A Place to Grow DayCare LLC

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 #1, there were two Clorox spray, one antibacterial spray, one all purpose cleaner, one container of Clorox wipes, and seven aerosol cans stored in an unlocked cabinet. The aerosol cans consisted of the following: glass cleaner, Lysol, and fragrance spray. This was corrected, when the administrator used the key to lock the storage 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.

Center did not maintain a record of daily attendance.

“The attendance was not completed for today’s visit in Space #4. There were three children present. This was corrected, the administrator completed the attendance for today’s visit.”

Rule Center did not maintain a record of daily attendance.. 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). The written feeding plan was not posted for two (2) of the five (5) children enrolled required to have a written feeding plan. This was corrected when the administrator made copies of the written feeding plans in the children’s files and posted the written feeding plans.”

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.

Center did not maintain a record of daily attendance.

“The attendance was not completed for two (2) of the nine (9) children present in Space #2. This was corrected when the administrator completed the daily attendance.”

Rule Center did not maintain a record of daily attendance.. Corrected during the inspection.

Children’s records were not made available for review.

“Children records were not complete for three of the five children files reviewed.”

Rule Children's 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: Jan 20, 2026. Correction verified: by a letter from the provider.

Fire drills were not practiced monthly and/or the drill record was incomplete.

“The last fire drill was dated for November 11, 2025. This was corrected when the administrator conducted a fire drill during today’s visit.”

Rule Fire drills were not practiced monthly and/or the drill record was incomplete.. Corrected during the inspection.

Refrigerator(s) did not maintain a temperature of 45 degrees F. or below.

“In Space #4, the refrigerator was 60 degrees F.”

Rule Refrigerator(s) did not maintain a temperature of 45 degrees F. or below.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Jan 20, 2026. Correction verified: by a letter from the provider.

Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete.

“The shelter-in-place or lockdown drill was not completed every three months. The last lockdown drill was completed on September 11, 2025.”

Rule Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Jan 20, 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.

“There was one staff member that did not complete the training within 90 days of employment. The staff member’s date of hire was August 4, 2025.”

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: Jan 20, 2026. Correction verified: by a letter from the provider.

All children were not held or placed in feeding chairs or other appropriate apparatus to be fed.

“Two (2) infant age children were given bottles. Both could hold their own bottle. One was observed in a “bounce” seat with the volunteer seated in front of the child. The second was placed on the floor on a “bop” pillow near a window, and no caregiver was near the child.”

Rule All children were not held or placed in feeding chairs or other appropriate apparatus to be fed.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Jun 10, 2025. 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.

“Emergency information form was not on file for the volunteer.”

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.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Jun 10, 2025. 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 #4, an outlet was uncovered and accessible to children in the play area behind the feeding chairs. In Space #1, an outlet was uncovered and accessible to children near the dramatic play area.”

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: Jun 10, 2025. Correction verified: by a letter from the provider.

Food substitution was not of comparable food value or recorded on the menu prior to the meal or snack being served.

“When asked for specific foods to be served at lunch, the operator stated “we can do turkey sandwiches.” When prompted about a specific fruit and/or vegetable, the operator stated “we can do broccoli and fruit cocktail.” Information was not posted on the menu for parents to see.”

Rule Food substitution was not of comparable food value or recorded on the menu prior to the meal or snack being served.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Jun 10, 2025. 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.

“Six (6) children, under two years of age, were present with one staff member. A volunteer was present when we arrived. Because sufficient staff were not present to maintain staff/child ratios in this space, the administrator entered and left the space and kept one child with her. Children removed from the space were rotated, and therefore, the child removed from the space did not have continuous access to toys, materials, activities, and their daily routine.”

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: Jun 10, 2025. Correction verified: by a letter from the provider.

Menus for all meals and snacks were not planned at least 1 week ahead and dated.

“The menu for the current week did not reflect complete meals served for lunch. Today’s menu stated “milk” and “sandwiches.” Other days this week also reflected “milk” and one component.”

