1st Start Child Development Center, Inc.

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

“A loose plank was observed on the ramp that leads from Space #3 to the outdoor learning environment.”

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 6, 2026. 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.

“Six staff members did not have an annual staff evaluation on file.”

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: May 6, 2026. Correction verified: by a letter from the provider.

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

“One staff member did not complete the required amount of annual ongoing training hours based on her education and experience (20 Hours Required; 12 Hours Received).”

Rule Staff required to receive on-going training had not completed the required number of hours according to their education and experience.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: May 6, 2026. 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 the vehicle used to transport children, a bottle of engine oil cleaner was stored on the floor, under the back seat. When this was brought to the director’s attention, she immediately had an employee remove the item from the vehicle and place it in locked storage.”

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.

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.

“On one child’s (A.W.) medical file, the parent/guardian documented asthma as a health concern. However, an asthma action plan or additional medical documentation was not on file.”

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: May 16, 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.

“The director asked an employee to transport children from their public school to the facility in their personal vehicle. Emergency and identifying information for each child being transported was not in the employee’s personal vehicle.”

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.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: May 16, 2025. Correction verified: by a letter from the provider.

First aid kit and/or fire extinguisher was not located in vehicle; kit and/or extinguisher was not mounted or secured if in passenger area.

“The director asked an employee to transpor children from their public school to the facility in their personal vehicle. A first aid kit and fire extinguisher were not in the employee’s personal vehicle.”

Rule First aid kit and/or fire extinguisher was not located in vehicle; kit and/or extinguisher was not mounted or secured if in passenger area.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: May 16, 2025. Correction verified: by a letter from the provider.

For routine transport of children to and from the center, staff did not have a list of the children being transported.

“The director asked an employee to transport children from their public school to the facility in their personal vehicle. A list of children being transported was not in the employee’s personal vehicle.”

Rule For routine transport of children to and from the center, staff did not have a list of the children being transported.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: May 16, 2025. Correction verified: by a letter from the provider.

For routine transport of children to and from the center, staff did not use the list to document attendance as children boarded and departed the vehicle.

“The director asked an employee to transport children from their public school to the facility in their personal vehicle. A transportation list was not available for review or used to document attendance of children boarding and exiting the vehicle.”

Rule For routine transport of children to and from the center, staff did not use the list to document attendance as children boarded and departed the vehicle.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: May 16, 2025. 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, foam blocks were accessible to children under three years of age. When this was brought to the director’s attention, she immediately took the foam blocks out of Space #2 and placed them in closet storage.”

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.

Rule violated (DCDEE’s description below)

“The driver was not at least 21 years old or a licensed bus driver. Khalil Hasan, Lead Teacher and Driver, was not at least 21 years old.”

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: May 16, 2025. Correction verified: by a letter from the provider.

Rule violated (DCDEE’s description below)

“Hazardous items, materials, and equipment such as archery equipment, hand and power tools, nails, chemicals, or propane stoves were not used under adult supervision. In the vehicle used to transport children, a pair of pliers was stored on the floor, in front of the second row of seats. When this was brought to the director’s attention, she immediately had an employee remove the item from the vehicle and place it in locked storage.”

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

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

“A staff member failed to place an eleven-month-old child appropriately on a cot during naptime by grabbing the child by the left arm and leg multiple times.”

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: Mar 24, 2025. Correction verified: by a letter from the provider.

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

“On January 29, 2025, staff members failed to comply with enhanced staff/child ratios when one staff member was responsible for the care of seven infants.”

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 24, 2025. 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.

“Staff member was observed alone in the classroom with seven infant children during naptime.”

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: Apr 24, 2025. Correction verified: by a letter from the provider.

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

“The administrator did not complete lead-in-water testing within three years of the facility’s previous lead-in-water test. According to the facility’s records, the most recent lead-in-water test was completed on June 24, 2021. The Legal Designee had documentation that verified she has taken the Clean Classrooms for Carolina Kids training on September 24, 2024, and she is waiting for the agency to send her the testing kit. This is a violation of a requirement in 15A NCAC 18A .2816(b).”

Rule A violation was found for which there is no item number.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Jan 2, 2025. Correction verified: by a letter from the provider.

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

“In Space #4, a diapering procedures poster, containing instructions for proper methods of diaper changing and handwashing, was not posted in the diapering area. This is a violation of a requirement in 15A NCAC 18A .2819(h).”

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

Distance learning was used to complete First Aid, CPR and/or playground safety training.

“One staff member (B.D.) used distance learning to complete First Aid and CPR training.”

Rule Distance learning was used to complete First Aid, CPR and/or playground safety training.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Nov 28, 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 #2, two packs of wipes, labeled “keep out of reach of children”, were stored on cubby shelves, below five feet from the finished floor. The director immediately removed the packs of wipes and placed them in a cabinet above five feet from the finished floor.”

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.

“Tina Danzy, Teacher, did not have a medical report on file prior to her employment date (DOE: 5/21/2024).”

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: May 28, 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, plastic bags containing clothing were stored on cubby shelves, below five feet from the finished floor. The director immediately removed the plastic bags and placed them into a cabinet that was above five feet from the finished floor.”

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.

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

“Michael McMillian, Teacher, did not have a valid Criminal Background Check qualification letter on file. A copy of M. McMillian’s CBC qualification letter was printed from the ABCMS website and placed into his staff file during today’s visit.”

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

“Jocelyn Wilson, Teacher, did not have a health assessment completed prior to the first day of employment (Medical Report Completed: 2/01/2024; Date of Employment: 1/26/2024).”

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.. Corrected during the inspection.

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

“During the interview process, it was determined that Michael McMillian, a staff member who was not yet qualified, was left alone in Space #4 with five children. During today’s visit, the staff/child ratios were observed in compliance.”

Rule Enhanced staff/child ratios and group sizes were not met.. Corrected during the inspection.

Prior to employment a Criminal Background Check was not completed.

“Michael McMillian, Teacher, did not have a Criminal Background Check completed prior to the first day of employment (CBC Qualifying Letter Issued: 1/28/2024; Date of Employment: 1/25/2024). A copy of M. McMillian’s CBC qualifying letter was printed during today’s visit and placed into his staff file.”

Rule Prior to employment a Criminal Background Check was not completed.. Corrected during the inspection.