A Mother’s Touch

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 operator and additional household members were not updated in ABCMS Provider Portal and a roster for the facility was not on file for review.”

Rule A child care operator did not notify the Division of any new child care providers, as defined in G.S.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Jun 22, 2026. Correction verified: by a letter from the provider.

A clean and open area that allows freedom of movement was not provided for children, both indoors and outdoors.

“The shrubs on the property were over-grown and grass had not been cut making it difficult for children to move freely in the outdoor play area.”

Rule A clean and open area that allows freedom of movement was not provided for children, both indoors and outdoors.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Jun 16, 2026. Correction verified: by a letter from the provider.

Application was not on file for each enrolled child, including his/her own preschool child(ren) who are not school-age.

“Child care applications for enrollment were not on file for three (3) children enrolled.”

Rule Application was not on file for each enrolled child, including his/her own preschool child(ren) who are not school-age.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Jun 16, 2026. Correction verified: by a letter from the provider.

Children’s special diets or food allergies were not posted in the food preparation area and/or in the child’s eating area.

“Information of a child’s known food allergy was not posted in the food preparation area and the child’s eating area.”

Rule Children's special diets or food allergies were not posted in the food preparation area and/or in the child's eating area.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Jun 16, 2026. Correction verified: by a letter from the provider.

Health questionnaire was not completed annually.

“An annual health questionnaire for the cook was not on file. The violation was corrected when the cook completed the health questionnaire form and placed it in the employee’s file.”

Rule Health questionnaire was not completed annually.. Corrected during the inspection.

Incident logs were not completed and maintained as required.

“Incident logs were not maintained on site and available for review.”

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: Jun 16, 2026. Correction verified: by a letter from the provider.

Operator did not maintain a record of on-going training in which he/she has participated.

“On-going training records for the operator and additional caregiver were not completed with current trainings received.”

Rule Operator did not maintain a record of on-going training in which he/she has participated.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Jun 16, 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 required information.

“The EPR Plan did not include updated information. The Ready to Go File did not contain updated child’s applications based on current children enrolled.”

Rule The EPR Plan did not include the location of the Ready to Go File and/or required information.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Jun 16, 2026. Correction verified: by a letter from the provider.

The medical action plan was not updated on an annual basis and when changes to the plan were made by child’s parent or health care professional.

“A medical action plan dated April 30, 2025 was not updated annually and when information may have changed.”

Rule The medical action plan was not updated on an annual basis and when changes to the plan were made by child's parent 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: Jun 16, 2026. Correction verified: by a letter from the provider.

Application did not have an 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.

“A medical action plan was not attached to the application for a child, enrolled in the facility on January 2, 2025, with a documented allergy to peanuts.”

Rule Application did not have an 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: Jun 19, 2025. Correction verified: by a letter from the provider.

Health questionnaire was not completed annually.

“The health questionnaire on file and completed by the operator was dated June 11, 2024.”

Rule Health questionnaire was not completed annually.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Jun 27, 2025. Correction verified: by a letter from the provider.

The operator made efforts to falsify information.

“The operator made an effort to falsify information on the Application for a Child Care License - Appendix D dated June 17, 2024, when the operator checked the boxes attesting the Limited Liability Company is the owner of the building and property.”

Rule The operator made efforts to falsify information.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: May 19, 2025. Correction verified: by a letter from the provider.

Developmentally appropriate activities for the ages of children in care, were not provided as planned on the written schedule and activity plan.

“The planned activities on the written activity plan dated, April 14, 2025, were not provided for the children in care.”

Rule Developmentally appropriate activities for the ages of children in care, were not provided as planned on the written schedule and activity plan.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: May 2, 2025. Correction verified: by a letter from the provider.

Plastic bags, toys, and toy parts small enough to be swallowed, including but not limited to materials that can be easily torn apart such as foam rubber and styrofoam, were accessible to children under the age of three.

“Three plastic bags with children’s personal belongings were stored inside the children’s cubbies, accessible to children under the age of three. When prompted, the operator removed the children’s personal belongings from the plastic bags and placed the personal items inside the cubbies. Next, the plastic bags were made inaccessible to children under the age of three.”

Rule Plastic bags, toys, and toy parts small enough to be swallowed, including but not limited to materials that can be easily torn apart such as foam rubber and styrofoam, were accessible to children under the age of three.. Corrected during the inspection.

The written plan of care was not given and explained to parents of children in care on or before the first day the child attended the home.

“Parents did not sign a statement acknowledging the receipt and explanation of the plan. Parents did not give written permission for their child to be transported by the operator for specific routine tasks that are included on the written schedule. The written plan of care was not given and explained to parents of a child, identified on the children records worksheet, on or before the first day the child attended the home. The child’s date of enrollment was August 27, 2024.”

Rule The written plan of care was not given and explained to parents of children in care on or before the first day the child attended the home.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Oct 23, 2024. Correction verified: by a letter from the provider.

Application did not include all required information including, but not limited to: child’s full name, named to be called, child’s date of birth, any allergies, including symptoms and the type of response required, and any fears or behavior characteristics a child has.

“The application on file for a preschool child, five-years-old, did not include all required information including, any allergies, including symptoms and the type of response required, and any fears or behavior characteristics a child has.”

Rule Application did not include all required information including, but not limited to: child's full name, named to be called, child’s date of birth, any allergies, including symptoms and the type of response required, and any fears or behavior characteristics a child has.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Aug 16, 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 on file for a preschool age child, five-years-old, did not include health care needs or concerns, symptoms of and the type of response required for the health care needs or concerns.”

Rule Application did not include health care needs or concerns, symptoms of and the type of response required for the health care needs or concerns.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Aug 16, 2024. Correction verified: by a letter from the provider.

