La Petite Academy, Inc.

Minimum staff/child ratios and group sizes for the number and ages of children in care were not met.

“Eleven (11) infants were observed in Space 1 with three (3) staff members; the maximum group size for children under twelve months of age is ten (10).”

Rule Minimum staff/child ratios and group sizes for the number and ages of children in care were not met.. Corrected during the inspection.

All equipment and furnishings were not in good repair.

“In Space 2, there were two damaged puzzles that were accessible. These were removed and replaced during the visit. In Space 7, there were seven(7) damaged books. These were removed and replaced during the visit. In Space 7, there were five(5) shelves that were damaged at the bottom that need repair. There was one deflated ball on the toddler playground. This was removed during the visit. On the back playground, there was one wooden slat on the fence that was bent back due to a branch that needs repair.”

Rule All equipment and furnishings were not in good repair.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Jan 20, 2026. 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 did not have an approved first aid training.”

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: Jan 20, 2026. Correction verified: by a letter from the provider.

For children under three years of age, materials were not offered in sufficient quantity to allow all children to use them at some time during the day and to allow for a range of choices.

“In Space 2 and Space 7, there was not sufficient dramatic play materials accessible. This was corrected during the visit.”

Rule For children under three years of age, materials were not offered in sufficient quantity to allow all children to use them at some time during the day and to allow for a range of choices.. 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.

“Four(4) staff did not complete the training within 90 days of employment.”

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: Jan 20, 2026. Correction verified: by a letter from the provider.

The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current.

“The EPR plan was not reviewed annually and updated.”

Rule The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Feb 4, 2026. Correction verified: by a letter from the provider.

Incident logs were not completed and maintained as required.

“Incident logs were not maintained and completed for October/November 2025.”

Rule Incident logs were not completed and maintained as required.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Nov 24, 2025. 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.

“Incident reports were completed but did not have all of the information included on the form.”

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

New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks.

“Five(5) staff did not have at least 16 hours of orientation within the first 6 weeks.”

Rule New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Nov 24, 2025. Correction verified: by a letter from the provider.

Children used space that was not approved.

“One infant was being cared for in the front lobby area of the center.”

Rule Children used space that was not approved.. Corrected during the inspection.

Rule violated (DCDEE’s description below)

“A schedule of off premise activities were not posted in each participating classroom to be viewed by parents and/or copy of the schedule was not given to parents.A schedule of off premise activities was not available.”

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

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

“On 4/30/2025, there were nine(9) two-year-old children and thirteen(13) three-year-old children with two staff members in Space 7.”

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: May 9, 2025. Correction verified: at a follow-up visit by DCDEE.

Toys and other mouth-contact surfaces were not cleaned and sanitized daily when used or cleaned more frequently if visibly dirty.

“In the classroom space for infants, pacifiers that had fallen on the floor were not cleaned prior to use.”

Rule Toys and other mouth-contact surfaces were not cleaned and sanitized daily when used or cleaned more frequently if visibly dirty.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: May 6, 2025. Correction verified: by a letter from the provider.

Diapers were not changed whenever they were soiled or wet and/or were changed on a shift basis.

“On 3/25/2025, a child’s diaper was not changed at the center.”

Rule Diapers were not changed whenever they were soiled or wet and/or were changed on a shift basis.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Apr 17, 2025. Correction verified: by a letter from the provider.

Following the issuance of any administrative action the operator did not post the administrative action, cover letter, and/or corrective action plan, if applicable, in a location visible to parents and visitors near the entrance of the child care facility during the pendency of an appeal and/or throughout the effective time period of the administrative action.

“(Applicable to administrative actions after 2/1/19). The action was in a closed notebook on a bottom shelf not visible to parents and visitors.”

Rule Following the issuance of any administrative action the operator did not post the administrative action, cover letter, and/or corrective action plan, if applicable, in a location visible to parents and visitors near the entrance of the child care facility during the pendency of an appeal and/or throughout the effective time period of the administrative action.. Corrected during the inspection.

