Creative Blocks For Tots Learning Center

A room was occupied by more children than the space allowed at 25-sq. ft. of floor space per child.

“Two rooms were occupied by more children than the spaces allowed at 25-sq. ft. of floor space per child. Space #2 allowed 9 children at 25-sq. ft. of floor space per child; however, there were 11 children present in the space. Additionally, Space #3 allowed 10 children at 25-sq. ft. of floor space per child and there were 13 children present in the space.”

Rule A room was occupied by more children than the space allowed at 25-sq. ft. of floor space per child.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Dec 31, 2025. Correction verified: by a letter from the provider.

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

“In space #1, There was one teacher present with eight children, three of the children being infants and five of the children being one year of age. In space #2, there was one teacher with eleven children with the youngest child being two years of age and the oldest child being four years of age.”

Rule Enhanced staff/child ratios and group sizes were not met.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Dec 31, 2025. Correction verified: by a letter from the provider.

Someone less than 18 years old was left alone with children and was counted in the staff/child ratio.

“In space #4, the group leader who is seventeen years of age was left alone to care for one school-age child. This was corrected after the administrator was made aware that anyone caring for children and counted in staff child ratio must be 18 years of age and the Administrator went to work in the space with the group leader and stated that is what she will do until the staff is of age.”

Rule Someone less than 18 years old was left alone with children and was counted in the staff/child ratio.. Corrected during the inspection.

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

“The door to kitchen was left open after serving lunch to all classrooms. This was corrected by a staff member locking the kitchen back after being informed of it being open and no one was present in it.”

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

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

“The child care provider who was serving as a teacher in space #2, did not have a qualification letter on file. This was corrected by the caregiver who was caring for children in space #2 left the facility until further notice from the operator.”

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

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

“The caregiver caring for children in space #2, did not have a health questionnaire on file.”

Rule All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Sep 10, 2025. Correction verified: at a follow-up visit by DCDEE.

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

“An application was not on file for the staff member who was caring for children in space #2.”

Rule Application for employment and date of birth was not on file for all staff.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Sep 10, 2025. Correction verified: at a follow-up visit by DCDEE.

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 caregiver in space #2, did not have a medical report on file.”

Rule Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Sep 10, 2025. 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 caregiver caring for children in space #2, did not have a emergency information on 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.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Sep 10, 2025. 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.

“In space #2, there was a child one years of age being care for with children 2 and three years of age. This was corrected by placing the child one year of age from space #2 to space #1.”

Rule Children between 12 and 24 months of age were grouped with children 3 years of age or older.. Corrected during the inspection.

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

“In space #2 their was a caregiver caring for seven children 1 to 3 years of age. It was also stated that often there are infant children cared for in space #3, with children 3 to 5 years of age. This was corrected by the caregiver in space #2, leaving the facility immediately and another staff member moved into space #2 to care for the children.”

Rule Enhanced staff/child ratios and group sizes were not met.. Corrected during the inspection.

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

“In space #2 the children were given the milk cup to drink after all the children had finished their lunch and all plates were cleared from the table.”

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: Sep 10, 2025. Correction verified: at a follow-up visit by DCDEE.

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 caregiver working in space #2, did not have a TB test or Screening on file for review.”

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: Sep 10, 2025. Correction verified: at a follow-up visit by DCDEE.

Prior to employment a Criminal Background Check was not completed.

“While monitoring the ABCMS the the for the provider CBC in space #2, who was serving as a teacher. No information was found in the ABCMS portal. This was corrected by the caregiver who was present without a CBC left the facility and was informed that she could not return until she has her qualification letter in hand.”

Rule Prior to employment a Criminal Background Check was not completed.. Corrected during the inspection.

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. The EPR Plan was not reviewed with the caregiver in space #2.”

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: Sep 11, 2025. Correction verified: by a letter from the provider.

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

“One staff member in space #1, was providing care to a child who was under 12 months of age. The staff member did not have ITS-SIDS training. However, this was corrected by the administrator who has ITS-SIDS training entering into space #1, to help the one staff member and understood that she has to remain in that space until the other staff member receives ITS-SIDS training and the certification in on file for review.”

Rule At least one child care provider, who has completed ITS-SIDS training was not present in the infant room, while children were in care.. 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 teacher, identified on the staff and training worksheet, did not have a medical report on file prior to employment that was signed by a health care professional. Date of hire 9/23/24. This was corrected by having the staff member submit to the administrator a medical report signed by a health care professional on 11/1/24.”

