Land of Little People Preschool

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

“The walls in indoor space #4 have chipped paint. Indoor space #3 one wall corner has exposed paper sheetrock due to chipped and paint.”

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: Jun 8, 2026. Correction verified: by a letter from the provider.

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

“Three (3) medication permission slips in indoor space #1 did not have a medication name or valid permission dates.”

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: Jun 8, 2026. Correction verified: by a letter from the provider.

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 indoor spaces #1 plastic trash bags in the bottom of an unlocked diaper changing table were accessible to children under three years of age.”

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.. 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.

Staff did not model appropriate eating behaviors by consuming food or beverages that meet the nutritional requirements specified in the Meal Patterns for Children in Child Care Programs in the presence of children in care.

“One (1) staff member is indoor space #1 had a Dunkin Donuts iced coffee on the table.”

Rule Staff did not model appropriate eating behaviors by consuming food or beverages that meet the nutritional requirements specified in the Meal Patterns for Children in Child Care Programs in the presence 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: Jun 8, 2026. Correction verified: by a letter from the provider.

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

“Indoor space #1 had an activity plan posted with a date of October 27, 2025. Indoor space #4 had an activity plan posted with a date of November 10, 2025.”

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: Dec 5, 2025. Correction verified: by a letter from the provider.

All children were not held or placed in feeding chairs or other appropriate apparatus to be fed.

“In indoor space #1 an infant was propped up on an infant boppy pillow holding and drinking a bottle.”

Rule All children were not held or placed in feeding chairs or other appropriate apparatus to be fed.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Dec 5, 2025. 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.

“The wall next to the teacher’s desk in space #6 had a large section of chipped paint.”

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: Dec 5, 2025. 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.

“Two (2) outlets in indoor space # 6 were not covered with safety plugs.”

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 indoor space #1, four (4) out of twelve (12) infant bottles sent from a child’s home 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.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Dec 5, 2025. Correction verified: by a letter from the provider.

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

“Five (5) medication permission slips in indoor space #2 did not have expiration dates documented on the permission slips.”

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

Staff did not model appropriate eating behaviors by consuming food or beverages that meet the nutritional requirements specified in the Meal Patterns for Children in Child Care Programs in the presence of children in care.

“In indoor space #1 a staff member had a Pepsi Bottle and Honey Roasted Sunflower Kernels sitting on counters accessible to the children.”

Rule Staff did not model appropriate eating behaviors by consuming food or beverages that meet the nutritional requirements specified in the Meal Patterns for Children in Child Care Programs in the presence of children in care.. Corrected during the inspection.

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.

“Two (2) out of five (5) new staff files reviewed did not have documentation of The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy reviewed with the staff members prior to providing care with children.”

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: Dec 5, 2025. 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 vehicle used to transport children enrolled in the child care center did not receive an annual vehicle inspection as required by State laws and regulations.”

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: Dec 5, 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.

“One (1) staff member did not have a medical report on file prior to employment. The staff member was employed on May 13, 2025.”

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: Jun 16, 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.

“One (1) staff member did not have a TB test on file prior to employment. The staff member was employed on May 13, 2025.”

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: Jun 16, 2025. Correction verified: by a letter from the provider.

Staff required to receive on-going training had not completed the required number of hours according to their education and experience.

“Two (2) out of thirteen (13) staff members had not completed the required number of on-going training hours according to their education and experience.”

Rule Staff required to receive on-going training had not completed the required number of hours according to their education and experience.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Jun 16, 2025. Correction verified: by a letter from the provider.

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

“On May 6, 2025, at 1:40pm, a staff member yanked a one-year-old child up by one arm and moved them to sit in a chair at a table.”

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: May 21, 2025. Correction verified: by a letter from the provider.

Discipline was related to food, rest or toileting.

“The administrator disciplined a child by giving one child less cookies than the other children because of resting behaviors.”

Rule Discipline was related to food, rest or toileting.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: May 21, 2025. 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 May 6, 2025, at 1:36pm, a staff member directed a child crying on their mat to move from their mat to a corner in the classroom. The child was left in the corner alone and crying from 1:36pm until 1:43pm. At 1:43pm, another staff member picked the child up under both arms and moved them to another classroom.”

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: May 21, 2025. Correction verified: by a letter from the provider.

Appropriate discipline practices were not followed.

“On November 12, 2024, at 9:10am, a staff member used a harsh voice tone and yelled to a one-year-old child “Get off her, I know you’re lying, you’re bigger than her”. At 9:11am a staff member yanked a one-year-old child up by one (1) arm and carried the child by one (1) arm a distance of three (3) feet and two (2) inches to a time out chair.”

Rule Appropriate discipline practices were not followed.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Jan 9, 2025. Correction verified: by a letter from the provider.

Children were not adequately supervised at all times.

“On November 12, 2024, from 9:08am until 9:10am a staff member in indoor space #2 was leaning against a diaper changing table, texting on her cell phone, and not supervising the children in care.”

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: Jan 9, 2025. Correction verified: by a letter from the provider.

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

“On November 12, 2024, from 9:01am until 9:15am, eight (8) children aged one (1) year old were present in Space #2 with one (1) staff member.”

