Out of the Box Childcare Center

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

“An annual staff evaluation was not on file for one employee hired on May 8, 2016.”

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: Sep 29, 2029. Correction verified: by a letter from the provider.

Health and safety training topics were not included as part of on-going training within five years of completing the previous health and safety training topics.

“Health and safety trainings were not completed every five years as required for two employees. The last dated training courses for both employees were completed in the year 2017.”

Rule Health and safety training topics were not included as part of on-going training within five years of completing the previous health and safety training topics.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Sep 29, 2026. Correction verified: by a letter from the provider.

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

“Five children aged one year old were watching video on a cellphone during morning review.”

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: Sep 29, 2026. Correction verified: by a letter from the provider.

Signage was not posted regarding the smoking and tobacco restriction at the entrance of the center and/or in vehicles used to transport children.

“No smoking signage was not posted in the vehicle designated for transporting children enrolled.”

Rule Signage was not posted regarding the smoking and tobacco restriction at the entrance of the center and/or in vehicles used to transport children.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Sep 29, 2026. 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. Training certificates maintained on file for four employees verified that first aid training completed was obtained through an agency that is not approved by the Division of Child Development and Early Education. Documentation was not on file to verify one employee completed CPR training within 90 days of employment as required.”

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 29, 2026. 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. Training certificates maintained on file for four employees verified that CPR training completed was obtained through an agency that is not approved by the Division of Child Development and Early Education. Documentation was not on file to verify one employee completed CPR training within 90 days of employment as required.”

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 29, 2026. Correction verified: by a letter from the provider.

Distance learning was used to complete First Aid, CPR and/or playground safety training.

“A review of training certificates on file verified that four employees completed first aid/CPR training through an online training program.”

Rule Distance learning was used to complete First Aid, CPR and/or playground safety training.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Jul 29, 2026. Correction verified: by a letter from the provider.

A list of all children participating in the off premise activity was not available at the center.

“A list with names of preschool children participating on the field trip was not left at the center today.”

Rule A list of all children participating in the off premise activity was not available at the center.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Jun 15, 2026. Correction verified: by a letter from the provider.

A schedule of off premise activities were not posted in each participating classroom to be viewed by parents and/or copy of the schedule was not given to parents.

“A schedule listing the field trip to Colonial Park was not posted in the participating classroom or in the center today.”

Rule A schedule of off premise activities were not posted in each participating classroom to be viewed by parents and/or copy of the schedule was not given to parents.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Jul 15, 2026. Correction verified: by a letter from the provider.

All vehicles used to transport children were not free of hazards.

“Two asthma inhalers were observed on the floor of a vehicle that is accessible to children used to transport for a field trip.”

Rule All vehicles used to transport children were not free of hazards.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Jun 15, 2026. Correction verified: by a letter from the provider.

Before children were transported, written permission from a parent was not obtained that included when and where the child was to be transported, expected time of departure and arrival, and the transportation provider.

“One permission slip on file for a preschool child participating in a field trip today did not include where the child was being transport.”

Rule Before children were transported, written permission from a parent was not obtained that included when and where the child was to be transported, expected time of departure and arrival, and the transportation provider.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Jun 15, 2026. Correction verified: by a letter from the provider.

Diaper changing surfaces were not kept free of storage.

“Containers of food was placed on the diaper changing table prior to serving to children.”

Rule Diaper changing surfaces were not kept free of storage.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Jun 15, 2026. Correction verified: by a letter from the provider.

Each adult and child was not restrained by appropriate individual belt/device.

“Ten preschool children were transported on a field trip were not placed in the appropriate individual device for their ages.”

Rule Each adult and child was not restrained by appropriate individual belt/device.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Jun 15, 2026. Correction verified: by a letter from the provider.

Formula and other beverages which require refrigeration were not identified for each child or properly refrigerated.

“Milk served to children was observed on top of a cubby from 11:30am to 12:50pm, losing adequate temperature prior to serving to children.”

Rule Formula and other beverages which require refrigeration were not identified for each child or properly refrigerated.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Jun 15, 2026. Correction verified: by a letter from the provider.

Children did not wash their hands upon arrival at the center, after each visit to the toilet, before eating, before and after water activity play, after outside play, and after handling animals or animal cages.

“Children’s hands were not washed prior to eating snack in Space 1a and after diaper changes in Space 1b.”

