Enrich B-4

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.

“A staff member hired 5/8/26 had a medical report on file that was not completed to indicate that the person is emotionally and physically fit to care for children.”

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: Aug 10, 2026. Correction verified: by a letter from the provider.

A drug or medicine was administered after its expiration date.

“In space #2, a bottle of CVS Health Children’s 70 Clear Spray was on file that expired 01/2024. In space #3, a container of A+D Prevent Original Ointment was on file that expired 11/2025.”

Rule A drug or medicine was administered after its expiration date.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Feb 10, 2026. 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.

“Upon checking the safe sleep charts for the children in attendance at 10:55AM, I found that it was documented that an infant fell asleep at 10:22, but checks were not documented after the initial time.”

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: Feb 10, 2026. 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Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization.

“In space #3, written permission for A+D Prevent Original Ointment expired on 12/4/2025. In space #2, a container of Nystatin Cream was on file for a child that was no longer enrolled.”

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: Feb 10, 2026. 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 space #2, a container of Nystatin cream was stored in a container on a shelf with other over-the-counter prescription creams.”

Rule Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Feb 10, 2026. Correction verified: by a letter from the provider.

The written feeding plan did not include the child’s name, parent signature, and/or was not dated when received by the center.

“One (1) out of the four (4) children’s feeding plans on file was not signed by a parent.”

Rule The written feeding plan did not include the child's name, parent signature, and/or was not dated when received by the center.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Feb 10, 2026. Correction verified: by a letter from the provider.

An individual written feeding plan was not provided by child’s parent or health care provider or was not followed and posted.

“(omit posting for centers located in a residence) One (1) out of the four (4) infants in space #5 did not have a feeding schedule on file.”

Rule An individual written feeding plan was not provided by child's parent or health care provider or was not followed and posted.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Nov 5, 2025. Correction verified: by a letter from the provider.

A child was handled in a rough way, including shaking, pushing, shoving, pinching, slapping, biting, kicking, or spanking.

“On September 23, 2025, a staff member in space #3 was observed pulling a child by the upper arm to walk to their cot and then pushed the child to sit on the cot several times.”

Rule A child was handled in a rough way, including shaking, pushing, shoving, pinching, slapping, biting, kicking, or spanking.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Oct 6, 2025. Correction verified: at a follow-up visit by DCDEE.

Children were not adequately supervised at all times.

“I reviewed camera footage for September 15, 2025, through September 23, 2025, and there were lapses of supervision during diaper changes as the staff member was unaware of the children’s activities. Children were seen standing on classroom furniture, biting others, and hitting others.”

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: Oct 6, 2025. Correction verified: at a follow-up visit by DCDEE.

Diapers were not changed whenever they were soiled or wet and/or were changed on a shift basis.

“Documented diaper changes were reviewed for children in space #3 for September 23, 2025, and it was found that the children had a documented diaper change that occurred at 9:45AM. There were no other documented times of diaper changes.”

Rule Diapers were not changed whenever they were soiled or wet and/or were changed on a shift basis.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Oct 6, 2025. Correction verified: at a follow-up visit by DCDEE.

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 report was not completed for the child that was injured on September 23, 2025. Incident reports on file for September 2025 were missing the facility id number, the time the parent is notified of the incident and by whom, and steps taken to prevent reoccurrence. Several of the incident reports on file were not completed with children’s last names, times of incidents, and dates of incidents.”

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: Oct 6, 2025. Correction verified: at a follow-up visit by DCDEE.

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

“In space #3, a container of Cerave Baby Moisturizing Cream was on file without written permission from the parent. In space #6, a tube of Desitin Daily Defense Diaper Rash Cream and Desitin Maximum Strength Paste was on file without written permission from the parent.”

Rule A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Aug 8, 2025. Correction verified: by a letter from the provider.

A drug or medicine was administered after its expiration date.

“In space #5, a tube of Boudreaux’s Butt Paste expired 3/22 and in space #6 a tube of Boudreaux’s Butt Paste expired 5/25.”

Rule A drug or medicine was administered after its expiration date.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Aug 8, 2025. Correction verified: by a letter from the provider.

