First Baptist Church Child Development Center

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.

“Four incident reports did not include all required information. Two incident reports for children’s injuries that occurred on May 8, 2026, did not include first aid given. One incident report for a child’s injury that occurred on May 6, 2026, did not include the time the parent was contacted. One incident report for a child’s injury that occurred on May 1, 2026, did not include first aid given and the time the parent was contacted.”

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: Jun 1, 2026. Correction verified: by a letter from the provider.

Personnel records were not maintained on file in the timeframes given by Rule .2318(7).

“Staff personnel records were not maintained on file for one staff member who was no longer employed as of May 13, 2026. This staff members’ Criminal Background Check Qualifying letter and Tuberculosis results were not on file available for review.”

Rule Personnel records were not maintained on file in the timeframes given by Rule .2318(7).. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Jun 1, 2026. Correction verified: by a letter from the provider.

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

“In space #3, the activity plan posted in the classroom was dated for “January.” The Lead Teacher stated she had not completed an activity plan for February.”

Rule A current activity plan was not posted for each group of children for reference.. 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 staff member, D. Brittain, employed on May 7, 2024, did not complete First Aid training.”

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: Feb 28, 2026. Correction verified: by a letter from the provider.

Application was not signed by the parent.

“The application for enrollment for one child enrolled on October 20, 2025, was not signed by the child’s parent.”

Rule Application was not signed by the parent.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Feb 17, 2026. Correction verified: by a letter from the provider.

Emergency information did not name childs health care professional.

“The application for enrollment for one child enrolled on October 20, 2025, did not include the parent’s choice of health care professional.”

Rule Emergency information did not name childs health care professional.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Feb 17, 2026. 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.

“The orientation checklist for one staff member employed on December 1, 2025, only indicated the staff member received 5 hours of orientation training on December 8, 2025. The orientation checklist for one staff member employed on December 15, 2025, only indicated the staff member received 5 hours of orientation training on December 15, 2025.”

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

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.

“The operational policies were not reviewed with the parents of one child enrolled on February 9, 2026, and an acknowledgement form was not on file for review.”

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: Feb 17, 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.

“In space #4 and #5, small pieces of crayon and small pieces of chalk less than one inch in length were observed being used by children and observed in the art activity area 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 activity plan was not designed to stimulate emotional and social, health and physical, approaches to play and learning, language development and communication, and cognitive development for each group of children in care.

“In space #4, #5, and #6, the activity plans listed “sand” and “water” rather than listing specific activities and materials to use for sand and water play. In space #4, gross motor activities that may be conducted indoors and outdoors were not listed on the activity plan. The activities listed that could not be conducted indoors were “trikes” and “slides.” The gross motor activity listed for Thursday was “sand box” and “clapping.””

Rule The activity plan was not designed to stimulate emotional and social, health and physical, approaches to play and learning, language development and communication, and cognitive development for each group of children in care.. 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.

“One staff member, D. Brittain, employed on May 7, 2024, did not complete Recognizing and Responding to Suspicions of Child Maltreatment training.”

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: Feb 17, 2026. Correction verified: by a letter from the provider.

Parent’s medication authorization did not include required information.

“In space #5, two children’s authorization forms for two separate tubes of Playtex baby diaper rash cream did not include the amount of cream to administer. The forms indicated “as needed” and “as much as needed.””

Rule Parent's medication authorization did not include required information.. 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.

“On 4/14/2025, it was documented that one infant was visually checked at 11:08am and not checked again until 11:28am while sleeping. On 4/16/2025, it was documented that one infant was visually checked at 10:46am and not checked again until 11:06am while sleeping.”

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: May 29, 2025. Correction verified: by a letter from the provider.

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.

“On February 27, 2025, it was documented that two infants were visually checked at 12:40pm and not again until 1:00pm while sleeping and one infant was visually checked at 9:40am and not again until 10:00am while sleeping.”

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

The indoor and/or outdoor premises was not checked once a day, prior to initial use, ensuring debris, and broken equipment was removed and disposed of.

“Broken, cracked toys including a plastic sifter, a plastic rake, a plastic toy car, a plastic plate, a plastic shovel, and plastic sand mold were observed on the playground for preschool children after children and staff members had already utilized the playground.”

Rule The indoor and/or outdoor premises was not checked once a day, prior to initial use, ensuring debris, and broken equipment was removed and disposed of.. Corrected during the inspection.

A child’s file did not have a statement with parent signature acknowledging receipt and explanation of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy and/or the acknowledgement did not have all the required information.

“All five children’s records reviewed did not include a signed acknowledgement from the parents indicating receipt of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy.”

