Childcare Network #109

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

“The most current activity plan posted in space #3b was dated May 11, 2026. The violation was corrected when the teacher posted a current activity plan in the classroom.”

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

“Accessible to children in spaces #3a, staff members’ personal purses were stored in an unlocked closet. In space #8, a staff member’s purse was stored on top of open shelves which were not locked. The violation was corrected when staff removed their purses and placed them in a clocked cabinet in the classroom.”

Rule All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet.. Corrected during the inspection.

Child care providers, 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.

“Four (4) staff members did not complete the required Emergency Information form on or before their first day of work. The violation was corrected when teacher completed the Emergency Information form during today’s visit.”

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.

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’s most current fire inspection was completed on May 20, 2026 and a copy of the report was not submitted within one week of the inspection visit. The violation was completed when a copy of the report was submitted during the visit.”

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

Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age.

“Accessible to children in space #3a, a box of plastic gloves were stored in the diaper changing area. The violation was corrected when the teacher moved the gloves and placed them in a cabinet five feet above the finished floor and in close proximity to the diapering area.”

Rule Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age.. Corrected during the inspection.

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

“An incident report was not received within seven days after an incident that occurred on January 12, 2026 following the child receiving medical treatment on January 15, 2026. The violation was corrected during the visit when the administrators provided a copy of the incident report.”

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

Incident reports were not completed each time a child was injured, it did not include all the information required in rule, it was not signed by the parent and/or it was not maintained in the child’s file.

“An incident report completed May 1, 2026 did not contain required information as outlined in NC Child Care Rule. Additional incident reports on file completed January 2026 to May 2026 did not contain required information as outlined in NC Child Care Rule.”

Rule Incident reports were not completed each time a child was injured, it did not include all the information required in rule, it was not signed by the parent and/or it was not maintained in the child's file.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: May 20, 2026. Correction verified: by a letter from the provider.

A child was handled in a rough way, including shaking, pushing, shoving, pinching, slapping, biting, kicking, or spanking.

“At least two staff members were observed grabbing children roughly on multiple occasions.”

Rule A child was handled in a rough way, including shaking, pushing, shoving, pinching, slapping, biting, kicking, or spanking.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: May 13, 2026. Correction verified: by a letter from the provider.

Children were disciplined by leaving them alone in a room separated from staff.

“A staff member placed two-year-old children in a bathroom alone, behind a locked door, until they stopped crying as a disciplinary method.”

Rule Children were disciplined by leaving them alone in a room separated from staff.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: May 13, 2026. Correction verified: by a letter from the provider.

Discipline was delegated to another child.

“A staff member held a four-year-old child with a disability and instructed another child to hit the child they were holding.”

Rule Discipline was delegated to another child.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: May 13, 2026. 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.

“Multiple staff members were observed yelling at children on multiple occasions.”

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: May 13, 2026. Correction verified: by a letter from the provider.

A statement acknowledging the parental decision to opt out of the supplemental food provided by the center was not signed by the parent and/or maintained on file at the center.

“A Nutrition Opt Out form was not on file for one child who’s family provides all meals consumed while present at the facility.”

Rule A statement acknowledging the parental decision to opt out of the supplemental food provided by the center was not signed by the parent and/or maintained on file at the center.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Apr 21, 2026. 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.

“Accessible to children in space #2, a staff member’s purse was stored in a cabinet underneath the hand washing sink. In space #7, an aerosol can of Febreze room spray was stored in an unlocked cabinet. The violations were corrected when staff removed items and placed them in lock cabinets.”

Rule All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet.. Corrected during the inspection.

All staff 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. Verification of completion of CPR training was not on file for one staff member hired February 10, 2025.”

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: Apr 21, 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. Verification of completion of First Aid training was not on file for one staff member hired February 10, 2025.”

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: Apr 21, 2026. 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.

“Classroom walls and interior doors throughout the building had chipping and peeling paint.”

