O.l. Moretz Foundation YMCA Early Learning Center

Center staff did not follow the EMC plan.

“During a recent incident involving the accidental ingestion of food supplement tablets by a one-year-old child, the Poison Control Center was not contacted for guidance before or while administering first aid to the child.”

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: Jul 23, 2026. Correction verified: by a letter from the provider.

Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container.

“A staff member assigned to the room for one-year-old children stored three food supplement tablets/capsules including one Biotin supplement tablet, one iron supplement tablet, and one ashwagandha supplement tablet in their pocket while working in the classroom with children. The food supplements were accessible to the children when they dropped out of the staff member’s pocket.”

Rule Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Jul 23, 2026. Correction verified: by a letter from the provider.

A child care operator did not notify the Division of any new child care providers, as defined in G.S.

“110-90.2(a)(2), who were hired or moved into the child care facility within five business days. The facility has not established the ABCMS roster.”

Rule A child care operator did not notify the Division of any new child care providers, as defined in G.S.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Jun 23, 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.

“One child enrolled on 6/3/24 did not have documentation of receipt of the facility’s Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy.”

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.

Application did not include health care needs or concerns, symptoms of and the type of response required for the health care needs or concerns.

“A child enrolled on 2/9/26 did not have the health care needs or concerns second completed on the application.”

Rule Application did not include health care needs or concerns, symptoms of and the type of response required for the health care needs or concerns.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Jun 23, 2026. Correction verified: by a letter from the provider.

Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months.

“A staff member hired on 1/12/26 had a medical report dated 3/15/23.”

Rule Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Jun 23, 2026. Correction verified: by a letter from the provider.

Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age.

“In space 4, plastic wipe refills were accessible to children two years of age, in an unlocked drawer below five feet by the changing table area.”

Rule Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age.. 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.

“A staff member hired on 3/31/25 did not have signed documentation of the facility’s Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy.”

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: Jun 23, 2026. Correction verified: by a letter from the provider.

The professional development plan was not reviewed annually.

“One staff member hired on 12/23/24 did not have a professional development plan on file for review.”

Rule The professional development plan was not reviewed annually.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Jun 23, 2026. Correction verified: by a letter from the provider.

Children were not adequately supervised at all times.

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

Enhanced staff/child ratios and group sizes were not met.

“Sign-in and sign-out records from April 20, 2026 through May 1, 2026 documented Space 5 out of compliance with staff/child ratios on fifteen different days at various times between the hours of 7:00am to 8:15am. Sign-in and sign-out records from April 20, 2026 through May 1, 2026 documented space 1 out of compliance with staff/child ratios on eight different days at various times between the hours of 7:30am to 4:30pm.”

Rule Enhanced staff/child ratios and group sizes were not met.. 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.

The center did not comply with the permit restrictions.

“The facility is licensed for children ages 0-5 years. On multiple occasions over the past few months, one school-age child of a staff member attended the facility and was cared for in a classroom with preschool-age children.”

Rule The center did not comply with the permit restrictions.. 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.

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

“One staff member with a date of employment of 03/06/2017 had a CBC qualification letter that expired on 01/03/2025 and was not renewed until 02/13/2025.”

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

A written statement from each child’s parent giving standing permission which may be valid for up to twelve months for participation in off premise activities that occur on a regular basis was not available.

“In Space 1, five children with dates of enrollment of 12/15/2020, 02/22/2021, 08/06/2021, 09/19,2022, and 09,22/2023 did not have Off-Premises Activity Permission forms giving parent permission for the children to participate in Splash Pad activities during the summer of 2025.”

Rule A written statement from each child's parent giving standing permission which may be valid for up to twelve months for participation in off premise activities that occur on a regular basis was not available.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Jul 28, 2025. 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. One staff member with a date of employment of 04/14/2025 had not completed CPR training.”

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: Jul 28, 2025. 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 04/14/2025 had not completed First Aid training.”

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: Jul 28, 2025. Correction verified: by a letter from the provider.

Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months.

“One staff member with a date of employment of 04/14/2025 did not have a staff medical report completed prior to employment and no staff medical report was on file.”

