The Nest School

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

“In Space 4, one plastic bin accessible to children on a shelf was observed to be cracked and sharp to the touch. On the playground used by children less than one year of age and by children one year of age, metal grate cover was observed to have holes in greater than three areas and to be sharp to the touch.”

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

All administrators and staff did not complete a professional development plan within one year of employment, that included all the required information.

“The Professional Development Plan for one existing staff member was not observed to include the continuing education, coursework, or training needed to meet the individual’s planned goals.”

Rule All administrators and staff did not complete a professional development plan within one year of employment, that included all the required information.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Jun 3, 2026. Correction verified: by a letter from the provider.

All equipment and furnishings were not in good repair.

“In Space 3, one wooden toy piece of bread was observed to be splintering at the edges. In Space 4, greater than five faux wood blocks made out of foam were observed to have teeth mark impressions on them.”

Rule All equipment and furnishings were not in good repair.. Corrected during the inspection.

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

“Bananas were listed for breakfast on the menu for today, but blueberries were substituted; this was not recorded on the menu prior to breakfast being served. Mandarin oranges were listed for lunch on the menu for today, but pears were substituted; this was not recorded on the menu prior to lunch being served.”

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

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 3, only one art material was accessible to children.”

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.

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. None of the six new staff members’ CBC qualification letters were observed to be linked to the facility’s ABCMS Facility Profile.”

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: Feb 13, 2026. 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.

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.

All electrical appliances were not used in accordance with the manufacturers instruction.

“Appliances with heating elements, such as bottle warmers, crock pots, curling irons, irons, coffee pots, and/or their cords were accessible to preschool-age children. In Space 7, a portable laminator was observed less than five feet from the ground on a child-sized table; the laminator was plugged in and hot to the touch.”

Rule All electrical appliances were not used in accordance with the manufacturers instruction.. Corrected during the inspection.

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.

“The safe sleep record for one infant enrolled in Space 9 was not completed for 1/28/2026; a staff member stated the child was present and napped that day. The safe sleep record for another infant enrolled in Space 9 was not observed to have been recorded since 11/10/2025; administration stated the child was present in the following days, and the child was present during today’s visit.”

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 13, 2026. 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.

“In Space 5A, a diaper cream was not returned to a parent after 1/08; the “valid to” date was recorded as 12/05/2025, and the “valid from” date was recorded as 1/08/2025.”

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.. Corrected during the inspection.

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

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 13, 2026. Correction verified: by a letter from the provider.

Non-mobile children were enrolled and the center did not have a crib or other approved device to safely evacuate the children in an emergency.

“Evacuation cribs were not observed in Space 9, a room designated for infants ages nine months to twelve months in age with seven infants currently enrolled.”

Rule Non-mobile children were enrolled and the center did not have a crib or other approved device to safely evacuate the children in an emergency.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Feb 13, 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.

“In Space 6, a classroom designated for children one year of age, a piece of wrapped peppermint candy, greater than three small screws, and other items small enough to be potential choking hazards for children were observed inside an unlatched drawer less than five feet from the ground.”

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.

Prior to the expiration date of the qualification letter, the child care provider did not complete and submit required forms to complete a criminal background check (a qualification letter is valid for a maximum of five years for the date of issuance).

“The Criminal Background Check Qualification Letter for one new staff member expired on 1/19/2026.”

Rule Prior to the expiration date of the qualification letter, the child care provider did not complete and submit required forms to complete a criminal background check (a qualification letter is valid for a maximum of five years for the date of issuance).. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Feb 13, 2026. 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.

“A lockdown/ shelter-in-place drill was not observed to be recorded between 7/02/2025 and 1/09/2026.”

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 13, 2026. 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 observed posted in Space 9.”

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.

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. A facility profile for Criminal Background Checks had not been created; hence, staff CBCs were also not yet linked to this profile.”

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: Jun 26, 2025. Correction verified: by a letter from the provider.

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

“In Space 4, a toy shelf was observed to be cracked and chipped on the top right edge and was sharp to the touch. Also in Space 4, a plastic electrical switch plate was observed to be cracked and sharp to the touch. On the playground designated for children of preschool age, one plastic sand table was observed to be cracked and sharp to the touch in greater than three places.”