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: Jan 9, 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. One (1) new staff member did not have verification of staff completion of the CPR course from an approved training organization in the staff file within 90 days of hire.”

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: Dec 20, 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. One (1) new staff member verification of staff completion of First Aid training from an approved training organization was in the staff file within 90 days of hire.”

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: Dec 20, 2024. Correction verified: by a letter from the provider.

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 indoor space #2 diapers wrapped in plastic bags were in the bottom of an unlocked diaper changing table accessible to children under three years of age.”

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.

Staff did not model appropriate eating behaviors by consuming food or beverages that meet the nutritional requirements specified in the Meal Patterns for Children in Child Care Programs in the presence of children in care.

“In indoor space three (3), a staff member had a Starbucks cup sitting on a shelf accessible to the children.”

Rule Staff did not model appropriate eating behaviors by consuming food or beverages that meet the nutritional requirements specified in the Meal Patterns for Children in Child Care Programs in the presence of children in care.. Corrected during the inspection.

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

“On August 28, 2024, a staff member in the classroom for two-year-old children failed to wash a child’s hands after changing the child’s diaper.”

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: Oct 22, 2024. Correction verified: by a letter from the provider.

Child was handled roughly.

“On September 13, 2024, a staff member in the classroom for two-year-old children disciplined a child by hitting the child on the head with a lightweight plastic bucket three times.”

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: Oct 24, 2024. Correction verified: by a letter from the provider.

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

“On August 28, 2024, in the classroom for one-year-old children, there was only one staff member present with seven (7) one-year-old 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: Oct 22, 2024. Correction verified: by a letter from the provider.

Prior to employment a Criminal Background Check was not completed.

“On September 28, 2024, the owner submitted staff observation forms of the classroom for one-year-old children dated June 18, 2024, and July 8, 2024, which were signed by a staff member who did not receive a valid criminal background check qualification letter until July 12, 2024.”

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: Oct 22, 2024. Correction verified: by a letter from the provider.

Children were not adequately supervised at all times.

“On September 11, 2024, two (2) infants were left in indoor space #1 unsupervised for approximately four (4) seconds.”

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: Oct 9, 2024. Correction verified: by a letter from the provider.

Written procedures were not established for pick-up and delivery of children.

“Program has written procedures for pick-up; however, a staff member did not follow the required safe pick-up procedures. A person listed as an emergency contact for a child enrolled in the facility arrived to pick up a child for the first time, and the staff member did not request a photo ID to verify who the person was. Requesting and verifying a photo ID is a requirement in the facility’s safe pick-up procedures.”

Rule Written procedures were not established for pick-up and delivery of children.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Oct 9, 2024. 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.

“On March 1, 2024, and May 15, 2024, Tylenol was administered to a one-year-old child and there was no written authorization form on file at the facility.”

Rule A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Sep 3, 2024. Correction verified: by a letter from the provider.

Children were not adequately supervised at all times.

“On July 14, 2024, a staff member in the classroom for one-year-old children walked out of the classroom, into an adjoining classroom, leaving six (6) one-year-old children unattended while they were eating lunch.”

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: Sep 3, 2024. Correction verified: by a letter from the provider.

When medication was administered, documentation was not completed or maintained for 6 months and/or the documentation did not include the required information.

“On March 1, 2024, and May 15, 2024, Tylenol was administered to a one-year-old child and it was not documented on a medication administration form until September 27, 2024.”

Rule When medication was administered, documentation was not completed or maintained for 6 months and/or the documentation did not include 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 3, 2024. 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.

“During the week of July 15, 2024 through July 19, 2024, a one-year-old child was routinely grouped with and cared for in the same classroom where school-age children were present and receiving care, during times that were not the first and last operating hour of the day.”

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: Jul 16, 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 in the classroom for one-year-old children modeled inappropriate behavior to a one-year-old child and encouraged the child to copy her actions. On another occasion, the same staff member intentionally threw a rubber ball into a child’s face two 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: Jul 16, 2024. 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.

“One (1) out of eight (8) children records reviewed did not have an immunization record on file before or within 30 days after admission.”

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.. Corrected during the inspection.

Electrical cords were accessible to infants and toddlers.

“A cord for an infant swing in indoor space #1 was accessible to infants and toddlers.”

Rule Electrical cords were accessible to infants and toddlers.. Corrected during the inspection.

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

“One (1) out of eight (8) children records reviewed did not have a medical exam or health assessment on file before or within 30 days after admission.”

Rule Medical exam or health assessment record was not on file before or within 30 days after admission.. Corrected during the inspection.

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

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

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. Verification of staff completion of the CPR course from an approved training organization was not in one (1) out of six (6) new staff member’s 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: Dec 15, 2023. 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. Verification of staff completion of First Aid training from an approved training organization was not in one (1) out of six (6) new staff member’s file.”

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: Dec 15, 2023. 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 member G. Clouser’s medical report was dated December 9, 2021, and her date of hire was July 31, 2023.”

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: Dec 15, 2023. Correction verified: by a letter from the provider.