Rule All walls and ceilings including doors and windows were not kept clean, free of visible fungal growth, and in good repair.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: May 8, 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.

“A medical report for two (2) employees were not on file prior to employment.”

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: Apr 21, 2026. Correction verified: by a letter from the provider.

Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization.

“A bottle of Zytec syrup prescribed for one child expired March 2026. A bin of diaper creams and ointments of children who are not longer enrolled were not discarded within 72 hours of completion or withdrawal of authorization.”

Rule Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Apr 21, 2026. 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.

“Documentation of an up-to-date TB test or screening was not on file for one staff member hired March 17, 2026.”

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: Apr 21, 2026. 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.

“Accessible to children in space #3a and #3b, plastic bags containing children clothes were stored in cubbies and plastic bags of diapers were stored in a cabinet underneath the hand washing sink. The violation was corrected when staff removed the items from the plastic bags.”

Rule Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age.. Corrected during the inspection.

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

“Medication on file for one child was not stored in the original container or accompanied by signed, dated, written instructions from prescribing physician or health care professional.”

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: Apr 21, 2026. Correction verified: by a letter from the provider.

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

“All staff required to receive on-going training did not complete the required number of hours according to their education and experience.”

Rule Staff required to receive on-going training had not completed the required number of hours according to their education and experience.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: May 8, 2026. Correction verified: by a letter from the provider.

The EPR Plan did not include the location of the Ready to Go File and or the required information.

“The EPR Plan and Ready to Go File completed January 15, 2025 did not contain up-to-date information for the facility.”

Rule The EPR Plan did not include the location of the Ready to Go File and or the required information.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Apr 21, 2026. Correction verified: by a letter from the provider.

The indoor and/or outdoor premises was not checked once a day, prior to initial use, ensuring debris, and broken equipment was removed and disposed of.

“Accessible to children in the outdoor play area, broken hallow stacking blocks exposing jagged edges, broken easel and child-sized table, classroom rugs, and a broken umbrella were not removed and discarded. The violation was corrected when staff removed the items from the outdoor area and placed them in the dumpster area.”

Rule The indoor and/or outdoor premises was not checked once a day, prior to initial use, ensuring debris, and broken equipment was removed and disposed of.. Corrected during the inspection.

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

“The Administrator did not have a valid qualification letter on file during the initial site visit on November 18, 2025, the letter submitted did not display information at the top, a new qualification letter was submitted on November 19, 2025 with an expiration date of September 6, 2024.”

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

Prior to the expiration date of the qualification letter, the child care provider did not complete and submit required forms to complete a criminal background check (a qualification letter is valid for a maximum of five years for the date of issuance).

“The Administrator failed to submit required forms to complete a criminal background check for over a year after it expired. The renewal originally expired on September 6 2024, the documentation to renew the criminal background check was not submitted to the Division until October 24, 2025.”

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: Dec 1, 2025. 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.

“An incident report was not completed when a child was given fish a known allergy by staff member and parent informed child was taken to ER/medical care and a copy was not mailed to Division within seven days following the incident.”

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: Nov 24, 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.

“On September 26, 2025, a child with a known allergy was provided a food substitution that was not of comparable food value to the allergen listed on the menu.”

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: Feb 17, 2026. Correction verified: by a letter from the provider.

Incident logs were not completed and maintained as required.

“Incident log was also not completed for child being given fish, a known allergy by staff member.”

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: Nov 24, 2025. 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.

“Staff/child ratios for one group size exceeded twelve to one staff for the number of children allowed in a classroom the first and last hours of the day.”

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: Nov 24, 2025. Correction verified: by a letter from the provider.

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

“The allergy listing was posted, however, staff member failed to follow the posting and fed a known allergen to a child.”

Rule Special diet or food allergy information was not posted where they can be seen in food preparation and eating areas.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Nov 24, 2025. Correction verified: by a letter from the provider.

