Childcare Network #77

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) On August 24, 2026, August 26, 2026, and August 27, 2026, documentation of infant feeding did not occur until 2PM and later.”

Rule An individual written feeding plan was not provided by child's parent or health care provider or was not followed and posted.. Corrected during the inspection.

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

“On the preschool outdoor space, there were broken wooden boards, a ripped seat cushion with exposed foam, and a loose cement square 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: May 14, 2026. Correction verified: by a letter from the provider.

A violation was found for which there is no item number.

“A staff member’s purse was located on shelf in space #3 above children’s cubbies that was below five (5) feet from the floor. This is a violation of a requirement in 15A NCAC 18A .2820(g).”

Rule A violation was found for which there is no item number.. 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 on 10/21/25 had certification of CPR dated 2/20/26.”

Rule All staff did not successfully complete certification in CPR training appropriate to the age of the children in care.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: May 14, 2026. Correction verified: by a letter from the provider.

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 on 10/21/25 had certification of First Aid dated 2/20/26.”

Rule All staff did not successfully complete certification in First Aid appropriate to the age 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: May 14, 2026. Correction verified: by a letter from the provider.

All vehicles used to transport children were not free of hazards.

“The tire tread of the front two (2) tires on bus #4 was less than 2/32 of an inch. Seats on bus #2, bus #3, and bus #4 were observed to have tears and exposed foam.”

Rule All vehicles used to transport children were not free of hazards.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: May 14, 2026. Correction verified: by a letter from the provider.

Parent’s medication authorization did not include required information.

“The written permission for the Triamcinolone Acetonide Ointment USP 0.1% was documented on a form for over-the-counter topical ointments.”

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: May 14, 2026. 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.

“A child enrolled space #2 had a tube of Triamcinolone Acetonide Ointment USP 0.1% on file in the original container without the pharmacy label.”

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: May 14, 2026. Correction verified: by a letter from the provider.

Special diet or food allergy information was not posted where they can be seen in food preparation and eating areas.

“The posted food allergy list was not updated to reflect that a child enrolled has a food allergy to peanuts.”

Rule Special diet or food allergy information was not posted where they can be seen in food preparation and eating areas.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: May 14, 2026. 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 #1, a can of Diet Pepsi was located on a shelf and in the outdoor space a can of Bloom Crisp Apple energy drink was located on a table.”

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: May 14, 2026. Correction verified: by a letter from the provider.

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

“In outdoor space #2, there was an exposed concrete footer of the shade structure. The storage closet located directly at the end of the hallway, the door was broken and contained bottles of Windex and Bleach.”

Rule A safe indoor and outdoor environment was not provided for the children.. Corrected during the inspection.

All vehicles used to transport children were not free of hazards.

“Bus #2 had a switch system located on the passenger door lever, that was broken with exposed wires and sharp edges. Bus #3 had a brake light that was not functioning. Bus #4 had a broken rearview mirror.”

Rule All vehicles used to transport children were not 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 12, 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.

“In space #2, children did not wash their hands before or after playing with playdough. In space #2, all children did not wash their hands before 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: Nov 12, 2025. 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.

“Two staff members that were hired on 10/7/25 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 12, 2025. Correction verified: by a letter from the provider.

Staff did not wash their hands thoroughly before beginning work, before/after handling food, before bottle feeding or serving to other children, after toileting or handling body fluids, after diaper changing and after handling soiled items.

“In space #2, a staff member did not wash their hands before putting on gloves to serve lunch.”

Rule Staff did not wash their hands thoroughly before beginning work, before/after handling food, before bottle feeding or serving to other children, after toileting or handling body fluids, after diaper changing and after handling soiled items.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Nov 12, 2025. Correction verified: by a letter from the provider.

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 reflected a staff member that is no longer employed.”

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.

Toys and other mouth-contact surfaces were not cleaned and sanitized daily when used or cleaned more frequently if visibly dirty.

“In space #2, the tables were not sanitized before lunch.”

Rule Toys and other mouth-contact surfaces were not cleaned and sanitized daily when used or cleaned more frequently if visibly dirty.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Nov 12, 2025. 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) An infant’s feeding schedule reflected that the child should be fed lunch at 12pm. On August 5, 2025, there was no documentation that the child was fed lunch according to the child’s daily report.”

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: Sep 22, 2025. 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.

“On August 22, 2025, I entered space #2 at12:20pm and two (2) infants were sleeping, and their sleep charts had not been completed since 11:30am.”

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: Sep 22, 2025. Correction verified: by a letter from the provider.