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

A violation was found for which there is no item number.

“Child Care Sanitation Rule 15A NCAC 18A .2820 (g) STORAGE states purses and other personal effects belonging to child care center employees shall be kept inaccessible to children and shall be stored in accordance with this Rule, as applicable. The purse belonging to one staff member in Space 8 was observed on the floor of the classroom, accessible to children.”

Rule A violation was found for which there is no item number.. Corrected during the inspection.

Application for enrollment did not include all required information.

“The file for one child enrolled did not contain emergency medical information.”

Rule Application for enrollment did not include all required information.. Corrected during the inspection.

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 6, a classroom designated for children one year of age, greater than four learning centers did not contain sufficient materials accessible for the children’s play.”

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: Jun 23, 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.

“In Space 4, the medication authorization form for lip balm for one child enrolled expired on 2/05/25.”

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.. Corrected during the inspection.

Parent’s medication authorization did not include required information.

“In Space 9, the medication authorization for one child enrolled did not contain the name of the medication. In Space 2, the medication authorization forms for two children enrolled did not contain valid to and from dates.”

Rule Parent's medication authorization did not include required information.. Corrected during the inspection.

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

“The infant feeding plan for one child enrolled in Space 9 was not signed by a parent.”

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

A child was handled in a rough way, including shaking, pushing, shoving, pinching, slapping, biting, kicking, or spanking.

“On 5/14/25, a staff member moved a 4-year-old child on their nap cot in a rough and inappropriate manner, as a result, the child sustained a bruise on their elbow.”

Rule A child was handled in a rough way, including shaking, pushing, shoving, pinching, slapping, biting, kicking, or spanking.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Jun 13, 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.

“On 5/14/25, a staff member spoke to multiple children with a harsh and inappropriate tone of voice, when telling the children to lay down on their nap cots.”

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 13, 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.

“On 5/14/25, staff members failed to complete an incident report when a child was injured. On 5/15/25, staff members said they completed an incident report after a child sustained an injury; however, a copy of the incident report was not on file for review.”

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: Jun 13, 2025. Correction verified: by a letter from the provider.

There was a substantiation of child maltreatment.

“The Division confirmed child maltreatment based on the physical needs of a child.”

Rule There was a substantiation of child maltreatment.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Oct 17, 2025. Correction verified: at a follow-up visit by DCDEE.

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.

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.

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.

“In Space 1 and Space 9, the diaper cream forms for one child enrolled in each classroom were observed to have the recorded length of time the authorization was valid to be expired (each was recorded as valid through 11/2024). In Space 5, two sunscreens were observed for the length of time the authorization was valid to be expired (each was recorded as valid through 11/2024).”

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.. Corrected during the inspection.

Parent’s medication authorization did not include required information.

“In Space 5, one sunscreen was observed without a medication authorization form. Additionally in Space 5, the name of the diaper cream for one child enrolled was not included on the medication authorization form.”

Rule Parent's medication authorization did not include required information.. Corrected during the inspection.

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 Space 2, a space designated for infants, a cabinet was observed to be unlatched and contain greater than two plastic bags and diaper wrappers, presenting a potential choking hazard. On the playground used by children two years old, plastic weed block was observed emerging from a gardening box, presenting a potential choking hazard.”

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.

The center did not complete an EPR Plan within four months of completing the EPR in Child Care training and/or the Plan was not completed on a template provided by the Division.

“A physical copy of the EPR plan was not on file for review, and it had not been updated since 11/142023.”

Rule The center did not complete an EPR Plan within four months of completing the EPR in Child Care training and/or the Plan was not completed on a template provided by the Division.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Jan 17, 2025. Correction verified: by a letter from the provider.

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

“The Ready to Go file was observed to be missing five children’s applications and the contact information for nine staff members.”

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

A copy of the safe sleep policy was not given to and/or explained to the parent of each child on or before the first day the infant attended the center.

“The safe sleep policy for one child enrolled was not signed by a parent.”

Rule A copy of the safe sleep policy was not given to and/or explained to the parent of each child on or before the first day the infant attended the center.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Jul 25, 2024. Correction verified: by a letter from the provider.