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

“A current activity plan was not posted in Space 5 and Space 7.”

Rule A current activity plan was not posted for each group of children for reference.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Feb 2, 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.

“Three(3) children did not have that the summary was received 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: Feb 2, 2025. Correction verified: by a letter from the provider.

All group leaders were not at least 18 years of age, have a high school diploma, and/or had not completed Basic School Age Care (BSAC) training.

“The group leader had not completed BSAC within three months.”

Rule All group leaders were not at least 18 years of age, have a high school diploma, and/or had not completed Basic School Age Care (BSAC) training.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Feb 10, 2025. Correction verified: at a follow-up visit by DCDEE.

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. Six(6) staff did not have current 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: Mar 14, 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. Six(6) staff did not have current First Aid training.”

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: Mar 14, 2025. Correction verified: by a letter from the provider.

All walls and ceilings including doors and windows were not kept clean, free of visible fungal growth, and in good repair.

“In Space 2, the walls had areas of chipping paint.”

Rule All walls and ceilings including doors and windows were not kept clean, free of visible fungal growth, and in good repair.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Feb 25, 2025. Correction verified: by a letter from the provider.

An individual written feeding plan was not provided by child’s parent or health care provider or was not followed and posted.

“(omit posting for centers located in a residence) Eight(8) infant feeding plans were not posted in Space 1.”

Rule An individual written feeding plan was not provided by child's parent or health care provider or was not followed and posted.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Feb 2, 2025. Correction verified: by a letter from the provider.

Before children were transported, written permission from a parent was not obtained that included when and where the child was to be transported, expected time of departure and arrival, and the transportation provider.

“Seven transportation permission forms for children need to be updated.”

Rule Before children were transported, written permission from a parent was not obtained that included when and where the child was to be transported, expected time of departure and arrival, and the transportation provider.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Feb 2, 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.

“Sleep charts were not completed for January 2025.”

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: Feb 2, 2025. Correction verified: by a letter from the provider.

Emergency and identifying information, including the child’s name, photograph, emergency contact information and/or a copy of the emergency medical care information form was not in the vehicle for each child being transported.

“Eight(8) children need current emergency information and a photograph on the vehicle used for routine transportation.”

Rule Emergency and identifying information, including the child's name, photograph, emergency contact information and/or a copy of the emergency medical care information form was not in the vehicle for each child being transported.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Feb 2, 2025. Correction verified: by a letter from the provider.

For routine transport of children to and from the center, staff did not use the list to document attendance as children boarded and departed the vehicle.

“Dcoumentation was not available for routine transport.”

Rule For routine transport of children to and from the center, staff did not use the list to document attendance as children boarded and departed the vehicle.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Feb 2, 2025. Correction verified: by a letter from the provider.

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

“Two cups were not labeled in the infant room in the refrigerator.”

Rule Formula and other beverages which require refrigeration were not identified for each child or properly refrigerated.. Corrected during the inspection.

Health and safety training topics were not included as part of on-going training within five years of completing the previous health and safety training topics.

“Three staff did not complete the reporting child abuse topic area within five years of previous training.”

Rule Health and safety training topics were not included as part of on-going training within five years of completing the previous health and safety training topics.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Feb 20, 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.

“One child did not have a medical exam on file.”

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

Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule.

“One topical ointment did not have permission in file in Space 1.”

Rule Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Feb 2, 2025. Correction verified: by a letter from the provider.

Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection.

“Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The last fire inpspection was completed 11/30/2023.”

Rule Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Feb 3, 2025. Correction verified: by a letter from the provider.

Rule violated (DCDEE’s description below)

“Staff did not complete the health and safety training within one year of employmentT. Three(3)staff did not complete the health and safety training within one year of employment.”

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: Feb 10, 2025. Correction verified: at a follow-up visit by DCDEE.

