Gracie’s Childcare & Learning Center

All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement.

“Two staff members did not complete a health questionnaire annually. This was corrected by staff updating health questionnaire during today’s visit.”

Rule All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement.. Corrected during the inspection.

Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually.

“Two staff members did not complete emergency information for annually. This was corrected by both staff completing emergency information during today’s visit and putting on file.”

Rule Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually.. Corrected during the inspection.

Each employee’s personnel file did not contain an annual staff evaluation and a staff development plan.

“Five staff members did not have an annual staff evaluation and a staff development plan 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: Feb 11, 2026. Correction verified: by a letter from the provider.

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

“One staff member had not completed orientation within the first two weeks of employment. Hire date was 6/15/2023”

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: Feb 15, 2026. 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 had not completed 16 hrs. of orientation wit the six weeks. Hire date 8/26/2025 and 6/16/2023.”

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: Feb 10, 2026. 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.

“Two staff members, identified on the staff and training worksheet, did not complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days 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: Feb 11, 2026. Correction verified: by a letter from the provider.

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

“In space #2a/b, there was one staff member with one child one year of age, two children five years of age and five school-age children. The facility was in compliance during the follow-up visit completed on 11/04/2025 with enhanced staff/child ratios and group size. See the enrollment sheet for follow-up visit.”

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 4, 2025. Correction verified: at a follow-up visit by DCDEE.

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

“NC Pre-K Program Requirement. The facility did not follow the requirements outlined in their contract to operate as a NC Pre-K program. The NC Pre-K contract operational day starts at 7:30a.m. No other group of children is allowed to be blended with the NC Pre-K Children. It was confirmed that on 10/2/2025, there were three school-age children with 13 NC Pre-K children and one teacher. This is a violation of requirements outlined in N.C.G.S 110-91.”

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: Oct 20, 2025. Correction verified: at a follow-up visit by DCDEE.

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 new staff did have a medical report on file. However, the medical report was more than 12 months old. The medical report was dated for 5/17/22. The staff hire date 8/26/2025.”

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: Oct 28, 2025. Correction verified: by a letter from the provider.

Children between 12 and 24 months of age were grouped with children 3 years of age or older.

“During the visit there was one child one year of age grouped with children 3 and 4 years of age. This was corrected when the the Three children two year of age and the one child one year of age was transitioned from space #5, to space #1.”

Rule Children between 12 and 24 months of age were grouped with children 3 years of age or older.. Corrected during the inspection.

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

“Three children two year of age and one child one year of age was taken from space #5, to space #1, and grouped with children under one year of age. This was corrected when a teacher arrived at 8:30am and received the three children two year of age and the one child one year of age and transition them to space #3.”

Rule Children under one year of age were not kept separate from children two years and older.. Corrected during the inspection.

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

“During today’s visit enhanced staff/child ratio were not followed. There were three children two years of age, one child one year of aged and four children three years of age in space #5, with one teacher present. This was corrected when the the staff member for space #5 arrived to work and the three two years of age and the one child one year of age were transitioned to 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: Oct 20, 2025. Correction verified: at a follow-up visit by DCDEE.

NC Pre-K program staff/child ratios and group sizes were not met.

“On 10/2/2025 it was reported there were 13 NC Pre-k children present 3 school-age children with one teacher counted in staff child ratio prior to 8:00a.m. This was corrected when the teacher assistant entered the space to assist the Lead Teacher and counted in staff/child ratio.”

Rule NC Pre-K program staff/child ratios and group sizes were not met.. Corrected during the inspection.

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 new staff member did have a TB test on file. However, the TB test was dated for 3/14/2022. The staff hire date was 8/26/2025.”

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

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 operator did not have the ABCMS Roster available for review.”

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: Aug 12, 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. The administrator did not complete the ITS - SIDS training every three years. The last time completed was 1/29/2022.”

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: Jul 31, 2025. Correction verified: by a letter from the provider.

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).

“One staff member did not complete and resubmit the required forms to complete a criminal background check.”

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: Aug 5, 2025. Correction verified: by a letter from the provider.

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

“In space #2a/b, the was no current activity plan posted for the NC Pre-K children. The last one posted was dated for 2/3-7/2025.”

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: Feb 11, 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. One staff did not renew the CPR training certification. Expired 5/1/2024.”

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: Mar 3, 2025. Correction verified: by a letter from the provider.

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

“The facility did not maintain compliance with enhanced staff/child ratios. In space #2a/b there was one teacher with sixteen children, ages 5 to 12 years old. Maximum ratio allowed is 1 staff with fifteen children. The violation was corrected when a second staff was added to the space.”

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

An incident report was not completed and mailed to a Division representative within seven days after the incident when medical treatment was required.

“Incident report completed on June 17, 2024 regarding a child receiving a head injury requiring medical care, but a copy was not mailed to the Division within seven days as required.”

Rule An incident report was not completed and mailed to a Division representative within seven days after the incident when medical treatment was required.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Jun 30, 2024. Correction verified: by a letter from the provider.

Incident logs were not completed and maintained as required.

“Incident completed on June 17, 2024 but was not documented on the incident log.”

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: Jun 30, 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 #2a/b there was to first aid kits in the classroom. When monitoring one of the kits there was a 0.5oz. tub of Neosporin. This was corrected when the provider removed the Neosporin from the first aid kit and discarded the item.”

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.

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.

“In space #1, sleep checks had not been completed for the infant that is enrolled in the space. During today’s visit the provider started a sleep chart infant in care. the chart was monitored towards the end of the visit to ensure it was be document as of today.”

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.. Corrected during the inspection.

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.

“When monitoring transportation the vehicle did not have a fire extinguisher. The first aid kit contained a 3.5mg package of antibiotic ointment, 11 small packages of alcohol prep pads, and 6 packages of Quick & Cleans pads. This was corrected by operator placing a fire extinguisher in a secure place in the front of the van and removing the ointment, alcohol pads, and the Quick and Clean pads from the first aid kit.”

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.. Corrected during the inspection.

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, there was a medium size McDonald’s cup that contained a caramel frappe drink. The drink was discarded once the operator was informed of it being in the classroom.”

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.

A room was occupied by more children than the space allowed at 25-sq. ft. of floor space per child.

“In space #2a/b, 21 children occupied the space that only allowed 20 at 25 sq. ft. this was corrected by one staff member form space #2a/b, by taking eight (8) children to space #5, and one staff member remaining in space #2a/b, with thirteen (13) children.”

Rule A room was occupied by more children than the space allowed at 25-sq. ft. of floor space per child.. Corrected during the inspection.

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

“In space #2a/b there were 17 children present with the youngest child being three years of age with one staff member present. In space #4, there were 11 children present with the youngest child being 2 years of age with one staff member present. This was corrected by the staff member that was working in the front office going to space #4, taking two children three years of age to space #2a/b, while staying with the staff member that was caring for the 17 children.”

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