Tickles & Giggles Family Childcare Center, LLC

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 facility’s ABCMS Roster was not completed and ready 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: Apr 8, 2026. 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 member did not have a current CPR certification on file.”

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 4, 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. One staff member did not have a current First Aid certification on file.”

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 4, 2026. Correction verified: by a letter from the provider.

All stationary equipment, more than 18 inches high, was not installed over protective surfacing.

“On the outdoor area, grass was used as surfacing on the right side of the Dome Climber facing the roadway.”

Rule All stationary equipment, more than 18 inches high, was not installed over protective surfacing.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Apr 8, 2026. Correction verified: by a letter from the provider.

At least one child care provider, who has completed ITS-SIDS training was not present in the infant room, while children were in care.

“At least one staff member with ITS-SIDS training was not present in the infant room (space #1).”

Rule At least one child care provider, who has completed ITS-SIDS training was not present in the infant room, while children were in care.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Apr 7, 2026. Correction verified: at a follow-up visit by DCDEE.

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 did not complete the first two weeks of orientation.”

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: Apr 8, 2026. 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.

“One van that transports children did not have a fire extinguisher located in the vehicle (K**-3***). One van that transports children did not have a first aid kit located in the vehicle (J**-5***).”

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: Apr 8, 2026. 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.

“In space #2, there were children one year of age grouped with one three year old child.”

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 7, 2026. Correction verified: at a follow-up visit by DCDEE.

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 facility did not have a current fire inspection on file. The last fire inspection was dated 2/28/25.”

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: Mar 27, 2026. Correction verified: by a letter from the provider.

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.

“One van that transports children (K**-3***) did not have a current vehicle inspection and registration (expired 10/31/25).”

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.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Mar 27, 2026. 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 new 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: Nov 26, 2025. 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 new staff member did not have the first two weeks documentation of orientation on file.”

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: Nov 26, 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.

“One new staff member did not have six weeks documentation of orientation on file.”

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 26, 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 #1, there was one box of plastic gloves stored on top of the diaper table and items stored in plastic bags in cubbies lower than five feet above the 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.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Nov 26, 2025. Correction verified: by a letter from the provider.

All equipment and furnishings were not in good repair.

“The ramp used by spaces #1 and #2 had peeling yellow paint.”

Rule All equipment and furnishings were not 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 20, 2025. Correction verified: by a letter from the provider.

Openings in equipment, steps, decks, handrails, and fencing were not less than 3 1/2 inches or greater than 9 inches.

“There was a missing wooden panel on the outdoor ramp handrail with an opening measuring 6 1/2 inches in width.”

Rule Openings in equipment, steps, decks, handrails, and fencing were not less than 3 1/2 inches or greater than 9 inches.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: May 20, 2025. Correction verified: by a letter from the provider.

Prohibited styrofoam and foam rubber products were accessible to children under 3 years of age and/or approved foam products were used without proper supervision.

“One container of foam blocks were stored on a shelf in space #3, accessible to children two years of age.”

Rule Prohibited styrofoam and foam rubber products were accessible to children under 3 years of age and/or approved foam products were used without proper supervision.. Corrected during the inspection.

A child’s hands were not washed after each diaper change.

“In space #1, two staff members did not wash children’s hands after changing their diapers.”

Rule A child's hands were not washed after each diaper change.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Dec 5, 2024. Correction verified: by a letter from the provider.

All staff did not wash their hands thoroughly after diapering each child.

“Two staff members working in space #1, did not wash their hands after changing a child’s diaper.”

Rule All staff did not wash their hands thoroughly after diapering each child.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Dec 5, 2024. Correction verified: by a letter from the provider.

All stationary equipment, more than 18 inches high, was not installed over protective surfacing.

“The mulch, protective surfacing, on the playground with the swing set and stationary equipment measured approximately less than one-half inch and not the required six inches of surfacing throughout the playground area.”

Rule All stationary equipment, more than 18 inches high, was not installed over protective surfacing.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Dec 5, 2024. 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.