Rule Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months.. Corrected during the inspection.

On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months.

“One staff member, identified on the staff and training worksheet, did not have results indicating that they were free of active TB on file before the first day of employment. Date of hire 9/23/2024. This was corrected by the staff member submitting the TB Test Screening to the Administrator on 11/4/2024.”

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.

A copy of the safe sleep policy was not given to and/or explained to the parent of each child on or before the first day the infant attended the center.

“Signed acknowledgement that the safe sleep policy was given to and explained to the parent of a child, identified on the children’s records worksheet, on or before the first day the infant attended the center (September 19, 2024) was not on file.”

Rule A copy of the safe sleep policy was not given to and/or explained to the parent of each child on or before the first day the infant attended the center.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Sep 19, 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, that enrolled in the center on September 19, 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: Sep 19, 2024. Correction verified: by a letter from the provider.

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

“The application for a child, identified on the children’s records worksheet, did not include health care needs or concerns, symptoms of and the type of response required for the health care needs or concerns. The child’s date on enrollment was September 19, 2024.”

Rule Application did not include health care needs or concerns, symptoms of and the type of response required for the health care needs or concerns.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Sep 19, 2024. Correction verified: by a letter from the provider.

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

“In Space #1, the diaper changing surface was not cleaned with a detergent solution and disinfected after a diapering routine was completed.”

Rule Diaper changing surfaces were not cleaned with a detergent solution and disinfected after each use.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Sep 19, 2024. Correction verified: by a letter from the provider.

Emergency and identifying information, including the child’s name, photograph, emergency contact information and/or a copy of the emergency medical care information form was not in the vehicle for each child being transported.

“Identifying information for a child, identified on the children’s records worksheet, was not in the vehicle during transport.”

Rule Emergency and identifying information, including the child's name, photograph, emergency contact information and/or a copy of the emergency medical care information form was not in the vehicle for each child being transported.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Sep 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.

“A bottle of formula in Space #1 was not dated and labeled for the appropriate child. When prompted, the administrator dated and labeled the bottle of formula for the appropriate child.”

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.

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.

“A signed acknowledgement that operational policies were discussed with parents on or before the child’s first day, September 19, 2024, was not on file for the child, identified on the children’s records worksheet.”

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: Sep 19, 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.

“A signed and dated statement by parent that discipline policy received and explained at enrollment was not on file for a child, identified on the children’s records worksheet. The child’s date of enrollment was September 19, 2024.”

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

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

“In Space #2, storage space was not available for each child’s personal belongings. An individual cubby with two hooks was shared by two children. 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: Sep 19, 2024. Correction verified: by a letter from the provider.

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

“The written feeding plan on file for the child, identified on the children’s records worksheet, did not include the parent signature and was not dated when received by the center.”

Rule The written feeding plan did not include the child's name, parent signature, and/or was not dated when received by the center.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Sep 19, 2024. 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.

“An aerosol dispenser of Febreze Air Mist was stored on top of the paper towel dispenser in the unlocked staff restroom. When prompted, staff removed the aerosol dispenser from the restroom and placed it inside the locked storage room next to the restroom.”

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.

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

“Non-prescription medications (Benzalkonium Chloride Cleanse wound wipes to prevent infection, Sting Relief Medicated pads, Povidone-Iodine Prep Pads, and alcohol wipes) were stored inside the unlocked first aid kits in Spaces #2 and #4. When prompted, staff removed the medications from the first aid kits and placed them inside locked storage.”

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

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

“In Space #2, foam rubber blocks were accessible to children under 3 years of age. When prompted, the foam blocks were removed from the active play area and made inaccessible to the child, two years old.”

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

The activity plan did not provide at least 4 different activities daily listed in GS 110-91(12): art/creative play; books; blocks; manipulatives; and family living and dramatic play, including one of which is outdoors if weather conditions permit.

“The activity plan posted in Space #3 did not provide at least 4 different activities daily listed in GS 110-91(12).”

Rule The activity plan did not provide at least 4 different activities daily listed in GS 110-91(12): art/creative play; books; blocks; manipulatives; and family living and dramatic play, including one of which is outdoors if weather conditions permit.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Aug 6, 2024. 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 #3, the materials and equipment in the Block/Block Building 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. There was one container of small wooden blocks, two push vehicles, and an assortment of plastic tools.”

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: Aug 6, 2024. Correction verified: by a letter from the provider.