Rule Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Jul 28, 2025. Correction verified: by a letter from the provider.

Child care providers scheduled to work in the infant room, did not complete ITS-SIDS training within two months of employment or did not complete the training every three years.

“Child care administrators did not complete the ITS-SIDS training within 90 days of employment and every three years thereafter. The administrator with a date of employment of 04/14/2025 did not complete ITS-SIDS training within ninety days of hire.”

Rule Child care providers scheduled to work in the infant room, did not complete ITS-SIDS training within two months of employment or did not complete the training every three years.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Jul 28, 2025. Correction verified: by a letter from the provider.

Each employee’s personnel file did not contain an annual staff evaluation and a staff development plan.

“Four staff members with dates of employment of 07/21/2023, 11/15/2023, 09/19/2023, and 02/05/2024 did not have an annual staff evaluation completed and on file. Three staff members with dates of employment of 11/15/2023, 09/19/2023, and 02/05/2024 did not have staff development plan completed and on file.”

Rule Each employee's personnel file did not contain an annual staff evaluation and a staff development plan.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Jul 28, 2025. Correction verified: by a letter from the provider.

New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks.

“One staff member with a date of employment of 12/23/2024 completed new staff orientation training on 03/03/2025. One staff member with a date of employment of 02/14/2025 completed new staff orientation training on 03/22/2025.”

Rule New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks.. Corrected during the inspection.

On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months.

“One staff member with a date of employment of 04/14/2025 did not have TB test results or TB screening form completed prior to employment and no TB test results or screening form were on file.”

Rule On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Jul 28, 2025. Correction verified: by a letter from the provider.

Screen time was offered to children under three years of age.

“In Space 4, screen-time was offered to children less than three years of age.”

Rule Screen time was offered to children under three years of age.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Jul 28, 2025. Correction verified: by a letter from the provider.

Staff required to receive on-going training had not completed the required number of hours according to their education and experience.

“One staff member with a date of employment of 05/08/2023 did not complete twenty hours of on-going training by 05/08/2025 as required. One staff member with a date of employment of 02/27/2023 did not complete ten hours of on-going training by 02/27/2025 as required.”

Rule Staff required to receive on-going training had not completed the required number of hours according to their education and experience.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Jul 28, 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 date of employment of 05/08/2023 did not have a completion certificate on file for Recognizing and Responding to Suspicions of Child Maltreatment training. One staff member with a date of employment of 12/26/2024 completed Recognizing and Responding to Suspicions of Child Maltreatment training on 05/05/2025 more than ninety days after 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: Jul 28, 2025. Correction verified: by a letter from the provider.

The child care center premises, including the outdoor learning environment, was not clean, drained to minimize standing water, free of litter and hazards, and/or maintained in a manner which does not create conditions that attract or harbor pests.

“Outside of the fence by Outdoor Space 1, a black storage container was left uncovered and approximately six inches of rain water had collected in the container.”

Rule The child care center premises, including the outdoor learning environment, was not clean, drained to minimize standing water, free of litter and hazards, and/or maintained in a manner which does not create conditions that attract or harbor pests.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Jul 28, 2025. Correction verified: by a letter from the provider.

The depth of the loose surfacing was not based on critical height of the equipment.

“On Outdoor Space 1, the loose surfacing was less than six inches in depth within the fall zone of the stationary composite play structure.”

Rule The depth of the loose surfacing was not based on critical height of the equipment.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Jul 28, 2025. Correction verified: by a letter from the provider.

The written feeding plan was not modified as the child’s needs changed.

“In Space 3, one child less than fifteen months of age who was visiting the classroom from Space 6 did not have an individual feeding plan in Space 3. In Space 6, three children less than fifteen months of age had individual feeding plans that had not been updated as the eating habits of each child had changed to table foods.”

Rule The written feeding plan was not modified as the child's needs changed.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Jul 28, 2025. Correction verified: by a letter from the provider.

A child was handled in a rough way, including shaking, pushing, shoving, pinching, slapping, biting, kicking, or spanking.

