Think and Grow Child Care #2

First aid kit and/or fire extinguisher was not located in vehicle; kit and/or extinguisher was not mounted or secured if in passenger area.

“The vehicle with license plate number RBX-5878 did not have a fire extinguisher on the vehicle. You stated you have not recently been using the vehicle, and it was taken out.”

Rule First aid kit and/or fire extinguisher was not located in vehicle; kit and/or extinguisher was not mounted or secured if in passenger area.. Corrected during the inspection.

A drug or medication was administered without written authorization and/or instructions from a child’s parent or authorized health professional.

“A tube of Nystatin cream onsite did not have written documentation from the parent or health care provider.”

Rule A drug or medication was administered without written authorization and/or instructions from a child's parent 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: Feb 26, 2025. Correction verified: by a letter from the provider.

All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet.

“A container of white out was on a table near the door and accessible to children.”

Rule All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Feb 26, 2025. Correction verified: by a letter from the provider.

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

“Two active ant beds were observed on the playground. A bolt in the base of the school bus was protruding. A staff member’s purse was hanging on the back of a door within reach of children in Space #6.”

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: Aug 20, 2024. Correction verified: by a letter from the provider.

All stationary equipment, more than 18 inches high, was not installed over protective surfacing.

“Surfacing at the exit points of the slide and walking ramp on the play structure measured less than 1ft.”

Rule All stationary equipment, more than 18 inches high, was not installed over protective surfacing.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Aug 20, 2024. Correction verified: by a letter from the provider.

All vehicles used to transport children were not free of hazards.

“Exit doors on the back of two vehicles used to transport children would not open.”

Rule All vehicles used to transport children were not free of hazards.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Aug 20, 2024. Correction verified: by a letter from the provider.

Rule violated (DCDEE’s description below)

“A drug or medication was administered without written authorization and/or instructions from a child’s parent or authorized health professional. written authorization was not provided for an EpiPen onsite for one preschool child enrolled.”

Rule Rule violated (DCDEE’s description below). Corrected during the inspection.

The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment.

“One staff member hired on July 25, 2022, completed Recognizing and Responding to Suspicion of Child Maltreatment on November 8, 2024.”

Rule The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Aug 20, 2024. Correction verified: by a letter from the provider.

All children’s records, except ones regarding administration of medications as referenced in rule.0803 (13), were not retained on file for as long as the child was enrolled, and/or for at least one year from the date the child was no longer enrolled in the facility.

“The center did not have a file on site and available for review for one child with dual enrollment between two programs.”

Rule All children's records, except ones regarding administration of medications as referenced in rule.0803 (13), were not retained on file for as long as the child was enrolled, and/or for at least one year from the date the child was no longer enrolled in the facility.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Jan 19, 2024. Correction verified: by a letter from the provider.

Over-the-counter medicines were not in their original containers or administered as authorized in writing by parent, physician or authorized health professional.

“A bottle of Hyland’s Cough and Mucous syrup and container of A & D ointment was not labeled with the child’s name.”

Rule Over-the-counter medicines were not in their original containers or administered as authorized in writing by parent, 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 19, 2024. Correction verified: by a letter from the provider.

Parent’s medication authorization did not include required information.

“The hand-written permission to administer over the counter medication did not include the amount to administer, how often to administer, the route of administration and the timeframe for administration of the medicine.”

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 19, 2024. Correction verified: by a letter from the provider.