Rule Children did not wash their hands upon arrival at the center, after each visit to the toilet, before eating, before and after water activity play, after outside play, and after handling animals or animal cages.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Mar 24, 2026. Correction verified: at a follow-up visit by DCDEE.

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

“One caregiver was observed providing care for thirteen (13) children ranging from ages two (2) to six (6) years old.”

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: Mar 24, 2026. Correction verified: at a follow-up visit by DCDEE.

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

“One (1) caregiver provided care to seventeen (17) children ranging from ages three (3) to nine (9) in Space #1A.”

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: Mar 24, 2026. Correction verified: at a follow-up visit by DCDEE.

For each child, there was not at least 30 sq. ft. inside space per the total licensed capacity and 100 sq. ft. outside space for each child using the outdoor learning environment at any one time.

“Seventeen (17) children were cared for in a space with the licensing capacity for fifteen (15) children @ 30 sq. ft. per child.”

Rule For each child, there was not at least 30 sq. ft. inside space per the total licensed capacity and 100 sq. ft. outside space for each child using the outdoor learning environment at any one time.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Mar 10, 2026. Correction verified: at a follow-up visit by DCDEE.

A child’s hands were not washed after each diaper change.

“Four children hands were not washed after diaper changing.”

Rule A child's hands were not washed after each diaper change.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Nov 17, 2025. Correction verified: by a letter from the provider.

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

“A valid qualification letter was not on file for one employee (J. White).”

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: Dec 5, 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. CPR training was not renewed for one employee on or before the expiration date of November 4, 2025.”

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: Nov 17, 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. First Aid training was not renewed for one employee on or before the expiration date of November 4, 2025.”

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: Nov 17, 2025. Correction verified: by a letter from the provider.

Children between 12 and 24 months of age were grouped with children 3 years of age or older.

“Children one (1) year of age were grouped four (4) year old children in Space 1A.”

Rule Children between 12 and 24 months of age were grouped with children 3 years of age or older.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Nov 17, 2025. Correction verified: by a letter from the provider.

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

“Enhanced staff/child ratios were not met when one (1) caregiver was observed providing care for seven children ranging from ages one (1) to four (4) years old.”

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: Nov 17, 2025. 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).

“The criminal background check qualification was not renewed for one employee (J. White)on or before the expiration date of October 12, 2025.”

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).. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Dec 5, 2025. Correction verified: by a letter from the provider.

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

“Two wooden benches on the playground used by children were cracked exposing sharp edges and splintering wood.”

Rule A safe indoor and outdoor environment was not provided for the children.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Oct 13, 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.

“The staff development plan and staff evaluation on file for one employee hired on March 6, 2025, was dated September 6, 2024; therefore, it was not updated annually.”

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: Oct 13, 2025. Correction verified: by a letter from the provider.

Rule violated (DCDEE’s description below)

“Court orders related to the custody of a child were not followed resulting in unauthorized parental access to the center. Documentation was not on file for one employee acknowledging review of the center’s shaken baby syndrome policy.”

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, 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.

“Annual review of the center’s emergency medical care plan could not be verified.”

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: Oct 13, 2025. Correction verified: by a letter from the provider.

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

“Documentation verifying annual review of the center’s EPR plan with staff was not on file.”

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: Oct 13, 2025. Correction verified: by a letter from the provider.

Human milk, formula and other bottled beverages including sippy cups, sent from child’s home were not fully prepared, dated, and labeled for the appropriate child.

“In space #1, there were four (4) out of five (5) cups/ water bottles on top of the children’s cubbies not labeled with child’s name and date.”

Rule Human milk, formula and other bottled beverages including sippy cups, sent from child's home were not fully prepared, dated, and labeled for the appropriate child.. Corrected during the inspection.

Children under one year of age were not kept separate from children two years and older.

“In space #3 children ranged in ages of five(5) months to two(2) years of age.”

Rule Children under one year of age were not kept separate from children two years and older.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Aug 1, 2024. Correction verified: at a follow-up visit by DCDEE.

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.

“An aerosol can of Microban disinfectant spray was on the top shelf above the sink in space three.”

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, including the director, did not have an annual health questionnaire on file following the initial medical statement.

“Today three(3) out of the five(5) records reviewed did not have documetation updated annually.”

Rule All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Dec 7, 2023. Correction verified: by a letter from the provider.

Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually.

“Today three(3) out of the five(5) records did not have documetation updated annually”

Rule Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Dec 7, 2023. Correction verified: by a letter from the provider.