Mission Health Child Care Development Center

Children were not adequately supervised at all times.

“On 3/3/26 at approximately 3:00pm a two-year-old child was left in the hallway for less than one (1) minute during a transition from the hallway bathroom to classroom space 5.”

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: Mar 27, 2026. 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.

“The orientation log for two-week orientation for a staff member who was hired on 7/21/25 was blank for Child Maltreatment Reporting.”

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

Electrical cords were accessible to infants and toddlers.

“The electrical cord for a speaker was accessible to two-year-old children in classroom space 8. The electrical cord for the light table in classroom space 9 was accessible to two-year-old children.”

Rule Electrical cords were accessible to infants and toddlers.. Corrected during the inspection.

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

“Appliances with heating elements, such as bottle warmers, crock pots, curling irons, irons, coffee pots, and/or their cords were accessible to preschool-age children. A coffee maker and an electric kettle were observed on a table in the hallway, accessible to children.”

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

A child was handled in a rough way, including shaking, pushing, shoving, pinching, slapping, biting, kicking, or spanking.

“On 5/28/25 at approximately 12:00pm on the preschool playground, a staff member handled a three year old child roughly by lifting them up by their arms and dragging them.”

Rule A child was handled in a rough way, including shaking, pushing, shoving, pinching, slapping, biting, kicking, or spanking.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Jun 25, 2025. Correction verified: at a follow-up visit by DCDEE.

A child was yelled at, shamed, humiliated, frightened, threatened or bullied.

“On 6/10/25 at approximately 5:30pm, a two year old child was told to put soap in their hair and to eat soap by a staff member. The staff member laughed at them. On 6/12/25 at approximately 9:00am on the preschool playground, a different staff member yelled at and intimidated a three year old child until they urinated.”

Rule A child was yelled at, shamed, humiliated, frightened, threatened or bullied.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Jun 25, 2025. Correction verified: at a follow-up visit by DCDEE.

Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization.

“One (1) diaper cream in classroom space 12 expired 11/2024.”

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.

All walls and ceilings including doors and windows were not kept clean, free of visible fungal growth, and in good repair.

“A substance that appears to be fungal growth was found in the utility room off of classroom space 11.”

Rule All walls and ceilings including doors and windows were not kept clean, free of visible fungal growth, 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: Feb 19, 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. One (1) staff, hire date 3/11/24, does not have a CPR/First Aid certificate on file.”

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: Aug 26, 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 3/11/24, does not have a CPR/First Aid certificate on file.”

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: Aug 26, 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 most recent fire inspection was approved on 8/20/24. The previous fire inspection was approved on 7/12/23.”

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 26, 2024. Correction verified: by a letter from the provider.

Parent’s medication authorization did not include required information.

“The medication administration authorization form for one (1) sunscreen in classroom space 11 expired on 5/22/24.”

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: Aug 26, 2024. Correction verified: by a letter from the provider.

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

“On April 22, 2024, an infant used shelving to assist with pulling up to stand. The child fell on two occasions, once hitting their head on the carpeted floor and once on the tile floor. On this occasion, staff failed to ensure a safe environment and the child sustained a skull fracture. (This is a repeated violation from January 17, 2024).”

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

Application for employment and date of birth was not on file for all staff.

“Three (3) staff did not have an application in their staff file.”

Rule Application for employment and date of birth was not on file for all staff.. Corrected during the inspection.

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 did not have a medical report on file prior to the first day of work.”

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: Apr 12, 2024. Correction verified: by a letter from the provider.

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

“Two (2) staff did not have documentation of orientation training topics for the first two (2) weeks of employment.”

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

Each staff member did not have the required medical report, proof of tuberculosis test or screening and/or completed health questionnaire in a medical file, maintained separately from the staff member’s individual personnel file.

“Three (3) staff did not have health documents stored in a separate confidential file”

Rule Each staff member did not have the required medical report, proof of tuberculosis test or screening and/or completed health questionnaire in a medical file, maintained separately from the staff member's individual personnel file.. Corrected during the inspection.

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

“Three (3) staff did not have documentation of orientation on file for the first six (6) weeks of employment.”

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

“Two (2) staff did not have a TB test 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.. Corrected during the inspection.

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 1/8/18, had 2.5 hours out of the required 10 hours between 1/8/23-1/8/24. One (1) staff, hire date 2/15/21 had 0 hours out of the required 5 hours between 2/15/23-2/15/24.”

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

“The portion of the EPR plan that listed role assignments contained four (4) staff who are no longer present at the facility.”

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: Apr 12, 2024. Correction verified: by a letter from the provider.

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

“On January 5, 2024, a staff member was standing and holding two infants at the same time. The staff member dropped one of the infants. As a result of the fall, the child sustained a skull fracture. The staff member holding two infants from a standing position at the same time created an unsafe environment.”

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

Center staff did not follow the EMC plan.

“On January 5, 2024, staff members failed to properly assess an infant for injuries and did not notify the child’s parents of the incident when a staff member dropped the child and their head hit the floor.”

Rule Center staff did not follow the EMC plan.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Jan 29, 2025. Correction verified: at a follow-up visit by DCDEE.

Incident logs were not completed and maintained as required.

“Incidents were not documented on the incident log form provided by the Division.”

Rule Incident logs were not completed and maintained as required.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Jan 29, 2025. Correction verified: at a follow-up visit by DCDEE.

Incident reports were not completed each time a child was injured, it did not include all the information required in rule, it was not signed by the parent and/or it was not maintained in the child’s file.

“Incident report completed January 15, 2024 did not contain all required information. Information regarding medical treatment received, location of the incident and what equipment was involved in the incident was not documented.”

Rule Incident reports were not completed each time a child was injured, it did not include all the information required in rule, it was not signed by the parent and/or it was not maintained in the child's file.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Jan 29, 2025. Correction verified: at a follow-up visit by DCDEE.

There was a substantiation of child maltreatment.

“The Division of Child Development and Early Education determined child maltreatment based on physical injury to a child.”

Rule There was a substantiation of child maltreatment.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Jan 29, 2025. Correction verified: at a follow-up visit by DCDEE.