Little Gems Child Development Center, Inc.

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. One staff member employed on April 20, 2026, and one staff member employed on July 7, 2026, were not listed on the ABCMS Portal Roster for this facility.”

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: Aug 25, 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. One staff member employed on April 20, 2026, did not have receipt of CPR certification on file for review. The staff member was due to complete CPR training by July 20, 2026.”

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: Aug 25, 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. One staff member employed on April 20, 2026, did not have receipt of First Aid certification on file for review. The staff member was due to complete First Aid training by July 20, 2026.”

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 25, 2026. 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.

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 25, 2026. 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. One staff member employed on April 20, 2026, did not have receipt of ITS-SIDS training on file for review. The staff member was due to complete ITS-SIDS training by June 20, 2026.”

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: Aug 25, 2026. Correction verified: by a letter from the provider.

Each child was not immunized as per Article 6 of Chapter 130A and an immunization record was not on file before or within 30 days after admission.

“One child enrolled 2/21/23, had an immunization report dated 4/14/23 on file.”

Rule Each child was not immunized as per Article 6 of Chapter 130A and an immunization record was not on file before or within 30 days after admission.. Corrected during the inspection.

Medical exam or health assessment record was not on file before or within 30 days after admission.

“One child enrolled 2/21/23 had a medical report dated 4/14/23 on file.”

Rule Medical exam or health assessment record was not on file before or within 30 days after admission.. Corrected during the inspection.

Sand and water play activities were not available weekly to each group.

“In Space #1, there was no sand and water activity listed for the week of 9/3-9/6/24.”

Rule Sand and water play activities were not available weekly to each group.. Corrected during the inspection.

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

“On November 17, 2023, staff did not wash children’s hands after diapering.”

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: Jan 17, 2024. Correction verified: by a letter from the provider.

All staff did not wash their hands thoroughly after diapering each child.

“On November 17, 2023, staff did not wash their hands after diapering each child.”

Rule All staff did not wash their hands thoroughly after diapering each child.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Jan 17, 2024. Correction verified: by a letter from the provider.

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

“On November 17, 2023, infant children were grouped with children two-years-old and older.”

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: Jan 17, 2024. Correction verified: by a letter from the provider.

Diaper changing surfaces were not cleaned with a detergent solution and disinfected after each use.

“On November 17, 2023, staff did not clean or disinfect between each diaper change.”

Rule Diaper changing surfaces were not cleaned with a detergent solution and disinfected after each use.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Jan 17, 2024. Correction verified: by a letter from the provider.

Each child was not attended to in a nurturing and appropriate manner, or in keeping with the child’s developmental needs.

“On November 17, 2023, a staff member grabbed and pulled a child’s arm. Another staff member used their foot to move a child while the child was seated on the floor.”

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: Jan 17, 2024. Correction verified: by a letter from the provider.

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

“On November 17, 2023, three staff members cared for 11 children ages 0-4.”

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: Jan 17, 2024. Correction verified: by a letter from the provider.

For children under three years of age, the caregiver did not provide developmentally appropriate activities that support health and physical development, on a daily basis.

“On November 17, 2023, staff members left multiple children in feeding chairs for extended periods of time when children were not eating.”

Rule For children under three years of age, the caregiver did not provide developmentally appropriate activities that support health and physical development, on a daily basis.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Jan 17, 2024. Correction verified: by a letter from the provider.

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

“On November 17, 2023, a staff member provided and allowed screen time for children 0-2 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: Jan 17, 2024. Correction verified: by a letter from the provider.

Staff did not wash their hands thoroughly before beginning work, before/after handling food, before bottle feeding or serving to other children, after toileting or handling body fluids, after diaper changing and after handling soiled items.

“On November 17, 2023, staff did not wash their hands prior to handling and serving food to children. Additionally, a staff member did not wash their hands after cleaning a child’s nose.”

Rule Staff did not wash their hands thoroughly before beginning work, before/after handling food, before bottle feeding or serving to other children, after toileting or handling body fluids, after diaper changing and after handling soiled items.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Jan 17, 2024. Correction verified: by a letter from the provider.