Balls Creek Elementary Pre-School

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

“In space 402 the staff member with a hire date of 8/10/24 did not have documentation of reviewing the Emergency Medical Care (EMC) Plan annually.”

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: May 22, 2026. 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. In space 402 the staff member, with a hire date of 8/10/24, did not have documentation of reviewing the Emergency Preparedness and Response (EPR) Plan annually.”

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: May 22, 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. In space 402 the staff member with a hire date of 8/10/24 did not have documentation of completing CPR training on 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: May 22, 2026. 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. In space 402 the staff member with a hire date of 8/10/24 did not have documentation of completing First Aid training on 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: May 22, 2026. Correction verified: by a letter from the provider.

All staff records, except financial records, were not made available for review.

“In space 402 one (1) substitute with a hire date of 10/16/24 did not have a substitute file available for review.”

Rule All staff records, except financial records, were not made available for review.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: May 22, 2026. 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.

“In space 402 the walls throughout the classroom had chipping 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: May 28, 2026. Correction verified: by a letter from the provider.

Center staff did not follow the EMC plan.

“In space 402 the staff member with a hire date of 8/10/24 did not have documentation of reviewing the Emergency Medical Care (EMC) Plan annually.”

Rule Center staff did not follow the EMC plan.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: May 22, 2026. Correction verified: by a letter from the provider.

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

“In space 501 there was a stand-alone air conditioning unit accessible to children that could cause children’s fingers to potentially get caught in.”

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: May 4, 2026. Correction verified: by a letter from the provider.

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

“In space 402 one (1) emergency medication had a medication permission to administer form that was completed in entirely.”

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: May 22, 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.

“In space 402 the staff member with a hire date of 8/10/24 did not have documentation of completing Recognizing and Responding to Suspicions of Child Maltreatment training 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: May 22, 2026. Correction verified: by a letter from the provider.

The medical action plan was not updated on an annual basis or when changes to the plan were made by the child’s parent or health care professional.

“In space 402 one (1) Medical Action Plan (MAP) that was on file expired on 3/18/2026.”

Rule The medical action plan was not updated on an annual basis or when changes to the plan were made by the child's parent or health care professional.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: May 22, 2026. Correction verified: by a letter from the provider.

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.

“In space #510 the Prevention of Shaken Baby and Abusive Head Trauma policy for one (1) child did not specify the date that the policy was given and explained to the parent/guardian.”

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 23, 2025. Correction verified: by a letter from the provider.

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

“In space #402 there was no daily schedule posted.”

Rule A current schedule 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: Sep 26, 2025. Correction verified: at a follow-up visit by DCDEE.

All staff records, except financial records, were not made available for review.

“One (1) new staff members file in classroom space # 402 was not available for monitoring during today’s visit.”

Rule All staff records, except financial records, were not made available for review.. 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: at a follow-up visit by DCDEE.

Children used space that was not approved.

“School age developmental day children was using space 402, which was not approved by DCDEE or building, fire and sanitation to use for the licensed child care program.”

Rule Children used space that was not approved.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Oct 9, 2025. Correction verified: by a letter from the provider.

Children were not adequately supervised at all times.

“In space 413 one (1) child was unsupervised for one (1) minute while leaving the classroom. This child exited the classroom, walked in the hallway and around a corner towards the cafeteria where the teacher and class were walking. The child was met by the other teacher assistant as she entered the hallway at the same time that the child had caught up to the class and where the lead teacher and the other teacher assistant was able to see the child.”

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: May 1, 2025. Correction verified: at a follow-up visit by DCDEE.

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

“In space 414 there was one (1) medication permission to administer form that did not contain the parents’ signature.”

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: May 12, 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.

“One staff member with a hire date of 8/26/24 completed Recognizing and Responding to the Suspicions of Child Maltreatment training on March 27, 2025.”

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 12, 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.

“One electrical outlet was not covered with a safety plug in Space 413.”

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.

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.

“In classroom 414 one teacher with a hire date of October 4, 2012, did not have documentation available of completing Recognizing and Responding to Suspicions of Child Maltreatment 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.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: May 13, 2024. 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.

“In classroom 414 one teacher with a hire date of August 28, 2023, did not have documentation available of completing the Shaken Baby and Abusive Head Trauma Policy on file for review.”

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: May 13, 2024. Correction verified: by a letter from the provider.