Excel Learning Centers #7

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.

“Seven (7) infant bottles were labeled with a name but no date. Four (4) infant bottles were dated October 19,2026, and one (1) infant bottle had no name and no 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..

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

“Fire drills were not conducted from January 2026 through May 2026.”

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: Jun 24, 2026. Correction verified: by a letter from the provider.

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

“Three (3) out of twelve (12) children’s records reviewed did not have a health assessment on file before or within 30 days after admission.”

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: Jun 24, 2026. 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.

“Monthly playground inspections were not completed from December 2025 through May 2026.”

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: Jun 24, 2026. 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.

“Shelter-in-place or lockdown drills were not practiced from January 2026 through May 2026.”

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: Jun 24, 2026. Correction verified: by a letter from the provider.

Children were not adequately supervised at all times.

“One (1) 4-year-old child was left in the classroom alone for approximately two (2) 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: May 15, 2026. 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 indoor space #13, medicine was administered without written authorization. Prior written authorization given by the parent and physician expired on December 26, 2025.”

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: Jan 28, 2026. Correction verified: by a letter from the provider.

All walls and ceilings including doors and windows were not kept clean, free of visible fungal growth, and in good repair.

“The walls in indoor space #7, #12, and #13 had holes and chipped paint.”

Rule All walls and ceilings including doors and windows were not kept clean, free of visible fungal growth, and in good repair.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Jan 28, 2026. 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 indoor space #3, three (3) infant bottles were not dated, and four (4) infant bottles were dated January 13, 2026.”

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.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Jan 28, 2026. Correction verified: by a letter from the provider.

Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule.

“In indoor space #13, a permission slip to administer asthma inhaler had an expired authorization date December 26, 2025.”

Rule Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Jan 28, 2026. Correction verified: by a letter from the provider.

Potentially hazardous items including but not limited to power tools, nails, chemicals, propane stoves, lawn mowers, gasoline, or kerosene were not stored in locked areas, removed from the premises, or made inaccessible to children.

“In indoor space #3, Desitin Diaper Cream was on a shelf in the diaper changing area accessible to children. In indoor space #7, a rusted baking pan was in the dramatic play area.”

Rule Potentially hazardous items including but not limited to power tools, nails, chemicals, propane stoves, lawn mowers, gasoline, or kerosene were not stored in locked areas, removed from the premises, or made inaccessible to children.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Jan 28, 2026. Correction verified: by a letter from the provider.

Children were not adequately supervised at all times.

“On September 10, 2025, a 2-year-old child was left alone in the outdoor space for approximately 2-3 minutes while the other children and staff transitioned to the indoor space#11.”

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: Sep 23, 2025. Correction verified: by a letter from the provider.

Children were not adequately supervised at all times.

“On September 17, 2025, a 2-year-old child was left alone in the outdoor space during the transition from the outdoor space to indoor space #11.”

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: Sep 23, 2025. Correction verified: by a letter from the provider.

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

“The last date the facility’s EPR Plan was reviewed was June 11, 2024.”

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

“During the observation and walk though, activity plans were not available classrooms #5, #11, and #13.”

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: Dec 17, 2024. Correction verified: by a letter from the provider.

Beds, cots and mats were not in good repair, properly handled, stored, or clean and sanitized between users.

“In classroom space #12, children jumped on and off cots and played with toys on the cots.”

Rule Beds, cots and mats were not in good repair, properly handled, stored, or clean and sanitized between users.. 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 classroom space #14, a plastic bag that stores diapers was lying on the floor in the children’s bathroom accessible to the children in care.”

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.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Dec 17, 2024. Correction verified: by a letter from the provider.

Rule violated (DCDEE’s description below)

“Non-prescription diaper creams and sunscreen shall be kept inaccessible to children when not in use, but are not required to be in locked storage. In classroom space #1, a tube of Destin was located on the diaper changing shelf at the end of the diaper changing table accessible to the children in care.”

Rule Rule violated (DCDEE’s description below). Corrected during the inspection.

Children were not adequately supervised at all times.

“On October 31, 2024, one (1) child, aged sixteen (16) months old, was left in the outdoor space unsupervised for approximately three (3) 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: Nov 6, 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.

“Zero (0) out of thirteen (13) new staff members hired after July 18, 2023, did not have staff development plans in their personnel files.”

Rule Each employee's personnel file did not contain an annual staff evaluation and a staff development plan.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Jan 12, 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 indoor space twelve (12), a staff member had a Starbucks frappuccino sitting on a shelf accessible to the children.”

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.. Corrected during the inspection.

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.

“Three (3) out of thirteen (13) new staff members hired after July, 18, 2023, did not complete the Recognizing and Responding to Suspicions of Child Maltreatment within 90 days of employment.”

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

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

“On November 13, 2023, one (1) child, aged two (2) years old, was in the outdoor space without socks and shoes on their feet.”

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: Nov 28, 2023. Correction verified: by a letter from the provider.