Irene Wortham Early Learning Center

Children were not adequately supervised at all times.

“A child, who was two (2) years of age, was left unattended in the classroom from 10:36 am to 10:41 am on June 2, 2026, until other staff members found him/her. The child came into the classroom from playground alone during playground time.”

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: Jul 8, 2026. 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 Check qualification letter for K. McDavid expired on 5/26/26”

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: Jun 15, 2026. 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).

“The Criminal Background Check qualification letter for K. McDavid expired on 5/26/26.”

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: Jun 15, 2026. 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 an incident that occurred on 4/22/26 was given to a Division representative on 5/6/26.”

Rule An incident report was not completed and mailed to a Division representative within seven days after the incident when medical treatment was required.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: May 7, 2026. Correction verified: by a letter from the provider.

Each child was not attended to in a nurturing and appropriate manner, or in keeping with the child’s developmental needs.

“On 4/22/26 at approximately 9:11am, a teacher in classroom space B assisted a two year old child with putting on their sweater. The teacher got up from a seated position, held the child’s hand, and sat back down while holding the child’s hand, pulling the child toward them. A nursemaid’s elbow injury occurred as a result.”

Rule Each child was not attended to in a nurturing and appropriate manner, or in keeping with the child's developmental needs.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: May 6, 2026. Correction verified: at a follow-up visit by DCDEE.

Rule violated (DCDEE’s description below)

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

A drug or medicine was administered in a manner not authorized by the child’s parent, physician or other authorized health professional.

“On 3/30/26 at approximately 9:50am a one-year-old child received four (4) puffs of albuterol when the child exhibited symptoms listed on the medical action plan that indicated the child was in the “yellow” zone. The child received an additional four (4) puffs at 11:45am. The medical action plan states to administer four (4) puffs of albuterol every four (4) hours when the child is in the “yellow” zone.”

Rule A drug or medicine was administered in a manner not authorized by the child's parent, physician or other authorized health professional.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Apr 17, 2026. Correction verified: by a letter from the provider.

When medication was administered in error, the child care center did not either call 911 in accordance with CPR or First Aid training recommendations, notify the center director, contact the child’s parent, observe the child, or include all the information when documenting the error in writing.

“A medication error report was not signed by the Administrator, the staff member who administered the medication nor parent of the child involved in the incident when medication was administered incorrectly on 3/30/26.”

Rule When medication was administered in error, the child care center did not either call 911 in accordance with CPR or First Aid training recommendations, notify the center director, contact the child's parent, observe the child, or include all the information when documenting the error in writing.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Apr 17, 2026. Correction verified: by a letter from the provider.

Children were not adequately supervised at all times.

“On 1/5/26 at approximately 10:16am, a one year old child was left alone on the playground for one and two year old children for approximately two (2) minutes and forty-one (41) seconds.”

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 23, 2026. Correction verified: at a follow-up visit by DCDEE.

A summary of the NC Child Care Law was not given to a parent of every child enrolled in the center.

“Two (2) children’s files did not contain an acknowledgement that the parent received a copy of the summary of the law.”

Rule A summary of the NC Child Care Law was not given to a parent of every child enrolled in the center.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Dec 3, 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. The CPR training certificate for one (1) staff, hire date 7/1/25, expired 11/14/25.”

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: Dec 3, 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. The First Aid training certificate for one (1) staff, hire date 7/1/25, expired 11/14/25.”

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: Dec 3, 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.

“The medical report for one (1) staff, hire date 7/1/25, was dated 7/2/25.”

Rule Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Dec 3, 2025. Correction verified: by a letter from the provider.

Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule.

“The permissions for one (1) topical medication in classroom D and one (1) inhaler in classroom E did not include the date the parent signed the medication administration permission.”

Rule Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Dec 3, 2025. Correction verified: by a letter from the provider.

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

“The TB test/screening for one (1) staff, hire date 7/1/25, was dated 7/3/25.”

Rule On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Dec 3, 2025. Correction verified: by a letter from the provider.

Operational policies were not discussed with parents on or before the child’s first day and/or they were not notified in writing of all changes.

“One (1) child’s file did not contain an acknowledgement that the parents received the parent handbook.”

Rule Operational policies were not discussed with parents on or before the child's first day and/or they were not notified in writing of all changes.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Dec 3, 2025. Correction verified: by a letter from the provider.

Surfacing did not extend six (6) feet beyond the external limits of the equipment or 3 feet for equipment used only by children less than 2 years of age.

“One (1) climber was installed four (4) feet and six (6) inches from a fence post on playground space 1.”

Rule Surfacing did not extend six (6) feet beyond the external limits of the equipment or 3 feet for equipment used only by children less than 2 years of age.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Dec 4, 2025. Correction verified: by a letter from the provider.

Incident logs were not completed and maintained as required.

“One (1) incident that occurred on 9/25/25 was not documented on the incident log.”

Rule Incident logs were not completed and maintained as required.. Corrected during the inspection.

Discipline was related to food, rest or toileting.

“On 4/3/25, snack was withheld from a two year old child in classroom space G as a disciplinary measure in response to behavior exhibited in the block center. On 4/4/25, breakfast and lunch were withheld from the same two year old child in classroom space G as a disciplinary measure in response to behavior exhibited in the block center the previous day.”

Rule Discipline was related to food, rest or toileting.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Apr 30, 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.

“One (1) outlet is classroom space A and one (1) outlet in classroom space C 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.

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

“The bottom of the fence near the storage shed on playground space 1 is unraveling, exposing sharp edges.”

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: Dec 9, 2024. 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) infant feeding plan in classroom D did not include the parent signature.”

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: Dec 9, 2024. Correction verified: by a letter from the provider.