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

“Documented diaper change times and sleep charts were reviewed for seven (7) children during the dates of 7/30/25-8/8/25. In six (6) of the (7) children’s records, it was found that diaper changing times were documented with lapses of between two and a half hours and five hours and forty minutes.”

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: Sep 22, 2025. Correction verified: by a letter from the provider.

Incident logs were not completed and maintained as required.

“The incident log for the months of May, June, and July of 2025 was reviewed, and seven (7) incidents had not been documented.”

Rule Incident logs were not completed and maintained as required.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Sep 22, 2025. Correction verified: by a letter from the provider.

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.

“Incident reports were reviewed for the months of May, June, and July of 2025 and two (2) incident reports had not been signed by a parent, and one (1) incident report was not completed with the time and date of the incident.”

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: Sep 22, 2025. Correction verified: by a letter from the provider.

A child was released to an individual that was not listed on the application.

“On May 16, 2025, staff released a three-year-old child to an individual who was not listed as an approved pick-up person on the child’s application.”

Rule A child was released to an individual that was not listed on the application.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Jul 17, 2025. Correction verified: by a letter from the provider.

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 on 6/11/2004 had certification of CPR that expired 3/25 and was not renewed until 5/13/25.”

Rule All staff did not successfully complete certification in CPR training appropriate to the age of the children in care.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Jun 2, 2025. Correction verified: by a letter from the provider.

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 on 6/11/2004 had certification of First Aid that expired 3/25 and was not renewed until 5/13/25.”

Rule All staff did not successfully complete certification in First Aid appropriate to the age 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: Jun 2, 2025. Correction verified: by a letter from the provider.

Emergency and identifying information, including the child’s name, photograph, emergency contact information and/or a copy of the emergency medical care information form was not in the vehicle for each child being transported.

“Fifteen (15) school age children that are transported did not have a photograph attached to their emergency information.”

Rule Emergency and identifying information, including the child's name, photograph, emergency contact information and/or a copy of the emergency medical care information form was not in the vehicle for each child being transported.. Corrected during the inspection.

The depth of the loose surfacing was not based on critical height of the equipment.

“The mulch under the stationary climber in outdoor space #3 measured two (2) inches rather than the required six (6) inches of mulch.”

Rule The depth of the loose surfacing was not based on critical height of the equipment.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Jun 4, 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 Beaudreaux’s Butt Paste was on file that expired 8/24.”

Rule A drug or medicine was administered after its expiration date.. Corrected during the inspection.

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 had a tube of Desitin Daily Defense was on file with written permission from the parent that expired 7/11/24. In space #3, a container of Publix 100% Petroleum Jelly Skin Protectant was on file with written permission from the parent that expires 10/13/24.”

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.. Corrected during the inspection.

A violation was found for which there is no item number.

“A bottle of hand sanitizer stored on top of a cubby in Space 4, a tube of Sunrise Woods hand cream and a bottle of HempZ hand lotion was stored on a low shelf in an unlocked cabinet in Space 4. This is a violation of Sanitation Rule 15A NCAC 18A .2820 STORAGE (c) Hand antiseptics, and hand lotions shall be kept inaccessible to children when not in use but are not required to be in locked storage.”

Rule A violation was found for which there is no item number.. Corrected during the inspection.

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.

“A bottle of White Out was stored in the plastic drawer of a storage container on top of a cubby in Space 4.”

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.

All vehicles used to transport children were not free of hazards.

“The three buses used to transport children all had tires with tread depth measuring less than 2/32 inches deep. Additionally, the interior padding of some the bus seats was exposed.”

Rule All vehicles used to transport children were not free of hazards.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Jun 20, 2024. 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). Written feeding plans in Space 1 were not available for enrolled children less than 15 months old.”

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: Jun 20, 2024. 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.

“Visual checks for a child sleeping today were not available.”

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: Jun 20, 2024. Correction verified: by a letter from the provider.

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

“A jar of petroleum jelly observed in a child’s cubby in Space 3 was not accompanied by parent permission to apply it to the child.”

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: Jun 20, 2024. 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.

“A jar of petroleum jelly was observed in child’s storage container on the bottom shelf of a cubby In Space 3. A bottle of Ibuprofen was stored in an unlocked cabinet in Space 4.”

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: Jun 20, 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 2 (designated for the care of infants-one year old children) and Space 3 (designated for children two-three years-of-age) plastic bags used to store various items were kept on low-lying shelves.”

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

“Infant feeding plans were not posted in Space 2 and one infant feeding plan for the one-year-old did not include modifications in consultation with each child’s parent or health care provider to reflect changes in the child’s needs as he or she develops.”

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: Jun 20, 2024. Correction verified: by a letter from the provider.