The Children’s Courtyard #3212

Children were not provided a meal or snack a minimum of every four hours.

“On May 7, 2026, breakfast was served at 8:30am, lunch was not served until between 1:30pm and 1:45pm.”

Rule Children were not provided a meal or snack a minimum of every four hours.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Jun 5, 2026. Correction verified: by a letter from the provider.

Enhanced staff/child ratios and group sizes were not met.

“On May 15, 2026, there were 20 children two years of age with two staff. The maximum group size for two year old children is eighteen.”

Rule Enhanced staff/child ratios and group sizes were not met.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Jun 5, 2026. Correction verified: by a letter from the provider.

Running water, soap and individual sanitary towels, or other approved hand-drying devices were not supplied at each lavatory.

“Staff stated on they have not had paper towels available in the center.”

Rule Running water, soap and individual sanitary towels, or other approved hand-drying devices were not supplied at each lavatory.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Jun 5, 2026. Correction verified: by a letter from the provider.

The staff/child ratio for the youngest child was not maintained when children of all ages were cared for together in groups for the first and last operating hour of the day.

“There was a six year old child placed in a room with two year old children outside of the first or last operating hour of the day.”

Rule The staff/child ratio for the youngest child was not maintained when children of all ages were cared for together in groups for the first and last operating hour of the day.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Jun 5, 2026. Correction verified: by a letter from the provider.

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.

“Files for children enrolled on 9/9/24 and 10/28/24 did not have an enrollment date listed on the policy acknowledgement.”

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: May 29, 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 108B there was not a current activity plan posted.”

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: May 29, 2026. Correction verified: by a letter from the provider.

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

“In Space 108B there was not a permission to administer form and the age documented on the medication required physicians instructions.”

Rule A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional.. Corrected during the inspection.

A drug or medicine was administered after its expiration date.

“In space 107A there was an ointment which had expired.”

Rule A drug or medicine was administered after its expiration date.. Corrected during the inspection.

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

“In Spaces 107A, 108A, and 108B there were ointments with expired permission to administer forms.”

Rule A drug or medicine was administered in a manner not authorized by the child's parent, physician or other authorized health professional.. Corrected during the inspection.

All equipment and furnishings were not in good repair.

“The fence separating the toddler and preschool playground is cracked and has sharp edges. The fencing on the gate is falling off.”

Rule All equipment and furnishings were not in good repair.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: May 29, 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. Employees with the hire dates of 11/17/25 and 11/3/25 did not have a valid CPR certification on file.”

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: Jul 2, 2026. 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. Employees with hire dates of 11/17/25 and 11/3/25 did not have a valid First Aid training certification.”

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.

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

“In Spaces 117 and 119, there is visible markings and paint peeling which has exposed the drywall.”

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: May 29, 2026. Correction verified: by a letter from the provider.

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

“An employee with a hire date of 12/18/25 did not have an application 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: May 29, 2026. Correction verified: by a letter from the provider.

Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months.

“An employee hired on 2/4/26 had a medical report which was older than 12 months. An employee hired on 3/9/26 had a medical report dated after the hire date.”

Rule Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: May 29, 2026. Correction verified: by a letter from the provider.

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.

“Files for children enrolled on 10/14/25 and 2/9/26 did not have a record of immunizations.”

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: May 29, 2026. 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.

“An employee with a hire date of 4/13/26 had not completed the required orientation within the first two weeks of employment.”

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: May 29, 2026. 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.

“Files for five employees did not have the medical information stored separately from the personnel information.”

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 29, 2026. Correction verified: by a letter from the provider.

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

“Files for children enrolled on 10/14/25 and 3/9/26 did not include the health care professional of choice.”

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: May 29, 2026. Correction verified: by a letter from the provider.

Fire drills were not practiced monthly and/or the drill record was incomplete.

“The last documented fire drill was 2/13/2026.”

Rule Fire drills were not practiced monthly and/or the drill record was incomplete.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Jun 8, 2026. Correction verified: by a letter from the provider.

Following the issuance of any administrative action the operator did not post the administrative action, cover letter, and/or corrective action plan, if applicable, in a location visible to parents and visitors near the entrance of the child care facility during the pendency of an appeal and/or throughout the effective time period of the administrative action.

“(Applicable to administrative actions after 2/1/19) The Administrative Action issued on 4/29/26 was not displayed as required.”

Rule Following the issuance of any administrative action the operator did not post the administrative action, cover letter, and/or corrective action plan, if applicable, in a location visible to parents and visitors near the entrance of the child care facility during the pendency of an appeal and/or throughout the effective time period of the administrative action.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: May 29, 2026. 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 Spaces 108B, 115, and 120 there were cups which did not include the date or child’s name.”

