Little Blessings #2

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 #4, there where three bottles that were dated for 5/7/2026, and three bottles did not have a date at all. This was corrected by the teacher labeling the bottles with the correct 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.

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 bathroom near space #2, and the bathroom in the infant classroom there were two packages of baby wipes, and a box of latex gloves sitting on a shelf and was not five feet from the floor and was made assessable to children. This was corrected by the administrator placing the packages of baby wipes and the latex gloves on a shelf that’s five feet from the 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.

Each infant was not held for bottle feeding until he/she can hold his own bottle.

“In space #4, there was and infant child laying on his back drinking a bottle of milk. This was corrected by the teacher placing the child in a highchair while the child finished the bottle.”

Rule Each infant was not held for bottle feeding until he/she can hold his own bottle.. 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 #2, there were sippy cups and two bottles in a basket that were not fully prepared, dated, or labeled. This was corrected by the teachers labeling the sippy cups and the two bottles with the child’s name and today’s 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.

Rule violated (DCDEE’s description below)

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

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

“In space #4, there were two teachers with eleven children 0 to 1 year of age. This was corrected when the third teacher entered the space about 2 minutes after I did.”

Rule Enhanced staff/child ratios and group sizes were not met.. 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. One new staff CPR expired on 8/30/2024.”

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

Application did not include health care needs or concerns, symptoms of and the type of response required for the health care needs or concerns.

“Two children’s application did not include health care needs or concerns.”

Rule Application did not include health care needs or concerns, symptoms of and the type of response required for the health care needs or concerns.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Sep 30, 2024. Correction verified: by a letter from the provider.

Center staff did not comply with the safe sleep policy.

“During a fire drill the center staff had placed a sleeping child in a crib on a pillow while rolling the child in the crib to a designated space outdoors.”

Rule Center staff did not comply with the safe sleep policy.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Sep 24, 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 # 4, there was one bottle not labeled, and one bottle that was dated 9/22/2024”

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.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Sep 24, 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 new staff did not have TB on or before the first day of employment. Start date 4/10/24 and date of TB 4/11/2024.”

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.

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

“The EMC was not reviewed with two 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: Sep 30, 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.

“The trained staff did not review EPR Plan annually with two staff.”

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: Sep 30, 2024. Correction verified: by a letter from the provider.

The written feeding plan did not include the child’s name, parent signature, and/or was not dated when received by the center.

“There were eight children’s feeding plan that was not signed by parent, or was not sign by center staff, or was not dated.”

Rule The written feeding plan did not include the child's name, parent signature, and/or was not dated when received by the center.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Oct 1, 2024. Correction verified: by a letter from the provider.

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

“A staff member attempted to get a child up off the floor by picking the child up by one hand causing an injury that required medical treatment.”

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 12, 2024. Correction verified: by a letter from the provider.