Little Gems Learning Academy

Children were not adequately supervised at all times.

“On July 9, 2025, a staff member was not aware of children’s activities and a one-year-old child sustained multiple bites which required medical attention.”

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

There was a substantiation of child maltreatment.

“Pursuant to its investigation, the Division has confirmed sufficient information to determine child maltreatment based on supervision needs and physical injury.”

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: Nov 18, 2025. Correction verified: at a follow-up visit by DCDEE.

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 child enrolled 5/15/23, had a written permission that did not include the location for pick up of the child.”

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.. Corrected during the inspection.

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.

“One child enrolled 12/4/23 and one child enrolled 7/13/23 had multiple sleep checks that did not record the sleep position of the child.”

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: Mar 4, 2024. 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 10/30/23 had no immunization record 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.. 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.

Emergency medical care information was not on file in the center on the child’s first day of attendance and/or was not updated as changes occurred or at least annually for each child.

“One child enrolled 8/22/22 and one child enrolled 3/29/21 did not annual emergency information updated on file.”

Rule Emergency medical care information was not on file in the center on the child's first day of attendance and/or was not updated as changes occurred or at least annually for each child.. 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.

Incident reports were not completed each time a child was injured, it did not include all the information required in rule, it was not signed by the parent and/or it was not maintained in the child’s file.

“An incident that occurred on 5/25/23 was recorded on the incident log, but there was no incident report in the child’s file.”

Rule Incident reports were not completed each time a child was injured, it did not include all the information required in rule, it was not signed by the parent and/or it was not maintained in the child's file.. 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.

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

“One child enrolled 12/4/23 and one child enrolled 7/13/23 had the initial position that staff placed in the child in for rest listed as on the child’s tummy. No alternative sleep position waiver was on file.”

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: Mar 4, 2024. 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 enrolled 2/19/23 had a medical exam completed 5/16/23 on file.”

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: Mar 4, 2024. Correction verified: by a letter from the provider.

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

“In space #2, no sand/water activity was offered on the current week’s activity plan.”

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

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

“One staff member employed 5/10/22, did not have verification of health and safety trainings on file. One staff member employed 5/8/22, did not have verification of two of the eleven required topics on file.”

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: Mar 4, 2024. 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 employed 5/8/20 had verification of 2 of the 10 required on-going training hours. One staff member employed 5/10/22, did not have verification of any of the required on-going training hours on file.”

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: Mar 4, 2024. Correction verified: by a letter from the provider.