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.. Corrected during the inspection.

Medical exam or health assessment record was not on file before or within 30 days after admission.

“Files for children enrolled on 10/14/25 and 2/9/26 did not contain a medical report.”

Rule Medical exam or health assessment 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: May 29, 2026. Correction verified: by a letter from the provider.

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

“An employee with a hire date of 2/4/26 had a TB skin test result which was older than 12 months.”

Rule On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: May 29, 2026. 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 108A, a prescription ointment did not have instructions from a physician or the pharmaceutical 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.. Corrected during the inspection.

Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete.

“There were no documented Shelter-in-place or lockdown drills recorded as required.”

Rule Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Jun 8, 2026. Correction verified: by a letter from the provider.

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.

“Employees hired on 12/16/25, 11/17/25, and 12/18/25 did not have documentation of completing the required Recognizing and Responding to Suspicions of Child Maltreatment.”

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: May 29, 2026. Correction verified: by a letter from the provider.

The person identified as the person or alternate person responsible for carrying out the emergency medical care plan was not on the premises at all times and/or did not accompany children for off premise activities.

“The EMC plan needs to be updated as staff changes occur.”

Rule The person identified as the person or alternate person responsible for carrying out the emergency medical care plan was not on the premises at all times and/or did not accompany children for off premise activities.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: May 29, 2026. Correction verified: by a letter from the provider.

Vehicles used to transport children enrolled in the child care center did not comply with all applicable State and federal laws and regulations.

“The registration for each bus expired on 4/30/26.”

Rule Vehicles used to transport children enrolled in the child care center did not comply with all applicable State and federal laws and regulations.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: May 29, 2026. Correction verified: by a letter from the provider.

Enhanced staff/child ratios and group sizes were not met.

“On 4/17/26, Twos 1, and Twos 2 classrooms were out of ratio for approximately 10 minutes. Twos 1 class had 12 children and 1 staff (out of ratio by 3 children). Twos 2 class had 10 children and 1 staff (out of ratio by 1 child). On 4/23/26, the director stated that the Toddler 1 class was out of ratio for an unknown amount of time in the morning with 1 teacher and 13 children (out of ratio by 7 children).”

Rule Enhanced staff/child ratios and group sizes were not met.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Jun 12, 2026. Correction verified: by a letter from the provider.

Children were not adequately supervised at all times.

“On 3/4/26 a staff member found a four year old child left unattended in space 116 while the class was walking down the hallway, transitioning to the playground.”

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 31, 2026. Correction verified: by a letter from the provider.

Rule violated (DCDEE’s description below)

“Children shall not be in the kitchen except when participating in a supervised activity. On 3/4/26 a child from space 116 was walking with their classroom to the playground when the child ran out of line into the kitchen where the door was open. During today’s visit I observed the kitchen door open with no staff member present inside. This is a violation of a requirement in 15A NCAC 18A .2808 (e).”

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: Mar 31, 2026. Correction verified: by a letter from the provider.

Staff did not interact with children in positive ways by helping them feel welcome and comfortable, treating them with respect, listening to what they say, responding to them with acceptance and appreciation, and/or participating in activities with the children.

“On 2/13/26 a classroom teacher from space 115 used foul language in front of a child while in the hallway.”

Rule Staff did not interact with children in positive ways by helping them feel welcome and comfortable, treating them with respect, listening to what they say, responding to them with acceptance and appreciation, and/or participating in activities with the children.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Feb 24, 2026. Correction verified: by a letter from the provider.

When combining age groups, the staff/child ratios for the youngest child in the group was not maintained for the entire group.

“On December 10, 2025, a teacher in space 115 was left out of ratio for 25 minutes. The classroom ratio for 3-4 year olds at this facility is 1:10. The teacher had a ratio of 1:13.”

Rule When combining age groups, the staff/child ratios for the youngest child in the group was not maintained for the entire group.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Jan 2, 2026. Correction verified: by a letter from the provider.

Children were not adequately supervised at all times.

“On November 12, 2025, a three year old child was left alone in space 119 for an unknown amount of time.”

Rule Children were not adequately supervised at all times.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Dec 3, 2025. Correction verified: by a letter from the provider.

Food substitution was not of comparable food value or recorded on the menu prior to the meal or snack being served.

“Prior to several meals being served during the week of November 17, 2025, and on occasion during the weeks prior, food substitution was not recorded on the menu prior to the meal or snack being served.”

