Toddler’s Academy, Inc.

The depth of the loose surfacing was not based on critical height of the equipment.

“The mulch on the older playground was less than 2 inches in depth around the climbing structure fall zones.”

Rule The depth of the loose surfacing was not based on critical height of the equipment.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Jun 1, 2026. Correction verified: by a letter from the provider.

The written feeding plan did not include the child’s name, parent signature, and/or was not dated when received by the center.

“A child in space #2 did not have a parent signature or date on their feeding schedule.”

Rule The written feeding plan did not include the child's name, parent signature, and/or was not dated when received by the center.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Jun 1, 2026. Correction verified: by a letter from the provider.

A child was yelled at, shamed, humiliated, frightened, threatened or bullied.

“A caregiver yelled in a child’s face telling the child to “shut up” and “stop crying”.”

Rule A child was yelled at, shamed, humiliated, frightened, threatened or bullied.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Jun 25, 2025. Correction verified: by a letter from the provider.

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

“There were mold in the bathroom shared by space #3 and space #4 around the toilet’s and bottom baseboards.”

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: Jun 25, 2025. Correction verified: by a letter from the provider.

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

“A staff member failed to intervene during an inappropriate action between another staff member and a child.”

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 25, 2025. Correction verified: by a letter from the provider.

Parent’s medication authorization did not include required information.

“In space #5 a child’s chronic medication authorization form for an epi-pen had expired. The form expired on March 12, 2025.”

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: Jun 18, 2025. Correction verified: by a letter from the provider.

A drug or medicine was administered after its expiration date.

“A child in space #1 had butt paste diaper cream that expired on 10/24. A child in space #6 epi-pen expired on 11/2/24.”

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: Dec 17, 2024. Correction verified: by a letter from the provider.

Parent’s medication authorization did not include required information.

“A child in space #2 did not have the name of the diaper cream ointment on the permission slip to review during today’s visit.”

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: Dec 17, 2024. Correction verified: by a letter from the provider.

Rule violated (DCDEE’s description below)

“Child care center employees did not change a child’s diaper as followed: gathering supplies before placing child on diapering surface; and once diapering is completed, spraying entire diapering surface with an approved disinfectant and allowing to remain on the surface for two minutes or as specified by the manufacturer, or air dry. An employee in space #2 did not gather a child’s diaper changing materials before placing the child on the diaper changing table. This is a violation of a requirement in 15A NCAC 18A .2819(d)(1)&(10).”

Rule Rule violated (DCDEE’s description below). Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Dec 17, 2024. Correction verified: by a letter from the provider.

Staff did not wash their hands thoroughly before beginning work, before/after handling food, before bottle feeding or serving to other children, after toileting or handling body fluids, after diaper changing and after handling soiled items.

“A staff member in space #2 did not wash her hands after changing a child’s diaper.”

Rule Staff did not wash their hands thoroughly before beginning work, before/after handling food, before bottle feeding or serving to other children, after toileting or handling body fluids, after diaper changing and after handling soiled items.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Dec 17, 2024. 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.

“A child in space #6 emergency medical plan expired on 8/18/23.”

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: Dec 17, 2024. Correction verified: by a letter from the provider.

The written feeding plan did not include the child’s name, parent signature, and/or was not dated when received by the center.

“In space #2 a child’s feeding schedule did not include the parents signature when received by the staff and available for review during today’s visit.”

Rule The written feeding plan did not include the child's name, parent signature, and/or was not dated when received by the center.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Dec 17, 2024. Correction verified: by a letter from the provider.

A drug or medicine was administered after its expiration date.

“A child in space #2 had Aquaphor diaper cream that expired on 8/22.”

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: Jun 17, 2024. Correction verified: by a letter from the provider.

Child was handled roughly.

“A teacher in space #2 popped a child’s hand multiple times when the child continued pulling at the chair under the table instead of laying down on his mat during naptime. A teacher in space #2 picked up a child by arm and moved her across the room while holding another child in her arms.”

Rule Child was handled roughly.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Jun 19, 2024. Correction verified: by a letter from the provider.