The activity plan did not include a daily gross motor activity which may occur indoors and outdoors.

“The activity plan did not include a daily gross motor activity in Space 3.”

Rule The activity plan did not include a daily gross motor activity which may occur indoors and outdoors.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Feb 2, 2025. 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.

“One(1) infant feeding plan did not include the parent signature.”

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: Feb 2, 2025. Correction verified: by a letter from the provider.

Child was handled roughly.

“A staff member pulled a child by the arm close to the wrist and the child fell to their knees and they were pulled an additional twelve inches. Another staff member was observed pulling a child by the arm near the elbow to sit down with the rest of the group of children.”

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: Dec 23, 2024. Correction verified: by a letter from the provider.

Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months.

“One staff file did not have a medical report on file.”

Rule Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Nov 20, 2024. 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 child one year of age was picked up in an inappropriate manner by a staff member on the outside of the upper arms in the shoulder area and put down quickly in a chair.”

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: Dec 4, 2024. Correction verified: by a letter from the provider.

Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas.

“One staff file did not have an orientation form filled out with documentation of completed orientation within the first two weeks of employment.”

Rule Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Nov 20, 2024. Correction verified: by a letter from the provider.

For children under three years of age, materials were not offered in sufficient quantity to allow all children to use them at some time during the day and to allow for a range of choices.

“In the classroom for toddlers, materials in sufficient quantity were not observed in books, dramatic play and fine motor.”

Rule For children under three years of age, materials were not offered in sufficient quantity to allow all children to use them at some time during the day and to allow for a range of choices.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Nov 20, 2024. Correction verified: by a letter from the provider.

On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months.

“One staff file did not have a TB test or screening on file.”

Rule On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Nov 20, 2024. Correction verified: by a letter from the provider.

Children used space that was not approved.

“Per staff, if classrooms need assistance due to staff/child ratios, one(1) or two(2)infants are brought out of classroom and carried around or in front office temporarily.”

Rule Children used space that was not approved.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Oct 4, 2024. Correction verified: by a letter from the provider.

For children under three years of age, developmentally appropriate toys and activities were not provided as outlined in Rule.

“In the classroom space for children age one, four shelves were turned around so children did not have access to materials. In the classroom space for children age two, six shelves were turned around so children did not have access to materials.”

Rule For children under three years of age, developmentally appropriate toys and activities were not provided as outlined in Rule.. Corrected during the inspection.

Daily records of arrival and departure times for children enrolled at the center were not maintained as children arrive and depart and/or were not made available for review.

“Arrival times were not documented for one child on 8/1/2024, 8/2/2024, 8/29/2024, 8/30/2024, 9/3/2024, 9/4/2024, 9/6/2024 and two children on 8/8/2024.”

Rule Daily records of arrival and departure times for children enrolled at the center were not maintained as children arrive and depart and/or were not made available for review.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Sep 27, 2024. Correction verified: by a letter from the provider.

Incident logs were not completed and maintained as required.

“An incident log was not on file.”

Rule Incident logs were not completed and maintained as required.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Sep 27, 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.

“I observed thirteen(13) incident reports that did not have required information.”

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: Sep 27, 2024. Correction verified: by a letter from the provider.

Minimum staff/child ratios and group sizes for the number and ages of children in care were not met.

“On 9/9/2024, one staff member was supervising six(6) children, ages 3 months to 1 year. On 8/26/2024, one staff member was supervising nine(9) children, age one year. On 8/21/2024, one staff member was supervising eleven(11) children, age two years.”

Rule Minimum staff/child ratios and group sizes for the number and ages of children in care were not met.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Sep 23, 2024. Correction verified: at a follow-up visit by DCDEE.

A child was released to an individual that was not listed on the application.

“Administration staff released a child to someone that was not listed on the child’s enrollment application.”

Rule A child was released to an individual that was not listed on the application.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Oct 4, 2024. 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 did not have current CPR training on file.”