Rule Menus for all meals and snacks were not planned at least 1 week ahead and dated.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Jun 10, 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.

“A volunteer was present and the administrator stated she volunteers more than once per week. A TB test or screening was not 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: Jun 10, 2025. Correction verified: by a letter from the provider.

On or before the first day of work, the operator did not verify the age of the volunteer and/or substitute provider and/or documentation of date of birth was not maintained in the individual’s personnel file.

“A volunteer was present during the visit and no documentation of age verification was on file.”

Rule On or before the first day of work, the operator did not verify the age of the volunteer and/or substitute provider and/or documentation of date of birth was not maintained in the individual's personnel file.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Jun 10, 2025. Correction verified: by a letter from the provider.

Substitute providers and volunteers did not have a health questionnaire on or before the first day of work and annually thereafter.

“The volunteer did not have a health questionnaire on file.”

Rule Substitute providers and volunteers did not have a health questionnaire on or before the first day of work and annually thereafter.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Jun 10, 2025. Correction verified: by a letter from the provider.

Substitutes and volunteers counted in ratio were not informed of the center’s EPR Plan and its location.

“Documentation of this notice was not maintained on file or in a file designated for emergency preparedness and response plan documents. There was no documentation on file attesting the volunteer was informed of the center’s EPR Plan and location.”

Rule Substitutes and volunteers counted in ratio were not informed of the center's EPR Plan and its location.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Jun 10, 2025. Correction verified: by a letter from the provider.

When three year old children and older were in care, the materials and equipment in the activity area was not in sufficient quantity to allow at least three children to use the area regardless of whether the children choose the same or different activities.

Rule When three year old children and older were in care, the materials and equipment in the activity area was not in sufficient quantity to allow at least three children to use the area regardless of whether the children choose the same or different activities.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Jun 10, 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.

“Two (2) aerosol cans of Lysol Disinfectant, a spray bottle of Lysol Disinfectant All Purpose Cleaner, and an aerosol can of glass cleaner were not stored in a locked room or cabinet. This was corrected when the Assistant Director removed the items listed from the unlocked staff bathroom at the entrance of the facility and Space #4 and placed them inside a locked cabinet in Space #2.”

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.

Daily records of arrival and departure times for children at the center were not maintained as children arrive and depart and/or were not made available for review.

“Daily records of arrival and departure times for children at the center were not maintained as children arrived and/or departed on March 10-28, 2025.”

Rule Daily records of arrival and departure times for children at the center were not maintained as children arrive and depart and/or 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: Apr 10, 2025. 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.

“Four bottles of formula sent from a child’s home were labeled and dated March 17, 2025 and March 24, 2025.”

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: Apr 10, 2025. Correction verified: by a letter from the provider.

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

“The director did not have an annual health questionnaire on file following the initial medical statement. The health questionnaire on file was dated September 14, 2023. This was corrected by having the Director to complete an updated health questionnaire.”

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.

“The Director did not update the required Emergency Information Form on file at least annually. This was corrected by having the Director to update the required Emergency Information form today. This is a repeated violation from March 1, 2024 and May 2, 2024.”

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.

Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements.

“Monthly playground inspections were not made available for review upon request.”

Rule Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Jan 13, 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.

“A staff member, identified on the staff and training worksheet, did not receive at least 16 hrs. orientation within first 6 weeks. The staff member’s date of employment was October 28, 2024. This is a repeated violation from June 17, 2024.”

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: Jan 17, 2025. Correction verified: by a letter from the provider.

Daily records of arrival and departure times for children enrolled at the center were not maintained as children arrive and depart and/or were not made available for review.

“Daily records of arrival times for children enrolled and present at the center were not maintained as children arrived this morning. In Space #2, four children, ages two to four-years-old, were present; however, two children, two and three-years-old, were not signed-in for care.”

Rule Daily records of arrival and departure times for children enrolled at the center were not maintained as children arrive and depart and/or 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: Dec 30, 2024. Correction verified: by a letter from the provider.