“There were peeling paint and exposed sheetrock around the green walls in the space between the kitchen and space #1.”

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: Dec 5, 2024. Correction verified: by a letter from the provider.

Center did not maintain a record of daily attendance.

“The attendance in space #1 was not maintained and recorded daily. The last day recorded was 11/14/24.”

Rule Center did not maintain a record of daily attendance.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Dec 5, 2024. 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 employee (N.S., DOE 10/15/24) did not have a medical report prior to employment. The medical report was on file and dated 10/18/24.”

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.. Corrected during the inspection.

Diaper changing surfaces were not cleaned with a detergent solution and disinfected after each use.

“One staff member in space #1, did not sanitize the diaper changing surface after changing a child’s diaper.”

Rule Diaper changing surfaces were not cleaned with a detergent solution and disinfected after each use.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Dec 5, 2024. 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.

“Two staff members did not complete six clock hours of orientation within the first two weeks of employment.”

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: Dec 5, 2024. 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.

“One employee did not complete the required sixteen hours of orientation within six weeks of employment.”

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: Dec 5, 2024. 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 employee (N.S., DOE 10/15/24) did not have TB test results prior to employment. The TB test results were on file and dated 10/18/24.”

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.. Corrected during the inspection.

Surfacing did not extend six (6) feet beyond the external limits of the equipment or 3 feet for equipment used only by children less than 2 years of age.

“The climbing dome did not measure at least six feet from the corner of the wooden bordered sandbox. It measured approximately four feet.”

Rule Surfacing did not extend six (6) feet beyond the external limits of the equipment or 3 feet for equipment used only by children less than 2 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 5, 2024. Correction verified: by a letter from the provider.

Swings did not have surfacing that extends two times the length of the pivot point to the surface below beyond the external limits of the equipment.

“The surfacing for the swing set did not measure two times the length of the pivot point to the surface. It measured approximately five feet to the border.”

Rule Swings did not have surfacing that extends two times the length of the pivot point to the surface below beyond the external limits of the equipment.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Dec 5, 2024. Correction verified: by a letter from the provider.

The child care provider did not provide the required beverage(s).

“During lunch, three children were served water instead of an approved milk substitution.”

Rule The child care provider did not provide the required beverage(s).. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Dec 5, 2024. Correction verified: by a letter from the provider.

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.

“One staff member did not have a signed and dated acknowledgement form on file regarding the Prevention of Shaken Baby Syndrome and Abusive Head Trauma Policy. An Acknowledgement form was completedd, signed, and placed in employee’s file.”

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.

All floors and floor coverings were not constructed of nonabsorbent material and/or were not kept clean and in good repair.

“There were three broken tiles on the bathroom floor used by space #3.”

Rule All floors and floor coverings were not constructed of nonabsorbent material and/or were not kept clean 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 28, 2024. 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. One staff member (D.D.) did not have First Aid certification on file.”

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 28, 2024. Correction verified: by a letter from the provider.

Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child.

“In space #2, there was one uncovered electrical outlet. In space #4, there were five uncovered electrical outlets.”

Rule Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child.. 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.

For children under three years of age, materials were not made available to children on a daily basis.

“In space #1, materials were stored on a counter and were not available to children.”

Rule For children under three years of age, materials were not made available to children on a daily basis.. 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.

Staff did not complete the health and safety training within one year of employment.

“One staff member (J.H.) did not complete health and safety training within one year of employment.”

Rule Staff did not complete the health and safety training within one year of employment.. 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.

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

“One staff member (J.H.) did not complete the required number of on-going training hours.”

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 28, 2024. Correction verified: by a letter from the provider.

The EMC plan was not reviewed with all staff annually and whenever the plan was revised.

“The emergency medical care plan was not reviewed with staff annually.”

Rule The EMC plan was not reviewed with all staff annually and whenever the plan was revised.. 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.

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

“Staff did not review the EPR plan annually.”

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