Precious Rubies

Health questionnaire was not completed annually.

“The operator’s most recent annual health questionnaire form was dated September 23, 2024. The operator was due to complete an annual health questionnaire by September 23, 2025.”

Rule Health questionnaire was not completed annually.. Corrected during the inspection.

Operator did not successfully complete a CPR course as referenced in Rule.1702(b)(2) CPR training was not renewed on or before the expiration of the certification.

“The verification of CPR training/certification on file had an expiration date listed May 11, 2026. The CPR certification was due to be renewed on or before May 11, 2026.”

Rule Operator did not successfully complete a CPR course as referenced in Rule.1702(b)(2) CPR training was not renewed on or before the expiration of the certification.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Sep 17, 2026. Correction verified: by a letter from the provider.

Operator did not successfully complete a first aid course as referenced in Rule.1702(b)(2) First aid training was not renewed on or before the expiration of the certification.

“The verification of First Aid training/certification on file had an expiration date listed May 11, 2026. The First Aid certification was due to be renewed on or before May 11, 2026.”

Rule Operator did not successfully complete a first aid course as referenced in Rule.1702(b)(2) First aid training was not renewed on or before the expiration of the certification.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Sep 17, 2026. Correction verified: by a letter from the provider.

Record of monthly fire drills, giving the date, time of day and length of time to evacuate, and operator’s signature, were not available.

“The fire drill log did not list documentation of a monthly fire drill being practiced during the month of June 2026 or July 2026.”

Rule Record of monthly fire drills, giving the date, time of day and length of time to evacuate, and operator's signature, were not available.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Sep 17, 2026. Correction verified: by a letter from the provider.

The health and safety training did not include all of the required topic areas.

“There was no receipt of completion of Administration of medication, with standards for parental consent and Recognizing and Responding to Suspicions of Child Maltreatment as part of the initial health and safety training due within the first of employment, and on file and available for review.”

Rule The health and safety training did not include all of the required topic areas.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Sep 17, 2026. Correction verified: by a letter from the provider.

The professional development plan was not maintained in the personnel file.

“The professional development plan was not on file and available for review.”

Rule The professional development plan was not maintained in the personnel file.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Sep 17, 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. The operator was not listed on the program’s roster in the Automated Background Check Management System (ABCMS).”

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: May 4, 2026. Correction verified: at a follow-up visit by DCDEE.

Documentation of the operator’s Emergency Preparedness and Response plan was not completed and/or maintained on the template provided by the Division of Emergency Management.

“The Emergency Preparedness and Response plan was due to be completed and on file for review by by December 13, 2025.”

Rule Documentation of the operator's Emergency Preparedness and Response plan was not completed and/or maintained on the template provided by the Division of Emergency Management.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: May 15, 2026. Correction verified: by a letter from the provider.

Operator has not completed ITS-SIDS training every three years from the completion date of the previous ITS-SIDS training.

“The last ITS-SIDS training certificate expired on January 12, 2026. The ITS-SIDS training was due to be completed on or before January 12, 2026. The most recent ITS-SIDS training was completed on April 14, 2026.”

Rule Operator has not completed ITS-SIDS training every three years from the completion date of the previous ITS-SIDS training.. Corrected during the inspection.

Records were not made available for review.

“One (1) child, enrolled on May 8, 2025, did not have records on file and available for review.”

Rule Records 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: Sep 21, 2025. Correction verified: by a letter from the provider.

Copy of each child’s health assessment, including the operator’s own preschool child(ren), was not on file within 30 days of enrollment.

“One (1) child with an enrollment date of January 7, 2025, did not have a health assessment on file. One (1) child with an enrollment date of February 1, 2025, did not have a health assessment on file.”

Rule Copy of each child's health assessment, including the operator's own preschool child(ren), was not on file within 30 days of enrollment.. Corrected during the inspection.

Signed and dated statement which attests that a copy of the discipline policy was given to and discussed with a parent/guardian of each child prior to enrollment was not on file in the home.

“A signed and dated statement that a copy of the discipline policy was given to and discussed with the parent/guardian was not on file for one (1) child with an enrollment date of February 1, 2025.”

Rule Signed and dated statement which attests that a copy of the discipline policy was given to and discussed with a parent/guardian of each child prior to enrollment was not on file in the home.. Corrected during the inspection.