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

“The activity plan posted in Space #4 was dated November 11-15, 2024. This is a repeated violation from 3/1/2024 and 8/1/2024.”

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: Dec 4, 2024. Correction verified: by a letter from the provider.

Potential biocontaminants were not stored properly (locked storage, removed from premises, inaccessible to children, or covered plastic lined receptacle).

“In Space #1, soiled diapers, pull-ups, and baby wipes were observed in an open white plastic trash bag sitting on top of the covered receptacle, accessible to children in care. When prompted, the administrator tied up the trash bag and placed it inside a covered plastic lined receptacle in Space #1.”

Rule Potential biocontaminants were not stored properly (locked storage, removed from premises, inaccessible to children, or covered plastic lined receptacle).. Corrected during the inspection.

A First Aid information sheet was not posted in a place for referral and/or the information sheet did not include all the required information.

“First Aid information sheet is not posted anywhere in the facility.”

Rule A First Aid information sheet was not posted in a place for referral and/or the information sheet did not include all the required information.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Nov 22, 2024. Correction verified: by a letter from the provider.

Child was handled roughly.

“On October 17, 2024, a staff member handled two three-year-old children in a rough manner.”

Rule Child was handled roughly.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Mar 12, 2025. Correction verified: by a letter from the provider.

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

“A valid qualification letter for the teacher, identified on the staff and training worksheet, was not on file at the facility.”

Rule A valid qualification letter was not on file and available to review at the facility.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Oct 30, 2024. 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).

“Prior to the expiration date of the qualification letter dated 2/13/19, a teacher, identified on the staff and training worksheet, did not complete and submit 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: Oct 30, 2024. Correction verified: by a letter from the provider.

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

“On August 26, 2024 a child received an injury that required medical treatment. An incident report was completed; however, it was not mailed to the child care consultant.”

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: Dec 20, 2024. Correction verified: by a letter from the provider.

Incident logs were not completed and maintained as required.

“The facility didn’t have a incident log on file.”

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: Sep 16, 2024. Correction verified: by a letter from the provider.

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

“In Space #4, the teacher did not wash an infant’s hands with soap and water after a diaper change prior to placing the child back into the active play area. When prompted, the teacher picked the infant up and carried the child to the sink and washed her hands with soap and water.”

Rule A child's hands were not washed after each diaper change.. Corrected during the inspection.

Center staff did not comply with the safe sleep policy.

“In Space #4, the teacher placed an infant, three-months-old, on his stomach to sleep in his assigned crib. When prompted, the administrator removed the child from the crib and placed him on the carpeted floor in the active play area.”

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

Appropriate discipline practices were not followed.

“Appropriate discipline practices were not followed on August 14 and August 15, 2024. Four children, ages two to four-years-old, were forced to stand with their faces/noses touching a wall and/or corner for fourteen to twenty-four minutes in Spaces #1 and #2.”

Rule Appropriate discipline practices were not followed.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Aug 28, 2024. Correction verified: at a follow-up visit by DCDEE.

Child was handled roughly.

“In Space #2, four children, ages two to four-years-old, were snatched/yanked up from the table by the arm and forced to stand with their faces/noses touching the wall and/or corner of the room.”

Rule Child was handled roughly.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Aug 28, 2024. Correction verified: at a follow-up visit by DCDEE.

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

“In Space #4, there were six children, ages three months to eighteen months, present with one staff member, while the second staff member took out the garbage. This is a repeated violation from May 2, 2024 and June 11, 2024.”

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

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

“In Space #2, the posted activity plan was dated July 22-26, 2024. When prompted, the administrator located the activity plan dated July 29-August 2, 2024, in the Director’s office and posted it on the information board in Space #2.”

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

“Application for a child, two-years-old, did not have a medical action plan attached for the allergy that requires specialized health services. The child’s date of enrollment was August 1, 2024.”

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: Aug 2, 2024. Correction verified: by a letter from the provider.

Beds, cots and mats were not in good repair, properly handled, stored, or clean and sanitized between users.

