Child Care Center of First Presbyterian Church

Electrical cords were accessible to infants and toddlers.

“String lights were observed within reach of one year old children in classroom space 6.”

Rule Electrical cords were accessible to infants and toddlers.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Feb 26, 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Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization.

“One (1) diaper cream and one (1) permission to administer diaper cream expired in January 2026.”

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Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization..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: Feb 26, 2026. Correction verified: by a letter from the provider.

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

“The date the parent signed the medication administration permission form was missing from two (2) permission forms in classroom space 6 and two (2) permission forms in classroom space 5.”

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: Feb 26, 2026. Correction verified: by a letter from the provider.

Openings in equipment, steps, decks, handrails, and fencing were not less than 3 1/2 inches or greater than 9 inches.

“An six and a half (6.5) inch opening was observed on the bottom of the structure around the air conditioning unit between playground spaces 1 and 2.”

Rule Openings in equipment, steps, decks, handrails, and fencing were not less than 3 1/2 inches or greater than 9 inches.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Feb 26, 2026. Correction verified: by a letter from the provider.

Center staff did not comply with the safe sleep policy.

“Three (3) infants in classroom space 6 had blankets on them while they slept.”

Rule Center staff did not comply with the safe sleep policy.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Sep 26, 2025. Correction verified: by a letter from the provider.

Child care providers scheduled to work in the infant room, did not complete ITS-SIDS training within two months of employment or did not complete the training every three years.

“Child care administrators did not complete the ITS-SIDS training within 90 days of employment and every three years thereafter. The Administrator’s ITS-SIDS certificate expired on 7/19/25.”

Rule Child care providers scheduled to work in the infant room, did not complete ITS-SIDS training within two months of employment or did not complete the training every three years.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Sep 26, 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.

“The medication administration permission form for one (1) diaper cream in classroom space 2 expired on 7/30/25.”

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 26, 2025. Correction verified: by a letter from the provider.

Electrical cords were accessible to infants and toddlers.

“Electrical cords were accessible to children in classroom space 5 in two locations. An electrical cord for a lamp was accessible in the book area and charging cords for an iPad and speaker were accessible on the shelf next to the block area.”

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

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

“The bottoms of the doorframes for doors leading to the playground from classroom spaces 5 and 6 were damaged and splintering.”

Rule All walls and ceilings including doors and windows were not kept clean, free of visible fungal growth, and in good repair.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Mar 14, 2025. Correction verified: by a letter from the provider.

Emergency medical care information was not on file in the center on the child’s first day of attendance and/or was not updated as changes occurred or at least annually for each child.

“Three (3) children’s files did not contain annually updated emergency medical care information.”

Rule Emergency medical care information was not on file in the center on the child's first day of attendance and/or was not updated as changes occurred or at least annually for each child.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Mar 14, 2025. Correction verified: by a letter from the provider.

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

“On January 22, 2025, a child was fed a bottle on the changing table while and after the child was changed. The child was on the changing table drinking from the bottle for at least three (3) minutes.”

Rule All children were not held or placed in feeding chairs or other appropriate apparatus to be fed.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Feb 24, 2025. Correction verified: by a letter from the provider.

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). There were four (4) children in space #2, who were fifteen (15) months of age or younger. Only one (1) child’s feeding plan was posted.”

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: Feb 24, 2025. Correction verified: by a letter from the provider.

Children were not adequately supervised at all times.

“Per supplemental documentation received, a child, who was eleven (11) months old at the time of the incident was left unattended for approximately three (3) minutes on the changing table while the child was drinking from a bottle. The incident occurred on January 22, 2025.”

Rule Children were not adequately supervised at all times.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Mar 6, 2025. Correction verified: at a follow-up visit by DCDEE.

Electrical cords were accessible to infants and toddlers.

“Per supplemental documentation received, the electrical cord for the lamp located by the changing table in space #2 was accessible to a group of children who were infants and one-year-old at the time of the incident.”

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

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.

“Small plastic animals that failed the choke tube test were present in the classroom for two year old 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.

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.

“On March 20, 2024, a staff member failed to complete an incident report when a child fell on the steps of playground equipment and sustained a small, red, oval shaped mark on their side.”

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

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

“A current activity plan was not posted in classroom space 2.”

Rule A current activity plan was not posted for each group of children for reference.. 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: at a follow-up visit by DCDEE.

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

“In classroom space 5, there were two (2) diaper creams and seven (7) sunscreens without written authorization from the parent on file.”

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 27, 2024. Correction verified: by a letter from the provider.

A drug or medicine was administered after its expiration date.

“In classroom space 5, one (1) diaper cream expired 12/2023 and one (1) sunscreen expired 1/2021. In classroom space 6, one (1) diaper cream expired 2/2024.”

Rule A drug or medicine was administered after its expiration date.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Apr 1, 2024. Correction verified: by a letter from the provider.

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

“Appliances with heating elements, such as bottle warmers, crock pots, curling irons, irons, coffee pots, and/or their cords were accessible to preschool-age children. One (1) electronic sanitizer and the cords were accessible to an infant’s crib in classroom space 3. Two (2) bottle warmers were accessible to children in classroom space 3.”

Rule All electrical appliances were not used in accordance with the manufacturers instruction.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Mar 27, 2024. Correction verified: by a letter from the provider.

Children were not adequately supervised at all times.

“One (1) five year old child was observed filling a water bottle directly outside of classroom space 8. Caregivers were not positioned to adequately see the child in the hallway.”

Rule Children were not adequately supervised at all times.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Mar 20, 2024. Correction verified: at a follow-up visit by DCDEE.

Each employee’s personnel file did not contain an annual staff evaluation and a staff development plan.

“Seven (7) existing staff files contained Annual Staff Evaluations and Staff Development Plans dated 4/18/22. One (1) existing staff file contained an Annual Staff Evaluation and Staff Development Plan dated 2/21/22. One (1) existing staff file (hire date 3/13/23) did not contain an Annual Staff Evaluation and Staff Development Plan.”

Rule Each employee's personnel file did not contain an annual staff evaluation and a staff development plan.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Mar 27, 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.

“One (1) tube of clotrimazole and one (1) plastic container of Nyastatin was not kept in locked storage in classroom space 6.”

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: Mar 20, 2024. Correction verified: at a follow-up visit by DCDEE.

Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional.

“In classroom space 6, Nyastatin cream was in a plastic container with a handwritten label.”

Rule Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician 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, 2024. Correction verified: at a follow-up visit by DCDEE.

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.

“One (1) staff, hire date 11/6/23, completed Recognizing and Responding to Suspicions of Child Maltreatment training on 3/14/24.”

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 27, 2024. Correction verified: by a letter from the provider.