Abernethy Memorial Child Development Center

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

“The activity plan in Space 2 was dated September 21 – September 25.”

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: Oct 19, 2026. 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Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization.

“In Space 1, one diaper ointment in expired in May 2026 and one diaper ointment expired in August 2026. In Space 2, one diaper ointment expired in April 2026, one diaper ointment expired in May 2026, and one diaper ointment expired in July 2026.”

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medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization..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

Parent’s medication authorization did not include required information.

“In Space 1, Space 4, and Space 7, one permission to administer an over the counter (OTC) medication in each of the three classrooms that was missing instructions for how to administer the medication. In Space 2 and Space 4, one permission to administer an OTC medication in each of the two classrooms that was missing the amount of medication to be administered.”

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: Oct 19, 2026. Correction verified: by a letter from the provider.

Rule violated (DCDEE’s description below)

Rule Rule violated (DCDEE’s description below). Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Oct 13, 2026. Correction verified: by a letter from the provider.

Prior to the expiration date of the qualification letter, the child care provider did not complete and submit required forms to complete a criminal background check (a qualification letter is valid for a maximum of five years for the date of issuance).

“A staff member with a hire date of 5/16/12, did not complete an updated criminal background check prior to the expiration date of the CBC letter that expired on 2/1/26.”

Rule Prior to the expiration date of the qualification letter, the child care provider did not complete and submit required forms to complete a criminal background check (a qualification letter is valid for a maximum of five years for the date of issuance).. Corrected during the inspection.

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

“A staff member with a hire date of 7/24/17, did not list the date that The Prevention of the Shaken Baby Syndrome and Abusive Head Trauma policy acknowledgement statement was given and received.”

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

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

“In space 7, the activity plan that was posted was dated 10/6-10/2025 and was not current.”

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

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.

“In space 2, there was an electrical power strip that had one (1) outlet uncovered and in space 1, there was an electrical power strip that had four (4) outlets that were uncovered.”

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.

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.

“In space 6, the permission to administer form for two (2) oral medications (CVS Children’s Pain/Fever Acetaminophen 160mg and Ibuprofen Oral Suspension USP 100mg) had a permission to administer form in which the permission to administer expired on 10/12/25.”

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.. 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 the Shaken Baby Syndrome and Abusive Head Trauma policy acknowledgement statement should be signed by the parent including the date that the policy was given and explained, and the child’s date of enrollment.”

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.

“Space 4 had an activity plan posted that was dated for the week of 11/25-29/2024.”

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

A safe indoor and outdoor environment was not provided for the children.

“Space 7 had a door that leads to the outside propped open with a bucket. As discussed, no doors can be propped open.”

Rule A safe indoor and outdoor environment was not provided for the children.. 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.

“Spaces 1, 2, 3, and 7 had window seals that contained debris, sinks that were soiled and walls that were not kept clean. Space 2 had a baseboard area at the back of the classroom with trimming that had separated from the wall.”

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

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

“The baseboard in space 7 contained a changing table that had chipped 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: Dec 13, 2024. 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.

“There were 2 diaper creams in space 2 that had a prescription discard after date of 10/7/2024.”

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.. Corrected during the inspection.

Parent’s medication authorization did not include required information.

“1 diaper cream in space 1 had a medication permission to administer form that provided standing orders for 6 months had expired.”

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

Center did not maintain a record of daily attendance.

“In classroom #4 one child was not marked present today on the attendance record.”

Rule Center did not maintain a record of daily attendance.. 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 used a harsh tone and when verbally correcting the child, did so in a manner that was not nurturing or appropriate to the child’s developmental needs.”

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

Children were not adequately supervised at all times.

“Both teachers in the classroom where one year old children are cared for were observed completing routine tasks and not providing adequate supervision. I monitored the camera footage of the one year old classroom while outside. I observed two teachers on blankets sitting on the playground during outside time. These teachers were not moving about, engaging with children and not adequately supervising children.”

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

All equipment and furnishings were not in good repair.

“The playground used by toddlers had 1 broken lawn mower, 1 basketball goal net hanging from a little tykes basketball goal and 1 bubble bee riding toy had worn materials that were not in good repair.”

Rule All equipment and furnishings were not in good repair.. Corrected during the inspection.

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 to administer that were expired.”

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

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.

“There were 9 medication permission to administer forms that did not contain all of the required information.”

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.

A safe indoor and outdoor environment was not provided for the children.

“On the playground used by infants there was a bucket of toys that had standing water in it.”

Rule A safe indoor and outdoor environment was not provided for the children.. Corrected during the inspection.

All equipment and furnishings were not in good repair.

“There was a plastic toy box used to store toys on the playground used by toddlers, that was broken with sharp and jagged edges.”

Rule All equipment and furnishings were not in good repair.. 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.

“During today’s visit 2 staff members (with hire dates 7/27/09 and 7/14/23) had medical forms that were stored in the staff member’s personnel and were not stored in a separate location.”

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.