“In Space #1, cots with linens were not stored to prevent contamination. The linens on Cot #2, #5, #6, #10, and #13 were stored so that the linens were touching the ones on the cot stored underneath each other. When prompted, the administrator removed the linens from the cots and placed them in the laundry to be sanitized prior to being used for rest/nap time.”

Rule Beds, cots and mats were not in good repair, properly handled, stored, or clean and sanitized between users.. Corrected during the inspection.

Food substitution was not of comparable food value or recorded on the menu prior to the meal or snack being served.

“Food substitution was not recorded on the menu prior to the snack being served. When prompted, the administrator updated the menu in the entranceway and kitchen to reflect the substitutions served during PM snack.”

Rule Food substitution was not of comparable food value or recorded on the menu prior to the meal or snack being served.. Corrected during the inspection.

Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional.

“An epi-pen for a child, two-years-old, in Space #1 was not in the original labeled container and accompanied by signed and dated written instructions from prescribing physician.”

Rule Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Aug 2, 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.

“The cook did not have a medical report on file prior to employment that was signed by a health care professional. The cook’s date of employment was May 27, 2024 and the medical report was dated June 17, 2024. This is a repeated violation from May 2, 2024, and May 7, 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.

The center did not complete an EPR Plan within four months of completing the EPR in Child Care training and/or the Plan was not completed on a template provided by the Division.

“The Owner and Administrator completed the EPR in Child Care training on February 17, 2024. They did not complete an EPR Plan within four months (June 17, 2024) of completing the EPR in Child Care training on the template supplied by the Division.”

Rule The center did not complete an EPR Plan within four months of completing the EPR in Child Care training and/or the Plan was not completed on a template provided by the Division.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Jul 11, 2024. 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 hire date on 2/13/2024 who care for infants did not completer the ITS_SIDS training within two months of hire.”

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: Jun 25, 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.

“One staff member who was hired 2/13/2024 has not completed 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: Jun 19, 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 staff member who hire date was 2/13/2024, did not complete orientation within the first 6 weeks of hire.”

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: Jun 19, 2024. Correction verified: by a letter from the provider.

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

“Staff and children did not was there hands after diaper changing, upon enter the kitchen for snack. Handwashing routines were observed before and after diaper changing and before and after snack. All staff and children washed there hands today.”

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: Jun 17, 2024. Correction verified: at a follow-up visit by DCDEE.

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

“Staff records were not available upon request, however the administrator brought the files from the licensed facility. One staff did not have a file to review. This was corrected when we were able to monitor the one staff file that was not given to us during the visit on 6/11/2024.”

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: Jun 17, 2024. Correction verified: at a follow-up visit by DCDEE.

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

“Eight children age birth to two were grouped with children 3 and 4 years of age. All children during today’s visit 6/16/2024, were group with the right age group of children.”

Rule Children between 12 and 24 months of age were grouped with children 3 years of age or older.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Jun 17, 2024. Correction verified: at a follow-up visit by DCDEE.

Children used space that was not approved.

“Fourteen children that are enrolled at A Place to Grow Daycare, were cared for in an unlicensed space. All children present during today’s visit was in an approved space.”

Rule Children used space that was not approved.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Jun 17, 2024. Correction verified: at a follow-up visit by DCDEE.

Children were not adequately supervised at all times.

“One infant was left in a crib with no staff present for about 2 minutes. All children were being supervised by the teachers who were caring for each group of children”

Rule Children were not adequately supervised at all times.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Jun 17, 2024. Correction verified: at a follow-up visit by DCDEE.

Daily records of arrival and departure times for children enrolled at the center were not maintained as children arrive and depart and/or were not made available for review.

“There were not records for parent to sign in or out the children that were in care. The staff has a clip board with a sign-in/out form at the front entrance of the facility where parents sign for each classroom.”

Rule Daily records of arrival and departure times for children enrolled at the center were not maintained as children arrive and depart and/or 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: Jun 17, 2024. Correction verified: at a follow-up visit by DCDEE.

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.

