Palmer Step 1, 2, 3, Day Care

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 TB test on file for the additional caregiver who started employment on 2/1/26 was completed on 10/22/19.”

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: Jun 26, 2026. Correction verified: by a letter from the provider.

Monthly check for hazards on the outdoor play area was not completed using a form supplied by the Division.

“The last documented outdoor inspection was completed on 2/28/26.”

Rule Monthly check for hazards on the outdoor play area was not completed using a form supplied by the Division.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Jun 26, 2026. 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.

“The attendance records were only available for this week.”

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: Jun 26, 2026. 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.

“Foam blocks were accessible to the 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.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Jun 26, 2026. Correction verified: by a letter from the provider.

Products that are labeled “keep out of reach of children” with an additional warning(s) on the label, were not kept in locked storage while children were in care.

“A can of Great Scents air freshener and Wizard Naturals Daily Cleaner on top of the shelf in the bathroom not in locked storage.”

Rule Products that are labeled “keep out of reach of children” with an additional warning(s) on the label, were not kept in locked storage 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: Jun 26, 2026. Correction verified: by a letter from the provider.

Corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, and products under pressure in an aerosol dispenser and any substance that may be hazardous to a child if ingested, inhaled, or handled were not kept in locked storage when children were in care.

“Disinfecting wipes in the bathroom were not in locked storage.”

Rule Corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, and products under pressure in an aerosol dispenser and any substance that may be hazardous to a child if ingested, inhaled, or handled were not kept in locked storage when 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: Dec 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.

“The ziploc bags on the shelves containing art supplies, shells and rocks were accessible to the 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.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Dec 2, 2025. 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.

“One child currently enrolled did not have the discipline statement signed by the parent.”

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: Dec 2, 2025. Correction verified: by a letter from the provider.

The professional development plan was not maintained in the personnel file.

“The professional development plan was not completed.”

Rule The professional development plan was not maintained in the personnel file.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Dec 2, 2025. Correction verified: by a letter from the provider.

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

“The provider and household member did not have qualification letters on file for review.”

Rule A valid qualification letter was not on file and available for 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: Jan 10, 2025. Correction verified: by a letter from the provider.

Operator did not complete the required number of on-going training hours as specified in rule.

“The provider did not complete on-going training hours for the year.”

Rule Operator did not complete the required number of on-going training hours as specified in rule.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Dec 20, 2024. Correction verified: by a letter from the provider.

The health and safety training did not include all of the required topic areas.

“Recognizing and Responding to Suspicions of Child Maltreatment was not completed.”

Rule The health and safety training did not include all of the required topic areas.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Dec 18, 2024. 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.

“The parent of a child, who began attending today, recorded on the child’s application that the child was lactose intolerent. The information was not posted.”

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: Dec 4, 2024. Correction verified: at a follow-up visit by DCDEE.

Operator did not provide a copy of the shaken baby syndrome and abusive head trauma policy to parents at time of enrollment, and / or within fourteen days of a changes to the policy.

“The two siblings, who began attending today, did not have the signed information on file.”

Rule Operator did not provide a copy of the shaken baby syndrome and abusive head trauma policy to parents at time of enrollment, and / or within fourteen days of a changes to the policy.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Dec 4, 2024. Correction verified: at a follow-up visit by DCDEE.

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

“The two siblings, who began attending today, did not have the signed information on file.”

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: Dec 4, 2024. Correction verified: at a follow-up visit by DCDEE.

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.

“The two siblings, who began attending today, did not have the signed information on file.”

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: Dec 4, 2024. Correction verified: at a follow-up visit by DCDEE.

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.

“The two siblings, who began attending today, did not have the signed information 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: Dec 4, 2024. Correction verified: at a follow-up visit by DCDEE.

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 two siblings, who began attending today, did not have the signed information on file.”

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: Dec 4, 2024. Correction verified: at a follow-up visit by DCDEE.

Accurate records were not maintained for all staff and children.

“The “drop-in” child present today did not have any information on file. The operator only knew the child’s first name.”

Rule Accurate records were not maintained for all staff and children.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Dec 19, 2023. Correction verified: by a letter from the provider.

Copy of each child’s health assessment, including the operator’s own preschool child(ren), was not on file within 30 days of enrollment.

“One child did not have a medical assessment on file.”

Rule Copy of each child's health assessment, including the operator's own preschool child(ren), was not on file within 30 days of enrollment.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Dec 19, 2023. Correction verified: by a letter from the provider.

Corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, and products under pressure in an aerosol dispenser and any substance that may be hazardous to a child if ingested, inhaled, or handled were not kept in locked storage when children were in care.

“(1) There were two aerosol cans unlocked in the children’s bathroom, and one aerosol can beside the recliner in the living room, where the child present today was playing. (2) There was a bottle of wood floor polish on a shelf near the washer/dryer. (3) The cabinet for hazardous products was unlocked upon arrival.”

Rule Corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, and products under pressure in an aerosol dispenser and any substance that may be hazardous to a child if ingested, inhaled, or handled were not kept in locked storage when children were in care.. Corrected during the inspection.

Electrical outlets not in use were not covered.

“There were two uncovered outlets in the children’s bathroom.”

Rule Electrical outlets not in use were not covered.. Corrected during the inspection.

Operator and/or staff who work with children, did not complete health and safety training as part of on-going training so that every five years, all the topic areas were covered.

“The operator had not completed Recognizing and Responding to Child Maltreatment to complete the Health and Safety five-year requirement.”

Rule Operator and/or staff who work with children, did not complete health and safety training as part of on-going training so that every five years, all the topic areas were covered.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Dec 19, 2023. Correction verified: by a letter from the provider.

Operator did not provide a physically safe and healthy indoor and outdoor environment that meets the developmental needs of the children in care.

“The personal bedrooms, located at the children’s bathroom, were unlocked and accessible to children during today’s visit.”

Rule Operator did not provide a physically safe and healthy indoor and outdoor environment that meets the developmental needs of the children in care.. Corrected during the inspection.

The operator did not conduct a quarterly lockdown or shelter-in-place drill and or the drill record was incomplete.

“The last documented lockdown/shelter-in-place drill was conducted in June 2023.”

Rule The operator did not conduct a quarterly lockdown or shelter-in-place drill and or the 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 19, 2023. Correction verified: by a letter from the provider.

The written schedule did not reflect daily opportunities for both free choice and guided activities.

“The written schedule for first shift and second shift could not be located during the visit.”

Rule The written schedule did not reflect daily opportunities for both free choice and guided activities.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Dec 19, 2023. Correction verified: by a letter from the provider.