It Takes a Village Child Care & Educational Center

Any excess formula, thawed human milk and/or bottled beverage were not discarded or returned home at the end of each day.

“In space #1, there was one bottle stored in the refrigerator with excess formula from a previous feeding. The bottle was removed and the formula was discarded.”

Rule Any excess formula, thawed human milk and/or bottled beverage were not discarded or returned home at the end of each day.. Corrected during the inspection.

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

“During interviews it was admitted that a staff person without ITS-SIDS training covered staff breaks in the infant room. A new staff member with ITS-SIDS training was hired and the administrator with ITS-SIDS currently covers staff breaks.”

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.

The child care operator did not comply with all State laws, federal laws and/or local ordinances that pertain to child health, safety, and welfare, as required by General Statute 110-91.

“On February 12, 2026 in space #5, a child vomited on their cot. During interviews, it was stated that the Vomit & Diarrhea Clean-up Kit and plan was not used or followed according to sanitation rule 15A NCAC 18A .2827. The required hair nets, shoe covers, aprons, and masks were not included in the clean-up kit.”

Rule The child care operator did not comply with all State laws, federal laws and/or local ordinances that pertain to child health, safety, and welfare, as required by General Statute 110-91.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Mar 23, 2026. 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.

“A new staff member (DOE 2/12/26) did not sign The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy acknowledgement form before caring for children. The acknowledgement form was signed on 2/27/26.”

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.

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

“On December 11, 2025, a teacher assigned to Space #1 was verbally aggressive toward the administrator in the presence of four children, aged three months to one-year-old in Space #1 and seven children, aged two to four-years-old in Space #5. This was corrected when the teacher was terminated effective December 11, 2025.”

Rule Each child was not attended to in a nurturing and appropriate manner, or in keeping with the child's developmental needs.. Corrected during the inspection.

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

“A valid qualification letter for Tammy Cogdell (D.O.B. 6/17/63) was not on file and available for review at the facility. The qualification letter on file expired on December 1, 2025.”

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 18, 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).

“Prior to the expiration date (12/1/25) of the qualification letter, Tammy Cogdell (D.O.B. 6/17/63) 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: Dec 18, 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.

“During today’s visit, it was reported that water was substituted for whole and 1% milk and served to the children in care during lunch on November 13, 2025. This was corrected when a staff member went to the grocery store and purchased a gallon of whole milk and a gallon of 1% milk for use at the facility on November 14, 2025.”

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.

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, who enrolled in the center on October 6, 2025.”

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

An individual written feeding plan was not provided by child’s parent or health care provider or was not followed and posted.

“An individual written feeding plan was not provided by the parent or health care provider of a child, identified on the children’s records worksheet.”

Rule An individual written feeding plan was not provided by child's parent or health care provider or was not followed and posted.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Oct 14, 2025. Correction verified: by a letter from the provider.

Caregivers did not document compliance with visually checking on sleeping infants aged 12 months or younger and/or the documents were not maintained for a minimum of one month.

“In Space #1, the caregiver did not document compliance with visually checking on a sleeping infant, three months of age. Additionally, documentation was not maintained for a minimum of one month.”

Rule Caregivers did not document compliance with visually checking on sleeping infants aged 12 months or younger and/or the documents were not maintained for a minimum of one month.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Oct 11, 2025. Correction verified: by a letter from the provider.

For children under two years of age, individualized caregiving routines such as eating, napping and toileting was not interspersed among the daily events.

“In Space #1, individualized caregiving routines and activities were not planned and documented on the activity plan for a child, younger than nine months of age. This was corrected by having the administrator to print the activity plan that was forwarded to the facility by the operator and reviewing it with the staff in Space #1 prior to posting it for implementation.”

Rule For children under two years of age, individualized caregiving routines such as eating, napping and toileting was not interspersed among the daily events.. Corrected during the inspection.

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.

“The outdoor premises was not checked, prior to initial use this morning, ensuring debris was removed and disposed of. While observing the outdoor learning environment, there were three broken limbs in the active play area that posed a safety hazard for children, two to four-years-old, that were playing outdoors. This was corrected when the administrator removed the broken tree limbs from the outdoor premises and disposed of them.”

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.

