma Policy.”

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.. Corrected during the inspection.

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

“Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The last fire inspection was conducted on 7/3/24.”

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: Aug 25, 2025. 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.

“The last shelter-in-place drill was conducted on 3/22/25.”

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

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.

“An anchored spring rocker was installed within three (3) feet of the fence and within five (5) feet of a tree.”

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: Feb 27, 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.

“The arrival time for two (2) children was not documented in classroom space 2.”

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.

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.

“An anchored spring rocker was installed within three (3) feet of the fence and within five (5) feet of a tree.”

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: Feb 27, 2025. Correction verified: by a letter from the provider.

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

“One (1) volunteer did not have a TB test or screening on file.”

Rule On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Aug 16, 2024. Correction verified: by a letter from the provider.

Before children were transported, written permission from a parent was not obtained that included when and where the child was to be transported, expected time of departure and arrival, and the transportation provider.

“The written permission to transport children did not include where the child was being transported or expected time of arrival and departure.”

Rule Before children were transported, written permission from a parent was not obtained that included when and where the child was to be transported, expected time of departure and arrival, and the transportation provider.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Aug 2, 2024. Correction verified: by a letter from the provider.

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

“One (1) volunteer, hire date 6/20/24. Did not have a TB test or screening on file”

Rule On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Aug 16, 2024. Correction verified: by a letter from the provider.

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

“Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The current fire inspection was approved on 7/3/24. The previous fire inspection was approved on 4/4/23. The fire inspection approved on 7/3/24 was not submitted to the Division within one (1) week of the inspection date.”

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: Aug 2, 2024. 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.

“One (1) staff hire date 8/21/23, had a medical report on file dated 9/6/23.”

Rule Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Feb 22, 2024. Correction verified: by a letter from the provider.

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

“The menu stated mixed vegetables would be served for lunch. Beans were served instead.”

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.

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.

“One (1) staff, hire date 8/21/23, had a TB test on file dated 8/25/23.”

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: Feb 22, 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.

“The last shelter-in-place drill was conducted on 7/11/23.”

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