Summary of the NC Child Care Law was not given to each child’s parent, guardian, or full-time custodian before the child was enrolled in the home and/or signed statement was not on file.

“A signed statement regarding receipt of the Summary of the NC Child Care Law was not on file for one (1) child with an enrollment date of February 1, 2025.”

Rule Summary of the NC Child Care Law was not given to each child's parent, guardian, or full-time custodian before the child was enrolled in the home and/or signed statement was not on file.. Corrected during the inspection.

The signed statement regarding receipt of the shaken baby syndrome and abusive head trauma policy did not contain the required information.

“A signed statement regarding receipt of the shaken baby syndrome and abusive head trauma policy was not on file for one (1) child with an enrollment date of February 1, 2025.”

Rule The signed statement regarding receipt of the shaken baby syndrome and abusive head trauma policy did not contain the required information.. Corrected during the inspection.

Application was not on file for each enrolled child, including his/her own preschool child(ren) who are not school-age.

“One (1) child, three years of age, with an enrollment date of November 21, 2024, and in attendance did not have an application on file for review. The application was not signed by the parent for one (1) child, one (1) year of age, with an enrollment date of November 12, 2024.”

Rule Application was not on file for each enrolled child, including his/her own preschool child(ren) who are not school-age.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Dec 3, 2024. Correction verified: by a letter from the provider.

Operator did not provide a copy of the shaken baby syndrome and abusive head trauma policy to parents at time of enrollment, and / or within fourteen days of a changes to the policy.

“Two (2) children with enrollment date of November 12, 2024, and one (1) child with an enrollment date of November 21, 2024, did not have a signed acknowledgement by the parent on file regarding the shaken baby syndrome and abusive head trauma policy.”

Rule Operator did not provide a copy of the shaken baby syndrome and abusive head trauma policy to parents at time of enrollment, and / or within fourteen days of a changes to the policy.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Dec 3, 2024. Correction verified: by a letter from the provider.

Plastic bags, toys, and toy parts small enough to be swallowed, including but not limited to materials that can be easily torn apart such as foam rubber and styrofoam, were accessible to children under the age of three.

“Two (2) packages of Pampers Baby Wipes, one (1) package of Huggies Baby Wipes, and one (1) package of Fisher Price Baby Wipes were stored in the child’s cubbies, less than five feet from the floor surface and accessible to two (1) children, one year of age. The packages listed the following warnings-to avoid danger of suffocation, keep this plastic bag away from babies and children. Do not place in cribs, beds, carriages, or playpens.”

Rule Plastic bags, toys, and toy parts small enough to be swallowed, including but not limited to materials that can be easily torn apart such as foam rubber and styrofoam, were accessible to children under the age of three.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Dec 3, 2024. Correction verified: by a letter from the provider.

Signed and dated statement which attests that a copy of the discipline policy was given to and discussed with a parent/guardian of each child prior to enrollment was not on file in the home.

“Two (2) children with enrollment date of November 12, 2024, and one (1) child with an enrollment date of November 21, 2024, did not have a signed parent acknowledgement on file regarding receipt of the discipline policy.”

Rule Signed and dated statement which attests that a copy of the discipline policy was given to and discussed with a parent/guardian of each child prior to enrollment was not on file in the home.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Dec 3, 2024. Correction verified: by a letter from the provider.

Summary of the NC Child Care Law was not given to each child’s parent, guardian, or full-time custodian before the child was enrolled in the home and/or signed statement was not on file.

“Two (2) children with enrollment date of November 12, 2024, and one (1) child with an enrollment date of November 21, 2024, did not have a signed statement from the parent on file regarding receipt of the Summary of the NC Child Care Law.”

Rule Summary of the NC Child Care Law was not given to each child's parent, guardian, or full-time custodian before the child was enrolled in the home and/or signed statement was not on file.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Dec 3, 2024. Correction verified: by a letter from the provider.

The written plan of care was not given and explained to parents of children in care on or before the first day the child attended the home.

“Parents did not sign a statement acknowledging the receipt and explanation of the plan. Parents did not give written permission for their child to be transported by the operator for specific routine tasks that are included on the written schedule. Four (4) children enrolled, did not have a copy of the written plan of care on file for review.”

Rule The written plan of care was not given and explained to parents of children in care on or before the first day the child attended the home.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Dec 3, 2024. Correction verified: by a letter from the provider.