Rule A child's file did not have a statement with parent signature acknowledging receipt and explanation of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy and/or the acknowledgement did not have all the required information.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Mar 11, 2025. Correction verified: by a letter from the provider.

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

“In space #4, a child’s hands were not washed after their diaper was changed.”

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: Mar 11, 2025. Correction verified: by a letter from the provider.

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

“In space #4, an activity plan was not posted. In space #5, the activity plan posted in the classroom was dated “Nov 4-8.””

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 11, 2025. Correction verified: by a letter from the provider.

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

“All five children’s records reviewed did not include a signed acknowledgement from the parents indicating receipt of the NC 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: Mar 11, 2025. Correction verified: by a letter from the provider.

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

“The current Criminal Background Check qualification letter for Gail Piercy, employed on 1/8/2024, was not on file available for review.”

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: Mar 11, 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. One staff member employed on 11/18/2024 did not complete cardiopulmonary resuscitation (CPR) training within 90 days of employment.”

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: Mar 29, 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. One staff member employed on 11/18/2024 did not complete First Aid training within 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: Mar 29, 2025. Correction verified: by a letter from the provider.

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.

“On 2/21/2025, it was documented that one infant was visually checked at 12:50pm and not again until 1:10pm while sleeping. On 2/18/2025, five visual sleep checks that were documented at 11:30am, 11:45am, 12:00pm, 12:15pm, and 12:30pm for one child did not include the child’s sleep position. On 2/21/2025, six visual sleep checks that were documented at 12:20pm, 12:35pm, 12:50pm, 1:10pm, 1:25pm, and 1:40pm for one child did not include the child’s sleep position or the teacher’s initials.”

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 11, 2025. Correction verified: by a letter from the provider.

Children’s records that include an application for enrollment, medical and immunization records, and permission to seek emergency medical care was not on file for each child.

“One child enrolled on 9/2/2024 did not have a medical exam on file for review.”

Rule Children's records that include an application for enrollment, medical and immunization records, and permission to seek emergency medical care was not on file 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 11, 2025. Correction verified: by a letter from the provider.

Each employee’s personnel file did not contain a signed and dated statement that they received a job description and that they have received personnel and operational policies.

“Six new staff members employed between 10/22/2024 through 2/14/2025 did not have the operational and personnel policies signed acknowledgement on file for review.”

Rule Each employee's personnel file did not contain a signed and dated statement that they received a job description and that they have received personnel and operational policies.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Mar 13, 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.

“In space #5, the parental authorization for a child’s Aquaphor cream expired on 10/18/2024.”

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 11, 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.

“A bag of cough drops that belonged to a staff member were observed in an unlocked cabinet in space #5 accessible to children. In space #4, children’s diaper rash creams were stored in an unlocked cabinet below the diaper changing table accessible to children.”

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 11, 2025. Correction verified: by a letter from the provider.

Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements.

“The last monthly playground inspection was completed on 2/14/2024 by Mary Lackey.”

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: Mar 11, 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.

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: Mar 11, 2025. Correction verified: by a letter from the provider.

Parent’s medication authorization did not include required information.

“In space #5, one child’s authorization for Boudreaux’s Butt Paste did not include when to apply the cream. In space #1, one child’s authorization for Boudreaux’s Butt Paste did not include the parent’s signature.”

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 13, 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).

“In space #4, a trash can containing soiled diapers and soiled wipes with feces did not have a lid to cover the trash can.”

Rule Potential biocontaminants were not stored properly (locked storage, removed from premises, inaccessible to children, or covered plastic lined receptacle).. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Mar 11, 2025. 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 Gail Piercy, employed on 1/8/2024, expired on 2/3/2025.”

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: Mar 11, 2025. Correction verified: by a letter from the provider.

Questionable medication instructions from parents were followed without signed written dosage instructions received from physician or authorized health professional.

“Parental authorization was written for Hydrocortisone Cream on 8/15/2024 for a child one year of age. The manufacturers instructions on the Hydrocortisone cream indicated “children under 2 yrs of age: consult a doctor.” A doctor’s note to administer the Hydrocortisone Cream to the child one year of age was not obtained.”

Rule Questionable medication instructions from parents were followed without signed written dosage instructions received from physician 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 11, 2025. Correction verified: by a letter from the provider.

The center’s safe sleep policy was not posted in a prominent place in the infant room where parents and caregivers were able to view daily.

“In space #2, the classroom for infants, the facilities safe sleep policy was not posted.”

Rule The center's safe sleep policy was not posted in a prominent place in the infant room where parents and caregivers were able to view daily.. 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.

“One staff member employed on 11/18/2024 did not complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. One staff member employed on 10/31/2024 did not complete Recognizing and Responding to Suspicions of Child Maltreatment training until 2/18/2025.”