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

“Accessible to children indoors, the kitchen door was not locked. In the outdoor play area, a portable basketball goal was not secured and was weighted down with two (2) concrete landscaping bricks. In the infant/toddler outdoor space, the drainage pipes created a hole that caused a potential tripping hazard. The violations were corrected when the administrator placed a rug over the drain hole, removed the landscaping bricks from the play area, and locked the kitchen door.”

Rule A safe indoor and outdoor environment was not provided for the children.. Corrected during the inspection.

Outdoor play area did not provide an area that is shaded.

“During today’s visit, no shade structure was available on the playground used for infants and toddlers.”

Rule Outdoor play area did not provide an area that is shaded.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Dec 5, 2025. Correction verified: by a letter from the provider.

The depth of the loose surfacing was not based on critical height of the equipment.

“The depth of the mulch underneath the climbing structure was less than the required 12 inches.”

Rule The depth of the loose surfacing was not based on critical height of the equipment.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Nov 19, 2025. Correction verified: by a letter from the provider.

A child care operator did not notify the Division of any new child care providers, as defined in G.S.

“110-90.2(a)(2), who were hired or moved into the child care facility within five business days. The ABCMS portal was not updated with current staff employed at the facility including staff who were hired within five business days.”

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: Oct 24, 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.

“Accessible to children in care, two containers of Clorox disinfecting wipes and a bottle of toy disinfecting solution was stored on a table in the administrator’s unlocked office. The violation was corrected when the administrator removed the containers and placed them in the locked closet inside the office.”

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.

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

“In space #9, I observed a teacher complete diapering routines with a child and when finished, the child returned to the carpet without washing their hands. The violation was corrected when the teacher assisted the child with washing their hands and then returned him/her to the carpet.”

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

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

“In space #9, I observed a teacher complete diapering routines with a child. The teacher did not complete the step of wiping their hands and then the child’s hands each with a separate disposable towelette or moistened paper towel. This is a violation of a requirement in 15A NCAC 18A .2819(d)(5).”

Rule A violation was found for which there is no item number.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Apr 29, 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.

“Accessible to preschool-aged children in space #3b, a teacher’s purse was hanging on the bathroom door not in locked storage. The violation was corrected when the administrator placed the teacher’s purse in a locked cabinet inside the classroom.”

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.

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

“In space #9, I observed a teacher complete diapering routines without cleaning and disinfecting all diaper changing surfaces. The violation was corrected when the teacher reviewed the diapering chart and completed steps in cleaning and disinfecting the diaper changing mat and table surfaces.”

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

“One child’s bottle was stored in the refrigerator without the child’s name or date. The violation was corrected when the teacher put the child’s name and date on the bottle.”

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.

Music and rhythm activities were not available weekly to each group.

“A music/karaoke machine was present for music and movement. No other music and movement materials were present or made available for children at least weekly in space #6.”

Rule Music and rhythm activities were not available weekly to each group.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: May 1, 2025. Correction verified: by a letter from the provider.

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.

“Accessible to preschool aged children in space #3b, an unlocked storage closet contained loose trash bags on the floor and trash bags containing toys and stuffed animals. The violation was corrected when the administrator removed the loose trash bags and placed the trash bags containing toys on a shelf that was over 5 feet from 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.. Corrected during the inspection.

Sand and water play activities were not available weekly to each group.

“There were no furnishings or materials related to sand and water activities available for children at least weekly in space #6.”

Rule Sand and water play activities were not available weekly to each group.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: May 1, 2025. Correction verified: by a letter from the provider.

Science and nature activities were not available weekly to each group.

“A bin each of magnifying glasses, colored magnetic tiles, and toy whales were present for science and nature. No other science and nature materials were present or made available for children at least weekly in space #6.”

Rule Science and nature activities were not available weekly to each group.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: May 1, 2025. Correction verified: by a letter from the provider.

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 #6, the book area did not have three (3) related activities for at least three children to use. The dramatic play/family living area did not have sufficient quantity of materials to at least allow three (3) children to use. The book area contained 14 books and no other materials. The dramatic play/family living area contained a variety of pots, pans, eating utensils, pretend foods, 4 dolls with 2 pieces of doll clothing, 2 dress-up garments, and two hats.”

