The Learning Experience

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.

“One of the children’s files monitored today did not have a signed and dated statement from the parent/legal guardian acknowledging receipt and explanation 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: Oct 7, 2026. Correction verified: by a letter from the provider.

A copy of the incident report was not given to the parent.

“There were six incident reports with the following dates: 8/18/26, 8/21/26, 8/21/26, 9/11/16, 9/28/26 and 9/30/26 that were not given to the parents of children two years of age.”

Rule A copy of the incident report was not given to the parent.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Oct 7, 2026. Correction verified: by a letter from the provider.

Incident logs were not completed and maintained as required.

“There were six incident reports with the following dates: 8/18/26, 8/21/26, 8/21/26, 9/11/16, 9/28/26 and 9/30/26 that were not documented on the Incident Log.”

Rule Incident logs were not completed and maintained as required.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Oct 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.

“There were six incident reports with the following dates: 8/18/26, 8/21/26, 8/21/26, 9/11/16, 9/28/26 and 9/30/26 that were not signed and dated by the parents of children two years of age.”

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

When children 3 years and older were in care, screen time was not used to stimulate a developmental domain; was not limited to 30 minutes a day and no more than a total of two and a half hours per week, per child; and/or was not documented on a cumulative log or the activity plan that is available for review.

“It was observed in P-1-C (space 9) that a child four years of age was involved in an age appropriate activity on a tablet. I monitored the Screen Time Log and last documentation was from April 2026.”

Rule When children 3 years and older were in care, screen time was not used to stimulate a developmental domain; was not limited to 30 minutes a day and no more than a total of two and a half hours per week, per child; and/or was not documented on a cumulative log or the activity plan that is available for review.. Corrected during the inspection.

Diapers were not changed whenever they were soiled or wet and/or were changed on a shift basis.

“In space #2 where infants are cared for each child was not changed whenever they were wet/soiled.”

Rule Diapers were not changed whenever they were soiled or wet and/or were changed on a shift basis.. 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: by a letter from the provider.

Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection.

“Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. Fire inspection was not completed annually. Fire inspection was completed on 12/3/24.”

Rule Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection.. Corrected during the inspection.

Children were not adequately supervised at all times.

“On August 15, 2024 a two year old child was left on the playground alone for three 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: Aug 26, 2024. Correction verified: by a letter from the provider.

Child was handled roughly.

“One more than one occasion, a staff member in the classroom for one-year-old children pinched children’s biceps, popped the children’s hands with an open hand, pushed chairs to the table in an abrupt manner during meals, and forcefully laid children on the mat during nap time.”

Rule Child was handled roughly.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Jun 26, 2024. Correction verified: by a letter from the provider.

Diapers were not changed whenever they were soiled or wet and/or were changed on a shift basis.

“On multiple occasions in June 2024, a staff member changed the diapers of one-year-old children once between 9:00am-4:45pm.”

Rule Diapers were not changed whenever they were soiled or wet and/or were changed on a shift basis.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Jun 26, 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.

“On more than one occasion in June 2024, a staff member yelled and/or used a harsh tone of voice when the staff member told one-year-old children, “Don’t touch me!””

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 26, 2024. Correction verified: by a letter from the provider.

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

“In space 3, children were observed not having their hands washed after diaper changing occurred.”

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: Jul 8, 2024. Correction verified: by a letter from the provider.

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

“In space 4, Zakiyyah Harris, hired on 4/ 29/24, did not have a valid qualification letter on file.”

Rule A valid qualification letter was not on file and available to review at the facility.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Jul 10, 2024. Correction verified: by a letter from the provider.

Activities and allotted times reflected in the schedule were not developmentally appropriate for the children in care.

“In space 6, all children were observed engaged in table toys. When children would go to another area of the classroom, they were instructed to come back to the table. Children were not allowed to engage in other areas of the room.”

Rule Activities and allotted times reflected in the schedule were not developmentally appropriate for 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 8, 2024. 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 1/2/24 has not completed CPR training.”

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 8, 2024. 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 1/2/24 has not completed 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: Jul 8, 2024. Correction verified: by a letter from the provider.

All staff did not wash their hands thoroughly after diapering each child.

“In space 3, the staff member did not wash their hands after diaper changing occurred.”

Rule All staff did not wash their hands thoroughly after diapering each child.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Jul 8, 2024. 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 6 and in space 4, children were observed not washing hands after their nose has been wiped.”

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: Jul 8, 2024. Correction verified: by a letter from the provider.

Prior to employment a Criminal Background Check was not completed.

“In space 4, Zakiyyah Harris, hired on 4/29/24, has not completed a Criminal Background Check through DCDEE.”

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

Rule violated (DCDEE’s description below)

“The activity plan did not identify activities which allow children to choose to participate with the whole group, part of group, or independent of the group. In space 6, all children were observed engaged in table toys. When children would go to another area of the classroom, they were instructed to come back to the table. Children were not allowed to engage in other areas of the room.”

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 8, 2024. Correction verified: by a letter from the provider.

Staff did not wash their hands thoroughly before beginning work, before/after handling food, before bottle feeding or serving to other children, after toileting or handling body fluids, after diaper changing and after handling soiled items.

“In space 4, staff were observed not washing hands after wiping children’s nose.”

Rule Staff did not wash their hands thoroughly before beginning work, before/after handling food, before bottle feeding or serving to other children, after toileting or handling body fluids, after diaper changing and after handling soiled items.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Jul 8, 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 1/2/24, did not complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of hire.”

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.

Potentially hazardous items including but not limited to power tools, nails, chemicals, propane stoves, lawn mowers, gasoline, or kerosene were not stored in locked areas, removed from the premises, or made inaccessible to children.

“In space 11 an opened bag of potting soil was on the floor under the sink”

Rule Potentially hazardous items including but not limited to power tools, nails, chemicals, propane stoves, lawn mowers, gasoline, or kerosene were not stored in locked areas, removed from the premises, or made inaccessible to children.. Corrected during the inspection.

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

“(omit posting for centers located in a residence). One child’s infant feeding plan was not posted.”

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.

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, two children’s bottles were not dated.”

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.

Parent’s medication authorization did not include required information.

“In space 2 one topical ointment did not have a permission to administer topical ointment form. The cream was discarded.”

Rule Parent's medication authorization did not include required information.. 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 3, a plastic trash bag and box of gloves were located near the changing table.”

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.

Potentially hazardous items including but not limited to power tools, nails, chemicals, propane stoves, lawn mowers, gasoline, or kerosene were not stored in locked areas, removed from the premises, or made inaccessible to children.

“In space 6, a bottle of Lysol toilet bowl cleaner with additional warning labels was located on a storage rack in the bathroom used by children.”

Rule Potentially hazardous items including but not limited to power tools, nails, chemicals, propane stoves, lawn mowers, gasoline, or kerosene were not stored in locked areas, removed from the premises, or made inaccessible to children.. Corrected during the inspection.

Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization.

“In space 1, a topical ointment expired 4/2022. The topical ointment was discarded during the visit.”

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.. Corrected during the inspection.