Rule Food substitution was not of comparable food value or recorded on the menu prior to the meal or snack being served.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Dec 3, 2025. Correction verified: by a letter from the provider.

Meals/snacks did not comply with the Meal Patterns for Children in Child Care Programs.

“Several menu items throughout the month were missing the required components and did not comply with the Meal Patterns for Children in Child Care Programs.”

Rule Meals/snacks did not comply with the Meal Patterns for Children in Child Care Programs.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Dec 3, 2025. Correction verified: by a letter from the provider.

Enhanced staff/child ratios and group sizes were not met.

“On April 10, 2025 a classroom teacher with four and five year old children in space 117 was left out of ratio for several minutes.”

Rule Enhanced staff/child ratios and group sizes were not met.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Jul 3, 2025. Correction verified: by a letter from the provider.

Children were not adequately supervised at all times.

“In space 118 a four year old was left unattended in a classroom for several minutes.”

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 25, 2025. Correction verified: by a letter from the provider.

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

“A staff member hired on 2/16/21 did not have a current criminal qualification letter on file and 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: Dec 18, 2024. Correction verified: by a letter from the provider.

All group leaders were not at least 18 years of age, have a high school diploma, and/or had not completed Basic School Age Care (BSAC) training.

“A staff member hired on 3/28/23 as the group leader for the school age classroom did not have a current BSAC certificate on file and available for review.”

Rule All group leaders were not at least 18 years of age, have a high school diploma, and/or had not completed Basic School Age Care (BSAC) training.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Dec 18, 2024. Correction verified: by a letter from the provider.

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.

“A staff member hired on 5/13/24 did not have a current child maltreatment certificate on file and available for review.”

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: Dec 18, 2024. Correction verified: by a letter from the provider.

Aquatic activities were permitted in hot tubs, spas, saunas or steam rooms, portable wading pools, natural bodies of water, or other unfiltered non disinfected containments of water.

“Based on staff interviews and a picture posted in the facility, an inflatable splash pad that holds water is being used on Wednesdays during water play.”

Rule Aquatic activities were permitted in hot tubs, spas, saunas or steam rooms, portable wading pools, natural bodies of water, or other unfiltered non disinfected containments of water.. 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.

Enhanced staff/child ratios and group sizes were not met.

“I interviewed staff members that stated they have concerns regarding staff child ratio. During staff interviews it was stated that classrooms with children ages 0-12 were being left out of ratio for an extended period of time in the mornings.”

Rule Enhanced staff/child ratios and group sizes were not met.. 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.

“In space 108 B, a current lesson plan was not posted.”

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: Jul 1, 2024. Correction verified: by a letter from the provider.

Application for enrollment did not include all required information.

“A child’s application was missing information.”

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: Jul 1, 2024. 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 108 B, sleep checks were not documented and up to date.”

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: Jul 1, 2024. 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.

“Two employees hired on 5/28/24 did not complete orientation within 2 weeks.”

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: Jul 1, 2024. Correction verified: by a letter from the provider.

Food substitution was not of comparable food value or recorded on the menu prior to the meal or snack being served.

“Menu was not updated at point of service.”

Rule Food substitution was not of comparable food value or recorded on the menu prior to the meal or snack being served.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Jul 1, 2024. Correction verified: by a letter from the provider.

Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete.

“An emergency drill had not been completed within 90 days.”

Rule Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Jul 1, 2024. Correction verified: by a letter from the provider.

Vehicles used to transport children enrolled in the child care center did not comply with all applicable State and federal laws and regulations.

“Registration for one of the vehicles was expired.”

Rule Vehicles used to transport children enrolled in the child care center did not comply with all applicable State and federal laws and regulations.. Corrected during the inspection.

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

“On June 12, 2024, a staff member did not respond to a five-month-old infant’s crying for approximately fifty (50) minutes.”

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: Jun 18, 2024. Correction verified: by a letter from the provider.

Rule violated (DCDEE’s description below)

“Each child was not attended to in a nurturing and appropriate manner, or in keeping with the child’s developmental needs.On May 13, 2024, a staff member lifted a ten-month-old infant by one arm and sat the child in a feeding chair. The staff member used inappropriate tone and language when telling the child, “you can do it yourself,” in reference to feeding. The staff member snatched a spoon from the child and continuously tried to feed the child though the child no longer wanted to eat.”

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: Jul 2, 2024. Correction verified: by a letter from the provider.

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

“A staff member used a toy to swat at a child, making contact a total of four times.”

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: Jun 4, 2024. Correction verified: by a letter from the provider.