Bri’s Caring Heart Child Care

Staff required to receive on-going training had not completed the required number of hours according to their education and experience.

“A staff member did not have documentation for on-going training on file.”

Rule Staff required to receive on-going training had not completed the required number of hours according to their education and experience..

A drug or medication was administered without written authorization and/or instructions from a child’s parent or authorized health professional.

“In space 2, a diaper cream was present for one (1) child without parent authorization.”

Rule A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional.. Corrected during the inspection.

The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current.

“The most recent EPR plan review was dated 2023.”

Rule The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current.. Corrected during the inspection.

A valid qualification letter was not on file and available to review at the facility.

“A valid qualification letter was not on file for a staff member who began employment in April 2022.”

Rule A valid qualification letter was not on file and available to review at the facility.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Dec 16, 2024. Correction verified: by a letter from the provider.

All commercially manufactured equipment and furnishings were not assembled and installed according to procedures specified by the manufacturer and/or the manufacturer’s instructions were not kept on file or electronically accessible, if available.

“A piece of playground equipment labeled “for domestic use only” was observed on the playground used by children one and two years of age.”

Rule All commercially manufactured equipment and furnishings were not assembled and installed according to procedures specified by the manufacturer and/or the manufacturer's instructions were not kept on file or electronically accessible, if available.. Corrected during the inspection.

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.

“Two staff members had medical reports which were older than 12 months when they were re-hired after a period of unemployment.”

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 16, 2024. 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.

“A staff member who began employment on November 6, 2023 did not have an annual staff evaluation or development plan on file.”

Rule Each employee's personnel file did not contain an annual staff evaluation and a staff development plan.. Corrected during the inspection.

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.

“Two staff members had TB test results older than 12 months when they were re-hired after a period of unemployment.”

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: Dec 16, 2024. Correction verified: by a letter from the provider.

Staff did not model appropriate eating behaviors by consuming food or beverages that meet the nutritional requirements specified in the Meal Patterns for Children in Child Care Programs in the presence of children in care.

“Staff members were observed drinking soft drinks in classrooms with children during rest time.”

Rule Staff did not model appropriate eating behaviors by consuming food or beverages that meet the nutritional requirements specified in the Meal Patterns for Children in Child Care Programs in the presence 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: Dec 16, 2024. Correction verified: by a letter from the provider.

A valid qualification letter was not on file and available to review at the facility.

“A staff member’s qualification letter expired 11/20/2023 and a new one was not obtained until 11/30/2023.”

Rule A valid qualification letter was not on file and available to review at the facility.. 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.

“Safe sleep checks were not documented for an eleven-month old present four out of five days during the week of 12/4/23-12/8/23.”

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: Dec 18, 2023. 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.

“Prescription Albuterol and over-the-counter saline drops were observed unlocked in Space #2.”

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