Emmanuel Lutheran School

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

“One (1) staff member did not have a valid qualification letter on file.”

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 2, 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. A staff member with employment date of 10/21/25 did not complete a required CPR training within ninety (90) days.”

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 with employment date of 10/21/25 did not complete a required 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: Jul 2, 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).

“One (1) staff member’s qualification letter expired on 6/10/26, and the application process was not started until 6/16/26.”

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: Jul 2, 2026. Correction verified: by a letter from the provider.

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. Ten (10) existing staff members had not been added to the roster, and the seven (7) staff members who were separated from the program had not been removed from the roster.”

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: Jun 16, 2026. Correction verified: by a letter from the provider.

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

“Valid qualification letters were not on file for four (4) staff members.”

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 16, 2026. Correction verified: by a letter from the provider.

Air conditioning units were accessible or did not have a guard to keep objects from being thrown into the unit.

“Two (2) air-conditioning units in the walk path that connects the outside patio between room 111 and 113 were accessible to the children, and the top fans were not covered by guards.”

Rule Air conditioning units were accessible or did not have a guard to keep objects from being thrown into the unit.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Jun 16, 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.

“The lock for the shed on the preschool playground created openings between doors as wide as 4 1/2 inches.”

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: Jun 16, 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).

“Four (4) staff members did not complete the criminal background renewal process prior to the expiration dates of their qualification letters.”

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 16, 2026. Correction verified: by a letter from the provider.

The materials and equipment indoors and outdoors were not sufficient to provide a variety of play experiences to promote the children’s emotional and social development, health and physical development, approaches to play and learning, language and communication development, and cognitive development.

“One (1) slide structure, (1) climber tunnel, pretend kitchen with a few pretend dishes were available on the playground for twenty-six (26) children. When additional twelve (12) children joined, two (2) riding/pushing toys, three (3) tricycles, one (1) scooter, some blocks and two (2) small vehicle toys were pulled for children in addition to the permanent structure. Sufficient materials were not available for the thirty-eight (38) children present on the playground.”

Rule The materials and equipment indoors and outdoors were not sufficient to provide a variety of play experiences to promote the children's emotional and social development, health and physical development, approaches to play and learning, language and communication development, and cognitive development.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Jun 16, 2026. Correction verified: by a letter from the provider.

Children were not adequately supervised at all times.

“On March 9, 2026, at approximately 4:50 pm, a child, two (2) years of age, was left unattended on the infant/toddler playground for approximately three (3) minutes until a parent found the child on the playground and reported it to a staff on site.”

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 26, 2026. Correction verified: at a follow-up visit by DCDEE.

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

“Two (2) children fed themselves a bottle on the floor as they laid on the boppy. The children fell asleep on the boppy as they fed themselves in room 203.”

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: Nov 14, 2025. Correction verified: by a letter from the provider.

Application for employment and date of birth was not on file for all staff.

“An application for staff member employed on 3/8/21 was not on file.”

Rule Application for employment and date of birth was not on file for all staff.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Nov 14, 2025. Correction verified: by a letter from the provider.

Caregiver did not respond at the earliest opportunity to an infant or toddler’s physical and emotional needs.

“One (1) child was left crying in the crib for several minutes in space #6. The child spent over twenty (20) minutes awake in the crib and cried for several minutes at the end. The child was alert and awake, standing up in the crib, reaching for adult to pick him/her up.”

Rule Caregiver did not respond at the earliest opportunity to an infant or toddler’s physical and emotional needs.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Nov 14, 2025. Correction verified: by a letter from the provider.

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

“Twenty-nine (29) staff members did not have annual evaluation on files.”

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: Nov 14, 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.

“Many of the new staff member’s orientation hours were not logged.”

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: Nov 14, 2025. 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.

“C.G. (DOE-3/21/18) completed Health and Safety training on 10/25/20 but did not complete the fifth year training.”

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: Nov 14, 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 following diaper creams and over-the-counter products were expired: • Boudreaux’s Butt Past expired in 07/2025 in space #6 (203) • After Bite Liquid expired in 09/2023 in space #6 (203) • Boudreaux’s Butt Past expired in 05/2025 in space # (117) • Aquaphor 3-in-1 Diaper Rash Cream expired in 05/2025 in space #4 (102)”

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: Nov 14, 2025. Correction verified: by a letter from the provider.

New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks.

“Orientation information was not found for FR (DOE - 9/8/25). Most of the orientation form are missing information for new staff members.”

Rule New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Nov 14, 2025. Correction verified: by a letter from the provider.

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

“In room 203, an Auvi-Q was maintained without an original box with a pharmacy 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: Nov 14, 2025. Correction verified: by a letter from the provider.

Rule violated (DCDEE’s description below)

“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. several packets/boxes of batteries were stored in the cabinet by the entrance door in room 102. A baby proof device was on the cabinet.”

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: Nov 14, 2025. Correction verified: by a letter from the provider.

Staff did not complete the health and safety training within one year of employment.

“C.M (DOE -2/14/23), K.D (DOE-2/26/25), and J.S. (DOE-2/26/24) have not completed the Health and Safety Training.”

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

Staff required to receive on-going training had not completed the required number of hours according to their education and experience.