“Electrical outlets throughout all spaces did not have a safety plug cover. In all spaces that were being used by children electrical outlets covered. This was corrected during today’s by doing a walk through of the facility and monitoring all 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: Jun 17, 2024. Correction verified: at a follow-up visit by DCDEE.

Meals/snacks did not comply with the Meal Patterns for Children in Child Care Programs.

“Snack served was animal crackers and milk. This was corrected while monitoring the meal served during today’s visit.”

Rule Meals/snacks did not comply with the Meal Patterns for Children in Child Care Programs.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Jun 17, 2024. Correction verified: at a follow-up visit by DCDEE.

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

“Fourteen children were grouped together age birth through four with two staff member from 2:30 p.m. until all children were picked up. The facility followed requirements for staff/child ratios and group sizes on 6/17/2024”

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: Jun 17, 2024. Correction verified: at a follow-up visit by DCDEE.

Rule violated (DCDEE’s description below)

“Three or more children less than 13 years old, who do not reside where the care is provided, received care on a regular basis of at least once per week for more than four hours but less than 24 hours per day from persons other than their guardians or full-time custodians, or from persons not related to them. Fourteen children ages birth through four years of age who are enrolled at A Place to Grow Daycare LLC was being cared for in an unlicensed space”

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: Jun 12, 2024. Correction verified: at a follow-up visit by DCDEE.

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

“A teacher physically pushed another teacher out of the classroom (Space #1) and locked the doors to the classroom, preventing others from gaining access, while nine children, ages two to three-years-old were in care.”

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: Jun 3, 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 teacher in Space #1 was verbally and physically aggressive toward another staff member in the presence of nine children, ages two to three-years-old.”

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: Jun 3, 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.

“A child care provider, identified on the staff and training worksheet for new staff, did not have a medical report on file prior to employment, May 7, 2024, that was signed by a health care professional. This is a repeated violation from May 2, 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 8, 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.

“On or before the first day of work, an employee, identified on the staff and training worksheet for new staff, did not provide results indicating that they were free of active TB. This is a repeated violation from May 2, 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.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: May 10, 2024. Correction verified: by a letter from the provider.

Accurate records were not maintained for all children.

“Accurate attendance records were not maintained for children enrolled in Space #4. Twelve children were marked present; however, eleven children were in care.”

Rule Accurate records were not maintained for all children.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: May 7, 2024. Correction verified: at a follow-up visit by DCDEE.

Application for enrollment did not include all required information.

“Application for enrollment for two children, identified on the children’s records worksheets, did not include any particular fears the child has, unique behavior characteristics, and health care concerns.”

Rule Application for enrollment did not include all required information.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: May 9, 2024. Correction verified: by a letter from the provider.

Authorization for emergency medical care information was not signed by child’s parent.

“Authorization for emergency medical care information for one child, identified on the children’s records worksheets, was not signed by the child’s parent.”

Rule Authorization for emergency medical care information was not signed by child's parent.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: May 9, 2024. Correction verified: by a letter from the provider.

Beds, cots and mats were not in good repair, properly handled, stored, or clean and sanitized between users.

“In Space #1, cots with linens were not stored to prevent contamination. When prompted, the administrator removed the bucket of crayons, children’s blankets and clothing, and artwork that were stored on top of the stacked cots with linens causing contamination. Additionally, the linen on the top cot was removed and replaced with a clean linen prior to rest time.”

Rule Beds, cots and mats were not in good repair, properly handled, stored, or clean and sanitized between users.. 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.

“The medical report for a teacher, identified on the staff and training worksheet, was older than 12 months. The medical report was dated May 19, 2021 and the teacher’s date of employment was April 29, 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 3, 2024. Correction verified: at a follow-up visit by DCDEE.

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.

“The required Emergency Information Form was not on file for a teacher, identified on the staff and training worksheet, on or before the first day of work (4-29-24).”

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.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: May 7, 2024. Correction verified: at a follow-up visit by DCDEE.

Daily records of arrival and departure times for children enrolled at the center were not maintained as children arrive and depart and/or were not made available for review.

