Quest at Balls Creek Elementary

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. One (1) staff member with a hire date of 12/4/23, did not have documentation for completing the annual review of the facilities Emergency Preparedness and Response (EPR) plan during today’s visit.”

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: Nov 7, 2025. Correction verified: by a letter from the provider.

Documentation of staff’s on-going training was not on file and/or was not current.

“One (1) staff member with a hire date of 12/4/23, did not have documentation of ongoing training available for review during today’s visit.”

Rule Documentation of staff's on-going training was not on file and/or was not current.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Nov 7, 2025. Correction verified: by a letter from the provider.

Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization.

“Today one (1) emergency medication (epinephrine injection, usp auto injector .15mg) has a discard after date of 10/8/2025.”

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Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization..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: Nov 7, 2025. Correction verified: by a letter from the provider.

The EMC plan was not reviewed with all staff annually and whenever the plan was revised.

“One (1) staff member with a hire date of 12/4/23, did not have documentation of completing the annual Emergency Medical Care (EMC) Plan during today’s visit.”

Rule The EMC plan was not reviewed with all staff annually and whenever the plan was revised.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Nov 7, 2025. Correction verified: by a letter from the provider.

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

“There were 2 medication permission to administer forms that provide standing orders for up to six months did not have the effective to and from dates on the form.”

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

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

“In space 403 the activity plan that was posted was not current, it was dated December 18-21, 2023.”

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

Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional.

“Two of the diabetic medications were not in the original packaging.”

Rule Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician 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: Jan 25, 2024. Correction verified: by a letter from the provider.

Prescribed medicines, that are pharmaceutical samples, was not stored in the manufacturers original packaging, was not labeled with the child’s name, and/or written instructions did not include the required information.

“Two diabetic medications were not labeled with the child’s name.”

Rule Prescribed medicines, that are pharmaceutical samples, was not stored in the manufacturers original packaging, was not labeled with the child's name, and/or written instructions did not include the required information.. Corrected during the inspection.

The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current.

“The current EPR Plan was dated May 24, 2022, and had not been updated as changes occurred.”

Rule The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Jan 25, 2024. Correction verified: by a letter from the provider.