“At least two (2) staff members did not complete the required training hours. F.N (DOE- 4/15/08) completed six (6) hours of training between 4/15/24 - 4/14/25 while the requirement was ten (10) hours. C.M (DOE-2/14/23) completed 1.5 hours of training between 2/14/24 - 2/13/25. The requirement was twenty (20) hours.”

Rule Staff required to receive on-going training had not completed the required number of hours according to their education and experience.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Nov 14, 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 #4, a can of Febreeze Luxe Air aerosol spray was stored in the cabinet. The cabinet had baby proof device. In space #5, a can of Barbasol shaving cream and two (2) packs of Energizer AA batteries were stored on the top shelf.”

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: May 2, 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.

“In space #4, three (3) outlets on the extension cord located under a teacher desk were not covered with 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: May 2, 2025. 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.

“In space #3, Nystatin was maintained in a medication box along with diaper creams. The medication box had a padlock, but the lock was not secured.”

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 playground inspection was conducted on 3/13/25.”

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: May 2, 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.

“In space #4, several plastic materials were accessible to the a child, two (2) years of age. Under the changing table, there were six (6) packs of diapers in plastic wrappers. On the shelf on the desk, there was a bag of tree cut outs and leaves. There was mesh bags in a plastic bag. There was a bag of wooden beads and strings in a plastic bag on top of the desk.”

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.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: May 2, 2025. Correction verified: by a letter from the provider.

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

“In space #3, Nystatin was maintained in a medication box without its original box with a pharmacy 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: May 2, 2025. Correction verified: by a letter from the provider.

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 space #1, bottles sent from home for two (2) children were not labeled with today’s date.”

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: Nov 21, 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.

“Epi-pen in space #2 expired in October 2024. Aquaphor Healing Ointment in #3 and #7 expired in October 2024. Those medications were not returned home or discarded.”

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: Nov 21, 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) child’s feeding plan in space #1 and one (1) child’s feeding plan in #7 were not signed by the parents.”

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: Nov 21, 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.

“One can of aerosol sunscreen was stored inaccessible, but not locked in the classroom with three-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.

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.

“There were two (2) staff files that contained medical information. All remaining staff’s medical information was grouped together within one file.”

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: May 6, 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.

“One outlet next to the door was accessible in the classroom with two and three-year-old children.”

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.

“One emergency medication Auvi-Q that expired on 1/19/24 was not sent home in the classroom with two and three-year-old children. A second medication, Nystatin was not discarded or sent home after the prescription instructions stated to apply 7 - 14 days in the classroom with one and two-year-old children. The Nystatin prescription was dated 10/23/23.”

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: May 6, 2024. Correction verified: by a letter from the provider.

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

“Parent permission for an emergency medication was dated 7/13/23 and was not updated within six (6) months as require in the classroom for four and five-year-old children.”

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: May 6, 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 was stored in a container with other diaper ointments inaccessible, but not locked as required for all prescription medications.”

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

Staff did not complete the health and safety training within one year of employment.

“The administrator reported that one (1) substitute staff that has worked more than ten (10) days and has not completed Health and Safety Training. The staff member’s date of employment is March 1, 2023.”

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: May 24, 2024. 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.

“One (1) medical action plan was not signed by the parent or physician for an Epi Pen in the classroom with one and two-year-old children.”

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: May 6, 2024. Correction verified: by a letter from the provider.

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

“The staff member reported Nystatin was administered and was not documented.”

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: May 6, 2024. Correction verified: by a letter from the provider.

The EMC plan did not name the person responsible, and at least one alternate, for choosing and carrying out the plan of action to obtain appropriate medical care.

“The EMC plan did not include all required information. The physical address of the medical consultant and the alternate for persons in the center responsible for determining the degree of care needed were not listed on the EMC plan.”

Rule The EMC plan did not name the person responsible, and at least one alternate, for choosing and carrying out the plan of action to obtain appropriate medical care.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Jan 4, 2024. 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 space #9 (room 113), two(2) containers of Clorox disinfecting wipes were accessible to children on the shelf. In space #4, two (2) containers of Clorox disinfecting wipes were stored on the shelf by the door accessible to 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.

Center staff did not comply with the safe sleep policy.

“In space #1, a child slept with a pacifier with a pacifier holder/stuffed animal. The pacifier and the holder was out of the child’s mouth. In space #8, at 11:40 am, the last sleep check for the child who was asleep was logged at 11:15 am.”

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: Nov 16, 2023. Correction verified: by a letter from the provider.

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.

“Out of six (6) staff files I reviewed, confidential information for all six (6) staff members were maintained with other documents in the staff files.”

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: Nov 16, 2023. 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.

“Incident report for a child was logged but the report was not in the child’s file.”

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.. Corrected during the inspection.

Parent’s medication authorization did not include required information.

“In space #3, a permission form for an Epi-pen expired on 5/18/23. In space #4, a permission form for a child with Epi-pen was not available for review.”

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: Nov 16, 2023. 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.

“In space #4, Laura Lynn Ziplock bags and tall kitchen trash bags were accessible to 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 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.

“In space #3, an action plan for a child with Epi-pen expired on 8/22/23.”

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: Nov 16, 2023. Correction verified: by a letter from the provider.