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

“On August 28 and August 29, 2025, there was not at least one child care provider, who had completed ITS-SIDS training present in the infant room, while children were in care.”

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.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Sep 12, 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 employee, identified on the staff and training worksheet, did not have a medical report 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: Sep 17, 2025. Correction verified: by a letter from the provider.

Children were not adequately supervised at all times.

“In Space #1, children aged five to twelve months old were not adequately supervised when the administrator walked out of the classroom and down the L shaped hallway to answer the front door.”

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: Sep 12, 2025. 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 #1, three children aged five to twelve months old were left alone in the space while the administrator walked out of the classroom, and down the L shaped hallway to answer the front door.”

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: Sep 12, 2025. Correction verified: at a follow-up visit by DCDEE.

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, identified on the staff and training worksheet, prior to 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.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Sep 17, 2025. Correction verified: by a letter from the provider.

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

“In Space #1, a child’s hands, identified on the children’s records worksheets, were not washed after a diaper change. This was corrected when I requested the teacher assist the child with hand washing at the sink prior to returning the child to the active play space. The teacher complied with the request.”

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

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

“The activity plan posted in Space #1 was dated August 11-15, 2025. This was corrected when the owner printed a copy of the current activity plan dated August 25-29, 2025, and posted it in Space #1 for reference.”

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

Center staff did not comply with the safe sleep policy.

“In Space #1, a blanket was placed inside a crib with an infant, aged ten months old, while he slept. This was corrected when the teacher removed the blanket from the crib and placed it inside the child’s individual cubby.”

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

Human milk, formula and other bottled beverages including sippy cups, sent from child’s home were not fully prepared, dated, and labeled for the appropriate child.

“In Space #1, six (6) bottled beverages, sent from the children’s homes, were not dated. This was corrected when the teacher recorded today’s date on the bottled beverages and sent a reminder on the Bright Wheel App to parents requesting the required information be recorded on the bottles prior to bringing them into the child care facility.”

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.

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

“The menu posted for reference by parents and the cook was dated August 1-19, 2025. This was corrected when the owner printed the menu dated August 1-29, 2025 and posted it where it was easily seen by parents (reception area) and the cook (kitchen).”

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

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

“The activity plan posted in Space #5 was dated July 1-31, 2025. This was corrected when the administrator went to her office and obtained a current activity plan dated August 1-31, 2025, and posted it in Space #5 for reference and implementation.”

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

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

“In Space #7, children between 12 and 24 months of age were grouped with children 3 years of age or older. This was corrected when a qualified staff member arrived at the facility at 3:15 p.m. to count in staff/child ratios. S. Roper and four children, ages one and two years old, transitioned to Space #2.”

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

Each employee’s personnel file did not contain a signed and dated statement that they received a job description and that they have received personnel and operational policies.

“The employee’s personnel file, identified on the staff and training worksheet, did not contain a signed and dated statement that they received a job description and that they have received personnel and operational policies.”

Rule Each employee's personnel file did not contain a signed and dated statement that they received a job description and that they have received personnel and operational policies.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Jul 28, 2025. Correction verified: by a letter from the provider.

Formula and other beverages which require refrigeration were not identified for each child or properly refrigerated.

“In Space #1, formula and other beverages which require refrigeration was not properly refrigerated. The thermometer inside the refrigerator read 50°F instead of 45°F (7°C) or below. This was corrected by having the owner to remove this refrigerator from Space #1 and place the formula and other beverages in the second refrigerator in Space #1, where the thermometer read 40°F.”

Rule Formula and other beverages which require refrigeration were not identified for each child or properly refrigerated.. 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 #7, minimum staff/child ratios and group sizes for the number and ages of children in care were not met. There were fifteen children, aged one to five years old, with one staff member counted in staff/child ratios. This was corrected when another qualified staff member arrived at the facility at 3:15 p.m. to count in staff/child ratios. Four children, one and two years old, transitioned to Space #2 with S. Roper and eleven children, three to five years old, transitioned to Space #4 with A. Williams.”

Rule Minimum staff/child ratios and group sizes for the number and ages of children in care were not met.. 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 the staff person’s file that was employed on July 21, 2025.”

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: Jul 28, 2025. Correction verified: by a letter from the provider.