Drexel Kids Child Development Center

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

“An activity plan was not posted in space #1, the classroom for children one year of age, and an activity plan was not posted in space #5, the classroom for school-age children.”

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

Each child was not immunized as per Article 6 of Chapter 130A and an immunization record was not on file before or within 30 days after admission.

“An immunization record was not on file for review for one child, four years of age, enrolled on June 8, 2026.”

Rule Each child was not immunized as per Article 6 of Chapter 130A and an immunization record was not on file before or within 30 days after admission.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Aug 17, 2026. Correction verified: by a letter from the provider.

Incident logs were not completed and maintained as required.

“An incident report for an injury that occurred on June 22, 2026, to one child one year of age enrolled on December 15, 2025, was not listed on the incident log.”

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

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

“In space #1, one bottle of Wellements Organic Baby Tooth Oil was observed in an unlocked cabinet near the exit door.”

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

A room was occupied by more children than the space allowed at 25-sq. ft. of floor space per child.

“Thirteen children were observed in space #8 with one staff member. The space capacity for space #8 was twelve at twenty-five square feet per child.”

Rule A room was occupied by more children than the space allowed at 25-sq. ft. of floor space per child.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Jul 10, 2026. Correction verified: at a follow-up visit by DCDEE.

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.

“Three incident reports for a child enrolled on June 12, 2024, for injuries that occurred at the facility on June 24, 2026, and June 25, 2026, did not include the time the parent was contacted. One incident report for a child enrolled on July 20, 2020, for an injury that occurred on June 2, 2026, did not include steps taken to prevent reoccurrence.”

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

Children did not wash their hands upon arrival at the center, after each visit to the toilet, before eating, before and after water activity play, after outside play, and after handling animals or animal cages.

“In space #3, eleven children two and three years of age were observed sitting on the carpet listening to a book read to them by the teacher. The children were observed transitioning from the carpet to the table to eat lunch and did not wash their hands prior to eating.”

Rule Children did not wash their hands upon arrival at the center, after each visit to the toilet, before eating, before and after water activity play, after outside play, and after handling animals or animal cages.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Mar 9, 2026. 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 #1, a bottle of DG Health Rapid Release Pain Relief acetaminophen, belonging to a staff member, was observed in an unlocked cabinet above a counter.”

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

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

“Staff members failed to ensure a safe environment for children when staff were unaware of a child’s whereabouts and the child exited the building and left the premises. The child crossed a street and was located by a passerby.”

Rule A safe indoor and outdoor environment was not provided for the children.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Feb 13, 2026. Correction verified: at a follow-up visit by DCDEE.

Children were not adequately supervised at all times.

“On October 29, 2025, the staff members did not provide developmentally appropriate supervision and were unaware of three-year-old child’s whereabouts when the child left the premises.”

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: Nov 7, 2025. Correction verified: by a letter from the provider.

There was a substantiation of child maltreatment.

“The Division determined child maltreatment based on staff members’ failure to meet supervision needs of children.”

Rule There was a substantiation of child maltreatment.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Feb 13, 2026. Correction verified: at a follow-up visit by DCDEE.

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.

“An incident report was not completed for an incident that occurred on September 23, 2025, involving a child kicking another child in the leg. An incident report was not completed for an incident that occurred on September 25, 2025, involving a child hitting another child in the temple with a plastic toy pig.”

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

Before children were transported, written permission from a parent was not obtained that included when and where the child was to be transported, expected time of departure and arrival, and the transportation provider.

“The permission form to transport one school age child on a field trip to McGalliard Falls on 6/12/2025 did not include the parent’s signature.”

Rule Before children were transported, written permission from a parent was not obtained that included when and where the child was to be transported, expected time of departure and arrival, and the transportation provider.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Aug 31, 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.

“In space #2, on 7/14/2025, a sleep position was not documented at 10:25am for one eleven-month-old infant. On 8/14/2025, a sleep position was not documented at 9:25am for one four-month-old infant. On 8/18/2025, a sleep position was not documented at 12:25pm, 12:40pm, 12:55pm, 1:10pm, and 1:25pm for one four-month-old infant.”