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 13, 2025. Correction verified: by a letter from the provider.

The EMC plan was not reviewed with all staff annually and whenever the plan was revised.

“The most recent review of the Emergency Medical Care Plan was documented as completed on 1/9/2024 with six staff members and 3/23/2023 with one staff member.”

Rule The EMC plan was not reviewed with all staff annually and whenever the plan was revised.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Mar 13, 2025. Correction verified: by a letter from the provider.

The indoor and/or outdoor premises was not checked once a day, prior to initial use, ensuring debris, and broken equipment was removed and disposed of.

“Broken, cracked toys including two plastic shovels, a plastic plate, and two plastic sand toys were observed on the playground for preschool children after children had already utilized the playground that day.”

Rule The indoor and/or outdoor premises was not checked once a day, prior to initial use, ensuring debris, and broken equipment was removed and disposed of.. Corrected during the inspection.

The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person’s file.

“Six new staff members employed between 10/22/2024 through 2/14/2025 did not have the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy signed acknowledgement on file for review.”

Rule The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Mar 11, 2025. 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.

“The new administrator, employed on 1/8/2024 completed Emergency Preparedness and Response (EPR) training on 3/20/2024. The facilities existing EPR Plan was not updated or reviewed with staff within four months of completion of the Emergency Preparedness and Response in Child Care training.”

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: Mar 11, 2025. 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.

“In space #2, one child’s feeding plan only indicated the child was to be fed formula. Staff reported that this child also eats baby food brought from home. The changes to the child’s eating habits were not documented on the feeding plan.”

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: Mar 11, 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 an unapproved space, room 310, used by children, two 4-gallon buckets of Sherwin Williams interior latex paint and three 1-gallon cans of Valspar interior latex paint were observed in the corner of the room under a table 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.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Nov 26, 2024. Correction verified: by a letter from the provider.

Children used space that was not approved.

“Seventeen children, three to five years of age, and two staff members were observed exiting an unapproved space, room 310. Seventeen cots were observed in room 310 and staff indicated the space was used for nap today, November 18, 2024.”

Rule Children used space that was not approved.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Dec 2, 2024. Correction verified: at a follow-up visit by DCDEE.

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

“In space #5, a staff member was observed stating “get off of him”, “sit down”, and “be quiet” in a loud, harsh tone to children two and three years of age.”

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: Nov 26, 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.

“In an unapproved space, room 310, used by children, one electrical outlet not in use was uncovered and accessible to children below the television.”

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: Nov 26, 2024. 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.

“One incident report dated 6/12/2024 did not include a description of first aid given to the child. One incident report dated 6/17/2024 did not include steps taken to prevent reoccurrence or the time the parent was notified of the incident and by whom.”

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

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

“Two children’s records for children enrolled on 2/19/2024 and 2/26/2024 did not contain a Summary of the Law acknowledgement signed by the child’s parent.”

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: Mar 18, 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.

“In space #6, an aerosol can of Lysol disinfectant spray, four aerosol cans of Modge Podge acrylic sealer, an aerosol can of Scrubbing Bubbles bathroom disinfectant, an aerosol can of 409 carpet stain remover, nail polish remover, and Goo Gone were observed in an unlocked cabinet that did not have an operable locking device.”

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.

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 staff employed on 10/9/2023 did not complete CPR training until 2/3/2024.”

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 staff employed on 10/9/2023 did not complete First Aid training until 2/3/2024.”

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

Application for enrollment did not include all required information.

“The application for one child enrolled on 2/19/2024 did not include health care concerns, allergies, particular fears, or behavior characteristics.”

Rule Application for enrollment did not include all required information.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Mar 18, 2024. Correction verified: by a letter from the provider.

Emergency information did not name child’s health care professional.

“The application for one child enrolled on 2/19/2024 did not include emergency medical care information regarding the parent’s choice of health care professional.”

Rule Emergency information did not name child's 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 18, 2024. Correction verified: by a letter from the provider.

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

“In space #6, a two-inch crack was observed on a plastic lid to a container of translucent rainbow pebbles accessible to children in the science activity area.”

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

“One incident report for a child’s injury that occurred on 3/4/2024 did not include steps taken to prevent reoccurrence nor the time the child’s parent was notified of the injury and by whom.”

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.

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 staff employed on 10/9/2023 did not complete Recognizing and Responding to Suspicions of Child Maltreatment training until 2/3/2024.”

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.. Corrected during the inspection.

The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person’s file.

“One staff employed on 2/26/2024 did not have the Prevention of Shaken Baby and Abusive Head Trauma policy signed acknowledgement on file for review.”

Rule The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file.. Corrected during the inspection.