C3 Cynthia’s Cuddling Care

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 container of bleach was stored on top of a counter in an unlocked kitchen.”

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, documentation of visual sleep checks was not available for review.”

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 1, 2026. 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. One staff member did not complete the required ITS-SIDS course within two months of assuming infant care responsibilities”

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: Sep 1, 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.

“Two staff members did not complete the required amount of annual on-going training hours, based on their education and experience.”

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: Sep 1, 2026. Correction verified: by a letter from the provider.

Any excess formula, thawed human milk and/or bottled beverage were not discarded or returned home at the end of each day.

“In Space #3, a sippy cup containing milk and labeled with yesterday’s date was stored on top of a table. When this was brought to the administrator’s attention, she immediately removed the sippy cup from the space and took it to the kitchen to discard the contents, clean, and disinfect it.”

Rule Any excess formula, thawed human milk and/or bottled beverage were not discarded or returned home at the end of each day.. Corrected during the inspection.

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 Space #3, an unlabeled sippy cup containing milk was observed on the floor in the block area. An unlabeled sippy cup containing water was stored on top of a table. When this was brought to the administrator’s attention, she immediately removed the sippy cups from the space and took them to the kitchen to discard the contents, clean, and sanitize them.”

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.. Corrected during the inspection.

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

“While the administrator prepared and served lunch, a teacher was left alone with nine children, ages ranging from one to four years old. The non-compliance with grouping requirements was corrected when the administrator finished serving lunch and returned 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.

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

“While the administrator prepared and served lunch, a teacher was left alone with nine children, ages ranging from one to four years old. The non-compliance with staff/child ratios was corrected when the administrator finished serving lunch and returned to Space #1.”

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

Staff members and child care administrators who were counted in meeting the staff/child ratios concurrently performed food preparation or other duties that are not direct child care responsibilities.

“The administrator, who was counted in the staff/child ratio in Space #1, concurrently prepared and served food for lunch. The non-compliance was corrected when the administrator finished serving lunch and returned to Space #1.”

Rule Staff members and child care administrators who were counted in meeting the staff/child ratios concurrently performed food preparation or other duties that are not direct child care responsibilities.. 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.

“In Space #2, a spray bottle containing sanitizing solution was stored on top of a cubby shelf, below five feet from the finished floor. When this was brought to the administrator’s attention, the spray bottle was moved to a higher shelf, above five feet from the finished floor. This is a repeated violation from a Routine Unannounced visit that was conducted on 4/17/25.”

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.

“Three staff members did not have valid medical reports on file. The medical reports were not dated or signed by a health professional. This is a repeated violation from a Routine Unannounced visit that was conducted on 4/17/25.”

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: Sep 25, 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.

“On two separate occasions, a one-year-old child from Space #1 was observed grouped with preschool aged children in Space #2. The child was sent from Space #1 to Space #2 so the teacher in Space #2 could console the child’s crying. When this was brought to the administrator’s attention, the child was moved back 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.

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 Space #1, in the refrigerator, two sippy cups containing milk were not labeled with the name of each child and the current date. When this was brought to the administrator’s attention, she labeled the bottles with the child’s name and 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.. Corrected during the inspection.

Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection.

“Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The most recent fire inspection was completed on 8/06/24.”

Rule Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Sep 25, 2025. Correction verified: by a letter from the provider.

Rule violated (DCDEE’s description below)

“Training potty chairs were used and were not cleaned appropriately. In Space #2, in the bathroom used by children, a potty chair was observed containing urine. When this was brought to the administrator’s attention, she flushed the urine down the toilet, cleaned and disinfected the potty chair.”

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

The child care operator did not comply with all State laws, federal laws and/or local ordinances that pertain to child health, safety, and welfare, as required by General Statute 110-91.

“The operator did not schedule and obtain a sanitation inspection within 12 months of the previous inspection. The most recent sanitation inspection was completed on 7/08/25. The previous inspection was completed on 5/13/24. This is a violation of a requirement in 10A NCAC 09 .0304(b). This is a violation of a requirement in 15A NCAC 18A .2834(b).”

Rule The child care operator did not comply with all State laws, federal laws and/or local ordinances that pertain to child health, safety, and welfare, as required by General Statute 110-91.. 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.

“In Space #2, a mop bucket, containing a mop and prepared solution, was observed in front of the exit door. An unlabeled bottle of soapy water was stored on top of a cubby, below five feet from the finished floor. An unlabeled bottle of sanitizing solution was stored on top of a cubby, below five feet from the finished floor. When this was brought to the administrator’s attention, she immediately removed all items from the space and placed them in appropriate storage. This is a repeated violation from 9/19/24.”

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 staff records, except financial records, were not made available for review.

“One staff member (M.M.) did not have a staff file available for review.”

Rule All staff records, except financial records, were not made available for review.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: May 1, 2025. 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.

“In Space #2, above the library area, a plank was observed loose and separated from the ceiling.”

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: May 1, 2025. Correction verified: by a letter from the provider.

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 (M.M.) did not have a medical report on file. This is a repeated violation from 9/19/24.”

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 1, 2025. 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 (M.M.) did not have a TB test or screening on file.”

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: May 1, 2025. 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.

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

“Two staff members did not have an annual health questionnaire on file. Both of the staff members completed a 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.

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). In Space #1, individual infant feeding plans were not posted for five infants. The administrator printed copies of the feeding plans from each child’s file and posted them on the wall in Space #1.”

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.

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 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: Sep 25, 2024. Correction verified: by a letter from the provider.

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 have an updated emergency information form on file that was completed within the past year.”

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.

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.

“One staff member did not complete the required Recognizing and Responding to Suspicions of Child Maltreatment training within the past five years.”

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: Sep 25, 2024. 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 Space #1, eight unlabeled bottles containing prepared formula were stored in the refrigerator.”

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.. Corrected during the inspection.

Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection.

“Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The administrator did not submit the most recent fire inspection report to DCDEE within 7 days of the inspection (Inspection Date: 8/06/2024 Date Received: 9/19/2024).”

Rule Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection.. Corrected during the inspection.

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 on-going training hours, based on their education and experience (8 Hours Required; 7 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: Sep 25, 2024. Correction verified: by a letter from the provider.

Center staff did not comply with the safe sleep policy.

“In Space #1, an infant was observed wrapped in a blanket while sitting in an infant swing. The swing, containing the infant, was observed inside a crib. When this was brought to the teacher’s attention, she took the infant and swing out of the crib. The infant was moved to a carpeted area for supervised tummy time activities.”

Rule Center staff did not comply with the safe sleep policy.. Corrected during the inspection.

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

“A two-year-old child and an infant were observed in Space #1. The two-year-old child was moved to another space.”

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

Each child under the age of 12 months was not given supervised tummy time positioned on his/her stomach while awake and alert each day.

“In Space #1, an infant was observed alert and awake in a crib. When this was brought to the teacher’s attention, she took the infant out of the crib and placed her on a carpeted area for supervised tummy time activities.”

Rule Each child under the age of 12 months was not given supervised tummy time positioned on his/her stomach while awake and alert each day.. 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 Space #1, a plastic grocery bag was stored on top of a cubby shelf, below 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.

The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person’s file.

“C. Campbell, Teacher, did not have an signed acknowledgement on file, stating that the PSBSAHT policy was reviewed prior to providing care to children. L. Turner, teacher, did not have an acknowledgment on file with all required information (the signed acknowledgement was missing the date).”

Rule The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file.. Corrected during the inspection.