Application was not on file for each enrolled child, including his/her own preschool child(ren) who are not school-age.

“An application was not on file for two enrolled children, ages eight and eleven-years-old.”

Rule Application was not on file for each enrolled child, including his/her own preschool child(ren) who are not school-age.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Aug 16, 2024. Correction verified: by a letter from the provider.

Individuals providing care to children did not receive 16 hours of orientation prior to beginning caregiving activities.

“The additional caregiver did not receive 16 hours of orientation prior to beginning caregiving activities on July 8, 2024.”

Rule Individuals providing care to children did not receive 16 hours of orientation prior to beginning caregiving activities.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Aug 16, 2024. Correction verified: by a letter from the provider.

Individuals who provide care for 5 hours or more a week, during planned absences of the operator, did not have proof of negative TB test or screening results completed within the last 12 months prior to the first day providing care.

“The additional caregiver, who provides care for 5 hours or more a week, during planned absences of the operator, did not have proof of negative TB test or screening results on file prior to the first day of providing care (July 8, 2024).”

Rule Individuals who provide care for 5 hours or more a week, during planned absences of the operator, did not have proof of negative TB test or screening results completed within the last 12 months prior to the first day providing care.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Aug 12, 2024. Correction verified: by a letter from the provider.

Individuals who provide care for 5 hours or more a week, during planned absences of the operator, had not completed a health questionnaire.

“The additional caregiver, who provides care for 5 hours or more a week, during planned absences of the operator, did not have a completed health questionnaire on file.”

Rule Individuals who provide care for 5 hours or more a week, during planned absences of the operator, had not completed a health questionnaire.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Aug 16, 2024. Correction verified: by a letter from the provider.

Operator did not develop and adopt a written plan of care for completing routine tasks to ensure routine tasks did not interfere with the care of children during hours of operation.

“Upon licensure on July 3, 2024, the operator did not develop and adopt a written plan of care for completing routine tasks to ensure routine tasks did not interfere with the care of children during hours of operation.”

Rule Operator did not develop and adopt a written plan of care for completing routine tasks to ensure routine tasks did not interfere with the care of children during hours of operation.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Aug 14, 2024. Correction verified: by a letter from the provider.

Operator did not maintain accurate daily attendance records including documentation of arrival and departure for all children in care, including the operator’s own preschool children.

“Attendance records including documentation of arrival and departure for all children in care available for review were dated July 31, 2024.”

Rule Operator did not maintain accurate daily attendance records including documentation of arrival and departure for all children in care, including the operator's own preschool children.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Aug 16, 2024. Correction verified: by a letter from the provider.

Operator did not provide a written statement to parents regarding the smoking and tobacco restriction.

“Operator did not provide a written statement to parents of two children, ages eight and eleven-years-old, regarding the smoking and tobacco restriction.”

Rule Operator did not provide a written statement to parents regarding 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: Aug 16, 2024. Correction verified: by a letter from the provider.

Operator did not review the abusive head trauma and shaken baby syndrome policy with staff and/or the acknowledgement of the review did not contain required items or was not available for review.

“The operator did not review the abusive head trauma and shaken baby syndrome policy with the additional caregiver prior to providing care. The acknowledgement of the review was not available for review.”

Rule Operator did not review the abusive head trauma and shaken baby syndrome policy with staff and/or the acknowledgement of the review did not contain required items or was not 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 10, 2024. Correction verified: by a letter from the provider.

Record of monthly fire drills, giving the date, time of day and length of time to evacuate, and operator’s signature, were not available.

“A monthly fire drill with the required information was not completed/documented on the Emergency Drill Log on file in the FCCH.”

Rule Record of monthly fire drills, giving the date, time of day and length of time to evacuate, and operator's signature, were not available.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Aug 16, 2024. Correction verified: by a letter from the provider.

Signed and dated statement which attests that a copy of the discipline policy was given to and discussed with a parent/guardian of each child prior to enrollment was not on file in the home.

“Signed and dated statement which attests that a copy of the discipline policy was given to and discussed with a parent/guardian of two children, ages eight and eleven-years-old, prior to enrollment was not on file in the home.”

Rule Signed and dated statement which attests that a copy of the discipline policy was given to and discussed with a parent/guardian of each child prior to enrollment was not on file in the home.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Aug 16, 2024. Correction verified: by a letter from the provider.

Summary of the NC Child Care Law was not given to each child’s parent, guardian, or full-time custodian before the child was enrolled in the home and/or signed statement was not on file.

“Summary of the NC Child Care Law was not given to the parent of two children, ages eight and eleven-years-old, before the children were enrolled in the home and a signed statement for receipt was not on file.”

Rule Summary of the NC Child Care Law was not given to each child's parent, guardian, or full-time custodian before the child was enrolled in the home and/or signed statement was not on file.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Aug 16, 2024. Correction verified: by a letter from the provider.

The Family Child Care Home operator did not discuss the operational policies with parents on or before the child’s first day of attendance.

“The Family Child Care Home operator did not discuss the operational policies with parents of two children, ages eight and eleven-years-old, on or before the child’s first day of attendance.”

Rule The Family Child Care Home operator did not discuss the operational policies with parents on or before the child's first day of attendance.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Aug 16, 2024. Correction verified: by a letter from the provider.

The operator did not review the plan for emergency procedures with additional caregivers and substitutes prior to allowing them to care for children, and when the plan is revised.

“The operator did not review the plan for emergency procedures with the additional caregiver prior to allowing her to care for children on July 8, 2024.”

Rule The operator did not review the plan for emergency procedures with additional caregivers and substitutes prior to allowing them to care for children, and when the plan is revised.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Aug 16, 2024. Correction verified: by a letter from the provider.