Academy at Biltmore Church

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 spray bottle of Goo Gone was stored in a unlocked cabinet above the sink in room 421. The warning label include “Harmful or fatal if swallowed. and keep out of reach of children”.”

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: Dec 17, 2025. 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.

“An action plan was not on file for a child who was on an inhaler for “reactive airway disorder” in room 421.”

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: Dec 17, 2025. 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.

“Two (2) outlets - one (1) by the cubby and one (1) above the counter were not covered with safety outlet covers in room 414.”

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.

Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization.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 an inhaler in room 421 was dated 5/21/25 and expired on 11/21/25. The inhaler was still present in the classroom.”

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 17, 2025. Correction verified: by a letter from the provider.

Parent’s medication authorization did not include required information.

“Two (2) authorization forms for diaper creams in room 417 did not have required information - parental signature and the manner in which the ointments shall be applied. In space 12, Aquaphor, assigned to a child did not include instructions for use and Desitin, assigned to a child had permission to administer forms with no parent signature.”

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 17, 2025. 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.

“Ziplock bags were accessible to children two (2) years of age, in room 410.”

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.

“Three (3) staff members (employment date - 11/18/24, 11/25/24 and 10/11/24) did not either complete the Health and Safety training within one (1) year of employment or maintain the certificates in their files.”

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: Dec 17, 2025. Correction verified: by a letter from the provider.

An incident report was not completed and mailed to a Division representative within seven days after the incident when medical treatment was required.

“The incident report for August 6, 2025, when a child was transported to a hospital by an ambulance for severe rash/hives were not submitted to the Division within seven (7) days.”

Rule An incident report was not completed and mailed to a Division representative within seven days after the incident when medical treatment was required.. Corrected during the inspection.

Drinking water was not freely available to children of all ages.

“Per interview with staff members, drinking water for infants are not consistently offered. Staff members rely on the parents to provide drinking water for infants.”

Rule Drinking water was not freely available to children of all ages.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Sep 9, 2025. Correction verified: by a letter from the provider.

The center did not have developmentally appropriate equipment and materials accessible daily.

“On August 11, 2025, a child, who was four (4) months of age at the time, was placed in a Bye-Bye-Bus and taken for a walk.”

Rule The center did not have developmentally appropriate equipment and materials accessible daily.. Corrected during the inspection.

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

“Two(2) staff member’s valid qualification letters were not on file. One (1) staff member’s (Date of employment- 5/27/25) letter was printed during the visit and filed. Staff member who was hired on 3/10/25 did not have a valid qualification letter.”

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: Aug 26, 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. A staff member who was hired on 5/12/25 did not complete CPR training within ninety (90) days of employment.”

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, 2025. 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. A staff member who was hired on 5/12/25 did not complete First Aid training within ninety (90) days of employment.”

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

Prior to the expiration date of the qualification letter, the child care provider did not complete and submit required forms to complete a criminal background check (a qualification letter is valid for a maximum of five years for the date of issuance).

“K. Mauney’s qualification letter expired on 8/4/25, and the re-application had not been submitted at the time of the visit.”

Rule Prior to the expiration date of the qualification letter, the child care provider did not complete and submit required forms to complete a criminal background check (a qualification letter is valid for a maximum of five years for the date of issuance).. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Aug 26, 2025. Correction verified: by a letter from the provider.

Following the issuance of any administrative action the operator did not post the administrative action, cover letter, and/or corrective action plan, if applicable, in a location visible to parents and visitors near the entrance of the child care facility during the pendency of an appeal and/or throughout the effective time period of the administrative action.

“(Applicable to administrative actions after 2/1/19). The cover page of the administrative action issued on June 19, 2025, was posted on the bulletin board near the entrance area, but the corrective action plan was not.”

Rule Following the issuance of any administrative action the operator did not post the administrative action, cover letter, and/or corrective action plan, if applicable, in a location visible to parents and visitors near the entrance of the child care facility during the pendency of an appeal and/or throughout the effective time period of the administrative action.. Corrected during the inspection.

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

“Across fifteen (15) classrooms, a total of thirteen (13) children’s faces were covered by their blankets fully or partially but were not removed from their face by the staff members.”

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: Jul 7, 2025. Correction verified: at a follow-up visit by DCDEE.

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

“A valid qualification letters were not maintained the staff files for the following staff members: MA (employed on 3/3/25), LA (employed on 2/10/25, SH (Employed on 5/27/25), CM (Employed on 2/10/25, SP (employed on 5/12/25) and LP (employed on 6/2/25).”