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

Bed, cribs, playpens, cots or mats were not placed at least 18” apart or separated by partitions when in use.

“In space #9, I observed three (3) children resting on individual cots that were placed 7”, 9”, and 11” apart. The violation was corrected when the teacher and administrator placed partitions in between each child who were resting on cots.”

Rule Bed, cribs, playpens, cots or mats were not placed at least 18" apart or separated by partitions when in use.. Corrected during the inspection.

Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age.

“Accessible to children under three years of age, plastic shopping bags and lamination pages were stored on the countertops near the sink in space #6. The violation was corrected when the assistant director and the teacher removed the items from the countertop and placed them in cabinets that were at least 5ft. from 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.. 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.

“A child care provider, identified on the staff and training worksheet, did not have a medical report on file prior to employment, September 17, 2024. The medical report on file was dated September 26, 2024. This is a repeated violation from July 10, 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.

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 child care provider, identified on the staff and training worksheet, did not provide results indicating that they were free of active TB on or before the first day of work, September 17, 2024. The results on file were dated September 24, 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.

All walls and ceilings including doors and windows were not kept clean, free of visible fungal growth, and in good repair.

“The paint on the walls and window sills in Spaces #3B, #4, #7, and #9 was peeling and flaking.”

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: Sep 4, 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. The child care administrator did not complete the ITS-SIDS training every three years. The ITS-SIDS certification on file is dated October 19, 2020.”

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: Aug 19, 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.

“Two bottled beverages in Spaces #1 and #2 were not dated and/or labeled for the appropriate child. When prompted, the teachers dated the bottle in Space #1 and dated and labeled the bottle for the appropriate child in Space #2.”

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.

Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule.

“In Space #1, the medication authorization on file to administer a topical ointment (Aquaphor) for two children, identified on the enrollment record, did not include the date of parent authorization or the length of time the authorization is valid.”

Rule Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Aug 26, 2024. Correction verified: by a letter from the provider.

Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container.

Rule Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container.. Corrected during the inspection.

Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age.

“In Space #2, there was a plastic Walmart bag with two packs of paper plates and two packs of napkins with plastic outer wrapping stored inside a child’s cubby, accessible to children under three years of age.”

Rule Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age.. Corrected during the inspection.

Storage space was not available for each child’s personal belongings.

“Adequate storage space was not available for each child’s personal belongings. In Space #1, six children’s bookbags with their personal items stored inside were hanging from three separate hooks. The children’s personal belongings were not stored to prevent contamination.”

Rule Storage space was not available for each child's personal belongings.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Aug 26, 2024. Correction verified: by a letter from the provider.

When children 3 years and older were in care, screen time was not used to stimulate a developmental domain; was not limited to 30 minutes a day and no more than a total of two and a half hours per week, per child; and/or was not documented on a cumulative log or the activity plan that is available for review.

“In Space #7, ten children, three-years-old, watched “Peppa Pig” on a tablet provided by the facility while waiting for lunch to be served. The screen time activity was not documented on a cumulative log or the activity plan that was available for review.”

Rule When children 3 years and older were in care, screen time was not used to stimulate a developmental domain; was not limited to 30 minutes a day and no more than a total of two and a half hours per week, per child; and/or was not documented on a cumulative log or the activity plan that is available for review.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Aug 26, 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 staff member, identified on the staff and training worksheet, did not have a medical report on file prior to employment (July 2, 2024) that was signed by a health care professional.”

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: Jul 17, 2024. Correction verified: by a letter from the provider.

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

“A current activity plan was not posted in Space #6. The posted activity plan was dated April 29-May 3, 2024. When prompted, B. McNeill located the current activity plan (May 13-17, 2024), and posted it on the Teacher and Parent Information Boards.”

Rule A current activity plan was not posted for each group of children for reference.. Corrected during the inspection.