“Daily records of arrival and departure times for children enrolled at the center were not maintained as children arrived and departed. During today’s visit, the departure time for a child, twenty-months old, was not recorded. Additionally, nine children were signed in for care in Space #4; however, eleven children were present.”

Rule Daily records of arrival and departure times for children enrolled at the center were not maintained as children arrive and depart and/or 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 7, 2024. Correction verified: by a letter from the provider.

Each child was not immunized as per Article 6 of Chapter 130A and an immunization record was not on file before or within 30 days after admission.

“An immunization record was not on file for one child, identified on the children’s records worksheets, before or within 30 days after admission (DOE 4/1/24).”

Rule Each child was not immunized as per Article 6 of Chapter 130A and an immunization record was not on file before or within 30 days after admission.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: May 6, 2024. Correction verified: by a letter from the provider.

Emergency medical care information was not on file in the center on the child’s first day of attendance and/or was not updated as changes occurred or at least annually for each child.

“Emergency medical care information on file did not include the responsible party’s choice of health care professional for two children, identified on the children’s records worksheets, on the child’s first day of attendance.”

Rule Emergency medical care information was not on file in the center on the child's first day of attendance and/or was not updated as changes occurred or at least annually for each child.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: May 9, 2024. Correction verified: by a letter from the provider.

Medical exam or health assessment record was not on file before or within 30 days after admission.

“Medical exam or health assessment record was not on file for one child, identified on the children’s records worksheet, before or within 30 days after admission (DOE 4/1/24).”

Rule Medical exam or health assessment record was not on file before or within 30 days after admission.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: May 9, 2024. Correction verified: by a letter from the provider.

Menus for all meals and snacks were not current or posted where easily seen by parents and cook.

“The menu posted in the kitchen was dated April 1-5, 2024. No menu was posted where it could be easily seen by the parents. When prompted, a current menu was posted in the kitchen and in the reception area on the parent information board at the entrance of the facility.”

Rule Menus for all meals and snacks were not current or posted where easily seen by parents and cook.. Corrected during the inspection.

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

“In Space #4, eleven children, two-months to twenty-months old, were in care. One child, twenty-months old, was picked up from care at 10:30 a.m.”

Rule Minimum staff/child ratios and group sizes for the number and ages of children in care 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.

“The TB test on file for a teacher, identified on the staff and training worksheet, was older than 12 months. The date of the TB test was May 19, 2021. The teacher’s date of employment was April 29, 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.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: May 6, 2024. Correction verified: at a follow-up visit by DCDEE.

Special diet or food allergy information was not posted where they can be seen in food preparation and eating areas.

“Special diet and food allergy information was not posted in the kitchen where it could be easily seen by the Cook. When prompted, the administrator posted the special diet and food allergy information in the kitchen to the left of the stove and food preparation area.”

Rule Special diet or food allergy information was not posted where they can be seen in food preparation and eating areas.. 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.

“A signed acknowledgement with all the required information was not maintained in three staff person’s files. The three staff members were identified on the staff and training worksheet.”

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.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: May 7, 2024. Correction verified: at a follow-up visit by DCDEE.

When three year old children and older were in care, the materials and equipment in the activity area was not in sufficient quantity to allow at least three children to use the area regardless of whether the children choose the same or different activities.

“In Space #2, the materials and equipment in the language/book activity area were not in sufficient quantity to allow at least three children to use the area regardless of whether the children choose the same or different activities. Only one activity was provided for the children.”

Rule When three year old children and older were in care, the materials and equipment in the activity area was not in sufficient quantity to allow at least three children to use the area regardless of whether the children choose the same or different activities.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: May 10, 2024. Correction verified: by a letter from the provider.

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

“An activity plan was not posted for each group of children in Spaces #1, #2, and #4.”

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

A summary of the NC Child Care Law was not given to a parent of every child enrolled in the center.

“A summary of the NC Child Care Law was not given to a parent of a child, identified on the children’s records worksheet, enrolled in the center on February 16, 2024.”