“In Space 1 on 05/14/2025 at 5:30pm, a staff member flicked a three-year-old child on the side of the face.”

Rule A child was handled in a rough way, including shaking, pushing, shoving, pinching, slapping, biting, kicking, or spanking.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Jun 2, 2025. Correction verified: by a letter from the provider.

There was a substantiation of child maltreatment.

“The Division of Child Development and Early Education determined child maltreatment based on failure to meet the physical needs of children.”

Rule There was a substantiation of child maltreatment.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Sep 2, 2025. Correction verified: at a follow-up visit by DCDEE.

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

“One staff member with a date of employment of 10/22/2024 did not have a copy of the Criminal Background Check (CBC) qualification letter dated 07/30/2024 printed and on file at the facility available for review.”

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: Mar 26, 2025. Correction verified: by a letter from the provider.

Parent’s medication authorization did not include required information.

“In Space 4, two permission to administer topical ointment forms were missing the information for where to apply the medication.”

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: Apr 2, 2025. 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 4, one medical action plan dated 02/06/2024 was not updated annually by 02/06/2025.”

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: Apr 2, 2025. Correction verified: by a letter from the provider.

Children were not adequately supervised at all times.

“On January 14, 2025, one three-year-old child was left unattended on the playground for approximately one minute.”

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

Outdoor play equipment was not age and developmentally appropriate.

“On Outdoor Space 1, two-year old children were using the stationary climbing piece that was intended by the manufacturer to be used by children six to twenty-three months of age.”

Rule Outdoor play equipment was not age and developmentally appropriate.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Nov 25, 2024. Correction verified: by a letter from the provider.

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

“One staff member with a date of employment of 08/29/2022 had a CBC qualification letter on file dated 06/05/2019 that had expired on 06/05/2024.”

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: Aug 20, 2024. Correction verified: by a letter from the provider.

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 shaving cream, three aerosol cans of sunscreen, and one tube of sunscreen lotion were stored in unlocked cabinets in Space 2.”

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 11/15/2023 whose CPR training was due by 02/15/2024 had completed CPR training on 03/03/2024.”

Rule All staff did not successfully complete certification in CPR training appropriate to the age of the children in care.. Corrected during the inspection.

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 11/15/2023 whose First Aid training was due by 02/15/2024 completed First Aid training on 03/03/2024. One staff member with a date of employment of 03/11/2024 whose First Aid training was due by 06/11/2024 has not completed First Aid training.”

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: Aug 20, 2024. Correction verified: by a letter from the provider.

Caregivers did not document compliance with visually checking on sleeping infants aged 12 months or younger and/or the documents were not maintained for a minimum of one month.

“In Space 3, caregivers did not record the sleep positions for multiple children on multiple dates.”

Rule Caregivers did not document compliance with visually checking on sleeping infants aged 12 months or younger and/or the documents were not maintained for a minimum of one month.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Aug 6, 2024. Correction verified: at a follow-up visit by DCDEE.

Daily records of arrival and departure times for children enrolled at the center were not maintained as children arrive and depart and/or were not made available for review.

“Fourteen children were present in Space 1 but only ten children were signed in on the sign in and out sheet and/or the BrightWheel electronic application.”

Rule Daily records of arrival and departure times for children enrolled at the center were not maintained as children arrive and depart and/or were not made available for review.. 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.

“Four staff record files contained health questionnaires.”

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.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Aug 20, 2024. Correction verified: by a letter from the provider.

Individuals that did not meet the staff qualifications as required by G.S.

“110-91(8) did not submit to the Division documentation of completed coursework or credential to be considered for equivalency within six months of assuming duties. Two staff members with dates of employment of 08/29/2022 and 09/19/2023 who had been assigned the position as lead teacher upon employment did not have documentation in the file of completed coursework or credentials to be considered for equivalency.”

Rule Individuals that did not meet the staff qualifications as required by G.S.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Aug 20, 2024. Correction verified: by a letter from the provider.

Parent’s medication authorization did not include required information.

