The Sandbox

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

“Two (2) medication permission to administer forms for sunscreen did not have the expiration date listed on the form.”

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

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

“In the classroom where Pre K children are cared for there was one (1) medication permission to administer form that provides standing orders to administer for up to six (6) months for Aquafor Healing Ointment with a permission to administer that expired on February 9, 2025.”

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

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

“A staff member handled children in a manner that was not nurturing or appropriate. The staff member used her finger to lift a child’s face to look at her, used her foot to move children’s chairs, roughly pushed children’s chairs under the table, and abruptly moved and repositioned children in their chairs.”

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: Nov 4, 2024. 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.

“In Space 5, a screen-time activity was offered but not logged on the activity plan or a screen-time log.”

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.

All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet.

“One aerosol can of Mod Podge acrylic sealer was stored above five feet in an unlocked cabinet. The teacher moved the aerosol can to a locked cabinet above the sink.”

Rule All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet.. 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. One staff member with a date of employment of 11/08/2021 did not have current CPR training documentation on file. The CPR certification on file expired on 11/24/2023.”

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: Jan 23, 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 staff member with a date of employment of 11/08/2021 did not have current first aid training documentation on file. The first aid certification on file expired on 11/24/2023.”

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

Over-the-counter medicines were not in their original containers or administered as authorized in writing by parent, physician or authorized health professional.

“In Space 2, one over-the-counter ointment was not labeled with the name of the child. The assistant director labeled the ointment with the name of the child.”

Rule Over-the-counter medicines were not in their original containers or administered as authorized in writing by parent, physician or authorized health professional.. Corrected during the inspection.

Parent’s medication authorization did not include required information.

“In Space 1, permission to administer one topical prescription medication was documented on the Over-the-Counter (OTC) topical ointment form. In Space 1, one OTC permission form was missing when to apply the ointment. In Space 2, two OTC permission forms were missing how to apply the ointment. In Space 2, one OTC permission form was missing when to apply the ointment. In Space 5, two OTC permission forms were missing how to apply the medications. In Space 5, one OTC medication was missing a permission to administer form.”

Rule Parent's medication authorization did not include required information.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Jan 5, 2024. Correction verified: by a letter from the provider.