Latitude Kids Care

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

“A child enrolled in space #4 had an Albuterol inhaler 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: Dec 17, 2025. Correction verified: at a follow-up visit by DCDEE.

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

“The cook did not have a current criminal qualifying letter on file.”

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 17, 2025. Correction verified: at a follow-up visit by DCDEE.

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 #4, a can of Great Value disinfectant spray and two containers of Lysol sanitizing wipes were stored on a shelf beside children’s cubbies.”

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.

Minimum staff/child ratios and group sizes for the number and ages of children in care were not met.

“Upon arrival at the center, a staff member assigned to space #4 left the classroom space to open the front door. In space #4, seven (7) children, one year of age, were in care with one staff member.”

Rule Minimum staff/child ratios and group sizes for the number and ages of children in care 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 17, 2025. Correction verified: at a follow-up visit by DCDEE.

Prior to the expiration date of the qualification letter, the child care provider did not complete and submit required forms to complete a criminal background check (a qualification letter is valid for a maximum of five years for the date of issuance).

“The cook had a five-year criminal qualifying letter that expired on October 7, 2025.”

Rule Prior to the expiration date of the qualification letter, the child care provider did not complete and submit required forms to complete a criminal background check (a qualification letter is valid for a maximum of five years for the date of issuance).. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Dec 17, 2025. Correction verified: at a follow-up visit by DCDEE.

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

“An infant feeding plan was not updated to reflect the intake of baby 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: Dec 17, 2025. Correction verified: at a follow-up visit by DCDEE.

Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child.

“Two uncovered outlets in space #2 located on the wall with the mounted television was accessible to the children in care.”

Rule Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child.. Corrected during the inspection.

Minimum staff/child ratios and group sizes for the number and ages of children in care were not met.

“In space #4, eight (8) children, one (1) year of age, were in care with one staff member.”

Rule Minimum staff/child ratios and group sizes for the number and ages of children in care were not met.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Sep 8, 2025. Correction verified: at a follow-up visit by DCDEE.

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

“During water day in the outdoor space, a staff member was observed talking to children in a harsh tone with statements of “I do not like when you stand on the side of the pool. Do you want to go to time out? You will not do it again; do you understand me? You cannot participate in water day if you do that again. You need a time out. Sit down.””

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: Aug 21, 2025. Correction verified: at a follow-up visit by DCDEE.

Aquatic activities were permitted in hot tubs, spas, saunas or steam rooms, portable wading pools, natural bodies of water, or other unfiltered non disinfected containments of water.

“In the outdoor space, three (3) wading pools were observed and were full of approximately six (6) inches of water.”

Rule Aquatic activities were permitted in hot tubs, spas, saunas or steam rooms, portable wading pools, natural bodies of water, or other unfiltered non disinfected containments of water.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Aug 13, 2025. Correction verified: by a letter from the provider.

Children did not wash their hands upon arrival at the center, after each visit to the toilet, before eating, before and after water activity play, after outside play, and after handling animals or animal cages.

“Children in space #5 did not wash their hands after transitioning from outside and sat at the table to eat lunch.”

Rule Children did not wash their hands upon arrival at the center, after each visit to the toilet, before eating, before and after water activity play, after outside play, and after handling animals or animal cages.. 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.

Children were not adequately supervised at all times.

“While space #5 was transitioning from the outdoor space to the classroom, eleven (11) children entered the classroom unattended. A child was in the bathroom across the hallway from space #5 for several minutes while the staff member assigned to the space was inside the classroom and was unable to see or hear the child.”

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.

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

“A staff member assigned to space #5 was heard and seen speaking to children in harsh tones with statements of “No, I said no”, “because I said so”, “turn around”, “stop, wash your hands”, “turn on the water”, and “lay down now”.”

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

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

“There were several nails protruding from the fence beside the back gate creating sharp edges. The landscaping fabric under the mulch on the preschool outdoor space was exposed in several areas causing a tripping hazard.”

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: Jul 30, 2025. Correction verified: at a follow-up visit by DCDEE.

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 #5, aerosol containers of Coppertone Kids Sunscreen and Banana Boat Kids Free Sunscreen were stored in cabinet but not locked.”

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.

Balloons were accessible to children.

“Two balloon towers were observed immediately when entering the center.”

Rule Balloons were accessible to children.. 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.

“One staff member hired on 6/23/25 had a medical report on file dated 6/26/25. A staff member hired on 5/1/25 did not have a medical report on file.”

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: Jul 30, 2025. Correction verified: at a follow-up visit by DCDEE.

Children did not wash their hands upon arrival at the center, after each visit to the toilet, before eating, before and after water activity play, after outside play, and after handling animals or animal cages.

“Children in space #5 did not wash their hands after playing outside.”

Rule Children did not wash their hands upon arrival at the center, after each visit to the toilet, before eating, before and after water activity play, after outside play, and after handling animals or animal cages.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Jul 23, 2025. Correction verified: by a letter from the provider.

Children were not adequately supervised at all times.

“While space #5 was transitioning from the outdoor space to the classroom, the staff member assigned to the space remained by the door to the outdoor space while seven (7) children went across the large lobby and into the classroom and were unattended for several minutes.”

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.

For children under two years of age, time and space for sleeping, eating, toileting, diaper changing, and playing was not provided according to child’s needs.

“An infant was observed sleeping in a bouncer in space #3.”

Rule For children under two years of age, time and space for sleeping, eating, toileting, diaper changing, and playing was not provided according to child's needs.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Jul 23, 2025. 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 #4, a bottle of children’s ibuprofen was on file with written permission that expired 5/29/25. In space #3, a bottle of children’s cough syrup was on file with written permission that expired 7/12/25.”