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

“An activity plan was not posted in Space 7.”

Rule A current activity plan was not posted for each group of children for reference.. Corrected during the inspection.

A First Aid information sheet was not posted in a place for referral and/or the information sheet did not include all the required information.

“The content included in on the First Aid poster posted in each classroom did not include First Aid guidance for scalds, head injuries, poisons, skin wounds, stings, and bites.”

Rule A First Aid information sheet was not posted in a place for referral and/or the information sheet did not include all the required information.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Jul 24, 2025. Correction verified: at a follow-up visit by DCDEE.

A summary of the NC Child Care Law was not given to a parent of every child enrolled in the center.

“A signed receipt of the Summary of NC Child Care Law was not observed on file for one child enrolled.”

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: Jul 25, 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 bottle of coconut oil skin treatment labeled Keep Out of Reach of Children with additional warnings was observed greater than five feet up, but in unlocked storage in Space 1. One bottle of hydrogen peroxide labeled Keep Out of Reach of Children with additional warnings was observed greater than five feet up, but in unlocked storage in Space 3. One bottle of sunscreen labeled Keep Out of Reach of Children with additional warnings was observed hanging inside a bag, less than five feet from the ground in Space 8.”

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.

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.

“An Emergency Information form was not observed on file for review for one substitute.”

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: Jul 24, 2025. Correction verified: at a follow-up visit by DCDEE.

Emergency information did not name childs health care professional.

“The application for one child enrolled did not contain a responsible party’s choice of health care professional.”

Rule Emergency information did not name childs health care professional.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Jul 25, 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 Spaces 3, 5A, 5B, and 9, the art centers were completely inaccessible to children. In Space 4, the home living center did not contain sufficient materials for three children to use the space at the same time.”

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.

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 prescription diaper cream for one child enrolled was not returned to the parent within 72 hours of the completion of treatment.”

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.. Corrected during the inspection.

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

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: Jul 24, 2025. Correction verified: at a follow-up visit by DCDEE.

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 Space 9, a classroom for children one year of age, two plastic garbage bags were observed in an unlatched drawer located less than five feet from the ground, accessible to children. On the playground designated for children two years of age, two planters were observed to be lined with plastic liner which was observed to be shredding and could present a potential choking hazard.”

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: Jul 25, 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.

“A lockdown/ shelter-in-place drill was not observed to be documented from August 2023 through February, 2024.”

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: Jul 24, 2025. Correction verified: at a follow-up visit by DCDEE.

Special diet or food allergy information was not posted where they can be seen in food preparation and eating areas.

“An Allergy List was not posted in Space 2.”

Rule Special diet or food allergy information was not posted where they can be seen in food preparation and eating areas.. Corrected during the inspection.

Substitutes and volunteers counted in ratio were not informed of the center’s EPR Plan and its location.

“Documentation of this notice was not maintained on file or in a file designated for emergency preparedness and response plan documents. A signed notice of the EPR plan location was not observed on file for review for one substitute.”

Rule Substitutes and volunteers counted in ratio were not informed of the center's EPR Plan and its location.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Jul 24, 2025. Correction verified: at a follow-up visit by DCDEE.

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

“The Ready to Go file did not contain applications for children enrolled, emergency contact information for 102 of the 125 children enrolled, staff contact information, medication authorizations and medical action plans, and copies of blank incident reports.”

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

The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person’s file.

“The signed Shaken Baby and Abusive Head Trauma Policy for one new employee was not observed on file for review.”

Rule The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Jul 25, 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.

“The infant feeding plans for two children enrolled (one in Space 1 and one in Space 9) were not signed by a parent or dated upon center receipt.”

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: Jul 25, 2024. Correction verified: by a letter from the provider.

When three year old children and older were in care, the materials and equipment in the activity area was not in sufficient quantity to allow at least three children to use the area regardless of whether the children choose the same or different activities.

“In Space 8, the art center did not contain sufficient materials for three children to use the space at the same time.”

Rule When three year old children and older were in care, the materials and equipment in the activity area was not in sufficient quantity to allow at least three children to use the area regardless of whether the children choose the same or different activities.. Corrected during the inspection.