Rose of Sharon Day Care Center

Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container.

“In space #2 an albuterol inhaler in a cloth bag that belonged to a teacher was on the desk within the children’s reach not in locked storage.”

Rule Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container.. Corrected during the inspection.

Staff did not interact with children in positive ways by helping them feel welcome and comfortable, treating them with respect, listening to what they say, responding to them with acceptance and appreciation, and/or participating in activities with the children.

“On two separate occasions it was identified that a staff member did not interact in a positive manner with children. A staff member used a megaphone to give instructions to the children and was seen placing her hand over a child’s eyes in an attempt to get the child to fall asleep.”

Rule Staff did not interact with children in positive ways by helping them feel welcome and comfortable, treating them with respect, listening to what they say, responding to them with acceptance and appreciation, and/or participating in activities with the children.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Sep 9, 2026. Correction verified: by a letter from the provider.

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

“The rubber mats underneath the swings and at the base of the slides on the preschool playground were not recessed in the mulch causing a potential tripping hazard for the children. There is a bolt sticking out of the border on the preschool playground.”

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: Sep 9, 2026. Correction verified: by a letter from the provider.

Parent’s medication authorization did not include required information.

“The medication authorization form was not complete for the sunscreen stick in space #5.”

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: Aug 21, 2026. Correction verified: by a letter from the provider.

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.

“Plastic bags were within the reach of the children under three 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.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Aug 21, 2026. Correction verified: by a letter from the provider.

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

“On June 15, 2026 and June 17, 2026, two staff members engaged in a verbal/physical altercation in the presence of children.”

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 23, 2026. 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 June 15, 2026, a staff member, spoke loudly to a three-year-old child who refused to eat their lunch.”

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 23, 2026. Correction verified: at a follow-up visit by DCDEE.

Perishable foods were not stored to protect against spoilage.

“Two gallons of fat-free milk expired on 1/26/26.”

Rule Perishable foods were not stored to protect against spoilage.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Feb 12, 2026. Correction verified: by a letter from the provider.

A drug or medicine was administered after its expiration date.

“The medication authorization for Tylenol was valid from August 15th-22nd. The child was given the medication on 8/25/25 per the medication log.”

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: Sep 10, 2025. Correction verified: by a letter from the provider.

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

“The rubber mats underneath the swings and at the base of the slides on the preschool playground were not recessed in the mulch causing a potential tripping hazard for the children.”

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: Sep 10, 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. One staff completed an unapproved course for CPR.”

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: Sep 22, 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. One staff completed an unapproved course for 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: Sep 22, 2025. Correction verified: by a letter from the provider.

Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually.

“Emergency information was not on file for a teacher who started employment on 6/17/25.”

Rule Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Sep 10, 2025. Correction verified: by a letter from the provider.

Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization.

“The authorization for Tylenol expired on 8/22/25 and has not been returned to the parent.”

Rule Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Sep 10, 2025. Correction verified: by a letter from the provider.

Parent’s medication authorization did not include required information.

“In space #2 the Blue lizard sunscreen and Burt’s Bees lotion had as needed in the amount to be given section. A medication authorization form was not on file for the Burt’s Bees ointment. In space #5 one medication authorization form for an epi-pen did not have the dosage to be given and one epi-pen expired on 12/24/24.”

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: Feb 24, 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.

“In space #1 the medical action plan for albuterol expired on 4/19/24. In space #5 the medical action plan for the Epi-pen expired on 8/14/24.”

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: Feb 24, 2025. Correction verified: by a letter from the provider.