Healthy Environments Child Development Center Kdh

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

“There was not a feeding plan on file for a child enrolled on June 29, 2026, with a birth date of June 17, 2025.”

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: Aug 10, 2026. Correction verified: by a letter from the provider.

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

“Fifteen (15) cots were not properly stored in a manner that prevented individual linens and blankets from touching.”

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

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

“In space # 4, four (4) children one (1) year of age were grouped with seven (7) children two (2) through five (5) years of age.”

Rule Children between 12 and 24 months of age were grouped with children 3 years of age or older.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Aug 5, 2026. Correction verified: at a follow-up visit by DCDEE.

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

“In space # 4, one (1) caregiver was with eleven (11) children one year of age through five (5) years of age.”

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: Aug 5, 2026. Correction verified: at a follow-up visit by DCDEE.

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.

“There were six (6) rolls of trashcan liners on top of the shelf measuring 2 feet and 9 inches up from the floor. In space # 1, where children under the age of three were present, there were four (4) small cars and twenty (20) plastic pieces that were less than 2 inches long.”

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.

Safe pick-up and delivery procedures were not communicated to parents and/or were not posted where they can be seen by the parents.

“The center did not have their safe pick-up and delivery procedures posted.”

Rule Safe pick-up and delivery procedures were not communicated to parents and/or were not posted where they can be seen by the parents.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Aug 10, 2026. Correction verified: by a letter from the provider.

Staff did not model appropriate eating behaviors by consuming food or beverages that meet the nutritional requirements specified in the Meal Patterns for Children in Child Care Programs in the presence of children in care.

“A can of Alani Energy Drink was observed on a shelf in Space 3.”

Rule Staff did not model appropriate eating behaviors by consuming food or beverages that meet the nutritional requirements specified in the Meal Patterns for Children in Child Care Programs in the presence of children in care.. 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.

“Four “correction pens” were stored in a red basket out of reach of children on top of the blue armoire in the office area. The warning labels included “Caution: flammable. Keep away from children. Do not swallow or inhale.””

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.

Openings in equipment, steps, decks, handrails, and fencing were not less than 3 1/2 inches or greater than 9 inches.

“On the fence separating the two playgrounds, a vertical slat was missing, creating an opening that measured 4.5 inches.”

Rule Openings in equipment, steps, decks, handrails, and fencing were not less than 3 1/2 inches or greater than 9 inches.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Nov 6, 2025. Correction verified: by a letter from the provider.

A drug or medication was administered without written authorization and/or instructions from a child’s parent or authorized health professional.

“In Space 5, a tub of Vaseline used for diaper changing was not accompanied by a blanket medication permission form.”

Rule A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional.. 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 April 3, 2025, a teacher pulled a child, eighteen months of age, by their arms, yelled at the child, and told the child to “shut up”. On April 11, 2025, the teacher was reported to have slammed another child, nineteen months of age, onto the floor.”

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: Apr 29, 2025. Correction verified: at a follow-up visit by DCDEE.

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 can of Sun Bum Kids sunscreen was stored in a cabinet out of reach of children, but the cabinet was not locked.”

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.

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 jar of Vicks Vapor Rub expired in October 2024 and was not returned to the parent.”

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: Nov 30, 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.

“In Space 5, Vicks Vapor Rub, Calagel, and Cortizone 10 were stored in an unlocked cabinet out of reach of children but were not maintained in 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.

Parent’s medication authorization did not include required information.

“Medication authorization for Vicks Vapor Rub, Cortizone 10, and Calagel, all OTC medications, were completed on the twelve-month blanket permission form and not on the longer medication permission form that is valid for 30 days to 6 months and includes a medication administration log.”

Rule Parent's medication authorization did not include required information.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Nov 30, 2024. Correction verified: by a letter from the provider.

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

“A staff person was due for a five-year Criminal Background Check by October 8, 2024 but did not complete the Criminal Background Check and receive the new Qualification Letter until October 22, 2024.”

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).. Corrected during the inspection.

