Tlc Center

Children’s records that include an application for enrollment, medical and immunization records, and permission to seek emergency medical care was not on file for each child.

“One child one year of age and enrolled on July 21, 2025, one child one year old and nine months of age and enrolled on August 11, 2025, and one child four years of age and enrolled on September 3, 2025, did not have documentation on file and was not available for review a health assessment.”

Rule Children's records that include an application for enrollment, medical and immunization records, and permission to seek emergency medical care was not on file for each child.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Jun 16, 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 one year of age and enrolled on July 21, 2025, and one child one year old and nine months of age and enrolled on August 11, 2025, did not have documentation on file for available for review of immunization records.”

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.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Jun 16, 2026. Correction verified: by a letter from the provider.

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

“One child one year of age and enrolled on July 21, 2025, one child one year old and nine months of age and enrolled on August 11, 2025, and one child four years of age and enrolled on September 3, 2025, did not have documentation on file and was not available for review a health assessment.”

Rule Medical exam or health assessment record was not on file before or within 30 days after admission.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Jun 16, 2026. Correction verified: by a letter from the provider.

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 employed on June 1, 2026, had documentation for review of an expired TB test. The TB test expired on May 7, 2025. The TB test was older than twelve months.”

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: Jun 16, 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. As of June 24, 2025, the child care program had not completed the requirements for establishing the child care program’s account and linking staff to the ABCMS system.”

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: Jul 8, 2025. 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, on May 23, 2025, at 1:15pm an infant nine months of age sleep position was not documented. On June 3, 2025, at 1:30pm an infant nine months of age sleep position was not documented. On June 13, 2025, at 12:15pm an infant eleven months of age sleep position was not documented.”

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: Jul 8, 2025. Correction verified: by a letter from the provider.

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.

“Two staff members employed on August 2, 2002, and September 1, 2017, did not have on file available for review a health questionnaire.”

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: Jul 8, 2025. Correction verified: by a letter from the provider.

Infants under the age of 12 months were not placed on their backs for sleeping unless the center had obtained the appropriate written waiver.

Rule Infants under the age of 12 months were not placed on their backs for sleeping unless the center had obtained the appropriate written waiver.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Jul 8, 2025. Correction verified: by a letter from the provider.

Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection.

“Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The last fire inspection documentation on file and available for review was dated June 3, 2025. The fire inspection was received during today’s visit”

Rule Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection.. Corrected during the inspection.

Outdoor play area was not enclosed by fence with a minimum height of 4 feet.

“The top of the fence, less than six feet, was not free from protrusions. On the playground used by children preschool aged, the fence separating the playground from the woods was not secured to the pole. The corner of the fence separating the playground used by children preschool aged and the infant/toddler was not secured to the pole. The fence height on the playground used by preschool aged children measured less than the required four feet.”

Rule Outdoor play area was not enclosed by fence with a minimum height of 4 feet.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Jul 8, 2025. Correction verified: by a letter from the provider.

Prohibited styrofoam and foam rubber products were accessible to children under 3 years of age and/or approved foam products were used without proper supervision.

“In Space 2, twenty (20) giant foam blocks with a disclaimer stating the approved ages to play with the blocks are for children three years old and older. The classroom had six children two years of age present.”

Rule Prohibited styrofoam and foam rubber products were accessible to children under 3 years of age and/or approved foam products were used without proper supervision.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Jul 8, 2025. Correction verified: by a letter from the provider.

The indoor and/or outdoor premises was not checked once a day, prior to initial use, ensuring debris, and broken equipment was removed and disposed of.

“On the playground used by children preschool aged, the play kitchen has a broken knob, and the dollhouse has a broken section where the gate once hanged that can cause injury to children. The dollhouse is also cluttered and filled with toys that is hazardous. On the playground used by children two and three years of age broken toys were found that can be hazardous to children. The following broken toys found on the playground were magenta sifter lid, green tractor, pink transfer truck, blue container, and a red sifter.”

Rule The indoor and/or outdoor premises was not checked once a day, prior to initial use, ensuring debris, and broken equipment was removed and disposed of.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Jul 8, 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.

“Two staff members employed on February 6, 2023, and August 21, 2021, did not have on file and available for review their annual staff evaluation or their staff development plan.”

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

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.

“On December 2, 2023, one child’s departure time was not documented; on December 12, 2023, one child’s arrival time was not documented; and on December 18, 2023, one child’s arrival time was not documented.”

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.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Jan 12, 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.

“The leftover medications were not returned to parents within 72 hours. The following leftover over the counter medications included 2 jars of A+D ointment, 2 bottles of Boogie Zinc Oxide Spray, 1 tube of Parents Choice Diaper Rash Ointment, and 1 tube of Flander Buttocks Ointment.”

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: Jan 12, 2024. 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.

“In the hallway bathroom, the cabinet under the diaper changing station was unlocked and accessible to children two years of age and older. The following over the counter medications were accessible to children 2 jars A+D ointment, 2 bottles of Boogie Zinc Oxide Spray, 1 tube of Parents Choice Diaper Rash Ointment, and 1 tube of Flander Buttocks Ointment.”

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