Lou Anna’s Child Care Center, Inc.

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.

“One staff member with a hire date of 3/11/26 did not have a completed medical report on file until 4/12/26.”

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.

Each child’s bed, cot, or 2” mat was not individually assigned and identified.

“A mat chart with the individually assigned mats for each child was not posted in space #3.”

Rule Each child's bed, cot, or 2" mat was not individually assigned and identified.. Corrected during the inspection.

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

“Upon arrival one staff member in space #3 was present with a total of nine children ranging from ages one through three years of age.”

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

Rule violated (DCDEE’s description below)

“Children between 12 and 24 months of age were grouped with children 3 years of age or older.Two one year old children were grouped with children aged 3 years of age.”

Rule Rule violated (DCDEE’s description below). Corrected during the inspection.

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

“A current activity plan was not posted in the school aged classroom.”

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

A summary of the NC Child Care Law was not posted in a prominent place in the center.

“A current copy of the summary of the NC Law was not posted and was dated Oct. 2003.”

Rule A summary of the NC Child Care Law was not posted in a prominent place in the center.. 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 with a employment date of 6/30/25 did not have a negative TB test until 7/1/25.”

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

“A current activity plan was not posted in spaces 4, 5 and 6.”

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

Rule violated (DCDEE’s description below)

“A violation was found for which there is no item number.In space 6 a staff member’s personal purse was on a book shelf accessible to the children in care.”

Rule Rule violated (DCDEE’s description below). Corrected during the inspection.

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

“The health questionnaire for staff members had not been updated annually for 2024 until today’s visit.”

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

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

“On March 6, 2024, staff members failed to ensure a safe environment for children. A staff member brought candy to the facility from their personal residence and the candy was provided to some of the children at the end of the day. After leaving the facility, two four-year-old children ingested pills that were illegal narcotics contained in a candy wrapper that had been provided by the staff member. The children began exhibiting symptoms of a drug overdose and had to receive medical attention.”

Rule A safe indoor and outdoor environment was not provided for the children.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Mar 8, 2024. Correction verified: by a letter from the provider.

Discipline was related to food, rest or toileting.

“On March 6, 2024, staff members provided candy to children for good behavior.”

Rule Discipline was related to food, rest or toileting.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Mar 8, 2024. Correction verified: by a letter from the provider.

There was a substantiation of child maltreatment.

“Pursuant to its investigation, the Division has confirmed sufficient information to determine child maltreatment.”

Rule There was a substantiation of child maltreatment.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Oct 25, 2024. Correction verified: at a follow-up visit by DCDEE.