Childcare Network #179

A child’s hands were not washed after each diaper change.

“A child’s hands were not washed after receiving a diaper change in space #5.”

Rule A child's hands were not washed after each diaper change.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Sep 25, 2026. Correction verified: by a letter from the provider.

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

“Kix cereals were left uncleaned on the floor in infant room where young infant, two (2) months of age, was present. Additionally, staff beverage - brown liquid in a Dunkin’ Donuts’ transparent cup was unattended and accessible to the children on the counter approximately 3”10’in height in space #5.”

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: Sep 25, 2026. 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 member who’s day of employment being 4/14/26, did not have current CPR certification on file.”

Rule All staff did not successfully complete certification in CPR training appropriate to the age of the children in care.. Corrected during the inspection.

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 member who’s day of employment being 4/14/26, did not have current first aid certification on file.”

Rule All staff did not successfully complete certification in First Aid appropriate to the age of children in care.. Corrected during the inspection.

All staff did not wash their hands thoroughly after diapering each child.

“A staff member did not wash his/her hands after changing a child in space #5.”

Rule All staff did not wash their hands thoroughly after diapering each child.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Sep 25, 2026. Correction verified: by a letter from the provider.

Diaper changing surfaces were not cleaned with a detergent solution and disinfected after each use.

“After diaper change, a staff member sprayed a bleach solution, wait for a few minutes and wiped the surfaces in space #5. No detergent solution was used to clean the surface before bleach solution was used.”

Rule Diaper changing surfaces were not cleaned with a detergent solution and disinfected after each use.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Sep 25, 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.

“The permission form for an emergency medication in space #4 was dated 7/31/25, and the medication was not returned to the parent within 72 hours.”

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: Sep 25, 2026. 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.

“One (1) staff members did not review the EPR plan annually.”

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: Sep 25, 2026. Correction verified: by a letter from the provider.

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

“One (1) child’s feeding plan was not signed by the parent in space #2.”

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: Sep 25, 2026. Correction verified: by a letter from the provider.

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

“Metal part located behind the seat of Angles tricycles were rusted in sections for four (4) tricycles on the blacktop section of playground #5- infant/toddler playground. Additionally, animal droppings were observed in the fall zone for the slide in PG #2, School-age playground. The shade on PG #1- KPA playground was torn.”

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 3, 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.

“The permission forms for five (5) medications in space #5 expired but the medications were not returned to the parents or discarded. The permission form for Gentle Steps Diaper Cream expired on 1/23/26. The permission form for Care All Zinc Oxide ointment expired on 12/5/25. The permission form for A+D diaper rash ointment expired on 7/23/25. The permission form for Playtex Zinc Oxide diaper rash cream expired on 11/18/25.THe permission form for Vitamins A+D diaper ointment expired on 2/6/26.”

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.

Outdoor play area was not enclosed by fence with a minimum height of 4 feet.

Rule Outdoor play area was not enclosed by fence with a minimum height of 4 feet.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Mar 3, 2026. Correction verified: by a letter from the provider.

Children between 12 and 24 months of age were grouped with children 3 years of age or older.

“I observed one (1) child, aged three (3), two (2) children, aged one (1), and three (3) children, aged two (2) in space #5.”

Rule Children between 12 and 24 months of age were grouped with children 3 years of age or older.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Nov 5, 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.

“The feeding plan for a child, who was twelve (12) months of age, were not followed on 10/20/25. The child was not provided with a bottle with formula as directed on the feeding plan until approximately 12:40 pm.”

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: Oct 31, 2025. Correction verified: by a letter from the provider.

For children under two years of age, time and space for sleeping, eating, toileting, diaper changing, and playing was not provided according to child’s needs.

“On October 20, 2025, a child, who was twelve (12) months of age, was not provided with a bottle until approximately 12:40 pm. even though the child did not each breakfast or lunch provided by the program.”

Rule For children under two years of age, time and space for sleeping, eating, toileting, diaper changing, and playing was not provided according to child's needs.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Oct 31, 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.

“In space #5, two (2) cots were placed in the housekeeping area, and the space between the cots were approximately twelve (12) inches.”

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: Aug 27, 2025. 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.

“A staff member who was hired on 8/19/25 did not have the emergency information form filled out.”

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

Drinking water was not available to children at all times regardless of where activities were provided.

“Upon children from space #1, #4 and #5 played on the playground, no drinking water was available to them.”

Rule Drinking water was not available to children at all times regardless of where activities were provided.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Aug 27, 2025. 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.

“The date of review of Recognizing, responding to, and reporting child abuse, neglect, or maltreatment pursuant to G.S.110-105.4 and G.S. 7B-301 was missing from the orientation documentation for a staff member who was hired on 3/25/25.”

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: Aug 27, 2025. 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.

