Almost Home Child Care, LLC

Each child was not immunized as per Article 6 of Chapter 130A and an immunization record was not on file before or within 30 days after admission.

“One child’s file did not contain the immunization record within 30 days of enrollment.”

Rule Each child was not immunized as per Article 6 of Chapter 130A and an immunization record was not on file before or within 30 days after admission.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Mar 30, 2026. Correction verified: by a letter from the provider.

Medical exam or health assessment record was not on file before or within 30 days after admission.

“One child’s file did not contain a medical exam within 30 days of enrollment.”

Rule Medical exam or health assessment record was not on file before or within 30 days after admission.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Mar 30, 2026. Correction verified: by a letter from the provider.

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

“One staff with a hire date of 10/17/93 had a qualification letter which expired on 10/19/25. Fingerprints for an updated qualification letter were submitted on 9/29/25.”

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: Nov 4, 2025. Correction verified: at a follow-up visit by DCDEE.

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. Two staff with hire dates of 8/27/25 and 5/21/25 did not have valid CPR training.”

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: Nov 4, 2025. Correction verified: at a follow-up visit by DCDEE.

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. Two staff with a hire dates of 8/27/21 and 5/12/25 did not have verification of valid First Aid training.”

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: Nov 4, 2025. Correction verified: at a follow-up visit by DCDEE.

For each child, there was not at least 30 sq. ft. inside space per the total licensed capacity and 100 sq. ft. outside space for each child using the outdoor learning environment at any one time.

“In Space 3, the capacity is measured at a maximum of 8 children, there were 9 children present in the room.”

Rule For each child, there was not at least 30 sq. ft. inside space per the total licensed capacity and 100 sq. ft. outside space for each child using the outdoor learning environment at any one time.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Nov 4, 2025. Correction verified: at a follow-up visit by DCDEE.

The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment.

“One staff with a hire date of 5/12/25 did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training until October 8, 2025.”

Rule The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment.. Corrected during the inspection.

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

“A permission to administer form had expired.”

Rule A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: May 7, 2025. 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.

“Staff with hire dates of 12/2/24 and 10/28/24 did not have a medical report on file prior to their hire date.”

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: May 7, 2025. 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.

“Staff with hire dates of 12/2/24, 10/28/24, and 1/9/25 did not have a tb skin test prior to their hire date.”

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: May 7, 2025. 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 Burger King cup was on a shelf in the classroom for one year olds.”

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.

Materials used for starting fires, such as matches, lighters and accelerants were not kept in locked storage.

“A lighter was found in the classroom for 3-year-old children, that was not in locked storage.”

Rule Materials used for starting fires, such as matches, lighters and accelerants were not kept in locked storage.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Nov 12, 2024. Correction verified: by a letter from the provider.

Smoking materials were not kept in locked storage.

“On the evening of April 24, 2024, an electronic nicotine smoking device was found on the floor of the bathroom in the classroom for 1-and 2-year-old children.”

Rule Smoking materials were not kept in locked storage.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Nov 12, 2024. Correction verified: by a letter from the provider.

Each child was not immunized as per Article 6 of Chapter 130A and an immunization record was not on file before or within 30 days after admission.

“A child with an enrollment date of April 8, 2024 did not have an immunization report on file.”

Rule Each child was not immunized as per Article 6 of Chapter 130A and an immunization record was not on file before or within 30 days after admission.. Corrected during the inspection.

The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment.

“One staff with a hire date of September 11, 2023 did not have a record of completing Recognizing and Responding to Suspicions to Child Maltreatment in their file.”

Rule The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: May 29, 2024. Correction verified: by a letter from the provider.

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

“One staff with a hire date of September 11, 2023 did not have a Qualifying letter prior to employment. The qualifying letter for the staff was dated September 26, 2023.”

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

“Two staff members, with hire dates of September 11, 2023 and November 30, 2023, did not have medical reports completed until after their dates of hire.”

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: Dec 20, 2023. 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.

“One staff member with a hire date of 9/11/23 did not have documentation of a tb skin test until after their date of hire.”

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.

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 last fire inspection was conducted on September 22, 2022.”

Rule Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Dec 20, 2023. Correction verified: by a letter from the provider.

Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete.

“The last documented Emergency Drill was August 15, 2023.”

Rule Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Dec 20, 2023. Correction verified: by a letter from the provider.