The Christine Avery Learning Center - Valley

All equipment and furnishings were not in good repair.

“Outdoors, chipping paint was present on the see saw metal handle, and rust was showing on the metal handle of the rocking horse.”

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: Sep 23, 2026. 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.

“Space 1, two (2) electrical outlet on a power strip on top of the paper towel holder uncovered. Space 4, one (1) electrical outlet was uncovered.”

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.

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 six (6) staff, that are hired at The Christine Avery Learning Center Valley.”

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: Mar 20, 2026. Correction verified: by a letter from the provider.

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

“Space 2, two (2) medications had permission to administer medication form that was blank and not signed off by the parent authorizing medication to be administered.”

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: Mar 23, 2026. Correction verified: by a letter from the provider.

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

“Outdoors, chipping paint and rust showing on the see saw, along with potential pinch hazards on the plastic seats. The black felt barrier beneath the rubber mulch was exposed creating a tripping hazard on the infant/toddler playground”

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 20, 2026. Correction verified: by a letter from the provider.

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 4, staff pocketbook was located under the sink accessible to children.”

Rule A violation was found for which there is no item number.. Corrected during the inspection.

All children were not held or placed in feeding chairs or other appropriate apparatus to be fed.

“Space 1, one (1) child was in their crib drinking a bottle while laying on their back, and another child had a bottle laying in their crib with them.”

Rule All children were not held or placed in feeding chairs or other appropriate apparatus to be fed.. 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.

“Space 4, disinfecting wipes located under the sink accessible to the 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.. Corrected during the inspection.

Caregivers did not document compliance with visually checking on sleeping infants aged 12 months or younger and/or the documents were not maintained for a minimum of one month.

“Space 1, safe sleep charts were not completed for four (4) children that were present on 3/5/2026.”

Rule Caregivers did not document compliance with visually checking on sleeping infants aged 12 months or younger and/or the documents were not maintained for a minimum of one month.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Mar 20, 2026. Correction verified: by a letter from the provider.

Center staff did not comply with the safe sleep policy.

“Space 1, one (1) child was in their crib laying on a boppy pillow.”

Rule Center staff did not comply with the safe sleep policy.. Corrected during the inspection.

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.

“Space 2, the arrival/departure sign-in and out sheet was not completed for two (2) children. Space 3, the arrival/departure sign-in and out sheet was not completed for one (1) child who came in late.”

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 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.

“Staff member hired 7/17/2025 as a substitute who worked four (4) weeks during the summer and then once a month until hired full time on 1/5/2026. The staff member had a medical report on file that addressed other areas of concern but was not considered physical. Staff member hired 4/8/2025 had a medical report on file that addressed other areas of concern but was not considered physical.”

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: Mar 23, 2026. 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, One (1) Destin form expired 2/25/2026. Space 3, Tylenol and Desitin onsite for a child that no longer attends the facility. Space 3, one (1) emergency medication permission to administer medication form was dated 10/3/2025 to 10/3/2025 and was not returned to the parent. Space 4, Three (3) topical creams were expired and was not discarded or returned to the parents.”

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: Mar 23, 2026. Correction verified: by a letter from the provider.

Parent’s medication authorization did not include required information.

“Space 1, one (1) diaper cream permission to administer medication form was missing the dose and dates to administer the medication. Space 2, One (1) Little Journey diaper cream was missing the dates to administer the medication.”

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: Mar 23, 2026. 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 1, Plastic diaper packaging that can be easily torn was accessible to the children. Space 2, plastic diaper and wipe packing below five (5) feet 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.

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 hired 7/17/2025 and staff member hired 11/20/2024 Recognizing and responding to suspicions of child maltreatment certificate was not on file for review.”

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: Mar 20, 2026. Correction verified: by a letter from the provider.

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, one (1) Asthma Action Plan was dated 2/20/2025 and was not updated annually.”

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: Mar 20, 2026. Correction verified: by a letter from the provider.

Incident logs were not completed and maintained as required.

“One (1) incident from 9/19/2025 for a two-year-old child that was bitten was not logged on the incident log.”