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: Jul 30, 2025. Correction verified: at a follow-up visit by DCDEE.

Minimum staff/child ratios and group sizes for the number and ages of children in care were not met.

“While space #4 was in the outdoor space, one staff member walked inside to get water cups leaving seven (7) children, one year of age, in care with one staff member for several minutes.”

Rule Minimum staff/child ratios and group sizes for the number and ages of children in care were not met.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Jul 30, 2025. Correction verified: at a follow-up visit by DCDEE.

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 6/23/25 had a TB screening form that was not signed by a physician.”

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: Jul 30, 2025. Correction verified: at a follow-up visit by DCDEE.

Parent’s medication authorization did not include required information.

“In space #3, a tube of Nystatin had written permission on a form for over-the-counter topical creams.”

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: Jul 30, 2025. Correction verified: at a follow-up visit by DCDEE.

Prescribed medication was not administered according to the prescription, using the amount and frequency of dosage specified on the label.

“In space #1, a Ventolin HFA inhaler was on file with a prescription label dated 6/10/25 to administer the medication for seven (7) days.”

Rule Prescribed medication was not administered according to the prescription, using the amount and frequency of dosage specified on the label.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Jul 30, 2025. Correction verified: at a follow-up visit by DCDEE.

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 administrator did not complete the ABCMS provider training, and complete facility roster of staff employed at the facility.”

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: Jan 21, 2025. Correction verified: by a letter from the provider.

A drug or medicine was administered after its expiration date.

“In space #2, a tube of Aquaphor Healing Cream Baby expired 11/24.”

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: Jan 21, 2025. Correction verified: by a letter from the provider.

Application did not have a medical action plan attached for any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services.

“In space #2, a medical action plan expired 10/9/24.”

Rule Application did not have a medical action plan attached for any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Jan 21, 2025. Correction verified: by a letter from the provider.

Child care providers scheduled to work in the infant room, did not complete ITS-SIDS training within two months of employment or did not complete the training every three years.

“Child care administrators did not complete the ITS-SIDS training within 90 days of employment and every three years thereafter. I. Cruz Fuentes, Administrator, had SIDS certification on file that expired 2/5/2023.”

Rule Child care providers scheduled to work in the infant room, did not complete ITS-SIDS training within two months of employment or did not complete the training every three years.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Feb 6, 2025. 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 #1, an Epi-Pen had written permission that expired 12/7/24 and a bottle of Benadryl with written permission that expired 12/4/24.”

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: Jan 21, 2025. Correction verified: by a letter from the provider.

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

“A staff member hired on 8/15/2023 did not complete Health & Safety Training.”

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: Jan 21, 2025. 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.

“Seven (7) staff members did not complete child maltreatment training within 3 months of hire.”

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: Jan 21, 2025. Correction verified: by a letter from the provider.

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

“In space #4, Equate sunscreen, Coppertone sunscreen, and Aquaphor Chapstick 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 verified: by a letter from the provider.

Children used space that was not approved.

“Space #5 was structurally renovated by removing a wall and reconstructed to enlarge the space. The consultant was not notified that the changes were made. The space had not been measured or approved for capacity or safety.”

Rule Children used space that was not approved.. Correction verified: at a follow-up visit by DCDEE.

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

“Fire drills for the months of June and July were not documented.”

Rule Fire drills were not practiced monthly and/or the drill record was incomplete.. 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 #4, medication forms for four (4) bottles of Tylenol were expired. In space #4, written permission for an Albuterol inhaler expired on 3/29/24.”

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 verified: by a letter from the provider.

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

“Lunch was observed and included fish sticks, rice, peaches, and milk.”

Rule Meals/snacks did not comply with the Meal Patterns for Children in Child Care Programs.. Correction verified: by a letter from the provider.

Minimum staff/child ratios and group sizes for the number and ages of children in care were not met.

“Upon arrival to the center, a staff member assigned to space #4 left the classroom space to open the front door. In space #4, ten (10) children one year of age, were in care with one staff member.”

Rule Minimum staff/child ratios and group sizes for the number and ages of children in care were not met.. Correction verified: at a follow-up visit by DCDEE.

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

“Landscaping paper was exposed throughout both outdoor spaces creating tripping hazards. In outdoor space #1, the containment barrier for mulch had a warped wooden board curved upwards 8 inches from the ground causing an entrapment hazard.”

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: Feb 22, 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.

“In space #4, Great Value disinfectant wipes and Coleman alcohol sanitizing wipes were stored on a shelf beside children’s cubbies. In space #1 and space #3, hand sanitizer was on a shelf below five feet.”

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.

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.

“One staff member hired on 2/8/23 had a medical report on file dated 11/2/2020.”

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

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.

“A staff member hired 5/11/2020 completed Health and Safety training on 3/7/2018.”

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: Feb 22, 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 #5, a tube of Eucerin Eczema Relief Cream had written authorization that expired 1/13/24. In space #4, Children’s Motrin, Children’s Tylenol, and Camilia Liquid Doses had written authorization that expired 1/1/24.”

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: Feb 15, 2024. Correction verified: by a letter from the provider.

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

“Lunch was observed and included meatballs, corn, pears, and milk. A grain component was not offered.”

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: Feb 15, 2024. 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.

“A menu was not posted where it could easily be seen by parents.”

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: Feb 15, 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 2/8/23 had a medical report of TB skin test on file dated 11/2/2020.”

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

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

“A staff member hired on 2/8/2023 did not complete Health and Safety Training by 2/8/2024.”

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: Feb 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 #5, a cup of iced coffee from Starbucks and a cup of iced coffee from Burger King were present.”

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: Feb 15, 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 2/8/23 and a staff member hired on 8/28/23 did not complete child maltreatment training.”

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