Excellent Beginnings Family Childcare

Authorization for up to 6 months to administer prescription or over-the-counter medication, when needed, for chronic medical conditions and for allergic reactions was not in writing and did not contain information required by rule 10 NCAC 09 .1720(c)(6)(A-I).

“A medication authorization form was not on file for the epi-pen.”

Rule Authorization for up to 6 months to administer prescription or over-the-counter medication, when needed, for chronic medical conditions and for allergic reactions was not in writing and did not contain information required by rule 10 NCAC 09 .1720(c)(6)(A-I).. 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: 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.

“Food allergies were 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: Aug 5, 2026. Correction verified: by a letter from the provider.

Prescribed medications were not stored in their original containers in which they are dispensed with the pharmacy label.

“The epi-pen was not stored in the original container with the pharmacy label.”

Rule Prescribed medications were not stored in their original containers in which they are dispensed with the pharmacy label.. 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: by a letter from the provider.

Prescription or over-the-counter medication and topical, non-medical ointment, repellant, lotion, cream, fluoridated toothpaste, or powder was administered to any child without the required information.

“The Epi-pen expired 11/25; however it was not administered.”

Rule Prescription or over-the-counter medication and topical, non-medical ointment, repellant, lotion, cream, fluoridated toothpaste, or powder was administered to any child without the required information.. 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: by a letter from the provider.

The medical action plan was not updated on an annual basis and when changes to the plan were made by child’s parent or health care professional.

“The medical action plan for the Epi-pen did not have a parent or health care professional signature.”

Rule The medical action plan was not updated on an annual basis and when changes to the plan were made by child's parent or health care professional.. 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: by a letter from the provider.

When a child received medical treatment, a copy of the incident report was not mailed to the Division within 7 calendar days after the incident occurred.

“A child received medical treatment on 6/9/26 and the incident report was not submitted to DCDEE.”

Rule When a child received medical treatment, a copy of the incident report was not mailed to the Division within 7 calendar days after the incident occurred.. 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: 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 30 days.

“The safe sleep charts were not completed consistently for the infants currently enrolled.”

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 30 days.. 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.

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.

“Ziploc bags were stored in a bin by the refrigerator within the children’s reach.”

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.. 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 or shelter-in-place drill was conducted on 11/2/25.”

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: Mar 23, 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.

“Plastic bags were in unlocked storage accessible to the children under the age of three in the child care space.”

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.. Corrected during the inspection.

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 11/18/24.”

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

Application did not include all required information including, but not limited to: child’s full name, named to be called, child’s date of birth, any allergies, including symptoms and the type of response required, and any fears or behavior characteristics a child has.

“The hospital preference was not listed on the application for three children currently enrolled.”

Rule Application did not include all required information including, but not limited to: child's full name, named to be called, child’s date of birth, any allergies, including symptoms and the type of response required, and any fears or behavior characteristics a child has.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Aug 26, 2024. Correction verified: by a letter from the provider.

Application did not include the names and the phone numbers of the child’s physician and the persons to be contacted in an emergency situation.

“The physician was not listed on the application for two children currently enrolled.”

Rule Application did not include the names and the phone numbers of the child's physician and the persons to be contacted in an emergency situation.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Aug 26, 2024. 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 30 days.

“Safe sleep checks for the infant were not completed.”

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 30 days.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Aug 26, 2024. 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 currently enrolled did not have a health 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: Aug 26, 2024. Correction verified: by a letter from the provider.

Copy of each child’s immunization record, including the operator’s own preschool child(ren), was not on file.

“One child currently enrolled did not have immunizations on file.”

Rule Copy of each child's immunization record, including the operator's own preschool child(ren), 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: Aug 26, 2024. Correction verified: by a letter from the provider.

Infant feeding plans did not include the required information, including but not limited to the type and amount of milk, formula and food, and the frequency of feedings, and/or was not available for reference.

“The feeding schedule for the toddler has not been updated to indicate the child is eating table food.”

Rule Infant feeding plans did not include the required information, including but not limited to the type and amount of milk, formula and food, and the frequency of feedings, and/or was not available for reference.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Aug 26, 2024. 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 6/17/24.”

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: Aug 26, 2024. Correction verified: by a letter from the provider.

Safe sleep policy and poster about safe sleep practices was not posted in a prominent place in the infant sleeping room or area where parents and caregivers are able to view daily.

“This information was not posted in the fcch.”

Rule Safe sleep policy and poster about safe sleep practices was not posted in a prominent place in the infant sleeping room or area where parents and caregivers are able to view daily.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Aug 26, 2024. Correction verified: by a letter from the provider.

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

“The last documented lockdown drill was conducted on 1/15/24.”

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: Aug 26, 2024. Correction verified: by a letter from the provider.

Corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, and products under pressure in an aerosol dispenser were not in their original container or in another labeled container, used according to manufacturer’s instructions.

“There was an aerosol can accessible to the children in the room where they were napping.”

Rule Corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, and products under pressure in an aerosol dispenser were not in their original container or in another labeled container, used according to manufacturer's instructions.. Corrected during the inspection.

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

“The child, who began attending last week, needed the signed notification 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: Feb 19, 2024. Correction verified: by a letter from the provider.

Sleeping infants, ages 12 months and younger were not visually checked every 15 minutes.

“Documentation of visual checks was not up to date.”

Rule Sleeping infants, ages 12 months and younger were not visually checked every 15 minutes.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Feb 19, 2024. Correction verified: by a letter from the provider.