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

Center staff did not comply with the safe sleep policy.

“In space #2, a visual safe sleep check was documented for one sleeping infant, six months of age, at 1:25pm on 8/4/2025 by A.D. and a safe sleep check was not documented again until the child woke up at 1:50pm by A.D.”

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

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

“In space #3, one child, one year of age, was grouped with two children, three years of age, on August 20, 2025, from 7:45am to 10:40am. A total of ten children were present with two staff members during this time.”

Rule Children between 12 and 24 months of age were grouped with children 3 years of age or older.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Aug 27, 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.

“In space #5, one electrical outlet was uncovered and accessible to children on the wall 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.. Corrected during the inspection.

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 #2, four bottles sent from home were not labeled with the date and one bottle sent from home was not labeled with the child’s name or 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: Aug 31, 2025. Correction verified: by a letter from the provider.

Parent’s medication authorization did not include required information.

“In space #1, the permission form for one child’s Desitin diaper rash cream did not include the amount to administer. In space #3, the permission form for one child’s Aquaphor ointment did not include the amount to administer.”

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

A drug or medicine was administered after its expiration date.

“In space #2, Desitin diaper rash cream that expired on April 30, 2024, was administered to an infant.”

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 23, 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 #1, one tub of Clorox disinfecting wipes, two aerosol cans of disinfectant spray, one aerosol can of Febreeze air mist, and one plastic package of Orange multi-purpose cleaner wipes with safety warnings were observed on the bottom shelf of an unlocked cabinet below the diaper changing table. The cabinet was latched with a child safety lock but the lock and key on the cabinet was not operating properly.”

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.

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, one electrical outlet not in use was uncovered and accessible to children beside the book/cozy area. In space #7, four electrical outlets not in use were uncovered and accessible to children in a power strip on the floor near the teacher desks.”

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.

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 #1, a plastic package of wipes with safety warnings was observed sitting on top of the diaper changing table accessible to children and a plastic grocery bag with safety warnings was hanging from a shelf below five feet from the floor 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.

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 4/30/2024 completed the online portion of First Aid training on 6/5/2024. The certificate indicated the online portion did not constitute successful completion of the full Heartsaver First Aid course.”

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: Sep 30, 2024. 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.

“The feeding plans for one child twelve months of age and one child fourteen months of age were not posted in the child’s assigned classroom, space #1.”

Rule An individual written feeding plan was not provided by child's parent or health care provider or was not followed and posted.. 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.

“In space #2, documentation of visual safe sleep checks for one eleven-month-old infant enrolled on 9/9/2024 were not on file available for review.”

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: Sep 30, 2024. Correction verified: by a letter from the provider.

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

“On the playground for preschool children, the steps on the composite play structure contained multiple areas of exposed rusty metal including both corners of one of the steps and along the sides of a platform at the bottom of the steps.”

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: Sep 30, 2024. 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 #2, three bottles containing formula sent from home were not labeled with the child’s name or 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: Sep 30, 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 7/17/2024 and one incident report dated 7/31/2024 for one child enrolled on 3/1/2024 did not include the time the parent was notified.”

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: Sep 30, 2024. Correction verified: by a letter from the provider.

Parent’s statement includes the child’s name and date of enrollment and the date the parent signed the statement.

“The child’s name and date of enrollment was not documented on the acknowledgement form for the facilities discipline policy for six of the children’s files monitored.”

Rule Parent's statement includes the child's name and date of enrollment and the date the parent signed the statement.. Corrected during the inspection.

The written feeding plan was not modified as the child’s needs changed.

“In space #1, the feeding plans for one child twelve months of age and one child fourteen months of age were not updated to include table food modifications.”

Rule The written feeding plan was not modified as the child's needs changed.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Oct 2, 2024. Correction verified: by a letter from the provider.