Tiny Tots Creative Learning Center, LLC

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 ABCMS Provider Portal for this facility has not been set up and all staff criminal background checks linked.”

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: Oct 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.

“One staff member, Buchannan with a hire date of 8/31/2026 had a completed medical dated 9/3/2026. Medical statement must be on file prior to employment.”

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: Oct 23, 2026. 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 outlet in space # 4, used by school-age children did not have an outlet cover.”

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.

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

“One staff member T. Buchanan, with a hire date of 8/31/2026 had date of 8/15/2026 for each topic listed. The date is prior to employment and was not signed by the administrator providing the orientation.”

Rule New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Oct 23, 2026. Correction verified: by a letter from the provider.

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

“In space #4, the classroom with five year old children, the activity plan was dated 8/17/26 through 8/21/26. In space #3, the classroom with two and three year old children, the activity plan was dated 8/10/26 through 8/14/26.”

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

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

“(omit posting for centers located in a residence) In space #5A, the classroom with infant and one year old children, there were two (2) children under fifteen months that did not have a feeding plan posted and the plan could not be located.”

Rule An individual written feeding plan was not provided by child's parent or health care provider or was not followed and posted.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Sep 4, 2026. Correction verified: by a letter from the provider.

Children’s records were not made available for review.

“One (1) child files was not on site and available for review.”

Rule Children's 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 4, 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.

“There was Nystatin from space #3 and ibuprofen, Mylicon, teething tablets, Neosporin, and antibiotic ointment from space #5A that have not been used since completion of treatment.”

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

The safe sleep policy did not contain the required information.

“The safe sleep policy posted in space #5A, the classroom with infant and one year old children, was dated 2009 and did not have the updated requirements from 2017.”

Rule The safe sleep policy did not contain 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 4, 2026. Correction verified: by a letter from the provider.