A safe indoor and outdoor environment was not provided for the children.

“The bottom of the gate that leads to the toddler outdoor space was observed to have a bend in the bottom metal bar that caused a hole with sharp edges.”

Rule A safe indoor and outdoor environment was not provided for the children.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Aug 8, 2025. 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.

“In space #2, a container of Barbasol aerosol shaving cream was on the counter below five feet from the ground. In space #5, a container of Clorox Scentiva Disinfecting Wipes was on top of the hand soap dispenser below five feet from the ground.”

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.

Children were not adequately supervised at all times.

“Based on camera footage observed for the dates of 7/17/25, 7/25/25, and 7/28/25, a teacher in the infant classroom was sleeping while holding an infant.”

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: Aug 8, 2025. Correction verified: at a follow-up visit by DCDEE.

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.

“In space #3, a container of Aquaphor was on file for a child that was no longer enrolled in the facility. In space #4, a written permission form for an EpiPen expired 5/8/25.”

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

Menus for all meals and snacks were not current or posted where easily seen by parents and cook.

“The menu posted for parent’s to review was dated July 21-25, 2025.”

Rule Menus for all meals and snacks were not current or posted where easily seen by parents and cook.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Aug 8, 2025. Correction verified: by a letter from the provider.

Rule violated (DCDEE’s description below)

“All children were not held or placed in feeding chairs or other appropriate apparatus to be fed. . In space #6, a child was observed laying on a boppy pillow on the floor and drinking a bottle of milk.”

Rule Rule violated (DCDEE’s description below). Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Aug 8, 2025. Correction verified: by a letter from the provider.

The written feeding plan was not modified as the child’s needs changed.

“Two (2) out of six (6) infant’s feeding plans were not updated to reflect the uptake of table food.”

Rule The written feeding plan was not modified as the child's needs changed.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Aug 8, 2025. Correction verified: by a letter from the provider.

A current activity plan was not posted for each group of children for reference.

“A lesson plan was not posted in space #6.”

Rule A current activity plan was not posted for each group of children for reference.. Corrected during the inspection.

Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age.

“In space #3, diapers were in plastic bags and thank you bags were in children’s cubbies on a shelf below five feet and in a storage cabinet that was unlocked.”

Rule Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age.. Corrected during the inspection.

The person identified as the person or alternate person responsible for carrying out the emergency medical care plan was not on the premises at all times and/or did not accompany children for off premise activities.

“The emergency medical care plan was not updated to reflect current staff members.”

Rule The person identified as the person or alternate person responsible for carrying out the emergency medical care plan was not on the premises at all times and/or did not accompany children for off premise activities.. 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. A staff member hired 3/6/24 did not have certification of CPR until 8/15/24. A staff member hired 9/7/23 had certification of CPR that expired 12/24 but got recertified on 1/9/25.”

Rule All staff did not successfully complete certification in CPR training appropriate to the age of the children in care.. Corrected during the inspection.

All staff did not successfully complete certification in First Aid appropriate to the age of children in care.

“Verification of staff completion of First Aid training from an approved training organization was not in the staff file. A staff member hired 3/6/24 did not have certification of First Aid until 8/15/24. A staff member hired 9/7/23 had certification of First Aid that expired 12/24 but got recertified on 1/9/25.”

Rule All staff did not successfully complete certification in First Aid appropriate to the age of children in care.. 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.

“A staff member hired on 1/3/25 had a medical report on file that was not signed by a medical professional.”

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: Jan 28, 2025. 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 space #2, a tube of prescription clotrimazole cream was stored on a shelf that was above 5 feet from the ground.”

Rule Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Jan 28, 2025. Correction verified: by a letter from the provider.

Parent’s medication authorization did not include required information.

“In space #2, a tube of prescription clotrimazole cream had written permission documented on a form for over-the-counter topical cream.”

Rule Parent's medication authorization did not include required information.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Jan 28, 2025. Correction verified: by a letter from the provider.

Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional.

“In space #2, a tube of prescription clotrimazole cream was not stored in a original labeled container.”