“The group permission to administer form created by the facility for sunscreen provided by the facility did not include the of the sunscreen, the valid dates for the sunscreen to be administered, the amount of sunscreen to be administered, where to administer the sunscreen, when to administer the sunscreen, how to administer the sunscreen, and a date of the parent signature.”

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: Aug 6, 2024. Correction verified: at a follow-up visit by DCDEE.

Staff did not complete the health and safety training within one year of employment.

“One staff member with a date of employment of 05/26/2023 whose health and safety training was due by 05/26/2024 had not completed eight of the nine required trainings.”

Rule Staff did not complete the health and safety training within one year of employment.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Aug 20, 2024. Correction verified: by a letter from the provider.

Children were not adequately supervised at all times.

“One four-year-old child was left unattended on the playground for approximately six minutes before staff members noticed the child was missing from the group.”

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: Apr 26, 2024. Correction verified: by a letter from the provider.

A drug or medication was administered without written authorization and/or instructions from a child’s parent or authorized health professional.

“In Space 4, one non-prescription topical ointment was applied with no written authorization.”

Rule A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Feb 20, 2024. Correction verified: by a letter from the provider.

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.

“In Space 1, an unlocked cabinet under the sink was used to store a variety of cleaning supplies. The assistant director locked the cabinet. In Space 5, five cans of aerosol sunscreen, one aerosol can of disinfecting spray, one spray bottle of glass cleaner, and one container of disinfecting wipes were stored in an unlocked cabinet with the keys left in the lock. The assistant director removed the aerosol cans of sunscreen and locked the cabinet.”

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. CPR training certification expired on 01//10/2024 for one employee. One employee with a date of hire of 09/19/2023 has not completed CPR training within 90 days.”

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: Mar 4, 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. First Aid training certification expired on 01//10/2024 for one employee. One employee with a date of hire of 09/19/2023 has not completed First Aid training within 90 days.”

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: Mar 4, 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.

“In Space 4, one non-prescription diaper ointment expired in 10/2023 but had not been discarded within 72 hours. The assistant director removed the diaper ointment from the classroom. In Space 6, one non-prescription diaper ointment expired in 12/2023 but had not been discarded within 72 hours. The assistant director removed the diaper ointment from the classroom.”

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.

Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container.

“In Space 2 and 6, emergency medications were stored in Ready-to-Go bags stored on shelving that was less than five feet from the floor. In Space 2, the assistant director moved the bag to a hook that allowed the bottom of the bag to hang at least five feet from the floor. In Space 6, the assistant director moved the bag to a top cubby shelf that was at least five feet above the floor.”

Rule Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container.. Corrected during the inspection.

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 4, one non-prescription topical ointment was not labeled with the name of the child. The assistant director added the name of the child to the non-prescription topical ointment container.”

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 3, two permission forms were missing the amount of medication to apply. One permission form was missing a parent signature. One permission form was missing the information for when to apply the medication. One permission form was missing information for how to apply the medication. Authorization to administer one prescription topical medication was recorded on the over-the-counter permission form. In Space 4, one permission form was missing information for how to apply the medication. Authorization to administer one prescription topical medication was recorded on the over-the-counter permission 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: Feb 20, 2024. Correction verified: by a letter from the provider.

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

“In Space 4, one prescription topical ointment was not in the original container with the pharmaceutical label attached.”

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: Feb 20, 2024. Correction verified: by a letter from the provider.

Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete.

“An emergency drill was conducted in 09/2023 making the next emergency drill due in 12/2023 but a shelter-in-place drill was not conducted until 01/12/2024. The emergency drill conducted in 01/2024 corrected the emergency drill not conducted in 12/2023.”

Rule Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete.. Corrected during the inspection.

Staff did not complete the health and safety training within one year of employment.

“One employee with a date of hire of 01/2023 did not complete all the required health and safety training topics within the first year of employment. The employee was missing three training topics.”

Rule Staff did not complete the health and safety training within one year of employment.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Feb 20, 2024. 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.

“Three employees with dates of hire of 05/26/2023, 07/27/2023, and 09/19/2023 have not completed the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days.”

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: Feb 20, 2024. Correction verified: by a letter from the provider.