Caesar’s Lil Palace

A child care operator did not notify the Division of any new child care providers, as defined in G.S.

“110-90.2(a)(2), who were hired or moved into the child care facility within five business days. One staff member’s current qualifying letter was not linked on the facility’s roster.”

Rule A child care operator did not notify the Division of any new child care providers, as defined in G.S..

A child’s file did not have a statement with parent signature acknowledging receipt and explanation of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy and/or the acknowledgement did not have all the required information.

“The Prevention of Shaken Baby Syndrome and Abusive Head Trauma was not signed by the parents for three (3) children.”

Rule A child's file did not have a statement with parent signature acknowledging receipt and explanation of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy and/or the acknowledgement did not have all the required information..

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

“On the playground, I observed the door leading into Space 1A and 1B had peeling paint around the molding that was accessible to the children.”

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

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.

“Two school-age children being transported did not have a current written permission to transport from the parent. Permission to transport children forms expired in May 2026.”

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..

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 member did not have medical report completed prior to working with children.”

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..

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

“One staff member did not have documentation of the required 16 hours of orientation within the first six (6) weeks.”

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

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 member did not have a TB test completed on or before the first day of work stating they were free of active TB.”

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..

A child care operator did not notify the Division of any new child care providers, as defined in G.S.

“110-90.2(a)(2), who were hired or moved into the child care facility within five business days. One provider’s current qualifying letter was was not linked to the facility’s roster.”

Rule A child care operator did not notify the Division of any new child care providers, as defined in G.S.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: May 1, 2026. Correction verified: by a letter from the provider.

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

“On the infant/toddler playground there was plastic mulch bag under the ground cover that was exposed and accessible to 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: May 1, 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 member did not have a current CPR/First-Aid certification in their file for review.”

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 1, 2026. Correction verified: by a letter from the provider.

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

“On September 26, 2025, in space 2, a parent and staff member had a confrontation in front of children ages three to five years of age and profanity was used with children present.”

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

A child care operator did not notify the Division of any new child care providers, as defined in G.S.

“110-90.2(a)(2), who were hired or moved into the child care facility within five business days. During the visit, I observed the ABCMS Provider Portal not in use.”

Rule A child care operator did not notify the Division of any new child care providers, as defined in G.S.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Nov 10, 2025. Correction verified: by a letter from the provider.

A valid qualification letter was not on file and available to review at the facility.

“During the visit, I observed that one (1) employee did not have a current qualification letter on file.”

Rule A valid qualification letter was not on file and available to review at the facility.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Nov 3, 2025. Correction verified: by a letter from the provider.

Each staff member did not have the required medical report, proof of tuberculosis test or screening and/or completed health questionnaire in a medical file, maintained separately from the staff member’s individual personnel file.

“During the visit, I observed one (1) staff file that did not have a current health questionnaire on file.”

Rule Each staff member did not have the required medical report, proof of tuberculosis test or screening and/or completed health questionnaire in a medical file, maintained separately from the staff member's individual personnel file.. Corrected during the inspection.

Medical exam or health assessment record was not on file before or within 30 days after admission.

“During the visit, I observed two (2) child files that did not have medical reports 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: Nov 3, 2025. Correction verified: by a letter from the provider.

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

“During the visit, I observed one (1) inhaler that had an expired medication permission form.”

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: Nov 3, 2025. 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.

“During the visit, I observed plastic landscaping material on the playground designated for infants and toddlers.”

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.

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

“During the visit, I observed one (1) inhaler not in the 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: Nov 3, 2025. 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.

“During the visit, I observed one (1) staff file that did not have any on-going training hours documented.”

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: Nov 3, 2025. Correction verified: by a letter from the provider.

All equipment and furnishings were not in good repair.

“On the preschool playground, there were two pieces of vinyl fending that were damaged that need repair. There was a yellow school bus with chipping paint and two merry-go-cycles with chipping paint. In Space 3, there was a cracked piece of plexiglass in the science center. This was removed during the visit.”

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: Nov 20, 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.

“For children routinely transported, ten(10) children did not have the permission form filled out with when and where the child was to be transported and expected time of departure and arrival.”

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

Food substitution was not of comparable food value or recorded on the menu prior to the meal or snack being served.

“The breakfast served was not updated on the menu prior to the meal served.”

Rule Food substitution was not of comparable food value or recorded on the menu prior to the meal or snack being served.. 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.

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.

