The Sunshine House Early Learning Academy #245

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 #5, the infant 1 room, one child enrolled on January 12, 2026, had one bottle of milk labeled with a name but no date and one child enrolled on September 22, 2025, had three bottles of milk with no name or date listed.”

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.

Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization.

“One child enrolled on January 17, 2025, in space #10, the classroom for school aged children age five to twelve, had one Ventolin HFA (albuterol sulfate inhalation aerosol) 90 mcg on site in the classroom that expired in February 2026, and one Epinephrine Injection USP, 0.15mg (single-Dose Auto-Injectors) on site in the classroom that expired on November, 2025.”

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Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization..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: Jul 9, 2026. Correction verified: by a letter from the provider.

Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule.

Rule Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Jul 9, 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. One staff member employed on July 21, 2025, had a certificate of completion for CPR training on file dated March 13, 2026.”

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 member employed on July 21, 2025, had a certificate of completion for First Aid training on file dated March 13, 2026.”

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

All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement.

“One staff member employed on March 30, 2026, did not have a health questionnaire on file for review dated on or before the first day or work.”

Rule All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement.. Corrected during the inspection.

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.

“One staff member employed on March 30, 2026, did not have an Emergency Information form on file for review dated on or before the first day of work.”

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.. 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 September 24, 2025, did not have a certification of completion for Recognizing and Responding to the Suspicions for Maltreatment training on file 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: May 1, 2026. 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.

“One staff member employed on April 10, 2026, had a Shaken Baby form on file for review dated April 21, 2026.”

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.

A child care operator did not notify the Division of any new child care providers, as defined in G.S.

“110-90.2(a)(2), who were hired or moved into the child care facility within five business days. Currently there are six of thirteen staff listed under your facility’s roster in the ABCMS portal.”

Rule A child care operator did not notify the Division of any new child care providers, as defined in G.S.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Apr 29, 2026. Correction verified: by a letter from the provider.

Center staff did not comply with the safe sleep policy.

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: Apr 15, 2026. 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 space #5, the classroom for one year old children, I observed an extra outlet box with two electrical outlets that were uncovered located on the wall over the countertop at the sink area. In space #6, the classroom for children age zero-twelve months of age, I observed an extra outlet box with three electrical outlets that were uncovered located on the wall over the countertop at the sink area.”

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.

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

“Your last emergency drill was conducted on November 18, 2025.”

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: Apr 15, 2026. Correction verified: by a letter from the provider.

A child care operator did not notify the Division of any new child care providers, as defined in G.S.

“110-90.2(a)(2), who were hired or moved into the child care facility within five business days. Upon review, your program was not listed and did not have a current roster in the Automated Background Check Management System (ABCMS).”

Rule A child care operator did not notify the Division of any new child care providers, as defined in G.S.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Jul 22, 2025. Correction verified: by a letter from the provider.

Frozen human milk, stored beyond 7 days was not stored in a freezer compartment of a full-size refrigerator with a separate door to the freezer, chest, or deep freezer.

“Frozen human milk was stored in a freezer for more than 3 months and/or was not labeled with date received and date thawed for use. In space #5 I observed two packs of frozen breast milk that were not labeled with a date for a child enrolled on May 5, 2025.”

Rule Frozen human milk, stored beyond 7 days was not stored in a freezer compartment of a full-size refrigerator with a separate door to the freezer, chest, or deep freezer.. 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 #5 two bottles of formula were not labeled with a date for an infant enrolled on August 19, 2024.”

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.

Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule.

“In space #10 a child enrolled on June 2, 2025, did not have a Medication Administration Permission Form for Equate Lotion Sunscreen SPF 50 on file for review.”

Rule Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule.. Corrected during the inspection.

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

“The most recent playground inspection prior to today’s visit was conducted on April 21, 2025.”

Rule Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements.. Corrected during the inspection.

Parent’s medication authorization did not include required information.

“In space #7 a child enrolled on June 16, 2025, had a Medication Administration Permission Form for Over-The-Counter Topical Medications and Fluoridated Toothpaste form for Aquaphor Healing Ointment that did not have the amount to be administered, expiration date, and when to apply the topical ointment listed on the form.”

Rule Parent's medication authorization did not include required information.. Corrected during the inspection.

Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule.

“One (1) 4 oz. tube of Banana Boat Kids Max Protect and Play Sunscreen, labeled with a child’s name was stored in the locked medication drawer in space #2. The sunscreen did not have authorization to administer; however, the sunscreen had a “Special Item Permission” form dated August 12, 2024. The Special Item Permission form did not document the name of the sunscreen or the instructions on how to administer the sunscreen.”

Rule Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Nov 27, 2024. Correction verified: by a letter from the provider.

Center staff did not comply with the safe sleep policy.

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: Sep 23, 2024. Correction verified: by a letter from the provider.

Children three years old or older were in care and the schedule did not include times and/or activities that were developmentally appropriate for the children in care.

“The schedule posted in space #10 where school age children are enrolled, did not list the times the activities would occur. The schedule listed “arrival and open snack, outside play (30 minutes), homework support (30 minutes), group meeting (15-20 minutes), outside play (30 minutes), literacy circle (15 minutes), inquiry and exploration time (60 minutes), departure.”

Rule Children three years old or older were in care and the schedule did not include times and/or activities that were 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: Sep 23, 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.

“The incident report on file for one child with an enrollment date of August 12, 2024, did not document where the child received medical treatment, time the parent was notified 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: Sep 23, 2024. Correction verified: by a letter from the provider.

Rule violated (DCDEE’s description below)

“For children under three years of age, the schedule did not include regular daily events such as arrival and departure, free choice times, outside time and/or teacher- directed activities. The schedule posted in space #5 and space #6, did not list the times the activities would occur.”

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: Sep 23, 2024. Correction verified: by a letter from the provider.