Rule Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Jan 28, 2025. Correction verified: by a letter from the provider.

Rule violated (DCDEE’s description below)

“Enhanced staff/child ratios and group sizes were not met. in outdoor space #3, eleven (11) children, 3-4 years of age, were in care with one staff member.”

Rule Rule violated (DCDEE’s description below). Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Dec 11, 2024. Correction verified: at a follow-up visit by DCDEE.

Enhanced staff/child ratios and group sizes were not met.

“In space #1, ten (10) children, two years of age, were in care with one staff member.”

Rule Enhanced staff/child ratios and group sizes were not met.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Dec 11, 2024. Correction verified: at a follow-up visit by DCDEE.

A child was yelled at, shamed, humiliated, frightened, threatened or bullied.

“In space #3, the staff member made the following statements to a child, “Do I need to call Two Pop? Are you listening to me? I do not like it.””

Rule A child was yelled at, shamed, humiliated, frightened, threatened or bullied.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Nov 20, 2024. Correction verified: at a follow-up visit by DCDEE.

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

“In space #3, a tube of A&D Treat Diaper Rash Cream and a tube of Aquaphor 3 in 1 Diaper Rash Cream on file without written permission from the parent. In space #6, a tube of Burt’s Bees Baby Diaper Ointment was on file without written permission from the parent.”

Rule A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Nov 14, 2024. Correction verified: by a letter from the provider.

Child was handled roughly.

Rule Child was handled roughly.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Nov 20, 2024. Correction verified: at a follow-up visit by DCDEE.

Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas.

“A staff member hired on 10/23/24 did not have documentation of orientation.”

Rule Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Nov 14, 2024. Correction verified: by a letter from the provider.

Enhanced staff/child ratios and group sizes were not met.

“Fifteen (15) children, two years of age were in care with one staff member in outdoor space #1.”

Rule Enhanced staff/child ratios and group sizes were not met.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Dec 11, 2024. Correction verified: at a follow-up visit by DCDEE.

Equipment and furnishings were not sturdy, stable and free of hazards.

“In outdoor space #1, there was an exposed concrete footer of the shade structure.”

Rule Equipment and furnishings were not sturdy, stable and free of hazards.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Nov 19, 2024. Correction verified: by a letter from the provider.

Fire drills were not practiced monthly and/or the drill record was incomplete.

“A fire drill was not documented for the months of September and October 2024.”

Rule Fire drills were not practiced monthly and/or the drill record was incomplete.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Nov 14, 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.

“In space #3, a written permission form for an EpiPen expired 5/28/24.”

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: Nov 14, 2024. Correction verified: by a letter from the provider.

Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements.

“Playground inspections were not documented for the months of May, July, August, September, and October of 2024.”

Rule Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Nov 14, 2024. Correction verified: by a letter from the provider.

New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks.

“A staff member hired on 9/9/24 did not have documentation of orientation.”

Rule New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Nov 14, 2024. 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 member hired on 9/9/24 did not have a medical report of TB skin test on file until 9/19/24.”

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: Nov 14, 2024. Correction verified: by a letter from the provider.

Parent’s medication authorization did not include required information.

“In space #2, a written permission form for A&D Prevent original ointment and a form for Solimo Sunscreen SPF 50 were not signed by the parent.”

Rule Parent's medication authorization did not include required information.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Nov 14, 2024. Correction verified: by a letter from the provider.

Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete.

“The last documented emergency drill was conducted on 7/8/24.”

Rule Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Nov 19, 2024. Correction verified: by a letter from the provider.

A current activity plan was not posted for each group of children for reference.

“An activity plan was not posted in space #6.”

Rule A current activity plan was not posted for each group of children for reference.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Apr 22, 2024. Correction verified: by a letter from the provider.

A drug or medicine was administered after its expiration date.

“In space #2, a bottle of Neutrogena Sheer Zone sunscreen was on file that expired 10/2020. In space # 4, a tube of Boudreaux’s Butt Paste was on file that expired 3/2024.”

Rule A drug or medicine was administered after its expiration date.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Apr 22, 2024. Correction verified: by a letter from the provider.