Children did not wash their hands upon arrival at the center, after each visit to the toilet, before eating, before and after water activity play, after outside play, and after handling animals or animal cages.

“A child in space #2 that was playing on the floor and walking around with his hands in his mouth did not get his hands wash before being put at the table for lunch.”

Rule Children did not wash their hands upon arrival at the center, after each visit to the toilet, before eating, before and after water activity play, after outside play, and after handling animals or animal cages.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Jun 19, 2024. Correction verified: by a letter from the provider.

Parent’s medication authorization did not include required information.

“A child in space #2 did not have the dates listed to administer the diaper cream on the authorization form. A child in space #1 did not have the name of the diaper cream listed on the medication permission slip.”

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: Jun 17, 2024. Correction verified: by a letter from the provider.

Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional.

“A child in space #1 prescription medication triamcinolone acetonide cream was not stored in it’s original container.”

Rule Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician 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: Jun 17, 2024. Correction verified: by a letter from the provider.

Rule violated (DCDEE’s description below)

Rule Rule violated (DCDEE’s description below). Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Jun 19, 2024. Correction verified: by a letter from the provider.

Staff did not complete the health and safety training within one year of employment.

“A staff member did not complete her health and safety trainings within one year of employment. The staff completed the trainings on 5/30/24 instead of 3/30/24.”

Rule Staff did not complete the health and safety training within one year of employment.. Corrected during the inspection.

Staff required to receive on-going training had not completed the required number of hours according to their education and experience.

“A staff member did not complete the required number of training hours according to her education and experience.”

Rule Staff required to receive on-going training had not completed the required number of hours according to their education and experience.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Jun 17, 2024. Correction verified: by a letter from the provider.

Enhanced staff/child ratios and group sizes were not met.

“In space #6 there were only one teacher in the classroom during nap caring children one year of age and up.”

Rule Enhanced staff/child ratios and group sizes were not met.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Mar 25, 2024. Correction verified: by a letter from the provider.

Incident reports were not completed each time a child was injured, it did not include all the information required in rule, it was not signed by the parent and/or it was not maintained in the child’s file.

“An incident report was not written for a child that was injured outside on the playground on 2/21/24.”

Rule Incident reports were not completed each time a child was injured, it did not include all the information required in rule, it was not signed by the parent and/or it was not maintained in the child's file.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Mar 25, 2024. Correction verified: by a letter from the provider.

Formula and other beverages which require refrigeration were not identified for each child or properly refrigerated.

“A child in space #2 bottles were not labeled with the child’s name before putting them in the refrigerator.”

Rule Formula and other beverages which require refrigeration were not identified for each child or properly refrigerated.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Jan 5, 2024. Correction verified: by a letter from the provider.

Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements.

“A current playground inspection was not available for review during today’s visit. The last playground inspection was conducted on 10/26/23.”

Rule Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Jan 5, 2024. Correction verified: by a letter from the provider.

Parent’s medication authorization did not include required information.

“A child in space #4 did not have a permission slip with a parent signature to administer the emergency medication during today’s visit.”

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: Jan 5, 2024. Correction verified: by a letter from the provider.

Questionable medication instructions from parents were followed without signed written dosage instructions received from physician or authorized health professional.

“In space #1 and space #2 children with topical medication did not have the proper instructions on the time and amount that it should be administered.”

Rule Questionable medication instructions from parents were followed without signed written dosage instructions received from physician 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: Jan 5, 2024. Correction verified: by a letter from the provider.

The depth of the loose surfacing was not based on critical height of the equipment.

“The mulch around the climbing structure fall zones on the playground was less than one inch in depth.”

Rule The depth of the loose surfacing was not based on critical height of the equipment.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Jan 5, 2024. Correction verified: by a letter from the provider.

The written feeding plan did not include the child’s name, parent signature, and/or was not dated when received by the center.

“In space #2 a child’s feeding schedule did not include the parents signature when received by the staff and available for review during today’s visit.”

Rule The written feeding plan did not include the child's name, parent signature, and/or was not dated when received by the center.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Jan 5, 2024. Correction verified: by a letter from the provider.