Childcare Network #58

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

“The activity plans posted in space #4 for the NC Pre-K and school-age groups were dated November 3rd-7th.”

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

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.

“A ziploc bag in a cubby containing children’s clothing was not out of the reach of the children two years of age in space #5.”

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.

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

“On October 1, 2025, a staff member placed a cup of cow’s milk within reach of a child with a documented dairy allergy; resulting in the child drinking the milk.”

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: Oct 14, 2025. Correction verified: at a follow-up visit by DCDEE.

An incident report was not completed and mailed to a Division representative within seven days after the incident when medical treatment was required.

“The staff members did not submit a copy of the incident report to the Division as required following an incident that occurred on October 1, 2025.”

Rule An incident report was not completed and mailed to a Division representative within seven days after the incident when medical treatment was required.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Oct 14, 2025. Correction verified: at a follow-up visit by DCDEE.

Center staff did not follow the EMC plan.

“On October 1, 2025, a staff member did not follow the emergency medical care plan; when a four-year-old child began to show signs of an allergic response after drinking cow’s milk.”

Rule Center staff did not follow the EMC plan.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Oct 14, 2025. Correction verified: at a follow-up visit by DCDEE.

Each child was not attended to in a nurturing and appropriate manner, or in keeping with the child’s developmental needs.

“On April 25, 2025, a staff member squeezed a three-year-old child’s right hand. There were no marks, bruising or swelling.”

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: Jun 30, 2025. Correction verified: at a follow-up visit by DCDEE.

A drug or medicine was administered after its expiration date.

“The diastat medication in space #6 expired on 9/7/24.”

Rule A drug or medicine was administered after its expiration date.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: May 8, 2025. Correction verified: by a letter from the provider.

A summary of the NC Child Care Law was not given to a parent of every child enrolled in the center.

“Two children currently enrolled did not have this information on file.”

Rule A summary of the NC Child Care Law was not given to a parent of every child enrolled in the center.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: May 8, 2025. Correction verified: by a letter from the provider.

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. The CPR training for one staff expired on 2/9/25 and one staff did not complete 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: May 8, 2025. Correction verified: by a letter from the provider.

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. The first aid training for one staff expired on 2/9/25 and one staff did not complete First Aid.”

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: May 8, 2025. Correction verified: by a letter from the provider.

Application did not include the names of individuals to whom the center may release the child, as authorized by the person who signs the application.

“One child currently enrolled did not have someone other than parents listed for release authorization.”

Rule Application did not include the names of individuals to whom the center may release the child, as authorized by the person who signs the application.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: May 8, 2025. 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 one month.

“In space 2B on April 11, 14, 21, 22, and 23 the safe sleep charts did not include the sleeping position. The safe sleep charts were only completed for one child on 4/16/25.”

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 one month.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: May 8, 2025. 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.

“One child currently enrolled did not have immunizations 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.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: May 8, 2025. 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.

“This was not on file for two children currently enrolled.”

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: May 8, 2025. Correction verified: by a letter from the provider.

Parent’s medication authorization did not include required information.

“The medication authorization for albuterol expired on 2/9/25 in space #5 and the epi-pen expired on 1/17/25 in space #6.”

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: May 8, 2025. Correction verified: by a letter from the provider.

The health assessment did not include a dental screening.

“One NC Pre-K student did not have a dental screening on file.”

Rule The health assessment did not include a dental screening.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: May 23, 2025. Correction verified: by a letter from the provider.

The health assessment did not include a hearing screening.

“One NC Pre-K student did not have a hearing screening on file.”

Rule The health assessment did not include a hearing screening.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: May 23, 2025. Correction verified: by a letter from the provider.

The health assessment did not include a vision screening.

“One NC Pre-K student did not have a vision screening on file.”

Rule The health assessment did not include a vision screening.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: May 23, 2025. Correction verified: by a letter from the provider.

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

“The medical action plan expired on 6/9/24 for the diastat in space #6.”

Rule The medical action plan was not updated on an annual basis or when changes to the plan were made by the 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: May 8, 2025. Correction verified: by a letter from the provider.

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

“Outdoor learning environment (OLE) #3 had protrusions along the bottom and top of the fence, 2 broken and rusty gutter drain pipes, and exposed rough concrete edges along the step. OLE #2 had nails popping up along the edge of the black mulch border. OLE #1 had protrusions at the top of the fence, a broken toy box, and bolts protruding from the fence posts and gate posts.”

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: Jul 21, 2024. Correction verified: by a letter from the provider.