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

“In one of two children’s files reviewed, a parent listed mangoes as a food allergy/sensitivity. This was not posted in the classroom or in the kitchen.”

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 30, 2024. Correction verified: by a letter from the provider.

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

“The center was not closed on Monday, September 23, 2024 when a strong chemical odor was still present after it was deep cleaned and painted over the weekend.”

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

All openings to the outer air were not protected against the entrance of flying pest.

“On Monday, September 23, 2024, doors to the center were left opened for ventilation due to a strong chemical smell after the center was painted over the weekend. The doors were not screened to protect against flying pests.”

Rule All openings to the outer air were not protected against the entrance of flying pest.. Corrected during the inspection.

Electric fans were not mounted out of reach or did not have a mesh guard to prevent access.

“Three electric floor fans, used to ventilate the center, were not mounted out of reach or protected with a mesh guard and were accessible to children.”

Rule Electric fans were not mounted out of reach or did not have a mesh guard to prevent access.. Corrected during the inspection.

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

“A staff file for a new staff person was not available for review.”

Rule All staff records, except financial records, were not made available for review.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Jun 11, 2024. Correction verified: at a follow-up visit by DCDEE.

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

“Six children, three - five years of age were left alone in Space 1 while the teacher was putting lunch boxes in the refrigerator in the kitchen. T”

Rule Minimum staff/child ratios and group sizes for the number and ages of children in care were not met.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Jun 11, 2024. Correction verified: at a follow-up visit by DCDEE.

The center did not follow all procedures to prevent the spread of communicable diseases described in 15A NCAC 18A .2800.

“Staff did not follow required handwashing and diapering procedures.”

Rule The center did not follow all procedures to prevent the spread of communicable diseases described in 15A NCAC 18A .2800.. 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. A staff member was due for CPR recertification by May 31, 2023 but did not complete CPR until October 21, 2023.”

Rule All staff did not successfully complete certification in CPR training appropriate to the age of the children in care.. Corrected during the inspection.

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. A staff member was due for First Aid recertification by May 31, 2023 but did not complete First Aid until October 21, 2023.”

Rule All staff did not successfully complete certification in First Aid appropriate to the age of children in care.. Corrected during the inspection.

Equipment and furnishings were not sturdy, stable and free of hazards.

“Five rubber handlebar covers were missing from four tricycles on the playground creating a sharp edge and potential habitat from spiders and wasps.”

Rule Equipment and furnishings were not sturdy, stable and free of hazards.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Jan 6, 2024. Correction verified: by a letter from the provider.

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

“Documentation of monthly outdoor inspections was not available for July 2023, September 2023, October 2023, and November 2023.”

Rule Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Jan 11, 2024. Correction verified: by a letter from the provider.

Parent’s medication authorization did not include required information.

“Three medication permission forms for diaper creams were expired or did not include the required information.”

Rule Parent's medication authorization did not include required information.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Jan 6, 2024. Correction verified: by a letter from the provider.

The EMC plan was not reviewed with all staff annually and whenever the plan was revised.

“The Emergency Medical Care Plan was not updated to reflect current staff and was not reviewed with staff in September 2023.”

Rule The EMC plan was not reviewed with all staff annually and whenever the plan was revised.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Jan 11, 2024. Correction verified: by a letter from the provider.

The outdoor premises were not clean, drained and free of litter and hazardous materials grass and other vegetation in a manner which does not encourage vermin.

“Weeds with sharp thorns were growing along the fence, creating a habitat for pests and sharp thorns that could scratch or puncture children.”

Rule The outdoor premises were not clean, drained and free of litter and hazardous materials grass and other vegetation in a manner which does not encourage vermin.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Jan 6, 2024. Correction verified: by a letter from the provider.

The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current.

“The current EPR Plan was reviewed and updated in the Emergency Management Portal in February 2023, but the updated EPR Plan was not printed and reviewed with staff.”

Rule The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Jan 6, 2024. Correction verified: by a letter from the provider.