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: Jun 14, 2024. 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 did not have current first aid training on file.”

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: Jun 14, 2024. Correction verified: by a letter from the provider.

Before children were transported, written permission from a parent was not obtained that included when and where the child was to be transported, expected time of departure and arrival, and the transportation provider.

“Eight(8) children that are routinely transported had expired permission forms.”

Rule Before children were transported, written permission from a parent was not obtained that included when and where the child was to be transported, expected time of departure and arrival, and the transportation provider.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Jun 14, 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.

“Monthly inspections were not available for February- May 2024.”

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: Jun 14, 2024. Correction verified: by a letter from the provider.

New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks.

“One new staff did not have completed orientation on file.”

Rule New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Jun 14, 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.

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

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

“In Spaces 1,2,3, and 5 did have current activity plans posted.”

Rule A current activity plan was not posted for each group of children for reference.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Feb 6, 2024. Correction verified: by a letter from the provider.

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

“On the playgrounds for toddlers and pre-k, the bottom of the fencing around the air units had sharp fencing protrusions that need to be repaired. On the playground for pre-k, there was a wooden slat missing that needs to be replaced. On the back playground, there were eight(8) pieces of fencing that were sharp at the bottom. In Space 7 for children age two, there were broken pieces of chalk and crayons that were a choking hazard. These were made inaccessible during the visit.”

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: Feb 16, 2024. 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.

“One bag of miracle-gro soil with warning labels, was stored in an unlocked cabinet.”

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.. Corrected during the inspection.

Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule.

“In Space 1, one prescription ointment did not have a permission form on file. In Space 1, one prescription medication did not have the correct permission form on file. In Space 2, one diaper ointment, did not have a permission form on file.”

Rule Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Feb 8, 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.

“The last playground inspection was conducted 11/30/2023.”

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: Feb 6, 2024. Correction verified: by a letter from the provider.

Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete.

“The last emergency drill was conducted September 18, 2023.”

Rule Shelter-in-place or lockdown drills were not practiced every three months and/or 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: Feb 14, 2024. Correction verified: by a letter from the provider.

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

“One staff person completed thirteen(13) out of twenty (20) required in-service training hours.”

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

Staff/child ratios applicable to a classroom, were not posted in each classroom.

“In Spaces 1, 2, 3, 4, 6, and 7 , the staff/child ratios was not posted.”

Rule Staff/child ratios applicable to a classroom, were not posted in each classroom.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Feb 6, 2024. Correction verified: by a letter from the provider.

The Center did not have a person on staff who completed the EPR in Child Care training within the required timeframe and/or documentation of completion of the training was not on file or in a file designated for emergency preparedness and response plan documents.

“There was not a trained staff person on-site that completed the EPR in Child Care training.”

Rule The Center did not have a person on staff who completed the EPR in Child Care training within the required timeframe and/or documentation of completion of the training was not on file or in a file designated for emergency preparedness and response plan documents.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Apr 19, 2024. Correction verified: by a letter from the provider.

The center’s safe sleep policy was not posted in a prominent place in the infant room where parents and caregivers were able to view daily.

Rule The center's safe sleep policy was not posted in a prominent place in the infant room where parents and caregivers were 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: Feb 6, 2024. Correction verified: by a letter from the provider.

The materials and equipment indoors and outdoors were not sufficient to provide a variety of play experiences to promote the children’s emotional and social development, health and physical development, approaches to play and learning, language and communication development, and cognitive development.

“In Space 2, there was not sufficient materials in the activity areas. There were not books accessible or dramatic play materials such as pots/pans or accessories for dolls.”

Rule The materials and equipment indoors and outdoors were not sufficient to provide a variety of play experiences to promote the children's emotional and social development, health and physical development, approaches to play and learning, language and communication development, and cognitive development.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Feb 15, 2024. Correction verified: by a letter from the provider.