“In the space for children ages one and two years, the following items were accessible: small stickers, foam stars, small eyes, cotton balls, and a zip up plastic bag. On the playground for children under three years, there was one plastic bag. This was removed during the visit.”

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 list of all children participating in the off premise activity was not available at the center.

“The operator did not have a list which clearly showed which children were off-premises on a field trip.”

Rule A list of all children participating in the off premise activity was not available at the center.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Jul 9, 2024. Correction verified: by a letter from the provider.

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.

“The schedule of activities for field trips did not include the reuired information including can be viewed by parents, and a copy shall be given to parents. The schedule shall be current and shall include the: (A) location of the activity; (B) purpose of the activity; (C) time the activity will take place; (D) date of the activity; and (E) name of the person(s) to be contacted in the event of an emergency.”

Rule 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.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Jul 9, 2024. Correction verified: by a letter from the provider.

The written feeding plan was not modified as the child’s needs changed.

“A 14-month old child is served table food at the center although the feeding schedule has not been updated to include table food.”

Rule The written feeding plan was not modified as the child's needs changed.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Jul 9, 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 2 and 3, a current activity plan was not posted for the month of November.”

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: Dec 5, 2023. Correction verified: by a letter from the provider.

A safe indoor and outdoor environment was not provided 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: Dec 8, 2023. 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 certification for CPR for an existing staff member expired on 1/15/2023.”

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: Dec 5, 2023. 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.

“The transportation authorization forms for six children being transported did not include when and where the child is transported and the expected time of arrival and departure for each child.”

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: Dec 5, 2023. Correction verified: by a letter from the provider.

Each employee’s personnel file did not contain an annual staff evaluation and a staff development plan.

“The most recent staff evaluation on file was dated 1/04/2021. The most recent Professional Development Plan on file was dated 1/06/2022.”

Rule Each employee's personnel file did not contain an annual staff evaluation and a staff development plan.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Dec 7, 2023. Correction verified: by a letter from the provider.

On-going training received was not within the 9 topic areas listed in GS 110-91(11) and/or the health and safety training topic areas in rule .1102.

“Health and Safety training topic number 2 (Administration of Medication, with Standards for Parental Consent) was not observed on file for this staff member.”

Rule On-going training received was not within the 9 topic areas listed in GS 110-91(11) and/or the health and safety training topic areas in rule .1102.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Dec 5, 2023. Correction verified: by a letter from the provider.

Parent participation plan was not discussed with parents on or before the child’s first day of attendance and/or a copy was not given to them or posted in the center.

“Documentation of discussion of the Parent Participation Plan was not on file for all five children enrolled.”

Rule Parent participation plan was not discussed with parents on or before the child's first day of attendance and/or a copy was not given to them or posted in the center.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Dec 5, 2023. Correction verified: by a letter from the provider.

Rule violated (DCDEE’s description below)

“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. . Five children enrolled in Space 1 A/B were not signed in upon arrival. Four children were not signed in or out (one child left sick) in Space 3.”

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 7, 2023. Correction verified: by a letter from the provider.

Staff did not model appropriate eating behaviors by consuming food or beverages that meet the nutritional requirements specified in the Meal Patterns for Children in Child Care Programs in the presence of children in care.

“In Space 2, a bottle of sweet tea was observed on a shelf accessible to children, not stored in an opaque container.”

Rule Staff did not model appropriate eating behaviors by consuming food or beverages that meet the nutritional requirements specified in the Meal Patterns for Children in Child Care Programs in the presence 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: Dec 5, 2023. 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.

“A Safe Sleep Policy was not posted.”

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.. Corrected during the inspection.

The EPR Plan did not include the location of the Ready to Go File and or the required information.

“The EPR plan was last updated on 1/23/2017.”

Rule The EPR Plan did not include the location of the Ready to Go File and or the required information.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Dec 5, 2023. 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 contents of the Ready To Go file did not include contact information for all staff members, applications for six children enrolled, or blank copies of incident reports.”

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 verified: by a letter from the provider.

Vehicles used to transport children enrolled in the child care center did not comply with all applicable State and federal laws and regulations.

“The inspection for this vehicle expired on 10/31/2023. A vehicle inspection was completed during the visit. The registration for this vehicle expired on 10/31/2023.”

Rule Vehicles used to transport children enrolled in the child care center did not comply with all applicable State and federal laws and regulations.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Dec 5, 2023. Correction verified: by a letter from the provider.