First Steps Childcare Development Center, LLC

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

“On August 22, 2024, a staff member held and lifted a 2-year-old child by the wrist with one hand to redirect the child. As a result, the child sustained nursemaids’ elbow.”

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: Sep 12, 2024. Correction verified: by a letter from the provider.

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.

“One container of Clorox Disinfecting and one container of Bactive Disinfecting Wipes with multiple warnings noted on the labels were stored under the sink in the unlocked cabinet, in space #2.”

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 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. S. Greene was employed on December 18, 2023, had a training certificate on file that did not meet the requirements for verification of CPR Training. The certificate did not document the date the training would expire, and the location of the training.”

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 3, 2024. 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.

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 3, 2024. Correction verified: by a letter from the provider.

Center staff did not comply with the safe sleep policy.

“On June 7, 2024, the visual sleep charts for one infant, five months of age, documented the infant was placed on their back for sleeping at 11am, the next visual check documented on the sleep chart was 11:30am. Visual sleep checks are to be completed every fifteen minutes per your safe sleep policy.”

Rule Center staff did not comply with the safe sleep policy.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Jul 3, 2024. Correction verified: by a letter from the provider.

Food substitution was not of comparable food value or recorded on the menu prior to the meal or snack being served.

“The menu posted in the kitchen and in each classroom documented children will be served the following foods for lunch on Thursday, June 20, 2024: Chicken Nuggets, green beans, pears, and milk. Children were served the following meal for lunch on Thursday, June 20, 2024, Salisbury Steak, mashed potatoes, corn, roll and milk. Changes to the menu were not documented prior to the meal service.”

Rule Food substitution was not of comparable food value or recorded on the menu prior to the meal or snack being served.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Jul 3, 2024. Correction verified: by a letter from the provider.

Meals/snacks did not comply with the Meal Patterns for Children in Child Care Programs.

“The menu that was posted for Monday, June 17, 2024, documented children were served animal crackers and water for afternoon snack. The menu that was posted for Tuesday, June 18, 2024, documented children were served Go Yogurt and water for afternoon snack. Children must be served two separate components for a snack.”

Rule Meals/snacks did not comply with the Meal Patterns for Children in Child Care Programs.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Jul 3, 2024. 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 most recent fire inspection on file for review was dated March 28, 2023.”

Rule Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Jul 3, 2024. Correction verified: by a letter from the provider.

The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment.

“One lead teacher with a hire date of December 18, 2023, had a training certificate on file for completing the Recognizing and Responding to Suspicions of Child Maltreatment training on March 16, 2019. One staff with a hire date of November 3, 2023, received the Recognizing and Responding to Suspicions of Child Maltreatment training on March 6, 2024. One staff with a hire date of January 8, 2024, did not have a training certificate on file for review.”

Rule The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Jul 3, 2024. 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.

“S. Poole, lead teacher in space #1, had a hire date of November 3, 2023, and a medical report on file that was dated November 29, 2023.”

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: Dec 12, 2023. Correction verified: by a letter from the provider.