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: Jul 7, 2025. Correction verified: at a follow-up visit by DCDEE.

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 room #404, an aerosol can of Sun Bun Kids SPF 50 was on the shelf by the door. In room #414, an aerosol can of Equate shaving cream was stored in a lockbox on the top shelf in a cabinet. However, the combination lock was set for the correct numbers, and the box was not locked.”

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: Jul 7, 2025. Correction verified: at a follow-up visit by DCDEE.

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. The documentation of the EPR review was not in staff file for NC, who was hired on 4/7/25, CH, who was hired on 3/3/25, and CM, who was hired on 2/10/25. The date of the review was written on the documentation for LA, who was hired on 2/10/25 and SP, who was hired on 5/12/25 and AW, who was hired on 2/10/25.”

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: Jul 7, 2025. Correction verified: at a follow-up visit by DCDEE.

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. CPR training certificates were not in the staff file for EF who was hired on 12/14/24, ZF who was hired on 6/12/24, DH who was hired on 8/26/24, CS, who was hired on 9/9/24, MS, who was hired on 1/18/24, and CS, who was hired on 12/6/24.”

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 7, 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. First Aid training certificates were not in the staff file for EF who was hired on 12/14/24, ZF who was hired on 6/12/24, DH who was hired on 8/26/24, CS, who was hired on 9/9/24, MS, who was hired on 1/18/24, and CS, who was hired on 12/6/24.”

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 7, 2025. Correction verified: at a follow-up visit by DCDEE.

An individual written feeding plan was not provided by child’s parent or health care provider or was not followed and posted.

“(omit posting for centers located in a residence). In room #418, one (1) infant was present, and the child’s feeding plan was not posted. In room #417, the feeding plan for a child who was younger than fifteen (15) months old, was not posted in the classroom.”

Rule An individual written feeding plan was not provided by child's parent or health care provider or was not followed and posted.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Jul 7, 2025. Correction verified: at a follow-up visit by DCDEE.

Aquatic activities were permitted in hot tubs, spas, saunas or steam rooms, portable wading pools, natural bodies of water, or other unfiltered non disinfected containments of water.

“Wading pools were accessible and offered to infants during water play.”

Rule Aquatic activities were permitted in hot tubs, spas, saunas or steam rooms, portable wading pools, natural bodies of water, or other unfiltered non disinfected containments of water.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Jul 7, 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.

“A staff member, LP, who was hired on 6/2/25, did not have medical report in the file.”

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: Jul 7, 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.

“One (1) staff member, AC, who was employed on 6/2/25, did not have the current emergency information form in the file.”

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: Jul 7, 2025. Correction verified: at a follow-up visit by DCDEE.

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.

“Some of the medical information were maintained in regular staff files for the following staff members: MA (hired on 3/3/25), MA (hired on 3/24/25), AC (hired on 6/2/25) and LS (hired on 6/2/25).”

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.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Jul 7, 2025. 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.

“For breakfast, cereal, cut cantaloupes and milk were served, but orange was listed on the menu.”

Rule Food substitution was not of comparable food value or recorded on the menu prior to the meal or snack being served.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Jul 7, 2025. Correction verified: at a follow-up visit by DCDEE.

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.

“In room #422, one (1) child’s bottles were not dated. In #420, one (1) child’s bottles were labeled with the dates, June 20.”

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.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Jul 7, 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.

“In room #410, Aquaphor cream expired in April 2025. In room #420, Boudreaux’s Butt Paste original expired in August 2024. In room #408, Aveeno Eczema therapy expired in April 2025. In room #406, Aquaphor cream expired in March 2025.”

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: Jul 7, 2025. 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.

“In room #410, Nystatin cream was in the plastic bin with other over-the-counter diaper creams on the top shelf in the cabinet, and the cabinet was not locked.”

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: Jul 7, 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.

“A staff member who was employed on 4/9/25 did not have a second page of TB screening. The staff member used the TB form that was provided by the Division’s website. The staff member answered yes to one (1) of the questions, but the information for the skin test was not included in the documentation.”

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: Jul 7, 2025. Correction verified: at a follow-up visit by DCDEE.

Parent’s medication authorization did not include required information.

“In room #508, authorization form for Aveeno eczema therapy expired on 2/22/25. In room #410, the authorization form for Nystatin was over-the-counter medication form. In room 418, the authorization form for Eucerin Eczema Relief Cream expired on 5/6/25. Also, the form for A+D ointment for a child expired on 2/22/25.”

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: Jul 7, 2025. Correction verified: at a follow-up visit by DCDEE.