“Aquaphor 3-in-1 diaper rash cream in space #1 expired in July 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: Aug 27, 2025. Correction verified: by a letter from the provider.

Potential biocontaminants were not stored properly (locked storage, removed from premises, inaccessible to children, or covered plastic lined receptacle).

“Per staff member’s statement, soiled clothes are bagged and stored in the children’s cubbies.”

Rule Potential biocontaminants were not stored properly (locked storage, removed from premises, inaccessible to children, or covered plastic lined receptacle).. Corrected during the inspection.

Running water, soap and individual sanitary towels, or other approved hand-drying devices were not supplied at each lavatory.

“Handwashing soap was available for the right sink in space #6 and the bathroom used by the school-age children.”

Rule Running water, soap and individual sanitary towels, or other approved hand-drying devices were not supplied at each lavatory.. Corrected during the inspection.

Diapers were not changed whenever they were soiled or wet and/or were changed on a shift basis.

“In space #5, all the children’s diapers were changed when they transitioned from the playground to the classroom.”

Rule Diapers were not changed whenever they were soiled or wet and/or were changed on a shift basis.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Jun 17, 2025. Correction verified: by a letter from the provider.

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

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 6, 2025. Correction verified: by a letter from the provider.

All vehicles used to transport children were not free of hazards.

“There are some tears on the 1st and 2nds seats on the driver’s side as well as the 2nds seat on the passenger side on the yellow bus.”

Rule All vehicles used to transport children were not 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 3, 2025. Correction verified: by a letter from the provider.

Refrigerator(s) did not maintain a temperature of 45 degrees F. or below.

“There was no temperature measuring device in the refrigerator in space #1.”

Rule Refrigerator(s) did not maintain a temperature of 45 degrees F. or below.. Corrected during the inspection.

Developmentally appropriate equipment and materials were not provided for variety of outdoor activities for vigorous play and large muscle development.

“The only outdoor gross motor equipment for outdoor space #4, the group with two and three and three year old children, was the climbing structure. No portable equipment or materials were available for a variety of outdoor activities that allow for active play and large muscle development.”

Rule Developmentally appropriate equipment and materials were not provided for variety of outdoor activities for vigorous play and large muscle development.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Aug 30, 2024. Correction verified: by a letter from the provider.

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

“A schedule was not posted in space #5, the classroom with two and three year old children.”

Rule A current schedule was not posted for each group of children for reference.. Corrected during the inspection.

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.

“There were zero (0) children, of the four (4) children present, documented with arrival times on the sign-in sheet during the visit in space #2, the classroom with infants and one 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.

Incident logs were not completed and maintained as required.

“The last incident report was documented on 3/18/24 in the incident log. Incidents reports for the remainder of March 2024, all of April 2024, and the first part of May 2024 have not been documented 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: May 27, 2024. Correction verified: by a letter from the provider.

Outdoor play area did not provide an area that is shaded.

“Outdoor space #1 did not provide an area on the playground that was shaded. This is a repeat violation from 4/15/24.”

Rule Outdoor play area did not provide an area that is shaded.. 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.

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

“The menu listed that bread would be served as a grain on the menu. However, pasta was served as the grain during the lunch today. The menu was not updated prior to serving the meal to the children.”

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: Apr 29, 2024. Correction verified: by a letter from the provider.

Health and safety training topics were not included as part of on-going training within five years of completing the previous health and safety training topics.

“The last documented completion of health and safety training topics was 1/13/19 for a staff member that was hired on 11/1/18. Refer to the staff and training worksheets.”

Rule Health and safety training topics were not included as part of on-going training within five years of completing the previous health and safety training topics.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Apr 29, 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.

“There were four (4) topical ointments and creams that had expired medication authorization forms in space #5, the classroom with two and three year old children. Aquaphor had an authorization form that expired on 1/24/24. Desitin diaper cream had an authorization form that expired on 3/10/24. QC Diaper Rash cream had an authorization form that expired on 3/10/24. Eucerin Eczema Relief Cream had an authorization form that expired on 3/29/24.”

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: Apr 29, 2024. Correction verified: by a letter from the provider.

Medical exam or health assessment record was not on file before or within 30 days after admission.

“One (1) child with an enrollment date of 2/26/24 did not have a medical exam or health assessment on file.”

Rule Medical exam or health assessment record was not on file before or within 30 days after admission.. Corrected during the inspection.

Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container.

“The first aid kit that contained a small packet of Tylenol and a small packet of Advil was stored unlocked on the yellow bus that is used to transport children.”

Rule Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container.. Corrected during the inspection.

Outdoor play area did not provide an area that is shaded.

“Outdoor space #1 did not provide an area on the playground that was shaded.”

Rule Outdoor play area did not provide an area that is shaded.. 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.