The Children’s Courtyard #3213

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.

“The children’s record files for three children (dates of enrollment 04/02/2024, 02/27/2026, and 03/17/2026) did not contain a Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy acknowledgement statement signed and dated by the parent.”

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: Aug 7, 2026. Correction verified: by a letter from the provider.

All equipment and furnishings were not in good repair.

“There were deteriorating wood pieces and/or sections on the wooden stationary structures on the playgrounds designated for two-year-old children, three and four-year-old children, and school-age children. On the playground designated for school-age children, there was a torn section of the artificial surfacing approximately six inches square under the bar structure. On all the playgrounds, the metal poles and some of the metal equipment pieces had chipping paint.”

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: Aug 7, 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.

“One staff member employed on 10/14/25 had a medical report dated 6/30/26.”

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: Aug 7, 2026. Correction verified: at a follow-up visit by DCDEE.

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.

“One employee (date of hire 01/09/2023) had completed health and safety training prior to employment was required to complete a training related to the health and safety training topic, administration of medication with standards for parental consent, due by 04/2026 but had not completed the 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: Aug 7, 2026. 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 reports dated from June 2025 to the present date had been added to an electronic incident log but had not been filed in the children’s record files.”

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: Aug 5, 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.

“One staff member employed on 10/14/25 had a TB test dated 7/17/26.”

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: Aug 7, 2026. Correction verified: at a follow-up visit by DCDEE.

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

“One employee (date of hire 12/31/2024) had not completed trainings for nine out of ten health and safety training topics or the training certificates were not available for review during the visit.”

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: Aug 7, 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.

“One staff member employed on 2/2/26 completed the Recognizing and Responding to Suspicions of Child Maltreatment training on 8/7/26.”

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: Aug 7, 2026. Correction verified: at a follow-up visit by DCDEE.

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.

“A child enrolled on 12/16/24 did not have a Shaken Baby Syndrome and Abusive Head Trauma policy on file.”

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

A copy of the safe sleep policy was not given to and/or explained to the parent of each child on or before the first day the infant attended the center.

“Child enrolled on 12/16/24 did not have a copy of the safe sleep policy on file and available for review.”

Rule A copy of the safe sleep policy was not given to and/or explained to the parent of each child on or before the first day the infant attended the center.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Sep 26, 2025. Correction verified: by a letter from the provider.

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

“Staff members hired on 5/5/25 (two), 9/2/25, 7/2/25, 8/13/25, and 8/28/25 did not have criminal background checks 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: Sep 26, 2025. Correction verified: by a letter from the provider.

All staff did not review the center’s EPR Plan during orientation and/or on an annual basis with the trained staff.

“Documentation of the review was not maintained on file. Staff members hired on 5/11/18, 5/23/22, and 9/24/18 did not review the center’s EPR Plan on an annual basis.”

Rule All staff did not review the center's EPR Plan during orientation and/or on an annual basis with the trained staff.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Sep 26, 2025. Correction verified: by a letter from the provider.

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 hired on 5/21/25 did not have a current CPR certificate on file and available for review.”

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: Sep 26, 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. A staff member hired on 5/21/25 did not have a current First Aid certificate on file and available for review.”

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

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

“Staff members hired on 9/2/25, 8/13/25, 5/5/25 (two), and 7/21/25 did not have an application for employment 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: Sep 26, 2025. Correction verified: by a letter from the provider.

Application for enrollment did not include all required information.

“Three children enrolled on 5/16/22, 5/19/21, and DOB 12/4/17 (w/ no enrollment date) did not have enrollment dates on their applications.”

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: Sep 26, 2025. 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.

“Staff members hired on 9/2/25 and 5/5/25 (two) did not have the required medical report on file.”

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

Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually.

“Staff members hired on 5/11/18, 5/23/22, 9/24/18, and 2/15/16 did not have emergency information updated.”

Rule Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Sep 26, 2025. Correction verified: by a letter from the provider.

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

“Staff members hired on 5/23/22, 9/24/18, and 2/15/16 did not have a current annual staff evaluation on file.”

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: Sep 26, 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.

“A staff member hired on 8/13/25 did not have documentation of completing the two week orientation.”

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

Emergency information did not name childs health care professional.

“A child enrolled on 12/16/24 did not have a hospital preference listed on their application.”

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: Sep 26, 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.

“Staff members hired on 5/5/25 and 7/21/25 did not have documentation of completing their 6 week orientation.”

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: Sep 26, 2025. 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.

“Staff members hired on 9/2/25, 8/13/25, and two staff members hired on 5/5/25 did not have proof of tuberculosis test or screening.”

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: Sep 26, 2025. 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.

“Four children’ files (DOB: 3/26/20, 6/25/21, 12/4/17, and 8/20/18) that were reviewed did not list their enrollment dates on the Discipline Policy.”

Rule Parent’s statement includes the child’s name and date of enrollment and the date the parent signed the statement.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Sep 26, 2025. Correction verified: by a letter from the provider.

Prior to employment a Criminal Background Check was not completed.

“Staff members hired on 8/13/25 and 8/28/25 have not completed a criminal background check.”

Rule Prior to employment a Criminal Background Check was not completed.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Sep 26, 2025. Correction verified: by a letter from the provider.

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.

“Staff members hired 5/5/25 did not have a Recognizing and Responding to Suspicions of Child Maltreatment training certificate on file.”

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

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.

“Staff members hired on 2/15/16, 8/28/25, 9/2/25, 8/13/25 and 7/21/25 did not have the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy on file.”

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

Discipline was not appropriate for the child’s age and development.

“A staff member in the School Age classroom sprayed three school age children with a water bottle to direct the children to clean up the classroom, which was not an age and developmentally appropriate form of discipline.”

Rule Discipline was not appropriate for the child's age and development.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Aug 5, 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. Staff members hired on 4/11/22 and 12/9/24 did not have a CPR certificate on file and available for review.”

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: Apr 21, 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. Staff members hired on 4/11/22, 3/4/23, 8/9/24 and 12/9/24, did not have a First Aid certificate on file and available for review.”

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: Apr 21, 2025. 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.

“A staff member hired on 3/10/25 did not have a medical report on file and available for reveiw.”

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: Apr 21, 2025. 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 12/30/24 did not have a Recognizing and Responding to Suspicions of Child Maltreatment certificate on file an 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: Apr 21, 2025. Correction verified: by a letter from the provider.