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: Oct 28, 2025. Correction verified: by a letter from the provider.

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.

“Ten (10) incident reports dated from March 28, 2025, to September 16, 2025, did not have a parent signature or initials indicating the parent declined the incident report”

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: Oct 28, 2025. Correction verified: by a letter from the provider.

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

“While monitoring outdoors, I observed the plastic black mulch barrier exposed on the infant and one year old playground creating a potential trip hazard.”

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: Apr 7, 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.

“In space #1, one (1) bottle of zep cleaner was located unlocked on top of the refrigerator.”

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.

Caregivers did not document compliance with visually checking on sleeping infants aged 12 months or younger and/or the documents were not maintained for a minimum of one month.

“In space #1, While monitoring the classroom, I observed that the sleep check charts have not been completed since 3/19/2024.”

Rule Caregivers did not document compliance with visually checking on sleeping infants aged 12 months or younger and/or the documents were not maintained for a minimum of one month.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Apr 7, 2025. Correction verified: by a letter from the provider.

Center did not maintain a record of daily attendance.

“Daily attendance was not completed for 3/25/2025 and 3/26/2025.”

Rule Center did not maintain a record of daily attendance.. 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 toilet cleaner was located in an unlocked cabinet under the sink in space #4, the classroom with three through five year old 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.. 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.

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 10, 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.

“Children’s Motrin, reported to belong to a staff member and not an enrolled child, was located on a shelf above five feet and not in a locked container in space #4, the classroom with three through five year old children.”

Rule Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container.. 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 documented monthly playground inspection that could be located during the visit was dated 5/8/24. A monthly playground inspection was not documented as being completed for the month of June 2024.”

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: Jul 10, 2024. Correction verified: by a letter from the provider.

Parent’s medication authorization did not include required information.

“A Parent’s Choice Diaper Rash Ointment located in space #3, the classroom with two and three year old children, had a medication authorization form on file that was not signed or dated by the parent. A Boudreaux’s Butt Past located in space #3, the classroom with two and three year old children, did not have a medication authorization form on file.”

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 10, 2024. Correction verified: by a letter from the provider.

The depth of the loose surfacing was not based on critical height of the equipment.

“Outdoor space #1, the playground for three through five year old children, had areas within the required fall zone of the anchored equipment that measured between one (1) and five (5) inches of rubber mulch. Outdoor space #2, the playground for two and three year old children, had areas within the required fall zone of the anchored equipment that measured between two (2) and five (5) inches of rubber mulch.”

Rule The depth of the loose surfacing was not based on critical height of the equipment.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Jul 10, 2024. Correction verified: by a letter from the provider.

The depth of the loose surfacing was not based on critical height of the equipment.

“Outdoor space #1 had areas within the required fall zone of the anchored equipment that measured between three and five inches of rubber mulch. Outdoor space #2 had areas within the required fall zone of the anchored equipment that measured between three and four inches of rubber mulch.”

Rule The depth of the loose surfacing was not based on critical height of the equipment.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Jun 5, 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.

“One (1) child was not signed in with an arrival time in space #3, the classroom with two and three year old children. One (1) child was not signed in with an arrival time in space #4, the classroom with three through five year old children.”

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.. Corrected during the inspection.

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

“The spring rocker on outdoor playground space #3 has peeling paint on the handle. There was a metal, rusty trash can in the bathroom of space #3.”

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: Mar 20, 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.

“Foam rubber blocks were located in space #3, the classroom with two and three year old children.”

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.. Corrected during the inspection.

The depth of the loose surfacing was not based on critical height of the equipment.

“The stationary equipment on outdoor spaces #2 and #3 had rubber mulch that measured less than the required six inches based on the critical height of the equipment (5 feet or less). The areas around the slide exits had less than one inch of rubber mulch. The mulched areas around the fall zone area of the equipment, excluding the slide exits measured as low as two inches.”

Rule The depth of the loose surfacing was not based on critical height of the equipment.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Mar 20, 2024. Correction verified: by a letter from the provider.