Foundations Early Learning Center #238

The written feeding plan did not include the child’s name, parent signature, and/or was not dated when received by the center.

“In the Infant 1 classroom two (2) infant feeding plans that did not contain the parent’s signature and the date received by the center.”

Rule The written feeding plan did not include the child's name, parent signature, and/or was not dated when received by the center.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Jan 13, 2026. Correction verified: by a letter from the provider.

The prevention of Shaken Baby Syndrome and Abusive Head Trauma policy did not have the required information.

“Two (2) staff members with the hire dates 2/22/23 and 2/6/23 did not have the date listed on the form that the Prevention of Shaken Baby and Abusive Head Trauma Policy was given and explained to them.”

Rule The prevention of Shaken Baby Syndrome and Abusive Head Trauma policy did not have the required information.. Corrected during the inspection.

All walls and ceilings including doors and windows were not kept clean, free of visible fungal growth, and in good repair.

“The walls in classroom spaces #6, 4, 3 and 1 have chipped and peeling 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: Feb 24, 2025. Correction verified: by a letter from the provider.

Center did not maintain a record of daily attendance.

“Attendance records in classroom spaces #3 and 4 were not current.”

Rule Center did not maintain a record of daily attendance.. Corrected during the inspection.

Each staff member did not have the required medical report, proof of tuberculosis test or screening and/or completed health questionnaire in a medical file, maintained separately from the staff member’s individual personnel file.

“The personnel file for one staff member with a hire date of 2/6/2024 had medical information stored in it.”

Rule Each staff member did not have the required medical report, proof of tuberculosis test or screening and/or completed health questionnaire in a medical file, maintained separately from the staff member's individual personnel file.. Corrected during the inspection.

Parent’s medication authorization did not include required information.

“In space #7 there was 1 over the counter hydrocortisone cream that did not have a permission to administer form that provides standing orders to administer the medication for up to 12 months on file.”

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

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.

“The Prevention of Shaken Baby and Abusive Head Trauma Policy’s for 2 children did not list the child’s date of enrollment on the form.”

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.. Corrected during the inspection.

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

“The activity plan in the pre-k classroom was dated 1/22-26/2024.”

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

An individual written feeding plan was not provided by child’s parent or health care provider or was not followed and posted.

“In the infant classroom 1 and classroom 2 infant feeding plans for 12 children were not posted.”

Rule An individual written feeding plan was not provided by child's parent or health care provider or was not followed and posted.. Corrected during the inspection.

Center did not maintain a record of daily attendance.

“3 children in the infant 1 classroom were not documented on the attendance record.”

Rule Center did not maintain a record of daily attendance.. Corrected during the inspection.

Parent’s medication authorization did not include required information.

“In the step up 2 classroom 1 emergency medication permission to administer form did not contain all of the required information such as dosage amount, route of administering and if there were any special instructions.”

Rule Parent's medication authorization did not include required information.. 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 teachers with hire dates of 10/9/23 and 1/22/24 had not completed The Prevention of Shaken Baby and Abusive Head Trauma Policy prior to caring for 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.. Corrected during the inspection.