Childcare Network #161

A copy of the incident report was not given to the parent.

“Staff members did not provide the child’s parent a copy of an incident report completed on 5/19/26.”

Rule A copy of the incident report was not given to the parent.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: May 29, 2026. Correction verified: by a letter from the provider.

Center staff did not follow the EMC plan.

“Staff members did not notify the individuals listed on the center’s emergency medical care plan to determine the degree of care needed when a child fell and hit their head on 5/19/26.”

Rule Center staff did not follow the EMC plan.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Aug 17, 2026. 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 that the ABCMS Provider Portal was missing three (3) employees.”

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: Mar 30, 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.

“During the visit, I observed minimal toys accessible to children in space three (3). I observed only dolls in home center and only blocks in the block area. The manipulatives shelves were turned around and toys were not accessible. Other toys were located on top of high shelves and were not accessible.”

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.

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

“During the visit, I observed two (2) diaper creams located in space six (6) that did not have current medication permission forms.”

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: Mar 30, 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.

“During the visit, it was confirmed that a cup that contained bleach (approximately 1/4-1/3 of the cup) was left on a shelf in space six (6) that was accessible to children.”

Rule All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Mar 3, 2026. Correction verified: at a follow-up visit by DCDEE.

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 that the ABCMS Provider Portal did not have any employees listed in it or any new employees recorded.”

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: Oct 28, 2025. Correction verified: by a letter from the provider.

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

“During the visit, I observed I observed a bicycle without handlebar covers on the playground designated for preschool aged children. I also observed torn a Styrofoam exterior faucet cover on the infant playground.”

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

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. During the visit, I observed two (2) employee files that did not have documentation of receiving CPR Training within ninety (90) days of hire.”

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: Oct 7, 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. During the visit, I observed three (3) employee files that did not have documentation of receiving First Aid Training within ninety (90) days of hire.”

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: Oct 7, 2025. 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.

“During the visit, I did not observe a playground inspection for July 2025 or August 2025.”

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: Oct 7, 2025. Correction verified: by a letter from the provider.

Refrigerator(s) did not maintain a temperature of 45 degrees F. or below.

“During the visit, I did not observe a thermometer in the refrigerator in space two (2).”

Rule Refrigerator(s) did not maintain a temperature of 45 degrees F. or below.. Corrected during the inspection.

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

“During the visit, I observed a loose tension cable on the bottom of a fence line between the playgrounds designated for preschool and school age children. On this same fence line, I observed black plastic tubing that was cracked exposing sharp edges.”

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: Apr 29, 2025. Correction verified: by a letter from the provider.

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

“During the visit, I observed an unlocked cabinet containing teacher purses and diaper creams not five (5) vertical feet from the ground.”

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 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.

“During the visit, I observed one employee with a February 2025 hire date who did not have a medical report on file prior to employment.”

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.. 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.

“During the visit, I observed space two (2) to have baby dolls, stuff toys, three (3) pieces of play food, and one (1) play in the home center. In space three (3), I did not observe any toy animals.”

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: Apr 23, 2025. Correction verified: by a letter from the provider.

Incident logs were not completed and maintained as required.

“During the visit, I observed several incident reports that were not recorded on the incident log.”

Rule Incident logs were not completed and maintained as required.. Corrected during the inspection.

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

“During the visit, I observed on EpiPen with a authorization form that expired in November 2024 in space seven (7).”

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: Apr 23, 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 two (2) employees that needed twenty (20) ongoing training hours. One employee received 3.5 hours the other employee received 10 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: Apr 28, 2025. Correction verified: by a letter from the provider.

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.

“During the visit, I observed one (1) employee file that did not have documentation of completing Recognizing and Responding to Suspicions of Child Maltreatment within ninety (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: Apr 23, 2025. Correction verified: by a letter from the provider.

The depth of the loose surfacing was not based on critical height of the equipment.

“During the visit, I observed one (1) to two (2) inches of mulch at the base of the slide on the playground designated for toddlers.”

Rule The depth of the loose surfacing was not based on critical height of the equipment.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Apr 29, 2025. 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.

“During the visit, I observed an EPR plan with a review date of 08/2023.”

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

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

“During the visit, I observed several broken Lego toys and two large broken tables on the playground designated for school age children. I observed a screw that was exposed on a shelf in space 5. You corrected this during the visit. I observed an AC window unit in space 7 with a missing cover exposing lent and coils to children in the space.”

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: Nov 22, 2024. Correction verified: by a letter from the provider.

Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child.

“During the visit, I observed one uncovered outlet in space 8.”

Rule Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child.. Corrected during the inspection.

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

“During the visit, I observed one EpiPen with a medication authorization form that expired in 2023.”

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 13, 2024. Correction verified: by a letter from the provider.

Openings in equipment, steps, decks, handrails, and fencing were not less than 3 1/2 inches or greater than 9 inches.

“Openings in a gate were more than 3 1/2 inches but less than 9 inches.”

Rule Openings in equipment, steps, decks, handrails, and fencing were not less than 3 1/2 inches or greater than 9 inches.. Corrected during the inspection.