Rule A summary of the NC Child Care Law was not given to a parent of every child enrolled in the center.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Mar 7, 2024. Correction verified: by a letter from the provider.

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

“The teacher assigned to Space #1 did not wash her hands after diapering a child. When prompted, the teacher washed her hands thoroughly before participating in other planned activities with the children.”

Rule All staff did not wash their hands thoroughly after diapering each child.. Corrected during the inspection.

Application for employment and date of birth was not on file for all staff.

“An application for employment was not on file for a staff member, identified on the staff and training worksheet. When prompted, the administrator requested the staff member complete a new application. A new application was completed by the staff member and placed in the staff member’s personnel file.”

Rule Application for employment and date of birth was not on file for all staff.. Corrected during the inspection.

Application was not signed by the parent.

“Application on file for a child, identified on the children’s records worksheet, was not signed by the parent.”

Rule Application was not signed by the parent.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Mar 7, 2024. Correction verified: by a letter from the provider.

Authorization for emergency medical care information was not signed by child’s parent.

“Authorization for emergency medical care information for a child, identified on the children’s records worksheet, was not signed by child’s parent.”

Rule Authorization for emergency medical care information was not signed by child's parent.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Mar 8, 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.

“The required Emergency Information Form on file for a child care provider, identified on the staff and training worksheet, was incomplete and did not include the required information. When prompted, the child care provider completed the required information on the form and it was placed inside the child care provider’s 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 new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas.

“Three employees, identified on the staff and training worksheet, did not complete, within the first two weeks of employment, six clock hours of training in required topic areas.”

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: Mar 15, 2024. Correction verified: by a letter from the provider.

Emergency medical care information was not on file in the center on the child’s first day of attendance and/or was not updated as changes occurred or at least annually for each child.

“Emergency medical care information was not on file in the center for the child, identified on the children’s records worksheet, on the child’s first day of attendance.”

Rule Emergency medical care information was not on file in the center on the child's first day of attendance and/or was not updated as changes occurred or at least annually for each child.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Mar 8, 2024. Correction verified: by a letter from the provider.

Menus for all meals and snacks were not current or posted where easily seen by parents and cook.

“The menu posted in the kitchen was dated February 19-23, 2024. No menu was posted where it could be easily seen by the parents.”

Rule Menus for all meals and snacks were not current or posted where easily seen by parents and cook.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Mar 5, 2024. Correction verified: by a letter from the provider.

Operational policies were not discussed with parents on or before the child’s first day and/or they were not notified in writing of all changes.

“Operational policies were not discussed with parents of children, identified on the children’s records worksheet, on or before the child’s first day.”

Rule Operational policies were not discussed with parents on or before the child's first day and/or they were not notified in writing of all changes.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Mar 8, 2024. Correction verified: by a letter from the provider.

Parent participation plan was not discussed with parents on or before the child’s first day of attendance and/or a copy was not given to them or posted in the center.

“Parent participation plan was not discussed with parents of children, identified on the children’s records worksheet, on or before the child’s first day of attendance.”

Rule Parent participation plan was not discussed with parents on or before the child's first day of attendance and/or a copy was not given to them or posted in the center.. 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.

Signed and dated statement by parent that discipline policy received and explained at enrollment was not in child’s file.

“Signed and dated statement by parent that discipline policy was received and explained at enrollment was not in children’s files, identified on the children’s records worksheet.”

Rule Signed and dated statement by parent that discipline policy received and explained at enrollment was not in child's file.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Mar 1, 2024. Correction verified: by a letter from the provider.

The operator did not notify the parent of each child enrolled in writing of the smoking and tobacco restriction.

“The operator did not notify the parent of each child, identified on the children’s records worksheet, in writing of the smoking and tobacco restriction.”

Rule The operator did not notify the parent of each child enrolled in writing of the smoking and tobacco restriction.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Mar 8, 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.

“The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children. The signed acknowledgement for three new staff, identified on the staff and training worksheet, was reviewed and dated after providing care with children.”

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.