Rule violated (DCDEE’s description below)

“Employee purses and other personal effects were not kept out of reach of children. In room #404, a pink purse for a staff member was accessible to the children on the counter.”

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: Jul 7, 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 completed on 2/27/25.”

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: Jul 7, 2025. Correction verified: at a follow-up visit by DCDEE.

Special diet or food allergy information was not posted where they can be seen in food preparation and eating areas.

“In room #409, a list of allergy information and special diet was not posted. A staff member stated that one (1) child was allergic to peanuts.”

Rule Special diet or food allergy information was not posted where they can be seen in food preparation and eating areas.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Jul 7, 2025. 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 sheet was not posted in room #418.”

Rule Staff/child ratios applicable to a classroom, were not posted in each classroom.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Jul 7, 2025. Correction verified: at a follow-up visit by DCDEE.

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

“In room #422, one (1) child’s feeding plan was not signed by the parent. Also in room #419, one (1) child’s feeding plan 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: Jul 7, 2025. Correction verified: at a follow-up visit by DCDEE.

When medication was administered, documentation was not completed or maintained for 6 months and/or the documentation did not include the required information.

“For administration of Albuterol in room #406, a check mark was used to log the medication administration on March 12, 2025. Time of administration of the medication and the signature of the person who administrator the medication were not included.”

Rule When medication was administered, documentation was not completed or maintained for 6 months and/or the documentation did not include the required information.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Jul 7, 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.

“Two (2) outlets in the hallway were not covered by the safety covers.”

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.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Jun 9, 2025. Correction verified: by a letter from the provider.

Staff did not model appropriate eating behaviors by consuming food or beverages that meet the nutritional requirements specified in the Meal Patterns for Children in Child Care Programs in the presence of children in care.

“In two (2) classrooms, two (2) transparent cups—one containing a brown liquid and the other a dark brown or black liquid—were observed within reach of children. One (1) cup was on the shelf by the door and the other (1) on the counter, both within reachable distance for the children.”

Rule Staff did not model appropriate eating behaviors by consuming food or beverages that meet the nutritional requirements specified in the Meal Patterns for Children in Child Care Programs in the presence 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: Jun 9, 2025. Correction verified: by a letter from the provider.

Children were not adequately supervised at all times.

“On May 12, 2025, at approximately 9:48 a.m., a three (3) year old child was found unattended in space #5 (room 408) for approximately eight (8) minutes. A staff member discovered the child alone in the classroom, washing his/her hands. The incident occurred during a transition from the classroom to the bathroom.”

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: May 28, 2025. Correction verified: at a follow-up visit by DCDEE.

Children were not adequately supervised at all times.

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: Apr 11, 2025. Correction verified: at a follow-up visit by DCDEE.

Children were not adequately supervised at all times.

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: Jan 28, 2025. Correction verified: at a follow-up visit by DCDEE.

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

“The criminal background qualifying letter was not printed for C. Steward and maintained in the staff file. Per ABCMS, this staff member has completed the background check.”

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: Dec 23, 2024. 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 hands were not washed after diaper change in space #422.”

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: Dec 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 cream was maintained on the top shelf along with the other diaper creams in space #414.”

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 23, 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.

“A staff member did not wash hands after diaper change in space #422.”

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

The EMC plan was not reviewed with all staff annually and whenever the plan was revised.

“The documentation for EMC review for T. Brewer, K. Cagle, J. Covert, G. Crow, A. Curry, J. Flynn, R. Hammond, E. Johnson, S. Lovelace, L. Satterfield, and V. Vallejos were outdated.”

Rule The EMC plan was not reviewed with all staff annually and whenever the plan was revised.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Dec 23, 2024. Correction verified: by a letter from the provider.

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

“The documentation for EPR review for T. Brewer, K. Cagle, J. Covert, G. Crow, A. Curry, J. Flynn, R. Hammond, E. Johnson, S. Lovelace, L. Satterfield, and V. Vallejos were outdated.”

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: Dec 23, 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.

“In #408, two (2) cans of shaving cream were on the counter less than five (5) feet high, and two (2) cans of shaving cream were on the top shelf in the cabinet with baby-proof slide lock.”

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 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. CPR training certificate for the staff member, CG was not maintained in the staff 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: Feb 1, 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. First Aid training certificate for the staff member, CG was not maintained in the staff 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: Feb 1, 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.

“In space #1 (Room 404), two (2) outlets on the wall above the counter was not covered with safety outlet covers.”

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.

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

“The last playground inspection was completed on 11/27/23.”

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