A safe indoor and outdoor environment was not provided for the children.

“In outdoor space #3, there was paint peeling under the windows.”

Rule A safe indoor and outdoor environment was not provided for the children.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Apr 22, 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.

“A child enrolled on 1/22/24 did not have an immunization record on file until 4/2/24.”

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: Apr 22, 2024. Correction verified: by a letter from the provider.

Enhanced staff/child ratios and group sizes were not met.

“In space #7, thirteen (13) children, 3-4 years of age, were in care with one staff member.”

Rule Enhanced staff/child ratios and group sizes were not met.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Apr 15, 2024. Correction verified: at a follow-up visit by DCDEE.

Health and safety training topics were not included as part of on-going training within five years of completing the previous health and safety training topics.

“Three staff members did not complete health and safety training every five years.”

Rule Health and safety training topics were not included as part of on-going training within five years of completing the previous health and safety training topics.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Apr 22, 2024. Correction verified: by a letter from the provider.

Human milk, formula and other bottled beverages including sippy cups, sent from child’s home were not fully prepared, dated, and labeled for the appropriate child.

“In space #5, one out of five (5) infants in attendance had bottles in the refrigerator that were not labeled with a date. In space #6, one out of three (3) infants in attendance, had bottles in the refrigerator that were not labeled with a date.”

Rule Human milk, formula and other bottled beverages including sippy cups, sent from child's home were not fully prepared, dated, and labeled for the appropriate child.. Corrected during the inspection.

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

“A child enrolled on 1/22/24 did not have a medical report on file until 4/2/24.”

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: Apr 22, 2024. Correction verified: by a letter from the provider.

Perishable foods were not stored to protect against spoilage.

“In space #6, the refrigerator used to store infant bottles did not have a thermometer.”

Rule Perishable foods were not stored to protect against spoilage.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Apr 22, 2024. Correction verified: by a letter from the provider.

Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age.

“In space #1, a plastic bag was hanging on a hook below five feet. In space #6, clothing and diapers were stored in plastic bags below five feet.”

Rule Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age.. Corrected during the inspection.

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

“Two staff members did not complete health and safety training within the first year of employment.”

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: Apr 22, 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.

“In space #7, two cans of monster energy drinks were sitting on a shelf below five feet. In space #2, a bottle of mountain dew was sitting on a shelf beside the children’s cubbies.”

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: Apr 22, 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.

“A staff member hired on 6/29/23 did not complete Recognizing and Responding to Suspicions of Child Maltreatment until 3/21/24.”

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: Apr 22, 2024. Correction verified: by a letter from the provider.

The written feeding plan did not include the child’s name, parent signature, and/or was not dated when received by the center.

“In space #6, two (2) out of the three (3) infants enrolled had a feeding schedule on file that was not signed by the parent.”

Rule The written feeding plan did not include the child's name, parent signature, and/or was not dated when received by the center.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Apr 22, 2024. Correction verified: by a letter from the provider.

The written feeding plan did not include the type of milk, formula or food and/or the frequency of the feedings.

“In space #6, one out of the three (3) infants enrolled had a feeding schedule on file that did reflect type of milk and the frequency of feedings.”

Rule The written feeding plan did not include the type of milk, formula or food and/or the frequency of the feedings.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Apr 22, 2024. Correction verified: by a letter from the provider.

Children under one year of age were not kept separate from children two years and older.

“In space #5, a four-year-old child was grouped with five (5) children, 0-12 months of age.”

Rule Children under one year of age were not kept separate from children two years and older.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Nov 27, 2023. Correction verified: at a follow-up visit by DCDEE.

Enhanced staff/child ratios and group sizes were not met.

“In space #5, six (6) children, 0-4 years of age were in care with one staff member. Upon my arrival, the second caregiver was in the hallway working on a bulletin board.”

Rule Enhanced staff/child ratios and group sizes were not met.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Nov 27, 2023. Correction verified: at a follow-up visit by DCDEE.

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.

“In space #2, a written permission form for an EpiPen expired 7/27/23.”

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: Nov 30, 2023. Correction verified: by a letter from the provider.